2024-08-14T13:05:58-05:00 2023-09-30 861065772 DELOITTE TAX LLP 111 MONUMENT CIRCLE SUITE 4200 INDIANAPOLIS IN 46204 990 2022-10-01 620850498 DIALYSIS CLINIC INC DIAL 6152345251 1633 CHURCH ST STE 500 NASHVILLE TN 37203 JOE SWEARINGEN CHIEF FINANCIAL OFFICER 6152345251 2024-08-14 1 1 SHAWNA M JANSONS P01222873 3174648600 2022 2024-08-08 14:25:15Z JOE SWEARINGEN 1633 CHURCH ST STE 500 NASHVILLE TN 37203 821802801 0 X WWW.DCIINC.ORG X 1971 TN TO INITIATE AND PROVIDE COMPREHENSIVE CARE FOR PATIENTS WITH END-STAGE RENAL DISEASE. 4 0 6590 0 14136278 141537 0 0 708994220 706310031 5057443 7741689 13773906 14016410 727825569 728068130 9867496 8605242 0 0 448411050 436831780 0 0 0 390354976 299378136 848633522 744815158 -120807953 -16747028 649708855 695959374 118406430 178386777 531302425 517572597 X THE PRIMARY RESPONSIBILITY OF DIALYSIS CLINIC INC. (DCI) IS TO PROVIDE COMPREHENSIVE AND SPECIALIZED CARE TO PATIENTS LIVING WITH CHRONIC KIDNEY DISEASE (CKD) AND END STAGE RENAL DISEASE (ESRD). 0 0 476327634 8605242 693149571 THE DIALYSIS DIVISION IS THE PRINCIPAL ACTIVITY OF OUR COMPANY AND IS PRIMARILY INVOLVED WITH PROVIDING KIDNEY DIALYSIS AND RELATED SERVICES FOR INSURED AND UNINSURED PATIENTS. RENAL DIALYSIS IS NOT AN ELECTIVE MEDICAL PROCEDURE, BUT A LIFE-SUSTAINING TREATMENT FOR PEOPLE LIVING WITH KIDNEY FAILURE. PROVIDING THESE MEDICALLY-NECESSARY TREATMENTS FURTHERS OUR EXEMPT PURPOSE OF PROVIDING QUALITY OUTPATIENT CARE FOR ALL PATIENTS WITH END-STAGE RENAL DISEASE, WHICH INCLUDES THE APPLICATION OF COMPANY RESOURCES FOR SCIENTIFIC AND EDUCATIONAL PURPOSES FOR THE PREVENTION, EARLY DETECTION, AND TREATMENT OF RENAL DISEASE. DURING FYE 2023, 2,250,069 DIALYSIS PROCEDURES WERE PERFORMED. A SIGNIFICANT PORTION OF OUR DIALYSIS CHARGES ARE COVERED BY MEDICARE AND STATE MEDICAID PROGRAMS, WHILE THE REMAINING COSTS ARE PAID BY THIRD PARTY INSURERS, AND CHARITY CARE. CHARITY CARE IS PROVIDED TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER OUR CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN OUR ESTABLISHED RATES. 18914579 1222609 THE LAB DIVISION PROVIDES SPECIALIZED LABORATORY TESTING AND DIAGNOSTIC PROCEDURES FOR DIALYSIS FACILITIES AND PATIENTS WITH KIDNEY DISEASE AND RENAL FAILURE. A VARIETY OF LABORATORY TESTS TO ANALYZE DIFFUSED TOXINS FROM THE BLOOD ARE NECESSARY TO MONITOR THE CLINICAL COURSE OF PATIENTS AND THE OVERALL EFFECTIVENESS OF RENAL DIALYSIS. THESE TESTS ARE NECESSARY IN THE TREATMENT OF RENAL DISEASE, AND FURTHERS OUR EXEMPT PURPOSE OF PROVIDING QUALITY CARE FOR PATIENTS WITH CHRONIC RENAL DISEASE BY CONTINUALLY IMPROVING OUR PROCESSES IN MEASURING LEVELS OF KIDNEY FUNCTION TO PRODUCE OPTIMAL PATIENT OUTCOMES. FOR FYE 2023, 820,725 PATIENT TESTS WERE PERFORMED. 5880135 7346684 THE SUPPLY AND PHARMACY DIVISION PROVIDES MEDICAL SUPPLIES, INCLUDING BUT NOT LIMITED TO NUTRITIONAL SUPPLEMENTS, DRUGS, AND HOME DIALYSIS SUPPLIES FOR DCI FACILITIES AND PROVIDES PRESCRIPTION MEDICATIONS FOR DCI EMPLOYEES. 501122348 1 0 0 1 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 1017 0 1 6590 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 4 0 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 1 1 CA IN MA NM NY TN X ANDREW L PARKER 6153273061 1633 CHURCH STREET STE 500 NASHVILLE TN 37203 DOUGLAS JOHNSON MD VICE CHAIRMAN 39.00 1.00 X 453418 0 35515 H KEITH JOHNSON MD CHAIRMAN OF THE BOARD 32.00 8.00 X 7498 33000 6427 JAMES PERRY DIRECTOR 9.00 1.00 X 0 0 12128 KEN JOHNSON DIRECTOR 1.00 0.00 X 0 0 0 WILLIAM E WOOD PRESIDENT (THRU 03/23) 39.00 1.00 X 532562 0 28047 STUART REDPATH CHIEF OPERATING OFFICER 40.00 0.00 X 461747 0 35688 DONOVAN SCHULTZ CFO (THRU 4/23) PRES. (BEG. 4/23) 38.00 2.00 X 352743 0 51464 MARY HOBEIKA CHIEF STRATEGY OFFICER 40.00 0.00 X 310589 0 40468 JOE SWEARINGEN AST. TRS.(THRU 4/23)CFO(BEG. 4/23) 39.00 1.00 X 202477 0 39828 JAMES E ATTRILL VICE PRESIDENT 35.00 5.00 X 194911 0 14525 JOSEPH DEJONCKHEERE PHYSICIAN 40.00 0.00 X 739429 0 23790 WALTER GOTHARD DIRECTOR OF PHYSICIAN SERVICES 40.00 0.00 X 728555 0 30855 AMIT NAHATA PHYSICIAN 40.00 0.00 X 642998 0 32416 JESSIE GANJOO PHYSICIAN 40.00 0.00 X 643570 0 8504 RAPHAEL HIGGINBOTHAM PHYSICIAN 40.00 0.00 X 507093 0 14845 5777590 33000 374500 507 0 1 0 CHG MEDICAL STAFFING INC PO BOX 974088 DALLAS TX 75397 STAFFING SERVICES 5901586 WR NEWMAN ASSOCIATES 2854 LOGAN ST NASHVILLE TN 37211 CONSTRUCTION SERVICES 5647061 BREAKOUT CAPITAL LLC 3491 SOLUTIONS CENTER CHICAGO IL 60677 STAFFING SERVICES 5398965 INVICTA CONSTRUCTION SOLUTIONS INC 100 PARK CENTRAL BLVD S POMPANO BEACH FL 33064 CONSTRUCTION SERVICES 4802229 QUIK TRAVEL STAFFING LLC 175 E OLIVE AVE BURBANK CA 91502 STAFFING SERVICES 4191605 112 DIALYSIS & MEDICAL 621400 594539615 594539615 HOME PATIENT 621610 98609956 98609956 LABORATORY 621500 13160460 1222609 11937851 706310031 8101245 8101245 3380931 0 3380931 3380931 3380931 93331478 93691034 -359556 -359556 -359556 49336 43637 5699 5699 MANAGEMENT FEES 541610 1387995 1059159 328836 RESEARCH REVENUES 541700 761532 761532 8480253 7346684 1133569 10629780 728068130 701718864 14136278 12212988 8605242 8605242 2515928 2515928 361252756 265933205 95319551 8502975 5965914 2537061 41744078 31556485 10187593 22816043 16859026 5957017 3061796 3061796 751534 751534 485429 485429 1352183 1352183 5315375 5315375 11174751 7263588 3911163 16022775 12118878 3903897 6130908 486456 5644452 56012 32534 23478 149976 149976 30227471 10812362 19415109 4038222 4038222 MEDICAL SUPPLIES 64310036 64310036 0 DRUG EXPENSE 37975378 37973242 2136 BAD DEBT EXPENSE 31528786 0 31528786 REPAIRS & MAINTENANCE 15201149 5173712 10027437 71596355 34031668 37564687 744815158 501122348 243692810 0 56731280 92127688 35951235 21278958 114356784 97815307 16976259 12666260 5759940 5678010 839363815 424709034 357037193 414654781 6641105 7746940 49987692 38817780 4416294 3399265 1851073 1774385 649708855 695959374 22501853 20091624 95904577 158295153 118406430 178386777 X 531302425 517572597 531302425 517572597 649708855 695959374 X -16747028 3017200 X 0 1 X 1 0 X 0 1 0 1 8025 0 1 372404 0 0 1 105000 485429 0 PART II-B, LINE 1: DIALYSIS CLINIC INC. HAS ONE EMPLOYEE WHO SPENDS APPROXIMATELY 2% OF THEIR TIME AS THE COMPANY'S PUBLIC LIASON. $372,404 WAS GIVEN TO ORGANIZATIONS WHO PRIMARILY ARE INVOLVED IN LOBBYING ACTIVITIES. $8,025 WAS PAID TO A GRASSROOTS ADVOCACY PLATFORM. LASTLY, $105,000 WAS SPENT ON LEGAL ADVICE FOR LOBBYING AND POTENTIAL LEGISLATION RELATED MATTERS. 57200182 57200182 347470673 158989442 188481231 173230587 107975206 65255381 261462373 157744386 103717987 414654781 MAJORITY INTEREST IN JOINT VENTURES 16957230 C VALIC INVESTMENTS 11794539 F U.S. T-BILLS, CDS & GOV'T OBLIGATIONS 4776360 F CORPORATE BONDS 4206393 F MUNICIPAL BONDS 1083258 F 38817780 ACCRUED PAYROLL AND OTHER TAXES 44593040 OTHER NOTES PAYABLE 18340370 SICK PAY RETIREMENT PAYABLE 11419330 CURRENT MATURITIES ON LONG TERM DEBT 11400000 OPERATING LEASE LIABILITIES - CURRENT 9065263 OPERATING LEASE LIABILITIES - NON-CURRENT 63477150 158295153 1 AMERICAN KIDNEY FUND 6110 EXECUTIVE BLVD STE 1010 ROCKVILLE MD 20852 237124261 501(C)(3) 4000000 0 FMV DONATION FOR GENERAL SUPPORT INDIANA UNIVERSITY 620 UNION DRIVE ROOM 618 INDIANAPOLIS IN 46202 356001673 GOV. ENTITY 167906 0 FMV MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION VANDERBILT UNIVERSITY MEDICAL CENTER 1161 21ST AVENUE SOUTH MEDICAL CENTER NORTH S-3223 NASHVILLE TN 37323 352528741 501(C)(3) 120000 0 FMV MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION STONY BROOK FOUNDATION INC 230 ADMINISTRATION BLDG STONY BROOK NY 11790 116077945 501(C)(3) 199612 0 FMV MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION RUTGERS UNIVERSITY FOUDATION 7 COLLEGE AVE WINANTS HALL NEW BRUNSWICK NJ 08901 237318742 501(C)(3) 149167 0 FMV MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION UC HEALTH FOUNDATION 3200 BURNETT AVE CINCINNATI OH 45229 261594868 501(C)(3) 435000 0 FMV MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION UNIVERSITY OF CONNECTICUT HEALTH CENTER PO BOX 4034 FARMINGTON CT 06034 060772160 501(C)(3) 93500 0 FMV MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION UNIVERSITY OF PITTSBURGH 3550 TERRACE ST S-974 SCAIFE HALL PITTSBURGH PA 15261 232919472 501(C)(3) 60797 0 FMV MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION UNIVERSITY OF NEW MEXICO 1 UNIVERSITY OF NM ALBUQUERQUE NM 87131 850275408 501(C)(3) 1816432 0 FMV MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION MEDICAL UNIVERSITY OF SOUTH CAROLINA 18 BEE ST CHARLESTON SC 29425 576028985 501(C)(3) 465257 0 FMV MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION TUFTS MEDICAL CENTER 800 WASHINGTON ST 817 BOSTON MA 02111 043044706 501(C)(3) 71200 0 FMV MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION UNIVERSITY OF CA - DAVIS 4150 V STREET SUITE 3500 SACRAMENTO CA 95817 946036494 501(C)(3) 68300 0 FMV MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION RESEARCH FOUNDATION SUNY PO BOX 9 ALBANY NY 12201 141368361 501(C)(3) 67363 0 FMV MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION KIDNEY FOUNDATION OF THE GREATER CHATTANOOGA AREA 1020 DALLAS ROAD SUITE 401 CHATTANOOGA TN 37405 621410005 501(C)(3) 75000 0 FMV DONATION FOR GENERAL SUPPORT UNIVERSITY OF MISSOURI PO BOX 807012 KANSAS CITY MO 64180 436003859 GOV. ENTITY 311310 0 FMV MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION UNIVERSITY OF ARKANSAS 4301 W MARKHAM LITTLE ROCK AR 72205 716046242 501(C)(3) 151875 0 FMV MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION CREIGHTON UNIVERSITY 2500 CALIFORNIA PLAZA OMAHA NE 68178 470376583 501(C)(3) 187478 0 FMV MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION BRIGHAM AND WOMEN'S HOSPITAL PO BOX 3149 BOSTON MA 02241 042312909 501(C)(3) 163500 0 FMV MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION 18 0 PART I, LINE 2: THE ORGANIZATION MONITORS ITS GRANTS AND OTHER ASSISTANCE TO ENSURE THAT SUCH FUNDS ARE USED FOR PROPER PURPOSES AND ARE NOT OTHERWISE DIVERTED FROM THE INTENDED USES THROUGH THE REQUIRED SUBMISSION OF BI-ANNUAL ACCOUNTING REPORTS THAT DETAIL THE EXPENDITURES OF EACH AWARD. IF THE AWARD PERTAINS TO RESEARCH STUDY, ANNUAL PROGRESS REPORTS ARE ALSO REQUIRED. ACCOUNTING REPORTS AND PROGRESS REPORTS, IF APPLICABLE, ARE REVIEWED FOR COMPLIANCE WITH THE SPECIFIC REQUIREMENTS OF EACH REWARD. X 1 1 X X 0 1 0 0 0 0 0 0 0 JOSEPH DEJONCKHEERE PHYSICIAN 738211 0 0 0 1218 0 5857 0 17933 0 763219 0 0 0 WALTER GOTHARD DIRECTOR OF PHYSICIAN SERVICES 214160 0 17603 0 496792 0 8697 0 22158 0 759410 0 493780 0 AMIT NAHATA PHYSICIAN 642204 0 0 0 794 0 10250 0 22166 0 675414 0 0 0 JESSIE GANJOO PHYSICIAN 641293 0 0 0 2277 0 8308 0 196 0 652074 0 0 0 WILLIAM E WOOD PRESIDENT (THRU 03/23) 488392 0 39898 0 4272 0 13500 0 14547 0 560609 0 0 0 RAPHAEL HIGGINBOTHAM PHYSICIAN 343013 0 163254 0 826 0 8200 0 6645 0 521938 0 0 0 STUART REDPATH CHIEF OPERATING OFFICER 422936 0 35178 0 3633 0 13500 0 22188 0 497435 0 0 0 DOUGLAS JOHNSON MD VICE CHAIRMAN 441165 0 9886 0 2367 0 13327 0 22188 0 488933 0 0 0 DONOVAN SCHULTZ CFO (THRU 4/23) PRES. (BEG. 4/23) 325930 0 26263 0 550 0 38290 0 13174 0 404207 0 0 0 MARY HOBEIKA CHIEF STRATEGY OFFICER 287183 0 22580 0 826 0 40250 0 218 0 351057 0 0 0 JOE SWEARINGEN AST. TRS.(THRU 4/23)CFO(BEG. 4/23) 184767 0 15949 0 1761 0 17688 0 22140 0 242305 0 0 0 JAMES E ATTRILL VICE PRESIDENT 179453 0 12600 0 2858 0 6893 0 7632 0 209436 0 0 0 PART I, LINE 1A H. KEITH JOHNSON, CHAIRMAN, RECEIVED PERSONAL USE OF THE COMPANY PLANE DURING THE COVID-19 PANDEMIC IN ORDER TO BE ABLE TO TRAVEL SAFELY AND REDUCE THE RISK OF COMING INTO CONTACT WITH THE VIRUS. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION. PART I, LINE 4B DIALYSIS CLINIC 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. THE FOLLOWING PERSON RECEIVED PAYMENTS UNDER THE PLAN IN CALENDAR YEAR 2022: WALTER GOTHARD - $493,780 FORM 990, PART III, LINE 1: DCI IS FOCUSED ON CARING FOR THE INDIVIDUAL PATIENT WITH THE UNDERSTANDING THAT EACH PERSON IS UNIQUE, BASED ON GENETICS, LIFE EXPERIENCES, HABITS, BELIEFS, AND EMOTIONS, AND AS A MEMBER OF HIS OR HER FAMILY AND THE COMMUNITY. WE BECOME ACQUAINTED WITH OUR PATIENT AS A PERSON AND SEEK TO UNDERSTAND HIS OR HER PROBLEMS AND NEEDS PHYSICAL, EMOTIONAL, SPIRITUAL, AND SOCIAL. IN 2023, DCI EMPLOYED CLOSE TO 5,000 PEOPLE AND PROVIDED DIALYSIS TREATMENTS TO MORE THAN 16,000 PATIENTS IN MORE THAN 240 CLINICS LOCATED IN 28 STATES THROUGHOUT THE UNITED STATES. IN ADDITION, DCI PROVIDES RENAL RELATED HOSPITAL SERVICES' INPATIENT DIALYSIS WITHIN MORE THAN 100 INPATIENT HOSPITALS THROUGHOUT THE UNITED STATES. DCI IS THE NATION'S LARGEST NON-PROFIT DIALYSIS PROVIDER. DCI OFFERS ALL MODALITIES OF END STAGE RENAL DISEASE (ESRD) TREATMENT, WHICH INCLUDE IN-CENTER HEMODIALYSIS, IN-CENTER NOCTURNAL HEMODIALYSIS, IN-CENTER SELF-CARE HEMODIALYSIS, HOME HEMODIALYSIS, CONTINUOUS AMBULATORY PERITONEAL DIALYSIS, AND CONTINUOUS CYCLING PERITONEAL DIALYSIS. IN 2023, DCI PROVIDED MORE THAN 1,958,362 DIALYSIS TREATMENTS. DCI WAS ESTABLISHED AS A NON-PROFIT CORPORATION, WITH A GOAL TO GENERATE FUNDING FOR RESEARCH SO ESRD TREATMENT METHODS COULD CONTINUE TO ADVANCE, AND, ULTIMATELY, SAVE AND/OR EXTEND THE LIVES OF OUR PATIENTS, WHILE THEY AWAIT TRANSPLANTS. WE ARE NOT CONTENT TO DIALYZE THE NEXT GROUP OF PATIENTS IN THE SAME IMPERFECT WAY THAT THE LAST GROUP WAS DIALYZED WITHOUT AT LEAST MAKING THE ATTEMPT TO BETTER THE PATIENT'S LOT THROUGH RESEARCH. AS A COROLLARY TO THIS, EDUCATION OF ESRD HEALTH CARE PROFESSIONALS IS ANOTHER GOAL TO WHICH DCI RESOURCES ARE DEDICATED TO SUPPORT. DCI'S RESEARCH COMMITMENT INCLUDES PROVIDING A COLLABORATIVE RELATIONSHIP IN THE CONDUCT OF CLINICAL TRIALS BETWEEN DCI CLINICS, PHYSICIAN/INVESTIGATORS, AND THE PHARMACEUTICAL INDUSTRY. TO FACILITATE AND PROVIDE OUR PATIENTS WITH THE BEST CARE AVAILABLE, THE DCI OFFICE OF CLINICAL RESEARCH CONDUCTS STATE-OF-THE-ART CLINICAL STUDIES. OUR EXPERIENCE IN CLINICAL RESEARCH IS A VALUABLE RESOURCE FOR NEPHROLOGY PHYSICIAN/INVESTIGATORS. DCI HAS EXPERT KNOWLEDGE IN FEDERAL REGULATIONS, HIPAA, MEDICARE CLINICAL TRIAL POLICY, GOOD CLINICAL PRACTICE, AND FEDERAL WIDE ASSURANCES. THE DCI OFFICE OF CLINICAL RESEARCH PROVIDES ALL THE RESOURCES NECESSARY TO CONDUCT CLINICAL TRIALS IN AN EFFICIENT, SAFE MANNER, WHILE INSTILLING INDUSTRY BEST PRACTICES AND PRODUCING QUALITY DATA. AS A NON-PROFIT 501(C)(3) ORGANIZATION, DCI DEDICATES A SIGNIFICANT PORTION OF ALL MONIES GENERATED TO BE UTILIZED FOR KIDNEY RELATED RESEARCH, EDUCATION, AND OTHER USES CONSISTENT WITH THE COMPANY CHARTER. SUCH PROGRAMS MIGHT INVOLVE RESEARCH STUDIES, TRAINING, EDUCATION, CLINICAL, AND PATIENT CARE ACTIVITIES. IN 2023, DCI CONTRIBUTED OVER $3.1M TO RESEARCH AND EDUCATION. SOME EXAMPLES OF AWARDS INCLUDE, BUT ARE NOT LIMITED TO: - DCI AWARDED $1.2 MILLION TO THE CENTER FOR HEALTHCARE EQUITY IN KIDNEY DISEASE. - DCI AWARDED $154,864 TO "DEVELOPING SMALL MOLECULE KINASE INHIBITORS TO COMBAT CISPLATIN-INDUCED KIDNEY INJURY." - DCI AWARDED $75,000 TO "ROLE OF COMPLEMENT ACTIVATION IN THE RENAL ENDOTHELIUM." DCI CREATED AND MAINTAINS A FUND SPECIFICALLY TO PROVIDE GRANTS AND RESEARCH SUPPORT FOR YOUNG INVESTIGATORS IN THE FIELD OF KIDNEY DISEASE. THE DCI PAUL TESCHAN RESEARCH FUND (PTRF) UTILIZES A PEER REVIEW PROCESS TO FUND SCIENTIFIC APPLICATIONS FOR STUDENTS AND YOUNG INVESTIGATORS WHO OTHERWISE WOULD HAVE LIMITED ACCESS TO RESEARCH RESOURCES. $600,000 WAS PROVIDED BY THE PTRF IN 2023 TO SUPPORT SEVEN RESEARCH STUDIES. CONTINUING THE COMMITMENT TO PUBLIC EDUCATION, DCI ESTABLISHED REACH KIDNEY CARE, A CHRONIC KIDNEY DISEASE EDUCATION PROGRAM. CARE COORDINATORS SPEAK TO INDIVIDUALS ABOUT THE PROGRESSION OF KIDNEY DISEASE AND DISCUSS STRATEGIES FOR PREVENTING KIDNEY FAILURE. THE EDUCATION ADDRESSES NUTRITION AND BEHAVIOR MODIFICATION TECHNIQUES AS WELL AS TREATMENT OPTIONS FOR KIDNEY FAILURE. IN SUPPORT OF THE PEDIATRIC PATIENT, DCI ESTABLISHED CAMP OKAWEHNA IN 1975. CAMP OKAWEHNA IS A WEEK-LONG SUMMER CAMP JUST OUTSIDE OF NASHVILLE, TENNESSEE, THAT OFFERS ON-SITE PERITONEAL AND HEMODIALYSIS TREATMENTS TO APPROXIMATELY 100 CHILDREN WHO OTHERWISE WOULD NOT BE ABLE TO ENJOY A CHILDHOOD CAMP EXPERIENCE. DCI EMPLOYEES VOLUNTEER THEIR TIME IN EVERY FACET OF THE CAMP EXPERIENCE. CAMPERS COME FROM TENNESSEE, TEXAS, MISSOURI, SOUTH CAROLINA, AND LOUISANA TO THE GROUNDS OF "CAMP O." CAMP O RETURNED IN 2023 WITH OVER 60 CAMPERS ATTENDING. SINCE 1998, DCI HAS SPONSORED A SUMMER INTERNSHIP FOR PRE-MEDICAL STUDENTS IN THE CLINICAL AREA OF ORGAN TRANSPLANTATION. OVER THE LAST 20 YEARS, THE SUMMER INTERNSHIP PROGRAM HAS EXPANDED TO 20 CITIES ACROSS THE UNITED STATES AND HAS GIVEN MORE THAN 200 STUDENTS THE OPPORTUNITY TO EXPAND THEIR KNOWLEDGE OF THE MEDICAL FIELD. THE INTERNSHIP INCLUDES SHADOWING PHYSICIANS ON ROUNDS IN THE HOSPITAL, OBSERVING AND ASSISTING IN AN OUTPATIENT/CLINIC FACILITY, OBSERVING THE COORDINATION OF A TRANSPLANT, AND SCRUBBING IN DURING TRANSPLANT AND SURGICAL OPERATIONS. IN ADDITION, STUDENTS VISIT THE LOCAL ORGAN PROCUREMENT ORGANIZATION (OPO) AND HLA LAB. PARTICIPANTS MAY HAVE THE OPPORTUNITY TO COMPLETE DATA COLLECTION FOR THE TRANSPLANT SERVICE OR WORK ON A CLINICAL RESEARCH PROJECT. THE PURPOSE OF THIS INTERNSHIP IS TO EXPOSE THE STUDENT TO HOSPITAL AND OUTPATIENT ENVIRONMENTS, AS WELL AS TO SPECIFIC AREAS OF MEDICINE SUCH AS SURGERY AND CLINICAL RESEARCH. THESE EXPERIENCES ARE DESIGNED TO ENCOURAGE STUDENTS TO PURSUE A CAREER IN MEDICINE. DCI RECOGNIZES THE REWARDS OF HIGHER EDUCATION AND HAS SUPPORTED THAT ENDEAVOR SINCE 1995 THROUGH THE DCI SCHOLARSHIP PROGRAM. IN 2023, DCI AWARDED A TOTAL OF $32,000 IN SCHOLARSHIPS AMONG 13 RECIPIENTS. FORM 990, PART VI, SECTION A, LINE 2 H. KEITH JOHNSON, MD, DOUG JOHNSON, MD, AND KEN JOHNSON HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY THE PRESIDENT AND CFO PRIOR TO RELEASING ITS INFORMATION TO AN INDEPENDENT ACCOUNTING FIRM FOR REVIEW. THE FORM 990 IS THEN PRESENTED TO THE BOARD WHERE AN OPPORTUNITY IS GIVEN TO REVIEW AND MAKE CHANGES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS CONTAINED IN THE COMPANY'S WRITTEN STANDARDS OF CONDUCT THAT REQUIRE ACKNOWLEDGEMENT OF COMPLIANCE BY DIRECTORS, OFFICERS, AND KEY EMPLOYEES. THE COMPANY MAINTAINS AN ACTIVE COMPLIANCE DEPARTMENT TO MONITOR AND ENFORCE POLICIES. FORM 990, PART VI, SECTION B, LINE 15 THE COMPANY UTILIZES COMPARABILITY DATA FOR DETERMINING COMPENSATION. NO INDEPENDENT REVIEW OF THIS DATA WAS CONDUCTED DURING THE YEAR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XI, LINE 9: CAPITAL DISTRIBUTION FROM DIALYSIS SERVICES OF DECATUR, LLC 160,000. CAPITAL DISTRIBUTION FROM COMMUNITY MEDICAL CENTER DIALYSIS, LLC 660,000. CAPITAL DISTRIBUTION FROM NORTH ALABAMA HOME DIALYSIS, LLC 504,000. CAPITAL DISTRIBUTION FROM WATT DIALYSIS CENTER, LLC 40,800. CAPITAL DISTRIBUTION FROM BILLINGS CLINIC DIALYSIS, LLC 1,371,900. CAPITAL DISTRIBUTION FROM JEFFERSON CITY RENAL, LLC 280,500. 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