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      <Form990PartVIISectionAGrp>
        <PersonNm>Sherrye Hutcherson</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas B Barker</PersonNm>
        <TitleTxt>Chair Elect</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Thomas J Culhane</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Barbara J Vollmer</PersonNm>
        <TitleTxt>Executive Vice President, Director of Youth Care</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dana E Washington</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dr Jason Bruce</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>James L Beckman JD</PersonNm>
        <TitleTxt>Assistant Corporate Secretary</TitleTxt>
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        <PersonNm>Judy F Rasmussen CPA</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Monty J Horine</PersonNm>
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        <PersonNm>Robby A Simard</PersonNm>
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        <PersonNm>Isabella Herman</PersonNm>
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        <PersonNm>Kelli Jo Shidler MD</PersonNm>
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        <PersonNm>Richard Tempero MD</PersonNm>
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        <DirectOffsettingRevenueAmt>0</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>3331</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00001</TotalExpensePct>
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        <NetCommunityBenefitExpnsAmt>0</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.0</TotalExpensePct>
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      <WorkforceDevelopmentGrp>
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        <NetCommunityBenefitExpnsAmt>39449</NetCommunityBenefitExpnsAmt>
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      <BadDebtExpenseAmt>767327</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>0</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>2190791</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>2562329</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>-371538</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>true</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>true</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>Boys Town National Research Hospital West</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>14000 Boys Town Hospital Road</AddressLine1Txt>
          <CityNm>Boys Town</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68010</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>www.boystownhospital.org</WebsiteAddressTxt>
        <StateLicenseNum>H000107</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
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      </HospitalFacilitiesGrp>
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        </HospitalFacilityName>
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        <ExistingResourcesInd>X</ExistingResourcesInd>
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        <CHNAConductedYr>21</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
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        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>https://www.boystownhospital.org/about/community-assessment</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>https://www.boystownhospital.org/about/community-assessment</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
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        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
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        <ExplainedBasisInd>true</ExplainedBasisInd>
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        <FAPAvailableOnWebsiteURLTxt>https://www.boystownhospital.org/patients/billing</FAPAvailableOnWebsiteURLTxt>
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        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
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        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
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        <CollectionActivitiesInd>false</CollectionActivitiesInd>
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        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
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        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Boys Town National Research Hospital West. 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>Schedule H, Part V, Section B, Line 6a Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Boys Town National Research Hospital West. Childrens Hospital &amp; Medical Center - Omaha, Nebraska</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Boys Town National Research Hospital West. 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 Hospital has 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 three issues. Mental Health: Objective A; Increase access to mental health services. BTNRH was able to maintain staffing for child and adolescent psychiatry and continues to work with areas such as Norfolk, Howard County, Kearney YRTC and Superior. Objective B; Assist patients in accessing mental health resources. BTNRH is collaborating to increase mental health services by participating in a steering committee for development of Children's Nebraska Behavioral Health Center, which is moving from the planning to the operational phase. Objective C; Provide opportunities for mental health education and resources to employees, patients, and the public. The Boys Town Hotline has released the "Your Life Your Voice" app which allows users to track their mood, journal and provides resources for dealing with emotions including hotline information in one ap. Nutritional, Physical Activity and Weight Management: Objective A; Promote healthy eating and physical activity for patients and the community. BTNRH offered lactation counseling and had a six video series on breastfeeding basics. BTNRH will participate in Cerebral Palsy Day Carnival hosted by the Institute for Human Neuroscience. BTNRH participated in KETV's Taking Care Together Partnership by filming "Grocery Store Green Flags" interview. Topics included produce picking tips, hydration habits, snack swaps, heart healthy nutrition, overcoming mental barriers to build healthy habits. Boys Town Pediatrics sponsored Power Up exhibit at the Omaha Children's Museum which provided education pieces on activity and nutrition. Objective B; Support and expand services of SPARK clinic at east campus. BTNRH continued with steady bariatric cases and increased medical weight management options with newer weight loss drugs. Dietitian staffing is adequate and providing services in the SPARK clinic. Additional resources specific to diseases, such as ketogenic diet services for neurology and OT along with dietary in the SPROUT clinic to aid with feeding issues. Parenting Education and Family Support: Objective A; Expand Boys Town parenting resources and support services. Implemented a Facebook support group that is currently active for patients and their families. BTNRH expanded the CARES program to include a mock MRI to decrease amount of sedation needed for tests of children by allowing them to experience what will happen ahead of the appointment and increase their comfort. This lessens the anxiety about the test. Objective B; Promote Boys Town parenting education and resources to parents and the public. BTNRH had a virtual Newborn Expo in April that includes some on site options. In the fall this event will be Newborn Week and will include five virtual presentations throughout the week and an in person skills workshop to teach essential skills such as infant CPR. Boys Town Pediatrics also sponsored the Power Up exhibit at the Omaha Children's Museum that had education pieces on healthy relationships. BTNRH posted videos on summer health tips, praise ratio, ADHD, and caring for illness.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Boys Town National Research Hospital West. The Hospital requires documentation of denial for Medicaid assistance, if applicable.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>16</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Pacific Street Medical Office Building - West</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>14080 Boys Town Hospital Road</AddressLine1Txt>
            <CityNm>Boys Town</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68010</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Physician Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Pacific Street Medical Office Building - East</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>14040 Boys Town Hospital Road</AddressLine1Txt>
            <CityNm>Boys Town</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68010</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Physician Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Intensive Residential Treatment Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>14092 Boys Town Hospital Road</AddressLine1Txt>
            <CityNm>Boys Town</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68010</ZIPCd>
          </USAddress>
          <FacilityTxt>Child/Adolescent Residential Treatment Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Boys Town National Research Hospital Clinics</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>555 N 30th Street</AddressLine1Txt>
            <CityNm>Omaha</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68131</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Physician Clinic &amp; Hearing Diagnostic Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Boys Town Clinic 72nd &amp; Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7205 West Center Road</AddressLine1Txt>
            <CityNm>Omaha</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68124</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Physician Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Lakeside Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>16929 Frances Street Suite 102</AddressLine1Txt>
            <CityNm>Omaha</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68130</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Physician Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Harrison Street Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6715 South 180th Street</AddressLine1Txt>
            <CityNm>Omaha</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68135</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Physician Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Council Bluffs Specialty</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>320 McKenzie Avenue Suite 202</AddressLine1Txt>
            <CityNm>Council Bluffs</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>51503</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Physician Clinic &amp; Hearing Diagnostic Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Boys Town Psychiatry Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>14092 Boys Town Hospital Road</AddressLine1Txt>
            <CityNm>Boys Town</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68010</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Physician Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Lied Learning &amp; Technology Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>425 N 30th Street</AddressLine1Txt>
            <CityNm>Omaha</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68131</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Hearing Diagnostic Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Lincoln Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>575 South 70th Street Suite 435</AddressLine1Txt>
            <CityNm>Lincoln</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68510</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Physician Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Maple Street Pediatrics</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3838 North 167th Court</AddressLine1Txt>
            <CityNm>Omaha</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68116</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Physician Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Center for Human Performance Optimization</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>14098 Mother Teresa Lane</AddressLine1Txt>
            <CityNm>Boys Town</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68010</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Physician Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Kearney Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3219 Central Avenue</AddressLine1Txt>
            <CityNm>Kearney Clinic</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68847</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Physician Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Grand Island Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>705 Orleans Drive</AddressLine1Txt>
            <CityNm>Grand Island</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68803</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Physician Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Dakota Dunes Clinic</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>575 Sioux Point Road</AddressLine1Txt>
            <CityNm>Dakota Dunes Clinic</CityNm>
            <StateAbbreviationCd>SD</StateAbbreviationCd>
            <ZIPCd>57049</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Physician Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>Boys Town National Research Hospital uses Federal Poverty Guidelines in determining free or discounted care. The patient's income is the primary factor used in determining free or discounted care. However, the patient's assets and/or liabilities are also reviewed on an individual basis and taken into consideration under special circumstances.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a</FormAndLineReferenceDesc>
        <ExplanationTxt>N/A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Boys Town conducts its CHNA every three years with Children's Health and Medical Center in Omaha. The governing board does not approve to adopt the new CHNA until spring of the following year, thus the CHNA was conducted in 2021, but was not adopted until 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</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>Schedule H, Part II Community Building Activities</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 participants 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>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</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>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>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. The organization used information obtained from their outside collection agency to estimate the amount.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</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>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>Used cost to charge ratio. This organization's Medicare shortfall should not be considered a Community Benefit.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>If it is known that a patient qualifies for financial assistance the hospital would write off from 60 - 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>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - Boys Town National Research Hospital West: Line 16a URL: https://www.boystownhospital.org/patients/billing;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - Boys Town National Research Hospital West: Line 16b URL: https://www.boystownhospital.org/patients/billing;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - Boys Town National Research Hospital West: Line 16c URL: https://www.boystownhospital.org/patients/billing;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>In part, Boys Town National Research Hospital assesses the healthcare needs of the community by conducting a Child and Adolescent Community Health Needs Assessment with Children's 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 resource fairs and attends chamber meetings, nonprofit organization meetings and other community group meetings. The hospital also offers community and parenting classes, family focused recreation events such as Cerebral Palsy Day Carnival and Beeping Egg Hunt, 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>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 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 patient's health care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>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 the Douglas County community is 16. North and South Omaha are federally designated medically underserved areas. Currently, there are 34 federally qualified health care centers near Omaha (40 Federally Qualified Health Centers in Nebraska Carelisings). 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 Carelisings).</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</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 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, preschool education, speech language therapy, school counseling services, classroom listening technology training and consultation. Outreach - Auditory consulting school district advisement, parent and professional seminars, parent professional web-based education. The hospital is governed by the board of directors of Father Flanagan's Boys' Home.</ExplanationTxt>
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          <AddressLine1Txt>975 Oklahoma Street</AddressLine1Txt>
          <CityNm>Oviedo</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32765</ZIPCd>
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        <USAddress>
          <AddressLine1Txt>300 North Broad Street</AddressLine1Txt>
          <CityNm>New Orleans</CityNm>
          <StateAbbreviationCd>LA</StateAbbreviationCd>
          <ZIPCd>70119</ZIPCd>
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        <RecipientEIN>412220807</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>3526077</CashGrantAmt>
        <PurposeOfGrantTxt>Program Support</PurposeOfGrantTxt>
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          <BusinessNameLine1Txt>Boys Town Nevada Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>821 North Mojave Road</AddressLine1Txt>
          <CityNm>Las Vegas</CityNm>
          <StateAbbreviationCd>NV</StateAbbreviationCd>
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        <RecipientEIN>200654472</RecipientEIN>
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          <StateAbbreviationCd>RI</StateAbbreviationCd>
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        <RecipientEIN>200655240</RecipientEIN>
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          <CityNm>Tallahassee</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32303</ZIPCd>
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        <RecipientEIN>200655144</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>2625075</CashGrantAmt>
        <PurposeOfGrantTxt>Program Support</PurposeOfGrantTxt>
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          <AddressLine1Txt>1655 Palm Beach Lakes Blvd</AddressLine1Txt>
          <CityNm>West Palm Beach</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
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          <AddressLine1Txt>14100 Crawford Street</AddressLine1Txt>
          <CityNm>Boys Town</CityNm>
          <StateAbbreviationCd>NE</StateAbbreviationCd>
          <ZIPCd>68010</ZIPCd>
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        <RecipientEIN>412220810</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>912132</CashGrantAmt>
        <PurposeOfGrantTxt>Program Support</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>7</Total501c3OrgCnt>
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        <GrantTypeTxt>Direct Care of youth in various programs</GrantTypeTxt>
        <RecipientCnt>12481</RecipientCnt>
        <CashGrantAmt>0</CashGrantAmt>
        <NonCashAssistanceAmt>6322287</NonCashAssistanceAmt>
        <ValuationMethodUsedDesc>Book</ValuationMethodUsedDesc>
        <NonCashAssistanceDesc>Food, Clothing, Medical, Education</NonCashAssistanceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds</FormAndLineReferenceDesc>
        <ExplanationTxt>Father Flanagan's Boys' Home is the sole member of eight affiliate organizations of which seven received assistance in 2024. All affiliates under an affiliation agreement with Father Flanagan's Boys' Home that controls the activities of the affiliated organizations. Under 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 Flanagan's 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>
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        <PersonNm>Mara Paradis MD</PersonNm>
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        <TotalCompensationFilingOrgAmt>708248</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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        <PersonNm>Mark Puccioni</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Isabella Herman</PersonNm>
        <TitleTxt>Physician</TitleTxt>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>20700</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>42027</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>783168</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>Boys Town maintains a supplemental nonqualifed retirement plan described in Section 457(f) to attract and retain employees, typically in management positions. In 2024, the following participated in the 457(f) plan and received employer contributions respectively. Monty Horine, $12,320; Judy Rasmussen, $26,766; Dana Washington, $24,934; Robby Simard, $6,183</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental Nonqualifed Retirement Plan</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization deposited funds into a life insurance policy on the participant's life. During life, and subject to the policy generating sufficient values, the participant can borrow from the policy. At death, the organization recovers its premiums plus interest plus additional key-person insurance proceeds. Refer to schedule L for a list of participants and amounts.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Column (f) Line A</FormAndLineReferenceDesc>
        <ExplanationTxt>Refund Hospital Authority No. 2 Douglas County and Nebraska Elementary and Secondary School Finance Authority Series 2008 Bonds, Issued 9/15/2008.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Column (f) Line B</FormAndLineReferenceDesc>
        <ExplanationTxt>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 building, building renovation and infrastructure.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Column B Bond issue proceeds does not agree to the issue in Part I Column (e) due to interest earnings.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2c COLUMN B</FormAndLineReferenceDesc>
        <ExplanationTxt>Issuer name: Village of Boys Town, Nebraska The calculation for computing no rebate due was performed on 05/06/2024</ExplanationTxt>
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      <LoansBtwnOrgInterestedPrsnGrp>
        <BusinessName>
          <BusinessNameLine1Txt>Dr Jason Bruce</BusinessNameLine1Txt>
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        <RelationshipWithOrgTxt>Executive Vice President Healthcare</RelationshipWithOrgTxt>
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            <BusinessNameLine1Txt>Dennis Vollmer</BusinessNameLine1Txt>
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        <RelationshipDescriptionTxt>Spouse of Executive Vice President, Director of Youth Care (Barb Vollmer)</RelationshipDescriptionTxt>
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        <TransactionDesc>Compensation</TransactionDesc>
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            <BusinessNameLine1Txt>Sarah Rasmussen</BusinessNameLine1Txt>
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        <RelationshipDescriptionTxt>Daughter of Executive Vice President Fincance (Judy Rasmussen)</RelationshipDescriptionTxt>
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        <TransactionDesc>Compensation</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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        <MethodOfDeterminingRevenuesTxt>Other - resale value</MethodOfDeterminingRevenuesTxt>
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        <NoncashContributionsRptF990Amt>30685</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Other - Comparable Cost</MethodOfDeterminingRevenuesTxt>
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        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <Desc>Donated Auction Items</Desc>
        <ContributionCnt>158</ContributionCnt>
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        <MethodOfDeterminingRevenuesTxt>Market value</MethodOfDeterminingRevenuesTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule M, Part I Explanations of reporting method for number of contributions</FormAndLineReferenceDesc>
        <ExplanationTxt>Securities - Publicly traded - Number of contributions Collectibles - Number of contributions Food inventory - Number of contributions Other - Donated Auction Items Number of contributions</ExplanationTxt>
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    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="24020961" softwareVersionNum="2024v5.1">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>Boys Town National Research Hospital (BTNRH) provides medical and surgical services at one hospital location and eight outpatient clinics in the Omaha, Nebraska metropolitan area. BTNRH is recognized internationally as a leader in pediatric brain development and 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 47,200 children and adolescents in 2024 and had a total of 191,000 patient visits. Boys Town Pediatrics, BTNRH's group of pediatric physicians, provides primary care and specialty pediatric medical services at seven 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 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 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 technicians. These two programs provided 28,000 care days. Boys Town also has a network of teleheath sites across Nebraska to serve patients in their local area. BTNRH supports a world-class research program that comprises 48 independent laboratories that focus broadly on areas of scientific inquiry related to communication and neurobehavioral disorders including brain development, and behavioral health. The research programs at BTNRH received over $17,917,000 in external research funding in 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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, Common Sense Parenting, Successful Futures, the Center for Behavioral Health, Care Coordination, and others. These programs directly served over 12,400 youth and families in Nebraska/Iowa with a total of 161,000 care days. Boys Town operates approximately 60 Family Style 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 350 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 specially trained professionals called Family Teachers. The Family Teacher 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. In 2024, these homes provided 107,727 care days. The program is also served by three Intervention and Assessment Homes located on the Home Campus. The Intervention and Assessment Homes provide short term services for youth typically in crisis for a total of 4,026 care days. 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 4,100 youth in 2024 with behavioral problems on an outpatient basis, and is a training center for doctoral level psychologists. In schools nationwide, Boys Town education experts work with educators to implement a unique approach that we call the Boys Town Education Model. Built and refined on decades of research and experience, the Education Model provides a comprehensive approach to addressing the behavioral and social needs of students. In 2024, 10,000 teachers were trained.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4c</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, email, and chat crisis service for troubled children and families. The Hotline received approximately 100,000 contacts in 2024. 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. The Hotline is accredited by the American Association of Suicidology (AAS). 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. All of Boys Town's websites provide a wide array of content to provide parents and youth with information to help with their issues and problems. In 2024, the website had over 3,700,000 active users. The Hotline is the 988 Lifeline provider for the State of Nebraska. In addition to operating the Hotline, Boys Town also operates the Nebraska Family Helpline (the Helpline). The Helpline was conceived when Nebraska lawmakers realized families experiencing crisis 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 Hotline also operates the Safe 2 Help school tipline for the State of Nebraska currently covering 60% of all students in the state. The Helpline has been honored in the press and by the Nebraska legislature for its effective service to Nebraska families. Programs across America directly served over 19,100 at seven active affiliated sites nationwide in 2024. 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, LIFT Together with Boys Town, Common Sense Parenting, Outpatient Behavioral Health Services, Care Coordination, and others. Boys Town Youth Care programs are certified by the Council on Accreditation (COA) 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 Town's programs. The Youth Care Program Quality Department provides technical training, program monitoring, consultation, evaluation and quality control/quality assurance of Boys Town's nationwide system of services. Boys Town is certified by COA and the Teaching Family Association.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4d</FormAndLineReferenceDesc>
        <ExplanationTxt>The Home Campus Educational Program operates within the Boys Town Education Center. The Village schools serve residential youth at Boys Town and provide academic and vocational training skills necessary for contemporary society. All Boys Town's schools are fully accredited by the state of Nebraska and the 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 education services in a public or alternative school setting due to behavioral problems and/or academic deficiencies. These schools have also served parentally placed private youth and court placed youth. Boys Town served 180 students in day school services in 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a-4c Description of program services</FormAndLineReferenceDesc>
        <ExplanationTxt>(Expenses $ 31,233,282 including grants of $ 600,165)(Revenue $ 8,637,242) HOME CAMPUS EDUCATIONAL PROGRAM - SEE SCHEDULE O FOR COMPLETE DESCRIPTION</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</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, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>Father Flanagan's Boys' Home regularly and consistently monitors and enforces its conflict of interest policy through official annual affirmations, self reporting, and observation. Father Flanagan's Boys' Home has a separate conflict of interest policies 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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>The compensation of the organization's CEO 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. The compensation of all other officers are also determined as described above.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15b Process to establish compensation of other employees</FormAndLineReferenceDesc>
        <ExplanationTxt>Refer to answer for Part VI Line 15a.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>Father Flanagan's 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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        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>- Total Revenue: 2076479, Related or Exempt Function Revenue: 2076479, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Increase in value of beneficial interest in external trust assets - 6876245; Increase in beneficial interest in Father Flanagan's Fund for Needing Children - 43425740; Decrease in interest in affiliated organizations - -16922474; Increase in pension related charges - 4018095; Actuarial loss on annuity trust obligations - -1060722; Timing of cash transfers - 3934638; Total - 40271522;</ExplanationTxt>
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