2020-12-02T10:08:33-06:00 2020-06-30 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2019-07-01 237162972 COMBINED HEALTH AGENCIES DRIVE COMB 4026148500 212 SOUTH 74TH STREET NO 205 OMAHA NE 68114 MICHELLE GROSSMAN PRESIDENT/CEO 4026148500 2020-11-30 1 WENDY R COOLEY P01523804 4023302660 2019 2022-09-23 18:48:47Z MICHELLE GROSSMAN 212 SOUTH 74TH STREET NO 205 OMAHA NE 68114 1619479 0 X WWW.CHCNE.ORG X 1971 NE IMPROVING LIVES BY RAISING FUNDS FOR NEBRASKA'S HEALTH CHARITIES THROUGH WORKPLACE GIVING. 46 46 8 150 0 0 1787595 1555897 381 279 21845 21910 0 0 1809821 1578086 1257164 1029744 0 0 449695 448851 0 0 21502 99683 95345 1806542 1573940 3279 4146 1692224 1806252 936035 1052929 756189 753323 IMPROVING LIVES BY RAISING FUNDS FOR NEBRASKA'S HEALTH CHARITIES THROUGH WORKPLACE GIVING. 0 0 1380846 1029744 279 COMBINED HEALTH AGENCIES DRIVE (CHAD) CONNECTS EMPLOYEES AND EMPLOYERS VIA THE WORKPLACE TO CHAD'S MEMBER CHARITIES AND THEIR PROGRAMS, SERVICES AND VOLUNTEER OPPORTUNITIES. THIS RELATIONSHP ALLOWS EMPLOYEES TO GIVE TO CHARITIES THROUGH PAYROLL DEDUCTIONS AND OTHER TYPES OF GIFTS IN THEIR WORKPLACE. PARTICIPATING EMPLOYERS ARE STATEWIDE IN NEBRASKA AND IN ALL ECONOMIC SECTORS, INCLUDING BOTH PUBLIC AND PRIVATE ENTITIES. THE COMPANIES/EMPLOYERS RANGE FROM SMALL, LOCAL EMPLOYERS TO LARGE MULTINATIONAL COMPANIES. 1380846 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 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 1 1 0 1 8 1 0 0 0 0 0 0 0 0 0 0 0 0 X 46 46 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X X X SHANNON CASTILLO 4026148500 212 S 74TH STREET OMAHA NE 68114 MICHELLE GROSSMAN PRESIDENT/CEO 45.00 X 98384 0 13093 SHANNON CASTILLO DIRECTOR OF FINANCE 40.00 X 60860 0 3092 MIKE WADE BOARD CHAIR 1.00 X X 0 0 0 KATIE LOVE SECRETARY 1.00 X X 0 0 0 RALPH DOVALI TREASURER 1.00 X X 0 0 0 TERESA LAYTON PAST BOARD CHAIR 1.00 X X 0 0 0 MARTIE CORDARO ALS REP 1.00 X 0 0 0 LARRY GUENTHER ALZHEIMER'S ASSN REP 1.00 X 0 0 0 KATHY NELLOR AMERICAN LUNG ASSOCIATION REP 1.00 X 0 0 0 CHRIS TOOKER ARTHRITIS FOUNDATION REP 1.00 X 0 0 0 MAUREEN TIERNEY MD AUTISM ACTION PARTNERSHIP REP 1.00 X 0 0 0 SHARON ROYERS BRAIN INJURY ALLIANCE NEBR 1.00 X 0 0 0 JANEANE WHITNEY CHRON'S & COLITIS FND REP 1.00 X 0 0 0 CALE FURSTENBERG CYSTIC FIRBROSIS FOUNDATION REP 1.00 X 0 0 0 STAN RADIO MD JDRF INTERNATIONAL REP 1.00 X 0 0 0 ANISA HOIE LEUKEMIA AND LYMPHOMA SOCIETY REP 1.00 X 0 0 0 TODD DEFREECE MARCH OF DIMES REP 1.00 X 0 0 0 ELLEN DISALVO NEBRASKA COMMUNITY BLOOD BANK REP 1.00 X 0 0 0 GARY GEORGE NE HOSPICE & PALLIATIVE CARE REP 1.00 X 0 0 0 KERRY HEINRICH NEBRASKA KIDNEY ASSOCIATION REP 1.00 X 0 0 0 DAWN GONZALES SUSAN G. KOMEN GREAT PLAINS REP 1.00 X 0 0 0 SHEILA ODOM SUSAN G. KOMEN NEBRASKA REP 1.00 X 0 0 0 KAREN CARSON TEAM JACK FOUNDATION REP 1.00 X 0 0 0 M JOHN STEIER UNITED CEREBRAL PALSY OF NE REP 1.00 X 0 0 0 CARRIE KEENE WEST CENTRAL BOARD CHAIR 1.00 X 0 0 0 JOANN ABT DIRECTOR AT LARGE 1.00 X 0 0 0 SHARON BRODKEY DIRECTOR AT LARGE 1.00 X 0 0 0 DAVE BUSHEY DIRECTOR AT LARGE 1.00 X 0 0 0 MICHAEL DEMMAN DIRECTOR AT LARGE 1.00 X 0 0 0 DREW FOSSUM DIRECTOR AT LARGE 1.00 X 0 0 0 DAVID GILINSKY DIRECTOR AT LARGE 1.00 X 0 0 0 JAMIE GUTIERREZ DIRECTOR AT LARGE 1.00 X 0 0 0 BRIAN W KRUSE DIRECTOR AT LARGE 1.00 X 0 0 0 TIM LANGDON DIRECTOR AT LARGE 1.00 X 0 0 0 THOMAS MACY DIRECTOR AT LARGE 1.00 X 0 0 0 BOB ORCHARD DIRECTOR AT LARGE 1.00 X 0 0 0 LINDSAY PATT DIRECTOR AT LARGE 1.00 X 0 0 0 STEVE PATTERSON DIRECTOR AT LARGE 1.00 X 0 0 0 VINCE PILLE DIRECTOR AT LARGE 1.00 X 0 0 0 GREG PORTER DIRECTOR AT LARGE 1.00 X 0 0 0 AMBER PRESTON DIRECTOR AT LARGE 1.00 X 0 0 0 MERV RIEPE DIRECTOR AT LARGE 1.00 X 0 0 0 CRAIG SALL DIRECTOR AT LARGE 1.00 X 0 0 0 JIM SCHELBLE DIRECTOR AT LARGE 1.00 X 0 0 0 LOREN STEENSON DIRECTOR AT LARGE 1.00 X 0 0 0 FRANKLIN THOMPSON DIRECTOR AT LARGE 1.00 X 0 0 0 STEPHANIE VANICEK DIRECTOR AT LARGE 1.00 X 0 0 0 NIZAR WEHBI MD DIRECTOR AT LARGE 1.00 X 0 0 0 CLARENCE NICHOLS DIRECTOR AT LARGE (THRU 03/20) 1.00 X 0 0 0 HARRY DILISE NE AIDS PROJECT REP (THRU 09/19) 1.00 X 0 0 0 159244 0 16185 0 0 0 0 0 1083328 472569 1555897 LEADERSHIP 25 INCOME 900099 279 279 279 19807 19807 40993 2503 38890 2503 2103 0 2103 2103 1578086 279 0 21910 1029744 1029744 137516 92155 40977 4384 248385 166452 74014 7919 9765 6544 2910 311 24244 16246 7224 774 28941 19258 8848 835 17014 15846 1168 5648 5648 2745 1921 549 275 12991 8751 2406 1834 28202 22562 2820 2820 4792 4074 478 240 2027 1824 203 1829 1463 183 183 5068 4054 507 507 BAD DEBT 7848 7848 CAMPAIGN EXPENSE 3826 3635 191 MISCELLANEOUS 1350 850 500 MEMBERSHIP DUES 1230 616 553 61 775 697 78 1573940 1380846 171592 21502 95585 260809 6630 6651 926491 879012 2252 2080 27882 16854 12857 11028 588883 587568 59526 59104 1692224 1806252 30396 28496 905639 934833 0 89600 936035 1052929 X -349399 -379280 1105588 1132603 756189 753323 1692224 1806252 4146 -7012 0 X X 0 1 X 1 0 X 2091254 1901781 1610812 1787595 1555897 8947339 2091254 1901781 1610812 1787595 1555897 8947339 26737 8920602 13998 14126 15247 18999 19807 82177 9029516 19992 0.98790 0.95350 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 630577 12855 10230 24100 629562 612484 9070 31623 22600 630577 577756 8775 39953 14000 612484 521034 17623 48099 9000 577756 507077 7598 6359 521034 1.00000 0 0 27882 16854 11028 11028 1576986 -7012 11560 4548 1572438 5648 5648 1578086 1579852 11560 11560 1568292 5648 5648 1573940 PART V, LINE 4: CHAD HOLDS ENDOWMENT FUNDS FOR SUPPORT OF ITS MEMBER CHARITIES THAT CONSIST PRIMARILY OF INVESTMENTS AND LIFE INSURANCE POLICIES. INCOME FROM THE ENDOWMENT FUNDS IS USED TO SUPPORT ONE OR MORE MEMBER CHARITIES EACH YEAR THROUGH A GRANTING PROCESS. 1 ALZHEIMER'S ASSOCIATION MIDLANDS CHAPTER 11711 ARBOR ST STE 110 OMAHA NE 68144 470648438 501(C)(3) 172496 TO PROVIDE EDUCATION AND SUPPORT TO ALZHEIMER'S RELATED DISEASES AMERICAN DIABETES ASSN OF NE 14216 DAYTON CIR STE 6 OMAHA NE 68137 131623888 501(C)(3) 26315 TO ASSIST IN FINDING A CURE FOR DIABETES, IMPROVING CARE, AND PROVIDING INFORMATION AND SUPPORT TO PEOPLE WITH DIABETES THROUGH RESEARCH, COMMUNITY PROGRAMS AND ADVOCACY AMERICAN LUNG ASSN OF THE CENTRAL STATES 8900 W DODGE RD STE 226 OMAHA NE 68114 430662525 501(C)(3) 29299 TO FIGHT LUNG DISEASE AND PROMOTE LUNG HEALTH THROUGH EDUCATION, ADVOCACY, RESEARCH, AND COMMUNITY PROGRAMS FOR ALL RESIDENTS ARTHRITIS FOUNDATION NEBRASKA CHAPTER 11414 WEST CENTER RD 348 OMAHA NE 68144 470483544 501(C)(3) 38988 TO IMPROVE LIVES THROUGH LEADERSHIP IN THE PREVENTION, CONTROL AND CURE OF ARTHRITIS AND RELATED DISEASES AUTISM ACTION PARTNERSHIP 10110 NICHOLAS STREET 202 OMAHA NE 68114 206892034 501(C)(3) 27575 TO IMPROVE THE QUALITY OF LIFE OF PERSONS WITH AUTISM SPECTRUM DISORDERS AND THEIR FAMILIES THROUGH EDUCATION, ADVOCACY, AND SUPPORT, THEREBY ENABLING THEM TO BE AN INTEGRAL PART OF THE COMMUNITY BRAIN INJURY ALLIANCE OF NEBRASKA 2424 RIDGE POINT CIR LINCOLN NE 68512 260851140 501(C)(3) 19184 TO SUPPORT THOSE WITH TRAUMATIC BRAIN INJURIES CROHN'S & COLITIS FOUNDATION OF NEBRASKA 7701 PACIFIC ST STE 305 OMAHA NE 68114 136193105 501(C)(3) 33377 TO CURE CROHN'S DISEASE AND ULCERATIVE COLITIS, AND TO IMPROVE THE QUALITY OF LIFE OF CHILDREN AND ADULTS AFFECTED BY THESE DISEASES CYSTIC FIBROSIS FOUNDATION NE CHAPTER 11917 PIERCE PLAZA OMAHA NE 68144 131930701 501(C)(3) 40575 TO SUPPORT INNOVATIVE RESEARCH TO CONTROL AND CURE CYSTIC FIBROSIS, PROVIDE SPECIALIZED MEDICAL CARE THROUGH A NATIONWIDE NETWORK OF CENTERS, AND OFFER PHARMACY AND OTHER PATIENT SERVICES HAITIAN AMERICAN FRIENDSHIP FOUNDATION PO BOX 3421 NORTH FT MEYERS FL 33918 953248186 501(C)(3) 20000 TO PARTNER WITH THE HAITIANS IN CENTRAL PLATEAU OF HAITI THROUGH ACADEMIC VOCATIONAL AND THEOLOGICAL EDUCATION TO ENRICH THEIR CULTURE SOCIALLY ACADEMICALLY AND SPIRITUALLY ALL TO THE GLORY OF GOD JUVENILE DIABETES RESEARCH FOUNDATION 9202 WEST DODGE RD STE 304 OMAHA NE 68114 231907729 501(C)(3) 122467 TO IMPROVE THE LIVES OF CHILDREN AND ADULTS LIVING WITH TYPE 1 DIABETES (T1D) THROUGH FUNDING RESEARCH TO CURE, TREAT, AND PREVENT THIS DISEASE MARCH OF DIMES NEBRASKA CHAPTER 11640 ARBOR ST STE 102 OMAHA NE 68144 131846366 501(C)(3) 26176 TO IMPROVE THE LIVES OF INFANTS BY PREVENTING PREMATURE BIRTH, BIRTH DEFECTS AND INFANT MORTALITY MUSCULAR DYSTROPHY ASSOCIATION 14344 Y ST STE 100 OMAHA NE 68137 131665552 501(C)(3) 17293 TO ASSIST IN FIGHTING NEUROMUSCULAR DISEASES THROUGH WORLDWIDE RESEARCH, A NATIONWIDE NETWORK OF CLINICS OFFERING COMPREHENSIVE MEDICAL SERVICES, AND FAR-REACHING PROFESSIONAL AND PUBLIC HEALTH EDUCATION NATIONAL MULTIPLE SCLEROSIS SOCIETY NE CHAPTER 2730 S 114TH ST OMAHA NE 68144 470439079 501(C)(3) 53894 TO AID IN ENDING THE DEVASTATING EFFECTS OF MS, OFFERING INFORMATION AND REFERRAL, EDUCATION AND DIRECT ASSISTANCE TO OVER 25,000 PEOPLE AFFECTED BY MS NEBRASKA AIDS PROJECT 250 S 77TH ST STE A OMAHA NE 68114 470786622 501(C)(3) 28438 TO LEAD THE COMMUNITY IN THE FIGHT TO OVERCOME HIV/AIDS AND ITS STIGMA THROUGH EDUCATION, SUPPORTIVE SERVICES AND ADVOCACY MEMORIAL BLOOD CENTERS 737 PELHAM BOULEVARD ST PAUL MN 55114 410693869 501(C)(3) 6944 TO PROVIDE COMPREHENSIVE BLOOD PRODUCTS, ADVANCED LABORATORY SERVICES, AND ENHANCED VALUE-DRIVEN SOLUTIONS FOR HOSPITALS, PHYSICIANS, AND OTHER HEALTHCARE PARTNERS NEBRASKA CHAPTER OF THE NATIONAL HEMOPHILIA FOUNDATION 8031 W CENTER RD STE 304 OMAHA NE 68124 135641857 501(C)(3) 6059 TO FIND BETTER TREATMENTS AND CURES FOR INHERITABLE BLEEDING DISORDERS AND TO PREVENT THE COMPLICATIONS OF THESE DISORDERS THROUGH EDUCATION, ADVOCACY AND RESEARCH NEBRASKA HOSPICE & PALLIATIVE CARE PARTNERSHIP 1200 LIBRA DRIVE SUITE 100 LINCOLN NE 68512 470673727 501(C)(3) 29365 TO IMPROVE CARE AND CONDITIONS FOR CHRONICALLY AND TERMINALLY ILL NEBRASKANS THROUGH PUBLIC AND PROFESSIONAL EDUCATION, RESEARCH AND ADVOCACY NEBRASKA KIDNEY ASSOCIATION INC 11725 ARBOR ST STE 210 OMAHA NE 68144 237225449 501(C)(3) 39636 TO PROVIDE INFORMATION AND REFERRALS TO THOSE WITH KIDNEY AND UROLOGIC DISEASES AND TRANSPLANT PATIENTS, EMERGENCY FUNDING, EARLY DETECTION SCREENINGS, PROFESSIONAL EDUCATION, PUBLIC EDUCATION OPEN DOOR MISSION 2828 NORTH 23RD STREET EAST OMAHA NE 68110 470411375 501(C)(3) 5976 TO ASSIST IN BREAKING THE CYCLE OF HOMELESSNESS AND POVERTY SUSAN G KOMEN FOR THE CURE NEBRASKA 8707 WEST CENTER RD STE 101 OMAHA NE 68124 260056671 501(C)(3) 47856 TO PROVIDE GRANTS TO LOCAL ORGANIZATIONS TO SUPPORT BREAST HEALTH EDUCATION, SCREENING AND TREATMENT PROGRAMS ACROSS THE STATE THE ALS ASSN MID AMERICA CHAPTER 10730 PACIFIC ST STE 228 OMAHA NE 68114 481021611 501(C)(3) 46936 TO EMPOWER PEOPLE WITH ALS AND THEIR FAMILIES TO LIVE FULLER LIVES, PROVIDING THEM WITH SERVICES AND SUPPORT WHILE FUNDING GLOBAL RESEARCH TO FIND A CURE TEAM JACK PO BOX 607 ATKINSON NE 68713 462301134 501(C)(3) 51048 TO RAISE MONEY TO FUND IMPACTFUL PEDIATRIC BRAIN CANCER RESEARCH AND WORK TO CREATE NATIONAL AWARENESS FOR THE DISEASE THE LEUKEMIA & LYMPHOMA SOCIETY 12100 W CENTER ROAD BUILDING 1 SUITE 202 OMAHA NE 68144 135644916 501(C)(3) 52443 TO CURE LEUKEMIA, NON-HODGKIN'S LYMPHOMA, HODGKINS LYMPHOMA AND MYELOMA AND IMPROVE THE QUALITY OF LIFE OF PATIENTS AND FAMILIES UNITED CEREBRAL PALSY OF NEBRASKA 920 S 107TH ST STE 302 OMAHA NE 68114 470534212 501(C)(3) 10150 TO PROVIDE PROGRAMS, SERVICES, INFORMATION, REFERRAL, AND FINANCIAL SUPPORT FOR INDIVIDUALS AND FAMILIES WITH CEREBRAL PALSY AS WELL AS OTHER DISABILITIES 24 0 PART I, LINE 2: FUNDS CONTRIBUTED BY DONORS IN WORKPLACE CAMPAIGNS CONDUCTED BY OR IN PARTNERSHIP WITH CHAD ARE EITHER DESIGNATED OR UNDESIGNATED FOR SPECIFIC AGENCIES. DESIGNATED FUNDS: FULL MEMBER AGENCIES ARE CREDITED WITH ALL SPECIFICALLY DESIGNATED FUNDS. DESIGNATED FUNDS ARE DISTRIBUTED QUARTERLY (SEPTEMBER, DECEMBER, MARCH AND JUNE) THE FISCAL YEAR FOLLOWING THE FISCAL YEAR IN WHICH THEY WERE PLEDGED. UNDESIGNATED FUNDS: THE UNDESIGNATED FUNDS, LESS EXPENSES ARE CREDITED TO EACH MEMBER AGENCY BASED ON THE PERCENTAGE OF EACH AGENCY'S DESIGNATED FUNDS RELATIVE TO THE TOTAL OF ALL DESIGNATED FUNDS. THIS PERCENTAGE IS CALCULATED ANNUALLY AT THE END OF EVERY FISCAL YEAR FOR EACH AGENCY BY DIVIDING ITS DESIGNATED FUNDS BY THE TOTAL OF ALL DESIGNATED FUNDS FROM NON-NATIONAL CAMPAIGNS. UNDESIGNATED FUNDS ARE DISTRIBUTED FROM AVAILABLE COLLECTED RECEIVABLES ON THE LAST DAY OF EACH CALENDAR QUARTER (SEPTEMBER, DECEMBER, MARCH AND JUNE). FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO ALL THE MEMBERS OF THE FINANCE COMMITTEE TO BE REVIEWED AND APPROVED BEFORE IT IS FILED. A COPY IS ALSO EMAILED TO EACH BOARD MEMBER AND IS PROVIDED AT THE CLOSEST SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS RENEWED EACH YEAR AND BOTH BOARD MEMBERS AND CHC-NE EMPLOYEES ARE ASKED TO DISCLOSE POTENTIAL CONFLICTS. THE CEO MONITORS THESE WITH THE ASSISTANCE OF THE ADMINISTRATIVE ASSISTANT. IF A CONFLICT EXISTS FOR A BOARD MEMBER IT IS ADDRESSED. FORM 990, PART VI, SECTION B, LINE 15A THE PRESIDENT & CEO POSITION IS REVIEWED ANNUALLY BY THE HUMAN RESOURCE COMMITTEE. THIS COMMITTEE CONSISTS OF THE BOARD CHAIR, IMMEDIATE PAST BOARD CHAIR AND AT LEAST THREE BUT NO MORE THAN FIVE OTHER BOARD MEMBERS. THIS COMMITTEE IS ALSO RESPONSIBLE FOR ANY OTHER HUMAN RESOURCE ISSUES THAT MAY ARISE WITH THE CEO. THE COMMITTEE USES COMPARABILITY DATA AND KEEPS MINUTES OF THE MEETING DISCUSSIONS. GOALS AND ACHIEVEMENTS ARE REVIEWED AS WELL AS ANNUAL SALARY INCREASE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C: THE TREASURER OF THE BOARD IS THE CHAIRMAN OF THE FINANCE COMMITTEE. THE TREASURER ALONG WITH THE FINANCE COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.