2020-07-27T15:19:04-07:00 2019-09-30 990 2018-10-01 581990866 DCI Donor Services Inc DCID 6152345251 1600 Hayes Street Suite 300 Nashville TN 37203 Teresa Thompson Chief Financial Officer 6155643621 2020-07-21 76.114.100.130 2018 2020-11-06 18:47:13Z James Perry 1633 Church Street Suite 500 Nashville TN 37203 102502337 0 X www.dcids.org X 1991 TN DCI Donor Services supports a local focus on donors, donor families, and the lives of those we impact; we are a stable community member serving patients first in all that we do. Our core purpose is to save and enhance lives. 5 2 483 590 0 0 0 0 56835971 67664669 0 0 12856056 16445978 69692027 84110647 0 0 0 0 31405544 30626376 0 0 0 33153922 37257762 64559466 67884138 5132561 16226509 45311661 66673449 12879323 18014602 32432338 48658847 X DCI Donor Services supports a local focus on donors, donor families, and the lives of those we impact; we are a stable community member serving patients first in all that we do. Our core purpose is to save and enhance lives. 0 0 46657345 0 84006808 DCI Donor Services, Inc. ("DCIDS") is a not-for-profit 501(c)(3) organization that operates three federally certified Organ Procurement Organizations (OPOs), an Eye Bank (EB), and a full service Tissue Bank (TB). See schedule O for additional information. 0 0 0 46657345 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 0 1 316 0 1 483 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 5 2 0 0 0 0 1 1 1 1 0 1 0 1 1 1 1 1 1 1 1 0 X Teresa Thompson 6155643621 1600 Hayes Street Suite 300 Nashville TN 37203 H Keith Johnson President 8 0 X X 25199 0 5722 James Perry Treasurer 0 25 X X 0 37103 10454 Thomas Boyle Secretary 0 0 X X 0 0 0 William Sterling Board Member 3 0 X 12000 0 0 Cynda Rennie Board Member 0 0 X 0 0 0 Ed Attrill Assistant Treasurer 0 40 X 0 512523 18126 Jill Grandas Corporate Executive Director 40 0 X 292140 0 26053 Teresa Thompson Chief Financial Officer 40 0 X 178842 0 23018 Wayne Dunlap Executive Director 40 0 X 221833 0 45348 Monica Johnson Executive Director 40 0 X 253175 0 52877 Kelly Scott Executive Director 40 0 X 204802 0 65120 Deana Clapper Associate Executive Director 40 0 X 165862 0 19809 Earl Jones Sr Director Operations - Processing Services 40 0 X 173710 0 22203 David Jones Organ Recovery Coordinator 40 0 X 169653 0 11610 Adam Jones Organ Recovery Coordinator 40 0 X 165679 0 12723 Michelle LeBlanc Organ Recovery Coordinator 40 0 X 170262 0 7827 Burnett Kelly Surgical Director 40 0 X 396303 0 35404 2429460 549626 356294 32 0 1 0 Eurofins VRL Inc 6665 S Kenton Street Englewood CO 80111 Laboratory Services 2389950 Statline 6400 S Fiddlers Green Circle Suite 300 Greenwood Village CO 80111 Call Center 532919 Midnite Air Corporation 26035 Network Place Chicago IL 60673 Transportation Services 330353 DVL Seigenthaler 301 East 57th Street New York NY 10022 Public Relations Consulting 296109 Transplant Connect 2701 Ocean Park Blvd Suite 222 Santa Monica CA 90405 Online medical software 304300 17 0 Organ & Tissue Procurement Fees 621990 67963836 67963836 0 0 OPO Estimated Provider Cost Payment 900099 -299167 -299167 0 0 0 0 0 0 67664669 0 0 0 0 34733830 18391690 16342140 16342140 0 0 Other Revenue 900099 103838 103838 0 0 0 0 0 0 103838 84110647 84110647 0 0 0 0 0 0 0 0 0 0 1353853 37199 1316654 0 0 0 0 0 23572536 15644923 7927613 0 623181 416531 206650 0 3070560 2052347 1018213 0 2006246 1340965 665281 0 0 0 0 0 509811 0 509811 0 538561 0 538561 0 14538 0 14538 0 0 0 0 0 0 0 3329442 624287 2705155 0 403536 403536 0 0 253464 0 253464 0 326575 0 326575 0 0 0 0 0 1214377 1125071 89306 0 1357797 481566 876231 0 0 0 0 0 326669 261335 65334 0 167463 0 167463 0 0 0 0 0 769799 108979 660820 0 551353 0 551353 0 Organ Procurement 20254829 20254829 0 0 Supplies (Program Related) 3215280 3215280 0 0 Communications 539010 329403 209607 0 Bad Debt Expense 833353 0 833353 0 2651905 361094 2290811 0 67884138 46657345 21226793 0 7981156 15303362 0 0 0 0 14630746 17762199 0 0 0 0 0 0 10397612 10085172 1360889 2108142 23974126 13885929 10225915 10088197 0 0 0 0 0 0 0 0 715343 11326377 45311661 66673449 10133360 10511563 0 0 0 0 0 0 0 0 0 0 1913333 5686667 0 0 832630 1816372 12879323 18014602 X 0 0 0 0 32432338 48658847 32432338 48658847 45311661 66673449 16226509 0 0 0 0 0 X 0 1 X 0 0 X 82662516 76697260 80339995 83229941 102481652 425411364 82662516 76697260 80339995 83229941 102481652 425411364 425411364 702 0 29217 1906 4725 36550 702 0 29217 1906 4725 36550 945 3885 2955 18897 15960 42642 82664163 76701145 80372167 83250744 102502337 425490556 0.99981 0.99982 0.00009 0.00008 X Schedule A, Part III, Line 12 Miscellaneous Income 0 0 0 0 0 0 1 765 0 0 765 0 Schedule C, Part II-B, Line 1 Attend meetings with legislators regarding resolution of organ allocation bill. 0 830783 830783 0 9456424 1921059 7535365 0 2192054 2023188 168866 0 11494865 9941682 1553183 0 0 0 0 10088197 Construction in Progress 11326377 11326377 0 Payable to Related Organization 15870 Research 63050 Short Term Liabilities 1737452 1816372 Central America and the Caribbean 0 0 Program Services Corneal Tissue 0 East Asia and the Pacific 0 0 Program Services Corneal tissue and tissue grafts 0 Middle East and North Africa 0 0 Program Services Corneal tissue 0 North America (including Canada and Mexico, but not the United States) 0 0 Program Services Corneal tissue and tissue grafts 0 South America 0 0 Program Services Corneal tissue 0 South Asia 0 0 Program Services Corneal tissue 0 Sub-Saharan Africa 0 0 Program Services Corneal tissue 0 0 0 0 0 0 0 0 0 0 X X X 0 0 0 0 0 0 0 0 0 Ed Attrill Assistant Treasurer 0 512523 0 0 0 0 0 0 0 18126 0 530649 0 0 Jill Grandas Corporate Executive Director 292140 0 0 0 0 0 0 0 26053 0 318193 0 0 0 Teresa Thompson Chief Financial Officer 178842 0 0 0 0 0 0 0 23018 0 201860 0 0 0 Wayne Dunlap Executive Director 221833 0 0 0 0 0 24630 0 20718 0 267181 0 0 0 Monica Johnson Executive Director 253175 0 0 0 0 0 30759 0 22118 0 306052 0 0 0 Kelly Scott Executive Director 204802 0 0 0 0 0 43675 0 21445 0 269922 0 0 0 Deana Clapper Associate Executive Director 165862 0 0 0 0 0 0 0 19809 0 185671 0 0 0 Earl Jones Sr Director Operations - Processing Services 173710 0 0 0 0 0 0 0 22203 0 195913 0 0 0 David Jones Organ Recovery Coordinator 169653 0 0 0 0 0 0 0 11610 0 181263 0 0 0 Adam Jones Organ Recovery Coordinator 165679 0 0 0 0 0 0 0 12723 0 178402 0 0 0 Michelle LeBlanc Organ Recovery Coordinator 170262 0 0 0 0 0 0 0 7827 0 178089 0 0 0 Burnett Kelly Surgical Director 396303 0 0 0 0 0 0 0 35404 0 431707 0 0 0 Dr Oscar Grandas Spouse of Jill Grandas 31250 Recovery surgeon for organization 0 Schedule L, Part IV Dr. Oscar Grandas is a family member to Jill Grandas, who is a key employee of DCI Donor Services, Inc. DCI Donor Services compensates Dr. Grandas for services he provides to the organization in his occupation as an organ recovery surgeon. 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), an Eye Bank (EB), and a full-service Tissue Bank (TB). DCIDS promotes the donation of human organs and tissues, primarily for transplant, through education 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 and is a fully accredited member of that organization as well. The EB follows standards established by the Eye Bank Association of America, and is an accredited member of that organization. Accordingly, the OPOs seek reimbursement for 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 processed and/or distributed by the TB. The EB earns revenue to recover expenses by processing cornea tissue and providing corneas for transplant to surgery centers. 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, 2019, DCIDS procured 1,632 organs and recovered 3,993 tissue donors for transplantation. In addition, DCIDS provided educational opportunities for nurses and physicians concerning issues in transplantation, as well as several programs to educate and heighten awareness of the general public concerning organ and tissue donation and transplantation. Form 990, Part IV, Line 12b 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, and various joint ventures in which Dialysis Clinic, Inc. is the majority partner. 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 separate return. Form 990, Part VI, Section A, Line 6 The sole member of the corporation is Dialysis Clinic, Inc. Form 990, Part VI, Section A, Line 7a Dialysis Clinic, Inc. as the sole member of DCI Donor Services has the power to nominate, elect, appoint, fill vacancies of, and remove members of the Board of Directors of the corporation. Form 990, Part VI, Section A, Line 7b Dialysis Clinic, Inc. shall have the sole vote on all matters coming before the membership. Form 990, Part VI, Section A, Line 8b There are currently no committees that act on behalf of the governing body. Form 990, Part VI, Section A, Line 9 One officer and two directors cannot be reached at the organization's mailing address: 1) Thomas Boyle, Secretary, Union Trust Building, 501 Grant Street, Suite 200, Pittsburgh, PA 15219. 2) William Sterling, Director, 8912 Natalie Ave, Albuquerque, NM 87111. 3) Cynda Rennie, Director, PO Box 7437, Citrus Heights, CA 95621-1114. Form 990, Part VI, Section B, Line 11b 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 sent a copy of the Form 990 draft and is given an appropriate amount of time to review and comment. A certification letter is signed once the board members have completed their review of the 990 prior to filing. Form 990, Part VI, Section B, Line 12c On an annual basis, the Board of Directors sign a conflict of interest that states the directors have not violated the conflict of interest policy. All employees are also required to sign the conflict of interest statement on an annual basis as well. Form 990, Part VI, Section B, Line 15 DCI Donor Services belongs to the Association of Organ Procurement Organizations (AOPO). AOPO completes a yearly survey of all salaried positions within an organ procurement organization, which includes the CEO salaries, as well as the salaries for other key positions. This yearly survey is used to determine the salaries for the Executive Director and other key employees. Form 990, Part VI, Section C, Line 19 DCI Donor Services does not make its governing documents, conflict of interest policy, and financial statements available to the public. 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 0 0 0 0 0 1 0 1 0 1 1 0 0 0 Dialysis Clinic Inc k 555060 Actual records Dialysis Clinic Inc p 5823865 Actual records Dialysis Clinic Inc o 288180 Actual records Dialysis Clinic Inc m 285333 Actual records