2019-11-15T11:51:12-06:00 2018-12-31 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 46 PUBLIC SQUARE WILKESBARRE PA 187012681 990 2018-01-01 221500539 THE HOUSE OF THE GOOD SHEPHERD HOUS 9086845900 798 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 SUSAN LANZA PRESIDENT/CEO 9086845900 2019-11-14 1 KERRI N BOGDA CPA P00760402 5708200100 24.229.124.227 2019-11-14 16:36:11 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 8DE2CE7C4B89E75B3C7B40C3F9B031CD9A8EB37C 2018 2020-04-17 16:48:07Z SUSAN LANZA 798 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 11252743 0 X WWW.HOTGS.ORG X 1884 NJ TO PROVIDE CARE, NURTURANCE AND HOUSING FOR THE ELDERLY THROUGH OPERATION OF VARIOUS FACILITIES. 15 15 232 42 0 0 393770 281454 11715831 10839781 76326 89279 1804 -2057 12187731 11208457 0 0 0 0 6636595 6857867 0 0 0 5994690 5309785 12631285 12167652 -443554 -959195 17875223 15689815 13381407 12331729 4493816 3358086 X THE HOUSE OF THE GOOD SHEPHERD IS A NON-SECTARIAN, NON-PROFIT RETIREMENT COMMUNITY AFFILIATED WITH THE EPISCOPAL DIOCESE OF NEWARK. IT IS LED BY A BOARD OF TRUSTEES WHO VOLUNTEER THEIR TIME WITHOUT REMUNERATION. THE TRUSTEES FOCUS ON FULFILLING THE ORGANIZATION'S MISSION.THE MISSION OF THE HOUSE OF THE GOOD SHEPHERD IS TO SERVE THE PHYSICAL, MENTAL, AND SPIRITUAL NEEDS OF OLDER PERSONS WITHOUT REGARD TO RELIGION, RACE, COLOR, CREED, AGE, SEX, OR NATIONAL ORIGIN. THIS MISSION IS TO BE CARRIED OUT WITHIN ITS FINANCIAL RESOURCES BY PROVIDING:(1) RESIDENTIAL AND HEALTH CARE ACCOMMODATIONS AND SERVICES, (2) OUTREACH SERVICES TO NON-RESIDENTS, AND (3) RESOURCE INFORMATION AND CONSULTATION WITH OTHERS PROVIDING SERVICES TO THE AGED. 0 0 9574073 10840142 OPERATED 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 2018, THERE WERE 17,376 NURSING FACILITY PATIENT DAYS, 8,857 PERSONAL CARE DAYS AND 10,702 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. 9574073 1 1 0 1 0 0 0 0 1 1 1 0 0 0 1 1 1 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 70 0 1 232 1 0 0 0 0 0 1 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 NJ X HOLLIE DRISCOLL 9086845734 798 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 DAVID SULLIVAN CHAIR/TRUSTEE 0.30 0.30 X X 0 0 0 JUDY KILGORE TREASURER/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 REV DAVID RUDE TRUSTEE 0.20 0.20 X 0 0 0 ROBERT BARTKUS ESQ TRUSTEE 0.20 0.20 X 0 0 0 REV BIRDA FERGUSON TRUSTEE 0.20 0.20 X 0 0 0 ROBYN JENSEN TRUSTEE 0.20 0.20 X 0 0 0 PHILLIP GUIDONE ESQ TRUSTEE 0.20 0.20 X 0 0 0 ELVA SCHAFER RESIDENT TRUSTEE 0.20 0.20 X 0 0 0 SR SUZANNE ELIZABETH TRUSTEE 0.20 0.20 X 0 0 0 REV SHEILA SHUFORD TRUSTEE 0.20 0.20 X 0 0 0 DR JOSEPH LINSKEY TRUSTEE 0.20 0.20 X 0 0 0 CHRISTINE BRODEUR SECRETARY/TRUSTEE 0.30 0.30 X 0 0 0 REV DEBRA BREWIN-WILSON TRUSTEE 0.20 0.20 X 0 0 0 GINA DIMAIO TRUSTEE 0.20 0.20 X 0 0 0 DEBORAH S BEARDS PRESIDENT/CEO 40.00 2.00 X 160353 0 25761 HOLLIE DRISCOLL CHIEF FINANCIAL OFFICER 40.00 2.00 X 107925 0 20676 JOANNE WARD DIRECTOR OF NURSING 40.00 0.00 X 113548 0 21270 LIANG BARDELLO DIRECTOR OF THERAPY 40.00 0.00 X 102694 0 10557 484520 0 78264 4 0 1 0 SODEXO INC & AFFILIATES 6145 PARK SQUARE DRIVE UNIT 1-6 LORAIN OH 44053 FOOD SERVICE MGMT 877979 OMNICARE INC 121 ALGONQUIN PARKWAY WHIPPANY NJ 07981 PHARMACY SERVICES PROVIDER 166437 MCKESSON MEDICAL 8121 TENTH AVENUE NORTH GOLDEN VALLEY MN 55427 MEDICAL SUPPLIES 144394 DEMPSEY UNIFORM & LINEN SUPPLY INC 1200 MID VALLEY DR JESSUP PA 18434 LAUNDRY SERVICES 134529 4 38715 242739 281454 NET RESIDENT SVC REV 623000 10839781 10839781 10839781 91271 91271 30992 18619 12373 12373 12373 1992 -1992 -1992 -1992 7750 38715 23675 -15925 -15925 ADMINISTRATIVE SERVICES 900099 361 361 1134 1134 1495 11208457 10840142 0 86861 314715 314715 5017512 4582022 435490 348893 323370 25523 766031 683363 82668 410716 356032 54684 63829 63829 30589 30589 860 860 11797 11797 684054 549977 134077 73188 73188 849229 660854 188375 543656 519114 24542 286775 286775 1135244 1135244 436253 436253 FOOD 496373 496373 BAD DEBTS 311204 311204 PHARMACY 164338 164338 LICENSES & FEES 91880 91880 130516 103386 27130 12167652 9574073 2593579 0 24869 0 356050 274899 1350089 728589 264219 300770 31215590 20865582 11091210 10350008 4745197 4016783 43589 18766 17875223 15689815 1127860 1020813 328132 187420 11640000 10940000 18458 17971 266957 165525 13381407 12331729 X 4042306 2904481 28836 30931 422674 422674 4493816 3358086 17875223 15689815 -959195 -176720 185 X X 0 1 X 1 0 X 45331 42741 176103 393770 281454 939399 11804787 11697648 11673298 11715831 10839781 57731345 11850118 11740389 11849401 12109601 11121235 58670744 0 0 0 58670744 98951 111138 100896 106414 122263 539662 98951 111138 100896 106414 122263 539662 13875 18290 16849 11060 1495 61569 11962944 11869817 11967146 12227075 11244993 59271975 0.98990 0.99000 0.00910 0.00880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 860 860 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO THE STATE (LEADINGAGE, NJ) AND NATIONAL (LEADINGAGE) ASSOCIATION OF HOMES AND SERVICES FOR THE AGING. A PORTION OF THE DUES ARE USED FOR LOBBYING PURPOSES. THE $860 REPORTED AS LOBBYING EXPENDITURES IS THE PORTION OF DUES THAT WERE USED FOR LOBBYING PURPOSES BY LEADINGAGE, NJ AND LEADINGAGE. 0 1 X 568326 -11746 1975 554605 553256 17130 2060 568326 546428 8974 2146 553256 549806 -1114 2264 546428 508239 43745 2178 549806 0.24000 0.76000 0.00000 0 0 328328 328328 27296422 18068565 9227857 3584340 2797017 787323 6500 6500 10350008 REFUNDABLE FEES AND DEPOSITS 311750 DEFERRED FINANCING COSTS PER F/S -158604 TEMPORARY BANK OVERDRAFT 12379 165525 X 10978115 -176720 -19753 -196473 11174588 33869 33869 11208457 12163845 18619 18619 12145226 22426 22426 12167652 PART IV, LINE 2B: CURRENT ASSETS REPORTED ON THE ORGANIZATION'S BALANCE SHEET AS OF 12/31/18 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 X, LINE 2: THE CORPORATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. MANAGEMENT DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2018 AND 2017. PART XI, LINE 2D - OTHER ADJUSTMENTS: WRITE OFF EXPENSES INCLUDED IN REVENUE ON FINANCIAL STATEMENTS -19,753. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -18,619. CONTRIBUTIONS RECORDED AS NET ASSET TRANSFER ON FINANCIAL STATMENTS 50,000. FOUNDATION EXPENSE RECORDED AS INCOME ON FINANCIAL STATEMENTS 2,488. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 18,619. PART XII, LINE 4B - OTHER ADJUSTMENTS: WRITE OFF EXPENSES INCLUDED IN REVENUE ON FINANCIAL STATEMENTS 19,753. MISCELLAENOUS EXPENSES 185. FOUNDATION EXPENSE RECORDED AS INCOME ON FINANCIAL STATEMENTS 2,488. 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 30446 27771 2675 11236 GOLF OUTING 16019 10944 5075 7300 5139 46465 38715 7750 7300 16375 23675 -15925 X X X X 0 0 0 0 0 0 0 0 0 DEBORAH S BEARDS PRESIDENT/CEO 160353 0 0 0 0 0 14432 0 11329 0 186114 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 3705000 14645000 227814 14417186 2012 1 0 1 1 A 0 1 0 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. 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 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. PART XII, LINE 2C THE PROCESS USED BY THE COMMITTEE THAT ASSUMES RESPONSIBLITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. 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 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0 HOUSE OF THE GOOD SHEPHERD FOUNDATION Q 101265 CASH TRANSFER