2012-05-11T16:47:28-05:00 2011-06-30 LEWIS BIRCH & RICARDO LLC 1401 COURT STREET CLEARWATER FL 337566146 990 2010-07-01 592193032 LIFELINK FOUNDATION INC LIFE 8132586515 601 BAYSHORE BLVD NO 600 TAMPA FL 336062760 BRYAN C MCDONALD 8132586515 2012-05-08 1 7274463058 2010 2016-02-24 21:20:13Z DR DANA L SHIRES 601 BAYSHORE BLVD NO 600 TAMPA FL 336062760 92079493 0 X WWW.LIFELINKFOUND.ORG X 1982 FL ORGAN AND TISSUE PROCUREMENT AND TRANSPLANTATION 20 10 454 500 0 0 70676 2523621 72948785 79152038 182989 705089 0 535810 73202450 82916558 334154 13555176 0 0 35795287 40475480 0 0 0 32003198 37778164 68132639 91808820 5069811 -8892262 108171688 97910890 46601454 45175957 61570234 52734933 X LIFELINK FOUNDATION IS A NON-PROFIT COMMUNITY SERVICE ORGANIZATION DEDICATED TO THE RECOVERY OF LIFE-SAVING AND LIFE-ENHANCING ORGANS AND TISSUE FOR TRANSPLANTATION THERAPY. THE FOUNDATION WORKS IN A SENSITIVE, DILIGENT, AND COMPASSIONATE MANNER TO FACILITATE THE DONATION OF DESPERATELY NEEDED ORGANS AND TISSUES FOR WAITING PATIENTS, SUPPORT RESEARCH EFFORTS TO ENHANCE THE AVAILABLE SUPPLY OF ORGANS AND TISSUE FOR TRANSPLANT PATIENTS, IMPROVE CLINICAL OUTCOMES OF PATIENTS POST TRANSPLANTATION AND WORKS CLOSELY WITH THE UNITED NETWORK FOR ORGAN SHARING (UNOS) TO SUPPORT ITS GOALS. 0 0 51666701 13482163 50052581 ORGAN PROCUREMENT ORGANIZATIONS (OPO):LIFELINK'S ORGAN RECOVERY ORGANIZATIONS ARE COMMITTED TO HONORING THE WISHES OF INDIVIDUALS WHO HAVE DECLARED THEIR INTENTION TO GIVE LIFE THROUGH ORGAN AND TISSUE DONATION, SUPPORTING DONOR FAMILIES THROUGH GRIEVING THE LOSS OF A LOVED ONE AND, IN THE ABSENCE OF A REGISTERED DONOR DESIGNATION, PROVIDING THEM WITH INFORMATION TO MAKE A DONATION DECISION, WHILE SIMULTANEOUSLY PROVIDING LIFE-SAVING ORGANS AND TISSUE FOR TRANSPLANT TO AS MANY WAITING PATIENTS AS POSSIBLE. TOGETHER WITH HOSPITAL ADMINISTRATORS, PHYSICIANS, NURSES, MEDICAL ANCILLARY DEPARTMENTS, MEDICAL EXAMINERS, CORONERS AND, MOST IMPORTANT, REGISTERED DONORS AND THEIR FAMILIES, WE ACCOMPLISH OUR MISSION SUCCESSFULLY. THE BELOW DATA REPRESENTS LIFELINK'S THREE ORGAN RECOVERY ORGANIZATIONS, LIFELINK OF FLORIDA (LLFL), LIFELINK OF GEORGIA (LLGA) AND LIFELINK OF PUERTO RICO (LLPR):ORGAN DONORS: 560TISSUE DONORS: 941BY OPO: ORGAN - LLFL 189; LLGA 265; LLPR 106TISSUE - LLFL 395*; LLGA 317; LLPR 229*INCLUDES TISSUE DONORS FROM THE LIFELINK OF FLORIDA SERVICE AREA, AS WELL AS TISSUE RECOVERED FROM DONORS IN THE TRANSLIFE ORGAN PROCUREMENT ORGANIZATION SERVICE AREA. LIFELINK TISSUE BANK IS CONTRACTED BY TRANSLIFE TO PROCESS TISSUE RECOVERED IN THEIR SERVICE AREA INTO GRAFTS FOR TRANSPLANT.ORGANS TRANSPLANTED, BY SERVICE AREA:LLFL 583LLGA 816LLPR 303TOTAL 1,702DATA REPRESENTS LIFELINK FISCAL YEAR BEGINNING JULY 1, 2010 AND ENDING JUNE 30, 2011.THE NATIONAL AVERAGE ORGAN DONOR RATE, OR PERCENTAGE OF ACTUAL DONORS PER 100 ELIGIBLE DEATHS, IS 71.3. THE ORGAN DONOR RATE FOR LIFELINK'S SERVICE AREAS IS:LLFL 79.9LLGA 71.9LLPR 86.7ORGAN DONOR RATE DATA FROM SCIENTIFIC REGISTRY OF TRANSPLANT RECIPIENTS (SRTR) REPORT RELEASE JULY 12, 2011 AND IS BASED ON THE 2010 CALENDAR YEAR.A STANDARD DONOR IS DEFINED AS AN INDIVIDUAL WHO FALLS WITHIN A SPECIFIC SET OF CRITERIA, INCLUDING AN AGE CRITERIA. LIFELINK'S ORGAN RECOVERY ORGANIZATIONS BELIEVE OUR MISSION REQUIRES US TO HONOR THE DONATION WISHES OF AS MANY POTENTIAL DONORS AS POSSIBLE, RESULTING IN THE MAXIMUM NUMBER OF LIVES SAVED. AS A RESULT, WE MOVE FORWARD WITH ORGAN DONATION IN SITUATIONS WHEN THE POTENTIAL DONOR FALLS OUTSIDE THE STANDARD DONOR CRITERIA, AND IS KNOWN AS AN EXPANDED CRITERIA DONOR. EACH ORGAN RECOVERED AND TRANSPLANTED IS ANOTHER LIFE SAVED, AND EVERY SINGLE POTENTIAL DONOR DESERVES THE RIGHT TO SAVE A SINGLE LIFE, OR EIGHT LIVES. THE AVERAGE NUMBER OF ORGANS RECOVERED PER DONOR FOR LIFELINK'S SERVICE AREAS INCLUDES ALL STANDARD AND EXPANDED CRITERIA DONORS, AS WELL AS DONORS AFTER CARDIAC DEATH:LLFL 3.08LLGA 3.08LLPR 2.86* * TRANSPLANTATION SERVICES AVAILABLE ON THE ISLAND OF PUERTO RICO ARE LIMITED TO KIDNEY, PANCREAS AND HEART TRANSPLANTS. DUE TO GEOGRAPHIC LIMITATIONS PRESENTED BY THE PROXIMITY OF PUERTO RICO AND THE U.S. VIRGIN ISLANDS TO THE MAINLAND UNITED STATES, AND TIME CONSTRAINTS ON THE AMOUNT OF TIME ALLOWABLE BETWEEN RECOVERY AND TRANSPLANTATION OF ORGANS, LIVER AND KIDNEY RECOVERY ARE MOST COMMON FOR THIS SERVICE AREA. DATA FOR AVERAGE ORGANS PER DONOR IS FROM THE SCIENTIFIC REGISTRY OF TRANSPLANT RECIPIENTS (SRTR) REPORT RELEASE JULY 12, 2011 AND IS BASED ON THE 2010 CALENDAR YEAR. LIFELINK SPECIFIC DATA REPRESENTS LIFELINK FISCAL YEAR BEGINNING JULY 1, 2010 AND ENDING JUNE 30, 2011.THE RESULT OF OUR EFFORTS IS LIVES SAVED. PATIENTS IN LIFELINK SERVICE AREAS WHO ARE AWAITING LIFE-SAVING TRANSPLANTS SPEND LESS TIME, ON AVERAGE, THAN PATIENTS WAITING ELSEWHERE. THE AVERAGE WAIT TIME, IN MONTHS, FROM WAITLIST TO TRANSPLANT IS: NATIONAL - KIDNEY 49; LIVER 11.1; HEART 5.1LLFL - KIDNEY 22.9; LIVER 2.3; HEART 2.3LLGA - KIDNEY 45.7; LIVER 5.4; HEART 3.9LLPR - KIDNEY >72*; LIVER N/A; HEART 2.0*MORE THAN 50% OF PATIENTS WAIT 72 MONTHS OR LONGER.DATA FOR AVERAGE MONTHS TO TRANSPLANT IS FROM THE SCIENTIFIC REGISTRY OF TRANSPLANT RECIPIENTS (SRTR) REPORT RELEASE JULY 12, 2011 AND IS BASED ON INFORMATION AVAILABLE AS OF APRIL 30, 2011. 27481200 73013 24074641 LIFELINK TISSUE BANK:LIFELINK TISSUE BANK CELEBRATED A FULL YEAR IN OUR NEW 54,000-SQUARE-FOOT FACILITY AND, IN OUR NEW HOME, WE HAVE MADE GREAT STRIDES TOWARDS BREAKTHROUGHS THAT WILL ALLOWS US TO HELP MORE PATIENTS IN THE COMING YEAR. ONE OF OUR MOST INNOVATIVE PROJECTS FOCUSES ON NON-EMBRYONIC STEM CELLS, WHICH ARE NATURALLY OCCURRING ON HUMAN BONE TISSUE AND CAN BE PRESERVED THROUGH A PROPRIETARY PROCESS DEVELOPED BY LIFELINK PARTNER, ALLOSOURCE. THIS BONE GROWTH SUBSTITUTE CONTAINS DEMINERALIZED CORTICAL BONE TO PROVIDE BONE GROWTH SIGNALS, CANCELLOUS BONE TO PROVIDE A CONDUCTIVE SCAFFOLD AND LIVE CELLS TO ASSIST IN THE FORMATION OF NEW BONE IN THE PATIENT. THIS ALLOGRAFT MIMICS AUTOGRAFT BONE WHICH IS CONSIDERED THE GOLD STANDARD FOR BONE REPAIR. FOR PATIENTS, A SECOND SURGERY SITE IS ELIMINATED AND THE END RESULT IS QUICKER RECOVERY FROM SURGERY AND GETTING BACK TO ACTIVE LIVES MORE RAPIDLY THAN EVER.BIOMET CONTINUES TO BE ONE OF LIFELINK TISSUE BANK'S MOST IMPORTANT DISTRIBUTION PARTNERS OF SPORTS AND SPINAL GRAFTS, ENSURING THAT PATIENTS WITH SPORTS RELATED INJURIES OR THOSE WHO ARE IN NEED OF SPINAL SURGERIES RECEIVE EXCELLENT RESULTS FROM OUR GRAFTS. AND, FOR NEARLY TWENTY YEARS, LIFELINK HAS WORKED CLOSELY WITH FELLOW RECOVERY PARTNER TRANSLIFE, TO CREATE ALLOGRAFTS THAT BENEFIT THE CENTRAL FLORIDA COMMUNITY WHO MADE THEM POSSIBLE. DURING THE 2010-2011 YEAR, LIFELINK TISSUE BANK PROCESSED NEARLY 30,000 ALLOGRAFTS FOR TRANSPLANTATION INTO WAITING PATIENTS, AND 35,347 ALLOGRAFTS WERE DISTRIBUTED FOR TRANSPLANT. 4607724 5024816 TRANSPLANTATION IMMUNOLOGY LABORATORY:NINE TRANSPLANT PROGRAMS IN THREE HOSPITALS RELY ON LIFELINK TRANSPLANTATION IMMUNOLOGY LABORATORY TO IDENTIFY SAFE, COMPATIBLE MATCHES FOR THEIR PATIENTS AWAITING THE GIFT OF LIFE. THE MARRIAGE OF A DONATED ORGAN AND POTENTIAL RECIPIENT BEGINS WITH OUR MATCHING PROCESS AND, AFTER TRANSPLANT, THAT RELATIONSHIP IS MAINTAINED WITH REGULAR POST-TRANSPLANT MONITORING FOR EARLY SIGNS OF REJECTION. WE EVALUATED NEARLY 1,000 PATIENTS WITH PRE-TRANSPLANT TESTING THIS YEAR, TESTED 312 PEOPLE AS POTENTIAL LIVING DONORS AND 303 POTENTIAL DECEASED DONORS.LAST YEAR LIFELINK TRANSPLANTATION IMMUNOLOGY LABORATORY MADE 516 TRANSPLANTS POSSIBLE:KIDNEY 263**SKP* 22LIVER 108LUNG 66HEART 57***SKP - SIMULTANEOUS KIDNEY AND PANCREAS.**KIDNEY DATA INCLUDES TRANSPLANTS FROM LIVING AND DECEASED DONORS RECEIVED AT TAMPA GENERAL HOSPITAL AND FLORIDA GULF COAST MEDICAL CENTER. HEART DATA INCLUDES TRANSPLANTS RECEIVED AT TAMPA GENERAL HOSPITAL AND ALL CHILDREN'S HOSPITAL. ALL OTHER TRANSPLANTS WERE PERFORMED AT TAMPA GENERAL HOSPITAL. COMMUNITY EDUCATION:LIFELINK'S PUBLIC EDUCATION INITIATIVES FOCUS ON POSITIVELY IMPACTING LIFE-SAVING ORGAN AND TISSUE DONATION THROUGHOUT OUR SERVICE AREAS BY INCREASING DONOR DESIGNATIONS, OR THE NUMBER OF INDIVIDUALS WHO HAVE MADE A REGISTERED DECISION TO BECOME AN ORGAN AND TISSUE DONOR - ALSO KNOWN AS FIRST PERSON AUTHORIZATION. WITH THE ASSISTANCE OF ACTIVE VOLUNTEER GROUPS, LIFELINK'S PUBLIC AFFAIRS DEPARTMENT AND MINORITY DONATION EDUCATION PROGRAM (MDEP) PROVIDE OUTREACH FOR A VARIETY OF AUDIENCES INCLUDING FAITH COMMUNITIES, HIGH SCHOOL AND COLLEGE STUDENTS, WORKPLACES, HOSPITALS, MINORITY COMMUNITIES AND THE GENERAL PUBLIC. FLORIDA AND GEORGIA EACH HAVE ONLINE REGISTRIES, AND PUERTO RICO IS SOON TO FOLLOW WITH A REGISTRY OF ITS OWN. THE PUBLIC CAN ENROLL ON THESE REGISTRIES FROM ANY LOCATION WITH INTERNET ACCESS, BUT THE MOST POPULAR ENTRY POINT FOR NEW REGISTRANTS IS THROUGH OFFICES THAT ISSUE DRIVER LICENSES AND STATE IDENTIFICATION CARDS. IN FLORIDA, GEORGIA AND PUERTO RICO, EVERY CUSTOMER RECEIVING A DRIVER LICENSE OR STATE IDENTIFICATION CARD IS ASKED IF THEY WISH TO DESIGNATE THEIR DONATION DECISION AND, ACCORDING TO NATIONAL STATISTICS, MORE THAN 97% OF NEW REGISTRANTS COME THROUGH THIS AVENUE. AS A RESULT, LIFELINK PARTNERS WITH STATE AND LOCAL DRIVER LICENSE OFFICES IN FLORIDA, GEORGIA AND PUERTO RICO TO EDUCATE STAFF, SUPPORT THEM IN THEIR EFFORT TO INCREASE DONATION AND THANK THEM FOR THE IMPACT THEY MAKE ON OUR LIFESAVING MISSION.WHAT IS FIRST PERSON CONSENT? FLORIDA, GEORGIA AND PUERTO RICO EACH HAVE LEGISLATION THAT ALLOWS INDIVIDUALS TO MAKE LEGALLY BINDING DECISIONS ON THEIR END OF LIFE WISHES REGARDING ORGAN AND TISSUE DONATION. IN THE EVENT ORGAN DONATION IS POSSIBLE AFTER THE DEATH OF A REGISTERED DONOR, THE RECOVERY ORGANIZATION WILL ACCESS THAT INDIVIDUALS REGISTERED WISHES AND CARRY THEM OUT. THIS TAKES THE BURDEN OF A DONATION DECISION OFF FAMILY MEMBERS, AND GIVES THEM THE PEACE OF MIND OF KNOWING THEIR LOVED ONES DIRECTIVES ARE BEING FOLLOWED. DONOR FAMILIES ARE A VITAL PART OF THE DONATION PROCESS, REGARDLESS OF DONOR DESIGNATION. FAMILIES ARE THE KEY TO CARRYING OUT THE WISHES OF THEIR LOVED ONES BY PROVIDING A VITAL MEDICAL HISTORY TO ASSIST IN THE DONATION PROCESS, AND OUR RELATIONSHIP WITH FAMILIES AFTER THE DONATION PROCESS IS MORE IMPORTANT THAN EVER. THE ACTIONABLE DONOR DESIGNATION (ADD) RATE IS THE PERCENTAGE OF POPULATION OVER THE AGE OF EIGHTEEN WHICH HAS DESIGNATED A DONATION DECISION. NATIONALLY, OUR GOAL IS A 50% ACTIONABLE DONOR DESIGNATION RATE.LLFL* 47%LLGA 52%LLPR** N/ANATIONAL AVERAGE 40.3%*LIFELINK OF FLORIDA SERVICES A 15 COUNTY AREA OF FLORIDA, AND IS ONE OF FOUR ORGAN RECOVERY ORGANIZATIONS WITHIN THE STATE OF FLORIDA. THE ADD RATE SHOWN INDICATES THE RATE FOR THE LLFL PORTION OF THE STATE OF FLORIDA ONLY. THE OVERALL STATE ADD RATE FOR FLORIDA IS 39%.** DUE TO THE LIMITATIONS OF THEIR CURRENT DONOR REGISTRY, PUERTO RICO IS UNABLE TO MEASURE THEIR ADD AT THIS TIME. HOWEVER, A NEW REGISTRY WILL LAUNCH IN THE COMING MONTHS, MAKING IT POSSIBLE TO CALCULATE THIS DATA.DATA TAKEN FROM DONATE LIFE AMERICA NATIONAL DONOR DESIGNATION REPORT CARD RELEASED APRIL 2011 AND LIFELINK OF FLORIDA CALCULATIONS.FLORIDA'S ORGAN AND TISSUE DONOR REGISTRY CAN BE ACCESSED AT WWW.DONATELIFEFLORIDA.ORG.GEORGIA'S ORGAN AND TISSUE DONOR REGISTRY CAN BE ACCESSED AT WWW.DONATELIFEGEORGIA.ORG. COMING SOON! PUERTO RICO WILL BE LAUNCHING AN ORGAN AND TISSUE DONOR REGISTRY AT WWW.DONEVIDAPUERTORICO.ORG. INFORMATION SYSTEMS:LIFELINK FOUNDATION INFORMATION SYSTEMS (IS) EXPERIENCED A YEAR OF TRANSITION FINALIZING THE MIGRATION OF LIFELINK HEALTHCARE INSTITUTE SYSTEMS TO TAMPA GENERAL MEDICAL GROUP, A DIVISION OF TAMPA GENERAL HOSPITAL. CONTINUITY OF PATIENT CARE WAS OUR TOP PRIORITY DURING THIS PROCESS, AND THANKS TO THE HARD WORK OF OUR STAFF, TOGETHER WITH TAMPA GENERAL HOSPITAL, THE TRANSITION WAS SEAMLESS AND OUR TECHNOLOGICAL INFRASTRUCTURE CONTINUED TO SUPPORT THE NEEDS OF THE TRANSPLANT PROGRAM AND CLINICAL PRACTICE. THE STAGE WAS SET FOR THE COMING YEAR OF NEW TECHNOLOGY, IN WHICH WE WILL IMPLEMENT NUMEROUS PROJECTS AND MOVE FORWARD IN OUR ONGOING PLAN FOR A PAPERLESS SYSTEM. THIS INITIATIVE INCLUDES ELECTRONIC CHARTING FOR OUR ORGAN PROCUREMENT ORGANIZATIONS, AN ADVANCEMENT TO KEEP US IN LINE WITH THE MAJOR HOSPITAL SYSTEMS WITH WHOM WE WORK. WE ALSO WILL UPDATE NETWORKING SYSTEMS THROUGHOUT THE FOUNDATION, RETOOL OUR OPERATING SYSTEM AND RETRAIN STAFF TO BEST BENEFIT FROM THESE RESOURCES.INFORMATION SYSTEMS' COMMUNICATION SERVICES TEAM IS COMPRISED OF HIGHLY TRAINED PROFESSIONALS WHO TRIAGE CALLS FOR DIVISIONS WITHIN THE FOUNDATION THROUGHOUT FLORIDA, GEORGIA AND PUERTO RICO. COMMUNICATIONS SERVICES EMPLOYEES ALSO PROVIDE BASIC SCREENING ON ALL POTENTIAL DONORS WITHIN THE LIFELINK OF FLORIDA AND LIFELINK OF GEORGIA SERVICE AREAS AND PROVIDE TRAINING FOR THE AGENCY THAT SERVES PUERTO RICO AND THE U.S. VIRGIN ISLANDS.EACH YEAR, LIFELINK'S COMMUNICATION SERVICES TEAM FIELDS THOUSANDS OF CALLS FROM OUR FLORIDA AND GEORGIA SERVICE AREAS, MOST OF WHICH ARE REFERRALS FOR POTENTIAL ORGAN OR TISSUE DONATION. FISCAL YEAR 2010-2011 REFERRALS FOR POTENTIAL ORGAN AND TISSUE DONATION: 5,189REFERRALS FOR POTENTIAL TISSUE DONATION*: 49,579IMPORT REFERRALS**: 1,986 *INCLUDES TISSUE REFERRALS FOR TRANSLIFE.**LIFELINK ASSISTS OUR LOCAL TRANSPLANT CENTERS IN IMPORTING ORGANS FOR TRANSPLANT FROM OTHER ORGAN RECOVERY ORGANIZATIONS AROUND THE COUNTRY. 83755625 1 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 0 0 0 1 X 535 0 1 454 1 0 0 0 0 0 0 0 0 0 0 X 20 10 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X X BRYAN C MCDONALD TREASURERCFO 8132586515 601 BAYSHORE BLVD 600 TAMPA FL 336062760 DANA L SHIRES MD 40.00 X X 522870 0 49545 DENNIS F HEINRICHS BSN MBA 40.00 X X 1888163 0 50544 VICTOR D BOWERS MD 2.00 X 16192 407648 45988 CHARLES SONNY SANDERS MD 2.00 X 0 271747 29400 JOHN D WHELCHEL MD 20.00 X 72397 0 20283 ESTHER TORRES MD 40.00 X 42620 0 16721 THOMAS C PEARSON MD 20.00 X 56715 0 16993 WILLIAM F LEFOR PHD 40.00 X X 298646 0 27739 WILLIAM J MEURER 2.00 X 1500 0 0 JOHN VEGA 2.00 X 750 0 0 LUIS A MORALES-OTERO MD 20.00 X 54255 0 18357 HAROLD W MULLIS JR 2.00 X 1500 0 0 DEBORAH WINEGARD JD 2.00 X 1500 0 0 JAMES J WYNN MD 2.00 X 4000 0 0 NICK READER 2.00 X 0 0 0 LARRY JONES 2.00 X 0 0 0 WADE MITCHELL 2.00 X 1500 0 0 MORRIS DILLARD 2.00 X 1500 0 0 JOEL T VANSICKLER MD 2.00 X 1500 0 0 ROBERT METZGER MD 2.00 X 1500 0 0 JEFFREY SEAVEY 2.00 X 750 0 0 GEORGE OHYE 2.00 X 0 0 0 BRYAN C MCDONALD CPA 40.00 X 230953 0 42066 LINDA G D'AGUILA 40.00 X 128702 0 26335 KATHLEEN T LILLY 40.00 X 171189 0 39592 MARIEN SAADE 40.00 X 152783 0 30119 DANA L SHIRES III 40.00 X 209972 0 44091 JEAN DAVIS 40.00 X 270741 0 48348 ELIZABETH M LEHR 40.00 X 159302 0 35686 CHARLES WRIGHT 40.00 X 235704 0 46403 DANIEL L SCHULTZ 40.00 X 227893 0 47298 DANNY HAWKE 40.00 X 163805 0 35957 TIMOTHY A IGNATIUS 40.00 X 188492 0 35467 MAYRA M LOPEZ-CEPERO 40.00 X 180885 0 35405 5288279 679395 742337 35 0 1 0 SKANSKA USA BUILDING INC 4030 BOY SCOUT BLVD STE 200 TAMPA FL 33607 GENERAL CONTRACTOR - CONSTRUCTION SERVIC 2307962 AMERICAN FOUNDATION FOR DONATION AND TRA 8154 FOREST HILLS AVE STE 3 RICHMOND VA 23235 IMPORTING OF KIDNEYS RECOVERED OUTSIDE L 1240074 TRANSLIFE TISSUE BANK 1560 ORANGE AVE STE 450 WINTER PARK FL 32789 TISSUE RECOVERY SERVICES 965729 SCENDIA MED 1809 E BROADWAY ST 323 OVIEDO FL 32765 TISSUE BANK DISTRIBUTOR 365958 REYNOLDS SMITH AND HILLS INC 10748 DEERWOOD PARK BLVD S JACKSONVILLE FL 32256 ARCHITECT 193477 9 23621 2500000 2523621 ORGAN PLACEMENT 621991 50052581 50052581 TISSUE PLACEMENT 621991 24074641 24074641 IMMUNOLOGY LAB 621511 5024816 5024816 79152038 547732 547732 535810 535810 535810 535810 9226272 94020 9133164 29771 93108 64249 157357 157357 82916558 79152038 0 1240899 13555176 13555176 3772650 1739282 2033368 460967 185821 275146 26560430 24344570 2215860 2307489 2114814 192675 5160675 4729759 430916 2213269 1895932 317337 -785357 -970000 184643 81500 81500 142891 142891 18968303 18745100 223203 642173 642173 8327266 7959362 367904 406051 397426 8625 3553927 3177678 376249 1358555 1180828 177727 414446 404401 10045 500960 500515 445 3056452 2988730 67722 1089830 1089830 DONATED PROPERTY EXPENS 21167 21167 91808820 83755625 8053195 0 110585 115651 11707493 12595870 11575091 12571432 19852600 15290877 286906 361709 61440845 17876918 45362655 43563927 4205614 12019905 15070744 1391519 108171688 97910890 18428403 19024801 26053914 25352008 2119137 799148 46601454 45175957 X 61570234 52734933 61570234 52734933 108171688 97910890 X -8892262 56961 X X 0 1 1 X 0 X 49169 73354 70676 2523621 2716820 72559935 78499196 70464698 72948785 79152038 373624652 72559935 78548365 70538052 73019461 81675659 376341472 0 0 0 376341472 497107 264769 195082 1083542 2040500 497107 264769 195082 1083542 2040500 72559935 79045472 70802821 73214543 82759201 378381972 0.99460 0.99730 0.00540 0.00270 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 142891 142891 142891 142891 91665929 95027263 91808820 95170154 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 159503 141500 150196 142891 594090 250000 250000 250000 250000 1000000 1500000 141500 150196 142891 434587 6735811 6735811 45388498 11948794 33439704 9316536 5928124 3388412 43563927 82916558 91808820 -8892262 56961 56961 -8835301 82828688 0 82828688 87870 87870 82916558 78262408 0 78262408 13546412 13546412 91808820 PART XII, LINE 4B - OTHER ADJUSTMENTS: GAIN ON SALE OF FURNITURE, FIXTURES & EQUIPMENT 64,249. LIFELINK LEGACY FUND TRANSFER OF GENERAL FUNDS FOR PROGRAMS 23,621. PART XIII, LINE 4B - OTHER ADJUSTMENTS: NET ASSET TRANSFER ON FORGIVENESS TO LIFELINK HEALTHCARE INSTITUTE 13,290,108. NET ASSET TRANSFER ON FORGIVENESS TO LIFELINK LEGACY FUND 192,055. GAIN ON SALE OF FURNITURE, FIXTURES & EQUIPMENT 64,249. EUROPE (INCLUDING ICELAND & GREENLAND) 0 0 PROGRAM SERVICES SALE OF TISSUE 0 NORTH AMERICA 0 0 PROGRAM SERVICES SALE OF TISSUE 0 EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES SALE OF TISSUE 0 SOUTH AMERICA 0 0 PROGRAM SERVICES SALE OF TISSUE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 OTHER INFORMATION SCHEDULE F, PART V PART I, LINE 3: TISSUE IS SOLD TO TISSUE BANKS IN CANADA, KOREA, PERU, AND TURKEY. THERE ARE NO EXPENDITURES RELATED TO THE SALE OF TISSUE IN THESE REGIONS. SEE THE FOUNDATION'S PROGRAM SERVICE ACCOMPLISHMENTS ON FORM 990, PAGE 2, LINE 4B. 1 LIFELINK LEGACY FUND 601 BAYSHORE BLVD STE 600 TAMPA FL 33606 593040982 501(C)(3) 192055 N/A N/A PROGRAM DEVELOPMENT TRANSLIFE TISSUE BANK 1560 ORANGE AVE STE 450 WINTER PARK FL 32789 590724459 501(C)(3) 73013 N/A N/A HOSPITAL DEVELOPMENT POSITION LIFELINK HEALTHCARE INSTITUTE 601 BAYSHORE BLVD STE 600 TAMPA FL 33606 593253621 501(C)(3) 13290108 N/A N/A FORGIVENESS OF DEBT-SEE PART IV SUPPLEMENTAL INFORMATION PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: PAYMENTS FOR APPROVED GRANTS ARE BASED ON INCURRED EXPENSES THAT MEET THE REQUIREMENTS OF THE GRANT AND SUPPORT THE OVERALL MISSION OF THE FOUNDATION. ALL GRANTS ARE REVIEWED AND APPROVED BY MANAGEMENT AT LEAST ANNUALLY. SCHEDULE I, PART II - LIFELINK HEALTHCARE INSTITUTE GRANT PURPOSE: LIFELINK HEALTHCARE INSTITUTE (THE INSTITUTE) A RELATED ENTITY, WAS ESTABLISHED IN 1994 TO FILL AN IMPORTANT VOID - THE LACK OF LOCAL TRANSPLANTATION SERVICES FOR PATIENTS IN NEED. LIFELINK FOUNDATION PROVIDED FINANCIAL SUPPORT TO THE INSTITUTE AS IT BUILT THE MEDICAL INFRASTRUCTURE FOR RENAL, LIVER, LUNG AND PANCREAS PATIENTS SUFFERING FROM END STAGE ORGAN DISEASE AND THOSE IN NEED OF TRANSPLANTATION THERAPY. SINCE THAT TIME AND THROUGH JULY 2010, THE INSTITUTE SURGEONS PERFORMED: - 2,838 KIDNEY TRANSPLANTS - 995 LIVER TRANSPLANTS - 218 PANCREAS TRANSPLANTS - 215 LUNG TRANSPLANTS, AND - 747 HEART TRANSPLANTS THE HEALTHCARE INSTITUTE PHYSICIANS SUCCESSFULLY TREATED SCORES OF PATIENTS WITH RENAL, HEART, LUNG AND LIVER DISEASES AND PROVIDED THE HOPE OF GOOD HEALTH AND LIFE TO THOSE IN NEED. THE INSTITUTE BECAME A LEADER IN PROVIDING HEALTH EDUCATION TO PATIENTS, THE PUBLIC AND REFERRING PHYSICIANS, AND SLOWING THE PROGRESSION OF END-STAGE ORGAN DISEASE AND ITS DISTINGUISHED PARTNERSHIP WITH TAMPA GENERAL HOSPITAL (THE HOSPITAL) LED TO THE DEVELOPMENT OF TARGETED THERAPIES TO HELP THOSE WAITING FOR LIFE-SAVING TRANSPLANTS, AND A PROGRAM BOASTING SOME OF THE BEST TRANSPLANT OUTCOMES IN THE COUNTRY. EFFECTIVE OCTOBER 1, 2010, THE HOSPITAL WAS IN A POSITION TO ASSUME FULL RESPONSIBILITY FOR TRANSPLANT SERVICES AND TO ENSURE THE CONTINUED GROWTH AND SUCCESS OF THE ADULT TRANSPLANT PROGRAMS IN TAMPA THE FUNCTIONS OF THE INSTITUTE WERE TRANSITIONED TO THE HOSPITAL. THE CARE OF THOSE WHO HAVE RECEIVED - AS WELL AS THOSE WAITING FOR - LIFE-SAVING TRANSPLANTS IS NOW PROVIDED IN LARGE PART BY THE SAME PHYSICIANS AND STAFF, BUT UNDER TAMPA GENERAL HOSPITAL'S GOVERNANCE. THE TRANSPLANT PROGRAM WILL FLOURISH, AND AS MORE AND MORE PEOPLE RECEIVE THEIR SECOND CHANCE AT LIFE IN TAMPA, FLORIDA, LIFELINK WILL ALWAYS REMAIN PROUD OF OUR VISION AND CONTRIBUTION TO THESE REMARKABLE SUCCESSES. IN SUPPORT OF THIS TRANSITION, LIFELINK FOUNDATION AGREED TO FORGIVE OUTSTANDING RECEIVABLES FROM THE INSTITUTE IN THE AMOUNT OF $13,290,108. X X X X 1 1 X X X X X X 0 1 0 0 0 0 0 0 0 DANA L SHIRES MD 487504 0 24000 0 11366 0 37277 0 12268 0 572415 0 0 0 DENNIS F HEINRICHS BSN MBA 391812 0 44498 0 1451853 0 38277 0 12267 0 1938707 0 824148 0 VICTOR D BOWERS MD 15615 372390 500 10000 77 25258 1957 28764 3814 11453 21963 447865 0 0 CHARLES SONNY SANDERS MD 0 236602 0 10000 0 25145 0 18639 0 10761 0 301147 0 0 WILLIAM F LEFOR PHD 172800 0 0 0 125846 0 20583 0 7156 0 326385 0 0 0 BRYAN C MCDONALD CPA 194754 0 31732 0 4467 0 28499 0 13567 0 273019 0 0 0 LINDA G D'AGUILA 116682 0 6500 0 5520 0 14067 0 12268 0 155037 0 0 0 KATHLEEN T LILLY 151479 0 16000 0 3710 0 22324 0 17268 0 210781 0 0 0 MARIEN SAADE 131119 0 18183 0 3481 0 17852 0 12267 0 182902 0 0 0 DANA L SHIRES III 194969 0 9860 0 5143 0 28823 0 15268 0 254063 0 0 0 JEAN DAVIS 239117 0 24719 0 6905 0 36080 0 12268 0 319089 0 0 0 ELIZABETH M LEHR 142677 0 13000 0 3625 0 20419 0 15267 0 194988 0 0 0 CHARLES WRIGHT 227250 0 4657 0 3797 0 34136 0 12267 0 282107 0 0 0 DANIEL L SCHULTZ 212355 0 9000 0 6538 0 32030 0 15268 0 275191 0 0 0 DANNY HAWKE 152189 0 7884 0 3732 0 21189 0 14768 0 199762 0 0 0 TIMOTHY A IGNATIUS 153495 0 28211 0 6786 0 21400 0 14067 0 223959 0 0 0 MAYRA M LOPEZ-CEPERO 165730 0 13360 0 1795 0 23138 0 12267 0 216290 0 0 0 PART I, LINE 1A SPOUSES OCCASIONALLY TRAVEL WITH OFFICERS TO BOARD MEETINGS. ALL COSTS ASSOCIATED WITH SPOUSAL TRAVEL ARE INCLUDED AS INCOME ON THE EMPLOYEE'S W-2. THE ORGANIZATION'S TRAVEL POLICY PERMITS AIRLINE CLUB MEMBERSHIPS FOR EXECUTIVES WHO TRAVEL EXCLUSIVELY ON COMPANY BUSINESS. CLUB MEMBERSHIPS ARE INCLUDED AS INCOME ON THE EMPLOYEE'S W-2. ONE EMPLOYEE RECEIVED A HOUSING ALLOWANCE, GROSSED UP FOR TAXES, AS PART OF HIS RELOCATION PACKAGE TO TAMPA. THE HOUSING ALLOWANCE IS INCLUDED AS INCOME ON THE EMPLOYEE'S W-2. PART I, LINE 4B THE FOUNDATION HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WHICH PROVIDES CERTAIN EXECUTIVES DEFERRED COMPENSATION BENEFITS. BENEFITS TO THE PARTICIPANT UNDER THIS SUPPLEMENTAL PLAN ONLY VEST IN THE EVENT OF NORMAL RETIREMENT, DISABILITY, DEATH OR SERP TERMINATION, AS DEFINED. PARTICIPANTS IN THE SERP AND THEIR DEFERRED COMPENSATION FOR THE YEAR ENDED DECEMBER 31, 2010 ARE: DAN SHIRES - $34,019; DENNIS HEINRICHS - $612,259; JEAN DAVIS - $11,859; BRYAN MCDONALD - $0; AND DANNY HAWKE - $0. ONE PARTICIPANT MET THE RETIREMENT AGE UNDER THE PLAN DOCUMENT AND RECEIVED THE FOLLOWING PAYOUT: DENNIS HEINRICHS $1,436,407. SUPPLEMENTAL INFORMATION PART III THE AMOUNT REPORTED IN COLUMNN (F) FOR DENNIS F. HEINRICHS REPRESENTS THE SERP PAYOUT RECEIVED DURING 2010 THAT WAS REPORTED IN PRIOR YEARS AS DEFERRED COMPENSATION. HILLSBOROUGH COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 521293512 2009-09-18 26400000 REFUNDING OF 1997 & 2008 SERIES BONDS TO FINANCE TISSUE BANK FACILITY 0 0 0 1047992 26400000 249057 280499 25870444 2010 0 1 1 1 0 0 0 0 1 0.00000 0.00000 0.00000 1 1 1 0 0 0 0 ART HEINRICHS BROTHER OF BOARD MEMBER 159673 COMPENSATION FOR EMPLOYMENT 0 SHIRLEY HEINRICHS WIFE OF BOARD MEMBER 115473 COMPENSATION FOR EMPLOYMENT 0 BRAD BASSLER SON-IN-LAW OF BOARD MEMBER 185821 COMPENSATION FOR EMPLOYMENT 0 TRANSLIFE TISSUE BANK BOARD MEMBER IS MEDICAL DIRECTOR OF A TISSUE BANK USED BY THE ORGANIZATION 1163496 TISSUE DONOR RECOVERY FEES AND HD GRANT 0 TRENAM KEMKER SCHARF BOARD MEMBER IS A PARTNER IN A LAW FIRM USED BY THE ORGANIZATION 160384 LEGAL FEES 0 ORGANIZATION MISSION STATEMENT FORM 990, PART III: MESSAGE FROM THE PRESIDENT AND CHIEF EXECUTIVE OFFICER "ONE PERSON CAN MAKE A DIFFERENCE, AND EVERYONE SHOULD TRY." THIS SENTIMENT, ATTRIBUTED TO OUR 35TH PRESIDENT OF THE UNITED STATES, JOHN F. KENNEDY, IS THE UNDERPINNING OF THE IMPORTANCE OF ORGAN AND TISSUE DONATION. ONE PERSON, WITH ONE DECISION TO BECOME AN ORGAN AND TISSUE DONOR, CAN MAKE A DIFFERENCE IN THE LIVES OF MANY. EIGHT PEOPLE CAN BE SAVED, DOZENS MORE LIVES ENHANCED BY TISSUE DONATION. BUT THE TRUE MEASURE OF THE IMPACT ONE DONOR CAN MAKE? IF YOU WERE TO ASK THE FAMILY OF A TRANSPLANT PATIENT, THEIR FRIENDS, THEIR EMPLOYEES OR EMPLOYERS, THEIR COMMUNITIES, THEY WOULD SAY THE TRUE IMPACT IS IMMEASURABLE. ONE DECISION FLORIDIANS AND GEORGIANS HAVE BEEN ENCOURAGED TO MAKE THIS YEAR, MORE THAN EVER BEFORE, IS TO CONSIDER ORGAN AND TISSUE DONATION, MAKE A DECISION ABOUT THEIR WISHES AND SHARE THAT DECISION ON THEIR STATE DONOR REGISTRY. PUERTO RICO RALLIED THROUGHOUT THE YEAR TO ESTABLISH A DONOR REGISTRY, SO THEIR VOICES, THEIR DECISIONS, CAN ALSO SOON BE HEARD. OUR COMMUNITIES HAVE LISTENED, AND IN RESPONSE, LIFELINK WILL PROUDLY CARRY OUT THOSE NOBLE DECISIONS, WHILE SUPPORTING GRIEVING FAMILIES, TO ENSURE THE MOST LIVES ARE SAVED, AND THE GREATEST LEGACY LEFT BEHIND. EVERY LIFELINK EMPLOYEE, EACH BOARD OF GOVERNOR AND ADVISORY BOARD MEMBER, OUR DONOR HOSPITALS AND TRANSPLANT CENTER PARTNERS, MEDICAL EXAMINERS AND OUR VOLUNTEERS, LEAVE A PERSONAL MARK ON THESE EFFORTS TO CARRY OUT THE GIFT OF LIFE. THERE ARE MORE THAN 111,000 WAITING FOR A LIFESAVING TRANSPLANT, AND HUNDREDS OF THOUSAND MORE WHO WILL BENEFIT FROM TISSUE TRANSPLANTATION, SO WE WILL NOT YET REST. LIFELINK FOUNDATION HAS EVOLVED THIS YEAR THROUGH THE TRANSFER OF TRANSPLANT SERVICES BACK TO TAMPA GENERAL HOSPITAL, AND AN OPPORTUNITY TO FOCUS OUR UNDIVIDED ATTENTION ON OUR CORE MISSION OF ORGAN AND TISSUE RECOVERY. WE EXPECT THIS TRANSITION TO BENEFIT ALL - MOST ESPECIALLY PATIENTS AWAITING TRANSPLANT, AND THE DONOR FAMILIES WE ARE COMMITTED TO SERVE. THOUGH EACH OF US IS ONLY ONE WHEN WE STAND ALONE, TOGETHER WE ARE MANY AND WE ARE MIGHTY IN THE FIGHT TO SAVE LIVES THROUGH ORGAN AND TISSUE DONATION. FORM 990, PART V, LINE 2A: THE ORGANIZATION FILED 454 FORM W-2S FOR 2010 PLUS AN ADDITIONAL 61 ON THE EQUIVALENT PUERTO RICO FORM FOR A TOTAL OF 515 EMPLOYEES FOR THE 2010 CALENDAR YEAR. FORM 990, PART VI, SECTION A, LINE 2 DANA L. SHIRES, M.D., CHARIMAN/CEO, AND DANA L. SHIRES III, EXECUTIVE VP OF TISSUE BANK SERVICES, ARE FATHER AND SON. FORM 990, PART VI, SECTION B, LINE 11 THE FOUNDATION'S FORM 990 IS PROVIDED TO THE AUDIT COMMITTEE, COO, AND CFO VIA A SECURE WEB PAGE FOR PRELIMINARY REVIEW. THE FORM 990 IS THEN DISTRIBUTED TO THE ENTIRE GOVERNING BOARD USING THE SAME SECURE WEB PAGE PRIOR TO ISSUANCE. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE FOUNDATION REQUIRES ALL INTERESTED PERSONS TO ATTEST THAT THEY HAVE RECEIVED, READ AND AGREED TO COMPLY WITH LIFELINK'S CONFLICT OF INTEREST POLICY. THE ANNUAL CERTIFICATION REQUIRES THE DISCLOSURE OF ANY CONFLICTS OF INTEREST THAT MAY EXIST. THE EXECUTIVE COMMITTEE OF THE GOVERNING BOARD REVIEWS POTENTIAL CONFLICTS OF INTEREST AND DETERMINES WHAT ACTION, IF ANY, IS NECESSARY. ON AN ONGOING BASIS, CONFLICTS OF INTEREST ARE MONITORED BASED ON PERIODIC REVIEWS PERFORMED BY THE FOUNDATION'S INTERNAL CORPORATE COMPLIANCE DEPARTMENT. FORM 990, PART VI, SECTION B, LINE 15 AN INDEPENDENT COMPENSATION COMMITTEE, ACTING ON BEHALF OF THE GOVERNING BOARD, IS RESPONSIBLE FOR REVIEWING AND APPROVING THE TOTAL COMPENSATION OF ALL OFFICERS, DIRECTORS, KEY EMPLOYEES AND ANY RELATED FAMILY MEMBERS AT LEAST ANNUALLY. THIS REVIEW INCLUDES A DETAILED ANALYSIS OF COMPARABLE DATA FROM INDUSTRY SURVEYS; FORM 990S AND STUDIES FROM THIRD PARTY CONSULTANTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AS THEY ARE NOT REQUIRED TO BY LAW. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 56,961. LIFELINK HEALTHCARE INSTITUTE INC 601 BAYSHORE BLVD STE 600 TAMPA FL 33606 593253621 MULTI-SPECIALTY MEDICAL CARE FL 501(C)(3) LINE 11C, III-FI LIFELINK FOUNDATION INC 0 LIFELINK LEGACY FUND INC 601 BAYSHORE BLVD STE 600 TAMPA FL 33606 593040982 TO SUPPORT THE LIFELINK FOUNDATION MISSION FL 501(C)(3) LINE 11C, III-FI LIFELINK FOUNDATION INC 0 0 1 1 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 LIFELINK LEGACY FUND INC B 192055 LIFELINK LEGACY FUND INC C 23621 LIFELINK HEALTHCARE INSTITUTE B 13290108 LIFELINK HEALTHCARE INSTITUTE INC 601 BAYSHORE BLVD 600 TAMPA FL 33606 593253621 X 0 0 0 3029959 3029959 301498 75375 0 0 0 LIFELINK LEGACY FUND 601 BAYSHORE BLVD 600 TAMPA FL 33606 593040982 X 0 0 0 331375 331375 66275 16569 0 0 0