2014-11-11T10:36:18-06:00 2013-12-31 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2013-01-01 470765107 OMNI BEHAVIORAL HEALTH OMNI 4023979866 5115 F STREET OMAHA NE 68117 MORGAN KELLY TREASURER AND GENERAL COUNSEL 4023979866 2014-11-10 1 DANIEL L HASSEL P00400868 4023302660 2013 2015-11-30 17:44:51Z MORGAN KELLY 5115 F STREET OMAHA NE 68117 13744645 0 X WWW.OMNIBEHAVIORALHEALTH.COM X 1994 NE SOCIAL SERVICE CARE 5 4 252 0 0 0 0 1500 12292146 12587533 85449 275543 3491 0 12381086 12864576 0 0 0 0 6471108 6912017 0 0 0 4927832 5221871 11398940 12133888 982146 730688 10519781 11304087 1765239 1987722 8754542 9316365 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 1884695 2132728 SHORT-TERM RESIDENTIAL CARE - PROVIDE 24 HOUR CARE TO YOUTH PER CONTRACT WITH NEBRASKA DEPARTMENT OF SOCIAL SERVICES 2015959 2571901 THERAPUTIC FOSTER CARE - PROVIDE COMPREHENSIVE, INDIVIDUAL COMMUNITY-BASED TREATMENT FOR TROUBLED YOUTH WITHIN PRIVATE HOMES OF TRAINED FAMILIES 4858887 5760844 DEVELOPMENT DISABILITY SERVICES - INCLUDES INTENSIVE TREATMENT MOBILITY SERVICE, AS WELL AS GROUP HOME SERVICE AND EXTENDED FAMILY HOMES FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES. 2010546 2122060 OTHER PROGRAM SERVICES - EATING DISORDERS, SAFETY AND IN-HOME AND OTHER TREATMENT SERVICES 2010546 2122060 10770087 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 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 0 0 1 79 0 1 252 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 X X 170103 0 53011 MACK GREDER VICE-PRESIDENT 4.00 X X 0 0 0 BARBARA HUFF SECRETARY 4.00 X X 0 0 0 CALVIN GARBIN DIRECTOR 4.00 X 0 0 0 KELLY WANZENRIED DIRECTOR 4.00 X 0 0 0 MORGAN KELLY TREASURER 40.00 X 139289 0 58503 309392 0 111514 2 0 1 0 IT SERVICES OF OMAHA 3407 SOUTH 21ST ST OMAHA NE 68108 COMPUTER SUPPORT 275469 PAMELA KURTIS BACHMAN PO BOX 914 ADAMS NE 68301 FOSTER PARENTS 142147 YOLANDA SMITH 3624 FLORENCE BOULEVARD OMAHA NE 68110 FOSTER PARENT 135175 DENISE SMITH 6017 N 48TH STREET OMAHA NE 68104 FOSTER PARENT 104886 4 1500 1500 DEVELOPMENT DISABILITY SERVICES 624100 5760844 5760844 THERAPUTIC FOSTER CARE 624100 2571901 2571901 STATE RESIDENTIAL CARE 624100 2132728 2132728 HOME-BASED THERAPY 624100 993124 993124 SAFETY & IN-HOME 624100 864421 864421 264515 264515 12587533 118039 118039 953073 84500 825219 54850 127854 29650 157504 157504 12864576 12587533 0 275543 X 420906 420906 5127803 4731695 396108 954618 925308 29310 408690 402971 5719 70195 70195 3605171 3584695 20476 8770 2419 6351 519519 425981 93538 73026 69769 3257 383527 340345 43182 7557 3867 3690 52112 8769 43343 207271 49604 157667 144415 144415 BOOKS & SUBSCRIPTIONS 58247 14082 44165 MEMBERSHIP EXPENSES 44269 21305 22964 CLIENT EXPENSES 38915 37263 1652 MEDICAL EXPENSES 8061 6783 1278 816 816 12133888 10770087 1363801 0 59 59 2649345 3257116 2643601 2440707 79450 53620 5860854 2118219 3749040 3742635 1470555 1725714 7181 4786 10519781 11304087 477129 794356 1288110 1193366 1765239 1987722 X 8754542 9316365 8754542 9316365 10519781 11304087 730688 196 -169061 0 X X 1 X 0 1 0 X 104918 56321 1500 162739 7956186 9125927 10253244 12292146 12587533 52215036 7956186 9230845 10309565 12292146 12589033 52377775 0 0 0 52377775 40841 46306 57392 62982 118039 325560 40841 46306 57392 62982 118039 325560 8164 15465 14202 3491 41322 8005191 9292616 10381159 12358619 12707072 52744657 0.99300 0.99100 0.00620 0.00820 X 308972 308972 4131700 903690 3228010 945434 804125 141309 474748 410404 64344 3742635 X 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, 2013, OMNI HAD NO UNCERTAIN TAX POSITIONS ACCRUED. GENERALLY, OMNI IS NO LONGER SUBJECT TO EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2010. X X X 0 0 0 0 0 0 0 0 0 WILLIAM REAY PRESIDENT, CEO 156601 0 10000 0 3502 0 43318 0 9693 0 223114 0 0 0 MORGAN KELLY TREASURER 125737 0 10000 0 3552 0 43318 0 15185 0 197792 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. 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 3,158,673. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,158,673. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 408,878. MANAGEMENT AND GENERAL EXPENSES 15,424. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 424,302. PROFESSIONAL LICENSING FEES: PROGRAM SERVICE EXPENSES 17,144. MANAGEMENT AND GENERAL EXPENSES 37. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,181. BILLING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,015. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,015. FORM 990, PART XII, LINE 12C: THE BOARD ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE COMPILATION OF OMNI BEHAVIORAL HEALTH'S FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.