2022-09-14T17:46:51-05:00 2021-12-31 FORVIS LLP 201 N Illinois Street INDIANAPOLIS IN 46204 990 2021-01-01 351746358 Indiana Organ Procurement Organization Inc % JASON CLAGG INDI 3176850389 3760 GUION ROAD INDIANAPOLIS IN 46222 KELLIE TREMAIN CEO/PRESIDENT 3176850389 2022-11-15 true Kellie Hanner 999009999 NICOLE B FISHBACK P01279475 3173834000 2022-11-15 3 2021 2023-04-26 12:10:37Z Indiana Donor Network KELLIE TREMAIN 3760 GUION ROAD INDIANAPOLIS IN 46222 77505949 false X WWW.INDIANADONORNETWORK.ORG X 1987 IN SAVING LIVES AND ENHANCING THE QUALITY OF LIFE THROUGH ORGAN, TISSUE, AND EYE DONATION AND TRANSPLANTATION. 12 11 317 300 0 0 8604 0 55790228 66821913 1086610 4062447 178685 38453 57064127 70922813 1917 41782 0 0 21041350 26006103 0 0 23166 28820301 38206215 49863568 64254100 7200559 6668713 65218746 72725544 8489625 9360393 56729121 63365151 X INDIANA ORGAN PROCUREMENT ORGANIZATION D.B.A. INDIANA DONOR NETWORK IS A NONPROFIT HEALTHCARE SERVICE PROVIDER OPERATING BY DESIGNATION UNDER SECTION 371 OF THE U.S. PUBLIC HEALTH SERVICES ACT AND QUALIFIES AS AN ORGAN PROCUREMENT ORGANIZATION AS DEFINED BY THE NATIONAL ORGAN TRANSPLANT ACT. OUR MISSION SUPPORTS THE DONATION OF LIFE-SAVING ORGANS AND TISSUES FROM MEDICALLY SUITABLE PATIENTS IN INDIANA HOSPITALS. INDIANA DONOR NETWORK PROVIDES DONATION SERVICES TO HOSPITALS LOCATED IN 85 OF INDIANA'S 92 COUNTIES. WE COOPERATE WITH THESE HOSPITALS BY PROVIDING A VARIETY OF SERVICES INCLUDING, EDUCATION ABOUT FEDERAL AND ACCREDITING BODY REQUIREMENTS TO SUPPORT DONATION WITHIN THE HOSPITAL, TRAINING HOSPITAL NURSING, PHYSICIAN, CHAPLAIN AND/OR SOCIAL WORK STAFF ABOUT THE CLINICAL AND HUMAN ASPECTS OF THE DONATION PROCESS, AND HELPING THE HOSPITAL SUPPORT DONATION WITHIN THEIR COMMUNITIES. INDIANA DONOR NETWORK ALSO COORDINATES THE LOGISTICS REQUIRED TO FULFILL THE ORGAN TRANSPLANTATION PR false false 60859490 41782 66821913 IN 2021, INDIANA ORGAN PROCUREMENT ORGANIZATION D.B.A INDIANA NETWORK FACILITATED 932 ORGAN TRANSPLANTS FROM 296 ORGAN DONORS - A 9% INCREASE FROM 2020 - LEADING TO 812 LIVES SAVED. ADDITIONALLY, 1,356 TISSUE AND CORNEA DONORS GAVE THE GIFT OF HEALING AND SIGHT, LEADING TO 16,041 TISSUES RECOVERED. AT OUR NEW ON-SITE ORGAN RECOVERY UNIT, WE RECOVERED 461 ORGANS FROM 109 DONORS, AND, IN 2021, WE SAW AN INCREASE OF 33% IN HOSPITAL ORGAN REFERRAL CALLS. WE ALSO SUPPORTED OVER 2,500 FAMILY MEMBERS OF ORGAN, TISSUE AND EYE DONORS THROUGH OUR AFTERCARE PROGRAM. OUR OUTREACH PROGRAMS GENERATED OVER 20 MILLION IMPRESSIONS THROUGH SOCIAL MEDIA AND MEDIA OUTLETS. TRAINED VOLUNTEERS CONTRIBUTED OVER 11,000 HOURS OF SERVICE, AND WE REACHED 53,000 STUDENTS AND COMMUNITY MEMBERS WITH DIRECT EDUCATION ON DONATION AND TRANSPLANTATION. WE CONTINUE TO SEE AN INCREASE IN THE NUMBER OF FIRST-PERSON-AUTHORIZED DONORS EVERY YEAR, WHICH IS A DIRECT RESULT OF OUR OUTREACH AND EDUCATION EFFORTS. 60859490 true false false true false false false false false true false false false false false false true false false false false false false false false false true false true false false false false false false false false false false false false false true true true false false true 64 0 317 true false false false false false false false false false false false false X 12 11 false false false false true true true true true false false true true true true true true true true false IN X JASON CLAGG 3176850389 3760 GUION ROAD INDIANAPOLIS IN 46222 X KELLIE TREMAIN PRESIDENT/CEO 40.0 10.0 X X 516965 0 58439 STEVE JOHNSON COO 40.0 10.0 X 438668 0 45191 KIRA NEWKIRK VP BUSINESS OPERATIONS 45.0 0.0 X 216196 0 33078 JULIE ANN POEPSEL-SMOCK DIRECTOR, HUMAN SERVICES 40.0 5.0 X 195140 0 38152 DAVID ROE CHIEF MEDICAL OFFICER 40.0 0.0 X 233200 0 0 SHERRY QUIRE DIRECTOR, ORGAN SERVICES 45.0 0.0 X 187226 0 26329 JAMIE RIVAS DIRECTOR, FAMILY DONOR SERVICE 40.0 5.0 X 179714 0 32171 KIM RENTFROW ADVANCED ORGAN COORD. 45.0 0.0 X 169854 0 38495 ANDREA FARMER DIRECTOR, EXTERNAL ENGAGEMENT 40.0 5.0 X 175172 0 32952 RICH AMOS MANAGER, ORGAN SERVICES 45.0 0.0 X 162660 0 38322 JEFFERSON HARE MANAGER, IN-HOUSE RECOVERY 45.0 0.0 X 156529 0 37278 STACEY HUBBARD DIRECTOR, BUSINESS ANALYTICS 45.0 0.0 X 159085 0 30829 MATT BLAISING SUPERVISOR, ORGAN SERVICES 45.0 0.0 X 149999 0 37127 CORY FEDERSPIEL ADVANCE ORGAN COORD. 45.0 0.0 X 147304 0 31464 CHRISTINE STEINBERG VP OF FINANCE&ADMIN(END 07/10) 40.0 10.0 X 137508 0 17036 CHRIS WRIGHT BEG 0802 VP OF FINANCE&ADMIN(BEG 08/02) 40.0 10.0 X 78960 0 8167 DAVID ALVAR BOARD MEMBER 2.0 1.0 X 0 0 0 SHALINI MANCHANDA MD BOARD MEMBER 2.0 1.0 X 0 0 0 PHIL ROBY TREASURER 2.0 1.0 X X 0 0 0 MARK VOLPATTI BOARD MEMBER 2.0 1.0 X 0 0 0 WADE LANGE BOARD MEMBER 2.0 1.0 X 0 0 0 ERICA SEASOR BOARD MEMBER 2.0 1.0 X 0 0 0 CONRAD WONG BOARD MEMBER 2.0 1.0 X 0 0 0 ASIM MOHAMMED BOARD MEMBER 2.0 1.0 X 0 0 0 JONATHAN FRIDELL MD BOARD MEMBER 2.0 1.0 X 0 0 0 DENNIS DAWES BOARD CHAIR 2.0 1.0 X X 0 0 0 BRYAN LANGFORD BOARD MEMBER 2.0 1.0 X 0 0 0 3304180 0 505030 48 false true false AMERICAN FOUNDATION FOR DONATION 8514 FOREST HILL AVE RICHMOND VA 43235 ORGAN IMPORT FEES 3009146 GIFT OF HOPE ORGAN AND TISSUE 425 SPRING LAKE DR ITASCA IL 60143 ORGAN IMPORT FEES 2228390 IU HEALTH 1701 N SENATE AVE INDIANAPOLIS IN 46202 DONOR MEDICAL SVCS 1794782 KENTUCKY ORGAN DONOR AFFILIATES 10301 LINN STATION ROAD LOUISVILLE KY 40223 ORGAN IMPORT FEES 1970000 GIFT OF LIFE MICHIGAN 3861 RESEARCH PARK DR ANN ARBOR MI 48108 ORGAN IMPORT FEES 1625500 63 0 ORGAN RECOVERY FEE 621500 63012549 63012549 AIR & GROUND TRANSPORTATION 621500 3442755 3442755 MISCELLANEOUS REVENUE 621500 366609 366609 66821913 4056803 4056803 0 0 72076 33623 38453 0 38453 38453 6381808 173349 6381808 167705 5644 5644 5644 0 0 0 0 0 0 0 0 0 0 70922813 66827557 4095256 41782 41782 0 0 0 2843179 2676778 165265 1136 0 16525279 15512023 1006342 6914 1345895 1267662 78233 3878904 3571163 305107 2634 1412846 1283766 128199 881 0 15619 15619 32376 32376 96000 96000 0 103121 103121 784378 611513 170654 2211 1952947 1952947 438227 412754 25473 395338 142256 251181 1901 0 1050330 681176 366635 2519 462745 452059 10613 73 0 198135 158389 39475 271 0 0 969919 586920 380385 2614 298976 298976 DONOR RELATED EXPENSES 30467836 30467836 GENERAL BUSINESS EXPENSES 494198 199420 292766 2012 HOSPITAL DEVELOPMENT 194807 194807 AFTERCARE 182946 182946 68317 68317 64254100 60859490 3371444 23166 0 0 15991575 14327705 0 0 9583618 8409544 0 0 0 0 0 0 0 0 1318902 1259362 20762198 5671808 9729612 15090390 28595039 32614518 0 0 0 0 0 0 0 1024025 65218746 72725544 6863592 9360393 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1626033 0 8489625 9360393 X 56729121 63365151 0 0 56729121 63365151 65218746 72725544 6668713 -32683 X false true X true false X 6000 14265 300000 8604 0 328869 37615565 42669081 50590463 55790228 66821913 253487250 0 0 0 37621565 42683346 50890463 55798832 66821913 253816119 0 1540815 2554258 5335439 4121230 4117619 17669361 1540815 2554258 5335439 4121230 4117619 17669361 236146758 723251 1324422 739542 1276401 4095256 8158872 0 723251 1324422 739542 1276401 4095256 8158872 0 0 38344816 44007768 51630005 57075233 70917169 261974991 0.90141 0.91323 0.03114 0.02004 X false true false false false false true false true 96000 96000 false false SCHEDULE C, PART II-B OTHER LOBBYING ACTIVITIES: THE ORGANIZATION USED CORYDON GROUP AND BOSE PUBLIC AFFAIRS GROUP TO MONITOR ALL LEGISLATION THAT MAY HAVE A DIRECT OR INDIRECT IMPACT ON DONATION, ASSIST WITH DISCUSSING ANY NEW LEGISLATION THAT THE ORGANIZATION MAY BE INVOLVED IN, AND ASSIST WITH HELPING INDIANA DONOR NETWORK INTRODUCE ANY NEW LEGISLATION RELATED TO DONATION. 1019562 1019562 10154626 3631075 6523551 4956333 1642310 3314023 4631677 398423 4233254 15090390 70923753 -32683 33623 940 70922813 70922813 64287723 33623 33623 64254100 64254100 SCHEDULE D, PART X ASC 740 DISCLOSURE: 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. SCHEDULE D, PART XI, LINE 2D RECONCILIATION OF REVENUES: RENTAL EXPENSE $33,623 SCHEDULE D, PART XII, LINE 2D RECONCILIATION OF EXPENSES: RENTAL EXPENSE $33,623 true IOPO FDN DBA INDIANA DONOR NETWORK FDN 3760 GUION ROAD INDIANAPOLIS IN 46222 352094558 501(C)(3) 35000 GENERAL 1 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS: MONTHLY REPORTS ARE GENERATED BY THE FOUNDATION TO PROVIDE DETAILED FINANCIAL REPORTS TO FUNDERS WHEN APPROPRIATE. THESE REPORTS SHOW BEGINNING BALANCES, EXPENSES FOR EACH FUND, AND ENDING BALANCES. ALL GRANTS FROM THOSE FUNDS ARE CLOSELY MONITORED BY THE VICE PRESIDENT OF FINANCE AND ADMINISTRATION AND DECISIONS REGARDING THE USE OF THOSE FUNDS ARE INCLUDED IN THE MINUTES OF THE GOVERNING BOARD AND FINANCE COMMITTEE MEETINGS. X X X X X false false false false false false false true false DAVID ROE CHIEF MEDICAL OFFICER 233200 0 0 0 0 0 0 0 0 0 233200 0 KELLIE TREMAIN PRESIDENT/CEO 414694 0 61783 0 40488 0 41860 0 16579 0 575404 0 STEVE JOHNSON COO 349537 0 41225 0 47906 0 27550 0 17641 0 483859 0 CHRISTINE STEINBERG VP OF FINANCE&ADMIN(END 07/10) 117115 0 0 0 20393 0 5270 0 11766 0 154544 0 KIRA NEWKIRK VP BUSINESS OPERATIONS 172885 0 20350 0 22961 0 16424 0 16654 0 249274 0 RICH AMOS MANAGER, ORGAN SERVICES 139100 0 9408 0 14152 0 13215 0 25107 0 200982 0 KIM RENTFROW ADVANCED ORGAN COORD. 153880 0 5619 0 10355 0 13388 0 25107 0 208349 0 MATT BLAISING SUPERVISOR, ORGAN SERVICES 127521 0 10224 0 12254 0 12020 0 25107 0 187126 0 CORY FEDERSPIEL ADVANCE ORGAN COORD. 138961 0 4306 0 4037 0 13201 0 18263 0 178768 0 JEFFERSON HARE MANAGER, IN-HOUSE RECOVERY 140000 0 9800 0 6729 0 12171 0 25107 0 193807 0 ANDREA FARMER DIRECTOR, EXTERNAL ENGAGEMENT 153833 0 15307 0 6032 0 14614 0 18338 0 208124 0 SHERRY QUIRE DIRECTOR, ORGAN SERVICES 149970 0 16500 0 20756 0 9750 0 16579 0 213555 0 STACEY HUBBARD DIRECTOR, BUSINESS ANALYTICS 150000 0 7500 0 1585 0 14250 0 16579 0 189914 0 JAMIE RIVAS DIRECTOR, FAMILY DONOR SERVICE 153000 0 10500 0 16214 0 14250 0 17921 0 211885 0 JULIE ANN POEPSEL-SMOCK DIRECTOR, HUMAN SERVICES 153307 0 12345 0 29488 0 13591 0 24561 0 233292 0 SCHEDULE J, PART I, LINE 7 NON-FIXED COMPENSATION ARRANGEMENT: BONUSES ARE BASED ON OPERATIONAL PERFORMANCE PREVIOUSLY APPROVED BY THE BOARD OF DIRECTORS DURING BUDGET APPROVAL PROCESS. FORM 990, PART VI, SECTION B, LINE 6, 7A, & 7B CLASSES OF MEMBERS OR STOCKHOLDERS WHO CAN ELECT GOVERNING BODY: THERE IS ONLY ONE CLASS OF MEMBERS. INDIANA DONOR NETWORK HAS MEMBERS WHO ELECT THE GOVERNING BOARD, WHICH INCLUDES: (A)FOUR DIRECTORS NOMINATED BY THE PRESIDENT AND CHAIRMAN OF INDIANA UNIVERSITY HEALTH, INC., INCLUDING AT LEAST TWO AT LARGE DIRECTORS; (B)TWO DIRECTORS NOMINATED BY THE DEAN OF THE INDIANA UNIVERSITY SCHOOL OF MEDICINE, INCLUDING AT LEAST ONE AT LARGE DIRECTOR; (C)TWO DIRECTORS NOMINATED BY THE CHANCELLOR OF INDIANA UNIVERSITY - PURDUE UNIVERSITY AT INDIANAPOLIS, INCLUDING AT LEAST ONE AT LARGE DIRECTOR; (D)TWO DIRECTORS NOMINATED BY THE PRESIDENT OF ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC., INCLUDING AT LEAST ONE AT LARGE DIRECTOR; (E)TWO DIRECTORS NOMINATED BY THE PRESIDENT OF LUTHERAN HOSPITAL OF INDIANA, INC., INCLUDING AT LEAST ONE AT LARGE DIRECTOR. THE MEMBERS FROM IU HEALTH AND OTHER ORGANIZATIONS THAT ELECT THE BOARD MEMBERS APPROVE CHANGES TO THE ARTICLES OF INCORPORATION, BOARD MEMBERS, AND MEDICAL DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS TO REVIEW THE FORM 990: THE 990 IS PRELIMINARY REVIEWED BY THE VP OF FINANCE/ADMINISTRATION AND THE CHIEF EXECUTIVE OFFICER/PRESIDENT OF THE ORGANIZATION. THE 990 IS GIVEN FINAL APPROVAL BY THE FINANCE COMMITTEE AS WELL AS THE GOVERNING BOARD OF DIRECTORS. THE 990 IS ALSO PREPARED AND REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. FORM 990, PART VI, SECTION B, LINE 12C PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: INDIANA DONOR NETWORK'S CONFLICT OF INTEREST POLICY APPLIES TO ALL EMPLOYEES, OFFICERS, AND BOARD MEMBERS OF THE ORGANIZATION. CONFLICTS OF INTEREST ARE REVIEWED ANNUALLY USING A CONFLICT OF INTEREST DISCLOSURE STATEMENT REQUIRED TO BE COMPLETED BY EACH EMPLOYEE, OFFICER, AND BOARD MEMBER AS WELL AS A BOARD OF DIRECTORS POLICY ON CONFLICT OF INTEREST ACKNOWLEDGEMENT. INDIVIDUALS IMPACTED BY SUCH CONFLICT OF INTEREST WILL RECUSE THEMSELVES FROM DISCUSSION AND FROM VOTING ON ALL MATTERS THAT MAY BE IMPACTED BY SUCH INTEREST. THE ORGANIZATION'S BOARD CHAIRPERSON IS RESPONSIBLE FOR ENSURING THAT THE CONDITIONS OF THE POLICY ARE MET WITH RESPECT TO OFFICERS AND BOARD MEMBERS. THE DIRECTOR OF BUSINESS ANALYTICS AND REGULATORY COMPLIANCE IS RESPONSIBLE FOR ENSURING THAT THE CONDITIONS OF THIS POLICY ARE MET WITH RESPECT TO EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 15A & 15B REVIEW OF CEO OR TOP MGMT OFFICIAL COMPENSATION: THE COMPENSATION REVIEW WAS CONDUCTED IN FEBRUARY OF 2021 BY AN EXTERNAL COMPENSATION CONSULTANT, FACILITATED INTERNALLY BY THE DIRECTOR OF HUMAN RESOURCES. THE DIRECTOR OF HUMAN RESOURCES PROVIDES THIS EXTERNALLY VALIDATED INFORMATION TO THE ORGANIZATION'S COMPENSATION COMMITTEE TO REVIEW, APPROVE, AND MAKE RECOMMENDATIONS TO THE GOVERNING BOARD. THE PRESENTATION TO THE GOVERNING BOARD IS MADE BY THE CHAIRMAN OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. IOPO FDN DBA INDIANA DONOR NETWORK FDN 3760 GUION ROAD INDIANAPOLIS IN 46222 352094558 ORGANDONATION IN 501(C)3 7 IOPO INC true NLW INC DBA TXJET INC 3760 GUION ROAD INDIANAPOLIS IN 46222 463166639 TRANSPORT ORG IN 501(C)3 12, TYPE I IOPO INC true false true false true false false false false false false false false false true true false true false false