2012-11-14T16:55:26-06:00 2011-12-31 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2011-01-01 470765107 OMNI BEHAVIORAL HEALTH OMNI 4023979866 5115 F STREET OMAHA NE 68117 MORGAN KELLY 4023979866 2012-11-13 1 JULIE M GERKEN P00400882 4023302660 2011 2016-02-24 21:20:13Z MORGAN KELLY 5115 F STREET OMAHA NE 68117 10381159 0 X WWW.OMNIBEHAVIORALHEALTH.COM X 1994 NE SOCIAL SERVICE CARE 5 4 228 0 0 0 104918 56321 9125927 10253244 110241 57392 15465 14202 9356551 10381159 0 100000 0 0 5699511 5926695 0 0 0 3266133 3773305 8965644 9800000 390907 581159 8957285 9417698 1753508 1686985 7203777 7730713 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. 1 0 1937293 2121987 SHORT-TERM RESIDENTIAL CARE - PROVIDE 24 HOUR CARE TO YOUTH PER CONTRACT WITH NEBRASKA DEPARTMENT OF SOCIAL SVCS 2781562 3644271 THERAPUTIC FOSTER CARE - PROVIDES COMPREHENSIVE, INDIVDUAL COMMUNITY-BASED TREATMENT FOR TROUBLED YOUTH WITHIN PRIVATE HOMES OF TRAINED FAMILIES 1836347 2126178 DEVELOPMENT DISABILITY SERVICES - INCLUDES INTENSIVE TREATMENT MOBILITY SERVICE, AS WELL AS GROUP HOME SERVICE AND EXTENDED FAMILY HOMES FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES. 2111117 100000 2360808 OTHER PROGRAM SERVICES - EATING DISORDERS, SAFETY AND IN-HOME AND OTHER TREATMENT SERVICES 2111117 100000 2360808 8666319 1 1 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 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 35 0 1 228 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 X X 150774 0 7018 MACK GREDER 4.00 X 0 0 0 BARBARA HUFF 4.00 X 0 0 0 KELLY WANZENRIED 4.00 X 0 0 0 CALVIN GARBIN 4.00 X 0 0 0 MORGAN KELLY 40.00 X 121977 0 5985 272751 0 13003 2 0 1 0 IT SERVICES OF OMAHA 3407 SOUTH 21ST ST OMAHA NE 68108 COMPUTER SUPPORT 170626 1 56321 56321 56321 THERAPUTIC FOSTER CARE 624100 3644271 3644271 DEVELOPMENT DISABILITY 624100 2126178 2126178 STATE RESID'L CARE 624100 2121987 2121987 SAFETY & IN-HOME 624100 1072577 1072577 HOME-BASED THERAPY 624100 885906 885906 402325 402325 10253244 57392 57392 OTHER REVENUE 900099 14202 14202 14202 10381159 10253244 0 71594 100000 100000 285754 285754 4503208 4204775 298433 734865 642730 92135 402868 360066 42802 1000 1000 32907 32907 3544 3544 2109624 2095653 13971 21077 15801 5276 548377 483054 65323 107096 103796 3300 260556 250467 10089 6163 4380 1783 68108 7585 60523 213742 44191 169551 228189 226458 1731 CLIENT EXPENSES 50523 50523 BOOKS & SUBSCRIPTIONS 47703 22007 25696 MEDICAL EXPENSES 38111 35476 2635 MEMBERSHIP EXPENSES 19168 8914 10254 17417 9443 7974 9800000 8666319 1133681 0 59 59 2160253 1831956 1613775 2468249 55441 5529669 1789610 3754855 3740059 1372902 1369885 0 7490 8957285 9417698 281339 319879 1472169 1367106 1753508 1686985 X 7203777 7730713 7203777 7730713 8957285 9417698 X 581159 -54223 X X 1 0 0 X 0 X 104918 56321 161239 9250624 8689596 7956186 9125927 10253244 45275577 9250624 8689596 7956186 9230845 10309565 45436816 0 0 0 45436816 107996 191895 40841 46306 57392 444430 107996 191895 40841 46306 57392 444430 1478 -85 8164 15465 14202 39224 9360098 8881406 8005191 9292616 10381159 45920470 0.98950 0.98740 0.00970 0.01210 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 308439 308439 3940536 733114 3207422 871692 776234 95458 409002 280262 128740 3740059 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2011, OMNI HAD NO UNCERTAIN TAX POSITIONS ACCRUED. GENERALLY, OMNI IS NO LONGER SUBJECT TO EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2008. 1 NEBRASKA FAMILIES COLLABORATIVE 14086 MOTHER TERESA LANE BOYS TOWN NE 68010 264436716 509(A)(1) 100000 OPERATING EXPENSES 1 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: OMNI BEHAVIORAL HEALTH (OMNI) GAVE GRANT FUNDS TO NEBRASKA FAMILIES COLLABORATIVE AN ORGANIZATION IN THE SAME COMMUNITY AS OMNI. THE GRANTS FUNDS WERE UTILIZED FOR OPERATING EXPENSES OF NEBRASKA FAMILIES COLLABORATIVE. X X X 0 0 0 0 0 0 0 0 0 WILLIAM REAY 147656 0 3118 0 0 0 2100 0 4918 0 157792 0 0 0 X SOFTWARE 1 56321 FAIR MARKET VALUE 0 0 0 NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 DURING 2011, OMNI ADDED EXTENDED FAMILY HOME SERVICES WHICH ARE COMMUNITY BASED HOMES WHEREIN ADULT DISABILITY SERVICES ARE PROVIDED IN A MANNER VERY SIMILAR TO THOSE PROVIDED IN OMNI'S GROUP HOMES. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -54,223. 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.