2024-11-14T13:39:08-06:00 2023-12-31 381357951 PLANTE & MORAN PLLC 2601 CAMBRIDGE CT STE 300 AUBURN HILLS MI 48326 990 2023-01-01 382772488 ORGAN PROCUREMENT AGENCY OF MICHIGAN ORGA 7349731577 3861 RESEARCH PARK DRIVE ANN ARBOR MI 48108 SHARON BAYLISS VP ADMINISTRATION/CFO 7349731577 2024-11-13 1 1 AMY CIMINELLO P00796388 2483757100 2024-11-13 2023 2024-10-15 13:58:12Z GIFT OF LIFE MICHIGAN LADORA DILS 3861 RESEARCH PARK DRIVE ANN ARBOR MI 48108 108467379 0 X WWW.GIFTOFLIFEMICHIGAN.ORG X 1971 MI GIFT OF LIFE MICHIGAN IS THE STATE'S FEDERALLY DESIGNATED ORGAN AND TISSUE RECOVERY ORGANIZATION. AS SUCH, IT ASSISTS DONOR FAMILIES DURING THEIR TIME OF GRIEF AND ACTS AS THE INTERMEDIARY BETWEEN HOSPITALS AND TRANSPLANT CENTERS TO PROVIDE LIFE-SAVING, LIFE-IMPROVING ORGANS AND TISSUES FOR TRANSPLANT. THESE "GIFTS" INCLUDE SUCH THINGS AS KIDNEYS, LIVERS, HEARTS, LUNGS, SKIN, TENDONS AND BONE. IN FACT, A SINGLE ORGAN DONOR CAN SAVE UP TO EIGHT LIVES, WHILE A TISSUE DONOR CAN IMPROVE THE LIVES OF UP TO 75 MORE. GIFT OF LIFE ALSO PROMOTES ORGAN, TISSUE AND EYE DONATION AND MAINTAINS THE MICHIGAN ORGAN DONOR REGISTRY ALONG WITH THE MICHIGAN SECRETARY OF STATE DEPARTMENT. THE CONFIDENTIAL DONOR REGISTRY DOCUMENTS A PERSON'S SELFLESS DESIRE TO SAVE OTHERS AFTER HIS OR HER OWN LIFE HAS ENDED. 21 20 467 452 0 0 0 119602 99347976 105751112 1058401 594268 0 1000000 100406377 107464982 0 124767 0 0 33229086 42767408 0 0 173139 65989258 58979832 99218344 101872007 1188033 5592975 67108935 74298047 17706927 15859306 49402008 58438741 X WE HONOR LIFE THROUGH DONATION. 0 0 86214453 124767 105751112 FACILITATED 578 ORGAN DONORS, WHICH LED TO 1,372 ORGAN TRANSPLANTS, EACH ONE REPRESENTING NEW LIFE FOR THE RECIPIENT. FACILITATED 1,858 TISSUE DONORS, WHOSE GIFTS MAY HELP CANCER AND BURN VICTIMS WITH RECONSTRUCTIVE SURGERY AND MAY PROVIDE MOBILITY FOR OTHERS WITH ORTHOPEDIC INJURIES. ORGANIZED A VIRTUAL CEREMONY THAT PAID TRIBUTE TO THE PREVIOUS YEAR'S ORGAN AND TISSUE DONORS WHICH INCLUDED A VIRTUAL OPTION FOR FAMILIES THAT COULD NOT ATTEND IN PERSON. APPROXIMATELY 800 DONOR FAMILY MEMBERS ATTENDED THE EVENT VIRTUALLY. THROUGH ITS VOLUNTEER CORPS, PROVIDED 690 SERVICE HOURS FOR PROMOTING DONATION. MORE THAN 213,000 NEW NAMES ADDED TO THE DONOR REGISTRY, BRINGING THE STATEWIDE TOTAL TO NEARLY 4.5 MILLION RESIDENTS REPRESENTING 57% OF THE ADULT POPULATION IN THE STATE. CONDUCTED 750 CRITICAL-CARE IN-SERVICES THAT EDUCATED MORE THAN 15,000 HEALTH CARE INDIVIDUALS ABOUT THE BEST PRACTICES OF ORGAN AND TISSUE DONATION. THROUGH ITS IN-HOUSE LABORATORY, PERFORMED OVER 73,000 TESTS ON 800 POTENTIAL DONORS AND 975 OUT-OF-STATE DONORS. THE TESTS ENSURE THAT PEOPLE RECEIVING THE TRANSPLANTS HAVE THE GREATEST CHANCE OF SUCCESS. 86214453 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 135 0 1 467 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 20 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X SHARON BAYLISS 8665005801 3861 RESEARCH PARK DRIVE ANN ARBOR MI 48108 PAMELA SEXTON CHAIR 5.00 X X 0 0 0 ANNE MURPHY IMMEDIATE PAST CHAIR 5.00 X X 0 0 0 KATHLEEN VOGELSANG CFA CHAIR ELECT 5.00 X X 0 0 0 TIMOTHY MULLIGAN DIRECTOR 2.00 X 0 0 0 CAROLYN COLE-BROWN DIRECTOR 2.00 X 0 0 0 RICHARD BOOTHMAN DIRECTOR 2.00 X 0 0 0 DENISE BROOKS-WILLIAMS DIRECTOR 2.00 X 0 0 0 KANDISS ECTON DIRECTOR 2.00 X 0 0 0 JANICE FIRN DIRECTOR 2.00 X 0 0 0 DARLA GRANGER MD DIRECTOR 2.00 X 0 0 0 MICHAEL GRISDELA DIRECTOR 2.00 X 0 0 0 ANN HOLLENBECK DIRECTOR 2.00 X 0 0 0 SAID ISSA MD DIRECTOR - PART YEAR 2.00 X 0 0 0 ANNETTE JOE MD DIRECTOR 2.00 X 0 0 0 ALAN LEICHTMAN MD DIRECTOR 2.00 X 0 0 0 JOHN MAGEE MD DIRECTOR 2.00 X 0 0 0 SHERRIE FARRELL DIRECTOR 2.00 X 0 0 0 LESLIE ROCHER DIRECTOR 2.00 X 0 0 0 PAMELA SAWHNEY DIRECTOR 2.00 X 0 0 0 CHRISTIAN SCHAFER DIRECTOR 2.00 X 0 0 0 SHANNON WILSON DIRECTOR 2.00 X 0 0 0 LADORA DILS PRESIDENT/CEO 45.00 X X 696865 0 76736 JEFFREY WISNIEWSKI SECRETARY/VP REGULATORY COMPLIANCE/GENERAL COUNSEL 45.00 X 283103 0 29964 SHARON BAYLISS TREASURER/VP ADMINISTRATION/CFO 45.00 X 271469 0 41207 BRUCE NICELY VP CLINICAL OPERATIONS 45.00 X 352246 0 43980 PATRICK WELLS-OBRIEN VP COMMUNICATIONS 45.00 X 235221 0 37994 KRISTIN DELLI CARPINI VP PERFORMANCE EXCELLENCE 45.00 X 223377 0 23596 MIGUEL WEST MD PROCUREMENT SURGEON 40.00 X 363062 0 35674 LORI LAWYER FINANCE DIRECTOR 40.00 X 186223 0 21309 SHEILA ALSTON SR PERFORMANCE IMPROVEMENT SPECIALIST 40.00 X 185096 0 26366 KENNETH WOODSIDE MD PROCUREMENT SURGEON 40.00 X 202492 0 846 JOSEPHINE SPRINGER DONATION COORDINATOR 40.00 X 182536 0 19769 3181690 0 357441 133 0 1 0 NATIONWIDE ORGAN RECOVERY 3815 E MAIN ST SUITE C ST CHARLES IL 60174 TRANSPORTATION OF ORGANS, TISSUE DONORS, 2851697 2050 PARTNERS INC 1420 WASHINGTON BLVD DETROIT MI 48226 CONSULTING 537485 HURON VALLEY AMBULANCE PO BOX 2351 DEPT 200 INDIANAPOLIS IN 46206 TRANSPORTATION OF ORGANS, TISSUE DONORS, 477748 TRANSPLANT STAFFING RESOURCES 1442 AVONDALE DR WESTFIELD IN 46074 TEMPORARY STAFFING 379482 SILVEY'S REMOVAL SERVICE PO BOX 275 TAYLOR MI 48180 TRANSPORTATION OF ORGANS, TISSUE DONORS, 359520 23 119602 119602 MEDICARE PAYMENTS 621300 56656534 56656534 ORGAN RECOVERY 621300 32054488 32054488 TISSUE RECOVERY 621300 16293555 16293555 LAB SERVICES 621300 746535 746535 105751112 507236 507236 1089429 1002397 87032 87032 87032 INSURANCE PROCEEDS 524298 1000000 1000000 1000000 107464982 105751112 0 1594268 104109 104109 20658 20658 2315756 669441 1646315 28538173 23145071 5306451 86651 2509686 2002751 499254 7681 6447750 5120237 1311177 16336 2956043 2473046 476757 6240 2396 2396 58950 58950 40759 40759 6685660 6065540 620120 5024706 3389602 1624467 10637 927726 195723 732003 7824114 7824114 992287 760111 231380 796 190029 190029 1697651 304364 1393287 492983 492983 IMPORTED ORGAN COSTS 18806273 18806273 DONOR HOSPITAL EXPENSES 7950585 7950585 LAB & MEDICAL SUPPLIES 7209834 7209834 FUTURE FUNDRAISING EVEN 26149 26149 1049730 172994 858087 18649 101872007 86214453 15484415 173139 6262550 10274677 14433704 17546557 1413264 1407475 1118992 1160745 33348764 13860828 19183741 19487936 13255140 17348466 11441544 7072191 67108935 74298047 11036387 9905808 5625358 4966216 1045182 987282 17706927 15859306 X 49402008 58438741 49402008 58438741 67108935 74298047 X 5592975 1180918 2262840 X X 0 1 X 1 0 X 119602 119602 64490339 69307403 83726562 99347976 105751112 422623392 64490339 69307403 83726562 99347976 105870714 422742994 0 0 0 422742994 647468 349142 861069 940836 507236 3305751 647468 349142 861069 940836 507236 3305751 1000000 1000000 65137807 69656545 84587631 100288812 107377950 427048745 0.98990 0.99140 0.00770 0.00860 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 40759 40759 86214453 86255212 1000000 250000 0 0 1000000 1000000 1500000 40759 40759 250000 250000 375000 445653 445653 23463274 8367083 15096191 9066727 5493745 3572982 373110 373110 19487936 FLEXIBLE PREMIUM ANNUITY 226019 COST REPORT SETTLEMENT RECEIVABLE 6385696 INTEREST RATE SWAP 460476 7072191 FLEXIBLE PREMIUM ANNUITY 226019 MEDICARE REIMBURSEMENT 761263 987282 110908740 1180918 2262840 3443758 107464982 0 107464982 101872007 0 101872007 0 101872007 PART XI, LINE 2D - OTHER ADJUSTMENTS: ACQUISITION OF GIFT OF LIFE FOUNDATION 2,262,840. 1 DONATE LIFE COALITION OF MICHIGAN 3050 UNION LAKE RD COMMERCE TOWNSHIP MI 48382 383466942 501C3 18500 0 N/A N/A RADIO ADVERTISEMENTS FOR COVER THE AIRWAYS ONE LEGACY 1303 W OPTICAL DRIVE AZUSA CA 91702 953138799 501C3 17548 0 N/A N/A OPO METRIC RESEARCH 2 0 FINANCIAL ASSISTANCE TO TRANSPLANT RECIPIENTS 30 20658 N/A GRANTS DISTRIBUTED TO NEEDY RECIPIENTS POST ORGAN TRANSPLANT FOR MEDICATIONS RELATED TO THEIR ORGAN TRANSPLANT OR TO ASSIST WITH PRESCRIPTION CO-PAYS OR INSURANCE PREMIUMS. PART I, LINE 2: WE HAVE AN ANNUAL APPLICATION PROCESS WITH DEADLINES THAT ARE COMMUNICATED ON OUR WEBSITE. GRANTS ARE VETTED THROUGH THE BOARD AND EXECUTIVE LEADERSHIP TEAM DURING THE GRANT REVIEW PROCESS. GRANTS ARE AWARDED BASED ON THE LEVEL OF SUPPORT TO THE DONATION COMMUNITY. ONCE APPROVED THERE IS AN EXPENSE FORM WHICH MUST BE SUBMITTED FOR REIMBURSEMENT. IT MUST INCLUDE RECEIPTS. THE EXPENSES ARE TRACKED THROUGH A SPREADSHEET AND REPORTED TO THE BOARD ON AN ANNUAL BASIS. X X X X X 0 0 0 0 0 1 0 0 0 LADORA DILS PRESIDENT/CEO 623077 0 49498 0 24290 0 55500 0 21236 0 773601 0 0 0 MIGUEL WEST MD PROCUREMENT SURGEON 348812 0 6752 0 7498 0 33000 0 2674 0 398736 0 0 0 BRUCE NICELY VP CLINICAL OPERATIONS 317770 0 27526 0 6950 0 34541 0 9439 0 396226 0 0 0 JEFFREY WISNIEWSKI SECRETARY/VP REGULATORY COMPLIANCE/G 253896 0 19484 0 9723 0 27382 0 2582 0 313067 0 0 0 SHARON BAYLISS TREASURER/VP ADMINISTRATION/CFO 253705 0 11331 0 6433 0 19578 0 21629 0 312676 0 0 0 PATRICK WELLS-OBRIEN VP COMMUNICATIONS 185796 0 48865 0 560 0 23466 0 14528 0 273215 0 0 0 KRISTIN DELLI CARPINI VP PERFORMANCE EXCELLENCE 201984 0 12169 0 9224 0 21460 0 2136 0 246973 0 0 0 SHEILA ALSTON SR PERFORMANCE IMPROVEMENT SPECIALIS 175515 0 5071 0 4510 0 18100 0 8266 0 211462 0 0 0 LORI LAWYER FINANCE DIRECTOR 176699 0 5346 0 4178 0 18211 0 3098 0 207532 0 0 0 KENNETH WOODSIDE MD PROCUREMENT SURGEON 199712 0 0 0 2780 0 0 0 846 0 203338 0 0 0 JOSEPHINE SPRINGER DONATION COORDINATOR 109869 0 3172 0 69495 0 17586 0 2183 0 202305 0 0 0 PART I, LINE 6 THE INCENTIVE COMPENSATION PROGRAM IS DESIGNED TO MOTIVATE AND REWARD ELIGIBLE EMPLOYEES FOR THE ORGANIZATION'S PERFORMANCE AND THEIR CONTRIBUTION TO THE SUCCESSFUL ACHIEVEMENT OF THE ORGANIZATIONAL FINANCIAL AND OPERATIONAL METRICS. CERTAIN MINIMUM FINANCIAL THRESHOLDS MUST BE MET FOR ANY PAYMENTS TO BE MADE. A MAXIMUM LIMIT OF THE PAYMENTS IS ALSO ESTABLISHED. EACH YEAR, THE CORPORATE PERFORMANCE GOALS ARE SET AS PART OF THE BUDGET PROCESS AND APPROVED BY THE BOARD FOR THE UPCOMING YEAR. LONGEVITY BONUS: THE LONGEVITY BONUS PROGRAM IS DESIGNED TO MOTIVATE AND REWARD GIFT OF LIFE EMPLOYEES FOR THEIR CONTINUED SERVICE TO THE ORGANIZATION. THE LONGEVITY BONUS IS PAID OUT ANNUALLY IN JANUARY AND IS EQUAL TO A PERCENTAGE OF THE EMPLOYEE'S ELIGIBLE BASE WAGES, DETERMINED BY THEIR YEARS OF SERVICE. EXECUTIVE BONUS: LIKE THE INCENTIVE COMPENSATION PROGRAM, THE BOARD SETS GOALS FOR THE EXECUTIVE LEADERSHIP TEAM BASED ON THE ORGANIZATION'S PERFORMANCE. A MAXIMUM LIMIT OF PAYMENTS IS ALSO ESTABLISHED. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZING DOCUMENTS WERE AMENDED TO CHANGE THE COMPOSITION OF THE OFFICERS. THE DUTIES OF THE TREASURER AND SECRETARY ARE NO LONGER BOARD MEMBER ROLES, THEY ARE NOW OFFICERS OF THE ORGANIZATION AND HAVE BEEN ASSIGNED TO THE CFO AND GENERAL COUNSEL, RESPECTIVELY. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS MADE PUBLIC TO ALL GOVERNING BOARD AND COMMITTEE MEMBERS ON A SHARED PORTAL PRIOR TO FILING. THE FINANCE AND AUDIT COMMITTEE ALSO REVIEW THE 990 SUBSEQUENT TO FILING. A FINAL COPY OF THE 990 IS ON GUIDESTAR.ORG WITH A LINK ON THE ORGANIZATION'S WEBSITE TO THE GUIDESTAR WEBSITE. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, COMMITTEE MEMBERS, AND EMPLOYEES OF GIFT OF LIFE MICHIGAN ARE COVERED UNDER THE CORPORATE COMPLIANCE POLICY AND CONFLICT OF INTEREST POLICY. ALL PARTIES ARE TRAINED ON AN ANNUAL BASIS AND MUST DECLARE CONFLICTS OF INTEREST AT THAT TIME. EXECUTIVE LEADERSHIP ASSESSES THE LEVEL OF CONFLICT AND IS ALSO ENTRUSTED TO MANAGE THESE CONFLICTS AT EACH BOARD OR COMMITTEE MEETING. MEMBERS WHO HAVE CONFLICTS MUST ABSTAIN FROM VOTING AND THEIR ABSTENTION IS RECORDED IN THE MINUTES. THE COMPLIANCE COMMITTEE ANNUALLY REVIEWS CONFLICTS OF INTEREST FROM EMPLOYEES AND BOARD AND COMMITTEE MEMBERS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE ENGAGED AN OUTSIDE CONSULTANT TO PROVIDE A COMPREHENSIVE REVIEW OF THE CEO COMPENSATION, AFTER WHICH THE EXECUTIVE COMMITTEE DETERMINED THE CEO COMPENSATION. IN ADDITION, COMPENSATION OF CERTAIN SENIOR LEADERSHIP POSITIONS IS ALSO REVIEWED BY THE EXECUTIVE COMMITTEE. SALARIES ARE BENCHMARKED AGAINST MARKET SURVEYS WITHIN AND OUTSIDE OF THE ORGAN PROCUREMENT INDUSTRY. OTHER POSITIONS ARE ROUTINELY MEASURED AND BENCHMARKED BY INDUSTRY SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNANCE DOCUMENTS ARE SUPPLIED AS REQUESTED BY THE PUBLIC. BOARD AND COMMITTEE MEMBERS AND EMPLOYEES HAVE THIS INFORMATION AVAILABLE TO THEM BY A SHARED WEBSERVER AND INTRANET PORTALS. FORM 990, PART XI, LINE 9: ACQUISITION OF GIFT OF LIFE FOUNDATION 2,262,840. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.