DCI

Legal name: Dialysis Clinic Inc

Nonprofit profile at a glance

EIN
620850498
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Nashville, TN, US
Phone
615-327-3061
Rating
64
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Health Treatment Facilities, Primarily Outpatient

Official website

Reported finances

Revenue
$705,801,265
Expenses
$711,201,951
Assets
$674,473,151
Liabilities
$162,361,858

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

15 people listed

Executive titles in this filing

  • DONOVAN SCHULTZ (PRESIDENT)
  • JAMES E ATTRILL (VICE PRESIDENT)

Highest reported compensation

  • STUART REDPATH (CHIEF OPERATIONS OFFICER): $1,531,001 total reported compensation
  • JEFFREY KENNEDY (SENIOR OPERATIONS DIRECTOR): $605,117 total reported compensation
  • RAPHAEL HIGGINBOTHAM (PHYSICIAN): $571,524 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

The care of the patient is our reason for existence.

What it reported doing in 2024

The dialysis division is the principal activity of our company and is primarily involved with providing kidney dialysis and related services for insured and uninsured patients. Renal dialysis is not an elective medical procedure, but a life-sustaining treatment for people living with kidney failure. Providing these medically-necessary treatments furthers our exempt purpose of providing quality outpatient care for all patients with end-stage renal disease, which includes the application of company resources for scientific and educational purposes for the prevention, early detection, and treatment of renal disease. During fy2025, 2,134,537 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.

Operating model

Revenue model
Earned-program. 96% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 98% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.

The verdict

SUPPORTED - The filed numbers largely add up and a large share of available resources goes toward mission work. A relatively small share of voting board members are independent and some filing-based governance responses are negative or unanswered.

Rating breakdown

  • Financial Efficiency: 63
  • Transparency & Controls: 84
  • Accountability: 32
  • Sustainability: 38
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 70.8%; rating input score 71
  • Program expense ratio: 71%; rating input score 71
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 2 of 6 controls in place; rating input score 33
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Pass
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 0%; rating input score 0; 4th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -0.8%; rating input score 23; 23rd percentile among comparable filings
  • Total-asset coverage ratio: 0.95; rating input score 37; 37th percentile among comparable filings
  • Liabilities to assets ratio: 0.24; rating input score 63; 63rd percentile among comparable filings
  • Officer compensation ratio: 0.9%; rating input score 77; 77th percentile among comparable filings

Growth

  • Program expense growth: 1.6% per year; rating input score 100; 13th percentile among comparable filings
  • Revenue growth: 1.9% per year; rating input score 100; 13th percentile among comparable filings
  • Asset growth: 2.3% per year; rating input score 100; 16th percentile among comparable filings

Details

  • What they do: 10 programs and campaigns described on the official site · 1 operating location identified
  • Where the money goes: 70.8% of revenue deployed · 71% of spending went to programs
  • Governance: 0 of 5 board members independent · 7 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $505.3M in reported program spending
  • Leadership: top reported pay $1.5M · 15 people listed · 2 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $18.9M reported
  • Consistency: 36 of 36 current checks pass
  • Schedules: 8 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 33 filed money-flow records
  • Related organizations: 55 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Accountability: Independent voting board scored 0/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.
  • High — Sustainability: Operating margin scored 23/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 37/100.