2024-11-06T15:22:05-06:00 2023-12-31 135565207 KPMG LLP 8350 BROAD STREET SUITE 900 MCLEAN VA 22102 990 2023-01-01 542015370 LIFENET FOUNDATION LIFE 7574644761 1864 CONCERT DRIVE VIRGINIA BEACH VA 23453 J PHILIP JONES TREASURER 7574644761 2024-11-06 1 1 BRIAN KEARNS P02061479 7032868000 2024-09-19 2023 2024-10-15 13:58:12Z RONY THOMAS 1864 CONCERT DR VIRGINIA BEACH VA 23453 243196 0 X WWW.LIFENETHEALTH.ORG X 1990 VA SEE SCHEDULE O 5 2 0 90 0 0 431643 181695 0 0 169 16726 -138616 1513 293196 199934 86280 47783 0 0 0 0 0 0 0 50013 55396 136293 103179 156903 96755 1924814 2019354 11218 9003 1913596 2010351 X SEE SCHEDULE O. 0 0 103179 47783 SPONSORED GRIEF SERVICES AND PURCHASED PUBLIC EDUCATION MATERIALS FOR DISTRIBUTION TO THE GENERAL PUBLIC. 103179 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 5 2 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X J PHILIP JONES 7574644761 1864 CONCERT DRIVE VIRGINIA BEACH VA 23453 MR DOUG WILSON CHAIR 1.00 44.00 X X 0 830337 144269 MR RONY THOMAS BOARD MEMBER 1.00 44.00 X 0 2948491 569789 MR J PHILIP JONES TREASURER/CFO 1.00 44.00 X X 0 428549 168205 MR GORDON BERKSTRESSER SECRETARY 1.00 0.00 X 0 0 0 MRS ANN LANGE BOARD MEMBER (END 11/11/23) 1.00 2.00 X 0 0 0 MR DARRELL JESSEE BOARD MEMBER 1.00 40.00 X 0 540051 111121 0 4747428 993384 0 0 1 0 0 24250 157445 181695 16726 16726 44775 24250 43262 1513 1513 199934 0 0 18239 47783 47783 360 360 558 558 5811 5811 225 225 OTHER EXPENSES 48442 48442 103179 103179 0 0 1914814 1973354 10000 46000 1924814 2019354 11218 9003 11218 9003 X 1913596 2010351 1913596 2010351 1924814 2019354 96755 0 X 0 1 X 1 0 X 429444 89986 169742 529873 181695 1400740 110028 19224 44327 175731 44775 394085 539472 109210 214069 705604 226470 1794825 0 0 0 1794825 4320 2219 173 169 16726 23607 4320 2219 173 169 16726 23607 543792 111429 214242 705773 243196 1818432 0.98700 0.99380 0.01300 0.00620 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X PART X, LINE 2: THE COMPANY APPLIES THE PROVISIONS OF FASB ASC TOPIC 740, INCOME TAXES, IN ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. ASC TOPIC 740 PROVIDES GUIDANCE ON WHEN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND HOW THE VALUES OF THESE POSITIONS ARE DETERMINED. THERE IS CURRENTLY NO IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS AS A RESULT OF THE APPLICATION OF ASC TOPIC 740. GOLF TOURNAMENT 38863 21500 17363 3474 13958 1553 4481 LOVE 5K 30162 2750 27412 220 0 741 18835 69025 24250 44775 3694 13958 2294 23316 43262 1513 1 LIFENET HEALTH 1864 CONCERT DRIVE VIRGINIA BEACH VA 23453 521273592 501(C)(3) 20158 0 DONOR FAMILY SERVICES LIFENET HEALTH FLORIDA 1864 CONCERT DRIVE VIRGINIA BEACH VA 23453 593605624 501(C)(3) 9625 0 DONOR FAMILY SERVICES LIFENET HEALTH NORTHWEST 501 SW 39TH STREET RENTON WA 98057 800798511 501(C)(3) 10000 0 DONOR FAMILY SERVICES 3 0 PART I, LINE 2: GRANT MONITORING GRANTS ARE SUBMITTED BY THE REQUESTOR TO THE CHAIRMAN OF THE LIFENET HEALTH FOUNDATION FOR INCLUSION ON THE FOUNDATION'S AGENDA. THE GRANTS ARE EVALUATED BY THE FOUNDATION TO DETERMINE ALLIANCE TO THE MISSION AND FOR ANTICIPATED BENEFIT AND PURPOSE. DETERMINATION OF APPROVAL OR REJECTION IS RECORDED IN THE MINUTES OF THE FOUNDATION AND COMMUNICATED TO THE REQUESTOR BY THE SECRETARY OF THE FOUNDATION. 0 1 0 0 0 0 0 0 0 MR RONY THOMAS BOARD MEMBER 0 1076114 0 1746251 0 126126 0 541548 0 28241 0 3518280 0 107484 MR DOUG WILSON CHAIR 0 527474 0 188498 0 114365 0 116548 0 27721 0 974606 0 77676 MR DARRELL JESSEE BOARD MEMBER 0 390790 0 130919 0 18342 0 91549 0 19572 0 651172 0 0 MR J PHILIP JONES TREASURER/CFO 0 380000 0 0 0 48549 0 141549 0 26656 0 596754 0 0 PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE FOLLOWING INDIVIDUALS RECEIVED A PAYOUT FROM A NONQUALIFIED RETIREMENT PLAN IN 2023. THE AMOUNT WAS INCLUDED IN THEIR W-2 WAGES. RONY THOMAS $107,484 DOUG WILSON $77,676 THE FOLLOWING INDIVIDUALS HAD AMOUNTS DEFERRED INTO A NONQUALIFIED RETIREMENT PLAN IN 2023: RONY THOMAS $500,000 J. PHILIP JONES $100,000 DOUG WILSON $75,000 FORM 990, PART I, LINE 1: THE LIFENET HEALTH FOUNDATION IS A 501(C)(3) CHARITABLE ORGANIZATION THAT IS DEDICATED TO RAISING FUNDS FOR DONOR FAMILY SUPPORT PROGRAMS, PUBLIC AND PROFESSIONAL AWARENESS CAMPAIGNS THAT PROMOTE THE VITAL NEED FOR DONATION, AND RESEARCH AND DEVELOPMENT EFFORTS SURROUNDING TRANSPLANTATION. GRANTS PROVIDE SUPPORT FOR NETWORKING EVENTS FOR DONOR FAMILIES, PUBLIC AND HEALTHCARE PROFESSIONAL TRAINING AND AWARENESS OF ORGAN AND TISSUE DONATION, AND FUNDING VITAL BIOMEDICAL RESEARCH IN THE FIELD OF TRANSPLANTATION. IN 2023, THE LIFENET HEALTH FOUNDATION HOSTED A 5K WALK/RUN, GOLF CLASSIC TOURNAMENT, AND EMPLOYEE CONTRIBUTION CAMPAIGN THAT FUNDED COMMUNITY EDUCATION FOR HOSPITAL MEMORIALS, NUMEROUS DONOR FAMILY NETWORKING EVENTS AND PROGRAMS TO ASSIST DONOR FAMILIES THROUGH THE GRIEVING AND HEALING PROCESS OF LOSING THEIR LOVED ONE. FORM 990, PART III, LINE 1: THE LIFENET HEALTH FOUNDATION IS A 501(C)(3) CHARITABLE ORGANIZATION THAT IS DEDICATED TO RAISING FUNDS FOR DONOR FAMILY SUPPORT PROGRAMS, PUBLIC AND PROFESSIONAL AWARENESS CAMPAIGNS THAT PROMOTE THE VITAL NEED FOR DONATION, AND RESEARCH AND DEVELOPMENT EFFORTS SURROUNDING TRANSPLANTATION. GRANTS PROVIDE SUPPORT FOR NETWORKING EVENTS FOR DONOR FAMILIES, PUBLIC AND HEALTHCARE PROFESSIONAL TRAINING AND AWARENESS OF ORGAN AND TISSUE DONATION, AND FUNDING VITAL BIOMEDICAL RESEARCH IN THE FIELD OF TRANSPLANTATION. IN 2023, THE LIFENET HEALTH FOUNDATION HOSTED A 5K WALK/RUN, GOLF CLASSIC TOURNAMENT, AND EMPLOYEE CONTRIBUTION CAMPAIGN THAT FUNDED COMMUNITY EDUCATION FOR HOSPITAL MEMORIALS, NUMEROUS DONOR FAMILY NETWORKING EVENTS AND PROGRAMS TO ASSIST DONOR FAMILIES THROUGH THE GRIEVING AND HEALING PROCESS OF LOSING THEIR LOVED ONE. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS THE SOLE MEMBER OF THE FOUNDATION IS LIFENET HEALTH, ITS PARENT ORGANIZATION. LIFENET HEALTH HAS THE POWER TO APPOINT, ELECT, AND REMOVE MEMBERS OF THE FOUNDATION'S GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B MEMBER GOVERANCE RESERVED POWERS PER THE BYLAWS OF THE FOUNDATION, LIFENET HEALTH HAS ADDITIONAL RESERVED POWERS INCLUDING, BUT NOT LIMITED TO, MATTERS CONCERNING THE PURCHASE OF REAL OR PERSONAL PROPERTY, THE CONDUCT OF FINANCIAL AUDITS, THE CREATION OR ACQUISITION OF SUBSIDIARY ORGANIZATIONS, AND THE AMENDMENT OF THE ORGANIZATIONAL DOCUMENTS. FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW THE COMPANY CONTRACTS WITH AN INDEPENDENT ACCOUNTING FIRM TO COMPLETE THE 990. THE 990 IS REVIEWED BY THE CFO AND CEO PRIOR TO FILING WITH THE IRS. THE 990 IS APPROVED BY THE CHAIRMAN OF THE BOARD OF DIRECTORS AS PROXY FOR THE FULL BOARD PER RESOLUTION OF THE BOARD. DISTRIBUTION OF THE 990 IS TRANSMITTED TO THE FULL BOARD BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY THE FOUNDATION ADOPTS THE POLICIES OF LIFENET HEALTH - THE FOUNDATION DOES NOT HAVE SEPARATE POLICIES SPECIFIC TO THE ENTITY. THE FOUNDATION ADOPTED LIFENET HEALTH'S CONFLICT OF INTEREST POLICY (GA-120-011) DESIGNED TO PROTECT THE COMPANY'S INTEREST WHEN IT IS ENTERING OR CONTEMPLATING ENTRY INTO A TRANSACTION THAT MIGHT BENEFIT THE INTEREST OF ITS MEMBERS. THE POLICY COVERS ALL INTERESTED PERSONS WHO ARE DEFINED AS ANY PRINCIPAL OFFICER, BOARD MEMBER, EMPLOYEE AND THEIR IMMEDIATE FAMILY, AND THIRD PARTIES THAT ARE INVOLVED IN THE DECISION MAKING PROCESS AND HAS A DIRECT OR INDIRECT FINANCIAL INTEREST. UPON COMMENCEMENT AND ANNUALLY THEREAFTER, OFFICERS AND KEY EMPLOYEES MUST COMPLETE A "CONFLICT OF INTEREST QUESTIONNAIRE AND UPDATE WHENEVER EMPLOYEE AFFILIATIONS CHANGE. AFTER DISCLOSURE OF THE FINANCIAL INTEREST, THE COMPLIANCE OFFICER WILL INVESTIGATE AND DETERMINE THE FINAL ACTIONS NECESSARY TO ADDRESS THE CONFLICT. FORM 990, PART VI, LINE 13: WHISTLEBLOWER POLICY THE COMPANY HAS A WHISTLEBLOWER POLICY (GA-120-012) DESIGNED TO PROMOTE AND ENABLE EMPLOYEES TO RAISE ISSUES INTERNALLY BEFORE SEEKING RESOLUTION OUTSIDE OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 PUBLIC DISCLOSURE OF FINANCIAL STATEMENTS, ETC. THE COMPANY DOES NOT MAKE ITS AUDITED FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY OR GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC. FLORIDA TISSUE SERVICES 1864 CONCERT DRIVE VIRGINIA BEACH VA 23453 593605624 TISSUE SERVICE FL 501(C)(3) PF LIFENET HEALTH 0 LIFENET HEALTH 1864 CONCERT DRIVE VIRGINIA BEACH VA 23453 521273592 TISSUE SERVICE VA 501(C)(3) LINE 9 N/A 0 LIFENET HEALTH EUROPE GMBH 25 DIETRICHGASSE VIENNA AU 1030 999999999 TISSUE SERVICE AU LIFENET HEALTH 0 LIFENET HEALTH OF CANADA 40 KING STREET WEST SUITE 5800 TORONTO ONTARIO CA 999999999 TISSUE SERVICE CA LIFENET HEALTH 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0