LEMARS AREA DIALYSIS SERVICES: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
LEMARS AREA DIALYSIS SERVICES (EIN 20-4980796)
Tax period
2018-07-01 to 2019-06-30
Filed
2019-10-03
IRS object ID
201922769349301157
Schema version
2018v3.1
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)
Return2019-10-03T14:08:44-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

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 Begin2018-07-01TaxPeriodBeginDt

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 Line1714 LINCOLN ST NEAddressLine1Txt
CityLE MARSCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51031ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMIKE DONLINPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7125467871PhoneNum
Signature2019-09-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJUSTIN H JACOBSMA CPAPreparerPersonNm
PTINP01622060PTIN
Phone7125467801PhoneNum
Preparation2019-09-06PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address167.68.16.49IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-10-03IPDt
IP Tm14:08:44IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id96200C9BDA4B4AA75EBE49A09F5D941F617E0ECEAtSubmissionCreationDeviceId
At Submission Filing Device Id11D08EB2F5BE2EC3AE7D51D9233745753A7734C1AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-01-14 16:20:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMIKE DONLINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11008 TURNBERRY AVEAddressLine1Txt
CityLE MARSCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51031ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$554,189GrossReceiptsAmt
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 Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$1,215CYContributionsGrantsAmt
PY Program Service Revenue$571,227PYProgramServiceRevenueAmt
CY Program Service Revenue$424,244CYProgramServiceRevenueAmt
PY Investment Income$77,151PYInvestmentIncomeAmt
CY Investment Income$80,726CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$648,378PYTotalRevenueAmt
CY Total Revenue$506,185CYTotalRevenueAmt
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$729,697PYOtherExpensesAmt
CY Other Expenses$699,933CYOtherExpensesAmt
PY Total Expenses$729,697PYTotalExpensesAmt
CY Total Expenses$699,933CYTotalExpensesAmt
PY Revenues Less Expenses-$81,319PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$193,748CYRevenuesLessExpensesAmt
Total Assets BOY$3,360,990TotalAssetsBOYAmt
Total Assets EOY$3,134,399TotalAssetsEOYAmt
Total Liabilities BOY$91,012TotalLiabilitiesBOYAmt
Total Liabilities EOY$41,387TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,269,978NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,093,012NetAssetsOrFundBalancesEOYAmt
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$591,002ExpenseAmt
Revenue$424,244RevenueAmt
DescTO OPERATE A KIDNEY DIALYSIS CENTER IN LE MARS, IOWA TO TREAT PATIENTS IN LE MARS AND THE SURROUNDING REGIONDesc
Total Program Service Expenses$591,002TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
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 Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
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
Phone7125463492PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1714 LINCOLN ST NEAddressLine1Txt
CityLE MARSCityNm
State AbbreviationIAStateAbbreviationCd
ZIP51031ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
KIRK KLOHS
TREASURER3.000.00Yes (X)Yes (X)$0$0$0
DAVE MILLER
CHAIRPERSON3.000.00Yes (X)Yes (X)$0$0$0
PAT WARNER
SECRETARY3.000.00Yes (X)Yes (X)$0$0$0
ROBERT BROCK
DIRECTOR3.000.00Yes (X)$0$0$0
LE ANN ARENS
VICE-CHARIPE3.000.00Yes (X)Yes (X)$0$0$0
MIKE DONLIN
PRESIDENT3.000.00Yes (X)Yes (X)$0$0$0
DR CHOW
MEDICAL DIRE3.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$1,215AllOtherContributionsAmt
Total Contributions$1,215TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE621500$255,737$255,737
WELLMARK621500$144,107$144,107
AETNA621500$14,840$14,840
DRUG REBATES621500$9,560$9,560
FieldValueIRS element (for citing)
Total Program Service Revenue$424,244TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$82,034TotalRevenueColumnAmt
Exclusion$82,034ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$46,696SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$48,004SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,308SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,308TotalRevenueColumnAmt
Exclusion-$1,308ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$506,185TotalRevenueColumnAmt
Related Or Exempt Func Income$424,244RelatedOrExemptFuncIncomeAmt
Exclusion$80,726ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$75,137TotalAmt
Management And General$75,137ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$18,535TotalAmt
Management And General$18,535ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,400TotalAmt
Management And General$8,400ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$469,932TotalAmt
Program Services$469,932ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$58TotalAmt
Program Services$58ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$304TotalAmt
Program Services$304ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$17,010TotalAmt
Program Services$17,010ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,551TotalAmt
Program Services$2,551ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$451TotalAmt
Program Services$451ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$48,836TotalAmt
Program Services$48,836ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,859TotalAmt
Management And General$6,859ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
REPAIRS & MAINTENANCE$32,678$32,678
SUPPLIES$15,260$15,260
DUES & SUBSCRIPTIONS$1,274$1,274
LAUNDRY$824$824

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,824TotalAmt
Program Services$1,824ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$699,933TotalAmt
Program Services$591,002ProgramServicesAmt
Management And General$108,931ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$318,701BOYAmt
EOY$55,108EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,942,437BOYAmt
EOY$2,024,674EOYAmt

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$1,732,365LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$681,368LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,096,232BOYAmt
EOY$1,050,997EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,360,990BOYAmt
EOY$3,134,399EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$91,012BOYAmt
EOY$41,387EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$91,012BOYAmt
EOY$41,387EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,247,186BOYAmt
EOY$3,070,220EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,269,978BOYAmt
EOY$3,093,012EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,360,990BOYAmt
EOY$3,134,399EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$193,748ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$16,782NetUnrlzdGainsLossesInvstAmt
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$284,145DepreciationAmt
Book Value$1,043,514BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$404,706OtherCostOrOtherBasisAmt
Depreciation$397,223DepreciationAmt
Book Value$7,483BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,050,997TotalBookValueLandBuildingsAmt

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 133,955 0 0 MEDICAL WASTE EXPENSE 2,409 0 0 CONTRACTED PROFESSIONALS 333,568 0 0 TOTAL 469,932 0 0

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