2019-11-08T12:18:08-06:00 2018-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2018-01-01 481199065 VILLAGE SHALOM INC VILL 9133172600 5500 WEST 123RD STREET OVERLAND PARK KS 66209 MATTHEW E LEWIS PRESIDENT & CEO 9133172600 2019-11-07 1 KERRI N BOGDA CPA P00760402 7177404863 50.211.1.210 2019-11-07 10:51:22 ES P DAF0C676BA5D217E8E98654567F7DD0DDDA97E7C F58787FA80410BAE38B710EAF9FCC5760AD3BCDF 2018 2020-03-31 21:24:44Z MATTHEW E LEWIS 5500 WEST 123RD STREET OVERLAND PARK KS 66209 27516325 0 X WWW.VILLAGESHALOM.ORG X 1996 KS HIGH QUALITY RESIDENT CARE TO SENIORS TO SUPPORT THEIR HIGHEST LEVEL OF INDEPENDENCE. 23 23 351 120 0 25237 2715642 9011334 16161844 14670492 -6588 -509564 -61637 13675 18809261 23185937 356037 246225 0 0 8381356 8493791 0 89583 409692 10376533 10296512 19113926 19126111 -304665 4059826 44731906 109956099 34628804 97194784 10103102 12761315 X OUR MISSION IS TO NURTURE THE PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL WELL-BEING OF EVERY INDIVIDUAL WHOM WE ARE PRIVILEGED TO SERVE, INSPIRED BY OUR HERITAGE AS A JEWISH-SPONSORED CONTINUING-CARE RETIREMENT COMMUNITY. 0 0 14760286 246225 14670492 ACROSS 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 OVER 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 REMAINS 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 FOURTH OF THE RESIDENTS ON VILLAGE SHALOM'S MAIN CAMPUS ARE RECIPIENTS OF MORE THAN $1.3 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. THE ORGANIZATION PROVIDES SERVICES TO RESIDENTS WHO MEET CERTAIN CRITERIA UNDER ITS BENEVOLENT CARE POLICY AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS BENEVOLENT CARE, THEY ARE NOT REPORTED AS REVENUE.THE ORGANIZATION MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF BENEVOLENT CARE IT PROVIDES. CHARGES FORGONE, BASED ON ESTABLISHED RATES FOR SERVICES RENDERED AND SUPPLIES FURNISHED, WERE $246,000 IN 2018 AND $356,000 IN 2017. THESE AMOUNTS ARE NOT MATERIALLY DIFFERENT THAN THE DIFFERENCE BETWEEN THE COST OF PROVIDING SERVICES TO RESIDENTS THAT QUALIFIED FOR BENEVOLENT CARE AND THE AMOUNTS THESE RESIDENTS PAID FOR SERVICES RENDERED. 14760286 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 96 0 351 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 23 23 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 KS X NICOLE ANTHONY CFO 9132668403 5500 WEST 123RD STREET OVERLAND PARK KS 66209 ALANA MULLER DIRECTOR 2.00 X 0 0 0 ALLISON BEREY DIRECTOR 2.00 X 0 0 0 ANDREW KAUFMAN DIRECTOR 2.00 X 0 0 0 BARRY FINK DIRECTOR 2.00 X 0 0 0 BRUCE KERSHENBAUM DIRECTOR/VICE CHAIR 2.00 X X 0 0 0 DAVID SPIZMAN DIRECTOR/TREASURER 2.00 X X 0 0 0 FRANK LIPSMAN DIRECTOR 2.00 X 0 0 0 HOWARD ROSENTHAL MD DIRECTOR 2.00 X 0 0 0 JAMES KLEIN DIRECTOR 2.00 X 0 0 0 JONNY GIRSON DIRECTOR 2.00 X 0 0 0 JOSEPH HIERSTEINER DIRECTOR 2.00 X 0 0 0 KAREN GLICKSTEIN DIRECTOR/CHAIR 2.00 X X 0 0 0 MARCIA SCHOENFELD DIRECTOR 2.00 X 0 0 0 MICHAEL ABRAMS DIRECTOR 2.00 X 0 0 0 RODNEY MINKIN DIRECTOR 2.00 X 0 0 0 SHIRLEY HELZBERG DIRECTOR 2.00 X 0 0 0 TRACY SHAFTON DIRECTOR 2.00 X 0 0 0 ELLEN CHILTON DIRECTOR 2.00 X 0 0 0 BOB GERSHON DIRECTOR/SECRETARY 2.00 X X 0 0 0 ANN ISENBERG DIRECTOR 2.00 X 0 0 0 IRENE BETTINGER DIRECTOR 2.00 X 0 0 0 RACHEL KRANTZ DIRECTOR 2.00 X 0 0 0 STEVE RUBEN DIRECTOR 2.00 X 0 0 0 MATTHEW LEWIS PRESIDENT/CEO 40.00 X 304639 0 30332 NICOLE ANTHONY DIRECTOR OF FINANCE 40.00 X 132837 0 32015 JILL ALLIN DIRECTOR OF SALES & MARKETING 40.00 X 133352 0 32284 MICHELLE LAPOINTE DIRECTOR OF PHILANTHROPY 40.00 X 121048 0 14267 691876 0 108898 4 0 1 0 PARIC CORPORATION PO BOX 790100 ST LOUIS MO 63179 GENERAL CONTRACTOR 5106927 MORRISON SENIOR LIVING 5801 PEACHTREE DUNWOODY ROAD ATLANTA GA 30342 DINING SERVICES 2325110 SFCS INC 305 SOUTH JEFFERSON STREET ROANOKE VA 24011 ARCHITECTURAL SVC. 716301 HARDRADER CONSTRUCTION 1001 NW CHIPMAN ROAD LEES SUMMIT MO 64081 GENERAL CONTRACTOR 713101 SUMMIT CARE INC 6830 W 121ST CT OVERLAND PARK KS 66209 CONTRACT THERAPY 632588 15 193790 8817544 9011334 RESIDENT CARE REVENUE 623000 14670492 14670492 14670492 116411 116411 3580370 3668216 538129 -87846 -538129 -625975 -625975 30300 193790 124043 -93743 -93743 WELLNESS CENTER 623000 53630 53630 MEALS 623000 42130 42130 SALON REVENUE 623000 6676 6676 4982 4982 107418 23185937 14670492 0 -495889 X 246225 246225 499823 360219 123410 16194 6684832 4817715 1650539 216578 45142 32799 10874 1469 674258 489913 162394 21951 589736 457470 115394 16872 78625 78625 45639 45639 103651 103651 1930 1930 89583 89583 3043864 2851781 187474 4609 336617 1925 334692 576748 306049 239637 31062 184389 5506 170648 8235 1457735 1377698 80037 27822 26044 13 1765 5229 5229 326827 326827 2333155 2333155 226668 226668 DIETARY 654110 654110 PROGRAMMING 155178 155178 MEDICAL SUPPLIES 143656 143656 EXPANSION FACILITY 128510 128510 466159 95391 369394 1374 19126111 14760286 3956133 409692 8113 4966 3451654 2039775 1199296 5889212 627027 650282 71855 68499 367326 446732 74431871 35250564 31021332 39181307 6551985 60711350 237100 1196218 963976 44731906 109956099 1348273 3629873 18581240 22146745 12943920 71090746 254745 327420 1500626 34628804 97194784 X 5796498 1382053 2192851 9262412 2113753 2116850 10103102 12761315 44731906 109956099 X 4059826 -147665 -1253948 X 0 1 X 1 0 X 20733528 1081108 2997568 2715642 9011334 36539180 16231645 16406384 16219116 16161844 14670492 79689481 36965173 17487492 19216684 18877486 23681826 116228661 204506 41551 69480 4666890 4982427 6534 1263495 1162698 1203687 2564367 6200781 6534 1468001 1204249 1273167 7231257 11183208 105045453 311 1941 163886 79946 116411 362495 311 1941 163886 79946 116411 362495 25508 5385 9725 19329 107418 167365 36990992 17494818 19390295 18976761 23905655 116758521 0.89970 0.90200 0.00310 0.00220 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2014 AMOUNT: $ 25,508. 2015 AMOUNT: $ 5,385. 2016 AMOUNT: $ 9,725. 2017 AMOUNT: $ 19,329. 2018 AMOUNT: $ 4,982. WELLNESS CENTER - 2018 AMOUNT: $ 53,630. SALON REVENUE - 2018 AMOUNT: $ 6,676. MEALS - 2018 AMOUNT: $ 42,130. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1930 1930 0 PART II-B, LINE 1: FOR 2018, $1,930 OF DUES PAID TO LEADINGAGE KANSAS AND LEADINGAGE NATIONAL WERE USED FOR LOBBYING/ADVOCACY EXPENDITURES. 1771492 50000 -110231 58939 1652322 1605654 50000 165385 42336 7211 1771492 1487889 50000 97822 28215 1842 1605654 1560603 50000 -40854 80596 1264 1487889 1597414 50000 10173 95783 1201 1560603 0.00000 0.99400 0.00600 0 0 2252860 2252860 39968282 19839781 20128501 16349883 13455146 2894737 15860846 1955637 13905209 39181307 21662144 -147665 -1500171 -1647836 23309980 -124043 -124043 23185937 19003929 124043 124043 18879886 246225 246225 19126111 PART V, LINE 4: EARNINGS FROM THE ENDOWMENT FUNDS ARE TO BE USED FOR RESIDENT ACTIVITIES, FINANCIAL ASSISTANCE, EMPLOYEE RECOGNITION, STAFF DEVELOPMENT AND TRAINING. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS -61,466. CHANGE IN VALUE OF PLEDGES RECEIVABLE -378,830. CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE -813,650. GRANTS/OTHER ASSISTANCE TO INDIVIDUALS -246,225. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES -124,043. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EVENT EXPENSES 124,043. PART XII, LINE 4B - OTHER ADJUSTMENTS: GRANTS/OTHER ASSISTANCE TO INDIVIDUALS 246,225. X X X X X 1 HARTSOOK COMPANIES PO BOX 26147 SHAWNEE MISSION KS 66225 EXPANSION CAPITAL CAMPAIGN 0 9407409 89583 9317826 9407409 89583 9317826 AGES OF EXCELLENCE 224090 193790 30300 11211 33634 43000 36198 224090 193790 30300 11211 33634 43000 36198 124043 -93743 1 FINANCIAL ASSISTANCE 6 246225 PART I, LINE 2: VILLAGE 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 INDIVIDUAL 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. X X X X 0 0 0 0 0 0 0 1 0 MATTHEW LEWIS PRESIDENT/CEO 294139 0 10500 0 0 0 0 0 30332 0 334971 0 0 0 NICOLE ANTHONY DIRECTOR OF FINANCE 122337 0 10500 0 0 0 3542 0 28473 0 164852 0 0 0 JILL ALLIN DIRECTOR OF SALES & MARKETING 96502 0 36850 0 0 0 2858 0 29426 0 165636 0 0 0 PART I, LINE 7 BONUSES ARE BASED ON A NUMBER OF FACTORS INCLUDING EXCEPTIONAL PERFORMANCE, OPERATIONAL AND ORGANIZATION-BASED GOALS, AND FINANCIAL AND FUNDRAISING GOALS. BONUSES ARE TIED TO KEY ANNUAL STRATEGIC GOALS THAT SUPPORT THE MISSION, THE ACHIEVEMENT OF THE ORGANIZATION'S MISSION, AND THE ANNUAL REVIEW PROCESS. SALARIES OF COMPARABLE POSITIONS AT ORGANIZATIONS OF SIMILAR SIZES AND MISSION ARE EVALUATED AS PART OF THE PROCESS AS WELL. THE BOARD HAS SOLE DISCRETION TO REDUCE OR REVOKE THE BONUS AMOUNT. A KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 2013-05-29 12155000 NOTE IN PART VI 0 0 0 B KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 2017-04-11 6250000 NOTE IN PART VI 0 0 0 C KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 48542RCB8 2018-07-16 59841375 NOTE IN PART VI 0 0 0 A 3777944 12155000 12155000 2002 1 0 1 1 B 1481598 6251572 115000 5996522 140050 0 0 0 1 C 60016206 3793203 975738 1183985 5435034 48628247 0 0 0 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 PART I, LINE A, COLUMN (F): REFUND 1998AA BONDS (ORIGINALLY ISSUED 12/02/1998) PART I, LINE B, COLUMN (F): PRELIMINARY COSTS FOR THE CONSTRUCTION AND IMPROVEMENT TO THE INSTITUTION'S CONTINUING CARE RETIREMENT COMMUNITY. PART 1, LINE C, COLUMN (F): COSTS FOR THE CONSTRUCTION AND IMPROVEMENT TO THE INSTITUTION'S CONTINUING CARE RETIREMENT COMMUNITY. SCHEDULE K, BOND ISSUE C, PART II, LINE 3: THE AMOUNT OF PROCEEDS ON PART II, LINE 3, DIFFERS FROM THE FACE VALUE OF THE BONDS IN PART I DUE TO ORIGINAL ISSUE DISCOUNT. PART II, COLUMN A, LINE 11: THIS AMOUNT WAS USED TO CURRENT REFUND THE 1998AA BONDS ON THE ISSUE DATE. PART II, COLUMN B & C, LINE 3: TOTAL PROCEEDS DO NOT EQUAL ISSUE PRICE LISTED IN PART I, COLUMN (E) DUE TO INVESTMENT EARNINGS EARNED DURING THE PROJECT PERIOD. PART II, COLUMN B& C, LINE 13 AND LINE 16: THE PROJECT WAS NOT COMPLETED AS OF THE FISCAL YEAR END. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS COMPILED/COMPLETED BY AN INDEPENDENT CPA FIRM, BAKER TILLY VIRCHOW KRAUSE, LLP (BAKER TILLY). BAKER TILLY ALSO CONDUCTS THE ANNUAL INDEPENDENT AUDIT OF VILLAGE SHALOM, INC. 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 BAKER TILLY. THE 990 DRAFT IS E-MAILED TO ALL VOTING MEMBERS OF THE ORGANIZATION'S GOVERNING BOARD PRIOR TO THE FILING WITH THE IRS. THE 990 IS A TOPIC AT THE FINANCE COMMITTEE MEETING AND THE REGULARLY SCHEDULED BOARD MEETING PRIOR TO THE FILING. FORM 990, PART VI, SECTION B, LINE 12C VILLAGE SHALOM HAS A WRITTEN COMPLIANCE PLAN. THE COMPLIANCE PLAN IS REVIEWED WITH EVERY EMPLOYEE AT ORIENTATION, AND EVERY BOARD MEMBER WHEN THEY ARE 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. FORM 990, PART VI, SECTION B, LINE 15A VILLAGE 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 LEADINGAGE, TO ENSURE ALL COMPENSATION IS WITHIN FAIR MARKET VALUE FOR THE INDUSTRY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING FEES: PROGRAM SERVICE EXPENSES 5,868. MANAGEMENT AND GENERAL EXPENSES 14,534. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,402. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 546,090. MANAGEMENT AND GENERAL EXPENSES 127,540. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 673,630. CONTRACTED THERAPY SERVICES: PROGRAM SERVICE EXPENSES 603,847. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 603,847. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,448,133. MANAGEMENT AND GENERAL EXPENSES 45,400. FUNDRAISING EXPENSES 4,609. TOTAL EXPENSES 1,498,142. PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 247,843. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 247,843. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUSTS -61,468. CHANGE IN VALUE OF PLEDGES RECEIVABLE -378,830. CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE -813,650.