2024-04-27T11:36:18-07:00 2023-09-30 452838168 Templin Healthcare Accounting Services LLP PO Box 326 Plainfield IL 60544 990 2022-10-01 363867476 TABOR HILLS HEALTH CARE FACILITY INC TABO 6307786677 1347 Crystal Avenue Naperville IL 60563 Anthony Harvat Chief Executive Officer 6307786677 2024-04-29 0 1 Larry Templin P01696703 6303612868 2024-04-29 2022 2024-08-08 14:25:15Z Anthony Harvat 1347 Crystal Aveneue Naperville IL 60563 13207623 0 X www.taborhills.org X 1992 IL Tabor Hills provides an extensive range of services and programs which enhance the well-being of residents living in our community. Tabor Hills' priority is meeting the needs of its residents using resources in a fiscally responsible manner, insuring the financial stability of the corporation. 11 10 140 17 0 0 248934 63 13282997 13207560 0 0 0 0 13531931 13207623 0 0 0 0 13329412 9779646 0 0 0 6959155 6030565 20288567 15810211 -6756636 -2602588 15353311 14440582 4452658 3706498 10900653 10734084 Tabor Hills is committed to offering quality senior care by seeking to provide a safe and comfortable environment focused on dignity and self-determination. 0 0 14608353 0 13207560 Tabor Hills provides long-term skilled nursing care to its residents, inpatient and outpatient rehabilitation services, and offers outside activity and support to our seniors who prefer to live at home through our Senior Day Services program. Tabor provided care to 240 short-term rehabilitation residents enrolled in Medicare/Insurance programs during fiscal year 2023. Short-term rehabilitation accounts for 16% of Tabor Hills total patient days, with 84% dedicated to long-term care. Total days care for fiscal year 2023: 38,365 (Medicare Days 4,681, Private Insurance Days 1,297, Public Aid Days 13,678) 0 0 0 14608353 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 125 0 1 140 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X Michelle Kazimer 6307786677 1347 Crystal Avenue Naperville IL 60563 Emelinda Lantin Registered Nurse 73 0 X 189331 0 12185 Rima Bentulan Nursing Administration 65 0 X 167652 0 9755 Frances Salinas Former CEO 40 16 X X X 154513 0 16771 Anthony Harvat Chief Executive Officer 40 16 X X X X 157108 0 6738 Rosalie Mendoza Registered Nurse 40 0 X 156146 0 6246 John Lawler Director of Environmental Services 43 0 X 144682 0 15814 Evelyn Mamparo Registered Nurse 57 0 X 132832 0 5313 Robert Peiler Vice President 18.5 1 X X 13427 0 0 Jaqueline Rice Director 1.5 1 X 0 0 0 Judy Mayer Director 1.5 1 X 0 0 0 Angeline Bultas Director 1.5 1 X X 0 0 0 Frank Michalek Director 1.5 1 X 0 0 0 Dee McHale Director 1.5 1 X 0 0 0 John Larson Director 1.5 1 X 0 0 0 Aaron Troy Director 1.5 1 X 0 0 0 Gloria Pindiak President 1.5 1 X X 0 0 0 Lynda Filipello Secretary 1.5 1 X X 0 0 0 Rena Strahorn Treasurer 1.5 1 X X 0 0 0 1115691 0 72822 20 1 1 0 Nurses on Calls Inc 1475 Basswood Dr Bolingbrook IL 60490 Nursing Services 1180048 Total Nurses Network 7026 W North Ave 2W Chicago IL 60707 Nursing Services 383477 Reliable Nursing Healthcare Services LLC 7343 Tennessee Dr Apt 212 Willowbrook IL 60527 Nursing Services 306370 Grapetree Medical Staffing 2501 Boji Bend Dr Suite 100 Milford IA 51351 Nursing Services 183564 Mckesson Medical-Surgical 9954 Mayland Dr Suite 5176A Henrico VA 23233 Pharmacy/Nursing Supplies 149685 6 0 0 0 0 63 0 0 63 Resident Care 623311 13207560 13207560 0 0 0 0 0 0 13207560 0 0 0 0 0 0 13207623 13207560 0 0 X 0 0 0 0 0 0 0 0 101360 0 101360 0 0 0 0 0 8046092 7560335 485757 0 231764 231764 0 0 799128 799128 0 0 601302 601302 0 0 0 0 0 0 70058 70058 0 69949 0 69949 0 0 0 0 0 0 0 0 0 0 0 1867402 1743049 124353 0 34995 0 34995 0 38893 0 38893 0 166748 0 166748 0 0 0 0 0 317472 265678 51794 0 10080 0 10080 0 0 0 0 0 0 0 0 0 60745 60745 0 0 0 0 0 0 808576 808576 0 0 485017 485017 0 0 Healthcare Supplies and Services 590741 590741 0 0 Resident Food 422642 422642 0 0 Maintenance and Repairs 446759 446759 0 0 Assessment Fees/Provider Tax 554371 554371 0 0 86117 38246 47871 0 15810211 14608353 1201858 0 0 0 0 0 0 0 1677160 1335297 0 0 0 0 0 0 0 0 163901 242305 28719017 16200205 13121711 12518812 0 0 0 0 0 0 0 0 390539 344168 15353311 14440582 1163961 1167969 0 0 0 0 2398296 1979149 0 0 0 0 0 0 0 0 890401 559380 4452658 3706498 X 10900653 10734084 0 0 10900653 10734084 15353311 14440582 X -2602588 0 0 0 -12215 2448234 X 0 1 X 0 0 X 0 641353 1750239 248934 63 2640589 11976682 13004561 12055008 13282997 13207560 63526808 337 4977 4445 0 0 9759 0 0 0 0 0 0 0 0 0 0 0 0 11977019 13650891 13809692 13531931 13207623 66177156 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 66177156 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11977019 13650891 13809692 13531931 13207623 66177156 1 1 0 0 X 0 574693 574693 0 9997265 7124655 2872610 0 11367453 3014977 8352476 0 2530908 2203844 327064 0 4248698 3856729 391969 12518812 0 Resident Credit Balances 559380 559380 X 13207623 0 0 0 0 0 13207623 0 0 0 13207623 15810211 0 0 0 0 0 15810211 0 0 0 15810211 Schedule D, Part X, Line 2 Tabor Hills is classified by the Internal Revenue Service (IRS) as an organization exempt from income tax under Section 501(c)(3) of the Internal Revenue Code and is similarly classified by the Illinois Department of Revenue. Tabor Hills files a Form 990 (Return of Organization Exempt from Income Tax) annually. When the return is filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Unrelated business income (UBI) is reported on Form 990-T, as appropriate. The benefit of a tax position is recognized in the consolidated financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50% likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above is reflected as a liability for unrecognized tax benefits in the accompanying consolidated balance sheets along with any associated interest and penalties that would be payable to the taxing authorities upon examination. As of September 30, 2023 and 2022, there were no unrecognized tax benefits identified and recorded as liabilities. Form 990 filed by Tabor Hills is subject to examination by the IRS up to three years from the extended due date of each return. Form 990 filed by Tabor Hills is no longer subject to examination for the years ended September 30, 2019 and prior. X 0 0 0 0 0 0 0 0 0 Anthony Harvat Chief Executive Officer 157108 0 0 0 0 0 0 0 6738 0 163846 0 163846 0 Frances Salinas Former CEO 154513 0 0 0 0 0 0 0 16771 0 171284 0 171284 0 Schedule J, Part I, Line 3 Compensation is determined by the Board of Directors based on annual performance appraisals, compensation data of comparable nonprofit organizations, and salary surveys specific to the healthcare industry. The annual performance evaluation is reviewed and signed by the Board Chair President. Decisions are made by the Board and documented. A Illinois Finance Authority Series 2021 861091967 2021-03-31 2443100 Payment of existing 2017 bonds 0 0 0 A 109393 0 2443100 0 0 0 0 0 0 0 2443100 0 2032 0 0 0 1 A 0 0 0 0 1 0 1 A 0 1 0 0 0 0 0 0 1 A 1 Schedule K, Part I, Column e-03/31/2021 2,443,100 Illinois Finance Authority Series 2021 03/31/2021 2,443,100 Illinois Finance Authority Series 2021 - The total issue price of the tax-exempt bonds reported on Form 8038 was $11,000,000. The difference is reported on the Form 990 for Bohemian Home for the Aged EIN 36-2181959 Form 990, Part VI, Section A, Line 6 The sole corporate member is Bohemian Home for the Aged. Form 990, Part VI, Section A, Line 7a The sole corporate member, Bohemian Home for the Aged, has the power to elect individuals to the Board of Directors Form 990, Part VI, Section A, Line 7b The sole corporate member, Bohemian Home for the Aged, has all rights vested in members of a corporation under the Illinois General Not For Profit Corporation Act of 1986, as amended Form 990, Part VI, Section B, Line 11b The CEO and Board of Directors review Form 990 before filing Form 990, Part VI, Section B, Line 12c All Board of Directors must complete an annual disclosure statement in accordance with corporate compliance policy. The statements are reviewed by the Corporate Compliance Committee. Should a conflict arise, it is investigated, documented, and a corrective action is put into place. If necessary, this is reviewed by legal counsel. Form 990, Part VI, Section B, Line 15 Compensation of the CEO and officers is determined by the Board of Directors based on annual performance appraisals, compensation data of comparable nonprofit organizations, and salary surveys specific to the healthcare industry. The annual performance evaluation is reviewed and signed by the Board Chair President Form 990, Part VI, Section C, Line 19 As part of Tabor Hills Health Care Facility, Inc.'s policy, all financial statements, 990 filings, governing documents, and corporate compliance policies are filed in the administrative offices and are available for public viewing upon request for the same period of disclosure as set forth in IRC Section 6104(d). Form 990, Part IX, Line 11g Professional Fees-Program Svcs: Agency - 949,132, Therapy 731,540, Medical Director 33,994, Consultants 28,383. Professional Fees-Mgmt and Gen: Payroll Services 52,214, Financial Services Consulting 72,139 Form 990, Part XI, Line 9 Inter-organization Transfers 2,448,234 Bohemian Home for the Aged 1347 Crystal Avenue Naperville IL 60563 362181959 Housing and services for elderly independent living IL 501(c)(3) Line 10 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 Bohemian Home for the Aged s 2448234 Transfers from Bohemian home for the Aged Schedule R, Part V, Line 1s Cash transfers of $2,448,324 from Bohemian Home for the Aged