2026-07-07T14:24:46-05:00 2025-12-31 410746749 CLIFTONLARSONALLEN LLP 121 SOUTH TEJON STREET SUITE 1100 COLORADO SPRINGS CO 80903 990 2025-01-01 742376546 SHALOM PARK SHAL 3036805000 14800 EAST BELLEVIEW DRIVE AURORA CO 800152258 MARC PENNER PRESIDENT/CEO 3036805000 2026-07-07 1 SARAH HINTZ P00492291 7196350330 2026-07-06 2025 2025-03-06 01:10:19Z MARC PENNER 14800 EAST BELLEVIEW DRIVE AURORA CO 800152258 21855372 0 X WWW.SHALOMPARK.ORG X 1984 CO CREATING A JOYFUL COMMUNITY WHERE HONOR AND BELONGING FLOURISH. 19 18 464 95 0 0 1846197 1863734 18843917 19814074 123628 89163 9035 10078 20822777 21777049 1813530 1120347 0 0 12534034 13220832 0 0 222872 7123295 7566562 21470859 21907741 -648082 -130692 12023355 11723062 3774604 3605003 8248751 8118059 X CREATING A JOYFUL COMMUNITY WHERE HONOR AND BELONGING FLOURISH. SHALOM PARK, AN EDEN ALTERNATIVE MILESTONE II ORGANIZATION, OPERATES A NURSING HOME FOR THE AGED. IT PROVIDES HEALTH CARE AND OTHER RELATED (CONTINUED ON SCHEDULE O)SERVICES TO RESIDENTS THROUGH THE OPERATION OF A MULTI-LEVEL SKILLED NURSING FACILITY. 0 0 19698662 1120347 19814074 SHALOM PARK OPERATES A NURSING HOME. DURING 2025, THE ORGANIZATION PROVIDED CARE FOR 188 ELDERS. 19698662 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 60 0 1 464 1 0 0 0 0 0 0 0 0 0 0 0 0 X 19 18 1 0 1 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 CO X MARC PENNER 3036805000 14800 E BELLEVIEW DR AURORA CO 80015 MARC PENNER PRESIDENT/CEO 26.00 14.00 X X 380308 0 40129 MINDY MOSKOWITZ COO/EXECUTIVE DIRECTOR 40.00 0.00 X 195397 0 21197 THEOPHILUS O FRIMPONG DIRECTOR OF NURSING 40.00 0.00 X 174919 0 17698 PREETY SHRESTHA CHIEF FINANCIAL OFFICER 36.00 4.00 X 166994 0 23124 DENISE BILYEU DIRECTOR OF HUMAN RESOURCES 40.00 0.00 X 165212 0 19735 JONATHAN RUYBAL CARE PARTNER DEVELOPMENT COORDINATOR 40.00 0.00 X 125471 0 26714 ELIZABETH NAKIBIRANGO REGISTERED NURSE 40.00 0.00 X 136641 0 11285 LYNN GELLER CHAIR & DIRECTOR 2.00 1.00 X X 0 0 0 JASON ALDERSON CHAIR ELECT & DIRECTOR 2.00 1.00 X X 0 0 0 DREW DEMERS TREASURER & DIRECTOR 2.00 1.00 X X 0 0 0 FRAN SIMON SECRETARY & DIRECTOR 2.00 1.00 X X 0 0 0 ELISA ROBYN IMMEDIATE PAST CHAIR & DIRECTOR 1.00 1.00 X X 0 0 0 BRUCE BENDELL DIRECTOR 1.00 0.00 X 0 0 0 MIKE CHAPMAN DIRECTOR 1.00 0.00 X 0 0 0 LISA COOK DIRECTOR (THROUGH 6/30/25) 1.00 0.00 X 0 0 0 RABBI STEVE FOSTER DIRECTOR 1.00 0.00 X 0 0 0 ANDY HEINS DIRECTOR 1.00 1.00 X 0 0 0 JAY KAMLET DIRECTOR 1.00 0.00 X 0 0 0 MARC LEVINE DIRECTOR 2.00 0.00 X 0 0 0 DR ESTHER MIZRACHI DIRECTOR 1.00 0.00 X 0 0 0 JAY MOSKOWITZ DIRECTOR 1.00 0.00 X 0 0 0 NEIL OBERFELD DIRECTOR 1.00 1.00 X 0 0 0 STUART PACK DIRECTOR 2.00 0.00 X 0 0 0 LISA PERLMUTTER DIRECTOR 1.00 0.00 X 0 0 0 BEV ROULEAU DIRECTOR (THROUGH 12/15/25) 1.00 0.00 X 0 0 0 JJ SLATKIN DIRECTOR 1.00 0.00 X 0 0 0 SAM ZAITZ DIRECTOR 2.00 0.00 X 0 0 0 1344942 0 159882 18 0 1 0 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30368 DINING SERVICES 1936988 PLANTE & MORAN PLLC 16060 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 IT SERVICES 362218 HAYNES MECHANICAL SYSTEMS INC PO BOX 673538 DALLAS TX 75267 MECHANICAL SYSTEM SERVICES 321395 PREMERE REHAB LLC 8100 SW NYBERG ST STE 200 TUALATIN OR 97062 THERAPY SERVICES 284642 INTEGRITY FIRE SAFETY SERVICES LLC 2695 W 3RD AVE DENVER CO 80219 FIRE PANEL SYSTEM 218638 9 275151 142467 1192286 253830 1863734 RESIDENT SERVICES 623000 19754169 19754169 ANCILLARY SERVICES 623000 59905 59905 19814074 137341 137341 48178 -48178 -48178 -48178 23770 275151 30145 -6375 -6375 OTHER REVENUE 623000 16453 16453 16453 21777049 19814074 0 99241 X 1120347 1120347 610555 161600 298000 150955 10749659 9929809 819850 209314 195845 13469 716925 647689 65694 3542 934379 831597 93438 9344 48772 48772 56654 56654 2474249 2202082 247425 24742 23168 20619 2317 232 132843 118231 13284 1328 238022 211840 23802 2380 552794 491987 55279 5528 110149 98033 11015 1101 119190 106079 11919 1192 1365110 1214948 136511 13651 387798 345140 38780 3878 SUPPLIES 1557833 1557833 REPAIRS AND MAINTENANCE 256302 228109 25630 2563 EDUCATION 64784 57658 6478 648 EMPLOYEE EXPENSES 56176 49996 5618 562 122718 109220 12272 1226 21907741 19698662 1986207 222872 466355 969653 29957 26795 202043 136100 1010548 762586 225942 213696 31064978 21450746 10088510 9614232 12023355 11723062 1289464 1929547 12450 11000 29957 26795 2407083 1612393 35650 25268 3774604 3605003 X 8054188 7892888 194563 225171 8248751 8118059 12023355 11723062 -130692 0 X X 0 1 X 1 0 X 2845905 3437547 1930039 1846197 1863734 11923422 12508074 13807873 16126721 18843917 19814074 81100659 15353979 17245420 18056760 20690114 21677808 93024081 98510 712446 1376206 126685 113488 2427335 0 98510 712446 1376206 126685 113488 2427335 90596746 109 123628 137341 261078 109 123628 137341 261078 331253 331253 65915 48450 17083 15604 16453 163505 15419894 17293870 18405205 20829346 21831602 93779917 0.96610 0.96520 0.00280 0.00140 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2021 AMOUNT: $ 65,915. 2022 AMOUNT: $ 48,450. 2023 AMOUNT: $ 17,083. 2024 AMOUNT: $ 15,604. 2025 AMOUNT: $ 16,453. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 5126157 8153 562177 5696487 4675048 18853 432256 5126157 4199961 17658 457429 4675048 4676369 102391 -578799 4199961 3699521 548649 428199 4676369 0.00000 0.58980 0.41020 1 1 1 2561563 2561563 20550334 16220615 4329719 1796075 1717528 78547 5572294 3512603 2059691 584712 584712 9614232 FINANCE LEASE LIABILITY 25268 25268 23906269 2129220 2129220 21777049 0 21777049 22007343 1219549 1219549 20787794 1119947 1119947 21907741 PART IV, LINE 2B: SHALOM PARK HOLDS RESIDENT FUNDS IN TRUST FOR THEIR SECURITY. RESIDENTS MAY ACCESS THEIR FUNDS DURING NORMAL BUSINESS HOURS BY MAKING A REQUEST AT THE BUSINESS OFFICE. THE FUNDS ARE HELD IN A SEPARATE INTEREST-BEARING ACCOUNT. THE INTEREST IS CREDITED TO THE RESIDENTS' RESPECTIVE ACCOUNTS. PART V, LINE 4: BETH ISRAEL FOUNDATION FOR THE AGED, A RELATED ORGANIZATION, HOLDS ASSETS IN ENDOWMENT FUNDS. THE ENDOWMENTS CONSIST OF VARIOUS INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ORGANIZATION TRANSFERRED CERTAIN ENDOWMENT CONTRIBUTIONS TO THE ROSE COMMUNITY FOUNDATION (RCF) AS PART OF ITS ENDOWMENT CHALLENGE, WHICH WAS COMPLETED IN 2002. RCF AMENDED ITS AGREEMENT WITH THE ORGANIZATION DURING THE YEAR ENDED DECEMBER 31, 2008. PRIOR TO THE AMENDMENT, DISTRIBUTIONS TO THE ORGANIZATION WERE THE LESSER OF (I) 5% OF THE MONTHLY AVERAGE BALANCE IN THE FUND DURING THE PRECEDING YEAR OR (II) NET INVESTMENT INCOME ACCRUING TO THE FUND DURING THE PRECEDING YEAR REDUCED BY ANY FEES AND EXPENSES. PURSUANT TO THE AMENDMENT, DISTRIBUTIONS WILL NOT BE LIMITED BY NET INVESTMENT INCOME. DISTRIBUTIONS WILL BE EQUAL TO 5% OF THE MONTHLY AVERAGE BALANCE IN THE FUND DURING THE PRECEDING YEAR. PART XI, LINE 2D - OTHER ADJUSTMENTS: FOUNDATION AND WELLNESS CENTER REVENUE 2,129,220. PART XII, LINE 2D - OTHER ADJUSTMENTS: FOUNDATION AND WELLNESS CENTER EXPENSE 1,219,549. PART XII, LINE 4B - OTHER ADJUSTMENTS: INTERCOMPANY TRANSFER 1,119,947. ANNUAL FUNDRAISER 294944 272814 22130 1000 8700 13430 2413 294944 272814 22130 1000 8700 13430 2413 25543 -3413 1 BETH ISRAEL FOUNDATION FOR THE AGED 14800 EAST BELLEVIEW DRIVE AURORA CO 80015 742195249 501(C)(3) 972170 0 N/A N/A SUPPORT PROGRAM AND SERVICES SHALOM PARK WELLNESS CENTER 14800 E BELLEVIEW DRIVE AURORA CO 80015 452808418 501(C)(3) 147777 0 N/A N/A SUPPORT PROGRAM AND SERVICES 2 0 PART I, LINE 2: GRANTS MADE ARE TRANSFERS TO A RELATED ORGANIZATION. PROPER USE OF THE FUNDS WAS ENSURED THROUGH COMMON BOARD AND MANAGEMENT OVERSIGHT BETWEEN THE TWO ORGANIZATIONS. X X X 0 0 0 0 0 0 0 1 0 MARC PENNER PRESIDENT/CEO 362208 0 18000 0 100 0 10500 0 29629 0 420437 0 0 0 MINDY MOSKOWITZ COO/EXECUTIVE DIRECTOR 183325 0 11972 0 100 0 6030 0 15167 0 216594 0 0 0 THEOPHILUS O FRIMPONG DIRECTOR OF NURSING 163961 0 10858 0 100 0 5339 0 12359 0 192617 0 0 0 PREETY SHRESTHA CHIEF FINANCIAL OFFICER 156243 0 10651 0 100 0 5259 0 17865 0 190118 0 0 0 DENISE BILYEU DIRECTOR OF HUMAN RESOURCES 155358 0 9704 0 150 0 5109 0 14626 0 184947 0 0 0 JONATHAN RUYBAL CARE PARTNER DEVELOPMENT COORDINATOR 115426 0 9895 0 150 0 4122 0 22592 0 152185 0 0 0 PART I, LINE 7 BONUSES FOR MANAGEMENT TEAM ARE RECOMMENDED BY THE CEO (2025 WAS BASED ON PERCENTAGE OF THE BASE SALARY AT DIFFERENT TIERS) TO THE BOARD CHAIR. THE BOARD CHAIR, IN CONSULTATION WITH OFFICERS, EITHER RECOMMENDS REVISION OR APPROVES THEM AND THEN THE BONUSES ARE PROCESSED THROUGH PAYROLL. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE IS COMPOSED OF THE CURRENT OFFICERS, THE PAST CHAIR(S) AND SUCH OTHER MEMBERS AS ARE APPOINTED BY THE CHAIR. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF AND IN PLACE OF THE BOARD BETWEEN REGULAR MEETINGS OF THE BOARD WHEN REASONABLY NECESSARY TO FULFILL THE PURPOSES AND DUTIES OF THE BOARD, AS DETERMINED BY THE CHAIR, AND IS RESPONSIBLE FOR MAKING RECOMMENDATIONS TO THE BOARD OF TRUSTEES AND FOR SUCH OTHER POWERS AS THE BOARD FROM TIME TO TIME MAY PRESCRIBE. ACTIONS OF THE EXECUTIVE COMMITTEE MAY BE OVERRULED OR AMENDED BY LATER ACTION OF THE BOARD, BUT ANY ACTION PROPERLY TAKEN BY THE EXECUTIVE COMMITTEE SHALL BE BINDING UPON THE ORGANIZATION UNTIL SUCH LATER ACTION OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 2 SAM ZAITZ AND LISA COOK HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION ADDED THE FOLLOWING TWO SECTIONS IN AMENDMENT TO THE BYLAWS: SECTION 5. FINANCIAL AUTHORITY. ALL CHECKS AND DRAFTS WRITTEN ON BEHALF OF THE CORPORATION SHALL REQUIRE TWO SIGNATURES. IN ADDITION TO EMPLOYEES OF THE CORPORATION WHO ARE AUTHORIZED BY THE PRESIDENT/CEO TO BE SIGNATORIES, THE CHAIR AND THE TREASURER OF THE CORPORATION SHALL BE AUTHORIZED SIGNATORIES ON ALL OF THE CORPORATION'S BANK ACCOUNTS AND OTHER ACCOUNTS ON WHICH CHECKS OR DRAFTS MAY BE DRAWN. THE PAYEE ON A CHECK OR DRAFT MAY NOT BE A SIGNATORY ON SUCH CHECK OR DRAFT. THE RECIPIENT OF ANY FUNDS FROM THE CORPORATION OR A PERSON EMPLOYED BY OR UNDER CONTRACT WITH SUCH RECIPIENT OF FUNDS MAY NOT AUTHORIZE ANY TRANSFER OF FUNDS TO SUCH RECIPIENT. THE CHAIR AND TREASURER SHALL BE AMONG THE PERSONS WHO ARE AUTHORIZED TO VIEW ALL INVESTMENTS OF THE CORPORATION. SECTION 11. OFFICERS AND EXECUTIVE COMMITTEE MEMBERS WITH CONFLICTS OF INTEREST. OFFICERS OF THE CORPORATION, OTHER THAN THE PRESIDENT/CHIEF EXECUTIVE OFFICER, AND ANY OTHER MEMBERS OF THE EXECUTIVE COMMITTEE MAY NOT RECEIVE, DIRECTLY OR INDIRECTLY, ANY SALARY, COMPENSATION OR EMOLUMENT FROM SHALOM PARK, AND NO OFFICERS OF THE CORPORATION OR OTHER MEMBERS OF THE EXECUTIVE COMMITTEE MAY BE INTERESTED, DIRECTLY OR INDIRECTLY, IN ANY CONTRACT RELATING TO THE OPERATIONS CONDUCTED BY THE CORPORATION OR IN ANY CONTRACT FOR FURNISHING SUPPLIES OR SERVICES TO THE CORPORATION (EACH A "CONFLICT OF INTEREST"). IF A CONFLICT OF INTEREST ARISES AFTER A TRUSTEE HAS BEEN ELECTED TO BE AN OFFICER OF THE CORPORATION OR HAS BEEN APPOINTED TO THE EXECUTIVE COMMITTEE, SUCH TRUSTEE SHALL RESIGN FROM THE EXECUTIVE COMMITTEE OR FROM THE OFFICE THEN HELD BY SUCH TRUSTEE AND SUCH TRUSTEE'S REPLACEMENT TO THE VACATED OFFICE SHALL THEREAFTER BE ELECTED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 8B THE FINANCE COMMITTEE AND EXECUTIVE COMMITTEE DO NOT KEEP MINUTES OF THEIR MEETINGS. FORM 990, PART VI, SECTION B, LINE 11B THE CFO AND CEO REVIEW THE FORM 990. AFTER WHICH, THE FINANCE COMMITTEE REVIEWS AND APPROVES THE FORM 990. THE RETURN IS THEN PROVIDED TO THE FULL BOARD OF DIRECTORS FOR REVIEW PRIOR TO IT BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH AN ANNUAL AFFIRMATION SIGNED BY EACH TRUSTEE. THE ORGANIZATION MONITORS COMPLIANCE WITH THE POLICY DURING THE YEAR BY INQUIRING AT ITS BOARD MEETINGS WHETHER ANY CONFLICTS OF INTEREST HAVE ARISEN SINCE THE ANNUAL AFFIRMATION WAS SIGNED. AN INDIVIDUAL WITH A CONFLICT MAY NOT VOTE ON ANY MATTER THAT MAY INVOLVE THE CONFLICT OF INTEREST. DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 15A THE PRESIDENT/ CEO'S COMPENSATION IS DETERMINED BY THE SHALOM PARK BOARD OF DIRECTORS. THE FOLLOWING ARE USED BY SHALOM PARK IN SETTING THE PRESIDENT/ CEO'S COMPENSATION: 1. COMPENSATION COMMITTEE 2. COMPENSATION SURVEY OR STUDY 3. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THIS PROCESS LAST TOOK PLACE IN 2024. COST OF LIVING ADJUSTMENTS ARE SENT FOR APPROVAL BY THE BOARD CHAIR EACH YEAR AND AFFECT EVERYONE IN THE ORGANIZATION, INCLUDING THE CEO. THE LAST ADJUSTMENT WAS MADE IN 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 2,202,082. MANAGEMENT AND GENERAL EXPENSES 247,425. FUNDRAISING EXPENSES 24,742. TOTAL EXPENSES 2,474,249. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. SHALOM CARES WELLNESS CENTER LLC 14800 E BELLEVIEW DRIVE AURORA CO 80015 452808418 FITNESS AND THERAPY CO 218327 4049364 BETH ISRAEL FOUNDATION FOR THE AGED BETH ISRAEL FOUNDATION FOR THE AGED 14800 E BELLEVIEW DRIVE AURORA CO 80015 742195249 FUNDRAISING TO SUPPORT SHALOM PARK CO 501(C)(3) LINE 7 SHALOM PARK 1 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 BETH ISRAEL FOUNDATION FOR THE AGED B 1119947 CASH BETH ISRAEL FOUNDATION FOR THE AGED E 1612393 CONTRACT BETH ISRAEL FOUNDATION FOR THE AGED C 142467 CASH