2023-04-12T18:36:14-04:00 2022-06-30 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2021-07-01 470493594 COMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA COMM 3086353089 3350 10TH STREET GERING NE 69341 MERI GIFFORD CFO 3086353089 2023-03-15 true MERI GIFFORD 999009999 THOMAS DINGUS P00951009 5092420874 2023-04-12 2021 2023-04-26 12:10:37Z MARGO HARTMAN 3350 10TH STREET GERING NE 69341 16643699 false X WWW.CAPWN.ORG X 1965 NE TO PROVIDE QUALITY SERVICES AND PROMOTE LEARNING OPPORTUNITIES TO IMPROVE AND NURTURE THE HEALTH AND WELL BEING OF WESTERN NEBRASKA COMMUNITIES. 14 14 217 3 0 9301329 9382163 4969481 6853917 1256 67427 187281 174733 14459347 16478240 954207 824085 0 7771577 8494579 0 0 4566159 5025489 13291943 14344153 1167404 2134087 7582124 9588655 1927101 1799545 5655023 7789110 X TO PROVIDE QUALITY SERVICES AND PROMOTE LEARNING OPPORTUNITIES TO IMPROVE AND NURTURE THE HEALTH AND WELL BEING OF WESTERN NEBRASKA COMMUNITIES. false false 9246168 136400 6369830 COMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA (CAPWN)'S CLINICAL HEALTH SERVICES PROVIDE AFFORDABLE QUALITY HEALTH CARE FOR THE ENTIRE FAMILY ON A SLIDING FEE SCALE. THE CAPWN CLINICAL HEALTH SERVICES OFFERS A FULL RANGE OF MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES TO ITS PATIENTS. IN ADDITION THE CAPWN CLINICAL HEALTH SERVICES PROVIDES THE FOLLOWING ANCILLARY SERVICES: IMMUNIZATIONS, DIABETES COUNSELING, NUTRITIONAL COUNSELING, INTERPRETATION AND TRANSPORTATION. DURING THE YEAR CAPWN HEALTH SERVICES PROVIDED CARE FOR 6,976 UNDUPLICATED PATIENTS. 31.19% OF ALL PATIENTS WERE UNINSURED AND 54.74% WERE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. SEE CONTINUATION ON SCHEDULE O. 1824951 148613 261846 SUPPORTIVE HEALTH SERVICES INCLUDE A RUNAWAY/HOMELESS YOUTH SHELTER, HOUSING FIRST PROGRAMS, YOUTH PROGRAMS AND EMERGENCY SERVICES/FAMILY STABILIZATION. 3,525 YOUTH AND ADULTS WERE SERVED BY THIS DEPARTMENT DURING THE YEAR. 1422753 539072 134070 COMMUNITY HEALTH SERVICES INCLUDE WIC, MIGRANT & SEASONAL HEAD START, WESTERN NEBRASKA CHILD DEVELOPMENT CENTER, FOSTER GRANDPARENT PROGRAM, AND COMMODITIES SUPPLEMENTAL FOOD PROGRAM. 1,690 CHILDREN AND FAMILIES WERE SERVED BY THIS PROGRAM DURING THE YEAR. 267853 88171 OTHER PROGRAM SERVICES INCLUDE HOUSING PROGRAMS. 64 PARTICIPANTS WERE SERVED UNDER THE HOUSING PROGRAM DURING THE YEAR. 267853 88171 12761725 true true false false false false false false false false true false false false false true false true false false false false false false false false false false true true false false false false false false false false false false false false false true true false false false true 211 0 true 217 true false false false false false false false false false false false false X 14 14 false false false false false false false true true false false true true true true true true true true false X MERI GIFFORD 3086353089 3350 10TH STREET GERING NE 69341 MAUNETTE LOEKS-VAN PATTEN CHAIR 1.00 X X 0 0 0 JEFF METZ VICE CHAIR 1.00 X X 0 0 0 CRYSTAL NIELSEN SECRETARY/TR 1.00 X X 0 0 0 DAVID BROSTROM BOARD MEMBER 1.00 X 0 0 0 MARICIA GUZMAN BOARD MEMBER 1.00 X 0 0 0 LINDA GUZMAN-GONZALES BOARD MEMBER 1.00 X 0 0 0 CARRIE HOWTON BOARD MEMBER 1.00 X 0 0 0 KEN MEYER BOARD MEMBER 1.00 X 0 0 0 RANDY MILLER BOARD MEMBER 1.00 X 0 0 0 DANNY REYNAGA BOARD MEMBER 1.00 X 0 0 0 KELLY RICE BOARD MEMBER 1.00 X 0 0 0 NORA ROBINSON BOARD MEMBER 1.00 X 0 0 0 JULIA ROY BOARD MEMBER 1.00 X 0 0 0 CARL STANDER BOARD MEMBER 1.00 X 0 0 0 MARGO HARTMAN CEO 40.00 X 76392 0 11881 MERI GIFFORD CFO 40.00 X 66251 0 2273 MARK SCANLAN PSYCHIATRIST 30.00 X 193003 0 22321 JAMES HADDEN DENTIST 40.00 X 157936 0 4009 GAGE STERMENSKY DOCTOR 40.00 X 152233 0 32019 JOHN CARRINGTON PHYSICIANS A 40.00 X 139444 0 3559 785259 76062 4 false true false LK HEALTH SERVICES 1717 E 34TH STREET SCOTTSBLUFF NE 69361 PROVIDER 324624 INCONCERT CARE 500 SW 7TH STREET SUITE 300 DES MOINES IA 503094545 MEDICAL RECORDS 211901 UNMC COLLEGE OF DENTISTRY 985045 NEBRASKA MEDICAL CENTER OMAHA NE 68198 PROVIDER 193979 PRACTICE MANAGEMENT 300 N MARINGALE ROAD SUITE 150 SCHAUMBURG IL 60173 BILLING SERVICE 186579 BARTON ASSOCIATES 300 JUBILEE DRIVE PEABODY MA 01960 PROVIDER 141583 5 9128612 253551 9382163 CLINICAL HEALTH SERVICES 621400 6369830 6369830 SUPPORTIVE HEALTH SERVICES 624200 261846 261846 COMMUNITY HEALTH SERVICES 624100 134070 134070 HOUSING 624200 88171 88171 6853917 5025 5025 850 850 850 850 227861 165459 62402 62402 62402 OTHER REVENUE 900099 173883 173883 173883 16478240 6853917 242160 X 824085 824085 169986 169986 6942899 6263455 679444 100078 86048 14030 668845 585205 83640 612771 499145 113626 13627 13627 51308 51308 1778929 1669155 109774 92122 92122 468223 423727 44496 671236 590125 81111 622200 510747 111453 80745 76912 3833 111310 110414 896 33044 980 32064 302468 265926 36542 53506 37076 16430 MEDICAL & DENTAL SUPPLIES 664757 664757 82014 61846 20168 14344153 12761725 1582428 0 177700 605287 1953196 2587200 751483 1002891 569801 1224520 9222920 5297847 3942566 3925073 187378 243684 7582124 9588655 804995 1072209 242027 158759 880079 568577 1927101 1799545 X 5655023 7789110 5655023 7789110 7582124 9588655 2134087 X false true X true true true X 6558912 7757733 9024040 9301329 9382163 42024177 6558912 7757733 9024040 9301329 9382163 42024177 42024177 111339 103591 62092 11856 5875 294753 287292 303338 390854 176681 173883 1332048 43650978 22600492 0.96270 0.96030 X PART II, LINE 10 OTHER REVENUE 1,332,048 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 263092 263092 6930758 3999279 2931479 1755076 1298568 456508 273994 273994 3925073 X SCHEDULE D, PAGE 3, PART X THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAX IS NECESSARY. THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS WHEREBY THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMABLE. AS OF JUNE 30,2022 AND 2021, COMMUNITY ACTION PARTNERSHIP HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THE ORGANIZATION BELIEVES IT IS NOT EXPOSED TO ANY SIGNIFICANT RISK WITH REGARD TO ITS TAX-EXEMPT STATUS. COMMUNITY ACTION PARTNERSHIP AND CREST VIEW ARE EXEMPT FROM NEBRASKA INCOME TAX. true CLINICAL HEALTH SERVICES 6976 136400 COMMUNITY HEALTH SERVICES 1690 94646 53967 SUPPORTIVE HEALTH SERVICE 3525 23672 515400 SCHEDULE I, PAGE 1, PART I, LINE 2 THE ORGANIZATION MONITORS THE USE OF GRANT FUNDS THROUGH COMPLIANCE WITH FEDERAL FUNDING SOURCE REQUIREMENTS. X X X false false false false false false false false false MARK SCANLAN PSYCHIATRIST 193003 22321 215324 JAMES HADDEN DENTIST 157936 4009 161945 GAGE STERMENSKY DOCTOR 152233 32019 184252 FORM 990, PART III THE CLINICAL HEALTH SERVICES PROVIDE SERVICES ON A SLIDING FEE BASIS TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS 1,169,795 FOR CHARITY CARE, 1,010,764 FOR MEDICARE, 1,835,211 FOR MEDICAID, 136,191 FOR BAD DEBT AND 1,276,890 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. FORM 990, PAGE 2, PART III, LINE 4D OTHER PROGRAM SERVICES INCLUDE HOUSING PROGRAMS. 64 PARTICIPANTS WERE SERVED UNDER THE HOUSING PROGRAM DURING THE YEAR. FORM 990, PAGE 6, PART VI, LINE 11B A COPY OF THE 990 IS PROVIDED TO THE CEO AND CFO WHO REVIEW THE FORM, SCHEDULES AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE BOARD OF DIRECTORS WHO THEN APPROVE THE 990. ONCE MANAGEMENT IS SATISFIED WITH THE 990, THE CFO SIGNS THE FORM 8879-TE AUTHORIZING THE PREPARER TO E-FILE THE RETURN. FORM 990, PAGE 6, PART VI, LINE 12C THE ORGANIZATION HAS AN ESTABLISHED CONFLICT OF INTEREST POLICY WHICH IS SHARED WITH ALL EMPLOYEES, BOARD AND POLICY COUNCIL MEMBERS AT THE TIME OF THEIR EMPLOYMENT AND/OR INITIATION TO THE BOARD OR COUNCIL. HANDBOOKS ARE PRESENTED TO EACH EMPLOYEE, BOARD AND COUNCIL MEMBER WITH THE POLICIES ESSENTIAL TO EACH OF THEM. EACH YEAR THE POLICY IS RE-PRESENTED TO EMPLOYEES, BOARD AND COUNCIL MEMBERS AT THE ANNUAL ALL-STAFF MEETINGS AND DURING A MEETING OF THE BOARD AND COUNCILS. BOARD MEMBERS ARE REQUIRED TO SIGN AN AFFIDAVIT EACH YEAR STATING TO THEIR KNOWLEDGE THEY HAVE NOT AND ARE NOT CURRENTLY PARTICIPATING IN ANY ACTIVITIES THAT WOULD BE CONSIDERED A CONFLICT OF INTEREST ACCORDING TO THE POLICY. IN REGARD TO VOTES BY THE BOARD OR COUNCIL, MEMBERS ARE REQUIRED TO ACKNOWLEDGE ANY PERCEIVED CONFLICTS OF INTEREST THEY MAY HAVE AND ARE REQUIRED TO ABSTAIN FROM VOTING ON THE ISSUE DURING THE PROCESS OF DEVELOPING CONTRACTUAL RELATIONS WITH A VENDOR. ANY ACKNOWLEDGMENT OF A CONNECTION BETWEEN THE VENDOR AND EMPLOYEES AND/OR BOARD OR COUNCIL MEMBERS IS IDENTIFIED AND REVIEWED TO DETERMINE IF A CONFLICT OF INTEREST EXISTS AND A RESOLUTION OF THE SITUATION IS COMPLETED AS NEEDED TO DISPEL THE CONFLICT. ANYONE FOUND TO BE BREAKING THE POLICY IS DEALT WITH ACCORDING TO THE ORGANIZATION'S DISCIPLINARY POLICIES. FORM 990, PAGE 6, PART VI, LINE 15A WHEN HIRING OR REVIEWING COMPENSATION, THE ORGANIZATION USES THE NEBRASKA WORKFORCE DEVELOPMENT WAGE ANALYSIS FOR THE REGION TO DETERMINE WHETHER COMPENSATION IS COMPARABLE TO OTHER SIMILAR SIZED ORGANIZATIONS. THE BOARD OF DIRECTORS APPROVES COMPENSATION OF THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER. FORM 990, PAGE 6, PART VI, LINE 15B SEE FORM 990, PART VI, LINE 15A FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G 1,669,155 109,774 0 CREST VIEW SOUTH 3350 10TH STREET GERING NE 69341 205143361 HOUSING NE 3 7 CAPWN true false false false false false false false false false false false false false false true false false false false