SHALOM PARK: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SHALOM PARK (EIN 74-2376546)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-06
- IRS object ID
- 201323109349300322
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-06T12:54:16-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 461497033 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EKS&H LLLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7979 E TUFTS AVENUE SUITE 400 | AddressLine1 |
| City | DENVER | City |
| State | CO | State |
| ZIP Code | 802372521 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 742376546 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHALOM PARK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SHAL | NameControl |
| Phone | 3036805000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14800 E BELLEVIEW DRIVE | AddressLine1 |
| City | AURORA | City |
| State | CO | State |
| ZIP Code | 800152258 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DANIEL STENERSEN | Name |
| Title | PRESIDENT/CEO | Title |
| Phone | 3036805000 | Phone |
| Date Signed | 2013-11-05 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CRAIG R CHOUN | Name |
| PTIN | P00173718 | PTIN |
| Phone | 3037409400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DANIEL STENERSEN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14800 E BELLEVIEW DRIVE | AddressLine1 |
| City | AURORA | City |
| State | CO | State |
| ZIP Code | 80015 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 14340238 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | SHALOMPARK.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1984 | YearFormation |
| State Legal Domicile | CO | StateLegalDomicile |
| Activity Or Mission Description | DELIVERY AND INNOVATION OF COMMUNITY AND RESIDENTIAL HEALTH AND SOCIAL SERVICES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 280 | TotalNbrEmployees |
| Total Nbr Volunteers | 200 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 200 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 203925 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 15125285 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 14136313 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 15125485 | TotalRevenuePriorYear |
| Total Revenue Current Year | 14340238 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 800 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 6967779 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 7392386 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 259284 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7016173 | OtherExpensePriorYear |
| Other Expenses Current Year | 7357792 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 13983952 | TotalExpensesPriorYear |
| Total Expenses Current Year | 14750978 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1141533 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -410740 | RevenuesLessExpensesCY |
| Total Assets BOY | 21788489 | TotalAssetsBOY |
| Total Assets EOY | 21172884 | TotalAssetsEOY |
| Total Liabilities BOY | 16370177 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 16157253 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 5418312 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 5015631 | NetAssetsOrFundBalancesEOY |
| Mission Description | SHALOM 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 12909524 | Expense |
| Grants | 800 | Grants |
| Revenue | 14136313 | Revenue |
| Description | SHALOM PARK OPERATES A NURSING HOME FACILITY AND CENTER FOR THECARE OF THE AGED. DURING THE TAX YEAR, THE ORGANIZATION PROVIDEDCARE FOR OVER 300 PATIENT AND ASSISTED LIVING RESIDENTS. | Description |
| Total Program Service Expense | 12909524 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 32 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 280 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DANIEL STENERSEN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3036805000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 14800 E BELLEVIEW DRIVE | AddressLine1 |
| City | AURORA | City |
| State | CO | State |
| ZIP Code | 800152258 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Average Hours Per Week RelatedAverageHoursPerWeekRelated | OfficerOfficer |
|---|---|---|---|---|---|---|---|
| TOM GART | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DANIEL STENERSEN | |||||||
| PRESIDENT/CEO | 6.00 | X | 38850 | 220150 | 53542 | 34.00 | X |
| GARY YOURTZ | |||||||
| TREASURER | 5.00 | X | 0 | 0 | 0 | 2.00 | X |
| JAY MOSKOWITZ | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| MARSHALL ABRAHAMS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | 2.00 | |
| BRUCE BENDELL | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JOE BORUS | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| ROBIN CHOTIN | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| KEN FEILER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JERRY GRAY | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| SUSY GRAZI | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | 1.00 | |
| ANDY MILLER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| JORDON PERLMUTTER | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | 1.00 | |
| JOHN PREGULMAN | |||||||
| SECRETARY | 5.00 | X | 0 | 0 | 0 | 1.00 | X |
| MICHAEL STREAR | |||||||
| CHAIR | 20.00 | X | 0 | 0 | 0 | 2.00 | X |
| SANDY WOLF | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| LISA COOK | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | ||
| DAN JAPHA | |||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | 1.00 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 38850 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 220150 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 53542 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MORRISON MANAGEMENT SPECIALIST | |||||
| 5801 PEACHTREE DUNWOODY ROAD | ATLANTA | GA | 30342 | FOOD SERVICE | 1327011 |
| TOLIN MECHANICAL SYSTEMS | |||||
| 12005 EAST 45TH AVENUE | DENVER | CO | 80239 | MAINTENANCE | 289405 |
| PIONEER PHARMACY LLC | |||||
| PO BOX 1207 | WHEATRIDGE | CO | 800341207 | LONG TERM CARE PHARMACY | 167390 |
| THINGS THAT GROW | |||||
| 12345 E BATES CIRCLE | AURORA | CO | 80014 | LANDSCAPING | 147885 |
| SCHRYVER MEDICAL | |||||
| 12075 E 45TH AVE STE 600 | DENVER | CO | 802393136 | LABS/MEDICAL TESTING | 143961 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Related Organizations | 200000 | RelatedOrganizations |
| All Other Contributions | 3925 | AllOtherContributions |
| Total Contributions | 203925 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REV | 623000 | 11795520 | 11795520 |
| RESIDENT RENTAL | 623000 | 1757289 | 1757289 |
| OTHER NURSING HOME REV | 623000 | 583504 | 583504 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 14136313 | TotalProgramServiceRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14340238 | TotalRevenueColumn |
| Related Or Exempt Function Income | 14136313 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 800 | Total |
| Program Services | 800 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46881 | Total |
| Management And General | 46881 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6073535 | Total |
| Program Services | 5527998 | ProgramServices |
| Management And General | 545537 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 767441 | Total |
| Program Services | 705410 | ProgramServices |
| Management And General | 62031 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 504529 | Total |
| Program Services | 443249 | ProgramServices |
| Management And General | 61280 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8494 | Total |
| Program Services | 7475 | ProgramServices |
| Management And General | 1019 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 73789 | Total |
| Management And General | 73789 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16000 | Total |
| Program Services | 16000 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1419568 | Total |
| Program Services | 1164573 | ProgramServices |
| Management And General | 254995 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 259284 | Total |
| Fundraising | 259284 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 263899 | Total |
| Program Services | 127598 | ProgramServices |
| Management And General | 136301 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 527176 | Total |
| Program Services | 463915 | ProgramServices |
| Management And General | 63261 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81695 | Total |
| Program Services | 71892 | ProgramServices |
| Management And General | 9803 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 936724 | Total |
| Program Services | 824317 | ProgramServices |
| Management And General | 112407 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1337935 | Total |
| Program Services | 1177383 | ProgramServices |
| Management And General | 160552 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 299098 | Total |
| Program Services | 263206 | ProgramServices |
| Management And General | 35892 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| PROGRAM SUPPLIES | 845378 | 845378 |
| FOOD | 625113 | 625113 |
| BAD DEBT EXPENSE | 400333 | 400333 |
| DRUGS & PHARMACY | 94774 | 94774 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 168532 | Total |
| Program Services | 150110 | ProgramServices |
| Management And General | 18422 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14750978 | Total |
| Program Services | 12909524 | ProgramServices |
| Management And General | 1582170 | ManagementAndGeneral |
| Fundraising | 259284 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 138096 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2877945 | BOY |
| EOY | 1462207 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 149486 | BOY |
| EOY | 153916 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 33245990 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 19174541 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14809542 | BOY |
| EOY | 14071449 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54132 | BOY |
| EOY | 62114 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3759288 | BOY |
| EOY | 5423198 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21788489 | BOY |
| EOY | 21172884 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2042815 | BOY |
| EOY | 2347358 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14189180 | BOY |
| EOY | 13517251 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 138182 | BOY |
| EOY | 292644 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16370177 | BOY |
| EOY | 16157253 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5418312 | BOY |
| EOY | 5015631 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5418312 | BOY |
| EOY | 5015631 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21788489 | BOY |
| EOY | 21172884 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -410740 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 8059 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1188942 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1283000 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 785000 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 200 | CurrentTaxYearMinus1Year |
| Current Tax Year | 203925 | CurrentTaxYear |
| Total | 3461067 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 14464783 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 14393727 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 13790478 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15125285 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14136313 | CurrentTaxYear |
| Total | 71910586 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 15653725 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 15676727 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14575478 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15125485 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14340238 | CurrentTaxYear |
| Total | 75371653 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 75371653 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 40093 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2115 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 84 | CurrentTaxYearMinus2Years |
| Total | 42292 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 40093 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2115 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 84 | CurrentTaxYearMinus2Years |
| Total | 42292 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 15693818 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 15678842 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14575562 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15125485 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14340238 | CurrentTaxYear |
| Total | 75413945 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99940 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99800 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00060 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00200 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $16,000 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 16000 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2321345 | BeginningOfYearBalance |
| Contributions | 208559 | Contributions |
| Investment Earnings Or Losses | 236427 | InvestmentEarningsOrLosses |
| Other Expenditures | 195995 | OtherExpenditures |
| End Of Year Balance | 2570336 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2260532 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -57568 | InvestmentEarningsOrLosses |
| Other Expenditures | -118381 | OtherExpenditures |
| End Of Year Balance | 2321345 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3633593 | BeginningOfYearBalance |
| Contributions | 972 | Contributions |
| Investment Earnings Or Losses | 276634 | InvestmentEarningsOrLosses |
| Other Expenditures | 1650667 | OtherExpenditures |
| End Of Year Balance | 2260532 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3022113 | BeginningOfYearBalance |
| Contributions | 362844 | Contributions |
| Investment Earnings Or Losses | 307338 | InvestmentEarningsOrLosses |
| Other Expenditures | 58702 | OtherExpenditures |
| End Of Year Balance | 3633593 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2946820 | BeginningOfYearBalance |
| Contributions | 837416 | Contributions |
| Investment Earnings Or Losses | -701111 | InvestmentEarningsOrLosses |
| Other Expenditures | 61012 | OtherExpenditures |
| End Of Year Balance | 3022113 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.92240 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.07760 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 1 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2548217 | OtherCostOrOtherBasis |
| Book Value | 2548217 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 26502391 | OtherCostOrOtherBasis |
| Depreciation | 15863934 | Depreciation |
| Book Value | 10638457 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2504861 | OtherCostOrOtherBasis |
| Depreciation | 1676199 | Depreciation |
| Book Value | 828662 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1690521 | OtherCostOrOtherBasis |
| Depreciation | 1634408 | Depreciation |
| Book Value | 56113 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 14071449 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| SINKING FUND ASSETS | 1601256 |
| DUE TO/FROM AFFILIATES | 3821942 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5423198 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEPOSITS | $114,680 |
| CASH OVERDRAFT | $177,964 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 292644 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 14348297 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 8059 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 8059 | RevenueNotRptdF990 |
| Revenue Subtotal | 14340238 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 14340238 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 14750978 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 14750978 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 14750978 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE BETH ISRAEL FOUNDATION, A RELATED ORGANIZATION, HOLDS ASSETS IN ENDOWMENT FUNDS. THE ENDOWMENTS CONSIST OF VARIOUS INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | THE ORGANIZATION APPLIES A MORE-LIKELY-THAN-NOT MEASUREMENT METHODOLOGY TO REFLECT THE COMBINED FINANCIAL STATEMENT IMPACT OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. IF TAXING AUTHORITIES WERE TO DISALLOW ANY TAX POSITIONS TAKEN BY THE ORGANIZATION, THE ADDITIONAL INCOME TAXES, IF ANY, WOULD BE IMPOSED ON SHALOM PARK, BETH NEHAMAH, BETH EZRA, AND THE FOUNDATION, WHICH IS THE SOLE MEMBER OF ETAHNU, SHALOM PARK PROFESSIONAL SERVICES, AND WELLNESS CENTER. ACCORDINGLY, THERE WOULD BE NO EFFECT ON THE ORGANIZATION'S COMBINED FINANCIAL STATEMENTS. IF INCURRED, INTEREST AND PENALTIES ASSOCIATED WITH TAX POSITIONS ARE RECORDED IN THE PERIOD ASSESSED AS GENERAL EXPENSE. NO INTEREST OR PENALTIES HAVE BEEN ASSESSED AS OF DECEMBER 31, 2012 AND 2011. THE ORGANIZATION'S TAX RETURNS SUBJECT TO EXAMINATION BY TAXING AUTHORITIES INCLUDE ALL THOSE FROM 2009 TO THE CURRENT YEAR FOR FEDERAL REPORTING PURPOSES AND FROM 2008 TO THE CURRENT YEAR FOR STATE REPORTING PURPOSES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DANIEL STENERSEN | NamePerson |
| Title | PRESIDENT/CEO | Title |
| Base Compensation Filing Org | 38850 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 220150 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 0 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 3375 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 19125 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 4656 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 26386 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 46881 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 265661 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 0 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | COMPENSATION OF DANIEL STENERSEN SCHEDULE J, PART II DANIEL STENERSEN'S TOTAL COMPENSATION REPRESENTS COMPENSATION FOR SERVICES RENDERED TO SHALOM PARK AND ITS RELATED ENTITIES, INCLUDING THE FOLLOWING: BETH ISRAEL FOUNDATION; BETH NEHAMAH HOSPICE AND PALLIATIVE CARE; SHALOM PARK PROFESSIONAL SERVICES LLC; ETAHNU LLC; BETH EZRA; AND SHALOM CARES WELLNESS CENTER LLC. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE IS COMPOSED OF THE CURRENT OFFICERS, THE PAST CHAIR(S) AND SUCH OTHER MEMBERS AS MAY BE APPOINTED BY THE CHAIR. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF AND IN PLACE OF THE BOARD OF TRUSTEES BETWEEN REGULAR MEETINGS OF THE BOARD OF TRUSTEES WHEN REASONABLY NECESSARY TO FULFILL THE PURPOSES AND DUTIES OF THE BOARD OF TRUSTEES, AS DETERMINED BY THE CHAIR, AND SHALL BE 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 CORPORATION UNTIL SUCH LATER ACTION OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE CEO AND CERTAIN BOARD MEMBERS REVIEW THE TAX RETURN WITH THE ORGANIZATION'S AUDITOR AND TAX RETURN PREPARER. THE RETURN IS AVAILABLE TO THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO IT BEING FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY THROUGH AN ANNUAL AFFIRMATION WITH THE BOARD. 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. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE 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 (1)THE COMPLEXITY AND DIVERSITY OF RESPONSIBILITIES OF THE CEO'S POSITION (INCLUDING LICENSURE, REGULATION, CERTIFICATION, AND OPERATION OF THE SKILLED NURSING FACILITY); (2)INITIATIVES UNDERTAKEN, IN PROCESS, OR PLANNED; (3)STATUS AND PROGRESS OF THE ORGANIZATION; (4)THE SOCIAL SECURITY ADMINISTRATION COST OF LIVING ADJUSTMENT; (5)THE ASSOCIATION OF JEWISH AGING SERVICE COMPENSATION SURVEY; (6)MANAGEMENT OF MULTIPLE LINES OF BUSINESS; AND (7)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 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|
| SHALOM PARK PROFESSIONAL SERVICES LLC | |||||||
| 14800 E BELLEVIEW DRIVE | AURORA | CO | 80015 | 264399163 | HEALTH CARE | CO | BETH ISRAEL FOUNDATION FOR THE AGED |
| ETAHNU LLC | |||||||
| 14800 E BELLEVIEW DRIVE | AURORA | CO | 80015 | 264297648 | HOME HEALTH | CO | BETH ISRAEL FOUNDATION FOR THE AGED |
| SHALOM CARES WELLNESS CENTER LLC | |||||||
| 14800 E BELLEVIEW DRIVE | AURORA | CO | 80015 | 452808418 | HEALTH CARE | CO | BETH ISRAEL FOUNDATION FOR THE AGED |
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| BETH ISRAEL FOUNDATION FOR THE AGED | ||||||||||
| 14800 E BELLEVIEW DRIVE | AURORA | CO | 80015 | 742195249 | CHARITABLE | CO | 501(C) (3) | 9-509(A)(2) | SHALOM PARK | 1 |
| BETH NEHAMAH | ||||||||||
| 14800 E BELLEVIEW DRIVE | AURORA | CO | 80015 | 205772447 | CHARITABLE | CO | 501(C) (3) | 9-509(A)(2) | SHALOM PARK | 1 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BETH EZRA AT SHALOM PARK | ||||||||||||
| 14800 E BELLEVIEW DRIVE | AURORA | CO | 80015 | 320179215 | CHARITABLE | CO | SHALOM PARK | C | -160548 | 46319 | 1.00000 | 1 |
| HOMEHELP | ||||||||||||
| 14800 E BELLEVIEW DRIVE | AURORA | CO | 80015 | 455132771 | CHARITABLE | CO | SHALOM PARK | C | 1.00000 | 1 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| DUE FROM FOUNDATION | |
| Q | 291551 |
| DUE FROM BETH NEHAMAH | |
| Q | 1518022 |
| DUE FROM BETH EZRA | |
| Q | 2012369 |
| BETH ISRAEL FOUNDATION FOR THE AGED | |
| C | 200000 |