2023-11-14T02:45:42-00:00 2022-12-31 135565207 KPMG LLP 1212 No 96 Street Ste 300 Omaha NE 68114 990 2022-01-01 470376606 Father Flanagan's Boys' Home FATH 5313553127 14100 Crawford Street Boys Town NE 68010 Judy F Rasmussen Chief Financial Officer 5313553127 2023-11-14 true Judy Rasmussen XXX-XX-XXXX Holly Moen P01800653 6123055608 2023-11-14 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X Boys Town Judy F Rasmussen 14100 Crawford Street Boys Town NE 68010 1046191448 false X http://www.boystown.org X 1917 NE Changing the way America cares for children and families. 20 19 4118 104 -7419 201068581 215580597 193926380 215885586 24546432 27271038 2146481 2867599 421687874 461604820 24609859 24800961 0 222886051 251505753 0 60688946 138996564 157057644 386492474 433364358 35195400 28240462 1928254402 1750396695 159208622 140157592 1769045780 1610239103 X Changing the way America cares for children and families. false false 224183482 202635 174321075 BOYS TOWN NATIONAL RESEARCH HOSPITAL - See Schedule O for complete description. 65614033 2846333 25542088 NEBRASKA/IOWA - See Schedule O for complete description. 21611774 21465798 7093299 PROGRAMS ACROSS AMERICA - See Schedule O for complete description 38831060 140219 8929124 350240349 true true false true false false false false true true true true false true true true false true true false false false false false true false true true true true true true false false false false false false false false false false true false false false true true true true false false true 842 0 true 4118 true true true true EI false false false true true false false false false false false X 20 19 false false false false false false false true true false true true true true true true true true true true false AK AZ CA CO CT DC FL GA HI IA IL IN KS KY LA MA MD MI MN MO MS MT ND NE NH NJ NM NV NY OH OR PA RI SC SD TN TX UT VA WA WI WV WY X Judy F Rasmussen CPA 5313553131 14100 Crawford Street Boys Town NE 68010 Kelli Jo Shidler MD Physician 040.00 X 1300574 0 50141 Robert Cusick MD Physician 040.00 X 905513 0 52922 Linden E Fornoff MD Physician 040.00 X 881748 0 28106 Megan K Fuller MD Physician 040.00 X 697664 0 53134 Melissa Suh MD Physician 040.00 X 619734 0 47658 Rodney J Kempkes Chief Executive Officer 035.00 005.00 X 547522 0 42188 Dr Jason Bruce Executive Vice President Healthcare 040.00 X 524942 0 53075 Judy F Rasmussen CPA Executive Vice President Finance Administration 035.00 005.00 X 405795 0 25397 Dana E Washington Executive Vice President, General Counsel 035.00 005.00 X 371504 0 24824 Barbara J Vollmer Executive Vice President, Director of Youth Care 035.00 005.00 X 298599 0 23530 Monty J Horine Senior Vice President Corporate Secretary 035.00 005.00 X 265456 0 18502 James L Beckmann JD Assistant Corporate Secretary 035.00 005.00 X 174612 0 30412 Steven E Boes President National Executive Director 035.00 005.00 X X 134708 0 69120 John K Arch VP BTNRH Strategic Initiatives Fomer Officer 030.00 X 130737 0 25349 John Passarelli Director - through March 2022 002.00 X 0 0 0 Kathy Nieland CPA Chair 003.00 X X 0 0 0 Jodi L Probst Director 002.00 X 0 0 0 D Bradley Welling MD PhD FACS Director 002.00 X 0 0 0 William M Bryant Director 002.00 X 0 0 0 Peter P Jones Director 002.00 X 0 0 0 Robert R Matejek Director - through December 1, 2022 002.00 X 0 0 0 Laurine M Garrity Director 002.00 X 0 0 0 Keith D Allen PHD BCBA-D Director 002.00 X 0 0 0 Helen A Fox-O'Brien Director 002.00 X 0 0 0 Thomas J Culhane Director 002.00 X 0 0 0 Kathleen F Driscoll Chair Elect 002.00 X 0 0 0 Richard A Chole MD PhD Director 002.00 X 0 0 0 Joni W Wheeler Director 002.00 X 0 0 0 Linda A LeBlanc PhD Director 002.00 X 0 0 0 Sherrye Hutcherson Director 002.00 X 0 0 0 Thomas Barker Director 002.00 X 0 0 0 Kate Dodge Chair - through September 2022 003.00 X X 0 0 0 Mark Tilden Director 002.00 X 0 0 0 Rick Velasco Director 002.00 X 0 0 0 Dorothy Zolandz Director 002.00 X 0 0 0 Robert Nkogo Director 002.00 X 0 0 0 Philip J Ruden Former Executive Vice President, Investements Chief Investment Officer X 184853 0 -493003 7443961 51355 438 true true true Mercy Health PO Box 505125 Saint Louis MO 63150 Licensing Fees 5019192 UNMC 987137 Nebraska Medical Center Omaha NE 68198 Pathology 2562022 Medical Solutions LLC PO Box 310859 Des Moines IA 503310859 Temporary Staffing 2107323 CrossCountry Consulting 1600 Tysons Blvd Suite 1100 McLean VA 22102 System Implementation 1730642 Facebook Inc 1601 Willow Road Menlo Park CA 94028 Marketing Fees 1507091 60 395234 49076978 21075119 145033266 1689931 215580597 Boys Town National Research Hospital 621110 174321075 174321075 Nebraska/Iowa Services 623990 25542088 25542088 Home Town Educational 611420 7093299 7093299 National Hotline and Public Services 624100 8929124 8929124 215885586 7353385 7353385 318324 318324 142173 142173 142173 142173 603595326 377192 584026969 27896 19568357 349296 19917653 19917653 179721 395234 349326 -169605 -169605 175018 182437 -7419 -7419 Historical Tax Credits 900099 920000 920000 Mail List Rental 900099 527979 527979 Village Services 900099 430014 430014 706133 706133 2584126 461604820 217941733 -7419 28089909 21611774 21611774 3189187 3189187 0 0 2792611 883803 1908808 0 193181493 179995232 9023390 4162871 8842014 7988771 636538 216705 34150321 31191364 2240472 718485 12539314 11897377 345905 296032 0 807240 807240 235004 235004 214859 212259 2600 824039 824039 20165665 18061828 931865 1171972 6218577 3429784 882157 1906636 78768701 26096664 1888492 50783545 14632114 12846961 1238835 546318 0 11028968 10857013 139516 32439 2366843 2111803 135499 119541 0 332873 266225 56537 10111 1626277 1033744 25193 567340 0 14744771 14089956 584566 70249 1971785 1630135 318352 23298 Equipment rental and maintenance 2110689 2069109 36654 4926 Corporate dues/memberships 222531 188003 25232 9296 786708 589357 148169 49182 433364358 350240349 22435063 60688946 X 53420425 1379529 604036 51436860 19752265 13841604 93830486 56036126 5417600 5403780 34450673 39108098 44 2989993 3205366 6895631 10035328 414731543 197438944 184709577 217292599 99193480 94697149 237555708 205732732 1243458945 1105043913 1928254402 1750396695 67825983 51227876 283757 283532 87027324 86853692 1321532 4071558 470960 159208622 140157592 X 1597688916 1452941423 171356864 157297680 1769045780 1610239103 1928254402 1750396695 X 28240462 -47325404 -139721735 X false true X true true true X 146010246 157574772 175370128 201068581 215580595 895604322 146010246 157574772 175370128 201068581 215580595 895604322 214560698 681043624 7302613 7194036 4402282 3128507 7813882 29841320 3330913 3628253 34163615 2121775 2584126 45828682 971274324 959560621 0.70590 X Part II Section B Line 10 Other income is 920,000 from issuance of historical tax credits, 527,979 is revenue from mail list rentals, 430,014 revenue for services provided to the Village of Boys Town, and 706,133 for other items. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 214859 214859 214859 214859 432990474 541550837 433205333 541765696 1000000 1000000 250000 250000 1000000 1000000 1000000 1000000 4000000 6000000 317274 111362 221700 214859 865195 250000 250000 250000 250000 1000000 1500000 II-A Line A Father Flanagans Boys Home, 14100 Crawford Street, Boys Town NE 68010, 47-0376606, 432,990,474, 214,859 Father Flanagans Fund for Needy Children, 14100 Crawford Street, Boys Town, NE 68010, 36-3680258, 49,713,702, 0 Boys Town California, Inc., 14100 Crawford Street, Boys Town, NE 68010, 76-0720675, 11,945, 0 Boys Town Central Florida, Inc., 975 Oklahoma Street, Oviedo, FL 32765, 20-0654235, 7,281,463, 0 Boys Town Louisiana, Inc., 300 North Broad Street, Ste. 106, New Orleans, LA 70119, 41-2220807, 9,950,646, 0 Boys Town Nevada, Inc. 821 N Mojave Road., Las Vegas, NV 89101, 20-0654472, 9,142,545, 0 Boys Town New England, Inc., Barzarsky Campus 58 Flanagan Road., Portsmouth, RI 02871, 20-0655240, 9,355,599, 0 Boys Town New York, Inc., 14100 Crawford Street, Boys Town, NE 68010, 20-5960877, 147,034, 0 Boys Town North Florida, Inc., 3555 Commonwealth Blvd. Tallahassee, FL 32303, 20-0655144, 7,074,247, 0 Boys Town Washington D.C. Inc., 4801 Sargent Rd N.E., Washington, DC 20017, 41-2220810, 6,796,356, 0 Boys Town South Florida, Inc., 1655 Palm Beach Lakes Blvd., West Palm Beach, FL 33401, 26-3965524, 8,039,599, 0 Lied Learning and Technology Center for Childhood Deafness and Vision Disorders, 14100 Crawford Street, Boys Town, NE 68010, 47-0841263, 1,047,227, 0 false true X 1195061479 1240758 -85056620 49772872 2214000 782702 1058476043 1049523403 1475519 193721413 46873475 2050000 735381 1195061479 1002368642 346700 96992846 46560000 2602779 1022006 1049523403 921410888 4158479 126171019 46197000 2354193 820551 1002368642 944680028 39063938 -14901708 44976000 1018035 1437335 921410888 0.97000 0.02000 0.01000 true true true 812454 2285521 3097975 270704190 111778979 158925211 140929378 85659965 55269413 217292599 205732732 F Financial derivatives and other financial products Closely-held equity interests 205732732 F 205732732 Beneficial interest in assets held in trust 80593241 Accrued investment income 97087 Other assets 8943944 Interest in Father Flanagans Fund for Needy Children 984127698 Interest in subordinate affiliated and controlled organziations 28311198 Interest in Lied Learning and Technology Center 2970745 1105043913 Federal income taxes Postretirement Benefit Obligation 470960 470960 X 466912000 -47325404 29840601 24186558 6701755 460210245 824039 570536 1394575 461604820 498538000 29840601 58859561 88700162 409837838 824039 22702481 23526520 433364358 IV 2b Boys Town was named the executor for an estate. Amount listed on Part X line 21 represents funds expected to be paid out to other charities or creditors. V 4 The intended uses of the organizations endowment funds are to support the activities of Father Flanagans Boys Home in fulfilling its mission in compliance with donor intent. X 2 Boys Town and its affiliates have been recognized as a tax-exempt organization by the Internal Revenue 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 liabilites by recognizing the effect of income tax positions only if those positions are more likely than not of being sustained. At December 31, 2022, Boys Town had no uncertain tax positions accrued. XI 2d Change in value of beneficial interest in external trusts of 13,712,460 was included in the consolidated financial statements but was reclassified to other changes in net assets for Form 990. Affiliate revenue of 37,899,018 was included in the audited financial statements but eliminated for the Form 990. XI 4b Revenue of 1,028,108 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 27,896 on sale of fixed assets, cost of goods sold of 182,437, and special event expenses of 244,552 was included as expenses for the audited consoldiated financial statements but was a reduction to revenue for the Form 990. Rounding to thousands for the audited consolidated financial statements of 2,687 XII 2d Affiliate and related organizations expenses in the amount of 58,404,236 was included in the audited financial statements but eiliminated for the Form 990. Special event expenses of 244,552, loss of sale of fixed assets of 27,896, and cost of goods sold 182,437 were included in total expenses for the consolidated audited statements but offset revenue for the Form 990. The remaining 440 is due to rounding. XI 4b Support to affiliates of 21,465,798 and 1,090,705 of expenses paid to related parties was eliminated for audited consoldiated financial statements but was reinstated and included in expenses for the Form 990. true true false true true true true false false false false false false false false true false true 6a Father Flanagans Boys Home received financial aid or assistance and program fees from the following agencies US Department of Health and Human Services, US Department of Education, National Science Foundation, and the State of Nebraska. Booster Banquet 298169 191827 106342 59607 25000 77207 Blue Water Bash 198162 124783 73379 18179 3405 119239 1 78625 78625 7577 39112 574956 395235 179721 77786 35982 235558 349326 -169605 true true true X true X false true false false 381071 381071 0.00090 57294059 31787898 25506161 0.05890 1841106 1191034 650072 0.00150 59516236 32978932 26537304 0.06130 59119 59119 0.00010 109073 109073 0.00030 9984175 6665906 3318269 0.00770 11232795 9276725 1956070 0.00450 54555 54555 0.00010 21439717 15942631 5497086 0.01270 80955953 48921563 32034390 0.07400 18995 18995 13482 13482 32456 32456 0.00010 64933 64933 0.00010 false 2192806 877122 2825766 3338860 -513094 X true true 1 1 Boys Town National Research Hospital West 14000 Boys Town Hospital Road Boys Town NE 68010 www.boystownhospital.org H000107 X X X X A A 1 false false true X X X X X X X X X 21 true true false true X https//www.boystownhospital.org/about/community-assessment X true 22 true https//www.boystownhospital.org/about/community-assessment false true X 0000000200.000000000000 0000000400.000000000000 X X X X true true X X X true X https//www.boystownhospital.org/patients/billing X https//www.boystownhospital.org/patients/billing X https//www.boystownhospital.org/patients/billing X X X X X X true X false X X X true X false false Group Boys Town National Research Hospital West Line Part V, Section B, Line 5 To solicit input from key informants, those individuals who have a broad interest in the health of children and adolescents in the community, an Online Key Informant Survey was implemented as part of this process. A list of recommended participants was provided by the sponsors of the study this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of community leaders. Potential participants were chosen because of their ability to identify primary concerns among the families and children/adolescents with whom they work with, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online reminder emails were sent as needed to increase participation. Group Boys Town National Research Hospital West Line Part V, Section B, Line 6a Childrens Hospital Medical Center - Omaha, Nebraska Group Boys Town National Research Hospital West Line Part V, Section B, Line 11 The Child and Adolescent Community Health Needs Assessment CHNA implementation plan was developed using a deliberative and inclusive internal process that included qualitative and quantitative data and was grounded in both operational considerations and the existing unique assets Boys Town National Research 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 recruited two additional child and adolescent psychiatrists. BTNRH integrated psychiatric services at the east location and all pediatric clinic locations now include a child and adolescent psychiatrist, including the Autism and SPARK clinic. Telepsychiatry was expanded to Critical Access Hospitals in Nebraska such as Hastings. Objective B Assist patients in accessing mental health resources. BTNRH added a social worker in the Child and Adolescent Psychiatric Clinic. In addition, an early childhood social worker and Parent Resource Coordinator were added to our east location. Objective C Provide opportunities for mental health education and resources to employees, patients, and the public. BTNRH is planning a Mental Health national summit that will be led by Boys Town experts for professionals who work with children. BTNRH posted bi-monthly social content on mental health topics, stories, resources, and programs including living well with tinnitus, anxiety and depression related to tinnitus, various Mental Health Awareness Month posts, self-harm prevention education, posts on mental health resources in pediatric clinics, and IPU anniversary post. BTNRH provided resources to pediatricians on topics such as autism, anxiety, depression, bipolar disorder, and schizophrenia including a presentation by a child psychiatrist to healthcare providers on Disruptive Mood Dysregulation Disorder. BTNRH also provided mental health information to parents, teachers and coaches at schools and sporting events in the community with the Elkhorn Athletic Association partnership. Nutritional, Physical Activity and Weight Management Objective A Promote healthy eating and physical activity for patients and the community. BTNRH offered parenting classes on breastfeeding and nutrition conducted by BTNRH pediatricians and consultants through Facebook Lives and Newborn Expos throughout the year including Healthy Weight Loss Toolbox, Healthy Summer Habits, and Breastfeeding Week education. BTNRH conducted a Memorial Day Run with community co-sponsors incorporating a Kids Fun Run, 1 mile walk/run and 5-mile walk/run to promote family participation and physical activity. BTNRH is proceeding with sponsorship of an All Play Field in Elkhorn to provide sporting fields as well as inclusive play areas for children with disabilities. BTNRH developed educational resources for families to guide them in healthy cooking, healthy grocery shopping and adaptive exercises for all abilities by looking into developing cooking and nutrition support resources, social media posts like beating summer boredom and healthy hydration. BTNRH posted monthly content from SPARK, pediatric weight management program on nutrition, activity, mental health and health tips with Facebook Lives for healthy choices and private group for patients and families, and timely expert insight on weight loss injections. To encourage activity, BTNRH sponsored a play area at Storm Chasers games and a health and wellness center at Camp Kitaki. In addition, BTNRH was a sponsor for Take Steps, the Epilepsy Run, Walk and Roll and Camp Abilities. Objective B Support and expand services of SPARK clinic at east campus. BTNRH is pursuing Comprehensive Management certification to include all required elements of service by planning to expand surgical cases to qualify as a center of excellence. BTNRH increased dietician services through social work to address nutritional needs of children by assisting families during formula shortage. BTNRH integrated child and adolescent psychology services into SPARK clinic by adding a child and adolescent psychologist. Parenting Education and Family Support Objective A Expand Boys Town parenting resources and support services. BTNRH created a Parenting.org subsite for parenting content on a variety of parenting topics that cover physical, social, and mental health such as a physician-led social media event regarding the formula shortage. Also, BTNRH created a support group for pediatric weight management patients and families that meets monthly. Objective B Promote Boys Town parenting education and resources to parents and the public. BTNRH promoted Common Sense Parenting to current patient families and the community with participation in KETV Taking Care Together sponsored content creation. Also, BTNRH created a bi-monthly Healthy Children Newsletter with seasonal and other health and parenting content. Group Boys Town National Research Hospital West Line Part V, Section B, Line 13h The Hospital requires documentation of denial for Medicaid assistance, if applicable. Group Boys Town National Research Hospital West Line Part V, Section B, Line 20d Boys Town does not utilize presumptive care and therefore no determinations were made. 13 Pacific Street Medical Office Building - West 14080 Boys Town Hospital Road Boys Town NE 68010 Outpatient Physician Clinic Pacific Street Medical Office Building - East 14040 Boys Town Hospital Road Boys Town NE 68010 Outpatient Physician Clinic Intensive Residential Treatment Center 14092 Boys Town Hospital Road Boys Town NE 68010 Child/Adolescent Residential Treatment Center Boys Town National Research Hospital Clinics 555 N 30th Street Omaha NE 68131 Outpatient Physician Clinic Hearing Diagnostic Clinic Boys Town Clinic 72nd & Center 7205 West Center Road Omaha NE 68124 Outpatient Physician Clinic Lakeside Clinic 16929 Frances Street Suite 102 Omaha NE 68130 Outpatient Physician Clinic Harrison Street Clinic 6715 South 180th Street Omaha NE 68135 Outpatient Physician Clinic Council Bluffs Specialty 320 McKenzie Avenue Suite 202 Council Bluffs IA 51503 Outpatient Physician Clinic Hearing Diagnostic Clinic Boys Town Psychiatry Clinic 14092 Boys Town Hospital Road Boys Town NE 68010 Outpatient Physician Clinic Lied Learning & Technology Center 425 N 30th Street Omaha NE 68131 Outpatient Hearing Diagnostic Clinic Lincoln Clinic 575 South 70th Street Suite 435 Lincoln NE 68510 Outpatient Physician Clinic Maple Street Pediatrics 3838 North 167th Court Omaha NE 68116 Outpatient Physician Clinic Center for Human Performance Optimization 14098 Mother Teresa Lane Boys Town NE 68010 Outpatient Physician Clinic Part I Line 3c Boys Town National Research Hospital uses Federal Poverty Guidelines in determining free or discounted care. The patients income is the primary factor used in determining free or discounted care. However, the patients assets and/or liabilities are also reviewed on an individual basis and taken into consideration under special circumstances. Part I Line 6a N/A Part I Line 7 Cost to charge ratio was used to calculate the amounts in this section. The methodology used to calculate the cost to charge ratio is the same step down method used in the Medicare Cost report further refined to define costs for the Subsidized health services and Research portions of this section. Part II The hospital works closely with numerous organizations in the community to promote healthy lifestyles, including the Latino and African American community groups. The hospital conducts an annual health fair as well as participates in corporate and school health fairs, parenting classes, hearing screenings, infant car seat checks and seminars and workshops for hard of hearing and visually impaired children and their families. Part III Line 2 Used cost to charge ratio. Only patient liability after all discounts or contractual adjustments are written off to bad debt expense. Any payments or recoveries after the write off are offset against bad debt. Part III Line 3 Used cost to charge ratio to determine amount of bad debt that would have actually qualified as charity care but did not due to lack of information. This organization used information obtained from their outside collection agency to estimate the amount. Part III Line 4 In 2018, Boys Town adopted ASU No. 2014-09 Topic 606. The adoption of ASU No. 2014-09 results in no footnote disclosures related to bad debt. Part III Line 8 Used cost to charge ratio. This organizations Medicare shortfall should not be considered a Community Benefit. Part III Line 9b If it is known that a patient qualifies for financial assistance the hospital would write off from 50 - 100 of their patient balance depending on their income and family size. For patients who only have a partial write-off, the hospital would follow the same collections policies on their remaining balance that are used for all other types of patients. This policy is communicated to all outside collection agencies utilized by Boys Town National Research Hospital for adherence to the policy content and financial assistance guidelines. Part VI Line 2 In part, Boys Town National Research Hospital assess the healthcare needs of the community by conducting a Child and Adolescent Community Health Needs Assessment with Childrens Hospital 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, Cerebral Palsy Day Carnival, Beeping Egg Hunt, 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. Part VI Line 3 Boys Town Hospital educates patients on financial assistance eligibility and how to obtain financial assistance through brochures at each patient check in area, front desk mentions upon hospital admissions and information placed on healthcare statements. Information is also available on the website. If applicable, prior to being considered for financial assistance, the patient/family must cooperate with the provide to furnish information and documentation to apply for other existing financial resources that may be available to pay for the patients healthcare. Part VI Line 4 Boys Town National Research Hospital serves an eight county Greater Omaha Metropolitan area with an estimated population of approximately 967,000 in 2021 and an additional 1.3 million who live within a 50-mile radius of Omaha US Census July 2021 and World Population Review 2021. The two highest populated counties in the Greater Omaha are Douglas County, population 584,526 with 25 of the population under the age of 18 years, and Sarpy County, population 194,718 with 27 under the age of 18 years US Census, July 2021. The geographic design of both counties is mainly suburban areas with a few designated as 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/CareListings. In Sarpy County, the median household income is 83,051 US Census, July 2021. The percentage of residents in poverty is 4.9 and 6.1 of residents under 65 years do not hold health insurance US Census, July 2021. There area hospitals and two federally qualified health centers are located in the Sarpy County community 40 Federally Qualified Health Centers in Nebraska/CareListings. Part VI Line 5 The hospital hosts continuing education conferences and courses for physicians, nurse practitioners, nurses, researchers, audiologists, and speech language pathologists to disseminate best practices and research findings to other professionals in otolaryngology, vestibular health, hearing healthcare, speech language therapy, neuroscience and behavioral health. The hospital provides free or subsidized services locally and nationally to hard of hearing children and their families through the following community building programs or activities. FAMILY SUPPORT SERVICES, Counseling and wellness services, emotional and educational development seminars, technology, and parent child social opportunities. EDUCATIONAL PROGRAMS, Home based 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. Part VI Line 6 NA true Boys Town California Inc 14100 Crawford Street Boys Town NE 68010 760720675 501c3 10811 Program Support Boys Town Central Florida Inc 975 Oklahoma Street Oviedo FL 32765 200654235 501c3 3381469 Program Support Boys Town Louisiana Inc 300 North Broad Street Ste 106 New Orleans LA 70119 412220807 501c3 2883095 Program Support Boys Town Nevada Inc 821 North Mojave Road Las Vegas NV 89101 200654472 501c3 3127910 Program Support Boys Town New England Inc 58 Flanagan Road Bazarsky Campus Portsmouth RI 02871 200655240 501c3 3180505 Program Support Boys Town North Florida Inc 3555 Commonweath Blvd Tallahassee FL 32303 200655144 501c3 2433782 Program Support Boys Town South Florida Inc 1655 Palm Beach Lakes Blvd West Palm Beach FL 33401 263965524 501c3 3996265 Program Support Boys Town Washington DC Inc 4801 Sargent Road NE Washington DC 20017 412220810 501c3 2597937 Program Support 8 Direct care of youth in various programs 12479 3189187 Book Food, Clothing, Medical Education Part I Line 2 Father Flanagans Boys Home is the sole member of eight affiliate organizations. All these affiliates received assistance in 2022. All affiliates under an affiliation agreement with Father Flanagans Boys Home that controls the activities of the affilaited organizations. Under the affiliation agreement, the subordinate organizations are required to comply with all operating and financial policies, procedures, and program service standards. Financial information is monitored on a continuous basis through a central accounting and reporting system maintained by Father Flanagans Boys Home. Each month actual and budget financial results are reviewed by management on a consolidated and individual organizational level basis. Any significant variances or fluctuations must be investigated and explained. X X true true X X X X X X false false false false false false false false false Steven E Boes President National Executive Director 130119 4589 60635 8485 203828 James L Beckmann JD Assistant Corporate Secretary 173857 755 10688 19724 205024 Monty J Horine Senior Vice President Corporate Secretary 262021 3435 15763 2739 283958 Barbara J Vollmer Executive Vice President, Director of Youth Care 295104 3495 17913 5617 322129 John K Arch VP BTNRH Strategic Initiatives Fomer Officer 126744 3993 7813 17536 156086 Dana E Washington Executive Vice President, General Counsel 369125 2379 18300 6524 396328 Judy F Rasmussen CPA Executive Vice President Finance Administration 401162 4633 18300 7097 431192 Philip J Ruden Former Executive Vice President, Investements Chief Investment Officer 184853 -493003 -308150 Rodney J Kempkes Chief Executive Officer 544026 3495 18300 23888 589709 Linden E Fornoff MD Physician 880777 971 18300 9806 909854 Melissa Suh MD Physician 618763 971 18300 29358 667392 Megan K Fuller MD Physician 696639 1025 18300 34834 750798 Dr Jason Bruce Executive Vice President Healthcare 522982 1960 18300 34775 578017 Robert Cusick MD Physician 902706 2807 18300 34622 958435 Kelli Jo Shidler MD Physician 1299279 1295 18300 31841 1350715 Part I Line 1a Discretionary spending account and housing allowance or residence for personal use Provided to Fr. Steven Boes, the Executive Director. As the Executive Director for Father Flanagans Boys Home, Fr. Boes is required to be available 24 hours a day for any situation that may arise regarding any and all facets of providing a comprehensive continuum of care for children and families. Due to the responsibilities required for the position and considering the base salary that Fr. Boes receives, the Board of Directors granted him a discretionary spending account which is included in his taxable compensation. As a condition of employment Fr. Boes is required to live on the residential campus and is provided a personal residence in the Village of Boys Town which is not included in taxable compensation. Part I Line 3 The executive director has a written employment contract, but the CEO does not. A Village of Boys Town Nebraska 470615594 103627AA3 2017-11-01 31104033 See Part VI false false false B Village of Boys Town Nebraska 470615594 103627AE5 2020-10-06 56380299 See Part VI false false false A 31104033 296119 30807914 2011 false true true true B 56387289 437891 35563367 15749382 4746853 true false true true D 2000 A false false false false 0.00200 0.00200 false false false B false false false false false false false A false false true false false false false false false B false true false false false false false false false A false B false Part I Line A Column f Refund Hospital Authority No. 2 Douglas County and Nebraska Elementary and Secondary School Finance Authority Series 2008 Bonds, Issued 9/15/2008 Part I Line B Column f Refund Village of Boys Town Nebraska Series 2015, Issued 9/1/2015, Refund Nebraska Elementary and Secondary School Finance Authority Series 2010, Issued 11/12/2010, Construction of high school building, building renovation and infrastructure. Part II Line 3 Column B Bond Issue proceeds does not agree to the issue in Part I Column e due to investment earnings. X 206183 FMV X 1 10300 FMV X 71 1308511 FMV X 559 15046 Resale Value X 11 45118 Comparable Cost X Donated Auction Items 299 104773 FMV 3 false true false Part 1 Line 9 and 19 Column b The number of contributions are reported for Securities - Publicly traded and Food Inventory Part 1 Line Line 25 Column b Number of items are auctioned items contributed. Form 990, Part III, Line 4d Program Service Expenses 38,831,060, Grants and allocations 140,219, Revenue 8,929,124 ALL OTHER PROGRAMS - See Schedule O for complete description. Form 990, Part III, Line 4a Boys Town National Research Hospital BTNRH provides medical and surgical services at one hospital location and eight 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 45,000 children and adolescents in 2022 through a total of 231,000 patient visits. Boys Town Pediatrics, BTNRHs 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 BTNRH West Hospital. This PRTF is staffed with multidisciplinary medical and behavioral health staff. BTNRH also has a 16-bed Inpatient Psychiatric Unit IPU attached to the BTNRH West Hospital and PRTF Unit. This acute care program treats the highest-risk psychiatric youth patients. The IPU is staffed with physicians, nurses, social workers, a teacher, and psychiatric youth patients. BTNRH supports a world-class research program comprised of 35 independent laboratories that focus broadly on areas of scientific inquiry related to communication and neurobehavioral disorders. The research programs at BTNRH received over 19 million in external research funding in 2022. Form 990, Part III, Line 4b Nebraska and Iowa Services consists of the Family Home Program, Intervention and Assessment Services, In Home Family Services, Foster Family Services, Common Sense Parenting, Successful Futures, the Center for Behavioral Health, Care Coordination, and others. Boys Town operates approximately 60 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 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 a specially trained professional married couple called Family Teachers. The couple provides treatment planning, skill development, spiritual guidance, a family style environment, and love and care, with the help of an Assistant Family Teacher. Each home is monitored, evaluated, and advised by a Program Director and other support personnel. The Family Homes are not mixed by gender but are mixed by age, ethnic, and religious backgrounds. The program is also served by three Intervention and Assessment Homes which are located on the Home Campus. The Intervention and Assessment Homes provide short term services for youth. In addition to its residential program, Boys Town also operates Foster Family Services program, In Home Family Services, and Community Support Services programs in Nebraska and Iowa. The Nebraska site operates a Center for Behavioral Health, which served over 4,300 youth in 2022 with behavioral problems on an outpatient basis, as a training center for doctoral level psychologists. Form 990, Part III, Line 4c Programs across America directly served over 10,950 youth in Nebraska/Iowa and nearly 13,100 youth at seven active affiliated sites nationwide in 2022. 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, LIFT Together with Boys Town, Foster Family Services, Common Sense Parenting, Outpatient Behavioral Health Services, Care Coordination, and others. Boys Town Youth Care programs are certified by the Council on Accreditation across all sites. Boys Town invests and emphasizes quality through staff training, evaluation, and outcomes research by having departments committed to the quality of Boys Towns programs. The Youth Care Training and Evaluation Certification Departments provide technical training, evaluation and quality control/quality assurance of Boys Towns nationwide system of services. The Program Quality Department provides program monitoring, consultation, and staff and program development to all Boys Town sites across America. Form 990, Part III, Line 4d Boys Town National Hotline and Public Services meets the informative and public service needs of youth, parents, teachers, and youth professionals who are involved directly or indirectly with helping youth. The Boys Town National Hotline the Hotline at 1-800-448-3000 helps hundreds of thousands of children and families throughout all 50 states each and every year. The Hotline provides toll free phone, as well as text, email, and chat crisis service for troubled children and families. The Hotline received approximately 128,000 contacts in 2022. 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 2022, the website had nearly 490,000 visits. The Hotline is the 988 Lifeline provider for the State of Nebraska ans serves as a 988 National Backup center. 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 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 legislature for its effective service to Nebraska families. The Home Campus Educational Program consists of the Boys Town High School and the Wegner Middle School. The Village schools serve residential youth at Boys Town and provide academic and vocational training skills necessary for contemporary society. All Boys Towns schools are fully accredited by the state of Nebraska and North Central Association. A full range of special education services are provided to all youth who require this type of assistance. The Boys Town Day School in the Village and the Duncan Day School in Duncan, Nebraska serve youth who cannot receive educational services in a public or alternative school setting due to behavioral problems and/or academic deficiencies. These schools meet all requirements of Level III schools under Nebraska Department of Educations Rule 51 and currently educate students from multiple school districts in Nebraska and Iowa. These schools have also served parentally placed private youth and court placed youth. Boys Town served 200 students in day school services in 2022. Form 990, Part VI, Section B, Line 11b The Treasurer reviewed the completed Form 990 and provided an electronic copy to the Finance and Audit Committee of the Board of Directors for their review. The members of the Finance and Audit Committee were requested to submit their comments and questions. Upon satisfactory resolution of questions, an electronic copy of the final Form 990 was provided to all directors before it was filed. Form 990, Part VI, Section B, Line 12c Father Flanagans Boys Home regularly and consistently monitors and enforces its conflict of interest policy through official annual affirmations, self reporting, and observation. Father Flanagans 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 Form 990, Part VI, Section B, Line 15a 15b The compensation of the Executive Director is determined by the Board of Trustees Compensation Committee using comparable data for similarly qualified persons in functionally comparable positions at similarly situated organizations. Documentation of the decisions made regarding the compensation have been maintained with the determination incorporated in an employment contract. The compensation of all other officers are also determined as described above, however, officers do not have employment contracts. Form 990, Part VI, Section B, Line 19 Father Flanagans Boys Home makes its governing documents and conflict of interest policy available to the public upon request. Articles of incorporation and bylaws can also be obtained by the public through the various Secretary of States offices. Financial Statements are available to the public upon request and on its website at www.boystown.org Form 990, Part XI, Line 9 Decrease in value of beneficial interest in external trust assets of 13,712,460. Decrease in beneficial interest in Father Flanagans Fund for Needing Children 129,116,916. Increase in interest in affiliated organizations 1,170,171 and pension related charges 2,042,475. Decrease in present value changes of 105,005. Form 990, Part I, Section Heading, Line B Return was ammended to correct trustees listed in Part VII Square Mile Insurance Company LLC STE 1600 150 3rd Avenue South Nashville TN 372012046 883456388 Insurance TN 305711 4085580 Father Flanagan's Boys' Home Father Flanagan's Fund For Needy Children 14100 Crawford Street Boys Town NE 68010 363680258 Support of FFBH NE 501c3 12 Type 1 Father Flanagan's Bjoys' Home true Boys Town California Inc 14100 Crawford Street Boys Town NE 68010 760720675 Youth Assistance CA 501c3 7 Father Flanagan's Bjoys' Home true Boys Town Central Florida Inc 975 Oklahoma Street Oviedo FL 32765 200654235 Youth Assistance FL 501c3 7 Father Flanagan's Bjoys' Home true Boys Town Louisiana Inc 300 North Broad Street Ste 106 New Orleans LA 70119 412220807 Youth Assistance LA 501c3 7 Father Flanagan's Bjoys' Home true Boys Town Nevada Inc 821 N Mojave Road Las Vegas NV 89101 200654472 Youth Assistance NV 501c3 7 Father Flanagan's Bjoys' Home true Boys Town New England Inc Bazarsky Campus 58 Flanagan Rd Portsmouth RI 02871 200655240 Youth Assistance RI 501c3 7 Father Flanagan's Bjoys' Home true Boys Town New York Inc 14100 Crawford Street Boys Town NE 68010 205960877 Youth Assistance NY 501c3 7 Father Flanagan's Bjoys' Home true Boys Town North Florida Inc 3555 Commonwealth Blvd Tallahassee FL 32203 200655144 Youth Assistance FL 501c3 7 Father Flanagan's Bjoys' Home true Boys Town Washington DC Inc 4801 Sargent Rd NE Washington DC 20017 412220810 Youth Assistance DC 501c3 7 Father Flanagan's Bjoys' Home true Boys Town South Florida Inc 1655 Palm Beach Lakes Blvd Ste 300 West Palm Beach FL 33401 263965524 Youth Assistance FL 501c3 7 Father Flanagan's Bjoys' Home true Lied Learning and Technology Center 14100 Crawford Street Boys Town NE 68010 470841263 Support of FFBH NE 501c3 12 TYPE 1 Father Flanagan's Bjoys' Home true false true true true false false false false false false true true false false false false true true true Boys Town Central Florida Inc b 3381469 FMV-Cash Boys Town Louisiana Inc b 2883095 FMV-Cash Boys Town Nevada Inc b 3127910 FMV-Cash Boys Town New England Inc b 3180505 FMV-Cash Boys Town New York Inc c 145978 FMV-Cash Boys Town North Florida Inc b 2433782 FMV-Cash Boys Town Washington DC Inc b 2597937 FMV-Cash Boys Town South Florida Inc b 3996265 FMV-Cash Father Flanagan's Fund for Needy Children c 48931000 FMV-Cash Boys Town New England Inc d 1011607 FMV-Cash Boys Town North Florida Inc d 388112 FMV-Cash Lied Learning and Technology Center k 955776 FMV-Cash Lied Learning and Technology Center l 893158 FMV-Cash Perpetual Trusts (4) s 2670334 FMV-Cash Charitable Remainder trust (3) s 345883 FMV-Cash Father Flanagan's Boys' Home 14100 Crawford Street Boys Town NE 68010 470376606 X 0 214859 214859 432990474 433205333 799618 199905 0 0 0 Father Flanagan's Fund for Needy Children 14100 Crawford Street Boys Town NE 68010 363680258 X 0 0 0 49713702 49713702 91762 22941 0 0 0 Boys Town California Inc 14100 Crawford Street Boys Town NE 68010 760720675 X 0 0 0 11945 11945 22 6 0 0 0 Boys Town Central Florida Inc 975 Oklahoma Street Oviedo FL 32765 200654235 X 0 0 0 7281463 7281463 13440 3360 0 0 0 Boys Town Louisiana Inc 300 North Broad Street Ste 103 New Orleans LA 70119 412220807 X 0 0 0 9950646 9950646 18367 4592 0 0 0 Boys Town Nevada Inc 821 N Mojave Road Las Vegas NV 89101 200654472 X 0 0 0 9142545 9142545 16875 4219 0 0 0 Boys Town New England Inc Barzarsky Campus 58 Flanagan Road Portsmouth RI 02871 200655240 X 0 0 0 9355599 9355599 17269 4317 0 0 0 Boys Town New York Inc 14100 Crawford Street Boys Town NE 68010 205960877 X 0 0 0 147034 147034 271 68 0 0 0 Boys Town North Florida Inc 3555 Commonwealth Blvd Tallahassee FL 32303 200655144 X 0 0 0 7074247 7074247 13058 3265 0 0 0 Boys Town Washington DC Inc 4801 Sargent Rd NE Washington DC 20017 412220810 X 0 0 0 6796356 6796356 12545 3136 0 0 0 Boys Town South Florida Inc 1655 Palm Beach Lakes Blvd West Palm Beach FL 33401 263965524 X 0 0 0 8039599 8039599 14840 3710 0 0 0 Lied Learning and Technology Center 14100 Crawford Street Boys Town NE 68010 470841263 X 0 0 0 1047227 1047227 1933 483 0 0 0