20 24 GUIDED BY VISION GROUNDED BY MISSION
FROM OUR CEO
A Vision in Times of Change
A common thread throughout OneWorld’s history is change. Since our founding 55 years ago, we have responded to and anticipated changing times, challenges and opportunities. OneWorld’s ability to meet the moment is paired with another common thread: a vision for the future that delivers on the promise of Care for All People in every area of our work.
As we look forward, we know that today’s actions shape the future. This annual report reflects some of the countless ways OneWorld took action in 2024 to live out our vision, while preparing for the future. At OneWorld, our forward movement positions us well to not only fill service gaps in health care for our community, but to uplift future members of the health care workforce. You will see this demonstrated in the pages ahead through data, patient successes and programmatic achievements. We also carry with us lessons from our history as an organization. From the very beginning, when the seed of OneWorld was planted in 1970 as a volunteer-staffed free clinic, we have adapted, grown and thrived amid change. Our vision of care for our community has never wavered, though it has expanded. Today, we take seriously our role as the largest provider of primary health care services in South Omaha, especially as we embark on construction of a new facility on our main campus, while maintaining services at our clinics throughout the metro area. The new facility will provide behavioral health services, early childhood development services and workforce development. At OneWorld, we have a vision for a stronger, healthier and more vibrant community – and we remain steadfast in our commitment to see that vision through. Today’s daily acts of care, perseverance and innovation add up to great things. As our daily actions align with our clear-eyed vision, we can create meaningful change that endures for generations to come. Andrea Skolkin Chief Executive Officer Our Mission To partner with the community to provide access to quality health care services for all people. Our Vision To be a respected, trusted and inclusive organization, providing care and promoting well-being in the communities we serve. Our Values Inclusion • We are intentionally inclusive of all people. Compassion • We act with kindness. Access • We believe in caring for all people.
Relationships • We are committed to building trustworthy relationships. Excellence • We are dedicated to providing superior quality services.
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Unique Patients
Patients by AGE
20,000
15,000
10,000
5,000
0
Male Female
Male Female
Male Female
20 - 64
19 and Under
65+
Patient Age Groups
Patients by % FEDERAL POVERTY LEVEL with known income
101 - 150% 100% and Below
Over 200% 151 - 200%
0
5,000
10,000
15,000
20,000
21%
Patients by PAYER
42%
2%
Medicaid None / Uninsured Private Insurance Medicare
35%
Patients by RACE & ETHNICITY
Asian American American Indian Alaska Native Native Hawaiian & Pacific Islander
African American
Caucasian / White
Hispanic / Latino
0
10,000
20,000
30,000
40,000
FINDING A WAY, WITH SO MUCH AT STAKE For a young patient facing kidney failure and systemic roadblocks in every direction, the odds were stacked against her.
By all appearances, she was a healthy teenager when she came to OneWorld for a health care appointment. But lab work revealed an urgent medical condition – one that would become complicated to treat because of systemic barriers standing between the patient and the care she needed to survive. The patient, not named here, received orders for blood work after a OneWorld clinician grew concerned over her high blood pressure during the initial visit. The blood work showed that the patient’s kidneys were functioning at less than 10%, with the chance that her kidneys would completely fail within the next year. Her best option was a transplant, but the odds were not in her favor. “One of the big problems we face with organ failure is that the road to transplant is very long and it basically doesn’t exist if you don’t have status in this country,” said OneWorld Family Medicine Physician Melanie Menning, MD, MPH. “And so, knowing the initial reason the patient presented, we were aware of very large barriers that were going to be in place – but also knowing her kidneys were likely to fail completely within the next year or two.”
Knowing the average wait time for a nephrology visit is 9-12 months, Dr. Menning reached out to a colleague who is a nephrologist at University of Nebraska Medical Center, Ryan Mullane, DO. According to Dr. Menning, Dr. Mullane “moved mountains” to help the patient, even knowing she had no insurance, financial assistance or other important supports. He agreed to see her right away and begin treatment. Meanwhile, at OneWorld, Dr. Menning and the social services team sat down to discuss likely barriers and possible solutions. First up: identifying strategies that would keep her in school and able to graduate on time, despite the need for hours of medical treatment. The OneWorld team and Dr. Mullane also
needed to help her and her mom fully understand the situation – often with the support of interpreters – to make sure everyone was involved in and understood the plan.
Melanie Menning, MD, MPH Family Medicine Physician
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Annual Report 2024
You know, one of the best parts of caring for people at OneWorld is we’re really good at finding a way, and even though we encounter initial roadblocks, we’re very good at asking why it’s a no and then trying to be creative in our solutions to make that no a yes.” “
Community partnerships helped complete the puzzle. The Center for Immigrant and Refugee Advancement (CIRA) provided legal support to help the patient get her temporary green card; other community contacts helped her secure a job with insurance. Dr. Mullane pushed for her to get on the transplant list. Her dedicated team of advocates stayed with her as she waited for a transplant. Life went on outside of doctor’s appointments too. An excellent student, she enrolled in college with the hopes of pursuing a career in health care. Then, it all came to a halt when her kidneys failed. She was forced to put her studies on pause as she began dialysis, a treatment to help the body remove extra fluid and waste when the kidneys cannot. Fortunately, several years after her first visit to OneWorld, and after successfully navigating financial, legal and other hurdles, an answer arrived. In the fall of 2024, she received her kidney transplant.
Melanie Menning, MD, MPH Family Medicine Physician
As the patient continues to heal, OneWorld continues to have her back – and keeps helping her and other patients find their pathway to “yes.”
“
When basic needs like food, housing, utilities, transportation and employment aren’t met, health care often takes the backseat. Our team sees and understands this and we work to help bridge this gap by addressing social drivers of health, so our patients — many of whom face economic hardship and language barriers — can access care and prioritize their health and wellbeing.”
Idania Ramirez Associate Director of Operations
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Annual Report 2024
CAMPUS SET TO GROW AS HEALTH CARE NEEDS RISE
OneWorld’s 2024 Milagro event celebrated miracles made possible by the OneWorld community – including plans for a bold project set to make an impact on health care in South Omaha and beyond. The new OneWorld Health Care Workforce Development Center will be built just east of the trio of buildings that now make up the main OneWorld campus. The three-story, 29,000-square- foot building will house a health care workforce training center, expanded behavioral health services, a child development center and a micro-unit for epidemic or pandemic responses.
“
The need for quality, culturally-appropriate health care is only increasing in our community. One way we are proudly answering the call is by expanding our services and deepening our investment in South Omaha, our headquarters and organization’s home.”
Andrea Skolkin OneWorld CEO
The OneWorld Health Care Workforce Development Center will address known shortages in the health care landscape, including a lack of Spanish-speaking health care providers. Also at the new facility, OneWorld will train and upskill our own workforce and the larger community, and will dedicate space for early childhood development programming. The $17.5 million campaign is supported in part by funding from philanthropist MacKenzie Scott, the Nebraska Department of Economic Development, donors and other foundations.
OneWorld Health Care Workforce Development Center Livestock Exchange Health Campus, South Omaha
LEARNING COMMUNITY CENTER OPENS DOORS TO ACADEMIC SUCCESS The Learning Community Center of South Omaha (LCC), a partnership between the Learning Community of Douglas and Sarpy Counties and OneWorld, celebrated successful programming in 2024 for families with young children. The LCC uses a two-generation (2Gen) approach to improve academic outcomes for families in poverty, by focusing programming on both children and their parents. This 2Gen approach is evident in the LCC’s 2024 program highlights: Family Summer Camps: Weeklong summer camps combined learning and fun for three cohorts of families. Thanks to collaborations with eight community partners, families participated in STEM, arts, and health and wellness experiences. Partners included Keep Omaha Beautiful, City of Omaha Stormwater Program, U.S. Army Corps of Engineers, Wildlife Encounters, Nebraska Game & Parks Commission, Whispering Roots, Latino Center of the Midlands and Omaha Children’s Museum. Training and coaching: Sixteen South Omaha childcare providers graduated after three years of culturally relevant, collaborative training and coaching. Average outcomes exceeded comparable programs in Nebraska, according to an external evaluator. College Prep for Families: This college planning program celebrated its 10th anniversary – marking a milestone in helping families discover that higher education is within reach for children and parents alike.
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Annual Report 2024
PATIENTS ‘ECSTATIC’ OVER NEW SERVICES AT STEPHEN CENTER CLINIC Since opening a clinic inside the Stephen Center in 2022, OneWorld has continued to expand services for shelter clients by adding more days and clinicians. One such service is the addition of a women’s health clinic. Beginning in September 2024, Katie Sunde, APRN, and her team have spent two mornings per month at the OneWorld Stephen Center Clinic providing care. Sunde said many of her patients are behind on routine health care, and face barriers like lack of housing, lack of insurance or addiction. “Patients and staff were ecstatic to have this option there,” Sunde said. “Cervical cancer screenings were being deferred before, this just due to patient preference for a female provider. This aligns with OneWorld’s mission by increasing access to all.” In addition to women’s health services, OneWorld also added an additional half- day each week for family practice and psychiatric care, and a monthly visit by our Medicaid enrollment team.
It’s important that everyone in the community can access health care, not set at going above and beyond for our patients. Everyone who works here expects excellence out of themselves and others.” “ Katie Sunde, APRN Family Medicine Nurse Practitioner just the fortunate. At OneWorld, the bar is
INTERDISCIPLINARY TEAMS ADDRESS WHOLE-PERSON CARE
Sometimes helping a patient requires digging deeper into their inner and outer worlds. Take, for example, a patient who visits her primary care provider for support managing diabetes. After learning she will need to take insulin, the patient becomes stressed: insulin needs to be refrigerated, and her utilities are about to be shut off. OneWorld’s interdisciplinary teams are prepared. The patient’s clinician contacts the Social Services team to assess the patient’s social determinants of health – the living, social, working and other conditions present in her life – in order to find possible solutions.
Even if there isn’t a quick fix for everything a patient faces, the team is committed to their overall well-being. Social Worker Jair Alvarez said that’s part of what makes OneWorld unique. “I think it’s very special that you can see your primary care physician, see behavioral health and see social work all in the same visits,” Alvarez said. He added: “We want to make sure we meet basic needs, so that they understand their mental health is very important, and [we] want them to continue seeing their doctor and therapist here so that overall, they can have a better, healthier life.”
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Annual Report 2024
CAREER PATHWAYS MARK ‘A KIND OF RENAISSANCE’ IN DENTISTRY Professional growth is a core principle at OneWorld. In dental clinics, assistants can follow a progression as their skills and experience develop. In 2024, three members of the team did exactly that, when they fulfilled the requirements needed to practice as Expanded Function Dental Assistants. Alejandra Iniguez, Grecia Lara Becerril and Brianda Ramos Lopez saw an opportunity when new courses opened in Nebraska that would allow them to earn the credential. The journey included multiple classes, exams and becoming Licensed Dental Assistants. For Iniguez, growing at OneWorld offers not just an opportunity to challenge herself, but also to work in an environment that is meaningful for her. “It’s that part of the community that I’m familiar with, and I felt confident that I can give patients the care that they need in their preferred language,” she said. “So I felt that would be here, that I can accomplish those goals while also maintaining my personal goals of, I want to advance in this field.” Dental Director Brian Penly, DDS, said implementing the ability to level up marks a “kind of renaissance” in dentistry, bringing it into alignment with medical fields. “Part of a good business, I think, is looking out for your employees and letting them lead a better life,” Dr. Penly said. “That’s a goal, you know: being more challenged.”
BEHAVIORAL HEALTH SERVICES EXPAND TO MEET GROWING NEEDS AMONG TEENS With an eye on growing mental health concerns among teens, OneWorld expanded its behavioral health services in 2024. Millard West High School became the second school in the district to house OneWorld behavioral health services. After establishing a presence in the school last year, Behavioral Health Therapist Kevin Heeb began seeing patients there on Fridays. Immediately, Heeb said he was able to see a positive impact on students and parents alike. “The one thing about OneWorld that I think we do really well is we’re willing to help anyone,” Heeb said. “It doesn’t matter where they come from, doesn’t matter what language they speak. We have open arms and we’re willing to bring them in, help them, give them support, make them feel like we care. Because we do.” Already, the OneWorld Medical Mobile Clinic, Teen and Young Adult Clinics, Millard South High School Behavioral Health Clinic and five School-Based Health Centers were offering these services. The expansion was timely. Mental health is a top health issue facing adolescents ages 12-17, according to recent surveys of metro-area parents.
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Annual Report 2024
NEW ONLINE SERVICE ENHANCES CARE AND CONNECTION OneWorld is committed to delivering excellent patient care every step of the way, even when patients are at home or on the go. In 2024, staff opened up online scheduling for adult and pediatric patients via the Patient Portal – paving a new pathway of convenience and access to care. Project Manager Robin Nelson said online scheduling has increased each month since it was implemented; meanwhile, enrollment in the Patient Portal grew by 59% in 2024. “It’s exciting to see the increase in utilization of our Patient Portal, including more patients scheduling appointments online and utilizing the messaging feature,” Nelson said. “We all strive to deliver the best care and support for our patients, and this direct connection between patients and the care team is essential for that goal.” More Patient Portal features are planned for rollout, with the goal of reducing patient wait times at check-in. The HIPAA-compliant Patient Portal, hosted by Intelichart and implemented by OneWorld in 2023, also allows patients to request medication refills, receive appointment reminders, send secure messages to their clinician and complete forms before their scheduled appointment to reduce in-office wait time.
PatientPortal InteliChart
WIC CELEBRATES LOCAL EXCELLENCE AND NATIONAL MILESTONE In 2024, the Special Nutrition Program for Women, Infants and Children, also known as WIC, turned 50 years old. OneWorld’s WIC clinic is the largest in Nebraska, and its team members proudly serve nearly 5,000 people each month. OneWorld’s WIC team is supported by the Douglas County Health Department (DCHD) and is part of its larger effort to promote a culture of breastfeeding. In 2024, DCHD earned a regional Breastfeeding Award for Excellence – recognizing outstanding dedication and efforts in supporting breastfeeding mothers. With regular breastfeeding classes and trained Community Breastfeeding Educators, OneWorld’s WIC staff educate, encourage and embrace mothers on their feeding journeys. WIC is widely regarded as one of the most successful nutrition programs in the United States and is linked to healthier pregnancies, improved birth outcomes and enhanced child development.
WIC Patients by SERVICE OVER TIME
6,966 2020 2021 2022 2023 2024 7,204 7,593 7,629 8,231
2,017 Prenatal patients
1,225 Babies born
BREAKING RECORDS, WHILE ENHANCING PHARMACY SERVICES
At the OneWorld Pharmacy, patients receive high-quality care that goes beyond merely dispensing medications – and highlights from last year demonstrate OneWorld’s commitment to high quality, whole-person care. Improving medication management: Med Sync is a free service that helps patients manage their prescriptions more easily, by aligning refills so they can be picked up on the same day each month. From 2023 to 2024, participation in this program grew from 1,054 to 1,563 patients (48% increase) – bringing ease of medication management and improved health outcomes to more people. Acing inspections: Pharmacies regularly undergo inspections and audits by third parties. In 2024, the OneWorld Pharmacy passed an unplanned and intensive audit by the Drug Enforcement Administration (DEA), as well as State Board of Pharmacy inspections. Passing audits and inspections demonstrates OneWorld’s high level of compliance and quality care.
Unit dose packaging: Patients with multiple maintenance medications received their medications packaged by day and time. Breaking prescription records: The OneWorld Pharmacy works to make necessary medications affordable and accessible for all people. In 2024, the pharmacy noted a three-percent growth in prescriptions dispensed over the prior year, along with a record-breaking day in December when 1,363 prescriptions were dispensed.
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OUTREACH TEAM BRINGS PREVENTIVE CARE AND EDUCATION TO THE COMMUNITY
The OneWorld Outreach team acts as a bridge between the community and health care system by providing education, resources and services. The team focuses on issues like cardiovascular and behavioral health; obesity; diabetes; disease prevention and education; youth engagement; and early childhood development. In 2024, the team celebrated community health successes, including: Record attendance at ¡Vive tu vida! Get Up! Get Moving!® This annual event focusing on Hispanic family physical activity and healthy lifestyles drew 3,000 attendees – an all-time high for OneWorld. Leading the way in Diabetes Prevention programs:
OneWorld’s 26-session program helps participants move out of the “risk zone” for developing diabetes. Offered in Spanish and English, these classes have proved so successful that OneWorld advised the American Diabetes Association on complete program delivery. Addition of a nurse: The team grew to include
Outreach Nurse Elizabeth Silva, who was instrumental in growing vaccine numbers at OneWorld’s Mexican Consulate Health Window. Having a dedicated nurse in Outreach helped increase patient referrals for care to OneWorld.
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Annual Report 2024
MOBILE TEAM BRINGS BACK A STUDENT’S SMILE
Noah’s* teacher noticed he was struggling to stay awake and was isolating himself in the classroom. Out of concern for his well-being, and with permission from his mother, Noah’s teacher and principal walked him over to the OneWorld Medical Mobile Clinic. A medical evaluation and lab draw confirmed Noah’s Vitamin D levels were extremely deficient, leading to fatigue, weakness and depression. The Medical Mobile team set Noah up with a regimen of Vitamin D supplements and regular checkups to monitor his progress. School staff walked Noah to his appointments and noted any changes. Throughout his appointments, OneWorld staff members called his mother so she could play an active role in his treatment plan. Over time, Noah started entering the mobile clinic with a smile on his face. “It made me happy that our team was able to help Noah,” said Health Assistant Nancy Castillo. “Caring for our patients is about more
than providing medical services; it’s taking the extra step to understand their situation so we can best help them be successful.” Six months later, Noah was no longer falling asleep, had a bright attitude and was making friends at school. Noah’s success story is just one example of the Medical Mobile Clinic’s impact. In 2024, the clinic served 850 patients, mostly in the Bellevue, Ralston and Westside school districts. The clinic primarily serves adolescents. About 74% of patients who shared their ethnicity identified as Hispanic, and 47% of patients spoke a language other than English. More than 56% of patients were uninsured, and 25% were on Medicaid. Because of the Medical Mobile Clinic, OneWorld staff is able to regularly collaborate with schools and community partners to reach families with health care access barriers - and make an impact on kids like Noah.
*Name has been changed.
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Annual Report 2024
YOUR SUPPORT TURNS VISION INTO REALITY
Every day, you – the OneWorld community – share your time and resources to change lives. With a shared vision of access to quality health care for all people, we are united in our efforts to create healthier communities. We are committed to providing quality health care for our patients and the greater Omaha community now and far into the future, just as we have been doing since 1970. We look forward to our continuing work together as we envision a future where everyone has the opportunity to thrive. When we have a vision for the future, we can Care for All People.
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VISITS
SERVICES
123,411 Medical visits
167,492 Prescriptions filled
65,144 Vaccine doses given
8,990 Behavioral health visits
2,017 Prenatal Patients
1,225 Babies born
25,321 Dental visits
5,338 Uninsured children
8,231 WIC participants
18,687 Patient support visits
4,440 School-Based Health Center patients
1,207 Learning Community Center participants
Total Visits 162,630
Annual Report 2024
FINANCIALS These are initial numbers. Numbers may vary upon review.
2024 - 2025 REVENUES & EXPENSES
REVENUES $78.1M
EXPENSES $75.3M
Grants & Contracts Patient Revenue
Salaries & Benefits
$37.2M
$42.2M
Building
$25.2M
$1.6M
Professional Services Patient Expenses Other Depreciation
Other Contributions
$12.2M
$10.2M
$3.5M
$5.2M
$1.8M
$14.3M
5%
14%
2025 - 2026 BUDGETED REVENUES 74.5M
74.5M
52%
Grants & Contracts Patient Revenue
Other Contributions
29%
18%
2025 - 2026 BUDGETED EXPENSES 74.4M
2%
5%
74.4M
Building Salaries & Benefits Professional Services Patient Expenses
59%
14%
Other Depreciation
2%
(402) 502-8845 | oneworldomaha.org 4920 S 30th Street Omaha, NE 68107
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