GUARDIAN ANGELS OF ELK RIVER INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- GUARDIAN ANGELS OF ELK RIVER INC (EIN 41-1459252)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-11
- IRS object ID
- 202332239349301503
- Schema version
- 2021v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-11T09:48:25-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 SOUTH SIXTH STREET SUITE 300 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411459252 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GUARDIAN ANGELS OF ELK RIVER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GUAR | BusinessNameControlTxt |
| Phone | 7632414445 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 508 FREEPORT AVENUE NW A | AddressLine1Txt |
| City | ELK RIVER | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55330 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TROY M HANSON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7632414445 | PhoneNum |
| Signature | 2023-08-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TROY | PersonFirstNm |
| Person Last | HANSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MATTHEW WOCKEN | PreparerPersonNm |
| PTIN | P01598291 | PTIN |
| Phone | 6123764500 | PhoneNum |
| Preparation | 2023-08-03 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TERESA LARSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 508 FREEPORT AVENUE NW A | AddressLine1Txt |
| City | ELK RIVER | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55330 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,420,743 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GUARDIANANGELSMN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1984 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | PROMOTION AND ADMINISTRATION OF EVANS PARK, INC.; ANGEL RIDGE, INC.; GUARDIAN ANGELS HOMES, INC; PINE CONE MANOR, INC.; AND GUARDIAN ANGELS HEALTH SERVICES, INC.; - ORGANIZATIONS THAT PROVIDE HOUSING AND NURSING SERVICES TO THE ELDERLY AND HANDICAPPED AND ARE EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 404 | TotalEmployeeCnt |
| Total Volunteers | 74 | TotalVolunteersCnt |
| Total Gross UBI | $194,576 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $529,223 | PYContributionsGrantsAmt |
| CY Contributions Grants | $345,167 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,600,559 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,782,317 | CYProgramServiceRevenueAmt |
| PY Investment Income | $240,469 | PYInvestmentIncomeAmt |
| CY Investment Income | $129,216 | CYInvestmentIncomeAmt |
| PY Other Revenue | $74,221 | PYOtherRevenueAmt |
| CY Other Revenue | $84,743 | CYOtherRevenueAmt |
| PY Total Revenue | $4,444,472 | PYTotalRevenueAmt |
| CY Total Revenue | $3,341,443 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $749,726 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,547,511 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,756,880 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $33,061 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,142,196 | PYOtherExpensesAmt |
| CY Other Expenses | $1,054,823 | CYOtherExpensesAmt |
| PY Total Expenses | $2,689,707 | PYTotalExpensesAmt |
| CY Total Expenses | $3,561,429 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,754,765 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$219,986 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $19,468,009 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,040,878 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,862,291 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,975,791 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,605,718 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,065,087 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROMOTION AND ADMINISTRATION OF EVANS PARK, INC.; ANGEL RIDGE, INC.; GUARDIAN ANGELS HOMES, INC.; PINE CONE MANOR, INC.; AND GUARDIAN ANGELS HEALTH SERVICES, INC. - ORGANIZATIONS THAT PROVIDE HOUSING AND NURSING SERVICES TO THE ELDERLY AND HANDICAPPED AND ARE EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,738,243 | ExpenseAmt |
| Grant | $749,726 | GrantAmt |
| Revenue | $2,587,741 | RevenueAmt |
| Desc | PROMOTION AND ADMINISTRATION OF EVANS PARK, INC.; ANGEL RIDGE, INC.; GUARDIAN ANGELS HOMES, INC.; PINE CONE MANOR, INC.; AND GUARDIAN ANGELS HEALTH SERVICES, INC. - ORGANIZATIONS THAT PROVIDE HOUSING AND NURSING SERVICES TO THE ELDERLY AND HANDICAPPED AND ARE EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. | Desc |
| Total Program Service Expenses | $2,738,243 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 94 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 404 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TROY HANSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7632414428 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 508 FREEPORT AVENUE NW SUITE A | AddressLine1Txt |
| City | ELK RIVER | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55330 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| TERESA LARSON | ||||||||
| PRESIDENT/CEO | 35.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL DIXON | ||||||||
| PRESIDENT/CEO (THROUGH APRIL 2022) | 35.00 | 5.00 | Yes (X) | $321,207 | $0 | $29,851 | ||
| TROY HANSON | ||||||||
| VICE PRESIDENT/CFO | 35.00 | 5.00 | Yes (X) | $234,728 | $0 | $31,236 | ||
| TROY MARSCHEL | ||||||||
| CONTROLLER | 35.00 | 5.00 | $143,702 | $0 | $27,262 | Yes (X) | ||
| NICOLE NOVOTNY | ||||||||
| DIRECTOR OF HR | 35.00 | 5.00 | $138,544 | $0 | $27,221 | Yes (X) | ||
| LYNN GERARD DIRECTOR OF QUALITY | ||||||||
| IMPROVEMENT, EDUCATION & RISK MGMT | 40.00 | 0.00 | $128,657 | $0 | $26,836 | Yes (X) | ||
| DANIEL FAIR | ||||||||
| DIRECTOR OF FACILITIES | 35.00 | 5.00 | $119,672 | $0 | $21,403 | Yes (X) | ||
| LINDA M KRIEGER | ||||||||
| CHAIR | 1.00 | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JOYCE LECLAIRE | ||||||||
| VICE CHAIR | 1.00 | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| CHARLENE SHEETS | ||||||||
| SECRETARY/TREASURER | 1.00 | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JAMES BARTHEL | ||||||||
| DIRECTOR (THROUGH DECEMBER 2021) | 1.00 | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| DARYL HERRMANN | ||||||||
| DIRECTOR | 1.00 | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| BILL HUDSON | ||||||||
| DIRECTOR | 1.00 | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| TRISHA MOWRY | ||||||||
| DIRECTOR | 1.00 | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| JEFF NAGORSKI | ||||||||
| DIRECTOR | 1.00 | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| JOANIE NICHOLS | ||||||||
| DIRECTOR | 1.00 | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| JULIE RAITZ | ||||||||
| DIRECTOR | 1.00 | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| CHRIS ROBINSON | ||||||||
| DIRECTOR | 1.00 | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| NANCY ROSCOE LLOYD | ||||||||
| DIRECTOR | 1.00 | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| LYNN SCHULER | ||||||||
| DIRECTOR | 1.00 | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| ARLO SCHULTZ | ||||||||
| DIRECTOR | 1.00 | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| GORDY VETSCH | ||||||||
| DIRECTOR | 1.00 | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| NICK ZERWAS | ||||||||
| DIRECTOR | 1.00 | 5.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,086,510 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $163,809 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PRO REHAB | |||||
| 200 LEWIS AVE S SUITE 210 | WATERTOWN | MN | 55388 | THERAPY SERVICES | $1,123,343 |
| ANNLEO INC | |||||
| 2501 BOJI BEND DRIVE SUITE 200 | MILFORD | IA | 51351 | TEMP NURSING SERVICES | $509,951 |
| GUARDIAN PHARMACY OF MINNESOTA | |||||
| 1776 PEACHTREE ST NW 500S | ATLANTA | GA | 30309 | PHARMACEUTICAL SERVICES | $214,862 |
| GRAPETREE MEDICAL STAFFING | |||||
| 2501 BOJI BEND DRIVE SUITE 200 | MILFORD | IA | 51351 | TEMP NURSING SERVICES | $140,423 |
| ALIXA RX LLC | |||||
| 6400 PINECREST DR 200 | PLANO | TX | 75024 | PHARMACEUTICAL SERVICES | $134,964 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $157,789 | FundraisingAmt |
| Government Grants | $408 | GovernmentGrantsAmt |
| All Other Contributions | $186,970 | AllOtherContributionsAmt |
| Noncash Contributions | $23,728 | NoncashContributionsAmt |
| Total Contributions | $345,167 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MANAGEMENT FEES | 541610 | $2,061,109 | $2,018,509 | $42,600 |
| EQUITY IN NET INCOME O | 900003 | $438,761 | $438,761 | |
| GYM 365 | 713940 | $141,653 | $141,653 | |
| RENTAL INCOME | 532000 | $140,794 | $130,471 | $10,323 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,782,317 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $129,216 | TotalRevenueColumnAmt |
| Exclusion | $129,216 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $43,643 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $157,789 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $79,300 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$35,657 | TotalRevenueColumnAmt |
| Exclusion | -$35,657 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MISCELLANEOUS INCOME | 900099 | $95,460 | $95,460 |
| WELLNESS CENTER REVENU | 900099 | $24,940 | $24,940 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $120,400 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,341,443 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,587,741 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $194,576 | UnrelatedBusinessRevenueAmt |
| Exclusion | $213,959 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $748,726 | TotalAmt |
| Program Services | $748,726 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,000 | TotalAmt |
| Program Services | $1,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $617,022 | TotalAmt |
| Program Services | $581,916 | ProgramServicesAmt |
| Management And General | $35,106 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $804,920 | TotalAmt |
| Program Services | $778,069 | ProgramServicesAmt |
| Management And General | $26,851 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,581 | TotalAmt |
| Program Services | $119,636 | ProgramServicesAmt |
| Management And General | -$55 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,359 | TotalAmt |
| Program Services | $71,402 | ProgramServicesAmt |
| Management And General | $1,957 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,998 | TotalAmt |
| Program Services | $137,528 | ProgramServicesAmt |
| Management And General | $4,470 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,630 | TotalAmt |
| Management And General | $5,630 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,327 | TotalAmt |
| Management And General | $10,327 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $244,401 | TotalAmt |
| Program Services | $8,484 | ProgramServicesAmt |
| Management And General | $235,917 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,727 | TotalAmt |
| Program Services | $347 | ProgramServicesAmt |
| Management And General | $62,380 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,903 | TotalAmt |
| Program Services | $266 | ProgramServicesAmt |
| Management And General | $76,637 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,792 | TotalAmt |
| Management And General | $25,792 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,751 | TotalAmt |
| Program Services | $53,322 | ProgramServicesAmt |
| Management And General | $109,429 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,410 | TotalAmt |
| Program Services | $4,184 | ProgramServicesAmt |
| Management And General | $5,226 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,724 | TotalAmt |
| Management And General | $22,724 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,507 | TotalAmt |
| Program Services | $28,160 | ProgramServicesAmt |
| Management And General | $3,347 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,881 | TotalAmt |
| Program Services | $184,881 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,461 | TotalAmt |
| Management And General | $7,461 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| NON-NURSING HOME EXPENS | $75,561 | $75,561 | ||
| MISCELLANEOUS EXPENSE | $64,159 | $27,886 | $3,212 | $33,061 |
| REAL ESTATE TAXES | $38,654 | $38,654 | ||
| DUES & SUBSCRIPTIONS | $8,896 | $8,896 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,039 | TotalAmt |
| Program Services | $17,110 | ProgramServicesAmt |
| Management And General | $5,929 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,561,429 | TotalAmt |
| Program Services | $2,738,243 | ProgramServicesAmt |
| Management And General | $790,125 | ManagementAndGeneralAmt |
| Fundraising | $33,061 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,957,968 | BOYAmt |
| EOY | $11,175,209 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,702,908 | BOYAmt |
| EOY | $1,345,954 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,297 | BOYAmt |
| EOY | $22,559 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $687,606 | BOYAmt |
| EOY | $585,615 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $226,632 | BOYAmt |
| EOY | $229,893 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,173,756 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,697,517 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,673,821 | BOYAmt |
| EOY | $2,476,239 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,700 | BOYAmt |
| EOY | $42,700 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,168,187 | BOYAmt |
| EOY | $956,948 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,965,890 | BOYAmt |
| EOY | $2,205,761 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,468,009 | BOYAmt |
| EOY | $19,040,878 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $698,258 | BOYAmt |
| EOY | $797,446 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,197 | BOYAmt |
| EOY | $9,600 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,157,836 | BOYAmt |
| EOY | $2,168,745 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,862,291 | BOYAmt |
| EOY | $2,975,791 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,140,331 | BOYAmt |
| EOY | $15,783,635 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $465,387 | BOYAmt |
| EOY | $281,452 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,605,718 | BOYAmt |
| EOY | $16,065,087 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,468,009 | BOYAmt |
| EOY | $19,040,878 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$219,986 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$320,645 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Supported Organizations | 5 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (5 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| GUARDIAN ANGELS HEALTH SERVICES INC | ||||
| 410858938 | 10 | 0 | $1,347,838 | $0 |
| GUARDIAN ANGELS HOMES INC | ||||
| 411358761 | 10 | 0 | $191,760 | $0 |
| ANGEL RIDGE INC | ||||
| 411726974 | 10 | 0 | $63,554 | $0 |
| EVANS PARK INC | ||||
| 411542976 | 10 | 0 | $1,017,076 | $0 |
| PINE CONE MANOR INC | ||||
| 411871435 | 10 | 0 | $27,007 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 5 | SupportedOrganizationsTotalCnt |
| Support Sum | $2,647,235 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | 0 | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Majority Dir Trst Supported Org | Yes (1) | MajorityDirTrstSupportedOrgInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (1) | AgentTrusteeEtcInd |
| Beginning Balance | $8,488 | BeginningBalanceAmt |
| Additions During Year | $480 | AdditionsDuringYearAmt |
| Distributions During Year | $2,860 | DistributionsDuringYearAmt |
| Ending Balance | $6,108 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | 0 | InclEscrowCustodialAcctLiabInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,237,522 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$173,020 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,064,502 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,102,594 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $134,928 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,237,522 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $949,755 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $152,839 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,102,594 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $875,305 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $74,450 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $949,755 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $702,326 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $172,979 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $875,305 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,296,964 | OtherCostOrOtherBasisAmt |
| Book Value | $1,296,964 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,982,341 | OtherCostOrOtherBasisAmt |
| Depreciation | $908,937 | DepreciationAmt |
| Book Value | $1,073,404 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,900 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,160 | DepreciationAmt |
| Book Value | $1,740 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $745,535 | OtherCostOrOtherBasisAmt |
| Depreciation | $644,749 | DepreciationAmt |
| Book Value | $100,786 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $129,016 | OtherCostOrOtherBasisAmt |
| Depreciation | $125,671 | DepreciationAmt |
| Book Value | $3,345 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,476,239 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN GUARDIAN ANGELS - ELIM | Desc |
| Book Value | $956,948 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $956,948 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM RELATED ORGANIZATIONS | Desc |
| Book Value | $2,205,761 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,205,761 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| RESIDENT DEPOSITS | $839,918 |
| DUE TO RELATED ORGANIZATIONS | $183,864 |
| TRUST ACCOUNTS | $1,144,963 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,168,745 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 1B: | GUARDIAN ANGELS OF ELK RIVER ACTS AS INTERMEDIARY FOR PROJECT LIFESAVER IN SHERBURNE COUNTY, MINNESOTA. |
| PART V, LINE 4: | ALL ENDOWMENTS ARE USED FOR PROVIDING INNOVATIVE HEALTH, HOUSING AND SUPPORT SERVICES FOR SENIORS AND THEIR FAMILIES THROUGH ACTIVE COMMUNITIES, INDIVIDUALIZED SERVICES AND STAFF EDUCATIONAL SCHOLARSHIPS. |
| PART X, LINE 2: | ALL OF THE ENTITIES INCLUDED IN THESE CONSOLIDATED FINANCIAL STATEMENTS HAVE BEEN GRANTED EXEMPT STATUS RELATIVE TO IRS CODE SECTION 501(C)(3) AND APPLICABLE MINNESOTA TAX CODES. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO ANY OF THE ENTITIES' TAX-EXEMPT PURPOSES IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE ORGANIZATION FOLLOWS THE STANDARD RELATED TO INCOME TAXES FOR THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE APPLICATION OF THE ACCOUNTING STANDARD REGARDING UNCERTAIN TAX POSITIONS HAD NO IMPACT ON THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATIONS' TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS AND PROPERLY REPORTS ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $171,385 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $132,492 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $38,893 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $300 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $23,393 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $2,952 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $16,510 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $315 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $26,393 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF EVENT | Event2Nm |
| Gross Receipts Event2 | $30,047 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $25,297 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $4,750 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $700 | CashPrizesEvent2Amt |
| Non Cash Prizes Event2 | $1,899 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $4,825 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $1,517 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $496 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $201,432 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $157,789 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $43,643 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $1,000 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $25,292 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $7,777 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $18,027 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $315 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $26,889 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $79,300 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$35,657 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| GUARDIAN ANGELS HEALTH SERVICES INC | ||||||||
| 508 FREEPORT AVENUE NW SUITE A | ELK RIVER | MN | 55330 | 410858938 | 501(C)(3) | $540,202 | $0 | GENERAL OPERATING SUPPORT |
| EVANS PARK INC | ||||||||
| 508 FREEPORT AVENUE NW SUITE A | ELK RIVER | MN | 55330 | 411542976 | 501(C)(3) | $105,642 | $0 | GENERAL OPERATING SUPPORT |
| GUARDIAN ANGELS HOMES INC | ||||||||
| 508 FREEPORT AVENUE NW SUITE A | ELK RIVER | MN | 55330 | 411358761 | 501(C)(3) | $102,882 | $0 | GENERAL OPERATING SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | TRANSFERS ARE ONLY MADE TO RELATED ORGANIZATIONS THAT ARE UNDER COMMON BOARD AND MANAGEMENT CONTROL. THIS OVERLAP ENSURES THAT EACH ORGANIZATION USES ITS ASSETS APPROPRIATELY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL DIXON | ||||||||||||||
| PRESIDENT/CEO (THROUGH APRIL 2022) | $288,370 | $0 | $26,106 | $0 | $6,731 | $0 | $14,500 | $0 | $15,351 | $0 | $351,058 | $0 | $0 | $0 |
| TROY HANSON | ||||||||||||||
| VICE PRESIDENT/CFO | $209,823 | $0 | $21,042 | $0 | $3,863 | $0 | $11,198 | $0 | $20,038 | $0 | $265,964 | $0 | $0 | $0 |
| TROY MARSCHEL | ||||||||||||||
| CONTROLLER | $129,437 | $0 | $11,690 | $0 | $2,575 | $0 | $7,348 | $0 | $19,914 | $0 | $170,964 | $0 | $0 | $0 |
| NICOLE NOVOTNY | ||||||||||||||
| DIRECTOR OF HR | $125,104 | $0 | $12,190 | $0 | $1,250 | $0 | $7,307 | $0 | $19,914 | $0 | $165,765 | $0 | $0 | $0 |
| LYNN GERARD DIRECTOR OF QUALITY | ||||||||||||||
| IMPROVEMENT, EDUCATION & RISK MGMT | $117,207 | $0 | $11,450 | $0 | $0 | $0 | $6,953 | $0 | $19,883 | $0 | $155,493 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | RESOLUTIONS 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 6 | THE MEMBERSHIP OF THE CORPORATION SHALL CONSIST OF THE CONSENT MEMBERS IN GOOD STANDING OF THE PARISH OF THE CHURCH OF THE HOLY TRINITY. |
| FORM 990, PART VI, SECTION A, LINE 7A | ALL DIRECTORS ARE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OR AT A SPECIAL MEETING CALLED FOR THAT PURPOSE. |
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO BEING FILED WITH THE IRS, A COPY OF THE FORM 990 AND RELATED SCHEDULES ARE REVIEWED BY THE VICE PRESIDENT OF FINANCE AND THE PRESIDENT/CEO, INCLUDING A CONFIRMATION OF THE ACCURACY OF EVERY ANSWER AND OVERSIGHT OF APPROPRIATE CHANGES. UPON COMPLETION OF THE VICE PRESIDENT OF FINANCE AND PRESIDENT/CEO'S REVIEW, THE FORMS ARE MADE AVAILABLE TO THE BOARD FOR REVIEW PRIOR TO FILING. |
| 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 CEO/PRESIDENT'S COMPENSATION IS PERFORMED BY THE BOARD OF DIRECTORS' EXECUTIVE COMMITTEE DURING A CLOSED MEETING. THE PROCESS USED TO SET 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. THIS PROCESS IS NORMALLY DONE PRIOR TO THE FISCAL YEAR STARTING OCTOBER 1ST. |
| 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. THE FINANCIAL STATEMENTS ARE ALSO AVAILABLE ON THE BOND TRUSTEE WEBSITE, EMMA. |
| 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. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| 521 LAND COMPANY LLC | |||||||||
| 508 FREEPORT AVENUE NE NO A | ELK RIVER | MN | 55330 | 411549252 | PROVIDE HOUSING AND NURSING SERVICES TO THE ELDERLY | MN | $140,794 | $1,084,436 | GUARDIAN ANGELS OF ELK RIVER INC |
| GA WELLNESS 365 LLC | |||||||||
| 508 FREEPORT AVENUE NE NO A | ELK RIVER | MN | 55330 | 812358422 | PROVIDE EXERCISE EQUIPMENT AND A FACILITY FOR INDIVIDUALS | MN | $133,862 | $89,179 | GUARDIAN ANGELS OF ELK RIVER INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| GUARDIAN ANGELS HEALTH SERVICES INC | ||||||||||
| 508 FREEPORT AVENUE NW SUITE A | ELK RIVER | MN | 55330 | 410858938 | NURSING HOME, HOUSING AND ADULT DAY CARE | MN | 501(C)(3) | LINE 10 | GUARDIAN ANGELS OF ELK RIVER | Yes (1) |
| EVANS PARK INC | ||||||||||
| 508 FREEPORT AVENUE NW SUITE A | ELK RIVER | MN | 55330 | 411542976 | HOUSING FOR THE ELDERING | MN | 501(C)(3) | LINE 10 | GUARDIAN ANGELS OF ELK RIVER | Yes (1) |
| ANGEL RIDGE INC | ||||||||||
| 508 FREEPORT AVENUE NW SUITE A | ELK RIVER | MN | 55330 | 411726974 | HOUSING FOR THE ELDERING | MN | 501(C)(3) | LINE 10 | GUARDIAN ANGELS OF ELK RIVER | Yes (1) |
| PINE CONE MANOR INC | ||||||||||
| 508 FREEPORT AVENUE NW SUITE A | ELK RIVER | MN | 55330 | 411871435 | HOUSING FOR THE ELDERING | MN | 501(C)(3) | LINE 10 | GUARDIAN ANGELS OF ELK RIVER | Yes (1) |
| GUARDIAN ANGELS HOMES INC | ||||||||||
| 508 FREEPORT AVENUE NW SUITE A | ELK RIVER | MN | 55330 | 411358761 | HOUSING FOR THE ELDERING | MN | 501(C)(3) | LINE 10 | GUARDIAN ANGELS OF ELK RIVER | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GUARDIAN ANGELS HOMES INC | ||
| L | $88,878 | ACTUAL AMOUNT |
| EVANS PARK INC | ||
| L | $911,434 | ACTUAL AMOUNT |
| ANGEL RIDGE INC | ||
| L | $63,554 | ACTUAL AMOUNT |
| GUARDIAN ANGELS HEALTH SERVICES INC | ||
| B | $540,202 | ACTUAL AMOUNT |
| GUARDIAN ANGELS HEALTH SERVICES INC | ||
| L | $807,636 | ACTUAL AMOUNT |
| EVANS PARK INC | ||
| B | $105,642 | ACTUAL AMOUNT |
| GUARDIAN ANGELS HOMES INC | ||
| B | $102,882 | ACTUAL AMOUNT |