2025-08-13T08:06:09-05:00 2024-09-30 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2023-10-01 410858938 GUARDIAN ANGELS HEALTH SERVICES INC GUAR 7632414445 508 FREEPORT AVENUE NW SUITE A ELK RIVER MN 55330 TROY M HANSON CFO 7632414445 2025-07-28 1 0 JUSTIN HARTERT P02236744 5074467100 2025-07-28 2023 2025-03-06 01:10:19Z TERESA LARSON 508 FREEPORT AVENUE NW SUITE A ELK RIVER MN 55330 19992297 0 X WWW.GUARDIANANGELSMN.ORG X 1962 MN TO PROVIDE HOUSING, NURSING CARE, AND RELATED SERVICES OF A 120 BED NURSING HOME, AND AN ADULT DAY CARE. 13 13 301 69 0 0 30442 1221469 16574116 18578834 -2779 138821 115276 36427 16717055 19975551 1418462 1150000 0 0 9756511 11218066 0 0 0 7028206 7170047 18203179 19538113 -1486124 437438 12483041 12651537 10767730 10486433 1715311 2165104 TO PROVIDE HOUSING, NURSING CARE AND RELATED SERVICES TO RESIDENTS OF A 120 BED NURSING HOME, AND AN ADULT DAY CARE. 0 0 16467098 1150000 18578834 GUARDIAN ANGELS CARE CENTER - SINCE 1965, WE HAVE BEEN PROVIDING NURSING CARE AND RELATED SERVICES TO THE ELDERLY OF ELK RIVER, MINNESOTA. WE CURRENTLY HAVE A TOTAL OF 120 BEDS WITH 78 FOR ACUTE CARE AND 42 FOR TRANSITIONAL CARE. IN FY 2024, WE PROVIDED 40,254 RESIDENT DAYS AND HAD AN OCCUPANCY RATE OF 91.65%. ANGELS ON MAIN - OUR ADULT DAY SERVICES - SINCE 1994, WE HAVE BEEN OPERATING AN ADULT DAY CARE FOR THE ELDERLY AND HANDICAPPED IN ELK RIVER. THE FACILITY CLOSED IN MARCH OF 2020 DUE TO THE COVID-19 PANDEMIC AND WILL RE-EVALUATE PLANS TO REOPEN IN THE SUBSEQUENT REPORTING PERIOD. 16467098 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 301 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X X TROY HANSON 7632414428 508 FREEPORT AVENUE NW SUITE A ELK RIVER MN 55330 TRACI LARSON PRESIDENT/CEO 1.00 39.00 X 0 366683 18462 TROY HANSON CFO 1.00 39.00 X 0 254936 33865 DEAN MCDEVITT ADMINISTRATOR 40.00 0.00 X 108424 0 18651 PHILLIP KREBER DIRECTOR OF NURSING 40.00 0.00 X 107093 0 14290 LINDA M KRIEGER CHAIR 1.00 5.00 X X 0 0 0 JOYCE LECLAIRE VICE CHAIR 1.00 5.00 X X 0 0 0 LYNN SCHULER SECRETARY/TREASURER 1.00 5.00 X X 0 0 0 DUSTIN CAMPBELL DIRECTOR 1.00 5.00 X 0 0 0 DARYL HERRMANN DIRECTOR (THRU DEC 2023) 1.00 5.00 X 0 0 0 BILL HUDSON DIRECTOR 1.00 5.00 X 0 0 0 TRISHA MOWRY DIRECTOR 1.00 5.00 X 0 0 0 JOANIE NICHOLS DIRECTOR 1.00 5.00 X 0 0 0 EMILY SCHROEDER DIRECTOR 1.00 5.00 X 0 0 0 ARLO SCHULTZ DIRECTOR (THRU DEC 2023) 1.00 5.00 X 0 0 0 GORDY VETSCH DIRECTOR 1.00 5.00 X 0 0 0 GAIL WEBER DIRECTOR 1.00 5.00 X 0 0 0 NICK ZERWAS DIRECTOR 1.00 5.00 X 0 0 0 215517 621619 85268 2 0 1 0 0 19544 1201925 1221469 RESIDENT REVENUE 623000 18578834 18578834 18578834 138821 138821 16179 16746 -567 -567 MISCELLANEOUS INCOME 900099 30792 30792 DINING ROOM SALES 722513 4146 4146 VENDING SALES 722515 2056 2056 36994 19975551 18578834 0 175248 1150000 1150000 9355549 8646886 708663 235528 217687 17841 962147 889266 72881 664842 614482 50360 1023904 1023904 49389 49389 23864 23864 711545 547356 164189 9332 9332 43552 43552 161660 161660 518650 417579 101071 2038 2038 25518 25518 304640 304640 678382 678382 134352 134352 OTHER ANCILLARY EXPENSE 1238175 1238175 PHARMACY 450308 450308 NURSING SUPPLIES 390348 390348 BED SURCHARGE 337800 337800 1066590 584189 482401 19538113 16467098 3071015 0 1407892 1750451 1345374 1406739 1965137 2177160 19830 26200 18161845 10870858 7741203 7290987 3605 0 12483041 12651537 850279 1139685 353491 0 9314327 8966994 249633 379754 10767730 10486433 X 1715311 2165104 1715311 2165104 12483041 12651537 437438 12355 0 X X 0 1 X 1 0 X 634972 1871999 705330 30442 1221469 4464212 15444849 14879052 14512512 16574116 18578834 79989363 16079821 16751051 15217842 16604558 19800303 84453575 0 0 0 84453575 71408 29644 36394 18485 138821 294752 71408 29644 36394 18485 138821 294752 180003 220396 563610 137402 53173 1154584 16331232 17001091 15817846 16760445 19992297 85902911 0.98310 0.98120 0.00340 0.00320 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISC INCOME COFFEE SHOP GROSS RECEIPTS DINING ROOM INCOME VENDING INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 X 19939 19939 16240921 9544071 6696850 372269 187218 185051 1528716 1139569 389147 7290987 ASSET RETIREMENT OBLIGATION 250000 DUE TO RELATED PARTY 84817 TENANT SECURITY DEPOSITS 44937 379754 X PART IV, LINE 2B: THE ORGANIZATION HOLDS IN TRUST, SECURITY DEPOSITS ADVANCED BY THE TENANTS OF THE PROJECT. THE PROJECT RECORDS THESE DEPOSITS, PLUS INTEREST, AS A LIABILITY. 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. 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. 1 GUARDIAN ANGELS OF ELK RIVER INC 508 FREEPORT AVE NW SUITE A ELK RIVER MN 55330 411459252 501(C)(3) 1150000 0 N/A N/A GENERAL OPERATING SUPPORT 1 0 PART I, LINE 2: 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. 0 0 0 0 0 0 0 0 0 TRACI LARSON PRESIDENT/CEO 0 323933 0 33750 0 9000 0 9701 0 8761 0 385145 0 0 TROY HANSON CFO 0 228937 0 23952 0 2047 0 12182 0 21683 0 288801 0 0 PART I, LINE 3 THE PRESIDENT & CEO IS COMPENSATED BY GUARDIAN ANGELS OF ELK RIVER, A RELATED ORGANIZATION. THE FOLLOWING METHODS WERE USED TO ESTABLISH THE CEO'S COMPENSATION: - COMPENSATION COMMITTEE - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE A SHERBURNE COUNTY MINNESOTA 416005895 82353MBY7 2022-02-01 9895000 REFINANCING OF 2015 BONDS 0 0 0 A 700000 9895000 335000 197900 9362100 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 1 A 0 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 OT 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 3 ALL MANAGEMENT SERVICES ARE PROVIDED BY GUARDIAN ANGELS OF ELK RIVER, A RELATED ORGANIZATION. 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/CFO AND PRESIDENT/CEO, INCLUDING A CONFIRMATION OF THE ACCURACY OF EVERY ANSWER AND OVERSIGHT OF APPROPRIATE CHANGES. UPON COMPLETION OF THE VICE PRESIDENT/CFO'S AND PRESIDENT/CEO'S REVIEW, THE FORMS ARE REVIEWED AND APPROVED AT A BOARD MEETING 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 C, LINE 19 THE ORGANIZATIONS 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. GUARDIAN ANGELS OF ELK RIVER INC 508 FREEPORT AVENUE NW SUITE A ELK RIVER MN 55330 411459252 ADMINISTRATION FOR CARING FOR THE ELDERLY MN 501(C)(3) LINE 12B, II N/A 0 ANGEL RIDGE INC 508 FREEPORT AVENUE NW SUITE A ELK RIVER MN 55330 411726974 HOUSING FOR THE ELDERLY MN 501(C)(3) LINE 10 GUARDIAN ANGELS OF ELK RIVER INC 0 PINE CONE MANOR INC 508 FREEPORT AVENUE NW SUITE A ELK RIVER MN 55330 411871435 HOUSING FOR THE ELDERLY MN 501(C)(3) LINE 10 GUARDIAN ANGELS OF ELK RIVER INC 0 GUARDIAN ANGELS HOMES INC 508 FREEPORT AVENUE NW SUITE A ELK RIVER MN 55330 411358761 HOUSING FOR THE ELDERLY MN 501(C)(3) LINE 10 GUARDIAN ANGELS OF ELK RIVER INC 0 EVANS PARK INC 508 FREEPORT AVENUE NW SUITE A ELK RIVER MN 55330 411542976 HOUSING FOR THE ELDERLY MN 501(C)(3) LINE 10 GUARDIAN ANGELS OF ELK RIVER INC 0 0 1 1 0 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 GUARDIAN ANGELS OF ELK RIVER INC B 1150000 ACTUAL AMOUNT