2020-11-09T15:52:39-06:00 2019-12-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2019-01-01 221500539 THE HOUSE OF THE GOOD SHEPHERD HOUS 9086845900 798 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 SUSAN LANZA PRESIDENT/CEO 9086845900 2020-11-09 1 KERRI N BOGDA CPA P00760402 7177404863 174.55.78.125 2020-11-09 11:23:20 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 AF78FC311707138AE8A35EE5AF434BBB9CACA7EB 2019 2021-01-29 14:40:06Z SUSAN LANZA 798 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 11113631 0 X WWW.HOTGS.ORG X 1884 NJ TO PROVIDE CARE, NURTURANCE AND HOUSING FOR THE ELDERLY THROUGH OPERATION OF VARIOUS FACILITIES. 14 14 226 18 0 0 281454 107866 10839781 10864122 89279 90161 -2057 21607 11208457 11083756 0 0 0 0 6857867 6874514 0 0 0 5309785 4821020 12167652 11695534 -959195 -611778 15689815 14625342 12331729 11637887 3358086 2987455 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 9497237 0 10864122 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 2019, THERE WERE 15,928 NURSING FACILITY PATIENT DAYS, 8,504 PERSONAL CARE DAYS AND 11,417 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. 9497237 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 0 0 0 1 60 0 226 1 0 0 0 0 0 1 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NJ X HOLLIE DRISCOLL 9086845734 798 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 DEBORAH S BEARDS PRESIDENT/CEO (RETIRED 8/19) 40.00 2.00 X 136572 0 22331 JOANNE WARD DIRECTOR OF NURSING 40.00 X 113432 0 17492 LIANG BARDELLO DIRECTOR OF THERAPY 40.00 X 104307 0 11116 HOLLIE DRISCOLL CHIEF FINANCIAL OFFICER 40.00 2.00 X 102245 0 9293 SUSAN LANZA PRESIDENT/CEO (BEGAN 8/19) 40.00 X 66246 0 4285 DAVID SULLIVAN CHAIR/TRUSTEE 0.30 0.30 X X 0 0 0 REV PAUL OLSSON VICE CHAIR/TRUSTEE 0.30 0.30 X X 0 0 0 JUDY KILGORE TREASURER/TRUSTEE 0.30 0.30 X X 0 0 0 CHRISTINE BRODEUR SECRETARY/TRUSTEE 0.30 0.30 X X 0 0 0 DESPINA PAGHIDAS RESIDENT TRUSTEE 0.20 X 0 0 0 DR JOSEPH LINSKEY TRUSTEE (RES. 1/19) 0.20 0.20 X 0 0 0 ELVA SCHAFER RESIDENT TRUSTEE (RES. 1/19) 0.20 0.20 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 SHEILA SHUFORD TRUSTEE 0.20 0.20 X 0 0 0 REV DAVID RUDE TRUSTEE 0.20 0.20 X 0 0 0 REV NINABETH METCALF TRUSTEE 0.20 0.20 X 0 0 0 ROBERT BARTKUS ESQ TRUSTEE 0.20 0.20 X 0 0 0 ROBYN JENSEN TRUSTEE 0.20 0.20 X 0 0 0 SR SUZANNE ELIZABETH TRUSTEE 0.20 0.20 X 0 0 0 522802 0 64517 4 0 1 0 SODEXO INC & AFFILIATES 6145 PARK SQUARE DRIVE UNIT 1-6 LORAIN OH 44053 FOOD SERVICE MGMT 861875 DEMPSEY UNIFORM & LINEN SUPPLY INC 1200 MID VALLEY DR JESSUP PA 18434 LAUNDRY SERVICES 122298 2 5350 102516 107866 NET RESIDENT SVC REV 623000 10864122 10864122 10864122 90324 90324 32307 18742 13565 13565 13565 163 -163 -163 -163 15582 5350 10970 4612 4612 MISCELLANEOUS REVENUE 900099 2360 2360 DISCOUNTS EARNED 900099 865 865 ADMINISTRATIVE SERVICES 900099 205 205 3430 11083756 10864122 0 111768 355053 355053 4976277 4542251 434026 321597 306949 14648 794435 695895 98540 427152 367375 59777 56870 56870 31090 31090 739 739 9973 9973 516297 440412 75885 103037 103037 769230 546440 222790 511660 511660 25989 25989 268729 268729 1070757 1070757 429674 429674 FOOD 505184 505184 BAD DEBTS 156664 156664 PHARMACY 143560 143560 LICENSES & FEES 77623 77623 143944 98025 45919 11695534 9497237 2198297 0 62334 274899 358322 728589 886637 300770 314867 31398774 21801374 10350008 9597400 4016783 3367272 18766 38510 15689815 14625342 1020813 1141692 187420 144728 10940000 10074083 17971 16634 165525 260750 12331729 11637887 X 2904481 2534206 453605 453249 3358086 2987455 15689815 14625342 -611778 241147 0 X 0 1 X 1 0 X 42741 176103 393770 281454 107866 1001934 11697648 11673298 11715831 10839781 10864122 56790680 11740389 11849401 12109601 11121235 10971988 57792614 0 0 0 57792614 111138 100896 106414 122263 122631 563342 111138 100896 106414 122263 122631 563342 18290 16849 11060 1495 3430 51124 11869817 11967146 12227075 11244993 11098049 58407080 0.98950 0.98990 0.00960 0.00910 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 739 739 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 $739 REPORTED AS LOBBYING EXPENDITURES IS THE PORTION OF DUES THAT WERE USED FOR LOBBYING PURPOSES BY LEADINGAGE, NJ AND LEADINGAGE. 0 1 X 554605 42374 2083 594896 568326 -11746 1975 554605 553256 17130 2060 568326 546428 8974 2146 553256 549806 -1114 2264 546428 0.29000 0.71000 0.00000 0 0 328328 328328 27513691 18923421 8590270 3550255 2877953 672302 6500 6500 9597400 REFUNDABLE FEES AND DEPOSITS 260750 260750 11197951 241147 -156664 84483 11113468 -29712 -29712 11083756 11568582 29712 29712 11538870 156664 156664 11695534 PART IV, LINE 2B: CURRENT ASSETS REPORTED ON THE ORGANIZATION'S BALANCE SHEET AS OF 12/31/19 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 THAT HAVE OUTLIVED THEIR FUNDS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -156,664. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -18,742. FUNDRAISING EXPENSES -10,970. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 18,742. FUNDRAISING EXPENSES 10,970. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 156,664. FORM 990, SCHEDULE D, PART V WITH RESPECT TO THE ENDOWMENT FUND REPORTING, THE HOUSE OF THE GOOD SHEPHERD STARTED REPORTING ENDOWMENT FUNDS IN 2013. CELEBRATE THE HOUSE WINE AND DINE 20932 5350 15582 360 3131 2806 450 4223 20932 5350 15582 360 3131 2806 450 4223 10970 4612 X X X X 0 0 0 0 0 0 0 0 0 DEBORAH S BEARDS PRESIDENT/CEO (RETIRED 8/19) 136572 0 0 0 0 0 10918 0 11413 0 158903 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 4425000 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. 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 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0