2023-11-27T17:04:37-06:00 2022-12-31 341884125 CBIZ MHM LLC 4722 N 24TH ST STE 300 PHOENIX AZ 85016 990 2022-01-01 880253675 NEVADA DONOR NETWORK INC NEVA 7023171167 2055 E SAHARA AVE LAS VEGAS NV 89104 JOSEPH FERREIRA PRESIDENT/CEO 7023171167 2023-11-27 1 JOSEPH FERREIRA 999009999 1 AMY A O'LOUGHLIN P00869687 6022646835 2023-11-27 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JOSEPH FERREIRA 2055 E SAHARA AVE LAS VEGAS NV 89104 48600267 0 X WWW.NVDONOR.ORG X 1986 NV TO MAXIMIZE THE GIFT OF LIFE AND HEALTH THROUGH ORGAN, EYE, AND TISSUE DONATION. 13 13 214 190 0 0 3062253 782172 40456682 47625710 -767672 -368139 -212645 -410021 42538618 47629722 227325 319656 0 0 18500750 21154199 0 0 0 21822417 25883928 40550492 47357783 1988126 271939 30906336 34402861 9043342 12279951 21862994 22122910 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 22996266 35197593 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. 4087816 9883514 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 ROGRAM 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. 2113831 2410103 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. 11156408 319656 134500 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. 11156408 319656 134500 40354321 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 72 0 1 214 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X JASON MAHFOOD 7023171167 2055 E SAHARA AVE LAS VEGAS NV 89104 BILL WELCH BOARD CHAIR 3.00 X X 0 0 0 TODD SKLAMBERG PAST CHAIR 3.00 X X 0 0 0 CHRIS BOSSE TREASURER 3.00 X X 0 0 0 ESTHER-MARIE CARMICHAEL SECRETARY 3.00 X X 0 0 0 TRUDY LARSON MD CHAIR-ELECT 3.00 X 0 0 0 KATHY SILVER MEMBER 3.00 X 0 0 0 MASON VANHOUWELING MEMBER 3.00 X 0 0 0 STEPHEN CORRIGAN RAYHILL MD MEMBER 3.00 X 0 0 0 CLAUDE WISE MEMBER 3.00 X 0 0 0 DR SEBASTIAN GIWA MEMBER 3.00 X 0 0 0 SHERRY WATSON-LAWLER MEMBER 3.00 X 0 0 0 KAREN RUBEL MEMBER 3.00 X 0 0 0 TYRE GRAY MEMBER 3.00 X 0 0 0 PATRICIA ALLEN MEMBER 3.00 X 0 0 0 JAN JONES BLACKHURST MEMBER 3.00 X 0 0 0 DR JOHN PACKHAM MEMBER 3.00 X 0 0 0 BRIAN KLEVEN MEMBER 3.00 X 0 0 0 PETER GUZMAN MEMBER 3.00 X 0 0 0 JOSEPH FERREIRA PRESIDENT/CEO 40.00 2.50 X 457966 0 30747 JASON MAHFOOD CHIEF FINANCIAL OFFICER 40.00 X 338179 0 50005 JACQUELYN A WARN CHIEF QUALITY OFFICER 40.00 X 246061 0 30211 STEVEN PERALTA FOUNDATION PRESIDENT 40.00 X 241390 0 28699 PHILLIP RUIZ MEDICAL DIRECTOR OF CLINICAL LABORATORIES 40.00 X 415202 0 22630 DANIEL LUNN VP OF TISSUE OPERATIONS 40.00 X 196671 0 47211 SARA LEVINSON VP OF PEOPLE 40.00 X 182832 0 34910 ELIZABETH MARIE SHIPMAN SENIOR DIRECTOR OF ORGAN SERVICES 40.00 X 174124 0 16714 JOSHUA JAMES ADAMS DIRECTOR OF INFORMATION TECHNOLOGY 40.00 X 173826 0 29284 CHRISTOPHER LEE JOHNS DIRECTOR OF OCULAR SERVICES 40.00 X 147226 0 36779 2573477 0 327190 48 0 1 0 TRINITY AIR MEDICAL INC 1437 W AUTO DRIVE TEMPE AZ 85284 SURGEON TRANSPORTATION 692337 BLACK KNIGHT SPORTS AND ENTERTAINMENT L 1550 S PAVILION CENTER DRIVE 2ND F LAS VEGAS NV 89135 PUBLIC EDUCATION 350602 ASYSTON PROFESSIONAL LLC 13716 HARTLE GROVES PLACE 301 CLEREMONT FL 34711 MEDICAL CONTRACTOR 196367 RED ROCK PRODUCTIONS LLC 1980 FESTIVAL PLAZA DRIVE SUITE 300 LAS VEGAS NV 89135 MEDIA PRODUCTION 189676 VROOM VROOM LLC 1800 N BAYSHORE DR APT 1714 MIAMI FL 33132 MEDICAL CONTRACTOR 175243 8 752183 29989 483670 782172 ORGAN RECOVERY 621500 35197593 35197593 TISSUE & EYE RECOVERY 621500 9883514 9883514 HLA LABORTORY 621500 2410103 2410103 ALL OTHER FEES 621500 134500 134500 47625710 76886 76886 445025 -445025 -445025 -445025 49800 752183 525520 -475720 -475720 OTHER INCOME 541900 65699 65699 65699 47629722 47625710 0 -778160 319656 319656 1884881 1510821 374060 15118611 12005174 3113437 575687 432512 143175 2256540 1689183 567357 1318480 1071611 246869 125809 14725 111084 43513 43513 2690770 2255345 435425 27889 11533 16356 1110894 776877 334017 728446 483287 245159 444718 321941 122777 21852 21852 577386 237919 339467 398024 316585 81439 RECOVERY COSTS 6053461 6053461 IMPORT COSTS 4670587 4670587 MEDICAL SUPPLIES 2786659 2786659 LABORATORY 2108906 2108906 4095014 3287539 807475 47357783 40354321 7003462 0 7039970 5507165 276007 280622 10756225 14738885 386479 460177 599523 612267 12570195 4660819 8343464 7909376 17595 20476 13719 7286 3473354 4866607 30906336 34402861 8618909 10877621 81506 26154 342927 931017 0 445159 9043342 12279951 X 21862994 22122910 21862994 22122910 30906336 34402861 271939 -14804 2781 0 X 0 1 X 1 0 X 43228 71161 6143534 3113553 782172 10153648 29882877 32793261 35463166 40456682 47625710 186221696 29926105 32864422 41606700 43570235 48407882 196375344 0 0 0 196375344 111068 192000 30567 780 76886 411301 111068 192000 30567 780 76886 411301 36676 65699 102375 30037173 33056422 41637267 43607691 48550467 196889020 0.99740 0.99760 0.00210 0.00210 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 8183 8183 0 PART II-B, LINE 1, LOBBYING ACTIVITIES NDN PAYS DUES TO THE ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATION (AOPO), OF WHICH A SMALL PORTION IS USED FOR LOBBYING. 423012 423012 4487494 1332276 3155218 4576171 1211307 3364864 2960289 2073424 886865 123229 43812 79417 7909376 DUE TO/FROM BLUE FLAG 156504 DUE TO/FROM NEVADA DONOR NETWORK FOUNDATION 521439 DEPOSITS 73939 457 ASSET 86088 INVESTMENT IN BLUE FLAG 2559704 INVESTMENT IN DSL 1001833 RIGHT OF USE ASSETS 467100 4866607 RIGHT OF USE LIABILITY 445159 445159 X PART X, LINE 2: NEVADA DONOR NETWORK, INC., QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND, ACCORDINGLY, THERE IS NO PROVISION FOR INCOME TAXES. IN ADDITION, THIS ENTITY QUALIFIES FOR THE CHARITABLE DEDUCTION UNDER SECTION 170 OF THE CODE AND HAVE BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION. INCOME DETERMINED TO BE UNRELATED BUSINESS TAXABLE INCOME ("UBTI") WOULD BE TAXABLE. THE ORGANIZATION EVALUATES THEIR UNCERTAIN TAX POSITIONS, IF ANY, ON A CONTINUAL BASIS THROUGH REVIEW OF THEIR POLICIES AND PROCEDURES, REVIEW OF THEIR REGULAR TAX FILINGS, AND DISCUSSIONS WITH OUTSIDE EXPERTS. THE ORGANIZATION BELIEVES THEY HAVE APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, THEY DO NOT HAVE ANY UNCERTAIN TAX POSITIONS. THE ORGANIZATION'S FEDERAL, STATE AND LOCAL TAX RETURNS GENERALLY REMAIN OPEN FOR EXAMINATION BY THE VARIOUS TAXING AUTHORITIES FOR A PERIOD OF THREE TO SIX YEARS. GALA 801983 752183 49800 151300 100500 36820 236900 801983 752183 49800 151300 100500 36820 236900 525520 -475720 1 NEVADA DONOR NETWORK FOUNDATION 2055 E SAHARA AVE LAS VEGAS NV 89104 812380381 258636 0 PROGRAM SUPPORT AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES 3439 EAGLE WAY CHICAGO IL 60678 870957329 15000 0 PROGRAM SUPPORT ASIAN AMERICAN GROUP LV INC 3667 DUTCH VALLEY DR LAS VEGAS NV 89147 382772488 7500 0 PROGRAM SUPPORT INDOOR FOOTBALL LEAGUE 16431 BINLEY ROAD MIDLOTHIAN VA 23112 140723956 5000 0 PROGRAM SUPPORT UNOS 700 NORTH 4TH STREET RICHMOND VA 23219 541327878 7500 0 PROGRAM SUPPORT TUORO UNIVERSITY 50 W 47TH ST NEW YORK NY 10036 680646771 5000 0 PROGRAM SUPPORT SCHEDULE I, PART I, LINE 2 THE ORGANIZATION GIVES TO PRE-SELECTED CHARITIES THAT SUPPORT THE MISSION OF THE ORGANIZATION. NO FURTHER MONITORING IS CONSIDERED NECESSARY. X 1 1 X X X X 0 0 0 0 0 1 0 0 0 JOSEPH FERREIRA PRESIDENT/CEO 437201 0 20765 0 0 0 20006 0 10741 0 488713 0 0 0 PHILLIP RUIZ MEDICAL DIRECTOR OF CLINICAL LABORAT 415202 0 0 0 0 0 1160 0 21470 0 437832 0 0 0 JASON MAHFOOD CHIEF FINANCIAL OFFICER 296516 0 41663 0 0 0 20163 0 29842 0 388184 0 0 0 JACQUELYN A WARN CHIEF QUALITY OFFICER 224865 0 21196 0 0 0 11601 0 18610 0 276272 0 0 0 STEVEN PERALTA FOUNDATION PRESIDENT 232210 0 9180 0 0 0 6868 0 21831 0 270089 0 0 0 DANIEL LUNN VP OF TISSUE OPERATIONS 187671 0 9000 0 0 0 18769 0 28442 0 243882 0 0 0 SARA LEVINSON VP OF PEOPLE 167332 0 15500 0 0 0 8168 0 26742 0 217742 0 0 0 JOSHUA JAMES ADAMS DIRECTOR OF INFORMATION TECHNOLOGY 172489 0 1337 0 0 0 923 0 28361 0 203110 0 0 0 ELIZABETH MARIE SHIPMAN SENIOR DIRECTOR OF ORGAN SERVICES 166124 0 8000 0 0 0 5973 0 10741 0 190838 0 0 0 CHRISTOPHER LEE JOHNS DIRECTOR OF OCULAR SERVICES 140976 0 6250 0 0 0 6937 0 29842 0 184005 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 COMPENATION STUDY AT REGULAR INTERVALS, USING A THRID PARTY COMPENSATION CONSULTANT. CERTAIN EXECUTIVES HAVE WRITTED EMPLOYMENT CONTRACTS WHICH ARE REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. PART I, LINE 6 THE DIRECTOR'S 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. X SPECIAL EVENT ITEMS 1 483670 FMV 0 0 0 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). 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 2055 E SAHARA AVENUE LAS VEGAS NV 89104 475262223 INVESTING NV NEVADA DONOR NETWORK INC C 1 1200155 1.00000 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 NEVADA DONOR NETWORK FOUNDATION C 258636 ACTUAL AMOUNT