2022-11-14T17:32:23-07:00 2021-12-31 990 2021-01-01 470377998 TABITHA INC TABI 4024837671 4720 Randolph Street Lincoln NE 68510 Brian Shanks Chief Financial Officer 4024837671 2022-11-15 1 11 0 AAL2 2021 2022-09-23 18:48:47Z Christina Hinrichs 4720 Randolph Street Lincoln NE 68510 63902168 0 X www.tabitha.org X 1886 NE Motivated by Christian compassion, Tabitha delivers a continuum of exceptional and innovative Elder care services that promote the diginity, independence, and well-being of older adults. 15 13 1266 775 0 0 3585916 5529828 60394638 57821289 29028 9571 174475 541480 64184057 63902168 0 0 0 0 42389576 41637252 0 0 0 22293407 23303514 64682983 64940766 -498926 -1038598 56758988 67996914 45985643 51296700 10773345 16700214 Motivated by Christian compassion, Tabitha delivers a continuum of exceptional and innovative Elder care services that promote the diginity, independence, and well-being of older adults 0 0 28359600 0 28024214 The Tabitha Nursing and Rehabilitation Center (TNRC) has 208 beds, Tabitha at Williamsburg has 55 beds, and Tabitha in Crete (TiC) has 48 beds. The facilities provide skilled nursing care with rehabilitation programs, including physical, occupational, and speech therapy. In addition, spiritual counseling, social workers, coordinated activities, and continual health planning are provided at no additional cost. TNRC also operates units that provide memory care and hospice inpatient services. 10456165 0 14865769 Tabitha's Medicare and Medicaid certified Hospice program provides care for terminally ill persons and their families enabling the patient to stay home. Services include medical director, visiting nurses, social workers, hospice aides, and spiritual and bereavement counselors. 8459721 0 9741172 Tabitha's Medicare and Medicaid certified Home Health Agency provides licensed and certified home skilled nursing, home health aides, rehabilitation therapy, and social work visits. The agency also provides screening and clinics and blood pressure checks in the community. VoiceCare supports independent living with a secure, reliable emergency response system. 5655748 0 5190134 The Meals on Wheels (MOW) program provides hot noon meals to any disabled or elderly person in need regardless of ability to pay. Meals are prepared by Tabitha staff and delivered by volunteers to residents in Lincoln and parts of Lancaster county. Tabitha in Crete - The Gardens and GracePointe Assisted Living provides maintenance free residences, around-the-clock personal care, and activities in a secure living community. Additionally, GracePointe's Memory Care unit provides security and safety for adults with memory loss. Tabitha Care+Plus is a program that supports seriously ill Nebraska Seniors, wherever they call home, between doctor visits. 5655748 0 5190134 52931234 1 1 0 0 0 0 0 0 0 1 1 0 0 1 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 1 0 0 0 1 1 0 0 0 1 34 0 1 1266 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Aimee Baumann 4024837671 4720 Randolph Street Lincoln NE 68510 Christina Hinrichs President & CEO 40 10 X X 521243 0 27838 Katie Lechner Chief Operating Officer 40 0 X 220371 0 15948 Brian Shanks Secretary/Treasurer 40 15 X X 204394 0 12964 Brenda Soto Vice-President of Clinical Quality 40 0 X 129972 0 5530 Tonya Richards Administrator 40 0 X 105840 0 19217 Darcie Brink Vice President - Finance 40 0 X 115427 0 5243 Shawn Martin Director of Safety & Risk Management 40 0 X 101037 0 9381 Renee Sjulin Chair 0.1 0.1 X X 0 0 0 Neal Lyons Vice-Chair 0.1 0 X X 0 0 0 Mark Hesser Member 0.1 0 X 0 0 0 Dirk Brom Member 0.1 0 X 0 0 0 Carol Friesen Member 0.1 0 X 0 0 0 Bishop Brian Mass Member 0.1 0 X 0 0 0 Kimberly Rath Member 0.1 0 X 0 0 0 Juliann Sebastian Member 0.1 0 X 0 0 0 Bryan Seck Member 0.1 0 X 0 0 0 Sherla Post Member 0.1 0 X 0 0 0 James Anderson Member 0.1 0 X 0 0 0 Eric Schafer Member 0.1 0 X 0 0 0 Lisa Smith Member 0.1 0 X 0 0 0 1398284 0 96121 7 0 1 0 Fusion Medical Staffing PO Box 82674 Lincoln NE 685012674 Medical 937337 Community Pharmacy Systems PO Box 3767 Omaha NE 68103 Medical 782821 Brester Construction 1200 Infinity Court Lincoln NE 68512 Construction 716244 Enclara Health LLC PO BOX 745791 Altlanta GA 303745791 Medical 736197 Shared Service Systems 1725 SOUTH 20TH STREET Omaha NE 68108 Technology 676743 18 0 0 0 2833508 2696320 0 164626 5529828 Nutritional Services 624210 835619 835619 0 0 Nursing Home Care 623000 28024214 28024214 0 0 Home Health Care 621610 9741172 9741172 0 0 Hospice 623000 14865769 14865769 0 0 Other 900099 4354515 4354515 0 0 0 0 0 0 57821289 9571 0 0 9571 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other 900099 541480 0 0 541480 0 0 0 0 541480 63902168 57821289 0 551051 0 0 0 0 0 0 0 0 766439 0 766439 0 0 0 0 0 33709235 27739226 5970009 0 673149 564355 108794 0 4047369 3404007 643362 0 2441060 2038996 402064 0 0 0 0 0 60809 0 60809 0 80052 0 80052 0 0 0 0 0 0 0 0 0 0 0 4641451 4016517 624934 0 210299 205 210094 0 3756582 3311350 445232 0 0 0 0 0 0 0 0 0 4355682 2964108 1391574 0 744456 662612 81844 0 0 0 0 0 32861 9467 23394 0 744911 639151 105760 0 0 0 0 0 2636565 2263283 373282 0 519910 514482 5428 0 Food and Catering 1791460 1744308 47152 0 Medicaid Per Diem 2632875 2632875 0 0 1095601 426292 669309 0 64940766 52931234 12009532 0 6543313 14482665 54334 126123 0 0 4980912 6503724 0 0 0 0 0 0 164526 153915 333562 388221 62691287 38628297 25144134 24062990 0 0 0 0 0 0 0 0 19538207 22279276 56758988 67996914 5983974 7534796 0 0 0 0 19200000 18600000 0 0 0 0 0 6003130 0 0 20801669 19158774 45985643 51296700 X 10283345 10210214 490000 6490000 10773345 16700214 56758988 67996914 X -1038598 0 0 0 0 6965467 X 0 1 X 1 0 X 1112409 1506797 1566798 3585916 5529828 13301748 53893634 56553759 58665392 60394638 57821289 287328712 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 55006043 58060556 60232190 63980554 63351117 300630460 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 300630460 4169 12784 32829 24922 9571 84275 0 0 0 0 0 0 4169 12784 32829 24922 9571 84275 0 0 0 0 0 0 0 174475 541480 715955 55010212 58073340 60265019 64179951 63902168 301430690 0.99735 0.99915 0.00028 0.00026 X Schedule A, Part III, Line 12 Miscellaneous income RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 490000 0 0 0 0 0 490000 490000 0 0 0 0 0 490000 490000 0 0 0 0 0 490000 490000 0 0 0 0 0 490000 490000 0 0 0 0 0 490000 1 0 0 0 0 0 766956 766956 0 41053359 24860611 16192748 0 3806339 1683281 2123058 0 15876934 12084405 3792529 0 1187699 0 1187699 24062990 Assets limited as to use 113950 Estimated Third Party Settlements 64055 Investment Assets Limited as to use, less amount required to meet current obligations 1365000 Investment in Affiliate 3760425 Right-of-use assets - Operating Leases 16975846 22279276 0 Obligation to Affiliate 2625708 Lease liability, net of current portion 16533066 19158774 X Schedule D, Part V, Line 4 Nursing Facility Conversion Cash Fund Grant Schedule D, Part X, Line 1 The affiliated entities are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (IRS). All entities have received a determination letter verifying they are exempt from federal income taxes on related income pursuant to Section 501(a) of the IRS Code. The IRS has established standards to be met to maintain tax-exempt status. Tabitha accounts for uncertainties in accounting for income tax assets and liabilities using the guidance included in the Financial Accounting Standards Board (FASB) and Accounting Standards Codification s(ASC), Topic 740, Income Taxes. Schedule D, Part X, Line 2 Tabitha recognizes the effect of income tax positions only if those positions are most likely unsustainable. The organization had no uncertain tax positions accrued at December 31, 2021 and 2020. X X X X X 0 0 0 0 0 0 0 0 0 Christina Hinrichs President & CEO 437077 0 84166 0 0 0 11717 0 16122 0 549082 0 0 0 Brian Shanks Secretary/Treasurer 186394 0 18000 0 0 0 5608 0 7356 0 217358 0 0 0 Katie Lechner Chief Operating Officer 194016 0 26355 0 0 0 5869 0 10079 0 236319 0 0 0 A The County of Lancaster Nebraska 476006482 514003AM4 2020-12-30 19002027 See Part VI 0 0 0 B The County of Hall Nebraska 476006467 000000000 2021-05-26 10000000 See Part VI 0 0 0 C City of Grand Island Nebraska 476008205 000000000 2021-12-08 10000000 See Part VI 0 0 0 A 600000 0 19002027 1365842 0 0 380041 0 0 0 17256986 0 2016 1 0 1 1 B 0 0 8466319 0 32400 0 0 0 0 8433919 0 0 0 0 0 1 C 0 0 50001 0 0 0 0 0 0 50001 0 0 0 0 0 1 A 0 0 1 1 0 0 0 0 0 0 1 B 0 0 0 0 0 0 0 0 0 1 C 0 0 0 0 0 0 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 Schedule K, Part I, Column e-05/26/2021 10,000,000 The County of Hall Nebraska The Hall County Series 2021A Bonds were issued as draw down bonds not to exceed $10,000,000. As of the fiscal year ending 12/31/2021, $8,466,318.87 has been drawn. Schedule K, Part I, Column e-12/08/2021 10,000,000 City of Grand Island Nebraska The City Series 2021A Bonds were issued as draw down bonds not to exceed $10,000,000. As of the fiscal year ending 12/31/2021, $50,001 has been drawn. Schedule K, Part I, Column f-12/30/2020 19,002,027 The County of Lancaster Nebraska The Lancaster County Series 2020 Bonds were issued to current refund (1) the Pinnacle Loan dated 2/26/2016, (2) the Grace Pointe Loan dated 3/1/2018, (3) the Series 2011 Bonds issued 12/15/2011, (4) the Series 2014 Bonds issued 6/30/2014, (5) the Series 2015A Bonds issued 1/28/2015, (6) the Series 2015B Bonds issued 1/28/2015, and (7) the Series 2015C Bonds issued 7/23/15. Schedule K, Part I, Column f-05/26/2021 10,000,000 The County of Hall Nebraska The Hall County Series 2021A Bonds were issued to finance the construction, equipping and furnishing of new senior living campus and associated improvements. Schedule K, Part I, Column f-12/08/2021 10,000,000 City of Grand Island Nebraska The City Series 2021A Bonds were issued to finance the construction, equipping and furnishing of new senior living campus and associated improvements. Schedule K, Part II, Line 3-05/26/2021 10,000,000 The County of Hall Nebraska The Hall County Series 2021A Bonds were issued as draw down bonds not to exceed $10,000,000. As of the fiscal year ending 12/31/2021, $8,466,318.87 has been drawn representing total proceeds of the issue. Schedule K, Part II, Line 3-12/08/2021 10,000,000 City of Grand Island Nebraska The City Series 2021A Bonds were issued as draw down bonds not to exceed $10,000,000. As of the fiscal year ending 12/31/2021, $50,001 has been drawn representing total proceeds of the issue. X 21038 164626 FMV 0 0 0 Form 990, Part VI, Section B, Line 11b The Tabitha Board members receive an electronic copy of the 990 prior to filing. The President shall arrange for the Chief Financial Officer (CFO) to conduct a review of the 990 for interest Board members. A copy will be provided to the public upon request. The 990 is prepared by the Assistant Director of Finance, reviewed by the CFO, and signed by the President or CFO. Form 990, Part VI, Section B, Line 12c Periodic reviews are conducted to ensure the Organization operates in a manner consistent with charitable purposes and does not engage in activities that would jeopardize its tax-exempt status. The periodic reviews shall at a minimum include the following subjects: A) whether the compensation arrangements and benefits are reasonable, based on competent survey information, and are the result of arm's length bargaining; B) whether partnerships, joint ventures, and arrangements with management organizations conform to the Organization's written policies, are properly recorded, reflect reasonable investment or payment for goods and services, further charitable purposes, and do not result in inurement, impermissible private benefit, or in an excess benefit transaction. Each director, principal officer, and member of a committee with governing board delegated powers shall annually sign a statement that affirms such a person: a) has received a copy of the conflict of interest policy; b) has read and understands the policy; c) has agreed to comply with the policy; d) understands the Organization is charitable and must engage primarily in activities which accomplish one or more of its tax-exempt purposes to maintain its federal tax exemption. The Organization may use outside advisors when conducting periodic reviews as provided for in Article VII if necessary. If outside experts are used, their use shall not relieve the governing board of its responsibility for ensuring periodic reviews are conducted. A conflict of interest policy is also intended to establish procedures under which individuals who have a conflict of interest will be excused from voting on such matters. Form 990, Part VI, Section B, Line 15 All Tabitha Board members shall serve without compensation. Reimbursement for actual costs of meals, mileage, and lodging in the conduct of Tabitha business is allowable. The President of Tabitha shall be responsible for establishing wages, salaries, benefits, and pay increases for all Tabitha employees, subject to Board approval. The Executive Committee of the Tabitha Board shall annually determine the salary, benefit, and severance package for the President/CEO. The President's compensation must meet the Fair Market Value and Comparability Tests for similar positions in not-for-profit organizations. The Board shall evaluate the President annually. Form 990, Part VI, Section C, Line 19 The Organization makes the governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part XI, Line 9 Gifts, grants and bequests for purchase of property of $7,167,637, less transfer to affiliate in the amount of $202,170 Tabitha Intergen LLC 420 South 47th Street Lincoln NE 68502 841054279 Intergenerational Housing NE 0 0 Tabitha Inc Tabitha Foundation 4720 Randolph Street Lincoln NE 68510 470636199 Fundraising NE 501(c)(3) 12A I Tabitha Inc 1 Tabitha Grand Island 4720 Randolph Street Lincoln NE 68510 843824792 Healthcare NE 501(c)(3) 10 Tabitha Inc 0 Tabitha ALF Real Estate Holding Company 4620 Randolph Street Lincoln NE 68510 270241402 Real Estate NE 501(c)(3) 12A I Tabitha Inc 0 Tabitha Home Health Care & Hospice A Collaboration with Immanuel 1044 North 115th Street Suite 200 Omaha NE 68154 873957968 Healthcare NE N/A Related 0 0 0 1 0.75 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 Tabitha Foundation c 2833508 Actual Tabitha ALF Real Estate Holding Company k 660866 Actual Tabitha Foundation q 1326481 Actual Tabitha ALF Real Estate Holding Company r 202170 Actual Tabitha Home Health Care & Hospice A Collaboration with Immanuel b 450000 Actual