2013-11-14T07:28:11-06:00 2012-12-31 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2012-01-01 470765107 OMNI BEHAVIORAL HEALTH OMNI 4023979866 5115 F STREET OMAHA NE 68117 MORGAN KELLY 4023979866 2013-11-13 1 JULIE M GERKEN P00400882 4023302660 2012 2016-02-25 16:41:14Z MORGAN KELLY 5115 F STREET OMAHA NE 68117 12887744 0 X WWW.OMNIBEHAVIORALHEALTH.COM X 1994 NE SOCIAL SERVICE CARE 5 4 260 0 0 0 56321 0 10253244 12292146 57392 85449 14202 3491 10381159 12381086 100000 0 0 0 5926695 6471108 0 0 0 3773305 4927832 9800000 11398940 581159 982146 9417698 10519781 1686985 1765239 7730713 8754542 X RECOGNIZING THE IMPORTANCE OF COOPERATION FOR IMPROVING THE LIVING CONDITIONS OF CHILDREN IN EVERY COMMUNITY, OMNI WILL PROMOTE THOSE ACTIVITIES WHICH ENHANCE PERSONAL AUTONOMY WHILE PROMOTING THE SPIRIT OF GLOBAL COMMUNITY. 0 0 1950231 2480209 SHORT-TERM RESIDENTIAL CARE - PROVIDE 24 HOUR CARE TO YOUTH PER CONTRACT WITH NEBRASKA DEPARTMENT OF SOCIAL SVCS 2096071 2540544 THERAPUTIC FOSTER CARE - PROVIDES COMPREHENSIVE, INDIVDUAL COMMUNITY-BASED TREATMENT FOR TROUBLED YOUTH WITHIN PRIVATE HOMES OF TRAINED FAMILIES 4108855 5144615 DEVELOPMENT DISABILITY SERVICES - INCLUDES INTENSIVE TREATMENT MOBILITY SERVICE, AS WELL AS GROUP HOME SERVICE AND EXTENDED FAMILY HOMES FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES. 1864289 2126778 OTHER PROGRAM SERVICES - EATING DISORDERS, SAFETY AND IN-HOME AND OTHER TREATMENT SERVICES 1864289 2126778 10019446 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 53 0 1 260 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 1 1 1 1 0 1 1 0 0 X MORGAN KELLY 4023979866 5115 F STREET OMAHA NE 68117 WILLIAM REAY 40.00 0.00 X X 169072 0 11813 MACK GREDER 4.00 0.00 X 0 0 0 BARBARA HUFF 4.00 0.00 X 0 0 0 KELLY WANZENRIED 4.00 0.00 X 0 0 0 CALVIN GARBIN 4.00 0.00 X 0 0 0 MORGAN KELLY 40.00 0.00 X 139182 0 10694 KRISTINE TEVIS 40.00 0.00 X 72890 0 4739 381144 0 27246 2 0 1 0 IT SERVICES OF OMAHA 3407 SOUTH 21ST ST OMAHA NE 68108 COMPUTER SUPPORT 193146 1 DEVELOPMENT DISABILITY SERVICES 624100 5144615 5144615 THERAPUTIC FOSTER CARE 624100 2540544 2540544 STATE RESID'L CARE 624100 2480209 2480209 SAFETY & IN-HOME 624100 868741 868741 HOME-BASED THERAPY 624100 836621 836621 421416 421416 12292146 62982 62982 529125 506658 22467 22467 22467 OTHER REVENUE 900099 3491 3491 3491 12381086 12292146 0 88940 X 5276400 4623831 652569 752965 663427 89538 441743 395602 46141 15000 15000 38946 38946 3152347 3126288 26059 14668 7415 7253 595624 500898 94726 70838 67303 3535 356435 337055 19380 7603 1155 6448 84519 10610 73909 209156 42772 166384 225555 149903 75652 BOOKS & SUBSCRIPTIONS 55787 17545 38242 CLIENT EXPENSES 48686 48611 75 MEMBERSHIP EXPENSES 31376 7036 24340 MEDICAL EXPENSES 19389 18092 1297 1903 1903 11398940 10019446 1379494 0 59 59 1831956 2649345 2468249 2643601 5752564 2003524 3740059 3749040 1369885 1470555 7490 7181 9417698 10519781 319879 477129 1367106 1288110 1686985 1765239 X 7730713 8754542 7730713 8754542 9417698 10519781 982146 41683 0 X X 1 X 0 1 0 X 104918 56321 161239 8689596 7956186 9125927 10253244 12292146 48317099 8689596 7956186 9230845 10309565 12292146 48478338 0 0 0 48478338 191895 40841 46306 57392 62982 399416 191895 40841 46306 57392 62982 399416 -85 8164 15465 14202 3491 41237 8881406 8005191 9292616 10381159 12358619 48918991 0.99100 0.98950 0.00820 0.00970 X 308972 308972 4120729 841017 3279712 906432 808713 97719 416431 353794 62637 3749040 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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, 2012, OMNI HAD NO UNCERTAIN TAX POSITIONS ACCRUED. GENERALLY, OMNI IS NO LONGER SUBJECT TO EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2009. X X X 0 0 0 0 0 0 0 0 0 WILLIAM REAY 159072 0 10000 0 0 0 2365 0 9448 0 180885 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 REGARDING THEMSELVES, AND THE CEO REPORTS TO THE BOARD ON THIS MATTER REGARDING THE CEO. BOARD MEMBERS AND OFFICERS ANNUALLY DISCLOSE INTERSTS 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. THAT DATA 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 THE CEO 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. OTHER FEES FORM 990, PART IX, LINE 11G FOSTER CARE STIPENDS: PROGRAM SERVICE EXPENSES 2,807,425. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,807,425. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 299,313. MANAGEMENT AND GENERAL EXPENSES 13,601. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 312,914. PROFESSIONAL LICENSING FEES: PROGRAM SERVICE EXPENSES 19,550. MANAGEMENT AND GENERAL EXPENSES 5,711. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,261. BENEFIT MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,610. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,610. BILLING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,137. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,137. 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.