2022-10-11T11:53:02-00:00 2021-12-31 135565207 KPMG LLP 1212 No 96 Street Ste 300 Omaha NE 68114 990 2021-01-01 470376606 Father Flanagan's Boys' Home FATH 5313553127 14100 Crawford Street Boys Town NE 68010 Judy F Rasmussen Chief Financial Officer 5313553127 2022-10-04 true Judy Rasmussen XXX-XX-XXXX Holly Moen P01800653 4023481450 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z Boys Town Judy F Rasmussen 14100 Crawford Street PO Box Boys T Boys Town NE 68010 749023865 false X http://www.boystown.org X 1917 NE Changing the way America cares for children and families. 17 16 3985 106 -232967 175370128 201068581 174995936 193926380 16551586 24546432 34250670 2146481 401168320 421687874 22186691 24609859 0 204009750 222886051 0 56058728 118068039 138996564 344264480 386492474 56903840 35195400 1726612673 1928254402 179044198 159208622 1547568475 1769045780 X Changing the way America cares for children and families. false false 197051629 176735 160227596 BOYS TOWN NATIONAL RESEARCH HOSPITAL - See Schedule O for complete description. 57635828 2059251 22142597 NEBRASKA/IOWA - See Schedule O for complete description. 22219548 22220814 PROGRAMS ACROSS AMERICA - See Schedule O for complete description 33810492 153059 11556187 310717497 true true false true false false false false false true true true false true true true false true true false false false false false true false true true true true true true false false false false false false false false false false true false false false false true true true false false true 343 0 true 3985 true true true true EI false false false true true false false false false false false X 17 16 true false false false false false false true true false true true true true true true true true true true false AK AZ CA CO CT DC FL GA HI IA IL IN KS KY LA MA MD MI MN MO MS MT ND NE NH NJ NM NV NY OH OR PA RI SC SD TN TX UT VA WA WI WV WY X Judy F Rasmussen CPA 5313553131 14100 Crawford Street Boys Town NE 68010 Kelli Jo Shidler MD Physician 040.00 X 1265135 0 40289 Robert Cusick MD Physician 040.00 X 871112 0 48661 Shahab T Abdessalam MD Physician 040.00 X 870215 0 48412 Stephen Raynor MD Physician 040.00 X 772717 0 42041 Linden E Fornoff MD Physician 040.00 X 777900 0 22384 Dr Jason Bruce Executive Vice President Healthcare 040.00 X 487329 0 49458 Rodney J Kempkes Chief Executive Officer 035.00 005.00 X 419625 0 48220 Philip J Ruden Executive Vice President, Investements Chief Investment Officer 005.00 035.00 X 463111 0 -2974 Judy F Rasmussen CPA Executive Vice President Finance Administration 035.00 005.00 X 379278 0 21049 Dana E Washington Executive Vice President, General Counsel 035.00 005.00 X 332590 0 21016 Father Steven E Boes President National Executive Director 035.00 005.00 X X 127982 0 198456 Barbara J Vollmer Executive Vice President, Director of Youth Care 035.00 005.00 X 278579 0 22215 Monty J Horine Senior Vice President Corporate Secretary 035.00 005.00 X 235793 0 17785 John K Arch VP BTNRH Strategic Initiatives Fomer Officer 030.00 X 200358 0 28509 Michael J Eglseder Vice President, Investments Assistant Treasurer 005.00 035.00 X 202215 0 -6921 James L Beckmann JD Assistant Corporate Secretary 035.00 005.00 X 159967 0 28192 Thomas Barker Director 002.00 X 0 0 0 Kate Dodge Chair 003.00 X X 0 0 0 Sherrye Hutcherson Director 002.00 X 0 0 0 Peter P Jones Director 002.00 X 0 0 0 William M Bryant Director 002.00 X 0 0 0 Laurine M Garrity Director 002.00 X 0 0 0 Robert R Matejek Director 002.00 X 0 0 0 Kathy Nieland CPA Chair 003.00 X X 0 0 0 John Passarelli Director 002.00 X 0 0 0 D Bradley Welling MD PhD FACS Director 002.00 X 0 0 0 Jodi L Probst Director 002.00 X 0 0 0 Keith D Allen PHD BCBA-D Director 002.00 X 0 0 0 Richard A Chole MD PhD Director 002.00 X 0 0 0 Kathleen F Driscoll Chair Elect 002.00 X 0 0 0 Linda A LeBlanc PhD Director 002.00 X 0 0 0 Joni W Wheeler Director 002.00 X 0 0 0 Robert Batt Director 002.00 X 0 0 0 Ronald Gartland Director 002.00 X 0 0 0 7843906 626792 331 true true false UNMC 987137 Nebraska Medical Center Omaha NE 68198 Pathology 1663239 Facebook Inc 1601 Willow Road Menlo Park CA 94028 Marketing Fees 1218870 Mercy Health PO Box 505125 Saint Louis MO 63150 Licensing Fees 1085680 Innovative Urology Services 7710 Mercy Road Ste 406 Omaha NE 68124 Fluoroscopy and Lithotripsy 1052734 CHI Health 12809 W Dodge Road Floor 1 Omaha NE 68134 Record and Information 491949 56 356148 47176207 24547235 128988991 1851051 201068581 Boys Town National Research Hospital 621110 160227596 160227596 Nebraska/Iowa Services 623990 22142597 22142597 Home Town Educational 611420 6447001 6447001 National Hotline and Public Services 624100 5109186 5109186 5109186 193926380 2758698 2758698 244970 244970 124839 124839 124839 124839 348571182 20483 326709338 94593 21861844 -74110 21787734 21787734 84289 356148 196425 -112136 -112136 102668 335635 -232967 -232967 Historical Tax Credits 900099 757996 757996 Mail List Rental 900099 607585 607585 Rebates 900099 420688 420688 335506 335506 2121775 421687874 200549756 -232967 25411690 22220814 22220814 2389045 2389045 0 0 3109777 776423 2333354 0 170327192 158930747 7573747 3822698 7408262 6626928 594489 186845 30764934 28452264 1645017 667653 11275886 10428608 572093 275185 0 975707 975707 210552 210552 221700 221700 664041 664041 18648509 16685192 420304 1543013 5218937 3102460 441289 1675188 71139541 22493575 1799860 46846106 12280004 10894959 1075607 309438 0 9817299 9487326 310470 19503 1608542 1480366 63893 64283 0 227429 207664 16337 3428 1385527 868756 13690 503081 0 12647830 12034006 533914 79910 1738739 1434331 282671 21737 Equipment rental and maintenance 1623398 1577218 38640 7540 Corporate dues/memberships 249620 208083 29387 12150 339189 197032 121187 20970 386492474 310717497 19716249 56058728 X 49594000 1492291 636842 47464867 10255266 19752265 114150749 93830486 2742618 5417600 36902518 34450673 44 44 2419166 2989993 7878648 6895631 395904821 211195244 163739977 184709577 88140186 99193480 198226799 237555708 1102156702 1243458945 1726612673 1928254402 67527694 67825983 160869 283757 97394462 87027324 13961173 4071558 179044198 159208622 X 1400474733 1597688916 147093742 171356864 1547568475 1769045780 1726612673 1928254402 X 35195400 33854367 152427538 X false true X true true true X 136643681 146010246 157574772 175370128 201068581 816667408 136643681 146010246 157574772 175370128 201068581 816667408 211172404 605495004 5606564 7302613 7194036 4402282 3128507 27634002 1985707 3330913 3628253 34163615 2121775 45230263 889531673 914240805 0.62730 X Part II Section B Line 10 Other income is 757,996 from issuance of historical tax credits, 607,585 is revenue from mail list rentals, 420,688 is revenue from rebates, and 335,506 is other items. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 221700 221700 221700 221700 385368567 485561369 385590267 485783069 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 334089 317274 111362 221700 984425 250000 250000 250000 250000 1000000 1500000 II-A A Father Flanagans Boys Home, 14100 Crawford Street, Boys Town NE 68010, 47-0376606, 385,590,267, 221,700 Father Flanagans Fund for Needy Children, 14100 Crawford Street, Boys Town, NE 68010, 36-3680258, 47,181,997, 0 Boys Town California, Inc., 14100 Crawford Street, Boys Town, NE 68010, 76-0720675, 609,773, 0 Boys Town Central Florida, Inc., 975 Oklahoma Street, Oviedo, FL 32765, 20-0654235, 6,801,056, 0 Boys Town Louisiana, Inc., 300 North Broad Street, Ste. 106, New Orleans, LA 70119, 41-2220807, 9,076,089, 0 Boys Town Nevada, Inc. 821 N Mojave Road., Las Vegas, NV 89101, 20-0654472, 5,781,693, 0 Boys Town New England, Inc., Barzarsky Campus 58 Flanagan Road., Portsmouth, RI 02871, 20-0655240, 8,083,239, 0 Boys Town New York, Inc., 14100 Crawford Street, Boys Town, NE 68010, 20-5960877, 904,773, 0 Boys Town North Florida, Inc., 3555 Commonwealth Blvd. Tallahassee, FL 32303, 20-0655144, 6,646,739, 0 Boys Town Washington D.C. Inc., 4801 Sargent Rd N.E., Washington, DC 20017, 41-2220810, 6,821,774, 0 Boys Town South Florida, Inc., 1655 Palm Beach Lakes Blvd., West Palm Beach, FL 33401, 26-3965524, 7,242,619, 0 Lied Learning and Technology Center for Childhood Deafness and Vision Disorders, 14100 Crawford Street, Boys Town, NE 68010, 47-0841263, 1,023,788, 0 Nebraska Families Collaborative, 14100 Crawford Street, Boys Town, NE 68010, 26-4436716, 19,262, 0. false 1049523403 1475519 193721413 46873475 2050000 735381 1195061479 1002368642 346700 96992846 46560000 2602779 1022006 1049523403 921410888 4158479 126171019 46197000 2354193 820551 1002368642 944680028 39063938 -14901708 44976000 1018035 1437335 921410888 869349310 2035595 119609323 44658000 289336 1366864 944680028 0.98000 0.01000 0.01000 true true true 787264 2472270 3259534 246354954 115535583 130819371 146290333 95659661 50630672 184709577 237555708 F Financial derivatives and other financial products Closely-held equity interests 237555708 F 237555708 Beneficial interest in assets held in trust 94832424 Accrued investment income 33106 Other assets 5237028 Interest in Father Flanagans Fund for Needy Children 1113244615 Interest in subordinate affiliated and controlled organziations 27049576 Interest in Lied Learning and Technology Center 3062196 1243458945 Federal income taxes Postretirement Benefit Obligation 4071558 4071558 X 543053000 33854367 49400180 40032348 123286895 419766105 664041 355521 1019562 420785667 464366000 49400180 52357111 101757291 362608709 664041 22317517 22981558 385590267 V 4 The intended uses of the organizations endowment funds are to support the activities of Father Flanagans Boys Home in fulfilling its mission in compliance with donor intent. X 2 Boys Town and its affiliates have been recognized as a tax-exempt organization by the Internal Revenue Services IRS as described in Section 501c3 of the Code, and, therefore, is exempt from income taxes on related income under Section 501a of the Code. Boys Town accounts for uncertainties in accounting for income tax assets and liabilities by recognizing the effect of income tax positions only if those positions are more likely than not of being sustained. At December 31, 2021, Boys Town had no uncertain tax positions accrued. XI 2d Change in value of beneficial interest in external trusts of 9,074,742 was included in the consolidated financial statements but was reclassified to other changes in net assets for Form 990. Affiliate revenue of 30,957,606 was included in the audited financial statements but eliminated for the Form 990. XI 4b Revenue of 895,506 from business between the Central organization and affiliates or related organizations was eliminated for audited consolidated financial statements but was reinstated for Form 990. Loss of 92,610 on sale of fixed assets, cost of goods sold of 335,635, and special event expenses of 111,575 was included as expenses for the audited consolidated financial statements but was a reduction to revenue for the Form 990. Rounding to thousands for the audited consolidated financial statements of 165. XII 2d Affiliate and related organizations expenses in the amount of 51,817,291 was included in the audited financial statements but eliminated for the Form 990. Special event expenses of 111,575, loss of sale of fixed assets of 92,610, and cost of good sold 335,635 were included in total expenses for the consolidated audited statements but offset revenue for the Form 990. XII 4b Support to affiliates of 21,318,607 and 999,145 of expenses paid to related parties was eliminated for audited consolidated financial statements but was reinstated and included in expenses for the Form 990. Rounding to thousands for the audited financial statements of 235. true true false true true true true false false false false false false false false true false true 6a Father Flanagans Boys Home received financial aid or assistance and program fees from the following agencies US Department of Health and Human Services, US Department of Agriculture, US Department of Education, National Science Foundation, and the State of Nebraska. Blue Water Bash 197937 134495 63442 22093 2200 105108 Booster Banquet 180307 163863 16444 9000 38945 1 62193 57790 4403 19079 440437 356148 84289 22093 11200 163132 196425 -112136 true true true X true X true true false false 239945 239945 0.00060 49469997 24967545 24502452 0.06340 1013227 427533 585694 0.00150 50723169 25395078 25328091 0.06550 37131 37131 0.00010 155939 155939 0.00040 9490429 6256472 3233957 0.00840 11377527 3653000 7724527 0.02000 42589 42589 0.00010 21103615 9909472 11194143 0.02900 71826784 35304550 36522234 0.09450 16836 16836 16060 16060 33273 33273 0.00010 66169 66169 0.00010 false 1186163 474465 2508915 2940849 -431934 X true true 1 1 Boys Town National Research Hospital West 14000 Boys Town Hospital Road Boys Town NE 68010 www.boystownhospital.org H000107 X X X X A A 1 false false true X X X X X X X X X 19 true true false true X https//www.boystownhospital.org/about/community-assessment X true 19 true https//www.boystownhospital.org/about/community-assessment false true X 0000000200.000000000000 0000000400.000000000000 X X X X X true true X X X true X https//www.boystownhospital.org/patients/billing X https//www.boystownhospital.org/patients/billing X https//www.boystownhospital.org/patients/billing X X X X X X true X false X X X true X false false Group Boys Town National Research Hospital West Line Part V, Section B, Line 5 To solicit input from key informants, those individuals who have a broad interest in the health of children and adolescents in the community, an Online Key Informant Survey was implemented as part of this process. A list of recommended participants was provided by the sponsors of the study this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of community leaders. Potential participants were chosen because of their ability to identify primary concerns among the families and children/adolescents with whom they work with, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online reminder emails were sent as needed to increase participation. Group Boys Town National Research Hospital West Line Part V, Section B, Line 6a Childrens Hospital Medical Center - Omaha, Nebraska Group Boys Town National Research Hospital West Line Part V, Section B, Line 11 The Child and Adolescent Community Health Needs Assessment CHNA implementation plan was developed using a deliberative and inclusive internal process that included qualitative and quantitative data and was grounded in both operational considerations and the existing unique assets Boys Town National Research Hospitals have already developed to address these priorities. The CHNA identified priority health issues to be addressed. Boys Town National Research Hospital and Clinics has chosen to address seven issues. Injury and violence, sexual health, tobacco, alcohol and other drugs, vision, hearing and speech conditions are all issues that are identified and responded to on the individual patient level. The following Implementation Plan Progress Report describes how the hospital is addressing the significant needs identified in its most recent CHNA. The Implementation Plan was approved in May of 2019 and therefore the progress report addresses actions taken between July 1, 2021 and June 30, 2022. Priority 1 - Access to Healthcare Services. Objective A Increase access to primary care and to a regular source of care. BTNRH provided Telehealth appointments during the pandemic to provide opportunities for patients to be seen. BTNRH also expanded Same Day Pediatrics hours and provider availability for same day sick visits for Boys Town and community pediatric patients. In order to meet these needs additional pediatric and internal medicine providers were hire. Objective B Explore opportunities to increase availability of select pediatric specialty service to Boys Town pediatric patients and community partners. BTNRH expanded the Pediatric Neurology Department by the addition of physicians and services. Outreach was also expanded through surgery, neurology, rheumatology and pediatric neurosurgery. Objective C Provide opportunities for the community to learn about available services and make provider connections. BTNRH provided telehealth connections and virtual activities for education including Parenting in a Pandemic and the Newborn Expo. Priority 2 - Mental Health Objective A Improve access to mental health services. Three psychiatrists were added to staff in 2021 and psychiatry services were added to the Lakeside and 72nd St clinics. The Lakeside clinic also includes PCIT. Objective B Assist patients in accessing mental health resources. No additions were made for 2021-2022. Objective C Provide mental health education and resources to employees, patients and the public. BTNRH has social workers that belong the Kim foundation which increases awareness, reduces stigma, and provides education and resources related to mental illness and suicide. BTNRH had psychiatrists provide training at pediatric quarterly meetings and they also provided education on adolescent behavior a quarterly meeting offering CMEs. Priority 3 - Neurological, Cognitive and Behavioral Conditions. Objective A Improve access to pediatric neurological services. Objective B Broaden scope of neurological services provided. Objective C Use the work of the Center for Neurobehavioral Research to improve clinical outcomes. BTNRH progressed on these objectives by adding a same week seizure clinic to decrease the wait time patients were experiencing related to new seizure diagnosis in the region. Other services and items added included a MEG in the Institute for Human Neuroscience, a physical therapy center for human performance optimization and developed a comprehensive pediatric epilepsy center including the first seizure clinic provided services within one week of the first seizure. Priority 4 - Nutrition, Diabetes, Physical Activity and Weight Management. Objective A Promote healthy eating and physical activity for patients and the community. Boys Town hosted a virtual Memorial Day Run to increase activity of participants during the pandemic, allowing patients and participants to do the level of participation in their own community. Boys Town sponsored additional walks in the community to promote activity and offer support of The March of Dimes, NE Epilepsy Walk, Run and Roll, Step Up for Down Syndrome and Crohns and Colitis Foundation. Objective B Increase services that address nutrition for patients with comorbidities. BTNRH added dieticians to meet the increasing dietary needs of patients, including ketogenic diets for neurology patients. Priority 5 - Oral Health. Objective A Identify strategies to improve the oral health for Boys Town Pediatrics patients. Patients are continuing to be provided fluoride varnish at the 9-month, 18-month, and 24-month appointments to help strengthen enamel and prevent tooth decay. Objective B Collaborate with community partners to promote oral health. Objective C Provide resources regarding oral health. Educational materials are provided to parents of patients at the well-checks. Identified elements no pursued Injury and violence, sexual health, tobacco, alcohol, and other drugs All issues are identified and responded to on the individual patient level. Influencing Elements Pursued which Impacted ability to complete previously identified initiatives. COVID was declared a public health emergency on March 13, 2020. The pandemic caused by COVID is having an immeasurable impact on healthcare. Resources were redirected to ensure appropriate response to the PHE. The PHE continued for all of 2021 and 2022 to date with the emergency of variants of concern. To address the needs of our patients, telehealth has continued to be offered. Following CDC and other guideline efforts in the following areas has continued enhanced cleaning, implementing visitor policies that support patients while protecting staff, screening of patients and visitors as well as staff, training of staff, vaccination, testing, pre-op clinic, clinic segregation of well/sick, and ensuring appropriate PPE for patients and staff. Efforts continue regarding the provision of COVID vaccination to staff and patients as permitted by the CDC. Group Boys Town National Research Hospital West Line Part V, Section B, Line 13h The Hospital requires documentation of denial for Medicaid assistance, if applicable. 11 Pacific Street Medical Office Building - West 14080 Boys Town Hospital Road Boys Town NE 68010 Outpatient Physician Clinic Pacific Street Medical Office Building - East 14040 Boys Town Hospital Road Boys Town NE 68010 Outpatient Physician Clinic Intensive Residential Treatment Center 14092 Boys Town Hospital Road Boys Town NE 68010 Child/Adolescent Residential Treatment Center Boys Town National Research Hospital Clinics 555 N 30th Street Omaha NE 68131 Outpatient Physician Clinic Hearing Diagnostic Clinic Boys Town Clinic 72nd & Center 7205 West Center Road Omaha NE 68124 Outpatient Physician Clinic Lakeside Clinic 16929 Frances Street Suite 102 Omaha NE 68130 Outpatient Physician Clinic Harrison Street Clinic 6715 South 180th Street Omaha NE 68135 Outpatient Physician Clinic Council Bluffs Specialty 320 McKenzie Avenue Suite 202 Council Bluffs IA 51503 Outpatient Physician Clinic Hearing Diagnostic Clinic Boys Town Psychiatry Clinic 14092 Boys Town Hospital Road Boys Town NE 68010 Outpatient Physician Clinic Lied Learning & Technology Center 425 N 30th Street Omaha NE 68131 Outpatient Hearing Diagnostic Clinic Lincoln Clinic 575 South 70th Street Suite 435 Lincoln NE 68510 Outpatient Physician Clinic Part I Line 3c Boys Town National Research Hospital uses Federal Poverty Guidelines in determining free or discounted care. The patients income is the primary factor used in determining free or discounted care. However, the patients assets and/or liabilities are also reviewed on an individual basis and taken into consideration under special circumstances. Part I Line 6a N/A Part I Line 7 Cost to charge ratio was used to calculate the amounts in this section. The methodology used to calculate the cost to charge ratio is the same step down method used in the Medicare Cost report further refined to define costs for the Subsidized health services and Research portions of this section. Part II The hospital works closely with numerous organizations in the community to promote healthy lifestyles, including the Latino and African American community groups. The hospital conducts an annual health fair as well as participates in corporate and school health fairs, parenting classes, hearing screenings, infant car seat checks and seminars and workshops for hard of hearing and visually impaired children and their families. Part III Line 2 Used cost to charge ratio. Only patient liability after all discounts or contractual adjustments are written off to bad debt expense. Any payments or recoveries after the write off are offset against bad debt. Part III Line 3 Used cost to charge ratio to determine amount of bad debt that would have actually qualified as charity care but did not due to lack of information. This organization used information obtained from their outside collection agency to estimate the amount. Part III Line 4 In 2018, Boys Town adopted ASU No. 2014-09 Topic 606. The adoption of ASU No. 2014-09 results in no footnote disclosures related to bad debt. Part III Line 8 Used cost to charge ratio. This organizations Medicare shortfall should not be considered a Community Benefit. Part III Line 9b If it is known that a patient qualifies for financial assistance the hospital would write off from 50 - 100 of their patient balance depending on their income and family size. For patients who only have a partial write-off, the hospital would follow the same collections policies on their remaining balance that are used for all other types of patients. This policy is communicated to all outside collection agencies utilized by Boys Town National Research Hospital for adherence to the policy content and financial assistance guidelines. Part VI Line 2 In part, Boys Town National Research Hospital assesses the health care needs of the community by conducting a Child and Adolescent Community Health Needs Assessment with Childrens Hospital and Medical Center to help determine the health status, behaviors and needs of children in the Omaha metropolitan area. Assessment is also obtained through requests from community organizations and community residents and evaluation of the current medical landscape of services in the area. Boys Town Hospital participates in events such as corporate health fairs, minority health fairs, hearing screenings and developmental resources fairs and attends chamber meetings, nonprofit organization meetings and other community group meetings. The hospital also offers community and parenting classes, infant car seat checks and seminars and workshops for educators, professionals and parents working with children who are deaf and hard of hearing, have speech-language concerns or other related communication disorders. Part VI Line 3 Boys Town Hospital educates patients on financial assistance eligibility and how to obtain financial assistance through brochures at each patient check in area, front desk mentions upon hospital admissions and information placed on healthcare statements. Information is also available on the website. If applicable, prior to being considered for financial assistance, the patient and family must cooperate with the provider to furnish information and documentation to apply for other existing financial resources that may be available to pay for the patients health care. Part VI Line 4 Boys Town National Research Hospital serves an eight-county Greater Omaha Metropolitan area with an estimated population of approximately 967,000 in 2021 and an additional 1.3 million who live within a 50-mile radius of Omaha US Census, July 2021 and World Population Review 2021. The two highest populated counties in the Greater Omaha area are Douglas County, population 584,526 with 25 of the population under the age of 18 years, and Sarpy County, population 194,418 with 27 under the age of 18 years US Census, July 2021. The geographic design of both counties is mainly Suburban areas with few designated urban areas. In Douglas County, the median household income is 66,600 in 2020 dollars and the percentage of residents in poverty is 9.8, both below the national average household income of 67,521 and 11.4 poverty level US Census, July 2021 and US Census 2020. Amongst Douglas County residents under the age of 65, 9.2 do not have health insurance US Census, July 2021. The number of hospitals serving Douglas County community is 16. North and South Omaha are federally-designated medically underserved areas. Currently, there are 34 federally qualified health centers near Omaha 40 Federally Qualified Health Centers in Nebraska CareListings. In Sarpy County, the median household income is 83,051 US Census, July 2021. The percentage of residents in poverty is 4.9, and 6.1 of residents under 65 years do not hold health insurance US Census, July 2021. Three area hospitals and two federally qualified health centers are located in the Sarpy County community 40 Federally Qualified Health Centers in Nebraska CareListings. Part VI Line 5 The hospital hosts continuing education conferences and courses for physicians, nurse practitioners, nurses, researchers, audiologists and speech-language pathologists to disseminate best practices and research findings to other professionals in otolaryngology, vestibular health, hearing healthcare, speech-language therapy, neuroscience and behavioral health. The hospital provides free or subsidized services locally and nationally to hard-of-hearing children and their families through the following community building programs or activities Family Support Services - Counseling and wellness services, communication methods, educational options advisement, sign language instruction, social, emotional and educational development seminars, technology and parent-child social opportunities. Educational Programs - Home-based early intervention, day care consultation services, reschool education, speech and language therapy, school counseling services, classroom listening technology training and consultation. Outreach - Auditory consulting school district advisement, parent and professional seminars, parent and professional web-based education. The hospital is governed by the board of directors of Father Flanagans Boys Home. Part VI Line 6 NA true Boys Town California Inc 14100 Crawford Street Boys Town NE 68010 760720675 501c3 570780 Program Support Boys Town Central Florida Inc 975 Oklahoma Street Oviedo FL 32765 200654235 501c3 3699904 Program Support Boys Town Louisiana Inc 300 North Broad Street Ste 106 New Orleans LA 70119 412220807 501c3 3736853 Program Support Boys Town Nevada Inc 821 N Mojave Road Las Vegas NV 89101 200654472 501c3 2535825 Program Support Boys Town New England Inc Barzarsky Campus 58 Flanagan Road Portsmouth RI 02871 200655240 501c3 3504762 Program Support Boys Town North Florida Inc 3555 Commonwealth Blvd Tallahassee FL 32303 200655144 501c3 3632865 Program Support Boys Town South Florida Inc 1655 Palm Beach Lakes Blvd West Palm Beach FL 33401 263965524 501c3 3054706 Program Support Boys Town Washington DC Inc 4801 Sargent Rd NE Washington DC 20017 412220810 501c3 1485118 Program Support 8 Direct care of youth in various programs 12014 2389045 Book Food, Clothing, Medical, Education Part I Line Line 2 Father Flanagans Boys Home is the sole member of nine affiliate organizations and has a controlling interest in another organization. All these affiliates received assistance in 2021. All affiliates are under an affiliation agreement with Father Flanagans Boys Home that controls the activities of the affiliated organizations. Under the affiliation agreement, the subordinate organizations are required to comply with all operating and financial policies, procedures, and program service standards. Financial information is monitored on a continuous basis through a central accounting and reporting system maintained by Father Flanagans Boys Home. Each month actual and budget financial results are reviewed by management on a consolidated and individual organizational level basis. Any significant variances or fluctuations must be investigated and explained. X X true true X X X X X X false true false false false false false false false Kelli Jo Shidler MD Physician 1263904 1231 10546 29743 1305424 Robert Cusick MD Physician 868504 2608 17400 31261 919773 Shahab T Abdessalam MD Physician 868507 1708 17400 31012 918627 Stephen Raynor MD Physician 765393 7324 14250 27791 814758 Linden E Fornoff MD Physician 776957 943 13125 9259 800284 Rodney J Kempkes Chief Executive Officer 416177 3448 18198 30022 467845 Philip J Ruden Executive Vice President, Investements Chief Investment Officer 460422 2689 -29011 26037 460137 Judy F Rasmussen CPA Executive Vice President Finance Administration 375830 3448 13987 7062 400327 Dana E Washington Executive Vice President, General Counsel 330654 1936 17400 3616 353606 Father Steven E Boes President National Executive Director 123434 4548 186761 11695 326438 Barbara J Vollmer Executive Vice President, Director of Youth Care 275131 3448 16713 5502 300794 Monty J Horine Senior Vice President Corporate Secretary 232703 3090 14436 3349 253578 John K Arch VP BTNRH Strategic Initiatives Fomer Officer 199698 660 12188 16321 228867 Michael J Eglseder Vice President, Investments Assistant Treasurer 199624 2591 -32958 26037 195294 James L Beckmann JD Assistant Corporate Secretary 159231 736 9810 18382 188159 Dr Jason Bruce Executive Vice President Healthcare 485738 1591 16790 32668 536787 Part I Line 1a Discretionary spending account and housing allowance or residence for personal use Provided to Fr. Steven Boes, the Executive Director. As the Executive Director for Father Flanagans Boys Home, Fr. Boes is required to be available 24 hours a day for any situation that may arise regarding any and all facets of providing a comprehensive continuum of care for children and families. Due to the responsibilities required for the position and considering the base salary that Fr. Boes receives, the Board of Directors granted him a discretionary spending account which is included in his taxable compensation. As a condition of employment, Fr. Boes is required to live on the residential campus and is provided a personal residence in the Village of Boys Town which is not included in taxable compensation. Part I Line 3 The executive director has a written employment contract, but the CEO does not. Part I Line 4b Supplemental nonqualified retirement plan Officer Philip J. Ruden participated in supplemental nonqualified retirement plan in the amount of 26,037. This participation is not included in taxable compensation. A Village of Boys Town Nebraska 470615594 103627AA3 2017-11-01 31104033 See Part VI false false false B Village of Boys Town Nebraska 470615594 103627AE5 2020-10-06 56380299 See Part VI false false false A 31104033 296119 30807914 2011 false true true true B 56387289 437891 11769615 15749382 28430401 true false true true D 2000 A false false false false 0.00200 0.00200 false false false B false false false false false false false A false false true false false false false false false B false true false false false false false false false A false B false Part I Line A Column F Refund Hospital Authority No. 2 of Douglas County and Nebraska Elementary and Secondary School Finance Authority Series 2008 Bonds, Issued 9/15/2008 Part I Line B Column F Refund Village of Boys Town Nebraska Series 2015, issued 9/1/2015, Refund Nebraska Elementary and Secondary School Finance Authority Series 2010, Issued 11/12/2010, Construction of a high school and HVAC infrastructure. Part II Line 3 Bond Issue B proceeds does not agree to the issue in Part I, Column e due to investment earnings. X 206327 Comparable Cost X 82 1496799 FMV X 563 28779 Resale Value X 9 34296 Comparable Cost X Donated Auction Items 195 84850 FMV false true true Part 1 Line 9 and 19 Column b. The number of contributions are reported for Securities - Publicly traded and Food Inventory. Part 1 Line 25 Column b Number of items are auction items contributed. Part I Line 32b Father Flanagans Boys Home utilizes the expertise of a third party to handle the contents of the Philamatic Center. Form 990, Part III, Line 4d Program Service Expenses 33,810,492, Grants and allocations 153,059, Revenue 11,556,187 ALL OTHER PROGRAMS - See Schedule O for complete description. Form 990, Part III, Line 4a Boys Town National Research Hospital BTNRH provides medical and surgical services at one hospital location and seven outpatient clinics in the Omaha, Nebraska metropolitan area. BTNRH is recognized internationally as a leader in communication disorder research and as a referral center for children with disorders of the ear, hearing and balance, cleft lip and palate, speech, and voice, as well as related disabilities. BTNRH clinical programs served over 44,000 children and adolescents in 2021 through a total of 202,861 patient visits. Boys Town Pediatrics, BTNRHs group of pediatric physicians, provides primary care and specialty pediatric medical services at six clinic locations in the Omaha area. BTNRH employs or contracts with over 90 physicians in various subspecialties, including Allergy, Audiology, ENT, General Surgery, GI, Internal Medicine, Neurology, Ophthalmology, Outpatient Psychiatry, Physical Therapy, Rheumatology, and Speech Therapy. BTNRH also provides medically directed behavioral health services. These services include an 80-bed Psychiatric Residential Treatment Facility PRTF, which is attached to the BTNRH West Hospital. This PRTF is staffed with multidisciplinary medical and behavioral health staff. BTNRH also has a 16-bed Inpatient Psychiatric Unit IPU attached to the BTNRH West Hospital and PRTF Unit. This acute care program treats the highest-risk psychiatric youth patients. The IPU is staffed with physicians, nurses, social workers, a teacher, and psychiatric youth patients. BTNRH supports a world-class research program comprised of 35 independent laboratories that focus broadly on areas of scientific inquiry related to communication and neurobehavioral disorders. The research programs at BTNRH received over 15 million in external research funding in 2021. Form 990, Part III, Line 4b Nebraska and Iowa Services consists of the Family Home Program, Intervention and Assessment Services, In Home Family Services, Foster Family Services, Community Support Services, including Common Sense Parenting, the Center for Behavioral Health, Care Coordination, and others. Boys Town operates approximately 60 family style Family Homes on the Home Campus, which is in the incorporated Village of Boys Town, Nebraska the Village. These homes have a total capacity of more than 400 youth. Six to eight troubled boys or girls from throughout the United States of America, with ages generally ranging from 12 to 18, live in a home with a specially trained professional married couple called Family Teachers. The couple provides treatment planning, skill development, spiritual guidance, a family style environment, and love and care, with the help of an Assistant Family Teacher. Each home is monitored, evaluated, and advised by a Program Director and other support personnel. The Family Homes are not mixed by gender but are mixed by age, ethnic, and religious backgrounds. The program is also served by three Intervention and Assessment Homes which are located on the Home Campus. The Intervention and Assessment Homes provide short term services for youth. In addition to its residential program, Boys Town also operates Foster Family Services program, In Home Family Services, and Community Support Services programs in Nebraska and Iowa. The Nebraska site operates a Center for Behavioral Health, which served over 4,700 youth and families with behavioral problems on an outpatient basis in 2021 and is a training center for doctoral level psychologists. Form 990, Part III, Line 4c Programs across America directly served over 10,750 youth in Nebraska/Iowa and nearly 10,000 youth at seven active affiliated sites nationwide in 2021. These affiliated sites are Boys Town Central Florida, Inc., Boys Town Louisiana, Inc., Boys Town Nevada, Inc., Boys Town New England, Inc., Boys Town North Florida, Inc., Boys Town South Florida, Inc., and Boys Town Washington, DC Inc. Programs offered throughout the nation include Intervention and Assessment Services, Family Home Program, Foster Family Services, In Home Family Services, Community Support Services, including Common Sense Parenting, Outpatient Behavioral Health Services, Care Coordination, and others. Boys Town Youth Care programs are certified by the Council on Accreditation across all sites. Boys Town invests and emphasizes quality through staff training, evaluation, and outcomes research by having departments committed to the quality of Boys Towns programs. The Youth Care Training and Evaluation Certification Departments provide technical training, evaluation and quality control/quality assurance of Boys Towns nationwide system of services. The Program Quality Department provides program monitoring, consultation, and staff and program development to all Boys Town sites across America. Form 990, Part III, Line 4d Boys Town National Hotline and Public Services meets the informative and public service needs of youth, parents, teachers, and youth professionals who are involved directly or indirectly with helping youth. The Boys Town National Hotline the Hotline at 1-800-448-3000 helps hundreds of thousands of children and families throughout all 50 states each and every year. The Hotline provides toll free phone, as well as text, email, and chat crisis service for troubled children and families. The Hotline received approximately 124,300 contacts in 2021. The Hotline operates 24 hours a day, 7 days a week, with trained, skilled, professional operators. The Hotline is equipped to handle calls from people who speak a variety of languages. In an effort to reach the highest number of youth in need of assistance, through a medium more frequently used by youth, the Hotline has a website called yourlifeyourvoice.org. In 2021, the website had nearly 660,500 visits. In addition to operating the Hotline, Boys Town also operates the Nebraska Family Helpline the Helpline. The Nebraska Family Helpline was conceived when Nebraska lawmakers realized families experiencing crises needed a central, knowledgeable place to go to get help or answers to their behavioral health needs. The Helpline counselors assist families in managing immediate crisis situations, make referrals, help them navigate government systems, and follow up with families to ensure they received the help they needed. The Helpline has been honored in the press and by the legislature for its effective service to Nebraska families. Over 12,000 calls were made to the Helpline in 2021 from families seeking assistance. The Home Campus Educational Program consists of the Boys Town High School and the Wegner Middle School. The Village schools serve residential youth at Boys Town and provide academic and vocational training skills necessary for contemporary society. All Boys Towns schools are fully accredited by the state of Nebraska and North Central Association. A full range of special education services are provided to all youth who require this type of assistance. The Boys Town Day School in the Village and the Duncan Day School in Duncan, Nebraska serve youth who cannot receive educational services in a public or alternative school setting due to behavioral problems and/or academic deficiencies. These schools meet all requirements of Level III schools under Nebraska Department of Educations Rule 51 and currently educate students from multiple school districts in Nebraska and Iowa. These schools have also served parentally placed private youth and court placed youth. Boys Town served 193 students in day school services in 2021. Form 990, Part VI, Section A, Line 2 Philip J. Ruden and Michael J. Eglseder had a business relationship through June 30, 2021. Form 990, Part VI, Section B, Line 11b The Treasurer reviewed the completed Form 990 and provided an electronic copy to the Finance and Audit Committee of the Board of Directors for their review. The members of the Finance and Audit Committee were requested to submit their comments and questions. Upon satisfactory resolution of questions, an electronic copy of the final Form 990 was provided to all directors before it was filed. Form 990, Part VI, Section B, Line 12c Father Flanagans Boys Home regularly and consistently monitors and enforces with its conflict of interest policy mainly through official annual affirmations, self reporting, and observation. Father Flanagans Boys Home has a separate conflict of interest policy for trustees, the executive director, and employees. Trustees must complete a conflict of interest disclosure form and report any perceived or actual conflict. Any perceived or actual conflict of interest is reviewed by the compliance department with the assistance of general counsel. If a conflict does exist, the Executive Committee, with the assistance of general counsel, shall determine an appropriate remedy which may include, without limitation, the Trustee to recuse him/herself from participating in certain deliberations and votes, removing the trustee from a committee or Board. Officers and employees of Boys Town complete a Conflict of Interest Disclosure annually, identifying all actual, apparent, and potential Conflicts of Interest. Staff are also required to report any situation involving a conflict of interest that may arise during the year to their supervisor and submitting a Conflict of Interest Disclosure for review by the compliance department. If a conflict of interest does exist, the Compliance department would work with the employee and supervisor to remedy the conflict of interest. Any perceived conflict of interest can also be reported for review through a confidential organizational ethics line at https//secure.ethicspoint.com/domain/media/en/gui/18137/index.html Form 990, Part VI, Section B, Line 15a 15b The compensation of the Executive Director is determined by the Board of Trustees Compensation Committee using comparable data for similarly qualified persons in functionally comparable positions at similarly situated organizations. Documentation of the decisions made regarding the compensation have been maintained with the determination incorporated in an employment contract. The compensation of all other officers are also determined as described above, however, officers do not have employment contracts. Form 990, Part VI, Section B, Line 19 Father Flanagans Boys Home makes its governing documents and conflict of interest policy available to the public upon request. Articles of incorporation and bylaws can also be obtained by the public through the various Secretary of States offices. Financial Statements are available to the public upon request and on its website at www.boystown.org Form 990, Part XI, Line 9 Increase in value of beneficial interest in external trust assets of 9,074,742. Increase in beneficial interest in Father Flanagans Fund for Needing Children 134,400,955 and interest in affiliated organizations 562,476, pension related charges 8,277,852 present value changes of 111,513. Father Flanagan's Fund For Needy Children 14100 Crawford Street Boys Town NE 68010 363680258 Support of FFBH NE 501c3 12 Type 1 Father Flanagan's Bjoys' Home true Boys Town California Inc 14100 Crawford Street Boys Town NE 68010 760720675 Youth Assistance CA 501c3 7 Father Flanagan's Bjoys' Home true Boys Town Central Florida Inc 975 Oklahoma Street Oviedo FL 32765 200654235 Youth Assistance FL 501c3 7 Father Flanagan's Bjoys' Home true Boys Town Louisiana Inc 300 North Broad Street Ste 106 New Orleans LA 70119 412220807 Youth Assistance LA 501c3 7 Father Flanagan's Bjoys' Home true Boys Town Nevada Inc 821 N Mojave Road Las Vegas NV 89101 200654472 Youth Assistance NV 501c3 7 Father Flanagan's Bjoys' Home true Boys Town New England Inc Bazarsky Campus 58 Flanagan Rd Portsmouth RI 02871 200655240 Youth Assistance RI 501c3 7 Father Flanagan's Bjoys' Home true Boys Town New York Inc 14100 Crawford Street Boys Town NE 68010 205960877 Youth Assistance NY 501c3 7 Father Flanagan's Bjoys' Home true Boys Town North Florida Inc 3555 Commonwealth Blvd Tallahassee FL 32203 200655144 Youth Assistance FL 501c3 7 Father Flanagan's Bjoys' Home true Boys Town Washington DC Inc 4801 Sargent Rd NE Washington DC 20017 412220810 Youth Assistance DC 501c3 7 Father Flanagan's Bjoys' Home true Boys Town South Florida Inc 1655 Palm Beach Lakes Blvd Ste 300 West Palm Beach FL 33401 263965524 Youth Assistance FL 501c3 7 Father Flanagan's Bjoys' Home true Lied Learning and Technology Center 14100 Crawford Street Boys Town NE 68010 470841263 Support of FFBH NE 501c3 12 TYPE 1 Father Flanagan's Bjoys' Home true Nebraska Families Collaborative 2110 Papillion Parkway Omaha NE 68164 264436716 Service Coordination NE 501c3 7 Father Flanagan's Bjoys' Home true false true true true false false false false false false true true false false true false true false true Boys Town California Inc b 570780 FMV-Cash Boys Town Central Florida Inc b 3699904 FMV-Cash Boys Town Louisiana Inc b 3736853 FMV-Cash Boys Town Nevada Inc b 2535825 FMV-Cash Boys Town New England Inc b 3504762 FMV-Cash Boys Town New York Inc c 902207 FMV-Cash Boys Town North Florida Inc b 3632865 FMV-Cash Boys Town Washington DC Inc b 1485118 FMV-Cash Boys Town South Florida Inc b 3054706 FMV-Cash Father Flanagan's Fund for Needy Children c 46274000 FMV-Cash Boys Town New England Inc d 1119577 FMV-Cash Boys Town North Florida Inc d 435549 FMV-Cash Lied Learning and Technology Center k 932464 FMV-Cash Lied Learning and Technology Center l 871374 FMV-Cash Father Flanagan's Fund for Needy Children o 793879 FMV-Cash Father Flanagan's Fund for Needy Children q 793879 FMV-Cash Perpetual Trusts (4) s 2087455 FMV-Cash Charitable Remainder trust (1) s 89023 FMV-Cash Nebraska Families Collaborative b 12409 FMV-Cash