2019-09-11T08:04:22-05:00 2019-02-28 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2018-03-01 470548990 ONEWORLD COMMUNITY HEALTH CENTERS INC ONEW 4027344110 4920 SOUTH 30TH STREET NO 103 OMAHA NE 68107 ANDREA SKOLKIN CHIEF EXECUTIVE OFFICER 4027344110 2019-08-23 1 MARC D BEHRENS P01543366 4023302660 209.34.201.180 2019-08-23 12:16:36 CD P 33304EFAA66B0CAA4E31B16BDD4AAC48293A938A 606148D43A08485A4B3CE148BC63DC11C84FD005 2018 2019-02-21 02:37:17Z ANDREA SKOLKIN 4920 SOUTH 30TH STREET NO 103 OMAHA NE 68107 53442688 0 X WWW.ONEWORLDOMAHA.ORG X 1975 NE PRIMARY CARE SERVICES TO PATIENTS INCLUDE A FACE TO FACE VISIT WITH A MEDICAL PROVIDER TO ASSESS THEIR MEDICAL NEEDS. DENTAL SERVICES INCLUDE VISITS WITH DENTISTS OR HYGIENISTS TO PROVIDE TEETH CLEANING, ORAL EXAMS AND SOME RESTORATIVE SERVICES. BEHAVIORAL SERVICES INCLUDE PATIENTS SEEN BY THE BEHAVIORAL THERAPISTS AND PSYCHIATRISTS. PHARMACY SERVICES PROVIDE PRESCRIPTION MEDICATION TO ONEWORLD'S PATIENTS. ONEWORLD ALSO PROVIDES ANCILLARY AND OTHER SUPPORTIVE SERVICES TO LOW INCOME FAMILIES AND CHILDREN THROUGH ONEWORLD'S LEARNING COMMUNITY CENTER AND PROGRAMS SUCH AS WIC AND MINORITY HEALTH. 19 19 587 117 5209 29462 20719479 26954312 19069654 18973634 -153958 408393 2489782 3468440 42124957 49804779 33651 31628 0 0 24542471 26116932 0 0 251039 16439573 16649999 41015695 42798559 1109262 7006220 31123698 43518688 3619839 9081560 27503859 34437128 X ONEWORLD COMMUNITY HEALTH CENTERS, IN PARTNERSHIP WITH THE COMMUNITY, PROVIDE CULTURALLY RESPECTFUL, QUALITY HEALTHCARE WITH SPECIAL ATTENTION TO THE UNDERSERVED. 0 0 26355482 14183875 MEDICAL CLINIC - TO PROVIDE HEALTH CARE SERVICES TO UNDERSERVED INDIVIDUALS IN OMAHA, PLATTSMOUTH AND 4 SCHOOL BASED HEALTH CLINICS. FOR THIS CURRENT YEAR, ONEWORLD PROVIDED 111,442 VISITS TO 41,183 PATIENTS. 8181302 3231048 THE PHARMACY DEPARTMENT CONTINUED TO GROW RESULTING IN INCREASED PATIENT VOLUME. IN THIS CURRENT YEAR, IT PROVIDED 128,842 SCRIPTS. 2528405 2572317 THE DENTAL CLINIC PROVIDED 21,872 VISITS TO 10,454 PATIENTS. 1401288 31628 2463234 OTHER PROGRAM SERVICES 1401288 31628 2463234 38466477 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 1 59 0 1 587 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X TOM MCLAUGHLIN 4025028858 4920 SOUTH 30TH STREET 103 OMAHA NE 68107 DAN MCMAHON BOARD CHAIR 2.00 0.00 X X 0 0 0 NURIA ARCHER VICE CHAIR THRU 11/18 2.00 0.00 X X 0 0 0 SUZI STERBA TREASURER 2.00 0.00 X X 0 0 0 CORREEN HARRELL SECRETARY 2.00 0.00 X X 0 0 0 ANNA HERNANDEZ-VALENCIA BOARD MEMBER 2.00 0.00 X 0 0 0 ROBERT DUNLAY MD BOARD MEMBER 2.00 0.00 X 0 0 0 MICHAEL CHASE BOARD MEMBER 2.00 0.00 X 0 0 0 KRISTINA JORDAN BOARD MEMBER 2.00 0.00 X 0 0 0 CECILIA HIEBNER BOARD MEMBER 2.00 0.00 X 0 0 0 SEN ROBERT HILKEMANN BOARD MEMBER 2.00 0.00 X 0 0 0 SEN JOHN MCCOLLISTER BOARD MEMBER 2.00 0.00 X 0 0 0 JILLIAN SISSON BOARD MEMBER 2.00 0.00 X 0 0 0 DON HUTCHENS BOARD MEMBER 2.00 0.00 X 0 0 0 JAIME SUAREZ DELGADO BOARD MEMBER 2.00 0.00 X 0 0 0 ALAN JARECKI BOARD MEMBER 2.00 0.00 X 0 0 0 CHRISTINA KAHLER BOARD MEMBER 2.00 0.00 X 0 0 0 DAVE RIDDER BOARD MEMBER 2.00 0.00 X 0 0 0 BLANCA MEJIA BOARD MEMBER 2.00 0.00 X 0 0 0 MILTON TRABAL BOARD MEMBER 2.00 0.00 X 0 0 0 MARIA WOLLEN BOARD MEMBER 2.00 0.00 X 0 0 0 ANDREA SKOLKIN CHIEF EXECUTIVE OFFICER 40.00 0.00 X 269591 0 29445 TOM MCLAUGHLIN CHIEF FINANCIAL OFFICER 40.00 0.00 X 142212 0 17261 KRISTINE MCVEA CHIEF MEDICAL OFFICER 40.00 0.00 X 258026 0 26609 RODOLFO SANCHEZ PHYSICIAN 40.00 0.00 X 204160 0 18385 HENRY DETHLEFS IV PHYSICIAN 40.00 0.00 X 200240 0 25467 JEREMY HOWE ASSOCIATE MEDICAL DIRECTOR 40.00 0.00 X 173885 0 16397 ALEX DWORAK ASSOCIATE MEDICAL DIRECTOR 36.00 0.00 X 172808 0 23577 1420922 0 157141 36 0 1 0 CUSTOM COMPUTING CORPORATION 11135 MILL VALLEY ROAD OMAHA NE 68154 BILLING SERVICES 729990 SELDIN COMPANY 16910 FRANCES STREET STE 200 OMAHA NE 68130 PROPERTY MANAGEMENT 382541 ALEGENT CREIGHTON CLINIC 12809 WEST DODGE ROAD OMAHA NE 68154 MEDICAL SERVICES 316192 HEARTLAND COMMUNITY HEALTH NETWORK 4910 S 30TH STREET OMAHA NE 68107 MEDICAL TECHNOLOGY SERVICES 314664 ENVOY INC 3317 N 107TH STREET OMAHA NE 68134 MARKETING SERVICES 308620 12 376336 115741 11229561 15232674 5263643 26954312 MEDICAL CLINIC 621990 14183875 14183875 DENTAL 621990 2572317 2572317 SCHOOL CLINICS 621990 884111 884111 BEHAVIORAL HEALTH PROGRAM 621990 297246 297246 RENTAL REVENUE - RELATED 531120 153427 153427 882658 882658 18973634 287141 287141 1216 0 1216 1216 1216 1169230 1047978 121252 121252 121252 24896 115741 39721 -14825 -14825 5781258 2550210 3231048 3231048 SALARY REIMBURSEMENT 900099 227795 227795 INSURANCE PROCEEDS 900099 17997 17997 RENTAL REVENUE - UNRELATED 531120 5209 5209 251001 49804779 22450474 5209 394784 31628 31628 458509 458509 20982592 19500622 1422601 59369 705453 649553 48639 7261 2414966 2120417 264436 30113 1555412 1424863 114728 15821 59956 59956 71226 71226 57078 57078 2572952 2196991 339407 36554 317445 75496 241949 2221112 1776687 386572 57853 552217 312068 229566 10583 1063578 1024574 39004 107374 67298 36179 3897 235656 160044 70413 5199 891547 828730 62817 156312 57770 98542 DONATED PHARMACEUTICALS 5247168 5247168 BAD DEBT EXPENSE 1280154 1280154 MEDICAL SUPPLIES 794682 794682 LABORATORY 446804 446804 574738 470928 79421 24389 42798559 38466477 4081043 251039 2419767 3614976 3092247 5935929 2455648 3014494 1648323 1274160 68646 40608 238756 242882 567615 441466 28386387 8595897 11237922 19790490 8423674 8174602 971100 989081 31123698 43518688 2523756 2822195 900083 936833 5113670 196000 208862 3619839 9081560 X 24855595 30790780 2648264 3646348 27503859 34437128 31123698 43518688 7006220 -72951 0 X X 0 1 X 1 1 1 X 16349469 18194996 19716420 20719479 26954312 101934676 16349469 18194996 19716420 20719479 26954312 101934676 2440001 99494675 222060 178032 230749 244587 288357 1163785 181059 195959 194959 247739 270688 1090404 104188865 97947763 0.95490 0.95740 X 154 6366 6520 38450957 38457477 1000000 250000 0 0 1000000 1000000 2000000 3000000 24044 6520 30564 250000 250000 500000 750000 12717 154 12871 89288 20000 680 1150 108818 84044 5576 332 89288 68574 10000 6035 565 84044 60489 10000 -1572 343 68574 48217 10000 2272 60489 1.00000 0.00000 0.00000 1 0 16371240 1430995 14940245 6074621 2929166 3145455 4473170 3734569 738601 1467356 501167 966189 19790490 REFUNDABLE ADVANCES 16429 DEFERRED LEASE EXPENSE 192433 208862 X PART X, LINE 2: ONEWORLD IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ONEWORLD HAS RECEIVED A DETERMINATION LETTER THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE INTERNAL REVENUE CODE. THE INTERNAL REVENUE SERVICE HAS ESTABLISHED STANDARDS TO BE MET TO MAINTAIN TAX-EXEMPT STATUS. IN GENERAL, SUCH STANDARDS REQUIRE ONEWORLD TO MEET A COMMUNITY BENEFIT STANDARD AND COMPLY WITH VARIOUS LAWS AND REGULATIONS. LIVESTOCK BUILDING EXCHANGE, LLC IS A LIMITED LIABILITY COMPANY WHOLLY OWNED BY ONEWORLD AND IS A DISREGARDED ENTITY FOR INCOME TAX PURPOSES. ONEWORLD 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. ONEWORLD RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT FEBRUARY 28, 2019 AND FEBRUARY 28, 2018, ONEWORLD HAD NO UNCERTAIN TAX POSITIONS ACCRUED. MILAGRO DINNER 2018 120970 98266 22704 5642 20542 8146 BASEBALL 2018 19667 17475 2192 720 3897 450 324 140637 115741 24896 6362 24439 450 8470 39721 -14825 1 CAB RIDES, SMALL MEDICAL SUPPLIES AND PRESCRIPTION DRUGS 1786 31628 FAIR MARKET VALUE CAB RIDES, SMALL MEDICAL SUPPLIES AND PRESCRIPTION DRUGS PART I, LINE 2: ONEWORLD DETERMINES A PATIENT'S ELIGIBILITY FOR ASSISTANCE BY OBTAINING THE PATIENT'S INCOME INFORMATION. THE FULL FEE DONATION STATUS OR THE EXEMPTION FROM THE SLIDING FEE SCALE APPLIED TO PATIENT ACCOUNTS IS TO ASSIST THOSE PATIENTS WITHOUT THE MEANS TO PAY FOR MEDICAL CARE. THE FINANCIAL STATUS OF THE PATIENT IS ASSESSED AT A MEETING WITH A FINANCIAL COUNSELOR. THE PATIENT PROVIDES DOCUMENTATION OF FINANCIAL HARDSHIP FOR DISCUSSION AT THAT MEETING. IF THE FINANCIAL COUNSELOR DETERMINES THAT IT IS NOT POSSIBLE FOR THE PATIENT TO PAY, THEN THE PATIENT MEETS WITH A SOCIAL SERVICES REPRESENTATIVE TO DETERMINE IF THE PATIENT QUALIFIES FOR FULL FEE DONATION STATUS. AS A TOOL AND TO MAINTAIN CONSISTENCY, THE SOCIAL SERVICES DEPARTMENT REPRESENTATIVE USES THE FULL FEE DONATION STATUS QUESTIONNAIRE TO MAKE THE ASSESSMENT. THE PATIENT CAN QUALIFY FOR FULL FEE DONATION STATUS FOR A PERIOD OF 1 TO 3 MONTHS. X X X X X 0 0 0 0 0 0 0 0 0 ANDREA SKOLKIN CHIEF EXECUTIVE OFFICER 254993 0 0 0 14598 0 11873 0 17572 0 299036 0 0 0 TOM MCLAUGHLIN CHIEF FINANCIAL OFFICER 140461 0 0 0 1751 0 6507 0 10754 0 159473 0 0 0 KRISTINE MCVEA CHIEF MEDICAL OFFICER 251716 0 0 0 6310 0 11615 0 14994 0 284635 0 0 0 RODOLFO SANCHEZ PHYSICIAN 200600 0 0 0 3560 0 9139 0 9246 0 222545 0 0 0 HENRY DETHLEFS IV PHYSICIAN 198164 0 0 0 2076 0 9260 0 16207 0 225707 0 0 0 JEREMY HOWE ASSOCIATE MEDICAL DIRECTOR 172238 0 0 0 1647 0 7806 0 8591 0 190282 0 0 0 ALEX DWORAK ASSOCIATE MEDICAL DIRECTOR 171127 0 0 0 1681 0 8011 0 15566 0 196385 0 0 0 X 745 5263643 FAIR MARKET VALUE 0 1 0 PART I, COLUMN (B): THE NUMBER OF CONTRIBUTIONS IS THE NUMBER OF THE TYPES OF PHARMACEUTICALS RECEIVED. FORM 990, PART VI, SECTION B, LINE 11B BEFORE FILING FORM 990, A DRAFT IS PROVIDED TO THE CFO AND CEO FOR REVIEW. IF ANY CORRECTIONS OR CHANGES ARE NEEDED, THE CFO AND CEO COMMUNICATE THE CHANGES IN WRITING TO THE PREPARER. THE PREPARER ISSUES A REVISED DRAFT OF FORM 990 AND IT IS PROVIDED TO THE FINANCE COMMITTEE FOR DISCUSSION AND REVIEW. UPON ACCEPTANCE BY THE FINANCE COMMITTEE, THE FORM IS PRESENTED TO THE BOARD FOR THE FINAL APPROVAL BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH NEW EMPLOYEE AND NEW BOARD MEMBER IS REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY. THE POLICY IS ALSO REVISITED ANNUALLY AT KEY STAFF MEETINGS TO PROMPT EMPLOYEES TO REPORT ANY TRANSACTIONS RESULTING IN CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION STRUCTURES AT ONEWORLD ARE REVIEWED AND APPROVED ANNUALLY. AN INDEPENDENT THIRD PARTY REVIEW IS CONDUCTED EVERY THREE YEARS. THE LATEST INDEPENDENT REVIEW OCCURRED IN THE FALL OF 2016. IN YEARS WHEN AN INDEPENDENT REVIEW IS NOT CONDUCTED, THE PROCESS BEGINS WITH AN ANNUAL SALARY COMPARISON ACROSS NATIONAL, REGIONAL, AND LOCAL SALARY SURVEYS AND ONEWORLD'S SALARY RANGE STRUCTURES. IF ADJUSTMENTS ARE NEEDED FOR ANY RANGE TO REMAIN COMPETITIVE AGAINST THE MARKET, SUCH CHANGES ARE SUGGESTED AND REVIEWED FOR APPROVAL BY THE COMPENSATION COMMITTEE AND THE ENTIRE BOARD. ONEWORLD USES THE CREEL GROUP TO COMPARE EMPLOYEE COMPENSATION TO OTHER HEALTHCARE ORGANIZATIONS ALONG WITH THE FOLLOWING PUBLISHED SALARY SURVEYS: NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, NON-PROFIT ASSOCIATION OF THE MIDLANDS, HUMAN RESOURCE ASSOCIATION OF THE MIDLANDS COMP DATA, TOWERS WATSON, AND THE MEDICAL GROUP MANAGEMENT ASSOCIATION. ONEWORLD POSITION DESCRIPTIONS ARE COMPARED AGAINST THE SURVEY POSITION DESCRIPTIONS AND LIKE POSITION SALARIES ARE COMPARED AGAINST THE 25TH AND 75TH PERCENTILES OF SURVEY DATA. IF THERE ARE LARGE CHANGES IN THE MARKET FOR A POSITION, THIS INFORMATION IS ASSESSED AND A DETERMINATION IS MADE IF OUR RANGE IS COMPETITIVE OR SHOULD BE ADJUSTED. ONCE SURVEY ASSESSMENT IS COMPLETE, RECOMMENDATIONS ARE SENT TO THE ONEWORLD BOARD OF DIRECTORS FOR APPROVAL OF SALARY RANGES BY POSITION FOR THE YEAR. IN CONSIDERATION OF A SPECIFIC POSITION, SPECIFIC EMPLOYEE OR SPECIFIC CANDIDATE; ONEWORLD WILL TAKE INTO ACCOUNT ONE'S EXPERIENCE, EDUCATION, AND LEVEL OF RESPONSIBILITY TO DETERMINE WHERE ONE'S SALARY WOULD BE WITHIN THE APPROVED SALARY RANGE. POSITION DESCRIPTIONS ARE REVIEWED AND UPDATED EACH YEAR DURING ANNUAL REVIEWS IN THE EARLY SPRING. THE ANNUAL REVIEW OF SALARY RANGES TAKES PLACE IN THE LATE FALL/ EARLY WINTER OF EACH YEAR WITH BOARD APPROVAL BY FEBRUARY OF EACH YEAR. FORM 990, PART VI, SECTION C, LINE 19 CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 2C: THERE HAVE BEEN NO CHANGES FROM THE PRIOR YEAR. THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS SELECTS THE INDEPENDENT ACCOUNTANT AND HAS THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT. UPON CONCLUSION OF THE AUDIT, THE AUDITING FIRM PRESENTS THE RESULTS AND FINDINGS TO THE AUDIT COMMITTEE AND THE BOARD OF DIRECTORS. ONEWORLD COMMUNITY BUILDERS LLC 4980 S 30TH STREET SUITE 103 OMAHA NE 68107 270791687 FACILITY DEVELOPMENT NE 0 0 ONEWORLD COMMUNITY HEALTH CENTERS INC ONEWORLD EXCHANGE LLC 4980 S 30TH STREET SUITE 103 OMAHA NE 68107 463690550 FACILITY DEVELOPMENT NE 0 0 ONEWORLD COMMUNITY HEALTH CENTERS INC LIVESTOCK EXCHANGE BUILDING LLC 4980 S 30TH STREET SUITE 103 OMAHA NE 68107 432005184 FACILITY DEVELOPMENT NE 280318 9986726 ONEWORLD EXCHANGE LLC LIVESTOCK COMMONS LLC 4980 S 30TH STREET SUITE 103 OMAHA NE 68107 270831017 LOW INCOME HOUSING NE ONEWORLD COMMUNITY BUILDERS LLC RELATED 0 1 0.00010 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0