2021-08-13T15:21:50-05:00 2020-09-30 861065772 DELOITTE TAX LLP 1033 DEMONBREUN STREET STE 400 NASHVILLE TN 37203 990 2019-10-01 620850498 DIALYSIS CLINIC INC DIAL 6153273061 1633 CHURCH STREET STE 500 NASHVILLE TN 37203 DONOVAN SCHULTZ CHIEF FINANCIAL OFFICER 6153273061 2021-08-13 1 FRANCIS J BEDARD P00752421 6152591800 2019 2022-09-23 18:48:47Z DONOVAN SCHULTZ 1633 CHURCH STREET STE 500 NASHVILLE TN 37203 807827175 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 12483657 0 0 395301 720110350 745752602 8210510 10772289 10809985 8712948 739130845 765633140 12772259 10842313 0 0 397817615 425622337 0 0 0 320755030 308521017 731344904 744985667 7785941 20647473 714063423 782995317 101245547 144873533 612817876 638121784 X THE PRIMARY RESPONSIBILITY OF DIALYSIS CLINIC INC. (DCI) IS TO PERCEIVE, INITIATE, AND PROVIDE COMPREHENSIVE PATIENT CARE. WE SERVE SOCIETY BY PROVIDING CARE FOR PATIENTS WITH CHRONIC KIDNEY DISEASE. 0 0 489943510 10842313 730351016 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 2020, 2,441,321 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. 17468298 0 5066253 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 09/30/2020, 811,663 PATIENT TESTS WERE PERFORMED. 7033493 0 2683199 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. 3690375 3690375 518135676 1 1 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 1244 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 X ANDREW L PARKER 6153273061 1633 CHURCH STREET STE 500 NASHVILLE TN 37203 AMIT NAHATA PHYSICIAN 40.00 0.00 X 585725 0 27176 JESSIE GANJOO PHYSICIAN 40.00 0.00 X 552322 0 7692 AYMAN GENEIDY PHYSICIAN 40.00 0.00 X 495088 0 28653 WILLIAM E WOOD PRESIDENT 40.00 1.00 X 489012 0 30176 JAMES E ATTRILL VICE PRESIDENT 40.00 5.00 X 498643 0 18376 ASHOK CHADDAH PHYSICIAN 40.00 0.00 X 453191 0 23125 DOUG JOHNSON MD VICE CHAIRMAN 40.00 2.00 X 439824 0 27176 STUART REDPATH CHIEF OPERATIONS OFFICER 40.00 0.00 X 427960 0 30176 MOSTAFA AMR PHYSICIAN 40.00 0.00 X 421202 0 21492 DONOVAN SCHULTZ CHIEF FINANCIAL OFFICER 40.00 2.00 X 288227 0 19129 MARY HOBEIKA CHIEF STRATEGY OFFICER 40.00 0.00 X 216947 0 18750 JOE SWEARINGEN ASSISTANT TREASURER 40.00 0.00 X 190228 0 24702 H KEITH JOHNSON MD CHAIRMAN 32.00 8.00 X 0 30921 0 JAMES PERRY DIRECTOR 10.00 1.00 X 0 0 10454 KEN JOHNSON DIRECTOR 2.00 0.00 X 0 0 0 5058369 30921 287077 358 0 1 0 HUDSON CONSTRUCTION COMPANY 1615 SHOLAR AVE CHATTANOOGA TN 37406 CONSTRUCTION SERVICES 4671763 AXIOM NORTHWEST CONSTRUCTION 2232 BROADWAY STE 101 EVERETT WA 98201 CONSTRUCTION SERVICES 4610838 SEAKAY CONSTRUCTION 1710 COSTA DEL SOL BOCA RATON FL 33432 CONSTRUCTION SERVICES 3808826 ECC GROUP INC 642 OUTWATER LN LODI NJ 07644 CONSTRUCTION SERVICES 3738616 WR NEWMAN & ASSOCIATES INC 2854 LOGAN ST NASHVILLE TN 37211 CONSTRUCTION SERVICES 3734943 115 395301 395301 DIALYSIS & MEDICAL 621400 634856774 634856774 HOME PATIENT 621610 95494242 95494242 LABORATORY 621500 15401586 5066253 10335333 745752602 7648020 7648020 2748212 0 2748212 2748212 2748212 45316482 42192213 3124269 3124269 3124269 2435 1822 613 613 MANAGEMENT FEES 541610 1195904 820227 375677 RESEARCH REVENUES 541700 757536 757536 4010683 2683199 1327484 5964123 765633140 738100468 12483657 14653714 10842313 10842313 2550840 2550840 350919984 259431206 91488778 7761373 5604492 2156881 41849483 34561598 7287885 22540657 16882057 5658600 3300791 3300791 552638 552638 457026 457026 1859786 1859786 4141501 4141501 9649494 6272171 3377323 15074809 11766060 3308749 4224138 356170 3867968 59327 37064 22263 219570 219570 31645975 13070500 18575475 3095811 3095811 DRUG EXPENSE 62355521 62351104 4417 MEDICAL SUPPLIES 61826403 61821147 5256 BAD DEBT EXPENSE 37032028 0 37032028 REPAIRS & MAINTENANCE 12157569 4246257 7911312 60868630 30893537 29975093 744985667 518135676 226849991 0 60679538 115904163 66998700 31673736 100781026 128243524 13774075 17424983 5148881 4927810 746591213 371589096 360238451 375002117 5494890 7527956 40843230 42667793 59596609 58639649 508023 983586 714063423 782995317 9204218 10977285 13700000 31400000 78341329 102496248 101245547 144873533 X 27233722 27233722 751580 751580 584832574 610136482 612817876 638121784 714063423 782995317 X 20647473 778829 3877606 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 7500 0 1 340940 1 3576 0 1 105010 457026 0 PART II-B, LINE 1: DIALYSIS CLINIC INC HAS ONE EMPLOYEE WHO SPENDS APPROXIMATELY 4% OF THEIR TIME AS THE COMPANY'S PUBLIC LIAISON. THIS CONSISTED OF SPENDING $3,576 IN TRAVELS TO WASHINGTON D.C. FOR VARIOUS MEETINGS. $340,940 WAS GIVEN TO ORGANIZATIONS WHO PRIMARILY ARE INVOLVED IN LOBBYING ACTIVITIES. $7,500 WAS PAID TO A GRASSROOTS ADVOCACY PLATFORM. LASTLY, $105,010 WAS SPENT ON LEGAL ADVICE FOR LOBBYING AND POTENTIAL LEGISLATION RELATED MATTERS. 57501146 57501146 316739323 145291783 171447540 166655590 95409757 71245833 185672116 130887556 54784560 20023038 20023038 375002117 MAJORITY INTEREST IN JOINT VENTURES 2754458 C VALIC INVESTMENTS 9518321 F U.S. T-BILLS, CDS & GOV'T OBLIGATIONS 9755921 F CORPORATE BONDS 13236155 F LIFE INSURANCE CASH SURRENDER VALUE 6949422 F MUNICIPAL BONDS 453516 F 42667793 ACCRUED PAYROLL AND OTHER TAXES 47047822 CURRENT MATURITIES ON LONG TERM DEBT 2300000 OTHER NOTES PAYABLE 36203459 SICK PAY RETIREMENT PAYABLE 10478055 DEFERRED RENT 6466912 102496248 1 AMERICAN KIDNEY FUND 6110 EXECUTIVE BLVD STE 1010 ROCKVILLE MD 20852 237124261 501(C)(3) 5379298 DONATION FOR GENERAL SUPPORT INDIANA UNIVERSITY 620 UNION DRIVE ROOM 618 INDIANAPOLIS IN 46202 356001673 501(C)(3) 38956 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION VANDERBILT UNIVERSITY 1161 21ST AVENUE SOUTH MEDICAL CENTER NORTH S-3223 NASHVILLE TN 37323 352528741 501(C)(3) 64937 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION STONY BROOK FOUNDATION INC 230 ADMINISTRATION BLDG STONY BROOK NY 11790 116077945 501(C)(3) 315146 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION RUTGERS UNIVERSITY FOUNDATION 7 COLLEGE AVE WINANTS HALL NEW BRUNSWICK NJ 08901 237318742 501(C)(3) 128117 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION UC HEALTH FOUNDATION 3200 BURNETT AVE CINCINNATI OH 45229 261594868 501(C)(3) 809187 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION AUGUSTA UNIVERSITY RESEARCH 1120 15TH STREET AUGUSTA GA 30912 581418202 501(C)(3) 122334 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION UNIVERSITY OF PITTSBURGH 3550 TERRACE ST S-974 SCAIFE HALL PITTSBURGH PA 15261 232919472 501(C)(3) 25349 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION UNIVERSITY OF NEW MEXICO 1 UNIVERSITY OF NM ALBUQUERQUE NM 87131 850275408 501(C)(3) 2222851 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION MEDICAL UNIVERSITY OF SOUTH CAROLINA 18 BEE ST CHARLESTON SC 29425 576028985 501(C)(3) 412868 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION NEBRASKA KIDNEY ASSOCIATION 11725 ARBOR ST SUITE 120A OMAHA NE 68144 237225449 501(C)(3) 6000 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION UNIVERSITY OF FLORIDA - CONTRACTS & GRANTS PO BOX 113001 GAINESVILLE FL 32611 596002052 GOVERNMENT ENTITY 10000 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION RESEARCH FOUNDATION SUNY PO BOX 9 ALBANY NY 12201 141368361 501(C)(3) 5627 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) 120000 DONATION FOR GENERAL SUPPORT UNIVERSITY OF MISSOURI PO BOX 807012 KANSAS CITY MO 64180 436003859 GOVERNMENT ENTITY 281472 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION MEHARRY MEDICAL COLLEGE 1005 DR DB TODD JR BLVD NASHVILLE TN 37208 620488046 501(C)(3) 59673 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION THE UPSTATE FOUNDATION 750 EAST ADAMS ST SYRACUSE NY 13210 161068101 501(C)(3) 19000 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION TULANE UNIVERSITY HEALTH SCIENCE 1430 TULANE AVE SL-45 NEW ORLEANS LA 70112 720423889 501(C)(3) 88718 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION CASA EXPERANZA ENDOWMENT FOUNDATION INC PO BOX 40472 ALBUQUERQUE NM 87196 850479804 501(C)(3) 32500 DONATION FOR GENERAL SUPPORT UNIVERSITY OF CONNECTICUT HEALTH CENTER PO BOX 4034 FARMINGTON CT 06034 060772160 501(C)(3) 53500 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION UNIVERSITY OF ALABAMA-BIRMINGHAM 1530 3RD AVE SOUTH AB-1230 BIRMINGHAM AL 35294 636005396 501(C)(3) 300000 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION CREIGHTON UNIVERSITY 2500 CALIFORNIA PLAZA OMAHA NE 68178 470376583 501(C)(3) 31688 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION BRIGHAM AND WOMEN'S HOSPITAL PO BOX 3149 BOSTON MA 02241 042312909 501(C)(3) 137389 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION UNIVERSITY OF ARKANSAS 4301 W MARKHAM LITTLE ROCK AR 72205 716046242 501(C)(3) 23946 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION LSU HEALTH SCIENCES CENTER FOUNDATION 1501 KINGS HWY SHREVEPORT LA 71103 721115391 501(C)(3) 153757 MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION 25 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 X 0 1 0 0 0 0 0 0 0 AMIT NAHATA PHYSICIAN 585185 0 0 0 540 0 9500 0 17676 0 612901 0 0 0 JESSIE GANJOO PHYSICIAN 550000 0 0 0 2322 0 7692 0 0 0 560014 0 0 0 AYMAN GENEIDY PHYSICIAN 493846 0 0 0 1242 0 10977 0 17676 0 523741 0 0 0 WILLIAM E WOOD PRESIDENT 451610 0 33838 0 3564 0 12500 0 17676 0 519188 0 0 0 JAMES E ATTRILL VICE PRESIDENT 457437 0 34348 0 6858 0 12500 0 5876 0 517019 0 0 0 ASHOK CHADDAH PHYSICIAN 448778 0 0 0 4413 0 12500 0 10625 0 476316 0 0 0 DOUG JOHNSON MD VICE CHAIRMAN 408815 0 29767 0 1242 0 9500 0 17676 0 467000 0 0 0 STUART REDPATH CHIEF OPERATIONS OFFICER 396681 0 28957 0 2322 0 12500 0 17676 0 458136 0 0 0 MOSTAFA AMR PHYSICIAN 417802 0 0 0 3400 0 11585 0 9907 0 442694 0 0 0 DONOVAN SCHULTZ CHIEF FINANCIAL OFFICER 267935 0 19760 0 532 0 9222 0 9907 0 307356 0 0 0 MARY HOBEIKA CHIEF STRATEGY OFFICER 202077 0 14247 0 623 0 8073 0 10677 0 235697 0 0 0 JOE SWEARINGEN ASSISTANT TREASURER 175854 0 13543 0 831 0 7026 0 17676 0 214930 0 0 0 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. NO PAYMENTS WERE MADE UNDER THE PLAN DURING CALENDAR YEAR 2019. FORM 990, PART III, LINE 1: 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). 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 2020, DCI EMPLOYED MORE THAN 5,400 PEOPLE AND PROVIDED DIALYSIS TREATMENTS TO ALMOST 20,000 PATIENTS IN MORE THAN 254 CLINICS LOCATED IN 28 STATES THROUGHOUT THE UNITED STATES. IN ADDITION, DCI PROVIDES RENAL RELATED HOSPITAL SERVICES' INPATIENT DIALYSIS WITHIN MORE THAN 140 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 2020, DCI PROVIDED MORE THAN 2,161,507 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. IN AN EFFORT TO FACILITATE THE BEST CARE AND MAKE AVAILABLE TO OUR PATIENTS STATE OF THE ART CLINICAL STUDIES, DCI HAS ESTABLISHED THE OFFICE OF CLINICAL RESEARCH. 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 OF 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 2020, DCI CONTRIBUTED OVER $2.3M TO RESEARCH, MORE THAN $650K TO EDUCATION, AND APPROXIMATELY $3.4M TO DEVELOPMENT. SUCH CONTRIBUTIONS HAVE A DIVERSE AND POTENTIALLY POWERFUL IMPACT ON SOCIETY. - DCI AWARDED $375K TO THE ENDOWED PROFESSORSHIP IN REGENERATIVE MEDICINE AT STONY BROOK UNIVERSITY. - DCI AWARDED $316K TO IMPROVING HEALTHCARE OUTCOMES IN AMERICAN INDIAN AND HISPANIC TRANSPLANT RECIPIENTS USING CULTURALLY-TAILORED NOVEL TECHNOLOGY (IMPACT) STUDY. - DCI AWARDED $353K TO STAT 3 SIGNALING IN PROLIFERATIVE GLOMERULOPATHIES. - DCI IS ALSO A LOYAL SUPPORTER OF THE LOCAL AND NATIONAL KIDNEY FOUNDATIONS WHICH PROVIDE RESOURCES TO THE DIALYSIS COMMUNITY. 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. $540K WAS PROVIDED BY THE PTRF IN 2020 TO SUPPORT NINE 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 TO PROVIDE ASSISTANCE IN EVERY FACET OF THE CAMP EXPERIENCE. CAMPERS COME FROM TENNESSEE, TEXAS, MISSOURI, SOUTH CAROLINA, AND LOUISANA TO THE GROUNDS OF "CAMP O." 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 ALL 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 2020, 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 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 BILLINGS CLINIC, LLC 3,366,000. CAPITAL DISTRIBUTION FROM BIG HORN BASIN, LLC 102,000. CAPITAL DISTRIBUTION FROM JEFFERSON CITY RENAL, LLC 429,622. TRANSFER OF NET ASSETS TO JEFFERSON CITY RENAL, LLC -20,016. 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