GUARDIAN ANGELS ELIM HOME CARE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
GUARDIAN ANGELS ELIM HOME CARE INC (EIN 41-1852308)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-12
IRS object ID
202202249349300715
Schema version
2020v4.2
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)
Return2022-08-12T08:10:39-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411852308EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GUARDIAN ANGELS - ELIM HOME CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGUARBusinessNameControlTxt
Phone7632414445PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1403 MAIN STREET NWAddressLine1Txt
CityELK RIVERCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55330ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTROY M HANSONPersonNm
Person TitleCFOPersonTitleTxt
Phone7632414445PhoneNum
Signature2022-08-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTROYPersonFirstNm
Person LastHANSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMATTHEW WOCKENPreparerPersonNm
PTINP01598291PTIN
Phone6123764500PhoneNum
Preparation2022-08-09PreparationDt

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 OfficerANDREA JUNGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1403 MAIN STREET NWAddressLine1Txt
CityELK RIVERCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55330ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$14,506,344GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GAEHOMECAREHOSPICE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionPROVIDE HOME CARE AND HOSPICE SERVICES TO ADULTS AND THOSE FACING END OF LIFE.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee102TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$133,203PYContributionsGrantsAmt
CY Contributions Grants$1,296,689CYContributionsGrantsAmt
PY Program Service Revenue$11,493,188PYProgramServiceRevenueAmt
CY Program Service Revenue$13,066,050CYProgramServiceRevenueAmt
PY Investment Income-$821PYInvestmentIncomeAmt
CY Investment Income-$11,606CYInvestmentIncomeAmt
PY Other Revenue$5,358PYOtherRevenueAmt
CY Other Revenue$5,475CYOtherRevenueAmt
PY Total Revenue$11,630,928PYTotalRevenueAmt
CY Total Revenue$14,356,608CYTotalRevenueAmt
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$5,067,713PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,645,441CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,695,713PYOtherExpensesAmt
CY Other Expenses$5,751,382CYOtherExpensesAmt
PY Total Expenses$10,763,426PYTotalExpensesAmt
CY Total Expenses$11,396,823CYTotalExpensesAmt
PY Revenues Less Expenses$867,502PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,959,785CYRevenuesLessExpensesAmt
Total Assets BOY$4,038,068TotalAssetsBOYAmt
Total Assets EOY$3,016,376TotalAssetsEOYAmt
Total Liabilities BOY$2,181,481TotalLiabilitiesBOYAmt
Total Liabilities EOY$800,004TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,856,587NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,216,372NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPROVIDE HOME CARE AND HOSPICE SERVICES TO ADULTS AND THOSE FACING END OF LIFE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,609,805ExpenseAmt
Grant$0GrantAmt
Revenue$13,066,050RevenueAmt
DescGUARDIAN ANGELS ELIM HOME CARE INC. IS A NON-PROFIT 501(C)(3) COMPANY. IT PROVIDES HOME CARE AND HOSPICE SERVICES IN THE COMMUNITY, IN ASSISTED LIVING HOUSING WITH SERVICES BUILDINGS, APARTMENT BUILDINGS, NURSING HOMES AND OTHER INDEPENDENT LIVING UNITS. OUR HOME CARE AGENCY HAS ITS CORPORATE OFFICE IN ELK RIVER, MINNESOTA, AND ONE BRANCH OFFICE IN CAMBRIDGE, MINNESOTA. OUR HOSPICE AGENCY IS LOCATED IN LOCATIONS; ELK RIVER, BUFFALO AND CAMBRIGE, MINNESOTA.WE ACCEPT PAYMENT FROM MEDICARE, PRIVATE PAY, MEDICAL ASSISTANCE, HEALTH PLANS, AND PRIVATE INSURANCE. OUR CLIENT BASE IS A MIX OF PRIVATE PAY, VA, MA & MEDICARE ELIGIBLE BENEFICIARIES.WE HAVE PROVIDED SERVICES TO CLIENTS THAT WE DID NOT CHARGE THEM FOR BECAUSE THEY COULD NOT AFFORD IT. WE OFFERED HOSPICE CARE TO A FAMILY WHOSE INSURANCE COVERAGE WILL LAPSE SOON AT A REDUCED RATE TO THE FAMILY. OUR MISSION IS TO SERVE ALL CLIENTS NO MATTER WHAT THEIR PAYMENT SOURCE OR BACKGROUND IS, IF WE CAN PROVIDE THAT SERVICE.ANY REVENUE EARNED IS TURNED BACK INTO OUR BUSINESS TO PROVIDE OTHER SERVICES TO OUR COMMUNITIES. WE HAVE ONE BIG EVENT IN JULY CALLED OUR BUTTERFLY RELEASE, TO HONOR THOSE PATIENTS WHO HAVE DIED IN OUR HOSPICE PROGRAM OVER THE PAST YEAR.ALL OF OUR DONATIONS ARE USED TO SUPPORT THE HOME CARE AND HOSPICE PROGRAM SUCH AS MASSAGE THERAPY, PET THERAPY, AND MUSIC THERAPY. ALL OF WHICH ARE SERVICES PROVIDED BUT NOT COVERED AS A BENEFIT TO HOSPICE PATIENTS. OUR CHAPLAIN PROGRAM IS ANOTHER SERVICE STARTED WITH DONATED MONEY FROM COMMUNITY MEMBERS OR FAMILIES.Desc
Total Program Service Expenses$8,609,805TotalProgramServiceExpensesAmt
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 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 Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
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 Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document46IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee102EmployeeCnt
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
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 CommitteesYes (1)MinutesOfCommitteesInd
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 Line1GUARDIAN ANGELS OF ELK RIVERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7632414438PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1508 FREEPORT AVE NW SUITE AAddressLine1Txt
CityELK RIVERCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55330ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
ROBERT DAHL
CHAIRPERSON1.00Yes (X)Yes (X)$0$0$0
DANIEL C DIXON
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
KATHY YOUNGQUIST
SECRETARY1.00Yes (X)Yes (X)$0$0$0
TROY HANSON
TREASURER1.00Yes (X)Yes (X)$0$0$0
CYNTHIA DOLS FINN
DIRECTOR1.00Yes (X)$0$0$0
LYNN GERARD
DIRECTOR1.00Yes (X)$0$0$0
MATTHEW KERN
DIRECTOR1.00Yes (X)$0$0$0
ANDREA JUNG
CEO/PRESIDENT40.00Yes (X)$161,525$0$33,862
JULIE EMBRY
BUSINESS OFFICE DIRECTOR40.00$119,636$0$30,243Yes (X)
HEATHER VANCLEAVE
HOSPICE DIRECTOR40.00$114,420$0$9,257Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$395,581TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$73,362TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PRO REHAB
200 LEWIS AVENUE SOUTH SUITE 210WATERTOWNMN55388THERAPY SERVICES$782,499
BLUE CROSS AND BLUE SHIELD OF MN
3535 BLUE CROSS ROADEAGANMN55122HEALTH PLAN SERVICES$704,316
CENTREX REHAB
8120 PENN AVE S 480BLOOMINGTONMN55431REHAB SERVICES$594,173
ENCLARA HEALTH LLC
1601 CHERRY STREET SUITE 1800PHILADELPHIAPA19102HOSPICE SERVICES$280,022
HOMECARE HOMEBASE LLC
6688 NORTH CENTRAL EXPRESSWAY SUITEDALLASTX75206MEDICAL EQUIPMENT$200,584
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$1,281,010GovernmentGrantsAmt
All Other Contributions$15,679AllOtherContributionsAmt
Total Contributions$1,296,689TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICESDesc
Business623000BusinessCd
Total Revenue Column$13,066,050TotalRevenueColumnAmt
Related Or Exempt Func Income$13,066,050RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$13,066,050TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,905TotalRevenueColumnAmt
Exclusion$1,905ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$136,225OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$149,736OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$13,511OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$13,511TotalRevenueColumnAmt
Exclusion-$13,511ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$5,475TotalRevenueColumnAmt
Exclusion$5,475ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,475OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,356,608TotalRevenueColumnAmt
Related Or Exempt Func Income$13,066,050RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$6,131ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$195,387TotalAmt
Management And General$195,387ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,321,375TotalAmt
Program Services$2,799,322ProgramServicesAmt
Management And General$1,522,053ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$116,521TotalAmt
Program Services$73,476ProgramServicesAmt
Management And General$43,045ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$689,234TotalAmt
Program Services$455,968ProgramServicesAmt
Management And General$233,266ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$322,924TotalAmt
Program Services$203,629ProgramServicesAmt
Management And General$119,295ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$120,000TotalAmt
Management And General$120,000ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,504TotalAmt
Management And General$6,504ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,250TotalAmt
Management And General$11,250ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$301,108TotalAmt
Program Services$273,542ProgramServicesAmt
Management And General$27,566ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$64,755TotalAmt
Management And General$64,755ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$123,501TotalAmt
Management And General$123,501ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$212,334TotalAmt
Management And General$212,334ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$30,921TotalAmt
Program Services$7,861ProgramServicesAmt
Management And General$23,060ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$271,993TotalAmt
Program Services$271,993ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$32,681TotalAmt
Program Services$26,370ProgramServicesAmt
Management And General$6,311ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total-$4,185TotalAmt
Program Services-$4,185ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$53,882TotalAmt
Program Services$53,882ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$30,358TotalAmt
Management And General$30,358ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
HOSPICE INPATIENT SERVI$2,098,281$2,098,281
THERAPY SERVICES$1,493,100$1,493,100
MEDICAL EQUIPMENT$305,814$305,814
PHARMACY & DRUG EXPENSE$302,320$302,320

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$296,765TotalAmt
Program Services$248,432ProgramServicesAmt
Management And General$48,333ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,396,823TotalAmt
Program Services$8,609,805ProgramServicesAmt
Management And General$2,787,018ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,190,769BOYAmt
EOY$673,550EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,344,459BOYAmt
EOY$1,703,546EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$49,796BOYAmt
EOY$88,734EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,135,929LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$586,608LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$451,819BOYAmt
EOY$549,321EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,225BOYAmt
EOY$1,225EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,038,068BOYAmt
EOY$3,016,376EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,181,481BOYAmt
EOY$800,004EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,181,481BOYAmt
EOY$800,004EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,856,587BOYAmt
EOY$2,216,372EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,856,587BOYAmt
EOY$2,216,372EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,038,068BOYAmt
EOY$3,016,376EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,959,785ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$2,600,000OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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$8,229CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,955CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,748CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$133,203CurrentTaxYearMinus1YearAmt
Current Tax Year$1,296,689CurrentTaxYearAmt
Total$1,446,824TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,891,365CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,384,600CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,997,079CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,493,188CurrentTaxYearMinus1YearAmt
Current Tax Year$13,066,050CurrentTaxYearAmt
Total$50,832,282TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,899,594CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,389,555CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,000,827CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,626,391CurrentTaxYearMinus1YearAmt
Current Tax Year$14,362,739CurrentTaxYearAmt
Total$52,279,106TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$52,279,106PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$76CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$756CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$809CurrentTaxYearMinus1YearAmt
Current Tax Year$1,905CurrentTaxYearAmt
Total$3,552TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$76CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$756CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$809CurrentTaxYearMinus1YearAmt
Current Tax Year$1,905CurrentTaxYearAmt
Total$3,552TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,998CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,258CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,750CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,358CurrentTaxYearMinus1YearAmt
Current Tax Year$5,475CurrentTaxYearAmt
Total$29,839TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,906,598CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,398,889CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,004,333CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,632,558CurrentTaxYearMinus1YearAmt
Current Tax Year$14,370,119CurrentTaxYearAmt
Total$52,312,497TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99940PublicSupportCY509Pct
Public Support PY5090.99930PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
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
ExplanationMISCELLANEOUS REVENUEExplanationTxt

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$141,113OtherCostOrOtherBasisAmt
Book Value$141,113BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$462,465OtherCostOrOtherBasisAmt
Depreciation$203,620DepreciationAmt
Book Value$258,845BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,287OtherCostOrOtherBasisAmt
Depreciation$9,048DepreciationAmt
Book Value$16,239BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$507,064OtherCostOrOtherBasisAmt
Depreciation$373,940DepreciationAmt
Book Value$133,124BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$549,321TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$14,356,608TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$14,356,608RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$14,356,608TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$11,396,823TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$11,396,823ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$11,396,823TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION HAS BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND MINNESOTA CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED BY THE ORGANIZATION AS A RESULT OF THIS STANDARD. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS OR ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE TAX.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonANDREA JUNGPersonNm
TitleCEO/PRESIDENTTitleTxt
Base Compensation Filing Org$161,525BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$33,862NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$195,387TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1RESOLUTIONS OF THE BOARD MAY ESTABLISH COMMITTEES FROM TIME TO TIME HAVING THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF THE BUSINESS OF THE CORPORATION TO THE EXTENT PROVIDED IN THE RESOLUTION OR AS MERELY ADVISORS TO THE BOARD IN ITS CONDUCT OF THE BUSINESS OF THE CORPORATION. COMMITTEES ARE SUBJECT AT ALL TIMES TO THE DIRECTION AND CONTROL OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 3DURING THE YEAR ENDED SEPTEMBER 30, 2021, THE ORGANIZATION INCURRED $120,000 IN MANAGEMENT FEE EXPENSE, WHICH CONSISTED OF $60,000 EACH TO GUARDIAN ANGELS OF ELK RIVER AND ELIM CARE, INC.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS TWO MEMBERS: GUARDIAN ANGELS OF ELK RIVER, INC., A MINNESOTA NONPROFIT CORPORATION ("GAER"), AND ELIM CARE, INC., A MINNESOTA NONPROFIT CORPORATION ("ELIM"). EACH MEMBER HAS ONE VOTE ON ALL MATTERS TO COME BEFORE THE MEMBERS. NO OTHER MEMBERS SHALL BE ADMITTED TO THE ORGANIZATION WITHOUT THE EXPRESS APPROVAL OF BOTH GAER AND ELIM.
FORM 990, PART VI, SECTION A, LINE 7ATHE NUMBER OF DIRECTORS SHALL BE SIX (6). THREE (3) DIRECTORS SHALL BE APPOINTED BY GAER AND THREE (3) DIRECTORS SHALL BE APPOINTED BY ELIM. EACH DIRECTOR SHALL BE AN ADULT NATURAL PERSON AND NEED NOT BE A RESIDENT OF MINNESOTA. ONE OF THE DIRECTORS APPOINTED BY EACH MEMBER SHALL BE THE CURRENT ACTING CHIEF EXECUTIVE OFFICER OF THE MEMBER. THE OTHER DIRECTORS APPOINTED MAY, BUT NEED NOT BE, OFFICERS OR DIRECTORS OF EITHER MEMBER.
FORM 990, PART VI, SECTION A, LINE 7BTHE ARTICLES OF INCORPORATION MAY BE AMENDED, ALTERED, RESTATED, OR REPEALED, TO THE EXTENT AND IN THE MANNER PRESCRIBED BY THE LAWS OF THE STATE OF MINNESOTA; PROVIDED, HOWEVER, THAT ANY SUCH ACTION SHALL REQUIRE THE AFFIRMATIVE APPROVAL OF BOTH MEMBERS OF THE ORGANIZATION. THE BYLAWS MAY ALSO BE AMENDED, ALTERED, RESTATED, OR REPEALED, AND NEW BYLAWS ADOPTED BY UNANIMOUS VOTE OF BOTH MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BPRIOR TO BEING FILED WITH THE IRS, A COPY OF THE IRS FORM 990 AND RELATED SCHEDULES WERE REVIEWED BY THE PRESIDENT AND THE TREASURER, INCLUDING A CONFIRMATION OF THE ACCURACY OF EVERY ANSWER AND OVERSIGHT OF APPROPRIATE CHANGES. UPON COMPLETION OF THE PRESIDENT'S AND TREASURER'S REVIEW, THE FORMS WERE MADE AVAILABLE TO THE BOARD FOR REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CEACH BOARD MEMBER AND DIRECTOR FILL OUT A CONFLICT OF INTEREST FORM. IF A CONFLICT EXISTS IT IS ADDRESSED BY THE BOARD AND MANAGEMENT ON A CASE BY CASE BASIS.
FORM 990, PART VI, SECTION B, LINE 15ATHE PROCESS USED TO SET TOP MANAGEMENT'S ANNUAL SALARY IS BASED ON A COMBINATION OF COMPARISONS TO COMPARABLE ORGANIZATIONS THROUGH THE USE OF OUR TRADE ORGANIZATION'S ANNUAL COMPENSATION SURVEY AND ATTAINMENT IN THE CURRENT YEAR OF PREDEFINED PERFORMANCE OBJECTIVES SET FOR TOP MANAGEMENT PERSONALLY AND THE ORGANIZATION. ALSO, THE STATE OF MINNESOTA HAS IN MOST YEARS DETERMINED AN AMOUNT OF PAY INCREASE, IF ANY, THAT CAN BE GIVEN TO EMPLOYEES AND WE HAVE ALSO CONSIDERED THIS AMOUNT IN DETERMINING TOP MANAGEMENT COMPENSATION. THIS PROCESS IS NORMALLY DONE PRIOR TO THE FISCAL YEAR START OF OCTOBER 1ST EACH YEAR. THE PROCESS WAS LAST DONE IN OCTOBER 2020.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:EQUITY TRANSFER TO AFFILIATES -2,600,000.
FORM 990, PART XII, LINE 2CTHE ORGANIZATION'S BOARD OF DIRECTORS ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.