2025-09-22T13:53:54-05:00 2024-12-31 420714325 RSM US LLP 227 WEST FIRST STREET SUITE 700 DULUTH MN 55802 990 2024-01-01 363584029 UPPER MIDWEST ORGAN PROCUREMENT ORGANIZATION INC UPPE 6128006100 2225 WEST RIVER ROAD NORTH MINNEAPOLIS MN 55411 LUIS F VALIENTE CHIEF FINANCIAL OFFICER 6128006100 2025-09-19 1 0 JULIE BOYER P01278549 2187275025 2025-09-19 2024 2025-03-06 01:10:19Z LIFESOURCE KELLY WHITE 2225 WEST RIVER ROAD NORTH MINNEAPOLIS MN 55411 93007735 0 X WWW.LIFE-SOURCE.ORG X 1987 MN WE PARTNER WITH COMMUNITIES, FAMILIES AND HEALTHCARE PROFESSIONALS TO SAVE AND HEAL LIVES THROUGH ADVOCACY AND EXCELLENCE IN ORGAN, EYE AND TISSUE DONATION. 15 15 302 241 0 0 3130922 616482 96569185 80327116 1081223 1530822 -14177 -13935 100767153 82460485 0 0 0 0 30930540 32582974 0 0 60639 71040792 43344655 101971332 75927629 -1204179 6532856 73182598 75128019 21608194 16196293 51574404 58931726 X WE PARTNER WITH COMMUNITIES, FAMILIES AND HEALTHCARE PROFESSIONALS TO SAVE AND HEAL LIVES THROUGH ADVOCACY AND EXCELLENCE IN ORGAN, EYE AND TISSUE DONATION. 0 0 62370704 69848458 ORGAN PROCUREMENT: THE ORGAN PROCUREMENT DEPARTMENT WORKS COLLABORATIVELY WITH HOSPITAL STAFF IN THE LIFESOURCE DONOR SERVICE AREA (MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA, AND A PORTION OF WESTERN WISCONSIN) TO IDENTIFY POTENTIAL ORGAN DONORS, PROVIDE SUPPORT TO FAMILIES THROUGHOUT THE DONATION PROCESS, SUPPORT PROTOCOLS ESTABLISHED BY THE UNITED NETWORK FOR ORGAN SHARING TO MATCH THE ORGANS WITH THE INTENDED RECIPIENT, COORDINATE ALL CLINICAL ACTIVITIES AND ARRANGE THE SURGICAL RECOVERY OF ORGANS. DONATION COORDINATORS IN CONJUNCTION WITH DONOR SERVICES CENTER STAFF ACQUIRE KNOWN INFORMATION ABOUT AN INDIVIDUAL'S DOCUMENTED DESIGNATION FOR DONATION. IF NO KNOWN DOCUMENTATION EXISTS, THE COORDINATOR WILL WORK WITH THE NEXT-OF-KIN TO OBTAIN AUTHORIZATION FOR DONATION. IN 2024, LIFESOURCE MANAGED 258 ORGAN DONATION CASES, RESULTING IN 874 ORGAN TRANSPLANTS. IN ADDITION, STAFF COORDINATED THE IMPORT AND SUBSEQUENT TRANSPLANT OF 209 ORGANS FROM DONORS OUTSIDE THE LIFESOURCE REGION FOR TRANSPLANTATION IN THE LIFESOURCE REGION. THESE SERVICES SUPPORT THE WORK OF NINE TRANSPLANT PROGRAMS LOCATED IN THE LIFESOURCE SERVICE AREA. 3537794 PUBLIC EDUCATION:LIFESOURCE MAINTAINS A STRONG COMMITMENT TO PUBLIC EDUCATION ACTIVITIES DESIGNED TO INCREASE AWARENESS AND UNDERSTANDING ABOUT THE NEED FOR ORGAN AND TISSUE DONATION IN THE LIFESOURCE REGION. THE LIFESOURCE REGION HAS AN OVERALL DONOR DESIGNATION RATE OF 56%, AMONG THE HIGHEST IN THE NATION. THE EDUCATION ACTIVITIES ARE FOCUSED ON DEVELOPING EXTERNAL RELATIONSHIPS FOR THE PURPOSE OF BUILDING SUPPORT FOR DONATION AND POSITIONING LIFESOURCE AS THE DONATION EXPERT IN THE REGION. THIS WORK IS CRITICAL AS THE GROWING NEED FOR ORGANS AND TISSUES WILL NOT BE MET WITHOUT INCREASED PUBLIC SUPPORT AND INDIVIDUALS WHO DESIGNATE THEMSELVES AS DONORS THROUGH THE STATE DRIVER'S LICENSE BUREAUS OR ONLINE STATE DONOR REGISTRY. IN 2024, 241 VOLUNTEERS SUPPORTED THE LIFESOURCE MISSION THROUGH HIGH SCHOOL AND COMMUNITY EDUCATION. THE PUBLIC EDUCATION DEPARTMENT ALSO WORKED TO INCREASE DONATION THROUGH MEDIA CAMPAIGNS, COMMUNITY OUTREACH INITIATIVES, GOVERNMENT RELATIONS AND DONOR FAMILY SERVICES. 2208671 9876407 TISSUE AND EYE PROCUREMENT: LIFESOURCE TISSUE RECOVERY STAFF COORDINATED 966 TISSUE DONATION CASES, RESULTING IN THE TRANSPLANT OF APPROXIMATELY 72,400 TISSUE GRAFTS CONSISTING OF BONE, CONNECTIVE TISSUE, FASCIA, SKIN, VEIN AND HEART VALVES. LIFESOURCE TISSUE RECOVERY STAFF ALSO COORDINATED 217 EYE DONATION CASES, RESULTING IN CORNEAS RECOVERED FOR TRANSPLANT AND RESEARCH. HOSPITAL SERVICES:THE HOSPITAL SERVICES DEPARTMENT IS COMMITTED TO MAXIMIZING ORGAN AND TISSUE DONATION BY BUILDING SUCCESSFUL RELATIONSHIPS WITH KEY STAFF MEMBERS OF 279 DONOR HOSPITALS LOCATED THROUGHOUT THE LIFESOURCE REGION. LIFESOURCE HOSPITAL LIAISONS AND CLINICAL HOSPITAL COORDINATORS ARE STRATEGICALLY LOCATED IN MINNEAPOLIS, MN; DULUTH, MN; FARGO, ND; BISMARCK, ND; AND RAPID CITY, SD. THE GOALS OF THIS DEPARTMENT INCLUDE MAINTAINING STRONG WORKING RELATIONSHIPS WITH HOSPITAL STAFF, PROVIDING EDUCATION TO CLINICIANS, ASSISTING HOSPITAL STAFF COMPLY WITH FEDERAL STANDARDS AND ON-SITE SUPPORT DURING DONATION CASES. 602251 OTHER SERVICES REIMBURSEMENT:AS LIFESOURCE HOLDS CLINICAL EXPERTISE IN THE DONATION PROCESS, OTHER SERVICES ARE PROVIDED TO TRANSPLANT CENTERS AND EYE BANKS IN OUR SERIVCE AREA WHERE WE ARE REIMBURSED FOR OUR SERVICE AND COSTS. SERVICES RANGE FROM PUMPING KIDNEYS FOR TRANSPLANT RECOVERED OUTSIDE OF OUR SERIVCE AREA, POTENTIAL DONOR SCREENING AND DONOR REFERALS TO PROVIDERS RECOVERING CORNEA. 602251 68117169 1 1 0 1 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 96 0 1 302 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X LUIS FERNANDO VALIENTE 6128006100 2225 WEST RIVER ROAD NORTH MINNEAPOLIS MN 55411 ANDREW ADAMS MD DIRECTOR 5.00 X 0 0 0 GRETCHEN DAHLBERG DIRECTOR 5.00 X 0 0 0 JULIE HEIMBACH MD DIRECTOR 5.00 X 0 0 0 ALEX HILL PHD DIRECTOR 5.00 X 0 0 0 JERRY LEE DIRECTOR 5.00 X 0 0 0 KIM MALSAM-RYSDON DIRECTOR 5.00 X 0 0 0 MONICA MAYER MD DIRECTOR 5.00 X 0 0 0 REUBEN MOORE DIRECTOR 5.00 X 0 0 0 BENJAMIN SUN MD DIRECTOR 5.00 X 0 0 0 GEORGE SURRATT DIRECTOR 5.00 X 0 0 0 THOMAS WYATT DIRECTOR 5.00 X 0 0 0 KIM SIMENSEN IMMEDIATE PAST CHAIR 5.00 X X 0 0 0 MYLYNN TUFTE CHAIR 5.00 X X 0 0 0 THOMAS HARRIS JR VICE CHAIR 5.00 X X 0 0 0 CRAIG BROMAN SECRETARY/TREASURER (UNTIL 6/30/24) 5.00 X X 0 0 0 DAVID MCFARLAND SECRETARY/TREASURER 5.00 X X 0 0 0 KELLY WHITE CHIEF EXECUTIVE OFFICER 50.00 X 734946 0 52567 SUSAN LARSON CHIEF ADMINISTRATIVE OFFICER 50.00 X 384030 0 36100 STEPH DAVIS CHIEF OPERATING OFFICER 50.00 X 343257 0 42434 LUIS FERNANDO VALIENTE CHIEF FINANCIAL OFFICER 50.00 X 319168 0 37675 NORDEEN GANGANI CHIEF PEOPLE & CULTURE OFFICER 50.00 X 10000 0 385 GREG VEENENDAAL DIRECTOR OF CLINICAL SERVICES-ORGAN 50.00 X 300619 0 66898 KYLE KINSEY DIRECTOR OF CLINICAL SVCS TISSUE&DSC 50.00 X 318932 0 27496 MARGARET ROGERS DIRECTOR OF TRANSPLANT CNT RELATION 50.00 X 214088 0 47208 WILLIAM PAYNE MD MEDICAL DIRECTOR 50.00 X 230538 0 18443 BRANDON WILLIAMS DIRECTOR OF ORGANIZATIONAL OUTCOMES 50.00 X 215106 0 41551 ALLI NAITHANI DIRECTOR OF HUMAN RESOURCES 50.00 X 259362 0 15640 SARAH SONN DIRECTOR OF COMMUNICATIONS 50.00 X 243112 0 26583 BETH KABBA SENIOR MANAGER OF FINANCIAL OPERATIONS 50.00 X 159587 0 61461 ALISSON SEYMOUR SENIOR ADVANCE PRACTICE DONATION COO 40.00 X 152113 0 57934 JOSHUA KORTHOUSE CLINICAL INFORMATICIST 50.00 X 159798 0 27480 KELLEY WICHMAN SURGERY RECOVERY SPECIALIST 40.00 X 164950 0 42623 UMAR FAROOQ RECOVERY SURGEON 50.00 X 354214 0 37552 4563820 0 640030 88 0 1 0 TRINITY MEDICAL SOURLUTIONS 4100 W GALVESTON STREET SUITE 4 CHANDLER AZ 85226 AIR AND GROUND TRANSPORTAION SERVICES 10969994 UW HEALTH UNIVERSITY OF WI HOSPITAL AND 600 HIGHLAND AVENUE MADISON WI 53792 ORGAN AQUISITION CHARGES 3170458 IOWA DONOR NETWORK 550 MADISON AVENUE NORTH LIBERTY IA 52317 ORGAN AQUISITION CHARGES 2326955 LIVE ON NEBRASKA 3867 LEAVENOWRTH ST OMAHA NE 68105 ORGAN AQUISITION CHARGES 1908000 5IVE LLC 43 MAIN STREET STE 148 MINNEAPOLIS MN 55414 DESIGN AND MARKETING SERVIVES 1072735 54 137447 479035 616482 ORGAN PROC/RSRCH REVENUE 621300 69845582 69845582 TISSUE AND EYE PROCUREMENT 621300 9879283 9879283 OTHER OPERATING INCOME 621300 602251 602251 80327116 1294688 1294688 10708768 10472634 236134 236134 236134 60681 137447 74616 -13935 -13935 82460485 80327116 0 1516887 3986138 3535159 450979 21507087 18998613 2414455 94019 2351727 2088281 263446 3010828 2672678 338150 1727194 1532021 195173 168008 168008 150432 150432 145963 145963 121343 121343 1397486 181496 1215990 1287546 1287546 1096378 890683 205695 177341 96819 80522 375866 131114 244752 1009141 577290 431851 732624 697108 35516 IMPORT ORGAN EXPENSE 12186243 12186243 PROCUREMENT COSTS: TRAN 9426671 9426671 PROCUREMENT COSTS: ORGA 8480948 8480948 PUBLIC AND PROFESSIONAL 4379994 4413374 -33380 2208671 2208671 75927629 68117169 7749821 60639 5997987 10968597 36655 30070 22332610 15534381 770235 758838 22941046 9835381 13833331 13105665 23216483 24985272 6844897 9625913 150400 119283 73182598 75128019 12116229 7176297 9491965 9019996 21608194 16196293 X 51570816 58928068 3588 3658 51574404 58931726 73182598 75128019 6532856 824466 0 X 0 1 X 1 0 X 312500 3555941 518351 3130922 616482 8134196 54539401 68020761 81495897 96569185 80327116 380952360 54851901 71576702 82014248 99700107 80943598 389086556 29350 27870 36675 18130 36140 148165 0 29350 27870 36675 18130 36140 148165 388938391 501948 659894 691859 987328 1294688 4135717 501948 659894 691859 987328 1294688 4135717 55353849 72236596 82706107 100687435 82238286 393222273 0.98910 0.98990 0.01050 0.00970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 145963 0 0 145963 0 PART II-B, LINE 1: LIFESOURCE CONDUCTING LOBBYING ACTIVITIES DURING 2024 FOR THE PURPOSE OF LEGISLATIVE MONITORING AND INCREASING ORGAN AND TISSUE DONATION. 2136289 2136289 17305583 6801697 10503886 3499174 3033684 465490 13105665 CERTIFICATES OF DEPOSIT 8252374 F 457 RESERVE 1373539 C 9625913 FINANCE LEASE OBLIGATIONS 8900713 OPERATING LEASE OBLIGATIONS 119283 9019996 X 83283224 824466 45000 869466 82413758 121343 -74616 46727 82460485 75925902 45000 45000 75880902 121343 -74616 46727 75927629 PART X, LINE 2: INCOME TAX STATUS: LIFESOURCE IS EXEMPT FROM INCOME TAXES UNDER SECTION 509(A)(2) OF THE INTERNAL REVENUE CODE AND APPLICABLE MINNESOTA STATUTES. LIFESOURCE HAS ADOPTED CERTAIN PROVISIONS OF ASC 740, INCOME TAXES. THE PROVISIONS CLARIFY THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS AND PRESCRIBE A RECOGNITION THRESHOLD AND MEASUREMENT STANDARD FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. LIFESOURCE REVIEWED ITS TAX POSITION FOR ALL OPEN TAX YEARS AND CONCLUDED THE PROVISIONS OF ASC 740 DID NOT HAVE AN IMPACT ON ITS FINANCIAL STATEMENT PRESENTATION. GENERALLY, LIFESOURCE IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE AND LOCAL TAX AUTHORITIES FOR THE YEARS BEFORE 2021. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASS FUNDRAISING EXPENSE -74,616. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASS FUNDRAISING EXPENSE -74,616. LIFESOURCE GOLF CLASSIC 190498 129817 60681 650 1202 20199 19192 29275 STRIDES FOR SECOND CHANCES 7630 7630 749 909 2440 198128 137447 60681 650 1202 20948 20101 31715 74616 -13935 X X X X 0 0 0 0 0 0 0 0 0 KELLY WHITE CHIEF EXECUTIVE OFFICER 732786 0 0 0 2160 0 50600 0 1967 0 787513 0 0 0 SUSAN LARSON CHIEF ADMINISTRATIVE OFFICER 376548 0 0 0 7482 0 34133 0 1967 0 420130 0 0 0 UMAR FAROOQ RECOVERY SURGEON 353404 0 0 0 810 0 23473 0 14079 0 391766 0 0 0 STEPH DAVIS CHIEF OPERATING OFFICER 335775 0 0 0 7482 0 37939 0 4495 0 385691 0 0 0 GREG VEENENDAAL DIRECTOR OF CLINICAL SERVICES-ORGAN 299220 0 0 0 1399 0 26824 0 40074 0 367517 0 0 0 LUIS FERNANDO VALIENTE CHIEF FINANCIAL OFFICER 315166 0 0 0 4002 0 34100 0 3575 0 356843 0 0 0 KYLE KINSEY DIRECTOR OF CLINICAL SVCS TISSUE&DSC 314726 0 0 0 4206 0 25528 0 1968 0 346428 0 0 0 ALLI NAITHANI DIRECTOR OF HUMAN RESOURCES 257862 0 0 0 1500 0 14706 0 934 0 275002 0 0 0 SARAH SONN DIRECTOR OF COMMUNICATIONS 241928 0 0 0 1184 0 19732 0 6851 0 269695 0 0 0 MARGARET ROGERS DIRECTOR OF TRANSPLANT CNT RELATION 209902 0 0 0 4186 0 20434 0 26774 0 261296 0 0 0 BRANDON WILLIAMS DIRECTOR OF ORGANIZATIONAL OUTCOMES 213852 0 0 0 1254 0 20052 0 21499 0 256657 0 0 0 WILLIAM PAYNE MD MEDICAL DIRECTOR 230538 0 0 0 0 0 18443 0 0 0 248981 0 0 0 BETH KABBA SENIOR MANAGER OF FINANCIAL OPERATIO 155429 0 0 0 4158 0 13993 0 47468 0 221048 0 0 0 ALISSON SEYMOUR SENIOR ADVANCE PRACTICE DONATION COO 151850 0 0 0 263 0 13383 0 44551 0 210047 0 0 0 KELLEY WICHMAN SURGERY RECOVERY SPECIALIST 164729 0 0 0 221 0 13799 0 28824 0 207573 0 0 0 JOSHUA KORTHOUSE CLINICAL INFORMATICIST 158715 0 0 0 1083 0 12232 0 15248 0 187278 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL CONSIST OF THE CHAIR, VICE CHAIR, SECRETARY-TREASURER, A CLINICAL DIRECTOR AND THE IMMEDIATE PAST CHAIR. THE CHAIR SHALL SERVE AS THE CHAIRPERSON OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL EVALUATE THE PERFORMANCE OF THE CHIEF EXECUTIVE OFFICER AND MAKE RECOMMENDATIONS TO THE BOARD REGARDING THE EXECUTIVE COMPENSATION PROGRAM AND FOR THE CHIEF EXECUTIVE OFFICER SUCCESSION PLANNING. ADDITIONALLY, IT SHALL ALSO ACT FOR THE BOARD IN EMERGENCY SITUATIONS BETWEEN BOARD MEETINGS, ONLY WHEN A QUORUM OF THE BOARD CANNOT BE ASSEMBLED EITHER IN PERSON OR THROUGH VARIOUS APPROPRIATE COMMUNICATIONS TECHNOLOGY, EXCEPT AS SUCH AUTHORITY TO ACT FOR THE BOARD IS LIMITED BY STATUTE OR BY ANY LIMITATION IMPOSED BY THE BOARD ON SUCH POWER. FORM 990, PART VI, SECTION B, LINE 11B LIFESOURCE'S FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS IN ADVANCE OF THE BOARD OF DIRECTORS MEETING AT WHICH IT IS BEING REVIEWED. AT THE BOARD OF DIRECTORS MEETING THE COMPLETED FORM 990 IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. IN ADDITION, PRIOR TO THE BOARD OF DIRECTORS MEETING, FORM 990 IS PRESENTED TO AND REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C LIFESOURCE REQUIRES COMPLETION OF A CONFLICT-OF-INTEREST DISCLOSURE FORM BY ALL EMPLOYEES ON AN ANNUAL BASIS. INTERNAL LEGAL COUNSEL REVIEWS ALL CONFLICTS OF INTEREST AND MANAGES ANY CONFLICTS WITH THE INDIVIDUAL AND THEIR MANAGER. FOR EXECUTIVE TEAM AND BOARD OF DIRECTORS, THE CONFLICT-OF-INTEREST DISCLOSURE IS COMPLETED EACH YEAR AND REVIEWED BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS. IF A CONFLICT ARISES, THE CHAIR OF THE GOVERNANCE COMMITTEE WILL REPORT THE CONFLICT TO THE WHOLE OF THE GOVERNANCE COMMITTEE AND WORK WITH THE INDIVIDUAL MEMBER TO RESOLVE THE CONFLICT. IF THE CONFLICT CANNOT BE RESOLVED, THE MEMBER WOULD NOT BE ALLOWED TO SERVE ON THE BOARD. FORM 990, PART VI, SECTION B, LINE 15A LIFESOURCE WORKS WITH SULLIVANCOTTER TO CONDUCT AN ANALYSIS OF EXECUTIVE COMPENSATION EVERY YEAR. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS ENGAGES SULLIVANCOTTER AND SERVES AS THE COMPENSATION COMMITTEE. THE RESULTS OF THE COMPENSATION SURVEY ARE PRESENTED TO THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE, IN A CLOSED SESSION AT A BOARD OF DIRECTORS MEETING DISCUSS EXECUTIVE COMPENSATION, AND MAKES THE DETERMINATION OF CEO SALARY AND BENEFITS. THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS RECOMMENDS AND APPROVES THE CEO SALARY AND BENEFITS. THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS REVIEWS OTHER EXECUTIVE SALARIES AND BENEFITS, BUT THE CEO HAS THE FINAL APPROVAL FOR THE OTHER EXECUTIVES. COMPENSATION DELIBERATIONS AND DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED IN THE MEETING MINUTES. THIS PROCESS LAST TOOK PLACE ON MARCH 19TH, 2024. FORM 990, PART VI, SECTION C, LINE 19 LIFESOURCE POSTS ITS ANNUAL FINANCIAL AUDIT ON ITS WEBSITE. THE FORM 990 IS AVAILABLE UPON REQUEST OR VIA GUIDESTAR.ORG. THE CONFLICT OF INTEREST POLICY AND OTHER DOCUMENTS ARE AVAILABLE UPON REQUEST AND ARE REVIEWED BY THE CHARITIES REVIEW COUNCIL THROUGH ITS VOLUNTARY ACCREDITATION PROCESS. LIFESOURCE MEETS ALL STANDARDS OF THE CHARITIES REVIEW COUNCIL AND A REPORT ON FINANCE, GOVERNANCE, AND CONFLICT OF INTEREST IS AVAILABLE ON THE CHARITIES REVIEW COUNCIL WEBSITE. DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D).