2023-11-15T12:56:43-06:00 2022-12-31 450250958 EIDE BAILLY LLP 18081 BURT ST STE 200 OMAHA NE 680224722 990 2022-01-01 470377998 TABITHA INC TABI 4024837671 4720 RANDOLPH ST LINCOLN NE 68510 BRIAN SHANKS CHIEF FINANCIAL OFFICER 4024837671 2023-11-15 1 BRIAN SHANKS 999009999 1 WENDY R COOLEY CPA P01523804 4023302660 2023-11-13 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z JOYCE EBMEIER 4720 RANDOLPH ST LINCOLN NE 68510 65315498 0 X WWW.TABITHA.ORG X 1949 NE MOTIVATED BY CHRISTIAN COMPASSION, PROVIDE CARE SERVICES TO OLDER ADULTS. 16 16 1227 576 0 0 5529828 11943722 57821289 52798216 9571 516245 541480 57315 63902168 65315498 0 0 0 0 41637252 43142095 0 0 0 23303514 21675111 64940766 64817206 -1038598 498292 67996914 64248029 51296700 46919640 16700214 17328389 X MOTIVATED BY CHRISTIAN COMPASSION, TABITHA DELIVERS A CONTINUUM OF EXCEPTIONAL AND INNOVATIVE ELDER CARE SERVICES THAT PROMOTE THE DIGNITY, INDEPENDENCE, AND WELL-BEING OF OLDER ADULTS. 0 0 29650403 26948607 TABITHA, INC. IS A MISSION-FOCUSED NONPROFIT THAT OFFERS NEBRASKA'S FIRST AND ONLY COMPREHENSIVE LINE OF SENIOR CARE SERVICES. 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. 8335436 12209591 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. 8060266 12665931 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, HOSPICE AIDES, AND SPIRITUAL AND BEREAVEMENT COUNSELORS. 6460849 974087 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. 6460849 974087 52506954 1 1 0 0 0 0 0 0 0 1 1 0 1 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 1 1 1 1 0 0 1 31 0 1 1227 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 1 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X AIMEE BAUMANN 4024837671 4720 RANDOLPH STREET LINCOLN NE 68510 MARK HESSER CHAIR 0.50 0.10 X X 0 0 0 JAMES ANDERSON VICE CHAIR 0.50 0.10 X X 0 0 0 RENEE SJULIN DIRECTOR 0.50 0.30 X 0 0 0 NEAL LYONS DIRECTOR 0.50 0.10 X 0 0 0 BRYAN SECK DIRECTOR 0.50 0.10 X 0 0 0 CLARK ANDERSON DIRECTOR 0.50 0.10 X 0 0 0 KIMBERLY RATH DIRECTOR 0.50 0.10 X 0 0 0 LISA SMITH DIRECTOR 0.50 0.10 X 0 0 0 DIRK BROM DIRECTOR 0.50 0.10 X 0 0 0 WILLIAM STRAIN DIRECTOR 0.50 0.10 X 0 0 0 CAROL FRIESEN DIRECTOR 0.50 0.10 X 0 0 0 DR JULIANN SEBASTIAN DIRECTOR 0.50 0.10 X 0 0 0 BISHOP SCOTT JOHNSON EX-OFFICIO (AS OF SEPT.) 0.50 0.10 X 0 0 0 LEE CHAPIN DIRECTOR 0.50 0.10 X 0 0 0 LESLIE GIBBENS DIRECTOR 0.50 0.10 X 0 0 0 CHRIS BOCKMANN DIRECTOR 0.50 0.10 X 0 0 0 CHRISTINA HINRICHS PRESIDENT & CEO 41.00 10.00 X 583653 0 34830 BRIAN SHANKS SECRETARY/TREASURER & CFO 41.00 15.00 X 230201 0 5985 KATIE LECHNER CHIEF OPERATING OFFICER 40.00 0.00 X 227415 0 23788 TIM OWENS EXECUTIVE DIRECTOR, IT 40.00 0.00 X 124213 0 16876 SHAWN MARTIN DIRECTOR OF SAFETY & RISK MGMT 40.00 0.00 X 111370 0 4359 TONYA RICHARDS ADMINISTRATOR 40.00 0.00 X 119986 0 18348 DAYNA SWENSETH DIRECTOR OF SAFETY & RISK MGMT 40.00 0.00 X 109105 0 0 AIMEE BAUMANN DIRECTOR OF FINANCE 40.00 0.00 X 108010 0 0 1613953 0 104186 17 0 1 0 FUSION MEDICAL STAFFING PO BOX 82674 LINCOLN NE 68501 MEDICAL SERVICES 1184402 SHARED SERVICE SYSTEMS 1725 SOUTH 20TH STREET OMAHA NE 68108 TECHNOLOGY SERVICES 654142 COMMUNITY PHARMACY SYSTEMS PO BOX 3767 OMAHA NE 68103 MEDICAL SERVICES 645970 ENCLARA HEALTH LLC PO BOX 745791 ATLANTA GA 30374 MEDICAL SERVICES 621148 PRIME TIME HEALTHCARE 15380 WEIR ST OMAHA NE 68137 MEDICAL SERVICES 491371 22 3276357 8631265 36100 11943722 NURSING HOME CARE 623000 27142070 27142070 HOSPICE 623000 12665931 12665931 HOME HEALTH CARE 621610 12209591 12209591 NUTRITIONAL SERVICES 624210 974087 974087 INVESTMENT IN AFFILIATES 900099 -1314440 -1314440 1120977 1120977 52798216 39145 39145 57315 0 57315 57315 57315 477100 0 477100 477100 477100 65315498 52798216 0 573560 1112374 1112374 34921138 29131068 5790070 667603 558146 109457 3856077 3100556 755521 2584903 2144336 440567 236788 4967 231821 6019567 4843636 1175931 232793 16240 216553 1852088 1463639 388449 2355442 2354487 955 762492 717019 45473 266806 10112 256694 759701 727954 31747 2806799 2264801 541998 495373 109773 385600 MEDICAL SUPPLIES 2346975 2340815 6160 FOOD 1730017 1711966 18051 REPAIRS AND MAINTENANCE 1406643 835486 571157 403627 171953 231674 64817206 52506954 12310252 0 14482665 2666 126123 6362957 6503724 4331369 153915 146215 388221 248934 70858115 41096653 24062990 29761462 1479262 3628476 22279276 18286688 67996914 64248029 7534796 4843779 18600000 17092662 3185 6003130 5002517 19158774 19977497 51296700 46919640 X 10210214 10838389 6490000 6490000 16700214 17328389 67996914 64248029 X 498292 129883 X 0 1 X 1 0 X 1506797 1566798 3585916 5529828 11943722 24133061 56553759 58665392 60394638 57821289 52798216 286233294 58060556 60232190 63980554 63351117 64741938 310366355 0 0 0 310366355 12784 32829 24922 9571 96460 176566 12784 32829 24922 9571 96460 176566 174475 541480 715955 58073340 60265019 64179951 63902168 64838398 311258876 0.99710 0.99740 0.00060 0.00030 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER REVENUE - 2020 AMOUNT: $ 174,475. 2021 AMOUNT: $ 541,480. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 950840 2050 952890 930648 20192 950840 871920 58728 930648 850906 21014 871920 805906 45000 850906 0.00000 1.00000 0.00000 0 1 1 1207082 1207082 41401137 26336263 15064874 3890523 1792213 2098310 16644783 12968177 3676606 7714590 7714590 29761462 INVESTMENT IN DORVIE, INC 200000 C INVESTMENT IN TABITHA GRAND ISLAND 3428476 C 3628476 ESTIMATED THIRD PARTY PAYOR SETTLEMENTS 38530 RIGHT OF USE ASSETS 16295995 RECEIVABLES - AFFILIATES 1952163 18286688 LEASE LIABILITY 16606180 OBLIGATION TO AFFILIATES AND JV 3158201 DUE TO AFFILIATES 213116 19977497 X 72651731 7336233 7336233 65315498 0 65315498 64817206 0 64817206 0 64817206 PART IV, LINE 2B: THE ESCROW ACCOUNT CONSISTS OF HOUSING SECURITY DEPOSITS. PART V, LINE 4: THE ENDOWMENT FUNDS ARE DONOR RESTRICTED CONTRIBUTIONS HELD BY THE TABITHA FOUNDATION, A RELATED ORGANIZATION, TO SUPPORT THE PROGRAMS AND OPERATIONS OF TABITHA, INC. PART X, LINE 2: TABITHA, INC. ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES. TABITHA RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2022, TABITHA HAD NO UNCERTAIN TAX POSITIONS ACCRUED. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT IN DISREGARDED ENTITY REMOVED FOR FORM 990 REPORTING 7,336,233. X X X X 0 0 0 0 0 0 0 0 0 CHRISTINA HINRICHS PRESIDENT & CEO 446376 0 136250 0 1027 0 9150 0 28026 0 620829 0 0 0 KATIE LECHNER CHIEF OPERATING OFFICER 197739 0 29068 0 608 0 6185 0 19747 0 253347 0 0 0 BRIAN SHANKS SECRETARY/TREASURER & CFO 199508 0 29080 0 1613 0 5985 0 2014 0 238200 0 0 0 A THE COUNTY OF LANCASTER NEBRASKA 476006482 514003AM4 2020-12-30 19002027 REFUND BONDS ISSUED 12/15/2011, 6/30/2014, 1/28/2015 (SERIES 2015A), 0 0 0 A 1052027 19002027 1365000 380041 17256986 1 1 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 0 0 0 0 1 A 1 SCHEDULE K, PART I, BOND A, COLUMN (F): DESCRIPTION OF PURPOSE CONTINUED: TO REFUND BONDS ISSUED 1/28/2015 (SERIES 2015B), 7/23/2015 (SERIES 2015C), 2/26/2016 PINNACLE LOAN, AND 3/1/2018 GRACE POINTE LOAN. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE FOLLOWING ELECTED OFFICERS: THE CHAIR OF THE BOARD, THE VICE-CHAIR OF THE BOARD, AND THE OUTGOING CHAIR, IF ANY. IN ADDITION, THE CHAIR OF THE BOARD SHALL APPOINT AT LEAST ONE, BUT UP TO TWO, ADDITIONAL BOARD MEMBERS TO SERVE AS MEMBERS OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE DURING THE INTERIM BETWEEN REGULAR OR SPECIAL MEETINGS OF THE BOARD HAS THE AUTHORITY TO DO ALL THINGS NECESSARY FOR THE CONDUCT OF CORPORATE AFFAIRS, EXCEPT AS PROHIBITED BY LAW (SECTION 21-1985, NEB. REV. STAT., AS AMENDED FROM TIME TO TIME), AND EXCEPT AS OTHERWISE DIRECTED BY THE BOARD OF DIRECTORS. SUCH AUTHORITY SHALL, UNLESS OTHERWISE DIRECTED BY THE BOARD, INCLUDE, BUT NOT BE LIMITED TO, PERSONNEL AND COMPENSATION DECISIONS, REMOVAL OR SUSPENSION OF OFFICERS WITH ADVICE OF COUNSEL, EMERGENCY BUDGET CHANGES OR OTHER ACTS THE EXECUTIVE COMMITTEE DETERMINES, WITH ADVICE OF COUNSEL, TO BE INADVISABLE TO WAIT FOR A SPECIAL OR REGULAR MEETING OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL REVIEW THE PERFORMANCE AND SET THE SALARY OF THE PRESIDENT ON AN ANNUAL BASIS. COMMITTEES ARE CURRENTLY PROHIBITED BY LAW FROM AUTHORIZING DISTRIBUTIONS; APPROVING THE DISSOLUTION, MERGER OR THE SALE, PLEDGE, OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; ELECTING, APPOINT OR REMOVING DIRECTORS OR FILLING VACANCIES ON THE BOARD OR A COMMITTEE; AND ADOPTING, AMENDING OR REPEALING THE ARTICLES OR BYLAWS. FORM 990, PART VI, SECTION A, LINE 4 THE BYLAWS WERE AMENDED IN OCTOBER 2022. 1. THE BOARD OF DIRECTORS SHALL CONSIST OF NO LESS THAN SEVEN AND NO MORE THAN SEVENTEEN MEMBERS, INCLUDING EX-OFFICIO VOTING MEMBERS. 2. THE BISHOP'S APPOINTED DEPUTY WAS REMOVED AS AN EX-OFFICIO MEMBER OF THE BOARD. 3. THE BYLAWS REMOVED THE STATEMENT INDICATING A MAJORITY OF DIRECTORS WITH VOTE SHALL BE MEMBERS OF CONGREGATIONS OF THE NEBRASKA SYNOD OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA. FORM 990, PART VI, SECTION A, LINE 7A THE CHAIR OF TABITHA FOUNDATION, A RELATED ORGANIZATION, AND THE BISHOP OF THE NEBRASKA SYNOD OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA, OR THE BISHOP'S APPOINTED DEPUTY SHALL BE AN EX-OFFICIO MEMBER OF THE BOARD OF DIRECTORS WITH VOICE AND VOTE. THE AMENDED BYLAWS IN OCTOBER 2022 REMOVED THE BISHOP'S APPOINTED DEPUTY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED THE THE BOARD OF DIRECTORS BEFORE FILING WITH THE IRS. THE PRESIDENT & CEO, CFO AND DIRECTOR OF FINANCE REVIEW THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C EACH OFFICER, DIRECTOR AND COMMITTEE MEMBER SHALL FILE ANNUALLY WITH THE SECRETARY/TREASURER A CONFLICT OF INTEREST STATEMENT AND DISCLOSURE STATEMENT IN A FORM ADOPTED BY THE BOARD, WHICH STATEMENT SHALL BECOME A PART OF THE RECORDS OF THE CORPORATION. THE STATEMENT AFFIRMS EACH 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 OF MORE OF ITS TAX-EXEMPT PURPOSES TO MAINTAIN ITS FEDERAL TAX EXEMPTION. EACH PERSON WHO FILES SHALL NOTIFY THE SECRETARY/TREASURER OF ANY PERTINENT CHANGES IN THE STATEMENT DURING THE COURSE OF THE YEAR. IN THE EVENT A QUESTION COMES BEFORE THE BOARD OR A STANDING OR SPECIAL COMMITTEE IN WHICH A DIRECTOR OR COMMITTEE MEMBER HAS A RECORDED OR UNRECORDED CONFLICT, THE DIRECTOR OR COMMITTEE MEMBER SHALL STATE THE EXISTENCE AND NATURE OF THE CONFLICT FOR THE RECORD AND SHALL REFRAIN FROM VOTING. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE AND BOARD OF DIRECTORS ANNUALLY REVIEWS THE SALARY, BENEFITS, AND SEVERANCE PACKAGE FOR THE PRESIDENT & CEO. THE PRESIDENT & CEO'S COMPENSATION MUST MEET THE FAIR MARKET VALUE AND COMPARABILITY TESTS FOR SIMILAR POSITIONS IN OTHER COMPARABLE NONPROFIT ORGANIZATIONS. THE DELIBERATION AND DECISION ARE DOCUMENTED IN MEETING MINUTES AND PERSONNEL FILE. THE PRESIDENT & CEO OF TABITHA IS RESPONSIBLE FOR THE ANNUAL SALARY REVIEW FOR THE CFO. THE BOARD OF DIRECTORS MUST APPROVE ANY COMPENSATION CHANGES. COMPENSATION MUST MEET THE FAIR MARKET VALUE AND COMPARABILITY TESTS FOR SIMILAR POSITIONS IN OTHER COMPARABLE NONPROFIT ORGANIZATIONS. THE DELIBERATION AND DOCUMENTED IN THE PERSONNEL FILE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATE 225,000. TRANSFER TO AFFILIATE -95,117. TABITHA INTERGEN LLC 420 SOUTH 47TH STREET LINCOLN NE 68502 841054279 INTERGENERATIONAL HOUSING NE 1237888 12141115 TABITHA INC THE TABITHA FOUNDATION 4720 RANDOLPH STREET LINCOLN NE 68510 470636199 FUNDRAISING AND SUPPORT TO TABITHA, INC. NE 501(C)(3) LINE 12A, I TABITHA INC 1 TABITHA GRAND ISLAND INC 3940 EWOLDT STREET GRAND ISLAND NE 68803 843824792 ELDER CARE SERVICES NE 501(C)(3) LINE 10 TABITHA INC 1 TABITHA ALF REAL ESTATE HOLDING INC 4720 RANDOLPH STREET LINCOLN NE 68510 270241402 SUPPORT TABITHA, INC. WITH ASSISTED LIVING REAL ESTATE NE 501(C)(3) LINE 12A, I TABITHA INC 1 TABITHA HOME HEALTH CARE & HOSPICE LLC 1044 NORTH 115TH STREET SUITE 500 OMAHA NE 68154 873957968 HOME HEALTH CARE AND HOSPICE NE TABITHA INC RELATED -640463 291016 0 1 0.75000 0 0 1 0 1 0 0 0 0 0 1 1 1 1 1 0 0 1 1 THE TABITHA FOUNDATION C 3276357 GENERAL LEDGER TABITHA ALF REAL ESTATE HOLDING INC S 225000 GENERAL LEDGER THE TABITHA FOUNDATION E 750938 GENERAL LEDGER TABITHA ALF REAL ESTATE HOLDING INC K 698266 GENERAL LEDGER TABITHA ALF REAL ESTATE HOLDING INC R 95117 GENERAL LEDGER