2021-06-17T14:14:28-05:00 2018-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2018-01-01 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 2018 2022-09-23 18:48:47Z PATRICK M PEER 4321 41ST AVENUE COLUMBUS NE 68601 7565596 0 X WWW.GOODNEIGHBORCOMMUNITYHEALTHCENTER.COM X 2004 NE WORKING TOGETHER WITH THE COMMUNITY TO PROVIDE ACCESS TO QUALITY HEALTHCARE. 10 10 0 10 0 0 4573066 4085916 2932130 3347699 1410 4153 184945 127828 7691551 7565596 0 0 0 0 0 5419256 0 0 0 7431776 3176208 7431776 8595464 259775 -1029868 2541961 1784521 207844 480272 2334117 1304249 X WORKING TOGETHER WITH THE COMMUNITY TO PROVIDE ACCESS TO QUALITY HEALTHCARE. 1 0 4972807 0 3347699 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. 4972807 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 11 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 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 1.00 0.00 X 0 0 0 TEOFILA JANET ROMAN DIRECTOR 1.00 0.00 X 0 0 0 TERRA UHING DIRECTOR 1.00 0.00 X 0 0 0 WILL MCINNIS CEO 28.00 12.00 X 0 147701 8476 ROSIE VELASQUEZ CFO (THROUGH MAY 2018) 28.00 12.00 X 0 62270 2582 JOSH DUAME CONTRACT CFO (THROUGH NOV 2018) 28.00 12.00 X 0 0 0 BETH WEWEL CFO 28.00 12.00 X 0 10004 500 0 219975 11558 0 0 1 0 GREENWAY HEALTH PO BOX 203658 DALLAS TX 753203658 SOFTWARE SUPPORT & STAFF TRAINING 238376 UNIVERSITY OF NEBRASKA MEDICAL CENTER 9805045 NE MEDICAL CENTER OMAHA NE 68198 DENTAL SERVICES & SUPPLIES 191155 2 3718198 367718 52609 4085916 NET PATIENT SERVICE RE 621400 2890496 2890496 PHARMACY INCOME 446110 453337 453337 MEDICAL RECORDS 621400 3866 3866 3347699 4153 4153 MISCELLANEOUS INCOME 900099 127828 127828 127828 7565596 3347699 0 131981 4512354 3023277 1489077 76232 51075 25157 543025 347487 195538 287645 192722 94923 23527 23527 22434 22434 823093 393338 429755 24928 16991 7937 163130 58454 104676 70834 70834 347256 255888 91368 68328 68328 38046 149 37897 154 154 127007 127007 12463 12463 INDIRECT COST ALLOC. 926747 926747 MEDICAL SUPPLIES 441063 441063 OTHER EXPENSES 72673 52893 19780 REPAIRS & MAINTENANCE 14525 14525 8595464 4972807 3622657 0 452493 81871 227589 65457 522293 430872 7917 7916 9968 3713 2040877 846185 1321701 1194692 2541961 1784521 138544 421055 69300 59217 207844 480272 X 2334117 1304249 2334117 1304249 2541961 1784521 -1029868 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 771122 29658 741464 893410 512678 380732 376345 303849 72496 1194692 0 0 0 0 0 0 0 0 0 WILL MCINNIS CEO 0 147701 0 0 0 0 0 0 0 8476 0 156177 0 0 PART I, LINE 3 THE CEO'S COMPENSATION IS DETERMINED BY EAST-CENTRAL DISTRICT HEALTH DEPARTMENT, THE SOLE MEMBER. THE FOLLOWING WERE USED BY EAST-CENTRAL DISTRICT HEALTH DEPARTMENT IN DETERMINING THE CEO'S COMPENSATION: - COMPENSATION COMMITTEE - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE X 6 52609 DONOR VALUED 0 0 1 0 FORM 990, PART III, LINE 2 DURING 2018, THE ORGANIZATION BEGAN OFFERING OB SERVICES AT OUR SATELLITE LOCATION. 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