HASTINGS TOTAL LIFECARE CENTER INC: Form 990EZ, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- HASTINGS TOTAL LIFECARE CENTER INC (EIN 38-3785288)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-03-11
- IRS object ID
- 202020719349200767
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-03-11T14:59:04-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 411620961 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEWIS KISCH & ASSOCIATES LTD | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1125 SOUTH FRONTAGE ROAD SUITE 1 | AddressLine1Txt |
| City | HASTINGS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 550332489 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383785288 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HASTINGS TOTAL LIFECARE CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HAST | BusinessNameControlTxt |
| Phone | 6514374200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1125 SOUTH FRONTAGE ROAD SUITE 2 | AddressLine1Txt |
| City | HASTINGS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55033 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANDREA KULLMANN | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 6514374200 | PhoneNum |
| Signature | 2020-03-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DIANA L WEDDIGEN | PreparerPersonNm |
| PTIN | P01950848 | PTIN |
| Phone | 6514373356 | PhoneNum |
| Preparation | 2020-03-11 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 23.30.229.221 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-03-11 | IPDt |
| IP Tm | 14:59:04 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 278968831A9A1A068B5855E846EE9E494E5D6FBF | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 45BD5EF9E6E4FED973E2CB4178ABF60D498FD123 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | WWW.HASTINGSTLC.ORG | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $184,087 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $99,415 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $24 | InvestmentIncomeAmt |
| Fundraising Gross Income | $84,648 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $15,770 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $68,878 | SpecialEventsNetIncomeLossAmt |
| Total Revenue | $168,317 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $87,103 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $675 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $35,658 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $838 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $28,470 | OtherExpensesTotalAmt |
| Total Expenses | $152,744 | TotalExpensesAmt |
| Excess Or Deficit For Year | $15,573 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $88,864 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $104,437 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,765 | BOYAmt |
| EOY | $88,057 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,117 | BOYAmt |
| EOY | $16,380 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,882 | BOYAmt |
| EOY | $104,437 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18 | BOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $88,864 | BOYAmt |
| EOY | $104,437 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | PRO-LIFE PREGNANCY COUNSELING | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (3 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|
| DIRECT SUPPORT TO CLIENTS FOR ASSISTANCE WITH PERSONAL EXPENSES DURING CRISIS SITUATIONS. | $1,965 |
| RENTS PAID FOR OFFICE MAINTAINED FOR COUNSELING SERVICES AND UTILITY EXPENSES RELATED THERETO. 158 DIRECT CLIENTS WERE SERVED WITH COUNSELING SERVICES AT OUR OFFICE IN 2019. FOR THESE 158 CLIENTS, THERE WERE 834 CLIENT VISITS. OF THE 158 CLIENTS SERVED, 53 PREGNANCY TESTS WERE CONDUCTED, 47 ULTRASOUNDS WERE CONDUCTED, 33 BABIES WERE BORN. | $47,633 |
| PROVIDED BROCHURES, POSTAGE RELATED TO FUNDRAISING ACTIVITIES AND WEBSITE FOR EDUCATIONAL AND AWARENESS PURPOSES. | $93,146 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $142,744 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (13 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| JOHN FASBENDER | ||
| VICE PRESIDE | 1.00 | $0 |
| ANDREA KULLMANN | ||
| EXECUTIVE DI | 35.00 | $0 |
| JOE CATURIA | ||
| BOARD MEMBER | 1.00 | $0 |
| ANNE MCNAMARA | ||
| BOARD MEMBER | 1.00 | $0 |
| DANIEL MILLARD | ||
| PRESIDENT | 1.00 | $0 |
| DR MONA ROACH | ||
| MEDICAL DIRE | 1.00 | $0 |
| JEROME BAMBENEK | ||
| TREASURER | 1.00 | $0 |
| KATIE STARKSON | ||
| BOARD MEMBER | 1.00 | $0 |
| LANA ADAMS-HERR | ||
| BOARD MEMBER | 1.00 | $0 |
| ALI FAIRBANKS | ||
| SECRETARY | 1.00 | $0 |
| BOB CATURIA | ||
| BOARD MEMBER | 1.00 | $0 |
| TRACY STEINER | ||
| BOARD MEMBER | 1.00 | $0 |
| FR MATT SHIREMAN | ||
| SPIRITUAL DI | 1.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEROME BAMBENEK | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 919 VERMILLION STREET | AddressLine1Txt |
| Address Line2 | SUITE 100 | AddressLine2Txt |
| City | HASTINGS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 550332150 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6514374200 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $79,440 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $87,949 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $107,256 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $106,849 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $99,415 | CurrentTaxYearAmt |
| Total | $480,909 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $54,177 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $56,433 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $72,097 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,315 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $84,648 | CurrentTaxYearAmt |
| Total | $321,670 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $133,617 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $144,382 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $179,353 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $161,164 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $184,063 | CurrentTaxYearAmt |
| Total | $802,579 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $802,579 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24 | CurrentTaxYearAmt |
| Total | $88 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24 | CurrentTaxYearAmt |
| Total | $88 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $133,631 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $144,392 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $179,381 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $161,176 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $184,087 | CurrentTaxYearAmt |
| Total | $802,667 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99990 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $78,188 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $78,188 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $13,447 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $78,188 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $78,188 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $13,447 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $13,447 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $64,741 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES ADVERTISING AND PROMOTION 5,205 TELEPHONE/INTERNET 1,999 OFFICE SUPPLIES 579 SOFTWARE 1,979 INSURANCE 3,269 DIRECT CLIENT AID 1,965 EDUCATIONAL MATERIALS 406 FEES/LICENSE/MEMBERSHIPS 495 GENERAL SUPPLIES 922 MISCELLANEOUS 167 CLEARING FEE 1,334 TRAINING EXPENSES 215 START-UP SUPPLIES 764 OTHER SUPPLIES 1,350 CONTRACT SERVICES 1,581 BOOK EXPENSES 500 NON-INVESTMENT DEPRECIATION 5,740 TOTAL 28,470 |
| FORM 990-EZ, PART II, LINE 24 | FURNITURE AND EQUIPMENT 63,503 63,503 LESS ACCUMULATED DEPRECIATION 53,229 56,773 SUITE BUILDOUT 0 0 SUITE BUILDOUT 1125 SOUTH FRONTAGE 8,289 8,289 LESS ACCUMULATED DEPRECIATION 1,561 3,218 EQUIPMENT 2,679 2,679 LESS ACCUMULATED DEPRECIATION 536 1,072 SECURITY DEPOSIT 2,972 2,972 TOTAL 22,117 16,380 |
| FORM 990-EZ, PART II, LINE 26 | ACCOUNTS PAYABLE AND ACCRUED EXPENSES 18 0 |
| FORM 990-EZ, PART III, LINE 29 | RENTS PAID FOR OFFICE MAINTAINED FOR COUNSELING SERVICES AND UTILITY EXPENSES RELATED THERETO. 158 DIRECT CLIENTS WERE SERVED WITH COUNSELING SERVICES AT OUR OFFICE IN 2019. FOR THESE 158 CLIENTS, THERE WERE 834 CLIENT VISITS. OF THE 158 CLIENTS SERVED, 53 PREGNANCY TESTS WERE CONDUCTED, 47 ULTRASOUNDS WERE CONDUCTED, 33 BABIES WERE BORN. |