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BLYTHEDALE CHILDRENS HOSPITAL: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
BLYTHEDALE CHILDRENS HOSPITAL (EIN 13-1739922)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-16
IRS object ID
202043219349307464
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-16T11:00:41-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1TWO JERICHO PLAZAAddressLine1Txt
CityJERICHOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11753ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN131739922EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BLYTHEDALE CHILDREN'S HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBLYTBusinessNameControlTxt
Phone9145927555PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line195 BRADHURST AVEAddressLine1Txt
CityVALHALLACityNm
State AbbreviationNYStateAbbreviationCd
ZIP10595ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN CANNINGPersonNm
Person TitleCFOPersonTitleTxt
Phone9145927555PhoneNum
Signature2020-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTINE KAWECKIPreparerPersonNm
PTINP00743140PTIN
Phone5169187000PhoneNum
Preparation2020-11-11PreparationDt
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLARRY LEVINEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line195 BRADHURST AVEAddressLine1Txt
CityVALHALLACityNm
State AbbreviationNYStateAbbreviationCd
ZIP10595ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$189,291,579GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BLYTHEDALE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1891FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionBLYTHEDALE CHILDREN'S HOSPITAL IS DEDICATED TO IMPROVING THE HEALTH & WELL-BEING OF CHILDREN.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent22VotingMembersIndependentCnt
Total Employee614TotalEmployeeCnt
Total Volunteers268TotalVolunteersCnt
Total Gross UBI$158TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,273,387PYContributionsGrantsAmt
CY Contributions Grants$2,918,253CYContributionsGrantsAmt
PY Program Service Revenue$76,504,576PYProgramServiceRevenueAmt
CY Program Service Revenue$77,177,295CYProgramServiceRevenueAmt
PY Investment Income$2,916,695PYInvestmentIncomeAmt
CY Investment Income$562,864CYInvestmentIncomeAmt
PY Other Revenue$3,854,412PYOtherRevenueAmt
CY Other Revenue$4,047,771CYOtherRevenueAmt
PY Total Revenue$87,549,070PYTotalRevenueAmt
CY Total Revenue$84,706,183CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$53,228,831PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$56,380,618CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$915,639CYTotalFundraisingExpenseAmt
PY Other Expenses$27,043,198PYOtherExpensesAmt
CY Other Expenses$28,553,083CYOtherExpensesAmt
PY Total Expenses$80,272,029PYTotalExpensesAmt
CY Total Expenses$84,933,701CYTotalExpensesAmt
PY Revenues Less Expenses$7,277,041PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$227,518CYRevenuesLessExpensesAmt
Total Assets BOY$227,423,108TotalAssetsBOYAmt
Total Assets EOY$245,197,443TotalAssetsEOYAmt
Total Liabilities BOY$41,548,022TotalLiabilitiesBOYAmt
Total Liabilities EOY$48,635,446TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$185,875,086NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$196,561,997NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionBLYTHEDALE CHILDREN'S HOSPITAL IS DEDICATED TO IMPROVING THE HEALTH & WELL-BEING OF CHILDREN. BLYTHEDALE IS A LEADER IN THE DIAGNOSIS & TREATMENT OF CHILDREN WITH DISABLING AND COMPLEX MEDICAL CONDITIONS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$46,388,459ExpenseAmt
Revenue$52,230,937RevenueAmt
DescINPATIENT SERVICES - BLYTHEDALE CHILDREN'S HOSPITAL, FOUNDED IN 1891, IS A LICENSED ACUTE CARE FREE-STANDING CHILDREN'S HOSPITAL THAT SPECIALIZES IN THE CARE OF CHILDREN REQUIRING REHABILITATIVE, RESPIRATORY AND COMPLEX MEDICAL CARE. BLYTHEDALE IS DESIGNATED BY CMS AS A PPS EXEMPT, FREESTANDING CHILDREN'S HOSPITAL. WITHIN BLYTHEDALE CHILDREN'S HOSPITAL, WE PROVIDE A COMPREHENSIVE RANGE OF SERVICES WHICH INCLUDE BUT ARE NOT LIMITED TO GENERAL PEDIATRICS, ADOLESCENT MEDICINE, PEDIATRIC PULMONOLOGY, CHILD NEUROLOGY, PSYCHIATRY, ORTHOPEDICS, PHYSICAL MEDICINE, AND REHABILITATION OF MULTIPLE PEDIATRIC SPECIALTIES (SUCH AS CARDIOLOGY, INFECTIOUS DISEASE, ENT, OPHTHALMOLOGY, ETC.) BLYTHEDALE MAINTAINS A CORE GROUP OF FULL TIME SPECIALTY COVERAGE IN PEDIATRICS, PULMONOLOGY, ADOLESCENT MEDICINE, NEUROLOGY, AND PSYCHIATRY. OTHER SUBSPECIALTY COVERAGE IS MAINTAINED AND UTILIZED AS NEEDED THROUGH A VARIETY OF CONTRACTUAL RELATIONSHIPS WITH THE AREA'S LEADING ACADEMIC MEDICAL CENTERS. BLYTHEDALE ALSO PROVIDES OTHER VITAL CLINICAL SERVICES SUCH AS NURSING, RESPIRATORY THERAPY, PSYCHOLOGY, CHILD LIFE, RESPIRATORY, SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY, THERAPEUTIC RECREATION, SOCIAL WORK AND CASE MANAGEMENT. THE INPATIENT SERVICES ARE PRIMARILY COMPOSED OF 4 MAJOR PROGRAMS, PHYSICAL MEDICINE AND REHABILITATION SERVICES, VENTILATOR WEANING, TRAUMATIC BRAIN INJURY AND MEDICAL THERAPIES FOR COMPLEX AND CHRONIC HEALTH CONDITIONS.IN 2019, THE HOSPITAL OPERATED 86 LICENSED ACUTE BEDS, AND 24 PEDIATRIC LONG TERM CARE BEDS FOR A TOTAL OF 110 LICENSED BEDS. THE HOSPITAL PROVIDED CARE TO OVER 76 INPATIENTS, AND 24 LONG TERM CARE PATIENTS PER DAY IN 2019. THE HOSPITAL RECEIVED OVER 770 REGIONAL REFERRALS IN THE YEAR AND ADMITTED 362 KIDS. OVER 74% OF OUR INPATIENT ADMISSIONS WERE REIMBURSED THROUGH THE MEDICAID PROGRAM (FFS & MANAGED) IN 2019. WHILE 100% OF THE HOSPITALS INPATIENT POPULATION IS REFERRED IN FROM OTHER ACUTE CARE HOSPITALS IN THE REGION, OVER 57% COME DIRECTLY FROM INTENSIVE CARE UNITS (ICU'S). THIS SPEAKS TO THE HIGH ACUITY OF THE PATIENT POPULATION BEING MANAGED AT BLYTHEDALE. IN 2019 ALMOST 61% OF PATIENTS TREATED WERE BELOW THE AGE OF 6 YEARS. THIS FACT PRESENTS MANY UNIQUE CHALLENGES TO THE DELIVERY OF CARE AS THE HOSPITAL PROVIDES HIGH QUALITY TO BOTH THE PATIENTS AND THE FAMILY. BLYTHEDALE CHILDREN'S HOSPITAL DOESN'T OPERATE PRIMARY CARE CLINICS, OR AN EMERGENCY DEPARTMENT OR OBSTETRICAL SERVICES. THESE SERVICES ARE OFTEN THE PRIMARY DRIVERS OF UNINSURED PATIENTS AT ACUTE CARE HOSPITALS. SECONDLY, CHILDREN, MORE SO THAN ADULTS HAVE GREATER ACCESS TO MEDICAID REIMBURSEMENT AS A PAYER OF LAST RESORT BECAUSE OF STATE CHILD HEALTH PLUS LAWS. THESE TWO FACTORS SIGNIFICANTLY IMPACT THE REPORTED AMOUNT OF CARE CLASSIFIED AS TRUE CHARITY CARE RELATIVE TO FULL SERVICE ACUTE CARE HOSPITALS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$13,497,306ExpenseAmt
Revenue$12,516,028RevenueAmt
DescTHE STEVEN AND ALEXANDRA COHEN PEDIATRIC LONG TERM CARE PAVILION, WHICH OPENED IN FALL 2016, IS A UNIQUE 24-BED FACILITY DEDICATED TO THE HIGHLY SPECIALIZED NEEDS OF INFANTS AND CHILDREN WHO REQUIRE EXTENDED MEDICAL CARE AND REHABILITATION. IN 2019, THE HOSPITAL CARED FOR 26 CHILDREN AND RAN AN AVERAGE OCCUPANCY OF 99%. 54% OF THE CHILDREN WERE UNDER THE AGE OF 6 AND 100% REQUIRED VENTILATOR-RESPIRATORY SUPPORT. THE PAVILION SERVES CHILDREN WITH COMPLEX MEDICAL NEEDS, INCLUDING THOSE WHO REQUIRE A LONGER PERIOD OF TIME TO BE WEANED FROM THE VENTILATOR, AND PREMATURE INFANTS WITH FEEDING DIFFICULTIES, CONGENITAL CONDITIONS OR NEUROLOGICAL DISORDERS. THE PAVILION IS STAFFED BY A FULL-TIME PEDIATRICIAN WHO WORKS IN CONSULTATION WITH A VARIETY OF PEDIATRIC SUBSPECIALISTS INCLUDING PEDIATRIC PULMONOLOGY, PEDIATRIC PHYSICAL MEDICINE AND REHABILITATION, AND PEDIATRIC NEUROLOGY. THE COMPREHENSIVE TEAM ALSO INCLUDE REGISTERED NURSES, CERTIFIED RESPIRATORY THERAPISTS, PHYSICAL/OCCUPATIONAL/SPEECH THERAPISTS, RECREATIONAL THERAPISTS, CHILD PSYCHOLOGISTS, CHILD LIFE SPECIALISTS AND A DEDICATED SOCIAL WORKER. FEATURES OF THE NEW PAVILION INCLUDE 11 DOUBLE-BEDDED ROOMS AND TWO PRIVATE ROOMS, ALL WITH PIPED-IN OXYGEN, A SPACIOUS DINING AND RECREATION AREA, DEDICATED THERAPY SPACE, AN INFANT PLAY ROOM AND TEEN LOUNGE. AN ATTRACTIVE COURTYARD INCLUDES PLAY AREAS, WALKING PATHS AND SITTING AREAS FOR RESIDENTS AND THEIR FAMILIES. CHILDREN IN THE PEDIATRIC LONG TERM CARE UNIT HAVE ACCESS TO EDUCATION THROUGH THE ON-SITE MT. PLEASANT-BLYTHEDALE SCHOOL AND EARLY CHILDHOOD CENTER, AND RECREATIONAL PROGRAMMING ON EVENINGS, WEEKENDS AND HOLIDAYS. FAMILY INVOLVEMENT IS A KEY COMPONENT OF CARE AT BLYTHEDALE, AND PROGRESS TOWARD GOALS (ESTABLISHED UPON ADMISSION) WILL BE REVIEWED DURING PERIODIC FAMILY CONFERENCES. AN INTERDISCIPLINARY APPROACH TO TREATMENT IS A HALLMARK OF BLYTHEDALE, AND EACH PATIENT'S CLINICAL CARE TEAM WILL MEET EVERY TWO WEEKS TO DISCUSS THE INDIVIDUALIZED PLAN FROM EVERY PERSPECTIVE: MEDICAL, SOCIAL, PSYCHOLOGICAL AND EDUCATIONAL.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$10,141,859ExpenseAmt
Revenue$10,754,532RevenueAmt
DescDAY HOSPITAL PROGRAM - BLYTHEDALE OFFERS A DAY HOSPITAL PROGRAM FOR THOSE CHILDREN WHO ARE ABLE TO LIVE AT HOME, BUT STILL REQUIRE A LEVEL OF MEDICAL AND REHABILITATIVE CARE THAT CANNOT BE MET BY THEIR SCHOOL OR OUTPATIENT PROGRAM. IN 2019, BLYTHEDALE TREATED OVER 224 CHILDREN IN THE PROGRAM. ROUGHLY 30 % OF THE PROGRAM COMES DIRECTLY FROM BLYTHEDALE'S INPATIENT SETTING, WHILE THE BALANCE COME DIRECTLY FROM REFERRALS IN THE COMMUNITY AND THROUGH THE EARLY INTERVENTION/CPSE PROGRAMS THROUGHOUT THE REGION. IN 2019, THE PROGRAM SERVED ON AVERAGE OF 100 PATIENTS PER SCHOOL DAY FOR A TOTAL OF 19,020 VISITS. OVER 80+% OF THESE PATIENTS WERE REIMBURSED BY THE MEDICAID PROGRAM. THE DAY HOSPITAL PROGRAM PROVIDES A NURTURING ENVIRONMENT WHERE CHILDREN WITH VARIOUS SPECIAL MEDICAL NEEDS CAN RECEIVE DAILY MEDICAL SUPERVISION, NURSING CARE, AND HAVE THEIR NEEDS FOR PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES MET, ALL WHILE RETURNING HOME AT THE END OF THE DAY. EACH CHILD'S PROGRAM IS INDIVIDUALIZED TO ADDRESS THEIR UNIQUE MEDICAL, PSYCHOLOGICAL AND THERAPEUTIC NEEDS. IN ADDITION, EVERY CHILD IS ASSIGNED A SOCIAL WORKER TO PROVIDE FAMILY SUPPORT AND CASE MANAGEMENT. AS NECESSARY, ONGOING PSYCHOSOCIAL SUPPORT AND COUNSELING, AND CASE MANAGEMENT ARE PROVIDED. SERVICES FOR SCHOOL-AGE CHILDREN ARE PROVIDED IN CONJUNCTION WITH A FULL ACADEMIC PROGRAM UNDER THE AUSPICES OF THE MOUNT PLEASANT-BLYTHEDALE UNION FREE SCHOOL DISTRICT.COMMITTEE ON PRESCHOOL SPECIAL EDUCATION (CPSE PROGRAM): BLYTHEDALE CHILDREN'S HOSPITAL PROVIDES EVALUATION AND TREATMENT SERVICES FOR YOUNG CHILDREN BETWEEN THE AGES OF 3 TO 5 YEARS WHO ARE REFERRED THROUGH THEIR LOCAL COMMITTEE ON PRESCHOOL SPECIAL EDUCATION (CPSE). THESE PATIENTS ARE ELIGIBLE FOR ASSESSMENT AT NO COST TO THEIR FAMILIES. THE NEW YORK STATE EDUCATION DEPARTMENT OVERSEES A STATEWIDE PRESCHOOL SPECIAL EDUCATION PROGRAM WITH SCHOOL DISTRICTS, MUNICIPALITIES, APPROVED PROVIDERS, AND PARENTS. EVALUATIONS AND SERVICES ARE PROVIDED TO ELIGIBLE CHILDREN WHO HAVE A DISABILITY THAT AFFECTS THEIR LEARNING. FUNDING FOR EVALUATIONS AND SERVICES IS PROVIDED BY MUNICIPALITIES AND THE STATE. IN 2019, THE PROGRAM SERVED 35 PATIENTS FOR A TOTAL OF 3,718 VISITS. EVALUATION AND TREATMENT PLANNING ARE PERFORMED BY A MULTIDISCIPLINARY TEAM THAT MAY CONSIST OF THERAPISTS, SPECIAL EDUCATION TEACHERS, AUDIOLOGISTS, PHYSIATRISTS (REHABILITATION DOCTORS), NEUROLOGISTS, PSYCHIATRISTS, PSYCHOLOGISTS, SOCIAL WORKERS, NURSES, NUTRITIONISTS, AND OTHER SPECIALTY CONSULTANTS. AT BLYTHEDALE, WE PROVIDE INDIVIDUALIZED RELATED SERVICES TO ELIGIBLE CHILDREN AGE'S THREE TO FIVE THROUGH OUR OUTPATIENT DEPARTMENT. WE SERVE CHILDREN WITH A WIDE RANGE OF NEEDS INCLUDING DIFFICULTIES THAT MAY INTERFERE WITH THEIR LEARNING AND FUNCTIONING IN PRESCHOOL. CHILDREN WITH THE FOLLOWING DIFFICULTIES ARE MOST COMMON IN THE PROGRAM: - DELAYS OR LAGS IN COGNITIVE, LANGUAGE, MOTOR OR SOCIAL EMOTIONAL DEVELOPMENT - CONGENITAL OR ACQUIRED ABNORMALITIES - DIAGNOSED MEDICAL CONDITIONS SUCH AS CEREBRAL PALSY, NEUROMUSCULAR OR OTHER NEUROLOGICAL DISORDERSDesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$952,896ExpenseAmt
Revenue$2,094,515RevenueAmt
DescIN 2019, THE HOSPITAL PROVIDED 3,028 OUTPATIENT THERAPY AND SPECIALTY CLINIC VISITS TO PATIENTS IN THE REGION. BLYTHEDALE CHILDREN'S HOSPITAL IS WELL SUITED TO PROVIDE EVALUATION AND TREATMENT SERVICES FOR YOUNG CHILDREN. AS THE REGION'S PREMIERE HOSPITAL OFFERING REHABILITATIVE SERVICES TO CHILDREN, WE HAVE THE LARGEST DEPARTMENTS OF SPEECH THERAPY, OCCUPATIONAL THERAPY AND PHYSICAL THERAPY. THE EXPERTISE OF OUR HIGHLY SKILLED, MULTIDISCIPLINARY STAFF ENABLES US TO PROVIDE COORDINATED, COMPREHENSIVE, INDIVIDUALIZED PROGRAMS FOR THE CHILDREN AND FAMILIES WE SERVE. PARENTS AND STAFF WORK CLOSELY TOGETHER TO DEVELOP GOALS. EVALUATION AND TREATMENT PLANNING ARE PERFORMED BY A MULTI-DISCIPLINARY TEAM THAT MAY CONSIST OF THERAPISTS, PHYSIATRISTS (REHABILITATION DOCTORS), NEUROLOGISTS, PSYCHIATRISTS, PSYCHOLOGISTS, SPECIAL EDUCATION, TEACHERS, AUDIOLOGISTS, SOCIAL WORKERS, NURSES, NUTRITIONISTS, AND OTHER SPECIALTY CONSULTANTS. WHILE NOT LIMITED TO THE FOLLOWING, THE PROGRAM TREATS A WIDE ARRAY OF ISSUES AND DIAGNOSES INCLUDING ; DELAYS OR LAGS IN REACHING THEIR DEVELOPMENTAL MILESTONES, CONGENITAL OR ACQUIRED ABNORMALITIES SUCH AS VISION OR HEARING IMPAIRMENTS, DIAGNOSED MEDICAL CONDITIONS SUCH AS CEREBRAL PALSY, NEUROMUSCULAR OR OTHER NEUROLOGICAL DISORDERSBLYTHEDALE CHILDREN'S HOSPITAL IS A PARTICIPATING PEDIATRIC HEALTH HOME PROVIDER OF CARE, AND A LEAD CARE COORDINATION AGENCY FOR MEDICALLY FRAGILE CHILDREN. OUR PROACTIVE CARE COORDINATION MODEL PROVIDES THE FAMILIES OF MEDICALLY FRAGILE CHILDREN WITH THE SUPPORT THEY NEED, LEADING TO MORE CONSISTENT MEDICAL CARE ON A REGULAR BASIS. THIS IS A PRIMARY GOAL OF THE HEALTH HOME PROJECT. A MAJOR GOAL OF BLYTHEDALE'S SYSTEM OF CARE COORDINATION IS TO ALLOW THE FAMILIES OF MEDICALLY FRAGILE CHILDREN TO LIVE THEIR LIVES AND THRIVE, RATHER THAN SIMPLY SURVIVE. HELPING FAMILIES NAVIGATE THE COMPLEX MAZE OF HEALTHCARE FOR MEDICALLY FRAGILE CHILDREN WHILE ASSISTING WITH SOCIAL ISSUES THAT IMPACT THEIR ABILITY TO CARE FOR THE CHILD IS A COMBINATION THAT WILL RESULT IN MORE EFFICIENT AND APPROPRIATE USE OF THE HEALTHCARE SYSTEM, WITH THE "RIGHT CARE" BEING PROVIDED AT THE "RIGHT TIME" IN THE "RIGHT PLACE." BLYTHEDALE'S MODEL INCLUDES IN-HOME VISITS WITH THE CHILD AND FAMILY, CARE PLANNING MEETINGS WITH THE FAMILY AND RELEVANT PROVIDERS, AND TOOLS TO ENSURE 24 HOUR/SEVEN DAYS A WEEK ACCESS TO CARE MANAGEMENT SUPPORT.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$952,896TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$2,094,515TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$70,980,520TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document133IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee614EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member22IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN CANNINGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9145927555PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line195 BRADHURST AVEAddressLine1Txt
CityVALHALLACityNm
State AbbreviationNYStateAbbreviationCd
ZIP10595ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ABBY POPPER
TRUSTEE1.000.00Yes (X)$0$0$0
TIM EVNIN
TREASURER2.500.00Yes (X)$0$0$0Yes (X)
SCOTT R LEVY
VICE CHAIR2.500.00Yes (X)$0$0$0Yes (X)
PETER D RITTMASTER
VICE CHAIR2.500.00Yes (X)$0$0$0Yes (X)
PERRY C HOFFMEISTER
TRUSTEE1.000.00Yes (X)$0$0$0
OWEN GUTFREUND
TRUSTEE0.000.00Yes (X)$0$0$0
LUCY SCHMOLKA
SECRETARY2.500.00Yes (X)$0$0$0Yes (X)
LARRY W COHEN
TRUSTEE1.000.00Yes (X)$0$0$0
VIRGINIA FURTH WEISMAN
TRUSTEE1.000.00Yes (X)$0$0$0
KIM MOTOLA
TRUSTEE1.000.00Yes (X)$0$0$0
JUDITH R WIENER GOODHUE
TRUSTEE1.000.00Yes (X)$0$0$0
JORDANA HOLOVACH
TRUSTEE1.000.00Yes (X)$0$0$0
JOHN L FURTH
TRUSTEE1.000.00Yes (X)$0$0$0
LANCE WACHENHEIM
TRUSTEE1.000.00Yes (X)$0$0$0
CINDY MUSOFF
TRUSTEE1.000.00Yes (X)$0$0$0
ADAM GALEON
TRUSTEE1.000.00Yes (X)$0$0$0
ALAN GERSTEIN
TRUSTEE1.000.00Yes (X)$0$0$0
DAVID R PEDOWITZ
CHAIR2.500.00Yes (X)$0$0$0Yes (X)
WILLIAM G LEVY
TRUSTEE1.000.00Yes (X)$0$0$0
FARREL STARKER
TRUSTEE1.000.00Yes (X)$0$0$0
HOWARD ADLER
TRUSTEE1.000.00Yes (X)$0$0$0
DEAN CURNUTT
TRUSTEE1.000.00Yes (X)$0$0$0
LARRY LEVINE
PRESIDENT AND CEO40.000.00$806,584$0$171,829Yes (X)
SUSAN GOODBODY MURRAY
CHIEF ENGAGEMENT & EXPERIENCE40.000.00$207,519$0$38,441Yes (X)
ADAM SCOTT HERBST
CHIEF LEGAL,GOV'T RELATIONS,ST40.000.00$217,954$0$20,173Yes (X)
SCOTT M KLEIN
CHIEF MEDICAL OFFICER40.000.00$530,689$0$119,421Yes (X)
JOHN EDWARD CANNING
CHIEF FINANCIAL OFFICER40.000.00$463,487$0$124,940Yes (X)
MAUREEN DESIMONE
CHIEF OPERATING OFFICER40.000.00$307,595$0$412,363Yes (X)
CONSTANCE T CORNELL
VICE PRESIDENT OF STRATEGIC CO40.000.00$141,537$0$51,104Yes (X)
LISA KOCH CAPOBIANCO
VICE PRESIDENT OF DEVELOPMENT40.000.00$186,451$0$53,563Yes (X)
ROBERT R LANE
CHIEF DEVELOPMENT OFFICER40.000.00$286,994$0$342,955Yes (X)
JILL MARIE WEGENER
CHIEF NURSING OFFICER40.000.00$292,725$0$28,925Yes (X)
TRACY LYNN LAWRENCE-BLACK
LTC MEDICAL DIRECTOR40.000.00$267,755$0$41,787Yes (X)
RUTH ESTHER ALEJANDRO
ATTENDING PHYSIATRIST40.000.00$209,365$0$50,304Yes (X)
KATHY SILVERMAN
CLINICAL/UNIT CHIEF40.000.00$302,926$0$87,371Yes (X)
BYRON FERNANDEZ
CLINICAL/UNIT CHIEF40.000.00$330,681$0$67,346Yes (X)
MARY MARGARET DIDIE
CLINICAL/UNIT CHIEF40.000.00$210,178$0$157,668Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,762,440TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,768,190TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K138IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SODEXO INC & AFFILIATES
500 ROSS STPITTSBURGHPA152620001SUPPORT SERVICES$3,380,407
CARDINAL HEALTH
5303 COLLECTION CENTRECHICAGOIL60693HEALTHCARE SUPPLIES$2,980,648
PRESIDIO NETWORKED SOLUTIONS
12120 SUNSET HILLS RDRESTONVA10120INFORMATION TECHNOLOGY$665,783
E4H ENVIRONMENTS FOR HEALTH
15 W 37TH STNEW YORKNY10018ARCHITECTS$627,808
SSC INC
25 CONTROLS DRIVESHELTONCT06484SECURITY SERVICE$606,452
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt
Fundraising$1,538,122FundraisingAmt
All Other Contributions$1,380,131AllOtherContributionsAmt
Noncash Contributions$171,144NoncashContributionsAmt
Total Contributions$2,918,253TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INPATIENT SERVICES622110$52,230,937$52,230,937
RHCF LONG TERM CARE622110$12,516,028$12,516,028
DAY HOSPITAL622110$10,754,532$10,754,532
SCHOOL PROGRAM611710$990,428$990,428
OUTPATIENT SERVICES621400$682,669$682,669

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,701TotalRevenueColumnAmt
Related Or Exempt Func Income$2,701RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$77,177,295TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,772,361TotalRevenueColumnAmt
Unrelated Business Revenue$158UnrelatedBusinessRevenueAmt
Exclusion$1,772,203ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$103,058,414SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$104,267,911SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,209,497SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,209,497TotalRevenueColumnAmt
Exclusion-$1,209,497ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$183,000FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$1,538,122ContriRptFundraisingEventAmt
Fundraising Direct Expenses$317,485FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$134,485TotalRevenueColumnAmt
Exclusion-$134,485ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SPENDING POLICY900099$3,531,600$3,531,600
CAFETERIA722514$231,939$231,939
MEDICAL RECORDS900099$21,419$21,419

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$397,298TotalRevenueColumnAmt
Related Or Exempt Func Income$397,298RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,182,256OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$84,706,183TotalRevenueColumnAmt
Related Or Exempt Func Income$77,596,012RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$158UnrelatedBusinessRevenueAmt
Exclusion$4,191,760ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,441,535TotalAmt
Program Services$1,338,529ProgramServicesAmt
Management And General$1,629,562ManagementAndGeneralAmt
Fundraising$473,444FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$39,219,411TotalAmt
Program Services$34,135,121ProgramServicesAmt
Management And General$5,042,204ManagementAndGeneralAmt
Fundraising$42,086FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,201,849TotalAmt
Program Services$3,686,099ProgramServicesAmt
Management And General$463,992ManagementAndGeneralAmt
Fundraising$51,758FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,572,554TotalAmt
Program Services$5,419,994ProgramServicesAmt
Management And General$1,027,282ManagementAndGeneralAmt
Fundraising$125,278FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,945,269TotalAmt
Program Services$2,446,340ProgramServicesAmt
Management And General$448,859ManagementAndGeneralAmt
Fundraising$50,070FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,738,398TotalAmt
Program Services$3,470,643ProgramServicesAmt
Management And General$267,755ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$794,476TotalAmt
Program Services$649,757ProgramServicesAmt
Management And General$117,883ManagementAndGeneralAmt
Fundraising$26,836FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$290,419TotalAmt
Program Services$240,409ProgramServicesAmt
Management And General$42,517ManagementAndGeneralAmt
Fundraising$7,493FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$79,946TotalAmt
Management And General$79,946ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$561,715TotalAmt
Management And General$561,715ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$250,175TotalAmt
Program Services$207,297ProgramServicesAmt
Management And General$36,483ManagementAndGeneralAmt
Fundraising$6,395FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$168,280TotalAmt
Program Services$136,376ProgramServicesAmt
Management And General$8,689ManagementAndGeneralAmt
Fundraising$23,215FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,402,928TotalAmt
Program Services$1,028,332ProgramServicesAmt
Management And General$316,305ManagementAndGeneralAmt
Fundraising$58,291FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,538,632TotalAmt
Program Services$7,367,447ProgramServicesAmt
Management And General$166,571ManagementAndGeneralAmt
Fundraising$4,614FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$39,106TotalAmt
Program Services$32,903ProgramServicesAmt
Management And General$1,929ManagementAndGeneralAmt
Fundraising$4,274FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$93,239TotalAmt
Program Services$88,381ProgramServicesAmt
Management And General$2,013ManagementAndGeneralAmt
Fundraising$2,845FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$408,107TotalAmt
Program Services$408,107ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,562,950TotalAmt
Program Services$5,311,493ProgramServicesAmt
Management And General$1,220,088ManagementAndGeneralAmt
Fundraising$31,369FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$672,989TotalAmt
Program Services$574,463ProgramServicesAmt
Management And General$98,526ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
CONTRACTED LABOR$3,651,443$2,477,911$1,168,462$5,070
TAXES/FEES/ASSESSMENTS$1,081,405$920,486$158,318$2,601
UTILITIES$804,932$687,090$117,842$0
DEBT SERVICE & FEES$413,943$353,342$60,601$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$84,933,701TotalAmt
Program Services$70,980,520ProgramServicesAmt
Management And General$13,037,542ManagementAndGeneralAmt
Fundraising$915,639FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$17,375,291BOYAmt
EOY$23,551,583EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$85,158BOYAmt
EOY$44,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,652,848BOYAmt
EOY$10,233,989EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$5,032,653BOYAmt
EOY$2,872,158EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$390,564BOYAmt
EOY$456,005EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$846,225BOYAmt
EOY$903,927EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$125,355,554LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$62,185,301LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$67,733,890BOYAmt
EOY$63,170,253EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$91,958,575BOYAmt
EOY$86,564,068EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$32,480,500BOYAmt
EOY$56,388,901EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$867,404BOYAmt
EOY$1,012,559EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$227,423,108BOYAmt
EOY$245,197,443EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,069,515BOYAmt
EOY$5,131,027EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,439,782BOYAmt
EOY$19,771,923EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$3,137,412BOYAmt
EOY$3,865,594EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,901,313BOYAmt
EOY$19,866,902EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,548,022BOYAmt
EOY$48,635,446EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$172,792,467BOYAmt
EOY$181,598,345EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,082,619BOYAmt
EOY$14,963,652EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$185,875,086BOYAmt
EOY$196,561,997EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$227,423,108BOYAmt
EOY$245,197,443EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$227,518ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$16,247,277NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$5,332,848OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$79,946OtherActivitiesAmt
Total Lobbying Expenditures$79,946TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationBLYTHEDALE CHILDREN'S HOSPITAL, AS A MEMBER OF STATE-WIDE HOSPITAL ORGANIZATIONS, HAS A PORTION OF ITS DUES FOR LOBBYING. IN ADDITION, BLYTHEDALE HAS ENGAGED AN OUTSIDE LOBBYIST TO LOBBY ON ITS BEHALF ON ISSUES RELATING TO THE STATE BUDGET MEDICAID.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,082,617BeginningYearBalanceAmt
Contributions$2,957,030ContributionsAmt
Investment Earnings Or Losses$3,042,821InvestmentEarningsOrLossesAmt
Other Expenditures$4,118,705OtherExpendituresAmt
End Year Balance$14,963,763EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,056,311BeginningYearBalanceAmt
Contributions$4,270,912ContributionsAmt
Investment Earnings Or Losses-$659,699InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$5,584,906OtherExpendituresAmt
End Year Balance$13,082,618EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,662,160BeginningYearBalanceAmt
Contributions$2,796,440ContributionsAmt
Investment Earnings Or Losses$2,173,245InvestmentEarningsOrLossesAmt
Other Expenditures$5,575,534OtherExpendituresAmt
End Year Balance$15,056,311EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$18,084,864BeginningYearBalanceAmt
Contributions$2,554,980ContributionsAmt
Investment Earnings Or Losses$874,730InvestmentEarningsOrLossesAmt
Other Expenditures$5,852,414OtherExpendituresAmt
End Year Balance$15,662,160EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$11,559,343BeginningYearBalanceAmt
Contributions$9,177,628ContributionsAmt
Investment Earnings Or Losses-$154,788InvestmentEarningsOrLossesAmt
Other Expenditures$2,497,319OtherExpendituresAmt
End Year Balance$18,084,864EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.93000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.07000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,383,879InvestmentCostOrOtherBasisAmt
Book Value$1,383,879BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$56,129,571InvestmentCostOrOtherBasisAmt
Depreciation$21,544,071DepreciationAmt
Book Value$34,585,500BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$63,843,674InvestmentCostOrOtherBasisAmt
Depreciation$38,808,269DepreciationAmt
Book Value$25,035,405BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$3,998,430InvestmentCostOrOtherBasisAmt
Depreciation$1,832,961DepreciationAmt
Book Value$2,165,469BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$63,170,253TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENTS- OTHER SECURITIESDesc
Book Value$56,388,901BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$56,388,901TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
EST. INSURANCE RECOVERIES$2,011,000
PENSION LIABILITY$16,836,541
SERP$910,014
ASSET RETIREMENT OBLIGATION$91,066
OTHER ASSET$18,281
FieldValueIRS element (for citing)
Total Liability$19,866,902TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$97,597,627TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$13,206,746NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$3,483,703DonatedServicesAndUseFcltsAmt
Other Revenue-$3,799,005OtherRevenueAmt
Revenue Not Reported$12,891,444RevenueNotReportedAmt
Revenue Subtotal$84,706,183RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$84,706,183TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$83,532,193TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$244,226OtherExpensesIncludedAmt
Expenses Not Reported-$244,226ExpensesNotReportedAmt
Expenses Subtotal$83,776,419ExpensesSubtotalAmt
Other Expenses Not Included$1,157,282OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$1,157,282ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$84,933,701TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:NET ASSETS WITH DONOR RESTRICTIONS- NET ASSETS WITH DONOR RESTRICTIONS ARE THOSE WHOSE USE HAS BEEN LIMITED BY DONORS TO A SPECIFIC TIME FRAME OR PURPOSE OR HAVE BEEN RESTRICTED BY THE DONORS TO BE MAINTAINED BY THE HOSPITAL IN PERPETUITY. THE HOSPITAL RECORDS DONOR RESTRICTED CONTRIBUTIONS IF THEY ARE RECEIVED WITH DONOR STIPULATIONS THAT LIMIT THEIR USE EITHER THROUGH PURPOSE OR TIME RESTRICTIONS. BLYTHEDALE MAINTAINS A VARIETY OF DONOR FUNDS RESTRICTED BY PURPOSE THAT COVER A VARIETY OF PROGRAM ACTIVITIES INCLUDING THE PROVISION OF TRANSPORTATION TO PARENT FAMILIES, SUPPORT FOR ASSISTIVE TECHNOLOGY, AND FUNDS THAT SUPPORT THE SALARIES OF THERAPISTS AMONG OTHERS. IN ADDITION, BLYTHEDALE MAINTAINS A NUMBER OF PERMANENT ENDOWMENTS, THE INCOME FROM WHICH IS PRIMARILY USED TO SUPPORT GENERAL OPERATIONS. NET ASSETS WITH DONOR RESTRICTIONS AS OF DECEMBER 31, 2019 AND 2018, ARE AVAILABLE FOR THE FOLLOWING PURPOSES: 2019 PLEDGE RECEIVABLE: 44,000 BENEFICIAL INTEREST IN TRUST: 12,502,173 ENDOWMENT FUNDS WITH PERMANENTLY RESTRICTED CORPUS: 1,012,559 OTHER: 1,404,920 TOTAL: 14,963,652 2018 PLEDGE RECEIVABLE: 85,158 BENEFICIAL INTEREST IN TRUST: 867,403 ENDOWMENT FUNDS WITH PERMANENTLY RESTRICTED CORPUS: 9,995,909 OTHER: 2,134,149 TOTAL: 13,082,619 BLYTHEDALE CHILDREN'S HOSPITAL HAS A CHARITABLE REMAINDER TRUST HELD BY TRUSTEES CITIBANK, CALLED THE HENRY STERN TRUST. THE PRINCIPLE IS PERMANENTLY RESTRICTED.
PART XI, LINE 2D - OTHER ADJUSTMENTS:REST.CONTRIBUTIONS & SCHEDULE G -2,641,724. RECLASS OF PENSION -1,157,281.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SCHEDULE G & INVESTMENT FEES -244,226.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RECLASS OF PENSION 1,157,282.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSE RECLASS 317,485

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA AND THE CARIBBEAN00INVESTMENTS$24,193,983
EUROPE (INCLUDING ICELAND & GREENLAND)00INVESTMENTS$1,747,662
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$25,941,645SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$25,941,645TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III ACCOUNTING METHOD:FormAndLineReferenceDesc

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FALL GALAEvent1Nm
Gross Receipts Event1$694,794GrossReceiptsEvent1Amt
Charitable Contri Event1$643,794CharitableContriEvent1Amt
Gross Revenue Event1$51,000GrossRevenueEvent1Amt
Rent Facility Costs Event1$34,000RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$53,286OtherDirectExpensesEvent1Amt
Event2STUART DIX GOLFEvent2Nm
Gross Receipts Event2$566,740GrossReceiptsEvent2Amt
Charitable Contri Event2$490,340CharitableContriEvent2Amt
Gross Revenue Event2$76,400GrossRevenueEvent2Amt
Rent Facility Costs Event2$98,868RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$8,761OtherDirectExpensesEvent2Amt
Other Events Total5OtherEventsTotalCnt
Gross Receipts Other Events$459,588GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$403,988CharitableContriOtherEventsAmt
Gross Revenue Other Events$55,600GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$68,764RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$723FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$53,083OthDirectExpnssOtherEventsAmt
Gross Receipts Total$1,721,122GrossReceiptsTotalAmt
Charitable Contributions Tot$1,538,122CharitableContributionsTotAmt
Gross Revenue Total Events$183,000GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$201,632RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$723FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$115,130OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$317,485DirectExpenseSummaryEventsAmt
Net Income Summary-$134,485NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other400.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$694,014TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$639,290DirectOffsettingRevenueAmt
Net Community Benefit Expns$54,724NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$62,677,689TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$59,150,435DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,527,254NetCommunityBenefitExpnsAmt
Total Expense0.04150TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,371,703TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$59,789,725DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,581,978NetCommunityBenefitExpnsAmt
Total Expense0.04210TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$172,658TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,673DirectOffsettingRevenueAmt
Net Community Benefit Expns$147,985NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$357,081TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$71,982DirectOffsettingRevenueAmt
Net Community Benefit Expns$285,099NetCommunityBenefitExpnsAmt
Total Expense0.00340TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$629,704TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$392,643DirectOffsettingRevenueAmt
Net Community Benefit Expns$237,061NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$522,709TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$62,660DirectOffsettingRevenueAmt
Net Community Benefit Expns$460,049NetCommunityBenefitExpnsAmt
Total Expense0.00540TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,682,152TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$551,958DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,130,194NetCommunityBenefitExpnsAmt
Total Expense0.01330TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$65,053,855TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,341,683DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,712,172NetCommunityBenefitExpnsAmt
Total Expense0.05540TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$425,004TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$106,497DirectOffsettingRevenueAmt
Net Community Benefit Expns$318,507NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$425,004TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$106,497DirectOffsettingRevenueAmt
Net Community Benefit Expns$318,507NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$0BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$0ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$0CostOfCareReimbursedByMedcrAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BLYTHEDALE CHILDREN'S HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line195 BRADHURST AVEAddressLine1Txt
CityVALHALLACityNm
State AbbreviationNYStateAbbreviationCd
ZIP10595ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.BLYTHEDALE.ORGWebsiteAddressTxt
State License5957000HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Childrens HospitalYes (X)ChildrensHospitalInd
OtherTHE STEVEN & ALEXANDRA COHEN PEDIATRIC LONG TERM CARE FACILITYOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BLYTHEDALE CHILDREN'S HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.BLYTHEDALE.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.BLYTHEDALE.ORGStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care400.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.BLYTHEDALE.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.BLYTHEDALE.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.BLYTHEDALE.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care Policy0NondisEmergencyCarePolicyInd
No Emergency CareYes (X)NoEmergencyCareInd
Other ReasonYes (X)OtherReasonInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
BLYTHEDALE CHILDREN'S HOSPITALPART V, SECTION B, LINE 5: THE WESTCHESTER COUNTY DOH CONVENED A WORKGROUP OF LOCAL HOSPITALS TO SELECT PRIORITIES FROM THE STATE'S PREVENTION AGENDA AND COLLABORATIVELY DEVELOP PLANS TO ADDRESS THESE PRIORITIES AS PART OF WESTCHESTER COUNTY DOH'S COMMUNITY HEALTH ASSESSMENT. THE WESTCHESTER COUNTY WORKGROUP DISTRIBUTED COMMUNITY AND PROVIDER SURVEYS TO COLLECT EXTENSIVE DATA ABOUT THE PARAMOUNT HEALTH CARE NEEDS WITHIN THE COMMUNITY AND COMPARED THAT DATE WITH THE CURRENT STATE OF AFFAIRS WITHIN THE COUNTY TO DESIGNATE SPECIFIC AGENDA ITEMS. IN ADDITION TO ITS REFERRING HOSPITALS, BLYTHEDALE WORKS CLOSELY WITH THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH (DOH) TO IDENTIFY COMMUNITY HEALTH PRIORITIES RELEVANT TO BLYTHEDALE'S MISSION AND SERVICES.THE PURPOSE OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY SERVICE PLAN IS THREEFOLD:1. ASSIST IN IDENTIFYING PRIORITY HEALTH NEEDS OF THE AREA SERVED BY BLYTHEDALE CHILDREN'S HOSPITAL;2. COMPLY WITH THE REQUIREMENTS AND GUIDELINES OF THE NYS DEPARTMENT OF HEALTH FOR A COMMUNITY SERVICE PLAN; AND3. COMPLY WITH THE REQUIREMENTS PROMULGATED BY THE INTERNAL REVENUE SERVICE (IRS) BASED ON THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT ENACTED MARCH 23, 2010 THAT ALL 501(C)(3) HOSPITAL ORGANIZATIONS CONDUCT A "COMMUNITY HEALTH NEEDS ASSESSMENT AND PREPARE A CORRESPONDING IMPLEMENTATION STRATEGY ONCE EVERY THREE TAXABLE YEARS."AS DIRECTED BY THE STATE HEALTH DEPARTMENT, BLYTHEDALE'S 2019-2021 COMMUNITY SERVICE PLAN ADDRESSES HEALTH IMPROVEMENT PRIORITIES FROM THE STATE'S PREVENTION AGENDA, INCLUDING THOSE SELECTED BY A COALITION OF LOCAL COMMUNITY HOSPITALS AND OTHER COMMUNITY REPRESENTATIVES CONVENED BY THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH. AS A SPECIALTY HOSPITAL SERVING ONLY CHILDREN AND ADOLESCENTS, BLYTHEDALE HAS SELECTED PRIORITIES FROM THE STATE'S PREVENTION AGENDA WHICH ADDRESS ISSUES OF CONCERN TO BLYTHEDALE'S LOCAL COMMUNITY AND ITS COMMUNITY OF REFERRING HOSPITALS IN THE NEW YORK CITY METROPOLITAN AREA. IT ALSO IDENTIFIED TARGET OBJECTIVES FOR MEASURING FUTURE ACHIEVEMENTS MADE IN ADDRESSING THE SELECTED PRIORITIES.
BLYTHEDALE CHILDREN'S HOSPITALPART V, SECTION B, LINE 6B: WESTCHESTER COUNTY DEPARTMENT OF HEALTHREGIONAL BEHAVIORAL HEALTH WORKGROUPA LARGE COLLECTION OF AGENCIES AND HOSPITALS FROM ACROSS THE MID-HUDSON REGION HAVE JOINED TOGETHER TO CREATE A MONTHLY BEHAVIORAL HEALTH WORKGROUP THAT EVALUATES THE MENTAL AND BEHAVIORAL HEALTH NEEDS OF THE COMMUNITY. COMMUNITY PARTNERS OF OSSINING, CENTERS FOR DISEASE CONTROL/NHSN, AND WESTCHESTER MEDICAL CENTER
BLYTHEDALE CHILDREN'S HOSPITALPART V, SECTION B, LINE 11: BLYTHEDALE'S COMMUNITY SERVICE PLAN FOR 2019-2021 IDENTIFIED A NUMBER OF HEALTH INDICATORS AS A BASIS FOR SELECTING PRIORITIES. AS NOTED ABOVE, IN ADDITION TO PUBLIC INPUT, A VARIETY OF DATA FROM THE NYS DEPARTMENT OF HEALTH, WESTCHESTER COUNTY COMMUNITY HEALTH ASSESSMENTS, AND OTHER SOURCES WERE USED TO IDENTIFY THE HEALTH PRIORITIES. THE FOLLOWING GOALS WERE SELECTED AS STATE AND COUNTY-WIDE PRIORITIES:PREVENT COMMUNICABLE DISEASESPREVENT CHRONIC DISEASESPROMOTE A HEALTHY AND SAFE ENVIRONMENTPROMOTE ACCESS FOR PHYSICAL ACTIVITYPROMOTE HEALTHY WOMEN, INFANTS AND CHILDRENPROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE ABUSE DISORDERSAS NOTED ABOVE, SEVERAL OF PRIORITY INITIATIVES IDENTIFIED BY THE COUNTY WERE NOT WITHIN BLYTHEDALE'S SCOPE OF PRACTICE. THEREFORE, IT HAD FOCUSED ON THOSE PRIORITIES THAT FELL WITHIN THE HOSPITAL'S MISSION.THE PURPOSE OF BLYTHEDALE'S ANTIMICROBIAL STEWARDSHIP PROGRAM (ASP) IS TO ADVANCE THE HOSPITAL'S ANTIMICROBIAL PRESCRIBING PRACTICES THAT ASSIST IN REDUCING THE RISK OF ANTIMICROBIAL RESISTANCE IN THE COMMUNITY ONCE A PATIENT IS DISCHARGED.BY 2021, BLYTHEDALE WILL MEET THE FOLLOWING OBJECTIVES:1. REDUCE THE STANDARDIZED ANTIMICROBIAL ADMINISTRATION RATIO (SAAR) BY 5%. THE SAAR YEAR TO DATE FOR 2019 IS 0.415. AN SAAR OF LESS THAN ONE IS CONSIDERED TO BE OPTIMUM.2. MONITOR ANTIMICROBIAL PRESCRIBING PRACTICES IN THE HOSPITAL AND REPORT TO THE PRESCRIBERS AND THE CHIEF MEDICAL OFFICER.3. MONITOR CHANGING PATTERNS OF ANTIMICROBIAL RESISTANCE BASED ON THE HOSPITALS ANTIBIOGRAM AND REPORT TREATMENT RECOMMENDATIONS TO THE PRESCRIBERS.BY AUGUST 2021, BLYTHEDALE WILL INCREASE THE PERCENTAGE OF SCHOOL STAFF MEMBERS EDUCATED ON TRAUMA-INFORMED, RESILIENCE FOCUSED PRACTICES TO ADDRESS ACES. THE WELLNESS PROGRAM WILL ALSO IMPLEMENT SCHOOL-BASED PROGRAMS, PARTICIPATE IN COMMUNITY EVENTS AND FORM COMMUNITY PARTNERSHIPS AIMED TO IMPROVE CHILDREN'S MENTAL HEALTH.INTERVENTIONS AND ACTIVITIES1. INFORM AND IMPROVE SCHOOL WELLNESS PROGRAMS & PROTOCOLS:SCHOOLS ARE IN A UNIQUE POSITION TO IMPROVE BOTH THE DETRIMENTAL IMPACTS OF ADVERSE CHILDHOOD EXPERIENCES (ACES) AND THE HEALTH STATUS OF YOUNG PEOPLE ACROSS THE NATION. WE WILL SUPPORT SCHOOLS IN CUSTOMIZING AN APPROACH TO HEALTH BASED ON A MULTIDIMENSIONAL- MODEL WELLNESS PROGRAM, THE FOCUS OF WHICH WOULD BE COORDINATING POLICY, STRATEGIES AND CURRICULUM RELATED TO SIX KEY COMPONENTS (NUTRITION AND HEALTHY EATING, PHYSICAL EDUCATION AND PHYSICAL ACTIVITY, HEALTH EDUCATION, HEALTH SERVICES, PSYCHOLOGICAL AND SOCIAL SERVICES, AND EMPLOYEE WELLNESS). THESE COMPONENTS SERVE THE DIRECT HEALTH NEEDS OF THE STUDENTS AND STAFF, WHICH RESULTS IN IMPROVED HEALTH OUTCOMES AND LEARNING. OUR MISSION IS TO INSPIRE AND GUIDE SCHOOLS TO EVALUATE THEIR CURRENT STATUS, OFFER EDUCATION TO THE KEY STAKEHOLDERS, ENCOURAGE SHORT AND LONG-TERM GOAL-SETTING, INFORM ON ENDORSED POLICY AND STRATEGIES; AND SERVE AS A RESOURCE FOR EVIDENCE-BASED HEALTH EDUCATION AND PREVENTION-BASED PROGRAMS.BLYTHEDALE HAS PROVIDED A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT PROGRAMS, AS EVIDENCED THROUGH A VARIETY OF PROGRAMS AND SERVICES, INCLUDING:CARE MANAGEMENT: BLYTHEDALE BEGAN WORKING WITH HUDSON RIVER HEALTHCARE'S COMMUNITY CARE COLLABORATIVE HEALTH HOME SERVING CHILDREN PROGRAM AS A CMA (CARE MANAGEMENT AGENCY) FOR MEDICALLY FRAGILE CHILDREN. OUR CARE MANAGER SERVES AN AVERAGE OF 15 MEDICALLY FRAGILE CHILDREN AND THEIR FAMILIES IN WESTCHESTER COUNTY THROUGH THIS IMPORTANT NYSDOH INITIATIVE.CPR TRAINING CENTER: BLYTHEDALE HAS BEEN A COMMUNITY TRAINING CENTER FOR THE AMERICAN HEART ASSOCIATION, PROVIDING TRAINING IN HEARTSAVER CPR (CARDIO-PULMONARY RESUSCITATION), HEARTSAVER AED (AUTOMATED EXTERNAL DEFIBRILLATOR) AND HEARTSAVER FIRST AID. IN ADDITION TO BLYTHEDALE STAFF, THOSE TRAINED INCLUDE HEALTH CARE PROFESSIONALS, MEMBERS OF LOCAL POLICE AND FIRE DEPARTMENTS, STUDENTS AT AREA SCHOOLS AND STAFF FROM VARIOUS COMMUNITY AGENCIES. BLYTHEDALE HAS ALSO OFFERED PEDIATRIC CPR TRAINING FOR THE COMMUNITY AND HEALTH CARE PROFESSIONALS, AND IS A CERTIFIED PEDIATRIC ADVANCED LIFE SUPPORT (PALS) TRAINING CENTER.FIRST RESPONDER TRAINING PROGRAM: BLYTHEDALE, IN COORDINATION WITH THE WESTCHESTER REGIONAL EMS OFFICE, WESTCHESTER COUNTY DEPARTMENT OF ENVIRONMENTAL SERVICES, AND THE NYS EMS FOR CHILDREN PROGRAM, HAS DEVELOPED A SPECIAL PEDIATRIC CONTINUING MEDICAL EDUCATION SERIES FOR FIRST RESPONDERS OF THE WESTCHESTER EMS REGION. THE SERIES COVERS SUBJECTS VITAL TO FIRST RESPONDERS, INCLUDING TRAUMATIC BRAIN INJURY, AUTISM, TECHNOLOGY AND CARE OF THE INFANT OR CHILD, CHILD ABUSE/NEGLECT AND CHILD/INFANT SAFETY DURING TRANSFER. THE COURSES ARE PRESENTED BY BLYTHEDALE CLINICAL EXPERTS, INCLUDING PHYSICIANS, NURSES, AND THERAPISTS.
BLYTHEDALE CHILDREN'S HOSPITALPART V, SECTION B, LINE 16J: BLYTHEDALE CHILDREN'S HOSPITAL IS A LONG-TERM, REFERRAL-BASED, CHILDREN'S HOSPITAL. ALL PATIENTS ARE PROVIDED INFORMATION REGARDING BLYTHEDALE'S POLICIES UPON THEIR REFERRAL TO THE HOSPITAL.
BLYTHEDALE CHILDREN'S HOSPITALPART V, SECTION B, LINE 21D: HOSPITAL IS A REGIONAL SPECIALTY CHILDREN'S HOSPITAL, AND DOES NOT HAVE AN EMERGENCY ROOM.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:NA
PART I, LINE 7:EXPLANATION: BLYTHEDALE DETERMINES A PATIENT'S COST USING AVAILABLE COST DATA AND RATIOS FROM THE MOST RECENTLY FILED NYS ICR. A PROSPECTIVE PATIENT'S GROSS CHARGES ARE ESTIMATED FOR EACH OF THE SERVICES AND ALLOWANCED DOWN TO COST BASED UPON THE RATIO OF COST TO CHARGES. WE THEN DISCOUNT THE COST DOWN ON A SLIDING % BASIS IN THE FAP SCHEDULE USING A PATIENT'S ADJUSTED GROSS INCOME (AGI) FROM THEIR MOST RECENT TAX RETURN AND TAKING INTO ACCOUNT THEIR NUMBER OF DEPENDENTS / FAMILY SIZE REPORTED.
PART II, COMMUNITY BUILDING ACTIVITIES:BLYTHEDALE HAS PROVIDED A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT PROGRAMS, AS EVIDENCED THROUGH A VARIETY OF PROGRAMS AND SERVICES, INCLUDING:CARE MANAGEMENT: BLYTHEDALE BEGAN WORKING WITH HUDSON RIVER HEALTHCARE'S COMMUNITY CARE COLLABORATIVE HEALTH HOME SERVING CHILDREN PROGRAM AS A CMA (CARE MANAGEMENT AGENCY) FOR MEDICALLY FRAGILE CHILDREN. OUR CARE MANAGER SERVES AN AVERAGE OF 15 MEDICALLY FRAGILE CHILDREN AND THEIR FAMILIES IN WESTCHESTER COUNTY THROUGH THIS IMPORTANT NYSDOH INITIATIVE.CPR TRAINING CENTER: BLYTHEDALE HAS BEEN A COMMUNITY TRAINING CENTER FOR THE AMERICAN HEART ASSOCIATION, PROVIDING TRAINING IN HEARTSAVER CPR (CARDIO-PULMONARY RESUSCITATION), HEARTSAVER AED (AUTOMATED EXTERNAL DEFIBRILLATOR) AND HEARTSAVER FIRST AID. IN ADDITION TO BLYTHEDALE STAFF, THOSE TRAINED INCLUDE HEALTH CARE PROFESSIONALS, MEMBERS OF LOCAL POLICE AND FIRE DEPARTMENTS, STUDENTS AT AREA SCHOOLS AND STAFF FROM VARIOUS COMMUNITY AGENCIES. BLYTHEDALE HAS ALSO OFFERED PEDIATRIC CPR TRAINING FOR THE COMMUNITY AND HEALTH CARE PROFESSIONALS, AND IS A CERTIFIED PEDIATRIC ADVANCED LIFE SUPPORT (PALS) TRAINING CENTER.FIRST RESPONDER TRAINING PROGRAM: BLYTHEDALE, IN COORDINATION WITH THE WESTCHESTER REGIONAL EMS OFFICE, WESTCHESTER COUNTY DEPARTMENT OF ENVIRONMENTAL SERVICES, AND THE NYS EMS FOR CHILDREN PROGRAM, HAS DEVELOPED A SPECIAL PEDIATRIC CONTINUING MEDICAL EDUCATION SERIES FOR FIRST RESPONDERS OF THE WESTCHESTER EMS REGION. THE SERIES COVERS SUBJECTS VITAL TO FIRST RESPONDERS, INCLUDING TRAUMATIC BRAIN INJURY, AUTISM, TECHNOLOGY AND CARE OF THE INFANT OR CHILD, CHILD ABUSE/NEGLECT AND CHILD/INFANT SAFETY DURING TRANSFER. THE COURSES ARE PRESENTED BY BLYTHEDALE CLINICAL EXPERTS, INCLUDING PHYSICIANS, NURSES, AND THERAPISTS.
PART III, LINE 2:IN 2019 THE HOSPITAL RECORDED $0 IN THE BAD DEBT EXPENSE ON THE IRS 990. THIS WAS A RESULT OF THE HOSPITAL ADOPTING NEW ACCOUNTING STANDARD ASU 2014-09 WHICH ESSENTIALLY NEGATES THE WAY BAD DEBT WAS DISCLOSED IN PRIOR YEARS. THE HOSPITAL DID RECOGNIZED $1,627,190 OF IMPLICIT PRICE CONCESSIONS IN 2019 RELATED TO DENIED REIMBURSEMENT FROM THIRD PARTY INSURERS WHERE CARE WAS PROVIDED.
PART III, LINE 3:AS A RESULT OF IMPLEMENTING ASU 2014-09, CERTAIN PATIENT ACTIVITY WHERE COLLECTION IS UNCERTAIN PREVIOUSLY REPORTED AS NET PATIENT SERVICE REVENUE AND BAD DEBT EXPENSE IN THE HOSPITAL'S CONSOLIDATED STATEMENTS OF OPERATIONS NO LONGER MEETS THE CRITERIA FOR REVENUE RECOGNITION AND, ACCORDINGLY, BAD DEBT EXPENSE AFTER THE ADOPTION DATE IS SIGNIFICANTLY REDUCED WITH A CORRESPONDING REDUCTION TO NET PATIENT SERVICE REVENUE. FOR THE YEAR ENDED DECEMBER 31, 2019, THE HOSPITAL RECORDED APPROXIMATELY $1.6 MILLION OF IMPLICIT PRICE CONCESSIONS AS A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE THAT WOULD HAVE BEEN RECORDED AS BAD DEBT EXPENSE PRIOR TO THE ADOPTION OF ASU 2014-09. ADDITIONALLY, BAD DEBT EXPENSE FOR THE YEAR ENDED DECEMBER 31, 2019 IS NOW PRESENTED AS AN EXPENSE ITEM (INCLUDED AS A COMPONENT OF SUPPLIES AND OTHER EXPENSES) RATHER THAN A REDUCTION TO NET PATIENT SERVICE REVENUE.
PART III, LINE 4:ACCOUNTS RECEIVABLE FOR SERVICES TO PATIENTS AND PATIENT SERVICE REVENUEACCOUNTS RECEIVABLE ARE STATED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHER INSURERS TO WHICH THE HOSPITAL EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. MANAGEMENT PERIODICALLY REVIEWS THE ADEQUACY OF THE IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL EXPERIENCE, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE (DETERMINED ON A PORTFOLIO BASIS WHEN APPLICABLE) ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. FOR THE YEAR ENDED DECEMBER 31, 2019, CHANGES IN THE HOSPITAL'S ESTIMATES OF EXPECTED PAYMENTS FOR PERFORMANCE OBLIGATIONS SATISFIED IN PRIOR YEARS WERE NOT SIGNIFICANT. PORTFOLIO COLLECTION ESTIMATES ARE UPDATED BASED ON COLLECTION TRENDS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY (DETERMINED ON A PORTFOLIO BASIS WHEN APPLICABLE) ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEAR ENDED DECEMBER 31, 2019, WAS NOT SIGNIFICANT.
PART III, LINE 8:BLYTHEDALE IS A CHILDREN'S HOSPITAL AND SERVES A PEDIATRIC POPULATION TYPICALLY NOT ELIGIBLE FOR THE MEDICARE PROGRAM.BLYTHEDALE, AS A CHILDREN'S HOSPITAL RECEIVED IMMATERIAL AMOUNTS OF MEDICARE REIMBURSEMENT. IN 2019 THE HOSPITAL FILED A LOW/NO COST UTILIZATION REPORT WITH CMS.
PART III, LINE 9B:1. BCH WILL SEEK PAYMENT ON ACCOUNTS WITH BALANCES IN SELF-PAY (I.E., PATIENT LIABILITY). BCH DOES NOT TAKE PART IN EXTRAORDINARY COLLECTION ACTIONS (ECA) BEFORE MAKING REASONABLE EFFORTS TO DECIDE WHETHER FINANCIAL ASSISTANCE IS AVAILABLE AND/OR COLLECTION EFFORTS HAVE BEEN PURSUED. ANY ITEMIZED STATEMENT REQUESTED BY A GUARANTOR WILL BE GIVEN WITHIN TEN (10) DAYS OF SUCH REQUEST, IN COMPLIANCE WITH NEW YORK LAW.2. BCH WILL MAKE REASONABLE EFFORTS TO NOTIFY PATIENTS AND FAMILIES ABOUT THE FAP THROUGH THE FOLLOWING METHODS:A. ORALLY NOTIFY INDIVIDUALS ABOUT THE FAP AND HOW TO OBTAIN ASSISTANCE WITH THE APPLICATION PROCESS.B. BCH WILL REFRAIN FROM INITIATING ECAS UNLESS AUTHORIZED BY THE CFO.C. BCH WILL SEND AT LEAST THREE MONTHLY BILLING NOTICES IN A THIRTY (30) DAY PERIOD, FOR AT LEAST 3 MONTHS OR CYCLES, TO THE GUARANTOR OF AN ACCOUNT INFORMING OF A BALANCE DUE.1) FIRST NOTICE INFORMS THE GUARANTOR THAT THERE IS AN UNPAID BALANCE DUE ON AN ACCOUNT;2) SECOND NOTICE REMINDS THE GUARANTOR OF CONTINUED UNPAID BALANCE;3) FINAL NOTICE OF THE PAST DUE ACCOUNT NOTIFIES THE GUARANTOR THAT HE/SHE HAS THIRTY (30) DAYS TO RESOLVE THE DEBT, OR ECAS MAY BE TAKEN ON THE DEBT AND WILL SPECIFY THE ECAS THAT BCH INTENDS TO TAKE AND INCLUDE A COPY OF THE PLAIN LANGUAGE SUMMARY.NOTE: THE ACCOUNT CAN EITHER BE PAID IN FULL, SET UP ON A PAYMENT PLAN, REFERRED TO FINANCIAL COUNSELING, OR MORE INSURANCE INFORMATION OBTAINED DURING THIS TIMELINE. A PLAIN LANGUAGE NOTICE OF BCH'S FAP IS PROVIDED IN BOTH ENGLISH AND SPANISH ON EVERY BILLING STATEMENT.D. AFTER THREE (3) BILLING NOTICES HAVE BEEN SENT AND NO PAYMENT HAS BEEN RECEIVED WITHIN SIXTY (60) DAYS OF THE FINAL NOTICE, THE ACCOUNT MAY BE CONSIDERED TO BAD DEBT AND ECAS MAY BE TAKEN.1) ACCOUNTS QUALIFY FOR BAD DEBT WHEN PATIENT BALANCES (I.E., SELF-PAY) HAVE NOT BEEN PAID AND THE HOSPITAL HAS MADE REASONABLE EFFORTS, THAT INCLUDE BUT ARE NOT LIMITED TO PHONE CALLS, STATEMENTS OR LETTERS, TO DECIDE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE.2) THE BAD DEBT AGENCY WILL REPORT TO THE CREDIT BUREAU SIXTY (60) DAYS AFTER AN ACCOUNT IS PLACED WITH SUCH BAD DEBT AGENCY IF NO ACTION IS TAKEN BY THE GUARANTOR TO RESOLVE THE BALANCE EITHER BY MAKING A PAYMENT OR BY SUBMITTING ADDITIONAL DISPUTE INFORMATION.3) IF ALL OTHER OPTIONS TO COLLECT PAYMENT HAVE BEEN TAKEN AND AN ACCOUNT IN BAD DEBT HAS AGED MORE THAN SIXTY (60) DAYS WITHOUT CONTACT FROM THE GUARANTOR OR THE GUARANTOR REFUSES TO RESOLVE THE BALANCE, LEGAL ACTION MAY BE TAKEN.E. INITIATION OF A FINANCIAL ASSISTANCE APPLICATION1) THE APPLICATION PERIOD FOR FINANCIAL ASSISTANCE WILL END NO EARLIER THAN 240 DAYS FROM THE FIRST POST-VISIT BILL.F. ALL PARTIES ENGAGED IN COLLECTION ACTIONS FOR BCH WILL FOLLOW TO THIS POLICY.
PART VI, LINE 2:SINCE THE VAST MAJORITY OF ADMISSIONS TO BLYTHEDALE COME BY REFERRAL FROM OTHER HOSPITALS, PARTICULARLY THE LARGE MEDICAL CENTERS IN THE METROPOLITAN NEW YORK AND HUDSON VALLEY AREA, BLYTHEDALE'S SENSE OF NEED FOR CLINICAL SERVICES LARGELY EMANATES FROM REFERRING HOSPITALS AND THEIR PHYSICIANS. BLYTHEDALE CONTINUOUSLY REVIEWS WITH REFERRING HOSPITALS AND PHYSICIANS THEIR NEEDS FOR SERVICES.HOWEVER, IN ADDITION TO ITS REFERRAL HOSPITALS, BLYTHEDALE ALSO WORKS CLOSELY WITH A VARIETY OF LOCAL AGENCIES, NOTABLY THE WESTCHESTER, ROCKLAND AND PUTNAM COUNTY DEPARTMENTS OF HEALTH TO IDENTIFY COMMUNITY HEALTH PRIORITIES THAT ARE RELEVANT TO BLYTHEDALE'S MISSION AND SERVICES. PARTICIPANTS IN THESE COALITIONS INCLUDE THE MAJOR CHILD AND ADOLESCENT HEALTH-FOCUSED COMMUNITY-BASED ORGANIZATIONS IN WESTCHESTER. BLYTHEDALE ALSO HAS CLOSE WORKING RELATIONSHIPS WITH MANY OF THE SCHOOL DISTRICTS IN WESTCHESTER COUNTY, THROUGH ITS NUTRITION EDUCATION ACTIVITIES, AND THROUGH ARRANGEMENTS WHEREBY BLYTHEDALE STAFF ARE CONTRACTED TO PROVIDE PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES TO CHILDREN IN THE SCHOOLS.
PART VI, LINE 3:CONSISTENT WITH ITS MISSION AND STATE REQUIREMENTS (NEW YORK STATE PUBLICHEALTH LAW 2807(K) (9-A), BLYTHEDALE HAS DEVELOPED GUIDELINES THAT DELINEATE THE CIRCUMSTANCES AND PROCEDURES UNDER WHICH FREE OR REDUCED COST CARE IS AVAILABLE. THESE GUIDELINES ARE MADE AVAILABLE TO ALL FAMILIES UPON REGISTRATION, AND HOSPITAL STAFF PROVIDE COUNSELING AS NECESSARY. INTERPRETATION SERVICES ARE AVAILABLE FOR PATIENTS NEEDING INFORMATION IN LANGUAGES OTHER THAN ENGLISH. PATIENTS ARE ALSO NOTIFIED OF BLYTHEDALE'S CHARITY CARE FINANCIAL ASSISTANCE POLICIES THROUGH NOTICES IN ENGLISH AND SPANISH POSTED IN THE HOSPITAL'S LOBBY AND IN PATIENT REGISTRATION AND WAITING AREAS. IN ADDITION, BLYTHEDALE'S PATIENT ASSISTANCE FUNDS HELPS PROVIDE CHILDREN WITH VARIOUS ITEMS (I.E., EQUIPMENT, CLOTHING, ETC.) WHERE FAMILY RESOURCES ARE LIMITED AND INSURANCE DOES NOT COVER.
PART VI, LINE 4:AS A SPECIALTY CHILDREN'S HOSPITAL SERVING CHILDREN WITH A BROAD RANGE OF DIAGNOSES, BLYTHEDALE'S SERVICE AREA IS WIDESPREAD, WITH PATIENTS COMING FROM THE ENTIRE SOUTHERN PORTION OF NEW YORK STATE AS WELL AS ADJACENT AREAS OF NEW JERSEY AND CONNECTICUT: NEW YORK CITY (54%), HUDSON VALLEY (29%), LONG ISLAND (7%), OUT OF STATE (10%). THE HOSPITAL IS LOCATED IN A SUBURBAN COUNTY (WESTCHESTER) THAT IS PART OF THE GREATER NEW YORK METROPOLITAN AREA. BLYTHEDALE'S PATIENT POPULATION REFLECTS THE ETHNIC AND RACIAL DIVERSITY OF ITS LARGE SERVICE AREA, AS ILLUSTRATED BY BOTH ITS INPATIENT POPULATION: ASIAN (4%); BLACK OR AFRICAN-AMERICAN (32%); HISPANIC OR LATINO (33%); WHITE (25%); OTHER (6%), AND OUTPATIENT POPULATION: ASIAN (4%); BLACK OR AFRICAN-AMERICAN (21%); HISPANIC OR LATINO (30%); WHITE (38%); OTHER (7%). TO ADDRESS THIS DIVERSITY, THE HOSPITAL PROVIDES STAFF TRAINING IN CULTURAL DIVERSITY, INTERPRETER SERVICES, DIETARY VARIETY AND OTHER ACCOMMODATIONS TO SUPPORT FAMILIES FROM DIFFERENT CULTURAL BACKGROUNDS WHILE THEIR CHILDREN ARE PATIENTS AT BLYTHEDALE.
PART VI, LINE 5:BLYTHEDALE OFFERS A NUMBER OF COMMUNITY HEALTH IMPROVEMENT PROGRAMS AND SPECIAL PROGRAMS FOR DEVELOPMENT OF THE PEDIATRIC PROFESSIONAL COMMUNITY: NUTRITION EDUCATION: IN A MAJOR INITIATIVE TO HELP REDUCE THE PREVALENCE OF CHILDHOOD OBESITY AND PREVENT ITS LONG TERM NEGATIVE HEALTH EFFECTS, BLYTHEDALE IS REACHING OUT TO SCHOOL DISTRICTS THROUGHOUT WESTCHESTER AND SURROUNDING COUNTIES WITH ITS EAT WELL BE WELL SCHOOL BASED NUTRITION EDUCATION PROGRAM. THE EAT WELL, BE WELL PROGRAM, WITH SUPPORT FROM KOHLS DEPARTMENT STORES, IS DESIGNED TO PROVIDE SCHOOL STAFF AND STUDENTS WITH THE TOOLS NECESSARY TO HELP CHILDREN DEVELOP HEALTHY EATING HABITS THROUGH A COMPREHENSIVE CURRICULUM DEVELOPED BY BLYTHEDALE'S REGISTERED DIETICIANS. TO DATE, THIS PROGRAM HAS REACHED MORE THAN 125,000 STUDENTS, AS WELL AS OVER 6,000 PARENTS AND SCHOOL STAFF IN SCHOOLS THROUGHOUT WESTCHESTER, ROCKLAND AND PUTNAM COUNTIES, WITH INFORMATION ON HOW TO MAKE FOOD AND LIFESTYLE CHOICES THAT WILL PROMOTE HEALTHY LIVING FOR A LIFETIME. IN 2018, THE PROGRAM FOCUSED ON AT-RISK SCHOOL DISTRICTS IN WESTCHESTER COUNTY, INCLUDING OSSINING AND YONKERS, REACHING MORE THAN 5,000 STUDENTS AND 200 STAFF MEMBERS. A COLLABORATION WITH FEEDING WESTCHESTER ENABLED US TO REACH 275 FAMILIES WITH DIETARY INFORMATION TRANSLATED IN SPANISH, RELATED TO FOOD PANTRY OFFERINGS. OUR PROMOTION OF NATIONAL NUTRITION MONTH REACHED 70 SCHOOLS, 36K STUDENTS AND 1,900 STAFF. ADDITIONALLY, WE PARTICIPATED IN THREE COMMUNITY EVENTS, SHARING MATERIALS AND NUTRITION GUIDANCE. IN ADDITION TO OUR OFF-SITE PROGRAMMING, WE HAVE AN EXTENSIVE PAID SOCIAL MEDIA CAMPAIGN PROMOTING OUR EAT WELL, BE WELL PROGRAM THAT REACHES 750,000 USERS ANNUALLY, AND A RADIO CAMPAIGN ON WCBS AM THAT RECORDS 29M IMPRESSIONS PER YEAR. TO DATE, THIS PROGRAM HAS REACHED MORE THAN 125,000 STUDENTS, AS WELL AS OVER 6,000 PARENTS AND SCHOOL STAFF IN SCHOOLS THROUGHOUT WESTCHESTER, ROCKLAND AND PUTNAM COUNTIES, WITH INFORMATION ON HOW TO MAKE FOOD AND LIFESTYLE CHOICES THAT WILL PROMOTE HEALTHY LIVING FOR A LIFETIME. IN 2018, THE PROGRAM FOCUSED ON AT-RISK SCHOOL DISTRICTS IN WESTCHESTER COUNTY, INCLUDING OSSINING AND YONKERS, REACHING MORE THAN 5,000 STUDENTS AND 200 STAFF MEMBERS. A COLLABORATION WITH FEEDING WESTCHESTER ENABLED US TO REACH 275 FAMILIES WITH DIETARY INFORMATION TRANSLATED IN SPANISH, RELATED TO FOOD PANTRY OFFERINGS. OUR PROMOTION OF NATIONAL NUTRITION MONTH REACHED 70 SCHOOLS, 36K STUDENTS AND 1,900 STAFF. ADDITIONALLY, WE PARTICIPATED IN THREE COMMUNITY EVENTS, SHARING MATERIALS AND NUTRITION GUIDANCE. IN ADDITION TO OUR OFF-SITE PROGRAMMING, WE HAVE AN EXTENSIVE PAID SOCIAL MEDIA CAMPAIGN PROMOTING OUR EAT WELL, BE WELL PROGRAM THAT REACHES 750,000 USERS ANNUALLY, AND A RADIO CAMPAIGN ON WCBS AM THAT RECORDS 29M IMPRESSIONS PER YEAR.FIRST RESPONDER TRAINING PROGRAM: BLYTHEDALE, IN COORDINATION WITH THE WESTCHESTER REGIONAL EMS OFFICE, WESTCHESTER COUNTY DEPARTMENT OF ENVIRONMENTAL SERVICES, AND THE NYS EMS FOR CHILDREN PROGRAM, HAS DEVELOPED A SPECIAL PEDIATRIC CME SERIES FOR FIRST RESPONDERS OF THE WESTCHESTER EMS REGION. THE SERIES COVERS SUBJECTS VITAL TO FIRST RESPONDERS, INCLUDING TRAUMATIC BRAIN INJURY, AUTISM, TECHNOLOGY AND CARE OF THE INFANT OR CHILD, CHILD ABUSE/NEGLECT AND CHILD/INFANT SAFETY DURING TRANSFER. THE COURSES WERE PRESENTED BY BLYTHEDALE CLINICAL EXPERTS, INCLUDING PHYSICIANS, NURSES, THERAPISTS AND OTHER CLINICAL EXPERTS AND REACHED OVER 230 FIRST RESPONDERS.CPR TRAINING CENTER: BLYTHEDALE IS A COMMUNITY TRAINING CENTER FOR THE AMERICAN HEART ASSOCIATION, PROVIDING TRAINING IN HEARTSAVER CPR, HEARTSAVER AED, HEARTSAVER FIRST AID, BASIC LIFE SUPPORT AND PEDIATRIC ADVANCED LIFE SUPPORT AND RELATED PROGRAMS. THOSE 3,836 INDIVIDUALS TRAINED IN 2016 INCLUDED HEALTH CARE PROFESSIONALS, MEMBER OF LOCAL POLICE AND FIRE DEPARTMENTS, STUDENTS AT AREA SCHOOLS AND STAFF FROM VARIOUS COMMUNITY AGENCIES.SERVICES TO THE PROFESSIONAL COMMUNITY: BLYTHEDALE ALSO PROVIDES CLINICAL TRAINING FOR SCORES OF PROFESSIONAL STUDENTS IN A WIDE RANGE OF FIELDS, INCLUDING MEDICINE, NURSING, RESPIRATORY THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY AND SOCIAL WORK. BLYTHEDALE ALSO SPONSORS SPECIALIZED COURSES ON PEDIATRIC ISSUES FOR AREA PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS.
PART VI, LINE 7, REPORTS FILED WITH STATESNY

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LARRY LEVINE
PRESIDENT AND CEO$657,833$0$135,061$0$13,690$0$117,516$0$54,313$0$978,413$0$0$0
SUSAN GOODBODY MURRAY
CHIEF ENGAGEMENT & EXPERIENCE$195,816$0$11,703$0$0$0$22,716$0$15,725$0$245,960$0$0$0
ADAM SCOTT HERBST
CHIEF LEGAL,GOV'T RELATIONS,ST$203,604$0$14,350$0$0$0$5,285$0$14,888$0$238,127$0$0$0
SCOTT M KLEIN
CHIEF MEDICAL OFFICER$457,135$0$73,554$0$0$0$65,428$0$53,993$0$650,110$0$0$0
JOHN EDWARD CANNING
CHIEF FINANCIAL OFFICER$391,722$0$63,028$0$8,737$0$72,167$0$52,773$0$588,427$0$0$0
MAUREEN DESIMONE
CHIEF OPERATING OFFICER$300,694$0$0$0$6,901$0$355,657$0$56,706$0$719,958$0$0$0
CONSTANCE T CORNELL
VICE PRESIDENT OF STRATEGIC CO$135,809$0$5,728$0$0$0$5,661$0$45,443$0$192,641$0$0$0
LISA KOCH CAPOBIANCO
VICE PRESIDENT OF DEVELOPMENT$179,241$0$7,210$0$0$0$7,458$0$46,105$0$240,014$0$0$0
ROBERT R LANE
CHIEF DEVELOPMENT OFFICER$286,994$0$0$0$0$0$293,129$0$49,826$0$629,949$0$0$0
JILL MARIE WEGENER
CHIEF NURSING OFFICER$256,325$0$36,400$0$0$0$11,709$0$17,216$0$321,650$0$0$0
TRACY LYNN LAWRENCE-BLACK
LTC MEDICAL DIRECTOR$267,755$0$0$0$0$0$6,544$0$35,243$0$309,542$0$0$0
RUTH ESTHER ALEJANDRO
ATTENDING PHYSIATRIST$209,365$0$0$0$0$0$8,694$0$41,610$0$259,669$0$0$0
KATHY SILVERMAN
CLINICAL/UNIT CHIEF$302,926$0$0$0$0$0$61,319$0$26,052$0$390,297$0$0$0
BYRON FERNANDEZ
CLINICAL/UNIT CHIEF$330,681$0$0$0$0$0$21,469$0$45,877$0$398,027$0$0$0
MARY MARGARET DIDIE
CLINICAL/UNIT CHIEF$210,178$0$0$0$0$0$122,983$0$34,685$0$367,846$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINES 4A-BTHE HOSPITAL PROVIDES NON-QUALIFIED DEFERRED COMPENSATION IN THE FORM OF A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO MEMBERS OF A SELECT GROUP OF MANAGEMENT THAT INCLUDES LAWRENCE LEVINE-CEO, SCOTT KLEIN-CMO, AND JOHN CANNING-CFO. THE PLANS ARE UNFUNDED DEFINED CONTRIBUTION PLANS THAT ARE AT-RISK OF SIGNIFICANT FORFEITURE AND HAVE VESTING PERIODS RANGING FROM 5 TO 12 YEARS. FOR EACH PLAN YEAR THE HOSPITAL MAKES QUARTERLY CONTRIBUTIONS ON BEHALF OF THE PARTICIPANTS IN AN AMOUNT EQUAL TO SEVENTEEN AND ONE HALF PERCENT (17.5%), TEN PERCENT (10%), AND FIFTEEN PERCENT (15%) RESEPECTIVELY FOR THE CEO, COO, AND CFO. IN 2019, THE HOSPITAL CONTRIBUTED THE FOLLOWING AMOUNTS LARRY LEVINE - CEO $117,516 SCOTT KLEIN - CMO $45,713 JOHN CANNING - CFO $58,758 IN 2019, THE HOSPITAL MADE SEVERANCE PAYMENT TO THE FOLLOWING PERSONS: MAUREEN DESIMONE - CHIEF OPERATING OFFICER $79,102 (SALARIES: $71,372; FRINGES: $ 5,560; TAXES: $2,170) ROBERT R LANE - CHIEF DEVELOPMENT OFFICER $38,403 (SALARIES: $31,494; FRINGES: $ 4,903; TAXES: $2,006) IN 2019, THE HOSPITAL ACCRUED 2020 SEVERANCE PAYMENT TO THE FOLLOWING PERSONS: MAUREEN DESIMONE - CHIEF OPERATING OFFICER $355,657 (SALARIES: $309,278; FRINGES: $ 33,358; TAXES: $13,022) ROBERT R LANE - CHIEF DEVELOPMENT OFFICER $282,909 (SALARIES: $241,456; FRINGES: $ 29,415; TAXES: $12,039)
PART I, LINE 7BLYTHEDALE ENGAGED SULLIVAN COTTER IN 2019 TO DEVELOP AND PROVIDE RECOMMENDATIONS TO THE COMPENSATION COMMITTEE OF THE BOARD REGARDING PAYMENT OF AN ANNUAL PERFORMANCE INCENTIVE PLAN FOR EMPLOYEES WITH MANAGEMENT RESPONSIBILITIES. THIS INCENTIVE PLAN CONDITIONS PAYMENTS BASED UPON THE ACHIEVEMENT OF MULTIPLE INDIVIDUAL AND ORGANIZATIONAL MEASURES. FUNDING FOR THE PLAN IS DEPENDENT UPON ANNUAL BOARD OF TRUSTEES APPROVAL. BASED UPON THE FINANCIAL CONDITIONS TOWARD THE END OF EACH FISCAL YEAR, THE BOARD WILL EVALUATE THE APPROPRIATENESS OF ESTABLISHING A LUMP SUM POOLED AMOUNT. EVEN IF ALL RELEVANT PERFORMANCE MEASURES ARE ACHIEVED, THE BOARD OF TRUSTEES RETAINS FULL DISCRETION TO MAKE, NOT MAKE OR REDUCE THE AMOUNT OF ANY INCENTIVE AWARDS.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1DORMITORY AUTHORITY OF NY (DASNY)BusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN146000293BondIssuerEIN
CUSIP649905DG8CUSIPNum
Bond Issued2009-06-19BondIssuedDt
Issue Price$27,000,000IssuePriceAmt
PurposeCONSTRUCTIONPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$6,110,000RetiredAmt
Total Proceeds$26,748,127TotalProceedsAmt
In Reserve Fund$109,163InReserveFundAmt
Issuance Costs From Proceeds$540,000IssuanceCostsFromProceedsAmt
Credit Enhancement$820,868CreditEnhancementAmt
Capital Expenditures$25,387,259CapitalExpendituresAmt
Substantial Completion2011SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts0EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds InvestedYes (1)GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, COLUMN (E) & PART II, LINE 3:THE DIFFERENCE BETWEEN THE ISSUE PRICE (PART I, COLUMN (E)) AND TOTAL PROCEEDS (PART II, LINE 3) IS DUE TO (A) AN INCREASE FOR INVESTMENT EARNINGS OF $227,835, AND (B) A DECREASE DUE TO SALE PROCEEDS OF $479,707 THAT WERE USED TO CALL AND RETIRE OUTSTANDING BONDS.
PART II, LINE 4:THE AMOUNT ENTERED HERE IS A DEBT SERVICE FUND BALANCE.
PART IV, LINE 2C:THE DATE OF THE COMPUTATION IS NOT KNOWN BY BLYTHEDALE CHILDREN'S HOSPITAL. ARBITRAGE REPORTING IS HANDLED BY THE ACTUAL ISSUER OF THE BONDS, AND BLYTHEDALE CHILDREN'S HOSPITAL DOES NOT HAVE A COPY OF THE ACTUAL REBATE REPORT.
PART IV, LINE 6:SUCH AMOUNTS WERE APPROPRIATELY YIELD RESTRICTED

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution17ContributionCnt
Noncash Contributions Rpt F990$171,144NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOST OR SELLING PRICEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE VALUES REPRESENT THE NUMBER OF CONTRIBUTION TRANSACTIONS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2JOHN FURTH AND OWEN GUTFREUND (BOARD MEMBERS) HAVE A FAMILY RELATIONSHIP. DAVID PEDOWITZ HAS A BUSINESS RELATIONSHIP WITH PATRICIA STANLEY, LARRY COHEN, AND PEGGY TANNER (BOARD MEMBERS, AND FORMER BOARD MEMBER, RESPECTIVELY).
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BLYTHEDALE CHILDREN'S HOSPITAL'S BOARD OF TRUSTEES PRIOR TO ITS FILING WITH THE INTERNAL REVENUE SERVICE. THE FORM 990 IS REVIEWED BY THE BLYTHEDALE FINANCE DEPARTMENT AS WELL AS BY DELOITTE TAX, LLP, BEFORE IT IS PRESENTED TO THE BOARD'S AUDIT & COMPLIANCE COMMITTEE. THE COMMITTEE THEN PROVIDES AN OVERVIEW OF THE FORM 990 TO THE FULL BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS, SENIOR MANAGEMENT AND KEY EMPLOYEES OF BLYTHEDALE CHILDREN'S HOSPITAL MUST COMPLETE A STATEMENT ANNUALLY AND WHENEVER NEW INFORMATION ARISES, WHICH DISCLOSES ANY POTENTIAL CONFLICT OF INTEREST, AS REQUIRED BY THE HOSPITAL'S CONFLICT OF INTEREST POLICY. THESE STATEMENTS ARE REVIEWED BY THE HOSPITAL'S COMPLIANCE OFFICER WHO PREPARES A REPORT ON DISCLOSURES FOR THE BOARD'S AUDIT & COMPLIANCE COMMITTEE. HOSPITAL BOARD MEMBERS AND STAFF ARE TRAINED AND EDUCATED ON THEIR OBLIGATIONS UNDER THIS POLICY, INCLUDING ITS GIFT AND GRATUITIES PROVISIONS. ONCE A YEAR, THE HOSPITAL DISTRIBUTES A CERTIFICATION AND DISCLOSURE FORM TO ITS OFFICERS, DIRECTORS AND KEY EMPLOYEES, IN WHICH EACH RESPONDENT CERTIFIES THAT HE OR SHE: (I) HAS RECEIVED A COPY OF THE CONFLICT OF-INTEREST POLICY; (II) HAS READ AND UNDERSTANDS THE POLICY; (III) HAS AGREED TO COMPLY WITH THE POLICY; AND (IV) UNDERSTANDS THAT THE HOSPITAL IS CHARITABLE AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF ITS EXEMPT PURPOSES AND NOT ENGAGE IN ACTIVITIES AND TRANSACTIONS THAT PROVIDE IMPERMISSIBLE BENEFITS TO INDIVIDUALS OR ENTITIES. IN ADDITION, THE CERTIFICATION AND DISCLOSURE FORM ALSO REQUIRE EACH PERSON TO EITHER: (I) CERTIFY THAT HE OR SHE HAS NO ACTUAL OR POSSIBLE CONFLICT OF INTEREST TO REPORT, OR (II) DESCRIBE ANY RELATIONSHIPS, TRANSACTIONS, OR OTHER CIRCUMSTANCES, INCLUDING THOSE OF AN IMMEDIATE FAMILY MEMBER, THAT COULD RESULT IN A CONFLICT BETWEEN THE HOSPITAL'S INTERESTS AND HIS OR HER PERSONAL, FINANCIAL OR OTHER INTERESTS. AS PART OF THE ANNUAL PROCESS, THE HOSPITAL PROVIDES EACH PERSON COVERED BY THE CONFLICT-OF-INTEREST POLICY WITH A COPY OF THE POLICY AND OFFERS INDIVIDUALS THE OPPORTUNITY TO ASK QUESTIONS ABOUT THE POLICY. THE COVERED PERSONS SHOULD THEN BE REQUIRED TO COMPLETE AND SIGN THE CERTIFICATION AND DISCLOSURE FORM, WHICH SHOULD BE RETAINED IN THE HOSPITAL'S FILES. TO PROPERLY MONITOR AND ENFORCE A CONFLICT-OF-INTEREST POLICY, THE HOSPITAL IS DILIGENT IN REVIEWING THE ANNUAL DISCLOSURE FORMS SUBMITTED BY COVERED PERSONS, AND IN COMPILING AND MAINTAINING A LIST OF POTENTIALLY CONFLICTED ENTITIES AND INDIVIDUALS. PROPOSED TRANSACTIONS CAN THEN BE MATCHED AGAINST THE LIST AS A MEANS OF IDENTIFYING POSSIBLE CONFLICTS. THE HOSPITAL HAS IDENTIFIED THE CHIEF COMPLIANCE OFFICER AS THE PERSON ULTIMATELY RESPONSIBLE FOR MAINTAINING THE LIST AND SCREENING FOR POSSIBLE CONFLICTS OF INTEREST. WHEN DEALING WITH MAJOR VENDORS AND SERVICE PROVIDERS, THE HOSPITAL ASKS THE VENDOR OR SERVICE PROVIDER TO DISCLOSE ANY RELATIONSHIP - PERSONAL, FINANCIAL, OR OTHERWISE - THAT THE VENDOR OR SERVICE PROVIDER HAS WITH ANY OF THE HOSPITAL'S DIRECTORS, OFFICERS, EMPLOYEES OR VOLUNTEERS. IN ADDITION, THE HOSPITAL UNDERTAKES PERIODIC REVIEWS OF TRANSACTIONS INVOLVING ANY SIGNIFICANT EXPENDITURE OF ORGANIZATIONAL FUNDS TO ENSURE ANY COMPENSATION PAID CONTINUES TO BE REASONABLE. IF A POSSIBLE CONFLICT IS IDENTIFIED WITH RESPECT TO A PROPOSED TRANSACTION, THE HOSPITAL IS COMMITTED TO FOLLOWING THE PROCEDURES SET OUT IN ITS CONFLICT-OF INTEREST POLICY FOR DETERMINING WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS, AND THE PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST. AMONG THE STEPS THE HOSPITAL TAKES ARE THE FOLLOWING: (I) THE PERSON WITH THE POTENTIAL CONFLICT WITH RESPECT TO A TRANSACTION SHOULD DISCLOSE SUCH CONFLICT (II) THE PERSON DOES NOT PARTICIPATE OR BE PRESENT AT ANY MEETING DURING WHICH THE DISCUSSION OF THE POSSIBLE CONFLICT OF INTEREST TAKES PLACE (III) THE CHAIR OF THE BOARD, IF APPROPRIATE, APPOINT A COMMITTEE OF THE BOARD MADE UP OF DISINTERESTED DIRECTORS TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION (IV) F A MORE ADVANTAGEOUS TRANSACTION IS NOT REASONABLY AVAILABLE, THE GOVERNING BOARD OR COMMITTEE DETERMINES WHETHER THE TRANSACTION IS IN THE ORGANIZATION'S BEST INTEREST AND IS FAIR AND REASONABLE.
FORM 990, PART VI, SECTION B, LINE 15BLYTHEDALE CHILDREN'S HOSPITAL MAINTAINS A DILIGENT, THOROUGH AND TRANSPARENT PROCESS TO EVALUATE EXECUTIVE COMPENSATION. ON AN ANNUAL BASIS, BLYTHEDALE FORMALLY ENGAGES SULLIVAN, COTTER AND ASSOCIATES TO PROVIDE THE COMPENSATION COMMITTEE WITH A COMPLETE TOTAL COMPENSATION STUDY OF ALL ELEMENTS OF EXECUTIVE COMPENSATION. THIS IS DONE TO ENSURE THE OVERALL REASONABLENESS OF THE TOTAL COMPENSATION PROVIDED TO ITS CHIEF EXECUTIVE OFFICER AND ALL OTHER CHIEF OFFICERS. IN ADDITION, BLYTHEDALE ALSO ENGAGES SULLIVAN, COTTER AND ASSOCIATES TO REVIEW BOTH THE NATIONAL AND REGIONAL HEALTHCARE MARKETPLACE TO DETERMINE ANNUAL BASE PAY INCREASE PROJECTIONS FOR ALL MAIN EMPLOYEE CATEGORIES INCLUDING EXECUTIVES. SULLIVAN, COTTER AND ASSOCIATES IS A WELL REGARDED COMPENSATION CONSULTING FIRM WITH REGIONAL AND NATIONAL EXPERTISE. THE FIRM COMPARES BLYTHEDALE'S EXECUTIVE COMPENSATION TO A PRIMARY COMPARATOR MARKET OF SIMILARLY SITUATED ORGANIZATIONS THAT INCLUDES REGIONAL CHILDREN'S AND REHABILITATION NOT-FOR-PROFIT HOSPITALS; NOT-FOR-PROFIT HOSPITALS IN THE METROPOLITAN NEW YORK AREA; AND NOT-FOR-PROFIT HOSPITALS IN THE HUDSON VALLEY REGION. THE PRIMARY COMPARATOR MARKET REFLECTS THE ORGANIZATION'S EXECUTIVE RECRUITMENT AND RETENTION MARKET AND COMPLIES WITH THE DEFINITION OF "COMPARABLE ORGANIZATIONS AS SET FORTH IN THE IRS INTERMEDIATE SANCTIONS REGULATIONS. IN NOVEMBER 2019, SULLIVAN, COTTER AND ASSOCIATES PROVIDED TO THE BOARD'S COMPENSATION COMMITTEE AN ASSESSMENT OF THE COMPETITIVENESS OF THE TOTAL COMPENSATION PROVIDED TO BLYTHEDALE'S EXECUTIVES RELATIVE TO PREVALENT AND COMPARABLE MARKETPLACE PRACTICES. FURTHERMORE, SULLIVAN COTTER ASSISTED THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES IN REVIEWING BLYTHEDALE'S EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT AND REVIEWED THE RANGES FOR INCENTIVE COMPENSATION AWARDS FOR THE CEO AND OTHER EXECUTIVES. IN ADDITION TO ANALYZING THE DATA PROVIDED BY SULLIVAN, COTTER AND ASSOCIATES, THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES CONSIDERS A NUMBER OF FACTORS WHEN REVIEWING AND ESTABLISHING COMPENSATION FOR THE CEO AND ALL OTHER CHIEF OFFICERS INCLUDING BUT NOT LIMITED TO THE FOLLOWING: DEVELOPMENT OF NEW PROGRAMS; MOBILIZING THE HOSPITAL TO STRIVE FOR EXCELLENT RESULTS IN PATIENT CARE; MANAGEMENT PERFORMANCE AND COMPLIANCE WITH ALL PROFESSIONAL AND REGULATORY STANDARDS; AND INITIATIVES AND FACILITIES TO SUPPORT AND ADVANCE BLYTHEDALE'S MISSION WHILE EFFECTIVELY ALLOCATING AND MANAGING THE HOSPITAL'S RESOURCES. BY REVIEWING THE COMPENSATION DATA FROM INDEPENDENT SOURCES FOR FUNCTIONALLY COMPARABLE POSITIONS IN ORGANIZATIONS COMPARABLE TO BLYTHEDALE AND BY ANALYZING THE INTERNAL PERFORMANCE DATA, THE COMPENSATION COMMITTEE DETERMINES THAT IT PROVIDES A "REBUTTABLE PRESUMPTION OF REASONABLENESS" THAT THE TOTAL COMPENSATION PROVIDED TO BLYTHEDALE EXECUTIVES IS REASONABLE AND CONSISTENT WITH MARKET PRACTICES. IN DECEMBER 2019, WITHOUT INPUT OR VOTING PARTICIPATION BY THE INDIVIDUALS WHOSE COMPENSATION WAS APPROVED, THE COMPENSATION COMMITTEE APPROVED INCENTIVE COMPENSATION AWARDS FOR THE CEO AND EXECUTIVE MANAGEMENT TEAM AND APPROVED THE PROPOSED 2020 EXECUTIVE BASE COMPENSATION. THE FINAL DETERMINATION OF THE COMMITTEE WAS DOCUMENTED AND AN OVERVIEW WAS PROVIDED TO THE FULL BOARD OF TRUSTEES TO ENSURE FULL DISCLOSURE AND TRANSPARENCY OF EXECUTIVE COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19BLYTHEDALE CHILDREN'S HOSPITAL MAKES ITS FORM 990 AND FORM 1023 AVAILABLE TO THE PUBLIC BY RETAINING A COPY OF EACH AT THE ADDRESS LISTED ON PAGE 1 OF THIS RETURN. THE ORGANIZATION' S FORM 990 IS ALSO AVAILABLE FOR PUBLIC INSPECTION ON WWW.GUIDESTAR.ORG. THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND AT MANAGEMENT'S DISCRETION.
FORM 990, PART XI, LINE 9:CHANGE IN PENSION LIABILITY -5,332,848.