2011-05-10T15:05:55-05:00 2010-06-30 Lewis Birch & Ricardo LLC 1401 Court Street Clearwater FL 337566146 990 2009-07-01 592193032 LIFELINK FOUNDATION INC LIFE 8132586515 601 BAYSHORE BLVD No 600 TAMPA FL 336062760 BRYAN MCDONALD 8132586515 2011-05-04 1 7274463058 2009 2016-02-24 21:20:13Z DR DANA L SHIRES 601 BAYSHORE BLVD No 600 TAMPA FL 336062760 85631669 0 X WWW.LIFELINKFOUND.ORG X 1982 FL ORGAN AND TISSUE PROCUREMENT AND TRANSPLANTATION 20 10 496 500 0 0 73354 70676 70464698 72948785 -143872 182989 0 70394180 73202450 839015 334154 0 32357307 35795287 0 0 32335372 32003198 65531694 68132639 4862486 5069811 102383684 108171688 45982320 46601454 56401364 61570234 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 35254897 261141 45705703 Organ Procurement Organizations (OPOs):LifeLink's organ recovery organizations possess a threefold role: we support donor families during a time of unimaginable loss, endeavor to save as many lives as possible, and honor the inspiring decisions made by donors themselves. We place high value on our relationships with hospital administrators, physicians, nurses and medical ancillary departments who help make donation happen every day, and during the 2009-2010 year, our united efforts resulted in 541 organ donor recoveries. In Georgia, we accomplished record numbers. Each of our successes begin with the passionate effort of our hospital development departments, whose daily work in hospitals across our service area make the donation process possible. Each opportunity to provide the Gift of Life encouraged us to seek ways to sustain the gains made, yet our pride remains overshadowed by a drive to accomplish more. All LifeLink OPOs successfully completed CMS recertification. We also continued to utilize Best Practices, such as donor advisory committees and after action reviews, which served as evidence of successful pathways we've created, as well as our dedication to meeting the needs of our hospital partners, before, during and after donation. In Georgia, we participated in a Palliative Care Symposium, increased utilization of intensivists for donor management, and sought out innovative pathways for donation to occur, such as enhancing our partnerships and extending additional physician outreach and education within transplant centers. Florida's team expanded the Designated Service Area Symposium, allowing critical care nurses to work with physicians, other members of the care team and LifeLink to improve the donation process. These peer to peer educational sessions help the strongest hospital-based supporters of donation ensure everyone within the department had the ability to resolve any problems on a 24/7 basis. In Puerto Rico and the U.S. Virgin Islands, our policies and procedures were strengthened to enhance the opportunity for donating life and resulted in nearly 100 organ donors who saved hundreds of lives. 20492866 73013 22843487 Tissue Bank:Each donation creates a unique wonder: a cartilage transplant allows a mother to wrap her arms around her child again. The serious burns on a child heal through the miracle of skin donation. A bone allograft restores mobility to the athlete. Last year, as a result of LifeLink's efforts, 30,223 allografts were used in surgical procedures. In Georgia, the generosity of a donor allowed LifeLink Tissue Bank to perform its 15,000th tissue recovery. Our partnership with TransLife, Orlando's organ and tissue recovery organization, continued to strengthen. We began performing family requesting services to gain consent for tissue donation as well as medical screening and answering service functions. And the advent of our new, state-of-the-art 54,000 square foot Tissue Bank facility in Tampa will enable us to reach more milestones, and help more people. Years of meticulous planning produced a building which boasts an air exchange technology surpassing levels currently found in most of the country's operating rooms. The automation system represents the most advanced technology currently available. Preparation such as this ensures our record for zero documented disease transmissions will remain unbroken. More than 100 LifeLink administrative, clinical and quality assurance employees call the building their "home away from home." It represents the first step for the property, which stretches past 11 acres. Plans have already begun for Phase II, to accommodate additional staff.Although the facility itself represents a weighty accomplishment, it wasn't enough to create a state-of-the-art Tissue Bank. We also wanted a place commemorating donors and their tremendous gifts. When visitors arrive, they are immediately greeted by a flowering magnolia tree and stone donor memorial, dedicated to the selfless decision to restore the lives of others. 4214946 4399595 Transplantation Immunology Laboratory:The respectful balance between gifts made by organ donors and the needs of potential transplant recipients begins in the Transplantation Immunology Laboratory. We approach our work with ardent intensity, knowing that every day, the waiting list grows. Nine different transplant programs, in three separate hospitals, rely on our ability to identify safe, compatible matches. Our advanced approach includes gaining insight to patient antibody specificity and donor HLA antigens, as well as identifying false positive reactions in the crossmatching process. The result of these efforts translate to an expanded donor pool, and transplants for individuals who would not have otherwise received the Gift of Life. Last year, our "matchmaking" helped make more than 390 transplants possible. We performed evaluations on 1,200 individuals, including new patients and potential living donors. And we continued our post-transplant monitoring tests, allowing us to accurately predict rejection episodes - a vital function which assists clinicians in developing the safest and most appropriate reduction or increase in anti-rejection regiments. Last year, we performed these tests for more than 6,700 transplant recipients. We will never stop our efforts to progress the science of transplant immunology. The term "matchmaker" is very appropriate, as organ donation and transplantation epitomize a distinctive marriage between compassion and science. We could not imagine a more significant inspiration. Community Education:88 million Americans are designated organ and tissue donors. In many states, online registries allow them to record their wishes; those same registries are updated each time someone has their organ donor status recorded when receiving or renewing their drivers' licenses. LifeLink is the conduit which makes donation and transplantation possible, but members of the general public actually give the Gift of Life. We design community outreach and educational programs to reach a wide spectrum of audiences and continually seek out new pathways for communication. The Public Affairs staff worked closely with Donate Life Florida and Donate Life Georgia to focus efforts on donor registrations.Last year, the number of registered donors increased by 8.7% in Florida to 5.4 million and 6.4% in Georgia to 3.6 million. LifeLink of Florida paid particular attention to the 50 offices in our service area that issue driver licenses; regular visits, annual in-service trainings, and measurement of registrations occurred within each region. Special promotions during Donate Life month further solidified our relationships. These efforts greatly contributed to the 171,030 donor designations made in the Florida service area. LifeLink of Georgia continued the tradition of honoring donor families with two Services of Remembrance, and also welcomed more than 1,200 hours of volunteer assistance toward community outreach, resulting in 248,000 donor designations over the past year. Both Georgia and Florida established strong ties within high schools; information about donation was presented to more than 14,000 students between the two states. LifeLink of Puerto Rico recognized its 15th anniversary and made great progress toward establishing a donor registry; and the groundwork laid last year will hopefully result in a 2011 launch. In addition, more than 50 new Workplace Partners shared the importance of organ and tissue donation with their employees. Multicultural donation education programs (MDEP) included the LifeLink Festival and Health Fair, where more than 1,200 visitors gathered, as well as the First Hispanic Media Lunch Meeting, at which 13 different news agencies pledged to support donation through news releases and public service announcements. Each agency also agreed to share information with their employees about the Gift of Life. In addition, campaigns were held at predominantly black colleges and universities and gospel concerts spread the "Donate Life" message. 59962709 1 1 0 1 0 0 0 0 0 1 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 1 530 0 1 496 1 0 0 0 0 0 0 0 0 0 20 10 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X X BRYAN MCDONALD TREASURER 8132586515 601 BAYSHORE BLVD 600 TAMPA FL 336062760 DANA L SHIRES MD 40.00 X X 489621 0 49796 DENNIS HEINRICHS BSN MBA 40.00 X X 403047 0 310619 VICTOR D BOWERS MD 2.00 X 0 387668 122439 CHARLES SONNY SANDERS MD 2.00 X 0 288381 69407 JOHN D WHELCHEL MD 20.00 X 66951 0 21064 ESTHER TORRES MD 40.00 X 36970 0 17469 THOMAS C PEARSON MD 20.00 X 52377 0 17779 WILLIAM F LEFOR PHD 40.00 X X 283140 0 49796 WILLIAM J MEURER 2.00 X 1500 0 0 WADE MITCHELL 2.00 X 1500 0 0 LUIS A MORALES-OTERO MD 20.00 X 51762 0 19143 HAROLD W MULLIS JR 2.00 X 1832 0 0 DEBORAH WINEGARD JD 2.00 X 2250 0 0 JAMES J WYNN MD 2.00 X 500 0 0 H JAMES FREE MD 2.00 X 0 0 0 MORRIS J DILLARD 2.00 X 1500 0 0 J DAVID VEGA MD 2.00 X 1500 0 0 JEFFREY L SEAVEY 2.00 X 1500 0 0 JOEL T VANSICKLER MD 2.00 X 750 0 0 ROBERT METZGER MD 2.00 X 1500 0 0 BRYAN C MCDONALD CPA 40.00 X 175044 0 37706 LINDA G D'AGUILA 40.00 X 124460 0 28704 KATHLEEN T LILLY 40.00 X 155363 0 33768 MARIEN SAADE 40.00 X 134919 0 29504 DANA L SHIRES III 40.00 X 197685 0 129489 JEAN DAVIS 40.00 X 238580 0 57926 ELIZABETH M LEHR 40.00 X 145063 0 31992 CHARLES WRIGHT 40.00 X 231277 0 47384 DANIEL L SCHULTZ 40.00 X 214114 0 43688 DANNY HAWKE 40.00 X 158521 0 34124 TIMOTHY A IGNATIUS 40.00 X 166446 0 23564 MAYRA M LOPEZ-CEPERO 40.00 X 160654 0 35035 3500326 676049 1210396 25 0 1 0 SKANSKA USA BUILDING INC 4030 BOY SCOUT BLVD STE 200 TAMPA FL 33607 GENERAL CONTRACTOR - CONSTRUCTION SERVIC 11346336 AMERICAN FOUNDATION FOR DONATION AND TRA 8154 FOREST HILLS AVE STE 3 RICHMOND VA 23235 IMPORTING OF KIDNEYS RECOVERED OUTSIDE L 1873591 TRANSLIFE TISSUE BANK 1560 ORANGE AVE STE 450 WINTER PARK FL 32789 TISSUE RECOVERY SERVICES 775786 SCENDIA MED 1809 E BROADWAY ST 323 OVIEDO FL 32765 TISSUE BANK DISTRIBUTOR 416022 REYNOLDS SMITH AND HILLS INC 10748 DEERWOOD PARK BLVD S JACKSONVILLE FL 32256 ARCHITECT 373471 12 70676 70676 ORGAN PLACEMENT 621110 45705703 45705703 TISSUE PLACEMENT 621110 22843487 22843487 IMMUNOLOGY LAB 621500 4399595 4399595 72948785 195082 195082 12403620 13506 12363516 65703 40104 -52197 -12093 -12093 73202450 72948785 0 182989 334154 334154 3283102 1481437 1801665 282457 139426 143031 22587765 20399513 2188252 2509879 2281339 228540 5263978 4598710 665268 1868106 1549729 318377 360486 360486 66539 66539 150256 150256 16526259 16280357 245902 630806 630806 6510960 6227933 283027 544075 538670 5405 1910216 1525359 384857 1189366 1106798 82568 360941 355368 5573 371204 368022 3182 2050799 1994832 55967 938114 938114 BOND ISSUE COSTS 367848 367848 COSTS ASSOCIATED WITH D 25329 25329 68132639 59962709 8169930 0 1755072 110585 6065194 11707493 11483541 11575091 18193541 19852600 363090 286906 60768348 15405693 22973364 45362655 11920311 4205614 29629571 15070744 102383684 108171688 17807016 18428403 26500000 26053914 1675304 2119137 45982320 46601454 X 56401364 61570234 56401364 61570234 102383684 108171688 X 0 1 1 X 0 X 49169 73354 70676 193199 62132719 72559935 78499196 70464698 72948785 356605333 62132719 72559935 78548365 70538052 73019461 356798532 0 0 0 356798532 497107 264769 195082 956958 497107 264769 195082 956958 62132719 72559935 79045472 70802821 73214543 357755490 0.99730 0.99770 0.00270 0.00220 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 150196 150196 150196 150196 67982443 83047304 68132639 83197500 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 106107 159503 141500 150196 557306 250000 250000 250000 250000 1000000 1500000 141500 150196 291696 6735811 6735811 45303930 9994488 35309442 8728607 5411205 3317402 45362655 INTERCOMPANY RECEIVABLE 12411122 UNAMORTIZED BOND COSTS 273333 DEPOSITS 44527 ASSETS HELD BY TRUSTEE UNDER BOARD-DESIGNATED SERP 2036136 CONSTRUCTION IN PROGRESS 1764 SOFTWARE, NET OF AMORTIZATION 161779 OTHER INTANGIBLE 142083 15070744 73202450 68132639 5069811 99059 99059 5168870 73183971 0 73183971 18479 18479 73202450 67923695 52197 52197 67871498 261141 261141 68132639 Part XII, Line 4b - Other Adjustments: LOSS ON SALE OF FURNITURE, FIXTURES & EQUIPMENT: -52197. LIFELINK LEGACY FUND TRANSFER OF GENERAL FUNDS FOR PROGRAMS: 70676. Part XIII, Line 2d - Other Adjustments: LOSS ON SALE OF FURNITURE, FIXTURES & EQUIPMENT: 52197. Part XIII, Line 4b - Other Adjustments: NET ASSET TRANSFER ON FORGIVENESS TO LIFELINK LEGACY FUND: 261141. 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 Schedule F, Part IV Other Information PART I, LINE 3: TISSUE IS SOLD TO TISSUE BANKS IN CANADA, GREECE, 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) 261141 0 N/A N/A PROGRAM DEVELOPMENT TRANSLIFE TISSUE BANK 1560 ORANGE AVE STE 450 WINTER PARK FL 32789 590724459 501(C)(3) 73013 0 N/A N/A HOSPITAL DEVELOPMENT POSITION 2 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. 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 475000 0 680 0 13941 0 36729 0 13067 0 539417 0 0 0 DENNIS HEINRICHS BSN MBA 385000 0 680 0 17367 0 297552 0 13067 0 713666 0 0 0 VICTOR D BOWERS MD 0 384349 0 2984 0 335 0 109372 0 13067 0 510107 0 0 CHARLES SONNY SANDERS MD 0 287522 0 680 0 179 0 56340 0 13067 0 357788 0 0 WILLIAM F LEFOR PHD 280800 0 680 0 1660 0 36729 0 13067 0 332936 0 0 0 BRYAN C MCDONALD CPA 169500 0 680 0 4864 0 24639 0 13067 0 212750 0 0 0 LINDA G D'AGUILA 120090 0 680 0 3690 0 15637 0 13067 0 153164 0 0 0 KATHLEEN T LILLY 150000 0 740 0 4623 0 20701 0 13067 0 189131 0 0 0 DANA L SHIRES III 191000 0 680 0 6005 0 116422 0 13067 0 327174 0 0 0 JEAN DAVIS 229700 0 680 0 8200 0 44859 0 13067 0 296506 0 0 0 CHARLES WRIGHT 230262 0 680 0 335 0 34317 0 13067 0 278661 0 0 0 DANIEL L SCHULTZ 208157 0 680 0 5277 0 30621 0 13067 0 257802 0 0 0 DANNY HAWKE 152000 0 680 0 5841 0 21057 0 13067 0 192645 0 0 0 TIMOTHY A IGNATIUS 151500 0 680 0 14266 0 10497 0 13067 0 190010 0 0 0 MAYRA M LOPEZ-CEPERO 159615 0 680 0 359 0 21968 0 13067 0 195689 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 4a 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 ARE AS FOLLOWS: DAN SHIRES - $88,435; DENNIS HEINRICHS - $260,823; VICTOR D. BOWERS - $72,643; CHARLES SANDERS - $19,611; JEAN DAVIS - $9,996; DANNY HAWKE - $0; AND BRYAN MCDONALD - $0. HILLSBOROUGH COUNTY INDUSTRIAL DEVELOPMENT AUTHORITY 521293512 2009-09-18 26400000 REFUNDING OF 1997 & 2008 SERIES BONDS TO FINANCE TISSUE BANK FACILITY 0 0 26400000 300000 26100000 2010 1 0 1 1 0 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 0 0 0 0 ART HEINRICHS BROTHER OF BOARD MEMBER & PRESIDENT/COO 143031 COMPENSATION FOR EMPLOYMENT 0 BRAD BASSLER SON-IN-LAW OF BOARD MEMBER HAROLD W. MULLIS, JR. 139426 COMPENSATION FOR EMPLOYMENT 0 HAROLD W MULLIS JR BOARD MEMBER IS A PARTNER IN A LAW FIRM USED BY THE ORGANIZATION 105870 LEGAL FEES 0 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 A, line 4 The Foundation's by-laws were revised to include the Medical Advisory Committee and define the committee's purpose. 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 The Foundation requires all Interested Persons to attest at least annually that they have received, read and agreed to comply with LifeLink's Conflict of Interest Policy. This certification also requires the disclosure of any conflicts of interest that may exist. The Executive Committee of the Governing Board reviews all conflict of interest statements 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 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. FORM 990, PART XI, LINE 2C: The organization's audit committee is composed of at least four Board members who are independent of the Foundation's management. The audit committee provides assistance to the Board in fulfilling its oversight responsibility to the users of the Foundation's financial statements. Among the audit committee's responsibilities is the responsibility to ensure that the Foundation undergoes an annual financial statement audit and to select, evaluate, and, if necessary, replace the independent auditor performing the audit. On an annual basis, the results of the financial statement audit are presented to the full Board. FORM 990, PART V, LINE 2A: The organization filed 496 Form W-2s for 2009 plus an additional 53 on the equivalent Puerto Rico Form for a total of 549 employees for the 2009 calendar year. 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 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 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 LIFELINK LEGACY FUND INC B 261141 LIFELINK LEGACY FUND INC C 70676 LIFELINK HEALTHCARE INSTITUTE INC 601 BAYSHORE BLVD 600 TAMPA FL 33606 593253621 X 0 0 0 14593008 14593008 879650 219913 0 0 0 LIFELINK LEGACY FUND 601 BAYSHORE BLVD 600 TAMPA FL 33606 593040982 X 0 0 0 471853 471853 94371 23593 0 0 0