2015-07-06T08:00:50-05:00 2014-09-30 560747981 DIXON HUGHES GOODMAN LLP 4510 COX ROAD SUITE 200 GLEN ALLEN VA 230603394 990 2013-10-01 542033854 BETH SHOLOM REHAB CLINIC BETH 8047417975 1600 JOHN ROLFE PARKWAY RICHMOND VA 23238 JOHN BELLOTTI CHIEF FINANCIAL OFFICER 8047417975 2015-06-26 1 CHRISTOPHER T BENNETT CPA P01232201 8042827636 2013 2016-04-25 22:37:26Z MARK FINKEL 1600 JOHN ROLFE PARKWAY RICHMOND VA 23238 540039 0 X WWW.BETHSHOLOMCAMPUS.COM X 2002 VA TO PROVIDE REHABILIATION SERVICES. 6 6 0 0 0 0 0 0 555783 525396 17 3 587 14640 556387 540039 0 0 0 0 87134 0 0 0 0 490428 533090 577562 533090 -21175 6949 377002 382735 587834 586618 -210832 -203883 TO PROVIDE REHABILITATION SERVICES FOR AGED AND INFIRMED PERSONS. 0 0 510025 540036 PROVIDED REHABILITATION SERVICES IN THE FORM OF PHYSICAL, SPEECH AND OCCUPATIONAL THERAPY FOR AGED AND INFIRMED PERSONS. 510025 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 1 0 0 0 X JOHN BELLOTTI CFO - BETH SHOLOM HOME OF VIRGINIA 8047502183 1600 JOHN ROLFE PARKWAY RICHMOND VA 23238 MARK RESNICK PRESIDENT 2.00 6.00 X X 0 0 0 JONATHAN PEREL VICE PRESIDENT 2.00 6.00 X X 0 0 0 ELISE SCHERR SECRETARY 2.00 6.00 X X 0 0 0 BRUCE MARGOLIS TREASURER 2.00 6.00 X X 0 0 0 ELISE SCHERR SECRETARY 2.00 6.00 X X 0 0 0 DAN SIEGEL PAST PRESIDENT OF THE BOARD 1.50 4.50 X 0 0 0 TRACEY ADLER DIRECTOR 1.00 X 0 0 0 DAVID SELIG DIRECTOR 1.00 X 0 0 0 MARK FINKEL EXECUTIVE VICE PRESIDENT/CEO 1.00 39.00 X 0 323056 66004 JOHN BELLOTTI CHIEF FINANCIAL OFFICER 1.00 39.00 X 0 119079 19865 0 442135 85869 0 0 1 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 PHYSICAL, OCCUPATIONAL, & SPEECH THERAPY 468225 1 PATIENT THERAPY (PT/OT 621400 525396 525396 525396 3 3 MISCELLANEOUS INCOME 900099 14640 14640 14640 540039 540036 0 3 X 12000 12000 3950 3950 469949 469777 172 24 24 2404 2404 27213 24516 2697 13440 12096 1344 SUPPLIES 2279 2032 247 EQUIPMENT RENTAL AND RE 1470 1424 46 TAXES AND LICENSES 361 180 181 533090 510025 23065 0 4280 6833 86544 70087 354463 196525 169458 157938 116720 147877 377002 382735 2196 68421 585638 518197 587834 586618 X -210832 -203883 -210832 -203883 377002 382735 6949 0 X X 0 1 X 1 0 X 302614 150257 152357 50258 44968 5290 1591 1300 291 157938 DUE FROM GARDENS DIVISION 110405 DUE FROM PARKSIDE DIVISION 37472 147877 DUE TO NURSING FACILITY DIVISION 518197 518197 X PART X, LINE 2: THE CORPORATION IS EXEMPT FROM INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3); ACCORDINGLY, THE ACCOMPANYING FORM 990 DOES NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE CORPORATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF SEPTEMBER 30, 2014. FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2011 REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. 0 0 0 0 0 0 0 0 0 MARK FINKEL EXECUTIVE VICE PRESIDENT/CEO 0 320556 0 0 0 2500 0 48650 0 17354 0 389060 0 0 PART I, LINE 3 BETH SHOLOM HOME OF VIRGINIA UTILIZED WAGE SURVEY REPORTS PERFORMED BY AJAS TO REVIEW THE COMPENSATION OF THE EXECUTIVE VICE PRESIDENT AND CEO. FORM 990, PART VI, SECTION A, LINE 3 THERE IS ONE MANAGEMENT TEAM THAT OVERSEES THE OPERATIONS FOR THE BETH SHOLOM CAMPUS. THE CAMPUS OPERATES UNDER ONE GROUP OF ORGANIZATIONAL POLICIES AND ONE FINANCIAL REPORTING SYSTEM. THE RELATED ORGANIZATIONS THAT COMPRISE THE BETH SHOLOM CAMPUS ARE DISCLOSED ON SCHEDULE R. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S MANAGEMENT REVIEWS THE 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12 THE ORGANIZATION'S OFFICERS AND BOARD MEMBERS ARE REQUIRED TO DISCLOSE CONFLICTS IN WRITING, AND ANY ISSUES IDENTIFIED WOULD BE INVESTIGATED. FORM 990, PART VI, SECTION C, LINE 19 ORGANIZATIONAL DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED FACILITY FEES: PROGRAM SERVICE EXPENSES 1,552. MANAGEMENT AND GENERAL EXPENSES 172. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,724. CONTRACTED REHABILITATION - THERAPY SERVICES: PROGRAM SERVICE EXPENSES 468,225. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 468,225. FORM 990, PART XII, LINE 2C: THERE ARE NO REPORTABLE CHANGES TO THE ORGANIZATION'S PROCESSES. FORM 990, PART VII, SECTION A: THE OFFICERS LISTED ARE PART OF THE MANAGEMENT TEAM THAT OVERSEES THE OPERATIONS FOR THE BETH SHOLOM CAMPUS. THEY ARE EMPLOYED BY A RELATED ORGANIZATION AND MANAGE THE OPERATIONS OF BETH SHOLOM REHABILITATION CLINIC AS PART OF THE BETH SHOLOM CAMPUS. BETH SHOLOM HOME OF VIRGINIA 1600 JOHN ROLFE PARKWAY RICHMOND VA 23238 540525702 PROVIDE HOUSING AND PROFESSIONAL HEALTH CARE VA 501(C)(3) LINE 7 N/A 1 BETH SHOLOM HOUSING CORPORATION 2027 LAUDERDALE ROAD RICHMOND VA 23238 541085553 PROVIDE AFFORDABLE HOUSING FOR THE ELDERLY VA 501(C)(3) LINE 9 BETH SHOLOM HOME OF VIRGINIA 1 BETH SHOLOM LIFECARE COMMUNITY CORPORATION 1600 JOHN ROLFE PARKWAY RICHMOND VA 23238 262363263 PROVIDE HOUSING AND PROFESSIONAL HEALTH CARE VA 501(C)(3) LINE 9 BETH SHOLOM HOME OF VIRGINIA 1 BETH SHOLOM ASSISTED LIVING INC 2001 LAUDERDALE DRIVE RICHMOND VA 23238 541922655 TO MAINTAIN AND RENT OUT AN ASSISTED LIVING FACILITY VA 501(C)(3) LINE 9 BETH SHOLOM HOME OF VIRGINIA 1 0 0 0 1 1 0 0 0 0 0 1 0 1 0 1 0 0 0 0 BETH SHOLOM HOME OF VIRGINIA D 147877 FMV BETH SHOLOM HOME OF VIRGINIA E 518197 FMV BETH SHOLOM HOME OF VIRGINIA L 12000 FMV BETH SHOLOM HOUSING CORP K 24570 FMV