2012-10-23T11:44:07-05:00 2011-12-31 BKD LLP 1201 Walnut Suite 1700 Kansas City MO 641062246 990 2011-01-01 431016328 MIDWEST TRANSPLANT NETWORK INC % JUDY SCOTT MIDW 9132621668 1900 WEST 47TH PLACE SUITE 400 WESTWOOD KS 66205 ROB LINDERER 2012-08-15 true Michael J Engle 8162216300 2011 2016-02-24 21:20:13Z ROB LINDERER 1900 W 47TH PLACE SUITE 400 WESTWOOD KS 66205 35724781 false X WWW.MWTN.ORG X 1973 KS THE MISSION OF MIDWEST TRANSPLANT NETWORK, "TOGETHER, WE SAVE LIVES THROUGH ORGAN AND TISSUE DONATION" WAS ACHIEVED THIS YEAR IN COLLABORATION WITH OUR HOSPITAL PARTNERS AND COMMUNITY. 12 10 158 167 0 0 9945 12724 28871510 34055810 897374 934731 -318437 -260040 29460392 34743225 4995 50950 0 0 10112245 11018368 0 0 0 15660552 17018853 25777792 28088171 3682600 6655054 40369180 46992263 4023301 4132166 36345879 42860097 X SEE SCHEDULE O FOR ADDITIONAL INFORMATION. false false 17715534 50950 21768999 ORGAN RECOVERY: 216 ORGAN DONORS; 673 ORGANS RECOVERED AND TRANSPLANTED. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 2882289 0 8389279 TISSUE RECOVERY: 883 TISSUE DONORS; 392 CORNEA DONORS; 4,835 TISSUES AND CORNEAS RECOVERED. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 2835423 0 3897532 LABORATORY TESTING: 9,948 TESTS PERFORMED. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 23433246 true true false true false false false false false true false false false true true true false false false false false false false false false false true false true false false false false false false true true false false false false false false false false false false true 57 0 true 158 true false false false false false false false false false false X 12 10 true false false false false false false true true false false true true true true true true true true false KS X JUDY SCOTT 9132621668 1900 W 47TH PLACE SUITE 400 WESTWOOD KS 66205 RICHARD MUTHER MD 3.0 X X 0 0 0 STEVE REINTJES MD 1.0 X X 0 0 0 KEN POWELL 4.0 X X 0 0 0 A MICHAEL BORKON MD 1.0 X 0 0 0 PHIL BRUMMEL 1.0 X 0 0 0 THOMAS CROUCH MD 2.0 X 0 0 0 GARY DUNCAN 2.0 X 0 0 0 THOMAS H ESTEP MD 1.0 X 0 0 0 SARAH FIELDS 3.0 X 0 0 0 MICHAEL HETTINGER MD 3.0 X 0 0 0 MICHAEL MONCURE MD 1.0 X 0 0 0 BRAD WARADY MD 1.0 X 0 0 0 ROB LINDERER 40.0 X 368544 0 44574 JUDY SCOTT 40.0 X 131696 0 19743 JAN FINN 40.0 X 267097 0 34274 CHRISTOPHER BRYAN 40.0 X 187045 0 35570 MARK REINTJES MD 40.0 X 346302 0 29047 LORI MARKHAM 40.0 X 136767 0 15404 KAREN BAIER 40.0 X 119562 0 20233 TINA KIRSCH 40.0 X 118233 0 24565 DIMITRIOS ROUSSOPOULOS 40.0 X 110012 0 19182 HEIDI HERNANDEZ 40.0 X 105958 0 19166 1891216 0 261758 13 false true false KU SURGERY SURGICAL SERVICES 441570 CREATIVE TECH SOLUTIONS INFO TECHNOLOGY 364842 MID-AMERICA MORTUARY SERVICE TRANSPORTAION SVCS 158850 AIR CHARTER TRANSPORTAION SVCS 144087 KU PHYSICIANS MEDICAL SERVICES 103538 6 12724 12724 ORGANS & TISSUE 621500 30158278 30158278 TISSUE TYPING: TRANSPLANT 621500 3897532 3897532 34055810 874255 874255 0 0 650004 937464 -287460 -287460 -287460 104568 0 0 44092 104568 -44092 60476 60476 0 0 0 ENERGY CURTAILMENT REBATE 900099 25679 25679 MISCELLANEOUS EXPENSE 900099 1741 1741 1741 1741 27420 34743225 34055810 0 674691 50950 50950 0 0 0 1463892 1238534 225358 346302 346302 7268384 5626337 1642047 809879 642491 167388 524228 406895 117333 605683 480499 125184 0 20632 20632 73360 73360 54688 54688 0 55901 55901 679173 453812 225361 210746 157457 53289 738389 425876 312513 952632 952632 0 127359 45194 82165 1966734 1841514 125220 0 53165 41112 12053 0 0 495451 229301 266150 230084 182530 47554 Surgeon & Other Medical Fees 5077533 5077533 MEDICAL SUPPLIES 2397981 2397981 NON-DSA ORGAN RECOVERY FEES 1876200 1876200 LABORATORY FEES 1862987 1862987 145838 49741 96097 28088171 23433246 4654925 0 2212727 4766662 1799900 536869 0 0 5794478 5922489 0 0 0 0 0 0 0 0 236887 197098 15479916 10020166 5565289 5459750 24337155 29701123 0 0 0 0 0 0 422744 408272 40369180 46992263 3997447 4108865 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25854 23301 4023301 4132166 X 36345879 42860097 0 0 0 0 36345879 42860097 40369180 46992263 X 6655054 -140836 X false true true X false X 0 0 387582 9945 12724 410251 25453341 14464797 29233997 28871510 34055810 132079455 25453341 14464797 29621579 28881455 34068534 132489706 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 132489706 1520796 736015 1381260 1414792 1524259 6577122 1520796 736015 1381260 1414792 1524259 6577122 0 0 0 0 0 0 0 10080 0 460 27420 37960 26974137 15210892 31002839 30296707 35620213 139104788 0.95244 0.94956 0.04728 0.05035 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 54688 false false 54688 false LOBBYING ACTIVITY SCHEDULE C, PART II-B, LINE 1G LOBBYING EXPENSES INCLUDE A MONTHLY RETAINER FOR OUR LAW FIRM TO PROVIDE A LOBBYIST TO MONITOR CURRENT AND PROPOSED LEGISLATION OR REGULATIONS IMPACTING ORGAN AND TISSUE DONATION. DEPENDING ON THE POTENTIAL IMPACT SUCH LEGISLATION OR REGULATION MAY HAVE ON THE ORGAN AND TISSUE DONATION PROGRAM, THIS INDIVIDUAL WOULD ASSIST OUR ORGANIZATION WITH ADVISING LEGISLATORS AND OTHER GOVERNMENT OFFICIALS WITH RESPECT TO THAT IMPACT. OUR EFFORTS IN THIS AREA ARE FOR THE PURPOSE OF PROVIDING INFORMATION AND INCREASING AWARENESS ABOUT THE MISSION AND PURPOSE OF MIDWEST TRANSPLANT NETWORK. IN ADDITION, A SMALL PORTION OF THE ANNUAL DUES PAID TO THE ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATION (AOPO) ARE IDENTIFIED AS LOBBYING EXPENSES. 1000000 1000000 10261729 7608528 2653201 654807 240719 414088 3153549 2170919 982630 409831 409831 5459750 0 Tenant Deposits 23301 23301 34743225 28088171 6655054 -140836 -140836 6514218 35483952 -140836 937464 796628 34687324 55901 55901 34743225 28969734 937464 937464 28032270 55901 55901 28088171 UNCERTAIN TAX POSITIONS DISCLOSURE SCHEDULE D, PART X, LINE 2 MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. RECONCILIATION OF REVENUE SCHEDULE D, PART XII, LINE 2D RENTAL EXPENSES $ 937,464 RECONCILIATION OF EXPENSES SCHEDULE D, PART XIII, LINE 2D RENTAL EXPENSES $ 937,464 true MHA CENTER FOR EDUCATION PO BOX 60 JEFFERSON CITY MO 65102 430898947 501(C)(3) 10000 TORNADO RELIEF ST JOHN'S REGIONAL MED CTR 2727 MCCLELLAND BLVD JOPLIN MO 64801 440545809 501(C)(3) 10000 TORNADO RELIEF FREEMAN FOUNDATION 931 E 32ND STREET JOPLIN MO 64804 431704371 501(C)(3) 10000 TORNADO RELIEF 3 0 PROCEDURES FOR MONITORING USE OF GRANTS IN THE UNITED STATES SCHEDULE I, PART I, LINE 2 MIDWEST TRANSPLANT NETWORK, INC. (MTN) MONITORS THE USE OF GRANT FUNDS BY ONLY ISSUING GRANTS TO ORGANIZATIONS OR ACTIVITIES WITH WHICH IT IS VERY KNOWLEDGEABLE. BASED ON MTN'S KNOWLEDGE OF THE GRANT ACTIVITY OR PARTICIPATION IN THE EVENT FOR WHICH THE GRANT IS USED, MTN IS ABLE TO INSURE THAT ALL GRANT FUNDS EXPENDED ARE USED IN ACCORDANCE WITH THE STATED PURPOSE. X false true X X X X X false false false false false false false true false ROB LINDERER 290427 0 55713 0 22404 0 24500 0 20074 0 413118 0 0 0 JUDY SCOTT 121540 0 7870 0 2286 0 2575 0 17168 0 151439 0 0 0 JAN FINN 211059 0 43918 0 12120 0 24794 0 9480 0 301371 0 0 0 CHRISTOPHER BRYAN 179947 0 5910 0 1188 0 18361 0 17209 0 222615 0 0 0 MARK REINTJES MD 341342 0 4690 0 270 0 12591 0 16456 0 375349 0 0 0 LORI MARKHAM 117558 0 12042 0 7167 0 13750 0 1654 0 152171 0 0 0 GROSS UP PAYMENTS RECEIVED SCHEDULE J, PART I, LINE 1A Gross-up of bonus payments were made to Karen Baier, Heidi Hernandez, and Tina Kirsch. Individuals listed above are department directors. All benefit was treated as taxable compensation to each individual. GROSS UP PAYMENTS RECEIVED SCHEDULE J, PART I, LINE 1B These were one-time gross up payments applied to bonuses which will not occur in the future. NON-FIXED PAYMENTS SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS INCLUDE THE FOLLOWING COMPENSATION: INCENTIVE BONUS - DISCRETIONARY COMPENSATION DETERMINED BY THE GOVERNING BOARD OR SENIOR MANAGEMENT AND BASED ON INDIVIDUAL PERFORMANCE AND ORGANIZATION-WIDE GOALS. SEE SCHEDULE L PART V BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS SCHEDULE L, PART IV (A) HEART SURGEONS OF KANSAS CITY, D/B/A MID AMERICA HEART & LUNG SURGEONS (MAHLS) (B) MICHAEL BORKON, MD IS AN OFFICER OF MAHLS AND A DIRECTOR OF MIDWEST TRANSPLANT NETWORK, INC. (C) $100,400 (D) MAHLS' DOCTORS PROVIDE ORGAN RECOVERY SERVICES FOR MIDWEST TRANSPLANT NETWORK, INC. (E) NO (A) MARK REINTJES, MD (B) MARK REINTJES, MD IS THE BROTHER OF STEVE REINTJES, A DIRECTOR/VICE CHAIR OF MIDWEST TRANSPLANT NETWORK, INC. (C) $346,302 (D) MARK REINTJES, MD IS THE MEDICAL DIRECTOR OF MIDWEST TRANSPLANT NETWORK, INC. (E) NO PROGRAM SERVICE ACCOMPLISHMENT FORM 990, PART III, LINE 1 AND LINE 4A, 4B, 4C Midwest Transplant Network (MTN) first began operation as Midwest Organ Bank in 1973. Initially incorporated as a not-for-profit, community-based tissue typing laboratory and kidney recovery program by physicians dedicated to the care and treatment of end stage renal disease patients, we became one of the nation's first independent organ procurement organizations. After the passage of the 1984 National Organ Transplant Act, the Health Care Finance Administration (HCFA) certified our organization as an organ procurement organization (OPO) and designated an exclusive service area that included the state of Kansas and more than 60 counties in central and western Missouri. Within this donation service area (DSA), we serve a population of 5.1 million and have service contracts with approximately 240 hospitals. Six of those hospitals are transplant centers and include Children's Mercy Hospital, Research Medical Center, Saint Luke's Hospital, University Hospital & Clinics of Missouri, Via Christi Medical Center, and University of Kansas Hospital. At the urging of hospitals in our area, we expanded the scope of services to include tissue and eye recovery and in 1999 changed our name to Midwest Transplant Network to better describe the expanded nature of the services provided. MTN is a member of the United Network for Organ Sharing and participates in the Organ Procurement and Transplant Network that is overseen by the Health Resource Services Administration. Governance to the organization is provided by a board of directors which is comprised of business leaders, physicians, and members of the community. An advisory board composed of individuals with experience and expertise in donation, transplantation, healthcare and other disciplines provides advice to the governing board for specific areas of policy development. General responsibility for the organization is delegated to the Chief Executive Officer. MTN's primary purpose is to facilitate the organ and tissue donation process when a person dies at a hospital within the service area. In accordance with legal and regulatory requirements, MTN's highly trained staff work with physicians to evaluate the potential for donation of organs, tissues and eyes to determine if they are suitable for transplantation, research or medical study. Appropriate consents or authorizations are obtained and the process to complete the recovery of donated gifts is initiated. After death is pronounced, the potential donor is treated to ensure that organ function is maintained prior to recovery. In accordance with UNOS policy, organs are allocated and offered to potential recipients on the waitlist by contacting their transplant program. When all suitable organs are allocated, the surgical recovery is completed and organs are distributed to the transplant programs. Vital organs for transplant include heart, lung, liver, kidney, pancreas, and small bowel. MTN works under contract with several tissue processors, eye banks and research organizations to recover tissues and research tissues and organs. Tissues for transplant include skin, bone, connective tissue, blood vessels, heart valves, corneas and eyes. Research organs and tissues may include those listed or others specified by the researcher. The tissue banks we contract with give priority access to tissue from our donors to hospitals located in our service area. These organizations include Musculoskeletal Transplant Foundation, Regeneration Technologies, Inc., Cryolife, LifeNet, IIAM, and NDRI. MTN works collaboratively with the two eye banks in our services area to maximize the gift of eye and cornea donation. These eye banks are Heartland Lions Eye Banks and the Kansas Eye Bank and Research Center. Educating the public and promoting awareness about the critical need for donation and transplantation is an important goal of our organization. MTN staff work throughout the year to provide public education programs and utilize our trained volunteer group of "Ambassadors" to reach out to the community. We also collaborate and partner with government agencies, eye banks, hospitals, and other non-profit organizations to bring the message of lifesaving donation to a broader multicultural audience. Examples include the Missouri Department of Health & Senior Services which operates the state's donor registry, National Kidney Foundation, American Liver Foundation, Gift of Life, Donate Life Rose Parade Float, Lyric of Life, The Links, Inc., etc. Other services provided by the organization in support of the primary mission include: - Hospital Services to include policy development, process improvement - Medical and hospital staff education/training - Consultation to increase compliance with Federal and state regulations - Donor family support services - Histocompatability laboratory testing services for organ and bone marrow transplant programs to match donors and recipients MTN strives to continually improve operations through a formal quality improvement program. The mission of the organization is fulfilled in each day's activity by continually striving to achieve excellence in service to the community. The vision for MTN is: "that the treatment of disease and suffering not be limited by the lack of transplantable organs and tissues." FAMILY RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 2 Dr. Steve Reintjes, Vice-Chair of the Governing Board, is a brother of Dr. Mark Reintjes, a key employee of Midwest Transplant Network and the Medical Director. FORM 990 REVIEW PROCESS FORM 990, PART VI, SECTION B, LINE 11b AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S OFFICERS AND ANY CHANGES REQUESTED ARE MADE BY THE ACCOUNTING FIRM. A COPY OF THE 990 IS THEN PROVIDED TO ALL GOVERNING BOARD MEMBERS ALONG WITH A RESPONSE TIME FOR QUESTIONS AND COMMENTS. ALL ISSUES ARE RESOLVED AND THE 990 IS FILED. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS AND EMPLOYEES ARE REQUIRED TO COMPLETE ANNUAL CORPORATE COMPLIANCE TRAINING, WHICH INCLUDES THE CONFLICT OF INTEREST POLICY AND A WRITTEN TEST. THE CORPORATE COMPLIANCE PROGRAM IS AUDITED ANNUALLY. ANY CONFLICTS OF INTEREST ARE DETERMINED AND REVIEWED BY THE BOARD CHAIR AND OUTSIDE LEGAL COUNSEL. IF IT IS DETERMINED THAT A BOARD MEMBER HAS A CONFLICT OF INTEREST, THE BOARD MEMBER MUST ABSTAIN FROM VOTING ON ANY ISSUE RELATED TO THE CONFLICT. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINE 15A & LINE 15B THE ORGANIZATION CONSULTED AN INDEPENDENT FIRM TO PREPARE A COMPENSATION DATA STUDY. THE COMPENSATION COMMITTEE OF THE GOVERNING BOARD TOOK THE INFORMATION FROM THE COMPENSATION STUDY AND USED IT TO REVIEW THE COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES FOR 2011. AVAILABILITY OF DOCUMENTS FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 5 UNREALIZED LOSS FROM INVESTMENTS ($ 140,836)