2021-04-20T17:06:48-05:00 2020-06-30 200079326 DINGUS ZARECOR & ASSOCIATES PLLC 12015 E MAIN AVE SPOKANE VALLEY WA 99206 990 2019-07-01 470493594 COMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA COMM 3086353089 3350 10TH STREET GERING NE 69341 MERI GIFFORD CFO 3086353089 2021-04-19 true THOMAS DINGUS P00951009 5092420874 2021-04-20 2019 2022-09-23 18:48:47Z MARGO HARTMAN 3350 10TH STREET GERING NE 69341 12945325 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. 15 15 218 207 0 7757733 9024040 3726652 3468339 6106 1592 405898 451354 11896389 12945325 639566 834022 0 6555150 6806627 0 0 4336312 4552821 11531028 12193470 365361 751855 6848151 7570603 3112387 3082984 3735764 4487619 X TO PROVIDE QUALITY SERVICES AND PROMOTE LEARNING OPPORTUNITIES TO IMPROVE AND NURTURE THE HEALTH AND WELL BEING OF WESTERN NEBRASKA COMMUNITIES. false false 7390423 59134 3139944 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. 2169926 536139 67531 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. 1064461 238749 173037 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. 226914 87827 OTHER PROGRAM SERVICES INCLUDE HOUSING PROGRAMS. 58 PARTICIPANTS WERE SERVED UNDER THE HOUSING PROGRAM DURING THE YEAR. 226914 87827 10851724 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 254 0 true 218 true false false false false false false false false false false false false X 15 15 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 MATT ELVEHJEM SECRETARY/TR 1.00 X X 0 0 0 DARIA ANDERSON-FADEN BOARD MEMBER 1.00 X 0 0 0 DAVID BROSTROM BOARD MEMBER 1.00 X 0 0 0 CHABELLY GURROLA 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 PETE MAREZ 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 ANNIE PHELPS BOARD MEMBER 1.00 X 0 0 0 NORA ROBINSON BOARD MEMBER 1.00 X 0 0 0 MARY TREVINO BOARD MEMBER 1.00 X 0 0 0 MARGO HARTMAN CEO 40.00 X 82287 0 0 MERI GIFFORD CFO 40.00 X 60046 0 0 GAGE STERMENSKY DOCTOR 40.00 X 167125 0 0 JAMES HADDEN DENTIST 40.00 X 151194 0 0 JOHN CARRINGTON PHYSICIANS A 40.00 X 142433 0 0 ERIC TURNIDGE DENTIST 40.00 X 136005 0 0 KATHERINE TUTTLE NURSE PRACTI 40.00 X 112783 0 0 851873 7 false true false LK HEALTH SERVICES 1717 E 34TH STREET SCOTTSBLUFF NE 69361 PROVIDER 330676 INCONCERT CARE 500 SW 7TH STREET DES MOINES IA 503094545 MEDICAL RECORDS 214093 COMPHEALTH PO BOX 972651 DALLAS TX 753972651 PROVIDER 166549 PRACTICE MANAGEMENT 300 N MARINGALE ROAD SUITE 150 SCHAUMBURG IL 60173 BILLING SERVICE 152326 UNMC COLLEGE OF DENTISTRY 40TH AND HOLDREGE LINCOLN NE 68583 DENTISTS 143385 5 8293183 730857 9024040 CLINICAL HEALTH SERVICES 621400 3139944 3139944 SUPPORTIVE HEALTH SERVICES 624200 173037 173037 HOUSING 624100 87827 87827 COMMUNITY HEALTH SERVICES 624200 67531 67531 3468339 1592 1592 60500 60500 60500 60500 OTHER REVENUE 900099 390854 390854 390854 12945325 3468339 452946 X 834022 834022 146718 146718 5593340 5113581 479759 70498 61232 9266 531495 449350 82145 464576 431678 32898 3489 3489 42850 42850 1778374 1684209 94165 21845 20440 1405 318012 305178 12834 414165 337774 76391 758162 575971 182191 159236 148638 10598 84990 78159 6831 95512 3760 91752 240985 204545 36440 33738 16084 17654 MEDICAL & DENTAL SUPPLIES 551049 551049 50414 36054 14360 12193470 10851724 1341746 0 495529 645653 1116913 1711656 773523 898388 488041 302078 8811400 4923819 3821489 3887581 152656 125247 6848151 7570603 1718946 1588001 232973 391408 1160468 1103575 3112387 3082984 X 3735764 4487619 3735764 4487619 6848151 7570603 751855 X false true X true true true X 5959483 6760020 6558912 7757733 9024040 36060188 5959483 6760020 6558912 7757733 9024040 36060188 36060188 125428 114357 111339 103591 62092 516807 221088 68089 287292 303338 390854 1270661 37847656 16716800 0.95280 0.95840 X PART II, LINE 10 INSURANCE PROCEEDS 345,103 OTHER REVENUE 534,704 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 288830 288830 7171001 3809609 3361392 1351569 1114210 237359 3887581 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, 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. true CLINICAL HEALTH SERVICES 6703 59134 COMMUNITY HEALTH SERVICES 6183 155461 380678 SUPPORTIVE HEALTH SERVICE 311 11679 227070 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 GAGE STERMENSKY DOCTOR 167125 167125 JAMES HADDEN DENTIST 151194 151194 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 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