2022-09-12T10:36:35-05:00 2021-12-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2021-01-01 800276405 Assumption Community Services Inc ASSU 3206853693 615 1st Street North Cold Spring MN 56320 Paul Gaebe Administrator 3206853693 2022-09-02 1 Paul Gaebe 999009999 Deb Nelson CPA P01264758 6122536500 2022-09-02 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z Paul Gaebe 615 1st Street North Cold Spring MN 56320 316736 0 X www.assumptioncommunity.com X 2008 MN Provide a continuum of health and residential services in a Christian environment. 12 12 0 82 0 0 179356 180402 177641 136332 -547 2 0 0 356450 316736 6789 0 0 0 265021 293862 0 0 0 118440 110410 390250 404272 -33800 -87536 115060 24160 117816 27452 -2756 -3292 To provide a continuum of quality care in a Christian manner that honors the dignity of the members of our local community. 0 0 388654 136332 Community Health Services provides an array of services, from home delivered meals to community support services and caregiver support. During 2021 the organization provided the following services:Transportation: 3,211 rides/ 3,133 hoursHomemaking/chore service: 1,024 hours/ 598 home visitsCaregiver Consulting: 101 hours/ 47 home visitsSupport Planning: 696 hours/ 310 home visitsFriendly Visiting: 66 hours/ 39 home visitsCaregiver Education: 3 series- 6 classes each/ 17 people servedRespite: 251.5 hours/ 94 home visits 388654 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 4 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 1 1 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 MN X Brenda Weller 3206853693 715 North 1st Street Cold Spring MN 56320 Rev Matthew Luft Second VP/CEO 1.00 2.00 X X 0 0 0 Chad Middendorf Treasurer 1.00 2.00 X X 0 0 0 Larry Sell Secretary 1.00 2.00 X X 0 0 0 Melissa Rowe Director 1.00 2.00 X 0 0 0 Father Isaiah Frederick Director 1.00 2.00 X 0 0 0 Cheryl Eickhoff Director 1.00 2.00 X 0 0 0 Terri Larison Director 1.00 2.00 X 0 0 0 Kelly Springer Director 1.00 2.00 X 0 0 0 Nicole Holthaus Director 1.00 2.00 X 0 0 0 Harry Bertram Director 1.00 2.00 X 0 0 0 John Phillips Director 1.00 2.00 X 0 0 0 Brother David Allen Director 1.00 2.00 X 0 0 0 Brenda Weller Director of Finance 1.00 39.00 X 0 77988 30760 Jan Luthens Administrator 1.00 39.00 X 0 105000 3150 0 182988 33910 0 0 0 0 0 78729 101673 180402 Skilled Nursing Revenu 623000 109068 109068 Meals on Wheels 624210 27264 27264 136332 2 2 316736 136332 0 2 251558 241802 9756 5467 5255 212 17399 16724 675 19438 18684 754 2700 2700 29253 29253 8870 8870 11144 9623 1521 11189 11189 245 245 1147 1147 4485 4485 Food 37418 37418 Dues 2887 2887 Licenses Permits Fees 1072 1072 404272 388654 15618 0 -5009 3777 113829 15133 1888 2046 5737 2533 4352 3204 115060 24160 23490 26050 94326 1402 117816 27452 X -2756 -3292 -2756 -3292 115060 24160 X -87536 87000 X 0 0 0 X 58670 158974 214632 179356 180402 792034 214205 266956 261824 177641 136332 1056958 272875 425930 476456 356997 316734 1848992 0 38392 132556 244084 257366 267569 939967 38392 132556 244084 257366 267569 939967 909025 2 2 2 2 272875 425930 476456 356997 316736 1848994 0.49160 0.50880 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5737 2533 3204 3204 Due to Affiliates 1402 1402 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 2 The 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 3 Assumption 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, 2021, 87,000 receivables were written off by Assumption Home, Inc. The remaining balance was $1,402. Form 990, Part VI, Section A, line 6 The 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 7a The Board of Directors shall be elected by the members of the corporation. Form 990, Part VI, Section A, line 7b The 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 8b The Organization does not have a committee with the authority to act on behalf of the governing board. Form 990, Part VI, Section B, line 11b The 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 12c The 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 15 The 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 19 The governing documents, financial statements, and conflict of interest policy are available upon request. Form 990, Part XI, line 9: Forgivenes of Debt 87,000. Assumption Home Inc 715 N 1st Street Cold Spring MN 56320 410873335 Nursing home MN 501(c)(3) Line 10 N/A 0 Pioneer Housing Development Inc 200 8th Avenue North Cold Spring MN 56320 411367392 Housing MN 501(c)(3) Line 10 N/A 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 1 1 1 0 1