Liabilities / Assets
24th percentile
Higher debt load relative to assets than 24% of similar nonprofits.
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
24th percentile
Higher debt load relative to assets than 24% of similar nonprofits.
Liabilities / Revenue
13th percentile
Higher debt load relative to revenue than 13% of similar nonprofits.
Net Margin
53rd percentile
Higher net margin than 53% of similar nonprofits.
Top Officer Pay
24th percentile
Higher top officer pay than 24% of similar nonprofits.
Top officer pay equals 0.1% of source-year revenue.
Asset Growth
59th percentile
Faster asset growth than 59% of similar nonprofits.
Revenue Growth
30th percentile
Faster revenue growth than 30% of similar nonprofits.
Assets
Up$678,136,236
Up $25,359,319 (+3.9%) from 2015
Net Assets
Up$582,367,748
Up $30,786,490 (+5.6%) from 2015
Liabilities
Down$95,768,488
Down $5,427,171 (-5.4%) from 2015
Revenue
Down$633,357,748
Down $14,367,561 (-2.2%) from 2015
Expenses
Down$602,049,483
Down $18,354,158 (-3.0%) from 2015
Net Income
Up$31,308,265
Up $3,986,597 (+15%) from 2015
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 | $550,199,678 | $580,986,168 | ▲ $30,786,490 |
| Land, Buildings, and Equipment, Net | $235,236,131 | $269,220,162 | ▲ $33,984,031 |
| Savings and Temporary Cash Investments | $109,106,085 | $114,890,490 | ▲ $5,784,405 |
| Cash and Non-Interest-Bearing Accounts | $135,339,292 | $102,264,326 | ▼ $33,074,966 |
| Accounts Receivable | $88,615,219 | $98,139,998 | ▲ $9,524,779 |
| Investments Other Securities | $44,524,586 | $49,330,245 | ▲ $4,805,659 |
| Intangible Assets | $22,687,632 | $24,661,459 | ▲ $1,973,827 |
| Inventories for Sale or Use | $10,286,443 | $12,258,110 | ▲ $1,971,667 |
| Investments in Publicly Traded Securities | $3,329,134 | $3,785,890 | ▲ $456,756 |
| Pd in Cap Srpls Land Bldg Eqp Fund | $1,381,580 | $1,381,580 | → $0 |
| Prepaid Expenses and Deferred Charges | $532,479 | $439,215 | ▼ $93,264 |
| Cap Stk Tr Prin Current Funds | $0 | $0 | → $0 |
| Total Assets | $652,776,917 | $678,136,236 | ▲ $25,359,319 |
| Other Assets Total | $3,119,916 | $3,146,341 | ▲ $26,425 |
| Liabilities | |||
| Other Liabilities | $74,309,037 | $70,634,163 | ▼ $3,674,874 |
| Mortgage Notes Payable Secured by Investment Property | $13,700,000 | $13,700,000 | → $0 |
| Accounts Payable and Accrued Expenses | $13,186,622 | $11,434,325 | ▼ $1,752,297 |
| Total Liabilities | $101,195,659 | $95,768,488 | ▼ $5,427,171 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $551,581,258 | $582,367,748 | ▲ $30,786,490 |
| Total Liabilities and Net Assets / Fund Balance | $652,776,917 | $678,136,236 | ▲ $25,359,319 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $112,790,270 | $128,718,535 | $241,508,805 |
| Equipment | $35,972,938 | $122,255,147 | $158,228,085 |
| Leasehold Improvements | $46,596,197 | $77,390,580 | $123,986,777 |
| Land | $46,420,827 | - | $46,420,827 |
| Other Land Buildings | $27,439,930 | - | $27,439,930 |
| Other Securities | $4,686,596 | - | - |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Amit Nahata | Physician | FT | $379,999 | $98,123 | $478,122 |
| Jessie Ganjoo | Physician | FT | $380,000 | $83,540 | $463,540 |
| Doug Johnson | Vice Chairman | FT | $363,282 | $85,166 | $448,448 |
| James E Attrill | President | FT | $410,657 | $35,546 | $446,203 |
| Stuart Redpath | COO | FT | $351,920 | $88,900 | $440,820 |
| William E Wood | CFO | FT | $371,002 | $39,946 | $410,948 |
| Haritha Sakhamuri | Physician | FT | $381,890 | $24,329 | $406,219 |
| Robert Davis | Physician | FT | $339,982 | $26,829 | $366,811 |
| Andrew Wasiluk | Physician | FT | $329,940 | $22,145 | $352,085 |
| Joe Swearingen | Assistant Treasurer | FT | $153,139 | $51,555 | $204,694 |
| James Perry | Director | PT | $90,599 | $13,144 | $103,743 |
| H Keith Johnson | Chairman | FT | - | $35,783 | $35,783 |
| Name | Title |
|---|---|
| Ken Johnson | Director |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Wr Newman & Associates INC | Construction Services | 2854 LOGAN STREET, Nashville, TN 37211 | $13,070,298 |
| Medical University Of Sc | Medical Director Services | 19 HAGOOD AVE SUITE 604, Charleston, SC 29425 | $1,244,559 |
| Unm Health Sciences Center | Medical Director Services | 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131 | $1,147,705 |
| Ssoe Group | Consulting Services | 1001 MADISON AVE, Toledo, OH 43604 | $968,279 |
| Nephrology Associates | Medical Director Services | 3810 BRAINERD RD, Chattanooga, TN 37411 | $800,094 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $344,171,926 |
| Other Expenses | $246,218,112 |
| Grants and Similar Amounts Paid | $11,659,445 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $207,314,525 | $68,299,620 | - | $275,614,145 |
| Other Employee Benefits | $33,134,698 | $12,665,658 | - | $45,800,356 |
| All Other Expenses | $20,933,400 | $14,776,964 | - | $35,710,364 |
| Depreciation Depletion | $8,635,465 | $13,519,664 | - | $22,155,129 |
| Payroll Taxes | $13,491,195 | $4,712,493 | - | $18,203,688 |
| Occupancy | $9,813,231 | $2,626,627 | - | $12,439,858 |
| Grants to Domestic Orgs | $11,659,445 | - | - | $11,659,445 |
| Other Expenses | $7,029 | $9,996,287 | - | $10,003,316 |
| Travel | $380,792 | $4,618,411 | - | $4,999,203 |
| Current Officers, Directors, Trustees, and Key Employees | - | $3,760,538 | - | $3,760,538 |
| Information Technology | $2,387,101 | $1,285,362 | - | $3,672,463 |
| Office Expenses | - | $3,086,243 | - | $3,086,243 |
| Fees for Services Other | $216,912 | $1,608,502 | - | $1,825,414 |
| Insurance | - | $1,815,859 | - | $1,815,859 |
| Fees for Services Legal | - | $1,177,730 | - | $1,177,730 |
| Pension Plan Contributions | $82,478 | $710,721 | - | $793,199 |
| Fees for Services Lobbying | - | $233,637 | - | $233,637 |
| Interest | - | $45,215 | - | $45,215 |
| Fees for Services Accounting | - | $44,252 | - | $44,252 |
| Conferences and Meetings | $6,115 | $21,090 | - | $27,205 |
| Total Functional Expenses | $450,117,288 | $151,932,195 | $0 | $602,049,483 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| American Kidney Fund | Rockville, MD | 501(c)(3) | Donation for General Support | $4,955,581 |
| University of New Mexico | Albuquerque, NM | 501(c)(3) | Medical Research Related to Kidney Function | $1,057,392 |
| University of Alabama-birmingham | Birmingham, AL | 501(c)(3) | Medical Research Related to Kidney Function | $300,000 |
| The Cleveland Clinic | Cleveland, OH | 501(c)(3) | Medical Research Related to Kidney Function | $279,900 |
| University of CA - Davis | Sacramento, CA | 501(c)(3) | Medical Research Related to Kidney Function | $275,109 |
| Medical University of South Carolina | Charleston, SC | 501(c)(3) | Medical Research Related to Kidney Function | $262,401 |
| Internal Medicine Education Foundation | Chattanooga, TN | 501(c)(3) | Medical Research Related to Kidney Function | $255,340 |
| University of Missouri | Kansas City, MO | 501(c)(3) | Medical Research Related to Kidney Function | $247,342 |
| Rutgers University Foudation | New Brunswick, NJ | 501(c)(3) | Medical Research Related to Kidney Function | $188,528 |
| Research Foundation Suny | Albany, NY | 501(c)(3) | Medical Research Related to Kidney Function | $170,491 |
| Trustees of Indiana University | Indianapolis, IN | 501(c)(3) | Medical Research Related to Kidney Function | $135,000 |
| University of Tennessee Foundation | Knoxville, TN | 501(c)(3) | Medical Research Related to Kidney Function | $122,901 |
| Kidney Foundation of the Greater Chattanooga Area | Chattanooga, TN | 501(c)(3) | Donation to Kidney Foundation of the Greater Chattanooga Area for General Support | $120,000 |
| University of Stony Brook | Stony Brook, NY | 501(c)(3) | Support for Kidney Disease Research | $113,930 |
| University of Cinicinnati | Cincinnati, OH | 501(c)(3) | Medical Research Related to Kidney Function | $90,298 |
| University Internal Medical Associates | Cincinnati, OH | 501(c)(3) | Medical Research Related to Kidney Function | $80,385 |
| University of Florida - Contracts & Grants | Gainesville, FL | Section 115 | Medical Research Related to Kidney Function | $73,394 |
| Vanderbilt University | Nashville, TN | 501(c)(3) | Donation for General Support | $60,000 |
| University of Pittsburgh Medical Center | Pittsburgh, PA | 501(c)(3) | Medical Research Related to Kidney Function | $55,396 |
| Creighton University | Omaha, NE | 501(c)(3) | Medical Research Related to Kidney Function | $53,374 |
| Meharry Medical College - a V F Research Study | Nashville, TN | 501(c)(3) | Medical Research Related to Kidney Function | $43,177 |
| Casa Experanza Endowment Foundation Inc | Albuquerque, NM | 501(c)(3) | Donation for General Support | $41,250 |
| Tufts Medical Center | Boston, MA | 501(c)(3) | Support for Kidney Disease Research | $22,550 |
| National Kidney Foundation | New York, NY | 501(c)(3) | Donation for General Support | $19,500 |
| The Upstate Foundation | Syracuse, NY | 501(c)(3) | Medical Research Related to Kidney Function | $19,158 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Accrued Payroll and Other Taxes | $31,645,165 |
| Other Notes Payable | $22,901,398 |
| Sick-pay Retirement Payable | $8,679,308 |
| Deferred Rent | $6,730,217 |
| Other Taxes | $558,743 |
| Other Current Liabilities | $119,332 |
“H. Keith johnson, md, doug johnson, md, and ken johnson have a family relationship.”
“Form 990 is reviewed by the president and cfo prior to releasing it's information to an independent accounting firm for review. The form 990 is then presented to the board where an opportunity is given to review and make changes prior to filing.”
“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 patients with 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 2016, dci employed 6373 people and provided dialysis treatments to 21,642 patients in 244 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) 2016 atlas showed dci to have the lowest smr [standardized mortality ratio] in 2014 at 0.92. The usrds went on to show that dci had the lowest shr [standardized hospitalization ratio], at 0.92. Dci offers all modalities of end stage renal disease (esrd) treatment, which include in-center hemodialysis, in-center nocturnal hemodialysis, in-center self-care hemodialysis, home hemodialysis, continuous ambulatory peritoneal dialysis, and continuous cycling peritoneal dialysis. In 2016 dci provided a total of 2,468,748 treatments. Dci was established as a nonprofit corporation, in hope of generating 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 the last group was dialyzed without at least making the attempt to better the patient's lot through research. As a corollary to this, education of esrd health care professionals is another goal to which dci resources are dedicated to support. Dci's research commitment includes providing a collaborative relationship in the conduct of clinical trials between dci clinics, physician/investigators, and the pharmaceutical industry. In an effort to facilitate the best care and make available to our patients state of the art clinical studies, dci has established the office of clinical research. Our experience in clinical research is a valuable resource for nephrology physician/investigators. Dci has expert knowledge in federal regulations, hipaa, medicare clinical trial policy, good clinical practice, and federal wide assurances. The dci office of clinical research provides all of the resources necessary to conduct clinical trials in an efficient, safe manner, while instilling industry best practices and producing quality data. As a non-profit 501(c)(3) organization, dci dedicates a significant portion of all monies generated to be utilized for kidney related research, education and other uses consistent with the company charter. Such programs might involve research studies, training, education, clinical, and patient care activities. In 2016, dci contributed over $3.3 million dollars to research, more than $4.1 million to education, and approximately $2.9 million dollars to development. Such contributions have a diverse and potentially powerful impact on society. - dci provided $365,722 to support the study, "an exploratory analysis of aki patient population and healthcare service utilization at end of life: does palliative care improve end-of-life outcomes?" the study will explore quality of life from the point-of-view of diverse patients with ckd in order to examine whether there are difference in patient-expressed values regarding the standardized health-related quality of life (hrqol) assessment related to patient race, ethnicity, or gender. - $346,599 was allocated to study "mechano-growth factor (mgf) roles in diabetic glomerulosclerosis - a new factor promoting diabetic kidney disease." this research will characterize the role of a new growth factor identified”
“Unrealized income/loss from joint ventures -467,339. Acquisition of minority interest in joint ventures -438,386.”
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 | 13186622 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 11434325 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 88615219 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 98139998 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO INITIATE AND PROVIDE COMPREHENSIVE CARE FOR PATIENTS WITH END-STAGE RENAL DISEASE. |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 14776964 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 20933400 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 35710364 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | ANDREW L PARKER |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6153273061 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 1633 CHURCH STREET SUITE 500 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | NASHVILLE |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | TN |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 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 | 135339292 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 102264326 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 118 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 3760538 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 3760538 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 21090 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 6115 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 27205 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 13070298 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 1244559 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 1147705 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 968279 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 800094 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 2854 LOGAN STREET |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 19 HAGOOD AVE SUITE 604 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 1 UNIVERSITY OF NEW MEXICO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 1001 MADISON AVE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 3810 BRAINERD RD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | NASHVILLE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | CHARLESTON |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | ALBUQUERQUE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | TOLEDO |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | CHATTANOOGA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | TN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | SC |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | NM |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | OH |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | TN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 37211 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 29425 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 87131 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 43604 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 37411 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | WR NEWMAN & ASSOCIATES INC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | MEDICAL UNIVERSITY OF SC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | UNM HEALTH SCIENCES CENTER |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | SSOE GROUP |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | NEPHROLOGY ASSOCIATES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONSTRUCTION SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | MEDICAL DIRECTOR SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | MEDICAL DIRECTOR SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | CONSULTING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | MEDICAL DIRECTOR SERVICES |
| IRS990/CostOfGoodsSoldAmt | 0 | 10750 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 0 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 11659445 |
| IRS990/CYInvestmentIncomeAmt | 0 | 3130573 |
| IRS990/CYOtherExpensesAmt | 0 | 246218112 |
| IRS990/CYOtherRevenueAmt | 0 | 8586275 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 621640900 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 31308265 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 344171926 |
| IRS990/CYTotalExpensesAmt | 0 | 602049483 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 633357748 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 13519664 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 8635465 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 22155129 |
| 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 COMPANY RESOURCES FOR SCIENTIFIC AND EDUCATIONAL PURPOSES FOR THE PREVENTION, EARLY DETECTION, AND TREATMENT OF RENAL DISEASE. DURING FYE 2016, 2,366,878 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 | 6328 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 422994496 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 44252 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 44252 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 1177730 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 1177730 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 233637 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 233637 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1608502 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 216912 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1825414 |
| 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/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 25.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| 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/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/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 76032 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 5292 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 13144 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 21450 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 46932 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 79491 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 27279 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 24279 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 19763 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 23783 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 8990 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 19952 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | DOUG JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | H KEITH JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | JAMES PERRY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | KEN JOHNSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JAMES E ATTRILL |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | JOE SWEARINGEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | STUART REDPATH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | WILLIAM E WOOD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | AMIT NAHATA |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | ANDREW WASILUK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | HARITHA SAKHAMURI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | JESSIE GANJOO |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | ROBERT DAVIS |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 372416 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 90599 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 424753 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 157762 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 361329 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 383669 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 453843 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 332322 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 382436 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 454550 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 346859 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 30491 |
| 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/TitleTxt | 0 | VICE CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | ASSISTANT TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | COO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | CFO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | 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 | 1195379 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 4 |
| IRS990/GrantAmt | 0 | 11659445 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 11659445 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 11659445 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/OtherAmt | 0 | 2722902 |
| IRS990/GrossReceiptsAmt | 0 | 634896021 |
| IRS990/GrossRentsGrp/RealAmt | 0 | 4436891 |
| IRS990/GrossSalesOfInventoryAmt | 0 | 4352 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 0 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 0 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 207 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ManagementAndGeneralAmt | 0 | 1285362 |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 2387101 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 3672463 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 1815859 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 1815859 |
| IRS990/IntangibleAssetsGrp/BOYAmt | 0 | 22687632 |
| IRS990/IntangibleAssetsGrp/EOYAmt | 0 | 24661459 |
| IRS990/InterestGrp/ManagementAndGeneralAmt | 0 | 45215 |
| IRS990/InterestGrp/TotalAmt | 0 | 45215 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 10286443 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 12258110 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 1935194 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 1935194 |
| IRS990/InvestmentInJointVentureInd | 0 | 1 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 44524586 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 49330245 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 3329134 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 3785890 |
| IRS990/IRPDocumentCnt | 0 | 1530 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 328364262 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 235236131 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 269220162 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 597584424 |
| IRS990/LegalDomicileStateCd | 0 | TN |
| IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt | 0 | 1527523 |
| 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 | 1691948 |
| IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt | 0 | 2010146 |
| IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 318198 |
| 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 | 551581258 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 582367748 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 1195379 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 1195379 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | -6398 |
| IRS990/NetIncomeOrLossGrp/UnrelatedBusinessRevenueAmt | 0 | -6398 |
| IRS990/NetRentalIncomeOrLossGrp/ExclusionAmt | 0 | 4436891 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 4436891 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 398527 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 383950 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 2626627 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 9813231 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 12439858 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 3086243 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 3086243 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrgDoesNotFollowSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 3119916 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 3146341 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -905725 |
| IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt | 0 | 12665658 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 33134698 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 45800356 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | DRUG EXPENSE |
| IRS990/OtherExpensesGrp/Desc | 2 | REPAIRS AND MAINTENANCE |
| IRS990/OtherExpensesGrp/Desc | 3 | UTILITIES |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 6927322 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 9996287 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 70240625 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 66757160 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 5057117 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 7029 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 70240625 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 66757160 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 11984439 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 10003316 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 74309037 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 70634163 |
| 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 | 141644 |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 1 | 879165 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 1266471 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 1 | 879165 |
| IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt | 0 | 1124827 |
| IRS990/OtherRevenueTotalAmt | 0 | 4155782 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 68299620 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 207314525 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 275614145 |
| IRS990/OtherWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 4712493 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 13491195 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 18203688 |
| IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt | 0 | 1381580 |
| IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt | 0 | 1381580 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 710721 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 82478 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 793199 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 532479 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 439215 |
| IRS990/PrincipalOfficerNm | 0 | WILLIAM E WOOD |
| 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 | 522906728 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 89427746 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 2488349 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 522987160 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 89427746 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 9225994 |
| IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt | 0 | 80432 |
| IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt | 1 | 6737645 |
| 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 09/30/2016, 1,315,976 PATIENT TESTS WERE PERFORMED. |
| IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt | 0 | 14161416 |
| IRS990/ProgSrvcAccomActy2Grp/RevenueAmt | 0 | 8891428 |
| IRS990/ProgSrvcAccomActy3Grp/Desc | 0 | THE SUPPLY AND PHARMACY DIVISION PROVIDES MEDICAL SUPPLIES, INCLUDING BUT NOT LIMITED TO NUTRITIONAL SUPPLEMENTS, DRUGS, AND HOME DIALYSIS SUPPLIES FOR DCI FACILITIES AND PROVIDES PRESCRIPTION MEDICATIONS FOR DCI'S MEDICAL PLAN. |
| IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt | 0 | 10606418 |
| IRS990/ProgSrvcAccomActy3Grp/RevenueAmt | 0 | 3729298 |
| IRS990/ProgSrvcAccomActyOtherGrp/Desc | 0 | RESEARCH EXPENDITURES |
| IRS990/ProgSrvcAccomActyOtherGrp/ExpenseAmt | 0 | 2354958 |
| IRS990/ProgSrvcAccomActyOtherGrp/RevenueAmt | 0 | 9167253 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 0 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 11584655 |
| IRS990/PYInvestmentIncomeAmt | 0 | 3186434 |
| IRS990/PYOtherExpensesAmt | 0 | 278788801 |
| IRS990/PYOtherRevenueAmt | 0 | 8819536 |
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Displayed year
2016 • Form 990Detailed filing. Detailed filing data is available for this year.