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        <RelatedOrExemptFuncIncomeAmt>392444</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>29106305</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>25145</TotalRevenueColumnAmt>
        <ExclusionAmt>25145</ExclusionAmt>
      </InvestmentIncomeGrp>
      <IncmFromInvestBondProceedsGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </IncmFromInvestBondProceedsGrp>
      <RoyaltiesRevenueGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </RoyaltiesRevenueGrp>
      <RentalIncomeOrLossGrp>
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        <PersonalAmt>0</PersonalAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>6956</TotalRevenueColumnAmt>
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      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>0</TotalRevenueColumnAmt>
      </NetIncmFromFundraisingEvtGrp>
      <NetIncomeFromGamingGrp>
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      <NetIncomeOrLossGrp>
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      </NetIncomeOrLossGrp>
      <OtherRevenueMiscGrp>
        <Desc>JOINT VENTURE INCOME</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>1491579</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1491579</RelatedOrExemptFuncIncomeAmt>
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      <TotalRevenueGrp>
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        <ExclusionAmt>32101</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>12500</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <GrantsToDomesticIndividualsGrp>
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      </GrantsToDomesticIndividualsGrp>
      <ForeignGrantsGrp>
        <TotalAmt>0</TotalAmt>
      </ForeignGrantsGrp>
      <BenefitsToMembersGrp>
        <TotalAmt>0</TotalAmt>
      </BenefitsToMembersGrp>
      <CompCurrentOfcrDirectorsGrp>
        <TotalAmt>409376</TotalAmt>
        <ProgramServicesAmt>356157</ProgramServicesAmt>
        <ManagementAndGeneralAmt>53219</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </CompCurrentOfcrDirectorsGrp>
      <CompDisqualPersonsGrp>
        <TotalAmt>0</TotalAmt>
      </CompDisqualPersonsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>0</TotalAmt>
      </OtherSalariesAndWagesGrp>
      <PensionPlanContributionsGrp>
        <TotalAmt>0</TotalAmt>
      </PensionPlanContributionsGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>0</TotalAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
        <TotalAmt>0</TotalAmt>
      </PayrollTaxesGrp>
      <FeesForServicesManagementGrp>
        <TotalAmt>2463817</TotalAmt>
        <ProgramServicesAmt>2217435</ProgramServicesAmt>
        <ManagementAndGeneralAmt>246382</ManagementAndGeneralAmt>
      </FeesForServicesManagementGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>124552</TotalAmt>
        <ManagementAndGeneralAmt>124552</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>58000</TotalAmt>
        <ManagementAndGeneralAmt>58000</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesLobbyingGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesLobbyingGrp>
      <FeesForServicesProfFundraising>
        <TotalAmt>0</TotalAmt>
      </FeesForServicesProfFundraising>
      <FeesForSrvcInvstMgmntFeesGrp>
        <TotalAmt>0</TotalAmt>
      </FeesForSrvcInvstMgmntFeesGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>29647</TotalAmt>
        <ManagementAndGeneralAmt>29647</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <AdvertisingGrp>
        <TotalAmt>0</TotalAmt>
      </AdvertisingGrp>
      <OfficeExpensesGrp>
        <TotalAmt>0</TotalAmt>
      </OfficeExpensesGrp>
      <InformationTechnologyGrp>
        <TotalAmt>862336</TotalAmt>
        <ProgramServicesAmt>776102</ProgramServicesAmt>
        <ManagementAndGeneralAmt>86234</ManagementAndGeneralAmt>
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      <RoyaltiesGrp>
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      <OccupancyGrp>
        <TotalAmt>1876880</TotalAmt>
        <ProgramServicesAmt>1876880</ProgramServicesAmt>
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      <TravelGrp>
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        <ManagementAndGeneralAmt>29056</ManagementAndGeneralAmt>
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      <PymtTravelEntrtnmntPubOfclGrp>
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      <ConferencesMeetingsGrp>
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        <ProgramServicesAmt>4202</ProgramServicesAmt>
        <ManagementAndGeneralAmt>10191</ManagementAndGeneralAmt>
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      <InterestGrp>
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        <ProgramServicesAmt>97577</ProgramServicesAmt>
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      <PaymentsToAffiliatesGrp>
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        <ProgramServicesAmt>242868</ProgramServicesAmt>
        <ManagementAndGeneralAmt>26985</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>LEASED EMPLOYEE EXPENSES</Desc>
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      <OtherExpensesGrp>
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      <OtherExpensesGrp>
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        <ProgramServicesAmt>515837</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>UNCOLLECTIBLE ACCOUNTS</Desc>
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        <ProgramServicesAmt>612767</ProgramServicesAmt>
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      <OthNotesLoansReceivableNetGrp>
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        <EOYAmt>0</EOYAmt>
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        <EOYAmt>420932</EOYAmt>
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        <EOYAmt>181220</EOYAmt>
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      <LandBldgEquipCostOrOtherBssAmt>14305558</LandBldgEquipCostOrOtherBssAmt>
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      <InvestmentsPubTradedSecGrp>
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      <TaxExemptBondLiabilitiesGrp>
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      <EscrowAccountLiabilityGrp>
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        <EOYAmt>0</EOYAmt>
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      <OrganizationFollowsSFAS117Ind>X</OrganizationFollowsSFAS117Ind>
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      <TotLiabNetAssetsFundBalanceGrp>
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      <ReconcilationRevenueExpnssAmt>3591932</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>-22761</NetUnrlzdGainsLossesInvstAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>false</AccountantCompileOrReviewInd>
      <FSAuditedInd>true</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
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      <AuditCommitteeInd>true</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>false</FederalGrantAuditRequiredInd>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <HospitalInd>X</HospitalInd>
      <ContributionControllerInd>false</ContributionControllerInd>
      <ContributionFamilyInd>false</ContributionFamilyInd>
      <Contribution35ControlledInd>false</Contribution35ControlledInd>
    </IRS990ScheduleA>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmountsGrp />
      <HeldWorksArtGrp />
      <CYMinus3YrEndwmtFundGrp />
      <CYMinus4YrEndwmtFundGrp />
      <LandGrp />
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>5172815</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1942686</DepreciationAmt>
        <BookValueAmt>3230129</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp />
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>9132743</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>6671323</DepreciationAmt>
        <BookValueAmt>2461420</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp />
      <TotalBookValueLandBuildingsAmt>5691549</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>INVESTMENT IN AFFILIATES</Desc>
        <BookValueAmt>9984914</BookValueAmt>
      </OtherAssetsOrgGrp>
      <OtherAssetsOrgGrp>
        <Desc>GOODWILL</Desc>
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      <OtherAssetsOrgGrp>
        <Desc>NOTES RECEIVABLE-AFFILIATES</Desc>
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      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>16652564</TotalBookValueOtherAssetsAmt>
      <FederalIncomeTaxLiabilityAmt>0</FederalIncomeTaxLiabilityAmt>
      <TotalLiabilityAmt>0</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>30620776</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>-22761</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>-22761</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>30643537</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>30643537</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>27051605</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesSubtotalAmt>27051605</ExpensesSubtotalAmt>
      <TotalExpensesPerForm990Amt>27051605</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FOLLOWING FOOTNOTE IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS AND REFERS TO ALL ENTITIES INCLUDED IN THAT CONSOLIDATED 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, 2013 and 2012. As of December 31, 2013, the Centers' income tax years from 2010 and thereafter remain subject to examination by the Internal Revenue Service, as well as various state and local taxing authorities.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION ENSURES THAT ITS GRANTS ARE SPENT FOR THE INTENDED PURPOSES BY REQUESTING REPORTS FROM DONEES ABOUT GRANT EXPENDITURES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALTHOUGH THE ORGANIZATION'S TOTAL GRANTS EXCEEDED $5,000 FOR 2013, NO GRANTEE RECEIVED MORE THAN $5,000. THEREFORE, PART II IS BLANK.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DIANE WISH</PersonNm>
        <TitleTxt>CHIEF EXECUTIVE OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>316286</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>43557</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>21922</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12750</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14861</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>409376</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DAVID OPPENLANDER</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>188209</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>8094</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>24102</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>234510</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B:</FormAndLineReferenceDesc>
        <ExplanationTxt>DIANE WISH PARTICIPATES IN A NONQUALIFIED SECTION 457(B) DEFERRED COMPENSATION PLAN. DURING 2013, SHE CONTRIBUTED $17,500 TO THE PLAN.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>DELEGATION OF CERTAIN MANAGEMENT DUTIES: FORM 990, PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>REVIEW OF FORM 990: FORM 990, PART VI, LINE 11B:</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS REVIEWED BY THE CEO AND CFO. IT IS THEN REVIEWED WITH THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>MONITORING AND ENFORCEMENT OF CONFLICT POLICY: FORM 990,PART VI,LINE 12C:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>COMPENSATION DETERMINATION: FORM 990, PART VI, LINE 15:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>AVAILABILITY OF DOCUMENTS: FORM 990, PART VI, LINE 19:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER'S FINANCIAL STATEMENTS, CONFLICT POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>COMPLETION OF SCHEDULE H:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALTHOUGH THIS ORGANIZATION UTILIZES THE PROVISIONS 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
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          <BusinessNameLine1>LEOCROSENBERG RENAL RSCHFDN</BusinessNameLine1>
        </DisregardedEntityName>
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          <AddressLine1>18720 CHAGRIN BLVD</AddressLine1>
          <City>SHAKER HEIGHTS</City>
          <State>OH</State>
          <ZIPCode>44122</ZIPCode>
        </USAddress>
        <EIN>341695168</EIN>
        <PrimaryActivitiesTxt>GRANT MAKER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>COMMDIACTR</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>CENTER FOR DIALCARE AT HEATHER HILL</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>18720 CHAGRIN BLVD</AddressLine1>
          <City>SHAKER HEIGHTS</City>
          <State>OH</State>
          <ZIPCode>44122</ZIPCode>
        </USAddress>
        <EIN>341856467</EIN>
        <PrimaryActivitiesTxt>DIALYSIS SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>CHAGRIN REALTY INC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>18720 CHAGRIN BLVD</AddressLine1>
          <City>SHAKER HEIGHTS</City>
          <State>OH</State>
          <ZIPCode>44122</ZIPCode>
        </USAddress>
        <EIN>341898396</EIN>
        <PrimaryActivitiesTxt>TITLE HOLDING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(2)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>N/A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>ROSENBERG</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>MINORGAN&amp;TISSUE TRANSEDUCPROGRAM</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>18720 CHAGRIN BLVD</AddressLine1>
          <City>SHAKER HEIGHTS</City>
          <State>OH</State>
          <ZIPCode>44122</ZIPCode>
        </USAddress>
        <EIN>341900839</EIN>
        <PrimaryActivitiesTxt>EDUC.SVCS.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>ROSENBERG</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1>CDC PHYSICIANS ORGANIZATION INC</BusinessNameLine1>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1>18720 CHAGRIN BLVD</AddressLine1>
          <City>SHAKER HEIGHTS</City>
          <State>OH</State>
          <ZIPCode>44122</ZIPCode>
        </USAddress>
        <EIN>341961936</EIN>
        <PrimaryActivitiesTxt>MED.SVCS.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>NEPHROLOGY ASSOCIATES OF CLEVELAND LTD</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>18720 CHAGRIN BLVD</AddressLine1>
          <City>SHAKER HTS</City>
          <State>OH</State>
          <ZIPCode>44122</ZIPCode>
        </USAddress>
        <EIN>341847526</EIN>
        <PrimaryActivitiesTxt>DIALYSIS SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>2892382</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>10357791</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <UBICodeVAmt>0</UBICodeVAmt>
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        <OwnershipPct>0.83198</OwnershipPct>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>NEPHROLOGY ASSOC AT HARBORSIDE</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>18720 CHAGRIN BLVD</AddressLine1>
          <City>SHAKER HTS</City>
          <State>OH</State>
          <ZIPCode>44122</ZIPCode>
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        <EIN>203166807</EIN>
        <PrimaryActivitiesTxt>DIALYSIS SVCS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>NEPH ASSOC</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
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        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.66559</OwnershipPct>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>NVCDC LLC</BusinessNameLine1>
        </RelatedOrganizationName>
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          <AddressLine1>919 CONESTOGA ROAD SUITE 300</AddressLine1>
          <City>ROSEMONT</City>
          <State>PA</State>
          <ZIPCode>19010</ZIPCode>
        </USAddress>
        <EIN>261778863</EIN>
        <PrimaryActivitiesTxt>OPER.SVCS.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>PA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>CTR FOR DIAL CR</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>92839</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>288017</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <UBICodeVAmt>0</UBICodeVAmt>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1>CENTERS FOR DIALYSIS CARE INC</BusinessNameLine1>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1>18720 CHAGRIN BLVD</AddressLine1>
          <City>SHAKER HTS</City>
          <State>OH</State>
          <ZIPCode>44122</ZIPCode>
        </USAddress>
        <EIN>341846647</EIN>
        <PrimaryActivitiesTxt>MGMT.SVCS.</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <EntityTypeTxt>C CORP</EntityTypeTxt>
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        <ShareOfEOYAssetsAmt>4299330</ShareOfEOYAssetsAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>false</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>CENTERS FOR DIALYSIS CARE INC</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>M</TransactionTypeTxt>
        <InvolvedAmt>12732527</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1>CHAGRIN REALTY INC</BusinessNameLine1>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>1146514</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>