HASTINGS TOTAL LIFECARE CENTER INC: Form 990EZ, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HASTINGS TOTAL LIFECARE CENTER INC (EIN 38-3785288)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-05-11
- IRS object ID
- 201201329349202010
- Schema version
- 2011v1.2
- 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) |
|---|---|---|
| Timestamp | 2012-05-11T16:02:23-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEWIS KISCH & ASSOCIATES LTD | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1303 SOUTH FRONTAGE ROAD SUITE 3 | AddressLine1 |
| City | HASTINGS | City |
| State | MN | State |
| ZIP Code | 550332477 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383785288 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HASTINGS TOTAL LIFECARE CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HAST | NameControl |
| Phone | 6514374200 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 919 VERMILLION STREET | AddressLine1 |
| Address Line2 | ROOM/SUITE 100 | AddressLine2 |
| City | HASTINGS | City |
| State | MN | State |
| ZIP Code | 550332150 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ANDREA KULLMAN | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 6514374200 | Phone |
| Date Signed | 2012-05-11 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES V LEWIS | Name |
| Phone | 6514373356 | Phone |
| Date Prepared | 2012-05-11 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | N/A | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 66708 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 66685 | ContributionsGiftsGrantsEtc |
| Investment Income | 23 | InvestmentIncome |
| Total Revenue | 66708 | TotalRevenue |
| Salaries Other Comp Empl Benefits | 17729 | SalariesOtherCompEmplBenefits |
| Occupancy Rent Utilities And Maint | 11736 | OccupancyRentUtilitiesAndMaint |
| Printing Publications Postage | 3668 | PrintingPublicationsPostage |
| Other Expenses Total | 8100 | OtherExpensesTotal |
| Total Expenses | 41233 | TotalExpenses |
| Excess Or Deficit For Year | 25475 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 44764 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 70239 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37860 | BOY |
| EOY | 62349 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7511 | BOY |
| EOY | 8317 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45371 | BOY |
| EOY | 70666 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 607 | BOY |
| EOY | 427 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44764 | BOY |
| EOY | 70239 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | PRO-LIFE PREGNANCY COUNSELING | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment (3 entries)
| Description Program Service AccomDescriptionProgramServiceAccom | Program Service ExpensesProgramServiceExpenses |
|---|---|
| DIRECT SUPPORT TO CLIENTS FOR ASSISTANCE WITH PERSONAL EXPENSES DURING CRISIS SITUATIONS. 2 CLIENTS SERVED | 416 |
| RENTS PAID FOR OFFICE MAINTAINED FOR COUNSELING SERVICES AND UTILITY EXPENSES RELATED THERETO. THE AMOUNT OF DIRECT CLIENTS SERVED FOR COUNSELING SERVICES AT OFFICE IN 2011 WAS 103. FOR 103 CLIENTS, TOTAL VISITS TO THE OFFICE WERE 633 CENTER VISITS. OF THE 103 CLIENTS SERVED, 58 PREGNANCY TESTS WERE CONDUCTED FOR CLIENTS AS WELL. | 11736 |
| PRINTING EXPENSES FOR BROCHURES, POSTAGE RELATED TO FUNDRAISING ACTIVITIES AND WEBSITE (4,081). WAGES AND PAYROLL TAXES FOR EXECUTIVE DIRECTOR, OFFICE ASSISTENT AND MEDICAL PERSONEL TO MANAGE CLIENT SERVICES AND OFFICE (17,728). | 21809 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 33961 | TotalProgramServiceExpenses |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (11 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|---|---|---|---|
| DR MONA ROACH | ||||||
| 2580 SOUTHVIEW PLACE | HASTINGS | MN | 55033 | PRESIDENT | 5.00 | 0 |
| ANDREA KULLMANN | ||||||
| 2421 SOUTHVIEW COURT | HASTINGS | MN | 55033 | EXECUTIVE DI | 35.00 | 10800 |
| DOUG LAUMEYER | ||||||
| 1329 23RD STREET WEST | HASTINGS | MN | 55033 | TREASURER | 5.00 | 0 |
| FATHER JAMES PERKL | ||||||
| 302 WEST 8TH STREET | HASTINGS | MN | 55033 | SPIRITUAL DI | 5.00 | 0 |
| TIM CONNELL | ||||||
| 1489 GENERAL SIEBEN DRIVE | HASTINGS | MN | 55033 | SECRETARY | 5.00 | 0 |
| PASTOR BRAD BRANDON | ||||||
| 18268 207TH STREET EAST | WELCH | MN | 55089 | VICE-PRESIDE | 5.00 | 0 |
| TONYA BRANDON | ||||||
| 18268 207TH STREET EAST | WELCH | MN | 55089 | BOARD MEMBER | 5.00 | 0 |
| NANCY GREGSON | ||||||
| 9838 170TH STREET E | HASTINGS | MN | 55033 | BOARD MEMBER | 7.00 | 0 |
| EMILY KENDALL | ||||||
| 404 W 18TH STREET | HASTINGS | MN | 55033 | BOARD MEMBER | 5.00 | 0 |
| DONNA MATHIOWETZ | ||||||
| 1371 HILLSIDE STREET | HASTINGS | MN | 55033 | BOARD MEMBER | 5.00 | 0 |
| DR BETHANY ENGBLOM | ||||||
| 1498 RIVERBLUFF DRIVE | HASTINGS | MN | 55033 | MEDICAL DIRE | 5.00 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Organization Dissolved Etc | false | OrganizationDissolvedEtc |
| Did Org File Form1120 POL This Year | false | DidOrgFileForm1120POLThisYear |
| Made Loans To From Officers | false | MadeLoansToFromOfficers |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DOUG LAUMEYER | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 919 VERMILLION STREET | AddressLine1 |
| Address Line2 | SUITE 100 | AddressLine2 |
| City | HASTINGS | City |
| State | MN | State |
| ZIP Code | 550332150 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6514374200 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccount |
| Foreign Office | false | ForeignOffice |
| Maintain Any Donor Advised Funds | false | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | false | DoesOrgHaveHospital |
| Tanning Services Provided | false | TanningServicesProvided |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Engage Political Cmpgn Activities | false | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | false | EngageInLobbyingActivities |
| Operating School | false | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | false | TrnsfrsExemptNonCharRelatedOrg |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | true | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 31065 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 57114 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 85400 | CurrentTaxYearMinus1Year |
| Current Tax Year | 66685 | CurrentTaxYear |
| Total | 240264 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 31065 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 57114 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 85400 | CurrentTaxYearMinus1Year |
| Current Tax Year | 66685 | CurrentTaxYear |
| Total | 240264 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 240264 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 97 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 118 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 188 | CurrentTaxYearMinus1Year |
| Current Tax Year | 23 | CurrentTaxYear |
| Total | 426 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 97 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 118 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 188 | CurrentTaxYearMinus1Year |
| Current Tax Year | 23 | CurrentTaxYear |
| Total | 426 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 31162 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 57232 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 85588 | CurrentTaxYearMinus1Year |
| Current Tax Year | 66708 | CurrentTaxYear |
| Total | 240690 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | X | First5Years509 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER EXPENSES | FORM 990-EZ, PART I, LINE 16 | EXPENSES TECH EQUIPMENT 265 INSURANCE 108 BANK FEES 25 FEES/LICENSE/MEMBERSHIPS 354 GALA EXPENSES 1,662 GENERAL EXPENSES 1,191 MILEAGE REIMBURSEMENT 121 POSTAGE 412 TRAINING EXPENSE 2,778 MISCELLANEOUS 100 OFFICE SUPPLIES 474 CLIENT EXPENSE 416 NON-INVESTMENT DEPRECIATION 194 TOTAL 8,100 |
| OTHER ASSETS | FORM 990-EZ, PART II, LINE 24 | 7,584 7,584 LESS ACCUMULATED DEPRECIATION 73 267 SECURITY DEPOSITS 0 1,000 TOTAL 7,511 8,317 |
| OTHER LIABILITIES | FORM 990-EZ, PART II, LINE 26 | PAYROLL LIABILITY 607 427 |
| SECOND ACCOMPLISHMENT | FORM 990-EZ, PART III, LINE 29 | RENTS PAID FOR OFFICE MAINTAINED FOR COUNSELING SERVICES AND UTILITY EXPENSES RELATED THERETO. THE AMOUNT OF DIRECT CLIENTS SERVED FOR COUNSELING SERVICES AT OFFICE IN 2011 WAS 103. FOR 103 CLIENTS, TOTAL VISITS TO THE OFFICE WERE 633 CENTER VISITS. OF THE 103 CLIENTS SERVED, 58 PREGNANCY TESTS WERE CONDUCTED FOR CLIENTS AS WELL. |
| THIRD ACCOMPLISHMENT | FORM 990-EZ, PART III, LINE 30 | PRINTING EXPENSES FOR BROCHURES, POSTAGE RELATED TO FUNDRAISING ACTIVITIES AND WEBSITE (4,081). WAGES AND PAYROLL TAXES FOR EXECUTIVE DIRECTOR, OFFICE ASSISTENT AND MEDICAL PERSONEL TO MANAGE CLIENT SERVICES AND OFFICE (17,728). |
Compensation Explanation CompensationExplanation
Compensation Compensation (11 entries)
| DR MONA ROACH |
| ANDREA KULLMANN |
| DOUG LAUMEYER |
| FATHER JAMES PERKL |
| TIM CONNELL |
| PASTOR BRAD BRANDON |
| TONYA BRANDON |
| NANCY GREGSON |
| EMILY KENDALL |
| DONNA MATHIOWETZ |
| DR BETHANY ENGBLOM |