2021-11-12T14:58:41-07:00 2020-12-31 990 2020-01-01 470377998 TABITHA INC TABI 4024837671 4720 Randolph Street Lincoln NE 68510 Christina Hinrichs President 4024837671 2021-11-12 1 11 0 AAL2 2020 2022-09-23 18:48:47Z Christina Hinrichs 4720 Randolph Street Lincoln NE 68510 64184057 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. 14 12 1328 800 0 0 2164210 3585916 58811143 60394638 32829 29028 621307 174475 61629489 64184057 0 0 0 0 42766289 42389576 0 0 0 21548685 22293407 64314974 64682983 -2685485 -498926 46064626 56758988 35603623 45985643 10461003 10773345 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 27466716 0 29777493 The Tabitha Nursing and Rehabilitation Center (TNRC) has 208 beds, Tabitha at Williamsburg has 50 beds, and Tabitha in Crete (TiC) has 44 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. 10991043 0 15841084 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. 8037208 0 8991060 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. 5741111 0 5785001 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. 5741111 0 5785001 52236078 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 0 0 0 0 0 1 0 0 0 1 25 0 1 1328 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 14 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Brian Shanks 4024837671 4720 Randolph Street Lincoln NE 68510 Christina Hinrichs President & CEO 40 0 X X 456202 0 31344 Katie Lechner Chief Operating Officer 40 0 X 196091 0 20044 Brian Shanks Secretary/Treasurer 40 0 X X 183860 0 11563 Darcie Brink Vice President - Finance 40 0 X X 150308 0 1979 Tonya Richards Administrator 40 0 X 115898 0 15981 Christine Wismer Administrator 40 0 X 114536 0 14932 Brenda Soto Vice-President of Clinical Quality 40 0 X 122854 0 5281 Renee Sjulin Chair 0 0 X X 0 0 0 Neal Lyons Vice-Chair 0 0 X X 0 0 0 Eric Schafer Member 0 0 X 0 0 0 Mark Hesser Member 0 0 X 0 0 0 Dirk Brom Member 0 0 X 0 0 0 Carol Friesen Member 0 0 X 0 0 0 Bishop Brian Mass Member 0 0 X 0 0 0 Kimberly Rath Member 0 0 X 0 0 0 Juliann Sebastian Member 0 0 X 0 0 0 Bryan Seck Member 0 0 X 0 0 0 Sherla Post Member 0 0 X 0 0 0 James Anderson Member 0 0 X 0 0 0 1339749 0 101124 7 0 1 0 Fusion Medical Staffing PO Box 82674 Lincoln NE 685012674 Medical 513494 Pope Architects 1295 Bandana Blvd N Suite 200 St Paul MN 55108 Consulting 660589 Brester Construction 1200 Infinity Court Lincoln NE 68512 Construction 819060 Central NE Rehab Service PO Box 5285 Grand Island NE 68802 Medical 259449 Midwest Respiratory Care Inc 9931 S 136th St Suite 100 Omaha NE 68138 Medical 390403 12 0 0 0 1475916 2110000 0 0 3585916 Nutritional Services 624210 800722 800722 0 0 Nursing Home Care 623000 29777493 29777493 0 0 Home Health Care 621610 8991060 8991060 0 0 Hospice 623000 15841084 15841084 0 0 Other 900099 4984279 4984279 0 0 0 0 0 0 60394638 24922 0 0 24922 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4106 0 0 0 4106 4106 0 0 4106 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other 900099 174475 0 0 174475 0 0 0 0 174475 64184057 60394638 0 203503 0 0 0 0 0 0 0 0 682969 0 682969 0 0 0 0 0 34540359 28623897 5916462 0 579137 496431 82706 0 4109005 3504978 604027 0 2478106 2098980 379126 0 0 0 0 0 101521 0 101521 0 71476 0 71476 0 0 0 0 0 0 0 0 0 0 0 2832220 2096775 735445 0 202017 673 201344 0 4532112 3619937 912175 0 0 0 0 0 0 0 0 0 4589169 3103212 1485957 0 551177 489953 61224 0 0 0 0 0 19466 5026 14440 0 736908 599199 137709 0 0 0 0 0 2825376 2366872 458504 0 394630 389095 5535 0 Food and Catering 1622084 1519084 103000 0 Medicaid Per Diem 2892226 2892226 0 0 923025 429740 493285 64682983 52236078 12446905 0 7482817 6543313 84810 54334 0 0 5337531 4980912 0 0 0 0 0 0 173086 164526 335727 333562 61555947 36411813 24958352 25144134 0 0 0 0 0 0 0 0 7692303 19538207 46064626 56758988 7800214 5983974 0 0 0 0 17140000 19200000 0 0 0 0 1904769 0 0 0 8758640 20801669 35603623 45985643 X 9971003 10283345 490000 490000 10461003 10773345 46064626 56758988 X -498926 0 0 0 0 811268 X 0 1 X 1 0 X 2038913 1112409 1506797 1566798 3585916 9810833 54529057 53893634 56553759 58665392 60394638 284036480 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 56567970 55006043 58060556 60232190 63980554 293847313 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 293847313 2157 4169 12784 32829 24922 76861 0 0 0 0 0 2157 4169 12784 32829 24922 76861 0 0 0 0 0 0 0 0 0 174475 174475 56570127 55010212 58073340 60265019 64179951 294098649 0.99915 0.99980 0.00026 0.00020 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 678111 678111 0 38750110 23471017 15279093 0 6535146 1570656 4964490 0 15592580 11370140 4222440 0 0 0 0 25144134 Assets limited as to use 3256 Investment Assets limited as to use, less amount required to meet current obligations 1365000 Estimated third-party payor settlements 29798 Right-of-use assets - Operating Leases 17185889 Bond proceeds 954264 19538207 0 Obligation to Affiliate 2543022 Lease Liability, Net of Current Portion 16833319 Refundable Advances - CARES Act 1425328 20801669 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. 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 Internal Revenue 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 liabilites using the guidance included in the Financial Accounting Standards Board (FASB) and Accounting Standards Codification (ASC), Topic 740, Income Taxes. 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, 2019 and 2020. Schedule D, Part X, Line 2 Obligation due to affiliate companies X X X X X 0 0 0 0 0 0 0 0 0 Christina Hinrichs President & CEO 407496 0 48706 0 0 0 7284 0 24060 0 487546 0 0 0 Darcie Brink Vice President - Finance 137194 0 13114 0 0 0 1979 0 0 0 152287 0 0 0 Katie Lechner Chief Operating Officer 181474 0 14617 0 0 0 5479 0 14565 0 216135 0 0 0 Brian Shanks Secretary/Treasurer 179360 0 4500 0 0 0 1454 0 10109 0 195423 0 0 0 A The County of Lancaster Nebraska 476006482 514003AM4 2020-12-30 19002027 See Part VI 0 0 0 A 0 0 19002027 1365000 0 0 380041 0 0 17253776 3210 0 2016 1 0 0 1 A 0 0 0 0 0 0 0 0 0 1 A 0 1 1 0 0 0 0 0 1 A 1 Schedule K, Part I-12/30/2020 19,002,027 The County of Lancaster Nebraska Refund prior issues (12/15/11, 6/30/14, 1/28/15, 1/28/15, and 7/23/15). Form 990, Part VI, Section B, Line 11b Board members receive an electronic copy of the Form 990 prior to submission to the IRS. The IRS form 990 together with all required schedules for Tabitha, Inc. and Affiliates shall be provided in a paper or electronic format to all members of both Boards. The President shall arrange for the CFO or Vice President of Finance to conduct a review of the 990 for all interested Board members. A copy shall be posted to the President's office and is available upon request. The 990 shall be prepared by the General Accountant and reviewed by the CFO. 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 12c Periodic reviews will be conducted to ensure the Organization operates in a manner consistent with charitable purposes and does not engage in activities that would jeapordize 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, impermissable private benefit, or in an excess benefit transaction. Each director, principal officer, and member of a committee with a governing board delegated powers shall annually sign a statement which affirms such 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 allowed. 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 President shall be evaluated annually by the Board. 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 in the amount of $873,334 less transfer to affiliate in the amount of $62,066. 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 1 Tabitha ALF Real Estate Holding Company 4620 Randolph Street Lincoln NE 68510 270241402 Real Estate NE 501(c)(3) 12A I Tabitha Inc 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 Tabitha Foundation c 1475916 Actual Tabitha ALF Real Estate Holding Company r 732510 Actual Tabitha Foundation q 845808 Actual Tabitha ALF Real Estate Holding Company b 62066 Actual