OneWorld 2020 Annual Report

Passion & Perseverance

1 ANNUAL REPORT

P A S S

S I O N

Words from Our CEO

Big Thank You OneWorld’s Covid Journey As we reflect on the events of this last year, it is amazing to see all that OneWorld has been able to accomplish. From drive through services, telehealth and Covid-19 testing and vaccination sites to community outreach and resources, I could not be more proud of our teams. They are true Health Care Heroes. I think that it can be said, that this year more than any other, access to care was and continues to be crucial. From desperate impact on vulnerable populations, to advocacy, changing guidelines and updated protocols, our mission is to provide access to quality health care to the underserved and OneWorld has been at the forefront. Through the pandemic, amidst the slowing of families coming to OneWorld for care and getting back to “normal” we provided affordable quality care to 46,166 unique underserved patients. With each patient we strive to provide top-quality, compassionate care that addresses the needs of the whole person. We are very grateful for your support and that of all of our community partners that help us reach more of our neighbors in need every year.

We have to lead from our heart and manage from our head, trust that the money will come as we do what is right. – Andrea Skolkin, MPA Chief Executive Officer “

I am delighted to share some of our Covid-19 Response Achievements: • Care management of Covid-19 positive patients • Car-side care in parking lots • Compassion pay and support for staff • Food deliveries to covid patients and for economic need • Health screening in clinic lobbies • High tech dental aerosol protection for patients and staff • New staff and temporary employees • Personal Protective Equipment (PPE) • Pharmacy walk up window, delivery and expanded mail order medications • Covid policy and media presence and care for underserved communities • Result notification and education about positive Covid-19 results • Safe air quality including bipolar ionization and heppa filtration system • Telehealth for primary care and behavioral health care • Tents and sheds in parking lots • Testing 14,000 patients and community members; average 36% Covid-19 positive • Vaccinations for staff, patients, community and meatpacking plants • Work from home policies for those that could

Care of our patients and access to care is only possible because of our amazing employees, federal and state partners, and donors. Given the increased health and economic challenges we are faced with as a nation, we know the need has never been greater.

We are thankful for your support as we focus on caring for vulnerable populations.

Andrea Skolkin,

Chief Executive Officer

VALUES

COMMUNITY

ACCESS

Providing a broad array of quality health and social services to meet health needs of individuals and families

Inviting residents and other stakeholders to participate in the transformation of the economic, social and physical landscape of the community

COMPASSION

EXCELLENCE

Creating an environment that fosters human dignity, respect and compassion for patients, families and staff

PARTNERSHIP Nurturing broad collaborative efforts and educating the larger community to leverage resources for vulnerable populations Adding value in every aspect of our work and exceeding the expectations of our patients, employees and community

STEWARDSHIP

OneWorld C Health C MISS

Practicing careful stewardship to secure the appropriate resources that enable us to meet the needs of those we serve

in partnership wit provides culturally health care with s the unde

To be an innovative leader, empowering individuals in creating healthier communities.

VISION

Community Centers, SION

th the community, respectful, quality special attention to erserved.

8 SERVICES 161,135 3,830 Visits Uninsured children 908 Babies born 1,753 Prenatal patients Patients by Age 60 % Adults 20-64 36 % Pediatrics 4% Adults 65+ 2020

46,166 Unique Patients

Patients by Payer

2% Medicare

None/ Uninsured 51%

27% Medicaid

20% Private Insuance

Patients by % Federal Poverty Level with known income

4% Over 200%

60%

24% 101-150%

12% 151-200%

100% & Below

9 & PATIENTS

2020 Historic Year MARCH APRIL

• Snow causes Livestock Health Campus tents to collapse, one tent removed 16

• PPE scarce and hard to come by • Local businesses and partners donate hand sanitizer, face shields, and N-95 masks • OneWorld staff in particular roles adjust to working from home • Hotels are available if Covid positive staff

• Covid-19 Temporary Crisis Plan issued • Daily huddles with staff, buildings are locked, waiting areas segregated • March and April - updates are live daily and hourly as needed, schools close

• Pick-me-up for staff as chalk art decorates the campus sidewalks 21

cannot quarantine at home • Eployee prohibited travel

• OneWorld’s first Covid positive results from prior week testing 10

• Testing drastically increases • The number of cases in Douglas County continues to rise – up about 20% • Overall, Nebraska has just over 1800 confirmed cases with 588 of those in the Grand Island area, 310 in Douglas County • OneWorld Covid teams see many positive cases and particularly from employees in the meat packing plants • Reach out to area meat packing plants to help connect their symptomatic employees to testing 23

• Dental open to emergencies only and staff are transitioned to support Covid teams • Curbside medical checks and “Car Triage” are expanded

JUNE

• Covid task force formed and meets three times a week 4 • Uptick in medical transports to hospital via the Covid Assessment Team and continue thorough June 11

• 2100 Total Patients Tested for Covid • 773 Tested Positive 37% • Total Number of patients diagnosed

• Averaging 80 tests per test day • OneWorld unity ceremony • Pharmacy closed briefly for deep clean as several tested positive for Covid • Long turn around for test results – 5 days • Teen and Young Adult Health Center South and Women’s Clinic begin to reopen

with Covid-19 disease either clinically or laboratory confirmed not including family members living in the home with a case who were not individually seen by OneWorld Clinicians: 3,314 • OneWorld Covid-19 positive 81% racial and ethnic minorities

MAY

• Some satellites close so staff can shift to Covid testing and care 6

• First OneWorld staff member tests positive for Covid-19 and quarantines 24

• 1085 Total Patients Tested for COVID • 316 Tested Positive (316/1031= 30.6%) • 1435 Patients diagnosed with COVID-19 – either clinically or through testing • Tested 708 people in 10 days for COVID-19 and 253 tested positive • Patients pass away from Covid

• Rush of patients – demand greater than testing ability 7

• The demand for testing and the number of cases of Covid-19 positive tests skyrocket • Over the past week performed 186 tests, but many more people were seen for symptoms consistent with the virus • Douglas County case numbers are up over 60% in the past week • 170 patients seen for Covid in one day • 48 positive tests

• National Guard moves to OneWorld east parking lot and commits to testing through the end of May • Testing begins at OneWorld satellite clinics • Qliq virtual visit and text system brought on board 10

JULY

• Federal resources for elderly become available 8

• Arrival of Medical Grade HEPA Filters, bipolar ionization, dental ultrasonic ultraviolet equipment, and continue investments on PPE • Governor Ricketts commits financial responses to community health centers • UNO offers isolation housing for staff and patients needing to quarantine • City of Omaha grants resources to OneWorld

• To assist OneWorld with testing the Douglas County Health Department and Nebraska Medicine open a site at 50th & G Street • National Guard donates large quantity of PPE 17

Historic Year continued

AUG

SEPT

• Drive-through Back to School Bash/Get Up Get Moving event distributes 1,000 back packs and 5,000 masks and healthy snacks 1

• Testing options continue to evolve - OneWorld performs both standard (PCR) and rapid testing • Universal goggle policy anytime staff is interacting with patients • OneWorld performs its 5,000 th Free Covid test - positivity rate is 22% • Strollers and baby carriers are allowed back into pediatrics clinic • Economic issues weigh heavy - staff working to alleviate food insecurity • In addition to clinical vaccinations “Flu Drive Through” offered for children and adults 9 years old and above • Free pharmacy delivery available • Work begins on winter “Shedquarters” for warm, safe environment for Covid testing • Four medical providers test positive for Covid, clinic is closed for deep cleaning and staff reviews safety protocols • Bellevue Clinic is expanding, adding new exam rooms • Dr. McVea receives Distinguised Service to Medicine Award • Dr. Donna Faber awarded the COPIC Humanitarian Award and donates $10,000 prize to OneWorld

• Omaha cited as a city of concern by Dr. Deborah Brix • Omaha is smoldering – not getting worse, not getting better • Masks with valves are banned at OneWorld as they do not block transmission • Patient screening evolves • Turnaround time for test results is one day • Coordination continues with Test Nebraska to ensure bilingual services

• The 50th & G street site closes as staff need to return to their jobs • OneWorld expands its on-campus testing site • 64% of patient visits were telehealth visits.

JAN

FEB

DEC

• Tasha Conley, OneWorld Nursing Director featured in Wall Street Journal • OneWorld Plattsmouth is designated as vaccine site for Cass County • New heated tents on Livestock Health Campus Parking lot • Once up and rolling OneWorld projects to administer 450 vaccines per week – actually administers 2,000 vaccine per week

• Uptick in Douglas County Covid cases • Walk-up pharmacy window open despite winter • KETV partners with OneWorld for “Onesies for OneWorld” fundraiser

•Vaccinations arrive - 265 doses of Pfizer • Staff vaccinations begin the same afternoon • Holiday causes an increase in positive Covid tests

OCT

NOV

• OneWorld socially distanced concert by the Pat O’ Show 17

• 7500 flu shots given • OneWorld receives new “So-Low” freezer for storage of Pfizer vaccine • Possible arrival of vaccine projected for December 12 • Dr. Dworak shares warnings from Nebraska Medicine officials about celebrations at Thanksgiving. • Gatherings are a risk for employees

• Planning begins for eventual roll out of Covid vaccine • Medicaid medically frail enrollment opens • Pharmacy begins construction • 58 employees in total have tested positive for Covid since inception

• Supplies for STD test running very low nationally • Douglas County shifts risk dial to red October 23 • Flu shot campagin

MARCH

APRIL

• Vaccine site moved to industrial tent in the OneWorld parking lot “Shedquarters” • OneWorld hits milestone of testing 14,000 patients for Covid-19 • Local business support OneWorld staff with lunches

• Vaccine are offered to all patients 16 and older at all clinic locations and non- patients at “Shedquarters” • OneWorld partners with local

meat packing plants to vaccinate employees

Pre

22,634 Dental Visits

24,610 Patient Support Visits

10,911 Behavioral Health Visits

SERVICES CORE

122,507 Medical Visits

36,553 escriptions Filled

Every day over the last year have received stories of our OneWorld staff going above and beyond to care for our patients and the community. We have so many hero stories. Some include big acts of compassion and others are as small as a kind gesture, but one thing is for sure – the spirit of a Hero is contagious! Covid Heroes

Laura Lowens, Hanny Francia and Alma Macall attended a small memorial service in remembrance of one of their patients. This child had been cared for by the school-based health center staff, but he sadly passed away over the summer after a battle with cancer. They wanted to support the patient’s family, and the rest of the grieving Spring Lake school community. Sometimes being a “hero” means just being present.

HERO

“Thank you for a wonderful experience at your clinic while receiving the Covid-19 vaccine. Everyone was so welcoming, cordial, and professional. There was little pain with the shot, and I have absolutely no after affects. As a matter of fact, I would not know where the site the vaccine went in except for the bandage. I cannot thank you and the whole staff for the smooth and professional way in which your clinic operates. Thank you again and I will be back for the second shot. Keep up the outstanding work you are doing for God’s children, the people. God bless you in your service.” Patient of Brad Doll, PA

Brian Penly helped a 64 year old patient who was at the end of his rope. This patient was feeling very anxious because it was unclear whether his treatment for liver cancer had been successful or not. He had to wait three months to see if there was any growth of an abnormal lesion before they could tell, and it was a hard wait. At the same time, he was laid off from his job busing tables at a restaurant due to the pandemic, and he had financial worries. On top of everything else, he was having a lot of tooth pain. He is uninsured and was not sure how he would be able to pay. Despite being a medically complex patient, Dr. Penly took on the case. He very carefully performed extractions that required special attention due to the patient’s bleeding tendencies. The patient was overjoyed by the results. He is on track to get dentures in the future. His anxiety was lifted, I think, because he knew people cared about him and that good things were starting to happen for him. He is still awaiting his MRI – prayers! – but the dental team took great care of him.

HERO

Even though virtual, the school-based health centers are still hard at work! Thanks to Emily Soener, they may have saved a life last week. A new patient came in for a middle school physical, and they had a positive screen for suicidal ideation. Emily was able to help the patient make a safety plan immediately. The teen patient was afraid that his dad wouldn not be supportive, but he was very receptive and concerned. The patient was enrolled into our ongoing, brief therapy program.

OneWorld Behavioral Health staff have been calling all of our Covid positive patients to offer emotional support. Going through this illness is very stressful – lots of financial, personal health and family worries come to the forefront. Their compassionate response and dedication to patients in need shows they are all OneWorld heroes.

HERO

We received a really sweet thank you note from a family affected by Covid. “I personally have never been shown so much care and extended such selfless help – from a neighbor or an organization. This was a breath of fresh air and it brought tears to my eyes. The Covid Notification Specialist, showed “so much patience and care.”

Patient in response to Notification Specialist Delaney Cristensen , daughter of our own Michelle Christensen!

HERO

An older, insured patient had to use a specific pharmacy to get their diabetes medicines. The difference in price between the mail order pharmacy and a regular pharmacy was almost $900. This patient also needed access to this special pharmacy because they were illiterate and had vision problems. The mail order pharmacy would provide their medications in bubble packed medi-sets that would be easier to manage than pill bottles. April Gomez contacted the Helpdesk with this request and Hector Uribe got this done lickety-split! Thank you for all that you do to help serve our patients.

OW Food Pantry: “Dr. Faber, thank you so much for making this happen. It was very rewarding to help out yesterday and had an amazing group of help. I wanted to share that a patient walked over three miles to get to the food pantry and was planning on carrying three boxes of food back. I offered to drive her back and when she arrived home she was in full tears. She told me she was speechless with the help OneWorld is providing during these hard times. “May God bless everyone because I cannot believe the help and support I am getting for my family and me.”

HERO

Vaccinating for the Future Maria Concepcion Fernandez Valadez and David Valadez Esparza

are thankful to live in a community where they have access to health care. Both in their 90s they were among the first in their family to be vaccinated against Covid-19. “Thank you to OneWorld especially and thank you to the government for the vaccine.” said Mr. Valadez. When they first heard about Covid, they were very scared. “I remember them asking if I thought the virus would hit the United States.” said their granddaughter, Maria Gonzalez, a Nurse Manager at OneWorld. “At that time I told them I was not sure, but OneWorld was making preparations in case it did.” Mr. and Mrs. Valedez kept a close eye on the news and did their best to stay informed with the help of their granddaughter.

Thanks to God and OneWorld, we are going to be around a long time and get to know more grandchildren.” – Maria Concepcion Fernandez Valadez “

Married on January 7, 1945 in Mexico, David and Maria have been through a lot together. World War II, Flu Pandemics, Polio Outbreaks, Mexico’s Financial Crisis, human rights and civic action movements and through it all they said this past year has been one of the hardest. As the parents of 10 children, 28 grandchildren, 50 great-grandchildren and now 6 great great-grandchildren, David and Maria are used to having a full house. They are a very close family, getting together for weekly dinners and big family celebrations. “Since I was little,” said Maria Gonzalez “Grandma has been the coffee lady, going around asking everyone if they need more coffee while a big pot of her special posole cooks on the stove.” It has been hard for celebrations to come and go and especially hard for Maria, or as she is better known Grandma Conchita, to not be able to squeeze all of her grandbabies. When news of the vaccine came “We were happy and excited,” said their daughter Sara Inda who lives with her parents to help them out. “Maria kept us informed and now that we are vaccinated we feel much better.” It has been hard to hear of personal friends and family who have died from the virus and challenging at times to separate the myths from the facts about the vaccine. “Early on my father was telling the rest of the family about supposed bad side effects,” said Maria Gonzalez. “I encouraged him to do his research and make sure the information was coming from trusted sources.” She shared information about the vaccine and how she trusted the doctors at OneWorld who shared the research with her. After she got vaccinated and had no side effects, he decided to get the Covid-19 vaccine as well. “He now tells everyone he had no doubts.” laughed Maria. Many people continue to be reluctant about the vaccine. Varying levels of access to health care as well as language and technology barriers have contributed to health disparities among racial and ethnic groups. OneWorld has partnered with other health systems, state and county public health officials and community organizations to reach minority groups throughout Douglas and Sarpy County.

Dedicated in honor of David Valadez Esparza, who recently passed from Covid-19.

Health Care As It Should Be

“

We are good at responding to a crisis. It’s kind

of what we are made for, particularly when it comes to marginalized people. Responding quickly to daily changes.

- Courtney Allen Cowardin, CNM, OneWorld Associate Medical Director for Women’s Health

At OneWorld we are grateful to be able to care for our patients and the community through all of life’s moments. It’s safe to say that this will be a time in our lives we will never forget. We are proud of all of our OneWorld teams and the difference they are making through whole person care. “March 3, 2020 is a day I will never forget, said Sarah Miller, APRN, CPNP-PC, OneWorld. We had just mandated masks the day before. We had a person from out of town come to our Northwest clinic with flu and Covid like symptoms. He tested positive for influenza and four days later, we got the results that he was positive for Covid-19. The steps we had taken to prepare prevented the potential spread.” As soon as the news of the Coronavirus broke OneWorld started researching and implementing safety preparations. HVAC systems at all clinics were retrofit with technology that elliminates and filters out any Coronavirus particles, as well as installing portable air filters in high traffic areas. Covid response plans were put in place and updated continually according to the changing CDC recommendations. Our information technology team has been integral, increasing technology capabilities and allowing staff to safely distance and maximize efficiency. Our South Omaha Learning Community Center moved classes to YouTube, and after a couple of months, began virtual classes over Zoom. Home visitors went from visiting homes in person to virtual visits. We found ways to make it work including keeping people on staff, even if their job description changed drastically. “OneWorld has done a great job with safety measures. Throughout the pandemic I have felt safer at work than when I was out in the community.” – Teresa Chavez, Enrollment and Financial Services Supervisor

A Covid Assessment Team (CAT) was established to assess patients in cars as well as a team to screen patients over the phone and through telehealth prior to appointments, screeners were in all clinic lobbies to assess patient symptoms and determine at which clinic a patient could be seen. We also established traffic control for our parking lots to direct patients to different locations depending if a patient presented with Covid symptoms or not. Cleaning protocols were enhanced and a secure room was established to store all the supplies needed to help keep patients and staff safe. We moved the lab team to multiple clinic areas, implemented work from home and telehealth protocols, and deployed staff from other jobs and locations to address the increased need for Covid care. School-Based Health Centers and our West Omaha Teen and Young Adult clinic temporarily closed to allow for enough staff in south Omaha to serve the sickest and most vulnerable patients. Some patients started delaying healthcare because they were scared to come for care. This started to affect other aspects of their health, such as their diabetes or hypertension. Our staff had to adapt to new ways to reach and care for patients. “We were trying to figure out how to streamline patient care, move staff to high need areas, triage patients, and keep everyone as safe as possible. It seemed like change was the only constant while we tried to follow changing guidelines, said Vicki Bangert MPAS PA-C, Associate Medical Director of Acute Care. Initially there was fear and anxiety due to the many OneWorld patients being more likely to have exposure to Covid. Covid in south Omaha also affected OneWorld employees by increasing their at home exposure risks.

22 have worked to use the time wisely to look internally so we can come out of Covid stronger. – Brian Penly, D.D.S., Director of Dental Services “ I have seen our team trust each other and trust the safety precautions that the leadership team instituted. As an organization, we

“There is one particular story that will stay with me whenever I think about Covid, said Vicki Bangert MPAS, PA-C. A gentleman in his 70s presented to the Quick Sick (our urgent care clinic) front desk stating that he could not wake up his wife. The couple lived in an apartment building above the clinic. The staff came to get me. We got a little bit more information, and the wife was a OneWorld patient, who had recently been diagnosed with Covid and had many other health issues. We called 911. We don’t normally go into homes, but we all had a sense this was not going to be a good situation for this patient. The Fire and Rescue Team got there just as we finished gowning up and getting into our own protective equipment. We followed the first responder to the apartment, since they just sent one firefighter to access the scene due to potential Covid exposure. We found the patient and it was apparent that she has already passed away. I told the husband how sorry I was for the loss of his wife.” When the first prenatal patient presented with Covid there was not much data on how it could affect pregnant women and babies or how to treat them. OneWorld established a protocol to monitor our patients very closely calling every day and having a visit every three days.

“

“When I was working the Covid Assessment Team (CAT) I saw one of our prenatal patients who had tested positive, said Courtney Allen, CNM She came in because she was not feeling well. Her pulse was high and she was breathing the fastest that I have ever seen an adult breathe. I told her she needed to go to the hospital and we could call for an ambulance. She started crying. I thought she was afraid of what would happen. She told me she had been to a hospital the night before and was treated very poorly. She felt like she was an inconvenience and was sent home rather abruptly after being told she probably infected a bunch of people. She did not want to go back and feel like that again. Her husband who was in the car with her started crying because he felt so bad about the way she was treated. I talked them into going to another hospital and I called ahead to let the staff know what she had experienced. They met her at the entrance and took great care of her. She was admitted and stayed for a few weeks because she was so sick. Had she not gone I do not know what would have happened to her and her baby. I called the hospital she first visited and the Obstetrics Department was quick to respond. We met to discuss that prenatal patient numbers are different. What is a safe range for an average adult is not necessarily the same during pregnancy. This led to further guidelines being established for pregnant women with Covid symptoms.” Pandemic or not, babies do not stop coming. We delivered all of our OneWorld babies and helped cover shortages in other clinics as needed. The social work and volunteer teams delivered countless baby bags, gift cards to help with basic needs and boxes of food to help our patients. “At the beginning of the pandemic one of the hardest things was assigning staff to the Covid Assessment Team (CAT). We did not have much data at that point and it felt like I could be putting them in harm’s way. That gets to your soul fast,” said Sarah Miller, APRN and Associate Medical Services Director. “Every employee that I assigned to a role, said ‘Put me in. I’m here to help.’ I put myself in as well and we worked alongside each other. I realize now that I’ve been in firefighting mode and I haven’t processed much of what has happened.”

I have looked into the eyes of so many, doing everything they can for the community and see that they are on empty – they would never admit it and they would point to someone else that was giving their all.

Joel Dougherty, OneWorld Chief Operating Officer

It has been a stressful time. Studies will show the long-term effects that Covid has are both mental and physical. It is likely that many in healthcare will have a form of PTSD from Covid. “When we first started treating Covid some health care providers were shunned by their families because they did not agree with the work they were doing, said Tasha Conley, RN, MSN, C-EFM, OneWorld Nursing Director. “It can be very isolating. There is a pride in the work that we do and knowing that we are making a difference. We have helped change outcomes and saved lives.” “One of the first patients we lost to Covid was a husband and father to six girls ages

2-19 years. The mother had just gotten home the night before after being at Children’s Hospital for a week with one of the girls. When the father collapsed at home his 19-year old daughter tried to save him. It was unexpected. They didn’t know he had Covid until the autopsy was done. They were devastated. The fear and trauma that they have been left with has been overwhelming. Learning to live without their dad and with what they watched happen. Our social work team helped to provide them basic resources and connect them with Grief’s Journey and a local church adopted their family to help with rent and utilities. Shortly after, Mom tested positive for Covid and had to quarantine away from the girls. During that time, the 19-year old had to take her 5-year sister to the hospital. Our team was in contact with them, and took them food after realizing they had been there for 18 hours with nothing to eat. During a telehealth call, one of our nurses heard the girls trying to do their schoolwork. The close proximity made it extremely hard to hear and concentrate. After hearing this, our nurse sent a pair of headphones for each girl. When summer came along, the same nurse sent them a box of crafts and fun activities to do together. They are doing a lot better now, but it will take time to recover and it will never be the same.” – Sarah Miller APRN, OneWorld Associate Medical Services Director Due to loss of employment, many patients did not have money or transportation to get their medications. There was also the challenge of getting prescriptions to those who tested positive and were in quarantine. OneWorld Development and Pharmacy team worked to find ways to utilize grants, establish home delivery, and walk-up windows and car side delivery were implemented for patients who could not enter the building. There were many impacts from getting Covid that people have had to deal with. Some restrictions are being lifted, but the effects linger from loss of jobs and not being able to go to work. Food insecurity continues to be a big issue. OneWorld outreach groups such as Omaha Teen Generation have worked to support adolescents during these difficult times.

OneWorld is a leader in the community and a true and active advocate for health justice. - Sarah Miller APRN, OneWorld Associate Medical Services Director “

“Job security became a big worry for the kids in our teen groups. They would worry about their parents losing their jobs. Some kids even got jobs to help support their families. As teens in our group saw friends lose family members to Covid. They became advocates in the community and others knew they were a resource.” said Luis Vazquez, Teen Outreach Manager. “We would do mental health checks with each person to see how they were doing. It has been really tough on kids adjusting to a new kind of school, being disconnected from friends, worrying about family security, the political climate. They have really risen to occasion and worked hard, got jobs, supported family, applied for scholarships. Their growth inspires us to keep pushing.” As many in the community have been without work the OneWorld Enrollment & Marketplace team has helped patients through the process of signing up for benefits such as Medicaid, insurance, and unemployment. The WIC team has helped provide information and access to community resources. Both teams expanded to helping patients over the phone and Marketplace has offered the option for patients to drop off paperwork for the team to submit. The pandemic shined a light on the social determinants of health. The need for food will continue and mental health needs are predicted to sky rocket. “Due to the already existing vulnerabilities, barriers, inequities of health, level of poverty, inhumane working conditions our families, communities and OneWorld’s patients and communities’ have been disproportionately affected by the virus.” said Nikki West, OneWorld Social Work Supervisor. “It is a ripple effect; significant increase in positive cases among our immigrant patients, heightened socioeconomic disparities and lack of access to available resources.” Vaccinations are the primary community need now. Continuing to educate and provide access to vaccinations so we can continue to assist our vulnerable populations and keep them safe. “It has been really hard,” said Teresa Chavez, I lost my Dad to Covid on December 22. After receiving oxygen in the hospital for three days, he was sent home and we were told he was fine. The following day he was gone. Since he lived in Washington State I was not able to visit him or attend his funeral. It has been so hard to be away from my family, but I have felt very supported by my team and OneWorld. Personally, when the moment came for me to get the vaccine, I did not hesitate. It felt like a tremendous relief and weight off my shoulders. It is hard to hear people say Covid is not real. I feel it is very important to encourage others to get vaccinated.” Through all of the challenges of this pandemic it has been inspiring to see people truly care for one another. OneWorld will continue to grow as an organization as the cornerstone of hope and healing for our underserved communities.

FINANCIAL

SUMMARY

2021 - 2022 BUDGET: 51M

REVENUES Patient Billing

2 0 2 0 $49,707,093 $25,799,917 5,023,219 3,098,552 15,131,055 896,223 1, 032,962 $50,981,928 ( 1,274,835) 1,274,835 $0 $21,161,752 15,488,191 9,854,460 3,202,690

Grants & Contracts

Contributions

21 % Philanthropy & Contributions

Other

Total Revenue

51 % Patient Billing

EXPENSES Salaries

14 % Federal Grants

Benefits

Professional Fees & Purchased Services

13 %

Supplies & Other

1 %

Rent

Depreciation

State & Local Govt. Grants

Other

Total Expenses

Total Operating Loss Reserves/Covid Impact

87% SERVICES & PROGRAMS 13% ADMINISTRATION

Balance

ALL CARE FOR

PEOPLE

As we look to the future, we continue to be focused on prevention and intervention to improve the quality of life for as many in our community as possible. We are more than health care; we are the beacon of hope and trust for individuals and families, connecting with partners and bringing literacy and other support services to multiple generations that do not have access. We are integral in alleviating poverty, and focused on the care and support of individuals, families and communities. We do not just talk about it; we do it. We are committed to transforming lives.

Your support is life changing; you can see it every day and in every way.

P E R S EV

E RANCE

Passion & Perseverance

OneWorld Teen & Young Adult Health Center West 2520 South 130 th Avenue, Omaha, NE 68144 (402) 769-7077 OneWorld West 4101 South 120 th Street, Omaha, NE 68137 (402) 505-3907 Learning Community Center of South Omaha Family Literacy Center (402) 502-5512

OneWorld Livestock Exchange Campus 4910, 4920, 4930 South 30 th Street, Omaha, NE 68107

(402) 734-4110 - Appointments (402) 502-8845 - Administration OneWorld Bellevue 2207 Georgia Avenue, Bellevue, NE 68005 (402) 502-8855 OneWorld Northwest 4229 North 90 th Street, Omaha, NE 68134 (402) 401-6000 OneWorld Plattsmouth 122 South 6 th Street, Plattsmouth, NE 68048 (402) 296-2345 OneWorld Quick Sick Clinic

Mexican Consulate Health Window 7444 Farnam Street, Omaha, NE 68114 (402) 595-1844 OneWorld School-Based Health Centers Bryan High School (402) 991-3904 Indian Hill Elementary (402) 933-4968

Liberty Elementary (402) 505-8180 Spring Lake Elementary (402) 932-7014

Livestock Exchange Building Campus 4910 South 30 th Street, Omaha, NE 68107 1st Floor (North Building) (402) 502-8859 OneWorld Northwest Walk-in Dental Care 4229 N. 90th Street, Omaha, NE 68134 Phone: (402) 401-6000 OneWorld Teen & Young Adult Health Center South 4310 South 24 th Street,Omaha, NE 68107 (402) 502-8880

OneWorld Mobile Clinics The Fluo-ride OneWorld Medical Mobile OneWorld Smiles

OneWorldOmaha.org

@oneworldchc

facebook.com/oneworldchc

OneWorld Community Health Centers complies with applicable Federal civil rights laws and does not discriminate on the basis of race, religion, color, national origin, sexual orientation, pregnancy, age, gender identity, disability, military status, veteran status, ancestry, immigration status or ability to pay. FTCA P SLIDING FEE SCALE PATIENT CENTERED MEDICAL HOME

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