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      <Form990PartVIISectionAGrp>
        <PersonNm>WILLIAM WOOD</PersonNm>
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      <ContractorCompensationGrp>
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        <Desc>CURRENT MATURITIES ON LONG TERM DEBT</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES - CURRENT</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>OPERATING LEASE LIABILITIES - NON-CURRENT</Desc>
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    <IRS990ScheduleI documentId="RetDoc1041900001">
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          <StateAbbreviationCd>MD</StateAbbreviationCd>
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        <PersonNm>MARY HOBEIKA</PersonNm>
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        <PersonNm>JOE SWEARINGEN</PersonNm>
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        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>H. KEITH JOHNSON, CHAIRMAN OF THE BOARD, RECEIVED PERSONAL USE OF THE COMPANY PLANE. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION.</ExplanationTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>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. NO PAYMENTS WERE MADE UNDER THE PLAN DURING CALENDAR YEAR 2023.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 FY24, DCI EMPLOYED CLOSE TO 5,000 PEOPLE AND PROVIDED DIALYSIS TREATMENTS TO MORE THAN 14,000 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 FY24, 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 FY24, DCI CONTRIBUTED OVER $2.1M TO RESEARCH AND EDUCATION. SOME EXAMPLES OF AWARDS INCLUDE, BUT ARE NOT LIMITED TO: - DCI AWARDED $232,150 TO FACTORS ASSOCIATED WITH OUTCOMES IN PATIENTS ON CONTINUOUS DIALYSIS - DCI AWARDED $174,748 TO INFLUENCE OF MEDICATIONS ON KIDNEY DISEASE OUTCOMES 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 FY24 TO SUPPORT 10 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 2024 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 FY24, DCI AWARDED A TOTAL OF $32,000 IN SCHOLARSHIPS AMONG 13 RECIPIENTS.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>H. KEITH JOHNSON, MD, DOUG JOHNSON, MD, AND KEN JOHNSON HAVE A FAMILY RELATIONSHIP.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPANY UTILIZES COMPARABILITY DATA FOR DETERMINING COMPENSATION. NO INDEPENDENT REVIEW OF THIS DATA WAS CONDUCTED DURING THE YEAR.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION MAKES ANY DOCUMENT OPEN TO PUBLIC INSPECTION UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>CAPITAL DISTRIBUTION FROM DIALYSIS SERVICES OF DECATUR, LLC 224,000. CAPITAL DISTRIBUTION FROM COMMUNITY MEDICAL CENTER DIALYSIS, LLC 280,500. CAPITAL DISTRIBUTION FROM NORTH ALABAMA HOME DIALYSIS, LLC 441,000. CAPITAL DISTRIBUTION FROM BILLINGS CLINIC DIALYSIS, LLC 1,096,500. TRANSFER FROM APPLIED MEDICAL RESEARCH INC. 122,040. CAPITAL DISTRIBUTION TO INDEPENDENCE KIDNEY CARE ALLIANCE, LLC -2,354,570. CAPITAL DISTRIBUTION TO GEORGIA PINES KIDNEY CARE ALLIANCE, LLC -1,861,598. CAPITAL DISTRIBUTION TO HEART OF AMERICA KIDNEY CARE ALLIANCE, LLC -2,738,242. CAPITAL DISTRIBUTION TO METROPOLITAN KIDNEY CARE ALLIANCE, LLC -680,236. CAPITAL DISTRIBUTION TO PALMETTO KIDNEY CARE ALLIANCE, LLC -2,514,398. CAPITAL DISTRIBUTION TO MUSIC CITY KIDNEY CARE ALLIANCE, LLC -1,893,035.</ExplanationTxt>
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