2021-11-15T11:17:28-06:00 2020-12-31 420714325 RSM US LLP 801 NICOLLET MALL WEST TOWER STE 1200 MINNEAPOLIS MN 554022526 990 2020-01-01 880253675 NEVADA DONOR NETWORK INC NEVA 7027969600 2055 E SAHARA AVE LAS VEGAS NV 89104 JOSEPH FERREIRA CEO 7027969600 2021-11-10 1 JOSEPH FERREIRA 999009999 KACIE MCEWEN P01599614 6123324300 2021-11-10 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JOSEPH FERREIRA 2055 E SAHARA AVE LAS VEGAS NV 89104 41637267 0 X WWW.NVDONOR.ORG X 1986 NV TO MAXIMIZE THE GIFT OF LIFE AND HEALTH THROUGH ORGAN, EYE AND TISSUE DONATION. 12 12 180 155 0 0 71761 6143534 32793261 35463166 188606 20661 -118114 -5000 32935514 41622361 77100 98014 0 0 14663630 16544737 0 0 0 16192185 18012548 30932915 34655299 2002599 6967062 29909260 31278725 15201203 9607225 14708057 21671500 X NEVADA DONOR NETWORK (THE "NETWORK") IS A FEDERALLY DESIGNATED NOT-FOR-PROFIT ORGAN, TISSUE, AND EYE PROCUREMENT ORGANIZATION. THE NETWORK IS RESPONSIBLE FOR THE COORDINATION, RECOVERY, AND DISTRIBUTION OF DONATED HUMAN ORGANS AND TISSUES INTENDED FOR TRANSPLANTATION, MEDICAL EDUCATION AND RESEARCH. THE NETWORK PROVIDES SERVICES TO HOSPITALS AND HEALTHCARE FACILITIES THROUGHOUT NEVADA AND PARTICIPATES IN THE NATIONAL ORGAN AND TISSUE SHARING PROGRAM. 0 0 17288250 0 24688763 ORGAN RECOVERY FOCUSES ON LIFE SAVING SOLID ORGANS SUCH AS THE HEART, LIVER, LUNGS, INTESTINES, PANCREAS AND KIDNEYS. ORGAN RECOVERY SUPPORTS THE SOLID ORGAN TRANSPLANT PROGRAMS AT UNIVERSITY MEDICAL CENTER AND OTHER TRANSPLANT PROGRAMS ACROSS THE COUNTRY.PROGRAM EXPENSES REPORTED ARE DIRECT EXPENSES ONLY AND DO NOT INCLUDE UNALLOCATED EXPENSES, SOME OF WHICH ARE REPORTED IN PROGRAM 4D BELOW. 2794524 0 8233566 TISSUE AND EYE RECOVERY INCLUDES BONES, TENDONS, SKIN, HEART VALVES, VEINS AND CORNEAS. TISSUES ARE RECOVERED BY THE NETWORK STAFF AND SENT TO VARIOUS ORGANIZATIONS FOR FURTHER PROCESSING AND SUBSEQUENT DISTRIBUTION. THE NETWORK ALSO OPERATES A FULL SERVICE EYE BANK THAT PROVIDES OCULAR TISSUE FOR TRANSPLANTATION. OCULAR TISSUE IS UTILIZED LOCALLY AND SHARED WITH OTHER EYE BANKS THROUGHOUT THE UNITED STATES AND OTHER COUNTRIES THROUGH THE INTERNATIONAL CORNEA PROJECT. THIS PROGRAM INCLUDES THE NORTHERN NEVADA OFFICE THAT ALSO PERFORMS TISSUE AND EYE RECOVERY.PROGRAM EXPENSES REPORTED ARE DIRECT EXPENSES ONLY AND DO NOT INCLUDE UNALLOCATED EXPENSES, SOME OF WHICH ARE REPORTED IN PROGRAM 4D BELOW. 865005 0 2100506 THE HLA LABORATORY PERFORMS TISSUE TYPING ON POTENTIAL ORGAN DONORS, RECIPIENTS AND LIVING RELATED MATCHES.PROGRAM EXPENSES REPORTED ARE DIRECT EXPENSES ONLY AND DO NOT INCLUDE UNALLOCATED EXPENSES, SOME OF WHICH ARE REPORTED IN PROGRAM 4D BELOW. 7835085 98014 440330 NEVADA DONOR NETWORK PROVIDES EDUCATION, AWARENESS AND INFORMATION TO THE MEDICAL COMMUNITY AND GENERAL PUBLIC THROUGH PROFESSIONAL EDUCATION SEMINARS, HOSPITAL IN-SERVICES, CEU PROGRAMS, PUBLIC EDUCATION, HEALTH FAIRS, BEREAVEMENT PROGRAMS, AND SCHOOL PRESENTATIONS. 7835085 98014 440330 28782864 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 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 80 0 1 180 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X JASON MAHFOOD 7027969600 2055 E SAHARA AVE LAS VEGAS NV 89104 JOSEPH FERREIRA PRESIDENT/CEO 40.00 3.50 X 575921 0 25704 KEVIN BURNS MD MEDICAL DIRECTOR HLA LAB 40.00 0.00 X 468017 0 34195 JASON MAHFOOD CFO 40.00 2.00 X 327793 0 38811 DARREN LAHRMAN VP OF CLINICAL AFFAIRS 40.00 0.00 X 221388 0 10152 JACQUELINE WARN VP QUALITY & REGULATORY AFFAIRS 40.00 0.00 X 206260 0 22999 STEVEN PERALTA FOUNDATION PRESIDENT 0.00 40.00 X 197619 0 24296 MATTHEW GRAVES REGIONAL DIRECTOR OF OPERATIONS 40.00 0.00 X 166736 0 20875 BRENT BERGQUIST MANAGER OF FACILITY 40.00 0.00 X 140586 0 33976 ADAM BLACKER DIRECTOR OF CLINICAL LAB 40.00 0.00 X 136967 0 36213 SARA LEVINSON DIRECTOR OF HR 40.00 0.00 X 149548 0 16488 MICHAEL HUDSON DIRECTOR OF HOSPITAL SERVICES 40.00 0.00 X 142933 0 13967 ADAM JAMES DIRECTOR OF TISSUE OPERATIONS 40.00 0.00 X 139753 0 13529 TODD SKLAMBERG CHAIR 1.00 0.00 X X 0 0 0 TRUDY LARSON MD PAST CHAIR 1.00 0.00 X X 0 0 0 CHRIS BOSSE TREASURER 1.00 0.00 X X 0 0 0 AMY MCKINNEY SECRETARY (UNTIL JUNE 2020) 1.00 0.00 X X 0 0 0 ESTHER-MARIE CARMICHAEL ASCP PHM C SECRETARY 1.00 0.00 X X 0 0 0 BARRY BROWN MD DIRECTOR (UNTIL JANUARY 27, 2020) 1.00 0.00 X 0 0 0 STEPHEN CORRIGAN RAYHILL MD FACS DIRECTOR 1.00 0.00 X 0 0 0 LEONARD FREHOF DIRECTOR (UNTIL JANUARY 2020) 1.00 0.00 X 0 0 0 DR SEBASTIAN GIWA DIRECTOR 1.00 0.00 X 0 0 0 DAVID MARLON DIRECTOR 1.00 2.00 X 0 0 0 APRIL SANBORN CPM DIRECTOR 1.00 0.00 X 0 0 0 KATHY SILVER BS MBA FACHE FHFMA DIRECTOR 1.00 1.00 X 0 0 0 MASON VANHOUWELING DIRECTOR 1.00 0.00 X 0 0 0 BILL WELCH DIRECTOR 1.00 0.00 X 0 0 0 CLAUDE WISE DIRECTOR 1.00 0.00 X 0 0 0 2873521 0 291205 46 0 1 0 TRINITY AIR MEDICAL 1437 W AUTO DR TEMPE AZ 85284 MEDICAL TRANSPORTATION 1174965 ARIZONA TRANSPLANT ASSOCIATES PC 2218 N 3RD ST PHOENIX AZ 85004 MEDICAL SERVICES 696150 GTSAI SERVICES LLC 44 LAYING UP CT LAS VEGAS NV 89148 MEDICAL SERVICES 492118 DONOR CALL SOLUTIONS INC 2817 E CAMELBACK RD PHOENIX AZ 85016 MEDICAL STAFFING 174924 HOLLAND & HART LLP PO BOX 17283 DENVER CO 80217 LEGAL SERVICES 155520 5 X 1000 6126106 16428 6143534 ORGAN RECOVERY 621500 24688763 24688763 TISSUE AND EYE RECOVERY 621500 8233566 8233566 HLA LABORATORY 621500 2100506 2100506 ALL OTHER FEES 621500 440331 440331 35463166 30567 30567 9906 -9906 -9906 -9906 0 1000 5000 -5000 -5000 41622361 35463166 0 15661 98014 98014 2357208 1913894 443314 11073346 9000513 2072833 461798 364024 97774 1628681 1288987 339694 1023704 803600 220104 205294 205294 39724 39724 953 953 1807579 1254973 552606 25222 7796 17426 972296 674122 298174 757910 582432 175478 138318 107326 30992 233113 233113 543413 173999 369414 69369 69369 RECOVERY COSTS 5056073 5056073 LABORATORY 2291566 2291566 MEDICAL SUPPLIES 2086974 2004042 82932 TRAINING & EDUCATION 1175561 903535 272026 2609183 2257968 351215 34655299 28782864 5872435 0 9490031 8540585 337916 271542 7148402 8730655 230335 327875 189334 608049 11823325 3549545 8268772 8273780 13335 11902 2187 1584 4228948 4512753 29909260 31278725 5397830 6312335 1371748 470326 8431625 2702296 0 122268 15201203 9607225 X 14708057 21671500 14708057 21671500 29909260 31278725 6967062 -1118 -2501 0 X 0 1 X 1 0 X 13649 33804 43228 71161 6143534 6305376 24134483 26362746 29882877 32793261 35463166 148636533 24148132 26396550 29926105 32864422 41606700 154941909 0 0 0 154941909 8354 38691 111068 192000 30567 380680 8354 38691 111068 192000 30567 380680 24156486 26435241 30037173 33056422 41637267 155322589 0.99750 0.99720 0.00250 0.00280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 953 953 0 PART II-B, LINE 1: NDN PAYS DUES TO THE ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATION (AOPO), OF WHICH A SMALL PORTION IS USED FOR LOBBYING. 423012 423012 9323733 1940891 7382842 13187 11359 1828 1813518 1419818 393700 249875 177477 72398 8273780 INTERCOMPANY ACCOUNTS 526441 OTHER ASSETS 71374 INVESTMENT IN BLUE FLAG INC (SCH R RELATED ORGANIZATION) 3914938 4512753 INTERCOMPANY PAYABLE 122268 122268 X PART X, LINE 2: THE NETWORK IS GENERALLY EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE IRC. GENERALLY, THE NETWORK IS NO LONGER SUBJECT TO FEDERAL INCOME TAX RETURN EXAMINATIONS FOR THE YEARS PRIOR TO 2017. THE NETWORK QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION. THE NETWORK IS GENERALLY EXEMPT FROM INCOME TAXES ON RELATED INCOME PURSUANT TO THE APPROPRIATE SECTION OF THE IRC. IN THE PREPARATION OF TAX RETURNS, TAX POSITIONS ARE TAKEN BASED ON INTERPRETATION OF FEDERAL, STATE AND LOCAL INCOME TAX LAWS. IN ACCORDANCE WITH THE ACCOUNTING STANDARDS, MANAGEMENT PERIODICALLY REVIEWS AND EVALUATES THE STATUS OF UNCERTAIN TAX POSITIONS AND MAKES ESTIMATES OF AMOUNTS, INCLUDING INTEREST AND PENALTIES, ULTIMATELY DUE OR OWED. NO AMOUNTS HAVE BEEN IDENTIFIED OR RECORDED AS UNCERTAIN TAX POSITIONS. FEDERAL, STATE AND LOCAL TAX RETURNS GENERALLY REMAIN OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES FOR A PERIOD OF THREE TO SIX YEARS. 0 THE SINGLETONS 13832 N 32ND ST STE 134 BC PHOENIX AZ 85032 352280372 501(C)(3) 5000 SWING INTO SPRING - MEET & GREET PORTION OF EVENT FRIENDS OF LAS VEGAS METROPOLITAN POLICE DBA LVMPD FOUNDATION 7175 BERMUDA ROAD LAS VEGAS NV 89119 880429730 501(C)(3) 5000 BEST OF THE BADGE GALA ALEX TUCH FOUNDATION 65-C MONROE AVE PITTSFORD NY 14534 842840232 501(C)(3) 40000 PROGRAM SUPPORT VEGAS GOLDEN KNIGHTS FOUNDATION 1550 S PAVILLION CENTER DR LAS VEGAS NV 89135 815478336 501(C)(3) 20000 GALA 4 0 PART I, LINE 2: TO FULFILL ITS MISSION AND PUBLIC CHARGE TO INCREASE ORGAN AND TISSUE DONATION, INCLUDING PUBLIC EDUCATION AND THE REGISTRATION OF DONORS, NDN CONTRIBUTES TO AND HAS ENTERED PROMOTIONAL AGREEMENTS WITH VARIOUS ORGANIZATIONS. IN RETURN FOR SPONSORSHIP PAYMENTS, NDN RECEIVES PROMOTIONAL NIGHTS CENTERED ON DONOR REGISTRATION AND RECOGNITION, WHICH SERVE TO DRIVE INCREASED COMMUNITY EDUCATION AND REGISTRATION OF DONORS. X 1 1 X X X X 0 0 0 0 0 1 0 0 0 JOSEPH FERREIRA PRESIDENT/CEO 395292 0 30485 0 150144 0 19500 0 8342 0 603763 0 0 0 KEVIN BURNS MD MEDICAL DIRECTOR HLA LAB 374245 0 77106 0 16666 0 19404 0 21270 0 508691 0 0 0 JASON MAHFOOD CFO 285178 0 23196 0 19419 0 18832 0 21399 0 368024 0 0 0 DARREN LAHRMAN VP OF CLINICAL AFFAIRS 187428 0 16345 0 17615 0 3874 0 7183 0 232445 0 0 0 JACQUELINE WARN VP QUALITY & REGULATORY AFFAIRS 182338 0 17046 0 6876 0 10491 0 14150 0 230901 0 0 0 STEVEN PERALTA FOUNDATION PRESIDENT 185860 0 8640 0 3119 0 4379 0 22303 0 224301 0 0 0 MATTHEW GRAVES REGIONAL DIRECTOR OF OPERATIONS 149945 0 14218 0 2573 0 1482 0 20867 0 189085 0 0 0 BRENT BERGQUIST MANAGER OF FACILITY 125787 0 11851 0 2948 0 13922 0 20714 0 175222 0 0 0 ADAM BLACKER DIRECTOR OF CLINICAL LAB 122798 0 12393 0 1776 0 16720 0 20079 0 173766 0 0 0 SARA LEVINSON DIRECTOR OF HR 131108 0 10147 0 8293 0 9043 0 9107 0 167698 0 0 0 MICHAEL HUDSON DIRECTOR OF HOSPITAL SERVICES 126157 0 12639 0 4137 0 0 0 15489 0 158422 0 0 0 ADAM JAMES DIRECTOR OF TISSUE OPERATIONS 115311 0 0 0 24442 0 8324 0 5905 0 153982 0 0 0 PART I, LINE 1A THE ORGANIZATION PROVIDES TRAVEL FOR COMPANIONS TO THE BOARD OF DIRECTORS. FORM 1099 IS ISSUED TO THE BOARD MEMBER IF THE $600 REPORTING THRESHOLD IS MET. PART I, LINE 3 NEVADA DONOR NETWORK CONDUCTS A COMPENSATION STUDY AT REGULAR INTERVALS, USING A THIRD PARTY COMPENSATION CONSULTANT. CERTAIN EXECUTIVES HAVE WRITTEN EMPLOYMENT CONTRACTS WHICH ARE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. PART I, LINE 6 THE DIRECTORS AND CEO'S BONUSES WERE ACCRUED BASED ON PRE-DETERMINED GOALS AND OBJECTIVES TIED TO PERFORMANCE METRICS. THE METRICS INCLUDE ORGANIZATIONAL NET INCOME AS WELL AS SPECIFIC STRATEGIC PLAN GOALS. THE BONUS IS A FIXED TARGET PERCENTAGE THAT INCLUDES A CAP. THE CFO AND COO BONUS PAID IS TIED TO PERFORMANCE METRICS AS WELL AS EMPLOYMENT AGREEMENTS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS SENT VIA EMAIL AND REGULAR MAIL TO ALL BOARD MEMBERS PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A POLICY ON CORPORATE COMPLIANCE THAT ALL EMPLOYEES, MEMBERS OF THE GOVERNING AND ADVISORY BOARDS AND MEMBERS OF THEIR IMMEDIATE HOUSEHOLD MUST DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AND ABSTAIN FROM ANY ACTION OR VOTE INVOLVING THE DISCLOSED POTENTIAL OR ACTUAL CONFLICT. TRAINING IS DONE ON AN ANNUAL BASIS FOR BOTH EMPLOYEES AND BOARD MEMBERS AND ALL SIGN-OFF THAT THEY UNDERSTAND AND WILL ADHERE TO POLICY. FORM 990, PART VI, SECTION B, LINE 15 ALL WAGES AND BENEFITS ARE REVIEWED AND APPROVED BY THE BOARD OF TRUSTEES USING AN INDEPENDENT THIRD PARTY SALARY STUDY. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART VIII, LINE 1D - CONTRIBUTIONS FROM RELATED ORGANIZATIONS THE RELATED PARTY CONTRIBUTION FROM THE NEVADA DONOR NETWORK SUPPORT FOUNDATION IN 2020 IS THE FORGIVENESS OF DEBT DUE TO THE END OF THE COMPLIANCE PERIOD OF THE NEW MARKET TAX CREDIT PROGRAM, A TRANSACTION WHICH NDN ENTERED IN 2015. NEVADA DONOR SUPPORT FOUNDATION INC 2055 E SAHARA AVENUE LAS VEGAS NV 89104 472624567 FOUNDATION NV 501(C)(3) LINE 12A, I NEVADA DONOR NETWORK INC 1 NEVADA DONOR NETWORK FOUNDATION 2055 E SAHARA AVENUE LAS VEGAS NV 89104 812380381 FOUNDATION NV 501(C)(3) LINE 12A, I NEVADA DONOR NETWORK INC 1 BLUE FLAG INC PO BOX 61734 LAS VEGAS NV 89160 475262223 INVESTING NV NEVADA DONOR NETWORK INC C 1 1973332 1.00000 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 NEVADA DONOR NETWORK SUPPORT FOUNDATION C 6126106 ACTUAL AMOUNT NEVADA DONOR NETWORK FOUNDATION O 971786 ACTUAL AMOUNT NEVADA DONOR NETWORK SUPPORT FOUNDATION Q 603763 ACTUAL AMOUNT NEVADA DONOR NETWORK FOUNDATION Q 197355 ACTUAL AMOUNT