GUARDIAN ANGELS ELIM HOME CARE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
GUARDIAN ANGELS ELIM HOME CARE INC (EIN 41-1852308)
Tax period
2019-10-01 to 2020-09-30
Filed
2021-08-12
IRS object ID
202132249349302473
Schema version
2019v5.2
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)
Return2021-08-12T16:38:18-05:00ReturnTs
Tax Period End2020-09-30TaxPeriodEndDt

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 Begin2019-10-01TaxPeriodBeginDt

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
Signature2021-08-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMATTHEW WOCKENPreparerPersonNm
PTINP01598291PTIN
Phone6123764500PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
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$11,632,558GrossReceiptsAmt
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 Employee93TotalEmployeeCnt
Total Volunteers28TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,748PYContributionsGrantsAmt
CY Contributions Grants$133,203CYContributionsGrantsAmt
PY Program Service Revenue$10,997,079PYProgramServiceRevenueAmt
CY Program Service Revenue$11,493,188CYProgramServiceRevenueAmt
PY Investment Income-$5,263PYInvestmentIncomeAmt
CY Investment Income-$821CYInvestmentIncomeAmt
PY Other Revenue$2,750PYOtherRevenueAmt
CY Other Revenue$5,358CYOtherRevenueAmt
PY Total Revenue$10,998,314PYTotalRevenueAmt
CY Total Revenue$11,630,928CYTotalRevenueAmt
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$4,831,917PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,067,713CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,240,078PYOtherExpensesAmt
CY Other Expenses$5,695,713CYOtherExpensesAmt
PY Total Expenses$10,071,995PYTotalExpensesAmt
CY Total Expenses$10,763,426CYTotalExpensesAmt
PY Revenues Less Expenses$926,319PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$867,502CYRevenuesLessExpensesAmt
Total Assets BOY$2,791,578TotalAssetsBOYAmt
Total Assets EOY$4,038,068TotalAssetsEOYAmt
Total Liabilities BOY$1,002,493TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,181,481TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,789,085NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,856,587NetAssetsOrFundBalancesEOYAmt
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$8,040,951ExpenseAmt
Grant$0GrantAmt
Revenue$11,493,188RevenueAmt
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 1 BIG EVENT IN JULY CALLED OUR BUTTERFLY RELEASE, TO HONOR THOSE PATIENTS WE 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$8,040,951TotalProgramServiceExpensesAmt
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 Document43IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee93EmployeeCnt
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 (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ANDREA JUNG
CEO/PRESIDENT40.00Yes (X)$161,525$0$30,571
DANIEL C DIXON
CHAIRPERSON1.00Yes (X)$0$0$0Yes (X)
ROBERT DAHL
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
KATHY YOUNGQUIST
SECRETARY1.00Yes (X)$0$0$0Yes (X)
TROY HANSON
TREASURER1.00Yes (X)$0$0$0Yes (X)
CYNTHIA DOL
DIRECTOR1.00$0$0$0Yes (X)
LYNN GERARD
DIRECTOR1.00$0$0$0Yes (X)
MATT KERN
DIRECTOR1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$161,525TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$30,571TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
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$713,872
BLUE CROSS AND BLUE SHIELD OF MN
3535 BLUE CROSS ROADEAGANMN55122HEALTH PLAN SERVICES$660,261
CENTREX REHAB
8120 PENN AVE S 480BLOOMINGTONMN55431REHAB SERVICES$339,454
ENCLARA HEALTH LLC
1601 CHERRY STREET SUITE 1800PHILADELPHIAPA19102HOSPICE SERVICES$238,655
CORNER HOME MEDICAL
2730 NEVADA AVE NNEW HOPEMN55427MEDICAL EQUIPMENT$195,144
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$126,987GovernmentGrantsAmt
All Other Contributions$6,216AllOtherContributionsAmt
Total Contributions$133,203TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICESDesc
Business623000BusinessCd
Total Revenue Column$11,493,188TotalRevenueColumnAmt
Related Or Exempt Func Income$11,493,188RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$11,493,188TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$809TotalRevenueColumnAmt
Exclusion$809ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$1,630OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$1,630OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,630TotalRevenueColumnAmt
Exclusion-$1,630ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$5,358TotalRevenueColumnAmt
Exclusion$5,358ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,358OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,630,928TotalRevenueColumnAmt
Related Or Exempt Func Income$11,493,188RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,537ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$192,096TotalAmt
Management And General$192,096ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,793,077TotalAmt
Program Services$2,503,986ProgramServicesAmt
Management And General$1,289,091ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$107,924TotalAmt
Program Services$65,588ProgramServicesAmt
Management And General$42,336ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$687,998TotalAmt
Program Services$418,111ProgramServicesAmt
Management And General$269,887ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$286,618TotalAmt
Program Services$174,184ProgramServicesAmt
Management And General$112,434ManagementAndGeneralAmt

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$1,883TotalAmt
Management And General$1,883ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,000TotalAmt
Management And General$9,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$260,242TotalAmt
Program Services$42,448ProgramServicesAmt
Management And General$217,794ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$47,638TotalAmt
Management And General$47,638ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$101,925TotalAmt
Management And General$101,925ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$158,905TotalAmt
Management And General$158,905ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$33,798TotalAmt
Program Services$8,068ProgramServicesAmt
Management And General$25,730ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$244,091TotalAmt
Program Services$244,091ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$19,433TotalAmt
Program Services$12,809ProgramServicesAmt
Management And General$6,624ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,223TotalAmt
Program Services$4,223ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$50,613TotalAmt
Program Services$50,613ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$24,789TotalAmt
Management And General$24,789ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
HOSPICE INPATIENT SERVI$2,615,423$2,615,423
THERAPY SERVICES$1,132,107$1,132,107
MEDICAL EQUIPMENT$331,501$331,501
PHARMACY & DRUG EXPENSE$239,110$239,110

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$301,032TotalAmt
Program Services$198,689ProgramServicesAmt
Management And General$102,343ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,763,426TotalAmt
Program Services$8,040,951ProgramServicesAmt
Management And General$2,722,475ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$320,780BOYAmt
EOY$2,190,769EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,949,737BOYAmt
EOY$1,344,459EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$72,410BOYAmt
EOY$49,796EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,120,770LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$668,951LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$447,426BOYAmt
EOY$451,819EOYAmt

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,791,578BOYAmt
EOY$4,038,068EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$815,714BOYAmt
EOY$2,181,481EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$186,779BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,002,493BOYAmt
EOY$2,181,481EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,789,085BOYAmt
EOY$1,856,587EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,789,085BOYAmt
EOY$1,856,587EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,791,578BOYAmt
EOY$4,038,068EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$867,502ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$800,000OtherChangesInNetAssetsAmt
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$8,473CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,229CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,955CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,748CurrentTaxYearMinus1YearAmt
Current Tax Year$133,203CurrentTaxYearAmt
Total$158,608TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,953,951CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,891,365CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,384,600CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,997,079CurrentTaxYearMinus1YearAmt
Current Tax Year$11,493,188CurrentTaxYearAmt
Total$44,720,183TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,962,424CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,899,594CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,389,555CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,000,827CurrentTaxYearMinus1YearAmt
Current Tax Year$11,626,391CurrentTaxYearAmt
Total$44,878,791TotalAmt

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$44,878,791PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$76CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$756CurrentTaxYearMinus1YearAmt
Current Tax Year$809CurrentTaxYearAmt
Total$1,659TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$76CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$756CurrentTaxYearMinus1YearAmt
Current Tax Year$809CurrentTaxYearAmt
Total$1,659TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,389CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,998CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,258CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,750CurrentTaxYearMinus1YearAmt
Current Tax Year$5,358CurrentTaxYearAmt
Total$31,753TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,969,825CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,906,598CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,398,889CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,004,333CurrentTaxYearMinus1YearAmt
Current Tax Year$11,632,558CurrentTaxYearAmt
Total$44,912,203TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99930PublicSupportCY509Pct
Public Support PY5090.99910PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
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$406,486OtherCostOrOtherBasisAmt
Depreciation$180,056DepreciationAmt
Book Value$226,430BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$547,884OtherCostOrOtherBasisAmt
Depreciation$481,533DepreciationAmt
Book Value$66,351BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,287OtherCostOrOtherBasisAmt
Depreciation$7,362DepreciationAmt
Book Value$17,925BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$451,819TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$11,630,928TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$11,630,928RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$11,630,928TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$10,763,426TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$10,763,426ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$10,763,426TotalExpensesPerForm990Amt

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$30,571NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$192,096TotalCompensationFilingOrgAmt
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, 2020, 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 2019.
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 -800,000.
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.

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