Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .... | 109,660,589 | 105,365,685 | 103,654,422 | 101,516,384 | 110,684,550 | 530,881,630 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 109,660,589 | 105,365,685 | 103,654,422 | 101,516,384 | 110,684,550 | 530,881,630 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | 200,626,760 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 330,254,870 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 109,660,589 | 105,365,685 | 103,654,422 | 101,516,384 | 110,684,550 | 530,881,630 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 4,558,320 | 4,738,696 | 5,295,999 | 4,926,662 | 7,584,554 | 27,104,231 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 1,583,063 | 1,621,410 | 1,415,496 | 3,086,461 | 10,683,919 | 18,390,349 |
| 11 | Total support Add lines 7 through 10. | 576,376,210 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513.. | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | 14000292 |
| Software Version: | 14.4.1.0 |
| Return Reference | Explanation |
|---|---|
| 6a | Father Flanagans Boys Home received financial aid or assistance and program fees from the following agencies US Department of Health Human Services, US Department of Defense, US Department of Agriculture, US Department of Education, US Department of Housing and Urban Development, and the State of Nebraska. |
| Software ID: | 14000292 |
| Software Version: | 14.4.1.0 |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| Form 990, Part III, Line 4a | Nebraska/Iowa Services consists of the Family Home Program, Intervention and Assessment Services, In-home Family Services, Foster Family Services, and Community Support Services including Common Sense Parenting, and the Center for Behavioral Health. There are 60 family style Family Homes on the Home Campus, which is in the incorporated Village of Boys Town, Nebraska the Village. These homes have a total capacity over 400 youth. Six to eight troubled boys or girls from throughout the United States of America, with ages generally ranging from 8 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 Homes are not mixed by gender but are mixed by age, ethnic, and religious backgrounds. The program is also served by four Intervention and Assessment Homes, which provide short-term intervention and assessment services for youth. In addition to its residential program, the Home Campus also operates a Foster Family Services Program, In-home Family Services, and Community Support Services programs. The Home Campus also operates a Center for Behavioral Health, which in 2014, served approximately 4,100 youth and families with behavioral problems on an outpatient basis and is a training center for doctoral level psychologists. |
| Form 990, Part III, Line 4b | Boys Town National Research Hospital BTNRH provides medical and surgical services at two hospital locations and six 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 more than 45,000 children and adolescents in 2014 through a total of more than 202,000 patient visits. Boys Town Pediatrics, BTNRHs group of pediatric physicians, provides primary care and specialty pediatric medical services at four clinic locations in the Omaha area. BTNRH also provides medically directed behavioral health services. These services include four residential treatment centers RTC. The RTC East is located at the BTNRH downtown campus and has the capacity to serve up to 47 youth. The RTC West has an additional 34 beds. This program is attached to the BTNRH west Hospital. Additionally, BTNRH operates two open staff secure RTCs located in the Village - one home for 13 boys, and one home for 14 girls. Each of these RTCs is staffed with a multidisciplinary medical and behavioral health staff. |
| Form 990, Part III, Line 4c | Programs across America directly served nearly 29,000 youth in Nebraska/Iowa and 10 affiliated sites nationwide in 2014. These affiliated sites are Boys Town California, Boys Town Central Florida, Boys Town Louisiana, Boys Town Nevada, Boys Town New England, Boys Town New York, Boys Town North Florida, Boys Town Florida, Boys Town Texas, and Boys Town Washington, DC. Programs offered throughout the nation include Intervention and Assessment Services, Family Home Services, Foster Family Services, In-Home Family Services, and Community Support Services including Common Sense Parenting, Outpatient Behavioral Health Services, and National Community Support Services. 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 Towns programs. The Training and Evaluation Department provides technical training, evaluation, and quality/control/quality assurance of Boys Towns nationwide system of services. The Program Fidelity Department provides program monitoring, consultation, and staff and program development to the ten program sites across America. National Community Support Services provides training and resources to parents, child care providers, and educators throughout the United States and internationally. Services are offered through Education and Common Sense Parenting training packages, and books from the Boys Town Press. In 2014 over 10,000 parents, teachers, administrators, and professionals were trained allowing Boys Town to indirectly impact approximately 134,000 children through this training. |
| Form 990, Part III, Line 4d | The Home Campus Educational Program consists of the Boys Town High School and the Wegner Middle School. The Village schools serve 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 the North Central Association. A full range of special education services is provided to all youth who require this type of assistance. The Boys Town Day School in the Village of Boys Town and the Duncan Day School in Duncan, Nebraska serve youth who cannot receive educational services in a public or alternative school setting due to behavioral problems and 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 over 120 students in Day School services in 2014. |
| 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 Web based, crisis service for troubled children and families. The Hotline received over 168,000 contacts in 2014. 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 Boys Town National Hotline launched a Web site mid 2009 called yourlifeyourvoice.org. In 2014, the Web site had over 325,000 visits. In addition to operating the Boys Town National Hotline, Boys Town also operates the Nebraska Family 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 Nebraska Family Helpline has been honored in the press and by the legislature for its effective service to Nebraska families. Over 4,100 calls were made to the Helpline in 2014 from families seeking assistance. |
| Form 990, Part VI, Section A, Line 2 | Philip J. Ruden and Michael J. Eglseder - Business Relationship |
| Form 990, Part VI, Section B, Line 11b | The Treasurer reviewed the completed Form 990 and provided an electronic copy to the Audit Committee of the Board of Directors for their review. The members of the Audit Committee had one week to submit their comments and questions. Upon satisfactory resolution of questions and 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 compliance with its conflict of interest policy mainly through official annual affirmations, self reporting and observation. Directors are covered by a board of trustee policy and officers and employees are covered by a separate policy. Directors must report any perceived or actual conflict of interest to the Chairman of the Boards Executive Committee. A director in question must cooperate in a review by the Executive Committee and has no vote in determining whether a conflict exists. A board member may be disqualified from participating in certain deliberations and votes during and after any review. A board member may be required to resign if a conflict exists. |
| Form 990, Part VI, Section B, Line 15a 15b | The compensation of the CEO/Executive Director was 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 were last dertermined in 2012 as described above, however, officers do not have employment contracts. |
| Form 990, Part VI, Section B, Line 19 | Father Flanangans 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 State 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 interests in external trust assets 815,205, Decrease in beneficial interest in Father Flanagans Fund For Need Children 16,445,212, Increase in interest in Affiliated organizations 1,959,632, Pension income 3,929,087, Pension related charges 19,117,066. |
| Form 990, Schedule H, Part V, Section B, Line 11 | Boys Town National Research Hospital West. Priority 1. Access to Health Care. Access to health care is a priority area where Boys Town National Research Hospitals have made significant progress to date and where continued work can be done. This implementation plan will ensure that work in these areas continues. Boys Town has also made great strides in expanding access to mental and behavioral health services at the ambulatory clinic level and through the Residential Treatment Center expansion. This implementation plan will build on those steps. Objective A. Increase access to primary care and to a regular source of care. Strategies Continue use of same-day appointment model and evening and Saturday clinic mode. This model includes scheduled, evening, weekend and holiday appointments for sick care. This model will accomplish two goals decreasing utilization of Urgent Care and Emergency Rooms and increasing availability of a regular source of care. Publicize availability more widely in English and Spanish. Measure impact on ED/Urgent Care access by BTNRH patients. Build on community partnerships to increase awareness and referrals. Investigate opportunities to work with community providers to provide pediatric specialty services. Develop a plan to measure current parental involvement with educational resources and to increase th use of Website an patient portal. Publicize presence of a fulltime Behavioral/Developmental pediatrician at West clinic location. Develop a plan for pediatric neurology expansion through telehealth. Increase awareness of Pediatric neurologist, Objective B Expand resource availability of Boys Town National Research Hospital work with behavioral health youth. Strategies Develop a plan for telehealth expansion to rural areas and begin implementation later in Year 1. Increase ability to serve youth with behavioral health needs through the opening of the Residential Treatment Center. Expanded access to the public for child and adolescent psychiatry. Priority 2. Asthma. Objective A. Help build primary care capacity in treatment and management of asthma. Strategies Develop baseline data to track clinical processes and outcomes. Continue to use Uninet processes to improve percentages of children with Asthma Actions Plans. Ensure parent education is written at a reading level to accommodate those parents with limited literacy skills and is widely available on website and through Parent Talks. Consider a plan to work with community-based organizations to develop and distribute asthma education materials. Incorporate Information/education material in Healthy Kids Carnival on the topic of asthma. Analyze information from Same Day Pediatric visits to identify target areas for intervention with pediatric patients with asthma. Objective B. Better manage asthma in children through targeted health education for children and parents. Strategies Use existing EHR and Uninet system to develop baseline information on school involvement, emergency room visits. Develop baseline data on current effectiveness and use of asthma care plans. Ensure linguistic access for Spanish speaking parents at West site limited demad anticipated. Priority 3. Mental Health and Substance Abuse. Objective A. Provide mental health and substance abuse diagnostic and treatment services for youth. Strategies Fully maximize the work of the psychologists in the ambulatory care clinics. Assess most common diagnosis for possible referral needs, additional treatment need, next steps. Offer Parent Talk education on bullying, taming childs aggression. Include information on bullying during Healthy Kids Carnival. Add an additional child psychiatrist in 2013. Objective B Provide child psychiatric telehealth consultation to juvenile justice system and rural communities. Strategies Develop baseline data base to guide programming. Assess most common diagnoses for additional programming enhancements. Determine gaps, next steps especially in underserved areas. Objective C. Maximize use of 24-hour crisis line and its multi-media and multi-lingual resources. Strategies Continue to provide community outreach to publicize 24-hour line and trained staff. Use Access Center to increase timely interactions for youth with acute mental problems and assist parents in crisis. Objective D. Use the work of the Center for Neurobehavioral Research to improve clinical outcomes. Strategies Advance the work of the Center for Neurobehavioral Research to address the causes and treatment of various behavioral, learning and emotional conditions. Further develop research collaboration between Boys Town National Hospital and the National Institute of Mental Health and local and national research programs. Develop a plan to disseminate findings at the clinical level. |
| Form 990, Schedule H, Part V, Section B, Line 11 Continued | Priority 4. Injuries and Safety. Objective A. Prevent common childhood injuries through multi-lingual education, parent trainings on appropriate use of equipment including life jackets, car seats, and helmets. Strategies Increase linguistic access to educational materials on website and at ambulatory care settings. Disseminate literature in English and Spanish. Investigate use of EHR to identify performance improvement opportunities in relation to injuries and safety. Work with community partners identified in Priority 2 implementation to include safety with asthma programming. Utilize website Healthy Kids newsletter, and Health Kids Carnival to provide education regarding head injuries and concussions. Priority 5. Nutrition and Obesity. Objective A. Increase children and adolescent access to healthy nutrition and healthy weight programs. Strategies Maximize use of clinical dietician in medical home model of care. Use EHR to track referral patterns to clinical dietician and patient and family response to referrals. Since Childrens Hospital and Medical Center has an extensive community treatment effort in childhood obesity, strengthen the referral network between institutions to ensure eligible children are referred. Objective B. Increase number of children and families participating in healthy dietary choices. Strategies Collaborate with Live Well Omaha Kids to increase number of families cooking and dining together at home. Collaborate with Live Well Omaha Kids to increase family consumption of fruits and vegetables. Collaborate with Live Well Omaha Kids 5-4-3-2-1 Go campaign to implement a West site pilot project, utilizing their education materials/tool kit and provide education for providers and staff at the clinic level. Expand website parent education, videos, Spanish captioning around nutrition and childhood obesity and link to Live Well Omaha Kids. The enhanced West site program will be a pilot in Year 1 of the plan. Lessons learned will be used to assist possible program development for the East site in Year 2. NEXT STEPS Boys Town National Research Hospitals is a research institution and a clinical community health care provider. As such it is committed to be outcome-driven in its planning and programming. The implementation of an electronic health record will allow for much more targeted and planned attention to outcomes and baseline data in programming planning in the future. This resource is just now coming to scale and will be most useful in guiding implementation programming in Year 2 of the plan. Boys Town National Research Hospital - West will adapt this implementation as circumstances and new data warrant. We anticipate that community health needs will evolve over time, requiring refinements to both strategies and objectives. |
| Form 990, Schedule H, Part V, Section B, Line 11 Continued | Boys Town National Research Hospital - West, 2014 Progress Report. Priority 1. Access to Health Care Continued same-day appointments. Expanded the number of hours and providers available for evening, weekend, and holiday clinics. These services were publicized on the website and in brochures. Pediatric services directories were available in English and Spanish at each service location, distributed to referring physician offices, and sent directly to patients. Patient portal usage increased in 2014. Served on the South Omaha Community Care Council, attended monthly meetings, and provided a health fair. Continued 24-hour hotline for appointments and RN triage for phone calls. In-house interpreter services program available. Consisted of physicians, clinical staff, registration staff, social services, and language interpreters who completed a competency assessment. A full-time bilingual physician was added in August 2014 at the East Clinic Location. The presence of the Behavioral Developmental pediatrician was publicized on the website, in the pediatric directory, and on specialty physicians posters. Pediatric Neurology Telehealth services were established with the Kearney hospital in May 2014. Our pediatric neurologist presented an education program for the area providers. There was increased awareness of the Pediatric Neurologist through television, radio, and web ads. Continued providing pediatric psychiatry telehealth services at the Northeast Juvenile Justice System in Madison, NE. Free hearing screenings were offered at community events. Priority 2. Asthma Continued to use UNINET Asthma Actions plans that are available in paper and/or electronic format. Provided parents with asthma action plans to give to the school system to facilitate consistent safe care. Asthma action control tests were administered to children in the clinics to evaluate the current state of asthma control. Asthma and smoking cessation was discussed with parents and children at the Well Child visits. Well Child reminders were sent to parents as per their preferred communication method. Parent education was available through the Knowledge Center on the hospital websites. The Center included free access to Pediatric Advisor available in 10 languages, health articles and Boys Town provider created education podcasts and videos. Asthma education was provided at the Healthy Kids Carnival Event. Priority 3. Mental Health and Substance Abuse Pediatric psychologists were available for appointments at all pediatric locations. Referrals were made to the Chemical Usage program as needed. Internal Pediatric Psychiatrists were available for appointments at their clinic location. Parent education related to Cyberbullying was available on the hospital website in podcasts and videos. Cyber bulling pamphlets were available at the Healthy Kids Carnival event. Continued use of Boys Town 24-hour line to provide community outreach and timely interactions for youth with acute mental health problems and assist parents in crisis. Two child psychiatrists were added to the practice August 2013 and 2014. The Center for Neurobehavioral Research is a collaboration between Boys Town National Research Hospital and Boys Town Youth Care Services to study and improve methods for intervening early in the lives of children with behavioral and mental health problems. The Center for Neurobehavioral Research concluded a functional MRI pilot research study utilizing a 1.5T MRI unit. More research studies were being initiated for children ages 10-18. The 3T fMRI unit installation began in December 2014. The Center for Neurobehavioral Research started negotiations with the National Institute of Mental Health NIMH regarding collaborative research. |
| Form 990, Schedule H, Part V, Section B, Line 11 Continued | 2014 Progress Report. Priority 4. Injury and Safety Education materials in 10 different languages were available on the Pediatric Advisor web link on the Boys Town website. Continued to provide lead screening as part of Well Child visits. Pediatric Neurologist became certified in Concussion Management. Distributed concussion education material to Urgent Care Centers in the metropolitan area. Created web ads, podcasts, and videos related to Knowing When To Get Off the Field . Held a newborn expo at both hospital locations targeting expectant parents. Education focused on all aspects of newborn care and safety. A Car Seat Check even was held at the West location. Car seat use and safety education was provided. Priority 5. Obesity and Nutrition Maintained referral links for Childrens Hospital obesity program. Parent education was available through the Knowledge Center on the hospital websites. The Center included free access to Pediatric Advisor available in 10 languages, health articles and Boys Town provider created education podcasts and videos. Free monthly Healthy Children newsletter that covers a variety of topics was available to parents. 2014 Parent Talk topics focused on toddler nutrition. In collaboration with the Live Well Omaha Kids program, laminated posters were mounted in each pediatric clinic exam room. The focus was on the 5-4-3-2-1 Go campaign. The grant for the Live Well Omaha Kids program ended. Referrals directed to the internal dietician. Internal dietician referrals increased in 2014. Began discussions with Hy-Vee grocery store to provide free community education sessions related to nutrition. Patient education efforts increased in 2014 as evidenced by successfully meeting the CMS clinical quality measure thresholds for patient education. The patient centered medical home model selection process continued to be in progress. |
| Form 990, Schedule H, Part V, Section B, Line 11 | Boys Town National Research Hospital East. Priority 1. Access to Health Care. Access to health care is a priority area where Boys Town National Research Hospitals have made significant progress to date and where continued work can be done. This implementation plan will ensure that work in these areas continues. Boys Town has also made great strides in expanding access to mental and behavioral health services at the ambulatory clinic level and through the Residential Treatment Center expansion. This implementation plan will build on those steps. Objective A Increase access to primary care and to a regular source of care. Strategies Continue use of same-day appointment model and evening and Saturday clinic mode. This model includes scheduled, evening, weekend, and holiday appointments for sick visits. This model will accomplish two goals decreasing utilization of Urgent Care and Emergency Rooms and increasing availability of a regular source of care. Publicize availability more widely in English and Spanish. Measure impact on ED/Urgent Care access by BTNRH patients. Build on community partnerships to increase awareness and referrals. Investigate opportunities to work with community providers to provide pediatric specialty services. Develop a plan to measure current parental involvement with educational resources and to increase usage in Year 2 including increased use of the Website and patient portal. Add a fulltime bilingual physician at East site 30th Street Pediatric Clinic location in 2014. This clinic has highest Latino population. Develop a plan for pediatric neurology expansion through telehealth and begin implementation in Year 1. Increase awareness of Pediatric Neurologist. Objective B Expand resource availability of Boys Town National Research Hospital work with behavioral health youth. Strategies Develop a plan for telehealth expansion to rural areas. Increase ability to serve youth with behavioral health needs through the Residential Treatment Center. Priority 2. Asthma. Objective A. Help build primary care capacity in treatment and management of asthma. Strategies Develop baseline data to track clinical processes and outcomes. Continue to use Uninet processes to improve percentages of children with Asthma Action Plans. Ensure parent education is written at a reading level to accommodate those parents with limited literacy skills and is widely available on website and through Parent Talks. Ensure parent education is widely available on website and through Parent Talks. The East site is located in an asthma high-risk area. Consider a plan to work with community-based organizations to develop and distribute asthma education materials. Incorporate information/education material on the topic of asthma during Healthy Kids Carnival. Analyze information from Same Day Pediatric visits to identify target areas for intervention with pediatric patients with asthma, incorporating the bilingual parent consultation. Objective B. Better manage asthma in children through targeted health education for children and parents. Strategies Use existing EHR and Uninet system to develop baseline information on school involvement, emergency room visits. Ensure linguistic access for Spanish speaking parents at East site. High demand anticipated. Conduct a Parent Talk education session on a Saturday morning at the East location. |
| Form 990, Schedule H, Part V, Section B, Line 11 Continued | Priority 3. Mental Health and Substance Abuse. Objective A Provide mental health and substance abuse diagnostic and treatment services for youth. Strategies Fully maximize the work of psychologists in the ambulatory care clinics. Maximize link between psychologist in clinic and Chemical usage program. Offer Parent Talk education on bullying, taming childs aggression. Include information on bullying during Healthy Kids Carnival. Objective B. Maximize use of 24 hour crisis line and its multi-media and mulit-lingual resources. Strategies Continue to provide community outreach to publicize 24-hour line and trained staff. Use Access Center to increase timely interactions for youth with acute mental health problems and assist parents in crisis. Priority 4. Injuries and Safety. Objective A. Prevent common childhood injuries through multi-lingual education, parent trainings on appropriate use of equipment including life jackets, care seats, and helmets. Strategies Increase linguistic access to educational materials on website and at ambulatory care settings. Work with Nebraska Safety Council to replicate offerings currently at West site for East site including car seat safety education. Disseminate literature in English and Spanish. Work with community partners identified in Priority 2 implementation to include safety with asthma programming. Utilize website Health Kids newsletter to provide education regarding head injuries and concussions. Priority 5. Nutrition and Obesity. Objective A Increase children and adolescent access to healthy nutrition and health and weight programs. Strategies Pilot a model for the role of the clinical dietitian in medical home model of care to address nutrition and obesity issues. Use EHR to track referral patterns to clinical dietician and patient family response to referrals. Since Childrens Hospital and Medical Center has an extensive community treatment effort in childhood obesity, strengthen the referral network between institutions to ensure eligible children are referred. Objective B Increase number of children and families participating in health dietary choices. Strategies Collaborate with Live Well Omaha Kids to increase number of families cooking and dining together at home. Collaborate with Live Well Omaha Kids to increase family consumptions of fruits and vegetables. Expand website parent education, videos, Spanish captioning around nutrition and childhood obesity and link to Live Well Omaha Kids. Next Steps Boys Town National Research Hospitals is a research institution and a clinical community health care provider. As such it is committed to be outcome-driven in its planning and programing. The implementation of an electronic health record will allow for much more targeted and planned attention to outcomes and baseline data in programming planning in the future. This resource is just now coming to scale and will be most useful in guiding implementation programming in Year 2 of this plan. Boys Town National Research Hospital - East will adapt this implementation as circumstances and new data warrant. We anticipate that community health needs will evolve over time, requiring refinements to both strategies and objectives. |
| Form 990, Schedule H, Part V, Section B, Line 11 Continued | Boys Town National Research Hospital - East, 2014 Progress Report. Priority 1. Access to Health Care Continued same-day appointments. Expanded the number of hours and providers available for evening, weekend, and holiday clinics. These services were publicized on the website and in brochures. Pediatric services directories were available in English and Spanish at each service location, distributed to referring physician offices, and sent directly to patients. Patient portal usage increased in 2014. Served on the South Omaha Community Care Council, attended monthly meetings, and provided a health fair. Continued 24-hour hotline for appointments and RN triage for phone calls. In-house interpreter services program available. Consisted of physicians, clinical staff, registration staff, social services, and language interpreters who completed a competency assessment. A full-time bilingual physician was added in August 2014 at the East Clinic Location. The presence of the Behavioral/Developmental pediatrician was publicized on the website, in the pediatric directory, and on specialty physicians posters. Pediatric Neurology Telehealth services were established with the Kearney hospital in May 2014. Our pediatric neurologist presented and education program for the area providers. There was increased awareness of the Pediatric Neurologist through television, radio, and web ads. Continued providing pediatric psychiatry telehealth services at the Northeast Juvenile Justice System in Madison, NE. Free hearing screenings were offered at community events. Priority 2. Asthma Continued to use UNINET Asthma Actions plans that are available in paper and/or electronic format. Provided parents with asthma action plans to give to the school system to facilitate consistent safe care. Asthma action control tests were administered to children in the clinics to evaluate the current state of asthma control. Asthma and smoking cessation was discussed with parents and children at the Well Child visits. Well Child reminders were sent to parents as per their preferred communication method. Parent education was available through the Knowledge Center on the hospital websites. The Center included free access to Pediatric Advisor available in 10 languages, health articles and Boys Town provider created education podcasts and videos. Asthma education was provided at the Healthy Kids Carnival Event. Priority 3. Mental Health and Substance Abuse Pediatric psychologists were available for appointments at all pediatric locations. Referrals were made to the Chemical Usage program as needed. Internal Pediatric Psychiatrists were available for appointments at their clinic location. Parent education related to Cyberbullying was available on the hospital website in podcasts and videos. Cyberbullying pamphlets were available at the Healthy Kids Carnival event. Continued use of Boys Town 24-hour line to provide community outreach and timely interactions for youth with acute mental health problems and assist parents in crisis. Two child psychiatrists were added to the practice August 2013 and 2014. The Center for Neurobehavioral Research is a collaboration between Boys Town National Research Hospital and Boys Town Youth Care Services to study and improve methods for intervening early in the lives of children with behavioral and mental health problems. The Center for Neurobehavioral Research concluded a functional MRI pilot research study utilizing a 1.5T MRI unit. More research studies were being initiated for children ages 10-18. The 3T fMRI unit installation began in December 2014. The Center for Neurobehavioral Research started negotiations with the National Institute of Mental Health NIMH regarding collaborative research. |
| Form 990, Schedule H, Part V, Section B, Line 11 Continued | 2014 Progress Report. Priority 4. Injury and Safety Education materials in 10 different languages were available on the Pediatric Advisor web link on the Boys Town website. Continued to provide lead screening as part of Well Child visits. Pediatric Neurologist became certified in Concussion Management. Distributed concussion education material to Urgent Care Centers in the metropolitan area. Created web ads, podcasts, and videos related to Knowing When To Get Off the Field . Held a newborn expo at both hospital locations targeting expectant parents. Education focused on all aspects of newborn care and safety. A Car Seat Check even was held at the West location. Car seat use and safety education was provided. Priority 5. Obesity and Nutrition Maintained referral links for Childrens Hospital obesity program. Parent education was available through the Knowledge Center on the hospital websites. The Center included free access to Pediatric Advisor available in 10 languages, health articles and Boys Town provider created education podcasts and videos. Free monthly Healthy Children newsletter that covers a variety of topics was available to parents. 2014 Parent Talk topics focused on toddler nutrition. In collaboration with the Live Well Omaha Kids program, laminated posters were mounted in each pediatric clinic exam room. The focus was on the 5-4-3-2-1 Go campaign. The grant for the Live Well Omaha Kids program ended. Referrals directed to the internal dietician. Internal dietician referrals increased in 2014. Began discussions with Hy-Vee grocery store to provide free community education sessions related to nutrition. Patient education efforts increased in 2014 as evidenced by successfully meeting the CMS clinical quality measure thresholds for patient education. The patient centered medical home model selection process continued to be in progress. |
| Software ID: | 14000292 |
| Software Version: | 14.4.1.0 |
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Affiliated Group Business Name:
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EIN:
46-0376606 Electing Organization Checkbox:
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Total Direct Lobbying:
288,661
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Affiliated Group Business Name:
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20-0654472 Electing Organization Checkbox:
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Total Direct Lobbying:
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Total Direct Lobbying:
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Total Lobbying Expenditures:
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Lobbying Nontaxable Amount:
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Total Direct Lobbying:
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Total Direct Lobbying:
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Grassroots Nontaxable Amount:
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Total Direct Lobbying:
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Total Lobbying Expenditures:
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EIN:
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Total Direct Lobbying:
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Total Lobbying Expenditures:
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Affiliated Group Business Name:
Address. Either US or Foreign Type:
EIN:
26-4436716 Electing Organization Checkbox:
Total Grassroots Lobbying:
0
Total Direct Lobbying:
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Total Lobbying Expenditures:
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Grassroots Nontaxable Amount:
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