2024-02-28T13:11:33-06:00 2022-12-31 390859910 BAKER TILLY US LLP 1570 FRUITVILLE PIKE SUITE 400 LANCASTER PA 17601 990 2022-01-01 221500539 THE HOUSE OF THE GOOD SHEPHERD HOUS 9086845900 798 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 SUSAN LANZA PRESIDENT/CEO 9086845900 2024-02-28 1 SUSAN LANZA XXX-XX-XXXX 0 KERRI N BOGDA CPA P00760402 7177404863 2024-02-28 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SUSAN LANZA 798 WILLOW GROVE STREET HACKETTSTOWN NJ 07840 6041288 0 X WWW.HOTGS.ORG X 1884 NJ TO PROVIDE CARE, NURTURANCE AND HOUSING FOR THE ELDERLY THROUGH OPERATION OF VARIOUS FACILITIES. 14 14 149 14 0 0 928773 110027 8681254 5778860 44601 40945 76728 62724 9731356 5992556 0 0 0 0 6165215 4831607 0 0 0 5772123 5551847 11937338 10383454 -2205982 -4390898 14166598 15394244 10835459 9449988 3331139 5944256 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 7264473 0 5778860 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 ASSISTED LIVING, AND INDEPENDENT LIVING RESIDENCES. 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. 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 ASSISTED LIVING, STAFF IS AVAILABLE TO ASSIST WITH MEDICATION ADMINISTRATION AND PROVIDE WATCHFUL OVERSIGHT TO SENIORS WHO ARE NO LONGER ABLE TO BE TOTALLY INDEPENDENT.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 MAY, WITHIN ITS FINANCIAL CAPACITY, UTILIZE ITS AVAILABLE RESOURCES TO PROVIDE LIFELONG CARE AND SERVICES. THE HOUSE OF THE GOOD SHEPHERD IS LICENSED BY THE STATE OF NEW JERSEY AS A CONTINUING CARE RETIREMENT COMMUNITY AND ASSISTED NURSING FACILITY. 7264473 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 56 0 149 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 0 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 GREGORY ACKERSON TREASURER/TRUSTEE 0.30 0.30 X X 0 0 0 REV ROBERT SOLON VICE CHAIR/TRUSTEE 0.30 0.30 X X 0 0 0 DOUG COLLINS SECRETARY/TRUSTEE 0.30 0.30 X X 0 0 0 REV DAVID RUDE TRUSTEE 0.20 0.20 X 0 0 0 REV DEBRA BREWIN-WILSON TRUSTEE 0.20 0.20 X 0 0 0 JUDITH WIEGAND TRUSTEE 0.20 0.20 X 0 0 0 NORMAN WORTH TRUSTEE 0.20 0.20 X 0 0 0 JILL ZINCKGRAF TRUSTEE 0.20 0.20 X 0 0 0 GINA DIMAIO TRUSTEE 0.20 0.20 X 0 0 0 DENISE MAGUIRE TRUSTEE 0.20 0.20 X 0 0 0 REV ANNE KITCH TRUSTEE 0.20 0.20 X 0 0 0 PHILLIP GUIDONE ESQ TRUSTEE 0.20 0.20 X 0 0 0 JEAN BURNSIDE TRUSTEE 0.20 0.20 X 0 0 0 SUSAN LANZA CEO 40.00 2.00 X 140575 0 16189 CHRISTINE MCLAUGLIN DIR. SALES MARKETING 40.00 0.00 X 111044 0 307 251619 0 16496 2 0 1 0 WARFEL CONSTRUCTION 1110 ENTERPRISE RD EAST PETERSBURG PA 17520 GENERAL MANAGEMENT 2616459 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 FOOD SERVICE MGMT 773845 RLPS ARCHITECTS 250 VALLEYBROOK DR LANCASTER PA 17601 ARCHITECT 269458 CHRIS BRANDS CONSTRUCTION 710 LAUREL HILL ROAD BANGOR PA 18013 CONSTRUCTION SERVICES 245020 ONESTAFF MEDICAL PO BOX 3544 OMAHA NE 68103 MEDICAL SERVICES 173081 9 55083 54944 110027 NET RESIDENT SVC REV 623000 5778860 5778860 5778860 40945 40945 26876 23249 3627 3627 3627 55439 25483 29956 29956 CAPITATION INCOME 900099 14980 14980 MISCELLANEOUS REVENUE 900099 10208 10208 PURCHASE DISCOUNTS 900099 3591 3591 362 362 29141 5992556 5778860 0 103669 156764 156764 3464898 3016702 448196 163855 146062 17793 623628 533312 90316 422462 357123 65339 155714 155714 117510 117510 136072 136072 460 460 8126 8126 968358 236154 732204 103339 103339 1057120 397292 659828 184111 184111 662375 662375 184 184 20141 20141 242372 242372 1133768 1133768 304181 304181 LOSS ON REFINANCING 109966 109966 STRATEGIC DEVELOPMENT 101764 101764 LICENSES & FEES 80084 80084 BANK SERVICE CHARGES 48558 48558 117644 84626 33018 10383454 7264473 3118981 0 390744 435595 25582 62000 498269 214749 351630 260870 37760801 24958934 10221173 12801867 2586123 1619163 93077 0 14166598 15394244 1844797 983521 152053 373729 8604459 7703701 20150 19112 214000 369925 10835459 9449988 X 2887908 5500900 443231 443356 3331139 5944256 14166598 15394244 X -4390898 -285758 125 7289648 X 0 1 X 1 0 X 281454 107866 585615 928773 110027 2013735 10839781 10864122 10247969 8681254 5778860 46411986 11121235 10971988 10833584 9610027 5888887 48425721 0 0 0 48425721 122263 122631 94490 78864 67821 486069 122263 122631 94490 78864 67821 486069 1495 3430 92015 91349 79808 268097 11244993 11098049 11020089 9780240 6036516 49179887 0.98470 0.98690 0.00990 0.00950 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2018 AMOUNT: $ 1,495. 2019 AMOUNT: $ 2,565. 2020 AMOUNT: $ 405. 2021 AMOUNT: $ 9,293. 2022 AMOUNT: $ 10,208. FUNDRAISING GAMING - 2021 AMOUNT: $ 41,980. 2022 AMOUNT: $ 55,439. DISCOUNTS EARNED - 2019 AMOUNT: $ 865. 2020 AMOUNT: $ 11,100. 2021 AMOUNT: $ 3,071. 2022 AMOUNT: $ 3,591. CAPITATION INCOME - 2020 AMOUNT: $ 80,510. 2021 AMOUNT: $ 36,125. 2022 AMOUNT: $ 10,208. ADMINISTRATIVE SERVICES - 2021 AMOUNT: $ 880. 2022 AMOUNT: $ 362. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 460 460 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 $460 REPORTED AS LOBBYING EXPENDITURES IS THE PORTION OF DUES THAT WERE USED FOR LOBBYING PURPOSES BY LEADINGAGE, NJ AND LEADINGAGE. 0 1 X 623028 -1527 914 620587 627213 -1752 2433 623028 594896 34513 2196 627213 554605 42374 2083 594896 568326 -11746 1975 554605 0.32000 0.68000 0.00000 0 0 328328 328328 33568991 21337635 12231356 3721167 3621299 99868 142315 142315 12801867 REFUNDABLE FEES AND DEPOSITS 369925 369925 5551092 -285758 -123872 -409630 5960722 31834 31834 5992556 10282831 23249 23249 10259582 123872 123872 10383454 PART IV, LINE 2B: CURRENT ASSETS REPORTED ON THE ORGANIZATION'S BALANCE SHEET AS OF 12/31/22 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 -13,906. RECLASS LOSS ON REFINANCING -109,966. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -23,249. ADJUSTMENT TO CONTRIBUTIONS NOT RECOGNIZED IN FINANCIAL STATEMENTS 55,083. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 23,249. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 13,906. RECLASS LOSS ON REFINANCING 109,966. GOLF OUTING 43472 43472 14543 SENIOR HALL OF FAME 6028 6028 8098 1 5939 5939 2842 55439 55439 25483 25483 29956 X X X X 0 0 0 0 0 0 0 1 0 SUSAN LANZA CEO 120575 0 20000 0 0 0 8930 0 7259 0 156764 0 0 0 PART I, LINE 7 BONUSES ARE PAID OUT BASED ON PERFORMANCE. 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 6887469 14645000 227814 14417186 2012 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 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 SINCE THE BOARD HAS DISSOLVED AS OF 4/30/23, THE RETURN WAS REVIEWED INTERALLY FOR THE PUROSE OF FILING ON BEHALF OF THE ENTITY. 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 -55,083. TRANSFER TO/FROM AFFILIATES 7,344,731. 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 55083 COST