DCI DONOR SERVICES INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
DCI DONOR SERVICES INC (EIN 58-1990866)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-06-21
IRS object ID
201141739349300524
Schema version
2009v1.2
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)
Timestamp2011-06-21T15:53:56-07:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

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
Phone6153273061Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11633 Church StreetAddressLine1
CityNashvilleCity
StateTNState
ZIP Code37203ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEd AttrillName
TitleAssistant TreasurerTitle
Phone6153420411Phone
Date Signed2011-06-22DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
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 Receipts50721426GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.dciinc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionDDS 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 Members3NbrIndependentVotingMembers
Total Nbr Employees410TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year39328537ProgramServiceRevenuePriorYear
Program Service Revenue CY40738074ProgramServiceRevenueCY
Investment Income Prior Year9213InvestmentIncomePriorYear
Investment Income Current Year1342InvestmentIncomeCurrentYear
Other Revenue Prior Year2009686OtherRevenuePriorYear
Other Revenue Current Year949065OtherRevenueCurrentYear
Total Revenue Prior Year41347436TotalRevenuePriorYear
Total Revenue Current Year41688481TotalRevenueCurrentYear
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 Year16853158SalariesEtcPriorYear
Salaries Etc Current Year19767039SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year22917164OtherExpensePriorYear
Other Expenses Current Year21789895OtherExpensesCurrentYear
Total Expenses Prior Year39770322TotalExpensesPriorYear
Total Expenses Current Year41556934TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1577114RevenuesLessExpensesPriorYear
Revenues Less Expenses CY131547RevenuesLessExpensesCY
Total Assets BOY20396576TotalAssetsBOY
Total Assets EOY26047635TotalAssetsEOY
Total Liabilities BOY12248602TotalLiabilitiesBOY
Total Liabilities EOY17768612TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8147974NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8279023NetAssetsOrFundBalancesEOY
Mission DescriptionDDS is committed to saving and improving lives, connecting one life to another through donation and transplantation.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense28665518Expense
Grants0Grants
Revenue41669408Revenue
DescriptionOrgan Procurement - See Schedule ODescription
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense28665518TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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 Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096154NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees410NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
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 Policy0WhistleblowerPolicy
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 Line11633 Church StreetAddressLine1
Address Line2Suite 500AddressLine2
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
President0XX35163011712
James Perry
Treasurer0XX022244124400X
Ed Attrill
Assistant Treasurer0XX023193556809X
James B Riley
Secretary0XX000
William A Sterling
Board Member0X1200000
Cynda Rennie
Board Member0X000
Jill M Grandas
Exec Director/CEO40221589042463X
Susan Fredenberg Cross
Exec Director/CEO40196810015078X
Patricia Niles
Exec Director/CEO40201292020601X
Helen Nelson
Exec Director/CEO40198978020674X
Teresa Thompson
Chief Financial Officer40113531017130X
Kimber Cosick
Director of Operations40104849014320X
Timothy Kern
Clinical Manager40120171016342X
Louis Barnes
Executive Director40137515010563X
Deidre Ables
Transplant Coordinator40105311012645X
Deirdre McAdams
Clinical Services Director40105977015820X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1553186TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs454376TotalReportableCompFrmRltdOrgs
Total Other Compensation278557TotalOtherCompensation
Number Individuals GT100 K12NumberIndividualsGT100K
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
WR Newman & Associates
2854 Logan StreetNashvilleTN37211Building Contractor2829526
Labs Inc
PO Box 712997CincinnatiOH45271Perform Laboratory Tests1147227
ECI Two Creekside Oaks
PO Box 60000San FranciscoCA94160Landlord364855
UT Medical Group
1407 Union AvenueMemphisTN38104Recovery Surgeons241500Suite 720
Bloodsource
10536 Peter A McCuen BlvdMatherCA95655Perform Laboratory Tests229935
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Organ Procurement Fees62199038733965387339650$0
DPO Estimated Provider Cost Payment900099200410920041090$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 Revenue40738074TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1342TotalRevenueColumn
Related Or Exempt Function Income1342RelatedOrExemptFunctionIncome
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 Inventory9964279GrossSalesOfInventory
Cost Of Goods Sold9032945CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column931334TotalRevenueColumn
Related Or Exempt Function Income931334RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column17731TotalRevenueColumn
Related Or Exempt Function Income17731RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue17731TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column41688481TotalRevenueColumn
Related Or Exempt Function Income41688481RelatedOrExemptFunctionIncome
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)
Total1209727Total
Program Services172678ProgramServices
Management And General1037049ManagementAndGeneral
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)
Total14779770Total
Program Services10332537ProgramServices
Management And General4447233ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total192331Total
Program Services132997ProgramServices
Management And General59334ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2333431Total
Program Services1613570ProgramServices
Management And General719861ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1251780Total
Program Services865607ProgramServices
Management And General386173ManagementAndGeneral
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)
Total80852Total
Program Services0ProgramServices
Management And General80852ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total212775Total
Program Services0ProgramServices
Management And General212775ManagementAndGeneral
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)
Total1005013Total
Program Services161862ProgramServices
Management And General843151ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total211644Total
Program Services211644ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total445665Total
Program Services0ProgramServices
Management And General445665ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total55664Total
Program Services0ProgramServices
Management And General55664ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

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

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1097875Total
Program Services880645ProgramServices
Management And General217230ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total1663285Total
Program Services383266ProgramServices
Management And General1280019ManagementAndGeneral
Fundraising0Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

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

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total17027Total
Program Services17027ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total40995Total
Program Services0ProgramServices
Management And General40995ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

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

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total661090Total
Program Services71234ProgramServices
Management And General589856ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total594537Total
Program Services0ProgramServices
Management And General594537ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Organ Procurement105934851059348500
Supplies (Program Related)2489730248973000
Communications7218785173572045210
Bad Debt Expense52800005280000
Equipment Rental and Maintenance287216190682681480

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1083164Total
Program Services202811ProgramServices
Management And General880353ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total41556934Total
Program Services28665518ProgramServices
Management And General12891416ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY944201BOY
EOY1040172EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10590057BOY
EOY10622610EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4179757BOY
EOY5737343EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY414564BOY
EOY504243EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12170598LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4226538LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4044327BOY
EOY7944060EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY223670BOY
EOY199207EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20396576BOY
EOY26047635EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3897521BOY
EOY4611855EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY8351081BOY
EOY13156757EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12248602BOY
EOY17768612EOY
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)
BOY8147974BOY
EOY8279023EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8147974BOY
EOY8279023EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20396576BOY
EOY26047635EOY
FieldValueIRS element (for citing)
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 Years36610185CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37632084CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years40532214CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48632488CurrentTaxYearMinus1Year
Current Tax Year50702353CurrentTaxYear
Total214109324Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

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

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

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

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36610185CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37632084CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years40532214CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48632488CurrentTaxYearMinus1Year
Current Tax Year50702353CurrentTaxYear
Total214109324Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
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 Total509214109324PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years45729CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9212CurrentTaxYearMinus1Year
Current Tax Year1342CurrentTaxYear
Total56283Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45729CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9212CurrentTaxYearMinus1Year
Current Tax Year1342CurrentTaxYear
Total56283Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year10079CurrentTaxYearMinus1Year
Current Tax Year17731CurrentTaxYear
Total27810Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36610185CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37632084CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years40577943CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48651779CurrentTaxYearMinus1Year
Current Tax Year50721426CurrentTaxYear
Total214193417Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99961PublicSupportPercentage509
Prior Year Support Percentage0.99967PriorYearSupportPercentage
Investment Income Percentage0.00026InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00028PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationMiscellaneous IncomeGeneralExplanation

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$5,413DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB5413TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchC_P2B_S00_L01Identifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationDCI Donor Services paid an attorney to have direct contact with legislative staff.Explanation

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 Basis3597202OtherCostOrOtherBasis
Depreciation127611Depreciation
Book Value3469591BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1395578OtherCostOrOtherBasis
Depreciation441292Depreciation
Book Value954286BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis6347035OtherCostOrOtherBasis
Depreciation3657635Depreciation
Book Value2689400BookValue

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 Buildings7944060TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Payable to Affiliate$9,740,718
Short Term Liabilities$916,039
Line of Credit$2,500,000
FieldValueIRS element (for citing)
Total Of Amounts13156757TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSchD_P10_S00_L00Identifier
Return ReferenceSchedule D, Part XReturnReference
ExplanationSchedule D, Part X - N/AExplanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (6 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 OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
James Perry
0222441000000024400024684100
Ed Attrill
02319350000040482016327028874400
Jill M Grandas
22158900000208890215740264052000
Susan Fredenberg Cross
1968100000000150780211888000
Patricia Niles
2012920000000203960221688000
Helen Nelson
1989780000000208800219858000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 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 educational 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 (AATB) 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 derives 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, 2010, DCIDS procured 963 organs, 578 cornea donors, and 1845 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
F990_P04_S00_L12Form 990, Part IV, Line 12Dialysis 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 seaparate return.
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 can not be reached at the organizations mailing address: 1) James B. Riley, 150 North Michigan Ave, Chicago, IL 60601. 2) William A. Sterling, 8912 Natalie Ave, Albuquerque, NM 87110. 3) Cynda Rennie, PO Box 7437, Citrus Heights, CA 95621.
F990_P06_S0B_L11Form 990, Part VI, Section B, Line 11A 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 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 15DDS belongs to the Association of Organ Procurement Organizations. The AOPO completes a yearly survey of all salaried positions within an organ procurement organization, which includes CEO salaries. This yearly survey was used to arrive at DDS's executive director's salary.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19DCI Donor Services does not make it's governing documents, conflict of interest policy, and financial statements available to the public.
F990_P11_S00_L02bForm 990, Part XI, Line 2bDCI Donor Services receives annual audited financial statements. The financial statements are presented as consolidated financial statements which include, DCI Donor Services, Dialysis Clinic, Inc., Boxwood Dialysis LLC, Kidney Treatment Options Center of Lafayette, LLC, DCI Renal Services of Pittsburgh, LLC and Independent Kidney Cooperative. The majority of the activity presented in the consolidated financial statements is that of Dialysis Clinic Inc when compared to the other entities. Dialysis Clinic Inc. is a 501 (c)(3) tax exempt organization and filed Form 990 which includes only the activity of the clinics, lab and supply company. Each other entity, including DCI Donor Services, files a separate return.

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
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 Org1PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
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 (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Dialysis Clinic Inc
o2696569
Dialysis Clinic Inc
l2673146
Dialysis Clinic Inc
n1537675
Dialysis Clinic Inc
g254324
Dialysis Clinic Inc
k507600

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