2015-08-12T12:12:46-05:00 2014-12-31 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2014-01-01 470765107 OMNI BEHAVIORAL HEALTH OMNI 4023979866 5115 F STREET OMAHA NE 68117 MORGAN KELLY TREASURER AND GENERAL COUNSEL 4023979866 2015-08-11 1 DANIEL L HASSEL P00400868 4023302660 2014 2016-02-25 16:41:14Z MORGAN KELLY 5115 F STREET OMAHA NE 68117 13820146 0 X WWW.OMNIBEHAVIORALHEALTH.COM X 1994 NE SOCIAL SERVICE CARE 5 4 234 0 0 0 1500 70858 12587533 12985821 275543 303248 0 0 12864576 13359927 0 0 0 0 6912017 7201545 0 0 0 5221871 5469624 12133888 12671169 730688 688758 11304087 12040194 1987722 2394148 9316365 9646046 X RECOGNIZING THE IMPORTANCE OF COOPERATION FOR IMPROVING THE LIVING CONDITIONS OF CHILDREN, ADOLESCENTS, ADULTS, AND THEIR FAMILIES IN EVERY COMMUNITY, OMNI WILL PROMOTE THOSE ACTIVITIES WHICH ENHANCE PERSONAL AUTONOMY WHILE PROMOTING THE SPIRIT OF THE GLOBAL COMMUNITY. 0 0 1720150 2179798 SHORT-TERM RESIDENTIAL CARE - PROVIDE 24 HOUR CARE TO YOUTH PER CONTRACT WITH NEBRASKA DEPARTMENT OF SOCIAL SERVICES 2150505 2778086 THERAPUTIC FOSTER CARE - PROVIDE COMPREHENSIVE, INDIVIDUAL COMMUNITY-BASED TREATMENT FOR TROUBLED YOUTH WITHIN PRIVATE HOMES OF TRAINED FAMILIES 4748608 6047124 DEVELOPMENT DISABILITY SERVICES - INCLUDES INTENSIVE TREATMENT MOBILITY SERVICE, AS WELL AS GROUP HOME SERVICE AND EXTENDED FAMILY HOMES FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES. 1839951 1980813 OTHER PROGRAM SERVICES - EATING DISORDERS, SAFETY AND IN-HOME AND OTHER TREATMENT SERVICES 1839951 1980813 10459214 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 98 0 1 234 1 0 0 0 0 0 0 0 0 0 0 X 5 4 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 1 1 0 0 X MORGAN KELLY 4023979866 5115 F STREET OMAHA NE 68117 WILLIAM REAY PRESIDENT, CEO 40.00 0.00 X X 223412 0 57286 MACK GREDER VICE-PRESIDENT 4.00 0.00 X X 0 0 0 BARBARA HUFF SECRETARY 4.00 0.00 X X 0 0 0 CALVIN GARBIN DIRECTOR 4.00 0.00 X 0 0 0 KELLY WANZENRIED DIRECTOR 4.00 0.00 X 0 0 0 MORGAN KELLY TREASURER 40.00 0.00 X 191396 0 56256 414808 0 113542 2 0 1 0 PEOPLE SERVICE CENTER DBA CATCH INTELL 10868 W DODGE RD OMAHA NE 68154 IT SERVICES 188243 DENISE SMITH 6017 N 48TH STREET OMAHA NE 68104 FOSTER PARENT 186517 YOLANDA SMITH 3264 FLORENCE BLVD OMAHA NE 68110 FOSTER PARENT 144060 UNIVERSAL LIFESTILES LLC 8126 WESTBROOK DR INDIANAPOLIS IN 46278 CAREGIVER TRAINING 138355 KEVIN MCGAUGH 2024 FLORENCE BLVD OMAHA NE 68110 FOSTER PARENT 124879 6 70858 67525 70858 DEVELOPMENT DISABILITY SERVICES 624100 6047124 6047124 THERAPUTIC FOSTER CARE 624100 2778086 2778086 STATE RESIDENTIAL CARE 624100 2179798 2179798 HOME-BASED THERAPY 624100 821078 821078 SAFETY & IN-HOME 624100 788911 788911 370824 370824 12985821 222643 222643 540824 460219 80605 80605 80605 13359927 12985821 0 303248 X 528350 528350 5060470 4585829 474641 171848 171848 1000150 799428 200722 440727 389101 51626 5183 5183 1153 1153 130560 130560 3812722 3671439 141283 10872 2960 7912 493948 442980 50968 78053 75061 2992 340972 320708 20264 4520 1916 2604 52771 10134 42637 196074 66467 129607 194399 194399 BOOKS & SUBSCRIPTIONS 63137 25548 37589 CLIENT EXPENSES 58403 58226 177 MEMBERSHIP EXPENSES 13882 6708 7174 MISCELLANEOUS 10356 160 10196 2619 2549 70 12671169 10459214 2211955 0 59 59 3257116 3429695 2440707 2868099 79450 72937 53620 70565 6191664 2314051 3742635 3877613 1725714 1715496 4786 5730 11304087 12040194 794356 1198701 1193366 1195447 1987722 2394148 X 9316365 9646046 9316365 9646046 11304087 12040194 688758 -285886 -73191 0 X X 0 1 X 1 0 X 104918 56321 1500 3333 166072 9125927 10253244 12292146 12587533 12985821 57244671 9230845 10309565 12292146 12589033 12989154 57410743 0 0 0 57410743 46306 57392 62982 118039 222643 507362 46306 57392 62982 118039 222643 507362 15465 14202 3491 33158 9292616 10381159 12358619 12707072 13211797 57951263 0.99070 0.99300 0.00880 0.00620 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 320473 320473 4301991 1023298 3278693 1075376 844178 231198 493824 446575 47249 3877613 X 13006516 -285886 -285886 13292402 67525 67525 13359927 12671169 0 12671169 0 12671169 PART X, LINE 2: OMNI IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ACCORDANCE WITH IRS REGULATIONS OMNI ANNUALLY FILES AN IRS FORM 990, RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX. OMNI ACCOUNTS FOR UNCERTAINTIES IN ACCOUNTING FOR INCOME TAX ASSETS AND LIABILITIES USING THE GUIDANCE INCLUDED IN FASB ASC TOPIC 740, INCOME TAXES. OMNI RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. AT DECEMBER 31, 2014, OMNI HAD NO UNCERTAIN TAX POSITIONS ACCRUED. GENERALLY, OMNI IS NO LONGER SUBJECT TO EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2011. PART XI, LINE 4B - OTHER ADJUSTMENTS: CONTRIBUTIONS 67,525. X X X 0 0 0 0 0 0 0 0 0 WILLIAM REAY PRESIDENT, CEO 223292 0 0 0 120 0 46543 0 10743 0 280698 0 0 0 MORGAN KELLY TREASURER 191276 0 0 0 120 0 46153 0 10103 0 247652 0 0 0 X SOFTWARE 2 67525 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THERE IS NO COMMITTEE TO ACT ON BEHALF OF THE BOARD. THEREFORE, THERE WOULD NOT BE CONTEMPORANEOUS DOCUMENTATION OF MEETINGS HELD OR ACTIONS WRITTEN. FORM 990, PART VI, SECTION B, LINE 11 OMNI'S FORM 990 WILL BE REVIEWED BY THE TREASURER/CHIEF FINANCIAL OFFICER IN CONJUNCTION WITH OMNI'S OFFICE MANAGER PRIOR TO FILING. COPIES OF THE COMPLETED FORM 990 WILL BE GIVEN TO THE BOARD AT THE ANNUAL MEETING, WHICH MAY OR MAY NOT OCCUR BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND ALL OTHER POLICIES AT TIME OF HIRE, AND ARE REQUIRED TO REPORT TO SUPERVISORS ANY OUTSIDE EMPLOYMENT. OFFICERS AND KEY EMPLOYEES REPORT TO THE CEO ON THIS MATTER, AND THE CEO REPORTS TO THE BOARD. BOARD MEMBERS AND OFFICERS ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO A CONFLICT. BOARD MEMBERS WILL RECUSE THEMSELVES IF AND WHEN SUCH A CONFLICT WOULD ARISE. FORM 990, PART VI, SECTION B, LINE 15A ALL SALARIES AND WAGES ARE TIED TO, AND EMBEDDED IN FAIR MARKET VALUE BY CONSULTATION WITH INDEPENDENT, THIRD-PARTY SALARY SURVEY COMPARABILITY DATA WHICH IS UPDATED EVERY TWO TO FIVE YEARS, DEPENDING UPON ORGANIZATIONAL CHANGES. THE BOARD SETS THE CEO'S SALARY ANNUALLY IN ACCORD WITH THAT PRACTICE. THE CEO IS A BOARD MEMBER, BUT DOES NOT VOTE ON HIS/HER OWN SALARY. THE CEO SETS ALL OTHER SALARIES AND WAGES ACCORDING TO THAT PROCESS. FORM 990, PART VI, SECTION C, LINE 19 OMNI DOES NOT MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G FOSTER CARE STIPENDS: PROGRAM SERVICE EXPENSES 3,065,743. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,065,743. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 574,371. MANAGEMENT AND GENERAL EXPENSES 134,800. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 709,171. PROFESSIONAL LICENSING FEES: PROGRAM SERVICE EXPENSES 31,325. MANAGEMENT AND GENERAL EXPENSES 918. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,243. BILLING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,565. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,565. FORM 990, PART XII, LINE 12C: THE BOARD ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF OMNI BEHAVIORAL HEALTH'S FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.