2021-06-17T14:14:55-05:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2019-01-01 134249732 GOOD NEIGHBOR COMMUNITY HEALTH CENTER GOOD 4025628951 4321 41ST AVENUE COLUMBUS NE 68601 PATRICK M PEER CEO 4025628951 2021-06-16 1 KURT BENNION CPA P01469618 4252506100 2021-06-16 2019 2022-09-23 18:48:47Z PATRICK M PEER 4321 41ST AVENUE COLUMBUS NE 68601 8042884 0 X WWW.GOODNEIGHBORCOMMUNITYHEALTHCENTER.COM X 2004 NE WORKING TOGETHER WITH THE COMMUNITY TO PROVIDE ACCESS TO QUALITY HEALTHCARE. 10 10 0 13 0 0 4085916 4322579 3347699 3823678 4153 818 127828 -104191 7565596 8042884 0 0 0 0 5419256 5651036 0 0 0 3176208 3385380 8595464 9036416 -1029868 -993532 1784521 2053747 480272 1743030 1304249 310717 WORKING TOGETHER WITH THE COMMUNITY TO PROVIDE ACCESS TO QUALITY HEALTHCARE. 0 0 5816241 0 3823678 COLLABORATION WITH FEDERAL, STATE AND COMMUNITY PARTNERS TO PROVIDE AFFORDABLE, COMPREHENSIVE, ACCESSIBLE, CULTURALLY RESPECTFUL, APPROPRIATE, COST-EFFECTIVE, QUALITY PRIMARY MEDICAL HEALTH CARE, DENTAL SERVICES AND BEHAVIORAL HEALTH SERVICES WITH SPECIAL ATTENTION TO THE UNDERSERVED. 5816241 1 1 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 1 0 1 1 1 0 1 1 0 1 1 1 1 1 0 0 0 X BETH WEWEL 4025628951 4321 41ST AVENUE COLUMBUS NE 68601 MIGUEL GODOY CHAIR (THROUGH MARCH 2019) 1.00 1.00 X X 0 0 0 CONNIE PETERS VICE CHAIR 1.00 1.00 X X 0 0 0 MARIA GONZALEZ TREASURER 1.00 0.00 X X 0 0 0 ED WEMHOFF SECRETARY 1.00 0.00 X X 0 0 0 NOEMI ARCOS DIRECTOR 1.00 0.00 X 0 0 0 TORIBIO CHAVARRIA DIRECTOR 1.00 0.00 X 0 0 0 DORIS DANIELS DIRECTOR 1.00 0.00 X 0 0 0 PETER KIBALYA DIRECTOR (THROUGH MAY 2019) 1.00 0.00 X 0 0 0 BRADY NAPIER DIRECTOR 1.00 0.00 X 0 0 0 MICHELLE PADILLA DIRECTOR 1.00 0.00 X 0 0 0 TEOFILA JANET ROMAN DIRECTOR 1.00 0.00 X 0 0 0 DEBORAH SPENCE DIRECTOR 1.00 0.00 X 0 0 0 TERRA UHING DIRECTOR (THROUGH JULY 2019) 1.00 0.00 X 0 0 0 WILL MCINNIS CEO (THROUGH MAY 2019) 28.00 12.00 X 0 53831 1639 BETH WEWEL CFO & INTERIM CEO (FEB TO SEP 2019) 28.00 12.00 X 0 124516 15807 PATRICK PEER CEO (AS OF SEP 2019) 28.00 12.00 X 0 34152 0 0 212499 17446 0 0 0 0 GREENWAY HEALTH PO BOX 203658 DALLAS TX 753203658 SOFTWARE SUPPORT & STAFF TRAINING 247008 UNIVERSITY OF NEBRASKA MEDICAL CENTER 9805045 NE MEDICAL CENTER OMAHA NE 68198 HEALTH CARE SERVICES 219870 COMMUNITY LINK CONSULTING PO BOX 276 NEWMAN LAKE WA 99025 CONSULTING SERVICES 124014 3 3886566 436013 4322579 NET PATIENT SERVICE REVENUE 621400 3282608 3282608 PHARMACY INCOME 446110 536285 536285 MEDICAL RECORDS 621400 4785 4785 3823678 818 818 MISCELLANEOUS INCOME 900099 -104191 -104191 -104191 8042884 3823678 0 -103373 4716339 3631581 1084758 89165 68657 20508 524331 391356 132975 321201 247325 73876 72405 72405 231 231 847242 458157 389085 27522 18579 8943 193653 34390 159263 70460 70460 354180 260148 94032 55319 44078 11241 22903 18818 4085 1181 1181 127008 127008 12808 12808 INDIRECT COST ALLOC. 1001042 1001042 MEDICAL SUPPLIES 456525 456525 REPAIRS & MAINTENANCE 77115 6078 71037 OTHER EXPENSES 65786 40733 25053 9036416 5816241 3220175 0 81871 65457 430872 980165 7916 3713 5899 2040877 973194 1194692 1067683 1784521 2053747 421055 1743030 59217 480272 1743030 X 1304249 310717 1304249 310717 1784521 2053747 -993532 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 771122 49431 721691 893410 595742 297668 376345 328021 48324 1067683 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF GOOD NEIGHBOR COMMUNITY HEALTH CENTER IS EAST-CENTRAL DISTRICT HEALTH DEPARTMENT, A POLITICAL SUBDIVISION OF THE STATE OF NEBRASKA. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBER HAS THE POWER TO (A) APPROVE THE ORGANIZATION'S COMMUNITY HEALTH CENTER RENEWAL APPLICATION, ANNUAL BUDGET, BUDGETS FOR OPERATIONS, CAPITAL EXPENDITURES, AND CASH FLOW; (B) REVIEW AND APPROVE THE ORGANIZATION'S SERVICES AND HOURS WHEN SERVICES ARE PROVIDED, LOCATIONS, AND MODE OF DELIVERY; (C) APPROVE THE ORGANIZATION'S MERGER, CONSOLIDATION OR DISSOLUTION; (D) APPROVE ANY CHANGE IN THE ORGANIZATION'S PURPOSE, PHILOSOPHY OR OBJECTIVES; (E) APPROVE THE PURCHASE, SALE, LEASE, TRANSFER OR ENCUMBERANCE OF ALL OR SUBSTANTIALLY ALL OF THE ORGANIZATION'S PROPERTY; (F) AMEND THE ARTICLES OF INCORPORATION OR BYLAWS; AND (G) APPOINT AND REMOVE MEMBERS OF THE ORGANIZATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO BEING FILED, THE FORM 990 WAS REVIEWED BY THE CFO AND CEO. THE FORM 990, WAS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE AND WAS PROVIDED TO ALL BOARD MEMBERS AFTER THE RETURN WAS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL BOARD MEMBERS AND EMPLOYEES. WHEN AN EMPLOYEE HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THEY NOTIFY THE CEO, WHO DETERMINES WHETHER A CONFLICT EXISTS AND THE APPROPRIATE RESPONSE. WHEN THE CEO OR A BOARD MEMBER HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST IN REGARDS TO A TRANSACTION, THEY NOTIFY THE BOARD AND PROVIDE RELEVANT INFORMATION, AFTER WHICH THEY LEAVE THE MEETING FOR FURTHER DISCUSSIONS AND VOTES ON THE MATTER. IF IT ISN'T CLEAR WHETHER A CONFLICT EXISTS, THE REMAINING BOARD MEMBERS MAKE THE DETERMINATION. THE BOARD MAY EVALUATE WHETHER THE ORGANIZATION CAN ENTER AN AGREEMENT THAT IS EQUALLY ADVANTAGEOUS TO THE ORGANIZATION AND DOES NOT INVOLVE A CONFLICT OF INTEREST. IF THE BOARD BELIEVES A PERSON HAS FAILED TO IDENTIFY A CONFLICT OF INTEREST, THE INDIVIDUAL IS NOTIFIED AND GIVEN A CHANCE TO RESPOND, AFTER WHICH THE BOARD DETERMINES WHETHER ANY DISCIPLINARY OR CORRECTIVE ACTIONS ARE REQUIRED. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS EVALUATED BY THE H.R. DEPARTMENT OF EAST-CENTRAL DISTRICT HEALTH DEPARTMENT, BASED ON MULTIPLE SALARY SURVEYS, WITH A RECOMMENDATION BEING MADE TO EAST-CENTRAL DISTRICT HEALTH DEPARTMENT'S BOARD OF TRUSTEES AND GOOD NEIGHBOR COMMUNITY HEALTH CENTER'S BOARD OF DIRECTORS, WHO THEN REVIEW AND APPROVE THE COMPENSATION RECOMMENDATION. THIS PROCESS IS CONDUCTED ANNUALLY. THE CFO'S COMPENSATION IS EVALUATED BY THE H.R. DEPARTMENT OF EAST-CENTRAL DISTRICT HEALTH DEPARTMENT, BASED ON MULTIPLE SALARY SURVEYS, WITH A RECOMMENDATION BEING MADE TO THE CEO, WHO THEN REVIEWS AND APPROVES THE COMPENSATION RECOMMENDATION. THIS PROCESS IS CONDUCTED ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. EAST-CENTRAL DISTRICT HEALTH DEPARTMENT 4321 41ST AVENUE COLUMBUS NE 68601 470835183 INTER-COUNTY HEALTH DEPARTMENT NE N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0