2024-11-07T09:59:57-06:00 2023-12-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2023-01-01 410873335 Assumption Home Inc ASSU 3206853693 715 North 1st Street Cold Spring MN 56320 Kevin Rymanowski Sr. VP - Finance/CFO 3206853693 2024-11-07 1 1 Heidi Sachs P01273512 6122536500 2024-11-07 2023 2024-10-15 13:58:12Z Anne Major 715 North 1st Street Cold Spring MN 56320 13613899 0 X www.assumptioncommunity.com X 1963 MN Provide a continuum of health and residential services in a Christian environment. 6 6 275 63 0 0 184666 290791 9789293 13085719 129059 220813 3016110 0 13119128 13597323 15389 13331 0 0 6235704 8058425 0 0 0 5031503 4780823 11282596 12852579 1836532 744744 22261219 23002544 15111684 14907861 7149535 8094683 X To provide a continuum of quality care in a Christian manner that honors the dignity of the members of our local community. 0 0 8497195 13331 9179759 Assumption Home, Inc. operates an 76-bed long-term health care facility in Cold Spring, MN which provides care to residents on a daily basis. Assumption Home is renowned for being a Christian health care facility that strives to provide long term and rehabilitative care for older adults. Assumption Home is a single story structure, conveniently located in the center of Cold Spring and is bordered by numerous picturesque scenes including a garden, park, and the middle school playground. Assumption Home offers the older adult and their families numerous services and aspects of medical care including several rounding onsite primary physicians, numerous consulting physicians including an audiologist and podiatrist, and a local pharmacy to provide medications. Assumption Home is also able to coordinate your loved one's care with other clinics and medical professions as needed. 2514692 2493425 The Organization also operates Assumption Court, a 59-unit apartment complex providing congregate housing and has a Housing with Services license that enables its tenants to purchase additional personal care services. 711626 1412535 The Organization operates Asher Haus, a 28-unit memory care assisted living facility. 11723513 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 35 0 1 275 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 0 MN X Kevin Rymanowski 3206853693 715 North 1st Street Cold Spring MN 56320 Rev Matthew Luft Second VP/CEO (Jan - Jun) 1.00 2.00 X X 0 0 0 Father Leroy Scheierl CEO/VP (Jul - Dec) 1.00 2.00 X X 0 0 0 Larry Sell Secretary (Jan - Jun) 1.00 2.00 X X 0 0 0 Merrilee Stang Secretary (Jul - Dec) 1.00 2.00 X X 0 0 0 Mike Roth Treasurer 1.00 2.00 X X 0 0 0 Melissa Rowe Director (Jan -Jul) 1.00 2.00 X 0 0 0 Fr Isaiah Frederick Director (Jan -Jul) 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 Cheryl Eickhoff Director 1.00 2.00 X 0 0 0 Terri Larison Director (Jan -Jul) 1.00 2.00 X 0 0 0 Brother David Allen Director (Jan -Jul) 1.00 2.00 X 0 0 0 Scott Rowe Director (Jan -Jul) 1.00 2.00 X 0 0 0 Kelly Springer Director (Jan -Jul) 1.00 2.00 X 0 0 0 Mary Boyde Administrator 38.00 2.00 X 212141 0 0 Brenda Weller Director of Finance (Jan - Nov) 38.00 2.00 X 133454 0 27512 345595 0 27512 2 0 1 0 Grape Tree Medical Staffing PO Box 5340 Sioux Falls SD 571175340 Temp Nursing Staffing 547713 Pro Rehab 200 Lewis Ave S Ste 210 Watertown MN 55388 Contracted rehab services 503126 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 Accounting Services 104045 3 265127 25664 290791 Resident Services 623000 8937351 8937351 Apartment 623000 2531903 2531903 Other Service Income 900099 1428523 1428523 Management Fees 900099 187942 187942 13085719 219585 219585 17804 0 16576 17804 -16576 1228 1228 13597323 13085719 0 220813 13331 13331 373850 373850 6702356 6641392 60964 83117 82346 771 369491 355605 13886 529611 497993 31618 9904 9904 36805 36805 20005 20005 1076113 682896 393217 79318 79318 232354 208112 24242 52765 52765 368755 367337 1418 11514 11514 12604 12604 683827 681197 2630 831102 827907 3195 181302 180604 698 Medical Supplies 430878 430878 Repairs and Maintenance 247489 246537 952 Nursing Home Surcharge 222483 222483 Bad Debt 187020 187020 96585 20992 75593 12852579 11723513 1129066 0 1573084 4211762 834223 1326819 1745 83447 26758455 14379405 13066079 12379050 3524550 3832055 3261538 1169411 22261219 23002544 995402 929391 281160 13789870 13360791 105132 120677 221280 215842 15111684 14907861 X 7149535 8094683 7149535 8094683 22261219 23002544 744744 200404 0 X 0 1 X 1 0 X 87484 543995 1642351 184666 290791 2749287 9136050 9174485 9356388 9789293 13085719 50541935 9223534 9718480 10998739 9973959 13376510 53291222 0 263304 207483 95991 435837 75880 1078495 263304 207483 95991 435837 75880 1078495 52212727 72643 41708 105308 88904 219585 528148 72643 41708 105308 88904 219585 528148 9296177 9760188 11104047 10062863 13596095 53819370 0.97010 0.96700 0.00980 0.00770 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 653383 653383 22515205 11650081 10865124 3002983 2518513 484470 586884 210811 376073 12379050 Due From Related Party 190523 Resident Funds 127219 Beneficial interest in assets held by foundation 71289 Interest Receivable 1190 Payroll Tax Credit Receivable 779190 1169411 Accrued Interest 215842 215842 X 13797727 200404 200404 13597323 0 13597323 12852579 0 12852579 0 12852579 Part IV, Line 2b: The Organization acts as custodian for the funds of residents of the nursing facility and holds tenant security deposits from residents of Assumption Court. A portion of the security deposit may be refunded back to the resident upon termination of the lease assuming certain conditions have been met. The Organization records these deposits, plus 1% simple interest, as a liability. Part X, Line 2: The Organization believes that it has appropriate support for any tax positions taken affecting its annual filing requirements, and as such, does not have any uncertain tax positions that are material to the financial statements. The Organization would recognize future accrued interest and penalties related to unrecognized tax benefits and liabilities in income tax expense if such interest and penalties are incurred. 1 Scholarships 29 13331 Part I, Line 2: Assumption 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. X 0 0 0 0 0 0 0 1 0 Mary Boyde Administrator 212141 0 0 0 0 0 0 0 0 0 212141 0 0 0 Brenda Weller Director of Finance (Jan - Nov) 95722 0 17203 0 20529 0 4457 0 23797 0 161708 0 0 0 Part I, Line 7 The organization's Director of Finance received a bonus as part of an extended employment agreement. A City of Cold Spring Minnesota 416005064 193014BD8 2013-06-21 5400078 Refund bonds issued 3/31/2005 0 0 0 B City of Cold Spring Minnesota 416005064 193014BV8 2017-02-28 7310000 Refund Bonds issued 10/29/08 0 0 0 C City of Cold Spring Minnesota 416005064 193014CJ4 2018-09-20 3831686 Construction 0 0 0 A 970078 5400078 450641 108002 4839017 1 0 1 1 B 1540000 7310000 146200 7163800 1 0 1 1 C 201686 3831686 238500 76633 3516553 0 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 0 B 0 0 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 0 0 A 1 B 1 C 1 Date Rebate Computation Performed Issuer Name: City of Cold Spring Minnesota Date the Rebate Computation was Performed: 03/10/2018 Form 990, Part VI, Section A, line 2 Melissa Rowe and Scott Rowe have a family relationship. 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; 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 organization. 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 15a The 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 19 The governing documents, conflict of interest policy, and financial statements are available upon request. Pioneer Housing Development Inc 200 8th Avenue North Cold Spring MN 56320 411367392 housing MN 501(c)(3) Line 10 N/A 0 Assumption Community Services 615 1st St North Cold Spring MN 56320 800276405 home care services MN 501(c)(3) Line 10 N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 1 0