2024-07-30T12:04:26-05:00 2023-12-31 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2023-01-01 470708725 DIALYSIS CENTER OF LINCOLN INC DIAL 4024895339 7910 O STREET LINCOLN NE 685102500 KAY RICHTER CFO 4024895339 2024-07-29 1 1 MEGAN L KOZIOL CPA P01544037 4023302660 2024-07-29 2023 2024-08-08 14:25:15Z SCOTT BUTTERFIELD 7910 O STREET LINCOLN NE 685102500 15655848 0 X WWW.DIALYSISCENTEROFLINCOLN.ORG X 1987 NE PROVIDE MEDICAL SERVICES TO RENAL DIALYSIS PATIENTS. 4 4 126 4 0 0 412162 2341 15381477 14693020 -181480 96908 873676 816548 16485835 15608817 270252 378446 0 0 8308399 8137643 0 0 0 6893001 6985894 15471652 15501983 1014183 106834 25647877 26147308 1526320 1245780 24121557 24901528 TO PROVIDE HIGH QUALITY DIALYSIS IN A REHABILITATIVE ENVIRONMENT WITH AN EMPHASIS ON EDUCATION AND SUPPORT TO PATIENTS AND THEIR FAMILIES. 0 0 13359362 378446 15489060 DIALYSIS CENTER OF LINCOLN (DCL) PROVIDED INPATIENT AND OUTPATIENT RENAL DIALYSIS SERVICES PRIMARY TO RESIDENTS OF SOUTHEAST NEBRASKA. AT THE END OF 2023, DCL HAD 218 PATIENTS. DURING THE YEAR, DCL PROVIDED 34,800 DIALYSIS TREATMENTS INCLUDING JUST UNDER 4,200 TREATMENTS TO HOSPITAL INPATIENTS. DCL HAS BEEN RECOGNIZED FOR INNOVATION SINCE ITS FOUNDING IN 1987. DCL PARTICIPATES IN RESEARCH PROGRAMS RELATED TO KIDNEY DISEASE AND TREATMENT. EMPLOYEES ARE ENCOURAGED TO PURSUE ADVANCED CERTIFICATIONS AND PARTICIPATE IN LOCAL AND NATIONAL ORGANIZATIONS THAT FOSTER ADVANCEMENTS IN RENAL DIALYSIS. 13359362 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 23 0 1 126 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 0 0 1 1 1 1 X KAY RICHTER CFO 4024895339 7910 O STREET LINCOLN NE 685102500 LISA VAIL CHAIR 1.00 X X 0 0 0 TYLER DEJONG VICE CHAIR 1.00 X X 0 0 0 DAVID GRIFFITHS SECRETARY/TREASURER 1.00 X X 0 0 0 JENNY STACHURA MEMBER 1.00 X 0 0 0 SCOTT BUTTERFIELD CEO 40.00 X 249563 0 38719 KAY RICHTER CFO 40.00 X 189243 0 19289 ELIZABETH LONGNECKER DIRECTOR OF NURSING 40.00 X 136521 0 4012 TAMARA BEENBLOSSOM RN - ACUTE 40.00 X 121456 0 5435 JENNIFER STRONG DIRECTOR OF OPERATIONS 40.00 X 119120 0 194 MICHAEL EISENHAUER RN - ACUTE 40.00 X 111564 0 15560 KENDRA HIPSAG RN - HOME 40.00 X 101896 0 33190 1029363 0 116399 11 0 1 0 MEDICAL SOLUTIONS LLC PO BOX 850737 MINNEAPOLIS MN 55485 CONTRACT STAFFING 479595 CHG MEDICAL STAFFING INC DBA RNNETWORK PO BOX 974088 DALLAS TX 75397 CONTRACT STAFFING 401127 LINCOLN NEPHROLOGY & HYPERTENSION 7401 O STREET LINCOLN NE 68510 MEDICAL DIRECTOR SERVICES 353535 ASCEND CLINICAL LLC PO BOX 45021 SAN FRANCISCO CA 94145 LABORATORY SERVICES 259640 DIVERSIFIED SERVICES FOR INDUSTRY INC 8900 N PIONEER RD PEORIA IL 61615 HOUSEKEEPING SERVICES 147972 7 2341 2341 NET PATIENT SERVICE REVENUE 621400 13041541 13041541 OTHER OPERATING REVENUE 621400 1651479 1651479 14693020 143689 143689 250 47031 -46781 -46781 -46781 PARTNERSHIP GROSS INCOME 621400 796040 796040 INSURANCE REIMBURSEMENTS 621400 20508 20508 816548 15608817 15489060 0 117416 378446 378446 496814 496814 6118056 5329726 788330 1050228 933818 116410 472545 388336 84209 29719 29719 39547 39547 22717 22717 1410578 1204255 206323 19370 38 19332 126246 88678 37568 221145 139746 81399 584897 528221 56676 39159 30746 8413 3821 3821 972100 866104 105996 151823 127968 23855 MEDICAL SUPPLIES 2648840 2648840 MEDICAL SERVICES 338187 338187 MEDICAL EQUIPMENT 296595 296595 DUES AND SUBSCRIPTIONS 62351 41613 20738 18799 18045 754 15501983 13359362 2142621 0 1509728 2233697 4529281 3986522 62975 62189 1809178 1755765 310508 340173 182708 182310 19699976 6968795 13196994 12731181 3426632 4097458 619873 758013 25647877 26147308 1525681 1244249 639 1531 1526320 1245780 X 23901997 24836037 219560 65491 24121557 24901528 25647877 26147308 X 106834 673923 -786 X X 0 1 X 1 0 X 385291 490032 2441847 412162 2341 3731673 16403669 15599501 15273339 15381477 14693020 77351006 16788960 16089533 17715186 15793639 14695361 81082679 0 0 0 81082679 381285 107687 32641 23085 143689 688387 381285 107687 32641 23085 143689 688387 531173 909618 873676 816548 3131015 17170245 16728393 18657445 16690400 15655598 84902081 0.95500 0.96410 0.00810 0.00940 X 1423607 1423607 12244160 4039140 8205020 6018236 2929655 3088581 13973 13973 12731181 DUE TO HOME DIALYSIS OF LINCOLN, LLC 1531 1531 X PART X, LINE 2: THE COMPANY ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES. THE COMPANY RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2023 AND 2022, THE COMPANY HAD NO UNCERTAIN TAX POSITIONS. 1 AMERICAN KIDNEY FUND 11921 ROCKVILLE PIKE SUITE 300 ROCKVILLE MD 20852 237124261 501(C)(3) 27946 0 FUND THE HEALTH INSURANCE PREMIUM PROGRAM (HIPP) SAINT ELIZABETH FOUNDATION 555 S 70TH ST LINCOLN NE 68510 470625523 501(C)(3) 175250 0 GENERAL PROGRAM SUPPORT BRYAN MEDICAL CENTER 1600 S 48TH ST LINCOLN NE 68506 470376552 501(C)(3) 175250 0 GENERAL PROGRAM SUPPORT 3 0 PART I, LINE 2: THE ORGANIZATION'S SOCIAL WORKERS WORK CLOSELY WITH PATIENTS ON INSURANCE PREMIUM PAYMENTS. PAYMENTS ARE DISTRIBUTED THROUGH THE SOCIAL WORKER AND INSURANCE STATUS IS CONSISTENTLY MONITORED TO ENSURE THERE ARE NO LAPSES IN COVERAGE. X X 0 0 0 0 0 0 0 1 0 SCOTT BUTTERFIELD CEO 226546 0 22500 0 517 0 7179 0 31540 0 288282 0 0 0 KAY RICHTER CFO 178150 0 10406 0 687 0 4550 0 14739 0 208532 0 0 0 PART I, LINE 7 ANNUAL INCENTIVE GOALS ARE APPROVED BY THE BOARD OF DIRECTORS FOR THE SENIOR LEADERSHIP TEAM. NONFIXED PAYMENTS ARE MADE BASED ON THE INCENTIVE PROGRAM AND ACHIEVEMENT OF THE APPROVED GOALS. FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF DIRECTORS MAY DESIGNATE AND APPOINT ONE OR MORE COMMITTEES, EACH OF WHICH SHALL CONSIST OF TWO OR MORE DIRECTORS, WHICH COMMITTEES, TO THE EXTENT PROVIDED IN SUCH RESOLUTION, SHALL HAVE AND EXERCISE THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE CORPORATION; PROVIDED, HOWEVER, THAT NO COMMITTEE SHALL HAVE THE POWER (A) TO AMEND, ALTER OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (B) TO ELECT, APPOINT OR REMOVE ANY MEMBER OF SUCH COMMITTEE OR ANY DIRECTOR OR OFFICER OF THE CORPORATION; (C) TO ADOPT A PLAN OF MERGER OR ADOPT A PLAN OF CONSOLIDATION WITH ANOTHER CORPORATION; (D) TO AUTHORIZE THE SALE, LEASE, EXCHANGE OR MORTGAGE OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE CORPORATION; (E) TO AUTHORIZE THE VOLUNTARY DISSOLUTION OF THE CORPORATION OR REVOKE PROCEEDINGS THEREFORE; (F) TO ADOPT A PLAN FOR THE DISTRIBUTION OF THE ASSETS OF THE CORPORATION; OR (G) TO AMEND, ALTER OR REPEAL ANY RESOLUTION OF THE BOARD OF DIRECTORS WHICH BY ITS TERMS PROVIDES THAT IT SHALL NOT BE AMENDED, ALTERED OR REPEALED BY SUCH COMMITTEE. THE DESIGNATION AND APPOINTMENT OF ANY SUCH COMMITTEE AND THE DELEGATION THERETO OF AUTHORITY SHALL NOT OPERATE TO RELIEVE THE BOARD OF DIRECTORS, OR ANY INDIVIDUAL DIRECTOR, OF ANY RESPONSIBILITY IMPOSED UPON IT OR HIM/HER BY LAW. FORM 990, PART VI, SECTION A, LINE 6 SOLE MEMBERS OF THE ORGANIZATION ARE SAINT ELIZABETH HEALTH SERVICES, INC. AND BRYAN MEDICAL CENTER. FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER, SAINT ELIZABETH HEALTH SERVICES, INC. AND BRYAN MEDICAL CENTER, HAS THE ABILITY TO APPOINT TWO BOARD MEMBERS EACH. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND RELATED SCHEDULES ARE PREPARED BY AN INDEPENDENT ACCOUNTING FIRM. THE CEO AND CFO REVIEW THE FORM 990 AND RELATED SCHEDULES. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS, OFFICERS, KEY EMPLOYEES, AND MEDICAL DIRECTORS COMPLETE A CONFLICT-OF-INTEREST DISCLOSURE STATEMENT ANNUALLY; THE STATEMENTS ARE REVIEWED BY THE CEO AND ANY POTENTIAL CONFLICTS ARE TAKEN TO AND ADDRESSED BY THE BOARD. IN ADDITION, ANY CONFLICTS ARISING BETWEEN ANNUAL DISCLOSURES ARE REQUIRED TO BE REPORTED WHEN THEY ARISE. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD PERFORMED A MARKET COMPENSATION REVIEW OF THE CEO, CFO, AND KEY EMPLOYEES. MARKET COMPENSATION DATA WAS OBTAINED FOR COMPARABLE ORGANIZATIONS AND USED BY THE BOARD TO DETERMINE APPROPRIATE COMPENSATION FOR THESE INDIVIDUALS. COMPENSATION WAS APPROVED AND DOCUMENTED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE FORM 990 IS MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST -786. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS SELECTS THE INDEPENDENT ACCOUNTANT AND HAS THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. UPON CONCLUSION OF THE AUDIT, THE ACCOUNTING FIRM PRESENTS THE RESULTS AND FINDINGS TO THE BOARD OF DIRECTORS. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. HOME DIALYSIS OF LINCOLN LLC 7910 O STREET LINCOLN NE 68510 270269426 DIALYSIS NE DIALYSIS CENTER OF LINCOLN INC RELATED 709458 1930181 0 1 0.51000 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 HOME DIALYSIS OF LINCOLN LLC N 93480 FMV HOME DIALYSIS OF LINCOLN LLC O 1052543 COST HOME DIALYSIS OF LINCOLN LLC L 370536 FMV HOME DIALYSIS OF LINCOLN LLC Q 121394 COST