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ASSUMPTION COMMUNITY SERVICES INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ASSUMPTION COMMUNITY SERVICES INC (EIN 80-0276405)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-08
IRS object ID
201711289349300756
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-08T08:24:47-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 Begin2016-01-01TaxPeriodBeginDt

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)
PersonLindsey SandPersonNm
Person TitleAdministratorPersonTitleTxt
Phone3206853693PhoneNum
Signature2017-05-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDeb Nelson CPAPreparerPersonNm
PTINP01264758PTIN
Phone6122536500PhoneNum
Preparation2017-05-01PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address198.135.124.79IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-05-01IPDt
IP Tm09:17:00IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6C9B1A35775087DBDB8A6D25ECA509C7F6C27838AtSubmissionCreationDeviceId
At Submission Filing Device Id3F9C168A740BFE5F5D76151F12AACC9E0EB7B57CAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLindsey SandPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1615 1st Street NorthAddressLine1Txt
CityCold SpringCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56320ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$372,087GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.assumptionhome.orgWebsiteAddressTxt
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 Volunteers68TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$96,234PYContributionsGrantsAmt
CY Contributions Grants$82,966CYContributionsGrantsAmt
PY Program Service Revenue$189,762PYProgramServiceRevenueAmt
CY Program Service Revenue$157,121CYProgramServiceRevenueAmt
PY Investment Income$37PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$106,000PYOtherRevenueAmt
CY Other Revenue$132,000CYOtherRevenueAmt
PY Total Revenue$392,033PYTotalRevenueAmt
CY Total Revenue$372,087CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$269,921PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$257,007CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$122,101PYOtherExpensesAmt
CY Other Expenses$115,848CYOtherExpensesAmt
PY Total Expenses$392,022PYTotalExpensesAmt
CY Total Expenses$372,855CYTotalExpensesAmt
PY Revenues Less Expenses$11PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$768CYRevenuesLessExpensesAmt
Total Assets BOY$48,142TotalAssetsBOYAmt
Total Assets EOY$61,555TotalAssetsEOYAmt
Total Liabilities BOY$49,552TotalLiabilitiesBOYAmt
Total Liabilities EOY$63,733TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$1,410NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$2,178NetAssetsOrFundBalancesEOYAmt
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$358,083ExpenseAmt
Revenue$289,121RevenueAmt
DescCommunity Health Services provides an array of services, from home delivered meals to community support services and caregiver support. During 2016 the organization provided the following services: Transportation: 711 rides / 870 hoursHomemaking/chore service: 68 hours / 97 home visitsCaregiver Consulting: 119 hours / 67 home visitsSupport Planning: 433 hours /241 home visitsFriendly Visiting: 30 hours / 18 home visitsSupport Group: 9 people served / 3 group meetings heldMeals on Wheels: 4,782 meals servedHome Health Care: 39 patients servedDesc
Total Program Service Expenses$358,083TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
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 Individuals0GrantsToIndividualsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document6IRPDocumentCnt
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
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 DocumentsYes (1)ChangeToOrgDocumentsInd
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 (15 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
Larry Sell
Secretary1.002.00Yes (X)Yes (X)$0$0$0
Chad Middendorf
Treasurer1.002.00Yes (X)Yes (X)$0$0$0
Sister Miriam Ardolf
Director1.002.00Yes (X)$0$0$0
Richard Krueger
Director1.002.00Yes (X)$0$0$0
Rod Pauser
Director1.002.00Yes (X)$0$0$0
Dorothy Pflipsen
Director1.002.00Yes (X)$0$0$0
Sister Judy Schaffer
Director (thru June 2016)1.002.00Yes (X)$0$0$0
Sharon Wenner
Director1.002.00Yes (X)$0$0$0
Mike Roth
Director1.002.00Yes (X)$0$0$0
Greg Flint
Director1.002.00Yes (X)$0$0$0
Angela Neisinger
Director1.002.00Yes (X)$0$0$0
Kelly Warren
Director (as of June 2016)1.002.00Yes (X)$0$0$0
Lindsey Sand
Administrator1.0039.00Yes (X)$0$70,968$1,710
Brenda Weller
Director of Finance1.0039.00Yes (X)$0$76,391$11,863
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$147,359TotReportableCompRltdOrgAmt
Total Other Compensation$13,573TotalOtherCompensationAmt
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$46,416GovernmentGrantsAmt
All Other Contributions$36,550AllOtherContributionsAmt
Total Contributions$82,966TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Skilled Nursing Revenu623000$138,935$138,935
Meals on Wheels624210$18,186$18,186
FieldValueIRS element (for citing)
Total Program Service Revenue$157,121TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescForgiveness of DebtDesc
Business900099BusinessCd
Total Revenue Column$132,000TotalRevenueColumnAmt
Related Or Exempt Func Income$132,000RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$132,000OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$372,087TotalRevenueColumnAmt
Related Or Exempt Func Income$289,121RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$211,156TotalAmt
Program Services$202,547ProgramServicesAmt
Management And General$8,609ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,781TotalAmt
Program Services$1,708ProgramServicesAmt
Management And General$73ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$27,457TotalAmt
Program Services$26,338ProgramServicesAmt
Management And General$1,119ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,613TotalAmt
Program Services$15,427ProgramServicesAmt
Management And General$1,186ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,200TotalAmt
Management And General$3,200ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$42,606TotalAmt
Program Services$42,606ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,158TotalAmt
Program Services$6,158ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,019TotalAmt
Program Services$9,434ProgramServicesAmt
Management And General$585ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$11,626TotalAmt
Program Services$11,626ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,040TotalAmt
Program Services$1,040ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,794TotalAmt
Program Services$5,794ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Food$32,279$32,279
Dues$1,970$1,970
Licenses and Permits$1,156$1,156

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$372,855TotalAmt
Program Services$358,083ProgramServicesAmt
Management And General$14,772ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,985BOYAmt
EOY$3,454EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$39,771BOYAmt
EOY$57,681EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$213BOYAmt
EOY$214EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$173BOYAmt
EOY$206EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$48,142BOYAmt
EOY$61,555EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$19,830BOYAmt
EOY$20,288EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,722BOYAmt
EOY$43,445EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$49,552BOYAmt
EOY$63,733EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$1,410BOYAmt
EOY-$2,178EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$1,410BOYAmt
EOY-$2,178EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$48,142BOYAmt
EOY$61,555EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$768ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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$63,345CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$477,734CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$146,448CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$96,234CurrentTaxYearMinus1YearAmt
Current Tax Year$82,966CurrentTaxYearAmt
Total$866,727TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$180,915CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$194,618CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$195,367CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$189,762CurrentTaxYearMinus1YearAmt
Current Tax Year$157,121CurrentTaxYearAmt
Total$917,783TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$244,260CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$672,352CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$341,815CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$285,996CurrentTaxYearMinus1YearAmt
Current Tax Year$240,087CurrentTaxYearAmt
Total$1,784,510TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$64,820CurrentTaxYearMinus1YearAmt
Current Tax Year$33,740CurrentTaxYearAmt
Total$98,560TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$64,820CurrentTaxYearMinus1YearAmt
Current Tax Year$33,740CurrentTaxYearAmt
Total$98,560TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,685,950PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$105CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$48CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$37CurrentTaxYearMinus1YearAmt
Total$239TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$105CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$48CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$37CurrentTaxYearMinus1YearAmt
Total$239TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$106,000CurrentTaxYearMinus1YearAmt
Current Tax Year$132,000CurrentTaxYearAmt
Total$238,000TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$244,365CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$672,400CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$341,864CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$392,033CurrentTaxYearMinus1YearAmt
Current Tax Year$372,087CurrentTaxYearAmt
Total$2,022,749TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.83350PublicSupportCY509Pct
Public Support PY5090.90730PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00020InvestmentIncomePYPct
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 - 2015 Amount: $ 106,000. 2016 Amount: $ 132,000.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

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDue to AffiliatesDesc
Amt$43,445Amt
FieldValueIRS element (for citing)
Total Liability$43,445TotalLiabilityAmt

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, 2016, $132,000 of receivables were written off by Assumption Home, Inc. The remaining balance was $43,239.
Form 990, Part VI, Section A, line 4The articles and bylaws of the organization were amended to clarify the relationship to the Diocese of St. Cloud, define the responsibilities of the board members, to define committee roles, and change the number of required board members from eleven (11) to thirteen (13).
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.

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 Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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