VILLAGE SHALOM INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- VILLAGE SHALOM INC (EIN 48-1199065)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-08
- IRS object ID
- 202243129349300609
- 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 C
- Schedule D
- Schedule I
- Schedule J
- Schedule K
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-08T07:02:07-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1570 FRUITVILLE PIKE SUITE 400 | AddressLine1Txt |
| City | LANCASTER | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 17601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 481199065 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VILLAGE SHALOM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VILL | BusinessNameControlTxt |
| Phone | 9133172600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5500 WEST 123RD STREET | AddressLine1Txt |
| City | OVERLAND PARK | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66209 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHARON LATIMER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9133172600 | PhoneNum |
| Signature | 2022-11-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SHARON | PersonFirstNm |
| Person Last | LATIMER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KERRI N BOGDA CPA | PreparerPersonNm |
| PTIN | P00760402 | PTIN |
| Phone | 7177404863 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
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 | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MATTHEW E LEWIS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5500 WEST 123RD STREET | AddressLine1Txt |
| City | OVERLAND PARK | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66209 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $22,296,172 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VILLAGESHALOM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | HIGH QUALITY RESIDENT CARE TO SENIORS TO SUPPORT THEIR HIGHEST LEVEL OF INDEPENDENCE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 23 | VotingMembersIndependentCnt |
| Total Employee | 198 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,969,793 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,621,316 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,122,276 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,827,963 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$132,979 | PYInvestmentIncomeAmt |
| CY Investment Income | $49,641 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,643,039 | PYOtherRevenueAmt |
| CY Other Revenue | $144,456 | CYOtherRevenueAmt |
| PY Total Revenue | $18,602,129 | PYTotalRevenueAmt |
| CY Total Revenue | $19,643,376 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $228,659 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $138,771 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,078,602 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,080,417 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $203,582 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,346,244 | PYOtherExpensesAmt |
| CY Other Expenses | $18,317,216 | CYOtherExpensesAmt |
| PY Total Expenses | $23,653,505 | PYTotalExpensesAmt |
| CY Total Expenses | $27,536,404 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$5,051,376 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$7,893,028 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $103,191,704 | TotalAssetsBOYAmt |
| Total Assets EOY | $95,247,964 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $95,897,884 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $95,054,103 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,293,820 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $193,861 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR MISSION IS TO NURTURE THE PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL WELL-BEING OF EVERY INDIVIDUAL WHOM WE ARE PRIVILEGED TO SERVE, INSPIRED BY OUR HERITAGE AS A JEWISH-SPONSORED CONTINUING-CARE RETIREMENT COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $22,920,064 | ExpenseAmt |
| Grant | $138,771 | GrantAmt |
| Revenue | $16,827,963 | RevenueAmt |
| Desc | ACROSS THE SPECTRUM OF OUR PROGRAMS AND SERVICES, VILLAGE SHALOM IS COMMITTED TO A PHILOSOPHY OF PROVIDING CARE THAT SUPPORTS THE HIGHEST LEVEL OF INDEPENDENCE FOR AN INDIVIDUAL. MOREOVER, WE ARE COMMITTED TO PROVIDING SENIORS WITH THE HIGHEST QUALITY CARE REGARDLESS OF THEIR LEVEL OF NEED, FROM BASIC RETIREMENT LIVING TO FULL NURSING CARE, AND REGARDLESS OF THEIR ABILITY TO PAY. FOR OVER 100 YEARS, VILLAGE SHALOM HAS PROVIDED EXCEPTIONAL LONG-TERM CARE FOR SENIORS IN THE GREATER KANSAS CITY AREA. WE ARE PLEASED TO BE ABLE TO OFFER TAILORED PROGRAMS AND SERVICES TO SENIORS IN AN AWARD-WINNING INNOVATIVE ENVIRONMENT THAT PROVIDES MAXIMUM INDEPENDENCE TO OUR RESIDENTS. VILLAGE SHALOM IS, AND REMAINS, A LEADER WITHIN THE SENIOR LIVING CARE INDUSTRY. VILLAGE SHALOM COMMITS TIME AND RESOURCES AND RETAINS OUTSTANDING PROFESSIONALS DEVOTED TO DEVELOPING NEW AND INNOVATIVE SERVICES THAT ENRICH THE LIVES OF SENIORS REGARDLESS OF ECONOMIC RESOURCES. NEARLY ONE FOURTH OF THE RESIDENTS AT VILLAGE SHALOM ARE RECIPIENTS OF MORE THAN $1.7 MILLION IN FINANCIAL ASSISTANCE. OUR FINANCIAL ASSISTANCE PROGRAM ACCOMPLISHES OUR MISSION BY ENSURING ALL RESIDENTS, EVEN THOSE WHO HAVE EXHAUSTED THEIR FINANCIAL RESOURCES, OR HAVE COME TO US WITH NO RESOURCES, ARE PROVIDED 24/7 NURSING CARE, THERAPIES, PRESCRIPTION MANAGEMENT, ENGAGING PROGRAMMING, INDIVIDUALIZED AND GROUP WELLNESS OPPORTUNITIES, CUSTOMIZED MEALS PER DIETARY RESTRICTIONS, AND A SAFE AND SECURE PLACE TO CALL HOME. THEIR DIGNITY, PRIVACY, AND LONG-TERM CARE ARE OUR PRIMARY CONCERN. NO RESIDENT HAS EVER BEEN ASKED TO LEAVE DUE TO THE INABILITY TO PAY FOR THE COST OF THEIR CARE. THIS IS UNIQUE IN SENIOR LIVING AND A POINT OF PRIDE FOR VILLAGE SHALOM.THE ORGANIZATION PROVIDES SERVICES TO RESIDENTS WHO MEET CERTAIN CRITERIA UNDER ITS BENEVOLENT CARE POLICY AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS BENEVOLENT CARE, THE AMOUNTS ARE NOT REPORTED AS REVENUE. | Desc |
| Total Program Service Expenses | $22,920,064 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 69 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 198 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 23 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | 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 | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | KS | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHARON LATIMER CFO | PersonNm |
| Phone | 9132668403 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5500 WEST 123RD STREET | AddressLine1Txt |
| City | OVERLAND PARK | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 66209 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| FRANK LIPSMAN | ||||||||
| CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BOB GERSHON | ||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAVID SPIZMAN | ||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ALLISON BEREY | ||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SIMON ABRAHMS | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT BARAN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| IRENE BETTINGER | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BARRY FINK | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KAREN GLICKSTEIN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SHIRLEY HELZBERG | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BRUCE KERSHENBAUM | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES KLEIN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RACHEL KRANTZ | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LESLIE MARKS | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RODNEY MINKIN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ALANA MULLER | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ROSANNE ROSEN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| HOWARD ROSENTHAL MD | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| STEVE RUBEN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| NEAL SCHWARTZ | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TRACY SHAFTON | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| STEWART STEIN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TODD STETTNER | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH HIERSTEINER | ||||||||
| DIRECTOR (UNTIL JULY '21) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL ABRAMS | ||||||||
| DIRECTOR (UNTIL JULY '21) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MATTHEW LEWIS | ||||||||
| PRESIDENT/CEO | 40.00 | 0.00 | Yes (X) | $347,120 | $0 | $15,642 | ||
| NICOLE ANTHONY | ||||||||
| CFO (UNTIL 5/7/21) | 40.00 | 0.00 | Yes (X) | $60,543 | $0 | $3,957 | ||
| SHARON LATIMER | ||||||||
| CFO (AS OF 10/1/21) | 40.00 | 0.00 | Yes (X) | $43,577 | $0 | $1,153 | ||
| JILL ALLIN | ||||||||
| DIRECTOR OF SALES & MARKETING | 40.00 | 0.00 | $158,733 | $0 | $12,323 | Yes (X) | ||
| LORA BAUGHER | ||||||||
| DIRECTOR OF INFORMATION TECHNOLOGY | 40.00 | 0.00 | $111,012 | $0 | $7,189 | Yes (X) | ||
| EDWARD SALINAS | ||||||||
| MAINTENANCE | 40.00 | 0.00 | $106,984 | $0 | $5,817 | Yes (X) | ||
| TAMI MIDDLETON | ||||||||
| DIRECTOR OF HUMAN RESOURCES | 40.00 | 0.00 | $101,526 | $0 | $12,636 | Yes (X) | ||
| NAZIRA HUSSAINI | ||||||||
| NURSE | 40.00 | 0.00 | $100,447 | $0 | $6,068 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,029,942 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $64,785 | 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 |
|---|---|---|---|---|---|
| MORRISON MANAGEMENT | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | FOOD SERVICES PROVIDER FOR VILLAGE SHALO | $2,944,008 |
| PARIC CORPORATION | |||||
| PO BOX 790100 | ST LOUIS | MO | 63179 | CONSTRUCTION | $756,793 |
| HERMES COMPANY INC | |||||
| 13030 W 87TH STREET PARKWAY | LENEXA | KS | 66215 | LANDSCAPING | $451,128 |
| SUMMIT CARE INC | |||||
| 6731 W 121ST STREET SUITE 10 | OVERLAND PARK | KS | 66209 | NURSING CONTRACT LABOR | $362,244 |
| ZACK GROUP A LYNN CARE LLC COMPANY | |||||
| 6600 COLLEGE BLVD STE 300 | OVERLAND PARK | KS | 66211 | NURSING CONTRACT LABOR | $305,735 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 14 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,487,773 | GovernmentGrantsAmt |
| All Other Contributions | $1,133,543 | AllOtherContributionsAmt |
| Total Contributions | $2,621,316 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESIDENT CARE REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $16,827,963 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,827,963 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,827,963 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,220 | TotalRevenueColumnAmt |
| Exclusion | $32,220 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,618,467 | SecuritiesAmt |
| Other | $51,750 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,638,479 | SecuritiesAmt |
| Other | $14,317 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$20,012 | SecuritiesAmt |
| Other | $37,433 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,421 | TotalRevenueColumnAmt |
| Exclusion | $17,421 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PROVIDER RELIEF FUNDING | 623000 | $100,050 | $100,050 |
| WELLNESS CENTER | 623000 | $18,147 | $18,147 |
| OTHER INCOME | 623000 | $9,596 | $9,596 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,663 | TotalRevenueColumnAmt |
| Exclusion | $16,663 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $144,456 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,643,376 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,827,963 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $194,097 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,771 | TotalAmt |
| Program Services | $138,771 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $471,992 | TotalAmt |
| Program Services | $352,757 | ProgramServicesAmt |
| Management And General | $110,225 | ManagementAndGeneralAmt |
| Fundraising | $9,010 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,134,763 | TotalAmt |
| Program Services | $5,481,096 | ProgramServicesAmt |
| Management And General | $1,513,670 | ManagementAndGeneralAmt |
| Fundraising | $139,997 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,472 | TotalAmt |
| Program Services | $39,464 | ProgramServicesAmt |
| Management And General | $11,044 | ManagementAndGeneralAmt |
| Fundraising | $964 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $801,867 | TotalAmt |
| Program Services | $614,907 | ProgramServicesAmt |
| Management And General | $171,936 | ManagementAndGeneralAmt |
| Fundraising | $15,024 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $620,323 | TotalAmt |
| Program Services | $475,399 | ProgramServicesAmt |
| Management And General | $133,296 | ManagementAndGeneralAmt |
| Fundraising | $11,628 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,496 | TotalAmt |
| Program Services | $80,496 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,784 | TotalAmt |
| Management And General | $248,784 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,662 | TotalAmt |
| Management And General | $72,662 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,764 | TotalAmt |
| Management And General | $1,764 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,212 | TotalAmt |
| Management And General | $54,212 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,100,084 | TotalAmt |
| Program Services | $4,668,452 | ProgramServicesAmt |
| Management And General | $426,578 | ManagementAndGeneralAmt |
| Fundraising | $5,054 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,220 | TotalAmt |
| Program Services | $171 | ProgramServicesAmt |
| Management And General | $20,049 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $581,578 | TotalAmt |
| Program Services | $321,431 | ProgramServicesAmt |
| Management And General | $239,477 | ManagementAndGeneralAmt |
| Fundraising | $20,670 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $261,312 | TotalAmt |
| Program Services | $7,102 | ProgramServicesAmt |
| Management And General | $254,210 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,727,750 | TotalAmt |
| Program Services | $1,594,466 | ProgramServicesAmt |
| Management And General | $133,284 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,091 | TotalAmt |
| Program Services | $53,024 | ProgramServicesAmt |
| Fundraising | $67 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,339 | TotalAmt |
| Management And General | $1,339 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,953,342 | TotalAmt |
| Program Services | $2,953,342 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,701,278 | TotalAmt |
| Program Services | $4,701,278 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $507,340 | TotalAmt |
| Management And General | $507,340 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| DIETARY | $1,017,951 | $1,017,951 | ||
| RECRUITMENT | $198,617 | $7,306 | $191,311 | |
| MEDICAL SUPPLIES | $183,372 | $183,372 | ||
| EMPLOYEE RECOGNITION | $105,894 | $6,855 | $98,920 | $119 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $446,130 | TotalAmt |
| Program Services | $222,424 | ProgramServicesAmt |
| Management And General | $222,657 | ManagementAndGeneralAmt |
| Fundraising | $1,049 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,536,404 | TotalAmt |
| Program Services | $22,920,064 | ProgramServicesAmt |
| Management And General | $4,412,758 | ManagementAndGeneralAmt |
| Fundraising | $203,582 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,497 | BOYAmt |
| EOY | $9,415 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,524,682 | BOYAmt |
| EOY | $1,599,872 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,013,678 | BOYAmt |
| EOY | $2,184,852 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $287,976 | BOYAmt |
| EOY | $766,557 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,581 | BOYAmt |
| EOY | $106,781 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $486,206 | BOYAmt |
| EOY | $442,780 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $121,772,032 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $44,597,282 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,627,484 | BOYAmt |
| EOY | $77,174,750 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,975,327 | BOYAmt |
| EOY | $11,853,877 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,154,273 | BOYAmt |
| EOY | $1,109,080 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,191,704 | BOYAmt |
| EOY | $95,247,964 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,317,702 | BOYAmt |
| EOY | $1,896,366 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,226,682 | BOYAmt |
| EOY | $44,340,229 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,067,770 | BOYAmt |
| EOY | $48,086,919 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,493 | BOYAmt |
| EOY | $8,611 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,051 | BOYAmt |
| EOY | $41,716 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $161,396 | BOYAmt |
| EOY | $267,969 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,790 | BOYAmt |
| EOY | $412,293 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,897,884 | BOYAmt |
| EOY | $95,054,103 | 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 | $4,075,441 | BOYAmt |
| EOY | -$3,600,610 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,218,379 | BOYAmt |
| EOY | $3,794,471 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,293,820 | BOYAmt |
| EOY | $193,861 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,191,704 | BOYAmt |
| EOY | $95,247,964 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$7,893,028 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $585,213 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $207,856 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,715,642 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,011,334 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,633,199 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,969,793 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,621,316 | CurrentTaxYearAmt |
| Total | $19,951,284 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,161,844 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,670,492 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,272,143 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,122,276 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,827,963 | CurrentTaxYearAmt |
| Total | $76,054,718 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,877,486 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,681,826 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,905,342 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,092,069 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,449,279 | CurrentTaxYearAmt |
| Total | $96,006,002 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $69,480 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,666,890 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $206,544 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35,000 | CurrentTaxYearAmt |
| Total | $4,977,914 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,203,687 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,564,367 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,052,581 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,234,242 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,913,540 | CurrentTaxYearAmt |
| Total | $17,968,417 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,273,167 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,231,257 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,052,581 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,440,786 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,948,540 | CurrentTaxYearAmt |
| Total | $22,946,331 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $73,059,671 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $79,946 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $116,411 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $219,042 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $60,953 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,220 | CurrentTaxYearAmt |
| Total | $508,572 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $79,946 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $116,411 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $219,042 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $60,953 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,220 | CurrentTaxYearAmt |
| Total | $508,572 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,329 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $107,418 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $112,204 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,640,935 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $144,456 | CurrentTaxYearAmt |
| Total | $2,024,342 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $18,976,761 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,905,655 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,236,588 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,793,957 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,625,955 | CurrentTaxYearAmt |
| Total | $98,538,916 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.74140 | PublicSupportCY509Pct |
| Public Support PY509 | 0.76880 | PublicSupportPY509Pct |
| Investment Income CY | 0.00520 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00650 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2017 AMOUNT: $ 19,329. 2018 AMOUNT: $ 4,982. 2019 AMOUNT: $ 2,177. 2020 AMOUNT: $ 775. 2021 AMOUNT: $ 9,596. WELLNESS CENTER - 2018 AMOUNT: $ 53,630. 2019 AMOUNT: $ 49,040. 2020 AMOUNT: $ 10,177. 2021 AMOUNT: $ 18,147. SALON REVENUE - 2018 AMOUNT: $ 6,676. 2019 AMOUNT: $ 6,695. 2020 AMOUNT: $ 2,800. 2021 AMOUNT: $ 7,434. MEALS - 2018 AMOUNT: $ 42,130. 2019 AMOUNT: $ 48,292. 2020 AMOUNT: $ 14,859. 2021 AMOUNT: $ 4,483. DEPOSITS - 2019 AMOUNT: $ 6,000. SETTLEMENT CLAIMS - 2020 AMOUNT: $ 984. FINANCE CHARGE REVENUE - 2020 AMOUNT: $ 805. 2021 AMOUNT: $ -392. MEDICAL RECORDS - 2020 AMOUNT: $ 375. 2021 AMOUNT: $ 67. RESIDENT INTEREST - 2020 AMOUNT: $ 360. 2021 AMOUNT: $ 338. PPP LOAN FORGIVENESS - 2020 AMOUNT: $ 1,609,800. VENDING MACHINE - 2021 AMOUNT: $ 949. REGISTER FEE - 2021 AMOUNT: $ 3,784. PROVIDER RELIEF FUNDING - 2021 AMOUNT: $ 100,050. | ExplanationTxt |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $1,764 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $1,764 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | FOR 2021, $1,764 OF DUES PAID TO LEADINGAGE KANSAS AND LEADINGAGE NATIONAL WERE USED FOR LOBBYING/ADVOCACY EXPENDITURES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,974,521 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $212,361 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $82,840 | OtherExpendituresAmt |
| End Year Balance | $2,104,042 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,836,330 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $200,756 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $62,565 | OtherExpendituresAmt |
| End Year Balance | $1,974,521 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,652,322 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $215,354 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $31,346 | OtherExpendituresAmt |
| End Year Balance | $1,836,330 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,771,492 | BeginningYearBalanceAmt |
| Contributions | $50,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$110,231 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $58,939 | OtherExpendituresAmt |
| End Year Balance | $1,652,322 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,605,654 | BeginningYearBalanceAmt |
| Contributions | $50,000 | ContributionsAmt |
| Investment Earnings Or Losses | $165,385 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $42,336 | OtherExpendituresAmt |
| Administrative Expenses | $7,211 | AdministrativeExpensesAmt |
| End Year Balance | $1,771,492 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.78000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.22000 | 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 | $2,252,860 | OtherCostOrOtherBasisAmt |
| Book Value | $2,252,860 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $93,694,723 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,880,691 | DepreciationAmt |
| Book Value | $66,814,032 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,505,527 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,378,266 | DepreciationAmt |
| Book Value | $6,127,261 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,318,922 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,338,325 | DepreciationAmt |
| Book Value | $1,980,597 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $77,174,750 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER LONG-TERM LIABILITIES | $19,790 |
| DEFERRED CONTRACT INVESTMENTS | $392,503 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $412,293 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $20,297,674 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $585,213 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $69,085 | OtherRevenueAmt |
| Revenue Not Reported | $654,298 | RevenueNotReportedAmt |
| Revenue Subtotal | $19,643,376 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $19,643,376 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $27,397,633 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $27,397,633 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $138,771 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $138,771 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $27,536,404 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | SKILLED NURSING RESIDENTS MAY ELECT TO HAVE PERSONAL FUNDS MANAGED BY VILLAGE SHALOM. RESIDENTS WHOSE PERSONAL FUNDS ARE HELD BY VILLAGE SHALOM MAY GO TO THE BUSINESS OFFICE AND WITHDRAW CASH FOR THEIR NEEDS. |
| PART V, LINE 4: | EARNINGS FROM THE ENDOWMENT FUNDS ARE TO BE USED FOR RESIDENT ACTIVITIES, FINANCIAL ASSISTANCE, EMPLOYEE RECOGNITION, STAFF DEVELOPMENT AND TRAINING. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 65,778. CHANGE IN VALUE OF PLEDGES RECEIVABLE 142,078. GRANTS/OTHER ASSISTANCE TO INDIVIDUALS -138,771. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | GRANTS/OTHER ASSISTANCE TO INDIVIDUALS 138,771. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | FINANCIAL ASSISTANCE | GrantTypeTxt |
| Recipient | 2 | RecipientCnt |
| Cash Grant | $138,771 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | VILLAGE SHALOM, INC. PROVIDES FINANCIAL ASSISTANCE TO INDIVIDUALS WHO DO NOT HAVE THE RESOURCES TO PAY FOR THEIR CARE. INDIVIDUALS AND FAMILIES MUST COMPLETE AN APPLICATION INDICATING THEIR NEED FOR FINANCIAL ASSISTANCE. THE ORGANIZATION'S STAFF REVIEWS THE INDIVIDUAL AND FAMILY APPLICATIONS THROUGH THE ESTABLISHED CRITERIA OF THE ASSISTANCE PLAN. INDIVIDUALS AND FAMILIES ARE REQUIRED TO PROVIDE INCOME AND ASSET VERIFICATION AS WELL AS ANNUALLY DISCLOSING THEIR FINANCIAL INFORMATION THROUGH THEIR CONTINUATION WITHIN THE ASSISTANCE PROGRAM. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MATTHEW LEWIS | ||||||||||||||
| PRESIDENT/CEO | $347,120 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $15,642 | $0 | $362,762 | $0 | $0 | $0 |
| JILL ALLIN | ||||||||||||||
| DIRECTOR OF SALES & MARKETING | $158,733 | $0 | $0 | $0 | $0 | $0 | $3,175 | $0 | $9,148 | $0 | $171,056 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | BONUSES ARE BASED ON A NUMBER OF FACTORS INCLUDING EXCEPTIONAL PERFORMANCE, OPERATIONAL AND ORGANIZATION-BASED GOALS, AND KEY INITIATIVES. BONUSES ARE TIED TO KEY ANNUAL STRATEGIC GOALS THAT SUPPORT THE MISSION, THE ACHIEVEMENT OF THE ORGANIZATION'S MISSION, AND THE ANNUAL REVIEW PROCESS. SALARIES OF COMPARABLE POSITIONS AT ORGANIZATIONS OF SIMILAR SIZES AND MISSION ARE EVALUATED AS PART OF THE PROCESS AS WELL. THE BOARD HAS SOLE DISCRETION TO REDUCE OR REVOKE THE BONUS AMOUNT. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd | CUSIPCUSIPNum |
|---|---|---|---|---|---|---|---|---|
| KANSAS DEVELOPMENT FINANCE AUTHORITY | ||||||||
| A | 481066589 | 2013-05-29 | $12,155,000 | NOTE IN PART VI | 0 | 0 | 0 | |
| KANSAS DEVELOPMENT FINANCE AUTHORITY | ||||||||
| B | 481066589 | 2018-07-16 | $59,841,375 | NOTE IN PART VI | 0 | 0 | 0 | 48542RCB8 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $6,106,430 | $12,155,000 | $12,155,000 | 2002 | Yes (1) | 0 | Yes (1) | Yes (1) | |||||
| B | $16,700,000 | $61,341,352 | 2021 | 0 | 0 | 0 | Yes (1) | $3,778,052 | $6,979,268 | $1,183,985 | $49,399,781 | $267 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | Yes (1) | Yes (1) | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | Yes (1) | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE A, COLUMN (F): | REFUND 1998AA BONDS (ORIGINALLY ISSUED 12/2/1998). |
| PART I, LINE B, COLUMN (F): | CONSTRUCTION AND IMPROVEMENT TO THE INSTITUTION'S CONTINUING CARE RETIREMENT COMMUNITY. |
| PART II, COLUMN A, LINE 11: | THIS AMOUNT WAS USED TO CURRENT REFUND THE 1998AA BONDS ON THE ISSUE DATE. |
| PART II, COLUMN B, LINE 3: | TOTAL PROCEEDS DO NOT EQUAL ISSUE PRICE LISTED IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD. . |
| PART II, COLUMN B, LINE 12: | UNSPENT PROCEEDS ARE COMPRISED OF $241.76 ON DEPOSIT IN THE PROJECT FUND AND $25.57 ON DEPOSIT IN THE FUNDED INTEREST FUND. |
| PART II, COLUMN B, LINE 16: | THE INSTITUTION IS CURRENTLY IN THE PROCESS OF COMPLETING THE FINAL WRITTEN ALLOCATION FOR THE BONDS. |
| PART IV, COLUMN B, LINE 6: | THE INVESTMENT YIELD ON ANY PROCEEDS INVESTED BEYOND THE 3-YEAR TEMPORARY PERIOD DID NOT EXCEED THE YIELD ON THE BONDS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS COMPILED/COMPLETED BY AN INDEPENDENT CPA FIRM, BAKER TILLY US, LLP (BAKER TILLY). BAKER TILLY ALSO CONDUCTS THE ANNUAL INDEPENDENT AUDIT OF VILLAGE SHALOM, INC. THE 990 IS COMPLETED IN COOPERATION WITH THE CFO AND PRESIDENT OF VILLAGE SHALOM. PRIOR TO THE MAILING TO THE VILLAGE SHALOM BOARD, THE CFO AND PRESIDENT REVIEW THE 990 AND RELATED SCHEDULES WITH BAKER TILLY. THE 990 DRAFT IS E-MAILED TO ALL VOTING MEMBERS OF THE ORGANIZATION'S GOVERNING BOARD PRIOR TO THE FILING WITH THE IRS. THE 990 IS A TOPIC AT THE FINANCE COMMITTEE MEETING AND THE REGULARLY SCHEDULED BOARD MEETING PRIOR TO THE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | VILLAGE SHALOM HAS A WRITTEN COMPLIANCE PLAN. THE COMPLIANCE PLAN IS REVIEWED WITH EVERY EMPLOYEE AT ORIENTATION, AND EVERY BOARD MEMBER WHEN THEY ARE INSTALLED. A CODE OF CONDUCT IS SIGNED BY EVERY EMPLOYEE AND BOARD MEMBER AT ORIENTATION (UPON HIRE OR INSTALLATION). ANNUALLY, EVERY EMPLOYEE MEMBER COMPLETES AN IN-SERVICE/UPDATE ON THE CODE OF CONDUCT/COMPLIANCE PLAN. ANNUALLY, EVERY BOARD MEMBER REVIEWS THE CODE OF CONDUCT AND SIGNS AN UPDATED CONFLICT OF INTEREST POLICY. FAMILY AND BUSINESS RELATIONSHIPS ARE EXPRESSLY MENTIONED IN THE POLICY. THE CODE OF CONDUCT AND COMPLIANCE PLAN LAY THE FOUNDATION FOR A COMPLIANT CULTURE AND AN ATMOSPHERE FOR SELF-DISCLOSURE. VILLAGE SHALOM IS DEDICATED TO THE HIGHEST ETHICAL PRACTICES AND MAKES EVERY EFFORT TO CONDUCT RELATIONSHIPS WITH THIS BUSINESS CULTURE. |
| FORM 990, PART VI, SECTION B, LINE 15 | VILLAGE SHALOM HAS A DESIGNATED COMPENSATION COMMITTEE APPOINTED BY THE BOARD OF DIRECTORS. THE COMMITTEE REVIEWS SALARY DATA FOR THE INDUSTRY. THE SALARY DATA INCLUDES BOTH LOCAL AND REGIONAL COMPARATIVE DATA. THE COMMITTEE REVIEWS THE COMPENSATION PACKAGE AS A WHOLE, INCLUDING BOTH SALARY AND BENEFIT STRUCTURE. THE COMMITTEE MAINTAINS DOCUMENTATION RELATING TO DATES MET, TOPICS DISCUSSED, AND PROCESSES UNDERTAKEN AND CONCLUSIONS FOR COMPENSATION PACKAGES. THE BOARD ONLY REVIEWS THE CEO/PRESIDENT SALARY - ALL MANAGEMENT POSITIONS ARE REVIEWED BY THE CEO. THE CEO REVIEWS AVAILABLE COMPARABLE SALARY DATA FROM LOCAL AND REGIONAL SOURCES, INCLUDING LEADINGAGE, TO ENSURE ALL COMPENSATION IS WITHIN FAIR MARKET VALUE FOR THE INDUSTRY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONSULTING FEES: PROGRAM SERVICE EXPENSES 1,985. MANAGEMENT AND GENERAL EXPENSES 235,109. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 237,094. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 1,781,742. MANAGEMENT AND GENERAL EXPENSES 141,658. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,923,400. CONTRACTED THERAPY SERVICES: PROGRAM SERVICE EXPENSES 405,054. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 405,054. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,297,365. MANAGEMENT AND GENERAL EXPENSES 49,811. FUNDRAISING EXPENSES 5,054. TOTAL EXPENSES 2,352,230. PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 182,306. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 182,306. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS 65,778. CHANGE IN VALUE OF PLEDGES RECEIVABLE 142,078. |