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VILLAGE SHALOM INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
VILLAGE SHALOM INC (EIN 48-1199065)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-08
IRS object ID
201303129349301450
Schema version
2012v2.1
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)
Timestamp2013-11-08T10:23:04-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11201 Walnut Suite 1700AddressLine1
CityKansas CityCity
StateMOState
ZIP Code641062246ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN481199065EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VILLAGE SHALOM INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% NICOLE ANTHONYInCareOfName
Name ControlVILLNameControl
Phone9133172600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15500 WEST 123RD STREETAddressLine1
Address Line2SuiteAddressLine2
CityOVERLAND PARKCity
StateKSState
ZIP Code66209ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMATTHEW LEWISName
TitlePRESIDENT/CEOTitle
Phone9133172600Phone
Date Signed2013-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMichael J EngleName
Phone8162216300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMATTHEW LEWISNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15500 WEST 123RD STREETAddressLine1
CityOVERLAND PARKCity
StateKSState
ZIP Code66209ZIPCode
FieldValueIRS element (for citing)
Gross Receipts21966648GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.VILLAGESHALOM.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE THE HIGHEST QUALITY OF RESIDENT CARE AND OUTREACH PROGRAMMING TO MEET THE PHYSICAL, SOCIAL, AND SPIRITUAL NEEDS OF SENIORS THAT SUPPORTS THEIR HIGHEST LEVEL OF INDEPENDENCE.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees311TotalNbrEmployees
Total Nbr Volunteers120TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1292598ContributionsGrantsPriorYear
Contributions Grants Current Year1184642ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16918428ProgramServiceRevenuePriorYear
Program Service Revenue CY16323024ProgramServiceRevenueCY
Investment Income Prior Year28883InvestmentIncomePriorYear
Investment Income Current Year-25458InvestmentIncomeCurrentYear
Other Revenue Prior Year11185828OtherRevenuePriorYear
Other Revenue Current Year4422519OtherRevenueCurrentYear
Total Revenue Prior Year29425737TotalRevenuePriorYear
Total Revenue Current Year21904727TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year283313GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY281225GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7502147SalariesEtcPriorYear
Salaries Etc Current Year7706620SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year515397TotalFundrsngExpCurrentYear
Other Expense Prior Year11768771OtherExpensePriorYear
Other Expenses Current Year11005227OtherExpensesCurrentYear
Total Expenses Prior Year19554231TotalExpensesPriorYear
Total Expenses Current Year18993072TotalExpensesCurrentYear
Revenues Less Expenses Prior Year9871506RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2911655RevenuesLessExpensesCY
Total Assets BOY63517711TotalAssetsBOY
Total Assets EOY61792727TotalAssetsEOY
Total Liabilities BOY61312196TotalLiabilitiesBOY
Total Liabilities EOY56617700TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2205515NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5175027NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense16435441Expense
Grants281225Grants
Revenue16323024Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense16435441TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109681NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees311NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledKSStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonNICOLE ANTHONYNamePerson
Telephone Number9133172600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15500 WEST 123RD STREETAddressLine1
CityOVERLAND PARKCity
StateKSState
ZIP Code66209ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
MICHAEL ABRAMS
DIRECTOR2.01.0X000
ANN DARKE
DIRECTOR/VICE-CHAIR2.0X000X
BERNARD ERDMAN
DIRECTOR2.0X000
PELLA FINGERSH
DIRECTOR2.0X000
SHIRLEY HELZBERG
DIRECTOR2.0X000
JOSEPH HIERSTEINER
DIRECTOR2.0X000
JAMES KLEIN
DIRECTOR2.0X000
KAREN GLICKSTEIN
DIRECTOR2.0X000
MICHAEL LISS
DIRECTOR2.0X000
JONNY GIRSON
DIRECTOR\TREASURER2.0X000X
ANDREW KAUFMAN
DIRECTOR2.0X000
RODNEY MINKIN
DIRECTOR/CHAIR2.01.0X000X
MARCIA SCHOENFELD
DIRECTOR\SECRETARY2.0X000X
VICKI NOVORR
DIRECTOR2.0X000
JERRY BERNARD
DIRECTOR2.0X000
ANN ISENBERG
DIRECTOR2.0X000
BRUCE KERSHENBAUM
DIRECTOR2.0X000
MATTHEW LEWIS
PRESIDENT/CEO24.016.0252481024694X
NICOLE ANTHONY
DIRECTOR OF FINANCE24.016.083700012610X
JILL ALLIN
DIRECTOR OF MARKETING40.011056211522X
FieldValueIRS element (for citing)
Total Reportable Comp From Org446743TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation48826TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
FIRST PACE PAINTING
PAINTING162755
ARAMARK
CONTRACT DINING SVC1811747
SIGNATURE LANDSCAPE INC
LANDSCAPING180673
SUMMIT CARE INC
CONTRACT THERAPY1105668
BKD LLP
ACCOUNTING SERVICES160131
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
Related Organizations1184642RelatedOrganizations
Total Contributions1184642TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT CARE REV.6230001577819415778194
ENTRANCE FEES623000480597480597
FOOD SERVICE REV.6230006423364233
FieldValueIRS element (for citing)
Total Program Service Revenue16323024TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column36463TotalRevenueColumn
Exclusion$36,463ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other61921Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-61921Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-61921TotalRevenueColumn
Exclusion-$61,921ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
GAIN ON FORGIVENESS OF DEBT9000994401426$4,401,426
MISCELLANEOUS INCOME90009921093$21,093

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column21093TotalRevenueColumn
Exclusion$21,093ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue4422519TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21904727TotalRevenueColumn
Related Or Exempt Function Income16323024RelatedOrExemptFunctionIncome
Exclusion$4,397,061ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total281225Total
Program Services281225ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total495567Total
Program Services411321ProgramServices
Management And General59468ManagementAndGeneral
Fundraising24778Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5756917Total
Program Services4664575ProgramServices
Management And General871336ManagementAndGeneral
Fundraising221006Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total21780Total
Program Services21423ProgramServices
Management And General357ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total978123Total
Program Services856394ProgramServices
Management And General121458ManagementAndGeneral
Fundraising271Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total454233Total
Program Services378661ProgramServices
Management And General58315ManagementAndGeneral
Fundraising17257Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total51794Total
Management And General51794ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total80487Total
Management And General80487ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1938276Total
Program Services1635161ProgramServices
Management And General295293ManagementAndGeneral
Fundraising7822Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total296396Total
Program Services1940ProgramServices
Management And General70121ManagementAndGeneral
Fundraising224335Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total462767Total
Program Services194881ProgramServices
Management And General258701ManagementAndGeneral
Fundraising9185Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total112442Total
Program Services110598ProgramServices
Management And General1844ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1184911Total
Program Services1158834ProgramServices
Management And General26077ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total74133Total
Program Services55155ProgramServices
Management And General17899ManagementAndGeneral
Fundraising1079Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total31001Total
Program Services13173ProgramServices
Management And General17428ManagementAndGeneral
Fundraising400Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1319089Total
Program Services1273312ProgramServices
Management And General45777ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2157905Total
Program Services2122515ProgramServices
Management And General35390ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total224894Total
Program Services199856ProgramServices
Management And General25038ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
DIETARY19514541951454
BAD DEBT EXPENSES192323192323
PROGRAMMING297064297064
MEDICAL SUPPLIES614093614093

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total16198Total
Program Services1483ProgramServices
Management And General5451ManagementAndGeneral
Fundraising9264Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18993072Total
Program Services16435441ProgramServices
Management And General2042234ManagementAndGeneral
Fundraising515397Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2552BOY
EOY4505EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY907988BOY
EOY995867EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1262146BOY
EOY800075EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY86007BOY
EOY83161EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY323100BOY
EOY274975EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis56435257LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec23973069LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY33718916BOY
EOY32462188EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2099373BOY
EOY1961310EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY24623805BOY
EOY24683612EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY493824BOY
EOY527034EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY63517711BOY
EOY61792727EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1791672BOY
EOY2075590EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY13418135BOY
EOY13691288EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY25650899BOY
EOY20866351EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY320881BOY
EOY287561EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY20130609BOY
EOY19696910EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY61312196BOY
EOY56617700EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY96127BOY
EOY2961942EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY729479BOY
EOY813197EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1379909BOY
EOY1399888EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2205515BOY
EOY5175027EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY63517711BOY
EOY61792727EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2911655ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-1950ReconciliationUnrealizedInvest
Reconcilation Other Changes59807ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1053350CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1088698CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1047622CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1292598CurrentTaxYearMinus1Year
Current Tax Year1184642CurrentTaxYear
Total5666910Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13281152CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14821512CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15516420CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16918428CurrentTaxYearMinus1Year
Current Tax Year16323024CurrentTaxYear
Total76860536Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years9100CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11250CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11787CurrentTaxYearMinus1Year
Total32137Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14334502CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15919310CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16575292CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18222813CurrentTaxYearMinus1Year
Current Tax Year17507666CurrentTaxYear
Total82559583Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1036615CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1415906CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34091CurrentTaxYearMinus1Year
Current Tax Year548378CurrentTaxYear
Total3034990Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1036615CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1415906CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34091CurrentTaxYearMinus1Year
Current Tax Year548378CurrentTaxYear
Total3034990Total
FieldValueIRS element (for citing)
Public Support Total50979524593PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years177703CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years156200CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years95524CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28883CurrentTaxYearMinus1Year
Current Tax Year36463CurrentTaxYear
Total494773Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years177703CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years156200CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years95524CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28883CurrentTaxYearMinus1Year
Current Tax Year36463CurrentTaxYear
Total494773Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12296CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23551CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13991CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11191540CurrentTaxYearMinus1Year
Current Tax Year4422519CurrentTaxYear
Total15663897Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14524501CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16099061CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16684807CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29443236CurrentTaxYearMinus1Year
Current Tax Year21966648CurrentTaxYear
Total98718253Total
FieldValueIRS element (for citing)
Public Support Percentage5090.80557PublicSupportPercentage509
Prior Year Support Percentage0.83989PriorYearSupportPercentage
Investment Income Percentage0.00501InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00888PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$1,710GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB1710TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCH C, PART II-B, LINE 1FReturnReference
ExplanationFOR 2012, $1,710 OF DUES PAID TO KANSAS ASSOCIATION OF HOME & SERVICES FOR AGING (KAHSA) AND AAHSA (PARENT) WERE USED FOR LOBBYING/ADVOCACY EXPENDITURES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1486313BeginningOfYearBalance
Investment Earnings Or Losses153791InvestmentEarningsOrLosses
Other Expenditures64436OtherExpenditures
Administrative Expenses1833AdministrativeExpenses
End Of Year Balance1573835EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1558899BeginningOfYearBalance
Contributions2500Contributions
Investment Earnings Or Losses-13690InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures55076OtherExpenditures
Administrative Expenses6320AdministrativeExpenses
End Of Year Balance1486313EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1431805BeginningOfYearBalance
Contributions9000Contributions
Investment Earnings Or Losses145912InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures13367OtherExpenditures
Administrative Expenses14451AdministrativeExpenses
End Of Year Balance1558899EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1147428BeginningOfYearBalance
Contributions100570Contributions
Investment Earnings Or Losses184807InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures1000OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance1431805EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1335260BeginningOfYearBalance
Contributions20000Contributions
Investment Earnings Or Losses-204571InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures3261OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance1147428EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.88900PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.11100TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2252860OtherCostOrOtherBasis
Book Value2252860BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis37697964OtherCostOrOtherBasis
Depreciation12988087Depreciation
Book Value24709877BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Depreciation0Depreciation

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis14126054OtherCostOrOtherBasis
Depreciation9236208Depreciation
Book Value4889846BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2358380OtherCostOrOtherBasis
Depreciation1748775Depreciation
Book Value609605BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings32462188TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINVESTMENT IN VSCSFDescription
Book Value24683612BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities24683612TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEPOSITS$44,875
NOTE PAYABLE TO VSCSF - RELATE$19,652,035
FieldValueIRS element (for citing)
Total Of Amounts19696910TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt22175350TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-1950NetUnrealizedGainsInvestments
Other Revenues464896OtherRevenues
Revenue Not Rptd F990462946RevenueNotRptdF990
Revenue Subtotal21712404RevenueSubtotal
Other Revenues Not Included192323OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt192323RevenueNotRptdOnFinStmt
Total Revenue Per Form99021904727TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19309535TotExpensesEtcAuditedFinclStmt
Other Expenses Included508786OtherExpensesIncluded
Expenses Not Rptd F990508786ExpensesNotRptdF990
Expenses Subtotal18800749ExpensesSubtotal
Other Expenses Not Included192323OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt192323ExpensesNotRptdOnFinStmt
Total Expenses Per Form99018993072TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDSSCHEDULE D, PART V, LINE 4THE ENDOWMENT FUNDS ARE HELD BY VILLAGE SHALOM CHARITABLE SUPPORTING FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION. EARNINGS FROM THE ENDOWMENT FUNDS ARE TO BE USED FOR RESIDENT ACTIVITIES, FINANCIAL ASSISTANCE, EMPLOYEE RECOGNITION, STAFF DEVELOPMENT AND TRAINING.
UNCERTAIN TAX POSITIONS DISCLOSURESCHEDULE D, PART X, LINE 2MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.
RECONCILIATION OF REVENUESSCHEDULE D, PART XI, LINES 2D & 4BLINE 2D: REVENUE FROM RELATED ORGANIZATION $ 1,587,617 LOSS ON DISPOSITION OF ASSETS $ 61,921 ELIMINATIONS $ (1,184,642) ------------- $ 464,896 LINE 4B: BAD DEBT EXPENSE $ 192,323
RECONCILIATION OF EXPENSESSCHEDULE D, PART XII, LINES 2D & 4BLINE 2D: EXPENSES FROM RELATED ORGANIZATION $ 1,631,507 LOSS ON DISPOSITION OF ASSETS $ 61,921 ELIMINATIONS $ (1,184,642) ------------- $ 508,786 LINE 4B: BAD DEBT EXPENSE $ 192,323

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantFINANCIAL ASSISTANCETypeOfGrant
Number Of Recipients8NumberOfRecipients
Amount Of Cash Grant281225AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES TO MONITOR USE OF GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationVILLAGE 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 INDIVIDAL 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonMATTHEW LEWISNamePerson
TitlePRESIDENT/CEOTitle
Base Compensation Filing Org232481BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org20000BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org24694NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org277175TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1AT VILLAGE SHALOM, OUR MISSION AND PASSION IS PROVIDING THE HIGHEST QUALITY OF RESIDENT CARE AND OUTREACH PROGRAMMING TO THE SENIORS OF OUR COMMUNITY. OUR OVERARCHING GOAL FOR THE SERVICES WE OFFER IS TO MEET THE PHYSICAL, SOCIAL AND SPIRITUAL NEEDS OF EVERY INDIVIDUAL WE TOUCH, AND TO DO SO WITHIN A CONTINUUM OF CARE THAT ENCOURAGES AND SUPPORTS THE HIGHEST POSSIBLE LEVEL OF INDEPENDENCE FOR THOSE SENIORS ENTRUSTED TO OUR CARE. WE ARE COMMITTED TO PROVIDING THESE SERVICES TO SENIORS FROM DIVERSE CULTURES AND ECONOMIC BACKGROUNDS.
PROGRAM SERVICE ACCOMPLISHMENTFORM 990, PART III, LINE 4AACROSS 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 NEARLY 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 REAMINS 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 THIRD OF THE RESIDENTS ON VILLAGE SHALOM'S MAIN CAMPUS ARE RECIPIENTS OF MORE THAN $1.6 MILLION IN FINANCIAL ASSISTANCE. ALL RESIDENTS RECEIVING FINANCIAL ASSISTANCE ARE PROVIDED WITH THE SAME HIGH-QUALITY CARE AND SERVICES AS ANY OTHER VILLAGE SHALOM RESIDENT. THEIR DIGNITY, PRIVACY, AND LONG-TERM CARE ARE OUR PRIMARY CONCERN.
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS COMPILED/COMPLETED BY AN INDEPENDENT CPA FIRM, BKD. BKD ALSO CONDUCTS THE ANNUAL INDEPENDENT AUDIT OF BOTH VILLAGE SHALOM, INC. AND VILLAGE SHALOM CHARITABLE SUPPORTING FOUNDATION. THE 990 IS COMPLETED IN COOPERATION WITH THE DIRECTOR OF FINANCE AND PRESIDENT OF VILLAGE SHALOM. PRIOR TO THE MAILING TO THE VILLAGE SHALOM BOARD, THE DIRECTOR OF FINANCE AND PRESIDENT REVIEW THE 990 AND RELATED SCHEDULES WITH BKD. THE 990 DRAFT IS E-MAILED TO ALL VOTING MEMBERS OF THE ORGANIZATIONS GOVERNING BOARD PRIOR TO THE FILING WITH THE IRS. THE 990 IS A TOPIC AT THE FINANCE COMMITTEE MEETING PRIOR TO THE FILING AND AT THE REGULARLY SCHEDULED BOARD MEETING PRIOR TO THE FILING.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CVILLAGE SHALOM HAS A WRITTEN COMPLIANCE PLAN. THE COMPLIANCE PLAN IS GONE OVER WITH EVERY EMPLOYEE AT ORIENTATION, AND EVERY BOARD MEMBER WHEN 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. 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.
COMPENSATION REVIEWFORM 990, PART VI, SECTION B, LINES 15A & 15BVILLAGE 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 KAHSA.
AVAILABILITY OF DOCUMENTSFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5CHANGE IN TEMPORARILY RESTRICTED NET ASSETS $ 83,718 CHANGE IN PERMANENTLY RESTRICTED NET ASSETS $ 19,979 CHANGE IN INTEREST OF NET ASSETS OF VSCSF $ (43,890) ---------- $ 59,807
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTED THERAPY SERVICES TOTAL FEES:1193624
OTHER FEES FOR SERVICES FOR NON-EMPLOYEESFORM 990 PART IX LINE 11GDESCRIPTION:OTHER CONTRACTED SERVICES TOTAL FEES:744652

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
VILLAGE SHALOM CHARITABLE FOUNDATION
5500 WEST 123RD STREETOVERLAND PARKKS66209481205323SUPPORTKS501(c)(3)11AVSItrue
SHALOM GERIATRIC CENTER INC
5500 WEST 123RD STREETOVERLAND PARKKS66209440545801SUPPORTMO501(c)(3)11BNAfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1VILLAGE SHALOM CHARITABLE SUPPORT FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved1184642AmountInvolved
Method Of Amt DeterminationCOSTMethodOfAmtDetermination