2025-08-05T11:32:22-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 121 SOUTH TEJON STREET SUITE 1100 COLORADO SPRINGS CO 80903 990 2024-01-01 742376546 SHALOM PARK SHAL 3036805000 14800 EAST BELLEVIEW DRIVE AURORA CO 800152258 MARC PENNER PRESIDENT/CEO 3036805000 2025-08-05 1 1 SARAH HINTZ P00492291 7196350330 2025-08-04 2024 2025-03-06 01:10:19Z MARC PENNER 14800 EAST BELLEVIEW DRIVE AURORA CO 800152258 20852249 0 X WWW.SHALOMPARK.ORG X 1984 CO CREATING A JOYFUL COMMUNITY WHERE HONOR AND BELONGING FLOURISH. 17 16 174 95 0 0 1947829 1846197 16126721 18843917 109 123628 330546 9035 18405205 20822777 400 1813530 0 0 11323422 12534034 0 0 361833 6383559 7123295 17707381 21470859 697824 -648082 11996390 12023355 3099557 3774604 8896833 8248751 X CREATING A JOYFUL COMMUNITY WHERE HONOR AND BELONGING FLOURISH. SHALOM PARK, AN EDEN ALTERNATIVE MILESTONE II ORGANIZATION, OPERATES A NURSING HOME FOR THE AGED. IT PROVIDES HEALTH CARE AND OTHER RELATED (CONTINUED ON SCHEDULE O)SERVICES TO RESIDENTS THROUGH THE OPERATION OF A MULTI-LEVEL SKILLED NURSING FACILITY. 0 0 18851300 1813530 18843917 SHALOM PARK OPERATES A NURSING HOME. DURING 2024, THE ORGANIZATION PROVIDED CARE FOR 197 ELDERS. 18851300 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 63 0 1 174 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 16 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 CO X MARC PENNER 3036805000 14800 E BELLEVIEW DR AURORA CO 80015 MARC PENNER PRESIDENT/CEO 26.00 14.00 X X 357919 0 36357 ELISA ROBYN CHAIR & DIRECTOR 10.00 1.00 X X 0 0 0 LYNN GELLER CHAIR ELECT & DIRECTOR 2.00 1.00 X X 0 0 0 JASON ALDERSON TREASURER & DIRECTOR 1.00 1.00 X X 0 0 0 FRAN SIMON SECRETARY & DIRECTOR 2.00 1.00 X X 0 0 0 NEIL OBERFELD IMMEDIATE PAST CHAIR & DIRECTOR 2.00 1.00 X X 0 0 0 BRUCE BENDELL DIRECTOR 1.00 0.00 X 0 0 0 MIKE CHAPMAN DIRECTOR 1.00 0.00 X 0 0 0 LISA COOK DIRECTOR 1.00 0.00 X 0 0 0 DREW DEMERS DIRECTOR 1.00 0.00 X 0 0 0 JAN FISHER DIRECTOR (THROUGH APRIL 2024) 1.00 0.00 X 0 0 0 ANDY HEINS DIRECTOR 1.00 1.00 X 0 0 0 MARC LEVINE DIRECTOR 2.00 0.00 X 0 0 0 JAY MOSKOWITZ DIRECTOR 1.00 0.00 X 0 0 0 STUART PACK DIRECTOR 2.00 0.00 X 0 0 0 BEV ROULEAU DIRECTOR 1.00 0.00 X 0 0 0 JJ SLATKIN DIRECTOR 1.00 0.00 X 0 0 0 CATHY SUNSHINE DIRECTOR (THROUGH FEBRUARY 2024) 1.00 0.00 X 0 0 0 SAM ZAITZ DIRECTOR 2.00 0.00 X 0 0 0 PREETY SHRESTHA CHIEF FINANCIAL OFFICER 36.00 4.00 X 151691 0 22354 MINDY MOSCOWITZ NURSING HOME ADMINISTRATOR 40.00 0.00 X 181198 0 19997 THEOPHILUS FRIMPONG DIRECTOR OF NURSING 40.00 0.00 X 168178 0 7923 DENISE BILYEU DIRECTOR OF HUMAN RESOURCES 40.00 0.00 X 155537 0 18405 ELIZABETH NAKIBIRANGO REGISTERED NURSE 40.00 0.00 X 152291 0 5183 HIRUT MEKONNEN INFECTION PREVENTIONIST 40.00 0.00 X 118863 0 13342 1285677 0 123561 15 0 1 0 MORRISON MANAGEMENT SPECIALISTS INC PO BOX 102289 ATLANTA GA 30368 DINING SERVICES 2045991 DIRECT SUPPLY INC POBOX 88201 MILWAUKEE WI 53288 RENOVATION PROJECT 909413 PREMERE REHAB LLC 8100 SW NYBERG ST STE 200 TUALATIN OR 97062 THERAPY SERVICES 340585 HAYNES MECHANICAL SYSTEMS INC 5700 S QUEBEC STREET SUITE 210 GREENWOOD VILLAGE CO 80111 MECHANICAL SYSTEM SERVICES 274150 PLANTE & MORAN PLLC 16060 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 IT SERVICES 236227 7 300189 1121155 424853 1846197 RESIDENT SERVICES 623000 18784595 18784595 ANCILLARY SERVICES 623000 59322 59322 18843917 123628 123628 22903 300189 29472 -6569 -6569 OTHER REVENUE 623000 15604 15604 15604 20822777 18843917 0 132663 X 1813530 1813530 543643 140520 267403 135720 10284509 9046497 1150603 87409 183512 164782 18475 255 642977 554645 78623 9709 879393 747484 114321 17588 19656 19656 52889 52889 2462177 2166715 246218 49244 20849 18347 2085 417 133458 117443 13346 2669 204981 180383 20498 4100 504567 444019 50457 10091 85460 75205 8546 1709 134760 118589 13476 2695 1259401 1108273 125940 25188 340912 300003 34091 6818 SUPPLIES 1493184 1493184 REPAIRS AND MAINTENANCE 146983 129345 14698 2940 EDUCATION 83812 73755 8381 1676 EMPLOYEE EXPENSES 50880 44774 5088 1018 129326 113807 12932 2587 21470859 18851300 2257726 361833 21230 466355 23542 29957 296257 202043 1439924 1010548 220247 225942 31324075 21235565 9995190 10088510 11996390 12023355 1343094 1289464 11200 12450 23542 29957 1721721 2407083 0 35650 3099557 3774604 X 8575823 8054188 321010 194563 8896833 8248751 11996390 12023355 -648082 0 X X 0 1 X 1 1 1 X 3357758 2845905 3437547 1930039 1846197 13417446 13450880 12508074 13807873 16126721 18843917 74737465 16808638 15353979 17245420 18056760 20690114 88154911 98510 712446 1376206 126685 2313847 0 98510 712446 1376206 126685 2313847 85841064 2 109 123628 123739 2 109 123628 123739 331253 331253 175252 65915 48450 17083 15604 322304 16983892 15419894 17293870 18405205 20829346 88932207 0.96520 0.97870 0.00140 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 4675048 18853 432256 5126157 4199961 17658 457429 4675048 4676369 102391 -578799 4199961 3699521 548649 428199 4676369 3318718 380803 3699521 0.00000 0.65382 0.34618 1 1 1 2561563 2561563 21426672 16388815 5037857 1753272 1709654 43618 5284218 3137096 2147122 298350 298350 10088510 FINANCE LEASE LIABILITY 35650 35650 21937275 1114498 1114498 20822777 0 20822777 20794807 1136803 1136803 19658004 1812855 1812855 21470859 PART IV, LINE 2B: SHALOM PARK HOLDS RESIDENT FUNDS IN TRUST FOR THEIR SECURITY. RESIDENTS MAY ACCESS THEIR FUNDS DURING NORMAL BUSINESS HOURS BY MAKING A REQUEST AT THE BUSINESS OFFICE. THE FUNDS ARE HELD IN A SEPARATE INTEREST-BEARING ACCOUNT. THE INTEREST IS CREDITED TO THE RESIDENTS' RESPECTIVE ACCOUNTS. PART V, LINE 4: BETH ISRAEL FOUNDATION FOR THE AGED, A RELATED ORGANIZATION, HOLDS ASSETS IN ENDOWMENT FUNDS. THE ENDOWMENTS CONSIST OF VARIOUS INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ORGANIZATION TRANSFERRED CERTAIN ENDOWMENT CONTRIBUTIONS TO THE ROSE COMMUNITY FOUNDATION (RCF) AS PART OF ITS ENDOWMENT CHALLENGE, WHICH WAS COMPLETED IN 2002. RCF AMENDED ITS AGREEMENT WITH THE ORGANIZATION DURING THE YEAR ENDED DECEMBER 31, 2008. PRIOR TO THE AMENDMENT, DISTRIBUTIONS TO THE ORGANIZATION WERE THE LESSER OF (I) 5% OF THE MONTHLY AVERAGE BALANCE IN THE FUND DURING THE PRECEDING YEAR OR (II) NET INVESTMENT INCOME ACCRUING TO THE FUND DURING THE PRECEDING YEAR REDUCED BY ANY FEES AND EXPENSES. PURSUANT TO THE AMENDMENT, DISTRIBUTIONS WILL NOT BE LIMITED BY NET INVESTMENT INCOME. DISTRIBUTIONS WILL BE EQUAL TO 5% OF THE MONTHLY AVERAGE BALANCE IN THE FUND DURING THE PRECEDING YEAR. PART XI, LINE 2D - OTHER ADJUSTMENTS: FOUNDATION AND WELLNESS CENTER REVENUE 1,114,498. PART XII, LINE 2D - OTHER ADJUSTMENTS: FOUNDATION AND WELLNESS CENTER EXPENSE 1,136,803. PART XII, LINE 4B - OTHER ADJUSTMENTS: INTERCOMPANY TRANSFER 1,812,855. ANNUAL FUNDRAISER 323092 300189 22903 3237 17674 8561 323092 300189 22903 3237 17674 8561 29472 -6569 1 BETH ISRAEL FOUNDATION FOR THE AGED 14800 EAST BELLEVIEW DRIVE AURORA CO 80015 742195249 501(C)(3) 1648909 0 N/A N/A SUPPORT PROGRAM AND SERVICES SHALOM PARK WELLNESS CENTER 14800 E BELLEVIEW DRIVE AURORA CO 80015 452808418 501(C)(3) 163946 0 N/A N/A SUPPORT PROGRAM AND SERVICES 2 0 PART I, LINE 2: GRANTS MADE ARE TRANSFERS TO A RELATED ORGANIZATION. PROPER USE OF THE FUNDS WAS ENSURED THROUGH COMMON BOARD AND MANAGEMENT OVERSIGHT BETWEEN THE TWO ORGANIZATIONS. X X X 0 0 0 0 0 0 0 1 0 MARC PENNER PRESIDENT/CEO 341969 0 15850 0 100 0 10350 0 26007 0 394276 0 0 0 MINDY MOSCOWITZ NURSING HOME ADMINISTRATOR 171303 0 9775 0 120 0 5605 0 14392 0 201195 0 0 0 THEOPHILUS FRIMPONG DIRECTOR OF NURSING 157840 0 10238 0 100 0 4985 0 2938 0 176101 0 0 0 PREETY SHRESTHA CHIEF FINANCIAL OFFICER 142966 0 8625 0 100 0 4815 0 17539 0 174045 0 0 0 DENISE BILYEU DIRECTOR OF HUMAN RESOURCES 146762 0 8625 0 150 0 4810 0 13595 0 173942 0 0 0 ELIZABETH NAKIBIRANGO REGISTERED NURSE 151191 0 1000 0 100 0 777 0 4406 0 157474 0 0 0 PART I, LINE 7 THE CEO, CFO, NURSING HOME ADMINISTRATOR, DIRECTOR OF NURSING, AND DIRECTOR OF HUMAN RESOURCES RECEIVED BONUSES AT YEAR END. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE IS COMPOSED OF THE CURRENT OFFICERS, THE PAST CHAIR(S) AND SUCH OTHER MEMBERS AS ARE APPOINTED BY THE CHAIR. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF AND IN PLACE OF THE BOARD BETWEEN REGULAR MEETINGS OF THE BOARD WHEN REASONABLY NECESSARY TO FULFILL THE PURPOSES AND DUTIES OF THE BOARD, AS DETERMINED BY THE CHAIR, AND IS 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 ORGANIZATION UNTIL SUCH LATER ACTION OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 2 SAM ZAITZ AND LISA COOK HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 8B THE FINANCE COMMITTEE AND EXECUTIVE COMMITTEE DO NOT KEEP MINUTES OF THEIR MEETINGS. FORM 990, PART VI, SECTION B, LINE 11B THE CFO AND CEO REVIEW THE FORM 990. AFTER WHICH, THE FINANCE COMMITTEE REVIEWS AND APPROVES THE FORM 990. THE RETURN IS THEN PROVIDED TO THE FULL BOARD OF DIRECTORS FOR REVIEW PRIOR TO IT BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH AN ANNUAL AFFIRMATION SIGNED BY EACH TRUSTEE. 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. AN INDIVIDUAL WITH A CONFLICT MAY NOT VOTE ON ANY MATTER THAT MAY INVOLVE THE CONFLICT OF INTEREST. DELIBERATIONS AND DECISIONS ARE DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 15A THE PRESIDENT/ CEO'S COMPENSATION IS DETERMINED BY THE SHALOM PARK BOARD OF DIRECTORS. THE FOLLOWING ARE USED BY SHALOM PARK IN SETTING THE PRESIDENT/ CEO'S COMPENSATION: 1. COMPENSATION COMMITTEE 2. COMPENSATION SURVEY OR STUDY 3. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THIS PROCESS LAST TOOK PLACE IN 2024. COST OF LIVING ADJUSTMENTS ARE SENT FOR APPROVAL BY THE BOARD CHAIR EACH YEAR AND AFFECT EVERYONE IN THE ORGANIZATION, INCLUDING THE CEO. THE LAST ADJUSTMENT WAS MADE IN 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 2,166,715. MANAGEMENT AND GENERAL EXPENSES 246,218. FUNDRAISING EXPENSES 49,244. TOTAL EXPENSES 2,462,177. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. SHALOM CARES WELLNESS CENTER LLC 14800 E BELLEVIEW DRIVE AURORA CO 80015 452808418 FITNESS AND THERAPY CO 230766 4322059 BETH ISRAEL FOUNDATION FOR THE AGED BETH ISRAEL FOUNDATION FOR THE AGED 14800 E BELLEVIEW DRIVE AURORA CO 80015 742195249 FUNDRAISING TO SUPPORT SHALOM PARK CO 501(C)(3) LINE 7 SHALOM PARK 1 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 BETH ISRAEL FOUNDATION FOR THE AGED B 1812855 CASH BETH ISRAEL FOUNDATION FOR THE AGED E 2493920 CONTRACT