2014-08-01T08:38:59-05:00 2013-09-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2012-10-01 411852308 GUARDIAN ANGELS - ELIM HOME CARE INC GUAR 7632414445 403 MAIN ST NW ELK RIVER MN 55330 JAMES C BARTZ 7632414445 2014-07-24 1 GORDON VETSCH P00047306 6123764500 2012 2015-11-30 17:44:51Z ANDREA JUNG 403 MAIN ST NW ELK RIVER MN 55330 4915642 0 X WWW.GUARDIANANGELSMN.ORG X 1996 MN PROVISION OF HOME HEALTH CARE SERVICES TO ELDERLY AND OTHER PERSONS WHO NEED SUCH SERVICES DUE TO ILLNESS OR DISABILITY. 7 7 95 36 0 0 6618 11265 5525573 4902139 8 7 9608 -8 5541807 4913403 0 0 0 0 3439439 2785488 0 0 0 2527824 2298184 5967263 5083672 -425456 -170269 1322624 1356870 835767 1040282 486857 316588 X PROVISION OF HOME HEALTH CARE SERVICES TO ELDERLY AND OTHER PERSONS WHO NEED SUCH SERVICES DUE TO ILLNESS OR DISABILITY. 0 0 3844175 4902139 GUARDIAN 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 MAIN OFFICE IN ELK RIVER MINNESOTA, AND TWO BRANCH OFFICES LOCATED IN CAMBRIDGE AND BUFFALO MINNESOTA. WE SERVE PRIMARILY OLDER ADULTS WITH HOME CARE AND HOSPICE SERVICES IN ALL 3 LOCATIONS.WE ACCEPT PAYMENT FROM MEDICARE, PRIVATE PAY, MEDICAL ASSISTANCE, HEALTH PLANS, AND PRIVATE INSURANCE. OUR CLIENT BASE IS A MIX OF PRIVATE PAY, LOW INCOME AND MEDICARE ELIGIBLE BENEFICIARIES.IN OUR SERVICES WITH HOME CARE AND HOSPICE WE OFTEN DO VISITS WHICH WE DO NOT BILL THE CLIENT OR PATIENT. IN FISCAL YEAR OCTOBER 1, 2012 TO SEPTEMBER 30, 2013 WE DID 690 UNBILLABLE VISITS WHICH WE DID NOT CHARGE FOR NOR DO WE GET REIMBURSED FOR THOSE VISITS, AT $111.94 PER VISIT THAT IS $77,238.60 FREE VISITS.WE ALSO DO MANY FREE BLOOD PRESSURE CLINICS IN CAMBRIDGE, BUFFALO, AND ELK RIVER AT NO COST TO THE PERSON RECEIVING THE SERVICE. 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 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 FUNDRAISER PER YEAR. IN JULY WE HAVE A BUTTERFLY RELEASE TO HONOR THOSE PATIENTS WE HAVE SERVED 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.GUARDIAN ANGELS ELIM HOME CARE INC. FOCUSES ALL OF THEIR REVENUE IN SERVICE TO PATIENTS AND NO INDIVIDUAL PERSON BENEFITS THROUGH REVENUE SHARING OR ANY DISTRIBUTION IN THE FORM OF A PROFIT SHARING ARRANGEMENT OR PRIVATE CORPORATION. 3844175 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 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 0 0 1 17 0 95 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X JAMES C BARTZ 7632414445 508 FREEPORT AVE NW SUITE A ELK RIVER MN 55330 RONALD SANFORD 1.00 X 0 0 0 DANIEL C DIXON 1.00 X X 0 0 0 DAN FAIR 1.00 X 0 0 0 CYNTHIA DOL 1.00 X 0 0 0 ROBERT DAHL 1.00 X 0 0 0 JAMES C BARTZ 1.00 X X 0 0 0 KATHY YOUNGQUIST 1.00 X X 0 0 0 GARY HJELMSTAD 40.00 X 90518 0 29012 90518 0 29012 0 0 0 0 PRO REHAB 200 LEWIS AVENUE SOUTH SUITE 210 WATERTOWN MN 55388 THERAPY SERVICES 342908 PARKVIEW NURSING HOME 200 PARK LANE BUFFALO MN 55313 HOSPICE CARE ROOM AND BOARD 194143 HEALTH DIMENSIONS REHAB 1994 EAST RIVER DRIVE SOUTH CAMBRIDGE MN 55008 THERAPY SERVICES 136012 3 11265 11265 MEDICARE/MEDICAID PAYM 623000 2911027 2911027 PATIENT SERVICES 623000 1991112 1991112 4902139 7 7 2910 2239 671 671 MISCELLANEOUS REVENUE 900099 -679 -679 -679 4913403 4902139 0 -1 150249 150249 1992578 1550757 441821 73167 47061 26106 393189 246049 147140 176305 112228 64077 60000 60000 25 25 4000 4000 463141 399725 63416 36875 36875 82398 82398 71319 71319 46789 46789 170949 147925 23024 22137 19227 2910 59386 59386 11218 11218 THERAPY SERVICES 479240 479240 HOSPICE INPATIENT SERVI 312328 312328 MEDICAL SUPPLIES 189839 189839 PHARMACY/DRUGS EXPENSE 132477 132477 156063 147933 8130 5083672 3844175 1239497 0 198051 129446 1244 1244 519037 664433 10466 3502 970539 413519 592601 557020 1225 1225 1322624 1356870 362894 355282 472873 685000 835767 1040282 X 486857 316588 486857 316588 1322624 1356870 -170269 0 X X 0 1 X 1 0 X 11809 4742 9383 13593 11265 50792 5786604 6454854 6360250 5525573 4905049 29032330 5798413 6459596 6369633 5539166 4916314 29083122 0 0 0 29083122 2630 1726 476 8 7 4847 2630 1726 476 8 7 4847 13826 12663 6054 -679 31864 5801043 6475148 6382772 5545228 4915642 29119833 0.99870 0.99870 0.00020 0.00020 X 141113 141113 343711 43878 299833 485715 369641 116074 557020 DUE TO OTHER ENTITIES 685000 685000 X 4915642 2239 2239 4913403 0 4913403 5085911 2239 2239 5083672 0 5083672 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE 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 TAX RETURNS FROM 2009 THROUGH 2013 ARE OPEN TO EXAMINATION BY THE IRS. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 2,239. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 2,239. FORM 990, PART VI, SECTION B, LINE 11 PRIOR TO BEING FILED WITH THE IRS, A COPY OF THE IRS FORM 990 AND RELATED SCHEDULES ARE 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 ARE REVIEWED AND APPROVED BY THE BOARD PRIOR TO SUBMITTAL TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH 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 15A THE PROCESS USED TO SET UP 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. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE 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.