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ASSUMPTION HOME INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
ASSUMPTION HOME INC (EIN 41-0873335)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-06-09
IRS object ID
202031619349300043
Schema version
2019v5.1
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)
Return2020-06-09T12:48:42-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

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 Begin2019-01-01TaxPeriodBeginDt

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)
PersonJan LuthensPersonNm
Person TitleAdministratorPersonTitleTxt
Phone3206853693PhoneNum
Signature2020-05-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDeb Nelson CPAPreparerPersonNm
PTINP01264758PTIN
Phone6122536500PhoneNum
Preparation2020-05-22PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.147.181.49IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-22IPDt
IP Tm14:59:10IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC57B3A1A47BD965C768274F1A391ACA80AAD5CDFAtSubmissionCreationDeviceId
At Submission Filing Device IdF9BEE9501A3B4F00F190E63700B8BF2BC70C7B96AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJan LuthensPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1715 North 1st StreetAddressLine1Txt
CityCold SpringCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56320ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,303,185GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.assumptionhome.orgWebsiteAddressTxt
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 Employee266TotalEmployeeCnt
Total Volunteers84TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$97,305PYContributionsGrantsAmt
CY Contributions Grants$87,484CYContributionsGrantsAmt
PY Program Service Revenue$8,897,951PYProgramServiceRevenueAmt
CY Program Service Revenue$9,136,050CYProgramServiceRevenueAmt
PY Investment Income$44,616PYInvestmentIncomeAmt
CY Investment Income$79,651CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$9,039,872PYTotalRevenueAmt
CY Total Revenue$9,303,185CYTotalRevenueAmt
PY Grants And Similar Paid$37,013PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$33,749CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,242,809PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,416,392CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,618,796PYOtherExpensesAmt
CY Other Expenses$3,632,027CYOtherExpensesAmt
PY Total Expenses$8,898,618PYTotalExpensesAmt
CY Total Expenses$9,082,168CYTotalExpensesAmt
PY Revenues Less Expenses$141,254PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$221,017CYRevenuesLessExpensesAmt
Total Assets BOY$20,689,965TotalAssetsBOYAmt
Total Assets EOY$20,372,866TotalAssetsEOYAmt
Total Liabilities BOY$16,602,886TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,902,822TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,087,079NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,470,044NetAssetsOrFundBalancesEOYAmt
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$6,949,835ExpenseAmt
Grant$33,749GrantAmt
Revenue$7,762,536RevenueAmt
DescAssumption Home, Inc. operates an 82-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$1,322,515ExpenseAmt
Revenue$1,373,514RevenueAmt
DescThe organization also operates Assumption Court, a 59-unit apartment complex providing congregate housing and has a Housing and Services license that enables its tenants to purchase additional personal care services.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$8,272,350TotalProgramServiceExpensesAmt
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
Employee266EmployeeCnt
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 (17 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 Ardella Kvamme
Director (thru July 2019)1.002.00Yes (X)$0$0$0
Melissa Rowe
Director1.002.00Yes (X)$0$0$0
Father Isaiah Frederick
Director1.002.00Yes (X)$0$0$0
Dorothy Pflipsen
Director (thru July 2019)1.002.00Yes (X)$0$0$0
Sharon Wenner
Director1.002.00Yes (X)$0$0$0
Cheri Eickhoff
Director (as of August 2019)1.002.00Yes (X)$0$0$0
Greg Flint
Director1.002.00Yes (X)$0$0$0
Terri Larison
Director (as of August 2019)1.002.00Yes (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
Lindsey SandAdministrator
(thru October 2019)38.002.00Yes (X)$104,697$0$2,543
Jan Luthens
Administrator (as of November 2019)38.002.00Yes (X)$15,770$0$473
Brenda Weller
Director of Finance38.002.00Yes (X)$80,289$0$16,927
FieldValueIRS element (for citing)
Total Reportable Comp From Org$200,756TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$19,943TotalOtherCompensationAmt
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
RehabCare
7733 Forsyth Blvd Ste 1700St LouisMO63105Therapy$275,015
Pro Rehab
200 Lewis Ave S Ste 210WatertownMN55388Therapy$128,160
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$87,484AllOtherContributionsAmt
Total Contributions$87,484TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Resident Services623000$7,535,280$7,535,280
Apartment623000$866,343$866,343
Other Service Income900099$559,311$559,311
Management Fees900099$175,116$175,116
FieldValueIRS element (for citing)
Total Program Service Revenue$9,136,050TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$72,643TotalRevenueColumnAmt
Exclusion$72,643ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$7,008SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$7,008SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,008TotalRevenueColumnAmt
Exclusion$7,008ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,303,185TotalRevenueColumnAmt
Related Or Exempt Func Income$9,136,050RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$79,651ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$33,749TotalAmt
Program Services$33,749ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$220,700TotalAmt
Management And General$220,700ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$59,800TotalAmt
Program Services$59,800ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,300,299TotalAmt
Program Services$4,161,685ProgramServicesAmt
Management And General$138,614ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$76,311TotalAmt
Program Services$71,048ProgramServicesAmt
Management And General$5,263ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$401,700TotalAmt
Program Services$372,991ProgramServicesAmt
Management And General$28,709ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$357,582TotalAmt
Program Services$332,639ProgramServicesAmt
Management And General$24,943ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$7,991TotalAmt
Management And General$7,991ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$22,455TotalAmt
Management And General$22,455ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$15,210TotalAmt
Management And General$15,210ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$711,464TotalAmt
Program Services$555,541ProgramServicesAmt
Management And General$155,923ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$80,793TotalAmt
Management And General$80,793ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$264,092TotalAmt
Program Services$161,434ProgramServicesAmt
Management And General$102,658ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$31,905TotalAmt
Program Services$31,905ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$424,636TotalAmt
Program Services$423,643ProgramServicesAmt
Management And General$993ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$12,784TotalAmt
Program Services$12,784ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$19,631TotalAmt
Program Services$19,631ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$552,283TotalAmt
Program Services$550,319ProgramServicesAmt
Management And General$1,964ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$708,836TotalAmt
Program Services$706,315ProgramServicesAmt
Management And General$2,521ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$100,999TotalAmt
Program Services$100,640ProgramServicesAmt
Management And General$359ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Medical Supplies$312,513$312,513
Nursing Home Surcharge$233,993$233,993
Bad Debt Expenses$49,977$49,977
Licenses Permits and Fe$15,261$15,261

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$67,204TotalAmt
Program Services$66,482ProgramServicesAmt
Management And General$722ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,082,168TotalAmt
Program Services$8,272,350ProgramServicesAmt
Management And General$809,818ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$934,174BOYAmt
EOY$1,046,525EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$613,290BOYAmt
EOY$626,086EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$71,142BOYAmt
EOY$50,071EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$26,027,992LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$11,285,731LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,046,390BOYAmt
EOY$14,742,261EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$6,766,017BOYAmt
EOY$3,552,736EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$258,952BOYAmt
EOY$355,187EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$20,689,965BOYAmt
EOY$20,372,866EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,330,848BOYAmt
EOY$931,883EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,196,055BOYAmt
EOY$14,886,006EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$75,983BOYAmt
EOY$84,933EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,602,886BOYAmt
EOY$15,902,822EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,087,079BOYAmt
EOY$4,470,044EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,087,079BOYAmt
EOY$4,470,044EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,689,965BOYAmt
EOY$20,372,866EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$221,017ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$194,948NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$33,000OtherChangesInNetAssetsAmt
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$35,999CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$53,923CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$82,247CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$97,305CurrentTaxYearMinus1YearAmt
Current Tax Year$87,484CurrentTaxYearAmt
Total$356,958TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,705,686CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,701,243CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,968,563CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,988,672CurrentTaxYearMinus1YearAmt
Current Tax Year$9,136,050CurrentTaxYearAmt
Total$43,500,214TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,741,685CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,755,166CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,050,810CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,085,977CurrentTaxYearMinus1YearAmt
Current Tax Year$9,223,534CurrentTaxYearAmt
Total$43,857,172TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$94,816CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$228,886CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$175,241CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$247,856CurrentTaxYearMinus1YearAmt
Current Tax Year$263,304CurrentTaxYearAmt
Total$1,010,103TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$94,816CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$228,886CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$175,241CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$247,856CurrentTaxYearMinus1YearAmt
Current Tax Year$263,304CurrentTaxYearAmt
Total$1,010,103TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$42,847,069PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$47,310CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,284CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$60,955CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$72,915CurrentTaxYearMinus1YearAmt
Current Tax Year$72,643CurrentTaxYearAmt
Total$289,107TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$47,310CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,284CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$60,955CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$72,915CurrentTaxYearMinus1YearAmt
Current Tax Year$72,643CurrentTaxYearAmt
Total$289,107TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,788,995CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,790,450CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,111,765CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,158,892CurrentTaxYearMinus1YearAmt
Current Tax Year$9,296,177CurrentTaxYearAmt
Total$44,146,279TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97060PublicSupportCY509Pct
Public Support PY5090.97680PublicSupportPY509Pct
Investment Income CY0.00650InvestmentIncomeCYPct
Investment Income PY0.00580InvestmentIncomePYPct
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$18,374,105OtherCostOrOtherBasisAmt
Depreciation$8,906,542DepreciationAmt
Book Value$9,467,563BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,660,097OtherCostOrOtherBasisAmt
Depreciation$2,263,729DepreciationAmt
Book Value$396,368BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,340,407OtherCostOrOtherBasisAmt
Depreciation$115,460DepreciationAmt
Book Value$4,224,947BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$14,742,261TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$9,498,133TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$194,948NetUnrealizedGainsInvstAmt
Revenue Not Reported$194,948RevenueNotReportedAmt
Revenue Subtotal$9,303,185RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$9,303,185TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,082,168TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$9,082,168ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$9,082,168TotalExpensesPerForm990Amt

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 is organized as a Minnesota non-profit corporation and has been recognized by the Internal Revenue Service (IRS) as exempt from federal income taxes under Internal Revenue Code Section 501(c)(3). The Organization is annually required to file a Return of Organization Exempt from Income Tax (Form 990) with the IRS. In addition, the Organization is subject to income tax on any net income that is derived from business activities that are unrelated to its exempt purpose. 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
Recipient40RecipientCnt
Cash Grant$33,749CashGrantAmt

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$510,078$5,400,078$450,641$108,002$4,839,017Yes (1)0Yes (1)Yes (1)
B$555,000$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$59,800The 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$111,267The 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 -33,000.

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 OrgYes (1)GiftGrntOrCapContriToOthOrgInd
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