TY 2010 Form 990

- TIN:

Form990

Department of the Treasury
Internal Revenue Service

Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

The organization may have to use a copy of this return to satisfy state reporting requirements.

OMB No. 1545-0047

2010

Open to Public Inspection

A For the calendar year, or tax year beginning 10-01-2010 and ending 09-30-2011

BCheck if applicable: Address change Name change Initial return Terminated Amended return Application pending

CName of organization
DIALYSIS CLINIC INC

Doing Business As

Number and street (or P.O. box if mail is not delivered to street address)
1633 CHURCH STREET NO 500

Room/suite

City or town, state or country, and ZIP + 4
NASHVILLE, TN37203

D Employer identification number

62-0850498

E Telephone number

G Gross receipts $ 572,752,171

F Name and address of principal officer:
JAMES E ATTRILL JR
1633 CHURCH STREET NO 500
NASHVILLE,TN37203

Tax-exempt status: 501(c)(3) 501(c) ( ) LeftBullet

(insert no.) 4947(a)(1) or 527

Website:

WWW.DCIINC.ORG

H(a)

Is this a group return for
affiliates? Yes No

H(b)

Are all affiliates included?

Yes No

If "No," attach a list. (see instructions)

H(c)

Group exemption number MediumBullet

K Form of organization: Corporation Trust Association Other MediumBullet

L Year of formation: 1971

M State of legal domicile: TN

Part I

Summary

1	Briefly describe the organization’s mission or most significant activities: TO INITIATE AND PROVIDE COMPREHENSIVE CARE FOR PATIENTS WITH END-STAGE RENAL DISEASE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	4
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	0
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	5,599
6	Total number of volunteers (estimate if necessary) ....	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	6,667,825
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	41,660

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	576,341,644	565,880,802
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,436,580	-227,859
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	4,922,080	4,993,883
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	582,700,304	570,646,826
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	6,036,278
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	260,733,194	265,032,116
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	301,325,343	253,753,893
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	562,058,537	524,822,287
19	Revenue less expenses. Subtract line 18 from line 12......	20,641,767	45,824,539
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	453,879,589	491,506,006
21	Total liabilities (Part X, line 26)............	90,144,521	82,627,367
22	Net assets or fund balances. Subtract line 21 from line 20 .....	363,735,068	408,878,639

Part II

Signature Block

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.

May the IRS discuss this return with the preparer shown above? (see instructions) ......... Yes No

For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 11282Y

Form 990 (2010)

Page 2

Part III

Statement of Program Service Accomplishments

Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .

Briefly describe the organization’s mission: 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.

Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .................... Yes No

If “Yes,” describe these new services on Schedule O.

Did the organization cease conducting, or make significant changes in how it conducts, any program services? .......................... Yes No

If “Yes,” describe these changes on Schedule O.

Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.


4a	(Code: ) (Expenses $ 354,001,261 including grants of $ ) (Revenue $ 542,183,894 )
	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 9/30/11, 2,081,809 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.

4b	(Code: ) (Expenses $ 12,885,870 including grants of $ ) (Revenue $ 13,232,981 )
	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 9/30/11, 1,859,950 PATIENT TESTS WERE PERFORMED.

4c	(Code: ) (Expenses $ 5,507,355 including grants of $ ) (Revenue $ 271,310 )
	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.

	(Code: ) (Expenses $ 103,900 including grants of $ ) (Revenue $ )
	RESEARCH EXPENDITURES

4d	Other program services. (Describe in Schedule O.)
	(Expenses $ 103,900 including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 372,498,386

Form 990 (2010)

Page 3

Part IV

Checklist of Required Schedules

Yes

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A Click to see attachment

.....................

Yes

Is the organization required to complete Schedule B, Schedule of Contributors? ........

Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I Click to see attachment

..........

Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II Click to see attachment

.........................

Yes

Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III Click to see attachment

........................

Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I Click to see attachment

.......................

Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part II Click to see attachment

...

Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment

....................

Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV Click to see attachment

...................

Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part V Click to see attachment

If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:

Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI. Click to see attachment

11a

Yes

Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII. Click to see attachment

11b

Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII. Click to see attachment

11c

Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX. Click to see attachment

11d

Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X. Click to see attachment

11e

Yes

Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X. Click to see attachment

11f

12a

Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment

12a

Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment

12b

Yes

Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E

14a

Did the organization maintain an office, employees, or agents outside of the United States?....

14a

Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........

14b

Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..

Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..

Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I

Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........

Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................

Form 990 (2010)

Page 4

Part IV

Checklist of Required Schedules (continued)

20a

Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....

20a

Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....

20b

Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment

Yes

Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment

Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment

Yes

24a

Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................

24a

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...

24b

Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................

24c

Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...

24d

25a

Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I......

25a

Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................

25b

Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II...........................

Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III...............

Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):

A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .........................

28a

A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV...................

28b

An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV..

28c

Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M

Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............

Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................

Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment

Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment

Yes

Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....

Yes

Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment

YesNo

Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment

Yes

Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI Click to see attachment

Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............

Yes

Form 990 (2010)

Page 5

Part V

Statements Regarding Other IRS Filings and Tax Compliance

Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .

Yes

Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......

1,022

Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.

Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................

Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................

5,599

If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)

Yes

Did the organization have unrelated business gross income of $1,000 or more during the year?.............................

Yes

If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....

Yes

At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................

If "Yes," enter the name of the foreign country: MediumBullet

See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..

Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........

Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........

If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................

Organizations that may receive deductible contributions under section 170(c).

Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................

If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....

Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................

If “Yes,” indicate the number of Forms 8282 filed during the year ....

Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................

Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............

Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................

Sponsoring organizations maintaining donor advised funds.

Did the organization make any taxable distributions under section 4966?.........

Did the organization make a distribution to a donor, donor advisor, or related person?......

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIII, line 12 ...

10a

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

10b

Section 501(c)(12) organizations. Enter:

Gross income from members or shareholders .........

11a

Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........

11b

12a

Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?

12a

If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.

12b

Section 501(c)(29) qualified nonprofit health insurance issuers.

Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.

13a

Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.

13b

Enter the aggregate amount of reserves on hand.

13c

14a

Did the organization receive any payments for indoor tanning services during the tax year?.....

14a

If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..

14b

Form 990 (2010)

Page 6

Part VI

Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.

Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .

Section A. Governing Body and Management

Yes

Enter the number of voting members of the governing body at the end of the tax year ..............

Enter the number of voting members included in line 1a, above, who are independent .................

Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................

Yes

Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?

Did the organization become aware during the year of a significant diversion of the organization’s assets? .

Does the organization have members or stockholders? ................

Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................

Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..

Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:

The governing body? .........................

Yes

Each committee with authority to act on behalf of the governing body? ............

Yes

Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....

Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)

Yes

10a

Does the organization have local chapters, branches, or affiliates? ............

10a

If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....

10b

11a

Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?

11a

Yes

Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....

12a

Does the organization have a written conflict of interest policy? If “No,” go to line 13.......

12a

Yes

Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................

12b

Yes

Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................

12c

Yes

Does the organization have a written whistleblower policy? ...............

Yes

Does the organization have a written document retention and destruction policy? .........

Yes

Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

The organization’s CEO, Executive Director, or top management official ...........

15a

Other officers or key employees of the organization ................

15b

If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)

16a

Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................

16a

Yes

If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............

16b

Yes

Section C. Disclosure

List the States with which a copy of this Form 990 is required to be filed MediumBullet

CA , IN , MA , NM , NY

Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.

Own website Another's website Upon request

Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.

State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet

MR ANDY PARKER
1633 CHURCH STREET SUITE 500
NASHVILLE,TN37203
(615) 342-0479

Form 990 (2010)

Page 7

Part VII

Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors

Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet

List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

List all of the organization’s current key employees, if any. See instructions for definition of "key employee."

List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.

Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)				(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(1) DR KEITH JOHNSON CHAIRMAN	0.00	X				0	35,455	10,984
(2) NANCY JOHNSON DIRECTOR	0.00	X				0	0	0
(3) DOUG JOHNSON DIRECTOR	40.00	X				211,280	0	11,359
(4) JAMES PERRY DIRECTOR	40.00	X				631,268	0	20,611
(5) JAMES E ATTRILL PRESIDENT	40.00		X			283,720	0	13,176
(6) WILLIAM E WOOD TREASURER	40.00		X			249,129	0	19,060
(7) JOE SWEARINGEN ASSISTANT TREASURER	40.00		X			131,800	0	34,061
(8) DOUGLAS REINHARD CORPORATE ADMINISTRATOR	40.00			X		0	0	0
(9) SADIQ AHMED PHYSICIAN	40.00			X		0	0	0
(10) HAROLD WHETSTONE CORPORATE ADMINISTRATOR	40.00				X	254,171	0	16,689
(11) MOSTAFA AMR PHYSICIAN	40.00				X	386,973	0	19,172
(12) CHRISTINA YNARES PHYSICIAN	40.00				X	298,024	0	21,281
(13) AMIT NAHATA PHYSICIAN	40.00				X	258,386	0	18,820
(14) DWAYNE BERGEAUX PHYSICIAN	40.00				X	232,331	0	17,347

Form 990 (2010)

Page 8

Part VII

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)						(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,937,082	35,455	202,560

Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organization MediumBullet

Yes

Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................

Yes

Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....

Section B. Independent Contractors

Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.

(A) Name and business address	(B) Description of services	(C) Compensation
WR NEWMAN & ASSOCIATES INC 2854 LOGAN STREET NASHVILLE,TN37211	CONSTRUCTION	5,668,079
JACK FREEMAN AND ASSOCIATES PC 311 2ND AVENUE NORTH NASHVILLE,TN37203	CONSTRUCTION	725,576
DELOITTE & TOUCHE LLC 424 CHURCH STREET SUITE 2400 NASHVILLE,TN37219	ACCOUNTING & AUDITING	349,550
FC DCI LLC 22 CENTURY HILL DRIVESTE 301 LATHAM,NY12110	CONSTRUCTION	276,711
PRATT MEDICAL GROUP 750 WASHINGTON STREET BOSTON,MA02111	CONSULTING	184,382
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 5

Form 990 (2010)

Page 9

Part VIII

Statement of Revenue

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......
			Business Code
2a	DIALYSIS & MEDICAL		621,400	495,378,850	495,310,258	68,592
b	HOME PATIENT		621,610	57,268,971	57,268,971
c	LABORATORY		621,500	13,232,981	8,033,154	5,199,827
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			565,880,802
3	Investment income (including dividends, interest
	and other similar amounts).....			641,495			641,495
4	Income from investment of tax-exempt bond proceeds..
5	Royalties............
		(i) Real	(ii) Personal
6a	Gross Rents	3,441,958
b	Less: rental expenses	1,142,956
c	Rental income or (loss)	2,299,002
d	Net rental income or (loss).......			2,299,002			2,299,002
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory		55,163
b	Less: cost or other basis and sales expenses		924,517
c	Gain or (loss)		-869,354
d	Net gain or (loss)..........			-869,354			-869,354
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a		68,592
b	Less: cost of goods sold ..b		37,872
c	Net income or (loss) from sales of inventory..			30,720		30,720
Miscellaneous Revenue			Business Code
11a	MANAGEMENT FEES		541,610	1,429,575		1,237,643	191,932
b	RESEARCH REVENUES		541,700	398,078			398,078
c	R/O CONTRACT FEES		541,610	16,200		16,200
d	All other revenue ....			820,308	705,465	114,843
e	Total. Add lines 11a–11d ......			2,664,161
12	Total revenue. See Instructions....			570,646,826	561,317,848	6,667,825	2,661,153

Form 990 (2010)

Page 10

Part IX

Statement of Functional Expenses

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.		(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	6,036,278	6,036,278
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	2,937,082	784,525	2,152,557
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	209,908,055	157,933,996	51,974,059
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	3,146,242	2,291,845	854,397
9	Other employee benefits .......	34,376,469	25,584,096	8,792,373
10	Payroll taxes ...........	14,664,268	11,001,755	3,662,513
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	849,431		849,431
c	Accounting ...........	431,636		431,636
d	Lobbying ...........
e	Professional fundraising. See Part IV, line 17..
f	Investment management fees ......
g	Other ..........	4,014,716	3,663,757	350,959
12	Advertising and promotion ....
13	Office expenses .......	2,558,475		2,558,475
14	Information technology ......	914,472	594,407	320,065
15	Royalties ..
16	Occupancy ...........	10,016,570	7,953,175	2,063,395
17	Travel ............	3,488,132	299,177	3,188,955
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	193,430	151,521	41,909
20	Interest ...........	174,448		174,448
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	20,520,050	7,478,937	13,041,113
23	Insurance ..............	3,450,548		3,450,548
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	DRUGS	77,503,109	77,503,109
b	MEDICAL SUPPLIES	51,150,781	51,150,781
c	BAD DEBT	29,618,475		29,618,475
d	UTILITIES	8,885,573	1,409,502	7,476,071
e	REPAIRS AND MAINTENANCE	7,640,488	4,469,072	3,171,416
f	All other expenses	32,343,559	14,192,453	18,151,106
25	Total functional expenses. Add lines 1 through 24f	524,822,287	372,498,386	152,323,901	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Form 990 (2010)

Page 11


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			87,265,711	1	127,856,961
2	Savings and temporary cash investments .......			20,612,729	2	38,203,342
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			103,446,360	4	85,984,861
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			13,122,482	8	10,614,178
9	Prepaid expenses and deferred charges ............			2,469,842	9	2,648,312
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	484,316,698
b	Less: accumulated depreciation. .....	10b	282,809,421	202,684,957	10c	201,507,277
11	Investments—publicly traded securities ..........			1,164,358	11	1,237,072
12	Investments—other securities. See Part IV, line 11 ......			17,575,260	12	17,562,962
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets .........			5,333,934	14	5,505,701
15	Other assets. See Part IV, line 11 ...........			203,956	15	385,340
16	Total assets. Add lines 1 through 15 (must equal line 34)...			453,879,589	16	491,506,006
17	Accounts payable and accrued expenses .			11,551,731	17	5,845,817
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			17,099,998	23	16,900,000
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....			61,492,792	25	59,881,550
26	Total liabilities. Add lines 17 through 25.....			90,144,521	26	82,627,367
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....				27
28	Temporarily restricted net assets .....				28
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....			0	30	0
31	Paid-in or capital surplus, or land, building or equipment fund .....			1,501,580	31	1,501,580
32	Retained earnings, endowment, accumulated income, or other funds			362,233,488	32	407,377,059
33	Total net assets or fund balances .....			363,735,068	33	408,878,639
34	Total liabilities and net assets/fund balances .....			453,879,589	34	491,506,006

Form 990 (2010)

Page 12

Part XI

Reconcilliation of Net Assets

Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .

Total revenue (must equal Part VIII, column (A), line 12) . . .

570,646,826

Total expenses (must equal Part IX, column (A), line 25) . . . . .

524,822,287

Revenue less expenses. Subtract line 2 from line 1 . . . .

45,824,539

Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .

363,735,068

Other changes in net assets or fund balances (explain in Schedule O) . . . .

-680,968

Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .

408,878,639

Part XII

Financial Statements and Reporting

Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .

Yes

Accounting method used to prepare the Form 990: Cash Accrual Other
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.

Were the organization’s financial statements compiled or reviewed by an independent accountant?..

Were the organization’s financial statements audited by an independent accountant?........

Yes

If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................

Yes

If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separated basis

As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................

If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..

Form 990 (2010)

Additional Data

Software ID:
Software Version:

Form 990, Special Condition Description:

Special Condition Description

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

DIALYSIS CLINIC INC

Employer identification number

62-0850498

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

DIALYSIS CLINIC INC

Employer identification number

62-0850498

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(a) Filing Organization's Totals	(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......	75,973
c	Total lobbying expenditures (add lines 1a and 1b) ...................	75,973
d	Other exempt purpose expenditures ........................	524,746,314
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............	524,822,287
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.	1,000,000
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................	250,000
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................	0
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................	0
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................		Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount	1,000,000	1,000,000	1,000,000	1,000,000	4,000,000

b	Lobbying ceiling amount (150% of line 2a, column(e))					6,000,000

c	Total lobbying expenditures		11,092	8,645	75,973	95,710

d	Grassroots non-taxable amount	250,000	250,000	250,000	250,000	1,000,000

e	Grassroots ceiling amount (150% of line 2d, column (e))					1,500,000

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Total. lines 1c through 1i ...................................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

DIALYSIS CLINIC INC

Employer identification number

62-0850498

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	31,323,620		31,323,620
b	Buildings ................	204,244,897	105,923,389	98,321,508
c	Leasehold improvements ............	96,790,061	57,756,230	39,033,831
d	Equipment ................	146,810,927	119,129,802	27,681,125
e	Other .................	5,147,193		5,147,193
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				201,507,277

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes
ACCRUED PAYROLL		24,458,952
OTHER CURRENT LIABILITIES		1,417,988
OTHER NOTES PAYABLE		19,644,888
SICK-PAY RETIREMENT PAYABLE		8,488,726
OTHER TAXES		17,530
DEFERRED RENT		5,653,466
CURRENT MATURITIES ON L.T. DEBT		200,000


Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)		59,881,550
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization
DIALYSIS CLINIC INC

Employer identification number
62-0850498

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) MEHARRY MEDICAL COLLEGE - A V F RESEARCH STUDYMARQUETTA FAULKNER1005 DB TODD JR BLVD NASHVILLE,TN37208	62-0488046	501(C)(3)	80,603	THIS FUNDING IS TO BE USED TO SUPPORT THE RESEARCH PROJECT "ENHANCING THE PREVALENCE OF ARTERIO-VENOUS (AVF) PLACEMENT AND FIRST FISTULA MATURATION AND ACCESS WITHIN A COMMUNITY OF HEMODIALYSIS SUBJECTS."
(2) AMERICAN KIDNEY FUND6110 EXECUTIVE BLVD STE 1010 ROCKVILLE,MD20852	23-7124261	501(C)(3)	514,196	DONATION TO AMERICAN KIDNEY FUND FOR GENERAL SUPPORT
(3) AMERICAN RED CROSS405 N LOGAN ST GAFFNEY,SC29342	53-0196605	501(C)(3)	5,000	GENERAL SUPPORT DONATION
(4) BAYLOR COLLEGE OF MEDICINEONE BAYLOR PLAZA NEPHROLOGY DIVISION HOUSTON,TX77030	74-1613878	501(C)(3)	5,000	THIS AWARD WILL BE DONATED TO THE GARABED EKNOYAN, MD ENDOWED NEPHROLOGY LECTURE IN THE DEPARTMENT OF MEDICINE AT BAYLOR UNIVERSITY.
(5) BRIGHAM & WOMEN'S HOSPITALPO BOX 3887 BOSTON,MA02241	04-2312909	501(C)(3)	25,000	MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION
(6) CREIGHTON UNIVERSITY - NEPHROLOGY DIVISION2500 CALIFORNIA PLAZA OMAHA,NE68178	47-0376583	501(C)(3)	227,090	MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION
(7) EMORY UNIVERSITY - SCHOOL OF MEDICINE1440 CLIFTON RD NE STE 112 ATLANTA,GA30322	58-0566256	501(C)(3)	15,000	THIS AWARD WILL BE APPLIED TO THE EMORY SCHOOL OF MEDICINE RENAL SUPPORT FUND
(8) GARDNER-WEBB UNIVERSITYPO BOX 997 BOILING SPRINGS,NC28017	56-0529972	501(C)(3)	25,000	THIS AWARD WILL ENDOW A NURSING SCHOLARSHIP AT GARDNER-WEBB UNIVERSITY IN HONOR OF CHRIS KEEN.
(9) INDIANA UNIVERSITY620 UNION DRIVE ROOM 618 INDIANAPOLIS,IN46202	35-6001673	501(C)(3)	193,091	MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION
(10) INTERNAL MEDICINE EDUCATION FOUNDATION979 E 3RD STREET STE B1001 CHATTANOOGA,TN37403	58-1314402	501(C)(3)	151,946	THIS AWARD WILL BE DONATED TO THE INTERNAL MEDICINE EDUCATION FOUNDATION (IMEF) FOR ADDITIONAL RESIDENT NEPHROLOGY TRAINING EXPENSES & THIS AWARD WILL BE DONATED TO THE INTERNAL MEDICINE EDUCATION FOUNDATION (IMEF) FOR PRESENTATION OF THE GRAND ROUNDS FALL EVENT, "ADULT AND PEDIATRIC OBESITY: PATHOPHYSIOLOGY, TREATMENT, AND MEDICOECONOMIC IMPACT."
(11) KIDNEY FOUNDATION OF THE GREATER CHATTANOOGA AREA1020 DALLAS ROAD SUITE 401 CHATTANOOGA,TN37405	62-1410005	501(C)(3)	158,350	GENERAL SUPPORT DONATION FOR KIDNEY FOUNDATION OF THE GREATER CHATTANOOGA AREA.
(12) UPMC MEDICAL & HEALTH SCIENCES FOUNDATIONUPMC 3600 FORBES AVENUE PITTSBURGH,PA15213	11-3708851	501(C)(3)	1,000,000	THIS FUNDING IS TO BE USED TO ENDOW A RESEARCH CHAIR IN THE RENAL-ELECTROLYTE DIVISION OF THE UNIVERSITY OF PITTSBURGH'S SCHOOL OF MEDICINE.
(13) MEDICAL COLLEGE OF GA FOUNDATION INC545 15TH ST AUGUSTA,GA30901	58-0706796	501(C)(3)	15,000	THIS AWARD WILL BE APPLIED TO THE MEDICAL COLLEGE OF GEORGIA FOUNDATION INC. FUND 7763-JAMES B HUDSON NEPHROLOGY FUND.
(14) MEDICAL UNIVERSITY OF SOUTH CAROLINAPO BOX 250623 CHARLESTON,SC29425	57-6000722	501(C)(3)	1,151,054	MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION
(15) MISSOURI FOUNDATION FOR MEDICAL RESEARCHPO BOX 605 COLUMBIA,MO65205	43-1581381	501(C)(3)	47,000	MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION
(16) MOUNT SINAI SCHOOL OF MEDICINEONE GUSTAVE L LEVY PLACE NEW YORK,NY10029	13-6171197	501(C)(3)	21,245	THIS AWARD WILL FUND THE STUDY "GLUTATHIONE PEROXIDISE-1 ACTIVITY AND ITS RELATIONSHIP TO ENDOTHELIAL FUNCTION IN PATIENTS WITH TYPE 2 DIABETES AT HIGH RISK OF PROGRESSIVE CHRONIC KIDNEY DISEASE FROM THE UNITED STATES AND UNITED KINGDOM."
(17) NATIONAL KIDNEY FOUNDATION OF KANSAS & WESTERN MISSOURI6405 METCALF AVENUE 204 OVERLAND PARK,KS66202	48-0756377	501(C)(3)	6,000	NATIONAL KIDNEY FOUNDATION SYMPOSIUM SPONSORSHIP
(18) PRATT MEDICAL GROUP - 821TUFTS MEDICAL CENTER 750 WASHINGTON ST BOSTON,MA02111	04-2743894	501(C)(3)	100,847	RENAL OUTCOMES MONITORING PROGRAM
(19) RESEARCH FOUNDATION SUNYPO BOX 9 ALBANY,NY12201	14-1368361	501(C)(3)	158,461	MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION
(20) TEMPLE UNIVERSITYPO BOX 824242 PHILADELPHIA,PA19182	23-1365971	501(C)(3)	6,526	MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION
(21) THE OHIO STATE UNIVERSITY FOUNDATION1480 WEST LANE AVENUE COLUMBUS,OH43221	31-1145986	501(C)(3)	50,000	DONATION FOR GENERAL SUPPORT
(22) TUFTS MEDICAL CENTER PHYSICANS ORGANIZATION800 WASHINGTON ST 817 BOSTON,MA02111	04-2743894	501(C)(3)	50,000	MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION
(23) ROBERT WOOD JOHNSON UNIVERSITY HOSPITALONE ROBERT WOOD JOHNSON PLACE CN-19 NEW BRUNSWICK,NJ08903	22-1487243	501(C)(3)	145,220	FUNDING OF ADJUNCT ASSISTANT PROFESSOR POSITION AT ROBERT WOOD JOHNSON MEDICAL SCHOOL & SUPPORT FOR NEPHROLOGY FELLOWS DURING "NEPHROLOGY FOUNDATIONS" ROTATIONS
(24) UNIV OF TN FOUNDATION - DEPT OF MEDICINE62 SOUTH DUNLAPSTE 500 MEMPHIS,TN38163	62-1844686	501(C)(3)	15,000	THIS AWARD WILL BE APPLIED TO THE UNIVERSITY OF TENNESSEE DEPARTMENT OF MEDICINE NEPHROLOGY FELLOWSHIP TRAINING PROGRAM.
(25) UNIV OF AL BIRMINGHAM - SCHOOL OF MED1530 THIRD AVE SOUTH BIRMINGHAM,AL35294	63-6005396	501(C)(3)	15,000	THIS AWARD WILL BE APPLIED TO THE UNIVERSITY OF ALABAMA NEPHROLOGY FELLOWSHIP DEVELOPMENT FUND.
(26) UNIVERSITY OF CA - DAVIS4150 V STREET SUITE 3500 SACRAMENTO,CA95817	94-6036494	501(C)(3)	37,925	FUND USED TO SUPPORT A RESEARCH STUDY FOR "THE EFFECTS OF ETANERCEPT IN SUPPRESSION OF THE SYSTEMIC INFLAMMATORY RESPONSE IN HEMODIALYSIS PATIENTS".
(27) UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY2830 VICTORY PARKWAY SUITE 330 CINCINNATI,OH45206	31-1405915	501(C)(3)	264,865	MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION
(28) UNIVERSITY OF FLORIDAP O BOX 113001 GAINESVILLE,FL32611	59-6002052	115	285,254	THIS AWARD WILL FUND THE CME SYMPOSIUM "UPDATE IN NEPHROLOGY 2011." & REAGENTS FOR "MECHANISMS OF GLUT1 - INDUCED GLOMERULOSCLEROSIS" & THIS FUNDING IS TO BE USED TO FUND THE SALARY OF A RESEARCH ASSOCIATE WORKING ON "MECHANISMS OF GLUT1-INDUCED GLOMERULOSCLEROSIS" FOR 3 YEARS.
(29) UNIVERSITY OF MISSOURIPO BOX 807012 KANSAS CITY,MO64180	43-6003859	501(C)(3)	119,353	MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION & SPONSORSHIP OF 32ND ANNUAL DIALYSIS CONFERENCE
(30) VANDERBILT UNIVERSITYC-3121 MEDICAL CENTER NORTH NASHVILLE,TN37232	62-0476822	501(C)(3)	60,000	THIS AWARD WILL BE APPLIED TO THE VANDERBILT UNIVERSITY TRANSPLANT FELLOW PROGRAM & SUPPORT FOR RENAL TRANSPLANTATION EDUCATION & NEPHROLOGY CONFERENCES
(31) WAKE FOREST UNIV SCHOOL OF MEDMEDICAL CENTER BOULEVARD - WINSTONSALEM,NC27157	22-3849199	501(C)(3)	15,000	THIS AWARD WILL BE APPLIED TO THE WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE RENAL FELLOWS EDUCATION FUND.
(32) NATIONAL KIDNEY FOUNDATION OF SOUTH CAROLINA500 TAYLOR ST STE 101 COLUMBIA,SC29201	57-0549065	501(C)(3)	26,500	GENERAL SUPPORT DONATION
(33) UNIVERSITY OF PITTSBURGH MEDICAL CENTER3550 TERRACE STREET PITTSBURGH PITTSBURGH,PA15261	25-0965591	501(C)(3)	200,244	MEDICAL RESEARCH RELATED TO KIDNEY FUNCTION

Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image

Enter total number of other organizations ................................ . Bullet Image

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2010

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(d)Amount of non-cash assistance	(e)Method of valuation (book, FMV, appraisal, other)	(f)Description of non-cash assistance

Part IV

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.

Identifier	Return Reference	Explanation
OTHER INFORMATION:	PART IV:	PART I, LINE 2 THE ORGANIZATION MONITORS ITS GRANTS OR OTHER ASSISTANCE TO ENSURE THAT SUCH FUNDS ARE USED FOR PROPER PURPOSSES AND ARE NOT OTHERWISE DIVERTED FROM THE INTENDED USE THROUGH THE REQUIRED SUBMISSION OF BI-ANNUAL ACCOUNTING REPORTS THAT DETAIL THE EXPENDITURE OF EACH AWARD. IF THE AWARD PERTAINS TO RESEARCH STUDY, ANNUAL PROGRESS REPORTS ARE ALSO REQUIRED. ACCOUNTING REPORTS AND PROGRESS REPORTS, IF APPLICABLE, ARE REVIEWED FOR COMPLIANCE WITH THE SPECIFIC REQUIREMENTS OF EACH AWARD.

Schedule I (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

DIALYSIS CLINIC INC

Employer identification number

62-0850498

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) DOUG JOHNSON	(i) (ii)	211,280 0	0 0	0 0	0 0	11,359 0	222,639 0	0 0
(2) JAMES PERRY	(i) (ii)	631,268 0	0 0	0 0	0 0	20,611 0	651,879 0	0 0
(3) JAMES E ATTRILL	(i) (ii)	283,720 0	0 0	0 0	0 0	13,176 0	296,896 0	0 0
(4) WILLIAM E WOOD	(i) (ii)	249,129 0	0 0	0 0	0 0	19,060 0	268,189 0	0 0
(5) JOE SWEARINGEN	(i) (ii)	131,800 0	0 0	0 0	19,019 0	15,042 0	165,861 0	0 0
(6) HAROLD WHETSTONE	(i) (ii)	254,171 0	0 0	0 0	0 0	16,689 0	270,860 0	0 0
(7) MOSTAFA AMR	(i) (ii)	386,973 0	0 0	0 0	0 0	19,172 0	406,145 0	0 0
(8) CHRISTINA YNARES	(i) (ii)	298,024 0	0 0	0 0	0 0	21,281 0	319,305 0	0 0
(9) AMIT NAHATA	(i) (ii)	258,386 0	0 0	0 0	0 0	18,820 0	277,206 0	0 0
(10) DWAYNE BERGEAUX	(i) (ii)	232,331 0	0 0	0 0	0 0	17,347 0	249,678 0	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
SUPPLEMENTAL INFORMATION	PART III	PART I, LINE 4B. DIALYSIS CLINIC, INC. PARTICIPATES IN AN UNFUNDED EXECUTIVE DEFERRED COMPENSATION PLAN AVAILABLE ONLY TO A SELECT GROUP OF MANAGEMENT AND KEY EMPLOYEES. THE 457(F) PLAN IS A NON-QUALIFIED PLAN WHOSE PURPOSE IS TO RETAIN HIGHLY QUALIFIED EXECUTIVE OR MANAGERIAL PERSONNEL BY PROVIDING FOR BENEFITS IN THE EVENT OF THEIR RETIREMENT, DISABILITY, OR DEATH PER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

DIALYSIS CLINIC INC

Employer identification number

62-0850498

Identifier	Return Reference	Explanation
DESCRIPTION OF ORGANIZATION MISSION	FORM 990, PART III, LINE 1	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. AS OF 2011, DCI EMPLOYS APPROXIMATELY 4,400 PEOPLE AND PROVIDES DIALYSIS CARE TO OVER 13,000 PATIENTS IN MORE THAN 200 CLINICS LOCATED IN 27 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) 2011 ATLAS NOTES THAT DCI HAS LOWER HOSPITALIZATION AND MORTALITY RATES THAN OTHER PROVIDERS." BY UNIT AFFILIATION AMONG THE LDO'S, DCI CONTINUES TO HAVE THE LOWEST RATIOS FOR BOTH HOSPITALIZATION AND MORTALITY. " 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 2011 DCI PROVIDED A TOTAL OF 2,081,809 TREATMENTS. DCI WAS ESTABLISHED AS A NONPROFIT CORPORATION, HOPEFULLY 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 THE LAST GROUP WAS DIALYZED WITHOUT AT LEAST MAKING THE ATTEMPT TO BETTER THE PATIENT'S LOT THOROUGH 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, PHYSICIANS/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. WE HAVE EXPERT KNOWLEDGE IN FEDERAL REGULATIONS, HIPAA, MEDICARE CLINICAL TRIAL POLICY, GOOD CLINICAL PRACTICE, AND FEDERAL WIDE ASSURANCES. OUR OFFICE 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 PATIENTS CARE ACTIVITIES. IN 2011, DCI CONTRIBUTED OVER SIX MILLION DOLLARS TO RESEARCH, EDUCATION, AND DEVELOPMENT. SUCH CONTRIBUTIONS HAVE A DIVERSE AND POTENTIALLY POWERFUL IMPACT ON SOCIETY. DCI COMMITTED $300,000 IN SUPPORT OF RESEARCH ON THE "EFFECT OF APOPTOTIC TUBULAR CELLS ON THE FUNCTION OF UNINJURED TUBULAR CELLS." IT HAS BEEN SHOWN THAT APOPTOSIS (A FORM OF CELL DEATH IN WHICH A PROGRAMMED SEQUENCE OF EVENTS LEADS TO THE ELIMINATION OF CELLS WITHOUT RELEASING HARMFUL SUBSTANCES INTO THE SURROUNDING AREAS) IS AN IMPORTANT CAUSE OF DEATH OF RENAL TUBULAR CELLS AFTER ACUTE KIDNEY INJURY (RAPID REDUCTION OF KIDNEY FUNCTION). BEFORE, IT WAS THOUGHT THAT NECROSIS (DEATH OF TISSUE) WAS THE PREDOMINANT FORM OF TUBULAR CELL DEATH IN ACUTE KIDNEY INJURY. THIS STUDY WILL TEST THE HYPOTHESIS THAT APOPTOSIS IS A PROGRAM DESIGNED NOT ONLY TO ELIMINATE UNWANTED OR INJURED TUBULAR CELLS, BUT THAT APOPTOTIC CELLS HAVE IMPORTANT EFFECTS ON THE FUNCTION OF ADJACENT VIABLE RENAL TUBULAR CELLS THAT PLAY A ROLE IN THE DEVELOPMENT AND THE CHAIN OF EVENTS LEADING TO ACUTE KIDNEY INJURY. DCI HAS COMMITTED OVER $300,000 TOWARD THE BLOOD PRESSURE IN DIALYSIS (BID) STUDY IN CONJUNCTION WITH THE CLEVELAND CLINIC. THE STUDY IS IMPORTANT BECAUSE HYPERTENSION IS A MAJOR CAUSE OF CARDIOVASCULAR (CV) MORBIDITY AND MORTALITY. ALTHOUGH STUDIES IN THE GENERAL POPULATION HAVE DEMONSTRATED A CONTINUOUS REDUCTION IN CARDIOVASCULAR RISK WITH EACH MMHG DROP IN SYSTOLIC BLOOD PRESSURE (SBP), MULTIPLE OBSERVATIONAL STUDIES CONDUCTED IN HEMODIALYSIS (HD) PATIENTS HAVE DEMONSTRATED THAT PATIENTS WITH MILD TO MODERATE HYPERTENSION MAY HAVE DECREASED MORTALITY COMPARED TO THOSE WITH NORMAL BLOOD PRESSURE (BP). IT IS UNCLEAR IF AGGRESSIVE BP LOWERING WILL BE HARMFUL OR BENEFICIAL. A WELL DESIGNED RANDOMIZED CONTROL TRIAL (RCT) IS NEEDED TO ANSWER THIS IMPORTANT QUESTION. (SOURCE WWW.CLINICALTRIALS.GOV). IN SUPPORT OF EDUCATION, $50,000 WAS COMMITTED TO THE PRESTON MEDICAL LIBRARY IN KNOXVILLE, TENNESSEE. THE LIBRARY RESOURCES ARE AVAILABLE FOR USE BY AREA PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS. FURTHERING OUR COMMITMENT TO EDUCATION, A $50,000 DONATION WAS GIVEN TO OHIO STATE UNIVERSITY FOR NEPHROLOGY EDUCATION AND RESEARCH. DCI IS PROUD TO SUPPORT THE GENERAL OBJECTIVE OF THE NEPHROLOGY FELLOWSHIP AT THE OHIO STATE UNIVERSITY, WHICH IS TO PROVIDE THE TRAINEE WITH A COMPREHENSIVE EXPERIENCE IN CLINICAL NEPHROLOGY AND, FOR THOSE FOLLOWING THE RESEARCH TRACK, AN IN-DEPTH RESEARCH EXPERIENCE THAT WILL PREPARE THEM FOR A CAREER IN ACADEMIC NEPHROLOGY. DCI IS ALSO A LOYAL SUPPORTER OF THE LOCAL AND NATIONAL KIDNEY FOUNDATIONS WHICH PROVIDE RESOURCES TO THE DIALYSIS COMMUNITY. DCI CREATED AND MAINTAINS A FUND SPECIFICALLY TO PROVIDE GRANTS AND RESEARCH SUPPORT FOR YOUNG INVESTIGATORS IN THE FIELD OF KIDNEY DISEASE. THE DCI PAUL TESCHAN RESEARCH FUND (PTRF) UTILIZES A PEER REVIEW PROCESS TO FUND SPECIFIC APPLICATIONS FOR STUDENTS AND YOUNG INVESTIGATORS WHO OTHERWISE WOULD HAVE LIMITED ACCESS TO RESEARCH RESOURCES. APPROXIMATELY $450,000 WAS DONATED TO THE PTRF IN 2011 TO SUPPORT THESE RESEARCH STUDIES. TO HEIGHTEN PUBLIC AWARENESS REGARDING KIDNEY DISEASE, DCI MAINTAINS A PRE-END STAGE RENAL DISEASE EDUCATION PROGRAM THAT IS FEE TO THE GENERAL PUBLIC. IN CELEBRATION OF OUR 40TH ANNIVERSARY, DCI HOSTED 40 ACTS OF SERVICE ACROSS THE NATION. THESE PROJECTS PROVIDED MANY LASTING BENEFITS TO THE COMMUNITIES. A FEW EXAMPLES OF THE ACTS OF SERVICE INCLUDE : (1) THE CREATION OF BLACK-LOCKETT-SCARBROUGH PATIENT FUND IN COLUMBUS, GEORGIA. THE BLACK-LOCKETT-SCARBROUGH FUND WAS ESTABLISHED TO MEET THE NEEDS OF DIALYSIS PATIENTS IN THE COMMUNITY. NAMED IN THE MEMORY OF THREE DIALYSIS NURSES, THE FUND IS AFFILIATED WITH THE NATIONAL KIDNEY FOUNDATION SERVING GEORGIA AND ALABAMA. THROUGH THIS AFFILIATION, DONORS CAN TAKE ADVANTAGE OF THE NON-PROFIT STATUS OF NKF AND THEIR CONTRIBUTIONS ARE TAX DEDUCTIBLE. NKF MANAGES THE FUND AND ISSUES CHECKS DIRECTLY TO THE PROVIDERS OF SERVICE. THIS IS A PILOT PROGRAM STARTED BY DCI WITH THE NKF, AND IS SUCCESSFUL, IT MAY BE THE FIRST OF MANY SIMILAR PROGRAMS ACROSS THE COUNTRY. (2) THE ESTABLISHMENT OF A RENAL FRIENDLY FOOD SECTION FOR THE FOOD PANTRIES IN GROVE CITY AND SHENANGO VALLEY, PENNSYLVANIA. (3) A FREE WORKSHOP FOR LOCAL DIALYSIS PATIENTS AND DIALYSIS PROVIDERS TO UNDERSTAND AND FORMULATE A DIALYSIS PATIENT PEER MENTORING PROGRAM IN CHESWICK, PENNSYLVANIA. (4) THE CREATION OF A PEDIATRIC EDUCATIONAL DVD MADE AVAILABLE TO PATIENTS AND PROVIDERS AT NO COST. (5) A PARTNERSHIP WITH GLENCLIFF HIGH SCHOOL TO PLANT COMMUNITY GARDENS IN THE NASHVILLE, TN AREA. THE GARDENS PLANTED IN FOOD DESERTS, WILL CONTINUE TO OFFER FREE PRODUCE TO THE NEIGHBORHOODS. IN SUPPORT OF THE PEDIATRIC PATIENTS, DCI ESTABLISHED CAMP OKAWEHNA IN 1975. CAMP OKAWEHNA IS A WEEK LONG SUMMER CAMP IN THE NASHVILLE AREA THAT OFFERS ON-SITE PERITONEAL AND HEMODIALYSIS TREATMENT TO ABOUT 100 CHILDREN WHO OTHERWISE WOULD NOT BE ABLE TO ENJOY A CHILDHOOD CAMP EXPERIENCE. DCI EMPLOYEES VOLUNTEER THEIR TIME TO PROVIDE ASSISTANCE IN EVERY FACET OF THE CAMP EXPERIENCE. CAMPERS COME FROM TENNESSEE, TEXAS, MISSOURI, SOUTH CAROLINA, AND ALABAMA TO THE GROUNDS OF "CAMP O". DCI ALSO SUPPORTS THE EDUCATION OF HIGH SCHOOL STUDENTS INTERESTED IN MEDICAL PROFESSIONS. SINCE 2002, DCI HAS PARTNERED WITH THE GLENCLIFF HIGH SCHOOL TO IDENTIFY JUNIORS AND SENIORS WHO EXPRESS AND INTEREST IN THE HEALTH PROFESSION. A DCI COORDINATOR PARTNERS WITH THE SCIENCE TEACHERS TO BECOME INVOLVED IN THE DELIVERY OF THE CURRICULUM. STUDENTS WHO EXPRESS AN INTEREST IN LEARNING MORE ABOUT DIALYSIS ARE GIVEN AN OPPORTUNITY TO WORK IN A DCI FACILITY AS PATIENT CARE TECHNICIAN INTERNS DURING SUMMER BREAK. FOR OUR EFFORTS, DCI HAS BEEN NOMINATED FOR THE ACADEMY PARTNERSHIP OF THE YEAR IN THE HEALTH PARTNERSHIP COUNCIL FOR THE ACADEMY OF MEDICAL SCIENCE AND RESEARCH BY METRO NASHVILLE PUBLIC SCHOOLS.
DESCRIPTION OF ORGANIZATION MISSION	FORM 990, PART III, LINE 1	SINCE 1998, DCI HAS SPONSORED A SUMMER INTERNSHIP FOR PRE-MEDICAL STUDENTS IN THE CLINICAL AREA OF ORGAN TRANSPLANTATION. OVER THE LAST 14 YEARS, THE SUMMER INTERNSHIP PROGRAM HAS EXPANDED TO 12 CITIES ALL ACROSS THE UNITED STATES, AND HAS GIVEN OVER 140 STUDENTS THE OPPORTUNITY TO EXPAND THEIR KNOWLEDGE OF THE MEDICAL FIELD. THE INTERNSHIP INCLUDES SHADOWING PHYSICIANS ON ROUNDS IN THE HOSPITAL, OBSERVING AND ASSISTING IN AN OUTPATIENT FACILITY, OBSERVING THE COORDINATION OF A TRANSPLANT, AND SCRUBBING IN DURING TRANSPLANT AND SURGICAL OPERATIONS. IN ADDITION, STUDENTS VISIT THE LOCAL ORGAN PROCUREMENT ORGANIZATION (OPO) AND HLA LAB. PARTICIPANTS MAY HAVE THE OPPORTUNITY TO COMPLETE DATA COLLECTION FOR THE TRANSPLANT SERVICE OR WORK ON A CLINICAL RESEARCH PROJECT. THE PURPOSE OF THIS INTERNSHIP IS TO EXPOSE THE STUDENT TO HOSPITAL AND OUTPATIENT ENVIRONMENTS, AS WELL AS TO SPECIFIC AREAS OF MEDICINE SUCH AS SURGERY AND CLINICAL RESEARCH. THESE EXPERIENCES ARE DESIGNED TO ENCOURAGE STUDENTS TO PURSUE A CAREER IN MEDICINE.
FORM 990, PART VI, SECTION A, LINE 2		KEITH JOHNSON, MD - SPOUSE NANCY JOHNSON - SPOUSE DOUGLAS JOHNSON - SON
FORM 990, PART VI, SECTION B, LINE 11		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.
	FORM 990, PART VI, SECTION B, LINE 12C	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.
		FORM 990, PART VI, SECTION B, LINE 15: THE COMPANY UTILIZES COMPARABILITY DATA FOR DETERMINING COMPENSATION. NO INDEPENDENT REVIEW OF THIS DATA WAS CONDUCTED DURING THE YEAR.
	FORM 990, PART VI, SECTION C, LINE 19	THE COMPANY HAS NOT PUBLICIZED GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	REACQUISITION OF A JOINT VENTURE -680,968. TOTAL TO FORM 990, PART XI, LINE 5: -680,968.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

DIALYSIS CLINIC INC

Employer identification number

62-0850498

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) DCI DONOR SERVICES 1633 CHURCH STREET STE 500 NASHVILLE,TN37203 58-1990866	ORGAN PROCUREMENT	TN	501(C)(3)	LINE 9	DIALYSIS CLINIC INC		No

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) DCI RENAL SERVICES OF PITTSBURGH LLC 1633 CHURCH STREET STE 500 NASHVILLE,TN37203 25-1804746	KIDNEY DIALYSIS	TN	DIALYSIS CLINIC INC	RELATED				No		Yes		51.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(h) Percentage ownership
(1) INDEPENDENT KIDNEY COOPERATIVE 1633 CHURCH STREET STE 500 NASHVILLE,TN37203 62-1744515	MANAGED CARE	TN	DIALYSIS CLINIC INC	C	100.000 %

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

Yes

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved	(d) Method of determining amount involved
(1) DCI RENAL SERVICES OF PITTSBURGH LLC	P	1,266,940	INTERCOMPANY TRANSACTION
(2) DCI DONOR SERVICES	A	507,600	INTERCOMPANY TRANSACTION
(3) DCI DONOR SERVICES	P	1,209,526	INTERCOMPANY TRANSACTION
(4) DCI DONOR SERVICES	F	2,995,302	INTERCOMPANY TRANSACTION
(5) DCI DONOR SERVICES	O	4,516,645	INTERCOMPANY TRANSACTION
(6)

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version: