FURP.ORG / PUBLIC DATA EXPLORER

GOOD SHEPHERD LONG-TERM CARE FACILITY: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
GOOD SHEPHERD LONG-TERM CARE FACILITY (EIN 23-2215800)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201121369349302642
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-16T10:31:21-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ParenteBeard LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11650 Market Street Suite 4500AddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code19103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN232215800EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE GOOD SHEPHERD HOME LONG-TERMBusinessNameLine1
Business Name Line2CARE FACILITY INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlGOODNameControl
Phone6107763303Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1GOOD SHEPHERD PLAZA 850 S 5TH STAddressLine1
CityALLENTOWNCity
StatePAState
ZIP Code181033295ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDaniel C ConfaloneName
TitleSVP FINANCE/CFOTitle
Phone6107763303Phone
Date Signed2011-05-16DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJulius Green CPAName
Phone2159720701Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDANIEL C CONFALONENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1GOOD SHEPHERD PLAZA 850 S 5TH STAddressLine1
CityALLENTOWNCity
StatePAState
ZIP Code181033295ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22182657GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.GOODSHEPHERDREHAB.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTo enhance lives, maximize function, inspire hope, and promote dignity and well-being.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers98TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year608349ContributionsGrantsPriorYear
Contributions Grants Current Year432603ContributionsGrantsCurrentYear
Program Service Revenue Prior Year22169093ProgramServiceRevenuePriorYear
Program Service Revenue CY21740179ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year40OtherRevenuePriorYear
Other Revenue Current Year9875OtherRevenueCurrentYear
Total Revenue Prior Year22777482TotalRevenuePriorYear
Total Revenue Current Year22182657TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10976951SalariesEtcPriorYear
Salaries Etc Current Year11185006SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9991659OtherExpensePriorYear
Other Expenses Current Year9165507OtherExpensesCurrentYear
Total Expenses Prior Year20968610TotalExpensesPriorYear
Total Expenses Current Year20350513TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1808872RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1832144RevenuesLessExpensesCY
Total Assets BOY38126761TotalAssetsBOY
Total Assets EOY39976957TotalAssetsEOY
Total Liabilities BOY613017TotalLiabilitiesBOY
Total Liabilities EOY631069TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY37513744NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY39345888NetAssetsOrFundBalancesEOY
Mission DescriptionGood Shepherd's mission is: "Motivated by the divine Good Shepherd and the physical and cognitive rehabilitation needs of our communities, our mission is to enhance lives, maximize function, inspire hope, and promote dignity and well-being with expertise and compassion."MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense18269971Expense
Revenue21740179Revenue
DescriptionThe Raker Center and Bethlehem Home are residences where persons with physical disabilities requiring nursing facility care can come to live and realize their fullest potential. Services provided include nursing and medical services, occupational therapy, communication services, pastoral care, social work services, therapeutic recreation, physical therapy, adaptive wheelchair, mobility and seating program. Many of the residents utilize Good Shepherd's assistive technology program to help with their mobility, communication and everyday living needs. In fiscal year 2010, the Raker Center operated at 99.80% occupancy, with 35,956 patient days, while the Bethlehem Home operated at 99.74% occupancy, with 21,777 patient days. There is a waiting list for both homes.Description
Total Program Service Expense18269971TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DANIEL C CONFALONE SVP FinanceCFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6107763303TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1GOOD SHEPHERD PLAZA 850 SOUTH 5THAddressLine1
CityALLENTOWNCity
StatePAState
ZIP Code18103ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
SCOTT A BAKER
TRUSTEE0.30X000
SANDRA L BODNYK
TREASURER0.40X000X
PATRICK J BRENNAN MD
TRUSTEE0.30X000
ADDIE J BUTLER EDD
TRUSTEE0.30X000
JAMES J DALEY MD
TRUSTEE0.30X016307433094
DAVID G DECAMPLI
SECRETARY0.30X000X
RICHARD E DROBNICKI
CHAIR0.70X000X
ROBERT E GADOMSKI
TRUSTEE0.30X000
MICHAEL GOLDNER DO
TRUSTEE0.20X000
ELSBETH G HAYMON
TRUSTEE0.30X000
KATHERINE E HILGERT
TRUSTEE0.20X000
SANDRA JARVA WEISS
TRUSTEE0.20X000
GERALD A NAU
TRUSTEE0.20X000
EDITH D RITTER
TRUSTEE0.20X000
GARY R SCHMIDT
TRUSTEE0.30X000
THE REV DAVID R STROBEL
TRUSTEE0.20X000
DANIEL J WILSON PHD
TRUSTEE0.30X000
SARA T GAMMON
PRESIDENT/CEO6.00X052803677250X
DANIEL C CONFALONE
SVP FINANCE/CFO4.00029202751448X
PHILLIP R BRYANT
CMO0.00035769665619X
ANTHONY R BONGIOVANNI
CPO4.00024529558166X
SAMUEL A MIRANDA JR
CNO5.00020192458275X
THOMAS BURD
VP RESIDENTIAL CARE40.00125747026592X
INGRID M BARUCH LANDE
DIRECTOR REHAB SVCS40.00100798020420X
FieldValueIRS element (for citing)
Total Reportable Comp From Org226545TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1788052TotalReportableCompFrmRltdOrgs
Total Other Compensation390864TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SODEXHO OPERATIONS LLC
4880 PAYSPHERE CIRCLECHICAGOIL60674DIETARY/FOOD SERVICES501489
CAMBRIDGE MEDICAL STAFFING INC
4155 INDEPENDENCE DRIVESCHNECKSVILLEPA18078TEMPORARY STAFFING SERVICES198075
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Related Organizations432603RelatedOrganizations
Total Contributions432603TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SVC REVDescription
Business Code623000BusinessCode
Total Revenue Column21740179TotalRevenueColumn
Related Or Exempt Function Income21740179RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue21740179TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
Descriptionbad debt recoveryDescription
Business Code900099BusinessCode
Total Revenue Column9875TotalRevenueColumn
Exclusion$9,875ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue9875TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22182657TotalRevenueColumn
Related Or Exempt Function Income21740179RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$9,875ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8817803Total
Program Services8607652ProgramServices
Management And General210151ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total568925Total
Program Services555366ProgramServices
Management And General13559ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1160331Total
Program Services1132676ProgramServices
Management And General27655ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total637947Total
Program Services624224ProgramServices
Management And General13723ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total440854Total
Program Services398590ProgramServices
Management And General42264ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total848792Total
Program Services840733ProgramServices
Management And General8059ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total79965Total
Program Services79965ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total1592Total
Program Services1182ProgramServices
Management And General410ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1090971Total
Program Services1090971ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CORPORATE ALLOCATION628465145249491759702
FOOD1738551719261929
REPAIRS & MAINTENANCE1263931235532840
DRUGS105001105001
GUEST SERVICES70917091

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6342Total
Program Services6092ProgramServices
Management And General250ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20350513Total
Program Services18269971ProgramServices
Management And General2080542ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1400BOY
EOY1398EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1796290BOY
EOY612913EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY4050EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis20734105LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12935106LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11312692BOY
EOY7798999EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY25016379BOY
EOY31559597EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY38126761BOY
EOY39976957EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY434477BOY
EOY470462EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY178540BOY
EOY160607EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY613017BOY
EOY631069EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY37513744BOY
EOY39345888EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37513744BOY
EOY39345888EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY38126761BOY
EOY39976957EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis56370OtherCostOrOtherBasis
Book Value56370BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9899977OtherCostOrOtherBasis
Depreciation5413207Depreciation
Book Value4486770BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis10241402OtherCostOrOtherBasis
Depreciation7296235Depreciation
Book Value2945167BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis536356OtherCostOrOtherBasis
Depreciation225664Depreciation
Book Value310692BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings7798999TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
RESIDENT FUNDS160607
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS201883
AMOUNTS DUE FROM AFFILIATES31197107
FieldValueIRS element (for citing)
Total Book Value Other Assets31559597TotalBookValueOtherAssets
Total Revenue22182657TotalRevenue
Total Expenses20350513TotalExpenses
Excess Or Deficit For Year1832144ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS1832144ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt22172782TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal22172782RevenueSubtotal
Other Revenues Not Included9875OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt9875RevenueNotRptdOnFinStmt
Total Revenue Per Form99022182657TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20340638TotExpensesEtcAuditedFinclStmt
Other Expenses Included-9875OtherExpensesIncluded
Expenses Not Rptd F990-9875ExpensesNotRptdF990
Expenses Subtotal20350513ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99020350513TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Part IV, Line 2b:Good Shepherd Home Long Term Care Facility, Inc. holds the personal funds of its long term care residents in a segregated bank account in order to collect personal deposits and process payments for their personal bills.
Part X:GOOD SHEPHERD PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY IN RECORDING TAX LIABILITIES IN THE FINANCIAL STATEMENTS. MEASUREMENT AND RECOGNITION OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS BEEN MET. GOOD SHEPHERD'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN OPERATING EXPENSES.Description of Uncertain Tax Positions Under FIN 48:
Part XII, Line 4b - Other Adjustments:Bad Debt Recovery Included in Expenses on Financial Statements: 9875.
Part XIII, Line 2d - Other Adjustments:Bad Debt Recovery Included in Expenses on Financial Statements: -9875.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAMES J DALEY MD
0163074000009578023516019616800
SARA T GAMMON
05280360000031014046236060528600
DANIEL C CONFALONE
02920270000017152034296034347500
PHILLIP R BRYANT
03576960000021009044610042331500
ANTHONY R BONGIOVANNI
02452950000014407043759030346100
SAMUEL A MIRANDA JR
02019240000011860046415026019900
THOMAS BURD
1257470000073840192080152339000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aGood Shepherd does not pay any dues on behalf of CEO, Sara Gammon, directly to a social club. Good Shepherd reimburses the CEO for certain social club dues relevant in pursuing the overall mission of Good Shepherd. These expenses are accounted for under an accountable reimbursement plan. The amount of this reimbursement is included in Ms. Gammon's taxable compensation.
Part IIIPART I, LINE 3: SARA T. GAMMON WAS PAID BY THE GOOD SHEPHERD REHABILITATION NETWORK ("GSRN"), AN AFFILIATED TAX-EXEMPT ORGANIZATION. THE GOOD SHEPHERD HOME LONG-TERM CARE FACILITY, INC. RELIED ON GSRN'S USE OF THE DESCRIBED METHODS TO ESTABLISH MS. GAMMON'S COMPENSATION.Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part V, line 1:ACCOUNTS PAYABLE PAYMENTS ARE CONSOLIDATED UNDER A COMMON PAYMASTER REPORTING SYSTEM. SINCE TOTALS FOR EACH VENDOR MAY CONTAIN TRANSACTIONS FROM MULTIPLE CORPORATIONS, THE NUMBER OF 1099'S FILED ON BEHALF OF THE GOOD SHEPHERD HOME LONG-TERM CARE FACILITY, INC. ("LTC") BY THE COMMON PAYMASTER CANNOT BE SEPARATELY IDENTIFIED AND DETERMINED.
FORM 990, PART V, LINE 2:THE SALARY AND BENEFIT EXPENSES REPORTED ON FORM 990, PART IX, AND THE EMPLOYEE INFORMATION REPORTED ON FORM 990, PART VII, ARE THE GOOD SHEPHERD HOME LONG-TERM CARE FACILITY, INC.'S ("LTC") ALLOCATED PAYROLL COSTS BASED ON TIME SPENT. ALL INDIVIDUALS WORKING AT LTC ARE EMPLOYEES OF THE GOOD SHEPHERD REHABILITATION HOSPITAL ("GSRH") AND ARE REPORTED ON ITS FORM W-3 UNDER EIN: 23-1371947. GSRH IS AN AFFILIATED TAX-EXEMPT ORGANIZATION.
Form 990, Part VI, Section A, line 7aThe sole corporate member of the organization is the Good Shepherd Rehabilitation Network ("GSRN"), a related tax-exempt entity. GSRN has the ultimate authority and responsibility for the following activities with respect to The Good Shepherd Home Long-Term Care Facility, Inc.: amendment, approval or revocation of bylaws; institutional development; corporate and strategic planning; financial planning and budgeting; audit and fiscal matters; resource allocation; public relations; appointment of trustees and officers; compensation and human resource policies; medical staff and general policy matters.
Form 990, Part VI, Section A, line 7bSee explanation for Form 990, Part VI, Section A, line 7a.
Form 990, Part VI, Section B, line 11The IRS 990 is prepared using information solicited from officers, directors, trustees, board committee members, and management. This group of individuals are provided a draft return before the final return is filed. Questions, comments, and additional information provided by this group are incorporated into the final return. The final return is reviewed at a committee level of the board prior to it being filed.
Form 990, Part VI, Section B, line 12cTHERE IS A SYSTEMATIC PROCESS COORDINATED THROUGH THE GOVERNANCE COMMITTEE WHERE THE CONFLICT OF INTEREST STATEMENT FOR EVERYONE IS REVIEWED BY THE GOVERNANCE COMMITTEE. WHENEVER THE COMMITTEE FEELS THE CONFLICT STATEMENT IS EITHER INCOMPLETE OR FEELS SOMETHING MAY BE MISSING, THE COMMITTEE WILL ASK MANAGEMENT TO PURSUE FURTHER DUE DILIGENCE. WHEN A BOARD MEMBER DOES HAVE AN INHERENT CONFLICT, THE TRUSTEE IS ASKED TO EITHER ABSTAIN FROM VOTING OR EXCUSE HIMSELF FROM THE ROOM DURING THE DISCUSSION AND VOTING.
Form 990, Part VI, Section B, line 15The Good Shepherd Rehabilitation Network Board delegates responsibility for following all legal and regulatory requirements affecting executive compensation to the Human Resources/Executive Compensation Committee of the Board. This Committee is charged with administration of compensation practices for officers and key employees of the organization. This Committee selected and uses an independent consulting firm specializing in healthcare executive compensation matters and uses comparable competitive market data in their analysis. The services of the independent compensation consultant were most recently used during fiscal year 2010. Committee meetings are held on an ongoing basis and are documented in detail.
Form 990, Part VI, Section C, line 19Financial statements are published to the organization's website at least annually. The governing documents and policies are available upon request.
FORM 990, PART VII, SECTION A:SARA T. GAMMON, DANIEL C. CONFALONE, PHILLIP R. BRYANT, ANTHONY R. BONGIOVANNI, AND SAMUEL A. MIRANDA, JR. ARE OFFICERS/KEY EMPLOYEES FOR ALL 7 ENTITIES WITHIN THE GOOD SHEPHERD REHABILITATION NETWORK. THEY EACH DEVOTE APPROXIMATELY 60 HOURS PER WEEK TO THE ENTIRE GROUP OF ENTITIES. THE AVERAGE HOURS LISTED IN COLUMN (B) FOR EACH INDIVIDUAL REPRESENTS THE APPROXIMATE PORTION OF 60 HOURS DEVOTED TO THE GOOD SHEPHERD HOME LONG-TERM CARE FACILITY, INC. PER WEEK. THE COMPENSATION AND BENEFIT INFORMATION REPORTED IN COLUMNS (E) AND (F) REPRESENTS WHAT EACH INDIVIDUAL EARNS FOR THEIR TIME SPENT ON THE ENTIRE GROUP OF 7 ENTITIES.
FoRM 990, PART xi, LINE 2c:THE PROCESSES USED BY THE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT HAVE NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
GOOD SHEPHERD HOUSING DEVELOPMENT CORPORATION
GOOD SHEPHERD PLAZA 850 SOUTH 5TH SALLENTOWNPA18103233073390PROVIDES INDEPENDENT LIVING APARTMENTS FOR DISABLED, LOW-INCOME ADULTSPA501(c)(3)Line 7N/A
GOOD SHEPHERD REHABILITATION HOSPITAL
GOOD SHEPHERD PLAZA 850 SOUTH 5TH SALLENTOWNPA18103231371947PROVIDES COMPREHENSIVE INPATIENT AND OUTPATIENT REHABILITATION SERVICESPA501(c)(3)Line 3N/A
GOOD SHEPHERD REHABILITATION NETWORK
GOOD SHEPHERD PLAZA 850 SOUTH 5TH SALLENTOWNPA18103232216041PROVIDES MANAGEMENT SERVICES IN SUPPORT OF ITS TAX-EXEMPT AFFILIATESPA501(c)(3)Line 7N/A
GOOD SHEPHERD WORKSHOPVOCATIONAL SERVICES INC
1901 LEHIGH STREETALLENTOWNPA18103232215801PROVIDES EMPLOYMENT DEVELOPMENT PROGRAMS AND VOCATIONAL EVALUATIONSPA501(c)(3)Line 11a, IN/A
PHILADELPHIA POST-ACUTE PARTNERS LLC
1800 LOMBARD STREETPHILADELPHIAPA19146208283421OPERATES AN INPATIENT REHAB HOSP, ACUTE CARE HOSP & 8 OUTPATIENT FACILITIESPA501(c)(3)Line 3N/A
THE ALLENTOWN SPECIALTY HOSPITAL INC
GOOD SHEPHERD PLAZA 850 SOUTH 5TH SALLENTOWNPA18103233009874PROVIDES INPATIENT SERVICES THROUGH OPERATION OF A LONG-TERM ACUTE CARE HOSPPA501(c)(3)Line 3N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Good Shepherd Reciprocal Risk Rentention GroupBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17301 Rivers Avenue Suite 230AddressLine1
CityNorth CharlestonCity
StateSCState
ZIP Code29406ZIPCode
FieldValueIRS element (for citing)
EIN204065112EIN
Primary ActivityRisk Retention GroupPrimaryActivity
Legal Domicile StateSCLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets1ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg