DONOR NETWORK WEST: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
DONOR NETWORK WEST (EIN 94-3062436)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-02
IRS object ID
201342149349301204
Schema version
2012v2.1
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)
Timestamp2013-08-02T12:24:01-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN946214841EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ARMANINO LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line112667 ALCOSTA BOULEVARD SUITE 500AddressLine1
CitySAN RAMONCity
StateCAState
ZIP Code945834427ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN943062436EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA TRANSPLANT DONOR NETWORKBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCALINameControl
Phone5104448500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 BROADWAY NO 600AddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94607ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCYNTHIA SILJESTROMName
TitleCEOTitle
Phone5104448500Phone
Date Signed2013-08-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBARBARA CYPHERSName
PTINP00386728PTIN
Phone9257902600Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCYNTHIA SILJESTROMNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11000 BROADWAY NO 600AddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94607ZIPCode
FieldValueIRS element (for citing)
Gross Receipts60597354GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CTDN.ORGWebSite
Type Of Organization OtherXTypeOfOrganizationOther
Year Formation1987YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionHUMAN ORGAN PROCUREMENT FOR TRANSPLANTATIONActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees316TotalNbrEmployees
Total Nbr Volunteers300TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year75378ContributionsGrantsPriorYear
Contributions Grants Current Year171338ContributionsGrantsCurrentYear
Program Service Revenue Prior Year59037893ProgramServiceRevenuePriorYear
Program Service Revenue CY60224149ProgramServiceRevenueCY
Investment Income Prior Year149555InvestmentIncomePriorYear
Investment Income Current Year192597InvestmentIncomeCurrentYear
Other Revenue Prior Year60428OtherRevenuePriorYear
Other Revenue Current Year-16892OtherRevenueCurrentYear
Total Revenue Prior Year59323254TotalRevenuePriorYear
Total Revenue Current Year60571192TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year24878953SalariesEtcPriorYear
Salaries Etc Current Year27484293SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year31039149OtherExpensePriorYear
Other Expenses Current Year30164769OtherExpensesCurrentYear
Total Expenses Prior Year55918102TotalExpensesPriorYear
Total Expenses Current Year57649062TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3405152RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2922130RevenuesLessExpensesCY
Total Assets BOY24342143TotalAssetsBOY
Total Assets EOY27613477TotalAssetsEOY
Total Liabilities BOY8302995TotalLiabilitiesBOY
Total Liabilities EOY8711252TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16039148NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY18902225NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE CALIFORNIA TRANSPLANT DONOR NETWORK'S MISSION IS TO SAVE AND IMPROVE LIVES THROUGH ORGAN AND TISSUE DONATION FOR TRANSPLANTATION.WE CONCENTRATE OUR EFFORTS ON THE RECOVERY OF VITAL ORGANS SUCH AS LUNGS, HEART, LIVER, KIDNEYS, PACREAS AND SMALL BOWEL FROM DECEASED DONORS AND PLACEMENT OF THESE ORGANS WITH MORE THAN 114,000 PEOPLE WHO ARE CURRENTLY WAITING FOR A LIFE-SAVING ORGAN TRANSPLANT IN OUR COUNTY. WE ALSO FOCUS ON THE RECOVERY OF TISSUES FOR TRANSPLANTATION INCLUDING SKIN, HEART VALVES, CORNEAS, AND MUSCULOSKELETAL TISSUES. TISSUES ARE PROCESSED AND PLACED THROUGH SEVERAL TISSUE BANKS TO HELP HEAL THOUSANDS WITH THE GIFTS OF TISSUE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense53307421Expense
Revenue60224149Revenue
DescriptionMORE THAN 10,000 PEOPLE WAIT FOR A LIFESAVING ORGAN TRANSPLANT AND THOUSANDS MORE FOR TISSUE TRANSPLANTS IN THE CTDN SERVICE AREA. THE RECOVERY AND PLACEMENT OF ORGANS AND TISSUES IS VITAL TO THE ORGANIZATION'S MISSION OF SAVING AND IMPROVING LIVES.OUR CLINICAL OPERATIONS STAFF PROVIDED CARE FOR MORE THAN A THOUSAND FAMILIES DURING A VERY EMOTIONAL TIME IN THEIR LIVES AS THEY SUFFERED THE LOSS OF THEIR LOVED ONES. MANY INDIVIDUALS HAD ALREADY MADE THE DECISION TO BECOME A DONOR AT THE TIME OF THEIR DEATH, WHILE OTHERS HAD FAMILY MEMBERS AGREE TO DONATION AT THIS DIFFICULT TIME. THROUGH THEIR GENEROSITY, THOUSANDS OF OTHERS WERE SAVED OR HEALED BECAUSE OF THESE GIFTS OF LIFE.IN 2012, WE RECOVERED 1,054 ORGANS FOR TRANSPLANTATION FROM 305 ORGAN DONORS AND PROVIDED TISSUES FOR TRANSPLANTATION FROM 1,708 TISSUE DONORS; AN ESTIMATED 66,500 LIVES WERE IMPROVED AS A RESULT.THE SHORTAGE OF AVAILABLE ORGANS AND TISSUES IS A SERIOUS ISSUE AS 18 PEOPLE NATIONALLY WILL DIE TODAY WAITING FOR AN ORGAN TRANSPLANT. PUBLIC OUTREACH EFFORTS ARE FOCUSED ON INCREASING REGISTRATIONS ON THE CALIFORNIA AND NEVADA STATE DONOR REGISTRY KNOWN AS THE DONATE LIFE CALIFORNIA REGISTRY AND DONATE LIFE NEVADA REGISTRY. WE ADDED 316,000 NEW NAMES TO THE REGISTRY IN OUR SERVICE AREA THROUGH A VARIETY OF EFFORTS.IN 2012, THE COMMUNITY DEVELOPMENT DEPARTMENT FOCUSED ON SEVERAL KEY CAMPAIGNS TO INCREASE DONOR REGISTRATIONS. THESE CAMPAIGNS INCLUDED WORKING WITH OUR 75 DEPARTMENT OF MOTOR VEHICLE OFFICES, COMMUNITY HEALTH CLINICS, HIGH SCHOOLS AND FOCUSING ON MULTICULTURAL MEDIA. WE REGULARLY WORK WITH OUR DEPARTMENT OF MOTOR VEHICLE OFFICES TO PROVIDE INFORMATION, APPRECIATION AND DEVELOP RELATIONSHIPS WITH EACH OFFICE TO ENSURE THE RECORDING OF THE DONATION DECISIONS OF MILLIONS OF CALIFORNIAN'S AND NEVADAN'S. OUR EFFORTS RESULTED IN A 4.8% INCREASE OVER 2011. WE SUCCESSFULLY REACHED MANY MULTICULTURAL COMMUNITY CLINICS WITH INFORMATION AND IN-SERVICES AND WORKED WITH HIGH SCHOOL TEACHERS TO INTEGRATE ORGAN AND TISSUE DONATION INFORMATION IN HEALTH AND SCIENCE CURRICULUMS. WE DOCUMENTED 98 PROACTIVE FREE MEDIA STORIES THAT WERE SEEN ACROSS THE COUNTRY. THE RESULTS - 38% OF OUR ORGAN DONORS AND 37% OF OUR TISSUE DONORS WERE ON THE STATE REGISTRY. THESE INDIVIDUALS HAD OFFICIALLY DOCUMENTED THEIR DECISION TO BE A DONOR, AND WE WERE ABLE TO FOLLOW THROUGH ON THEIR WISHES.OUR DONOR FAMILIES ARE CARED FOR THROUGHOUT THE WHOLE DONATION PROCESS AS WELL AS AFTER THE DONATION OCCURS. OUR PROFESSIONAL STAFF FOLLOWS UP WITH THE FAMILIES FOR A YEAR POST-DONATION AND OFFERS ASSISTANCE. WE HOSTED THREE DONOR FAMILY GATHERINGS TO HONOR AND CELEBRATE THE DONOR FAMILIES AND THEIR LOVED ONES WHO GAVE THE GIFT OF LIFE OF ORGANS AND TISSUES TO MORE THAN 66,500 IN 2012. DONOR FAMILY GATHERINGS WERE HELD IN PLEASANTON, RENO, AND FRESNO ON THREE SEPARATE DAYS TO ACCOMMODATE THE NEARLY 2,030 FAMILIES WHOSE LOVED ONES BECAME DONORS IN 2012.Description
Total Program Service Expense53307421TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees316NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SANDRA MEJIA VICE PRESIDENT OF FINANCEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5102736708TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11000 BROADWAY SUITE 600AddressLine1
CityOAKLANDCity
StateCAState
ZIP Code94607ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
JOHN ROBERTS
CHAIRMAN4.00XX000
CHERYL A FAMA
SECRETARY-TREASURER4.00XX000
KATHLEEN F LYNAUGH
BOARD MEMBER4.00X000
TIM BUCKHOUT
BOARD MEMBER4.00X000
CARLOS ESQUIVEL
BOARD MEMBER4.00X000
REECE FAWLEY
BOARD MEMBER4.00X000
BEVERLY JONES
BOARD MEMBER4.00X000
HAMILA KOWNACKI
BOARD MEMBER4.00X000
NANCY LEE
BOARD MEMBER4.00X000
JOHN RABKIN
BOARD MEMBER4.00X000
JILL SULLIVAN
BOARD MEMBER4.00X000
DOLLY B TYAN
BOARD MEMBER4.00X000
CHRIS YOUNG
BOARD MEMBER4.00X000
CYNTHIA SILJESTROM
CHIEF EXECUTIVE OFFICER40.00XX356100025764
DENISE KINDER
VICE PRESIDENT OF CLINICAL40.00255706037385X
SANDRA MEJIA
VICE PRESIDENT OF FINANCE40.00238943023390X
MATTHEW CRUMP
DIR OF TISSUE SERVICES40.00211853022628X
KIM PATTON
DIR OF CLINICAL SERVICES40.00200815031093X
NIKOLE NEIDLINGER
MEDICAL DIRECTOR32.00209867017499X
SEAN VAN SLYCK
DIR OF PROCUREMENT40.00198689025896X
EUGENE OSBORNE
VICE PRESIDENT OF ADMINISTRATION40.0021055600X
COLLEEN CIESZKOWSKI
DIR OF FAMILY SERVICES40.00172305019632X
JOHN MASON
DIR OF INFORMATION SERVICES40.00163709025783X
SHARON SHAMOON
TRANSPLANT COORDINATOR40.00187616035755X
RICARDO ELIZONDO
MANAGER OF CLINICAL SERVICES40.00151676038580X
SALVADOR GUERRERO
FAMILY RESOURCE COORDINATOR40.00151519031824X
JOHN LILLEY
SUPERVISOR OF CLINICAL SERVICES40.00143033036795X
JOHN NGUYEN
ADVANCED PRACTICE COORDINATOR40.00160411016623X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3012798TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation388647TotalOtherCompensation
Number Individuals GT100 K85NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TRANSPLANT TRANSPORTATION SERVICES INC
PO BOX 937PENNGROVECA94951TRANSPORTATION1493679
STATLINE LLC
6440 S FIDDLERS GREEN CIRCLE STEGREENWOODCO80111CALL CENTER626717
LABS INC
PO BOX 843224KANSAS CITYMO641843224LABORATORY423810
APPLEONE EMPLOYMENT SERVICES
PO BOX 29048GLENDALECA912099048TEMPORARY STAFFING310962
ANGEL WORLDWIDE TRANSPORTATION
982 E LEWELING BLVDHAYWARDCA94541TRANSPORTATION290940
FieldValueIRS element (for citing)
Number Of Contractors GT100 K16NumberOfContractorsGT100K
Fundraising Events89668FundraisingEvents
All Other Contributions81670AllOtherContributions
Total Contributions171338TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ORGAN ACQ FEES6215006005072860050728
MEDICARE/MEDICAID PMTS900099173421173421
FieldValueIRS element (for citing)
Total Program Service Revenue60224149TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column192597TotalRevenueColumn
Exclusion$192,597ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events89668CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses26162FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-26162TotalRevenueColumn
Exclusion-$26,162ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column9270TotalRevenueColumn
Exclusion$9,270ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue9270TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column60571192TotalRevenueColumn
Related Or Exempt Function Income60224149RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$175,705ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2631653Total
Program Services2087975ProgramServices
Management And General543678ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total19100907Total
Program Services17884726ProgramServices
Management And General1216181ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total646042Total
Program Services594359ProgramServices
Management And General51683ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3563759Total
Program Services3278658ProgramServices
Management And General285101ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1541932Total
Program Services1418577ProgramServices
Management And General123355ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total131571Total
Management And General131571ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total66693Total
Management And General66693ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total588055Total
Program Services242930ProgramServices
Management And General345125ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1328805Total
Program Services536700ProgramServices
Management And General792105ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1515052Total
Program Services1052858ProgramServices
Management And General462194ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2470760Total
Program Services2470760ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total651298Total
Program Services509038ProgramServices
Management And General142260ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total417029Total
Program Services246942ProgramServices
Management And General170087ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total470946Total
Program Services470946ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
IMPORT ORGAN EXPENSE81245868124586
DONOR HOSPITAL MAINT.67690306769030
PRESERVATION25057082505708
COORDINATION17973981797398

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3327838Total
Program Services3316230ProgramServices
Management And General11608ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total57649062Total
Program Services53307421ProgramServices
Management And General4341641ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7091856BOY
EOY6417902EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1468673BOY
EOY3003725EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9271133BOY
EOY10872584EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY709119BOY
EOY1036073EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2630299LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1525086LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1166929BOY
EOY1105213EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY4634433BOY
EOY5177980EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY24342143BOY
EOY27613477EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8003496BOY
EOY8447138EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY299499BOY
EOY264114EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8302995BOY
EOY8711252EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY16032855BOY
EOY18893262EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6293BOY
EOY8963EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16039148BOY
EOY18902225EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24342143BOY
EOY27613477EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2922130ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-59053ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49697CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years72199CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years46688CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year75378CurrentTaxYearMinus1Year
Current Tax Year171338CurrentTaxYear
Total415300Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years43988865CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40111523CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years52527213CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year59037893CurrentTaxYearMinus1Year
Current Tax Year60224149CurrentTaxYear
Total255889643Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44038562CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40183722CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years52573901CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year59113271CurrentTaxYearMinus1Year
Current Tax Year60395487CurrentTaxYear
Total256304943Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509256304943PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years215565CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54043CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years118781CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year161427CurrentTaxYearMinus1Year
Current Tax Year192597CurrentTaxYear
Total742413Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years215565CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54043CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years118781CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year161427CurrentTaxYearMinus1Year
Current Tax Year192597CurrentTaxYear
Total742413Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years9492CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year74882CurrentTaxYearMinus1Year
Current Tax Year9270CurrentTaxYear
Total93644Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44254127CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40237765CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years52702174CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year59349580CurrentTaxYearMinus1Year
Current Tax Year60597354CurrentTaxYear
Total257141000Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99670PublicSupportPercentage509
Prior Year Support Percentage0.99630PriorYearSupportPercentage
Investment Income Percentage0.00290InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00340PriorYrInvestIncomePercentage
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 D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1410391OtherCostOrOtherBasis
Depreciation893843Depreciation
Book Value516548BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1219908OtherCostOrOtherBasis
Depreciation631243Depreciation
Book Value588665BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1105213TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINVESTMENT SECURITIESDescription
Book Value5177980BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities5177980TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED LEASE PAYABLEDescription
Amount$264,114Amount
FieldValueIRS element (for citing)
Total Of Amounts264114TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt60512139TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-59053NetUnrealizedGainsInvestments
Revenue Not Rptd F990-59053RevenueNotRptdF990
Revenue Subtotal60571192RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99060571192TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt57649062TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal57649062ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99057649062TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationCTDN HAS ADOPTED THE PROVISIONS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS. IT EVALUATES ITS TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE-LIKELY-THAN-NOT" OF BEING SUSTAINED BY THE APPLICABLE TAX AUTHORITY. TAX POSITIONS NOT DEEMED TO MEET THE "MORE-LIKELY-THAN-NOT" THRESHOLD ARE RECORDED AS AN EXPENSE IN THE APPLICABLE YEAR. AS OF DECEMBER 31, 2012,AND 2011, CDTN DOES NOT HAVE ANY SIGNIFICANT UNCERTAIN TAX POSITIONS FOR WHICH A RESERVE WOULD BE NECESSARY.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1DONATE LIFE WALKNameOfEvent1
Gross Receipts Event189668GrossReceiptsEvent1
Charitable Contributions Event189668CharitableContributionsEvent1
Non Cash Prizes Event14841NonCashPrizesEvent1
Rent Facility Costs Event13506RentFacilityCostsEvent1
Entertainment Event1503EntertainmentEvent1
Other Direct Expenses Event117312OtherDirectExpensesEvent1
Gross Receipts Total89668GrossReceiptsTotal
Charitable Contributions Total89668CharitableContributionsTotal
Non Cash Prizes Total Events4841NonCashPrizesTotalEvents
Rent Facility Costs Total Events3506RentFacilityCostsTotalEvents
Entertainment Total Events503EntertainmentTotalEvents
Other Direct Expenses Total Events17312OtherDirectExpensesTotalEvents
Direct Expense Summary Events26162DirectExpenseSummaryEvents
Net Income Summary-26162NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (15 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CYNTHIA SILJESTROM
CHIEF EXECUTIVE OFFICER325925030175000150000107640381864000
DENISE KINDER
VICE PRESIDENT OF CLINICAL236056019650000183780190070293091000
SANDRA MEJIA
VICE PRESIDENT OF FINANCE21974301920000013411099790262333000
MATTHEW CRUMP
DIR OF TISSUE SERVICES192978018875000112840113440234481000
KIM PATTON
DIR OF CLINICAL SERVICES179462021353000147530163400231908000
NIKOLE NEIDLINGER
MEDICAL DIRECTOR19201701785000058430116560227366000
SEAN VAN SLYCK
DIR OF PROCUREMENT185857012832000150770108190224585000
EUGENE OSBORNE
VICE PRESIDENT OF ADMINISTRATION210556000000000210556000
COLLEEN CIESZKOWSKI
DIR OF FAMILY SERVICES1620510102540009831098010191937000
JOHN MASON
DIR OF INFORMATION SERVICES15370901000000091370166460189492000
SHARON SHAMOON
TRANSPLANT COORDINATOR16932101829500092320265230223371000
RICARDO ELIZONDO
MANAGER OF CLINICAL SERVICES14245309223000119150266650190256000
SALVADOR GUERRERO
FAMILY RESOURCE COORDINATOR1429630855600077400240840183343000
JOHN LILLEY
SUPERVISOR OF CLINICAL SERVICES123993019040000102200265750179828000
JOHN NGUYEN
ADVANCED PRACTICE COORDINATOR14014502026600010428061950177034000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1AALL REGULAR CTDN EMPLOYEES MAY RECEIVE UP TO $30 PER MONTH FOR A GYM MEMBERSHIP OR EXERCISE CLASS AS PART OF THE EMPLOYEE HEALTH BENEFIT. PROOF OF PAYMENT IS REQUIRED. REIMBURSEMENT IS PROCESSED THROUGH THE PAYROLL SYSTEM. INITIATION, COUNTRY CLUB AND GOLF FEES ARE EXCLUDED FROM REIMBURSEMENT.
PART I, LINES 4A-BCINDY SILJESTROM, CHIEF EXECUTIVE OFFICER AND SANDRA MEJIA, VICE PRESIDENT OF FINANCE, PARTICIPATED IN THE CTDN 457(B) PLAN. EUGENE OSBORNE RECEIVED SEVERANCE OF $210,556.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 4THE BYLAWS WERE AMENDED TO EXTEND THE TERMS FOR THE CURRENT BOARD MEMBERS BY ONE ADDITIONAL YEAR.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS DISTRIBUTED TO THE ENTIRE GOVERNING BODY BEFORE FILING. THE FORM 990 IS REVIEWED AND APPROVED BY THE CHAIR OF THE AUDIT COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS OF THE CALIFORNIA TRANSPLANT DONOR NETWORK HAS ADOPTED A POLICY ON CONFLICTS OF INTEREST OF ITS BOARD MEMBERS AND EMPLOYEES. CTDN IS COMMITTED TO THIS POLICY AND WILL PERFORM AN ANNUAL REVIEW OF THIS POLICY. TO CARRY OUT THIS POLICY, EACH BOARD MEMBER IS TO IDENTIFY ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AS DESCRIBED IN THE POLICY WITH RESPECT TO OUTSIDE INTERESTS, INVESTMENTS, OR OTHER ACTIVITIES THAT MIGHT RELATE TO SERVICES PROVIDED TO CTDN.
FORM 990, PART VI, SECTION B, LINE 15CTDN UTILIZES A COMPREHENSIVE SALARY SURVEY CONDUCTED BY THE ASSOCIATIONS OF ORGAN PROCUREMENT ORGANIZATIONS UTILIZING MCGLADREY CONSULTING SERVICES AS WELL AS OTHER PUBLICLY AVAILABLE SALARY INFORMATION TO SET EXECUTIVE SALARIES. THE EXECUTIVE COMMITTEE TO THE BOARD OF DIRECTORS ALSO REVIEWS ANY SALARY INCREASE FOR THE CEO.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENT, 990 AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. GOVERNING DOCUMENTS ARE NOT AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.