2017-11-15T09:01:58-06:00 2016-12-31 340677006 Maloney Novotny LLC 1111 Superior Ave Suite 700 Cleveland OH 441142540 990 2016-01-01 341140468 COMMUNITY DIALYSIS CENTER COMM 2162957000 18720 CHAGRIN BLVD SHAKER HEIGHTS OH 44122 DAVID OPPENLANDER CHIEF FINANCIAL OFFICER 2162957000 2017-11-06 1 Christopher B Anderson P00226559 2163630100 209.116.109.2 2017-11-06 15:19:54 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 34F15A1E57D14FDCA2271EC8547C559A386063E6 2016 2017-02-10 21:41:12Z DIANE WISH 18720 CHAGRIN BLVD SHAKER HEIGHTS OH 44122 31227411 0 X www.cdcare.org X 1973 OH THE CENTER PERFORMS HEMODIALYSIS TREATMENTS AND ANCILLARY SERVICES FOR PATIENTS, REGARDLESS OF THE ABILITY TO PAY. 15 15 0 28 0 0 6066 0 28626766 29989085 -20125 -230602 1633203 1129650 30245910 30888133 7500 12124 0 0 372773 375745 0 0 0 29465270 31832057 29845543 32219926 400367 -1331793 38501519 34701341 5255012 4818827 33246507 29882514 X COMMUNITY DIALYSIS CENTER (CDC) IS A CHARITABLE ORGANIZATION WHICH TREATS PEOPLE WITH RENAL DISEASE ON AN OUTPATIENT BASIS. CDC WILL OPERATE TO THE EXTENT OF ITS FINANCIAL ABILITY FOR THOSE WHO ARE ABLE AND EXPECTED TO PAY. CDC WILL NOT REFUSE TO ACCEPT PATIENTS WHO CANNOT PAY FOR SUCH SERVICES. MEDICARE AND MEDICAID PATIENTS WILL BE SERVED AS WELL. 0 0 27976346 12124 31118735 THE CENTER PERFORMS HEMODIALYSIS TREATMENTS AND ANCILLARY SERVICES FOR PATIENTS. FOR THE CURRENT YEAR, THE CENTER PERFORMED 109,978 TREATMENTS. 27976346 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 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 0 1 1 1 0 0 1 30 0 1 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 1 1 1 1 OH X BRENDA KRZYWICKI 2162957000 18720 CHAGRIN BLVD SHAKER HEIGHTS OH 44122 LINDA FOUSEK DIRECTOR 1.00 X 0 0 0 RONALD HESS CHAIR 6.00 X X 0 0 0 RICHARD KRETSCHMAN JR vice CHAIR 1.00 X X 0 0 0 JASON ADAMS DIRECTOR 1.00 X 0 0 0 MARY LINK SECRETARY 1.00 X X 0 0 0 PATRICIA RAMSEY DIRECTOR 1.00 X 0 0 0 CYNTHIA STRUK DIRECTOR 1.00 X 0 0 0 JOHN KRIZANSKY assistant treasurer 1.00 X 0 0 0 JAMAL AZAM DIRECTOR 1.00 X 0 0 0 KATHY JAKOVCIC treasurer 1.00 X X 0 0 0 RICHARD SPECH DIRECTOR 1.00 X 0 0 0 craig ghidotti dirECTOR 1.00 X 0 0 0 don novosel jr direCTOR 1.00 X 0 0 0 holly percy md dirECTOR 1.00 X 0 0 0 lori stevic-rust direCTOR 1.00 X 0 0 0 DIANE WISH CHIEF EXECUTIVE OFFICER 40.00 20.00 X 349910 0 25835 DAVID OPPENLANDER CHIEF FINANCIAL OFFICER 20.00 40.00 X 0 209645 25618 gary ROBINSON president 1.00 40.00 X 0 131705 13189 349910 341350 64642 1 0 1 0 CENTERS FOR DIALYSIS CARE INC 18720 CHAGRIN BLVD SHAKER HEIGHTS OH 44122 MGMT&PERSONNEL SVCS 14927873 1 PATIENT SERVICE REVENUE 621400 29125414 29125414 OTHER OPERATING REVENUE 621400 824996 824996 ACUTE CARE REVENUE 621400 38675 38675 29989085 108676 339278 -230602 -230602 -230602 JOINT VENTURE INCOME 621400 1129650 1129650 1129650 30888133 31118735 0 -230602 12124 12124 375745 347881 27864 2504507 2254056 250451 62771 62771 48500 48500 68216 68216 879824 791842 87982 2319645 2319645 38764 38764 63512 33244 30268 75108 75108 1336485 596672 739813 286680 258012 28668 LEASED EMPLOYEE EXPENSE 11107854 10284135 823719 SUPPLIES 8305706 8210708 94998 UNCOLLECTIBLE ACCOUNTS 860563 860563 EQUIPMENT RENTAL&MAINT 749565 361789 387776 3124357 1570567 1553790 32219926 27976346 4243580 0 1342861 1943603 6329395 4975515 571433 892300 680195 771506 22854658 10961922 12717696 11892736 382299 434469 16477640 13791212 38501519 34701341 5023428 4818827 231584 0 5255012 4818827 X 33201575 29855458 44932 27056 33246507 29882514 38501519 34701341 X -1331793 -2032200 X 0 1 X 1 0 X 12523983 3422743 9101240 10330675 7539179 2791496 11892736 INVESTMENT IN AFFILIATES 7177541 GOODWILL 6144296 NOTES RECEIVABLE-AFFILIATES 469375 13791212 X 30888133 0 30888133 0 30888133 32219926 0 32219926 0 32219926 Part X, Line 2: FIN 48 FOOTNOTE: THE FOLLOWING FOOTNOTE IS INCLUDED IN THE COMBINED FINANCIAL STATEMENTS AND REFERS TO ALL ENTITIES INCLUDED IN THAT COMBINED REPORT: INCOME TAXES - THE CENTERS ACCOUNT FOR INCOME TAXES UNDER ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA WHICH CLARIFY THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN THE CENTERS' FINANCIAL STATEMENTS. THE PROVISIONS PRESCRIBE CERTAIN CRITERIA FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THESE PROVISIONS ALSO PROVIDE GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. THERE WERE NO UNRECOGNIZED TAX BENEFITS AS OF DECEMBER 31, 2016 AND 2015. AS OF DECEMBER 31, 2016, THE CENTERS' INCOME TAX YEARS FROM 2013 AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE, AS WELL AS VARIOUS STATE AND LOCAL TAXING AUTHORITIES. 1 MINORORG&TISSUE TRANEDPROGRAM 18720 CHAGRIN BLVD SHAKER HEIGHTS OH 44122 341900839 501(C)(3) 12124 GENERAL MONITORING USE OF GRANT FUNDS - PART I, LINE 2: THE ORGANIZATION ENSURES THAT ITS GRANTS ARE SPENT FOR THE INTENDED PURPOSES BY REQUESTING REPORTS FROM DONEES ABOUT GRANT EXPENDITURES. X X X X X 0 1 0 0 0 0 0 0 0 DIANE WISH CHIEF EXECUTIVE OFFICER 325998 0 0 0 23912 0 13250 0 12585 0 375745 0 0 0 DAVID OPPENLANDER CHIEF FINANCIAL OFFICER 0 200013 0 0 0 9632 0 7001 0 18617 0 235263 0 0 PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: DIANE WISH PARTICIPATES IN A NONQUALIFIED SECTION 457(B) DEFERRED COMPENSATION PLAN. DURING 2016, SHE CONTRIBUTED $18,000 TO THE PLAN. Form 990, Part VI, Section A, line 3 DELEGATION OF CERTAIN MANAGEMENT DUTIES - COMMUNITY DIALYSIS CENTER DELEGATED CERTAIN DUTIES TO THE CENTERS FOR DIALYSIS CARE, INC., A 100% OWNED SUBSIDIARY. THE CENTERS FOR DIALYSIS CARE, INC. PROVIDES THE STAFFING, FINANCIAL RECORD KEEPING, AND OPERATIONAL SUPPORT TO COMMUNITY DIALYSIS CENTER. THE CHARGES FOR THESE SERVICES ARE BELOW MARKET VALUE. Form 990, Part VI, Section B, line 11b REVIEW OF FORM 990 - FORM 990 IS REVIEWED BY THE CEO AND CFO. IT IS THEN REVIEWED WITH THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. Form 990, Part VI, Section B, line 12c MONITORING AND ENFORCEMENT OF CONFLICT POLICY - THE MONITORING AND ENFORCEMENT OF THE CONFLICT OF INTEREST POLICY IS OVERSEEN BY THE GOVERNANCE COMMITTEE OF THE BOARD. WHEN A CONFLICT ARISES, THE INDIVIDUAL IS NOT PERMITTED TO VOTE OR PARTICIPATE IN THE DISCUSSION OF THE TRANSACTION. PERSONS THAT ARE INDEPENDENT OF THE INDIVIDUAL WITH THE CONFLICT MAKE THE DECISION ABOUT THE TRANSACTION. THE DELIBERATIONS AND DECISION ARE DOCUMENTED IN THE MINUTES OF THE BOARD. Form 990, Part VI, Section B, line 15 COMPENSATION REVIEW AND APPROVAL - THE COMPENSATION COMMITTEE OF THE BOARD REVIEWS AND APPROVES ALL SALARIES FOR THE EXECUTIVE STAFF AS WELL AS THE GENERAL COMPENSATION INCREASES FOR THE ENTIRE ORGANIZATION. PERIODICALLY, COMPARABLE COMPENSATION DATA FROM OUTSIDE SOURCES IS REVIEWED, AND THE DATA IS USED IN DETERMINING THE COMPENSATION OF THE EXECUTIVE STAFF. THE MEMBERS OF THE COMPENSATION COMMITTEE ARE INDEPENDENT OF THE EXECUTIVE STAFF AND OTHER EMPLOYEES OF COMMUNITY DIALYSIS CENTER. Form 990, Part VI, Section C, line 19 AVAILABILITY OF DOCUMENTS - THE CENTER'S FINANCIAL STATEMENTS, CONFLICT POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. Form 990, Part XI, line 9: TRANSFER FROM LEONARD C. ROSENBERG RENAL RESEARCH FOUNDATION, A RELATED SEC. 501 (C)(3) AFFILIATE 5,809,600. TRANSFER TO CENTERS FOR DIALYSIS CARE, INC., A RELATED CORPORATION -5,110,883. TRANSFER TO CDC PHYSICIANS ORGANIZATION, INC., A RELATED SEC. 501(C)(3) ORG -2,329,040. TRANSFER TO ACUTE CARE SERVICES, A RELATED llc -401,877. COMPLETION OF SCHEDULE H: ALTHOUGH THIS ORGANIZATION UTILIZES THE PROVISION OF SECTION 170(B)(1)(A)(III) FOR ITS PUBLIC CHARITY STATUS, IT IS NOT LICENSED IN THE STATE OF OHIO AS A "HOSPITAL". THEREFORE, WE HAVE NOT COMPLETED SCHEDULE H, IN ACCORDANCE WITH THE INSTRUCTIONS FOR THAT SCHEDULE. LEOCROSENBERG RENAL RSCHFDN 18720 CHAGRIN BLVD SHAKER HEIGHTS OH 44122 341695168 GRANT MAKER OH 501(c)(3) line 11a, i COMMDIACTR 1 CENTER FOR DIALCARE AT HEATHER HILL 18720 CHAGRIN BLVD SHAKER HEIGHTS OH 44122 341856467 DIALYSIS SVCS OH 501(c)(3) Line 3 N/A 0 CHAGRIN REALTY INC 18720 CHAGRIN BLVD SHAKER HEIGHTS OH 44122 341898396 TITLE HOLDING OH 501(c)(2) N/A ROSENBERG 1 MINORGAN&TISSUE TRANSEDUCPROGRAM 18720 CHAGRIN BLVD SHAKER HEIGHTS OH 44122 341900839 EDUC.SVCS. OH 501(c)(3) line 11a, i ROSENBERG 1 CDC PHYSICIANS ORGANIZATION INC 18720 CHAGRIN BLVD SHAKER HEIGHTS OH 44122 341961936 MED.SVCS. OH 501(c)(3) line 11a, i N/A 0 NEPHROLOGY ASSOCIATES OF CLEVELAND LTD 18720 CHAGRIN BLVD SHAKER HTS OH 44122 341847526 DIALYSIS SVCS OH N/A RELATED 1815349 9975195 0 0 0.83200 CENTERS FOR DIALYSIS CARE INC 18720 CHAGRIN BLVD SHAKER HTS OH 44122 341846647 MGMT.SVCS. OH N/A C -4562211 6780531 1.00000 1 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 CENTERS FOR DIALYSIS CARE INC M 14927873 FMV CHAGRIN REALTY INC K 1408144 FMV