2011-06-21T15:53:56-07:00 2010-09-30 990 2009-10-01 581990866 DCI DONOR SERVICES INC DCID 6153273061 1633 Church Street Nashville TN 37203 Ed Attrill 6153420411 2011-06-22 2009 2016-02-24 21:20:13Z James Perry 1633 Church Street Suite 500 Nashville TN 37203 50721426 0 X www.dciinc.org X 1991 TN DDS is committed to saving and improving lives, connecting one life to another through donation and transplantation. 5 3 410 0 0 0 0 0 39328537 40738074 9213 1342 2009686 949065 41347436 41688481 0 0 0 0 16853158 19767039 0 0 0 22917164 21789895 39770322 41556934 1577114 131547 20396576 26047635 12248602 17768612 8147974 8279023 DDS is committed to saving and improving lives, connecting one life to another through donation and transplantation. 0 0 28665518 0 41669408 Organ Procurement - See Schedule O 0 0 0 28665518 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 154 0 1 410 1 0 0 0 0 0 5 3 0 0 0 0 0 0 0 1 0 1 0 1 1 1 1 0 1 1 1 0 X Teresa Thompson 6155643621 1633 Church Street Suite 500 Nashville TN 37203 H Keith Johnson 0 X X 35163 0 11712 James Perry 0 X X X 0 222441 24400 Ed Attrill 0 X X X 0 231935 56809 James B Riley 0 X X 0 0 0 William A Sterling 0 X 12000 0 0 Cynda Rennie 0 X 0 0 0 Jill M Grandas 40 X 221589 0 42463 Susan Fredenberg Cross 40 X 196810 0 15078 Patricia Niles 40 X 201292 0 20601 Helen Nelson 40 X 198978 0 20674 Teresa Thompson 40 X 113531 0 17130 Kimber Cosick 40 X 104849 0 14320 Timothy Kern 40 X 120171 0 16342 Louis Barnes 40 X 137515 0 10563 Deidre Ables 40 X 105311 0 12645 Deirdre McAdams 40 X 105977 0 15820 1553186 454376 278557 12 0 1 0 WR Newman & Associates 2854 Logan Street Nashville TN 37211 Building Contractor 2829526 Labs Inc PO Box 712997 Cincinnati OH 45271 Perform Laboratory Tests 1147227 ECI Two Creekside Oaks PO Box 60000 San Francisco CA 94160 Landlord 364855 UT Medical Group 1407 Union Avenue Suite 720 Memphis TN 38104 Recovery Surgeons 241500 Bloodsource 10536 Peter A McCuen Blvd Mather CA 95655 Perform Laboratory Tests 229935 12 0 Organ Procurement Fees 621990 38733965 38733965 0 0 DPO Estimated Provider Cost Payment 900099 2004109 2004109 0 0 0 0 0 0 40738074 1342 1342 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9964279 9032945 931334 931334 0 0 17731 17731 0 0 17731 41688481 41688481 0 0 0 0 0 0 0 0 0 0 1209727 172678 1037049 0 0 0 0 0 14779770 10332537 4447233 0 192331 132997 59334 0 2333431 1613570 719861 0 1251780 865607 386173 0 0 0 0 0 80852 0 80852 0 212775 0 212775 0 0 0 0 0 0 0 0 0 0 0 1005013 161862 843151 0 211644 211644 0 0 445665 0 445665 0 55664 0 55664 0 0 0 0 0 1097875 880645 217230 0 1663285 383266 1280019 0 0 0 0 0 17027 17027 0 0 40995 0 40995 0 0 0 0 0 661090 71234 589856 0 594537 0 594537 0 Organ Procurement 10593485 10593485 0 0 Supplies (Program Related) 2489730 2489730 0 0 Communications 721878 517357 204521 0 Bad Debt Expense 528000 0 528000 0 Equipment Rental and Maintenance 287216 19068 268148 0 1083164 202811 880353 41556934 28665518 12891416 0 944201 1040172 0 0 0 0 10590057 10622610 0 0 0 0 0 0 4179757 5737343 414564 504243 12170598 4226538 4044327 7944060 0 0 0 0 223670 199207 0 20396576 26047635 3897521 4611855 0 0 0 0 0 0 0 0 0 0 0 0 0 0 8351081 13156757 12248602 17768612 X 0 0 0 0 8147974 8279023 8147974 8279023 20396576 26047635 X 0 0 0 X 36610185 37632084 40532214 48632488 50702353 214109324 0 0 0 0 0 0 36610185 37632084 40532214 48632488 50702353 214109324 0 0 0 0 0 0 0 0 0 0 0 214109324 45729 9212 1342 56283 0 0 45729 9212 1342 56283 0 0 10079 17731 27810 36610185 37632084 40577943 48651779 50721426 214193417 0.99961 0.99967 0.00026 0.00028 X Miscellaneous Income 0 0 0 0 0 0 1 5413 0 0 5413 0 SchC_P2B_S00_L01 Schedule C, Part II-B, Line 1 DCI Donor Services paid an attorney to have direct contact with legislative staff. 0 830783 830783 0 3597202 127611 3469591 0 1395578 441292 954286 0 6347035 3657635 2689400 0 0 0 0 7944060 0 Payable to Affiliate 9740718 Short Term Liabilities 916039 Line of Credit 2500000 13156757 SchD_P10_S00_L00 Schedule D, Part X Schedule D, Part X - N/A 0 0 0 0 0 0 0 0 0 James Perry 0 222441 0 0 0 0 0 0 0 24400 0 246841 0 0 Ed Attrill 0 231935 0 0 0 0 0 40482 0 16327 0 288744 0 0 Jill M Grandas 221589 0 0 0 0 0 20889 0 21574 0 264052 0 0 0 Susan Fredenberg Cross 196810 0 0 0 0 0 0 0 15078 0 211888 0 0 0 Patricia Niles 201292 0 0 0 0 0 0 0 20396 0 221688 0 0 0 Helen Nelson 198978 0 0 0 0 0 0 0 20880 0 219858 0 0 0 F990_P03_S00_L04a Form 990, Part III, Line 4a DCI 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_L12 Form 990, Part IV, Line 12 Dialysis 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_L08b Form 990, Part VI, Section A, Line 8b There are currently no committees that act on behalf of the governing body. F990_P06_S0A_L09 Form 990, Part VI, Section A, Line 9 One 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_L11 Form 990, Part VI, Section B, Line 11 A 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_L12c Form 990, Part VI, Section B, Line 12c On 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_L15 Form 990, Part VI, Section B, Line 15 DDS 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_L19 Form 990, Part VI, Section C, Line 19 DCI Donor Services does not make it's governing documents, conflict of interest policy, and financial statements available to the public. F990_P11_S00_L02b Form 990, Part XI, Line 2b DCI 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. Dialysis Clinic Inc 1633 Church Street Suite 500 Nashville TN 37203 620850498 Kidney Dialysis TN 501(c)(3) Line 9 N/A 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 0 0 Dialysis Clinic Inc o 2696569 Dialysis Clinic Inc l 2673146 Dialysis Clinic Inc n 1537675 Dialysis Clinic Inc g 254324 Dialysis Clinic Inc k 507600