Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 33,500 | 45,727 | 52,927 | 67,137 | 49,564 | 248,855 |
| 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 | 44,126,280 | 48,118,832 | 56,851,473 | 66,143,332 | 72,620,378 | 287,860,295 |
| 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 | 44,159,780 | 48,164,559 | 56,904,400 | 66,210,469 | 72,669,942 | 288,109,150 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| 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.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 288,109,150 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2016 | (b) 2017 | (c) 2018 | (d) 2019 | (e) 2020 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 44,159,780 | 48,164,559 | 56,904,400 | 66,210,469 | 72,669,942 | 288,109,150 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 2,208,572 | 2,145,615 | 2,768,316 | 2,740,466 | 358,511 | 10,221,480 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | 0 | |||||
| c | Add lines 10a and 10b. | 2,208,572 | 2,145,615 | 2,768,316 | 2,740,466 | 358,511 | 10,221,480 |
| 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 VI.) .. | 40,186 | 39,571 | 357,289 | 52,920 | 55,113 | 545,079 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 46,408,538 | 50,349,745 | 60,030,005 | 69,003,855 | 73,083,566 | 298,875,709 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2020 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2020 |
(iii) Distributable Amount for 2020 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2020 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2020: | ||||
| a From 2015....... | ||||
| b From 2016....... | ||||
| c From 2017....... | ||||
| d From 2018....... | ||||
| e From 2019....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2020 distributable amount | ||||
|
i
Carryover from 2015 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2020 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2020 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2021. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2016..... | ||||
| b Excess from 2017..... | ||||
| c Excess from 2018..... | ||||
| d Excess from 2019..... | ||||
| e Excess from 2020..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINES 1, 4A, 4B, & 4C | MIDWEST TRANSPLANT NETWORK (MTN) FIRST BEGAN OPERATION AS MIDWEST ORGAN BANK IN 1973. INITIALLY INCORPORATED AS A NOT-FOR-PROFIT, COMMUNITY-BASED TISSUE TYPING LABORATORY AND KIDNEY RECOVERY PROGRAM BY PHYSICIANS DEDICATED TO THE CARE AND TREATMENT OF END STATE RENAL DISEASE PATIENTS, WE BECAME ONE OF THE NATION'S FIRST INDEPENDENT ORGAN PROCUREMENT ORGANIZATIONS (OPO). AFTER THE PASSAGE OF THE 1984 NATIONAL ORTRANSPLANT ACT, THE HEALTH CARE FINANCE ADMINISTRATION (HCFA) CERTIFIED OUR ORGANIZATION AS AN OPO AND DESIGNATED AN EXCLUSIVE SERVICE THAT INCLUDED THE STATE OF KANSAS AND MORE THAN 60 COUNTIES IN CENTRAL AND WESTERN MISSOURI. WITHIN OUR DONATION SERVICE AREA (DSA), WE SERVE A POPULATION OF 5.5 MILLION AND HAVE SERVICE CONTRACTS WITH APPROXIMATELY 230 HOSPITALS. FIVE OF THOSE HOSPITALS ARE TRANSPLANT CENTERS AND INCLUDE THE CHILDREN'S MERCY HOSPITAL, RESEARCH MEDICAL CENTER, SAINT LUKE'S HOSPITAL, UNIVERSITY HOSPITAL (COLUMBIA, MO), AND THE UNIVERSITY OF KANSAS HOSPITAL. AT THE URGING OF HOSPITALS IN OUR AREA, WE EXPANDED THE SCOPE OF SERVICES TO INCLUDE TISSUE AND EYE RECOVERY AND IN 1999 CHANGED OUR NAME TO MIDWEST TRANSPLANT NETWORK TO BETTER DESCRIBE THE EXPANDED NATURE OF THE SERVICES PROVIDED. MTN IS A MEMBER OF THE UNITED NETWORK FOR ORGAN SHARING (UNOS) AND PARTICIPATES IN THE ORGAN PROCUREMENT AND TRANSPLANT NETWORK (OPTN) THAT IS OVERSEEN BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES SERVICES ADMINISTRATION (HRSA). GOVERNANCE OF THE ORGANIZATION IS PROVIDED BY A GOVERNING BOARD WHICH IS COMPRISED OF BUSINESS LEADERS, PHYSICIANS, AND MEMBERS OF THE COMMUNITY. AN ADVISORY BOARD OF INDIVIDUALS WITH EXPERIENCE AND EXPERTISE IN DONATION, TRANSPLANTATION, HEALTHCARE AND OTHER DISCIPLINES PROVIDES ADVICE TO THE GOVERNING BOARD FOR SPECIFIC AREAS OF POLICY DEVELOPMENT. GENERAL RESPONSIBILITY FOR THE ORGANIZATION IS DELEGATED TO THE CHIEF EXECUTIVE OFFICER. MTN'S PRIMARY PURPOSE IS TO FACILITATE THE ORGAN AND TISSUE DONATION PROCESS WHEN A PERSON DIES AT A HOSPITAL WITHIN THE SERVICE AREA. IN ACCORDANCE WITH LEGAL AND REGULATORY REQUIREMENTS, MTN'S HIGHLY TRAINED STAFF WORK WITH PHYSICIANS TO EVALUATE THE POTENTIAL FOR DONATION OF ORGANS, TISSUES AND EYES TO DETERMINE IF THEY ARE SUITABLE FOR TRANSPLANTATION, RESEARCH OR MEDICAL STUDY. APPROPRIATE CONSENTS OR AUTHORIZATIONS ARE OBTAINED AND THE PROCESS TO COMPLETE THE RECOVERY OF DONATED GIFTS IN INITIATED. AFTER DEATH IS PRONOUNCED, THE POTENTIAL DONOR IS TREATED TO ENSURE THAT ORGAN FUNCTION IS MAINTAINED PRIOR TO RECOVERY. IN ACCORDANCE WITH UNOS POLICY, ORGAN RECIPIENTS ARE IDENTIFIED, THE SURGICAL RECOVERY IS COMPLETED, AND ORGANS ARE DISTRIBUTED TO THE TRANSPLANT PROGRAMS. VITAL ORGANS FOR TRANSPLANT INCLUDE HEART, LUNG, LIVER, KIDNEY, PANCREAS, AND SMALL BOWEL. AS REQUIRED BY THE FDA UNDER THE HUMAN CELLS, TISSUES, AND CELLULAR AND TISSUE-BASED PRODUCTS (HCT/PS) REGULATIONS, MTN IS REGISTERED AS A TISSUE ESTABLISHMENT AND UNDERGOES REGULAR INSPECTIONS. MTN WORKS UNDER CONTRACT WITH SEVERAL TISSUE PROCESSORS, EYE BANKS AND RESEARCH ORGANIZATIONS TO RECOVER TISSUES FOR TRANSPLANT, AND RECOVER TISSUES AND ORGANS FOR RESEARCH. TISSUES FOR TRANSPLANT INCLUDE SKIN, BONE, CONNECTIVE TISSUE, BLOOD VESSELS, HEART VALVES, CORNEA, AND EYES. RESEARCH ORGANS AND TISSUES MAY INCLUDE THOSE LISTED OR OTHERS SPECIFIED BY THE RESEARCHER. THE TISSUE BANKS WE CONTRACT WITH GIVE PRIORITY ACCESS TO TISSUE FROM OUR DONORS TO HOSPITALS LOCATED IN OUR SERVICE AREA. THESE TISSUE BANKS INCLUDE MUSCULOSKELETAL TRANSPLANT FOUNDATION, RTI DONOR SERVICES, CRYOLIFE, LIFENET, IIAM AND NATIONAL DISEASE RESEARCH INTERCHANGE. MTN WORKS COLLABORATIVELY WITH SAVING SIGHT AND THE KANSAS EYE BANK AND RESEARCH CENTER TO MAXIMIZE THE GIFT OF EYE AND CORNEA DONATION. PUBLIC EDUCATION AND AWARENESS ABOUT THE CRITICAL NEED FOR DONATION AND TRANSPLANTATION IS AN IMPORTANT GOAL OF OUR ORGANIZATION. MTN STAFF WORK THROUGHOUT THE YEAR TO PROVIDE THE PUBLIC EDUCATION PROGRAMS AND UTILIZE OUR TRAINED GROUP OF AMBASSADORS TO REACH OUT TO THE COMMUNITY. WE ALSO COLLABORATE AND PARTNER WITH GOVERNMENT AGENCIES, EYE BANKS, HOSPITALS, AND OTHER NON-PROFIT ORGANIZATIONS TO BRING THE MESSAGE OF LIVESAVING DONATION TO A BROADER MULTICULTURAL AUDIENCE. EXAMPLES INCLUDE THE MISSOURI DEPARTMENT OF HEALTH & SENIOR SERVICES WHICH OPERATES THE STATE'S DONOR REGISTRY, NATIONAL KIDNEY FOUNDATION, DONATE LIFE AMERICA, AMERICAN LIVER FOUNDATION, GIFT OF LIFE, AND THE TOURNAMENT OF ROSES PARADE. OTHER SERVICES PROVIDED BY THE ORGANIZATION IN SUPPORT OF THE PRIMARY MISSION INCLUDE: - HOSPITAL SERVICES INCLUDE POLICY DEVELOPMENT, PROCESS IMPROVEMENT - MEDICAL AND HOSPITAL STAFF EDUCATION/TRAINING - CONSULTATION TO INCREASE COMPLIANCE WITH FEDERAL AND STATE REGULATIONS - INFECTIOUS DISEASE LABORATORY TESTING FOR ORGAN DONORS - HISTOCOMPATIBILITY LABORATORY TESTING SERVICES FOR ORGAN AND BONE MARROW TRANSPLANT PROGRAMS TO MATCH DONORS AND RECIPIENTS MTN STRIVES TO CONTINUALLY IMPROVE OPERATIONS THROUGH A FORMAL QUALITY IMPROVEMENT PROGRAM. THE MISSION OF THE ORGANIZATION IS Fulfilled IN EACH DAY'S ACTIVITY BY CONTINUALLY STRIVING TO ACHIEVE EXCELLENCE IN SERVICE TO THE COMMUNITY. MTN'S VISION IS "LEADING ORGAN AND TISSUE DONATION THROUGH EXCELLENCE, QUALITY, AND PARTNERSHIPS." THE RESULT OF 40 PLUS YEARS OF LIFESAVING WORK IS SEEN EVERY DAY IN THE REGION'S HOSPITALS, IN COMMUNITIES MTN SERVES, AND IN THE RECIPIENTS WHOSE LIVES HAVE BEEN ENRICHED BECAUSE OF THE GENEROSITY OF SOMEONE ELSE. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION ENGAGES AN OUTSIDE ACCOUNTING FIRM TO PREPARE ITS FORM 990. ONCE THE FORM 990 IS PREPARED BY THE ACCOUNTING FIRM AND REVIEWED BY MANAGEMENT, THE FINAL FORM IS PROVIDED TO THE ENTIRE BOARD OF DIRECTORS AT A REGULARLY SCHEDULED BOARD MEETING PRIOR TO FILING. QUESTIONS AND COMMENTS RAISED DURING THE MEETING REGARDING THE FINAL FORM 990 ARE ADDRESSED PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS AND EMPLOYEES ARE REQUIRED TO COMPLETE ANNUAL CORPORATE COMPLIANCE TRAINING, WHICH INCLUDES THE CONFLICT OF INTEREST POLICY AND A WRITTEN TEST. THE CORPORATE COMPLIANCE PROGRAM IS AUDITED ANNUALLY. ANY CONFLICTS OF INTEREST ARE DETERMINED AND REVIEWED BY THE BOARD CHAIR AND OUTSIDE LEGAL COUNSEL. IF IT IS DETERMINED THAT A BOARD MEMBER HAS A CONFLICT OF INTEREST, THE BOARD MEMBER MUST ABSTAIN FROM VOTING ON ANY ISSUE RELATED TO THE CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B | MIDWEST TRANSPLANT NETWORK ENGAGES AN INDEPENDENT FIRM TO SURVEY EXECUTIVE AND KEY EMPLOYEE COMPENSATION EVERY THREE YEARS. IN ADDITION, THE ORGANIZATION USES A SALARY SURVEY PROVIDED BY THE ASSOCIATION FOR ORGAN PROCUREMENT ORGANIZATIONS EVERY TWO YEARS. THIS INFORMATION IS PROVIDED TO THE COMPENSATION COMMITTEE FOR THEIR ANNUAL REVIEW OF EXECUTIVE AND KEY EMPLOYEE COMPENSATION, PAY INCREASES AND BENEFITS ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9 | TRANSFER ASSETS TO GREEN RIBBON LEGACY $ 75,601,036 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:DONOR HOSPITAL FEES TOTAL FEES:13983824 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:SURGEON & OTHER MEDICAL FEES TOTAL FEES:2888968 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:NON-DSA RECOVERY FEES TOTAL FEES:7622274 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:REGISTRY FEES TOTAL FEES:568923 |
| Software ID: | |
| Software Version: |