2012-10-23T11:23:06-05:00 2012-06-30 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2011-07-01 470597541 NEBRASKA ORGAN RECOVERY SYSTEMS INC NEBR 4027331800 8502 WEST CENTER ROAD OMAHA NE 68124 KYLE HERBER 4027331800 2012-10-18 1 JULIE M GERKEN P00400882 4023302660 2011 2016-02-24 21:20:13Z KYLE HERBER 8502 WEST CENTER ROAD OMAHA NE 68124 5392717 0 X WWW.NEDONATION.ORG X 1977 NE ORGAN AND TISSUE RECOVERY FOR THE PURPOSE OF TRANSPLANTATION 5 5 46 0 0 0 9268 8408 4788438 5362722 28756 17356 2234 4231 4828696 5392717 0 500 0 0 1870820 1848161 0 0 0 2784226 3161668 4655046 5010329 173650 382388 6569142 7613561 245090 907121 6324052 6706440 THE MISSION OF NEBRASKA ORGAN RECOVERY SYSTEM IS TO MAXIMIZE THE RECOVERY AND QUALITY OF ORGANS AND TISSUES FOR TRANSPLANTATION WHILE MAINTAINING SENSITIVITY, COMPASSION, AND RESPECT FOR PEOPLE OF ALL CULTURES. 0 0 4114915 5362722 OPERATION OF ORGAN PROCUREMENT SYSTEM; RECOVERY OF ORGANS AND TISSUES FOR TRANSPLANTATION, LAB TESTING, AND TRANSPORTING ORGANS AND TISSUES TO LOCATIONS WHERE THEY MAY BE EFFECTIVELY USED. 216835 500 EDUCATION OF THE PUBLIC AND HEALTHCARE PROFESSIONALS ON ORGAN AND TISSUE DONATION. 4331750 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 41 0 1 46 1 0 0 0 0 0 0 0 0 0 0 X 5 5 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X MELISSA LESTER MBA 4027331800 8502 W CENTER RD OMAHA NE 68124 WILLIAM CUTLERIII 2.00 X X 0 0 0 CLARK MUNDHENKE D MIN 2.00 X X 0 0 0 EDWARD KOHOUT 2.00 X X 0 0 0 LYNN WATTIER 2.00 X 0 0 0 JOHN LIAKOS 2.00 X 0 0 0 KAREN RISK 40.00 X 117847 0 12224 MELISSA LESTER MBA 40.00 X 12638 0 0 130485 0 12224 1 0 0 0 THE NEBRASKA MEDICAL CENTER 4200 DEWEY AVE OMAHA NE 68198 MEDICAL SERVICES 351357 CREIGHTON UNIVERSITY MEDICAL CENTER 601 NORTH 30TH STREET OMAHA NE 68131 MEDICAL SERVICES 292411 BRYAN LGH MEDICAL CENTER 1600 SOUTH 48TH STREET LINCOLN NE 68506 MEDICAL SERVICES 218081 GOOD SAMARITAN HOSPITAL 3545 SOLUTIONS CENTER CHICAGO IL 60677 MEDICAL SERVICES 127792 CHILDRENS HOSPITAL 1000 N 90TH ST STE 302 OMAHA NE 68124 MEDICAL SERVICES 101045 5 8408 8408 ORGAN ACQUISITION REV 900099 5362722 5362722 5362722 17356 17356 MISCELLANEOUS REVENUE 900099 4231 4231 4231 5392717 5362722 0 21587 500 500 142709 142709 1364541 1036144 328397 205348 148180 57168 23470 18877 4593 112093 94411 17682 57561 57561 24297 24297 1281 1281 423983 423983 50895 18857 32038 42810 39627 3183 1713 1713 320 320 109744 101585 8159 92056 92056 ORGAN ACQUISITION COSTS 2039970 2039970 PROFESSIONAL & PUBLIC E 216335 216335 MEDICAL SUPPLIES 82555 82555 DUES AND SUBSCRIPTIONS 15356 15356 2792 2792 5010329 4331750 678579 0 1466740 513296 4530946 652789 1026981 43926 45581 2326606 829849 1564288 1496757 2651970 0 189429 0 6569142 7613561 245090 280456 0 626665 245090 907121 X 6324052 6706440 6324052 6706440 6569142 7613561 382388 0 X X 0 1 1 X 0 X 4476 2478 2314 9268 8408 26944 4981430 4937092 5037420 4788438 5362722 25107102 4985906 4939570 5039734 4797706 5371130 25134046 0 0 0 25134046 97821 73877 34803 25355 17356 249212 97821 73877 34803 25355 17356 249212 435 2234 4231 6900 5083727 5013447 5074972 4825295 5392717 25390158 0.98990 0.98610 0.00980 0.01380 X 0 0 0 0 0 1 1087 1 0 0 1087 0 262500 262500 1498526 402841 1095685 543719 419867 123852 21861 7141 14720 1496757 THIRD PARTY PAYOR SETTLEMENT 626665 626665 5392717 5010329 382388 382388 5392717 0 5392717 0 5392717 5010329 0 5010329 0 5010329 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE SYSTEM IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN TAX-EXEMPT STATUS. THE SYSTEM ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB ASC 740, INCOME TAXES. THE SYSTEM RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT JUNE 30, 2012, THE SYSTEM HAD NO UNCERTAIN TAX POSITIONS ACCRUED. THE SYSTEM IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE YEARS ENDED PRIOR TO JUNE 30, 2009. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 AND RELATED SCHEDULES ARE PREPARED BY AN ACCOUNTING FIRM. THE FINANCE DEPARTMENT AND EXECUTIVE DIRECTOR REVIEW THE FORM 990 AND RELATED SCHEDULES. FURTHERMORE, IT IS PROVIDED TO THE BOARD OF DIRECTORS TO REVIEW AND TO PROVIDE COMMENTS BACK TO THE FINANCE DEPARTMENT AND EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY DOES HAVE A FORM TO BE FILLED OUT BY EACH BOARD MEMBER AND REVIEWED BY THE BOARD OF DIRECTORS. NO CONFLICTS HAVE ARISEN TO DATE. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE DIRECTOR IS EVALUATED WITH AN ANNUAL REVIEW BY THE PRESIDENT OF THE BOARD OF DIRECTORS. THE EXECUTIVE DIRECTOR RECEIVED THE SAME INCREASE IN SALARY AS THE STAFF STANDARD. THE SAME PERCENTAGE INCREASE WAS RECEIVED BY ALL EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 NEBRASKA ORGAN RECOVERY SYSTEMS, INC. DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 2C: THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT ACCOUNTANT EACH YEAR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.