2025-08-25T11:23:08-07:00 2024-09-30 452838168 Templin Healthcare Accounting Services LLP PO Box 326 Plainfield IL 60544 990 2023-10-01 363867476 TABOR HILLS HEALTH CARE FACILITY INC TABO 6307786677 1347 Crystal Avenue Naperville IL 60563 Anthony Harvat CEO 6307786677 2025-08-25 0 1 Larry Templin P01696703 6303612868 2025-08-21 2023 2025-03-06 01:10:19Z Anthony Harvat 1347 Crystal Avenue Naperville IL 60563 13754510 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 63 0 13207560 13754510 0 0 0 0 13207623 13754510 0 0 0 0 9779646 10291522 0 0 0 6030565 5336897 15810211 15628419 -2602588 -1873909 14440582 14998726 3706498 3639014 10734084 11359712 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 14467119 0 13754510 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 224 short-term rehabilitation residents enrolled in Medicare/Insurance programs during fiscal year 2024. Short-term rehabilitation accounts for 21% of Tabor Hills total patient days, with 79% dedicated to long-term care. Total days care for fiscal year 2024: 38,365 (Medicare Days 6,121, Private Insurance Days 1,524, Public Aid Days 11,859) 0 0 0 14467119 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 1 114 0 1 140 1 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 Anthony Harvat Chief Executive Officer 40 16 X X X 198527 0 0 Emelinda Lantin Registered Nurse 65 0 X 171575 0 0 Rima Bentulan Nursing Administration 57 0 X 156945 0 0 Rosalie Mendoza Registered Nurse 49 0 X 140854 0 0 Casey Pudwill Administrator 40 0 X 137529 0 0 John Lawler Director of Environmental Services 40 0 X 134195 0 0 Menchie Castro Registered Nurse 50 0 X 128427 0 0 Tracey Petersen Director of Human Services 40 16 X 118298 0 0 Maribel Ines Scheduler 70 0 X 115138 0 0 Rowena Lazatin Registered Nurse 48 0 X 113632 0 0 Evelyn Mamparo Registered Nurse 50 0 X 108175 0 0 Geraldine Totanes Registered Nurse 47 0 X 107714 0 0 Joanna Romero Registered Nurse 48 0 X 107354 0 0 Josephine Belingon Safucay Registered Nurse 44 0 X 107201 0 0 Monica Amos Certified Nurses Aide 67 0 X 105748 0 0 Tania Razon 50 0 X 105098 0 0 Mylene Apurillo Registered Nurse 47 0 X 104620 0 0 Marilen Pasion Registered Nurse 50 0 X 103363 0 0 Robert Peiler Vice President 17.5 1 X 13336 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 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 0 0 0 Lynda Filipello Secretary 1.5 1 X 0 0 0 Rena Strahorn Treasurer 1.5 1 X 0 0 0 2277729 0 0 20 0 1 0 Symbria Rehab Inc 28100 Torch Parkway Warrenville IL 60555 Therapy 1049342 Nurses on Calls Inc 1475 Basswood Dr Bolingbrook IL 60490 Nursing Services 307844 Mckesson Medical-Surgical 9954 Mayland Dr Suite 5176A Henrico VA 23233 Pharmacy/Nursing Supplies 178439 Reliable Nursing Healthcare Services LLC 7343 Tennessee Dr Apt 212 Willowbrook IL 60527 Nursing Services 142606 JM Hawkins PO Box 2056 Glen Ellyn IL 60138 Computer Services 130713 5 0 13754510 13754510 0 0 13754510 0 0 0 0 0 13754510 13754510 0 0 X 0 0 0 0 0 0 0 0 146962 0 146962 0 0 0 0 0 8341700 7844956 496744 0 244408 244408 0 0 904853 904853 0 0 653599 653599 0 0 0 0 0 0 40761 0 40761 0 52378 0 52378 0 0 0 0 0 0 0 0 0 0 0 1473100 1335953 137147 0 31245 0 31245 0 27726 0 27726 0 156526 0 156526 0 0 0 0 0 301478 246361 55117 0 5723 0 5723 0 0 0 0 0 0 0 0 0 51035 51035 0 0 0 0 0 0 742673 742673 0 0 249714 249714 0 0 2204538 2193567 10971 0 15628419 14467119 1161300 0 X 0 0 0 0 0 0 1335297 2179962 0 0 0 0 0 0 0 0 242305 244146 29049981 16902921 12518812 12147060 0 0 0 0 0 0 0 0 344168 427558 14440582 14998726 1167969 1211704 0 0 0 0 1979149 1716676 0 0 0 0 0 0 0 0 559380 710634 3706498 3639014 X 10734084 11359712 0 0 10734084 11359712 14440582 14998726 X -1873909 0 0 0 0 2499537 X 0 1 X 0 0 X 641353 1750239 248934 63 0 2640589 13004561 12055008 13282997 13207560 13754510 65304636 4977 4445 0 0 0 9422 0 0 0 0 0 0 0 0 0 0 0 0 13650891 13809692 13531931 13207623 13754510 67954647 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67954647 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 13650891 13809692 13531931 13207623 13754510 67954647 1 1 0 0 X 0 574693 574693 0 9997265 7374586 2622679 0 11675003 3300291 8374712 0 2575048 2304469 270579 0 4227972 3923575 304397 12147060 0 Resident Credit Balances 710634 710634 X 13754510 0 0 0 0 0 13754510 0 0 0 13754510 15628419 0 0 0 0 0 15628419 0 0 0 15628419 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, 2024 and 2023, 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, 2020 and prior. X 0 0 0 0 0 0 0 0 0 Anthony Harvat Chief Executive Officer 192914 0 0 0 0 0 0 0 5613 0 198527 0 0 0 Schedule J, Part I, Line 3 The CEO is paid by Tabor Hills Health Care Facility, Inc. but a portion of those wages are allocated to Bohemian Home for the Aged, a related organization. The wages reported in this Schedule J are the total W-2 wages that are similarly reported in Part VII of the 990. Since all of those wages are paid out of Tabor Hills Health Care Facility Inc and none out of Bohemian Home for the Aged, all the wages are listed under Tabor Hills Health Care Facility Inc. 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 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 24e This line is made up of various types of expenses that did not fit any of the descriptions listed in the functional expenses. Program-Other is made up of 440,621-Provider Fee, 817,460-Pharmacy and Medical Supplies, 402,816-Food, 438,335-Repairs and Maintenance and 94,335 of other minor expenses. Admin-Other expense is mainly licenses and dues. Form 990, 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, 2024 and 2023, 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, 2020 and prior. Form 990, Part XI, Line 9 Inter-organizational transfers 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