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        <PersonNm>Rodney J Kempkes</PersonNm>
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        <PersonNm>Father Steven E Boes</PersonNm>
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        <PersonNm>Dana E Washington</PersonNm>
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        <PersonNm>John K Arch</PersonNm>
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        <PersonNm>Monty J Horine</PersonNm>
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        <PersonNm>Kevin P Mohan JD</PersonNm>
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        <PersonNm>Robert A Batt</PersonNm>
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        <PersonNm>LD Britt MD</PersonNm>
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        <PersonNm>William M Bryant</PersonNm>
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      <FactsAndCircumstancesTestTxt>Part II Section B Line 10 Other income is 994,475 received from proceeds on the commemorative coin, 866,771 are refunds or rebates, 657,154 is support services provided to Nebraska Families Collaborative, and the remaining 1,109,853 is other items.</FactsAndCircumstancesTestTxt>
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        <ExplanationTxt>Father Flanagans Boys Home, 14100 Crawford Street, Boys Town, NE 68010, 47-0376606, 343,397,146, 277,074 Father Flanagans Fund for Needy Children, 14100 Crawford Street, Boys Town, NE 68010, 36-3680258, 47,558,010, 0 Boys Town California, Inc., 14100 Crawford Street, Boys Town, NE 68010, 76-0720675, 93,589, 0 Boys Town Central Florida, Inc., 975 Oklahoma Street, Oviedo, FL 32765, 20-0654235, 6,689,249, 0 Boys Town Louisiana, Inc., 300 North Broad Street, Ste. 106, New Orleans, LA 70119, 41-2220807, 8,453,098, 0 Boys Town Nevada, Inc. 821 N Mojave Road., Las Vegas, NV 89101, 20-0654472, 4,434,447, 0 Boys Town New England, Inc., Barzarsky Campus 58 Flanagan Road., Portsmouth, RI 02871, 20-0655240, 8,690,440, 0 Boys Town New York, Inc., 14100 Crawford Street, Boys Town, NE 68010, 20-5960877, 161,870, 0 Boys Town North Florida, Inc., 3555 Commonwealth Blvd., Tallahassee, FL 32303, 20-0655144, 6,507,698, 0 Boys Town Washington D.C. Inc., 4801 Sargent Rd N.E., Washington, DC 20017, 41-2220810, 6,371,895, 0 Boys Town South Florida, Inc., 1655 Palm Beach Lakes Blvd., West Palm Beach, FL 33401, 26-3965524, 8,193,394, 0 Lied Learning and Technology Center for Childhood Deafness and Vision Disorders, 14100 Crawford Street, Boys Town, NE 68010, 47-0841263, 969,072, 0 Nebraska Families Collaborative, 14100 Crawford Street, Boys Town, NE 68010, 26-4436716, 60,528,058, 40,200.</ExplanationTxt>
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      <OtherAssetsOrgGrp>
        <Desc>Accrued investment income</Desc>
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        <Desc>Interest in Lied Learning and Technology Center</Desc>
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        <Desc>Federal income taxes</Desc>
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        <FormAndLineReferenceDesc>V 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>X 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Boys Town and its affiliates have been recognized as a tax-exempt organization by the Internal Revenue Service 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, 2019, Boys Town had no uncertain tax positions accrued.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XI 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Change in value of beneficial interest in external trusts 7,376,604 and pension income of 1,645,462, was included in the consolidated financial statements was reclassified to other changes in net assets for Form 990. Affiliate revenue of 91,283,335 was included in the audited financial statements but eliminated for the Form 990.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XI 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Revenue of 4,904,725 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 597,177 on sale of fixed assets and cost of good sold of 345,388 was included as expenses for the audited consolidated financial statements but was a reduction to revenue for the Form 990. Net reduction of 291,601 is related to special events. For audited financial statements, only the cash proceeds of donated auction items were recorded. For purposes of the Form 990, the donated assets valued at 174,830 were recognized as a contribution on line 1f and 1g of Part VIII. The cost or basis was included in line 8b part VIII. 466,432 174,831 donated auction items plus 291,601 recorded on financial statements is expenditures that were included with expenses for the audited financial statements but are a reduction to revenue for the Form 990. Rounding to thousands for the audited consolidated financial statements 543.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XII 2d</FormAndLineReferenceDesc>
        <ExplanationTxt>Affiliate and related organizations expenses in the amount of 111,965,514 included in the audited financial statements but eliminated for the Form 990. Special events expenses of 291,601 and loss on sale of assets of 597,177 and cost of goods sold of 345,388 were included in total expenses for the consolidated audited statements but offset revenue for the Form 990. Rounding to thousands for the audited consolidated statements of 90.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>XII 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Support to affiliates of 21,051,921 and 6,452,383 of expenses paid to related parties was eliminated for audited consolidated financial statements but was reinstated and included in expenses for the Form 990.</ExplanationTxt>
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        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Boys Town National Research Hospital West Line Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Boys Town National Research Hospital West Line Part V, Section B, Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>Childrens Hospital Medical Center - Omaha, Nebraska</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Boys Town National Research Hospital West Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 2019 and June 30, 2020. Priority 1 - Access to Healthcare Services. Objective A Increase access to primary care and to a regular source of care. Pediatrics and Same Day Pediatrics offered telehealth appointments during the pandemic to provide opportunities for patients to be seen while staying at home. Patient Access Center was created to included a hotline for patients to call and be transferred to the correct services. A hospital operator service was added in June 2019 to assist patients in getting directed to the correct services. Added a Pediatrician to the Pacific Street site in July 2019. Objective B Explore opportunities to increase availability of select pediatric specialty service to Boys Town pediatric patients and community partners. Opened Epilepsy Monitoring Unit in September 2019. Opened Inpatient Psychiatric Unit in October 2019. Collaboration with Shriners Hospital for children continued to increase access to orthopedics, orthotics and prosthetics, imaging and telehealth. Opened a Down Syndrome Clinic and Autism Clinic in June 2020. Objective C Provide opportunities for the community to learn about available series and make provider connections. Virtual Newborn Expos were held to provide resources during pandemic. Parenting classes were provided via virtual/on-line platforms to allow parents the opportunity to continue to receive resources. Meet the Provider opportunities were offered in person and virtually. Added 4 digital billboards to assist the community in finding services available. Priority 2 - Mental Health Objective A Improve access to mental health services. A Child and Adolescent Inpatient Psychiatric Unit was opened in October 2019 to increase access to more intensive mental health services. Two Child and Adolescent Psychiatrists started providing services in the Child and Adolescent Outpatient Services and Inpatient Psychiatric Unit. Objective B Assist patients in assessing mental health resources. Piloted a Mental Health Nurse Navigator to assist patients accessing mental health resources with community partners. Deemed the pilot successful and determining further implementation. Hired an additional outpatient therapist for the Outpatient Child and Adolescent Psychiatry services. Objective C Provide opportunities for mental health education and resources to employees, patients and the public. A psychiatrist gave a presentation on adolescent behavior at a quarterly meeting, offering Continuing Nursing Credits. The psychiatrist also gave the training at the Pediatrics quarterly meeting. Priority 3 - Neurological, Cognitive and Behavioral conditions. Objective A Improve access to pediatric neurological services. Hired a pediatric Epileptologiest and Pediatric Neurosurgeon in August of 2019. Objective B Broaden scope of neurological services provided. Hired two Pediatric Neurologists and four Pediatric Neurology Advanced Practice Registered Nurses. Opened Down Syndrome Clinic and Autism Clinic in February of 2020. Expanded Dietary team to address ketogenic diet for epilepsy and neurology patients. Objective C Use the work of Center for Neurobehavioral Research to improve clinical outcomes. 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/participants to do the level of participation in their own community. The Charting Your Progress educational handouts distributed at developmental milestones were updated in 2019 and 2020. Objective B Increase services that address nutrition for patients with comorbidities. The dietary team was expanded to four dieticians to meet the increasing dietary needs of patients, including ketogenic diets for neurology patients and dietary consults for the Pediatric Weight Management Clinic. 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 nine-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. Parent educational articles were added to the knowledge center at Boystownpediatrics.org on pacifier vs. thumb sucking, nutrition for toddlers and nutrition impacts on performance.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Boys Town National Research Hospital West Line Part V, Section B, Line 13h</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital requires documentation of denial for Medicaid assistance, if applicable.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Boys Town National Research Hospital - East Line Part V, Section B, Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Boys Town National Research Hospital - East Line Part V, Section B, Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>Childrens Hospital Medical Center - Omaha, Nebraska</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Boys Town National Research Hospital - East Line Part V, Section B, Line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 2019 and June 30, 2020. Priority 1 - Access to Healthcare Services. Objective A Increase access to primary care and to a regular source of care. Same Day Pediatrics added hours on Sundays at the East location. Pediatrics and Same Day Pediatrics offered telehealth appointments during the pandemic to provide opportunities for patients to be seen while staying at home. Patient Access Center was created which included a hotline for patients to call and be transferred to the correct services. A hospital operator service was added in June 2019 to assist patients in getting directed to the correct services. Objective B Explore opportunities to increase availability of select pediatric specialty service to Boys Town pediatric patients. Opened a Pediatric Weight Management Clinic in November 2019. A Psychiatric APRN was relocated to the East location to provide psychiatric services to patients utilizing that location. Objective C Provide opportunities for the community to learn about available services and make provider connections. Virtual Newborn Expos were held to provide resources during the pandemic. Parenting classes were provided via virtual/on-line platforms to allow parents the opportunity to continue to receive resources. Meet the Provider opportunities were offered in person and virtually. Priority 2 - Mental Health Objective A Improve access to mental health services. A Psychiatric APRN was relocated to the East location to provide psychiatric services to patients utilizing that location. Objective B Provide opportunities for mental health education and resources to employees, patients/parents of patients and the public. A psychiatrist gave a presentation on adolescent behavior at a quarterly meeting, offering CNEs. Priority 3 - 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/participants to do the level of participation in their own community. Objective B Increase services that address nutrition for patients with comorbidities. The Charting Your Progress educational handouts distributed at developmental milestones were updated in 2019 and 2020. The dietary team was expanded to four dieticians to meet the increasing dietary needs of patients, including ketogenic diets for neurology patients and dietary consults for the Pediatric Weight Management Clinic. Priority 4 - Oral Health. Objective A Identify strategies to improve the oral health for Boys Town pediatric patients. Patients are continuing to be provided fluoride varnish at the nine-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. Parent educational articles were added to the knowledge center at Boystownpediatrics.org on pacifier vs thumb sucking, nutrition for toddlers and nutrition impacts on performance. Priority 5 - Vision, Hearing, and Speech Conditions. Objective A Identify possible solutions to gaps in vision care and eye health for children. Vision screeners were added to clinics to allow for regular vision screening of patients. Patients failing vision screening are referred for vision care. Objective B Improve identification and management of patients with hearing loss. Providers complete hearing checks at developmental milestones at the kindergarten physical. Children not passing hearing checks are offered access to the Pediatric Hearing Clinic to provide families with newly diagnosed hearing loss additional resources. Center for Childhood Deafness and Language Center offers loaner hearing aids for children while working to obtain hearing aids for the patient. Objective C Increase research efforts and diagnostic related to Developmental Language Disorders DLD and other speech conditions. The Pediatric Speech - Language Therapy clinic was opened in August 2019. The DLD team offered free hearing, speech and language screening for children ages 4-7.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Group Boys Town National Research Hospital - East Line Part V, Section B, Line 13h</FormAndLineReferenceDesc>
        <ExplanationTxt>The Hospital requires documentation of denial for Medicaid assistance, if applicable.</ExplanationTxt>
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      <FacilityNum>10</FacilityNum>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Intensive Residential Treatment Center - West</BusinessNameLine1Txt>
          </BusinessName>
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            <AddressLine1Txt>14092 Boys Town Hospital Road</AddressLine1Txt>
            <CityNm>Boys Town</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68010</ZIPCd>
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          <FacilityTxt>Child/Adolescent Residential Treatment Center</FacilityTxt>
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            <AddressLine1Txt>14080 Boys Town Hospital Road</AddressLine1Txt>
            <CityNm>Boys Town</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68010</ZIPCd>
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          <FacilityTxt>Outpatient Physician Clinic</FacilityTxt>
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            <BusinessNameLine1Txt>Pacific Street Medical Office Building - East</BusinessNameLine1Txt>
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            <AddressLine1Txt>14040 Boys Town Hospital Road</AddressLine1Txt>
            <CityNm>Boys Town</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
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          <FacilityTxt>Outpatient Physician Clinic</FacilityTxt>
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        <OthHlthCareFcltsGrp>
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            <BusinessNameLine1Txt>Boys Town Clinic 72nd &amp; Center</BusinessNameLine1Txt>
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            <AddressLine1Txt>7205 West Center Road</AddressLine1Txt>
            <CityNm>Omaha</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68124</ZIPCd>
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          <FacilityTxt>Outpatient Physician Clinic</FacilityTxt>
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            <AddressLine1Txt>555 N 30th Street</AddressLine1Txt>
            <CityNm>Omaha</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68131</ZIPCd>
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          <FacilityTxt>Outpatient Physician Clinic Hearing Diagnostic Clinic</FacilityTxt>
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            <BusinessNameLine1Txt>Harrison Street Clinic</BusinessNameLine1Txt>
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            <AddressLine1Txt>6715 South 180th Street</AddressLine1Txt>
            <CityNm>Omaha</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68135</ZIPCd>
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          <FacilityTxt>Outpatient Physician Clinic</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Lakeside Pediatrics</BusinessNameLine1Txt>
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            <AddressLine1Txt>16929 Frances Street Suite 102</AddressLine1Txt>
            <CityNm>Omaha</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68130</ZIPCd>
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            <BusinessNameLine1Txt>Boys Town Psychiatry Clinic</BusinessNameLine1Txt>
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            <AddressLine1Txt>14092 Boys Town Hospital Road</AddressLine1Txt>
            <CityNm>Boys Town</CityNm>
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          <BusinessName>
            <BusinessNameLine1Txt>Council Bluffs ENT</BusinessNameLine1Txt>
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            <AddressLine1Txt>320 McKenzie Avenue Suite 202</AddressLine1Txt>
            <CityNm>Council Bluffs</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>51503</ZIPCd>
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          <FacilityTxt>Outpatient Physician Clinic Hearing Diagnostic Clinic</FacilityTxt>
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        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Lied Learning &amp; Technology Center</BusinessNameLine1Txt>
          </BusinessName>
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            <AddressLine1Txt>425 N 30th Street</AddressLine1Txt>
            <CityNm>Omaha</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
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          <FacilityTxt>Outpatient Hearing Diagnostic Clinic</FacilityTxt>
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        <FormAndLineReferenceDesc>Part I Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Used cost to charge ratio. To determine amount of bad debt that would have actually qualified as charity care but didnt due to lack of information, this organization used information obtained from their outside collection agency to estimate the amount.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 8</FormAndLineReferenceDesc>
        <ExplanationTxt>Used cost to charge ratio. This organizations Medicare shortfall should not be considered a Community Benefit.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III Line 9b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>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. The Hospital participates in events such as corporate health fairs, minority health fairs, hearing screenings, developmental resources fairs and support groups. The hospital also offers community and corporate lunch and learns, parenting classes, infant care 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Patients are notified through signage, brochures, and notes on health care statements as to how to obtain information about financial assistance. If appliable, prior to being considered for financial assistance, the patient/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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Boys Town National Research Hospital serves an eight-county Greater Omaha Metropolitan area with an estimated population of 933,523 in 2017, and an additional 1.3 million who live within a 50-mile radius of Omaha US Census 2017 and World Population Review 2018. The two highest populated counties in the Greater Omaha area are Douglas County, population 566,880 and Sarpy County, population 184,459 US Census, 2018. The geographic design of both counties is mainly Suburban areas with few designated urban areas. In Douglas County, the median household income is 58,640, and the percentage of residents in poverty is 11.4, trending with the national average household income 57,652 and 12.3 poverty level US Census 2017. Then percent of residents, under the age of 65, do not have health insurance US Census 2017. The number of hospitals serving the Douglas County community is 14. North and South Omaha are federally designated medically underserved areas. Currently, there are two federally qualified health care centers in these communities HRSA. In Sarpy County, the median household income is 75,752 US Census, 2018. The percentage of residents in poverty is 5.1 and 6.5 of residents under 65 years do not hold health insurance US Census, 2016. Two area hospitals serve the Sarpy County community is two. Currently, there are no records of a federally qualified health care centers in the Sarpy County community HRSA.gov.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 5</FormAndLineReferenceDesc>
        <ExplanationTxt>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, hearing healthcare, speech-language therapy 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, preschool 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>NA</ExplanationTxt>
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        <USAddress>
          <AddressLine1Txt>3555 Commonwealth Blvd</AddressLine1Txt>
          <CityNm>Tallahassee</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32303</ZIPCd>
        </USAddress>
        <RecipientEIN>200655144</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>2772844</CashGrantAmt>
        <PurposeOfGrantTxt>Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Boys Town South Florida Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1655 Palm Beach Lakes Blvd</AddressLine1Txt>
          <CityNm>West Palm Beach</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>33401</ZIPCd>
        </USAddress>
        <RecipientEIN>263965524</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>3504898</CashGrantAmt>
        <PurposeOfGrantTxt>Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Boys Town Washington DC Inc</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>4801 Sargent Road NE</AddressLine1Txt>
          <CityNm>Washington</CityNm>
          <StateAbbreviationCd>DC</StateAbbreviationCd>
          <ZIPCd>20017</ZIPCd>
        </USAddress>
        <RecipientEIN>412220810</RecipientEIN>
        <IRCSectionDesc>501c3</IRCSectionDesc>
        <CashGrantAmt>2654622</CashGrantAmt>
        <PurposeOfGrantTxt>Program Support</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>9</Total501c3OrgCnt>
      <GrantsOtherAsstToIndivInUSGrp>
        <GrantTypeTxt>Direct care of youth in various programs</GrantTypeTxt>
        <RecipientCnt>15500</RecipientCnt>
        <NonCashAssistanceAmt>2749776</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>Book</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Food, Clothing, ,Medical, Education</NonCashAssistanceDesc>
      </GrantsOtherAsstToIndivInUSGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Father Flanagans Boys Home is the sole member of nine affiliate organizations and has a controlling interest in another organization. All these affiliates received financial assistance in 2019. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="990J" softwareId="19009610" softwareVersionNum="19.2.1.0">
      <DiscretionarySpendingAcctInd>X</DiscretionarySpendingAcctInd>
      <HousingAllowanceOrResidenceInd>X</HousingAllowanceOrResidenceInd>
      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>true</SubstantiationRequiredInd>
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <Form990OfOtherOrganizationsInd>X</Form990OfOtherOrganizationsInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>false</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>true</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Father Steven E Boes</PersonNm>
        <TitleTxt>President and National Executive Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>115310</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>3892</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>202093</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11693</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>332988</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Philip J Ruden</PersonNm>
        <TitleTxt>Executive Vice President, Investments Chief Investment Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>387322</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>4586</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>375296</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14082</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>781286</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John K Arch</PersonNm>
        <TitleTxt>VP BTNRH Strategic Initiatives Former Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>253680</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>729</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>15321</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>5167</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>274897</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Judy F Rasmussen CPA</PersonNm>
        <TitleTxt>Executive Vice President Finance Administration, Treasurer and CFO</TitleTxt>
        <BaseCompensationFilingOrgAmt>361142</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>3448</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>16800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6469</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>387859</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Robert R Pick</PersonNm>
        <TitleTxt>Executive Vice President, Director of Youth Care</TitleTxt>
        <BaseCompensationFilingOrgAmt>255783</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>7462</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>364606</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>10346</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>638197</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Michael J Eglseder</PersonNm>
        <TitleTxt>Vice President, Investments and Assistant Treasurer</TitleTxt>
        <BaseCompensationFilingOrgAmt>242140</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>3268</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>368846</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14004</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>628258</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Dana E Washington</PersonNm>
        <TitleTxt>Senior Vice President, General Counsel</TitleTxt>
        <BaseCompensationFilingOrgAmt>298111</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>1897</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>16800</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>6194</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>323002</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Barbara J Vollmer</PersonNm>
        <TitleTxt>Senior Vice President, Governance Strategy, Corporate Advancement, Secretary</TitleTxt>
        <BaseCompensationFilingOrgAmt>215936</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>2819</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>13073</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>1560</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>233388</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Rodney J Kempkes</PersonNm>
        <TitleTxt>Chief Operating Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>318710</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>1955</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>18831</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14444</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>353940</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Edward M Kolb MD</PersonNm>
        <TitleTxt>Executive Vice President Health Care</TitleTxt>
        <BaseCompensationFilingOrgAmt>522027</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>4580</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14063</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>15474</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>556144</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>James L Beckmann JD</PersonNm>
        <TitleTxt>Assistant Corporate Secretary</TitleTxt>
        <BaseCompensationFilingOrgAmt>136601</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>644</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8440</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>7930</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>153615</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kelli Jo Shidler MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>1044633</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>886</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>16809</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>19198</NontaxableBenefitsFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Richard M Tempero MD PhD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>663268</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>1096</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17304</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>14583</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>696251</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jane M Emanuel MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>574555</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>3238</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17126</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>16774</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>611693</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mara P Paradis MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>545999</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>1088</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>17407</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>2597</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>567091</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Shahab T Abdessalam MD</PersonNm>
        <TitleTxt>Physician</TitleTxt>
        <BaseCompensationFilingOrgAmt>550089</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>899</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>14775</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>11460</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>577223</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Monty J Horine</PersonNm>
        <TitleTxt>Senior Vice President Corporate Secretary starting Apri 2019</TitleTxt>
        <BaseCompensationFilingOrgAmt>173232</BaseCompensationFilingOrgAmt>
        <OtherCompensationFilingOrgAmt>1210</OtherCompensationFilingOrgAmt>
        <DeferredCompensationFlngOrgAmt>8525</DeferredCompensationFlngOrgAmt>
        <NontaxableBenefitsFilingOrgAmt>945</NontaxableBenefitsFilingOrgAmt>
        <TotalCompensationFilingOrgAmt>183912</TotalCompensationFilingOrgAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>Discretionary spending account and housing allowance or residence for personal use Provided to Fr. Steven Boes, the CEO/Executive Director. As the CEO for the 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 his 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Supplemental nonqualified retirement plan Officer Philip J. Ruden participated in a supplemental nonqualified retirement plan in the amount of 14,082. This participation is not included in taxable compensation.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
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        </IssuerName>
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        <CUSIPNum>639918BZ3</CUSIPNum>
        <BondIssuedDt>2010-11-12</BondIssuedDt>
        <IssuePriceAmt>10170183</IssuePriceAmt>
        <PurposeDesc>See Part VI</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
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        <IssuerName>
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        </IssuerName>
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        <BondIssuedDt>2015-09-01</BondIssuedDt>
        <IssuePriceAmt>7939000</IssuePriceAmt>
        <PurposeDesc>See Part VI</PurposeDesc>
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        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>Village of Boys Town Nebraska</BusinessNameLine1Txt>
        </IssuerName>
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        <CUSIPNum>103627AA3</CUSIPNum>
        <BondIssuedDt>2017-11-01</BondIssuedDt>
        <IssuePriceAmt>31104033</IssuePriceAmt>
        <PurposeDesc>See Part VI</PurposeDesc>
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        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
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        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
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        <NoRebateDueInd>true</NoRebateDueInd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
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        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
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        <Form8038TFiledInd>false</Form8038TFiledInd>
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        <FormAndLineReferenceDesc>Part I Line A</FormAndLineReferenceDesc>
        <ExplanationTxt>Column f Construct electrical distribution system and purchase of emergency alarm</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line B</FormAndLineReferenceDesc>
        <ExplanationTxt>Column f Refund Hospital Authority No. 2 of Douglas County Series 2005, Issued 9/1/2005</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line C</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Bond Issue A total proceeds do not agree to the issue in Part 1, Column e due to investment earnings.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part IV Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>Rebate computation for Issue A was performed on 6/10/2014.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part I Line 9,11, and 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The number of contributions is reported in column b for Securities - Publicly traded, Securities - Partnership, LLC, or trust interests, and Food Inventory.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 25</FormAndLineReferenceDesc>
        <ExplanationTxt>The number of items contributed is reported in column b for donated auction items.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I Line 32b</FormAndLineReferenceDesc>
        <ExplanationTxt>Father Flanagans Boys Home utilizes the expertise of a third party to handle the contents of the philamatic center.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>Program Service Expenses 30,861,242, Grants and allocations 140,670, Revenue 10,550,570 ALL OTHER PROGRAMS - See Schedule O for complete description</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>Boys Town National Research Hospital BTNRH provides medical and surgical services at two hospital locations and five 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 52,000 children and adolescents in 2019 through a total of 237,000 patient visits. Boys Town Pediatrics, BTNRHs group of pediatric physicians, provides primary care and specialty pediatric medical services at four clinic locations in the Omaha area. 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. In 2019, BTNRH opened 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 24 independent laboratories that focus broadly on areas of scientific inquiry related to communication and neurobehavioral disorders. The research programs at BTNRH received over 8 million in external research funding in 2019.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>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 four Intervention and Assessment Homes, three of which are located on the Home Campus and the fourth in Grand Island, Nebraska. 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 5,000 youth and families with behavioral problems on an outpatient basis in 2019 and is a training center for doctoral level psychologists.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4c</FormAndLineReferenceDesc>
        <ExplanationTxt>Programs across America directly served over 15,000 youth in Nebraska/Iowa and over 11,500 at 7 active affiliated sites nationwide in 2019. 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. National Community Support Services provides training and resources to parents, childcare providers, and educators throughout the United States and internationally. Services are offered through Education and Common Sense Parenting training packages, and books from the Boys Town Press. In 2019, 7,771 parents, teachers, administrators, and professionals were trained allowing Boys Town to indirectly impact approximately 163,735 children through this training.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>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, e mail, and chat crisis service for troubled children and families. The Hotline received approximately 163,000 contacts in 2019. 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 2019, the website had nearly 775,000 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 6,000 calls were made to the Helpline in 2019 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 of Boys Town 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 181 students.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part V, Line 7d</FormAndLineReferenceDesc>
        <ExplanationTxt>Form 8282 was filed March 11, 2020 for assets that were disposed of in 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Philip J. Ruden and Michael J. Eglseder have a business relationship</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2019, the organizations bylaws were changed to incorporate the responsibilities of the Chief Operating Officer.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>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. Trustees are covered by a board of trustee policy and employees are covered by a separate policy. 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 Executive Committee, with the assistance of General Counsel. If a conflict does exist, the Committee 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 www.boystownethics.com.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 15a 15b</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation of the CEO/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 to not have employment contracts.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, Line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9</FormAndLineReferenceDesc>
        <ExplanationTxt>Increase in value of beneficial interest in external trust assets 7,376,604, transfer of assets from affiliates 3,694,429. Increase in beneficial interest in Father Flanagans Fund for Needing Children 71,958,855. Decrease in interest in affiliated organizations 1,542,769, pension income 1,645,462, pension related charges 4,967,245, present value changes of 82,554.</ExplanationTxt>
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        <TotalExemptPurposeExpendAmt>8193394</TotalExemptPurposeExpendAmt>
        <LobbyNontxAmt>16320</LobbyNontxAmt>
        <GrassrootsNontxAmt>4080</GrassrootsNontxAmt>
        <TotalLobbyGrssrootMnsNontxAmt>0</TotalLobbyGrssrootMnsNontxAmt>
        <TotLbbyExpendMnsLobbyNontxAmt>0</TotLbbyExpendMnsLobbyNontxAmt>
        <ShareExcessLobbyExpendAmt>0</ShareExcessLobbyExpendAmt>
      </AffiliatedScheduleGrp>
      <AffiliatedScheduleGrp>
        <BusinessName>
          <BusinessNameLine1Txt>LLTC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>14100 Crawford Street</AddressLine1Txt>
          <CityNm>Boys Town</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68010</ZIPCd>
        </USAddress>
        <EIN>470841263</EIN>
        <TotalGrassrootsLobbyAmt>0</TotalGrassrootsLobbyAmt>
        <TotalDirectLobbyAmt>0</TotalDirectLobbyAmt>
        <TotalLobbyExpenditureAmt>0</TotalLobbyExpenditureAmt>
        <OtherExemptPurposeExpendAmt>969072</OtherExemptPurposeExpendAmt>
        <TotalExemptPurposeExpendAmt>969072</TotalExemptPurposeExpendAmt>
        <LobbyNontxAmt>1930</LobbyNontxAmt>
        <GrassrootsNontxAmt>483</GrassrootsNontxAmt>
        <TotalLobbyGrssrootMnsNontxAmt>0</TotalLobbyGrssrootMnsNontxAmt>
        <TotLbbyExpendMnsLobbyNontxAmt>0</TotLbbyExpendMnsLobbyNontxAmt>
        <ShareExcessLobbyExpendAmt>0</ShareExcessLobbyExpendAmt>
      </AffiliatedScheduleGrp>
      <AffiliatedScheduleGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Nebraska Families Collaborative</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>2110 Papillion Parkway</AddressLine1Txt>
          <CityNm>Omaha</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68164</ZIPCd>
        </USAddress>
        <EIN>264436716</EIN>
        <ElectingOrganizationInd>X</ElectingOrganizationInd>
        <TotalGrassrootsLobbyAmt>0</TotalGrassrootsLobbyAmt>
        <TotalDirectLobbyAmt>40200</TotalDirectLobbyAmt>
        <TotalLobbyExpenditureAmt>40200</TotalLobbyExpenditureAmt>
        <OtherExemptPurposeExpendAmt>60487858</OtherExemptPurposeExpendAmt>
        <TotalExemptPurposeExpendAmt>60528058</TotalExemptPurposeExpendAmt>
        <LobbyNontxAmt>120562</LobbyNontxAmt>
        <GrassrootsNontxAmt>30141</GrassrootsNontxAmt>
        <TotalLobbyGrssrootMnsNontxAmt>0</TotalLobbyGrssrootMnsNontxAmt>
        <TotLbbyExpendMnsLobbyNontxAmt>0</TotLbbyExpendMnsLobbyNontxAmt>
        <ShareExcessLobbyExpendAmt>0</ShareExcessLobbyExpendAmt>
      </AffiliatedScheduleGrp>
    </AffiliatedGroupSchedule>
  </ReturnData>
</Return>