DCI DONOR SERVICES INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
DCI DONOR SERVICES INC (EIN 58-1990866)
Tax period
2021-10-01 to 2022-09-30
Filed
2023-08-15
IRS object ID
202332279349304168
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-08-15T16:39:58-05:00ReturnTs
Tax Period End2022-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 MONUMENT CIRCLE SUITE 4200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581990866EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DCI DONOR SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDCIDBusinessNameControlTxt
Phone6152345251PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1566 MAINSTREAM DRIVE STE 300AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37228ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJILL GRANDASPersonNm
Person TitleCORPORATE EXECUTIVE DIRECTORPersonTitleTxt
Phone6153273061PhoneNum
Signature2023-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJILLPersonFirstNm
Person LastGRANDASPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSAMANTHA BOKORIPreparerPersonNm
PTINP01057347PTIN
Phone3174648600PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDONOVAN SCHULTZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11633 CHURCH ST STE 500AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37203ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$142,432,223GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DCIDS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionDCI DONOR SERVICES, INC. SUPPORTS A LOCAL FOCUS ON DONORS, DONOR FAMILIES, AND THE LIVES OF THOSE WE IMPACT; WE ARE A STABLE COMMUNITY MEMBER SERVING PATIENTS FIRST IN ALL THAT WE DO. OUR CORE PURPOSE IS TO SAVE AND IMPROVE LIVES.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee611TotalEmployeeCnt
Total Volunteers150TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$95,486,322PYProgramServiceRevenueAmt
CY Program Service Revenue$96,221,706CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$129,668CYInvestmentIncomeAmt
PY Other Revenue$9,491,502PYOtherRevenueAmt
CY Other Revenue$14,863,263CYOtherRevenueAmt
PY Total Revenue$104,977,824PYTotalRevenueAmt
CY Total Revenue$111,214,637CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$37,694,429PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$43,432,990CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$57,250,290PYOtherExpensesAmt
CY Other Expenses$58,825,659CYOtherExpensesAmt
PY Total Expenses$94,944,719PYTotalExpensesAmt
CY Total Expenses$102,258,649CYTotalExpensesAmt
PY Revenues Less Expenses$10,033,105PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,955,988CYRevenuesLessExpensesAmt
Total Assets BOY$105,092,079TotalAssetsBOYAmt
Total Assets EOY$113,442,153TotalAssetsEOYAmt
Total Liabilities BOY$26,957,470TotalLiabilitiesBOYAmt
Total Liabilities EOY$26,351,556TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$78,134,609NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$87,090,597NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionDCI DONOR SERVICES, INC. SUPPORTS A LOCAL FOCUS ON DONORS, DONOR FAMILIES, AND THE LIVES OF THOSE WE IMPACT; WE ARE A STABLE COMMUNITY MEMBER SERVING PATIENTS FIRST IN ALL THAT WE DO. OUR CORE PURPOSE IS TO SAVE AND IMPROVE LIVES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$72,543,490ExpenseAmt
Revenue$111,084,969RevenueAmt
DescDCI DONOR SERVICES, INC. ("DCIDS") IS A NOT-FOR-PROFIT 501(C)(3) ORGANIZATION THAT OPERATES THREE FEDERALLY CERTIFIED ORGAN PROCUREMENT ORGANIZATIONS (OPOS), AN EYE BANK (EB), AND A FULL SERVICE TISSUE BANK (TB). DCIDS PROMOTES THE DONATION OF HUMAN ORGANS AND TISSUES, PRIMARILY FOR TRANSPLANT, THROUGH EDUCATION PROGRAMS FOR THE GENERAL PUBLIC AND HEALTH PROFESSIONALS, AND THROUGH AGREEMENTS WITH VARIOUS HOSPITALS AND MEDICAL PROFESSIONALS PROVIDES THE ORGANS AND TISSUES RECOVERED BY ITS MEMBER ORGANIZATIONS. EACH OF THE OPOS IS CERTIFIED BY THE CENTER FOR MEDICARE AND MEDICAID SERVICES AND DESIGNATED BY THE US SECRETARY OF HEALTH AND HUMAN SERVICES TO PARTICIPATE IN THE FEDERAL MEDICARE PROGRAM. EACH OPO IS AN INSTITUTIONAL MEMBER OF BOTH THE ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATIONS AS WELL AS THE UNITED NETWORK FOR ORGAN SHARING, WHICH HOLDS THE CONTRACT TO FUNCTION AS THE NATIONAL ORGAN PROCUREMENT AND TRANSPLANT NETWORK MANDATED BY FEDERAL LAW. THE TB FOLLOWS REQUIREMENTS SET BY THE CENTERS FOR DISEASE CONTROL, US FOOD AND DRUG ADMINISTRATION, AS WELL AS THE STANDARDS ESTABLISHED BY THE AMERICAN ASSOCIATION OF TISSUE BANKS AND IS A FULLY ACCREDITED MEMBER OF THAT ORGANIZATION AS WELL. THE EB FOLLOWS STANDARDS ESTABLISHED BY THE EYE BANK ASSOCIATION OF AMERICA, AND IS AN ACCREDITED MEMBER OF THAT ORGANIZATION. ACCORDINGLY, THE OPOS SEEK REIMBURSEMENT FOR EXPENSES INCURRED IN COORDINATING THE RECOVERY OF ORGANS THAT ARE SENT TO TRANSPLANTING HOSPITALS AND ANNUALLY FILE A FEDERAL COST REPORT DETAILING AND RECONCILING ITS REVENUE AND EXPENSES. THE TB DERIVES ITS COST-COVERING REVENUES FROM HOSPITALS OR DENTISTS WHO ARE TRANSPLANTING TISSUES PROCESSED AND/OR DISTRIBUTED BY THE TB. THE EB EARNS REVENUE TO RECOVER EXPENSES BY PROCESSING CORNEA TISSUE AND PROVIDING CORNEAS FOR TRANSPLANT TO SURGERY CENTERS. ALL PROGRAM SERVICE EXPENSES OF DCIDS ARE INCURRED IN SUPPORT OF THE ABOVE STATED TAX EXEMPT PROCUREMENT AND EDUCATIONAL ACTIVITIES. FOR THE YEAR ENDED SEPTEMBER 30, 2022, DCIDS PROCURED 2,120 ORGANS AND RECOVERED 3,919 TISSUE DONORS FOR TRANSPLANTATION. IN ADDITION, DCIDS PROVIDED EDUCATIONAL OPPORTUNITIES FOR NURSES AND PHYSICIANS CONCERNING ISSUES IN TRANSPLANTATION, AS WELL AS SEVERAL PROGRAMS TO EDUCATE AND HEIGHTEN AWARENESS OF THE GENERAL PUBLIC CONCERNING ORGAN AND TISSUE DONATION AND TRANSPLANTATION.Desc
Total Program Service Expenses$72,543,490TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document327IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee611EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing AddressYes (1)OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNMStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EMILY BRYANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6155643631PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1566 MAINSTREAM DRIVE STE 300AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37228ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
H KEITH JOHNSON MD
PRESIDENT8.0032.00Yes (X)Yes (X)$25,199$3,911$6,427
JAMES PERRY
TREASURER1.009.00Yes (X)Yes (X)$0$0$12,128
WILLIAM STERLING
BOARD MEMBER3.000.00Yes (X)$12,000$0$0
THOMAS BOYLE
SECRETARY10.000.00Yes (X)Yes (X)$0$0$0
CYNDA RENNIE
BOARD MEMBER10.000.00Yes (X)$0$0$0
JILL GRANDAS
CORPORATE EXECUTIVE DIRECTOR40.000.00Yes (X)$325,006$0$24,715
JAMES E ATTRILL
ASSISTANT TREASURER5.0035.00Yes (X)$0$255,426$13,826
TERESA THOMPSON
CHIEF FINANCIAL OFFICER40.000.00Yes (X)$202,809$0$20,870
SEAN VAN SLYCK
EXECUTIVE DIRECTOR40.000.00$298,548$0$63,768Yes (X)
WAYNE DUNLAP
EXECUTIVE DIRECTOR40.000.00$248,849$0$48,204Yes (X)
KELLY SCOTT
EXECUTIVE DIRECTOR40.000.00$252,161$0$13,013Yes (X)
DEANA CLAPPER
ASSOCIATE EXECUTIVE DIRECTOR40.000.00$197,110$0$64,497Yes (X)
BURNETT KELLY
SURGICAL DIRECTOR40.000.00$399,618$0$31,750Yes (X)
EARL JONES
SR. DIR. OPS. - PROCESSING SVCS.40.000.00$191,860$0$23,101Yes (X)
DONNA SMITH
SR. DIRECTOR OF CLINICAL SERVICES40.000.00$203,282$0$10,728Yes (X)
STEPHANIE COZBY
SR. DIRECTOR OF QUALITY40.000.00$185,192$0$8,228Yes (X)
JOEL SMITH
SR. DIRECTOR OF TISSUE SERVICES40.000.00$177,067$0$12,159Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,718,701TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$259,337TotReportableCompRltdOrgAmt
Total Other Compensation$353,414TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K54IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
VANDERBILT UNIVERSITY MEDICAL CENTER
1161 21ST AVE S D-3300 MEDICAL CNASHVILLETN37232HOSPITAL & PHYSICIAN SERVICES$5,191,450
CHATTANOOGA-HAMILTON COUNTY HOSPITAL
PO BOX 670CHATTANOOGATN37401HOSPITAL & PHYSICIAN SERVICES$2,327,421
UNIVERSITY HEALTH SYSTEMS
PO BOX 415000NASHVILLETN37241HOSPITAL & PHYSICIAN SERVICES$2,007,493
UNM HEALTH SCIENCES CENTER
PO BOX 912884DENVERCO80291HOSPITAL & PHYSICIAN SERVICES$1,474,183
STERIS CORPORATION
PO BOX 676548DALLASTX75267LABORATORY SERVICES$881,316
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K42CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ORGAN PROCUREMENT FEES621990$87,825,954$87,825,954
EST. PROVIDER. PYMT.900099$8,395,752$8,395,752
FieldValueIRS element (for citing)
Total Program Service Revenue$96,221,706TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$129,668TotalRevenueColumnAmt
Exclusion$129,668ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$75,600RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$75,600RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$75,600TotalRevenueColumnAmt
Related Or Exempt Func Income$75,600RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$45,923,313GrossSalesOfInventoryAmt
Cost Of Goods Sold$31,217,586CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,705,727TotalRevenueColumnAmt
Related Or Exempt Func Income$14,705,727RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER TISSUE REVENUEDesc
Business900099BusinessCd
Total Revenue Column$32,500TotalRevenueColumnAmt
Related Or Exempt Func Income$32,500RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$49,436TotalRevenueColumnAmt
Related Or Exempt Func Income$49,436RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$81,936OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$111,214,637TotalRevenueColumnAmt
Related Or Exempt Func Income$111,084,969RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$129,668ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,561,682TotalAmt
Program Services$37,199ProgramServicesAmt
Management And General$1,524,483ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$33,350,006TotalAmt
Program Services$22,332,214ProgramServicesAmt
Management And General$11,017,792ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$878,926TotalAmt
Program Services$601,448ProgramServicesAmt
Management And General$277,478ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,782,536TotalAmt
Program Services$3,272,687ProgramServicesAmt
Management And General$1,509,849ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,859,840TotalAmt
Program Services$1,956,987ProgramServicesAmt
Management And General$902,853ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$249,922TotalAmt
Management And General$249,922ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$780,886TotalAmt
Management And General$780,886ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$82,947TotalAmt
Management And General$82,947ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,818,879TotalAmt
Program Services$3,054,816ProgramServicesAmt
Management And General$3,764,063ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$263,551TotalAmt
Program Services$263,551ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$906,266TotalAmt
Management And General$906,266ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$597,613TotalAmt
Management And General$597,613ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,965,938TotalAmt
Program Services$1,810,144ProgramServicesAmt
Management And General$155,794ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,978,611TotalAmt
Program Services$1,323,442ProgramServicesAmt
Management And General$655,169ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$170,056TotalAmt
Program Services$136,045ProgramServicesAmt
Management And General$34,011ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$184,221TotalAmt
Management And General$184,221ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,094,507TotalAmt
Program Services$74,977ProgramServicesAmt
Management And General$2,019,530ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$624,571TotalAmt
Management And General$624,571ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
ORGAN PROCUREMENT$31,019,035$31,019,035$0$0
MEDICAL SUPPLIES$5,633,744$5,633,744$0$0
EQUIP. RENT. & MAINT.$1,367,362$147,740$1,219,622$0
BAD DEBT EXPENSE$940,821$0$940,821$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,146,729TotalAmt
Program Services$879,461ProgramServicesAmt
Management And General$2,267,268ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$102,258,649TotalAmt
Program Services$72,543,490ProgramServicesAmt
Management And General$29,715,159ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$32,586,786BOYAmt
EOY$336,886EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$28,490,000EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$31,551,571BOYAmt
EOY$41,377,248EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$11,226,669BOYAmt
EOY$13,590,068EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,625,502BOYAmt
EOY$2,143,269EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$46,143,519LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$18,638,837LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$28,101,551BOYAmt
EOY$27,504,682EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$105,092,079BOYAmt
EOY$113,442,153EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$20,340,114BOYAmt
EOY$19,653,067EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,152,390BOYAmt
EOY$4,875,501EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,464,966BOYAmt
EOY$1,822,988EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,957,470BOYAmt
EOY$26,351,556EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$78,134,609BOYAmt
EOY$87,090,597EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$78,134,609BOYAmt
EOY$87,090,597EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$105,092,079BOYAmt
EOY$113,442,153EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$8,955,988ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$83,229,941CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$102,481,652CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$117,464,215CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$128,284,816CurrentTaxYearMinus1YearAmt
Current Tax Year$142,145,019CurrentTaxYearAmt
Total$573,605,643TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$83,229,941CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$102,481,652CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$117,464,215CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$128,284,816CurrentTaxYearMinus1YearAmt
Current Tax Year$142,145,019CurrentTaxYearAmt
Total$573,605,643TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$573,605,643PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,906CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,725CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$83,196CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$75,600CurrentTaxYearMinus1YearAmt
Current Tax Year$205,268CurrentTaxYearAmt
Total$370,695TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,906CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,725CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$83,196CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$75,600CurrentTaxYearMinus1YearAmt
Current Tax Year$205,268CurrentTaxYearAmt
Total$370,695TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,897CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,960CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,713CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,801CurrentTaxYearMinus1YearAmt
Current Tax Year$81,936CurrentTaxYearAmt
Total$152,307TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$83,250,744CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$102,502,337CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$117,557,124CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$128,386,217CurrentTaxYearMinus1YearAmt
Current Tax Year$142,432,223CurrentTaxYearAmt
Total$574,128,645TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99910PublicSupportCY509Pct
Public Support PY5090.99950PublicSupportPY509Pct
Investment Income CY0.00060InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER REVENUE - 2017 AMOUNT: $ 18,897. 2018 AMOUNT: $ 15,960. 2020 AMOUNT: $ 1,000. 2021 AMOUNT: $ 49,436. COVID REIMBURSEMENT - 2019 AMOUNT: $ 7,703. 2020 AMOUNT: $ 3,769. OTHER TISSUE REVENUE - 2019 AMOUNT: $ 2,010. 2020 AMOUNT: $ 21,032. 2021 AMOUNT: $ 32,500.ExplanationTxt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$82,947DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$82,947TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationPAYMENTS TO LEGAL FIRMS FOR RESEARCH AND COMMUNICATION WITH GOVERNMENT OFFICIALS REGARDING PROPOSED BILLS AND CHANGES TO EXISTING REGULATIONS RELATING TO ORGAN AND TISSUE DONATION.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$830,783OtherCostOrOtherBasisAmt
Book Value$830,783BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,456,424OtherCostOrOtherBasisAmt
Depreciation$2,870,710DepreciationAmt
Book Value$6,585,714BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,250,494OtherCostOrOtherBasisAmt
Depreciation$3,602,882DepreciationAmt
Book Value$16,647,612BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,605,818OtherCostOrOtherBasisAmt
Depreciation$12,165,245DepreciationAmt
Book Value$3,440,573BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$27,504,682TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
PAYABLE TO RELATED ORGANIZATION$256,987
RESEARCH$75,450
SHORT-TERM LIABILITIES$1,490,551
FieldValueIRS element (for citing)
Total Liability$1,822,988TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (8 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxt
CENTRAL AMERICA AND THE CARIBBEAN00PROGRAM SERVICESCORNEAL TISSUE
EAST ASIA AND THE PACIFIC00PROGRAM SERVICESCORNEAL TISSUE & TISSUE GRAFTS
MIDDLE EAST AND NORTH AFRICA00PROGRAM SERVICESCORNEAL TISSUE & TISSUE GRAFTS
NORTH AMERICA00PROGRAM SERVICESCORNEAL TISSUE & TISSUE GRAFTS
SOUTH ASIA00PROGRAM SERVICESCORNEAL TISSUE
SUB-SAHARAN AFRICA00PROGRAM SERVICESCORNEAL TISSUE
EUROPE (INCLUDING ICELAND & GREENLAND)00PROGRAM SERVICESCORNEAL TISSUE & TISSUE GRAFTS
SOUTH AMERICA00PROGRAM SERVICESCORNEAL TISSUE
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$0SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$0TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III ACCOUNTING METHOD:FormAndLineReferenceDesc

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BURNETT KELLY
SURGICAL DIRECTOR$397,292$0$0$0$2,326$0$12,470$0$19,280$0$431,368$0$0$0
SEAN VAN SLYCK
EXECUTIVE DIRECTOR$297,738$0$0$0$810$0$56,450$0$7,318$0$362,316$0$0$0
JILL GRANDAS
CORPORATE EXECUTIVE DIRECTOR$322,680$0$0$0$2,326$0$12,813$0$11,902$0$349,721$0$0$0
WAYNE DUNLAP
EXECUTIVE DIRECTOR$247,633$0$0$0$1,216$0$34,096$0$14,108$0$297,053$0$0$0
JAMES E ATTRILL
ASSISTANT TREASURER$0$213,947$0$38,068$0$3,411$0$6,966$0$6,860$0$269,252$0$0
KELLY SCOTT
EXECUTIVE DIRECTOR$251,681$0$0$0$480$0$9,750$0$3,263$0$265,174$0$0$0
DEANA CLAPPER
ASSOCIATE EXECUTIVE DIRECTOR$196,499$0$0$0$611$0$52,375$0$12,122$0$261,607$0$0$0
TERESA THOMPSON
CHIEF FINANCIAL OFFICER$196,867$0$0$0$5,942$0$7,991$0$12,879$0$223,679$0$0$0
EARL JONES
SR. DIR. OPS. - PROCESSING SVCS.$190,102$0$0$0$1,758$0$7,803$0$15,298$0$214,961$0$0$0
DONNA SMITH
SR. DIRECTOR OF CLINICAL SERVICES$201,473$0$0$0$1,809$0$2,462$0$8,266$0$214,010$0$0$0
STEPHANIE COZBY
SR. DIRECTOR OF QUALITY$184,627$0$0$0$565$0$0$0$8,228$0$193,420$0$0$0
JOEL SMITH
SR. DIRECTOR OF TISSUE SERVICES$176,708$0$0$0$359$0$4,945$0$7,214$0$189,226$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationDCI DONOR SERVICES, INC. PARTICIPATES IN AN UNFUNDED EXECUTIVE DEFERRED COMPENSATION PLAN AVAILABLE ONLY TO A SELECT GROUP OF MANAGEMENT AND KEY EMPLOYEES. THE 457 (F) PLAN IS A NON-QUALIFIED PLAN WHOSE PURPOSE IS TO RETAIN HIGHLY QUALIFIED EXECUTIVE OR MANAGERIAL PERSONNEL PER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974. NO PAYMENTS WERE MADE UNDER THE PLAN DURING CALENDAR YEAR 2021.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
DR OSCAR GRANDAS
SEE PART V$160,750SEE PART V0
BRONWYN ROBERTS
SEE PART V$91,618SEE PART V0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:(A) NAME OF PERSON: DR. OSCAR GRANDAS (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SPOUSE OF JILL GRANDAS (D) DESCRIPTION OF TRANSACTION: RECOVERY SURGEON AND MEDICAL DIRECTOR FOR THE ORGANIZATION (A) NAME OF PERSON: BRONWYN ROBERTS (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: SIBLING OF WAYNE DUNLAP (D) DESCRIPTION OF TRANSACTION: EMPLOYED AS THE MANAGER OF QUALITY AND COMPLIANCE FOR TENNESSEE DONOR SERVICES
SCHEDULE L, PART IV:DR. OSCAR GRANDAS IS A FAMILY MEMBER TO JILL GRANDAS, WHO IS AN OFFICER OF DCI DONOR SERVICES, INC. DCI DONOR SERVICES, INC. COMPENSATES DR. GRANDAS FOR SERVICES HE PROVIDES TO THE ORGANIZATION IN HIS OCCUPATION AS AN ORGAN RECOVERY SURGEON. HE ALSO PROVIDES SERVICES AS A MEDICAL DIRECTOR FOR TENNESSEE DONOR SERVICES. BRONWYN ROBERTS IS THE SIBLING OF WAYNE DUNLAP, WHO IS A KEY EMPLOYEE OF DCI DONOR SERVICES, INC. IN HIS ROLE AS EXECUTIVE DIRECTOR FOR NEW MEXICO DONOR SERVICES. BRONWYN ROBERTS WAS HIRED BY TENNESSEE DONOR SERVICES FOR THE ROLE OF MANAGER OF QUALITY AND COMPLIANCE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF THE CORPORATION IS DIALYSIS CLINIC INC.
FORM 990, PART VI, SECTION A, LINE 7ADIALYSIS CLINIC INC., AS THE SOLE MEMBER OF DCI DONOR SERVICES, INC., HAS THE POWER TO NOMINATE, ELECT, APPOINT, FILL VACANCIES OF, AND REMOVE MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7BDIALYSIS CLINIC INC. SHALL HAVE THE SOLE VOTE ON ALL MATTERS COMING BEFORE THE MEMBERSHIP.
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE CURRENTLY NO COMMITTEES THAT ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BA DRAFT OF FORM 990 IS SUPPLIED TO EACH MEMBER OF THE GOVERNING BODY AND ADJUSTMENTS ARE SUGGESTED AND COMPLETED AS NECESSARY. EACH BOARD MEMBER IS SENT A COPY OF THE FORM 990 DRAFT AND IS GIVEN AN APPROPRIATE AMOUNT OF TIME TO REVIEW AND COMMENT. A CERTIFICATION LETTER IS SIGNED ONCE THE BOARD MEMBERS HAVE COMPLETED THEIR REVIEW OF THE 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CON AN ANNUAL BASIS, THE BOARD OF DIRECTORS SIGN A CONFLICT OF INTEREST THAT STATES THE DIRECTORS HAVE NOT VIOLATED THE CONFLICT OF INTEREST POLICY. ALL EMPLOYEES ARE ALSO REQUIRED TO SIGN THE CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS AS WELL.
FORM 990, PART VI, SECTION B, LINE 15DCI DONOR SERVICES, INC. BELONGS TO THE ASSOCIATION OF ORGAN PROCUREMENT ORGANIZATIONS (AOPO). AOPO COMPLETES A YEARLY SURVEY OF ALL SALARIED POSITIONS WITHIN AN ORGAN PROCUREMENT ORGANIZATION, WHICH INCLUDES THE CEO SALARIES, AS WELL AS THE SALARIES FOR OTHER KEY POSITIONS. THIS YEARLY SURVEY IS USED TO DETERMINE THE SALARIES FOR THE EXECUTIVE DIRECTOR AND OTHER KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETCWILLIAM STERLING - 10500 ACADEMY RD. N.E., APT. 219, ALBUQUERQUE, NM 87111. THOMAS BOYLE - 501 GRANT STREET, STE. 200, PITTSBURGH, PA 15219. CYNDA RENNIE - P.O. BOX 7437, CITRUS HEIGHTS, CA 95621-1114.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
DIALYSIS CLINIC INC
1633 CHURCH ST STE 500NASHVILLETN37203620850498KIDNEY DIALYSISTN501(C)(3)3N/A0
APPLIED MEDICAL RESEARCH INC
1633 CHURCH ST STE 500NASHVILLETN37203621450328MEDICAL RESEARCHTN501(C)(3)4Yes (1)DIALYSIS CLINIC INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
BIG HORN BASIN REGIONAL DIALYSIS LLC
1633 CHURCH ST STE 500NASHVILLETN37203462756449KIDNEY DIALYSISWYN/A0Yes (1)
BILLINGS CLINIC DIALYSIS LLC
1633 CHURCH ST STE 500NASHVILLETN37203464233625KIDNEY DIALYSISMTN/A0Yes (1)
WATT DIALYSIS CENTER LLC
1633 CHURCH ST STE 500NASHVILLETN37203474310307KIDNEY DIALYSISWYN/A0Yes (1)
DIALYSIS SERVICES OF DECATUR LLC
1633 CHURCH ST STE 500NASHVILLETN37203821234100KIDNEY DIALYSISDEN/A0Yes (1)
MUSIC CITY KIDNEY CARE ALLIANCE LLC
1633 CHURCH ST STE 500NASHVILLETN37203475282575ACCOUNTABLE CARE ORGANIZATIONDEN/A0Yes (1)
METROPOLITAN KIDNEY CARE ALLIANCE LLC
1633 CHURCH ST STE 500NASHVILLETN37203475265602ACCOUNTABLE CARE ORGANIZATIONDEN/A0Yes (1)
INDEPENDENCE KIDNEY CARE ALLIANCE LLC
1633 CHURCH ST STE 500NASHVILLETN37203814457256ACCOUNTABLE CARE ORGANIZATIONDEN/A0Yes (1)
JEFFERSON CITY RENAL SERVICES LLC
1633 CHURCH ST STE 500NASHVILLETN37203823188781ESRD CLINICDEN/A0Yes (1)
AVAIL SOUTHEAST KIDNEY CARE LLC
1633 CHURCH ST STE 500NASHVILLETN37203832903658ESRD CLINICTNN/A0Yes (1)
COMMUNITY MEDICAL CENTER DIALYSIS
1633 CHURCH ST STE 500NASHVILLETN37203831522514KIDNEY DIALYSISDEN/A0Yes (1)
NORTH ALABAMA HOME DIALYSIS
1633 CHURCH ST STE 500NASHVILLETN37203844306386KIDNEY DIALYSISDEN/A0Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1RENAL CONSULTANTSBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11633 CHURCH ST STE 500AddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37203ZIPCd
FieldValueIRS element (for citing)
EIN800066197EIN
Primary ActivitiesMANAGED CAREPrimaryActivitiesTxt
Legal Domicile StateTNLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
DIALYSIS CLINIC INC
M$4,227,139FMV
DIALYSIS CLINIC INC
P$2,428,070FMV
DIALYSIS CLINIC INC
R$780,997FMV

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.