Form 990 for tax year 2022
Filed by SHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE.
Totals
- Total revenue
- $5,891,065
- Total expenses
- $6,112,159
- Contributions and grants received
- $3,015
- Grants paid
- $0
- Program service revenue
- $5,842,050
- Investment income
- $36,668
- Other revenue
- $9,332
- Total assets, end of year
- $1,796,377
- Total liabilities, end of year
- $503,148
- Net assets or fund balances, end of year
- $1,293,229
- Program services expenses (Part IX)
- $4,979,158
- Management and general expenses
- $1,133,001
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $4,979,158
Program services were 81.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1d · Related organizations
$2,840
-
1f · All other contributions, gifts and grants
$175
-
2a · Program service revenue: RESIDENT SERVICE REV.
total $5,842,050 · related or exempt $5,842,050
-
3 · Investment income
total $36,668 · excluded $36,668
-
11a · Other revenue: MISCELLANEOUS
total $9,332 · excluded $9,332
-
11e · Other revenue, total
$9,332
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $4,885,383 · program services $4,346,851 · management and general $538,532
-
8 · Pension plan contributions
total $9,211 · program services $8,724 · management and general $487
-
9 · Other employee benefits
total $222,620 · program services $212,197 · management and general $10,423
-
10 · Payroll taxes
total $250,722 · program services $238,983 · management and general $11,739
-
11a · Fees: management
total $390,794 · management and general $390,794
-
11g · Fees: other
total $138,277 · program services $1,450 · management and general $136,827
-
13 · Office expenses
total $8,206 · management and general $8,206
-
16 · Occupancy
total $32,362 · program services $32,362
-
17 · Travel
total $54,064 · program services $50,943 · management and general $3,121
-
19 · Conferences, conventions and meetings
total $209 · management and general $209
-
22 · Depreciation, depletion and amortization
total $1,401 · program services $1,401
-
24a · Other expenses: MEDICAL SUPPLIES
total $60,284 · program services $60,284
-
24b · Other expenses: BAD DEBTS
total $25,963 · program services $25,963
-
24c · Other expenses: LICENSE AND PERMITS
total $15,653 · management and general $15,653
-
24d · Other expenses: DUES AND SUBSCRIPTIONS
total $15,025 · management and general $15,025
-
24e · All other expenses
total $1,985 · management and general $1,985
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $94,197 · end of year $164,850
-
2 · Savings and temporary cash investments
beginning of year $1,270,415 · end of year $831,742
-
4 · Accounts receivable
beginning of year $748,094 · end of year $633,341
-
9 · Prepaid expenses and deferred charges
beginning of year $9,439 · end of year $10,614
-
10a · Land, buildings and equipment: cost or other basis
$425,747
-
10b · Land, buildings and equipment: accumulated depreciation
$269,917
-
10c · Land, buildings and equipment, net
beginning of year $8,744 · end of year $155,830
-
17 · Accounts payable and accrued expenses
beginning of year $294,977 · end of year $221,660
-
19 · Deferred revenue
beginning of year $10,766 · end of year $6,904
-
25 · Other liabilities
beginning of year $319,974 · end of year $274,584
-
27 · Net assets without donor restrictions
beginning of year $1,505,172 · end of year $1,293,229
Mission and programs · 2022
Mission
SHOLOM IS A NOT-FOR-PROFIT ORGANIZATION PROVIDING A BROAD CONTINUUM OF RESIDENTIAL, SOCIAL SERVICE, AND HEALTH CARE SERVICES PRIMARILY FOR OLDER ADULTS.
Activities or mission (Part I)
PROVIDE HOME HEALTH CARE AND HOSPICE SERVICES TO THE COMMUNITY.
-
PROVIDES HOME HEALTH CARE SERVICES TO RESIDENTS OF THE VARIOUS FACILITIES OWNED AND OPERATED BY SHOLOM COMMUNITY ALLIANCE AND IN THE COMMUNITY. PROVIDES HOSPICE CARE SERVICES THROUGHOUT SHOLOM COMMUNITY ALLIANCE FACILITIES AND IN THE COMMUNITY.
Expenses $4,979,158 · Revenue $5,842,201
As filed on the 2022 return.
Listed in Part VII
-
Scott SeilerSCOTT SEILER
PRESIDENT
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Neil BorensteinNEIL BORENSTEIN
IMMEDIATE PAST PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
Bob Meiches MDBOB MEICHES MD
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
David NirensteinDAVID NIRENSTEIN
TREASURER
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Layne RosenLAYNE ROSEN
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Lisa EdstromLISA EDSTROM
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Kim WolsonKIM WOLSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Jon GordonJON GORDON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Renee LampertRENEE LAMPERT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Michael BlumMICHAEL BLUM
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Jeremy PierottiJEREMY PIEROTTI
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Jerry RudickJERRY RUDICK
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Sheryl RutzickSHERYL RUTZICK
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Mike SaxonMIKE SAXON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Paul SchanfieldPAUL SCHANFIELD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Chuck SelcerCHUCK SELCER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Linda SteinLINDA STEIN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Jon StoneJON STONE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Doug WeissmanDOUG WEISSMAN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Barb KlickBARB KLICK
CEO
- Total calculated
- $347,152
- From this org
- $0
- From related orgs
- $336,897
- Other
- $10,255
- Hours/week
- 5 + 35 related
Schedule J breakdown matched by us
- Base
- $0 + $336,897 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0 + $10,255 related
- Filer's total
- $0 + $347,152 related
-
David BerrymanDAVID BERRYMAN
CFO
- Total calculated
- $227,615
- From this org
- $0
- From related orgs
- $214,723
- Other
- $12,892
- Hours/week
- 5 + 35 related
Schedule J breakdown matched by us
- Base
- $0 + $214,723 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $3,221 related
- Nontaxable benefits
- $0 + $9,671 related
- Filer's total
- $0 + $227,615 related
-
Ann TholeANN THOLE
COO
- Total calculated
- $214,212
- From this org
- $0
- From related orgs
- $210,638
- Other
- $3,574
- Hours/week
- 5 + 35 related
Schedule J breakdown matched by us
- Base
- $0 + $210,638 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $3,159 related
- Nontaxable benefits
- $0 + $415 related
- Filer's total
- $0 + $214,212 related
-
Elizabeth AdamsELIZABETH ADAMS
DIRECTOR OF HOMECARE SERVICES
- Total calculated
- $104,277
- From this org
- $102,574
- From related orgs
- $0
- Other
- $1,703
- Hours/week
- 40
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- THE CEO'S COMPENSATION IS DETERMINED BY SHOLOM COMMUNITY ALLIANCE, THE SOLE MEMBER OF SHOLOM COMMUNITY ALLIANCE HOME HEALTH CARE. THE FOLLOWING WERE USED BY SHOLOM COMMUNITY ALLIANCE IN DETERMINING THE CEO'S COMPENSATION: 1. COMPENSATION COMMITTEE 2. INDEPENDENT COMPENSATION CONSULTANT 3. WRITTEN EMPLOYMENT CONTRACT 4. COMPENSATION SURVEY OR STUDY 5. APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · SUPPORT RELATED ENTITIES IN ELDERLY NURSING HOME, HOUSING AND COMMUNITY SERV · MN
-
501(C)(3) · NURSING HOME FOR THE ELDERLY · MN
Directly controlled by SHOLOM COMMUNITY ALLIANCE
-
501(C)(3) · NURSING HOME FOR THE ELDERLY · MN
Directly controlled by SHOLOM COMMUNITY ALLIANCE
-
COMMUNITY HOUSING & SERVICE CORP
501(C)(3) · PROVIDE HOUSING FOR THE ELDERLY · MN
Directly controlled by SHOLOM COMMUNITY ALLIANCE
-
KNOLLWOOD COMMUNITY HOUSING CORP
501(C)(3) · LOW INCOME HOUSING · MN
Directly controlled by SHOLOM COMMUNITY ALLIANCE AND COMMUNITY HOUSING AND SERVICE CORP
-
501(C)(3) · LOW INCOME HOUSING · MN
Directly controlled by SHOLOM COMMUNITY ALLIANCE AND COMMUNITY HOUSING AND SERVICE CORP
-
SHOLOM ST PAUL SENIOR HOUSING INC
501(C)(3) · LOW INCOME HOUSING · MN
Directly controlled by SHOLOM COMMUNITY ALLIANCE
-
501(C)(3) · SUPPORT TO AFFILIATES THROUGH FUNDRAISING · MN
-
501(C)(3) · INACTIVE SHELL COMPANY · MN
Directly controlled by SHOLOM COMMUNITY ALLIANCE
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 2 August 2024
- IRS schema version
- 2022v5.0
- Source object
- 202432189349300903
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