HCAN 2022 Annual Report

Annual

Report Health Center Association of Nebraska

2022

Welcome to our 2022 Annual Report Health Center Association of Nebraska (HCAN) is Nebraska’s nonprofit Primary Care Association, representing the state’s seven Federally Qualified Health Centers (FQHCs), also known as community health centers.

3929 S 147th St. Suite 100A Omaha, NE 68144

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Table of Contents

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Board Chair’s Report 5

Who We Are 6

Who We Serve 8

Our Impact 16

Advocacy 18

Year in Review 23

CEO’s Report For more information, visit us at www.hcanebraska.org 3

Board Chair’s

Report

“Ensuring access to healthy food, supporting people as they apply for health insurance benefits, co-locating our services with community partners, and making sure new parents have the resources and support they need, are critical to building healthy communities.”

Brad Meyer CEO at Bluestem Health Since 1965, community health centers have been

financial and workforce shortages that severely limit our

drivers of community health and well-being. A

ability to expand clinic locations and services provided.

movement that started with two health centers has

In collaboration with HCAN, we are engaging in creative

grown to a nationwide system of 1,400 organizations

solutions like the Medical Assistant Apprenticeship

serving 30 million patients a year. In Nebraska, health

Program that will allow staff to learn while they

centers provide community-focused, high-quality

continue to work in the health center. Not only will

health care to over 113,000 individuals annually. In

this program help us grow a critical component of our

the last ten years, Nebraska health centers have

workforce, it provides a roadmap for opportunity and

experienced an 80% increase in the number of patients

growth for our staff. New partnerships in 2023 will also

served, expanded to over 80 service locations, and

bring opportunities to strategically grow the health

brought services directly to the community through

center footprint across the state, especially in rural areas

mobile units and school-based services.

where gaps in health care access still exist.

Nearly 70% of Nebraska health center patients are of

In 2023, HCAN’s role as a guide and resource for

a racial or ethnic minority and almost one-third are

Nebraska’s health centers is more vital than ever.

best served in a language other than English. Last

Federal funding reauthorization, the beginning of the

year, health centers provided health care to 6,600

Medicaid redetermination process and the official

people experiencing homelessness, 2,000 agricultural

end of the public health emergency will bring new

workers and over 1,000 veterans. For individuals who,

challenges and opportunities. We know that we are

far too often, feel marginalized and under-represented,

stronger when we work together to advance equitable

Nebraska’s health centers continue to be safe, trusted

access to health care in Nebraska. Together, we employ

places where people know they will be seen and cared

1,200 Nebraskans, save the overall health care system

for without judgement or bias.

$187 million annually, and have an economic impact

Like all health care providers, health centers are facing

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of over $240 million. We will continue to leverage that impact to expand access to health care for all.

Who We

Are

Our Mission: To Advance the Health Center Movement Our Vision: Access, health, and well-being for ALL Our Values: • Accountable • Intentional • Elevate

• • •

Inclusive Agile Results-Oriented

Our Commitment to Diversity, Equity and Inclusion: HCAN is committed to building a culture that celebrates diversity and strives for equity. We are dedicated to combatting the public health impact of systemic inequities and racial injustice through advocacy, education, and training.

HCAN Board of Directors Brad Meyer, Board Chair, Bluestem Health Tami Smith, Vice Chair, Heartland Health Center Kathy Nordby, Secretary/Treasurer, Midtown Health Center Dr. Gage Stermensky, Community Action Health Center Kenny McMorris, Charles Drew Health Center, Inc. Andrea Skolkin, OneWorld Community Health Centers, Inc. Terri Ford-Wolfgram, Good Neighbor Community Health Center

Associate Members Bill Wypyski, All Care Health Center Mari Kaptain-Dahlen, Siouxland Community Health Center

What We Do •

Provide technical assistance and training to community health centers

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Network with organizations at the regional and national level for healthcare excellence and equity

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Promote the cost effective delivery of affordable, quality primary health care services

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Promote healthcare workforce development, recruitment, and retention

•

Educate Nebraskans on the mission, services and value of community health centers

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Who We Serve

Our Health Centers 113,528 patients served in 62 counties at over 80 sites*

* Denotes a county where patients can choose from two or more health centers

Data acquired from the 2021 UDS Report

Bluestem Health 1021 North 27th St | Lincoln, NE 68503 Ph. 402.476.1455 | www.bluestemlincoln.com 6 service delivery locations

Heartland Health Center 2116 W Faidley Ave Suite 2100 | Grand Island, NE 68803 Ph. 308.382.4297 | www.heartlandhealthcenter.org 3 service delivery locations

Charles Drew Health Center, Inc. 2915 Grant St | Omaha, NE 68111 Ph. 402.451.3553 | www.charlesdrew.com 15 service delivery locations

Midtown Health Center 302 West Phillip Ave | Norfolk, NE 68701 Ph. 402.371.8000 | www.midtownhealthne.org 19 service delivery locations

Community Action Health Center 975 Crescent Dr. | Gering, NE 69341 Ph. 308.632.2540 | www.capwn.org 3 service delivery locations

OneWorld Community Health Centers, Inc. 4920 South 30th St | Omaha, NE 68107 Ph. 402.734.4110 | www.oneworldomaha.org 21 service delivery locations

Good Neighbor Community Health Center 4321 41st Ave | Columbus, NE 68602 Ph. 402.562.7500

www.goodneighborcommunityhealthcenter.com

5 service delivery locations 6

*Includes School Based Health Centers (SBHCs), public housing and mobile units

Who We Serve

Patients Served by Health Centers 37% of Patients are Uninsured

378,031

92% of Patients are at or below 200% of Federal Poverty Guideline

113,528

Patients Served

11,128

Behavioral Health Patients

35,675

Total Patient Visits

94,458

Patients are Children

Medical Patients

25,526

14,468

Dental Patients

Enabling Services Patients

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Our Impact

Value and Impact of Nebraska’s Health Centers Economic Stimulus $242 Million

Annual Tax Revenue

Total Jobs

1,898

Total Economic Impact

$27 Million

Nebraska’s health centers provide tremendous value and impact to the communities they serve.

Nebraska’s community health centers provide high-quality, affordable health care homes for any Nebraskan seeking medical, dental, or behavioral health services.

Health centers ensure that all Nebraskans, especially underserved populations, have access to high-quality, comprehensive,

Savings to the System $93 Million savings to Medicaid

affordable health care, regardless of their ability to pay. Health centers serve a racially, culturally, and socioeconomically diverse population and serve as a critical component to the safety net program, serving 31% of the uninsured population

$187 Million

and 27% of the uninsured children in Nebraska.

savings to the overall health system

12% 4-Year Patient Growth

24%

100% of Health Centers have installed

lower costs for health center Medicaid patients

Electronic Health Records 100% of Health Centers are using Telehealth to provide remote clinical care services.

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Bluestem Health Lincoln

(402) 476-1455 bluestemlincoln.com

Locations Main Clinic 1021 N 27th St. Lincoln, NE 68503 Piedmont Clinic Bryan Health East 1500 S 48th St STE 412 Lincoln, NE 68506 Thompson Clinic Bryan Health West 2222 S 16th St STE 435 Lincoln, NE 68502 Kreshel Clinic 3100 N 14th St Lincoln, NE 68521 Health 360 Clinic 2301 O St STE 2 Lincoln, NE 68510

Racial and/or Ethnic Minority Patients % of patients served who identify as a racial and/or ethnic minority

19,947

Patients Served

2,789

55,048

18,224

Patient Visits

1,315

Medical Patients

Dental Patients

Enabling Service Patients

1,481

81%

Patients who experience homelessness

4,183

Patients best served in a language other than English

Patients at or below 200% of Federal Poverty Guideline

Uninsured Patients % of uninsured patients served

Medicaid/CHIP Patients % of patients on Medicaid/CHIP served

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Charles Drew Health Center, Inc. Omaha

(402) 451-3553 charlesdrew.com

Locations

includes 4 School Based Health Centers

Grant Street 2915 Grant St Omaha, NE 68111 30 Metro 5319 N 30th St STE A Omaha, NE 68111 Omaha Healthy Start 2912 Manderson St Omaha, NE 68111 Crown Tower 5904 Henninger Ave Omaha, NE 68104

13,238

40,293

Patients Served

Patient Visits

1,618

3,689

Behavioral Health Patients

Dental Patients

9,773

Medical Patients

126

Enabling Services Patients

Florence Tower 5100 Florence Boulevard Omaha, NE 68110 Evans Tower 3600 N 24th St Omaha, NE 68110 Jackson Tower 600 South 27th St Omaha, NE 68105

2,182

Patients best served in a language other than English

2,291

Patients who experience homelessness

Teen & Young Adult Health Center at Benson 5920 Maple St Omaha, NE 68104

Racial and/or Ethnic Minority Patients % of patients served who identify as a racial and/or ethnic minority

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Uninsured Patients % of uninsured patients served

97%

Patients at or below 200% of Federal Poverty Guideline

Medicaid/CHIP Patients % of patients on Medicaid/CHIP served

Community Action Health Center Gering • Chadron (308) 632-2540 capwn.org

Locations Main Office 3350 10th St Gering, NE 69341

7,066

26,615

Patients Served

Patient Visits

1,346

3,637

3,305

Medical Patients

Health Center 975 Crescent Drive Gering, NE 69341 Chadron Dental Clinic 221 Chadron St Chadron, NE 69337

Behavioral Health Patients

1,179

Patients best served in a language other than English

Racial and/or Ethnic Minority Patients % of patients served who identify as a racial and/or ethnic minority

Dental Patients

58

Patients who experience homelessness

Uninsured Patients % of uninsured patients served

480

Enabling Services Patients

90%

Patients at or below 200% of Federal Poverty Guideline

Medicaid/CHIP Patients % of patients on Medicaid/CHIP served

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Good Neighbor Community Health Center Columbus • Fremont (402) 562-7500 goodneighborcommunityhealthcenter.com

Locations Good Neighbor / East Central District Health Department 4321 41st Ave Columbus, NE 68602

Patients Served

Patient Visits

Fremont Clinic 2740 N Clarkson St Fremont, NE 68025

915

2,155

10,399

Behavioral Health Patients

4,702

Patients best served in a language other than English

Racial and/or Ethnic Minority Patients % of patients served who identify as a racial and/or ethnic minority

12

34,293

Dental Patients

211

Patients who experience homelessness

Uninsured Patients % of uninsured patients served

8,614

Medical Patients

177

Enabling Services Patients

89%

Patients at or below 200% of Federal Poverty Guideline

Medicaid/CHIP Patients % of patients on Medicaid/CHIP served

Heartland Health Center Grand Island • Ravenna (308) 382-4297 heartlandhealthcenter.org

Locations Main Location 2116 W Faidley Ave STE 2100 Grand Island, NE 68803 Quick Care 423 W 4th St Grand Island, NE 68803 Ravenna Clinic 104 W Seneca St Ravenna, NE 68869

6,695

Patient Visits

324

2,134

Behavioral Health Patients

462

Patients who experience homelessness

Racial and/or Ethnic Minority Patients % of patients served who identify as a racial and/or ethnic minority

23,829

Patients Served

Dental Patients

5,087

Medical Patients

2,381

Patients best served in a language other than English

93%

Patients at or below 200% of Federal Poverty Guideline

Uninsured Patients % of uninsured patients served

Medicaid/CHIP Patients % of patients on Medicaid/CHIP served

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Midtown Health Center Norfolk • Madison • West Point (402) 371-8000 midtownhealthne.org

Locations Norfolk Clinic 302 W Phillip Ave Norfolk, NE 68701

7,835

Patients Served

27,012

Patient Visits

6,068

Medical Patients

Norfolk Xpress Clinic 210 S 3rd St Norfolk, NE 68701 Madison Clinic 222 Main St Madison, NE 68748 West Point Clinic 303 Plaza Drive West Point, NE 68788

813

Behavioral Health Patients

1,318

Patients best served in a language other than English

Racial and/or Ethnic Minority Patients % of patients served who identify as a racial and/or ethnic minority

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2,106

Dental Patients

679

Patients who experience homelessness

Uninsured Patients % of uninsured patients served

622

Enabling Services Patients

79%

Patients at or below 200% of Federal Poverty Guideline

Medicaid/CHIP Patients % of patients on Medicaid/CHIP served

OneWorld Community Health Centers, Inc.

Omaha • Bellevue • Plattsmouth (402) 734-4110 oneworldomaha.org

Locations

includes 5 School Based Health Centers

Main Location Livestock Exchange Building 4910, 4920, 4930 S 30th St Omaha, NE 68107

48,348

170,941

Patients Served

Patient Visits

6,112

9,016

43,387

Medical Patients

Bellevue 2207 Georgia Ave Bellevue, NE 68005 Northwest Omaha 4229 N 90th St Omaha, NE 68134 West Omaha 4101 S 20th St Omaha, NE 68137 Plattsmouth 122 S 6th St Plattsmouth, NE 68048 Teen & Young Adult - South 4310 S 24th St Omaha, NE 68107

Behavioral Health Patients

Dental Patients

16,272

1,424

Patients best served in a language other than English

Patients who experience homelessness

Teen & Young Adult - West 2520 S 130th Ave Omaha, NE 68144

Racial and/or Ethnic Minority Patients % of patients served who identify as a racial and/or ethnic minority

Uninsured Patients % of uninsured patients served

11,748

Enabling Services Patients

98%

Patients at or below 200% of Federal Poverty Guideline

Medicaid/CHIP Patients % of patients on Medicaid/CHIP served

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Patient

Advocacy HCAN spearheads advocacy efforts for the community health centers, focusing on issues that directly impact access to affordable, communitybased health care as well as social factors like food security, housing and economic assistance that impact our health center patients.

25 Bills Total number of bills HCAN testified, or advocated on, in order to promote access, health and well-being for all.

Legislative Summary •

HCAN provided Written or Oral Testimony 29 times, on 25 Bills

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HCAN supported 24 Bills and opposed 1

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9 out of 24 supported Bills were passed/ amended into Bills that did pass

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Times

Committee

Total number of times HCAN

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HCAN had 2 Bills introduced on its behalf

provided written or oral

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Funding for Capital Construction did not

testimony on bills that included

pass

Medicaid, Workforce, Economic

Enshrining FQHCs as a required Service

Assistance Programs and Social

did pass

Determinants of Health issues.

•

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The one opposed Bill did not leave

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Legislative Activity for

2022

HCAN plays a vital role in educating our federal, state and local policy makers about community health centers. We advocate for health access and coverage and set legislative priorities and policies that promote access to quality, equitable healthcare.

Examples of bills HCAN advocated for the 2022 session:

LB 855

Adds FQHC services to the list of required Medicaid services

LB 698

Requires Medicaid to cover Continuous Glucose Monitoring Devices

LB 767

Passes the Pharmacy Benefit Manager regulation act which includes 340B protections

LB 1014

Includes an additional $5 Million in ARPA funding for the Rural Health Provider Incentive Program

LB 1024

Includes $335 Million in spending towards disadvantaged communities in North and South Omaha

LB 1007

Removes the local match requirement for the Rural Health Provider Incentive Program

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2022

Year in Review HCAN facilitates training and technical assistance opportunities to support community health centers’ commitment to provide high-quality, comprehensive healthcare services. Throughout the year, HCAN offers monthly peer-to-peer team calls, annual conferences, webinars, in-person trainings and individual assistance to health center leadership, boards, and staff.

HCAN works with regional and national partners to provide timely and high quality trainings as well as guidance on any new or ongoing federal and state initiatives.

Throughout the past year, HCAN facilitated 119 trainings, workshops, and peer learning networks. In total, nearly 1,300 health center staff and partners attended.

Peer Learning Networks for 2022

HCAN Online Community

HCAN actively hosts nine peer learning

2022 also marked the launch of our

networks for HCAN members, Iowa

online community. HCAN’s website

associate members, and partner

now offers a community engagement

Primary Care Associations. In total,

platform to allow HCAN members

658 health center staff participated in

the opportunity to connect with their

these peer learning sessions with an

peer network, download available

overall participant satisfaction metric

resources, and register for upcoming

of 4.13/5.

events. To date, 227 user accounts have been created for the HCAN online community.

Continuous Glucose Monitoring Pilot Project

HCAN Medical Assistant Apprenticeship Program

HCAN received private foundation

HCAN successfully launched our MA

dollars in the Spring of 2022 to

Apprenticeship in July of 2022. This

purchase Continuous Blood

apprenticeship program is formally

Glucose monitoring devices. Two

registered with the Department of

pilot health centers partnered with

Labor. To date, over 65 apprentices

uninsured patients to monitor their

have joined the program with

uncontrolled diabetes. In total, patients

representation from all seven

participating in the 3-month CGM

Nebraska FQHCs. HCAN’s program is

pilot saw a significant change in their

currently netting a 91% pass rate.

Hemoglobin A1c – 10.0 to 8.9.

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Outreach &

Enrollment HCAN hosted its annual Assister Fall Training on Thursday, October 20th and Friday, October 21st in Omaha, NE at the University of Nebraska - Omaha. Navigators and Certified Application Counselors gathered together for a hybrid event including both virtual and in-person attendees.

Assisters from all over the state got together to hear from the 2023 Marketplace Insurers, Nebraska Medicaid Managed Care Organizations, Centers for Medicare and Medicaid Services (CMS), Immigrant Legal Center, Medicare and Nebraska Medicaid to help them prepare for Open Enrollment 10.

Assister Fall Training The two-day training had almost 60 assisters from all of Nebraska, and parts of Iowa.

HCAN

Career Center In an effort to aid health center recruitment, HCAN launched an online Career Center in early 2022. HCAN’s Career Center provides a one-stop shop for all open job postings, connecting professionals looking for work with a Nebraska community health center.

The HCAN Career Center, powered by YM Careers, finds and connects qualified candidates with open positions. YM Careers’ Job Flash emails exposes active health center jobs to passive job-seeking professionals, in addition to those that actively find our site. Throughout 2022, HCAN members have posted 571 jobs. Open jobs have been viewed 7,028 times, resulting in 127 applications.

Find it at https://hcan.careerwebsite.com/ 19

HCAN Annual

Conference In September, HCAN hosted our two-day, in-person annual conference in Omaha. The 2022 HCAN Conference: Advancing the Health Center Movement welcomed health center leaders, staff, partners, sponsors, and exhibitors from across the country. In total, 50 health center attendees representing 89% of HCAN membership engaged in this training and networking opportunity.

Exceptional Patient Care Award •

Mariela Muñoz, Nurse Care Manager, OneWorld Community Health Centers, Inc.

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Carliss Miller, Lead Health Navigator, Charles Drew Health Center, Inc.

•

Dr. Jeremy Howe, Physician and Associate Medical Director, OneWorld Community Health Centers, Inc.

At the conference, HCAN presented the 2022 Exceptional Patient Care Award to health center staff members who exemplify outstanding service and commitment to improving the health and well-being of their patients and communities. The award winners pictured above demonstrate exceptional

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contributions to the Community Health Center Movement through their service, leadership, and dedication to the health center mission.

HCAN Highlights

Envolve Vision Van HCAN and Nebraska Total Care, a subsidiary of Centene, brought the Envolve Vision Van back to Nebraska in October 2022. The van made eleven stops throughout the state at local health centers to provide FREE vision screenings, and access to prescription and reading glasses. Doctors and technicians accompanying the van performed mobile vision screenings free of charge to both adults and children (ages 5-18). Over the course of these two weeks, the vision van team performed 718 screenings, wrote 428 prescriptions for eyeglasses, and distributed 141 readers. The total return on investment for this project was nearly $51,000. This was the third time the van partnered with HCAN, having visited Nebraska previously in 2017 and 2018.

HCAN is thankful to the volunteer doctors and technicians that traveled with the van, the Nebraska Total Care staff on-site to discuss health plans, and the Centene staff for funding these extremely successful events.

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Thank you to our

2022 Sponsors!

Platinum Level Partners

Gold Level Partners

Silver Level Partners

Bronze Level Partners

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HCAN’s CEO

Report

Every year, I have the opportunity to reflect on the impact that HCAN has had on our members and the impact our health center members have had on the communities they serve. HCAN is now entering its 12th year as an organization, and I will be coming up on my 8th anniversary as CEO. To put into perspective what has happened in those time frames is simply remarkable.

Health centers are serving 50,000 more patients now than they were in 2011 when HCAN was founded. Patients from 62 of Nebraska’s 93 counties receive care at a health center. Service delivery locations have grown to nearly 80 sites, including schools, mobile units and sites co-located with community partners.

Amy Behnke, JD Chief Executive Officer

Health centers employ nearly 1,200 Nebraskans and are economic drivers in the communities they serve.

Health Center Association of Nebraska Likewise, HCAN has experienced significant change and growth. In early 2022, the HCAN staff collaboratively developed and implemented a new organizational structure to allow for staff development and program expansion. With this new organizational structure came an updated mission, vision, and value statements, and a documented commitment to keeping diversity, equity, inclusion, and justice at the center of our work.

HCAN also expanded our programming; virtual educational offerings, in-person opportunities, on-demand resources, and round table discussions were all designed to meet health centers where they’re at. Last year, HCAN conducted 119 training and peer learning events, launched our HCAN Career Center, and implemented a Department of Labor-approved Medical Assistant Apprenticeship Program.

In 2023, we will be introducing a Dental Assistant Apprenticeship Program, as well as a new peer learning group centered on addressing the Social Determinants of Health (SDOH). HCAN will also work in partnership with Nebraska health centers to develop and implement a tele-behavioral health network.

In January of this year, we started a project to collect patient stories from the health centers. And, while all of them are equally inspiring, there are two simple words from one of the patient testimonials that perfectly sum up what it means to be a health center patient – “I matter”. That quote from a patient encompasses everything that the health center movement stands for – making sure that, regardless of who they are or where the come from, patients know they matter, they are valued, and they will be treated with dignity.

This coming year holds great opportunity to expand equitable access to health care across our state. Every Nebraskan deserves to have a health care home where they feel valued and where they know they matter. I am so grateful to have been a part of eight years of growth and opportunity in Nebraska’s health center movement and I look forward to the promise of years to come.

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Health Center Association of Nebraska 3929 S 147th St., Suite 100A Omaha, NE 68144 info@hcanebraska.org www.hcanebraska.org