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Nonprofiteer
← GOOD SHEPHERD LONG-TERM CARE FACILITY

Form 990 for tax year 2022

Filed by GOOD SHEPHERD LONG-TERM CARE FACILITY.

Totals

Total revenue
$28,213,958
Total expenses
$30,648,814
Contributions and grants received
$988,870
Grants paid
$0
Program service revenue
$26,375,088
Investment income
$850,000
Other revenue
$0
Total assets, end of year
$38,023,842
Total liabilities, end of year
$2,731,385
Net assets or fund balances, end of year
$35,292,457
Program services expenses (Part IX)
$27,060,606
Management and general expenses
$3,588,208
Fundraising expenses
$0
Program service expenses (Part III)
$27,060,606

Program services were 88.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $585,234

  • 1e · Government grants (contributions)

    $403,636

  • 2a · Program service revenue: NET PATIENT SVC REV

    total $26,375,088 · related or exempt $26,375,088

  • 3 · Investment income

    total $850,000 · excluded $850,000

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $14,189,535 · program services $13,755,539 · management and general $433,996

  • 8 · Pension plan contributions

    total $769,873 · program services $746,326 · management and general $23,547

  • 9 · Other employee benefits

    total $1,511,908 · program services $1,465,665 · management and general $46,243

  • 10 · Payroll taxes

    total $996,694 · program services $966,209 · management and general $30,485

  • 11d · Fees: lobbying

    total $1,537 · management and general $1,537

  • 11g · Fees: other

    total $1,038,746 · program services $980,267 · management and general $58,479

  • 13 · Office expenses

    total $149,505 · program services $131,605 · management and general $17,900

  • 16 · Occupancy

    total $353,582 · program services $93,033 · management and general $260,549

  • 17 · Travel

    total $1,363 · program services $1,363

  • 19 · Conferences, conventions and meetings

    total $12,068 · program services $9,384 · management and general $2,684

  • 22 · Depreciation, depletion and amortization

    total $773,384 · program services $773,384

  • 24a · Other expenses: CORPORATE ALLOCATION

    total $9,565,831 · program services $6,887,399 · management and general $2,678,432

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $915,253 · program services $914,802 · management and general $451

  • 24c · Other expenses: EQUIPMENT RENTAL

    total $288,382 · program services $288,382

  • 24d · Other expenses: REPAIRS & MAINTENANCE

    total $46,396 · program services $17,777 · management and general $28,619

  • 24e · All other expenses

    total $34,757 · program services $29,471 · management and general $5,286

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,300 · end of year $1,301

  • 4 · Accounts receivable

    beginning of year $2,833,737 · end of year $2,254,873

  • 10a · Land, buildings and equipment: cost or other basis

    $27,498,213

  • 10b · Land, buildings and equipment: accumulated depreciation

    $24,232,218

  • 10c · Land, buildings and equipment, net

    beginning of year $3,452,328 · end of year $3,265,995

  • 15 · Other assets

    beginning of year $32,389,204 · end of year $32,501,673

  • 17 · Accounts payable and accrued expenses

    beginning of year $615,855 · end of year $2,414,494

  • 21 · Escrow or custodial account liability

    beginning of year $333,401

  • 25 · Other liabilities

    beginning of year $0 · end of year $316,891

  • 27 · Net assets without donor restrictions

    beginning of year $37,727,313 · end of year $35,292,457

Mission and programs · 2022

Mission

MOTIVATED BY THE DIVINE GOOD SHEPHERD AND THE OFTEN COMPLEX 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 INNOVATIVE CARE AND COMPASSION.

Activities or mission (Part I)

TO ENHANCE LIVES, MAXIMIZE FUNCTION, INSPIRE HOPE, AND PROMOTE WELL-BEING WITH COMPASSION.

  • THE GOOD SHEPHERD HOME, RAKER CENTER, AND THE GOOD SHEPHERD HOME BETHLEHEM 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, PASTORAL CARE, SOCIAL WORK SERVICES, THERAPEUTIC RECREATION, PHYSICAL THERAPY, ADAPTIVE WHEELCHAIR, MOBILITY AND SEATING PROGRAMS. MANY OF THE RESIDENTS UTILIZE GOOD SHEPHERD'S ASSISTIVE TECHNOLOGY PROGRAM TO HELP WITH THEIR MOBILITY, COMMUNICATION AND EVERYDAY LIVING NEEDS. IN FISCAL YEAR 2023, THE RAKER CENTER OPERATED AT 94.5% OCCUPANCY, WITH 34,577 PATIENT DAYS, WHILE THE BETHLEHEM HOME OPERATED AT 100% OCCUPANCY, WITH 21,845 PATIENT DAYS. THERE IS A WAITING LIST FOR BOTH HOMES.

    Expenses $27,060,606 · Revenue $26,375,088

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Michael R Spigel

    PRESIDENT & CEO

    Total calculated
    $645,814
    From this org
    $0
    From related orgs
    $609,700
    Other
    $36,114
    Hours/week
    6.5 + 43.5 related

    Schedule J breakdown matched by us

    Base
    $0 + $609,700 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $10,250 related
    Nontaxable benefits
    $0 + $25,864 related
    Filer's total
    $0 + $645,814 related
  • Gary Schmidt

    CHAIR

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related
  • Sandra Bodnyk

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related
  • John Richter

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related
  • Jan Heller

    TREASURER

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related
  • Polly Beste

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related
  • Pamela Decampli

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 2.75 related
  • Paul Emrick

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related
  • David Fessler

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related
  • Lori Gustave

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 2.75 related
  • James Greenfield

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related
  • Elsbeth Haymon

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related
  • Thomas Lynch

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related
  • Michael Pessina

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related
  • Tina Richardson

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related
  • Victor Salicetti

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related
  • Timothy Steckel

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related
  • Maura Topper

    TRUSTEE

    Total calculated
    $0
    Hours/week
    0.25 + 2.75 related
  • Steven Morrison

    TRUSTEE (UNTIL 9/22)

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related
  • Jaan Naktin

    TRUSTEE (UNTIL 9/22)

    Total calculated
    $0
    Hours/week
    0.25 + 0.75 related
  • Dan Janicak

    INTERIM CFO

    Total calculated
    $381,000
    From this org
    $0
    From related orgs
    $381,000
    Other
    $0
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $381,000 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $381,000 related
  • Sandeep Singh

    CMO & SVP

    Total calculated
    $630,789
    From this org
    $0
    From related orgs
    $584,951
    Other
    $45,838
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $352,911 related
    Bonus
    $0 + $232,040 related
    Other
    $0
    Deferred
    $0 + $10,250 related
    Nontaxable benefits
    $0 + $35,588 related
    Filer's total
    $0 + $630,789 related
  • Jeanne Dzurenko

    CNO & SVP

    Total calculated
    $269,123
    From this org
    $0
    From related orgs
    $252,031
    Other
    $17,092
    Hours/week
    5 + 55 related

    Schedule J breakdown matched by us

    Base
    $0 + $252,031 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $6,201 related
    Nontaxable benefits
    $0 + $10,891 related
    Filer's total
    $0 + $269,123 related
  • Terence P O'Neil

    CHIEF INFORMATION OFFICER

    Total calculated
    $305,730
    From this org
    $0
    From related orgs
    $277,077
    Other
    $28,653
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $277,077 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $7,743 related
    Nontaxable benefits
    $0 + $20,910 related
    Filer's total
    $0 + $305,730 related
  • Cheryl A Fisher

    CHIEF HR OFFICER

    Total calculated
    $300,553
    From this org
    $0
    From related orgs
    $270,839
    Other
    $29,714
    Hours/week
    5 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $270,839 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $8,229 related
    Nontaxable benefits
    $0 + $21,485 related
    Filer's total
    $0 + $300,553 related
  • Christine R Thidemann

    RN LTC WEEKENDS

    Total calculated
    $156,604
    From this org
    $149,540
    From related orgs
    $0
    Other
    $7,064
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $144,540
    Bonus
    $5,000
    Other
    $0
    Deferred
    $4,503
    Nontaxable benefits
    $2,561
    Filer's total
    $156,604
  • Cindy Thidemann

    RN LTC WEEKENDS

    Total calculated
    $179,704
    From this org
    $154,498
    From related orgs
    $0
    Other
    $25,206
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $149,498
    Bonus
    $5,000
    Other
    $0
    Deferred
    $4,779
    Nontaxable benefits
    $20,427
    Filer's total
    $179,704
  • Gregg N Guscott

    RN LTC

    Total calculated
    $198,683
    From this org
    $182,396
    From related orgs
    $0
    Other
    $16,287
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $177,396
    Bonus
    $5,000
    Other
    $0
    Deferred
    $5,541
    Nontaxable benefits
    $10,746
    Filer's total
    $198,683
  • Denise A Himmelwright

    RN LTC

    Total calculated
    $157,536
    From this org
    $136,312
    From related orgs
    $0
    Other
    $21,224
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $131,312
    Bonus
    $5,000
    Other
    $0
    Deferred
    $2,084
    Nontaxable benefits
    $19,140
    Filer's total
    $157,536
  • Aleda M Kurczewski

    RN SUPERVISOR WEEKENDS

    Total calculated
    $154,614
    From this org
    $140,914
    From related orgs
    $0
    Other
    $13,700
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $135,914
    Bonus
    $5,000
    Other
    $0
    Deferred
    $4,273
    Nontaxable benefits
    $9,427
    Filer's total
    $154,614

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE CEO IS COMPENSATED BY 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 COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 7
GSRN HAS A PERFORMANCE COMPENSATION PROGRAM IN PLACE WHICH IS APPROVED BY THE BOARD. CERTAIN MEMBERS OF MANAGEMENT CAN RECEIVE AN ANNUAL PERFORMANCE PAYMENT WHEN PRE-DEFINED AND PRE-APPROVED FINANCIAL AND NON-FINANCIAL GOALS ARE ACHIEVED.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • GOOD SHEPHERD RECIPROCAL RISK RENTENTION GROUP

    C · RISK RETENTION GROUP · SC

Provenance

Return type
form_990
Tax year
2022
Filed
7 May 2024
IRS schema version
2022v5.0
Source object
202421359349300242

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