2024-11-15T09:36:07-06:00 2023-12-31 750786316 WEAVER AND TIDWELL LLP 2300 N FIELD ST STE 1000 DALLAS TX 75201 990 2023-01-01 731281589 LIFESHARE TRANSPLANT DONOR SERVICES OF OKLAHOMA INC LIFE 4058405551 4705 NW EXPRESSWAY OKLAHOMA CITY OK 73132 JEFF ORLOWSKI CEO & PRESIDENT 4058405551 2024-11-14 1 1 SARA BURKHART P01435955 9724901970 2023 2024-10-15 13:58:12Z JEFF ORLOWSKI 4705 NW EXPRESSWAY OKLAHOMA CITY OK 73132 35425470 0 X WWW.LIFESHAREOKLAHOMA.ORG X 1984 OK PROVIDES ORGAN PROCUREMENT SERVICES WITHIN THE STATE OF OKLAHOMA. 11 11 0 11 0 0 0 1128865 43825452 33114063 575305 145251 205648 1037291 44606405 35425470 0 1135438 0 0 20311240 0 0 0 0 21412290 33438089 41723530 34573527 2882875 851943 35984282 13390351 6842673 4112967 29141609 9277384 X LIFESHARE TRANSPLANT DONOR SERVICES OF OKLAHOMA, INC. PROVIDES ORGAN PROCUREMENT SERVICES WITHIN THE STATE OF OKLAHOMA; IDENTIFICATION OF ORGAN DONORS; SURGICAL EXCISION AND DISTRIBUTIONS OF ORGANS AND PUBLIC EDUCATION REGARDING ORGAN DONATIONS. 0 1 21116867 1135438 33114063 ORGAN PROCUREMENT AND PLACEMENT FOR TRANSPLANT AND RESEARCH. MEDICARE COST REIMBURSEMENT FOR RENAL ORGANS; REIMBURSEMENT FOR EXTRA-RENAL ORGAN PROCUREMENT AND OTHER PROGRAM SERVICE INCLUDING RESEARCH ORGANS. 21116867 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 OK X LIFESHARE TRANSPLANT DONOR SERVICES 4058405551 4705 NW EXPRESSWAY OKLAHOMA CITY OK 73132 ERIC SHERBURN BOARD DIRECTOR 1.00 1.00 X 0 0 0 ED HEINEN BOARD DIRECTOR 1.00 1.00 X 0 0 0 MARY JOHNSON BOARD DIRECTOR 1.00 1.00 X 0 0 0 IRFAN KUNDI MD BOARD DIRECTOR 1.00 1.00 X 0 0 0 STEVE MILLER MD BOARD DIRECTOR 1.00 1.00 X 0 0 0 STEVE AUSTIN BOARD DIRECTOR 1.00 1.00 X 0 0 0 PAMELA SPANBAUER BOARD DIRECTOR 1.00 1.00 X 0 0 0 HARLAN WRIGHT MD BOARD DIRECTOR 1.00 1.00 X 0 0 0 BENJAMIN COWLEY JR MD BOARD SECRETARY/TREASURER 1.00 1.00 X X 0 0 0 GINA FLESHER BOARD CHAIR 1.00 1.00 X X 0 0 0 JAMES SHARROCK HR COMMITTEE CHAIR 1.00 1.00 X X 0 0 0 JEFFREY ORLOWSKI PRESIDENT AND CEO 1.00 40.00 X 0 621004 47582 CLINT HOSTELER CHIEF OPERATING OFFICER 1.00 40.00 X 0 310285 47017 KATHRYN SMITH CHIEF ADMINISTRATIVE OFFICER 1.00 40.00 X 0 315305 41283 MARTIN BENOIT CHIEF FINANCIAL OFFICER 1.00 40.00 X 0 317585 44030 MICHELLE GIBSON VP OF HUMAN RESOURCES 1.00 40.00 X 0 252717 23601 ALYSSA HARRISON VP OF TISSUE OPERATIONS 1.00 40.00 X 0 229052 23082 JASON MORTON VP OF QUALITY SYSTEMS 1.00 40.00 X 0 265403 45610 0 2311351 272205 0 0 1 0 ROGERS WORLDWIDE TRANSPORTATION 2320 N INDIANA AVE OKLAHOMA CITY OK 73106 TRANSPORTATION 159747 1 1128865 1128865 MEDICARE/MEDICAID PAYMENTS 621991 18033185 18033185 EXTRA-RENAL PROCUREMENT 621991 15010773 15010773 RESEARCH ORGANS 621991 70105 70105 33114063 121494 121494 23757 0 23757 23757 23757 OTHER INCOME 900099 1037291 1037291 1037291 35425470 33114063 0 1182542 X 1135438 1135438 167514 167514 59622 59622 1184475 1500 1182975 419839 419839 90694 90694 397940 63551 334389 174673 174673 34435 34435 775444 62267 713177 527329 527329 SALARY REIMBURSEMENTS T 16560380 8231113 8329267 COST OF PROCUREMENT - O 3400029 3400029 COST OF PROCUREMENT - O 1779061 1779061 COST OF PROCUREMENT - O 1650916 1650916 6215738 4792992 1422746 34573527 21116867 13456660 0 2853245 883120 3921152 1654325 11953345 3981187 666051 848037 312320 175466 124470 10357972 50996 5745777 170412 4008 5972686 35984282 13390351 5785941 3636074 1056732 0 476893 6842673 4112967 X 29141609 9277384 29141609 9277384 35984282 13390351 X 851943 837462 -21553630 X X 0 1 X 1 0 X 1128865 1128865 31388571 37382409 42741709 44031100 33114063 188657852 31388571 37382409 42741709 44031100 34242928 189786717 0 0 0 189786717 288776 301874 262638 241745 121494 1216527 288776 301874 262638 241745 121494 1216527 1037291 1037291 31677347 37684283 43004347 44272845 35401713 192040535 0.98830 0.99340 0.00630 0.00660 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 175466 124470 50996 50996 DEPOSITS 5972686 5972686 DUE TO MEDICARE 450000 INTERCOMPANY PAYABLES 26893 476893 0 LIFESHARE NETWORK INC 4705 NW EXPRESSWAY OKLAHOMA CITY OK 73132 882584105 501(C)(3) 1128865 0 TRANSFER OF ERC REFUND 1 0 0 0 0 0 0 0 0 0 JEFFREY ORLOWSKI PRESIDENT AND CEO 0 492799 0 77000 0 51205 0 33000 0 14582 0 668586 0 0 MARTIN BENOIT CHIEF FINANCIAL OFFICER 0 294480 0 23105 0 0 0 29448 0 14582 0 361615 0 0 CLINT HOSTELER CHIEF OPERATING OFFICER 0 286784 0 23501 0 0 0 28678 0 18339 0 357302 0 0 KATHRYN SMITH CHIEF ADMINISTRATIVE OFFICER 0 293171 0 22134 0 0 0 29317 0 11966 0 356588 0 0 JASON MORTON VP OF QUALITY SYSTEMS 0 256225 0 9178 0 0 0 25622 0 19988 0 311013 0 0 MICHELLE GIBSON VP OF HUMAN RESOURCES 0 252717 0 0 0 0 0 13050 0 10551 0 276318 0 0 ALYSSA HARRISON VP OF TISSUE OPERATIONS 0 220566 0 8486 0 0 0 22057 0 1025 0 252134 0 0 FORM 990, PART III, LINE 3 IN 2023 THE TISSUE SERVICES ACTIVITY WAS MOVED TO A SEPARATE, RELATED ENTITY CALLED LIFESHARE TISSUE SERVICES INC. FORM 990, PART VI, SECTION B, LINE 11B THE PRESIDENT/CEO REVIEWS THE 990 PRIOR TO THE FILING OF THE RETURN. THE 990 AS FILED IS SHARED WITH THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE EMPLOYEES AND THE BOARD MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT ANNUALLY. BOARD MEMBERS ARE REQUIRED TO DISCLOSE TO THE BOARD ANY CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST THAT MAY ARISE REGARDING A MATTER UNDER REVIEW BY THE BOARD. BOARD MEMBERS DO NOT PARTICIPATE IN OR VOTE ON MATTERS WHERE THEY HAVE A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION C, LINE 19 LIFESHARE TRANSPLANT DONOR SERVICES OF OKLAHOMA, INC ONLY PROVIDES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS WHEN REQUESTED. THEY DO NOT PUBLISH THIS INFORMATION ON THEIR WEBSITE. FORM 990, PART IX, LINE 24E COST OF PROCUREMENT - HOSPITAL LAB: PROGRAM SERVICE EXPENSES 1,104,311. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,104,311. COST OF PROCUREMENT - DONOR EVALUATION: PROGRAM SERVICE EXPENSES 870,422. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 870,422. COST OF PROCUREMENT - RESPIRATORY THERAPY: PROGRAM SERVICE EXPENSES 446,406. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 446,406. COST OF PROCUREMENT - SURGEON FEES: PROGRAM SERVICE EXPENSES 348,620. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 348,620. STAFF DEVELOPMENT AND TRAINING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 329,565. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 329,565. COST OF PROCUREMENT - TRANSPORTATION OF ORGANS: PROGRAM SERVICE EXPENSES 276,711. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 276,711. OTHER ADMINISTRATIVE AND GENERAL: PROGRAM SERVICE EXPENSES 17,458. MANAGEMENT AND GENERAL EXPENSES 254,415. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 271,873. DONOR DATA SYSTEM: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 270,241. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 270,241. COST OF PROCUREMENT - PHARMACY: PROGRAM SERVICE EXPENSES 253,830. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 253,830. DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 249,278. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 249,278. COST OF PROCUREMENT - ORGAN MEDICAL BILL REVIEW: PROGRAM SERVICE EXPENSES 237,975. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 237,975. COST OF PROCUREMENT - ICU: PROGRAM SERVICE EXPENSES 236,227. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 236,227. COST OF PROCUREMENT - TISSUE TYPING: PROGRAM SERVICE EXPENSES 202,442. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 202,442. COST OF PROCUREMENT - MEDICAL SUPPLIES: PROGRAM SERVICE EXPENSES 195,157. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 195,157. COST OF PROCUREMENT - ANESTHESIA: PROGRAM SERVICE EXPENSES 194,757. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 194,757. ORGAN RECOVERY COORDINATOR: PROGRAM SERVICE EXPENSES 156,209. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 156,209. COST OF PROCUREMENT - TRANSPORTATION OF TEAMS: PROGRAM SERVICE EXPENSES 145,801. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 145,801. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 137,305. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 137,305. EQUIPMENT PURCHASES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 135,453. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 135,453. COST OF PROCUREMENT - TRANSPORTATION OF DONORS: PROGRAM SERVICE EXPENSES 52,540. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 52,540. COST OF PROCUREMENT - OTHER EXCISION: PROGRAM SERVICE EXPENSES 42,286. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,286. RECRUITMENT AND EMPLOYEE RELATIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 33,108. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,108. MEDICAL WASTE: PROGRAM SERVICE EXPENSES 11,840. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,840. UNIFORMS AND LINEN: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 11,183. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,183. TAXES AND LICENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,198. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,198. FORM 990, PART XI, LINE 9: TRANSFER OF EQUITY -21,553,630. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. THE LIFESHARE FOUNDATION 4705 NW EXPRESSWAY OKLAHOMA CITY OK 731325213 821003338 SEE PART VII OK 501(C)(3) LINE 12B, II LIFESHARE NETWORK 1 LIFESHARE TISSUE SERVICES INC 4705 NW EXPRESSWAY OKLAHOMA CITY OK 731325213 882596670 TISSUE BANK OK 501(C)(3) LINE 10 LIFESHARE NETWORK 0 LIFESHARE NETWORK INC 4705 NW EXPRESSWAY OKLAHOMA CITY OK 731325213 882584105 PARENT COMPANY OK 501(C)(3) LINE 10 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 THE LIFESHARE FOUNDATION Q COST OF EXPENSES LIFESHARE NETWORK INC R 18068433 NET EQUITY LIFESHARE TISSUE SERVICES INC R 3489806 NET EQUITY LIFESHARE NETWORK INC B 1128865 CASH SCHEDULE R, PART II TO ASSUME ALL OF THE FUNDRAISING ACTIVITIES OF ITS SUPPORTED ORGANIZATION, IE., THE LIFESHARE TRANSPLANT DONOR SERVICES OF OKLAHOMA, INC. WHICH IS THE FEDERALLY-CERTIFIED ORGAN PROCUREMENT ORGANIZATION FOR THE STATE OF OKLAHOMA.