HASTINGS TOTAL LIFECARE CENTER INC: Form 990EZ, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- HASTINGS TOTAL LIFECARE CENTER INC (EIN 38-3785288)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-04-04
- IRS object ID
- 201630959349200333
- Schema version
- 2015v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-04-04T17:38:18-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | 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 | 2015-01-01 | 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 | 919 VERMILLION STREET SUITE 100 | AddressLine1Txt |
| City | HASTINGS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 550332150 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANDREA KULLMANN | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 6514374200 | PhoneNum |
| Signature | 2016-03-31 | 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 | 2016-04-04 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | 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 | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $133,631 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $79,440 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $14 | InvestmentIncomeAmt |
| Fundraising Gross Income | $54,177 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $12,902 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $41,275 | SpecialEventsNetIncomeLossAmt |
| Total Revenue | $120,729 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $56,657 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $397 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $28,866 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $706 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $27,403 | OtherExpensesTotalAmt |
| Total Expenses | $114,029 | TotalExpensesAmt |
| Excess Or Deficit For Year | $6,700 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $83,059 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $89,759 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,882 | BOYAmt |
| EOY | $56,052 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,177 | BOYAmt |
| EOY | $33,707 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,059 | BOYAmt |
| EOY | $89,759 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,059 | BOYAmt |
| EOY | $89,759 | 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. | $1,051 |
| RENTS PAID FOR OFFICE MAINTAINED FOR COUNSELING SERVICES AND UTILITY EXPENSES RELATED THERETO. 107 DIRECT CLIENTS WERE SERVED WITH COUNSELING SERVICES AT OUR OFFICE IN 2015. FOR THESE 107 CLIENTS, THERE WERE 373 CLIENT VISITS. OF THE 107 CLIENTS SERVED, 72 PREGNANCY TESTS WERE CONDUCTED, 13 ULTRASOUNDS WERE CONDUCTED, 38 BABIES WERE BORN. | $45,245 |
| PROVIDED BROCHURES, POSTAGE RELATED TO FUNDRAISING ACTIVITIES AND WEBSITE FOR EDUCATIONAL AND AWARENESS PURPOSES. | $64,185 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $110,481 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (11 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| JOE CATURIA | ||
| BOARD MEMBER | 1.00 | $0 |
| ANDREA KULLMANN | ||
| EXECUTIVE DI | 35.00 | $0 |
| ROBIN RICARD | ||
| VICE PRESIDE | 1.00 | $0 |
| TODD PETIT | ||
| PRESIDENT | 1.00 | $0 |
| DANIEL MILLARD | ||
| BOARD MEMBER | 1.00 | $0 |
| DR BETHANY ENGBLOM | ||
| MEDICAL DIRE | 1.00 | $0 |
| JEROME BAMBENEK | ||
| TREASURER | 1.00 | $0 |
| CHAD NEUHARTH | ||
| BOARD MEMBER | 1.00 | $0 |
| JOSIAH ENGBLOM | ||
| BOARD MEMBER | 1.00 | $0 |
| ALI FAIRBANKS | ||
| SECRETARY | 1.00 | $0 |
| SCOTT WEBER | ||
| BOARD MEMBER | 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 | $66,685 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $115,593 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $138,294 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $121,764 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $79,440 | CurrentTaxYearAmt |
| Total | $521,776 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $54,177 | CurrentTaxYearAmt |
| Total | $54,177 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $66,685 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $115,593 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $138,294 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $121,764 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $133,617 | CurrentTaxYearAmt |
| Total | $575,953 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $575,953 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $30 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14 | CurrentTaxYearAmt |
| Total | $106 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $30 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14 | CurrentTaxYearAmt |
| Total | $106 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $66,708 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $115,623 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $138,319 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $121,778 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $133,631 | CurrentTaxYearAmt |
| Total | $576,059 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99980 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99950 | 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 | $48,965 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $48,965 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $11,128 | OtherDirectExpensesEvent1Amt |
| Event2 | RUN AND WALK | Event2Nm |
| Gross Receipts Event2 | $5,212 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $5,212 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $1,774 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $54,177 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $54,177 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $12,902 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $12,902 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $41,275 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES ADVERTISING AND PROMOTION 6,822 TELEPHONE/INTERNET 1,451 SOFTWARE 1,004 INSURANCE 1,031 DIRECT CLIENT AID 51 EDUCATIONAL MATERIALS 559 FEES/LICENSE/MEMBERSHIPS 95 GENERAL SUPPLIES 3,550 MISCELLANEOUS 479 BUILDING MAINTENANCE 118 DONATION 1,000 VOLUNTEER 404 CLEARING FEE 542 NON-INVESTMENT DEPRECIATION 10,297 TOTAL 27,403 |
| FORM 990-EZ, PART II, LINE 24 | FURNITURE AND EQUIPMENT 47,896 51,724 LESS ACCUMULATED DEPRECIATION 13,830 23,621 SUITE BUILDOUT 7,584 7,584 LESS ACCUMULATED DEPRECIATION 1,473 1,980 SECURITY DEPOSITS 0 0 TOTAL 40,177 33,707 |
| FORM 990-EZ, PART III, LINE 29 | RENTS PAID FOR OFFICE MAINTAINED FOR COUNSELING SERVICES AND UTILITY EXPENSES RELATED THERETO. 107 DIRECT CLIENTS WERE SERVED WITH COUNSELING SERVICES AT OUR OFFICE IN 2015. FOR THESE 107 CLIENTS, THERE WERE 373 CLIENT VISITS. OF THE 107 CLIENTS SERVED, 72 PREGNANCY TESTS WERE CONDUCTED, 13 ULTRASOUNDS WERE CONDUCTED, 38 BABIES WERE BORN. |