2023-11-10T14:49:13-06:00 2022-12-31 381357951 PLANTE & MORAN PLLC 2601 CAMBRIDGE CT STE 300 AUBURN HILLS MI 48326 990 2022-01-01 382772488 ORGAN PROCUREMENT AGENCY OF MICHIGAN ORGA 7349731577 3861 RESEARCH PARK DRIVE ANN ARBOR MI 48108 SHARON BAYLISS VP ADMINISTRATION/CFO 7349731577 2023-11-09 1 SHARON BAYLISS 999009999 0 AMY CIMINELLO P00796388 2483757100 2023-11-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z GIFT OF LIFE MICHIGAN LADORA DILS 3861 RESEARCH PARK DRIVE ANN ARBOR MI 48108 107083536 0 X WWW.GIFTOFLIFEMICHIGAN.ORG X 1971 MI GIFT OF LIFE MICHIGAN IS THE STATE'S FEDERALLY DESIGNATED ORGAN AND TISSUE RECOVERY ORGANIZATION. AS SUCH, IT ASSISTS DONOR FAMILIES DURING THEIR TIME OF GRIEF AND ACTS AS THE INTERMEDIARY BETWEEN HOSPITALS AND TRANSPLANT CENTERS TO PROVIDE LIFE-SAVING, LIFE-IMPROVING ORGANS AND TISSUES FOR TRANSPLANT. THESE "GIFTS" INCLUDE SUCH THINGS AS KIDNEYS, LIVERS, HEARTS, LUNGS, SKIN, TENDONS AND BONE. IN FACT, A SINGLE ORGAN DONOR CAN SAVE UP TO EIGHT LIVES, WHILE A TISSUE DONOR CAN IMPROVE THE LIVES OF UP TO 75 MORE. GIFT OF LIFE ALSO PROMOTES ORGAN, TISSUE AND EYE DONATION AND MAINTAINS THE MICHIGAN ORGAN DONOR REGISTRY ALONG WITH THE MICHIGAN SECRETARY OF STATE DEPARTMENT. THE CONFIDENTIAL DONOR REGISTRY DOCUMENTS A PERSON'S SELFLESS DESIRE TO SAVE OTHERS AFTER HIS OR HER OWN LIFE HAS ENDED. 21 21 416 400 0 0 0 0 83726562 99347976 1226919 1058401 0 0 84953481 100406377 0 0 0 0 27059749 33229086 0 0 0 55280051 65989258 82339800 99218344 2613681 1188033 64824276 67108935 13999749 17706927 50824527 49402008 X WE HONOR LIFE THROUGH DONATION. 0 0 86853195 99347976 FACILITATED 463 ORGAN DONORS, WHICH LED TO 1,052 ORGAN TRANSPLANTS, EACH ONE REPRESENTING NEW LIFE FOR THE RECIPIENT. FACILITATED 1,821 TISSUE DONORS, WHOSE GIFTS MAY HELP CANCER AND BURN VICTIMS WITH RECONSTRUCTIVE SURGERY AND MAY PROVIDE MOBILITY FOR OTHERS WITH ORTHOPEDIC INJURIES. ORGANIZED AND ORCHESTRATED A GATHERING OF DONOR FAMILIES, PAYING TRIBUTE TO THE PREVIOUS YEAR'S ORGAN AND TISSUE DONORS AND THE GIFTS THEY SELFLESSLY GAVE. APPROXIMATELY 800 DONOR FAMILY MEMBERS ATTENDED THE EVENT IN PERSON AND VIRTUALLY. THROUGH ITS VOLUNTEER CORPS, PROVIDED 2,108 SERVICE HOURS FOR PROMOTING DONATION. MORE THAN 236,000 NEW NAMES ADDED TO THE DONOR REGISTRY, BRINGING THE STATEWIDE TOTAL TO NEARLY 4.5 MILLION RESIDENTS REPRESENTING 56% OF THE ADULT POPULATION IN THE STATE. CONDUCTED 750 CRITICAL-CARE IN-SERVICES THAT EDUCATED MORE THAN 15,000 HEALTH CARE INDIVIDUALS ABOUT THE BEST PRACTICES OF ORGAN AND TISSUE DONATION. THROUGH ITS IN-HOUSE LABORATORY, PERFORMED OVER 45,000 TESTS ON 630 POTENTIAL DONORS AND 500 OUT-OF-STATE DONORS. THE TESTS ENSURE THAT PEOPLE RECEIVING THE TRANSPLANTS HAVE THE GREATEST CHANCE OF SUCCESS. 86853195 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 108 0 1 416 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MI X SHARON BAYLISS 8665005801 3861 RESEARCH PARK DRIVE ANN ARBOR MI 48108 PAMELA SEXTON CHAIR 5.00 0.00 X X 0 0 0 ANNE MURPHY IMMEDIATE PAST CHAIR 5.00 0.00 X X 0 0 0 KATHLEEN VOGELSANG CFA CHAIR ELECT 5.00 0.00 X X 0 0 0 TIMOTHY MULLIGAN SECRETARY 5.00 0.00 X X 0 0 0 CAROLYN COLE-BROWN TREASURER 5.00 0.00 X X 0 0 0 RICHARD BOOTHMAN DIRECTOR 2.00 0.00 X 0 0 0 DENISE BROOKS-WILLIAMS DIRECTOR 2.00 0.00 X 0 0 0 KANDISS ECTON DIRECTOR 2.00 0.00 X 0 0 0 JANICE FIRN DIRECTOR 2.00 0.00 X 0 0 0 DARLA GRANGER MD DIRECTOR 2.00 0.00 X 1250 0 0 MICHAEL GRISDELA DIRECTOR 2.00 0.00 X 0 0 0 ANN HOLLENBECK DIRECTOR 2.00 0.00 X 0 0 0 SAID ISSA MD DIRECTOR 2.00 0.00 X 0 0 0 ANNETTE JOE MD DIRECTOR 2.00 0.00 X 0 0 0 ALAN LEICHTMAN MD DIRECTOR 2.00 0.00 X 0 0 0 JOHN MAGEE MD DIRECTOR 2.00 0.00 X 0 0 0 ORA PESCOVITZ MD DIRECTOR 2.00 0.00 X 0 0 0 LESLIE ROCHER DIRECTOR 2.00 0.00 X 0 0 0 PAMELA SAWHNEY DIRECTOR 2.00 0.00 X 0 0 0 CHRISTIAN SCHAFER DIRECTOR 2.00 0.00 X 0 0 0 SHANNON WILSON DIRECTOR 2.00 0.00 X 0 0 0 LADORA DILS PRESIDENT/CEO 45.00 0.00 X 672040 0 73841 SHARON BAYLISS VP ADMINISTRATION/CFO 45.00 0.00 X 181492 0 14139 BRUCE NICELY VP CLINICAL OPERATIONS 45.00 0.00 X 318407 0 33264 ANNE KOWALCZYK VP ADMINISTRATION/CFO 45.00 0.00 X 90241 0 22364 PATRICK WELLS-OBRIEN VP COMMUNICATIONS 45.00 0.00 X 204049 0 33934 JEFFREY WISNIEWSKI VP REGULATROY COMPLIANCE/G 45.00 0.00 X 252842 0 27820 MIGUEL WEST MD PROCUREMENT SURGEON 40.00 0.00 X 350043 0 49917 KRISTIN DELLI CARPINI PERFORMANCE IMPROVEMENT DIRECTOR 40.00 0.00 X 213075 0 14010 LORI LAWYER FINANCE DIRECTOR 40.00 0.00 X 183345 0 33983 SHEILA ALSTON SP PERFORMANCE IMPROVEMENT SPECIALIST 40.00 0.00 X 178074 0 25132 MELODY PEHOTE AD HOC RESPONSE COORDINATOR 40.00 0.00 X 173267 0 17327 2818125 0 345731 95 0 1 0 NATIONWIDE ORGAN RECOVERY 3815 E MAIN ST SUITE C ST CHARLES IL 60174 TRANSPORTATION OF ORGANS, TISSUE DONORS, 2444281 THERESA CODY 744 WATERSEDGE DRIVE ANN ARBOR MI 48105 LAB SERVICES 232373 RED AUSTINS FUNERAL COACH SERVICE LLC 6780 JACKSON TAYLOR MI 48180 TRANSPORTATION OF ORGANS, TISSUE DONORS, 207633 EMAD KISHI 22101 MOROSS RD PB2 SUITE 480 DETROIT MI 48236 SURGEON 200460 CHARLES ROETMAN 1619 CRESCENT POINTE DR SE CALEDONIA MI 49316 TRANSPORTATION OF ORGANS, TISSUE DONORS, 160047 11 MEDICARE PAYMENTS 621300 45322069 45322069 ORGAN RECOVERY 621300 38682517 38682517 TISSUE RECOVERY 621300 14822590 14822590 LAB SERVICES 621300 520800 520800 99347976 940836 940836 6794724 6677159 117565 117565 117565 100406377 99347976 0 1058401 1813077 589652 1223425 21934651 17601963 4332688 1808537 1499332 309205 5196733 4029899 1166834 2476088 2082323 393765 79559 79559 41945 41945 54341 54341 7256883 6820302 436581 4099797 2633646 1466151 981293 139748 841545 5902168 5902168 888858 730470 158388 214509 214509 1472129 267971 1204158 386899 386899 IMPORTED ORGAN COSTS 27035959 27035959 DONOR HOSPITAL EXPENSES 11090690 11090690 LAB & MEDICAL SUPPLIES 6279736 6279736 204492 149336 55156 99218344 86853195 12365149 0 13467795 6262550 9055576 14433704 1130882 1413264 946065 1118992 32457518 13273777 19240487 19183741 15360324 13255140 5623147 11441544 64824276 67108935 7478898 11036387 6268458 5625358 252393 1045182 13999749 17706927 X 50824527 49402008 50824527 49402008 64824276 67108935 1188033 -2610552 0 X X 0 1 X 1 0 X 7596 7596 59928634 64490339 69307403 83726562 99347976 376800914 59936230 64490339 69307403 83726562 99347976 376808510 0 0 0 376808510 485648 647468 349142 861069 940836 3284163 485648 647468 349142 861069 940836 3284163 60421878 65137807 69656545 84587631 100288812 380092673 0.99140 0.99200 0.00860 0.00800 X 0 0 0 0 0 0 1 3397 1 25735 1 28606 57738 0 PART II-B, LINE 1: LOBBYING ACTIVITIES INCLUDE EDUCATION IN THE INTEREST OF ORGAN AND TISSUE DONATION, CHECK YOUR HEART RALLY IN LANSING, MICHIGAN AND PARTICIPATION WITH THE ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATIONS (AOPO), IN THE ORGAN DONATION ADVOCACY GROUP (ODAG), AND KAROUB CONSULTING WHO DEDICATE A PORTION OF FUNDS TO LOBBYING. 445653 445653 23338054 7572972 15765082 8362652 5700805 2661847 311159 311159 19183741 FLEXIBLE PREMIUM ANNUITY 176874 COST REPORT SETTLEMENT RECEIVABLE 10650220 INTEREST RATE SWAP 614450 11441544 FLEXIBLE PREMIUM ANNUITY 176874 MEDICARE REIMBURSEMENT 868308 1045182 97795825 -2610552 -2610552 100406377 0 100406377 99218344 0 99218344 0 99218344 X X X X X 0 0 0 0 0 0 0 0 0 LADORA DILS PRESIDENT/CEO 599303 0 45000 0 27737 0 54500 0 19341 0 745881 0 0 0 MIGUEL WEST MD PROCUREMENT SURGEON 334387 0 0 0 15656 0 34000 0 15917 0 399960 0 0 0 BRUCE NICELY VP CLINICAL OPERATIONS 304588 0 0 0 13819 0 31402 0 1862 0 351671 0 0 0 JEFFREY WISNIEWSKI VP REGULATROY COMPLIANCE/G 242942 0 0 0 9900 0 25206 0 2614 0 280662 0 0 0 PATRICK WELLS-OBRIEN VP COMMUNICATIONS 198444 0 0 0 5605 0 18826 0 15108 0 237983 0 0 0 KRISTIN DELLI CARPINI PERFORMANCE IMPROVEMENT DIRECTOR 201543 0 0 0 11532 0 13206 0 804 0 227085 0 0 0 LORI LAWYER FINANCE DIRECTOR 176254 0 0 0 7091 0 18251 0 15732 0 217328 0 0 0 SHEILA ALSTON SP PERFORMANCE IMPROVEMENT SPECIALIS 169015 0 0 0 9059 0 17579 0 7553 0 203206 0 0 0 SHARON BAYLISS VP ADMINISTRATION/CFO 179839 0 0 0 1653 0 0 0 14139 0 195631 0 0 0 MELODY PEHOTE AD HOC RESPONSE COORDINATOR 163784 0 0 0 9483 0 17327 0 0 0 190594 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS MADE PUBLIC TO ALL GOVERNING BOARD AND COMMITTEE MEMBERS ON A SHARED PORTAL PRIOR TO FILING. THE FINANCE AND AUDIT COMMITTEE ALSO REVIEW THE 990 SUBSEQUENT TO FILING. A FINAL COPY OF THE 990 IS ON GUIDESTAR.ORG WITH A LINK ON THE ORGANIZATION'S WEBSITE TO THE GUIDESTAR WEBSITE. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, COMMITTEE MEMBERS, AND EMPLOYEES OF GIFT OF LIFE MICHIGAN ARE COVERED UNDER THE CORPORATE COMPLIANCE POLICY AND CONFLICT OF INTEREST POLICY. ALL PARTIES ARE TRAINED ON AN ANNUAL BASIS AND MUST DECLARE CONFLICTS OF INTEREST AT THAT TIME. EXECUTIVE LEADERSHIP ASSESSES THE LEVEL OF CONFLICT AND IS ALSO ENTRUSTED TO MANAGE THESE CONFLICTS AT EACH BOARD OR COMMITTEE MEETING. MEMBERS WHO HAVE CONFLICTS MUST ABSTAIN FROM VOTING AND THEIR ABSTENTION IS RECORDED IN THE MINUTES. THE COMPLIANCE COMMITTEE ANNUALLY REVIEWS CONFLICTS OF INTEREST FROM EMPLOYEES AND BOARD AND COMMITTEE MEMBERS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE ENGAGED AN OUTSIDE CONSULTANT TO PROVIDE A COMPREHENSIVE REVIEW OF THE CEO COMPENSATION, AFTER WHICH THE EXECUTIVE COMMITTEE DETERMINED THE CEO COMPENSATION. IN ADDITION, COMPENSATION OF CERTAIN SENIOR LEADERSHIP POSITIONS IS ALSO REVIEWED BY THE EXECUTIVE COMMITTEE. SALARIES ARE BENCHMARKED AGAINST MARKET SURVEYS WITHIN AND OUTSIDE OF THE ORGAN PROCUREMENT INDUSTRY. OTHER POSITIONS ARE ROUTINELY MEASURED AND BENCHMARKED BY INDUSTRY SURVEYS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNANCE DOCUMENTS ARE SUPPLIED AS REQUESTED BY THE PUBLIC. BOARD AND COMMITTEE MEMBERS AND EMPLOYEES HAVE THIS INFORMATION AVAILABLE TO THEM BY A SHARED WEBSERVER AND INTRANET PORTALS. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.