Liabilities / Assets
25th percentile
Higher debt load relative to assets than 25% of similar nonprofits.
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
25th percentile
Higher debt load relative to assets than 25% of similar nonprofits.
Liabilities / Revenue
15th percentile
Higher debt load relative to revenue than 15% of similar nonprofits.
Net Margin
44th percentile
Higher net margin than 44% of similar nonprofits.
Top Officer Pay
31st percentile
Higher top officer pay than 31% of similar nonprofits.
Top officer pay equals 0.1% of source-year revenue.
Asset Growth
45th percentile
Faster asset growth than 45% of similar nonprofits.
Revenue Growth
Score unavailable
No earlier valid filing was available within the previous three public years.
Assets
Up$619,435,363
Up $34,209,278 (+5.8%) from 2013
Net Assets
Up$523,191,515
Up $30,286,179 (+6.1%) from 2013
Liabilities
Up$96,243,848
Up $3,923,099 (+4.2%) from 2013
Revenue
$604,333,631
No earlier filing loaded for comparison.
Expenses
Up$574,781,552
Up $13,901,816 (+2.5%) from 2013
Net Income
$29,552,079
No earlier filing loaded for comparison.
The primary responsibility of dci is to perceive, initiate, and provide comprehensive patient care. We serve society by providing care for patients with chronic kidney disease. Our goal is complete patient rehabilitation.
To initiate and provide comprehensive care for patients with end-stage renal disease.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Rtn Earn Endowment Incm Other Fnds | $491,403,756 | $521,809,935 | ▲ $30,406,179 |
| Land, Buildings, and Equipment, Net | $209,753,696 | $221,598,774 | ▲ $11,845,078 |
| Cash and Non-Interest-Bearing Accounts | $198,716,822 | $164,481,983 | ▼ $34,234,839 |
| Savings and Temporary Cash Investments | $58,435,691 | $88,603,058 | ▲ $30,167,367 |
| Accounts Receivable | $75,953,841 | $77,373,924 | ▲ $1,420,083 |
| Investments Other Securities | $19,428,081 | $40,486,309 | ▲ $21,058,228 |
| Inventories for Sale or Use | $10,310,752 | $9,882,961 | ▼ $427,791 |
| Intangible Assets | $6,934,257 | $9,846,725 | ▲ $2,912,468 |
| Prepaid Expenses and Deferred Charges | $2,867,470 | $3,601,183 | ▲ $733,713 |
| Investments in Publicly Traded Securities | $2,560,085 | $3,281,327 | ▲ $721,242 |
| Pd in Cap Srpls Land Bldg Eqp Fund | $1,501,580 | $1,381,580 | ▼ $120,000 |
| Cap Stk Tr Prin Current Funds | $0 | $0 | → $0 |
| Total Assets | $585,226,085 | $619,435,363 | ▲ $34,209,278 |
| Other Assets Total | $265,390 | $279,119 | ▲ $13,729 |
| Liabilities | |||
| Other Liabilities | $70,858,605 | $72,061,031 | ▲ $1,202,426 |
| Mortgage Notes Payable Secured by Investment Property | $13,700,000 | $13,700,000 | → $0 |
| Accounts Payable and Accrued Expenses | $7,762,144 | $10,482,817 | ▲ $2,720,673 |
| Total Liabilities | $92,320,749 | $96,243,848 | ▲ $3,923,099 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $492,905,336 | $523,191,515 | ▲ $30,286,179 |
| Total Liabilities and Net Assets / Fund Balance | $585,226,085 | $619,435,363 | ▲ $34,209,278 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $102,225,018 | $120,654,631 | $222,879,649 |
| Equipment | $29,522,680 | $115,267,122 | $144,789,802 |
| Leasehold Improvements | $35,944,817 | $71,365,547 | $107,310,364 |
| Land | $38,841,313 | - | $38,841,313 |
| Other Land Buildings | $15,064,946 | - | $15,064,946 |
| Other Securities | $26,740,172 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| James E Attrill | President | FT | $389,535 | $150,423 | $539,958 |
| William E Wood | Secretary/treasurer | FT | $352,655 | $154,705 | $507,360 |
| Doug Johnson | Director | FT | $343,237 | $151,626 | $494,863 |
| Stuart Redpath | Director of Operations | FT | $332,908 | $153,217 | $486,125 |
| Amit Nahata | Physician | FT | $435,705 | $21,663 | $457,368 |
| Jessie Ganjoo | Physician | FT | $436,029 | $9,448 | $445,477 |
| Robert Davis | Physician | FT | $343,564 | $26,743 | $370,307 |
| Andrew Wasiluk | Physician | FT | $332,322 | $24,597 | $356,919 |
| Harold Whetstone | Director of Corporate Contracts | FT | $269,112 | $80,992 | $350,104 |
| Joe Swearingen | Assistant Treasurer | FT | $143,509 | $77,481 | $220,990 |
| James Perry | Director | PT | $101,451 | $16,991 | $118,442 |
| H Keith Johnson | Chairman | - | - | $50,279 | $50,279 |
| Name | Title |
|---|---|
| Ken Johnson | Director |
| Nancy Johnson | Director |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Wr Newman & Associates INC | Construction | - | $11,909,028 |
| Jack Freeman And Associates PC | Construction | - | $1,104,669 |
| Ssoe Group | Consulting | - | $431,143 |
| Septagon Construction | Construction | - | $378,623 |
| Hooper Lundy And Book | Consulting | - | $295,267 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $307,514,759 |
| Other Expenses | $254,489,530 |
| Grants and Similar Amounts Paid | $12,777,263 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $182,224,682 | $56,759,857 | - | $238,984,539 |
| Other Employee Benefits | $31,979,625 | $11,319,364 | - | $43,298,989 |
| All Other Expenses | $20,034,919 | $20,904,138 | - | $40,939,057 |
| Depreciation Depletion | $7,731,067 | $13,014,682 | - | $20,745,749 |
| Payroll Taxes | $12,253,686 | $4,268,346 | - | $16,522,032 |
| Occupancy | $9,402,612 | $3,404,213 | - | $12,806,825 |
| Grants to Domestic Orgs | $12,777,263 | - | - | $12,777,263 |
| Other Expenses | $4,858,872 | $6,850,462 | - | $11,709,334 |
| Pension Plan Contributions | $3,444,860 | $1,368,351 | - | $4,813,211 |
| Travel | $337,549 | $4,197,702 | - | $4,535,251 |
| Information Technology | $2,632,152 | $1,417,312 | - | $4,049,464 |
| Current Officers, Directors, Trustees, and Key Employees | - | $3,895,988 | - | $3,895,988 |
| Office Expenses | - | $3,089,113 | - | $3,089,113 |
| Insurance | - | $2,196,736 | - | $2,196,736 |
| Fees for Services Legal | - | $1,302,256 | - | $1,302,256 |
| Fees for Services Other | $296,020 | $980,147 | - | $1,276,167 |
| Fees for Services Accounting | - | $362,470 | - | $362,470 |
| Conferences and Meetings | $148,133 | $34,873 | - | $183,006 |
| Interest | - | $20,849 | - | $20,849 |
| Total Functional Expenses | $406,984,199 | $167,797,353 | $0 | $574,781,552 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| 23-7124261 | - | 501 (c) (3) | Donation for General Support | $5,178,291 |
| 14-1368361 | - | 501 (c) (3) | Support for Kidney Disease | $928,268 |
| 57-6000722 | - | 501 (c) (3) | Support for Kidney Disease | $673,696 |
| 91-2153073 | - | 501 (c) (3) | Support for Kidney Disease | $581,698 |
| 85-0275408 | - | 501 (c) (3) | Support for Kidney Disease | $421,577 |
| 23-7318742 | - | 501 (c) (3) | Support for Kidney Disease | $363,248 |
| 25-0965591 | - | 501 (c) (3) | Support for Kidney Disease | $320,709 |
| 35-6001673 | - | 501 (c) (3) | Support for Kidney Disease | $197,553 |
| 58-1418202 | - | 501 (c) (3) | Support for Kidney Disease | $189,775 |
| 59-6002052 | - | 501 (c) (3) | Support for Kidney Disease | $168,970 |
| 62-1844686 | - | 501 (c) (3) | Support for Kidney Disease | $103,191 |
| 63-6005396 | - | 501 (c) (3) | Donation for General Support | $100,000 |
| 62-1410005 | - | 501 (c) (3) | Donation for General Support | $83,400 |
| 43-6003859 | - | 501 (c) (3) | Support for Kidney Disease | $78,316 |
| 62-0488046 | - | 501 (c) (3) | Support for Kidney Disease | $73,445 |
| 94-6036494 | - | 501 (c) (3) | Support for Kidney Disease | $58,000 |
| 62-0476822 | - | 501 (c) (3) | Support for Kidney Disease | $50,367 |
| 23-7289008 | - | 501 (c) (3) | Donation for General Support | $50,000 |
| 58-1314402 | - | 501 (c) (3) | Support for Kidney Disease | $30,856 |
| 13-1673104 | - | 501 (c) (3) | Donation for General Support | $24,763 |
| 31-1405915 | - | 501 (c) (3) | Support for Kidney Disease | $22,044 |
| 22-2383065 | - | 501 (c) (3) | Donation for General Support | $20,000 |
| 13-1982786 | - | 501 (c) (3) | Donation for General Support | $10,000 |
| 58-1696660 | - | 501 (c) (3) | Donation for General Support | $5,000 |
| 56-1443716 | - | 501 (c) (3) | Donation for General Support | $5,000 |
| 27-2119742 | - | 501 (c) (3) | Donation for General Support | $5,000 |
| 23-1365971 | - | 501 (c) (3) | Support for Kidney Disease | $2,850 |
| 51-0189641 | - | 501 (c) (3) | Donation for General Support | $2,000 |
| 45-2936915 | - | 501 (c) (3) | Donation for General Support | $1,240 |
| 04-2743894 | - | 501 (c) (3) | Support for Kidney Disease | $1,150 |
| 57-0653452 | - | 501 (c) (3) | Donation for General Support | $1,000 |
| 57-6027406 | - | 501 (c) (3) | Donation for General Support | $500 |
| 22-2383065 | - | 501 (c) (3) | Donation for General Support | $500 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Accrued Payroll and Other Taxes | $31,821,818 |
| Other Notes Payable | $23,960,015 |
| Sick-pay Retirement Payable | $7,932,892 |
| Deferred Rent | $6,462,793 |
| Other Current Liabilities | $1,429,196 |
| Other Taxes | $454,317 |
“Keith johnson, md - spouse nancy johnson - spouse douglas johnson - son ken johnson - son”
“Form 990 is reviewed by the president and treasurer 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 the filing.”
“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.”
“The company utilizes comparability data for determining compensation. No independent review of this data was conducted during the year.”
“The company has not publicized governing documents, conflict of interest policies, and financial statements.”
“The primary responsibility of dci is to perceive, initiate, and provide comprehensive patient care. We serve society by providing care for the patients wih end stage renal disease. Our goal is complete patient rehabilitation. We recognize the patient as an individual resulting from his or her genetics, life experience, habits, beliefs, and emotions; and as a member of his or her family and the community. The application of comprehensive care is on a personal level. 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 2014, dci employed approximately 6,000 people and provided dialysis care to 18,985 patients in more than 234 clinics located in 28 states throughout the united states. Dci, serving as the largest non-profit dialysis provider in the us, is noted for providing quality care. The united states renal data system (usrds) 2014 atlas states, " among the ldos [large dialysis organizations] in 2012, dci had the lowest smr [standardized mortality ratio] at 0.95, compared wtih 0.97 and 0.98, respectively for davita and frosenius. Dci offers all modalities of end stage renal disease (esrd) treatment, which include in-center hemodialysis, in-center self-care hemodialysis, home hemodialysis, continuous ambulatory peritoneal dialysis, and continuous cycling peritoneal dialysis. In 2014 dci provided a total of 2,330,318 treatments. Dci was established as a nonprofit corporation, to generate funds for research in order that the methods for treatment of esrd patients might be improved. We are not content to dialyze the next group of patients in the same imperfect way that that the last group was dialyzed without at least making the attempt to be 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. 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 and history of tracking and archiving data 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 a nefficient, safe manner, while still 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 2014, dci contributed over $5.3 million dollars to research, approximately $2.3 million to education, and more than $11.5 million dollars to development. Such contributions have a diverse and potentially powerful impact on society. In support of education, dci contributed $149,882 grant to university of tennessee's health information centerand preston medical library. Dci provided $1,000,000 to establish a teaching endowment titled, "r. Glenn davis md nephrology fellowship endowment fund" within the college of medicine at the iniversity of florida, $750,000 was donated to establish a permanent endowed professorship in nephrology research at stony brook medicine in stony brook, new york. To learn more about the correlation between kidney disease and cancer, dci provided $96,000 for the study "the mechanism by which kidney disease promotes kidney cancer growth." with a desire to improve the quality o”
“Transfer of joint venture assets -894,305.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 7762144 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 10482817 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 75953841 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 77373924 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO INITIATE AND PROVIDE COMPREHENSIVE CARE FOR PATIENTS WITH END-STAGE RENAL DISEASE. |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 20904138 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 20034919 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 40939057 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1 | 0 | ANDREW L PARKER |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6153273061 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1 | 0 | 1633 CHURCH STREET SUITE 500 |
| IRS990/BooksInCareOfDetail/USAddress/City | 0 | NASHVILLE |
| IRS990/BooksInCareOfDetail/USAddress/State | 0 | TN |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCode | 0 | 37203 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CapStkTrPrinCurrentFundsGrp/BOYAmt | 0 | 0 |
| IRS990/CapStkTrPrinCurrentFundsGrp/EOYAmt | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 198716822 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 164481983 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 16 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 3895988 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3895988 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 34873 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 148133 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 183006 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 11909028 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1104669 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 431143 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 378623 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 295267 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1 | 0 | 2854 LOGAN STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1 | 1 | 311 2ND AVENUE NORTH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1 | 2 | 1001 MADISON AVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1 | 3 | 113 EAST THIRD STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1 | 4 | 1875 CENTURY PARK EAST STE 1600 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/City | 0 | NASHVILLE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/City | 1 | NASHVILLE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/City | 2 | TOLEDO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/City | 3 | SEDALIA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/City | 4 | LOS ANGELES |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/State | 0 | TN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/State | 1 | TN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/State | 2 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/State | 3 | MO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/State | 4 | CA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCode | 0 | 37211 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCode | 1 | 37203 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCode | 2 | 43604 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCode | 3 | 65301 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCode | 4 | 90067 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1 | 0 | WR NEWMAN & ASSOCIATES INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1 | 1 | JACK FREEMAN AND ASSOCIATES PC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1 | 2 | SSOE GROUP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1 | 3 | SEPTAGON CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1 | 4 | HOOPER LUNDY AND BOOK |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | CONSULTING |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | CONSULTING |
| IRS990/CostOfGoodsSoldAmt | 0 | 11498 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 12777263 |
| IRS990/CYInvestmentIncomeAmt | 0 | 782358 |
| IRS990/CYOtherExpensesAmt | 0 | 254489530 |
| IRS990/CYOtherRevenueAmt | 0 | 7629529 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 595921744 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 29552079 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 307514759 |
| IRS990/CYTotalExpensesAmt | 0 | 574781552 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 604333631 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 13014682 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 7731067 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 20745749 |
| IRS990/Desc | 0 | 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 THE COMPANY RESOURCES FOR SCIENTIFIC AND EDUCATIONAL PURPOSES FOR THE PREVENTION, EARLY DETECTION, AND TREATMENT OF RENAL DISEASE. DURING FYE 2014, 2,248,803 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. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 5649 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 382575291 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 362470 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 362470 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 1302256 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 1302256 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 980147 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 296020 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1276167 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 25.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 12540 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 73913 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 16991 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 61814 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 74027 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 44338 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 77804 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 20585 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 26743 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 24597 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 21663 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 9448 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | H KEITH JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | NANCY JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | DOUG JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | JAMES PERRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | KEN JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JAMES E ATTRILL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | WILLIAM E WOOD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | JOE SWEARINGEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | STUART REDPATH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | HAROLD WHETSTONE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | ROBERT DAVIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | ANDREW WASILUK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | AMIT NAHATA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | JESSIE GANJOO |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 420950 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 101451 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 478144 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 433333 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 176652 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 408321 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 329519 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 343564 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 332322 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 435705 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 436029 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 37739 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | ASSISTANT TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR OF OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR OF CORPORATE CONTRACTS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PHYSICIAN |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1971 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | -491416 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 4 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 12777263 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 12777263 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 1139997 |
| IRS990/GrossReceiptsAmt | 0 | 605976542 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 3979688 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 9594 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 150 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 1417312 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 2632152 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 4049464 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 2196736 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 2196736 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 6934257 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 9846725 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 20849 |
| IRS990/InterestGrp/TotalAmt | 0 | 20849 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 10310752 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 9882961 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1273774 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1273774 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 19428081 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 40486309 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 2560085 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 3281327 |
| IRS990/IRPDocumentCnt | 0 | 1132 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 307287300 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 209753696 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 221598774 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 528886074 |
| IRS990/LegalDomicileStateCd | 0 | TN |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 1631413 |
| IRS990/LessRentalExpensesGrp/RealAmt | 0 | 0 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 1 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 1097795 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 1241574 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 143779 |
| IRS990/MissionDesc | 0 | THE PRIMARY RESPONSIBILITY OF DCI IS TO PERCEIVE, INITIATE, AND PROVIDE COMPREHENSIVE PATIENT CARE. WE SERVE SOCIETY BY PROVIDING CARE FOR PATIENTS WITH END-STAGE RENAL DISEASE. OUR GOAL IS COMPLETE PATIENT REHABILITATION. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/BOYAmt | 0 | 13700000 |
| IRS990/MortgNotesPyblScrdInvstPropGrp/EOYAmt | 0 | 13700000 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 492905336 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 523191515 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -491416 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -491416 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | -1904 |
| IRS990/NetIncomeOrLossGrp/UnrelatedBusinessRevenueAmt | 0 | -1904 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 3979688 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 3979688 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 609392 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 1628402 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 3404213 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 9402612 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 12806825 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 3089113 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 3089113 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrgDoesNotFollowSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 265390 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 279119 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -894305 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 11319364 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 31979625 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 43298989 |
| IRS990/OtherExpensesGrp/Desc | 0 | DRUG EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 1 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 2 | BAD DEBT EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 3 | REPAIRS AND MAINTENANCE |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 32410494 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 6850462 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 60633955 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 58228804 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 4858872 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 60633955 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 58228804 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 32410494 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 11709334 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 70858605 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 72061031 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 541610 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 1 | 541700 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | MANAGEMENT FEES |
| IRS990/OtherRevenueMiscGrp/Desc | 1 | RESEARCH REVENUES |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 517222 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 1 | 965268 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 1444903 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 965268 |
| IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt | 0 | 927681 |
| IRS990/OtherRevenueTotalAmt | 0 | 3651745 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 56759857 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 182224682 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 238984539 |
| IRS990/OtherWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 4268346 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 12253686 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 16522032 |
| IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt | 0 | 1501580 |
| IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt | 0 | 1381580 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 1368351 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 3444860 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 4813211 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 2867470 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 3601183 |
| IRS990/PrincipalOfficerNm | 0 | JAMES E ATTRILL JR |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621400 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621610 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 621500 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | DIALYSIS & MEDICAL |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | HOME PATIENT |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | LABORATORY |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 506976677 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 80523718 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 2377750 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 507201287 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 80523718 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 8196739 |
| IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 224610 |
| IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt | 1 | 5818989 |
| IRS990/ProgSrvcAccomActy2Grp/Desc | 0 | 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 9/30/14, 1,096,108 PATIENT TESTS WERE PERFORMED. |
| IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt | 0 | 13590473 |
| IRS990/ProgSrvcAccomActy2Grp/RevenueAmt | 0 | 8196739 |
| IRS990/ProgSrvcAccomActy3Grp/Desc | 0 | THE SUPPLY AND PHARMACY DIVISION PROVIDE MEDICAL SUPPLIES, INCLUDING BUT NOT LIMITED TO NUTRITIONAL SUPPLEMENTS, DRUGS AND HOME DIALYSIS SUPPLIES FOR BOTH DCI FACILITIES AND THROUGH CONTRACTUAL RELATIONSHIPS WITH OTHER DIALYSIS PROVIDERS. |
| IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt | 0 | 9112616 |
| IRS990/ProgSrvcAccomActy3Grp/RevenueAmt | 0 | 2993594 |
| IRS990/ProgSrvcAccomActyOtherGrp/Desc | 0 | RESEARCH EXPENDITURES |
| IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt | 0 | 1705819 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 13386284 |
| IRS990/PYInvestmentIncomeAmt | 0 | 1547744 |
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Displayed year
2014 • Form 990Detailed filing. Detailed filing data is available for this year.