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VILLAGE SHALOM INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
VILLAGE SHALOM INC (EIN 48-1199065)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201123199349307172
Schema version
2010v3.4
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)
Timestamp2011-11-15T14:09:13-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN481199065EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VILLAGE SHALOM INCBusinessNameLine1
FieldValueIRS element (for citing)
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 Signed2011-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMichael J EngleName
Phone8162216300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts16684807GrossReceipts
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 Employees291TotalNbrEmployees
Total Nbr Volunteers140TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1088698ContributionsGrantsPriorYear
Contributions Grants Current Year1047622ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14821512ProgramServiceRevenuePriorYear
Program Service Revenue CY15516420ProgramServiceRevenueCY
Investment Income Prior Year156200InvestmentIncomePriorYear
Investment Income Current Year95524InvestmentIncomeCurrentYear
Other Revenue Prior Year23369OtherRevenuePriorYear
Other Revenue Current Year9648OtherRevenueCurrentYear
Total Revenue Prior Year16089779TotalRevenuePriorYear
Total Revenue Current Year16669214TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year498092GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY362582GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7242946SalariesEtcPriorYear
Salaries Etc Current Year7083453SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year590833TotalFundrsngExpCurrentYear
Other Expense Prior Year10100297OtherExpensePriorYear
Other Expenses Current Year10521545OtherExpensesCurrentYear
Total Expenses Prior Year17841335TotalExpensesPriorYear
Total Expenses Current Year17967580TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1751556RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1298366RevenuesLessExpensesCY
Total Assets BOY66250881TotalAssetsBOY
Total Assets EOY66403650TotalAssetsEOY
Total Liabilities BOY72756387TotalLiabilitiesBOY
Total Liabilities EOY73665572TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-6505506NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-7261922NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense15743281Expense
Grants362582Grants
Revenue15516420Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense15743281TotalProgramServiceExpense
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 With109661NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees291NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledKSStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonNICOLE ANTHONYNamePerson
Telephone Number9133172600TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
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
ANDY KAUFMAN
DIRECTOR2.0X000
RODNEY MINKIN
DIRECTOR/VICE-CHAIR2.0XX000
MARCIA SCHOENFELD
DIRECTOR2.0X000
VICKI NOVORR
DIRECTOR2.0X000
MATTHEW LEWIS
PRESIDENT/CEO24.0X227043024309
LEAH DIEHL
COO38.0X11657308709
BEVERLY HELLWIG
DIRECTOR OF FINANCE24.0X8209806076
FieldValueIRS element (for citing)
Total Reportable Comp From Org425714TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation39094TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
AEGIS THERAPY
CONTRACT THERAPY1029386
ARAMARK
CONSULTING1831479
SIGNATURE LANDSCAPE INC
LANDSCAPING319846
CIC
CONSTRUCTION374871
FIRST PACE PAINTING
CONTRACT PAINTING160600
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Fundraising Events11114FundraisingEvents
Related Organizations936508RelatedOrganizations
All Other Contributions100000AllOtherContributions
Total Contributions1047622TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RESIDENT CARE REV.6230001497457714974577
ENTRANCE FEES623000485615485615
FOOD SERVICE REV.6230005622856228
FieldValueIRS element (for citing)
Total Program Service Revenue15516420TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column95524TotalRevenueColumn
Exclusion$95,524ExclusionAmount

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 Events11250GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events11114CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses15593FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-4343TotalRevenueColumn
Exclusion-$4,343ExclusionAmount

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

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column13991TotalRevenueColumn
Exclusion$13,991ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue13991TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16669214TotalRevenueColumn
Related Or Exempt Function Income15516420RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$105,172ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total362582Total
Program Services362582ProgramServices

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)
Total464808Total
Program Services385790ProgramServices
Management And General55777ManagementAndGeneral
Fundraising23241Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5395873Total
Program Services4351583ProgramServices
Management And General816757ManagementAndGeneral
Fundraising227533Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10085Total
Program Services8371ProgramServices
Management And General1210ManagementAndGeneral
Fundraising504Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total785083Total
Program Services678647ProgramServices
Management And General106236ManagementAndGeneral
Fundraising200Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total427604Total
Program Services353509ProgramServices
Management And General55967ManagementAndGeneral
Fundraising18128Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total46686Total
Management And General46686ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total96844Total
Management And General96844ManagementAndGeneral

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)
Total2405216Total
Program Services2295514ProgramServices
Management And General109702ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total325839Total
Program Services18765ProgramServices
Management And General16596ManagementAndGeneral
Fundraising290478Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total129237Total
Program Services39034ProgramServices
Management And General90203ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1270660Total
Program Services1135054ProgramServices
Management And General135606ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total9374Total
Program Services2981ProgramServices
Management And General5798ManagementAndGeneral
Fundraising595Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total29195Total
Program Services17113ProgramServices
Management And General10821ManagementAndGeneral
Fundraising1261Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total1655747Total
Program Services1628593ProgramServices
Management And General27154ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2267584Total
Program Services2230396ProgramServices
Management And General37188ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total177718Total
Program Services158802ProgramServices
Management And General18916ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
DIETARY17887601788760
BAD DEBT EXPENSES8411084110
PROGRAMMING9233092330
MEDICAL DISCOUNT9414794147
_

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total48098Total
Program Services17200ProgramServices
Management And General2005ManagementAndGeneral
Fundraising28893Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total17967580Total
Program Services15743281ProgramServices
Management And General1633466ManagementAndGeneral
Fundraising590833Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6401BOY
EOY2002EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY646788BOY
EOY796920EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY641635BOY
EOY1039519EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY89994BOY
EOY100126EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY248201BOY
EOY284088EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis54994237LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec20284287LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY35541186BOY
EOY34709950EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3227920BOY
EOY3229987EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY24814350BOY
EOY25401514EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1034406BOY
EOY839544EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY66250881BOY
EOY66403650EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1285712BOY
EOY1409285EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY12974738BOY
EOY13445084EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY33208000BOY
EOY38762404EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY458552BOY
EOY436832EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY24829385BOY
EOY19611967EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY72756387BOY
EOY73665572EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-8567640BOY
EOY-9506772EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY693725BOY
EOY867441EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1368409BOY
EOY1377409EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-6505506BOY
EOY-7261922EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY66250881BOY
EOY66403650EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1298366ReconcilationRevenueExpenses
Reconcilation Other Changes541950ReconcilationOtherChanges
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 Years880161CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1458414CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1053350CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1088698CurrentTaxYearMinus1Year
Current Tax Year1047622CurrentTaxYear
Total5528245Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10799604CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12271296CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13281152CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14821512CurrentTaxYearMinus1Year
Current Tax Year15516420CurrentTaxYear
Total66689984Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year9100CurrentTaxYearMinus1Year
Current Tax Year11250CurrentTaxYear
Total20350Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11679765CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13729710CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14334502CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year15919310CurrentTaxYearMinus1Year
Current Tax Year16575292CurrentTaxYear
Total72238579Total

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 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1036615CurrentTaxYearMinus1Year
Current Tax Year1415906CurrentTaxYear
Total2452521Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1036615CurrentTaxYearMinus1Year
Current Tax Year1415906CurrentTaxYear
Total2452521Total
FieldValueIRS element (for citing)
Public Support Total50969786058PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years271487CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years348043CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years177703CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year156200CurrentTaxYearMinus1Year
Current Tax Year95524CurrentTaxYear
Total1048957Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years271487CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years348043CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years177703CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year156200CurrentTaxYearMinus1Year
Current Tax Year95524CurrentTaxYear
Total1048957Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20175CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10118CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12296CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23551CurrentTaxYearMinus1Year
Current Tax Year13991CurrentTaxYear
Total80131Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11971427CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14087871CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years14524501CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16099061CurrentTaxYearMinus1Year
Current Tax Year16684807CurrentTaxYear
Total73367667Total
FieldValueIRS element (for citing)
Public Support Percentage5090.95118PublicSupportPercentage509
Prior Year Support Percentage0.96576PriorYearSupportPercentage
Investment Income Percentage0.01430InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01677PriorYrInvestIncomePercentage
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 FReturnReference
ExplanationFOR 2010, $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 Balance1431805BeginningOfYearBalance
Contributions9000Contributions
Investment Earnings Or Losses145912InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures13367OtherExpenditures
Administrative Expenses14451AdministrativeExpenses
End Of Year Balance1558899EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Balance0.88400PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.11600TermEndowmentEOYBalance
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 Basis36843150OtherCostOrOtherBasis
Depreciation10565581Depreciation
Book Value26277569BookValue

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 Basis13642406OtherCostOrOtherBasis
Depreciation8146627Depreciation
Book Value5495779BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2255821OtherCostOrOtherBasis
Depreciation1572079Depreciation
Book Value683742BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings34709950TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
OTHER INVESTMENTS380586F
INVESTMENT IN VSCSF25020928F
FieldValueIRS element (for citing)
Total Of Book Value Securities25401514TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEPOSITS$38,377
NOTE PAYABLE TO VSCSF - RELATED ORG.$19,573,590
FieldValueIRS element (for citing)
Total Of Amounts19611967TotalOfAmounts
Total Revenue16669214TotalRevenue
Total Expenses17967580TotalExpenses
Excess Or Deficit For Year-1298366ExcessOrDeficitForYear
Net Unrealized GL On Investments-3152NetUnrealizedGLOnInvestments
Other$545,102OtherAmount
Total Adjustments541950TotalAdjustments
Excess Or Deficit Per FS-756416ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt17394281TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-3152NetUnrealizedGainsInvestments
Other Revenues728219OtherRevenues
Revenue Not Rptd F990725067RevenueNotRptdF990
Revenue Subtotal16669214RevenueSubtotal
Total Revenue Per Form99016669214TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18333413TotExpensesEtcAuditedFinclStmt
Other Expenses Included365833OtherExpensesIncluded
Expenses Not Rptd F990365833ExpensesNotRptdF990
Expenses Subtotal17967580ExpensesSubtotal
Total Expenses Per Form99017967580TotalExpensesPerForm990

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 $ 173,716 CHANGE IN PERMANENTLY RESTRICTED NET ASSETS $ 9,000 CHANGE IN INTEREST OF NET ASSETS OF VSCSF $ 362,386 ----------- $ 545,102
RECONCILIATION OF REVENUESSCHEDULE D, PART XII, LINE 2DSPECIAL EVENTS EXPENSE $ 15,593 REVENUE FROM RELATED ORGANIZATION $ 1,649,134 ELIMINATIONS $ -936,508 ------------- $ 728,219
RECONCILIATION OF EXPENSESSCHEDULE D, PART XIII, LINE 2DSPECIAL EVENTS EXPENSE $ 15,593 EXPENSES FROM RELATED ORGANIZATION $ 1,286,748 ELIMINATIONS $ -936,508 ------------ $ 365,833

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1FATHERS DAY RUNNameOfEvent1
Gross Receipts Event122364GrossReceiptsEvent1
Charitable Contributions Event111114CharitableContributionsEvent1
Gross Revenue Event111250GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event10RentFacilityCostsEvent1
Food And Beverage Event10FoodAndBeverageEvent1
Entertainment Event10EntertainmentEvent1
Other Direct Expenses Event115593OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total22364GrossReceiptsTotal
Charitable Contributions Total11114CharitableContributionsTotal
Gross Revenue Total Events11250GrossRevenueTotalEvents
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 Events15593OtherDirectExpensesTotalEvents
Direct Expense Summary Events15593DirectExpenseSummaryEvents
Net Income Summary-4343NetIncomeSummary

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 Recipients10NumberOfRecipients
Amount Of Cash Grant362582AmountOfCashGrant

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 PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonMATTHEW LEWISNamePerson
Base Compensation Filing Org217043BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org10000BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org1865DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org22444NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org251352TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierNON-FIXED PAYMENTSIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 7ReturnReference
ExplanationTHE BOARD OF DIRECTORS HAS THE OPTION TO PAY OUT A DISCRETIONARY BONUS TO EMPLOYEES. DURING 2010, THE BOARD OF DIRECTORS CHOSE TO EXERCISE THIS OPTION.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1AT VILLAGE SHALOM, OUR MISSION AND PASSION IS PROVIDING THE HIGHEST QUALITY OF RESIDENT CARE AND OUTREACH PROGRAMMING TO THE SENIORS OF OUR COMMUNITY. OUR OVERARCHING GOAL FOR THE SERVICES WE OFFER IS TO MEET THE PHYSICAL, SOCIAL AND SPIRITUAL NEEDS OF EVERY INDIVIDUAL WE TOUCH, AND TO DO SO WITHIN A CONTINUUM OF CARE THAT ENCOURAGES AND SUPPORTS THE HIGHEST POSSIBLE LEVEL OF INDEPENDENCE FOR THOSE SENIORS ENTRUSTED TO OUR CARE. WE ARE COMMITTED TO PROVIDING THESE SERVICES TO SENIORS FROM DIVERSE CULTURES AND ECONOMIC BACKGROUNDS.
PROGRAM SERVICE ACCOMPLISHMENTFORM 990, PART III, LINE 4AACROSS THE SPECTRUM OF OUR PROGRAMS AND SERVICES, VILLAGE SHALOM IS COMMITTED TO A PHILOSOPHY OF PROVIDING CARE THAT SUPPORTS THE HIGHEST LEVEL OF INDEPENDENCE FOR AN INDIVIDUAL. MOREOVER, WE ARE COMMITTED TO PROVIDING SENIORS WITH THE HIGHEST QUALITY CARE REGARDLESS OF THEIR LEVEL OF NEED, FROM BASIC RETIREMENT LIVING TO FULL NURSING CARE, AND REGARDLESS OF THEIR ABILITY TO PAY. FOR NEARLY 100 YEARS, VILLAGE SHALOM HAS PROVIDED EXCEPTIONAL LONG-TERM CARE FOR SENIORS IN THE GREATER KANSAS CITY AREA. WE ARE PLEASED TO BE ABLE TO OFFER TAILORED PROGRAMS AND SERVICES TO SENIORS IN AN AWARD-WINNING INNOVATIVE ENVIRONMENT THAT PROVIDES MAXIMUM INDEPENDENCE TO OUR RESIDENTS. VILLAGE SHALOM IS AND REAMINS A LEADER WITHIN THE SENIOR LIVING CARE INDUSTRY. VILLAGE SHALOM COMMITS TIME AND RESOURCES, AND RETAINS OUTSTANDING PROFESSIONALS DEVOTED TO DEVELOPING NEW AND INNOVATIVE SERVICES THAT ENRICH THE LIVES OF SENIORS REGARDLESS OF ECONOMIC RESOURCES. NEARLY ONE THIRD OF THE RESIDENTS ON VILLAGE SHALOM'S MAIN CAMPUS ARE RECIPIENTS OF MORE THAN $1.6 MILLION IN FINANCIAL ASSISTANCE. ALL RESIDENTS RECEIVING FINANCIAL ASSISTANCE ARE PROVIDED WITH THE SAME HIGH-QUALITY CARE AND SERVICES AS ANY OTHER VILLAGE SHALOM RESIDENT. THEIR DIGNITY, PRIVACY, AND LONG-TERM CARE ARE OUR PRIMARY CONCERN.
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS COMPILED/COMPLETED BY AN INDEPENDENT CPA FIRM, BKD. BKD ALSO CONDUCTS THE ANNUAL INDEPENDENT AUDIT OF BOTH VILLAGE SHALOM, INC. AND VILLAGE SHALOM CHARITABLE SUPPORTING FOUNDATION. THE 990 IS COMPLETED IN COOPERATION WITH THE DIRECTOR OF FINANCE AND PRESIDENT OF VILLAGE SHALOM. PRIOR TO THE MAILING TO THE VILLAGE SHALOM BOARD, THE DIRECTOR OF FINANCE AND PRESIDENT REVIEW THE 990 AND RELATED SCHEDULES WITH BKD. THE 990 DRAFT IS E-MAILED TO ALL VOTING MEMBERS OF THE ORGANIZATIONS GOVERNING BOARD PRIOR TO THE FILING WITH THE IRS. THE 990 IS A TOPIC AT THE FINANCE COMMITTEE MEETING PRIOR TO THE FILING AND AT THE REGULARLY SCHEDULED BOARD MEETING PRIOR TO THE FILING.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, LINE 12CVILLAGE SHALOM HAS A WRITTEN COMPLIANCE PLAN. THE COMPLIANCE PLAN IS GONE OVER WITH EVERY EMPLOYEE AT ORIENTATION, AND EVERY BOARD MEMBER WHEN INSTALLED. A CODE OF CONDUCT IS SIGNED BY EVERY EMPLOYEE AND BOARD MEMBER AT ORIENTATION (UPON HIRE OR INSTALLATION). ANNUALLY, EVERY EMPLOYEE MEMBER COMPLETES AN IN-SERVICE/UPDATE ON THE CODE OF CONDUCT/COMPLIANCE PLAN. ANNUALLY EVERY BOARD MEMBER REVIEWS THE CODE OF CONDUCT AND SIGNS AN UPDATED CONFLICT OF INTEREST POLICY. THE CODE OF CONDUCT AND COMPLIANCE PLAN LAY THE FOUNDATION FOR A COMPLIANT CULTURE AND AN ATMOSPHERE FOR SELF DISCLOSURE. VILLAGE SHALOM IS DEDICATED TO THE HIGHEST ETHICAL PRACTICES AND MAKES EVERY EFFORT TO CONDUCT RELATIONSHIPS WITH THIS BUSINESS CULTURE.
COMPENSATION REVIEWFORM 990, PART VI, SECTION B, LINES 15A & 15BVILLAGE SHALOM HAS A DESIGNATED COMPENSATION COMMITTEE APPOINTED BY THE BOARD OF DIRECTORS. THE COMMITTEE REVIEWS SALARY DATA FOR THE INDUSTRY. THE SALARY DATA INCLUDES BOTH LOCAL AND REGIONAL COMPARATIVE DATA. THE COMMITTEE REVIEWS THE COMPENSATION PACKAGE AS A WHOLE, INCLUDING BOTH SALARY AND BENEFIT STRUCTURE. THE COMMITTEE MAINTAINS DOCUMENTATION RELATING TO DATES MET, TOPICS DISCUSSED, AND PROCESSES UNDERTAKEN AND CONCLUSIONS FOR COMPENSATION PACKAGES. THE BOARD ONLY REVIEWS THE CEO/PRESIDENT SALARY - ALL MANAGEMENT POSITIONS ARE REVIEWED BY THE CEO. THE CEO REVIEWS AVAILABLE COMPARABLE SALARY DATA FROM LOCAL AND REGIONAL SOURCES, INCLUDING KAHSA.
AVAILABILITY OF DOCUMENTSFORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
AVERAGE HOURS WORKED FOR RELATED ORGANIZATIONFORM 990, PART VII, SECTION A, LINE 1AAVG HOURS WORKED FOR RELATED ORG MATTHEW LEWIS 16 BEVERLY HELLWIG 16 LEAH DIEHL 2 JAMES KLEIN 1 MICHAEL ABRAMS 1 MICHAEL LISS 1 RODNEY MINKIN 1 ANN DARKE 1
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 5CHANGE IN TEMPORARILY RESTRICTED NET ASSETS $ 173,716 CHANGE IN PERMANENTLY RESTRICTED NET ASSETS $ 9,000 CHANGE IN INTEREST OF NET ASSETS OF VSCSF $ 362,386 NET UNREALIZED LOSSES $ -3,152 ---------- $ 541,950

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/BusinessNameLine1
VILLAGE SHALOM CHARITABLE FOUNDATION
5500 WEST 123RD STREETOVERLAND PARKKS66209481205323SUPPORTKS501(C)(3)11AVSI
SHALOM GERIATRIC CENTER INC
5500 WEST 123RD STREETOVERLAND PARKKS66209440545801SUPPORTMO501(C)(3)11BNA
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 Involved936508AmountInvolved