BLYTHEDALE CHILDRENS HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: BLYTHEDALE CHILDRENS HOSPITAL (EIN 13-1739922)
Tax period: 2018-01-01 to 2018-12-31
Filed: 2019-11-13
IRS object ID: 201933179349303568
Schema version: 2018v3.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-11-13T10:58:14-06:00	ReturnTs
Tax Period End	2018-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	861065772	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	30 ROCKEFELLER PLAZA	AddressLine1Txt
City	NEW YORK	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10112	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	131739922	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BLYTHEDALE CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BLYT	BusinessNameControlTxt
Phone	9145927555	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	95 BRADHURST AVE	AddressLine1Txt
City	VALHALLA	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10595	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN CANNING	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	9145927555	PhoneNum
Signature	2019-11-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JEANNE FAHRENBACH	PreparerPersonNm
PTIN	P01365953	PTIN
Phone	2124924000	PhoneNum
Preparation	2019-11-13	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.219.172.209	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-11-13	IPDt
IP Tm	08:47:43	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	943C2B779621AE68CF3E0BED5C235FDF89DF7949	AtSubmissionCreationDeviceId
At Submission Filing Device Id	C9ED19D146748CAC02A1A8999E376782BC08CAB7	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOHN CANNING	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	95 BRADHURST AVE	AddressLine1Txt
City	VALHALLA	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10595	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$148,993,768	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BLYTHEDALE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1891	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	BLYTHEDALE CHILDREN'S HOSPITAL IS DEDICATED TO IMPROVING THE HEALTH & WELL-BEING OF CHILDREN.	ActivityOrMissionDesc
Voting Members Governing Body	23	VotingMembersGoverningBodyCnt
Voting Members Independent	22	VotingMembersIndependentCnt
Total Employee	627	TotalEmployeeCnt
Total Volunteers	281	TotalVolunteersCnt
Total Gross UBI	-$309	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$309	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$3,716,462	PYContributionsGrantsAmt
CY Contributions Grants	$4,273,387	CYContributionsGrantsAmt
PY Program Service Revenue	$72,362,491	PYProgramServiceRevenueAmt
CY Program Service Revenue	$76,504,576	CYProgramServiceRevenueAmt
PY Investment Income	$7,453,734	PYInvestmentIncomeAmt
CY Investment Income	$2,916,695	CYInvestmentIncomeAmt
PY Other Revenue	$3,879,114	PYOtherRevenueAmt
CY Other Revenue	$3,854,412	CYOtherRevenueAmt
PY Total Revenue	$87,411,801	PYTotalRevenueAmt
CY Total Revenue	$87,549,070	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$50,018,723	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$53,228,831	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$874,804	CYTotalFundraisingExpenseAmt
PY Other Expenses	$25,785,943	PYOtherExpensesAmt
CY Other Expenses	$27,043,198	CYOtherExpensesAmt
PY Total Expenses	$75,804,666	PYTotalExpensesAmt
CY Total Expenses	$80,272,029	CYTotalExpensesAmt
PY Revenues Less Expenses	$11,607,135	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,277,041	CYRevenuesLessExpensesAmt
Total Assets BOY	$234,170,708	TotalAssetsBOYAmt
Total Assets EOY	$227,423,108	TotalAssetsEOYAmt
Total Liabilities BOY	$48,147,819	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$41,548,022	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$186,022,889	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$185,875,086	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	BLYTHEDALE 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 Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$43,959,616	ExpenseAmt
Revenue	$53,079,616	RevenueAmt
Desc	INPATIENT 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 2018, 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 78 INPATIENTS, AND 24 LONG TERM CARE PATIENTS PER DAY IN 2018. THE HOSPITAL RECEIVED OVER 850 REGIONAL REFERRALS IN THE YEAR AND ADMITTED 520 KIDS. OVER 75% OF OUR INPATIENT ADMISSIONS WERE REIMBURSED THROUGH THE MEDICAID PROGRAM (FFS & MANAGED) IN 2018. WHILE 100% OF THE HOSPITALS INPATIENT POPULATION IS REFERRED IN FROM OTHER ACUTE CARE HOSPITALS IN THE REGION, OVER >65% COME DIRECTLY FROM INTENSIVE CARE UNITS (ICU'S). THIS SPEAKS TO THE HIGH ACUITY OF THE PATIENT POPULATION BEING MANAGED AT BLYTHEDALE. IN 2018 ALMOST 80% 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

Field	Value	IRS element (for citing)
Expense	$10,591,928	ExpenseAmt
Revenue	$9,308,685	RevenueAmt
Desc	DAY 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 2018, BLYTHEDALE ADMITTED 128 CHILDREN TO THE PROGRAM. 35 % 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 2018, THE PROGRAM SERVED ON AVERAGE OF 100 PATIENTS PER SCHOOL DAY FOR A TOTAL OF 17,925 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 2018, THE PROGRAM SERVED 40 PATIENTS FOR A TOTAL OF 3,621 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 EMOTIONALDEVELOPMENT- CONGENITAL OR ACQUIRED ABNORMALITIES- DIAGNOSED MEDICAL CONDITIONS SUCH AS CEREBRAL PALSY, NEUROMUSCULAR OROTHER NEUROLOGICAL DISORDERS	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$13,176,829	ExpenseAmt
Revenue	$12,361,874	RevenueAmt
Desc	THE 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 2018, THE HOSPITAL CARED FOR 32 CHILDREN AND RAN AN AVERAGE OCCUPANCY OF 98.1%. 73% OF THE CHILDREN WERE UNDER THE AGE OF 6 ON ADMISSION 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 Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Revenue	$2,091,928	RevenueAmt
Desc	IN 2018, THE HOSPITAL PROVIDED 2,713 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 DISORDERS BLYTHEDALE 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 TIME" IN THE "RIGHT CARE" BEING PROVIDED AT THE "RIGHT 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

Field	Value	IRS element (for citing)
Total Other Prog Srvc Revenue	$2,091,928	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$67,728,373	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	149	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	627	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
DAF Excess Business Holdings	0	DAFExcessBusinessHoldingsInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	23	GoverningBodyVotingMembersCnt
Independent Voting Member	22	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOHN CANNING	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	9145927555	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	95 BRADHURST AVE	AddressLine1Txt
City	VALHALLA	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10595	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ABBY POPPER
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
ADAM GALEON
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
ALAN GERSTEIN
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
DAVID R PEDOWITZ
CHAIRMAN	0.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
DEAN CURNUTT
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
FARREL STARKER
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
FRANK A STERN RESIGNED 6418
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
HOWARD ADLER
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
JOHN L FURTH
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
JON M BURNHAM RESIGNED 6418
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
JORDANA HOLOVACH
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
JUDITH R WIENER GOODHUE
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
KIM MOTOLA
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
LANCE WACHENHEIM
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
LARRY W COHEN
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
LAUREN BUMBY MD
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
LUCY SCHMOLKA
SECRETARY	0.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
MICHAEL MARGULIES
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
OWEN GUTFREUND
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
PERRY C HOFFMEISTER
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
PETER D RITTMASTER
VICE CHAIR	0.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
SCOTT R LEVY
VICE CHAIR	0.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
STEVEN SOLOMON RESIGNED 6418
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
TIM EVNIN
TREASURER	0.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
VIRGINIA FURTH WEISMAN
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
WILLIAM G LEVY
TRUSTEE	0.00	0.00	Yes (X)	$0	$0	$0
ADAM HERBST CHIEF
LEGAL & COMPLIANCE	40.00	0.00		$215,554	$0	$22,393	Yes (X)
JILL WEGENER
CNO	40.00	0.00		$260,973	$0	$26,097	Yes (X)
JOHN CANNING
CFO	40.00	0.00		$450,307	$0	$121,301	Yes (X)
LARRY LEVINE
CEO	40.00	0.00		$794,224	$0	$165,481	Yes (X)
MAUREEN DESIMONE
CAO	40.00	0.00		$317,967	$0	$42,989	Yes (X)
ROBERT LANE
CHIEF DEVELOPMENT	40.00	0.00		$276,351	$0	$64,080	Yes (X)
RON GALLO
CHR	40.00	0.00		$76,589	$0	$14,830	Yes (X)
SCOTT KLEIN
CMO	40.00	0.00		$515,232	$0	$112,007	Yes (X)
SUSAN GOODBODY-MURRAY
CXO	40.00	0.00		$201,017	$0	$46,406	Yes (X)
BYRON FERNANDEZ
MD	40.00	0.00		$322,128	$0	$59,892		Yes (X)
KATHY SILVERMAN
MD	40.00	0.00		$294,286	$0	$69,198		Yes (X)
MARY DIDIE
MD	40.00	0.00		$203,683	$0	$105,386		Yes (X)
RUTH ALEJANDRO
MD	40.00	0.00		$204,055	$0	$53,176		Yes (X)
TRACY LAWRENCE-BLACK
MD	40.00	0.00		$248,611	$0	$44,519		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,380,977	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$947,755	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	131	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SODEXO INC & AFFILIATES
9801 WASHINGTONIAN BLVD	GATHERSBURG	MD	20878	CONTRACTED SERVICES	$3,718,953
CARDINAL HEALTH-411
5303 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	MED SURG SUPPLIES	$2,083,293
ALLEGIANCE CORP DBA CARDINAL HEALTH 11
7000 CARDINAL PLACE	DUBLIN	OH	43017	MED SURG SUPPLIES	$1,212,801
DELL MARKETING LP
PO BOX 149256	AUSTIN	TX	78714	DISTRIBUTORS	$775,979
BURKE MEDICAL RESEARCH INSTITUTE
785 MAMARONECK AVE	WHITE PLAINS	NY	10605	HOSPITAL	$664,488

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	9	CntrctRcvdGreaterThan100KCnt
Fundraising	$1,466,326	FundraisingAmt
All Other Contributions	$2,807,061	AllOtherContributionsAmt
Noncash Contributions	$1,064,815	NoncashContributionsAmt
Total Contributions	$4,273,387	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INPATIENT	622110	$53,079,616	$53,079,616
LONG TERM CARE	622110	$12,361,874	$12,361,874
DAY HOSPITAL	622110	$9,308,685	$9,308,685
BUFSD SCHOOL	611710	$1,006,842	$1,006,842
OUTPATIENT/EARLY INT	621400	$488,127	$488,127

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$259,432	TotalRevenueColumnAmt
Related Or Exempt Func Income	$259,432	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$76,504,576	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,391,577	TotalRevenueColumnAmt
Unrelated Business Revenue	-$309	UnrelatedBusinessRevenueAmt
Exclusion	$1,391,886	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$62,605,716	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$61,080,598	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,525,118	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,525,118	TotalRevenueColumnAmt
Exclusion	$1,525,118	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$165,075	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$1,466,326	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$364,100	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$199,025	TotalRevenueColumnAmt
Exclusion	-$199,025	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SPENDING POLICY	900099	$3,495,898	$3,495,898
CAFETERIA	722514	$220,012	$220,012
MEDICAL RECORDS	900099	$30,337		$30,337

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$307,190	TotalRevenueColumnAmt
Related Or Exempt Func Income	$307,190	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$4,053,437	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$87,549,070	TotalRevenueColumnAmt
Related Or Exempt Func Income	$76,842,103	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$309	UnrelatedBusinessRevenueAmt
Exclusion	$6,433,889	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,108,214	TotalAmt
Program Services	$1,295,189	ProgramServicesAmt
Management And General	$1,536,674	ManagementAndGeneralAmt
Fundraising	$276,351	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$36,715,863	TotalAmt
Program Services	$31,977,317	ProgramServicesAmt
Management And General	$4,567,404	ManagementAndGeneralAmt
Fundraising	$171,142	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,360,204	TotalAmt
Program Services	$3,657,517	ProgramServicesAmt
Management And General	$671,088	ManagementAndGeneralAmt
Fundraising	$31,599	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,251,291	TotalAmt
Program Services	$5,243,982	ProgramServicesAmt
Management And General	$961,888	ManagementAndGeneralAmt
Fundraising	$45,421	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,793,259	TotalAmt
Program Services	$2,320,081	ProgramServicesAmt
Management And General	$425,693	ManagementAndGeneralAmt
Fundraising	$47,485	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,338,214	TotalAmt
Program Services	$3,081,136	ProgramServicesAmt
Management And General	$239,278	ManagementAndGeneralAmt
Fundraising	$17,800	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$402,671	TotalAmt
Program Services	$333,331	ProgramServicesAmt
Management And General	$58,951	ManagementAndGeneralAmt
Fundraising	$10,389	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$304,992	TotalAmt
Program Services	$252,472	ProgramServicesAmt
Management And General	$44,651	ManagementAndGeneralAmt
Fundraising	$7,869	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$76,025	TotalAmt
Management And General	$76,025	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$529,000	TotalAmt
Management And General	$529,000	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$94,911	TotalAmt
Program Services	$78,675	ProgramServicesAmt
Management And General	$13,803	ManagementAndGeneralAmt
Fundraising	$2,433	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$215,655	TotalAmt
Program Services	$193,907	ProgramServicesAmt
Management And General	$18,490	ManagementAndGeneralAmt
Fundraising	$3,258	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,379,912	TotalAmt
Program Services	$1,142,291	ProgramServicesAmt
Management And General	$202,019	ManagementAndGeneralAmt
Fundraising	$35,602	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,420,149	TotalAmt
Program Services	$7,167,280	ProgramServicesAmt
Management And General	$214,114	ManagementAndGeneralAmt
Fundraising	$38,755	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$41,188	TotalAmt
Program Services	$38,067	ProgramServicesAmt
Management And General	$2,653	ManagementAndGeneralAmt
Fundraising	$468	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$115,735	TotalAmt
Program Services	$113,425	ProgramServicesAmt
Management And General	$1,964	ManagementAndGeneralAmt
Fundraising	$346	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$392,948	TotalAmt
Program Services	$392,948	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,586,852	TotalAmt
Program Services	$5,325,470	ProgramServicesAmt
Management And General	$1,229,765	ManagementAndGeneralAmt
Fundraising	$31,617	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$656,486	TotalAmt
Program Services	$543,439	ProgramServicesAmt
Management And General	$96,110	ManagementAndGeneralAmt
Fundraising	$16,937	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
CONTRACTED LABOR	$3,262,122	$2,728,883	$453,346	$79,893
TAXES/FEES/ASSESSMENTS	$1,044,386	$864,543	$152,898	$26,945
UTILITIES	$772,616	$639,572	$113,111	$19,933
DEBT FEES	$409,336	$338,848	$59,927	$10,561

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$80,272,029	TotalAmt
Program Services	$67,728,373	ProgramServicesAmt
Management And General	$11,668,852	ManagementAndGeneralAmt
Fundraising	$874,804	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$14,762,282	BOYAmt
EOY	$17,375,291	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,195,905	BOYAmt
EOY	$85,158	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,672,859	BOYAmt
EOY	$10,652,848	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$5,015,049	BOYAmt
EOY	$5,032,653	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$364,251	BOYAmt
EOY	$390,564	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$694,066	BOYAmt
EOY	$846,225	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$123,807,267	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$56,073,377	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$72,754,055	BOYAmt
EOY	$67,733,890	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$83,061,809	BOYAmt
EOY	$91,958,575	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$43,658,330	BOYAmt
EOY	$32,480,500	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$992,102	BOYAmt
EOY	$867,404	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$234,170,708	BOYAmt
EOY	$227,423,108	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,462,375	BOYAmt
EOY	$4,069,515	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,124,630	BOYAmt
EOY	$20,439,782	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$3,800,229	BOYAmt
EOY	$3,137,412	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,760,585	BOYAmt
EOY	$13,901,313	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$48,147,819	BOYAmt
EOY	$41,548,022	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$170,966,577	BOYAmt
EOY	$172,792,467	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,983,043	BOYAmt
EOY	$8,133,409	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,073,269	BOYAmt
EOY	$4,949,210	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$186,022,889	BOYAmt
EOY	$185,875,086	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$234,170,708	BOYAmt
EOY	$227,423,108	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,277,041	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$10,884,961	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$3,460,117	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$19,796	OtherActivitiesAmt
Total Lobbying Expenditures	$19,796	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	BLYTHEDALE 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.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,559,343	BeginningYearBalanceAmt
Contributions	$9,177,628	ContributionsAmt
Investment Earnings Or Losses	-$154,788	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,497,319	OtherExpendituresAmt
End Year Balance	$18,084,864	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,065,150	BeginningYearBalanceAmt
Contributions	$1,908,465	ContributionsAmt
Investment Earnings Or Losses	$609,854	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,024,123	OtherExpendituresAmt
End Year Balance	$11,559,346	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.83000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.17000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,383,879	OtherCostOrOtherBasisAmt
Book Value	$1,383,879	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$56,129,571	OtherCostOrOtherBasisAmt
Depreciation	$19,455,996	DepreciationAmt
Book Value	$36,673,575	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$62,987,288	OtherCostOrOtherBasisAmt
Depreciation	$34,919,037	DepreciationAmt
Book Value	$28,068,251	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,306,529	OtherCostOrOtherBasisAmt
Depreciation	$1,698,344	DepreciationAmt
Book Value	$1,608,185	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$67,733,890	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENTS- OTHER SECURITIES	Desc
Book Value	$32,480,500	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$32,480,500	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ASSET RETIREMENT	$178,584
ACCRUED PENSION LIABILITY	$11,844,449
CAPITAL LEASE OBLIGATION	$12,280
EST MALPRACTICE LIABILITIES	$1,866,000

Field	Value	IRS element (for citing)
Total Liability	$13,901,313	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$76,361,807	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$10,223,257	NetUnrealizedGainsInvstAmt
Other Revenue	$2,944,811	OtherRevenueAmt
Revenue Not Reported	-$7,278,446	RevenueNotReportedAmt
Revenue Subtotal	$83,640,253	RevenueSubtotalAmt
Other Revenues Not Included	$3,908,817	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$3,908,817	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$87,549,070	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$80,107,128	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$364,100	OtherExpensesIncludedAmt
Expenses Not Reported	$364,100	ExpensesNotReportedAmt
Expenses Subtotal	$79,743,028	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$529,001	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$529,001	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$80,272,029	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, 2018 AND 2017, ARE AVAILABLE FOR THE FOLLOWING PURPOSES: 2018 PLANT REPLACEMENT: 85,158 ENDOWMENT FUNDS WITH PERMANENTLY RESTRICTED CORPUS: 9,995,909 OTHER: 2,134,149 TOTAL: 13,082,619 2017 PLANT REPLACEMENT: 2,195,905 ENDOWMENT FUNDS WITH PERMANENTLY RESTRICTED CORPUS: 9,908,325 OTHER: 1,959,980 TOTAL: 15,056,312 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:	NET ASSETS RELEASED FROM RESTRICTION 3,473,812. INVESTMENT EXPENSE RECLASS -529,001.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RESTRICTED INVESTMENT INCOME 2,005. FUNDRAISING EXPENSE RECLASS -364,100. RESTRICTED CONTRIBUTIONS 4,270,912.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	FUNDRAISING EXPENSE RECLASS 364,100.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA & THE CARIBBEAN	0	0	INVESTMENTS	$15,735,882
EUROPE (INCLUDING ICELAND AND GREENLAND)	0	0	INVESTMENTS	$1,045,075

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$16,780,957	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$16,780,957	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (1)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	SPRING EVENT	Event1Nm
Gross Receipts Event1	$789,930	GrossReceiptsEvent1Amt
Charitable Contri Event1	$753,135	CharitableContriEvent1Amt
Gross Revenue Event1	$36,795	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$1,131	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$22,701	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$49,500	FoodAndBeverageEvent1Amt
Entertainment Event1	$6,049	EntertainmentEvent1Amt
Other Direct Expenses Event1	$14,895	OtherDirectExpensesEvent1Amt
Event2	STUART DIX GOLF	Event2Nm
Gross Receipts Event2	$460,750	GrossReceiptsEvent2Amt
Charitable Contri Event2	$381,220	CharitableContriEvent2Amt
Gross Revenue Event2	$79,530	GrossRevenueEvent2Amt
Rent Facility Costs Event2	$91,678	RentFacilityCostsEvent2Amt
Other Direct Expenses Event2	$4,751	OtherDirectExpensesEvent2Amt
Other Events Total	5	OtherEventsTotalCnt
Gross Receipts Other Events	$380,721	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$331,971	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$48,750	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$1,870	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$83,003	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$2,886	FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events	$85,636	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$1,631,401	GrossReceiptsTotalAmt
Charitable Contributions Tot	$1,466,326	CharitableContributionsTotAmt
Gross Revenue Total Events	$165,075	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$3,001	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$197,382	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$52,386	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$6,049	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$105,282	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$364,100	DirectExpenseSummaryEventsAmt
Net Income Summary	-$199,025	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	400.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,973	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,973	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,151,508	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$57,842,729	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,308,779	NetCommunityBenefitExpnsAmt
Total Expense	0.01630	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,163,481	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$57,842,729	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,320,752	NetCommunityBenefitExpnsAmt
Total Expense	0.01640	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$396,983	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$155,430	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$241,553	NetCommunityBenefitExpnsAmt
Total Expense	0.00300	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$283,661	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$207,443	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$76,218	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$595,953	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$346,368	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$249,585	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$549,604	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,660	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$486,944	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,826,201	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$771,901	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,054,300	NetCommunityBenefitExpnsAmt
Total Expense	0.01310	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$60,989,682	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$58,614,630	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,375,052	NetCommunityBenefitExpnsAmt
Total Expense	0.02950	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$910,787	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$512,765	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$398,022	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$910,787	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$512,765	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$398,022	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$0	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$0	CostOfCareReimbursedByMedcrAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BLYTHEDALE CHILDREN'S HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	95 BRADHURST AVE	AddressLine1Txt
City	VALHALLA	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	10595	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.BLYTHEDALE.ORG	WebsiteAddressTxt
State License	5957000H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Other	THE STEVEN & ALEXANDRA COHEN PEDIATRIC LONG TERM CARE FACILITY	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BLYTHEDALE CHILDREN'S HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	16	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.BLYTHEDALE.ORG	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.BLYTHEDALE.ORG	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	400.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.BLYTHEDALE.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.BLYTHEDALE.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.BLYTHEDALE.ORG	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	0	NondisEmergencyCarePolicyInd
No Emergency Care	Yes (X)	NoEmergencyCareInd
Other Reason	Yes (X)	OtherReasonInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
BLYTHEDALE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 5: IN JANUARY 2016, THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH CONVENED A WORKGROUP OF LOCAL HOSPITALS TO SELECT TWO PRIORITIES FROM THE STATE'S PREVENTION AGENDA AND COLLABORATIVELY DEVELOP PLANS TO ADDRESS THESE PRIORITIES AS PART OF THE COUNTY HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT AND THE HOSPITAL'S COMMUNITY SERVICE PLANS. IN ADDITION TO WORKGROUP MEETINGS, THE COUNTY HEALTH DEPARTMENT ALSO HELD A HEALTH CARE SUMMIT IN AUGUST 2016 TO GATHER ADDITIONAL COMMUNITY INPUT. THE COUNTY HAS RECONVENED MEETINGS WITH THE GROUP PERIODICALLY TO REASSESS COMMUNITY NEEDS & SELECT PRIORITIES FOR THE 2016-2018 PLAN.THE FOLLOWING COMMUNITY ORGANIZATIONS PARTICIPATED IN THE SUMMIT:AFFINITY HEALTH PLANAMERICAN DIABETES ASSOCIATIONAMERICAN HEART ASSOCIATIONAMERICAN LUNG ASSOCIATIONPOW'R TOBACCO CESSATION CENTERHAGAN SCHOOL OF BUSINESS, IONA COLLEGEHUDSON HEALTH PLANLOWER HUDSON VALLEY PERINATAL NETWORKCHILDREN'S HEALTH AND RESEARCH FOUNDATION, INC.MARCH OF DIMESNEW YORK MEDICAL COLLEGESCHOOL OF HEALTH SCIENCES AND PRACTICEPACE UNIVERSITYPLANNED PARENTHOOD HUDSON PECONIC, INC.POW'R AGAINST TOBACCORYE YMCAST. FRANCES AFRICAN METHODIST EPISCOPAL ZION CHURCHTHINCUNITED WAY OF WESTCHESTER AND PUTNAMWESTCHESTER COUNTY DEPARTMENT OF SOCIAL SERVICESWESTCHESTER COUNTY OFFICE OF WOMENWESTCHESTER COUNTY DEPT. OF SENIOR PROGRAMS & SERVICESYONKERS PUBLIC SCHOOLS
BLYTHEDALE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 6B: BURKE REHABILITATION CENTERHUDSON VALLEY HOSPITAL CENTERLAWRENCE HOSPITAL CENTERMOUNT VERNON NEIGHBORHOOD CENTERNORTHERN WESTCHESTER HOSPITALOPEN DOOR FAMILY MEDICAL CENTERPHELPS MEMORIAL HOSPITAL CENTERSAINT JOSEPH'S HOSPITALSOUND SHORE MEDICAL CENTERST. JOHN'S RIVERSIDE HOSPITALST. VINCENT'S HOSPITAL WESTCHESTERSTELLARIS HEALTH NETWORKWESTCHESTER MEDICAL CENTERWHITE PLAINS HOSPITALWESTCHESTER COUNTY DEPARTMENT OF HEALTH
BLYTHEDALE CHILDREN'S HOSPITAL	PART V, SECTION B, LINE 11: ONE OF THE PRIORITY INITIATIVES IDENTIFIED BY THE COALITION ASSEMBLED BY THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH RELATED TO CHRONIC DISEASE IN THE ADULT POPULATION AND THUS IS NOT WITHIN BLYTHEDALE'S MISSION AND SCOPE. THUS BLYTHEDALE HAS SELECTED ANOTHER PRIORITY FROM THE STATE'S PREVENTION AGENDA WHICH ADDRESSES AN ISSUE OF CONCERN TO BLYTHEDALE'S COMMUNITY OF REFERRING HOSPITALS: PREVENT HOSPITAL ACQUIRED INFECTIONS, SPECIFICALLY REDUCING INFECTIONS CAUSED BY MULTIDRUG-RESISTANT ORGANISMS (MDROS). PRIORITY INITIATIVES SELECTED FOR THE 2016-2018 PLAN RELATED TO CHRONIC DISEASE, SPECIFICALLY PREVENTION OF OBESITY IN ADULTS & CHILDREN.THE SECOND PRIORITY RELATED TO PROMOTING MENTAL HEALTH & PREVENTING SUBSTANCE ABUSE. THIS SECOND PRIORITY IS NOT WITHIN BLYTHEDALE CHILDREN'S HOSPTAL'S MISSION AND SCOPE. THUS, BLYTHEDALE CHILDREN'S HOSPITAL HAS SELECTED THE PREVENTION AGENDA GOAL OF PREVENT HEALTHCARE-ASSOCIATED INFECTIONS AND ACTIVITIES BY SECTOR.
BLYTHEDALE CHILDREN'S HOSPITAL	PART 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 HOSPITAL	PART 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 ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 IS INVOLVED IN NUMEROUS COMMUNITY BUILDINGACTIVITIES WHICH PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES. NUMEROUS COMMUNITY CONCERNS ARE ADDRESSED, INCLUDING HEALTH IMPROVEMENT (SEE DETAILS UNDER LINE 6 BELOW) AND ACCESS TO CARE. BLYTHEDALE ACTIVELY PARTICIPATES IN THE WESTCHESTER CHILDREN'S ASSOCIATION'S CHILD HEALTH TASK FORCE, WHOSE PRINCIPAL GOAL IS TO MAXIMIZE ENROLLMENT OF ELIGIBLE CHILDREN IN NEW YORK STATE'S MEDICAID AND CHILD HEALTH PLUS PROGRAMS. ADDITIONALLY, THROUGH THE NEW YORK STATE WORKGROUP ON MEDICALLY FRAGILE CHILDREN, BLYTHEDALE HAS WORKED TO ADVOCATE FOR SERVICES TO SUPPORT FAMILIES CARING FOR MEDICALLY FRAGILE CHILDREN AT HOME.
PART III, LINE 2:	IN 2018 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 DISCLOSED THAT IT RECOGNIZED $1,600,000 OF IMPLICIT PRICE CONCESSIONS IN 2018 RELATED TO CASES WHERE THIRD PARTY PAYORS DENIED REIMBURSEMENT FOR CARE 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, 2018, 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, 2018 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 REVENUE - ACCOUNTS 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 (DURING 2018) OR THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS (DURING 2017) 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, 2018, 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, 2018, 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 2018 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 (53%), HUDSON VALLEY (29%), LONG ISLAND (6%), OUT OF STATE (12%). 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 ITS INPATIENT POPULATION: ASIAN (5%); BLACK OR AFRICAN-AMERICAN (28%); HISPANIC OR LATINO (34%); WHITE (24%); OTHER (14%). 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 STATES	NY

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ADAM HERBST CHIEF
LEGAL & COMPLIANCE	$190,783	$0	$24,771	$0	$0	$0	$8,200	$0	$14,193	$0	$237,947	$0	$0	$0
JILL WEGENER
CNO	$228,342	$0	$32,631	$0	$0	$0	$10,400	$0	$15,697	$0	$287,070	$0	$0	$0
JOHN CANNING
CFO	$380,312	$0	$61,192	$0	$8,803	$0	$68,459	$0	$52,842	$0	$571,608	$0	$0	$0
LARRY LEVINE
CEO	$651,964	$0	$131,127	$0	$11,133	$0	$114,735	$0	$50,746	$0	$959,705	$0	$0	$0
MAUREEN DESIMONE
CAO	$289,927	$0	$20,409	$0	$7,631	$0	$0	$0	$42,989	$0	$360,956	$0	$0	$0
ROBERT LANE
CHIEF DEVELOPMENT	$257,801	$0	$18,550	$0	$0	$0	$10,918	$0	$53,162	$0	$340,431	$0	$0	$0
SCOTT KLEIN
CMO	$443,821	$0	$71,411	$0	$0	$0	$58,834	$0	$53,173	$0	$627,239	$0	$0	$0
SUSAN GOODBODY-MURRAY
CXO	$191,456	$0	$9,561	$0	$0	$0	$32,023	$0	$14,383	$0	$247,423	$0	$0	$0
BYRON FERNANDEZ
MD	$322,128	$0	$0	$0	$0	$0	$17,959	$0	$41,933	$0	$382,020	$0	$0	$0
KATHY SILVERMAN
MD	$294,286	$0	$0	$0	$0	$0	$44,459	$0	$24,739	$0	$363,484	$0	$0	$0
MARY DIDIE
MD	$203,683	$0	$0	$0	$0	$0	$70,957	$0	$34,429	$0	$309,069	$0	$0	$0
RUTH ALEJANDRO
MD	$204,055	$0	$0	$0	$0	$0	$11,262	$0	$41,914	$0	$257,231	$0	$0	$0
TRACY LAWRENCE-BLACK
MD	$248,611	$0	$0	$0	$0	$0	$9,944	$0	$34,575	$0	$293,130	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 4B

THE HOSPITAL PROVIDES NON-QUALIFIED DEFERRED COMPENSATION IN THE FORM OF A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO MEMBERS OF A SELECT GROUP OF MANAGEMENT. THESE PLANS ARE AT-RISK OF SIGNIFICANT FORFEITURE AND HAVE VESTING PERIODS RANGING FROM 5 TO 7 YEARS. EFFECTIVE AS OF JANUARY 1, 2018 THE HOSPITAL IMPLEMENTED TWO ADDITIONAL SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERPS) FOR LAWRENCE LEVINE, CEO AND SCOTT KLEIN, CMO. THE PLANS ARE UNFUNDED AND A DEFINED CONTRIBUTION PLAN. FOR EACH PLAN YEAR THE HOSPITAL WILL MAKE A CONTRIBUTION ON BEHALF OF THE PARTICIPANTS IN AN AMOUNT EQUAL TO SEVENTEEN AND ONE HALF (17.5%) AND TEN PERCENT (10%) RESEPECTIVELY OF THE PARTICIPANT'S BASE COMPENSATION. EFFECTIVE AS OF JANUARY 1, 2012 THE HOSPITAL IMPLEMENTED A SERP. THIS PLAN IS UNFUNDED AND A DEFINED CONTRIBUTION PLAN. THE HOSPITAL MADE A CONTRIBUTION ON BEHALF OF THE PARTICIPANT IN AN AMOUNT EQUAL TO TEN PERCENT (10%) OF THE PARTICIPANT'S BASE COMPENSATION. IN 2016, THE ANNUAL CONTRIBUTION RATE OF THE ADDITIONAL DEFINED CONTRIBUTION SERP PLAN WAS AMENDED TO FIFTEEN PERCENT (15%) OF THE PARTICIPANT'S BASE COMPENSATION. IN 2018, THE HOSPITAL CONTRIBUTED THE FOLLOWING AMOUNTS LARRY LEVINE - CEO $114.735 SCOTT KLEIN - CMO $44,632 JOHN CANNING - CFO $57,638

PART I, LINE 7

BLYTHEDALE ENGAGED SULLIVAN COTTER IN 2018 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

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	DORMITORY AUTHORITY OF NY (DASNY)	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	146000293	BondIssuerEIN
CUSIP	649905DG8	CUSIPNum
Bond Issued	2009-06-19	BondIssuedDt
Issue Price	$27,000,000	IssuePriceAmt
Purpose	CONSTRUCTION	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$5,290,000	RetiredAmt
Total Proceeds	$26,748,127	TotalProceedsAmt
In Reserve Fund	$119,718	InReserveFundAmt
Issuance Costs From Proceeds	$540,000	IssuanceCostsFromProceedsAmt
Credit Enhancement	$820,868	CreditEnhancementAmt
Capital Expenditures	$25,387,259	CapitalExpendituresAmt
Substantial Completion	2011	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	0	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	Yes (1)	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, LINE 3	BOND: DORMITORY AUTHORITY OF NY (DASNY) - 06/19/2009 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 WAS 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 HANDED BY THE ACTUAL ISSUER OF THE BONDS, AND BLYTHEDALE CHILDREN'S HOSPITAL DOES NOT HAVE A COPY OF THE ACTUAL REBATE RERPORT.
PART IV, LINE 6	SUCH AMOUNTS WERE APPROPRIATELY YIELD RESTRICTED

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DAVID PEDOWITZ
FAMILY MEMBER COMPENSATION	$31,922	COMPENSATION	0
SUBSTANTIAL CONTRIBUTOR
SUBSTANTIAL CONTRIBUTOR	$3,718,953	FOOD SERVICE	0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	11	ContributionCnt
Noncash Contributions Rpt F990	$1,064,815	NoncashContributionsRptF990Amt
Method Of Determining Revenues	COST OR SELLING PRICE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THE AMOUNT REPORTED IN COLUMN (B) REFERS TO THE NUMBER OF CONTRIBUTIONS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	JOHN 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). FRANK STERN HAS A BUSINESS RELATIONSHIP WITH BOTH DAVID PEDOWITZ AND JOHN BARKER (BOARD MEMBERS).
FORM 990, PART VI, SECTION B, LINE 11B	A 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 EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE THEN PROVIDES AN OVERVIEW OF THE FORM 990 TO THE FULL BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD 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 EXECUTIVE 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 15	BLYTHEDALE 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 2018, 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 2018, 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 2019 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 19	BLYTHEDALE 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:	NET ASSETS RELEASED FROM RESTRICTION- OPERATIONS 0. CHANGE IN PENSION LIABILITY 3,460,117. NET ASSETS RELEASED FROM RESTRICTION- CAPITAL 0. NET 965 INCOME