ASSUMPTION HOME INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
ASSUMPTION HOME INC (EIN 41-0873335)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-09-12
IRS object ID
202202559349301400
Schema version
2021v4.2
Note
A later return for the same period supersedes this one.
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)
Return2022-09-12T10:36:49-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450250958PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Eide Bailly LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 Nicollet Mall Ste 1300AddressLine1Txt
CityMinneapolisCityNm
State AbbreviationMNStateAbbreviationCd
ZIP554027033ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN410873335EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Assumption Home IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlASSUBusinessNameControlTxt
Phone3206853693PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1715 North 1st StreetAddressLine1Txt
CityCold SpringCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56320ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPaul GaebePersonNm
Person TitleAdministratorPersonTitleTxt
Phone3206853693PhoneNum
Signature2022-09-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPaulPersonFirstNm
Person LastGaebePersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDeb Nelson CPAPreparerPersonNm
PTINP01264758PTIN
Phone6122536500PhoneNum
Preparation2022-09-02PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPaul GaebePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1715 North 1st StreetAddressLine1Txt
CityCold SpringCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56320ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,138,191GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.assumptioncommunity.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1963FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionProvide a continuum of health and residential services in a Christian environment.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee264TotalEmployeeCnt
Total Volunteers45TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$543,995PYContributionsGrantsAmt
CY Contributions Grants$1,642,351CYContributionsGrantsAmt
PY Program Service Revenue$9,174,485PYProgramServiceRevenueAmt
CY Program Service Revenue$9,356,388CYProgramServiceRevenueAmt
PY Investment Income$6,136PYInvestmentIncomeAmt
CY Investment Income$139,452CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$9,724,616PYTotalRevenueAmt
CY Total Revenue$11,138,191CYTotalRevenueAmt
PY Grants And Similar Paid$17,499PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$8,323CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,969,694PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,491,422CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,033,885PYOtherExpensesAmt
CY Other Expenses$4,263,099CYOtherExpensesAmt
PY Total Expenses$10,021,078PYTotalExpensesAmt
CY Total Expenses$9,762,844CYTotalExpensesAmt
PY Revenues Less Expenses-$296,462PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,375,347CYRevenuesLessExpensesAmt
Total Assets BOY$20,853,831TotalAssetsBOYAmt
Total Assets EOY$20,902,199TotalAssetsEOYAmt
Total Liabilities BOY$16,544,351TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,131,379TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,309,480NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,770,820NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo provide a continuum of quality care in a Christian manner that honors the dignity of the members of our local community.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$6,457,615ExpenseAmt
Grant$8,323GrantAmt
Revenue$6,364,408RevenueAmt
DescAssumption Home, Inc. operates an 76-bed long-term health care facility in Cold Spring, MN which provides care to residents on a daily basis. Assumption Home is renowned for being a Christian health care facility that strives to provide long term and rehabilitative care for older adults. Assumption Home is a single story structure, conveniently located in the center of Cold Spring and is bordered by numerous picturesque scenes including a garden, park, and the middle school playground. Assumption Home offers the older adult and their families numerous services and aspects of medical care including several rounding onsite primary physicians, numerous consulting physicians including an audiologist and podiatrist, and a local pharmacy to provide medications. Assumption Home is also able to coordinate your loved one's care with other clinics and medical professions as needed.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,135,314ExpenseAmt
Revenue$2,113,754RevenueAmt
DescThe Organization also operates Assumption Court, a 59-unit apartment complex providing congregate housing and has a Housing with Services license that enables its tenants to purchase additional personal care services.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$433,184ExpenseAmt
Revenue$878,226RevenueAmt
DescOpened in 2020, the Organization also operates Asher Haus, a 28-unit memory care assisted living facility.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$9,026,113TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document27IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee264EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Brenda WellerBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3206853693PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1715 North 1st StreetAddressLine1Txt
CityCold SpringCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56320ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Rev Matthew Luft
Second VP/CEO1.002.00Yes (X)Yes (X)$0$0$0
Chad Middendorf
Treasurer1.002.00Yes (X)Yes (X)$0$0$0
Larry Sell
Secretary1.002.00Yes (X)Yes (X)$0$0$0
Melissa Rowe
Director1.002.00Yes (X)$0$0$0
Father Isaiah Frederick
Director1.002.00Yes (X)$0$0$0
Cheryl Eickhoff
Director1.002.00Yes (X)$0$0$0
Terri Larison
Director1.002.00Yes (X)$0$0$0
Kelly Springer
Director1.002.00Yes (X)$0$0$0
Nicole Holthaus
Director1.002.00Yes (X)$0$0$0
Harry Bertram
Director1.002.00Yes (X)$0$0$0
John Phillips
Director1.002.00Yes (X)$0$0$0
Brother David Allen
Director1.002.00Yes (X)$0$0$0
Brenda Weller
Director of Finance38.002.00Yes (X)$77,988$0$30,760
Jan Luthens
Administrator38.002.00Yes (X)$105,000$0$3,150
FieldValueIRS element (for citing)
Total Reportable Comp From Org$182,988TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$33,910TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Pro Rehab
200 Lewis Ave S Ste 210WatertownMN55388Therapy$493,184
Mayo Clinic Laboratories
PO Box 9146MinneapolisMN55480COVID Test Lab Fees$103,350
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$1,561,234GovernmentGrantsAmt
All Other Contributions$81,117AllOtherContributionsAmt
Total Contributions$1,642,351TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Resident Services623000$6,158,704$6,158,704
Apartment623000$1,674,601$1,674,601
Other Service Income900099$1,363,409$1,363,409
Management Fees900099$159,674$159,674
FieldValueIRS element (for citing)
Total Program Service Revenue$9,356,388TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$105,308TotalRevenueColumnAmt
Exclusion$105,308ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$31,144SecuritiesAmt
Other$3,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$31,144SecuritiesAmt
Other$3,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,144TotalRevenueColumnAmt
Exclusion$34,144ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,138,191TotalRevenueColumnAmt
Related Or Exempt Func Income$9,356,388RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$139,452ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$8,323TotalAmt
Program Services$8,323ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$218,358TotalAmt
Management And General$218,358ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$68,612TotalAmt
Program Services$68,612ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,366,527TotalAmt
Program Services$4,280,535ProgramServicesAmt
Management And General$85,992ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$77,995TotalAmt
Program Services$77,995ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$396,337TotalAmt
Program Services$381,478ProgramServicesAmt
Management And General$14,859ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$363,593TotalAmt
Program Services$340,959ProgramServicesAmt
Management And General$22,634ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,439TotalAmt
Management And General$5,439ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$26,783TotalAmt
Management And General$26,783ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$20,634TotalAmt
Management And General$20,634ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$921,316TotalAmt
Program Services$740,542ProgramServicesAmt
Management And General$180,774ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$91,569TotalAmt
Management And General$91,569ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$260,446TotalAmt
Program Services$242,805ProgramServicesAmt
Management And General$17,641ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$33,359TotalAmt
Program Services$33,359ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$431,532TotalAmt
Program Services$430,286ProgramServicesAmt
Management And General$1,246ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,692TotalAmt
Program Services$2,692ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$10,348TotalAmt
Program Services$10,348ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$711,122TotalAmt
Program Services$708,388ProgramServicesAmt
Management And General$2,734ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$868,289TotalAmt
Program Services$864,951ProgramServicesAmt
Management And General$3,338ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$133,683TotalAmt
Program Services$133,169ProgramServicesAmt
Management And General$514ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Food$303,759$303,759
Nursing Home Surcharge$222,483$222,483
Repairs and Maintenance$151,658$151,075$583
Bad Debt Expenses$13,325$13,325

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$54,662TotalAmt
Program Services$11,029ProgramServicesAmt
Management And General$43,633ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,762,844TotalAmt
Program Services$9,026,113ProgramServicesAmt
Management And General$736,731ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,736,637BOYAmt
EOY$2,504,573EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$739,422BOYAmt
EOY$548,917EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$44,770BOYAmt
EOY$32,785EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$26,525,643LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,903,224LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,416,849BOYAmt
EOY$13,622,419EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,567,901BOYAmt
EOY$3,775,956EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$348,252BOYAmt
EOY$417,549EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$20,853,831BOYAmt
EOY$20,902,199EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$870,255BOYAmt
EOY$852,364EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,572,523BOYAmt
EOY$14,174,039EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$89,916BOYAmt
EOY$104,976EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$1,011,657BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,544,351BOYAmt
EOY$15,131,379EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,309,480BOYAmt
EOY$5,770,820EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,309,480BOYAmt
EOY$5,770,820EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,853,831BOYAmt
EOY$20,902,199EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,375,347ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$172,993NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$87,000OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$82,247CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$97,305CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$87,484CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$543,995CurrentTaxYearMinus1YearAmt
Current Tax Year$1,642,351CurrentTaxYearAmt
Total$2,453,382TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,968,563CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,988,672CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,136,050CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,174,485CurrentTaxYearMinus1YearAmt
Current Tax Year$9,356,388CurrentTaxYearAmt
Total$45,624,158TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,050,810CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,085,977CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,223,534CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,718,480CurrentTaxYearMinus1YearAmt
Current Tax Year$10,998,739CurrentTaxYearAmt
Total$48,077,540TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$175,241CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$247,856CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$263,304CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$207,483CurrentTaxYearMinus1YearAmt
Current Tax Year$95,991CurrentTaxYearAmt
Total$989,875TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$175,241CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$247,856CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$263,304CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$207,483CurrentTaxYearMinus1YearAmt
Current Tax Year$95,991CurrentTaxYearAmt
Total$989,875TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$47,087,665PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$60,955CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$72,915CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$72,643CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$41,708CurrentTaxYearMinus1YearAmt
Current Tax Year$105,308CurrentTaxYearAmt
Total$353,529TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$60,955CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$72,915CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$72,643CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$41,708CurrentTaxYearMinus1YearAmt
Current Tax Year$105,308CurrentTaxYearAmt
Total$353,529TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,111,765CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,158,892CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,296,177CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,760,188CurrentTaxYearMinus1YearAmt
Current Tax Year$11,104,047CurrentTaxYearAmt
Total$48,431,069TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97230PublicSupportCY509Pct
Public Support PY5090.96950PublicSupportPY509Pct
Investment Income CY0.00730InvestmentIncomeCYPct
Investment Income PY0.00610InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$653,383OtherCostOrOtherBasisAmt
Book Value$653,383BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,342,720OtherCostOrOtherBasisAmt
Depreciation$10,278,592DepreciationAmt
Book Value$12,064,128BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,952,991OtherCostOrOtherBasisAmt
Depreciation$2,466,502DepreciationAmt
Book Value$486,489BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$576,549OtherCostOrOtherBasisAmt
Depreciation$158,130DepreciationAmt
Book Value$418,419BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$13,622,419TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$11,311,184TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$172,993NetUnrealizedGainsInvstAmt
Revenue Not Reported$172,993RevenueNotReportedAmt
Revenue Subtotal$11,138,191RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,138,191TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,762,844TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$9,762,844ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$9,762,844TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part IV, Line 2b:The Organization acts as custodian for the funds of residents of the nursing facility and holds tenant security deposits from residents of Assumption Court. A portion of the security deposit may be refunded back to the resident upon termination of the lease assuming certain conditions have been met. The Organization records these deposits, plus 1% simple interest, as a liability.
Part X, Line 2:The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeScholarshipsGrantTypeTxt
Recipient9RecipientCnt
Cash Grant$8,323CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationAssumption Home participates with the Minnesota Department of Human Services Nursing Facility (NF) employee scholarship funds program. After it is determined that an employee has met the requirements of the NF program the award will be given based on job performance (reference of the employees performance evaluation and/or corrective actions), participation in facility committees, additional training/education the employee has completed throughout the past year, etc. The award documentation will be submitted to billing for payment along with a copy of the tuition statement from the employee.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
City of Cold Spring Minnesota
A416005064193014BD82013-06-21$5,400,078Refund bonds issued 3/31/2005000
City of Cold Spring Minnesota
B416005064193014BV82017-02-28$7,310,000Refund Bonds issued 10/29/08000
City of Cold Spring Minnesota
C416005064193014CJ42018-09-20$3,831,686Construction000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmtCapital ExpendituresCapitalExpendituresAmt
A$735,078$5,400,078$450,641$108,002$4,839,017Yes (1)0Yes (1)Yes (1)
B$1,025,000$7,310,000$146,200$7,163,800Yes (1)0Yes (1)Yes (1)
C$3,831,686$76,633000Yes (1)$238,500$3,516,553

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)00000
B000000000
C000000000

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDate Rebate Computation PerformedFormAndLineReferenceDesc
ExplanationIssuer Name: City of Cold Spring Minnesota Date the Rebate Computation was Performed: 03/10/2018ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Karilyn Lund
Daughter of Chad Middendorf, Board Member$68,612The individual is compensated as an employee of the organization. Mr. Middendorf is not involved in employment discussions or in determining compensation.0
WealthCare Inc
Chad Middendorf, Board Member >35% Owner$89,823The organization contracts with WealthCare, Inc. for workers compensation insurance. The organization reviewed fees and services from other comparable entities and found WealthCare, Inc. to be the best provider for the service based on lower fees. Mr. Middendorf refrained from all discussions and voting on the matter, as required in the organization's conflict of interest policy.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6The members of the corporation shall be as follows: 1. The Bishop of the Diocese of Saint Cloud or the person, who in his stead, exercises ordinary jurisdiction over the spiritual and temporal affairs of the Diocese of Saint Cloud in accordance with the legislation of the Roman Catholic Church; 2. The Vicar General of the Diocese of Saint Cloud, who has been appointed to be a member ex-officio of the corporation of the Diocese of Saint Cloud. In the event of a vacancy in the office of the Bishop, in those cases in which the Vicar General's office ceases, then and in such event the person who was the Vicar General, continues to be a member ex-officio of this corporation with all the rights and powers included thereto, but his membership shall cease at once when the Office of Vicar General has been filled; 3. The Pastor of the Church of Saint Boniface, Cold Spring, Minnesota; and 4. Two (2) trustees who are members of the Church of Saint Boniface, Cold Spring, Minnesota, which have been elected by the membership of the corporation; There shall be only one class of members of the corporation and each member shall be entitled to one vote on all actions that come before the membership of the corporation.
Form 990, Part VI, Section A, line 7aThe Board of Directors shall be elected by the members of the corporation.
Form 990, Part VI, Section A, line 7bThe members reserve the following functions: 1. Appoint the Board of Directors and remove any member with or without cause; 2. Approve a merger or dissolution of the organization; 3. Amendment of the Articles of Incorporation; and 4. Support and assess the Roman Catholic identify and mission of the organization and verify adherence to the Ethical and Religious Directives for Catholic Health Care Services now current or hereafter amended, as recommended by the Bishop of the Diocese of St. Cloud.
Form 990, Part VI, Section A, line 8bThe organization does not have a committee with the authority to act on behalf of the organization.
Form 990, Part VI, Section B, line 11bThe Form 990 is prepared by an independent public accounting firm and is reviewed by both the Administrator and the Director of Finance. After their review, the Form 990 is provided to the Board of Directors, who review and approve it prior to filing with the IRS.
Form 990, Part VI, Section B, line 12cThe organization's conflict of interest policy applies to all officers and members of the Board of Directors. The Administrator annually reviews the Board Members' associations for conflicts of interest. The Board of Directors annually reviews the Administrator's associations for conflicts of interest. If a conflict arises, depending on the circumstances, the conflicted individual abstains from voting, steps down from the Board, or terminates the association with the other party.
Form 990, Part VI, Section B, line 15aThe Board of Directors uses comparability Data annually to ensure fair compensation. The Minnesota Nursing Facility pay survey data and market rates are used in determining compensation. The last review was performed in 2019.
Form 990, Part VI, Section C, line 19The governing documents, conflict of interest policy, and financial statements are available upon request.
Form 990, Part XI, line 9:Forgiveness of Debt -87,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
Pioneer Housing Development Inc
200 8th Avenue NorthCold SpringMN56320411367392housingMN501(c)(3)Line 10N/A0
Assumption Community Services
615 1st St NorthCold SpringMN56320800276405home care servicesMN501(c)(3)Line 10N/A0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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