2017-07-18T16:59:29-04:00 2016-12-31 271541887 BOBBY E PATTON CPA 1007 E BERKELEY DR Richardson TX 75081 990 2016-01-01 620992075 MID-SOUTH TRANSPLANT FOUNDATION INC MID- 8001 CENTERVIEW PARKWAY CORDOVA TN 38018 Kim VanFrank Executive Direc 9013284438 2017-07-18 false Bobby E Patton P00960087 9015682969 2017-07-18 X 99.120.106.18 2017-07-18 17:02:03 8032452017199eswsnk3 2017-07-18 P 93FBEEFEF518B060D36570A1BCEEE6E26B32D477 93FBEEFEF518B060D36570A1BCEEE6E26B32D477 2016 2021-01-29 14:40:06Z John McManus 9268687 false X WWW.MIDSOUTHTRANSPLANT.ORG X 1976 TN THE MISSION OF MID-SOUTH TRANSPLANT FOUNDATION(MSTF) IS TO IMPROVE THE QUALITY OF LIVES THROUGH EXCELLENCE IN THE PROCESS OF ORGAN AND TISSUE DONATION AND TRANSPLANTATION 8 7 59 200 0 0 38312 72664 8272639 9071090 37964 76909 127917 48024 8476832 9268687 0 0 3968502 4364214 0 0 4247181 4414599 8215683 8778813 261149 489874 6374575 6769097 1070927 975575 5303648 5793522 THE MISSION OF MID-SOUTH TRANSPLANT FOUNDATION(MSTF) IS TO IMPROVE THE QUALITY OF LIVES THROUGH EXCELLENCE IN THE PROCESS OF ORGAN AND TISSUE DONATION AND TRANSPLANTATION false false 6433525 AS THE FEDERALLY DESIGNATED ORGAN PROCUREMENT ORGANIZATION,IN 2016,MSTF RECOVERED HUMAN KIDNEYS, LIVERS, PANCREAS, HEARTS, BONE,SKIN, LUNGS AND SMALL BOWELS. THE ORGANS WERE TRANSPLATED AND THE TISSUES WERE SENT TO PROCESSORS TO BE USED FOR SURGERY. THESE HUMAN ORGANS AND TISSUES SAVED AND IMPROVED THE LIVES OF MANY PEOPLE. THIS IS WHAT MID-SOUTH ACCOMPLISHED IN 2016 IN FULFILLING ITS MISSION. 6433525 true false false false false false false false false false true false true false false false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false true 41 0 true 59 true false false false false false false false false false false false false X 8 7 false false false false false false false true true false false true true true true true true true true false X BOBBY PATTON 9013284438 8001 CENTERVIEW PKWY STE 302 Cordova TN 38018 Kim VanFrank EXECUTIVE DIRECTOR 50.00 0.00 X X 191748 0 31175 Marilyn Creed DIRECTOR 0.00 0.00 X 0 0 0 John McManus PRESIDENT 0.00 0.00 X X 30000 0 0 Bill Sehnert DIRECTOR 0.00 0.00 X 0 0 0 Bruce Jenkins DIRECTOR 0.00 0.00 X 0 0 0 Eugene Gibson DIRECTOR 0.00 0.00 X 0 0 0 Mabel Barringer DIRECTOR 0.00 0.00 X 0 0 0 James Latta DIRECTOR 0.00 0.00 X 0 0 0 Kimberly Gilley DIRECTOR OF CLINICAL OPERATIO 50.00 0.00 X 130870 0 25766 Brett D Loehmann MANAGER HLA LAB 40.00 0.00 X 110727 0 27379 Jennifer M Mcilvain DIRECTOR OF QUALITY SYSTEMS 40.00 0.00 X 102237 0 17801 565582 0 102121 4 false true false UT METHODIST PHYSICIANS LLC PO BOX 40127 Memphis TN 38174 SURGERY 213650 DONOR CALL SOLUTIONS 10613 WEST PROVIDENCE ROAD Richmond VA 23236 COORDINATORS 125868 2 72664 72664 LIVERS 621300 1746000 1746000 KIDNEY 621300 2560000 2560000 HEART 621300 798000 798000 PANCREAS 621300 326600 326600 LUNG 621300 576000 576000 3064490 3064490 9071090 76909 76909 MISCELLANEOUS 621300 48024 48024 48024 9268687 9196023 0 0 X 3380433 2267584 1112849 246432 141829 104603 491558 361554 130004 245791 168049 77742 30000 30000 19313 19313 591831 500089 91742 80813 27297 53516 329790 108377 221413 196611 130870 65741 82336 1267 81069 84857 84857 COMMUNICATIONS 74179 45658 28521 DIRECT PROCUREMENT COSTS 1795725 1795725 PROPERTY TAXES 10301 10301 GENERAL MEDICAL SUPPLIES 212274 212274 906569 672952 233617 8778813 6433525 2345288 0 1066253 968277 325915 225738 1955847 2419615 72130 70515 1607197 1235333 406187 371864 2548243 2713088 6374575 6769097 1070927 975575 1070927 975575 X 5303648 5793522 5303648 5793522 6374575 6769097 489874 0 X false true X true false X 29081 30330 37438 38312 72664 207825 29081 30330 37438 38312 72664 207825 207825 19087 25404 31605 37964 45209 159269 15204 21853 127917 79720 244694 611788 0.33970 0.99300 X Other income Part II line 10 or Part III line 12 Part III Line 12 Miscellaneous income:Monthly triage for eye donors $14,300Eye only donors 21,780Write off old surgeon fees 91,837Total $127,917 1398920 208277 1235333 371864 371864 CERTIFICATES OF DEPOSIT 2713088 F 2713088 9268687 9268687 9268687 8778813 8778813 8778813 X X X false false false false false false Kim VanFrank EXECUTIVE DIRECTOR 177237 14511 17724 13451 222923 Kimberly Gilley DIRECTOR OF CLINICAL OPERATIONS 119769 11101 11977 13789 156636 Form 990 governing body review Part VI line 11 01. FORM 990, Governing body review(Part VI. line 11)THE FINANCE COMMITTEE REVIEWS THE 990 AND ITS ATTACHMENTS. AFTER THAT REVIEW THE 990 AND ITS ATTACHMENTS ARE PRESENTED TO THE GOVERNING BOARD FOR THEIR APPROVAL. Conflict of interest policy compliance Part VI line 12c 02 Conflict of interest policy complisance (Part VI, line 12c)FORM 990, PART VI, LINE 19; GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE GUIDESTAR WEBSITE OR THROUGH THE FREEDOM OF INFORMATION ACT BY REQUESTING TO LOOK AT THEM DURING NORMAL BUSINESS HOURS. BOARD MEMBERS, OFFICERS, AND EMPLOYEES OF MSTF ARE REQUIRED TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND SUBMIT A DISCLOSURE STATEMENT LISTING ANY POTENTIAL CONFLICT OF INTEREST. CEO executive director top management comp Part VI line 15a THE FINANCE COMMITTEE AND CHAIRMAN OF THE FINANCE COMMITTEE REVIEW COMPENSATION ON AN ANNUAL BASIS UTILIZING THE ANNUAL COMPENSATION AND ADMINISTRATIVE PRACTICES SURVEY PRODUCED BY THE ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATIONS.INDEPENDENT SURVEYS ARE ALSO DONE BY COMPENSATION CONSULTANTS. Other officer or key employee compensation Part VI line 15b 04. Other officer or key employee compensation(Part VI, line 15b)THE FINANCE COMMITTEE AND CHAIRMAN OF THE FINANCE COMMITTEE REVIEW COMPENSATION ON AN ANNUAL BASIS BY REVIEWING OTHER 990S THROUGH GUIDESTAR AND SURVEYS DONE BY THE ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATIONS. INDEPENDENT SURVEYS ARE ALSO DONE BY COMPENSATION CONSULTANTS. Governing documents etc available to public Part VI line 19 Part VI, Section C, Line 19GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE GUIDESTAR WEBSITE OR THROUGH THE FREEDOM OF INFORMATION ACT BY REQUESTING TO LOOK AT THEM DURING NORMAL BUSIBESS HOURS. BOARD MEMBERS, OFFICERS, AND EMPLOYEES OF MSTF ARE REQUIRED TO ANNUALLY REVIEW THE CONFLICT OF INTEREST POLICY AND SUBMIT A DISCLOSURE STATEMENT LISTING ANY POTENTIAL CONFLICT OF INTEREST. SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF PERSON: JOHN MCMANUS(D) DESCRIPTION OF TRANSACTION: RECEIVES MONTHLY FOR LEGAL SERVICES SUCH AS CONTRACT REVIEW AND WRITING EMPLOYEE AGREEMENTS. 2016 AMOUNT IS ALSO SHOWN ON FORM 990, PART VII FOR $30,000. List of other fees for services expenses Part IX line 11g CONTRACT TISSUE TECHS 88,316CONTRACT LABOR 8,506CONTRACT FAMILY CARE SPECIALIST 43,742CONTRACT ORGAN RECOVERY COORDINATORS 135,389CONTRACT FIRST RESPONDERS 17,435CONTRACT LIKE REQUESTORS 22,727CONSULTANT LAB DIRECTOR 40,758CONTRACT TECHS 15,811CONTRACT SERVICES 127,405TOTAL 500,089 List of other expenses Part IX line 24e PROCUREMENT SUPPLIES 69,997DUES AND SUBSCRIPTIONS 10,164HOSPITAL USAGE 24,600FUNERAL HOME USAGE 12,255TRANSPORTATION 5,219REPAIRS,MAINTENANCE AND LEASES 222,005SEROLOGY 17,811OTHER 7,325EDUCATIONAL REIMBURSEMENTS (20,000)PROFESSIONAL EDUCATION 18,886DONOR FAMILY ACTIVITIES 18,695DISPOSABLE SUPPLIES 195,322COMMUNITY OUTREACH PROGRAMS 77,692 GIVEAWAYS 5,818MEDIA 7,163TOTAL 672,952