GUARDIAN ANGELS ELIM HOME CARE INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- GUARDIAN ANGELS ELIM HOME CARE INC (EIN 41-1852308)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-09
- IRS object ID
- 201302219349301325
- Schema version
- 2011v1.5
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-09T14:56:28-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410746749 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 SOUTH SIXTH STREET SUITE 300 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411852308 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GUARDIAN ANGELS - ELIM HOME CARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GUAR | NameControl |
| Phone | 7632414445 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 403 MAIN ST NW | AddressLine1 |
| City | ELK RIVER | City |
| State | MN | State |
| ZIP Code | 55330 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JAMES C BARTZ | Name |
| Title | TREASURER | Title |
| Phone | 7632414445 | Phone |
| Date Signed | 2013-08-06 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GORDON VETSCH | Name |
| PTIN | P00047306 | PTIN |
| Phone | 6123764500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GARY HJELMSTAD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 403 MAIN STREET | AddressLine1 |
| City | ELK RIVER | City |
| State | MN | State |
| ZIP Code | 55330 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5545228 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.GUARDIANANGELSMN.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1996 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | PROVISION OF HOME HEALTH CARE SERVICES TO ELDERLY AND OTHER PERSONS WHO NEED SUCH SERVICES DUE TO ILLNESS OR DISABILITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 126 | TotalNbrEmployees |
| Total Nbr Volunteers | 36 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 9383 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6618 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 6354683 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 5525573 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 476 | InvestmentIncomePriorYear |
| Investment Income Current Year | 8 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 17398 | OtherRevenuePriorYear |
| Other Revenue Current Year | 9608 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 6381940 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5541807 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4192947 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3439439 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2591191 | OtherExpensePriorYear |
| Other Expenses Current Year | 2527824 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6784138 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5967263 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -402198 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -425456 | RevenuesLessExpensesCY |
| Total Assets BOY | 1677692 | TotalAssetsBOY |
| Total Assets EOY | 1322624 | TotalAssetsEOY |
| Total Liabilities BOY | 765379 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 835767 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 912313 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 486857 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PROVISION OF HOME HEALTH CARE SERVICES TO ELDERLY AND OTHER PERSONS WHO NEED SUCH SERVICES DUE TO ILLNESS OR DISABILITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 1 | SignificantChange |
| Expense | 4471291 | Expense |
| Revenue | 5525573 | Revenue |
| Description | 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, 2011 TO SEPTEMBER 30, 2012 WE DID 596 UNBILLABLE VISITS WHICH WE DID NOT CHARGE FOR NOR DO WE GET REIMBURSED FOR THOSE VISITS, AT $69.69 PER VISIT THAT IS $41,535.24 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 31 TELEHEALTH UNITS THAT ARE IN FULL USE AND WE GIVE THAT SERVICE TO THOSE WHO WOULD BENEFIT FROM IT NO CHARGE. 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 2 FUNDRAISERS PER YEAR. IN JULY WE HAVE A BUTTERFLY RELEASE, AND IN DECEMBER WE HAVE THE TREE OF LIGHTS 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. | Description |
| Total Program Service Expense | 4471291 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 16 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 126 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAMES C BARTZ | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7632414445 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 508 FREEPORT AVE NW SUITE A | AddressLine1 |
| City | ELK RIVER | City |
| State | MN | State |
| ZIP Code | 55330 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (9 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| RONALD SANFORD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DANIEL C DIXON | ||||||
| CHAIRPERSON | 1.00 | X | 0 | 0 | 0 | X |
| DAN FAIR | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| ARLENE SYRING | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| ROBERT DAHL | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| JAMES C BARTZ | ||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X |
| ELDON WARKENTIN | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| KATHY YOUNGQUIST | ||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X |
| GARY HJELMSTAD | ||||||
| PRESIDENT | 40.00 | 93725 | 0 | 28647 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 93725 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 28647 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| PRO REHAB | |||||
| 200 LEWIS AVENUE SOUTH SUITE 210 | WATERTOWN | MN | 55388 | THERAPY SERVICES | 322644 |
| PARKVIEW NURSING HOME | |||||
| 200 PARK LANE | BUFFALO | MN | 55313 | HOSPICE CARE ROOM AND BOARD | 287450 |
| LAKE RIDGE | |||||
| 310 LAKE BLVD | BUFFALO | MN | 55313 | HOSPICE CARE ROOM AND BOARD | 124742 |
| HEALTH DIMENSIONS REHAB | |||||
| 1994 EAST RIVER DRIVE SOUTH | CAMBRIDGE | MN | 55008 | THERAPY SERVICES | 109823 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| All Other Contributions | 6618 | AllOtherContributions |
| Total Contributions | 6618 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICARE/MEDICAID PAYM | 623000 | 3186638 | 3186638 |
| PATIENT SERVICES | 623000 | 2338935 | 2338935 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 5525573 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8 | TotalRevenueColumn |
| Exclusion | $8 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 6975 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 3421 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3554 | TotalRevenueColumn |
| Exclusion | $3,554 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 6054 | TotalRevenueColumn |
| Exclusion | $6,054 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 6054 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5541807 | TotalRevenueColumn |
| Related Or Exempt Function Income | 5525573 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $9,616 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 122372 | Total |
| Management And General | 122372 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2586915 | Total |
| Program Services | 1981298 | ProgramServices |
| Management And General | 605617 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93248 | Total |
| Program Services | 68071 | ProgramServices |
| Management And General | 25177 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 424675 | Total |
| Program Services | 310013 | ProgramServices |
| Management And General | 114662 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 212229 | Total |
| Program Services | 154927 | ProgramServices |
| Management And General | 57302 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 60000 | Total |
| Management And General | 60000 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1954 | Total |
| Management And General | 1954 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14012 | Total |
| Management And General | 14012 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 481466 | Total |
| Program Services | 280397 | ProgramServices |
| Management And General | 201069 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20257 | Total |
| Management And General | 20257 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77995 | Total |
| Management And General | 77995 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 84768 | Total |
| Management And General | 84768 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61070 | Total |
| Management And General | 61070 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 202939 | Total |
| Program Services | 177484 | ProgramServices |
| Management And General | 25455 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44072 | Total |
| Program Services | 41136 | ProgramServices |
| Management And General | 2936 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62454 | Total |
| Program Services | 62454 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11323 | Total |
| Management And General | 11323 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| HOSPICE INPATIENT SERVI | 521579 | 521579 |
| THERAPY SERVICES | 442947 | 442947 |
| MEDICAL SUPPLIES | 147414 | 147414 |
| PHARMACY/DRUGS EXPENSE | 130686 | 130686 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162888 | Total |
| Program Services | 152885 | ProgramServices |
| Management And General | 10003 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5967263 | Total |
| Program Services | 4471291 | ProgramServices |
| Management And General | 1495972 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 271631 | BOY |
| EOY | 198051 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50246 | BOY |
| EOY | 1244 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 872102 | BOY |
| EOY | 519037 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5344 | BOY |
| EOY | 10466 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 948914 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 356313 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 478369 | BOY |
| EOY | 592601 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 1225 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1677692 | BOY |
| EOY | 1322624 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 461268 | BOY |
| EOY | 362894 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 304111 | BOY |
| EOY | 472873 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 765379 | BOY |
| EOY | 835767 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 912313 | BOY |
| EOY | 486857 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 912313 | BOY |
| EOY | 486857 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1677692 | BOY |
| EOY | 1322624 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -425456 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11319 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 11809 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4742 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 9383 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13593 | CurrentTaxYear |
| Total | 50846 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5635574 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5786604 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6454854 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6360250 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5525573 | CurrentTaxYear |
| Total | 29762855 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5646893 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5798413 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6459596 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6369633 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5539166 | CurrentTaxYear |
| Total | 29813701 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 29813701 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1931 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2630 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1726 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 476 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8 | CurrentTaxYear |
| Total | 6771 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1931 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2630 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1726 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 476 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8 | CurrentTaxYear |
| Total | 6771 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 13826 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12663 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6054 | CurrentTaxYear |
| Total | 32543 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5648824 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5801043 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6475148 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6382772 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5545228 | CurrentTaxYear |
| Total | 29853015 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99870 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99880 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00020 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00030 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 141113 | OtherCostOrOtherBasis |
| Book Value | 141113 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 343711 | OtherCostOrOtherBasis |
| Depreciation | 26516 | Depreciation |
| Book Value | 317195 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 464090 | OtherCostOrOtherBasis |
| Depreciation | 329797 | Depreciation |
| Book Value | 134293 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 592601 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO OTHER ENTITIES | Description |
| Amount | $472,873 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 472873 | TotalOfAmounts |
| Total Revenue | 5541807 | TotalRevenue |
| Total Expenses | 5967263 | TotalExpenses |
| Excess Or Deficit For Year | -425456 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -425456 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 5545228 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 3421 | OtherRevenues |
| Revenue Not Rptd F990 | 3421 | RevenueNotRptdF990 |
| Revenue Subtotal | 5541807 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 5541807 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 5970684 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 3421 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 3421 | ExpensesNotRptdF990 |
| Expenses Subtotal | 5967263 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 5967263 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | 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 2012 ARE OPEN TO EXAMINATION BY THE IRS. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 3,421. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 3,421. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| CHANGES IN PROGRAM SERVICES | FORM 990, PART III, LINE 3 | ON 11/1/2011, OUR CATERED CARE PROGRAM, WHICH PROVIDED ON-SITE SERVICES TO TENANTS IN GUARDIAN ANGELS SENIOR HOUSING BUILDINGS, WAS DISCONTINUED. ON 4/1/2012, WE CEASED PROVIDING SERVICES TO CLIENTS ON ELDERLY WAIVER; THIS ACCOUNTED FOR 65% OF OUR WORKLOAD. |
| 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 COMPARISON 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 PERFORMED BY THE BOARD OF DIRECTORS EACH YEAR THROUGH A BUDGETING PROCESS AND APPROVAL. 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. |
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