2024-04-27T11:48:24-07:00 2023-09-30 452838168 Templin Healthcare Accounting Services LLP PO Box 326 Plainfield IL 60544 990 2022-10-01 362181959 BOHEMIAN HOME FOR THE AGED BOHE 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 Avenue Naperville IL 60563 11140183 0 X www.taborhills.org X 1894 IL Bohemian Home for the Aged provides an extensive range of services and programs which enhance the well-being of residents living in our community. Bohemian Home for the Aged's priority is meeting the needs of its residents using resources in a fiscally responsible manner insuring the financial stability of the corporation. 11 10 35 12 0 0 397686 1291312 5687229 6110796 537052 472203 1804 0 6623771 7874311 0 0 0 0 2890228 2463456 0 0 0 3335513 3401359 6225741 5864815 398030 2009496 36535086 35040060 29798693 28200497 6736393 6839563 Bohemian Home for the Aged is committed to offering quality senior care by seeking to provide a safe and comfortable environment focused on dignity and self-determination. 0 0 3270761 0 4602054 Supportive Living: Bohemian Home for the Aged operates a 95-unit supportive living community for residents who need more assistance than an independent living community can provide, but do not need a skilled nursing facility. The supportive living community provides studio, one and two bedroom units, meals, on-site emergency services, physical, occupational and speech therapy services offered through our therapy department managed by Symbria, medication reminders, housekeeping, planned activities and programs, and other related services to the residents. 1859772 0 3586431 Independent Living: Bohemian Home for the Aged operates a 104-unit independent living community where residents live independently in townhomes and do not need the additional assistance of a supportive living community. Services include landscaping and grounds maintenance, snow and trash removal, emergency response systems, exercise programs, planned activities, meal delivery and other related services for the residents. Approximately 20% of the independent living residents moved to the next level of care at the supportive living community. 0 0 0 5130533 1 1 0 0 0 0 1 0 0 0 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 1 1 1 1 0 0 1 87 0 1 35 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 Frances Salinas Former CEO 40 24 X X X 0 154513 16771 Anthony Harvat CEO 40 24 X X X X 0 157108 6738 Kerry Johnson Director of Health Services 40 0 X 101156 0 3691 Robert Peiler Vice President 1 1.5 X X 0 13427 0 John Larson Director 1 1.5 X 0 0 0 Judy Mayer Director 1 1.5 X 0 0 0 Angeline Bultas Director 1 1.5 X 0 0 0 Frank Michalek Director 1 1.5 X 0 0 0 Dee McHale Director 1 1.5 X 0 0 0 Jaqueline Rice Director 1 1.5 X 0 0 0 Aaron Troy Director 1 1.5 X 0 0 0 Gloria Pindiak President 1 1.5 X X 0 0 0 Lynda Filipello Secretary 1 1.5 X X 0 0 0 Rena Strahorn Treasurer 1 1.5 X X 0 0 0 101156 325048 27200 1 1 1 0 Cypress Lawn Specialists Inc PO Box 488 Winfield IL 60190 Lawn Maintenance 110313 1 0 0 0 0 35616 1255696 0 1291312 Resident Care 623311 4566502 4566502 0 0 Townhome Revenue 623990 1544294 1544294 0 0 0 0 0 0 6110796 207374 207374 0 0 0 0 0 0 0 0 0 0 0 0 3530701 0 3265872 0 264829 0 264829 264829 0 0 0 0 7874311 6582999 0 0 0 0 0 0 0 0 0 0 75045 0 75045 0 0 0 0 0 2017141 1663711 353430 0 46526 46526 0 0 197782 197782 0 0 126962 126962 0 0 0 0 0 0 59808 0 59808 0 40112 0 40112 0 0 0 0 0 0 0 57906 0 57906 0 102980 88815 14165 0 16562 0 16562 0 13192 0 13192 0 50903 0 50903 0 0 0 0 0 493612 461769 31843 0 7462 0 7462 0 0 0 0 0 0 0 0 0 214814 214814 0 0 0 0 0 0 1087779 1087779 0 0 419360 419360 0 0 Repairs & Maintenance 490371 490371 0 0 Resident Food 240838 240838 0 0 Healthcare Supplies and Services 58550 58550 0 0 47110 33256 13854 0 5864815 5130533 734282 0 668831 612436 0 0 0 0 404791 383045 0 0 0 0 0 0 0 0 64210 171730 46359233 22621859 24445284 23737374 8273955 7307555 269210 193606 0 0 0 0 2408805 2634314 36535086 35040060 258114 291848 0 0 21686141 21663593 7059491 5608950 0 0 0 0 0 0 0 0 794947 636106 29798693 28200497 X 4315606 4191042 2420787 2648521 6736393 6839563 36535086 35040060 X 2009496 314174 0 0 0 -2220500 X 0 1 X 0 0 X 15958 173388 399456 397686 1291312 2277800 6104697 6099503 5567890 5678229 6110796 29561115 354 2309 1692 1804 0 6159 0 0 0 0 0 0 0 0 0 0 0 0 6121009 6275200 5969038 6077719 7402108 31845074 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31845074 485440 423552 375772 537052 472203 2294019 0 0 0 0 0 0 485440 423552 375772 537052 472203 2294019 0 0 0 0 0 0 0 0 0 0 6606449 6698752 6344810 6614771 7874311 34139093 0.93280 0.92940 0.06720 0.07060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 1 7 0 0 0 1 1 12 0 1 0 4743454 4743454 0 38576521 20269131 18307390 0 0 0 0 0 576349 375073 201276 0 2462909 1977655 485254 23737374 Beneficial Interest in Perpetual Trust 2634314 2634314 0 Townhome Deposits 347600 Resident Credit Balances 288506 636106 X 8188485 314174 0 0 0 314174 7874311 0 0 0 7874311 5864815 0 0 0 0 0 5864815 0 0 0 5864815 Schedule D, Part II, Line 5 Monitored by Director of Environmental Services on an add needed and regular basis Schedule D, Part II, Line 9 Recorded as "land" on the balance sheet Schedule D, Part X, Line 2 Bohemian Home for the Aged 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. Bohemian Home for the Aged 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 Bohemian Home for the Aged is subject to examination by the IRS up to three years from the extended due date of each return. Form 990 filed by Bohemian Home for the Aged 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 CEO 0 157108 0 0 0 6738 0 0 0 0 0 163846 0 163846 Frances Salinas Former CEO 0 154513 0 0 0 16771 0 0 0 0 0 171284 0 171284 Schedule J, Part I, Line 3 The CEO/Former CEO is not paid by Bohemian Home for the Aged but by a related organization, Tabor Hills Healthcare 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 8556900 Payment of Existing 2017 Bonds 0 0 0 A 383147 0 8556900 0 0 0 0 0 0 0 8556900 0 2032 0 0 0 1 A A 0 1 0 0 0 0 0 0 1 A 1 Schedule K, Part I, Column e-03/31/2021 8,556,900 Illinois Finance Authority Series 2021 03/31/2021 8,556,900 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 Tabor Hills Health Care Facility, Inc. (EIN 36-3867476). Form 990, Part VI, Section A, Line 6 Bohemian Home for the Aged has two classes of members: contributing members and organizational members. These members constitute the Assembly of Delegates Form 990, Part VI, Section A, Line 7a The Assembly of Delegates elects directors to the Board Form 990, Part VI, Section A, Line 7b The Assembly of Delegates has the reserved powers to approve amendment of the Articles of Incorporation and bylaws; a merger; dissolution; sale, lease, exchange, or other disposition of all or substantially all the property and assets; and substantial purchase of property or other assets not in the usual and ordinary course of the conduct of the affairs of the organization 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 The CEO is not paid by Bohemian Home for the Aged but by a related organization, Tabor Hills Healthcare 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 Form 990, Part VI, Section C, Line 19 As part of Bohemian Home for the Aged'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 XI, Line 9 Interorganizational Transfers - (2,448,234), Increase in Temporarily Restricted Net Assets - 2,225, Unrealized Gain on Perpetual Trust - 225,509 Tabor Hills Supportive Living Community LLC 1347 Crystal Avenue Naperville IL 60563 362181959 Housing and services for elderly assisted living IL 13207623 14440582 Bohemian Home for the Aged Tabor Hills Health Care Facility Inc 1347 Crystal Avenue Naperville IL 60563 363867476 Skilled nursing care and rehabilitation for the elderly IL 501(c)(3) Line 10 Bohemian Home for the Aged 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 Tabor Hills Health Care Facility Inc r 2448234 Transfers to Tabor Hills Healthcare Facility, Inc. Schedule R, Part V, Line 1r Cash transfers of $2,448,234 to Tabor Hills Health Care Facility Inc