2019-01-28T12:44:39-06:00 2018-06-30 476097913 SEIM JOHNSON LLP 18081 BURT STREET SUITE 200 OMAHA NE 680224722 990 2017-07-01 237162972 COMBINED HEALTH AGENCIES DRIVE COMMUNITY HEALTH CHARITIES NEBRASKA COMB 4026148500 212 SOUTH 74TH STREET NO 205 OMAHA NE 68114 MICHELLE GROSSMAN PRESIDENT/CEO 4026148500 2019-01-25 1 WENDY R COOLEY P01523804 4023302660 209.34.201.180 2019-01-25 10:57:34 CS P A532DB5264189C1BF118C5B3DB29FD281B4BE385 5D066E2939FE45487034BD10C4A0DC94BE27FEF9 2017 2019-02-21 02:37:17Z COMMUNITY HEALTH CHARITIES OF NEBRASKA MICHELLE GROSSMAN 212 SOUTH 74TH STREET NO 205 OMAHA NE 68114 1867701 0 X WWW.CHCNE.ORG X 1971 NE IMPROVING LIVES BY RAISING FUNDS FOR NEBRASKA'S HEALTH CHARITIES THROUGH WORKPLACE GIVING. 43 43 8 150 0 0 1901781 1816689 5429 13315 14126 24615 0 0 1921336 1854619 1332070 1192385 0 0 424390 428965 0 0 19046 146675 119014 1903135 1740364 18201 114255 1607624 1666983 1029868 929917 577756 737066 IMPROVING LIVES BY RAISING FUNDS FOR NEBRASKA'S HEALTH CHARITIES THROUGH WORKPLACE GIVING. 0 0 1540986 1192385 13315 CHC-NE CONNECTS EMPLOYEES AND EMPLOYERS VIA THE WORKPLACE TO CHC'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. 1540986 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 X 43 43 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 TERESA LAYTON BOARD CHAIR 1.00 X X 0 0 0 RALPH DOVALI TREASURER 1.00 X X 0 0 0 ERICA HINRICHS SECRETARY 1.00 X X 0 0 0 ANNE-MARIE LIND NATIONAL MS SOCIETY - MID AMERICA 1.00 X 0 0 0 DAVE BUSHEY DIRECTOR AT LARGE 1.00 X 0 0 0 JON PANZER JDRF REP 1.00 X 0 0 0 JOANN ABT DIRECTOR AT LARGE 1.00 X 0 0 0 KATIE LOVE DIRECTOR AT LARGE 1.00 X 0 0 0 MARK BLAIR DIRECTOR AT LARGE 1.00 X 0 0 0 PATRICK BOOTH DIRECTOR AT LARGE 1.00 X 0 0 0 SHARON BRODKEY DIRECTOR AT LARGE 1.00 X 0 0 0 MARK BURGERS DIRECTOR AT LARGE 1.00 X 0 0 0 MARTIE CORDARO ALS REP 1.00 X 0 0 0 MICHAEL DEMMAN DIRECTOR AT LARGE 1.00 X 0 0 0 LUKE CHRISTIANSEN DIRECTOR AT LARGE 1.00 X 0 0 0 LARRY GUENTHER ALZHEIMER'S REP 1.00 X 0 0 0 STANLEY KATHOL DIRECTOR AT LARGE 1.00 X 0 0 0 CARRIE KEENE WEST CENTRAL BOARD CHAIR 1.00 X 0 0 0 CRAIG SALL IMMEDIATE PAST STATE BOARD CHAIR 1.00 X 0 0 0 RUSSELL SEBEK LINCOLN BOARD CHAIR 1.00 X 0 0 0 JIM SCHELBLE DIRECTOR AT LARGE 1.00 X 0 0 0 THOMAS MACY DIRECTOR AT LARGE 1.00 X 0 0 0 DEENIE MEYERSON DIRECTOR AT LARGE 1.00 X 0 0 0 MIKE WADE DIRECTOR AT LARGE 1.00 X 0 0 0 DAVID GILINSKY DIRECTOR AT LARGE 1.00 X 0 0 0 STEVE PATTERSON DIRECTOR AT LARGE 1.00 X 0 0 0 AMBER PRESTON DIRECTOR AT LARGE 1.00 X 0 0 0 JANEANE WHITNEY CHROHN'S & COLITIS FND REP 1.00 X 0 0 0 LOREN STEENSON DIRECTOR AT LARGE 1.00 X 0 0 0 CALE FURSTENBERG CFF REP 1.00 X 0 0 0 FRANKLIN THOMPSON DIRECTOR AT LARGE 1.00 X 0 0 0 JEFF PARKER DIRECTOR AT LARGE 1.00 X 0 0 0 REBECCA RUNGE NE CHAPTER NATL HEMOPHILIA REP 1.00 X 0 0 0 CLARENCE NICHOLS DIRECTOR AT LARGE 1.00 X 0 0 0 KAREN CARSON TEAM JACK FOUNDATION REP 1.00 X 0 0 0 STEPHEN JACKSON SUSAN G. KOMEN GREAT PLAIN 1.00 X 0 0 0 RONDI KINNEY BRAIN INJURY ALLIANCE NEBR 1.00 X 0 0 0 HEATHER KUDRON DIRECTOR AT LARGE 1.00 X 0 0 0 STEVE MCWHORTER AUTISM ACTION PARTNERSHIP 1.00 X 0 0 0 MARK NIELSEN NEBRASKA AIDS REP 1.00 X 0 0 0 AMY NIEMAN LEUKEMIA & LYMPHOMA REP 1.00 X 0 0 0 M JOHN STEIER UNITED CEREBRAL PALSY OF NE 1.00 X 0 0 0 CHRIS TOOKER ARTHRITIS FOUNDATION REP 1.00 X 0 0 0 J ERIN HUNT DIRECTOR AT LARGE THRU 10/17 1.00 X 0 0 0 TOM NEAL NEBRASKA KIDNEY REP THRU 05/18 1.00 X 0 0 0 MICHELLE GROSSMAN PRESIDENT/CEO 45.00 X 101949 0 5808 SHANNON CASTILLO DIRECTOR OF FINANCE 40.00 X 56885 0 2893 158834 0 8701 1 0 0 0 0 1416640 400049 1816689 MEMBER AFFILIATE FEES 900099 13000 13000 LEADERSHIP 25 INCOME 900099 315 315 13315 15247 15247 22450 13082 9368 9368 9368 1854619 13315 0 24615 1192385 1192385 164422 110628 48878 4916 222298 149568 66083 6647 10902 7335 3241 326 2354 1584 700 70 28989 19426 8717 846 23600 23600 5450 5450 1596 1117 160 319 20754 16133 2545 2076 24948 19958 2495 2495 6933 5893 693 347 4079 3671 408 2098 1678 210 210 5151 4121 515 515 BAD DEBT 15518 15518 CAMPAIGN EXPENSE 4232 4020 0 212 MISCELLANEOUS 1855 1341 514 PUBLIC SECTOR FEES 1456 1456 1344 672 605 67 1740364 1540986 180332 19046 42300 56930 6241 7027 975488 956661 3480 2144 38790 24669 8719 14121 537028 570835 34368 59265 1607624 1666983 39119 32852 990709 897065 40 0 1029868 929917 X -428628 -399834 611160 708004 395224 428896 577756 737066 1607624 1666983 114255 45055 0 X X 0 1 X 1 0 X 2781061 2832635 2091254 1901781 1610812 11217543 2781061 2832635 2091254 1901781 1610812 11217543 749230 10468313 10805 15974 13998 14126 15247 70150 11287693 53443 0.92740 0.90660 X 577756 8775 39953 14000 612484 521034 17623 48099 9000 577756 507077 7598 6359 521034 494549 6055 6473 507077 425096 8225 61228 494549 0.00000 0.66000 0.34000 0 0 38790 24669 14121 14121 1913859 45055 19635 64690 1849169 5450 5450 1854619 1754549 19635 19635 1734914 5450 5450 1740364 PART V, LINE 4: CHC 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) 155565 TO PROVIDE EDUCATION AND SUPPORT TO ALZHEIMERS RELATED DISEASES. AMERICAN CANCER SOCIETY - NE HEARTLAND 5733 S 34TH ST LINCOLN NE 68516 131788491 501(C)(3) 12591 THE AMERICAN CANCER SOCIETY IS THE NATIONWIDE COMMUNITY-BASED VOLUNTARY HEALTH ORGANIZATION DEDICATED TO ELIMINATING CANCER AS A MAJOR HEALTH PROBLEM BY PREVENTING CANCER, SAVING LIVES, AND DIMINISHING SUFFERING FROM CANCER, THROUGH RESEARCH, EDUCATION, ADVOCACY AND SERVICE. AMERICAN DIABETES ASSN OF NE 14216 DAYTON CIR STE 6 OMAHA NE 68137 131623888 501(C)(3) 79923 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) 31511 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) 25662 TO IMPROVE LIVES THROUGH LEADERSHIP IN THE PREVENTION, CONTROL AND CURE OF ARTHRITIS AND RELATED DISEASES. BRAIN INJURY ALLIANCE OF NEBRASKA 2424 RIDGE POINT CIR LINCOLN NE 68512 260851140 501(C)(3) 13813 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) 36817 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) 46551 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) 19710 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) 121928 TO IMPROVE THE LIVES OF CHILDREN AND ADULTS LIVING WITH TYPE 1 DIABETES (T1D) THROUGH FUNDING RESEARCH TO CURE, TREAT, AND PREVENT THIS DISEASE. MAKE A WISH FOUNDATION 11836 ARBOR STREET OMAHA NE 68144 470671096 501(C)(3) 10856 TO GRANT THE WISHES OF CHILDREN AGES 2 1/2 TO NOT YET 18 IN NEBRASKA BATTLING A LIFE-THREATENING ILLNESS. MARCH OF DIMES NEBRASKA CHAPTER 11640 ARBOR ST STE 102 OMAHA NE 68144 131846366 501(C)(3) 30637 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) 15325 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 HEMOPHILIA FOUNDATION 8031 W CENTER RD STE 304 OMAHA NE 68124 135641857 501(C)(3) 5426 TO FIND BETTER TREATMENTS AND CURES FOR INHERITABLE BLEEDING DISORDERS AND TO PREVENT THE COMPLICATIONS OF THESE DISORDERS THROUGH EDUCATION, ADVOCACY AND RESEARCH. NATIONAL MULTIPLE SCLEROSIS SOCIETY NE CHAPTER 2730 S 114TH ST OMAHA NE 68144 470439079 501(C)(3) 61624 TO AID IN ENDING THE DEVASTING 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) 26578 TO LEAD THE COMMUNITY IN THE FIGHT TO OVERCOME HIV/AIDS AND ITS STIGMA THROUGH EDUCATION, SUPPORTIVE SERVICES AND ADVOCACY NEBRASKA HOSPICE & PALLIATIVE CARE PARTNERSHIP 1200 LIBRA DRIVE SUITE 100 LINCOLN NE 68512 470673727 501(C)(3) 26176 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) 35469 TO PROVIDE INFORMATION AND REFERRALS TO THOSE WITH KIDNEY AND UROLOGIC DISEASES AND TRANSPLANT PATIENTS, EMERGENCY FUNDING, EARLY DETECTION SCREENINGS, PROFESSIONAL EDUCATION, PUBLIC EDUCATION PROJECT HARMONY 11949 Q STREET OMAHA NE 68137 470789054 501(C)(3) 5049 TO PROVIDE FORENSIC INTERVIEWS, MEDICAL EXAMINATIONS AND REFERRALS FOR COUNSELING TO CHILD ABUSE VICTIMS. SUSAN G KOMEN FOR THE CURE NEBRASKA 8707 WEST CENTER RD STE 101 OMAHA NE 68124 260056671 501(C)(3) 50190 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) 57736 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 THE LEUKEMIA & LYMPHOMA SOCIETY 12100 W CENTER ROAD BUILDING 1 SUITE 202 OMAHA NE 68144 135644916 501(C)(3) 84034 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) 16942 TO PROVIDE PROGRAMS, SERVICES, INFORMATION, REFERRAL, AND FINANCIAL SUPPORT FOR INDIVIDUALS AND FAMILIES WITH CEREBRAL PALSY AS WELL AS OTHER DISABILITIES 23 0 PART I, LINE 2: FUNDS CONTRIBUTED BY DONORS IN WORKPLACE CAMPAIGNS CONDUCTED BY OR IN PARTNERSHIP WITH CHC-NE 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.