2011-11-11T13:27:05-06:00 2010-12-31 EHRHARDT KEEFE STEINER & HOTTMAN PC 7979 E TUFTS AVENUE SUITE 400 DENVER CO 802372843 990 2010-01-01 742376546 Shalom Park SHAL 3036805000 14800 E Belleview Drive Aurora CO 800152258 Daniel Stenersen 2011-11-11 true CRAIG R CHOUN 3037409400 2010 2016-02-24 21:20:13Z Daniel Stenersen 14800 E Belleview Drive Aurora CO 800152258 14575562 false X shalompark.org X 1984 CO Shalom Park is a not-for-profit Jewish non-sectarian continuum-of-care organization specializing in the delivery and innovation of community and residential health and social services. 18 17 306 257 0 1283000 785000 14393727 13790478 2115 84 0 0 15678842 14575562 0 0 0 0 8303625 7488651 0 0 10916 7295537 8482169 15599162 15970820 79680 -1395258 22839088 20546150 17287020 16270126 5552068 4276024 SHALOM PARK OPERATES A NURSING CARE FACILITY AND CENTER FOR CARE OF THE AGED. IT PROVIDES HEALTH CARE AND OTHER RELATED SERVICES TO RESIDENTS THROUGH THE OPERATION OF A MULTI-LEVEL SKILLED NURSING FACILITY. false false 10785342 13790478 SHALOM PARK OPERATES A NURSING HOME FACILITY AND CENTER FOR THE CARE OF THE AGED. DURING THE TAX YEAR, THE ORGANIZATION PROVIDED CARE FOR OVER 300 PATIENT AND ASSISTED LIVING RESIDENTS. 10785342 true true false true false false false false true true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false false true true true false false false true 5 0 true 306 true false false false false false false false false false false X 18 17 true false false false false false false true true false false true true true true true true true true false X DANIEL STENERSEN 3036805000 14800 E BELLEVIEW DRIVE AURORA CO 800152258 TOM GART 5.0 X X 0 0 0 DANIEL STENERSEN 12.5 X X 65250 195750 94720 GARY YOURTZ 5.0 X X 0 0 0 JAY MOSKOWITZ 1.0 X 0 0 0 MARSHALL ABRAHAMS 20.0 X X 0 0 0 BRUCE BENDELL 1.0 X 0 0 0 JOE BORUS 1.0 X 0 0 0 ROBIN CHOTIN 1.0 X 0 0 0 KEN FEILER 1.0 X 0 0 0 JERRY GRAY 1.0 X 0 0 0 SUSY GRAZI 1.0 X 0 0 0 DAN JAPHA 5.0 X X 0 0 0 ANDY MILLER 1.0 X 0 0 0 ESSIE PERLMUTTER 1.0 X 0 0 0 JORDON PERLMUTTER 1.0 X 0 0 0 JOHN PREGULMAN 5.0 X X 0 0 0 MICHAEL STREAR 5.0 X X 0 0 0 SANDY WOLF 1.0 X 0 0 0 65250 195750 94720 0 false true false Morrison 5801 Peachtree Dunwoody Road ATLANTA GA 30342 Food Service 1151324 Tolin Mechanical 12005 East 45th Avenue DENVER CO 80239 Maintenance 393059 Rehabcare 680 South Fourth Street LOUISVILLE KY 40202 Physical Therapy 370958 3 785000 785000 PATIENT SERVICE REVENUE 623000 11583286 11583286 RESIDENT RENTAL 623000 2129867 2129867 OTHER NURSING HOME REVENUE 623000 77325 77325 13790478 84 84 0 0 0 0 0 0 0 14575562 13790478 84 0 0 0 0 88930 88930 0 6184305 5634522 544943 4840 0 763319 432696 325254 5369 452097 412294 39096 707 0 2231 2231 58990 58990 18000 18000 0 0 1979577 1730900 248677 90825 90825 180013 180013 22500 22500 0 703007 572880 130127 31716 31716 0 0 968971 968971 0 2162451 2162451 222420 222420 FOOD 748442 748442 PROGRAM SUPPLIES 608165 608165 DRUGS & PHARMACY 218091 218091 SPECIAL FUNCTIONS 70537 70537 REPAIRS & MAINTENANCE 61356 61356 334877 277459 57418 15970820 10785342 5174562 10916 744311 238189 2481619 1943422 58942 129115 31949855 16703995 17111449 15245860 46583 53377 2396184 2936187 22839088 20546150 2339967 1880450 14764806 14195799 182247 193877 17287020 16270126 X 5030775 4276024 271293 250000 5552068 4276024 22839088 20546150 X -1395258 119214 X false true true X false X 978720 2078231 1188942 1283000 785000 6313893 13372559 13559680 14464783 14393727 13790478 69581227 14351279 15637911 15653725 15676727 14575478 75895120 75895120 118691 111467 40093 2115 84 272450 118691 111467 40093 2115 84 272450 14469970 15749378 15693818 15678842 14575562 76167570 0.99642 0.99454 0.00358 0.00546 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 18000 false false 18000 false 3633593 972 276634 1650667 2260532 3022113 362844 307338 58702 3633593 2946820 837416 -701111 61012 3022113 0.89200 0.10800 false true true 0 2548217 2548217 0 26062019 13987567 12074452 0 0 1658785 1323542 335243 0 1680834 1392886 287948 15245860 SINKING FUND ASSETS 1601312 DUE TO BETH ISRAEL FNDTN -575698 DUE FROM BETH NEHAMAH 380408 DUE FROM BETH EZRA 1530165 2936187 0 DEPOSITS 193877 193877 14575562 15970820 -1395258 6794 6794 -1388464 14582356 6794 6794 14575562 14575562 15970820 15970820 15970820 FIN 48 Footnote Schedule D, Part X The Organization applies a more-likely-than-not measurement methodology to reflect the combined financial statement impact of uncertain tax positions taken or expected to be taken in a tax return. If taxing authorities were to disallow any tax positions taken by the Organization, the additional income taxes, if any, would be imposed on Shalom Park, Beth Nehamah, Beth Ezra, and the Foundation who is the sole member of Ethanu and Shalom Park Professional Services. Accordingly, there would be no effect on the Organization's combined financial statements. If incurred, interest and penalties associated with tax positions are recorded in the period assessed as general expense. No interest or penalties have been assessed as December 31, 2010 or 2009. The Organization's tax returns, subject to examination by taxing authorities, include all those from 2007 to the current year for federal reporting purposes and from 2006 to the current year for state reporting purposes. Endowment Funds Schedule D, Part V, Line 4 The Beth Israel Foundation, a related organization, holds assets in endowment funds. The endowments consist of various individual funds established for a variety of purposes. X X X X false false false false false false false false false DANIEL STENERSEN 65250 195750 0 0 0 0 10350 31050 13330 39990 88930 266790 0 0 Compensation of Daniel Stenersen Schedule J, Part II Daniel Stenersen's total compensation represents compensation for services rendered to Shalom Park and its related entities, including the following: Beth Israel Foundation; Beth Nehamah Hospice and Palliative Care; Shalom Park Professional Services LLC; Etahnu LLC; and Beth Ezra. Board Members with Family Relationship Form 990, PART VI, LINE 2 NAME RELATIONSHIP Jordan & Essie Perlmutter Husband & Wife Conflict of Interest Policy Form 990, Part VI, Line 12c The organization monitors and enforces compliance with the policy through an annual affirmation with the board. The organization monitors compliance with the policy during the year by inquiring at its board meetings whether any conflicts of interest have arisen since the annual affirmation was signed. Process for Determining Executive Compensation Form 990, Part VI, Line 15a The chair of the Board of Directors appoints a member of the executive committee to act as the compensation representative for the Board. The compensation representative considers several factors, such as (1)the complexity and diversity of responsibilities of the CEO's position (including licensure, regulation, certification, and operation of the skilled nursing facility); (2)initiatives undertaken, in process, or planned; (3)status and progress of the organization; (4)the Social Security Administration cost of living adjustment; (5)the Association of Jewish Aging Service Compensation Survey; (6)management of multiple lines of business; and (7)the continuous employment agreement between the organization and the CEO. Based upon these factors, a mutually agreeable compensation amount is determined by the compensation representative and the CEO. The compensation representative confers with certain members of the board for approval of the compensation agreement. The organization maintains the appropriate documentation of the process through which the compensation amount was set. This compensation-setting process is done on an annual basis. The organization does not have any other officers or key employees; however, it does have a process to determine reasonable compensation for its employees. Governing Documents Available to the Public Form 990, Part VI, Line 19 The organization does not make its governing documents, conflict of interest policy, or financial statements available to the public. Review of Form 990 by Governing Board Form 990, Part VI, Line 11 The CEO and certain board members review the tax return with the organization's auditor and tax return preparer. The return is then provided to the board of directors for review prior to it being filed. Other Changes in Net Assets Form 990, Part XI, Line 5 Change in Net Assets is as Follows: Prior Year Restatement of A/R - Audit Adjustment (611,805) Transfer of Net Asset Deficit to Beth Ezra 1,255,091 Transfer of Endowment Fund to Beth Israel (250,000) Transfer of Development Division to Beth Israel (280,866) ----------- Total Adjustments 112,420 Unrealized Gain 6,794 ----------- ----------- Total Other Changes in Net Assets 119,214 Delegation of Authority Part VI, Section A, Line 1(A) The Executive Committee is composed of the current officers, the past Chair(s) and such other members as may be appointed by the Chair. The Executive Committee may act on behalf of and in place of the Board of Trustees between regular meetings of the Board of Trustees when reasonably necessary to fulfill the purposes and duties of the Board of Trustees, as determined by the Chair, and shall be responsible for making recommendations to the Board of Trustees and for such other powers as the Board from time to time may prescribe. Actions of the Executive Committee may be overruled or amended by later action of the Board, but any action properly taken by the Executive Committee shall be binding upon the Corporation until such later action of the Board. Shalom Park Professional Services LLC 14800 E Belleview Drive Aurora CO 80015 264399163 Health Care CO NA Etahnu LLC 14800 E Belleview Drive Aurora CO 80015 264297648 Home Health CO NA Beth Israel Foundation for the Aged 14800 E Belleview Drive Aurora CO 80015 742195249 Charitable CO 501(c) (3) 9-509(a)(2) Shalom Park Beth Nehamah 14800 E Belleview Drive Aurora CO 80015 205772447 Charitable CO 501(c) (3) 9-509(a)(2) Shalom Park Beth Ezra at Shalom Park 14800 E Belleview Drive Aurora CO 80015 320179215 Charitable CO NA C Corp -113721 68516 1.00000 false false true false false false false false false false false false true true true true true false Beth Israel Foundation c 785000 Due to Foundation m, n, 575698 Due from Beth Nehamah m, n, 380408 Due from Beth Ezra m, n, 1530165 Transfer Net Asset Deficit to Beth Ezra q 1255091 Transfer Endowment Fund to Foundation q -250000 Transfer Development Division to Foundation q -280866