Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
INTEL SOC HEART & LUNG TRANSPLANTATION
Employer identification number
36-3142246
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
1,297,471
1,584,955
1,065,360
1,361,666
964,686
6,274,138
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
2,157,178
1,837,384
2,343,563
2,327,129
2,955,168
11,620,422
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
0
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
0
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
6
Total. Add lines 1 through 5.
3,454,649
3,422,339
3,408,923
3,688,795
3,919,854
17,894,560
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
1,112,000
1,177,500
723,500
1,012,500
699,750
4,725,250
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
0
c
Add lines 7a and 7b..
1,112,000
1,177,500
723,500
1,012,500
699,750
4,725,250
8
Public support (Subtract line 7c from line 6.)
13,169,310
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
3,454,649
3,422,339
3,408,923
3,688,795
3,919,854
17,894,560
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
70,537
84,047
204,277
194,092
165,754
718,707
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
0
c
Add lines 10a and 10b.
70,537
84,047
204,277
194,092
165,754
718,707
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
0
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
0
13
Total support. (Add lines 9, 10c, 11, and 12.)..
3,525,186
3,506,386
3,613,200
3,882,887
4,085,608
18,613,267
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
70.750 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
65.240 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
3.860 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
4.920 %
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
13000170
Software Version:
2013v3.1
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
INTEL SOC HEART & LUNG TRANSPLANTATION
Employer identification number
36-3142246
Return Reference
Explanation
Form 990, Part III, Line 4d: Other Program Services Description
OTHER PROGRAM SERVICES 4: PROGRAMS & SERVICES - ALL OF THE SOCIETY'S PROGRAM SERVICES ARE DESIGNED FOR THE PURPOSE OF EXECUTING THE 6 MISSIONS DESCRIBED ABOVE.
Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company
QUANTUM MANAGEMENT COMPANY PROVIDES THE FOLLOWING SERVICES TO ISHLT: PROVISION OF OFFICE SPACE, FURNITURE, FIXTURES, EQUIPMENT, AND UTILITIES; STAFF TO PERFORM ALL MANAGEMENT, OPERATIONAL, AND ADMINISTRATIVE SERVICES NECESSARY FOR THE SOCIETY TO EXECUTE ITS MISSION AND GOALS.
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder
Active membership - is open to all individuals actively engaged in transplantation medicine or related medical or commercial fields. Active members may vote, hold office, and serve on committees.Associate membership - is open to all individuals in training (resident, fellow, medical student, nursing student, graduate student). Associate members are assessed a reduced membership fee. Associate membership is limited to three years. Associate members may not vote or hold office but may serve on committees.Emeritus membership - is bestowed by the Board of Directors upon individuals who are active members of the Society in good standing, who have retired from active practice, and who, in the estimation of the Board, have made significant contributions to the Society. Membership fees are waived for Emeritus members. Emeritus members may vote and serve on committees but may not hold office.Retired membership - is granted to all members who write to the Board requesting it, who have been members in good standing for the 10 years prior to the request, and who have retired from active medical practice. Membership dues are waived for retired members. Retired members may not vote, hold office, or serve on committees.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body
Active and Emeritus members elect the Board.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders
Members must approve any changes to the Society's by laws.
Form 990, Part VI, Line 11b: Form 990 Review Process
THE PRESIDENT AND/OR TREASURER REVIEWS THE FORM 990 PRIOR TO SUBMISSION AND THE BOARD REVIEWS AFTER SUBMISSION AT A BOARD MEETING.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
ISHLT COLLECTS CONFLICT OF INTEREST ("COI") DISCLOSURE INFORMATION FROM COMMITTEE MEMBERS, SCIENTIFIC COUNCIL LEADERS, GUIDELINE DEVELOPERS, BOARD MEMBERS AND OTHERS IN LEADERSHIP POSITIONS. THESE ARE COLLATED AND DISTRIBUTED TO THE OTHER INDIVIDUALS ON THE RELEVANT COMMITTEE, ETC. FOR PURPOSES OF SELF-MONITORING. THEY ARE KEPT ON FILE. THE SOCIETY HAS A COI COMMITTEE THAT REVIEWS ALL COI DISCLOSURES, MONITORS COMPLIANCE AT BOARD AND KEY COMMITTEE MEETINGS WITH THE SOCIETY'S COI POLICY, AND ADJUDICATES ALL VIOLATIONS OF THE COI POLICY.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees
THE MANAGEMENT FEE PAID BY ISHLT COVERS SALARIES, BENEFITS, BONUSES, HEAT, LIGHT, RENT, EQUIPMENT, FURNITURE, FIXTURES, AND MANY SUPPLIES. COMPENSATION SURVEYS AND OPERATING RATIO REPORTS PRODUCED BY THE AMERICAN SOCIETY OF ASSOCIATION EXECUTIVES ARE USED AS BENCHMARKS AGAINST WHICH THE SOCIETY EVALUATES ITS MANAGEMENT FEE EXPENSES. THE BOARD DOES NOT APPROVE THE SALARIES OF THE MANAGEMENT COMPANY EMPLOYEES. THE BOARD APPROVES THE MANAGEMENT FEE PAID TO THE MANAGEMENT COMPANY, WHICH INCLUDES SALARIES OF THE MANAGEMENT COMPANY EMPLOYEES.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
GOVERNING DOCS, POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
Form 990, Part IX, Line 24e: Other Expenses
ABSTRACTS ON DISK: Column (A) - Total = $20525; Column (B) - Program Services = $20525; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
ADMINISTRATIVE ASSISTANT: Column (A) - Total = $21581; Column (B) - Program Services = $21581; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
BANK FEE: Column (A) - Total = $35716; Column (B) - Program Services = $0; Column (C) - Management & General = $35716; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
COMPUTER SERVICES: Column (A) - Total = $22014; Column (B) - Program Services = $0; Column (C) - Management & General = $22014; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
CONSULTING FEE: Column (A) - Total = $68680; Column (B) - Program Services = $68680; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
CREDIT CARD FEE: Column (A) - Total = $76196; Column (B) - Program Services = $0; Column (C) - Management & General = $76196; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
DCD REGISTRY: Column (A) - Total = $20810; Column (B) - Program Services = $20810; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
DECORATOR: Column (A) - Total = $15831; Column (B) - Program Services = $15831; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
DUES/SUBSCRIPTIONS: Column (A) - Total = $13804; Column (B) - Program Services = $13380; Column (C) - Management & General = $424; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
EDITOR: Column (A) - Total = $6000; Column (B) - Program Services = $6000; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
EDUCATION DIRECTOR: Column (A) - Total = $20000; Column (B) - Program Services = $20000; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
ELECTRONIC SUBMISSION: Column (A) - Total = $23860; Column (B) - Program Services = $23860; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
ENTERTAINMENT: Column (A) - Total = $92921; Column (B) - Program Services = $92921; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
INTERNET ACCESS: Column (A) - Total = $11728; Column (B) - Program Services = $11728; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
INTERVIEWS: Column (A) - Total = $496; Column (B) - Program Services = $496; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
MAILING LISTS: Column (A) - Total = $1867; Column (B) - Program Services = $1867; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
MEDICAL DIRECTOR: Column (A) - Total = $20000; Column (B) - Program Services = $20000; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
MEETING ROOM RENT: Column (A) - Total = $11600; Column (B) - Program Services = $11600; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
OTHER: Column (A) - Total = $29166; Column (B) - Program Services = $7059; Column (C) - Management & General = $22107; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
PLAQUES/CERTIFICATES: Column (A) - Total = $1560; Column (B) - Program Services = $1560; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
POSTAGE : Column (A) - Total = $81889; Column (B) - Program Services = $70377; Column (C) - Management & General = $11512; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
POSTERS: Column (A) - Total = $21049; Column (B) - Program Services = $21049; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
Printing & Copying: Column (A) - Total = $144056; Column (B) - Program Services = $141906; Column (C) - Management & General = $2150; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
PUBLICITY: Column (A) - Total = $38273; Column (B) - Program Services = $38273; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
SECURITY: Column (A) - Total = $3739; Column (B) - Program Services = $3739; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
SIGNS: Column (A) - Total = $7890; Column (B) - Program Services = $7890; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
SPEAKERS: Column (A) - Total = $25481; Column (B) - Program Services = $25481; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
SUPPLIES: Column (A) - Total = $36520; Column (B) - Program Services = $32186; Column (C) - Management & General = $4334; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
TELEPHONE: Column (A) - Total = $11860; Column (B) - Program Services = $5991; Column (C) - Management & General = $5869; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other Expenses
TTS MENTOR/MENTEE AWARD: Column (A) - Total = $3398; Column (B) - Program Services = $3398; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.