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VILLAGE SHALOM INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
VILLAGE SHALOM INC (EIN 48-1199065)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-05
IRS object ID
201233109349300238
Schema version
2011v1.3
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)
Timestamp2012-11-05T10:57:29-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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
CityOVERLAND PARKCity
StateKSState
ZIP Code66209ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMATTHEW LEWISName
TitlePRESIDENT / CEOTitle
Phone9132668400Phone
Date Signed2012-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone8162216300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
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 Receipts29443236GrossReceipts
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 Employees339TotalNbrEmployees
Total Nbr Volunteers116TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1047622ContributionsGrantsPriorYear
Contributions Grants Current Year1292598ContributionsGrantsCurrentYear
Program Service Revenue Prior Year15516420ProgramServiceRevenuePriorYear
Program Service Revenue CY16918428ProgramServiceRevenueCY
Investment Income Prior Year95524InvestmentIncomePriorYear
Investment Income Current Year28883InvestmentIncomeCurrentYear
Other Revenue Prior Year9648OtherRevenuePriorYear
Other Revenue Current Year11185828OtherRevenueCurrentYear
Total Revenue Prior Year16669214TotalRevenuePriorYear
Total Revenue Current Year29425737TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year362582GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY283313GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7083453SalariesEtcPriorYear
Salaries Etc Current Year7502147SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year577757TotalFundrsngExpCurrentYear
Other Expense Prior Year10521545OtherExpensePriorYear
Other Expenses Current Year11768771OtherExpensesCurrentYear
Total Expenses Prior Year17967580TotalExpensesPriorYear
Total Expenses Current Year19554231TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1298366RevenuesLessExpensesPriorYear
Revenues Less Expenses CY9871506RevenuesLessExpensesCY
Total Assets BOY66403650TotalAssetsBOY
Total Assets EOY63517711TotalAssetsEOY
Total Liabilities BOY73665572TotalLiabilitiesBOY
Total Liabilities EOY61312196TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-7261922NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2205515NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense17261098Expense
Grants283313Grants
Revenue16918428Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense17261098TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
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 ActivitiestrueFundraisingActivities
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 With109668NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees339NumberOfEmployees
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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MICHAEL ABRAMS
DIRECTOR/CHAIR2.0XX000
ANN DARKE
DIRECTOR/TREASURER2.0XX000
DEBBIE SOSLAND-EDELMAN
DIRECTOR2.0X000
BERNARD ERDMAN
DIRECTOR2.0X000
PELLA FINGERSH
DIRECTOR2.0X000
SHIRLEY HELZBERG
DIRECTOR2.0X000
STEVEN GERSHON
DIRECTOR/SECRETARY2.0XX000
SUSIE GOLDSMITH
DIRECTOR2.0X000
JOSEPH HIERSTEINER
DIRECTOR2.0X000
JAMES KLEIN
DIRECTOR2.0X000
KAREN GLICKSTEIN
DIRECTOR2.0X000
MICHAEL LISS
DIRECTOR2.0X000
JONNY GIRSON
DIRECTOR2.0X000
ANDREW KAUFMAN
DIRECTOR2.0X000
RODNEY MINKIN
DIRECTOR/VICE-CHAIR2.0XX000
MARCIA SCHOENFELD
DIRECTOR2.0X000
VICKI NOVORR
DIRECTOR2.0X000
MATTHEW LEWIS
PRESIDENT/CEO24.0X213800023968
LEAH DIEHL
COO38.0X11013708578
BEVERLY HELLWIG
DIRECTOR OF FINANCE24.0X5876201046
NICOLE ANTHONY
DIRECTOR OF FINANCE24.0X3066703372
JILL ALLIN
DIRECTOR OF MARKETING40.010528906436X
FieldValueIRS element (for citing)
Total Reportable Comp From Org518655TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation43400TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
AEGIS THERAPY
CONTRACT THERAPY185899
ARAMARK
CONSULTING1880185
SIGNATURE LANDSCAPE INC
LANDSCAPING268617
SUMMIT CARE INC
Contract Therapy965412
ZACK GROUP INC
Medical Staffing248365
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Fundraising Events12196FundraisingEvents
Related Organizations1280402RelatedOrganizations
Total Contributions1292598TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT CARE REV.6230001637619016376190
ENTRANCE FEES623000485849485849
FOOD SERVICE REV.6230005638956389
FieldValueIRS element (for citing)
Total Program Service Revenue16918428TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column28883TotalRevenueColumn
Exclusion$28,883ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events11787GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events12196CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses17499FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-5712TotalRevenueColumn
Exclusion-$5,712ExclusionAmount

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 DEBT90009911176750$11,176,750
MISCELLANEOUS INCOME90009914790$14,790

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column14790TotalRevenueColumn
Exclusion$14,790ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue11191540TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column29425737TotalRevenueColumn
Related Or Exempt Function Income16918428RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$11,214,711ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total283313Total
Program Services283313ProgramServices

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)
Total450330Total
Program Services373774ProgramServices
Management And General54040ManagementAndGeneral
Fundraising22516Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5649255Total
Program Services4553319ProgramServices
Management And General869767ManagementAndGeneral
Fundraising226169Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total16862Total
Program Services13996ProgramServices
Management And General2023ManagementAndGeneral
Fundraising843Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total937538Total
Program Services823528ProgramServices
Management And General113660ManagementAndGeneral
Fundraising350Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total448162Total
Program Services368479ProgramServices
Management And General61887ManagementAndGeneral
Fundraising17796Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total118210Total
Program Services116271ProgramServices
Management And General1939ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total94989Total
Program Services93431ProgramServices
Management And General1558ManagementAndGeneral

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)
Total2682396Total
Program Services2515934ProgramServices
Management And General166462ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total371916Total
Program Services18404ProgramServices
Management And General51849ManagementAndGeneral
Fundraising301663Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total149928Total
Program Services37337ProgramServices
Management And General112591ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1653375Total
Program Services1495522ProgramServices
Management And General157853ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total14220Total
Program Services5407ProgramServices
Management And General8813ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total28538Total
Program Services15881ProgramServices
Management And General12157ManagementAndGeneral
Fundraising500Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1929024Total
Program Services1897388ProgramServices
Management And General31636ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2264855Total
Program Services2227711ProgramServices
Management And General37144ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total191761Total
Program Services160707ProgramServices
Management And General31054ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
DIETARY17944161794416
BAD DEBT EXPENSES195731195731
PROGRAMMING102042102042
MEDICAL DISCOUNT160457160457

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total16913Total
Program Services8050ProgramServices
Management And General943ManagementAndGeneral
Fundraising7920Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19554231Total
Program Services17261098ProgramServices
Management And General1715376ManagementAndGeneral
Fundraising577757Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2002BOY
EOY2552EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY796920BOY
EOY907988EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1039519BOY
EOY1262146EOY

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)
BOY100126BOY
EOY86007EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY284088BOY
EOY323100EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis56125875LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec22406959LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY34709950BOY
EOY33718916EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3229987BOY
EOY2099373EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY25401514BOY
EOY24623805EOY

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)
BOY839544BOY
EOY493824EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY66403650BOY
EOY63517711EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1409285BOY
EOY1791672EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY13445084BOY
EOY13418135EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY38762404BOY
EOY25650899EOY

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)
BOY436832BOY
EOY320881EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY19611967BOY
EOY20130609EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY73665572BOY
EOY61312196EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-9506772BOY
EOY96127EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY867441BOY
EOY729479EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1377409BOY
EOY1379909EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-7261922BOY
EOY2205515EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY66403650BOY
EOY63517711EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses9871506ReconcilationRevenueExpenses
Reconcilation Other Changes-404069ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years1458414CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1053350CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1088698CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1047622CurrentTaxYearMinus1Year
Current Tax Year1292598CurrentTaxYear
Total5940682Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12271296CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13281152CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14821512CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15516420CurrentTaxYearMinus1Year
Current Tax Year16918428CurrentTaxYear
Total72808808Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9100CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11250CurrentTaxYearMinus1Year
Current Tax Year11787CurrentTaxYear
Total32137Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13729710CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14334502CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15919310CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16575292CurrentTaxYearMinus1Year
Current Tax Year18222813CurrentTaxYear
Total78781627Total

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
Current Tax Year0CurrentTaxYear
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1036615CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1415906CurrentTaxYearMinus1Year
Current Tax Year34091CurrentTaxYear
Total2486612Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1036615CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1415906CurrentTaxYearMinus1Year
Current Tax Year34091CurrentTaxYear
Total2486612Total
FieldValueIRS element (for citing)
Public Support Total50976295015PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years348043CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years177703CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years156200CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year95524CurrentTaxYearMinus1Year
Current Tax Year28883CurrentTaxYear
Total806353Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years348043CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years177703CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years156200CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year95524CurrentTaxYearMinus1Year
Current Tax Year28883CurrentTaxYear
Total806353Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10118CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12296CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years23551CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13991CurrentTaxYearMinus1Year
Current Tax Year11191540CurrentTaxYear
Total11251496Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14087871CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14524501CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16099061CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16684807CurrentTaxYearMinus1Year
Current Tax Year29443236CurrentTaxYear
Total90839476Total
FieldValueIRS element (for citing)
Public Support Percentage5090.83989PublicSupportPercentage509
Prior Year Support Percentage0.95118PriorYearSupportPercentage
Investment Income Percentage0.00888InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01430PriorYrInvestIncomePercentage
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$1,530GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB1530TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCH C, PART II-B, LINE 1FReturnReference
ExplanationFOR 2011, $1,530 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 Balance1558899BeginningOfYearBalance
Contributions2500Contributions
Investment Earnings Or Losses-13690InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures55076OtherExpenditures
Administrative Expenses6320AdministrativeExpenses
End Of Year Balance1486313EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Minus3 Years CurrentYearMinus3Years

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)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.92800PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.07200TermEndowmentEOYBalance
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 Basis37332127OtherCostOrOtherBasis
Depreciation11795878Depreciation
Book Value25536249BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis14238644OtherCostOrOtherBasis
Depreciation8938231Depreciation
Book Value5300413BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2302244OtherCostOrOtherBasis
Depreciation1672850Depreciation
Book Value629394BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings33718916TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINVESTMENT IN VSCSFDescription
Book Value24623805BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities24623805TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEPOSITS$39,927
NOTE PAYABLE TO VSCSF - RELATED ORG$20,090,682
FieldValueIRS element (for citing)
Total Of Amounts20130609TotalOfAmounts
Total Revenue29425737TotalRevenue
Total Expenses19554231TotalExpenses
Excess Or Deficit For Year9871506ExcessOrDeficitForYear
Net Unrealized GL On Investments-6945NetUnrealizedGLOnInvestments
Other-$397,125OtherAmount
Total Adjustments-404070TotalAdjustments
Excess Or Deficit Per FS9467436ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt29562759TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-6945NetUnrealizedGainsInvestments
Other Revenues143967OtherRevenues
Revenue Not Rptd F990137022RevenueNotRptdF990
Revenue Subtotal29425737RevenueSubtotal
Total Revenue Per Form99029425737TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19959861TotExpensesEtcAuditedFinclStmt
Other Expenses Included405630OtherExpensesIncluded
Expenses Not Rptd F990405630ExpensesNotRptdF990
Expenses Subtotal19554231ExpensesSubtotal
Total Expenses Per Form99019554231TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 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 CHANGE IN NET ASSETSSCHEDULE D, PART XI, LINE 8CHANGE IN TEMPORARILY RESTRICTED NET ASSETS $ -137,962 CHANGE IN PERMANENTLY RESTRICTED NET ASSETS $ 2,500 CHANGE IN INTEREST OF NET ASSETS OF VSCSF $ -261,663 ----------- $ -397,125
RECONCILIATION OF REVENUESSCHEDULE D, PART XII, LINE 2DSPECIAL EVENTS EXPENSE $ 17,499 REVENUE FROM RELATED ORGANIZATION $ 1,406,870 ELIMINATIONS $ -1,280,402 ------------- $ 143,967
RECONCILIATION OF EXPENSESSCHEDULE D, PART XIII, LINE 2DSPECIAL EVENTS EXPENSE $ 17,499 EXPENSES FROM RELATED ORGANIZATION $ 1,668,533 ELIMINATIONS $ -1,280,402 ------------ $ 405,630

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1FATHERS DAY RUNNameOfEvent1
Gross Receipts Event123983GrossReceiptsEvent1
Charitable Contributions Event112196CharitableContributionsEvent1
Gross Revenue Event111787GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event10RentFacilityCostsEvent1
Food And Beverage Event10FoodAndBeverageEvent1
Entertainment Event10EntertainmentEvent1
Other Direct Expenses Event117499OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total23983GrossReceiptsTotal
Charitable Contributions Total12196CharitableContributionsTotal
Gross Revenue Total Events11787GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events0RentFacilityCostsTotalEvents
Food And Beverage Total Events0FoodAndBeverageTotalEvents
Entertainment Total Events0EntertainmentTotalEvents
Other Direct Expenses Total Events17499OtherDirectExpensesTotalEvents
Direct Expense Summary Events17499DirectExpenseSummaryEvents
Net Income Summary-5712NetIncomeSummary

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 Recipients7NumberOfRecipients
Amount Of Cash Grant283313AmountOfCashGrant

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
Base Compensation Filing Org213800BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org23968NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org237768TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 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 25% OF THE RESIDENTS ON VILLAGE SHALOM'S MAIN CAMPUS ARE RECIPIENTS OF MORE THAN $1.1 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 $ -137,961 CHANGE IN PERMANENTLY RESTRICTED NET ASSETS $ 2,500 CHANGE IN INTEREST OF NET ASSETS OF VSCSF $ -261,663 NET UNREALIZED LOSSES $ - 6,945 ---------- $ -404,069
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL ABRAMS TITLE:DIRECTOR/CHAIR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ANN DARKE TITLE:DIRECTOR/TREASURER HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:JAMES KLEIN TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL LISS TITLE:DIRECTOR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:RODNEY MINKIN TITLE:DIRECTOR/VICE-CHAIR HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MATTHEW LEWIS TITLE:PRESIDENT/CEO HOURS:17
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:LEAH DIEHL TITLE:COO HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:BEVERLY HELLWIG TITLE:DIRECTOR OF FINANCE HOURS:16
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:NICOLE ANTHONY TITLE:DIRECTOR OF FINANCE HOURS:16

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 Involved1280402AmountInvolved
Method Of Amt DeterminationCOSTMethodOfAmtDetermination