2017-08-04T15:41:48-05:00 2017-02-28 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2016-03-01 470548990 ONEWORLD COMMUNITY HEALTH CENTERS INC ONEW 4027344110 4920 SOUTH 30TH STREET NO 103 OMAHA NE 68107 ANDREA SKOLKIN CHIEF EXECUTIVE OFFICER 4027344110 2017-08-03 1 BARBARA J FAJEN P00400874 4023302660 209.34.201.180 2017-08-03 10:02:19 CD P 876BE3EDFAF35ED687A48C1D6A395F974978876D C299A94BE5AD8C02AF4BA4D8B7C4DB3D2DC5F135 2016 2021-01-29 14:40:06Z ANDREA SKOLKIN 4920 SOUTH 30TH STREET NO 103 OMAHA NE 68107 42220037 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 WIC SERVICES TO LOW INCOME MOTHERS AND CHILDREN AND OTHER SUPPORTIVE SERVICES. 14 14 522 27 0 0 18194996 19716420 14343831 16634876 119348 250327 1150954 2166234 33809129 38767857 63268 31658 0 0 19272383 21855844 0 0 326224 13777885 15909539 33113536 37797041 695593 970816 28078607 29956799 3821981 4273404 24256626 25683395 X ONEWORLD COMMUNITY HEALTH CENTERS, IN PARTNERSHIP WITH THE COMMUNITY, PROVIDE CULTURALLY RESPECTFUL, QUALITY HEALTHCARE WITH SPECIAL ATTENTION TO THE UNDERSERVED. 0 0 21461371 12145265 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 90,630 VISITS TO 33,291 PATIENTS. 3583210 2389333 THE DENTAL CLINIC PROVIDED 18,535 VISITS TO 8,362 PATIENTS. 5703756 1967879 THE PHARMACY DEPARTMENT CONTINUED TO GROW RESULTING IN INCREASED PATIENT VOLUME. IN THIS CURRENT YEAR, IT PROVIDED 99,978 SCRIPTS. 3664734 31658 2309428 OTHER PROGRAM SERVICES 3664734 31658 2309428 34413071 1 1 0 0 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 50 0 1 522 1 0 0 0 0 0 1 1 0 0 0 0 X 14 14 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 DAVE RIDDER BOARD CHAIR 2.00 0.00 X X 0 0 0 PAULA SCHULZ VICE CHAIR 2.00 0.00 X X 0 0 0 DAN MCMAHON TREASURER 2.00 0.00 X X 0 0 0 JEAN FLOTT SECRETARY 2.00 0.00 X X 0 0 0 NURIA ARCHER 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 CORREEN HARRELL 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 SUZI STERBA BOARD MEMBER 2.00 0.00 X 0 0 0 JAIME SUAREZ DELGADO BOARD MEMBER 2.00 0.00 X 0 0 0 SHANNON WALLACE BOARD MEMBER THRU MAY 2016 2.00 0.00 X 0 0 0 ANDREA SKOLKIN CHIEF EXECUTIVE OFFICER 40.00 0.00 X 244407 0 29218 TOM MCLAUGHLIN CHIEF FINANCIAL OFFICER 40.00 0.00 X 130592 0 17602 KRISTINE MCVEA CHIEF MEDICAL OFFICER 40.00 0.00 X 234159 0 28445 HENRY DETHLEFS IV PHYSICIAN 40.00 0.00 X 190341 0 25955 ALEX DWORAK ASSOCIATE MEDICAL DIRECTOR 36.00 0.00 X 165139 0 24182 WESLEY MEYER PHYSICIAN 40.00 0.00 X 160865 0 12625 JEREMY HOWE ASSOCIATE MEDICAL DIRECTOR 40.00 0.00 X 163833 0 18370 1289336 0 156397 28 0 1 0 CUSTOM COMPUTING CORPORATION 11135 MILL VALLEY ROAD OMAHA NE 68154 BILLING SERVICES 657304 SELDIN COMPANY 16910 FRANCES STREET STE 200 OMAHA NE 68130 PROPERTY MANAGEMENT 358508 HEARTLAND COMMUNITY HEALTH NETWORK 4910 S 30TH STREET OMAHA NE 68107 MEDICAL TECHNOLOGY SERVICES 271453 QUEST DIAGNOSTICS 10020 NICHOLAS ST SUITE 102 OMAHA NE 68114 LABORATORY SERVICES 234150 MIDWEST MAINTENANCE INC 2901 Q STREET OMAHA NE 68107 JANITORIAL SERVICES 146248 7 458300 124426 10238147 8895547 5559324 19716420 MEDICAL CLINIC 621990 12145265 12145265 DENTAL 621990 2389333 2389333 SCHOOL CLINICS 621990 745589 745589 BEHAVIORAL HEALTH PROGRAM 621990 560690 560690 793999 793999 16634876 214738 214738 16011 0 16011 16011 16011 1533707 11248 1509366 0 24341 11248 35589 35589 14946 124426 41752 -26806 -26806 3868941 1901062 1967879 1967879 SALARY REIMBURSEMENT 900099 180013 180013 INVOLUNTARY CONVERSION 900099 29137 29137 209150 38767857 18811905 0 239532 31658 31658 421819 421819 17746165 16459902 1112054 174209 577961 531846 35860 10255 1760434 1579385 164108 16941 1349465 1228698 101185 19582 32070 1681 30389 103740 103740 48879 48879 2125264 1840146 229468 55650 233317 40925 192392 1813285 1468175 331325 13785 458212 292127 155774 10311 1134806 1123173 11633 88428 74587 12266 1575 187579 141051 43192 3336 960928 960928 135115 135000 115 DONATED PHARMACEUTICALS 5559324 5559324 BAD DEBT EXPENSE 1760540 1760540 MEDICAL SUPPLIES 582239 582239 LABORATORY 370700 370700 315113 230986 63547 20580 37797041 34413071 3057746 326224 1109872 1131699 4227309 4852676 1231862 1986765 1348849 1713477 560468 821917 206708 247459 626365 527458 18596758 6735919 12492995 11860839 5300418 5835674 973761 978835 28078607 29956799 2817761 3208728 808220 868676 196000 196000 3821981 4273404 X 22405532 23735294 1851094 1948101 24256626 25683395 28078607 29956799 970816 455953 0 X X 0 1 X 1 1 1 X 21499068 14663616 16349469 18194996 19716420 90423569 21499068 14663616 16349469 18194996 19716420 90423569 824440 89599129 209059 198642 222060 178032 230749 1038542 245424 271568 181059 195959 194959 1088969 92551080 71234019 0.96810 0.96920 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 68574 10000 6035 565 84044 60489 10000 -1572 343 68574 48217 10000 2272 60489 33386 10000 4831 48217 21804 10000 1582 33386 1.00000 0.00000 0.00000 1 0 8054694 774602 7280092 5491169 2050734 3440435 4417083 3488670 928413 633812 421913 211899 11860839 LONG TERM NOTE PAYABLE 196000 196000 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. ONEWORLD ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING GUIDANCE INCLUDED IN FASB 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, 2017 AND FEBRUARY 29, 2016, ONEWORLD HAD NO UNCERTAIN TAX POSITIONS ACCRUED. MILAGRO DINNER 2016 120493 105838 14655 335 20477 5713 5741 CINCO 2016 18879 18588 291 4953 1127 3406 139372 124426 14946 5288 21604 5713 9147 41752 -26806 1 CAB RIDES, SMALL MEDICAL SUPPLIES AND PRESCRIPTION DRUGS 1982 0 31658 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 FREE 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 FREE DONATION STATUS. AS A TOOL AND TO MAINTAIN CONSISTENCY, THE SOCIAL SERVICES DEPARTMENT REPRESENTATIVE USES THE FULL FREE DONATION STATUS QUESTIONNAIRE TO MAKE THE ASSESSMENT. THE PATIENT CAN QUALIFY FOR FULL FREE DONATION STATUS FOR A PERIOD OF 1 TO 3 MONTHS. A REPORT DETAILING THE PATIENTS QUALIFYING FOR FULL FREE DONATION STATUS IS REVIEWED MONTHLY BY THE CFO AND CEO OF ONEWORLD. X X X X X 0 0 0 0 0 0 0 0 0 ANDREA SKOLKIN CHIEF EXECUTIVE OFFICER 231807 0 0 0 12600 0 10883 0 18335 0 273625 0 0 0 KRISTINE MCVEA CHIEF MEDICAL OFFICER 227657 0 0 0 6502 0 10649 0 17796 0 262604 0 0 0 HENRY DETHLEFS IV PHYSICIAN 187975 0 0 0 2366 0 8814 0 17141 0 216296 0 0 0 ALEX DWORAK ASSOCIATE MEDICAL DIRECTOR 163331 0 0 0 1808 0 7667 0 16515 0 189321 0 0 0 WESLEY MEYER PHYSICIAN 159079 0 0 0 1786 0 7201 0 5424 0 173490 0 0 0 JEREMY HOWE ASSOCIATE MEDICAL DIRECTOR 162082 0 0 0 1751 0 7459 0 10911 0 182203 0 0 0 X 691 5559324 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 QUARTERLY AT EACH STAFF MEETING TO REMIND 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 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0