COMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA (EIN 47-0493594)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-04-20
- IRS object ID
- 202131109349301228
- Schema version
- 2019v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-04-20T17:06:48-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200079326 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DINGUS ZARECOR & ASSOCIATES PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12015 E MAIN AVE | AddressLine1Txt |
| City | SPOKANE VALLEY | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470493594 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY ACTION PARTNERSHIP OF | BusinessNameLine1Txt |
| Business Name Line2 | WESTERN NEBRASKA | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 3086353089 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3350 10TH STREET | AddressLine1Txt |
| City | GERING | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 69341 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MERI GIFFORD | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3086353089 | PhoneNum |
| Signature | 2021-04-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS DINGUS | PreparerPersonNm |
| PTIN | P00951009 | PTIN |
| Phone | 5092420874 | PhoneNum |
| Preparation | 2021-04-20 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARGO HARTMAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3350 10TH STREET | AddressLine1Txt |
| City | GERING | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 69341 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,945,325 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CAPWN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1965 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE QUALITY SERVICES AND PROMOTE LEARNING OPPORTUNITIES TO IMPROVE AND NURTURE THE HEALTH AND WELL BEING OF WESTERN NEBRASKA COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 218 | TotalEmployeeCnt |
| Total Volunteers | 207 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $7,757,733 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,024,040 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,726,652 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,468,339 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,106 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,592 | CYInvestmentIncomeAmt |
| PY Other Revenue | $405,898 | PYOtherRevenueAmt |
| CY Other Revenue | $451,354 | CYOtherRevenueAmt |
| PY Total Revenue | $11,896,389 | PYTotalRevenueAmt |
| CY Total Revenue | $12,945,325 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $639,566 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $834,022 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,555,150 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,806,627 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,336,312 | PYOtherExpensesAmt |
| CY Other Expenses | $4,552,821 | CYOtherExpensesAmt |
| PY Total Expenses | $11,531,028 | PYTotalExpensesAmt |
| CY Total Expenses | $12,193,470 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $365,361 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $751,855 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,848,151 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,570,603 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,112,387 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,082,984 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,735,764 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,487,619 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE QUALITY SERVICES AND PROMOTE LEARNING OPPORTUNITIES TO IMPROVE AND NURTURE THE HEALTH AND WELL BEING OF WESTERN NEBRASKA COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $7,390,423 | ExpenseAmt |
| Grant | $59,134 | GrantAmt |
| Revenue | $3,139,944 | RevenueAmt |
| Desc | 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 6,703 UNDUPLICATED PATIENTS. 44.8% OF ALL PATIENTS WERE UNINSURED AND 48.3% WERE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. 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 2,055,842 FOR CHARITY CARE, 752,163 FOR MEDICARE, 937,214 FOR MEDICAID, 161,043 FOR BAD DEBT AND 1,403,091 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,169,926 | ExpenseAmt |
| Grant | $536,139 | GrantAmt |
| Revenue | $67,531 | RevenueAmt |
| Desc | COMMUNITY HEALTH SERVICES INCLUDE WIC, MIGRANT & SEASONAL HEAD START, WESTERN NEBRASKA CHILD DEVELOPMENT CENTER, FOSTER GRANDPARENT PROGRAM, FAMILY STABILIZATION, AND COMMODITIES SUPPLEMENTAL FOOD PROGRAM. 6,183 CHILDREN AND FAMILIES WERE SERVED BY THIS PROGRAM DURING THE YEAR. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,064,461 | ExpenseAmt |
| Grant | $238,749 | GrantAmt |
| Revenue | $173,037 | RevenueAmt |
| Desc | SUPPORTIVE HEALTH SERVICES INCLUDE A RUNAWAY/HOMELESS YOUTH SHELTER, SUPPORTIVE HOUSING PROGRAM, PERMANENT SUPPORTIVE HOUSING PROGRAM, AND MINORITY HEALTH INITIATIVE. 311 YOUTH AND ADULTS WERE SERVED BY THIS DEPARTMENT DURING THE YEAR. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $226,914 | ExpenseAmt |
| Revenue | $87,827 | RevenueAmt |
| Desc | OTHER PROGRAM SERVICES INCLUDE HOUSING PROGRAMS. 58 PARTICIPANTS WERE SERVED UNDER THE HOUSING PROGRAM DURING THE YEAR. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $226,914 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $87,827 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $10,851,724 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 254 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 218 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MERI GIFFORD | PersonNm |
| Phone | 3086353089 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3350 10TH STREET | AddressLine1Txt |
| City | GERING | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 69341 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| MAUNETTE LOEKS-VAN PATTEN | |||||||
| CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JEFF METZ | |||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MATT ELVEHJEM | |||||||
| SECRETARY/TR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DARIA ANDERSON-FADEN | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID BROSTROM | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHABELLY GURROLA | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARICIA GUZMAN | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LINDA GUZMAN-GONZALES | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CARRIE HOWTON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PETE MAREZ | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KEN MEYER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RANDY MILLER | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ANNIE PHELPS | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| NORA ROBINSON | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY TREVINO | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARGO HARTMAN | |||||||
| CEO | 40.00 | Yes (X) | $82,287 | $0 | $0 | ||
| MERI GIFFORD | |||||||
| CFO | 40.00 | Yes (X) | $60,046 | $0 | $0 | ||
| GAGE STERMENSKY | |||||||
| DOCTOR | 40.00 | $167,125 | $0 | $0 | Yes (X) | ||
| JAMES HADDEN | |||||||
| DENTIST | 40.00 | $151,194 | $0 | $0 | Yes (X) | ||
| JOHN CARRINGTON | |||||||
| PHYSICIANS A | 40.00 | $142,433 | $0 | $0 | Yes (X) | ||
| ERIC TURNIDGE | |||||||
| DENTIST | 40.00 | $136,005 | $0 | $0 | Yes (X) | ||
| KATHERINE TUTTLE | |||||||
| NURSE PRACTI | 40.00 | $112,783 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $851,873 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LK HEALTH SERVICES | |||||
| 1717 E 34TH STREET | SCOTTSBLUFF | NE | 69361 | PROVIDER | $330,676 |
| INCONCERT CARE | |||||
| 500 SW 7TH STREET | DES MOINES | IA | 503094545 | MEDICAL RECORDS | $214,093 |
| COMPHEALTH | |||||
| PO BOX 972651 | DALLAS | TX | 753972651 | PROVIDER | $166,549 |
| PRACTICE MANAGEMENT | |||||
| 300 N MARINGALE ROAD SUITE 150 | SCHAUMBURG | IL | 60173 | BILLING SERVICE | $152,326 |
| UNMC COLLEGE OF DENTISTRY | |||||
| 40TH AND HOLDREGE | LINCOLN | NE | 68583 | DENTISTS | $143,385 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $8,293,183 | GovernmentGrantsAmt |
| All Other Contributions | $730,857 | AllOtherContributionsAmt |
| Total Contributions | $9,024,040 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CLINICAL HEALTH SERVICES | 621400 | $3,139,944 | $3,139,944 |
| SUPPORTIVE HEALTH SERVICES | 624200 | $173,037 | $173,037 |
| HOUSING | 624100 | $87,827 | $87,827 |
| COMMUNITY HEALTH SERVICES | 624200 | $67,531 | $67,531 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,468,339 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,592 | TotalRevenueColumnAmt |
| Exclusion | $1,592 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $60,500 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $60,500 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60,500 | TotalRevenueColumnAmt |
| Exclusion | $60,500 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $390,854 | TotalRevenueColumnAmt |
| Exclusion | $390,854 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $390,854 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,945,325 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,468,339 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $452,946 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $834,022 | TotalAmt |
| Program Services | $834,022 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,718 | TotalAmt |
| Management And General | $146,718 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,593,340 | TotalAmt |
| Program Services | $5,113,581 | ProgramServicesAmt |
| Management And General | $479,759 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,498 | TotalAmt |
| Program Services | $61,232 | ProgramServicesAmt |
| Management And General | $9,266 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $531,495 | TotalAmt |
| Program Services | $449,350 | ProgramServicesAmt |
| Management And General | $82,145 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $464,576 | TotalAmt |
| Program Services | $431,678 | ProgramServicesAmt |
| Management And General | $32,898 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,489 | TotalAmt |
| Management And General | $3,489 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,850 | TotalAmt |
| Management And General | $42,850 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,778,374 | TotalAmt |
| Program Services | $1,684,209 | ProgramServicesAmt |
| Management And General | $94,165 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,845 | TotalAmt |
| Program Services | $20,440 | ProgramServicesAmt |
| Management And General | $1,405 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $318,012 | TotalAmt |
| Program Services | $305,178 | ProgramServicesAmt |
| Management And General | $12,834 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $414,165 | TotalAmt |
| Program Services | $337,774 | ProgramServicesAmt |
| Management And General | $76,391 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $758,162 | TotalAmt |
| Program Services | $575,971 | ProgramServicesAmt |
| Management And General | $182,191 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,236 | TotalAmt |
| Program Services | $148,638 | ProgramServicesAmt |
| Management And General | $10,598 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,990 | TotalAmt |
| Program Services | $78,159 | ProgramServicesAmt |
| Management And General | $6,831 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,512 | TotalAmt |
| Program Services | $3,760 | ProgramServicesAmt |
| Management And General | $91,752 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $240,985 | TotalAmt |
| Program Services | $204,545 | ProgramServicesAmt |
| Management And General | $36,440 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,738 | TotalAmt |
| Program Services | $16,084 | ProgramServicesAmt |
| Management And General | $17,654 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAL & DENTAL SUPPLIES | Desc |
| Total | $551,049 | TotalAmt |
| Program Services | $551,049 | ProgramServicesAmt |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,414 | TotalAmt |
| Program Services | $36,054 | ProgramServicesAmt |
| Management And General | $14,360 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,193,470 | TotalAmt |
| Program Services | $10,851,724 | ProgramServicesAmt |
| Management And General | $1,341,746 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $495,529 | BOYAmt |
| EOY | $645,653 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,116,913 | BOYAmt |
| EOY | $1,711,656 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $773,523 | BOYAmt |
| EOY | $898,388 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $488,041 | BOYAmt |
| EOY | $302,078 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,811,400 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,923,819 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,821,489 | BOYAmt |
| EOY | $3,887,581 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,656 | BOYAmt |
| EOY | $125,247 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,848,151 | BOYAmt |
| EOY | $7,570,603 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,718,946 | BOYAmt |
| EOY | $1,588,001 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $232,973 | BOYAmt |
| EOY | $391,408 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,160,468 | BOYAmt |
| EOY | $1,103,575 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,112,387 | BOYAmt |
| EOY | $3,082,984 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,735,764 | BOYAmt |
| EOY | $4,487,619 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,735,764 | BOYAmt |
| EOY | $4,487,619 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,848,151 | BOYAmt |
| EOY | $7,570,603 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $751,855 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,959,483 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,760,020 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,558,912 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,757,733 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,024,040 | CurrentTaxYearAmt |
| Total | $36,060,188 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,959,483 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,760,020 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,558,912 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,757,733 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,024,040 | CurrentTaxYearAmt |
| Total | $36,060,188 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $36,060,188 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $125,428 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $114,357 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $111,339 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $103,591 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $62,092 | CurrentTaxYearAmt |
| Total | $516,807 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $221,088 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $68,089 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $287,292 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $303,338 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $390,854 | CurrentTaxYearAmt |
| Total | $1,270,661 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $37,847,656 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $16,716,800 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95280 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95840 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | INSURANCE PROCEEDS 345,103 OTHER REVENUE 534,704 | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $288,830 | OtherCostOrOtherBasisAmt |
| Book Value | $288,830 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,171,001 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,809,609 | DepreciationAmt |
| Book Value | $3,361,392 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,351,569 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,114,210 | DepreciationAmt |
| Book Value | $237,359 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,887,581 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | 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, 2020 AND 2019, 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 IS EXEMPT FROM NEBRASKA INCOME TAX. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Non Cash AssistanceNonCashAssistanceAmt | Cash GrantCashGrantAmt |
|---|---|---|---|
| CLINICAL HEALTH SERVICES | 6703 | $59,134 | |
| COMMUNITY HEALTH SERVICES | 6183 | $380,678 | $155,461 |
| SUPPORTIVE HEALTH SERVICE | 311 | $227,070 | $11,679 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 1, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION MONITORS THE USE OF GRANT FUNDS THROUGH COMPLIANCE WITH FEDERAL FUNDING SOURCE REQUIREMENTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|
| GAGE STERMENSKY | ||
| DOCTOR | $167,125 | $167,125 |
| JAMES HADDEN | ||
| DENTIST | $151,194 | $151,194 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | 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 6,703 UNDUPLICATED PATIENTS. 44.8% OF ALL PATIENTS WERE UNINSURED AND 48.3% WERE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. 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 2,055,842 FOR CHARITY CARE, 752,163 FOR MEDICARE, 937,214 FOR MEDICAID, 161,043 FOR BAD DEBT AND 1,403,091 FOR OTHER THIRD PARTY PAYORS FOR THE YEAR. |
| FORM 990, PAGE 2, PART III, LINE 4D | OTHER PROGRAM SERVICES INCLUDE HOUSING PROGRAMS. 58 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-EO 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 | 1,684,209 94,165 0 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CREST VIEW SOUTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3350 10TH STREET | AddressLine1Txt |
| City | GERING | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 69341 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205143361 | EIN |
| Primary Activities | HOUSING | PrimaryActivitiesTxt |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Exempt Code Section | 3 | ExemptCodeSectionTxt |
| Public Charity Status | 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAPWN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |