ASSUMPTION COMMUNITY SERVICES INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ASSUMPTION COMMUNITY SERVICES INC (EIN 80-0276405)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-10-12
IRS object ID
202112859349301961
Schema version
2020v4.1
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

FieldValueIRS element (for citing)
Return2021-10-12T15:18:11-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

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 Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN800276405EIN

Business Name BusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 1st Street NorthAddressLine1Txt
CityCold SpringCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56320ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJan LuthensPersonNm
Person TitleAdministratorPersonTitleTxt
Phone3206853693PhoneNum
Signature2021-10-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJanPersonFirstNm
Person LastLuthensPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDeb Nelson CPAPreparerPersonNm
PTINP01264758PTIN
Phone6122536500PhoneNum
Preparation2021-10-07PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJan LuthensPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 1st Street NorthAddressLine1Txt
CityCold SpringCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56320ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$356,997GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.assumptioncommunity.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2008FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionProvide a continuum of health and residential services in a Christian environment.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$214,632PYContributionsGrantsAmt
CY Contributions Grants$179,356CYContributionsGrantsAmt
PY Program Service Revenue$261,824PYProgramServiceRevenueAmt
CY Program Service Revenue$177,641CYProgramServiceRevenueAmt
PY Investment Income-$1,093PYInvestmentIncomeAmt
CY Investment Income-$547CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$475,363PYTotalRevenueAmt
CY Total Revenue$356,450CYTotalRevenueAmt
PY Grants And Similar Paid$13,266PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,789CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$349,084PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$265,021CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$145,990PYOtherExpensesAmt
CY Other Expenses$118,440CYOtherExpensesAmt
PY Total Expenses$508,340PYTotalExpensesAmt
CY Total Expenses$390,250CYTotalExpensesAmt
PY Revenues Less Expenses-$32,977PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$33,800CYRevenuesLessExpensesAmt
Total Assets BOY$202,107TotalAssetsBOYAmt
Total Assets EOY$115,060TotalAssetsEOYAmt
Total Liabilities BOY$205,063TotalLiabilitiesBOYAmt
Total Liabilities EOY$117,816TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$2,956NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$2,756NetAssetsOrFundBalancesEOYAmt
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$375,103ExpenseAmt
Grant$6,789GrantAmt
Revenue$177,641RevenueAmt
DescCommunity Health Services provides an array of services, from home delivered meals to community support services and caregiver support. During 2020 the organization provided the following services:Transportation: 2892 rides/ 2828.50 hoursHomemaking/chore service: 788 hours/ 400 home visitsCaregiver Consulting: 72.25 hours/ 22 home visitsSupport Planning: 432.75 hours/ 141 home visitsFriendly Visiting: 18 hours/ 12 home visitsCaregiver Education: 2 series- 6 classes each/ 15 people servedRespite: 177.5 hours/ 71 home visitsDesc
Total Program Service Expenses$375,103TotalProgramServiceExpensesAmt
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 Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
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
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
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 Member12IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
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 CEO0CompensationProcessCEOInd
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 (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Brenda Weller
Director of Finance1.0039.00Yes (X)$0$89,646$18,395
Jan Luthens
Administrator1.0039.00Yes (X)$0$104,424$3,133
Rev Matthew Luft
Second VP/CEO1.002.00Yes (X)$0$0$0Yes (X)
Chad Middendorf
Treasurer1.002.00Yes (X)$0$0$0Yes (X)
Larry Sell
Secretary1.002.00Yes (X)$0$0$0Yes (X)
Melissa Rowe
Director1.002.00$0$0$0Yes (X)
Father Isaiah Frederick
Director1.002.00$0$0$0Yes (X)
Cheri Eickhoff
Director1.002.00$0$0$0Yes (X)
Terri Larison
Director1.002.00$0$0$0Yes (X)
Kelly Springer
Director1.002.00$0$0$0Yes (X)
Nicole Holthaus
Director1.002.00$0$0$0Yes (X)
Harry Bertram
Director1.002.00$0$0$0Yes (X)
John Phillips
Director (as of Aug. 2020)1.002.00$0$0$0Yes (X)
Brother David Allen
Director (as of Oct. 2020)1.002.00$0$0$0Yes (X)
Sharon Wenner
Director (thru Aug. 2020)1.002.00$0$0$0Yes (X)
Greg Flint
Director (thru Aug. 2020)1.002.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$194,070TotReportableCompRltdOrgAmt
Total Other Compensation$21,528TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$81,810GovernmentGrantsAmt
All Other Contributions$97,546AllOtherContributionsAmt
Total Contributions$179,356TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Skilled Nursing Revenu623000$149,292$149,292
Meals on Wheels624210$28,349$28,349
FieldValueIRS element (for citing)
Total Program Service Revenue$177,641TotalProgramServiceRevenueAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$547OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$547OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$547TotalRevenueColumnAmt
Exclusion-$547ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$356,450TotalRevenueColumnAmt
Related Or Exempt Func Income$177,641RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$547ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$6,789TotalAmt
Program Services$6,789ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$220,335TotalAmt
Program Services$210,674ProgramServicesAmt
Management And General$9,661ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,935TotalAmt
Program Services$5,675ProgramServicesAmt
Management And General$260ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$21,488TotalAmt
Program Services$20,546ProgramServicesAmt
Management And General$942ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$17,263TotalAmt
Program Services$16,506ProgramServicesAmt
Management And General$757ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,625TotalAmt
Management And General$2,625ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$36,914TotalAmt
Program Services$36,914ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,340TotalAmt
Program Services$10,340ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,462TotalAmt
Program Services$6,560ProgramServicesAmt
Management And General$902ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,618TotalAmt
Program Services$13,618ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$695TotalAmt
Program Services$695ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,120TotalAmt
Program Services$1,120ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,121TotalAmt
Program Services$4,121ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Food$36,862$36,862
Dues$3,167$3,167
Licenses Permits Fees$1,516$1,516

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$390,250TotalAmt
Program Services$375,103ProgramServicesAmt
Management And General$15,147ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$12,411BOYAmt
EOY-$5,009EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$186,284BOYAmt
EOY$113,829EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY-$575BOYAmt
EOY$1,888EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,737LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,385LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,987BOYAmt
EOY$4,352EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$202,107BOYAmt
EOY$115,060EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$21,757BOYAmt
EOY$23,490EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$183,306BOYAmt
EOY$94,326EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$205,063BOYAmt
EOY$117,816EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$2,956BOYAmt
EOY-$2,756EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$2,956BOYAmt
EOY-$2,756EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$202,107BOYAmt
EOY$115,060EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$33,800ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$34,000OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
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$82,966CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$58,670CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$158,974CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$214,632CurrentTaxYearMinus1YearAmt
Current Tax Year$179,356CurrentTaxYearAmt
Total$694,598TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$157,121CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$214,205CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$266,956CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$261,824CurrentTaxYearMinus1YearAmt
Current Tax Year$177,641CurrentTaxYearAmt
Total$1,077,747TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$240,087CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$272,875CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$425,930CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$476,456CurrentTaxYearMinus1YearAmt
Current Tax Year$356,997CurrentTaxYearAmt
Total$1,772,345TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,740CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$38,392CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$132,556CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$244,084CurrentTaxYearMinus1YearAmt
Current Tax Year$257,366CurrentTaxYearAmt
Total$706,138TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,740CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$38,392CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$132,556CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$244,084CurrentTaxYearMinus1YearAmt
Current Tax Year$257,366CurrentTaxYearAmt
Total$706,138TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,066,207PublicSupportTotal509Amt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$132,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$103,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$21,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,000CurrentTaxYearMinus1YearAmt
Current Tax Year$34,000CurrentTaxYearAmt
Total$323,000TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$372,087CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$375,875CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$446,930CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$509,456CurrentTaxYearMinus1YearAmt
Current Tax Year$390,997CurrentTaxYearAmt
Total$2,095,345TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.50880PublicSupportCY509Pct
Public Support PY5090.56660PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12, Explanation of Other Income:FormAndLineReferenceDesc
ExplanationForgiveness of debt - 2016 Amount: $ 132,000. 2017 Amount: $ 103,000. 2018 Amount: $ 21,000. 2019 Amount: $ 33,000. 2020 Amount: $ 34,000.ExplanationTxt

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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,737OtherCostOrOtherBasisAmt
Depreciation$1,385DepreciationAmt
Book Value$4,352BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,352TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDue to AffiliatesDesc
Amt$94,326Amt
FieldValueIRS element (for citing)
Total Liability$94,326TotalLiabilityAmt

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 TypeSkilled Nursing Facility ScholarshipGrantTypeTxt
Recipient3RecipientCnt
Cash Grant$6,789CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe organization provides scholarships to employees for courses of study expected to lead to career advancement. The employee will provide an invoice and payments are made directly to the institution. The selection committee makes final decisions regarding the scholarships.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 2 and Part IX, Lines 7-10:Assumption Home, Inc., a related tax-exempt organization, employs all individuals and is responsible for filing all required federal employment tax returns. Payroll expenses are allocated to Assumption Community Services and reported on the appropriate lines in Part IX.
Form 990, Part VI, Section A, line 2The Administrator and Director of Finance are employed by Assumption Home, Inc., a related tax-exempt organization. Members of the board are also board members of Assumption Home, Inc. Therefore, a business relationship exists between these individuals.
Form 990, Part VI, Section A, line 3Assumption Home, Inc., a related tax-exempt organization, is the management agent for the organization. Related party receivables are recorded for expenses paid on behalf of Assumption Community Services. The receivable balance has no set repayment terms and interest is not added to the balance. During December 31, 2020, 34,000 receivables were written off by Assumption Home, Inc. The remaining balance was $94,326.
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.The members of the corporation shall be as follows: 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 governing board.
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 15The Organization does not pay compensation to its officers, directors, or key employees. The Organization's officers are compensated by a related organization.
Form 990, Part VI, Section C, line 19The governing documents, financial statements, and conflict of interest policy are available upon request.
Form 990, Part XI, line 9:Forgivenes of Debt 34,000.

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
Assumption Home Inc
715 N 1st StreetCold SpringMN56320410873335Nursing homeMN501(c)(3)Line 10N/A0
Pioneer Housing Development Inc
200 8th Avenue NorthCold SpringMN56320411367392HousingMN501(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 OrgYes (1)LoansOrGuaranteesFromOthOrgInd
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 Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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