2024-11-14T17:32:02-06:00 2023-12-31 450250958 Eide Bailly LLP 18081 Burt St Ste 200 Omaha NE 680224722 990 2023-01-01 843824792 Tabitha Grand Island Inc TABI 4024849660 3940 Ewoldt Street Grand Island NE 68803 Aimee Baumann CFO 4024849660 2024-11-14 1 1 Wendy R Cooley CPA P01523804 4023302660 2024-11-14 2023 2024-10-15 13:58:12Z Brian Shanks 4720 Randolph Street Lincoln NE 68803 3315028 0 X www.tabitha.org X 2019 NE Provides independent living, assisted living, memory care and long-term care for seniors. 3 1 154 1 0 0 0 29101 0 3037385 0 24602 0 223940 0 3315028 0 0 0 0 0 2331428 0 0 0 0 4702588 0 7034016 0 -3718988 49757496 51235140 46329020 51525652 3428476 -290512 X None 0 0 6280123 0 3261325 Tabitha Grand Island, Inc. was organized to develop and build a senior housing facility in Grand Island, Nebraska. Tabitha Grand Island provides independent living, assisted living, memory care, and long-term care and skilled nursing. Independent living provides a carefree lifestyle with all the comforts of home. The suites and apartments and bright and airy with lakeside grounds and thoughful amenities.At Tabitha at Prairie Commons Assisted Living in Grand Island residents experience the benefits of an engaged, active community with all the comforts of home. Statement continued on Schedule O.Memory care is delivered with grace and love. Individuals with Alzheimers and dementia live as independently as possible while providing comprehensive care and compassionate support.Tabitha at Prairie Commons offers compassionate long-term care, skilled nursing and rehabilitation. 6280123 1 1 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 1 0 1 154 1 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 Aimee Baumann 4024849660 4720 Randolph Street Lincoln NE 68510 Eric Shafer Director 0.10 0.00 X 0 0 0 Joyce Ebmeier - Chair Interim Pres. & CEO as of Aug 23 0.50 50.10 X X 0 136956 0 Christina Hinrichs Chair/President & CEO until Aug 23 0.50 50.10 X X 0 324029 28525 Brian Shanks Secretary/Treasurer & CFO 0.50 53.10 X X 0 201716 20504 Tonya Van Pelt Administrator 40.00 0.00 X 120393 0 13155 120393 662701 62184 1 0 1 0 Chief Construction 3935 Westgate Road Grand Island NE 68803 Construction 122402 Family Physical Therapy & Sports 211 W 33rd Street Suite A Kearney NE 68845 Medical 109269 2 29101 29101 Patient Service Revenu 623990 2918646 2918646 118739 118739 3037385 24602 24602 Settlement-architect 900099 145000 145000 Insurance claims 900099 78940 78940 223940 3315028 3261325 0 24602 1970760 1706767 263993 6882 3712 3170 173789 167619 6170 179997 137414 42583 148018 148018 47063 47063 218056 205643 12413 3214 2105 1109 331728 282842 48886 451622 300093 151529 28739 25588 3151 4214 2365 1849 499639 499639 2346750 2346750 142550 142550 Food 210465 209939 526 Repairs and Maintenance 198643 182410 16233 Medical Supplies 37718 37718 Dues and Licenses 18482 18482 15687 8487 7200 7034016 6280123 753893 0 2195364 834458 106 1481150 3769030 3521780 9141 47735361 2346750 43792996 45388611 49757496 51235140 1884706 542196 3769030 3521780 40432508 47203568 242776 258108 46329020 51525652 X 3428476 -290512 3428476 -290512 49757496 51235140 -3718988 0 X X 0 1 X 1 0 X 0 0 0 29101 29101 41832 3037385 3079217 41832 3066486 3108318 0 471957 471957 471957 471957 2636361 24602 24602 24602 24602 223940 223940 41832 3315028 3356860 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1314819 1314819 42888782 2057218 40831564 3531760 289532 3242228 45388611 Related Party Payable 258108 258108 X 3702714 387686 387686 3315028 0 3315028 7421702 387686 387686 7034016 0 7034016 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 December 31, 2023 and 2022, 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 387,686. Part XII, Line 2d - Other Adjustments: Real estate tax refund moved to offset real estate tax expense 387,686. 0 0 0 0 0 0 0 0 0 Christina Hinrichs Chair/President & CEO until Aug 23 0 323357 0 0 0 672 0 9900 0 20189 0 354118 0 0 Brian Shanks Secretary/Treasurer & CFO 0 200000 0 0 0 1716 0 6190 0 16436 0 224342 0 0 Part I, Line 3 The President & CEO is compensated by Tabitha, Inc., a related organization that is the sole member of The Tabitha Grand Island, Inc. Tabitha, Inc. uses one or more of the methods on line 3 to establish compensation. 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 3950000 3950000 2023 0 0 1 1 B 10000000 4417749 5582251 2023 0 1 1 1 C 10000000 10000000 2023 0 0 1 1 D 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 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. 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