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SHALOM PARK: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
SHALOM PARK (EIN 74-2376546)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-06-21
IRS object ID
202121729349301107
Schema version
2020v4.1
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)
Return2021-06-21T18:05:56-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

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 Begin2020-01-01TaxPeriodBeginDt

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
Signature2021-06-21SignatureDt
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

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSARAH HINTZPreparerPersonNm
PTINP00492291PTIN
Phone3037795710PhoneNum
Preparation2021-06-21PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$16,998,130GrossReceiptsAmt
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 Body18VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee427TotalEmployeeCnt
Total Volunteers28TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$780,553PYContributionsGrantsAmt
CY Contributions Grants$3,357,758CYContributionsGrantsAmt
PY Program Service Revenue$14,245,235PYProgramServiceRevenueAmt
CY Program Service Revenue$13,450,880CYProgramServiceRevenueAmt
PY Investment Income-$10,450PYInvestmentIncomeAmt
CY Investment Income$8,490CYInvestmentIncomeAmt
PY Other Revenue$133,419PYOtherRevenueAmt
CY Other Revenue$175,252CYOtherRevenueAmt
PY Total Revenue$15,148,757PYTotalRevenueAmt
CY Total Revenue$16,992,380CYTotalRevenueAmt
PY Grants And Similar Paid$672,146PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$357,478CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,291,295PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,243,245CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$150,261CYTotalFundraisingExpenseAmt
PY Other Expenses$6,817,921PYOtherExpensesAmt
CY Other Expenses$6,913,993CYOtherExpensesAmt
PY Total Expenses$15,781,362PYTotalExpensesAmt
CY Total Expenses$16,514,716CYTotalExpensesAmt
PY Revenues Less Expenses-$632,605PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$477,664CYRevenuesLessExpensesAmt
Total Assets BOY$10,695,212TotalAssetsBOYAmt
Total Assets EOY$10,041,097TotalAssetsEOYAmt
Total Liabilities BOY$2,794,956TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,663,177TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,900,256NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,377,920NetAssetsOrFundBalancesEOYAmt
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$14,564,405ExpenseAmt
Grant$357,478GrantAmt
Revenue$13,450,880RevenueAmt
DescSHALOM PARK OPERATES A NURSING HOME. DURING 2020, THE ORGANIZATION PROVIDED CARE FOR 187 ELDERS.Desc
Total Program Service Expenses$14,564,405TotalProgramServiceExpensesAmt
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 Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
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 OrganizationsYes (1)GrantsToOrganizationsInd
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 Document54IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee427EmployeeCnt
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 ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
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 Members18GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
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 (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARC PENNER
PRESIDENT/CEO26.0014.00Yes (X)Yes (X)$319,505$0$18,809
RUTH MINNEMA
DIRECTOR OF NURSING40.000.00$159,347$0$11,732Yes (X)
MINDY MOSCOWITZ
NURSING HOME ADMINISTRATOR40.000.00$137,474$0$12,098Yes (X)
DENISE BILYEU
DIRECTOR OF HUMAN RESOURCES40.000.00$113,659$0$11,237Yes (X)
PREETY SHRESTHA
CONTROLLER36.004.00$105,967$0$10,899Yes (X)
NEIL OBERFELD
CHAIR & DIRECTOR10.001.00Yes (X)Yes (X)$0$0$0
ELISA ROBYN
VICE CHAIR & DIRECTOR2.001.00Yes (X)Yes (X)$0$0$0
ANDY HEINS
PAST CHAIR2.001.00Yes (X)Yes (X)$0$0$0
JAN FISHER
SECRETARY & DIRECTOR2.001.00Yes (X)Yes (X)$0$0$0
JARED SEIDENBERG
TREASURER & DIRECTOR2.001.00Yes (X)Yes (X)$0$0$0
ROBIN CHOTIN
DIRECTOR (THRU SEPTEMBER 2020)1.000.00Yes (X)$0$0$0
LISA COOK
DIRECTOR1.001.00Yes (X)$0$0$0
LYNN GELLER
DIRECTOR1.000.00Yes (X)$0$0$0
SUSY GRAZI
DIRECTOR1.000.00Yes (X)$0$0$0
JULIE GUTMAN
DIRECTOR1.000.00Yes (X)$0$0$0
MARC LEVINE
DIRECTOR1.000.00Yes (X)$0$0$0
ANDY MILLER
DIRECTOR (THRU JUNE 2020)1.000.00Yes (X)$0$0$0
JAY MOSKOWITZ
DIRECTOR1.000.00Yes (X)$0$0$0
STUART PACK
DIRECTOR1.000.00Yes (X)$0$0$0
MELINDA QUIAT
DIRECTOR1.000.00Yes (X)$0$0$0
FRAN SIMON
DIRECTOR1.000.00Yes (X)$0$0$0
JJ SLATKIN
DIRECTOR1.000.00Yes (X)$0$0$0
ERIN YOURTZ
DIRECTOR1.000.00Yes (X)$0$0$0
SAM ZAITZ
DIRECTOR1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$835,952TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$64,775TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
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$2,113,688
HAYNES MECHANICAL SYSTEMS
5700 S QUEBEC ST 210GREENWOOD VILLAGECO80111MECHANICAL MAINTENANCE$384,334
PREMERE REHAB LLC
25117 SW PARKWAY SUITE DWILSONVILLEOR97070THERAPY SERVICES$374,025
PLANTE & MORAN
8181 E TUFTS AVENUE SUITE 600DENVERCO80237IT CONSULTING & SERVICES$196,483
RIZE CONSTRUCTION
61 INVERNESS DRIVE EASTENGLEWOODCO80112MEANS OF EGRESS CONSTRUCTION$133,104
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$50,971RelatedOrganizationsAmt
Government Grants$2,322,759GovernmentGrantsAmt
All Other Contributions$984,028AllOtherContributionsAmt
Total Contributions$3,357,758TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT FEES623000$13,346,657$13,346,657
ANCILLARY SERVICES623000$104,223$104,223
FieldValueIRS element (for citing)
Total Program Service Revenue$13,450,880TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2TotalRevenueColumnAmt
Exclusion$2ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$14,238OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$5,750OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$8,488OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,488TotalRevenueColumnAmt
Exclusion$8,488ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$175,252TotalRevenueColumnAmt
Exclusion$175,252ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$175,252OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,992,380TotalRevenueColumnAmt
Related Or Exempt Func Income$13,450,880RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$183,742ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$357,478TotalAmt
Program Services$357,478ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$626,259TotalAmt
Management And General$626,259ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,442,345TotalAmt
Program Services$7,046,454ProgramServicesAmt
Management And General$297,820ManagementAndGeneralAmt
Fundraising$98,071FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$531,680TotalAmt
Program Services$513,839ProgramServicesAmt
Management And General$11,913ManagementAndGeneralAmt
Fundraising$5,928FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$642,961TotalAmt
Program Services$572,398ProgramServicesAmt
Management And General$63,507ManagementAndGeneralAmt
Fundraising$7,056FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$35,594TotalAmt
Management And General$35,594ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$28,580TotalAmt
Management And General$28,580ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,385,017TotalAmt
Program Services$2,290,279ProgramServicesAmt
Management And General$94,404ManagementAndGeneralAmt
Fundraising$334FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$56,685TotalAmt
Program Services$25,055ProgramServicesAmt
Management And General$29,093ManagementAndGeneralAmt
Fundraising$2,537FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$128,102TotalAmt
Program Services$102,482ProgramServicesAmt
Management And General$12,810ManagementAndGeneralAmt
Fundraising$12,810FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$130,083TotalAmt
Program Services$50,655ProgramServicesAmt
Management And General$71,485ManagementAndGeneralAmt
Fundraising$7,943FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$468,181TotalAmt
Program Services$380,321ProgramServicesAmt
Management And General$86,504ManagementAndGeneralAmt
Fundraising$1,356FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$34,387TotalAmt
Program Services$15,678ProgramServicesAmt
Management And General$17,122ManagementAndGeneralAmt
Fundraising$1,587FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$91,662TotalAmt
Program Services$73,330ProgramServicesAmt
Management And General$18,332ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,193,219TotalAmt
Program Services$976,407ProgramServicesAmt
Management And General$216,812ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$359,601TotalAmt
Program Services$309,916ProgramServicesAmt
Management And General$46,798ManagementAndGeneralAmt
Fundraising$2,887FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROGRAM SUPPLIES$1,697,438$1,601,110$87,834$8,494
REPAIRS AND MAINTENANCE$188,505$156,360$32,145
OTHER EXPENSES$116,939$92,643$23,038$1,258

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$16,514,716TotalAmt
Program Services$14,564,405ProgramServicesAmt
Management And General$1,800,050ManagementAndGeneralAmt
Fundraising$150,261FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$729,595BOYAmt
EOY$956,254EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$24,054BOYAmt
EOY$42,202EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,610BOYAmt
EOY$14,468EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$937,661BOYAmt
EOY$696,660EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$258,852BOYAmt
EOY$264,367EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$25,656,586LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$17,589,440LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$8,734,440BOYAmt
EOY$8,067,146EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,695,212BOYAmt
EOY$10,041,097EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,021,058BOYAmt
EOY$880,231EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,100BOYAmt
EOY$72,147EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$24,054BOYAmt
EOY$42,202EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,746,744BOYAmt
EOY$668,597EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,794,956BOYAmt
EOY$1,663,177EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,900,256BOYAmt
EOY$8,377,920EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,900,256BOYAmt
EOY$8,377,920EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,695,212BOYAmt
EOY$10,041,097EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$477,664ReconcilationRevenueExpnssAmt
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 Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$9,427,314CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$780,553CurrentTaxYearMinus1YearAmt
Current Tax Year$3,357,758CurrentTaxYearAmt
Total$13,565,625TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,158,601CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,162,703CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,433,948CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,245,235CurrentTaxYearMinus1YearAmt
Current Tax Year$13,450,880CurrentTaxYearAmt
Total$68,451,367TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,158,601CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,162,703CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,861,262CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,025,788CurrentTaxYearMinus1YearAmt
Current Tax Year$16,808,638CurrentTaxYearAmt
Total$82,016,992TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$82,016,992PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

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

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

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

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,298CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,498CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70,452CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$202,668CurrentTaxYearMinus1YearAmt
Current Tax Year$175,252CurrentTaxYearAmt
Total$478,168TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,177,899CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,173,201CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,932,560CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,228,456CurrentTaxYearMinus1YearAmt
Current Tax Year$16,983,892CurrentTaxYearAmt
Total$82,496,008TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99420PublicSupportCY509Pct
Public Support PY5090.99610PublicSupportPY509Pct
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$3,318,718BeginningYearBalanceAmt
Investment Earnings Or Losses$380,803InvestmentEarningsOrLossesAmt
End Year Balance$3,699,521EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,878,912BeginningYearBalanceAmt
Investment Earnings Or Losses$318,110InvestmentEarningsOrLossesAmt
Other Expenditures$298,556OtherExpendituresAmt
End Year Balance$2,898,466EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,767,682BeginningYearBalanceAmt
Contributions$125ContributionsAmt
Investment Earnings Or Losses$156,417InvestmentEarningsOrLossesAmt
Other Expenditures$45,312OtherExpendituresAmt
End Year Balance$2,878,912EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.66520PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.33480TermEndowmentBalanceEOYPct
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$16,920,086OtherCostOrOtherBasisAmt
Depreciation$13,936,505DepreciationAmt
Book Value$2,983,581BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,730,614OtherCostOrOtherBasisAmt
Depreciation$1,663,662DepreciationAmt
Book Value$66,952BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,387,001OtherCostOrOtherBasisAmt
Depreciation$1,989,273DepreciationAmt
Book Value$2,397,728BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$57,322OtherCostOrOtherBasisAmt
Book Value$57,322BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,067,146TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$16,983,890TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$8,490OtherRevenueAmt
Revenue Not Reported-$8,490RevenueNotReportedAmt
Revenue Subtotal$16,992,380RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$16,992,380TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$16,149,250TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$8,488OtherExpensesIncludedAmt
Expenses Not Reported-$8,488ExpensesNotReportedAmt
Expenses Subtotal$16,157,738ExpensesSubtotalAmt
Other Expenses Not Included$356,978OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$356,978ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$16,514,716TotalExpensesPerForm990Amt

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.
PART X, LINE 2:SHALOM PARK IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION FOR STATE LAW. HOWEVER, SHALOM PARK IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:GAIN ON DISPOSAL OF FIXED ASSETS -8,488. ROUNDING ADJUSTMENT -2.
PART XII, LINE 2D - OTHER ADJUSTMENTS:GAIN ON DISPOSAL OF FIXED ASSETS -8,488.
PART XII, LINE 4B - OTHER ADJUSTMENTS:TRANSFERS TO RELATED ORGANIZATIONS 356,978.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line114800 EAST BELLEVIEW DRIVEAddressLine1Txt
CityAURORACityNm
State AbbreviationCOStateAbbreviationCd
ZIP80015ZIPCd
FieldValueIRS element (for citing)
Recipient EIN742195249RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$356,978CashGrantAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc
Purpose Of GrantGENERAL OPERATING SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ONLY SIGNIFICANT GRANT WAS A TRANSFER TO A RELATED ORGANIZATION. PROPER USE OF THE FUNDS WAS ENSURED THROUGH COMMON BOARD MANAGEMENT OVERSIGHT BETWEEN THE TWO ORGANIZATIONS.ExplanationTxt

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 (2 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$310,205$0$9,300$0$0$0$0$0$18,809$0$338,314$0$0$0
RUTH MINNEMA
DIRECTOR OF NURSING$153,847$0$5,500$0$0$0$0$0$11,732$0$171,079$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE 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 FORM 990 IS PREPARED BY THE INDEPENDENT CPA FIRM WITH INFORMATION PROVIDED BY MANAGEMENT . WHEN PREPARATION IS COMPLETED AND A DRAFT IS AVAILABLE THE 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.
FORM 990, PART VI, SECTION B, LINE 15ATHE CHAIR OF THE BOARD OF DIRECTORS AND THE EXECUTIVE COMMITTEE ACTS AS THE COMPENSATION COMMITTEE FOR THE BOARD. THE COMPENSATION COMMITTEE CONSIDERS SEVERAL FACTORS, SUCH AS THE COMPLEXITY AND DIVERSITY OF RESPONSIBILITIES OF THE CEO'S POSITION (REGULATORY, FINANCIAL, OPERATIONS, QUALITY, COMMUNITY RELATIONS, FOUNDATION DEVELOPMENT, ETC.), SOCIAL SECURITY ADMINISTRATION COST OF LIVING ADJUSTMENT, THE ASSOCIATION OF JEWISH AGING SERVICE COMPENSATION SURVEY, AND THE CONTINUOUS EMPLOYMENT AGREEMENT BETWEEN THE ORGANIZATION AND THE CEO. BASED UPON THESE FACTORS, A MUTALLY AGREEABLE COMPENSATION AMOUNT IS DETERMINED BY THE COMPENSATION COMMITTEE AND THE CEO. THE ORGANIZATION MAINTAINS THE APPROPRIATE DOCUMENTATION OF THE PROCESS THROUGH WHICH THE COMPENSATION AMOUNT WAS SET. THIS COMPENSATION-SETTING PROCESS IS DONE ON AN ANNUAL BASIS. ON AN ANNUAL BASIS, 360 DEGREE FEEDBACK IS ALSO CONSIDERED IN COMPENSATION-SETTING PROCESS. THE ORGANIZATION DOES NOT HAVE ANY OTHER OFFICERS OR KEY EMPLOYEES; HOWEVER, IT DOES HAVE A PROCESS TO DETERMINE REASONABLE COMPENSATION FOR ITS EMPLOYEES THAT WAS COMPLETED IN 2020.
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 2,290,279. MANAGEMENT AND GENERAL EXPENSES 94,404. FUNDRAISING EXPENSES 334. TOTAL EXPENSES 2,385,017.
FORM 990 PART XII LINE 2CTHE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNT 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$112,640TotalIncomeAmt
End Of Year Assets$5,038,128EndOfYearAssetsAmt

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 OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
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 (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
BETH ISRAEL FOUNDATION FOR THE AGED
C$50,971CASH
BETH ISRAEL FOUNDATION FOR THE AGED
B$356,978CASH