LEMARS AREA DIALYSIS SERVICES: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
LEMARS AREA DIALYSIS SERVICES (EIN 20-4980796)
Tax period
2019-07-01 to 2020-06-30
Filed
2020-10-01
IRS object ID
202012759349300206
Schema version
2019v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-10-01T07:57:37-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN421377056PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WILLIAMS & COMPANY PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line121 1ST AVENUE NWAddressLine1Txt
CityLE MARSCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51031ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN204980796EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LE MARS AREA DIALYSIS SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLEMABusinessNameControlTxt
Phone7125467871PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 1ST ST SWAddressLine1Txt
CityLE MARSCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51031ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMIKE DONLINPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7125467871PhoneNum
Signature2020-08-18SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJUSTIN H JACOBSMA CPAPreparerPersonNm
PTINP01622060PTIN
Phone7125467801PhoneNum
Preparation2020-08-18PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address52.37.240.203IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-10-01IPDt
IP Tm07:57:37IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdBE649FCEA34C5CBEBF73EC167965CC65C793FBCAAtSubmissionCreationDeviceId
At Submission Filing Device IdDF57361A387319EC9CFCA67B2B265507144F94E4AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerMIKE DONLINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1FLOYD VALLEY HEALTHCAREAddressLine1Txt
Address Line2714 LINCOLN ST NEAddressLine2Txt
CityLE MARSCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51031ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,204,265GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionTO OPERATE A KIDNEY DIALYSIS CENTER IN LE MARS, IOWA TO TREAT PATIENTS IN LE MARS AND THE SURROUNDING REGION.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee1TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,215PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$424,244PYProgramServiceRevenueAmt
CY Program Service Revenue$862,400CYProgramServiceRevenueAmt
PY Investment Income$80,726PYInvestmentIncomeAmt
CY Investment Income$214,837CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$506,185PYTotalRevenueAmt
CY Total Revenue$1,077,237CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$699,933PYOtherExpensesAmt
CY Other Expenses$785,364CYOtherExpensesAmt
PY Total Expenses$699,933PYTotalExpensesAmt
CY Total Expenses$785,364CYTotalExpensesAmt
PY Revenues Less Expenses-$193,748PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$291,873CYRevenuesLessExpensesAmt
Total Assets BOY$3,134,399TotalAssetsBOYAmt
Total Assets EOY$3,266,760TotalAssetsEOYAmt
Total Liabilities BOY$41,387TotalLiabilitiesBOYAmt
Total Liabilities EOY$79,429TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,093,012NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,187,331NetAssetsOrFundBalancesEOYAmt
MissionTO OPERATE A KIDNEY DIALYSIS CENTER IN LE MARS, IOWA TO TREAT PATIENTS IN LE MARS AND THE SURROUNDING REGION.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$660,960ExpenseAmt
Revenue$862,400RevenueAmt
DescTO OPERATE A KIDNEY DIALYSIS CENTER IN LE MARS, IOWA TO TREAT PATIENTS IN LE MARS AND THE SURROUNDING REGIONDesc
Total Program Service Expenses$660,960TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMIKE DONLINPersonNm
Phone7125467871PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1FLOYD VALLEY HEALTHCAREAddressLine1Txt
Address Line2714 LINCOLN ST NEAddressLine2Txt
CityLE MARSCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51031ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
LE ANN ARENS
VICE-CHAIRPE3.00Yes (X)Yes (X)$0$0$0
ROBERT BROCK
DIRECTOR3.00Yes (X)$0$0$0
MIKE DONLIN
PRESIDENT3.00Yes (X)Yes (X)$0$0$0
KIRK KLOHS
TREASURER3.00Yes (X)Yes (X)$0$0$0
DAVE MILLER
CHAIRPERSON3.00Yes (X)Yes (X)$0$0$0
GARY SUSEMIHL
DIRECTOR3.00Yes (X)Yes (X)$0$0$0
PAT WARNER
SECRETARY3.00Yes (X)Yes (X)$0$0$0
DR ASHAR LUQMAN
MEDICAL DIRE3.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE621500$855,127$855,127
DRUG REBATES621500$7,273$7,273
FieldValueIRS element (for citing)
Total Program Service Revenue$862,400TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$226,514TotalRevenueColumnAmt
Exclusion$226,514ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$115,351SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$127,028SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$11,677SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$11,677TotalRevenueColumnAmt
Exclusion-$11,677ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,077,237TotalRevenueColumnAmt
Related Or Exempt Func Income$862,400RelatedOrExemptFuncIncomeAmt
Exclusion$214,837ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$82,820TotalAmt
Management And General$82,820ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$18,652TotalAmt
Management And General$18,652ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,350TotalAmt
Management And General$9,350ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$552,284TotalAmt
Program Services$552,284ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$42TotalAmt
Program Services$42ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$318TotalAmt
Program Services$318ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$16,071TotalAmt
Program Services$16,071ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,265TotalAmt
Program Services$4,265ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$36,882TotalAmt
Program Services$36,882ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,582TotalAmt
Management And General$13,582ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
REPAIRS & MAINTENANCE$31,714$31,714
SUPPLIES$14,037$14,037
SECURITY$2,580$2,580
DUES & SUBSCRIPTIONS$1,200$1,200

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,567TotalAmt
Program Services$1,567ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$785,364TotalAmt
Program Services$660,960ProgramServicesAmt
Management And General$124,404ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$55,108BOYAmt
EOY$271,402EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,024,674BOYAmt
EOY$1,977,625EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,620BOYAmt
EOY$3,620EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,732,364LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$718,251LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,050,997BOYAmt
EOY$1,014,113EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,134,399BOYAmt
EOY$3,266,760EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$41,387BOYAmt
EOY$79,429EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,387BOYAmt
EOY$79,429EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,070,220BOYAmt
EOY$3,164,539EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,792BOYAmt
EOY$22,792EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,093,012BOYAmt
EOY$3,187,331EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,134,399BOYAmt
EOY$3,266,760EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$291,873ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$197,554NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,327,659OtherCostOrOtherBasisAmt
Depreciation$318,187DepreciationAmt
Book Value$1,009,472BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$401,106OtherCostOrOtherBasisAmt
Depreciation$396,465DepreciationAmt
Book Value$4,641BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,599OtherCostOrOtherBasisAmt
Depreciation$3,599DepreciationAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,014,113TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990SCHEDULE A PART I, LINE 3- LE MARS AREA DIALYSIS SERVICES DOES NOT MEET THE DEFINITION OF "HOSPITAL FACILITY" FOR PURPOSE OF THE SCHEDULE H
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS PROVIDED TO THE GOVERNING BODY FOR REVIEW BEFORE IT IS FILED
FORM 990, PAGE 6, PART VI, LINE 12CTHE CENTER REQUIRES BOARD MEMBERS TO DISCLOSE AND REVIEW CONFLICTS OF INTEREST ANNUALLY
FORM 990, PAGE 6, PART VI, LINE 19ALL APPROPRIATE DOCUMENTS ARE AVAILABLE TO THE GENERAL PUBLIC INCLUDING FORM 990 & FORM 1023 APPLICATIONS DURING NORMAL BUSINESS HOURS AT THE LE MARS AREA DIALYSIS SERVICES OFFICE AT 714 LINCOLN ST NE PO BOX 10, LE MARS, IA 51031
FORM 990, PART IX, LINE 11GMEDICAL SUPPLIES 198,086 0 0 MEDICAL WASTE EXPENSE 1,682 0 0 CONTRACTED PROFESSIONALS 348,350 0 0 PATIENT TRANSPORTATION 4,166 0 0 TOTAL 552,284 0 0

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