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SHALOM PARK: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SHALOM PARK (EIN 74-2376546)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-07-25
IRS object ID
202322069349300802
Schema version
2022v5.0
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

FieldValueIRS element (for citing)
Return2023-07-25T09:44:15-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18390 EAST CRESCENT PARKWAY SUITEAddressLine1Txt
Address Line2300AddressLine2Txt
CityGREENWOOD VILLAGECityNm
State AbbreviationCOStateAbbreviationCd
ZIP80111ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN742376546EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SHALOM PARKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSHALBusinessNameControlTxt
Phone3036805000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line114800 EAST BELLEVIEW DRIVEAddressLine1Txt
CityAURORACityNm
State AbbreviationCOStateAbbreviationCd
ZIP800152258ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARC PENNERPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone3036805000PhoneNum
Signature2023-07-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMARCPersonFirstNm
Person LastPENNERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSARAH HINTZPreparerPersonNm
PTINP00492291PTIN
Phone3037795710PhoneNum
Preparation2023-07-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARC PENNERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line114800 EAST BELLEVIEW DRIVEAddressLine1Txt
CityAURORACityNm
State AbbreviationCOStateAbbreviationCd
ZIP800152258ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$17,293,870GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SHALOMPARK.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionCREATING A JOYFUL COMMUNITY WHERE HONOR AND BELONGING FLOURISH.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee306TotalEmployeeCnt
Total Volunteers80TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,845,905PYContributionsGrantsAmt
CY Contributions Grants$3,437,547CYContributionsGrantsAmt
PY Program Service Revenue$12,508,074PYProgramServiceRevenueAmt
CY Program Service Revenue$13,807,873CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$65,915PYOtherRevenueAmt
CY Other Revenue$48,450CYOtherRevenueAmt
PY Total Revenue$15,419,894PYTotalRevenueAmt
CY Total Revenue$17,293,870CYTotalRevenueAmt
PY Grants And Similar Paid$588PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,076,317PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,512,340CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$359,421CYTotalFundraisingExpenseAmt
PY Other Expenses$6,468,038PYOtherExpensesAmt
CY Other Expenses$6,835,392CYOtherExpensesAmt
PY Total Expenses$15,544,943PYTotalExpensesAmt
CY Total Expenses$17,347,732CYTotalExpensesAmt
PY Revenues Less Expenses-$125,049PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$53,862CYRevenuesLessExpensesAmt
Total Assets BOY$9,949,868TotalAssetsBOYAmt
Total Assets EOY$10,054,926TotalAssetsEOYAmt
Total Liabilities BOY$1,696,997TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,855,917TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,252,871NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,199,009NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCREATING 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 SERVICES TO RESIDENTS THROUGH THE OPERATION OF A MULTI-LEVEL SKILLED NURSING FACILITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$14,866,098ExpenseAmt
Grant$0GrantAmt
Revenue$13,807,873RevenueAmt
DescSHALOM PARK OPERATES A NURSING HOME. DURING 2022, THE ORGANIZATION PROVIDED CARE FOR 279 ELDERS.Desc
Total Program Service Expenses$14,866,098TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document63IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee306EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCOStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARC PENNERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3036805000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line114800 E BELLEVIEW DRIVEAddressLine1Txt
CityAURORACityNm
State AbbreviationCOStateAbbreviationCd
ZIP800152258ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARC PENNER
PRESIDENT/CEO26.0014.00Yes (X)Yes (X)$337,324$0$30,200
MINDY MOSCOWITZ
NURSING HOME ADMINISTRATOR40.000.00$160,824$0$16,707Yes (X)
THEOPHILUS FRIMPONG
DIRECTOR OF NURSING40.000.00$143,532$0$11,598Yes (X)
PREETY SHRESTHA
CHIEF FINANCIAL OFFICER36.004.00$119,106$0$19,257Yes (X)
DENISE BILYEU
DIRECTOR OF HUMAN RESOURCE40.000.00$122,217$0$14,788Yes (X)
HIRUT MEKONNEN
ASSISTANT DIR OF NURSING40.000.00$113,642$0$11,036Yes (X)
ELISA ROBYN
CHAIR & DIRECTOR10.001.00Yes (X)Yes (X)$0$0$0
SAM ZAITZ
VICE CHAIR & DIRECTOR2.000.00Yes (X)Yes (X)$0$0$0
FRAN SIMON
SECRETARY & DIRECTOR2.000.00Yes (X)Yes (X)$0$0$0
LYNN GELLER
TREASURER & DIRECTOR2.000.00Yes (X)Yes (X)$0$0$0
NEIL OBERFELD
IMMEDIATE PAST CHAIR & DIRECTOR2.001.00Yes (X)Yes (X)$0$0$0
JASON ALDERSON
DIRECTOR1.000.00Yes (X)$0$0$0
MIKE CHAPMAN
DIRECTOR1.000.00Yes (X)$0$0$0
LISA COOK
DIRECTOR1.000.00Yes (X)$0$0$0
JAN FISHER
DIRECTOR1.000.00Yes (X)$0$0$0
SUSY GRAZI
DIRECTOR (THRU 06/22)1.000.00Yes (X)$0$0$0
JULIE GUTMAN
DIRECTOR1.000.00Yes (X)$0$0$0
ANDY HEINS
DIRECTOR1.001.00Yes (X)$0$0$0
MARC LEVINE
DIRECTOR2.000.00Yes (X)$0$0$0
JAY MOSKOWITZ
DIRECTOR1.000.00Yes (X)$0$0$0
STUART PACK
DIRECTOR2.000.00Yes (X)$0$0$0
MELINDA QUIAT
DIRECTOR (THRU 01/22)1.000.00Yes (X)$0$0$0
BEV ROULEAU
DIRECTOR1.000.00Yes (X)$0$0$0
JARED SEIDENBERG
DIRECTOR1.000.00Yes (X)$0$0$0
JJ SLATKIN
DIRECTOR1.000.00Yes (X)$0$0$0
CATHY SUNSHINE
DIRECTOR1.000.00Yes (X)$0$0$0
ERIN YOURTZ
DIRECTOR (THRU 03/22)1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$996,645TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$103,586TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MORRISON MANAGEMENT SPECIALIST
PO BOX 102289ATLANTAGA30368DIETARY SERVICES$2,029,355
PREMERE REHAB LLC
25117 SW PARKWAY SUITE DWILSONVILLEOR97070THERAPY SERVICES$338,947
HAYNES MECHANICAL SYSTEMS
5700 S QUEBEC ST 210GREENWOOD VILLAGECO80111MECHANICAL MAINTENANCE$283,431
PLANTE & MORAN
8181 E TUFTS AVENUE SUITE 600DENVERCO80237IT CONSULTING & SERVICES$274,250
STERLING COMMUNICATION TECHNOLOGIES
8369 SOUTHPARK LANE SUITE BLITTLETONCO80120CALL LIGHT SYSTEM INSTALLATION$250,468
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Related Organizations$1,223,213RelatedOrganizationsAmt
Government Grants$496,678GovernmentGrantsAmt
All Other Contributions$1,717,656AllOtherContributionsAmt
Total Contributions$3,437,547TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT SERVICES623000$13,696,684$13,696,684
ANCILLARY SERVICES623000$111,189$111,189
FieldValueIRS element (for citing)
Total Program Service Revenue$13,807,873TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business623000BusinessCd
Total Revenue Column$48,450TotalRevenueColumnAmt
Exclusion$48,450ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$48,450OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,293,870TotalRevenueColumnAmt
Related Or Exempt Func Income$13,807,873RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$48,450ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$343,255TotalAmt
Management And General$223,115ManagementAndGeneralAmt
Fundraising$120,140FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,876,868TotalAmt
Program Services$7,823,508ProgramServicesAmt
Management And General$983,818ManagementAndGeneralAmt
Fundraising$69,542FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$128,734TotalAmt
Program Services$117,202ProgramServicesAmt
Management And General$11,532ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$416,315TotalAmt
Program Services$359,686ProgramServicesAmt
Management And General$50,562ManagementAndGeneralAmt
Fundraising$6,067FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$747,168TotalAmt
Program Services$635,093ProgramServicesAmt
Management And General$97,132ManagementAndGeneralAmt
Fundraising$14,943FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$11,412TotalAmt
Management And General$11,412ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$50,499TotalAmt
Management And General$50,499ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,620,240TotalAmt
Program Services$2,227,204ProgramServicesAmt
Management And General$340,631ManagementAndGeneralAmt
Fundraising$52,405FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$21,982TotalAmt
Program Services$18,684ProgramServicesAmt
Management And General$2,858ManagementAndGeneralAmt
Fundraising$440FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$127,284TotalAmt
Program Services$108,191ProgramServicesAmt
Management And General$16,547ManagementAndGeneralAmt
Fundraising$2,546FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$223,064TotalAmt
Program Services$189,605ProgramServicesAmt
Management And General$28,998ManagementAndGeneralAmt
Fundraising$4,461FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$468,099TotalAmt
Program Services$397,884ProgramServicesAmt
Management And General$60,853ManagementAndGeneralAmt
Fundraising$9,362FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$63,380TotalAmt
Program Services$53,873ProgramServicesAmt
Management And General$8,239ManagementAndGeneralAmt
Fundraising$1,268FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$25,085TotalAmt
Program Services$21,322ProgramServicesAmt
Management And General$3,261ManagementAndGeneralAmt
Fundraising$502FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,029,477TotalAmt
Program Services$875,055ProgramServicesAmt
Management And General$133,832ManagementAndGeneralAmt
Fundraising$20,590FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$310,277TotalAmt
Program Services$263,735ProgramServicesAmt
Management And General$40,336ManagementAndGeneralAmt
Fundraising$6,206FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROGRAM SUPPLIES$1,391,981$1,391,981
REPAIRS AND MAINTENANCE$129,583$110,145$16,846$2,592
EMPLOYEE EXPENSES$98,107$83,391$12,754$1,962
EDUCATION$71,298$60,603$9,269$1,426

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$193,624TotalAmt
Program Services$128,936ProgramServicesAmt
Management And General$19,719ManagementAndGeneralAmt
Fundraising$44,969FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,347,732TotalAmt
Program Services$14,866,098ProgramServicesAmt
Management And General$2,122,213ManagementAndGeneralAmt
Fundraising$359,421FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$502,302BOYAmt
EOY$232,837EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$33,834BOYAmt
EOY$23,360EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$40,251BOYAmt
EOY$360,976EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,058,663BOYAmt
EOY$1,303,581EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$188,873BOYAmt
EOY$215,316EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$26,892,788LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$19,108,214LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,588,062BOYAmt
EOY$7,784,574EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$537,883BOYAmt
EOY$134,282EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$9,949,868BOYAmt
EOY$10,054,926EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,010,543BOYAmt
EOY$1,118,623EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$60,000BOYAmt
EOY$16,865EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$33,834BOYAmt
EOY$23,360EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$523,371BOYAmt
EOY$425,923EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$69,249BOYAmt
EOY$271,146EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,696,997BOYAmt
EOY$1,855,917EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,252,871BOYAmt
EOY$7,735,333EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$463,676EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,252,871BOYAmt
EOY$8,199,009EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$9,949,868BOYAmt
EOY$10,054,926EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$53,862ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,427,314CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$780,553CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,357,758CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,845,905CurrentTaxYearMinus1YearAmt
Current Tax Year$3,437,547CurrentTaxYearAmt
Total$19,849,077TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,433,948CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,245,235CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,450,880CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,508,074CurrentTaxYearMinus1YearAmt
Current Tax Year$13,807,873CurrentTaxYearAmt
Total$67,446,010TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,861,262CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,025,788CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,808,638CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,353,979CurrentTaxYearMinus1YearAmt
Current Tax Year$17,245,420CurrentTaxYearAmt
Total$87,295,087TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$98,510CurrentTaxYearMinus1YearAmt
Current Tax Year$712,446CurrentTaxYearAmt
Total$810,956TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$98,510CurrentTaxYearMinus1YearAmt
Current Tax Year$712,446CurrentTaxYearAmt
Total$810,956TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$86,484,131PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$846CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$2CurrentTaxYearMinus2YearsAmt
Current Tax Year$0CurrentTaxYearAmt
Total$848TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$846CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$2CurrentTaxYearMinus2YearsAmt
Total$848TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$70,452CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$202,668CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$175,252CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$65,915CurrentTaxYearMinus1YearAmt
Current Tax Year$48,450CurrentTaxYearAmt
Total$562,737TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,932,560CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,228,456CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,983,892CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,419,894CurrentTaxYearMinus1YearAmt
Current Tax Year$17,293,870CurrentTaxYearAmt
Total$87,858,672TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98440PublicSupportCY509Pct
Public Support PY5090.99250PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOME FUNDRAISING MISC REVENUEExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,676,369BeginningYearBalanceAmt
Contributions$102,391ContributionsAmt
Investment Earnings Or Losses-$578,799InvestmentEarningsOrLossesAmt
End Year Balance$4,199,961EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,699,521BeginningYearBalanceAmt
Contributions$548,649ContributionsAmt
Investment Earnings Or Losses$428,199InvestmentEarningsOrLossesAmt
End Year Balance$4,676,369EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,318,718BeginningYearBalanceAmt
Investment Earnings Or Losses$380,803InvestmentEarningsOrLossesAmt
End Year Balance$3,699,521EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,951,498BeginningYearBalanceAmt
Contributions$90,000ContributionsAmt
Investment Earnings Or Losses$277,220InvestmentEarningsOrLossesAmt
End Year Balance$3,318,718EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,898,466BeginningYearBalanceAmt
Contributions$249,998ContributionsAmt
Investment Earnings Or Losses-$196,966InvestmentEarningsOrLossesAmt
End Year Balance$2,951,498EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.78930PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.21070TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,561,563OtherCostOrOtherBasisAmt
Book Value$2,561,563BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,452,720OtherCostOrOtherBasisAmt
Depreciation$15,244,386DepreciationAmt
Book Value$2,208,334BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,730,614OtherCostOrOtherBasisAmt
Depreciation$1,686,565DepreciationAmt
Book Value$44,049BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,482,101OtherCostOrOtherBasisAmt
Depreciation$2,177,263DepreciationAmt
Book Value$2,304,838BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$665,790OtherCostOrOtherBasisAmt
Book Value$665,790BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,784,574TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO RELATED ORGANIZATIONSDesc
Amt$271,146Amt
FieldValueIRS element (for citing)
Total Liability$271,146TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$15,519,317TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$509,402OtherRevenueAmt
Revenue Not Reported-$509,402RevenueNotReportedAmt
Revenue Subtotal$16,028,719RevenueSubtotalAmt
Other Revenues Not Included$1,265,151OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,265,151RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$17,293,870TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$18,176,685TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$870,891OtherExpensesIncludedAmt
Expenses Not Reported$870,891ExpensesNotReportedAmt
Expenses Subtotal$17,305,794ExpensesSubtotalAmt
Other Expenses Not Included$41,938OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$41,938ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$17,347,732TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 -509,402.
PART XI, LINE 4B - OTHER ADJUSTMENTS:EVENT EXPENSE 41,938. INTERCOMPANY TRANSFERS NOT REPORTED IN FINANCIAL STATEMENTS 1,223,213.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FOUNDATION AND WELLNESS CENTER EXPENSE 870,891.
PART XII, LINE 4B - OTHER ADJUSTMENTS:EVENT EXPENSE 41,938.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARC PENNER
PRESIDENT/CEO$327,260$0$9,964$0$100$0$9,150$0$21,050$0$367,524$0$0$0
MINDY MOSCOWITZ
NURSING HOME ADMINISTRATOR$150,874$0$9,750$0$200$0$4,969$0$11,738$0$177,531$0$0$0
THEOPHILUS FRIMPONG
DIRECTOR OF NURSING$133,443$0$9,975$0$114$0$3,299$0$8,299$0$155,130$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1ATHE 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 2SAM ZAITZ AND LISA COOK HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 8BTHE FINANCE COMMITTEE AND EXECUTIVE COMMITTEE DO NOT KEEP MINUTES OF THEIR MEETINGS.
FORM 990, PART VI, SECTION B, LINE 11BTHE CONTROLLER AND CEO REVIEWED THE FORM 990, AFTER WHICH THE FINANCE COMMITTEE REVIEWED AND APPROVED THE FORM 990. THE RETURN WAS THEN PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO IT BEING FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 15ATHE PRESIDENT/ CEO'S COMPENSATION IS DETERMINED BY SHALOM PARK BOARD OF DIRECTORS. THE FOLLOWING ARE USED BY SHALOM PARK IN SETTING THE PRESIDENT/ CEO'S COMPENSATION: 1. COMPENSAION COMMITTEE 2. COMPENSATION SURVEY OR STUDY 3. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THIS PROCESS LAST TOOK PLACE IN 2020. 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 2022.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11GCONTRACT SERVICES: PROGRAM SERVICE EXPENSES 2,227,204. MANAGEMENT AND GENERAL EXPENSES 340,631. FUNDRAISING EXPENSES 52,405. TOTAL EXPENSES 2,620,240.
FORM 990, PART XII, LINE 2C:THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SHALOM CARES WELLNESS CENTER LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line114800 E BELLEVIEW DRIVEAddressLine1Txt
CityAURORACityNm
State AbbreviationCOStateAbbreviationCd
ZIP80015ZIPCd
FieldValueIRS element (for citing)
EIN452808418EIN
Primary ActivitiesFITNESS AND THERAPYPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Total Income$250,868TotalIncomeAmt
End Of Year Assets$4,916,455EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1BETH ISRAEL FOUNDATION FOR THE AGEDBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1BETH ISRAEL FOUNDATION FOR THE AGEDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line114800 E BELLEVIEW DRIVEAddressLine1Txt
CityAURORACityNm
State AbbreviationCOStateAbbreviationCd
ZIP80015ZIPCd
FieldValueIRS element (for citing)
EIN742195249EIN
Primary ActivitiesFUNDRAISING TO SUPPORT SHALOM PARKPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SHALOM PARKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
BETH ISRAEL FOUNDATION FOR THE AGED
C$1,223,213CASH
BETH ISRAEL FOUNDATION FOR THE AGED
E$271,146END OF YEAR BALANCE
BETH ISRAEL FOUNDATION FOR THE AGED
D$134,282END OF YEAR BALANCE