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Father Flanagan's Boys' Home
Boys Town National Research Hospital
14000 Boys Town Hospital RoadOmaha, NE 68010
| Bed count | 66 | Medicare provider number | 283300 | Member of the Council of Teaching Hospitals | NO | Children's hospital | YES |
EIN: 470376606
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
9.45%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
(as % of total functional expenses)
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 386,492,474 Total amount spent on community benefits as % of operating expenses$ 36,522,234 9.45 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 239,945 0.06 %Medicaid as % of operating expenses$ 24,502,452 6.34 %Costs of other means-tested government programs as % of operating expenses$ 585,694 0.15 %Health professions education as % of operating expenses$ 155,939 0.04 %Subsidized health services as % of operating expenses$ 3,233,957 0.84 %Research as % of operating expenses$ 7,724,527 2.00 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 37,131 0.01 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 42,589 0.01 %Community building*
as % of operating expenses$ 66,169 0.02 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? YES Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 66,169 0.02 %Physical improvements and housing as % of community building expenses$ 0 0 %Economic development as % of community building expenses$ 0 0 %Community support as % of community building expenses$ 16,836 25.44 %Environmental improvements as % of community building expenses$ 0 0 %Leadership development and training for community members as % of community building expenses$ 0 0 %Coalition building as % of community building expenses$ 16,060 24.27 %Community health improvement advocacy as % of community building expenses$ 33,273 50.28 %Workforce development as % of community building expenses$ 0 0 %Other as % of community building expenses$ 0 0 %Direct offsetting revenue $ 0 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 0 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 1,186,163 0.31 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 474,465 40.00 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? NO The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? YES In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? NO
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 197051629 including grants of $ 176735) (Revenue $ 160227596) BOYS TOWN NATIONAL RESEARCH HOSPITAL - See Schedule O for complete description.
4B (Expenses $ 57635828 including grants of $ 2059251) (Revenue $ 22142597) NEBRASKA/IOWA - See Schedule O for complete description.
4C (Expenses $ 22219548 including grants of $ 22220814) (Revenue $ 0) PROGRAMS ACROSS AMERICA - See Schedule O for complete description
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Facility Information
Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
Group Boys Town National Research Hospital West Line Part V, Section B, Line 5 To solicit input from key informants, those individuals who have a broad interest in the health of children and adolescents in the community, an Online Key Informant Survey was implemented as part of this process. A list of recommended participants was provided by the sponsors of the study this list included names and contact information for physicians, public health representatives, other health professionals, social service providers, and a variety of community leaders. Potential participants were chosen because of their ability to identify primary concerns among the families and children/adolescents with whom they work with, as well as of the community overall. Key informants were contacted by email, introducing the purpose of the survey and providing a link to take the survey online reminder emails were sent as needed to increase participation.
Group Boys Town National Research Hospital West Line Part V, Section B, Line 6a Childrens Hospital Medical Center - Omaha, Nebraska
Group Boys Town National Research Hospital West Line Part V, Section B, Line 11 The Child and Adolescent Community Health Needs Assessment CHNA implementation plan was developed using a deliberative and inclusive internal process that included qualitative and quantitative data and was grounded in both operational considerations and the existing unique assets Boys Town National Research Hospitals have already developed to address these priorities. The CHNA identified priority health issues to be addressed. Boys Town National Research Hospital and Clinics has chosen to address seven issues. Injury and violence, sexual health, tobacco, alcohol and other drugs, vision, hearing and speech conditions are all issues that are identified and responded to on the individual patient level. The following Implementation Plan Progress Report describes how the hospital is addressing the significant needs identified in its most recent CHNA. The Implementation Plan was approved in May of 2019 and therefore the progress report addresses actions taken between July 1, 2021 and June 30, 2022. Priority 1 - Access to Healthcare Services. Objective A Increase access to primary care and to a regular source of care. BTNRH provided Telehealth appointments during the pandemic to provide opportunities for patients to be seen. BTNRH also expanded Same Day Pediatrics hours and provider availability for same day sick visits for Boys Town and community pediatric patients. In order to meet these needs additional pediatric and internal medicine providers were hire. Objective B Explore opportunities to increase availability of select pediatric specialty service to Boys Town pediatric patients and community partners. BTNRH expanded the Pediatric Neurology Department by the addition of physicians and services. Outreach was also expanded through surgery, neurology, rheumatology and pediatric neurosurgery. Objective C Provide opportunities for the community to learn about available services and make provider connections. BTNRH provided telehealth connections and virtual activities for education including Parenting in a Pandemic and the Newborn Expo. Priority 2 - Mental Health Objective A Improve access to mental health services. Three psychiatrists were added to staff in 2021 and psychiatry services were added to the Lakeside and 72nd St clinics. The Lakeside clinic also includes PCIT. Objective B Assist patients in accessing mental health resources. No additions were made for 2021-2022. Objective C Provide mental health education and resources to employees, patients and the public. BTNRH has social workers that belong the Kim foundation which increases awareness, reduces stigma, and provides education and resources related to mental illness and suicide. BTNRH had psychiatrists provide training at pediatric quarterly meetings and they also provided education on adolescent behavior a quarterly meeting offering CMEs. Priority 3 - Neurological, Cognitive and Behavioral Conditions. Objective A Improve access to pediatric neurological services. Objective B Broaden scope of neurological services provided. Objective C Use the work of the Center for Neurobehavioral Research to improve clinical outcomes. BTNRH progressed on these objectives by adding a same week seizure clinic to decrease the wait time patients were experiencing related to new seizure diagnosis in the region. Other services and items added included a MEG in the Institute for Human Neuroscience, a physical therapy center for human performance optimization and developed a comprehensive pediatric epilepsy center including the first seizure clinic provided services within one week of the first seizure. Priority 4 - Nutrition, Diabetes, Physical Activity and Weight Management. Objective A Promote healthy eating and physical activity for patients and the community. Boys Town hosted a virtual Memorial Day Run to increase activity of participants during the pandemic, allowing patients and participants to do the level of participation in their own community. Boys Town sponsored additional walks in the community to promote activity and offer support of The March of Dimes, NE Epilepsy Walk, Run and Roll, Step Up for Down Syndrome and Crohns and Colitis Foundation. Objective B Increase services that address nutrition for patients with comorbidities. BTNRH added dieticians to meet the increasing dietary needs of patients, including ketogenic diets for neurology patients. Priority 5 - Oral Health. Objective A Identify strategies to improve the oral health for Boys Town Pediatrics patients. Patients are continuing to be provided fluoride varnish at the 9-month, 18-month, and 24-month appointments to help strengthen enamel and prevent tooth decay. Objective B Collaborate with community partners to promote oral health. Objective C Provide resources regarding oral health. Educational materials are provided to parents of patients at the well-checks. Identified elements no pursued Injury and violence, sexual health, tobacco, alcohol, and other drugs All issues are identified and responded to on the individual patient level. Influencing Elements Pursued which Impacted ability to complete previously identified initiatives. COVID was declared a public health emergency on March 13, 2020. The pandemic caused by COVID is having an immeasurable impact on healthcare. Resources were redirected to ensure appropriate response to the PHE. The PHE continued for all of 2021 and 2022 to date with the emergency of variants of concern. To address the needs of our patients, telehealth has continued to be offered. Following CDC and other guideline efforts in the following areas has continued enhanced cleaning, implementing visitor policies that support patients while protecting staff, screening of patients and visitors as well as staff, training of staff, vaccination, testing, pre-op clinic, clinic segregation of well/sick, and ensuring appropriate PPE for patients and staff. Efforts continue regarding the provision of COVID vaccination to staff and patients as permitted by the CDC.
Group Boys Town National Research Hospital West Line Part V, Section B, Line 13h The Hospital requires documentation of denial for Medicaid assistance, if applicable.
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Supplemental Information
Schedule H (Form 990) Part VI
Part I Line 3c Boys Town National Research Hospital uses Federal Poverty Guidelines in determining free or discounted care. The patients income is the primary factor used in determining free or discounted care. However, the patients assets and/or liabilities are also reviewed on an individual basis and taken into consideration under special circumstances.
Part I Line 6a N/A
Part I Line 7 Cost to charge ratio was used to calculate the amounts in this section. The methodology used to calculate the cost to charge ratio is the same step down method used in the Medicare Cost report further refined to define costs for the Subsidized health services and Research portions of this section.
Part II The hospital works closely with numerous organizations in the community to promote healthy lifestyles, including the Latino and African American community groups. The hospital conducts an annual health fair as well as participates in corporate and school health fairs, parenting classes, hearing screenings, infant car seat checks and seminars and workshops for hard of hearing and visually impaired children and their families.
Part III Line 2 Used cost to charge ratio. Only patient liability after all discounts or contractual adjustments are written off to bad debt expense. Any payments or recoveries after the write off are offset against bad debt.
Part III Line 3 Used cost to charge ratio to determine amount of bad debt that would have actually qualified as charity care but did not due to lack of information. This organization used information obtained from their outside collection agency to estimate the amount.
Part III Line 4 In 2018, Boys Town adopted ASU No. 2014-09 Topic 606. The adoption of ASU No. 2014-09 results in no footnote disclosures related to bad debt.
Part III Line 8 Used cost to charge ratio. This organizations Medicare shortfall should not be considered a Community Benefit.
Part III Line 9b If it is known that a patient qualifies for financial assistance the hospital would write off from 50 - 100 of their patient balance depending on their income and family size. For patients who only have a partial write-off, the hospital would follow the same collections policies on their remaining balance that are used for all other types of patients. This policy is communicated to all outside collection agencies utilized by Boys Town National Research Hospital for adherence to the policy content and financial assistance guidelines.
Part VI Line 2 In part, Boys Town National Research Hospital assesses the health care needs of the community by conducting a Child and Adolescent Community Health Needs Assessment with Childrens Hospital and Medical Center to help determine the health status, behaviors and needs of children in the Omaha metropolitan area. Assessment is also obtained through requests from community organizations and community residents and evaluation of the current medical landscape of services in the area. Boys Town Hospital participates in events such as corporate health fairs, minority health fairs, hearing screenings and developmental resources fairs and attends chamber meetings, nonprofit organization meetings and other community group meetings. The hospital also offers community and parenting classes, infant car seat checks and seminars and workshops for educators, professionals and parents working with children who are deaf and hard of hearing, have speech-language concerns or other related communication disorders.
Part VI Line 3 Boys Town Hospital educates patients on financial assistance eligibility and how to obtain financial assistance through brochures at each patient check in area, front desk mentions upon hospital admissions and information placed on healthcare statements. Information is also available on the website. If applicable, prior to being considered for financial assistance, the patient and family must cooperate with the provider to furnish information and documentation to apply for other existing financial resources that may be available to pay for the patients health care.
Part VI Line 4 Boys Town National Research Hospital serves an eight-county Greater Omaha Metropolitan area with an estimated population of approximately 967,000 in 2021 and an additional 1.3 million who live within a 50-mile radius of Omaha US Census, July 2021 and World Population Review 2021. The two highest populated counties in the Greater Omaha area are Douglas County, population 584,526 with 25 of the population under the age of 18 years, and Sarpy County, population 194,418 with 27 under the age of 18 years US Census, July 2021. The geographic design of both counties is mainly Suburban areas with few designated urban areas. In Douglas County, the median household income is 66,600 in 2020 dollars and the percentage of residents in poverty is 9.8, both below the national average household income of 67,521 and 11.4 poverty level US Census, July 2021 and US Census 2020. Amongst Douglas County residents under the age of 65, 9.2 do not have health insurance US Census, July 2021. The number of hospitals serving Douglas County community is 16. North and South Omaha are federally-designated medically underserved areas. Currently, there are 34 federally qualified health centers near Omaha 40 Federally Qualified Health Centers in Nebraska CareListings. In Sarpy County, the median household income is 83,051 US Census, July 2021. The percentage of residents in poverty is 4.9, and 6.1 of residents under 65 years do not hold health insurance US Census, July 2021. Three area hospitals and two federally qualified health centers are located in the Sarpy County community 40 Federally Qualified Health Centers in Nebraska CareListings.
Part VI Line 6 NA
Part VI Line 5 The hospital hosts continuing education conferences and courses for physicians, nurse practitioners, nurses, researchers, audiologists and speech-language pathologists to disseminate best practices and research findings to other professionals in otolaryngology, vestibular health, hearing healthcare, speech-language therapy, neuroscience and behavioral health. The hospital provides free or subsidized services locally and nationally to hard-of-hearing children and their families through the following community building programs or activities Family Support Services - Counseling and wellness services, communication methods, educational options advisement, sign language instruction, social, emotional and educational development seminars, technology and parent-child social opportunities. Educational Programs - Home-based early intervention, day care consultation services, reschool education, speech and language therapy, school counseling services, classroom listening technology training and consultation. Outreach - Auditory consulting school district advisement, parent and professional seminars, parent and professional web-based education. The hospital is governed by the board of directors of Father Flanagans Boys Home.
