DCI DONOR SERVICES INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
DCI DONOR SERVICES INC (EIN 58-1990866)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-03-30
IRS object ID
201200909349300435
Schema version
2010v3.4
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)
Timestamp2012-03-30T10:34:41-07:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581990866EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DCI DONOR SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDCIDNameControl
Phone6152345251Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11600 Hayes StreetAddressLine1
Address Line2Suite 300AddressLine2
CityNashvilleCity
StateTNState
ZIP Code37203ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameH Keith JohnsonName
TitlePresidentTitle
Phone6153420402Phone
Date Signed2012-03-30DateSigned
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonJames PerryNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11633 Church StreetAddressLine1
Address Line2Suite 500AddressLine2
CityNashvilleCity
StateTNState
ZIP Code37203ZIPCode
FieldValueIRS element (for citing)
Gross Receipts57067179GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.dcids.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionDCI Donor Services is committed to saving and improving lives, connecting one life to another through donation and transplantation.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees427TotalNbrEmployees
Total Nbr Volunteers150TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year40738074ProgramServiceRevenuePriorYear
Program Service Revenue CY42803142ProgramServiceRevenueCY
Investment Income Prior Year1342InvestmentIncomePriorYear
Investment Income Current Year1215InvestmentIncomeCurrentYear
Other Revenue Prior Year949065OtherRevenuePriorYear
Other Revenue Current Year5017325OtherRevenueCurrentYear
Total Revenue Prior Year41688481TotalRevenuePriorYear
Total Revenue Current Year47821682TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year19767039SalariesEtcPriorYear
Salaries Etc Current Year20763564SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year21789895OtherExpensePriorYear
Other Expenses Current Year24620706OtherExpensesCurrentYear
Total Expenses Prior Year41556934TotalExpensesPriorYear
Total Expenses Current Year45384270TotalExpensesCurrentYear
Revenues Less Expenses Prior Year131547RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2437412RevenuesLessExpensesCY
Total Assets BOY26047635TotalAssetsBOY
Total Assets EOY31167758TotalAssetsEOY
Total Liabilities BOY17768612TotalLiabilitiesBOY
Total Liabilities EOY20451323TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8279023NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10716435NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionDCI Donor Services is committed to saving and improving lives, connecting one life to another through donation and transplantation.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense32396859Expense
Grants0Grants
Revenue47816410Revenue
DescriptionDCI Donor Services, Inc. ("DCIDS") is a not-for-profitDescription
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense32396859TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096211NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees427NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address1OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTeresa ThompsonNamePerson
Telephone Number6155643621TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11600 Hayes StreetAddressLine1
Address Line2Suite 300AddressLine2
CityNashvilleCity
StateTNState
ZIP Code37203ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
H Keith Johnson
President0XX25199010256
James Perry
Treasurer0XX060926919883
Ed Attrill
Assistant Treasurer0XX026244612877
James B Riley
Secretary0XX000
William A Sterling
Board Member0X1200000
Cynda Rennie
Board Member0X000
Jill M Grandas
Exec Director/CEO40221399017299X
Susan Fredenberg Cross
Exec Director/CEO40198449010808X
Patricia Tencza
Exec Director/CEO40196952017148X
Helen Nelson
Exec Director/CEO40226354017538X
Louis Barnes
Exec Director Tissue Services40185166010821X
Kelly Snyder
Sr Director GTP Quality Systems4019087003799X
Timothy Kern
Clinical Manager40118675014019X
Teresa Thompson
Chief Financial Officer40118136014698X
Ginger McIntosh
Organ Recovery Coordinator40106825013489X
Quinton Beckham
Director of Operations4010594803842X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1705973TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs871715TotalReportableCompFrmRltdOrgs
Total Other Compensation166477TotalOtherCompensation
Number Individuals GT100 K13NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensationAddress Line2AddressOfContractor/AddressUS/AddressLine2
Labs Inc
PO Box 843224Kansas CityMO64184Perform Laboratory Tests1653418
ECI Two Creekside Oaks
PO Box 60000San FranciscoCA94160Landlord365053
UT Medical Group
1407 Union AvenueMemphisTN38104Recovery Surgeons305000Suite 720
Bloodsource
10536 Peter A McCuen BlvdMatherCA95655Perform Laboratory Tests322788
Examworks Review Services
PO Box 492710ReddingCA96049Bill Review Services223290
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Organ Procurement Fees62199042891008428910080$0
OPO Estimated Provider Cost Paymnet900099-87866-878660$0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue42803142TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1215TotalRevenueColumn
Related Or Exempt Function Income1215RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Gross Sales Of Inventory14258765GrossSalesOfInventory
Cost Of Goods Sold9245497CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column5013268TotalRevenueColumn
Related Or Exempt Function Income5013268RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column4057TotalRevenueColumn
Related Or Exempt Function Income4057RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue4057TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column47821682TotalRevenueColumn
Related Or Exempt Function Income47821682RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1053519Total
Program Services25199ProgramServices
Management And General1028320ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15269347Total
Program Services11020053ProgramServices
Management And General4249294ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total207402Total
Program Services146647ProgramServices
Management And General60755ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2904621Total
Program Services2053764ProgramServices
Management And General850857ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1328675Total
Program Services939463ProgramServices
Management And General389212ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total339127Total
Program Services0ProgramServices
Management And General339127ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total264458Total
Program Services0ProgramServices
Management And General264458ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1430413Total
Program Services307760ProgramServices
Management And General1122653ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total218911Total
Program Services218911ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total301164Total
Program Services0ProgramServices
Management And General301164ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total52617Total
Program Services0ProgramServices
Management And General52617ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1041940Total
Program Services977134ProgramServices
Management And General64806ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total1332181Total
Program Services418734ProgramServices
Management And General913447ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total352494Total
Program Services281995ProgramServices
Management And General70499ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total117513Total
Program Services0ProgramServices
Management And General117513ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total892027Total
Program Services96517ProgramServices
Management And General795510ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total566748Total
Program Services0ProgramServices
Management And General566748ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Organ Procurement131867231318672300
Supplies (Program Related)1827994182799400
Communications7978965582332396630
Bad Debt Expense30632403063240
Equipment Rental and Maintenance613853945175193360

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total978323Total
Program Services243215ProgramServices
Management And General735108ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total45384270Total
Program Services32396859ProgramServices
Management And General12987411ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1040172BOY
EOY466902EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10622610BOY
EOY13056005EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5737343BOY
EOY8820769EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY504243BOY
EOY572168EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13239900LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5162730LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY7944060BOY
EOY8077170EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY199207BOY
EOY174744EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY26047635BOY
EOY31167758EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4611855BOY
EOY5672487EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY3133333EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13156757BOY
EOY11645503EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY17768612BOY
EOY20451323EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY8279023BOY
EOY10716435EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8279023BOY
EOY10716435EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26047635BOY
EOY31167758EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2437412ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37632084CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40532214CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years48632488CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50702353CurrentTaxYearMinus1Year
Current Tax Year57061906CurrentTaxYear
Total234561045Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37632084CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40532214CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years48632488CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50702353CurrentTaxYearMinus1Year
Current Tax Year57061906CurrentTaxYear
Total234561045Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total509234561045PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years45729CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9212CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1342CurrentTaxYearMinus1Year
Current Tax Year1215CurrentTaxYear
Total57498Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45729CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9212CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1342CurrentTaxYearMinus1Year
Current Tax Year1215CurrentTaxYear
Total57498Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years10079CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17731CurrentTaxYearMinus1Year
Current Tax Year4057CurrentTaxYear
Total31867Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37632084CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40577943CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years48651779CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50721426CurrentTaxYearMinus1Year
Current Tax Year57067178CurrentTaxYear
Total234650410Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99962PublicSupportPercentage509
Prior Year Support Percentage0.99961PriorYearSupportPercentage
Investment Income Percentage0.00025InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00026PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationGeneral Explanation - Miscellaneous IncomeGeneralExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis830783OtherCostOrOtherBasis
Book Value830783BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis3754562OtherCostOrOtherBasis
Depreciation252982Depreciation
Book Value3501580BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1478856OtherCostOrOtherBasis
Depreciation545771Depreciation
Book Value933085BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis7175699OtherCostOrOtherBasis
Depreciation4363977Depreciation
Book Value2811722BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8077170TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Payable to Related Organization$7,477,991
Short Term Liabilities$326,508
Line of Credit$3,500,000
Deferred Rent Payable$341,004
FieldValueIRS element (for citing)
Total Of Amounts11645503TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
James Perry
060926900000001988306291520
Ed Attrill
026244600000001287702753230
Jill M Grandas
221399000000017299023869800
Susan Fredenberg Cross
19844900000001080802092570
Patricia Tencza
19695200000001714802141000
Helen Nelson
22635400000001753802438920
Louis Barnes
18516600000001082101959870
Kelly Snyder
1908700000000379901946690

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonDr Oscar GrandasNamePerson
FieldValueIRS element (for citing)
RelationshipFamily of Jill GrandasRelationship
Amount Of Transaction43000AmountOfTransaction
Description Of TransactionRecovery Surgeon for organizationDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierSchL_P04_S00_L00Identifier
Return ReferenceSchedule L, Part IVReturnReference
ExplanationPart IV, Line 1 - Dr. Oscar Grandas is a family member to Jill Grandas, who is a key employee of DCI Donor Services. DCI Donor Services compensates Dr. Grandas for services he provides to the organization in his occupation as an organ recovery surgeon.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P03_S00_L04aForm 990, Part III, Line 4aDCI Donor Services, Inc. ("DCIDS") is a not-for-profit 501(c)(3) organization that operates three federally certified Organ Procurement Organizations (OPOs) 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. Accordingly, the OPOs seek reimbursement for all 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 dervies its cost-covering revenues from hospitals or dentists who are transplanting tissues recovered, processed and/or distributed by the TB. 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, 2011, DCIDS procured 1,138 organs and recovered 1,997 tissue donors for transplantation. In addition, DCIDS sponsored a number of professional seminars for nurses and physicians concerning issues in transplantation, as well as several programs to educate and heighten the awareness of the general public concerning organ donation and transplantation.
F990_P04_S00_L12aForm 990, Part IV, Line 12aDialysis Clinic, Inc. receives annual audited financial statements. The financial statements are presented as consolidated financial statements which includes: Dialysis Clinic, Inc.,DCI Donor Services, Boxwood Dialysis LLC, DCI Renal Services of Pittsburgh LLC, and Independent Kidney Cooperative (collectively, "subsidiaries"). The majority of the activity presented in the consolidated financial statements is that of Dialysis Clinic, Inc. when compared to the subsidiaries. Dialysis Clinic, Inc. is a 501(c)(3) tax exempt organization and files Form 990. Each subsidiary files a seperate return.
F990_P06_S0A_L06Form 990, Part VI, Section A, Line 6The sole member of the corporation is Dialysis Clinic, Inc.
F990_P06_S0A_L07aForm 990, Part VI, Section A, Line 7aDialysis Clinic, Inc. as the sole member of DCI Donor Services has the power to nominate, elect, appoint, fill vacancies of, and remove members of the Board of Directors of the corporation.
F990_P06_S0A_L07bForm 990, Part VI, Section A, Line 7bDialysis Clinic, Inc. shall have the sole vote on all matters coming before the membership.
F990_P06_S0A_L08bForm 990, Part VI, Section A, Line 8bThere are currently no committees that act on behalf of the governing body.
F990_P06_S0A_L09Form 990, Part VI, Section A, Line 9One officer and two directors cannot be reached at the organizations mailing address: 1) James Riley, 150 N Michigan Ave, Chicago, IL 60601. 2) William Sterling, 8912 Natalie Ave, Albuquerque, NM 87110. 3) Cynda Rennie, PO Box 7437, Citrus Heights, CA 95621.
F990_P06_S0B_L11aForm 990, Part VI, Section B, Line 11aA draft of Form 990 is suppllied to each member of the governing body and adjustments are suggested and completed as necessary. Each board member is mailed a copy of the Form 990 draft and is given approximately one month to review and comment.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cOn an annual basis, the Board of Directors signs a conflict of interest statement that states the director has not violated the conflict of interest policy.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15DCI Donor Services belongs to the Association of Organ Procurement Organizations. AOPO completes a yearly survey of all salaried positions within an organ procurement organization, which includes CEO salaries, as well as the salaries for other key positions. This yearly survey was used to determine the salaries for the executive director and other key employees.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19DCI Donor Services does not make its governing documents, conflict of interest policy, and financial statements available to the public.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Dialysis Clinic IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11633 Church StreetAddressLine1
Address Line2Suite 500AddressLine2
CityNashvilleCity
StateTNState
ZIP Code37203ZIPCode
FieldValueIRS element (for citing)
EIN620850498EIN
Primary ActivitiesKidney DialysisPrimaryActivities
Legal Domicile StateTNLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity StatusLine 9PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets1ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Dialysis Clinic Inc
j507600Actual Records
Dialysis Clinic Inc
l228452Actual records
Dialysis Clinic Inc
n332007Actual records
Dialysis Clinic Inc
o7293860Actual records

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