2025-08-13T12:35:09-05:00 2024-09-30 450250958 Eide Bailly LLP 18081 Burt St Ste 200 Omaha NE 680224722 990 2024-01-01 843824792 Tabitha Grand Island Inc TABI 4024849660 3940 Ewoldt Street Grand Island NE 68803 Jon Riewer President and CEO 4024849660 2025-08-08 1 1 Wendy R Cooley CPA P01523804 4023302660 2025-08-07 2024 2025-03-06 01:10:19Z Jon Riewer 3940 Ewoldt Street Grand Island NE 68803 4456151 0 X www.tabitha.org X 2019 NE Provides independent living, assisted living, memory care and long-term care for seniors. 3 1 0 1 0 0 29101 0 3037385 4451936 24602 4215 223940 0 3315028 4456151 0 0 0 0 2331428 3047548 0 0 0 4702588 5424400 7034016 8471948 -3718988 -4015797 51235140 47513449 51525652 51819758 -290512 -4306309 None 0 0 7342301 4451936 Tabitha Grand Island, Inc. was organized to develop and build a senior housing facility in Grand Island, Nebraska. Tabitha at Prairie Commons has 36 skilled nursing beds, 40 assisted living units, and 81 independent living units. The facility provides 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. 7342301 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 1 1 0 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 0 0 0 X Darin Ohe 2182912216 801 Main Ave Ste 201 Moorhead MN 56560 X X Brian Shanks Chair/President & CEO 0.50 50.10 X X 0 0 0 Aimee Baumann Secretary/Treasurer & CFO 0.50 53.10 X X 0 0 0 Eric Shafer Director 0.10 0.70 X X 0 0 0 0 0 0 Patient Service Revenu 623990 4358467 4358467 93469 93469 4451936 4215 4215 4456151 4451936 0 4215 2508081 1962865 545216 36119 26358 9761 317350 213937 103413 185998 144894 41104 217923 217923 45213 45213 698876 698843 33 14858 2578 12280 189498 158171 31327 299923 196414 103509 11632 9903 1729 3029 1932 1097 1392978 1392978 1920068 1920068 141376 141376 Food 206095 205971 124 Repairs and Maintenance 145149 133970 11179 Medical Supplies 98165 98165 Dues and Licenses 24163 18424 5739 15454 15454 8471948 7342301 1129647 0 834458 269836 1481150 337848 3521780 3414437 9141 4754 47753392 4266818 45388611 43486574 51235140 47513449 542196 803619 3521780 3414437 33251947 32743647 13951621 13590860 258108 1267195 51525652 51819758 X -290512 -4306309 -290512 -4306309 51235140 47513449 -4015797 0 X X 0 1 X 1 0 X 29101 29101 41832 3037385 4451936 7531153 41832 3066486 4451936 7560254 0 471957 647724 1119681 471957 647724 1119681 6440573 24602 4215 28817 24602 4215 28817 223940 223940 41832 3315028 4456151 7813011 0.82430 0.78540 0.00370 0.00730 X Part III, Section A, Column (e): During the year, The organization changed its year end to a fiscal year ending 9/30/2024. The 2024 activity being reported is for the period January 1, 2024 - September 30, 2024 for the public support calculation. 1314819 1314819 42888782 3769720 39119062 3531760 497098 3034662 18031 18031 43486574 Related Party Payable 1267195 1267195 X 4761404 305253 305253 4456151 0 4456151 8777201 305253 305253 8471948 0 8471948 Part X, Line 2: Tabitha Grand Island, 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 Grand Island, Inc. recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. At September 30, 2024, Tabitha Grand Island, Inc. had no uncertain tax positions accrued. Part XI, Line 2d - Other Adjustments: Real estate tax refund moved to offset real estate tax expense 305,253. Part XII, Line 2d - Other Adjustments: Real estate tax refund moved to offset real estate tax expense 305,253. A City of Grand Island Nebraska 476006205 2022-10-31 3950000 Construction financing 0 0 0 B The County of Hall Nebraska 476006467 2022-10-31 10000000 Construction financing 0 0 0 C City of Grand Island Nebraska 476006205 2021-12-08 10000000 Construction financing 0 0 0 D The County of Hall Nebraska 476006467 2021-05-26 10000000 Construction financing 0 0 0 A 67261 3950000 3950000 2023 0 0 1 1 B 170281 10000000 4417749 5582251 2023 0 1 1 1 C 170281 10000000 10000000 2023 0 0 1 1 D 170281 10000000 10000000 2023 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 D 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 0 1 0 0 0 1 B 0 0 0 0 1 0 0 0 1 C 0 0 0 0 1 0 0 0 1 D 0 0 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 Form 990, Part V, Lines 1 and 2 No calendar year ends during the fiscal year due to the short year filing. As a result, no W-2s or 1099s are reported. Form 990, Part VI, Section A, line 2 The officers and Board of Directors have a business relationship with each other. Form 990, Part VI, Section A, line 6 The sole member of Tabitha Grand Island, Inc. is Tabitha, Inc. Form 990, Part VI, Section A, line 7a The President and Chief Financial Officer of Tabitha, Inc., the sole member, by virtue of their positions, are designated as Directors with voice and vote. The remaining Directors are appointed by the Member, Tabitha, Inc. Form 990, Part VI, Section A, line 8b The Organization does not have committees with authority to act on behalf of the governing body. Form 990, Part VI, Section B, line 11b The Form 990 is provided to the Board of Directors before filing with the IRS. The President & CEO and CFO 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 President & CEO and CFO are compensated by Tabitha, Inc., a related organization that is the sole member of Tabitha Grand Island, Inc. Tabitha, Inc. has processes in place to review compensation. 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 VII, Line 1a The officers are compensated by Tabitha, Inc., a related entity. Compensation is not shown on Part VII this year due to filing a short year Form 990. Tabitha Inc 4720 Randolph Street Lincoln NE 68510 470377998 Elder care services NE 501(c)(3) Line 10 N/A 0 Tabitha ALF Real Estate Holding Inc 4620 Randolph Street Lincoln NE 68510 270241402 Support Tabitha, Inc. with assisted living real estate NE 501(c)(3) Line 12a, I Tabitha Inc 0 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 0 Tabitha Home Health Care and Hospice LLC 1044 North 115th Street Suite 500 Omaha NE 68154 873957968 Home health care and hospice NE N/A 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 0