2023-01-18T09:27:02-06:00 2021-12-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2021-01-01 221500539 THE HOUSE OF THE GOOD SHEPHERD HOUS 9086845900 798 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 SUSAN LANZA PRESIDENT/CEO 9086845900 2023-01-17 1 SUSAN LANZA XXX-XX-XXXX KERRI N BOGDA CPA P00760402 7177404863 2023-01-17 X 3 AAL1 IAL1 2021 2023-03-07 01:45:13Z SUSAN LANZA 798 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 9780240 0 X WWW.HOTGS.ORG X 1884 NJ TO PROVIDE CARE, NURTURANCE AND HOUSING FOR THE ELDERLY THROUGH OPERATION OF VARIOUS FACILITIES. 11 11 200 11 0 0 585615 928773 10247969 8681254 60320 44601 99581 76728 10993485 9731356 0 0 0 0 6694986 6165215 0 0 0 5513317 5772123 12208303 11937338 -1214818 -2205982 13366071 14166598 11512186 10835459 1853885 3331139 X TO MEET THE LIFE-STYLE, SPIRITUAL AND HEALTH-CARE NEEDS OF OLDER PERSONS, ON AND OFF OUR CAMPUS, IN A FAITH-BASED, CARING AND DIGNIFIED MANNER. 0 0 8900904 0 8681254 HOUSE OF THE GOOD SHEPHERD OPERATES A CONTINUING CARE RETIREMENT COMMUNITY PROVIDING HOUSING, HEALTH CARE, AND OTHER RELATED SERVICES TO ELDERLY RESIDENTS THROUGH THE OPERATION OF A NURSING FACILITY, ASSISTED LIVING, COMPREHENSIVE PERSONAL CARE AND INDEPENDENT LIVING UNITS. DURING 2021, THERE WERE 8,011 NURSING FACILITY PATIENT DAYS, 9,574 PERSONAL CARE DAYS AND 10,957 ASSISTED LIVING DAYS.FIVE EPISCOPAL CONGREGATIONS IN THE ORANGES FOUNDED THE HOUSE OF THE GOOD SHEPHERD IN 1884. IN THOSE DAYS ITS FOCUS WAS TO PROVIDE CARE AND SERVICES TO THE POOR AND DISABLED. A 20-ROOM RENTAL HOME LAUNCHED OUR HUMBLE BEGINNINGS. BY 1890, A NEW HOME WAS BUILT ON HENRY STREET. IN THE EARLY 1960'S A WOODED, 15-ACRE SITE WAS PURCHASED IN HACKETTSTOWN. THE GOAL WAS TO DEVELOP A RETIREMENT COMMUNITY FOR THE EVER-GROWING POPULATION OF SENIORS IN NORTHERN NEW JERSEY. FOUR LEVELS OF SERVICES ARE PROVIDED:THERE ARE 48 UNITS OF INDEPENDENT LIVING LOCATED IN OUR MAIN BUILDING AND ON THE GROUNDS. COTTAGES, APARTMENTS AND DUPLEXES SERVE SENIORS WHO ARE INDEPENDENT YET VALUE THE SECURITY OF 24/7 EMERGENCY ASSISTANCE AND A WIDE VARIETY OF SERVICES AND PROGRAMS.IN 61 UNITS OF ASSISTED LIVING AND COMPREHENSIVE PERSONAL CARE, STAFF IS AVAILABLE TO ASSIST WITH MEDICATION ADMINISTRATION AND PROVIDE WATCHFUL OVERSIGHT TO SENIORS WHO ARE NO LONGER ABLE TO BE TOTALLY INDEPENDENT.A 62-BED SKILLED NURSING UNIT SERVES SENIORS WHO REQUIRE TOTAL CARE.POST-HOSPITAL, SUBACUTE CARE IS PROVIDED ON THE SKILLED NURSING UNIT TO SENIORS SEEKING A TEMPORARY STAY TO REHABILITATE AFTER A HOSPITAL STAY.SECURITY: IN ADDITION TO SEEKING A SECURE ENVIRONMENT IN WHICH TO LIVE, RESIDENTS COME TO THE HOUSE WITH THE KNOWLEDGE THAT, WHEN THEIR ASSETS ARE DEPLETED, THE HOUSE WILL, WITHIN ITS FINANCIAL CAPACITY, UTILIZE ITS AVAILABLE RESOURCES TO PROVIDE LIFELONG CARE AND SERVICES. IN ADDITION TO SUBSIDIZING RESIDENTS WITHOUT ASSETS IN INDEPENDENT LIVING, THE HOUSE SUBSIDIZES RESIDENTS OF COMPREHENSIVE PERSONAL CARE AND SKILLED CARE WHO ARE RECIPIENTS OF MEDICAID.LICENSES: THE HOUSE OF THE GOOD SHEPHERD IS LICENSED BY THE STATE OF NEW JERSEY AS A: (1) CONTINUING CARE RETIREMENT COMMUNITY, (2) SKILLED NURSING FACILITY, (3) ASSISTED NURSING FACILITY, AND (4) COMPREHENSIVE PERSONAL CARE FACILITY. 8900904 1 1 0 1 0 0 0 0 1 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 63 0 200 1 0 0 0 0 0 1 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X MARK F MAZZELLA 9086845734 798 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 DAVID SULLIVAN CHAIR/TRUSTEE 0.30 0.30 X X 0 0 0 GENE MILTON VICE CHAIR/TRUSTEE (DEPARTED 04/21) 0.20 0.20 X X 0 0 0 GREGORY ACKERSON TREASURER/TRUSTEE 0.30 0.30 X X 0 0 0 GINA DIMAIO TRUSTEE 0.20 0.20 X 0 0 0 PHILLIP GUIDONE ESQ TRUSTEE 0.20 0.20 X 0 0 0 REV DEBRA BREWIN-WILSON TRUSTEE 0.20 0.20 X 0 0 0 REV DAVID RUDE TRUSTEE 0.20 0.20 X 0 0 0 ROBYN JENSEN TRUSTEE (DEPARTED 05/21) 0.20 0.20 X 0 0 0 NORMAN WORTH TRUSTEE 0.20 0.20 X 0 0 0 JUDITH WIEGAND TRUSTEE 0.20 0.20 X 0 0 0 REV ANNE KITCH TRUSTEE 0.20 0.20 X 0 0 0 SUSAN LANZA EXECUTIVE DIRECTOR 40.00 2.00 X 218829 0 30883 HOLLIE DRISCOLL CHIEF FINANCIAL OFFICER 40.00 2.00 X 112786 0 9771 331615 0 40654 2 0 1 0 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 FOOD SERVICE MGMT 848075 RLPS ARCHITECTS 250 VALLEYBROOK DR LANCASTER PA 17601 ARCHITECT 575832 AMERICAN EAGLE EXT 286 HAMBURG TPKE RIVERDALE NJ 07457 ROOFING CONTRACTOR 515578 FELLOWSHIP VILLAGE 8000 FELLOWSHIP RD BASKING RIDGE NJ 07920 THERAPY PROVIDER 506073 WARFEL 1110 ENTERPRISE RD EAST PETERSBURG PA 17520 GENERAL MANAGEMENT 339765 11 32675 878490 17608 928773 NET RESIDENT SVC REV 623000 8681254 8681254 8681254 44601 44601 34263 22117 12146 12146 12146 41980 26767 15213 15213 CAPITATION INCOME 900099 36125 36125 MISCELLANEOUS REVENUE 900099 9293 9293 PURCHASE DISCOUNTS 900099 3071 3071 880 880 49369 9731356 8681254 0 121329 372269 372269 4381846 3852944 528902 212320 200384 11936 678739 575645 103094 520041 433145 86896 72774 72774 76017 76017 413 413 8868 8868 1163166 797348 365818 176044 176044 760212 258361 501851 183831 183831 589029 589029 31141 31141 240421 240421 1012937 1012937 254935 254935 FOOD 493120 493120 STRATEGIC DEVELOPMENT 257585 257585 LICENSES & FEES 156931 156931 BAD DEBTS 85363 85363 209336 158844 50492 11937338 8900904 3036434 0 17701 390744 4175 25582 1352908 498269 348119 351630 34046339 23825166 8944953 10221173 2656831 2586123 41384 93077 13366071 14166598 1243881 1844797 124393 152053 9346771 8604459 16391 20150 520000 260750 214000 11512186 10835459 X 1399786 2887908 454099 443231 1853885 3331139 13366071 14166598 X -2205982 115911 3567325 X 0 1 X 1 0 X 393770 281454 107866 585615 928773 2297478 11715831 10839781 10864122 10247969 8681254 52348957 12109601 11121235 10971988 10833584 9610027 54646435 0 0 0 54646435 106414 122263 122631 94490 78864 524662 106414 122263 122631 94490 78864 524662 11060 1495 3430 92015 91349 199349 12227075 11244993 11098049 11020089 9780240 55370446 0.98690 0.98830 0.00950 0.00950 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2017 AMOUNT: $ 1,580. 2018 AMOUNT: $ 1,495. 2019 AMOUNT: $ 2,565. 2020 AMOUNT: $ 405. 2021 AMOUNT: $ 9,293. FUNDRAISING GAMING - 2017 AMOUNT: $ 9,480. 2021 AMOUNT: $ 41,980. DISCOUNTS EARNED - 2019 AMOUNT: $ 865. 2020 AMOUNT: $ 11,100. 2021 AMOUNT: $ 3,071. CAPITATION INCOME - 2020 AMOUNT: $ 80,510. 2021 AMOUNT: $ 36,125. ADMINISTRATIVE SERVICES - 2021 AMOUNT: $ 880. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 413 413 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO THE STATE (LEADINGAGE NJ) AND NATIONAL (LEADINGAGE) ASSOCIATIONS OF HOMES AND SERVICES FOR THE AGING. A PORTION OF THESE DUES ARE USED FOR LOBBYING PURPOSES. THE $413 REPORTED AS LOBBYING EXPENDITURES IS THE PORTION OF DUES THAT WERE USED FOR LOBBYING PURPOSES BY LEADINGAGE, NJ AND LEADINGAGE. 0 1 X 627213 -1752 2433 623028 594896 34513 2196 627213 554605 42374 2083 594896 568326 -11746 1975 554605 553256 17130 2060 568326 0.32000 0.68000 0.00000 0 0 328328 328328 28559616 20474324 8085292 3719626 3350842 368784 1438769 1438769 10221173 REFUNDABLE FEES AND DEPOSITS 214000 214000 9751346 115911 -85363 30548 9720798 10558 10558 9731356 11874092 22117 22117 11851975 85363 85363 11937338 PART IV, LINE 2B: CURRENT ASSETS REPORTED ON THE ORGANIZATION'S BALANCE SHEET AS OF 12/31/21 INCLUDE THE AMOUNT OF THE PNA TRUST FUND (I.E. RESIDENT TRUST FUNDS) HELD WITH FULTON BANK AS WELL AS THE PETTY CASH FUND HELD ONSITE. THE LIABILITIES RELATED TO THESE ACCOUNTS ARE REPORTED ON LINE 21 OF PART X OF THE 990. THESE ACCOUNTS ARE FUNDS HELD FOR THE RESIDENTS. PART V, LINE 4: THE INCOME FROM THE ENDOWMENT FUNDS ARE DESIGNATED TO SUBSIDIZE RESIDENTS WHO HAVE OUTLIVED THEIR FUNDS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -85,363. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -22,117. ADJUSTMENT TO CONTRIBUTIONS NOT RECOGNIZED IN FINANCIAL STATEMENTS 32,675. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 22,117. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 85,363. GOLF OUTING 41980 41980 26767 41980 41980 26767 26767 15213 X X X X 0 0 0 0 0 0 0 0 0 SUSAN LANZA EXECUTIVE DIRECTOR 214829 0 4000 0 0 0 18493 0 12390 0 249712 0 0 0 A NEW JERSEY HEALTH CARE FACILITIES FINANCING AUTHORITY SERIES 2012-1 221987084 2012-11-27 14645000 REFUNDING OF 2001 BOND ISSUE 0 0 0 A 5920000 14645000 227814 14417186 2012 1 0 1 1 A 0 0 1 0 1 0 0 0 1 A 1 SCHEDULE K, PART II, LINE 11, OTHER SPENT PROCEEDS THE AMOUNT REPORTED ON PART II, LINE 11, REPRESENTS PROCEEDS OF THE BOND ISSUE USED TO CURRENTLY REFUND THE 2001 BOND ISSUE. SCHEDULE K, PART III PRIVATE BUSINESS USE PART III ON PRIVATE BUSINESS USE HAS BEEN INTENTIONALLY LEFT BLANK BECAUSE THE BONDS ISSUED ON 11/27/2012 WERE ISSUED AS A REFUNDING ISSUE OF BONDS ORIGINALLY ISSUED ON 8/16/2001 PER THE FORM 8038. ACCORDINGLY, THE INSTRUCTIONS TO SCHEDULE K STATE THAT PART III DOES NOT NEED TO BE COMPLETED FOR LISTED BOND ISSUES THAT ARE POST-DECEMBER 31, 2002 REFUNDING ISSUES WHICH REFUND PRE-JANUARY 1, 2003 BOND ISSUES DIRECTLY OR THROUGH A SERIES OF REFUNDINGS. FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER PERFORM A DETAILED REVIEW OF THE FORM 990. AFTER THEIR REVIEW, THE TREASURER OF THE BOARD REVIEWS THE FORM 990 IN DETAIL. A COPY OF THE ORGANIZATION'S FINAL FORM 990 IS PROVIDED TO THE GOVERNING BODY MEMBERS AT THE NEXT MEETING OF THE BOARD OF TRUSTEES FOLLOWING COMPLETION OF THE FORM BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CORPORATE COMPLIANCE POLICY IS GIVEN TO AND SIGNED BY EACH BOARD MEMBER AND SENIOR MANAGEMENT ON AN ANNUAL BASIS. ANY CONFLICTS OF INTEREST MUST BE DISCLOSED AND BOARD MEMBERS MUST ABSTAIN FROM VOTING IF SUCH CONFLICTS ARISE AT MEETINGS. FAMILY AND BUSINESS RELATIONSHIPS ARE EXPRESSLY MENTIONED IN THE POLICY. THE EXECUTIVE DIRECTOR REVIEWS THE CONFLICT FORMS FOR THE BOARD OF DIRECTORS. IF A CONFLICT ARISES, THE ACTIONS TAKEN AND RESULTS ARE DOCUMENTED IN THE BOARD MINUTES. THE CONFLICT OF INTEREST STATEMENTS FOR SENIOR MANAGEMENT ARE SUBMITTED TO THE BOARD FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 15 THE PERSONNEL COMMITTEE REFERS TO COMPENSATION STUDIES DONE BY TRADE ORGANIZATIONS EACH YEAR FOR COMPARATIVE INFORMATION ON SALARY/WAGE DATA. THEY ALSO LOOK AT SURROUNDING RETIREMENT COMMUNITIES TO ENSURE THEIR TOP MANAGEMENT OFFICIALS' PAY IS COMMENSURATE WITH SIMILAR POSITIONS AT THOSE ORGANIZATIONS. AFTER THE PERSONNEL COMMITTEE ESTABLISHES COMPENSATION AMOUNTS FOR THE EXECUTIVE DIRECTOR, THE PAYROLL BUDGET FOR OTHER PERSONNEL IS REVIEWED BY THE PERSONNEL COMMITTEE AND APPROVED BY THE BOARD OF TRUSTEES. THIS PROCESS AND FINAL DETERMINATIONS ARE DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: ADJUSTMENT TO CONTRIBUTIONS NOT RECOGNIZED IN FINANCIAL STATEMENTS -32,675. TRANSFER TO/FROM AFFILIATES 3,600,000. THE HOUSE OF THE GOOD SHEPHERD FOUNDATION INC 798 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 223692108 SUPPORTING ORGANIZATION FOR THE HOUSE OF THE GOOD SHEPHERD NJ 501(C)(3) LINE 12A, I THE HOUSE OF THE GOOD SHEPHERD 1 0 0 1 1 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0 THE HOUSE OF THE GOOD SHEPHERD FOUNDATION INC C 32675 COST THE ORGANIZATION HAS ALWASY BEEN A PRUDENT AND CONSCIENTIOUS TAXPAYER. THIS PAST YEAR, THE ORGANIZATION EXPERIENCED EXTREMELY HIGH TURNOVR IN ITS FINANCE AND ACCOUNTING DEPARTMENT, LEAVING THE ORGANIZATION UNDERSTAFFED AND OVERBURDENED. ANOTHER SENOR LIVING COMMUNITY AGREED TO MANAGE THE FINANCIAL PROCESS FOR THE ORGANIZATION AND DID SO IT ITS BEST ABILITY. IT WAS VERY CHALLENGED WHEN COLLECTING INFORMATION FROM THE VARIOUS DEPARTMENTS OUT OF WHICH INFORMATION WAS GLEANED. THE ORGANIZATION'S MANAGERS DID EVERYTHING THEY COULD GET THE RETURN FILED AS QUICKLY AS THEY DID. THEY RECOGNIZE THE RETURN WAS LATE BUT DID NOT WANT TO FILE AN INCOMPLETE RETURN. THE ORGANIZAITON ASKS FOR A WAIVER OF PENALTIES BASED UPON REASONABLE CAUSE.