2013-11-15T11:33:26-06:00 2012-12-31 721088864 LAPORTE APAC 111 VETERANS MEMORIAL BLVD SUITE 600 METAIRIE LA 700054958 990 2012-01-01 721110932 LOUISIANA ORGAN PROCUREMENT AGENCY LOUI 5048373355 3545 N I-10 SERVICE ROAD SUITE 300 METAIRIE LA 70002 KYLE B HAGAN 5048373355 2013-11-11 1 AMY E WALTERS CPA CCIFP P01078383 5048355522 2012 2016-02-25 16:41:14Z KYLE B HAGAN 4441 NORTH I-10 SERVICE ROAD METAIRIE LA 70006 21835402 0 X WWW.LOPA.ORG X 1987 LA OUR MISSION IS TO SAVE AND ENHANCE LIVES THROUGH ORGAN AND TISSUE DONATION FOR TRANSPLANTATION. 9 5 159 240 0 0 49595 213995 17335251 20123609 -12141 57673 57814 212178 17430519 20607455 0 0 0 0 8037050 9019576 0 0 0 9829285 11359667 17866335 20379243 -435816 228212 12956373 14231660 2140152 3086863 10816221 11144797 X OUR MISSION IS TO SAVE AND ENHANCE LIVES THROUGH ORGAN AND TISSUE DONATION FOR TRANSPLANTATION. LOPA WAS FORMED BY FOUR INSTITUTIONS--OCHSNER, TULANE, LSU SOUTH, AND LSU NORTH--TO SERVICE A MEDICAL NEED THAT WAS NOT BEING MET IN THIS COMMUNITY. LOPA IS THE ONLY ORGANIZATION THAT PROCURES ORGAN AND TISSUE DONATIONS FROM DONORS AT THE TIME OF THEIR DEATH TO USE FOR TRANSPLANTATION ON OTHER PATIENTS. LOPA OVERSEES THE PROCUREMENT PROCESS AS WELL AS THE ENVIRONMENTAL CONDITIONS AND HANDLING OF THE ORGANS AND TISSUES BOTH PRIOR TO DELIVERY AND DURING DELIVERY FOR TRANSPLANT. LOPA ALSO ARRANGES THE HISTO-COMPATIBILITY TESTING AT THE FOUR TRANSPLANT CENTERS TO MATCH ORGANS AND TISSUES WITH PROSPECTIVE RECIPIENTS. 0 0 14056420 18209384 DURING 2012, LOPA RECOVERED VARIOUS HUMAN ORGANS FOR TRANSPLANTATION. PATIENTS BENEFITTED FROM THE FOLLOWING ACQUISITIONS: KIDNEYS-225, HEARTS-44, LIVERS-157, PANCREAS-37, LUNGS-48, SMALL BOWEL-3. 1390195 1883325 DURING 2012, LOPA RECOVERED VARIOUS HUMAN TISSUES FOR TRANSPLANTATION. PATIENTS BENEFITTED FROM THE FOLLOWING ACQUISITIONS: HEART VALVES-59, SAPHENOUS VEINS-32, BONE-234, SOFT TISSUE - SKIN -60. 30900 DURING 2012, LOPA RECOVERED NONVIABLE ORGANS FOR RESEARCH. PATIENTS BENEFITTED FROM THE FOLLOWING ACQUISITIONS: TISSUE/ORGAN RESEARCH - 2. 131228 131228 15446615 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 1 159 1 0 0 0 0 0 0 0 0 0 0 X 9 5 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 LA X X KYLE HAGAN CHIEF OPERATING OFFICER 5048373355 3501 N CAUSEWAY BLVD STE 940 METAIRIE LA 70002 DANIEL FREY MD 1.00 X 0 0 0 ARI COHEN MD 1.00 X X 0 0 0 CHIP PORTER 1.00 X X 0 0 0 JANICE KISHNER 1.00 X X 0 0 0 ROBERT MCMILLEN MD 1.00 X 0 0 0 BRENT ALPER MD 1.00 X 0 0 0 TREVOR FROM MD 1.00 X X 0 0 0 DAVID PUCKETT 1.00 X 0 0 0 SCOTT PERILLOUX 1.00 X 0 0 0 KELLY RANUM 40.00 X 239648 0 39646 KYLE HAGAN 40.00 X 103858 0 30126 343506 0 69772 2 0 1 0 BLUE CROSS BLUE SHIELD PO BOX 261798 BATON ROUGE LA 70826 MEDICAL INSURANCE 1688312 BAYOU JETS 922 HWY 81E SUITE 333 MCDONOUGH GA 30258 AIR TRAVEL 741980 OUR LADY OF THE LAKE PO BOX 14790 BATON ROUGE LA 70898 MEDICAL 471278 ORGAN RECOVERY SYSTEMS INC DEPARTMENT CH 16340 PALATINE IL 60055 MEDICAL 466219 LAFAYETTE GENERAL MEDICAL CENTER 121 AUDUBON LAFAYETTE LA 70505 MEDICAL 343103 24 213995 213995 ORGAN ACQUISITION 900099 18209384 18209384 TISSUE SERVICES 900099 1883325 1883325 ORGAN RESEARCH 900099 30900 30900 20123609 60157 60157 1149983 1152467 -2484 -2484 -2484 156430 75480 80950 80950 REIMBURSEMENT INCOME FROM MEDICAR 900099 131228 131228 131228 20607455 20254837 0 138623 413277 257308 155969 7428154 5598833 1829321 576095 356967 219128 602050 450041 152009 44784 44784 132363 132363 135703 135703 87473 3250 84223 255084 255084 640336 146470 493866 201687 144734 56953 336183 257221 78962 36 36 269650 269650 2140719 1182660 958059 DIRECT ORGAN PROCUREMEN 6150735 6150735 DIRECT TISSUE PROCUREME 525740 525740 MEMORIAL SERVICES 148956 148956 EQUIPMENT RENTAL AND MA 118931 118931 171287 87997 83290 20379243 15446615 4932628 0 2067995 2072126 1358255 968096 3373616 5021503 166484 208193 158779 182015 5489238 2325248 3322277 3163990 2496468 2603238 12499 12499 12956373 14231660 2140152 3086863 2140152 3086863 X 10816221 11144797 10816221 11144797 12956373 14231660 228212 100364 0 X X 0 1 X 1 0 X 20287 27834 36622 49595 213995 348333 15189405 16834733 17758832 17449103 20280039 87512112 15209692 16862567 17795454 17498698 20494034 87860445 0 0 0 87860445 57168 59464 26960 38903 60157 242652 57168 59464 26960 38903 60157 242652 1550 5656 3248 131228 141682 15266860 16923581 17828070 17540849 20685419 88244779 0.99560 0.99460 0.00270 0.00430 X SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: PART III, SECTION B LINE 12: 2007: INSURANCE PROCEEDS OF $79,135 2009: MISCELLANEOUS INCOME OF $1,550 2010: MISCELLANEOUS INCOME OF $5,656 2011: MISCELLANEOUS INCOME OF $3,248 2012: REIMBURSEMENT INCOME OF $131,228 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 1000000 1000000 1500000 100000 100000 250000 250000 375000 591797 591797 2076496 373200 1703296 555911 114796 441115 1945594 1750971 194623 319440 86281 233159 3163990 X 20531807 100364 100364 20431443 44784 131228 176012 20607455 20203231 -131228 -131228 20334459 44784 44784 20379243 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: IN 2009, THE AGENCY ADOPTED THE PROVISIONS OF THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES TOPIC OF THE FASB ASC, WHICH CLARIFIES THE ACCOUNTING AND RECOGNITION FOR INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE AGENCY'S INCOME TAX RETURNS. ALL TAX RETURNS HAVE BEEN APPROPRIATELY FILED BY THE AGENCY. THE AGENCY RECOGNIZES INTEREST AND PENALTIES, IF ANY, RELATED TO UNRECOGNIZED TAX BENEFITS IN INCOME TAX EXPENSE. THE AGENCY FILES INCOME TAX RETURNS IN THE FEDERAL AND LOUISIANA STATE JURISDICTIONS. NONE OF THE RETURNS ARE CURRENTLY UNDER EXAMINATION BY SUCH JURISDICTIONS. THE AGENCY'S OPEN AUDIT PERIODS ARE 2009 - 2011. MANAGEMENT EVALUATED THE AGENCY'S TAX POSITIONS AND CONCLUDED THAT THE AGENCY HAD TAKEN NO UNCERTAIN TAX POSITIONS IN 2012 AND 2011 THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. PART XI, LINE 4B - OTHER ADJUSTMENTS: REIMBURSEMENT INCOME 131,228. PART XII, LINE 2D - OTHER ADJUSTMENTS: REIMBURSEMENT INCOME -131,228. GOLF FORE LIFE 35810 35810 22547 CASE OLE RUN FOR THEIR LIVES 35430 35430 10988 5 85190 85190 41945 156430 156430 75480 75480 80950 X X 0 0 0 0 0 0 0 0 0 KELLY RANUM 225000 0 5000 0 9648 0 19125 0 20521 0 279294 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 FOUR BOARD MEMBERS ARE EMPLOYEES OF THE LOPA'S MEMBER INSTITUTIONS. THESE EMPLOYEES ARE TRANSPLANTS SURGEONS, AND ACTUALLY PERFORM ORGAN PROCUREMENT SERVICES FOR LOPA. LOPA PAYS THE SURGEON FEES AND HISTO-COMPATABILITY LAB FEES TO THE MEMBER INSTITUTIONS THAT EMPLOY THE SURGEONS. THE SURGEONS ARE COMPENSATED FOR THEIR SERVICES BY THEIR EMPLOYERS. ALTHOUGH THE BOARD MEMBERS ARE NOT COMPENSATED DIRECTLY BY LOPA, THEY ARE COMPENSATED BY THEIR INSTITUTIONS FOR SERVICES PROVIDED TO LOPA, AND ARE THUS DEEMED NON-INDEPEDENT BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS FOUR MEMBER INSTITUTIONS, WHICH ARE TRANSPLANT CENTERS. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS FOUR MEMBER INSTITUTIONS, WHICH ARE TRANSPLANT CENTERS. ONE REPRESENTATIVE FROM EACH INSTITUTION IS APPOINTED TO SIT ON THE BOARD OF DIRECTORS. THESE FOUR INDIVIDUALS ARE TRANSPLANT SURGEONS, AND THEY ARE PART OF THE EXECUTIVE COMMITTEE REGARDLESS OF WHETHER THEY ARE AN OFFICER OR NOT. DECISIONS MADE BY THE GOVERNING BODY ARE NOT SUBJECT TO APPROVAL BY THE LEADERS OF THESE INSTITUTIONS. FORM 990, PART VI, SECTION B, LINE 11 THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPLETED FORM 990 BEFORE IT IS SIGNED AND SUBMITTED. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS AND STAFF ARE ANNUALLY PROVIDED WITH A COPY OF THE CONFLICT OF INTEREST POLICY AND DISCLOSURE FORM TO SIGN INDICATING THEY HAVE REVIEWED AND UNDERSTAND THE POLICY. THEY ARE REQUIRED TO INFORM THE ORGANIZATION OF ANY CONFLICTS THAT MAY EXIST. FORM 990, PART VI, SECTION B, LINE 15 OFFICERS ARE NOT COMPENSATED. THE EXECUTIVE DIRECTOR'S COMPENSATION IS INDEPENDENTLY REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. THE ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATION'S NATIONAL SALARY SURVEY IS USED AS A MEASUREMENT FOR DETERMINING COMPENSATION, AND ALL DECISIONS ARE CONTEMPORANEOUSLY SUBSTANTIATED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.