2024-05-03T10:19:55-05:00 2023-06-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2022-07-01 237119236 Shalom House Inc SHAL 2078741080 106 Gilman Street Portland ME 04102 Mary Haynes-Rodgers Executive Director 2078741080 2024-05-02 1 Mary Haynes-Rodgers 999009999 1 Joseph R Byrne P01289281 2077752387 2024-05-02 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Mary Haynes-Rodgers 106 Gilman Street Portland ME 04102 33713019 0 X www.shalomhouseinc.org X 1972 ME Shalom House provides an array of community-based mental health services and a choice of affordable housing ranging from transitional housing and group homes to independent apartments. Once basic needs have been met, people's lives can become more stable. Our goal is to help people with severe mental illness address personal goals, receive services, take medications, and once again become a vital part of the community. 15 15 261 22 29181 23792 101718 103786 31054777 32708340 30958 493513 0 386082 31187453 33691721 33983 36256 0 0 11503711 11916590 0 0 96137 19417407 20745065 30955101 32697911 232352 993810 17316321 18628238 11574071 13242617 5742250 5385621 Shalom House offers hope for adults living with severe mental illness by providing an array of community based mental health services and a choice of quality housing that help people lead stable and fulfilling lives in the community. 0 0 14962209 16282322 Residential HousingResidential housing for mentally ill individuals utilizing group homes and apartments with various levels of support to foster independent living skills. 15094255 36256 16426018 Rental Assistance & SubsidiesAdminstration and distribution of state and federal rental assistance subsidies, including shelter plus care subsidized housing. 30056464 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 468 0 1 261 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Douglas Davidson 2078741080 106 Gilman Street Portland ME 04102 Mary Haynes-Rodgers Executive Director 35.00 5.00 X 138817 0 5668 Monett Wilson Finance Director 35.00 5.00 X 97572 0 5762 Kitty Purington Past President 1.00 0.25 X X 0 0 0 Gary Rogers Vice President 1.00 0.25 X X 0 0 0 James Ascanio Treasurer 1.00 0.25 X X 0 0 0 Kelly Webber Assistant Treasurer 0.75 0.25 X X 0 0 0 Cheryl Ramsay Secretary 1.00 0.25 X X 0 0 0 Mark Adelson Director 0.75 0.15 X 0 0 0 Diane Atwood Director 0.75 0.15 X 0 0 0 Shawn Baldwin Director 0.75 0.15 X 0 0 0 Holly Burbank Director 0.75 0.15 X 0 0 0 Eleanor Dudek Director 0.75 0.15 X 0 0 0 Beth Elicker Director 0.75 0.15 X 0 0 0 Lois Jones Past Director 0.75 0.15 X 0 0 0 Rebecca Kingsley Sewall Director 0.75 0.15 X 0 0 0 Mark Krogman Past President 1.00 0.25 X X 0 0 0 Susan Lichtman Maataoui PhD Director 0.75 0.15 X 0 0 0 David O'Connell Past Assistant Treasurer 0.75 0.25 X X 0 0 0 Curt Sachs Director 0.75 0.15 X 0 0 0 Lisa Whitt Director 0.75 0.15 X 0 0 0 Jennifer Yahr Director 0.75 0.15 X 0 0 0 236389 0 11430 1 0 0 0 0 103786 103786 Gov't Grants & Contracts 624100 17448037 17448037 Medicare, Medicaid 624100 13054249 13054249 Subsistence Revenue 624100 1900367 1900367 Miscellaneous 624100 197055 167874 29181 Management Fees 624100 108632 108632 32708340 9811 9811 505000 21298 483702 483702 483702 Debt Forgiveness 900099 386082 386082 386082 33691721 32679159 29181 879595 36256 36256 247819 247819 9125291 8018654 1078426 28211 112125 98007 14042 76 1731999 1427483 303411 1105 699356 574955 123956 445 123848 54408 69440 48407 48407 136596 38356 98240 1696 1696 144322 106400 35680 2242 243025 225729 17296 859657 714358 140867 4432 92153 90533 1484 136 21555 11924 9381 250 174648 173735 913 713386 594491 118895 UBI Tax 13879 13879 Subsidy Payments 15627846 15627741 105 Other Expenses 937875 699506 234923 3446 Repairs & Maintenance 826388 768569 2025 55794 779784 779784 32697911 30056464 2545310 96137 X 201431 1758582 2260158 2810580 2213500 1940670 343000 183438 1354889 43834 17621488 7972774 9934123 9648714 319791 319779 0 1057770 689429 864871 17316321 18628238 977965 961865 253511 0 9785587 9793269 557008 2487483 11574071 13242617 X 5234140 4886851 508110 498770 5742250 5385621 17316321 18628238 X 993810 24042 -806296 -568185 X 0 1 X 1 1 1 X 77748 159996 1741469 101718 103786 2184717 25075458 25057581 29354781 31015723 32679159 143182702 25153206 25217577 31096250 31117441 32782945 145367419 0 0 0 145367419 5220 3799 5129 1919 9811 25878 21753 10197 6983 26136 18796 83865 26973 13996 12112 28055 28607 109743 187200 1667 386082 574949 25180179 25418773 31110029 31145496 33197634 146052111 0.99530 0.99790 0.00080 0.00070 X Schedule A, Part III, Line 12, Explanation of Other Income: Debt Forgiveness - 2019 Amount: $ 187,200. 2020 Amount: $ 1,667. 2022 Amount: $ 386,082. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 456383 24042 480425 500943 -35568 8992 456383 370301 139571 8929 500943 367337 8605 5641 370301 353325 18932 4920 367337 0.00000 1.00000 0.00000 1 0 1453927 1453927 15195539 7468647 7726892 972022 504127 467895 9648714 Estimated Third-Party Payor Settlements 676506 Operating Lease Liability 1060977 Line of Credit 750000 2487483 Part V, Line 4: Shalom House, Inc. has an endowment fund designated to supplement funding of agency programs. It is held and administered by Maine Community Foundation and invested in mutual funds. The board of directors of the Maine Community Foundation has the power to modify, consistent with Maine law, any restriction or condition on the distribution of funds for any specified organization if, in the sole judgement of the Board (without the necessity of the approval of any participating trustee, custodian, or agent), such restriction or condition becomes, in effect, unnecessary, incapable of fulfillment or inconsistent with the charitable needs of the community. 1 Basic Needs Fund 122 36256 Part I, Line 2: Shalom House administers Basic Needs Funds for Shalom clients to meet needs that cannot be addressed by other funding sources. These include urgent situations involving needs such as but not limited to housing, food, medication, and medical care that cannot be addressed by other funding sources. In all instances, other funding mechanisms (Provident Fund, GA, other forms of funding) must be explored and ruled out. This is documented on the Basic Needs Fund Request Form. Whenever possible, attempts are made to recover expenditures especially if they were made pending the establishment of MaineCare, SSI, SSDI, or other entitlements. Staff must follow the guidelines of the Basic Needs Fund (BNF) to request assistance. This includes completing a request form that includes detailed information about each request, the amount needed and why staff recommends approval. Documentation must accompany the request and must be signed by the Program Manager or Assistant Program Manager. Final approval is made by the Development Director who distributes the funds accordingly. Request Guidelines: o The need for the resource should relate to a person's ability to live as independently as possible. o No other source of funds is available to meet the need. o No more than $500 can be requested for a client at a time, unless agreed upon by the Development Director. o Documentation must be provided that supports the request for funds. (Copies of bills, invoices, etc. that shows the amount requested, who to pay and an address to send) o If a check is requested it is the responsibility of the PM or APM to determine whether the accounting department has a current W9 on file for that vendor. o No money will be given directly to clients. Checks will not be made out to clients either. The Development Director maintains records of all grants and/or assistance provided to our clients and residents. All instances of assistance are recorded and maintained in spreadsheets which track the spenddown of the funds and captures information regarding the client, who the funds will be paid to or what they will be used for, which program the request originated from, how it was paid (check, credit card, etc.) and the amount of the assistance. These spreadsheets are reconciled to the Finance Department's accounting software on a quarterly basis. Form 990, Part VI, Section B, line 11b The finance director and other agency staff members assist the auditing firm with preparation of the annual Form 990. The finance director and accounting coordinator review a draft of the Form 990 for completeness, accuracy, and reconciliation with the audited financial statements. They also review the narratives describing the agency's mission, programs, policies and procedures to ensure that they are up to date and accurate. The finance director then reviews the 990 with the executive director. The agency's finance committee is charged by the board of directors with oversight of both the audit and preparation of the Form 990. All committee members have significant expertise and experience regarding financial and regulatory reporting. The committee members are provided with a draft of the Form 990 for their review. Feedback from the members is collected by the committee chairperson, who then meets with the auditors and management, as deemed necessary, to resolve any questions or concerns. When the finance committee chairperson's review is complete, the Form 990 is filing by the agency management. Form 990, Part VI, Section B, line 12c The agency's directors are required by board policies to complete an annual questionnaire designed to identify any existing or potential coflicts of interest with the agency. These questionnaires are reviewed by the board president and executive director. Any reccomended corrective action if necessary, would be brought to the board for discussion and final. Form 990, Part VI, Section B, line 15 Shalom House, Inc. uses the Maine Association for Non-Profits compensation handbook to assess appropriate compensation levels and provide comparable data regarding compensation. The Maine Association for Non-Profits publishes its compensation survey bi-anually. The board of directors review and approves the total agency salaries (including executive directors compensation) duringthe annual budget process. The agency benefits package is reviewed by the board as a part of the annual health insurance renewal. All management and staff are eligible for the same benefits in accordance with the personnel policies. The executive director and management team are charges with the development of the specific positions within the agency, the job descriptions, and the appropriate salary range for each. These are reviewed by the board of directors as nescessary as well as in conjunction with budget preparation. Form 990, Part VI, Section C, line 18 Shalom House, Inc. makes available, upon request, its form 990 and all other information and documents required by law to be available for public inspeciton. At this time, there are no plans to include this information on the agency's website. Information may also be accessed on the internet at the GuideStar.com website. Form 990, Part VI, Section C, line 19 Shalom House, Inc. does not have a formal policy regarding public disclosure of governing documents, policies, and financial statements. Requests for that information are addressed on a case by case basis by agency management. Form 990, Part X, Line 10: Land, Buildings, and Equipment: Section 1.263(a)-3(n) Election: Shalom House, Inc. 106 Gilman Street Portland, ME 04102 EIN: 23-7119236 Section 1.263(a)-3(n) Election: Shalom House, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Capital Contribution in Subsidiary -568,185. Form 990, Part XI, Line 8: Prior Period Adjustment Explanation: During 2023, the Organization determined there was an error in the previously reported consolidated financial statements. Net assets have been corrected through prior period adjustments. The net effect of these adjustments results in a net asset reduction of $806,296 as reported on Form 990, Part XI, line 8. Pleasant Street Housing Inc 106 Gilman Street Portland ME 04102 010406611 Provide Housing ME 501(c)(3) Line 10 Shalom House Inc 1 Ninety High LP co Shalom House Inc 106 Gilman Street Portland ME 04102 010547793 Provide Housing ME Shalom House Inc Related -5901 995756 0 1 0.00010 315 Valley Street LP 106 Gilman Street Portland ME 04102 342049701 Provide Housing ME N/A 0 0 30 Mellen Street LP 106 Gilman Street Portland ME 04102 853705853 Provide Housing ME Shalom Mellen Street Inc Related -1384 379232 0 0 0.01000 Shalom House Valley Street Development 106 Gilman Street Portland ME 04102 204435341 Development ME Shalom House Inc C 232 119718 1.00000 1 Shalom Mellen Street Inc 106 Gilman Street Portland ME 04102 861312720 Provide Housing ME Shalom House Inc C -606977 1.00000 1 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 Ninety High LP D 343000 FMV 30 Mellen Street LP D 1291643 FMV 30 Mellen Street LP B 568185 FMV