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SHALOM PARK: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
SHALOM PARK (EIN 74-2376546)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-06-14
IRS object ID
201931659349300918
Schema version
2018v3.1
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)
Return2019-06-14T16:53:51-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

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 Line1370 INTERLOCKEN BLVD SUITE 500AddressLine1Txt
CityBROOMFIELDCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80021ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

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
Signature2019-06-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKURT BENNIONPreparerPersonNm
PTINP01469618PTIN
Phone3034668822PhoneNum
Preparation2019-06-08PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-06-08IPDt
IP Tm14:36:40IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6536C806F53B74C078C7EC9B2427BCB239CA21E7AtSubmissionCreationDeviceId
At Submission Filing Device Id5FDBAA4BB10DC37B886353302A6A7E613F599072AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1SHALOM CARESBusinessNameLine1Txt
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$23,042,560GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SHALOMPARK.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionDELIVERY AND INNOVATION OF COMMUNITY AND RESIDENTIAL HEALTH AND SOCIAL SERVICES.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee486TotalEmployeeCnt
Total Volunteers157TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$9,427,314CYContributionsGrantsAmt
PY Program Service Revenue$13,162,703PYProgramServiceRevenueAmt
CY Program Service Revenue$13,433,948CYProgramServiceRevenueAmt
PY Investment Income$11,485,787PYInvestmentIncomeAmt
CY Investment Income$110,846CYInvestmentIncomeAmt
PY Other Revenue$10,498PYOtherRevenueAmt
CY Other Revenue$2,250CYOtherRevenueAmt
PY Total Revenue$24,658,988PYTotalRevenueAmt
CY Total Revenue$22,974,358CYTotalRevenueAmt
PY Grants And Similar Paid$5,636PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,747CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,349,717PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,362,333CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$257,221CYTotalFundraisingExpenseAmt
PY Other Expenses$6,810,907PYOtherExpensesAmt
CY Other Expenses$6,137,736CYOtherExpensesAmt
PY Total Expenses$15,166,260PYTotalExpensesAmt
CY Total Expenses$14,503,816CYTotalExpensesAmt
PY Revenues Less Expenses$9,492,728PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,470,542CYRevenuesLessExpensesAmt
Total Assets BOY$8,961,154TotalAssetsBOYAmt
Total Assets EOY$11,204,739TotalAssetsEOYAmt
Total Liabilities BOY$8,898,835TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,671,878TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$62,319NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,532,861NetAssetsOrFundBalancesEOYAmt
MissionSHALOM PARK OPERATES A NURSING CARE FACILITY AND CENTER FOR CARE OF 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$12,656,065ExpenseAmt
Grant$3,747GrantAmt
Revenue$13,431,153RevenueAmt
DescSHALOM PARK OPERATES A NURSING HOME. DURING 2018, THE ORGANIZATION PROVIDED CARE FOR 255 PATIENTS.Desc
Total Program Service Expenses$12,656,065TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
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 ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document59IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee486EmployeeCnt
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 Rln0FamilyOrBusinessRlnInd
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
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 (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL STREAR
CHAIR & PAST CHAIR10.001.00Yes (X)Yes (X)$0$0$0
ANDY HEINS
CHAIR-ELECT & CHAIR10.001.00Yes (X)Yes (X)$0$0$0
GARY YOURTZ
VICE CHAIR & DIRECTOR5.001.00Yes (X)Yes (X)$0$0$0
BRUCE BENDELL
TREASURER & VICE CHAIR5.001.00Yes (X)Yes (X)$0$0$0
LISA COOK
SECRETARY, TREASURER & DIRECTOR5.001.00Yes (X)Yes (X)$0$0$0
NEIL OBERFELD
DIRECTOR & TREASURER5.000.00Yes (X)Yes (X)$0$0$0
ELISA ROBYN
DIRECTOR & SECRETARY5.001.00Yes (X)Yes (X)$0$0$0
JOE BORUS
DIRECTOR (THROUGH JUNE 2018)1.000.00Yes (X)$0$0$0
ROBIN CHOTIN
DIRECTOR1.000.00Yes (X)$0$0$0
KEN FEILER
DIRECTOR1.000.00Yes (X)$0$0$0
JAN FISHER
DIRECTOR1.000.00Yes (X)$0$0$0
SUSY GRAZI
DIRECTOR1.000.00Yes (X)$0$0$0
ANDY MILLER
DIRECTOR1.000.00Yes (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
JARED SEIDENBERG
DIRECTOR1.000.00Yes (X)$0$0$0
SAM ZAITZ
DIRECTOR1.000.00Yes (X)$0$0$0
MARC PENNER
PRESIDENT/CEO26.0014.00Yes (X)Yes (X)$277,177$0$24,783
RUTH MINNEMA
DIRECTOR OF NURSING40.000.00$144,914$0$10,335Yes (X)
BETH IRTZ
ADMINISTRATOR40.000.00$118,963$0$10,193Yes (X)
DENISE BILYEU
DIRECTOR OF HUMAN RESOURCES40.000.00$100,289$0$14,946Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$641,343TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$60,257TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
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
HAYNES MECHANICAL SYSTEMS
5700 S QUEBEC ST 210GREENWOOD VILLAGECO80111MECH. MAINTENANCE & UPGRADES$1,770,734
MORRISON MANAGEMENT SPECIALIST
PO BOX 102289ATLANTAGA30368DIETARY SERVICES$1,323,259
PREMERE REHAB LLC
25117 SW PARKWAY SUITE DWILSONVILLEOR97070THERAPY SERVICES$497,597
EKS&H LLLP
8181 E TUFTS AVENUE SUITE 600DENVERCO80237IT CONSULTING, AUDIT & TAX SERVICES$284,968
MERIT ELECTRIC
2590 MIDPOINT DRIVEFORT COLLINSCO80525ELECTRIC PROJECTS & REPAIRS$179,733
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Fundraising$429,613FundraisingAmt
Related Organizations$8,770,701RelatedOrganizationsAmt
All Other Contributions$227,000AllOtherContributionsAmt
Total Contributions$9,427,314TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENT FEES623000$13,335,115$13,335,115
ANCILLARY SERVICES623000$98,833$98,833
FieldValueIRS element (for citing)
Total Program Service Revenue$13,433,948TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$846TotalRevenueColumnAmt
Exclusion$846ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$110,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$110,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$110,000TotalRevenueColumnAmt
Exclusion$110,000ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$33,875FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$429,613ContriRptFundraisingEventAmt
Fundraising Direct Expenses$68,202FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$34,327TotalRevenueColumnAmt
Exclusion-$34,327ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$36,577TotalRevenueColumnAmt
Exclusion$36,577ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$36,577OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,974,358TotalRevenueColumnAmt
Related Or Exempt Func Income$13,433,948RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$113,096ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,747TotalAmt
Program Services$3,747ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$297,682TotalAmt
Management And General$148,841ManagementAndGeneralAmt
Fundraising$148,841FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,074,475TotalAmt
Program Services$6,473,439ProgramServicesAmt
Management And General$540,932ManagementAndGeneralAmt
Fundraising$60,104FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$420,366TotalAmt
Program Services$392,248ProgramServicesAmt
Management And General$25,306ManagementAndGeneralAmt
Fundraising$2,812FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$569,810TotalAmt
Program Services$508,794ProgramServicesAmt
Management And General$54,914ManagementAndGeneralAmt
Fundraising$6,102FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$18,452TotalAmt
Management And General$18,452ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,976TotalAmt
Management And General$1,976ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,981,188TotalAmt
Program Services$1,782,417ProgramServicesAmt
Management And General$198,545ManagementAndGeneralAmt
Fundraising$226FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$33,331TotalAmt
Management And General$29,998ManagementAndGeneralAmt
Fundraising$3,333FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$149,328TotalAmt
Program Services$119,462ProgramServicesAmt
Management And General$14,933ManagementAndGeneralAmt
Fundraising$14,933FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$110,940TotalAmt
Program Services$46,404ProgramServicesAmt
Management And General$58,237ManagementAndGeneralAmt
Fundraising$6,299FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$521,263TotalAmt
Program Services$413,772ProgramServicesAmt
Management And General$105,999ManagementAndGeneralAmt
Fundraising$1,492FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$93,545TotalAmt
Program Services$51,546ProgramServicesAmt
Management And General$38,157ManagementAndGeneralAmt
Fundraising$3,842FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$57,996TotalAmt
Program Services$46,397ProgramServicesAmt
Management And General$11,599ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$978,961TotalAmt
Program Services$810,364ProgramServicesAmt
Management And General$168,597ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$329,365TotalAmt
Program Services$266,683ProgramServicesAmt
Management And General$58,923ManagementAndGeneralAmt
Fundraising$3,759FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROGRAM SUPPLIES$864,471$797,806$62,997$3,668
FOOD$587,278$587,278
REPAIRS AND MAINTENANCE$220,990$184,739$36,251
OTHER EXPENSES$107,006$89,323$15,873$1,810

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$81,646TotalAmt
Program Services$81,646ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$14,503,816TotalAmt
Program Services$12,656,065ProgramServicesAmt
Management And General$1,590,530ManagementAndGeneralAmt
Fundraising$257,221FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$19,091BOYAmt
EOY$1,060,343EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$22,657EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,192,417BOYAmt
EOY$906,074EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$170,175BOYAmt
EOY$174,705EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$25,240,972LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$16,545,229LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,536,483BOYAmt
EOY$8,695,743EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$42,988BOYAmt
EOY$345,217EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,961,154BOYAmt
EOY$11,204,739EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$915,959BOYAmt
EOY$1,558,255EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$26,700EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$33,933BOYAmt
EOY$31,787EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$856,288BOYAmt
EOY$1,055,136EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,092,655BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,898,835BOYAmt
EOY$2,671,878EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$62,319BOYAmt
EOY$8,532,861EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$62,319BOYAmt
EOY$8,532,861EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,961,154BOYAmt
EOY$11,204,739EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$8,470,542ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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$9,427,314CurrentTaxYearAmt
Total$9,427,314TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,002,605CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,521,319CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,158,601CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,162,703CurrentTaxYearMinus1YearAmt
Current Tax Year$13,433,948CurrentTaxYearAmt
Total$70,279,176TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,002,605CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,521,319CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,158,601CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,162,703CurrentTaxYearMinus1YearAmt
Current Tax Year$22,861,262CurrentTaxYearAmt
Total$79,706,490TotalAmt

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$79,706,490PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$846CurrentTaxYearAmt
Total$846TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year$846CurrentTaxYearAmt
Total$846TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,504CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,541CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,298CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,498CurrentTaxYearMinus1YearAmt
Current Tax Year$70,452CurrentTaxYearAmt
Total$108,293TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,006,109CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,525,860CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,177,899CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,173,201CurrentTaxYearMinus1YearAmt
Current Tax Year$22,932,560CurrentTaxYearAmt
Total$79,815,629TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99860PublicSupportCY509Pct
Public Support PY5090.99940PublicSupportPY509Pct
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 EVENT REVENUESExplanationTxt

Schedule B IRS990ScheduleB

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$2,898,466BeginningYearBalanceAmt
Contributions$249,998ContributionsAmt
Investment Earnings Or Losses-$196,966InvestmentEarningsOrLossesAmt
End Year Balance$2,951,498EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,880,924BeginningYearBalanceAmt
Contributions$400ContributionsAmt
Investment Earnings Or Losses-$64,937InvestmentEarningsOrLossesAmt
Other Expenditures$48,705OtherExpendituresAmt
End Year Balance$2,767,682EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,860,581BeginningYearBalanceAmt
Contributions$525ContributionsAmt
Investment Earnings Or Losses$70,854InvestmentEarningsOrLossesAmt
Other Expenditures$51,036OtherExpendituresAmt
End Year Balance$2,880,924EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.80320PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.19680TermEndowmentBalanceEOYPct
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$16,413,049OtherCostOrOtherBasisAmt
Depreciation$12,583,547DepreciationAmt
Book Value$3,829,502BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,730,614OtherCostOrOtherBasisAmt
Depreciation$1,640,085DepreciationAmt
Book Value$90,529BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,057,818OtherCostOrOtherBasisAmt
Depreciation$2,321,597DepreciationAmt
Book Value$1,736,221BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$477,928OtherCostOrOtherBasisAmt
Book Value$477,928BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,695,743TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$15,782,982TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$12,125DonatedServicesAndUseFcltsAmt
Revenue Not Reported$12,125RevenueNotReportedAmt
Revenue Subtotal$15,770,857RevenueSubtotalAmt
Other Revenues Not Included$7,203,501OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$7,203,501RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$22,974,358TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$14,515,941TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$12,125DonatedServicesUseFcltsAmt
Expenses Not Reported$12,125ExpensesNotReportedAmt
Expenses Subtotal$14,503,816ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$14,503,816TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 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 GIVEN TO THE RESIDENTS.
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 4B - OTHER ADJUSTMENTS:GAIN ON DISPOSAL OF PROPERTY AND EQUIPMENT 110,000. INVESTMENT INCOME 846. TRANSFER OF NET ASSETS 7,092,655.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ANNUAL DINNEREvent1Nm
Gross Receipts Event1$463,488GrossReceiptsEvent1Amt
Charitable Contri Event1$429,613CharitableContriEvent1Amt
Gross Revenue Event1$33,875GrossRevenueEvent1Amt
Rent Facility Costs Event1$2,797RentFacilityCostsEvent1Amt
Food And Beverage Event1$29,606FoodAndBeverageEvent1Amt
Entertainment Event1$15,737EntertainmentEvent1Amt
Other Direct Expenses Event1$20,062OtherDirectExpensesEvent1Amt
Gross Receipts Total$463,488GrossReceiptsTotalAmt
Charitable Contributions Tot$429,613CharitableContributionsTotAmt
Gross Revenue Total Events$33,875GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$2,797RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$29,606FoodAndBeverageTotalEventsAmt
Entertainment Total Events$15,737EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$20,062OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$68,202DirectExpenseSummaryEventsAmt
Net Income Summary-$34,327NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
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 PaymentsYes (1)AnyNonFixedPaymentsInd
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$277,177$0$0$0$0$0$4,279$0$20,504$0$301,960$0$0$0
RUTH MINNEMA
DIRECTOR OF NURSING$144,914$0$0$0$0$0$2,784$0$7,551$0$155,249$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ASHALOM PARK MAKES TAX GROSS-UP PAYMENTS ON EMPLOYEE BONUSES. IN 2018, THE FOLLOWING INDIVIDUALS RECEIVED TAX GROSS-UP PAYMENTS: MARC PENNER - $779 ON A BONUS OF $3,500 RUTH MINNEMA - $784 ON A BONUS OF $2,000 DENISE BILYEU - $1,046 ON A BONUS OF $2,000 BETH IRTZ - $522 ON A RETIREMENT GIFT OF $1,000 AND $2,611 ON A BONUS OF $5,000.
PART I, LINE 1BTHE ORGANIZATION DOES NOT HAVE A WRITTEN POLICY REGARDING TAX GROSS-UP PAYMENTS, BUT ITS PRACTICE IS THAT ALL EMPLOYEE BONUSES ARE GROSSED UP.
PART I, LINE 7THE MANAGEMENT TEAM RECEIVES HOLIDAY BONUSES THAT ARE DETERMINED AND APPROVED BY THE CEO AND THE BOARD'S FINANCE COMMITTEE.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 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 8BTHE FINANCE COMMITTEE AND EXECUTIVE COMMITTEE DO NOT KEEP MINUTES OF THEIR MEETINGS.
FORM 990, PART VI, SECTION B, LINE 11BTHE CONTROLLER, CEO AND THE FINANCE COMMITTEE REVIEWED THE TAX RETURN WITH THE ORGANIZATION'S AUDITOR AND TAX RETURN PREPARER. 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 APPOINTS A MEMBER OF THE EXECUTIVE COMMITTEE TO ACT AS THE COMPENSATION REPRESENTATIVE FOR THE BOARD. THE COMPENSATION REPRESENTATIVE CONSIDERS SEVERAL FACTORS, SUCH AS THE COMPLEXITY AND DIVERSITY OF RESPONSIBILITIES OF THE CEO'S POSITION (INCLUDING LICENSURE, REGULATION, CERTIFICATION, AND OPERATION OF THE SKILLED NURSING FACILITY); INITIATIVES UNDERTAKEN, IN PROCESS, OR PLANNED; STATUS AND PROGRESS OF THE ORGANIZATION; THE SOCIAL SECURITY ADMINISTRATION COST OF LIVING ADJUSTMENT; THE ASSOCIATION OF JEWISH AGING SERVICE COMPENSATION SURVEY; MANAGEMENT OF MULTIPLE LINES OF BUSINESS; AND THE CONTINUOUS EMPLOYMENT AGREEMENT BETWEEN THE ORGANIZATION AND THE CEO. BASED UPON THESE FACTORS, A MUTUALLY AGREEABLE COMPENSATION AMOUNT IS DETERMINED BY THE COMPENSATION REPRESENTATIVE AND THE CEO. THE COMPENSATION REPRESENTATIVE CONFERS WITH CERTAIN MEMBERS OF THE BOARD FOR APPROVAL OF THE COMPENSATION AGREEMENT. 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. THE ORGANIZATION DOES NOT HAVE ANY OTHER OFFICERS OR KEY EMPLOYEES; HOWEVER, IT DOES HAVE A PROCESS TO DETERMINE REASONABLE COMPENSATION FOR ITS EMPLOYEES.
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 1,782,417. MANAGEMENT AND GENERAL EXPENSES 198,545. FUNDRAISING EXPENSES 226. TOTAL EXPENSES 1,981,188.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SHALOM PARKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other 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

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1BETH ISRAEL FOUNDATION FOR THE AGEDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$8,770,701InvolvedAmt
Method Of Amount DeterminationCASHMethodOfAmountDeterminationTxt