BLYTHEDALE CHILDRENS HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: BLYTHEDALE CHILDRENS HOSPITAL (EIN 13-1739922)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-08
IRS object ID: 201313129349302606
Schema version: 2012v2.1
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 M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-08T18:58:32-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DELOITTE TAX LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	TWO JERICHO PLAZA	AddressLine1
City	JERICHO	City
State	NY	State
ZIP Code	11753	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	131739922	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	BLYTHEDALE CHILDREN'S HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	BLYT	NameControl
Phone	9145927555	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	95 BRADHURST AVE	AddressLine1
City	VALHALLA	City
State	NY	State
ZIP Code	10595	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JOHN CANNING	Name
Title	CFO	Title
Phone	9145927555	Phone
Date Signed	2013-11-06	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
PTIN	P00743140	PTIN
Phone	5169187000	Phone
Date Prepared	2013-11-05	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JOHN CANNING	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	95 BRADHURST AVE	AddressLine1
City	VALHALLA	City
State	NY	State
ZIP Code	10595	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	74855128	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.BLYTHEDALE.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1891	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	36	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	36	NbrIndependentVotingMembers
Total Nbr Employees	498	TotalNbrEmployees
Total Nbr Volunteers	280	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	6034551	ContributionsGrantsPriorYear
Contributions Grants Current Year	2881226	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	50726819	ProgramServiceRevenuePriorYear
Program Service Revenue CY	59912842	ProgramServiceRevenueCY
Investment Income Prior Year	-367130	InvestmentIncomePriorYear
Investment Income Current Year	6919891	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4333160	OtherRevenuePriorYear
Other Revenue Current Year	4953924	OtherRevenueCurrentYear
Total Revenue Prior Year	60727400	TotalRevenuePriorYear
Total Revenue Current Year	74667883	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	37398653	SalariesEtcPriorYear
Salaries Etc Current Year	43408667	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	741345	TotalFundrsngExpCurrentYear
Other Expense Prior Year	16808675	OtherExpensePriorYear
Other Expenses Current Year	21506607	OtherExpensesCurrentYear
Total Expenses Prior Year	54207328	TotalExpensesPriorYear
Total Expenses Current Year	64915274	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	6520072	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	9752609	RevenuesLessExpensesCY
Total Assets BOY	195750356	TotalAssetsBOY
Total Assets EOY	205551901	TotalAssetsEOY
Total Liabilities BOY	57873031	TotalLiabilitiesBOY
Total Liabilities EOY	57656214	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	137877325	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	147895687	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	BLYTHEDALE CHILDREN'S HOSPITAL IS DEDICATED TO IMPROVING THE HEALTH AND WELL-BEING OF CHILDREN. WE ACT TO SERVE AS THE PRE-EMINENT SPECIALTY CHILDREN'S HOSPITAL IN THE NORTHEAST. WE SERVE HIGHER ACUITY PATIENTS WITH A VARIETY OF SPECIAL HEALTHCARE NEEDS, THROUGH SUPERB MEDICAL, PSYCHOSOCIAL, TEACHING, RESEARCH AND ADVOCACY PROGRAMS. WE SERVE CHILDREN WITHOUT REGARD TO RELIGION, RACE, OR ABILITY TO PAY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	36063769	Expense
Revenue	47563777	Revenue
Description	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. THE HOSPITAL OPERATES 86 LICENSED BEDS AND PROVIDED CARE TO OVER 78 INPATIENTS PER DAY ON AVERAGE IN 2012. THE HOSPITAL HAD 548 TOTAL DISCHARGES. OVER 72% OF OUR INPATIENT ADMISSIONS WERE REIMBURSED THROUGH THE MEDICAID PROGRAM (FFS & MANAGED) IN 2012. WHILE 100% OF THE HOSPITALS INPATIENT POPULATION IS REFERRED IN FROM OTHER ACUTE CARE HOSPITALS IN THE REGION, OVER >61% COME DIRECTLY FROM INTENSIVE CARE UNITS (ICU'S). THIS SPEAKS TO THE HIGH ACUITY OF THE PATIENT POPULATION BEING MANAGED AT BLYTHEDALE. IN 2012 OVER 51% OF PATIENTS TREATED WERE BELOW THE AGES OF 5 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.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	7607044	Expense
Revenue	10757485	Revenue
Description	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 2012, 65 % OF THE PROGRAM CAME DIRECTLY FROM THE INPATIENT SETTING, 25 % CAME DIRECTLY FROM REFERRALS IN THE COMMUNITY AND 10% THROUGH THE EARLY INTERVENTION/CPSE PROGRAMS. IN 2012, THE PROGRAM SERVED ON AVERAGE OF 99 PATIENTS PER SCHOOL DAY FOR A TOTAL OF 22,608 VISITS. OVER 82% 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 2012, THE PROGRAM SERVED ON AVERAGE OF 16 PATIENTS PER SCHOOL DAY FOR A TOTAL OF 3,265 VISITS. EVALUATION AND TREATMENT PLANNING ARE PERFORMED BY A MULTIDISCIPLINARY TEAM THAT MAY CONSIST OF THERAPISTS, SPECIAL EDUCATION TEACHERS, AUDIOLOGISTS, PHYSIATRISTS (REHABILITATION DOCTORS), NEUROLOGISTS, PSYCHIATRISTS, PSYCHOLOGISTS, SOCIAL WORKERS, NURSES, NUTRITIONISTS, AND OTHER SPECIALTY CONSULTANTS. AT BLYTHEDALE, WE PROVIDE INDIVIDUALIZED RELATED SERVICES TO ELIGIBLE CHILDREN AGE'S THREE TO FIVE THROUGH OUR OUTPATIENT DEPARTMENT. WE SERVE CHILDREN WITH A WIDE RANGE OF NEEDS INCLUDING DIFFICULTIES THAT MAY INTERFERE WITH THEIR LEARNING AND FUNCTIONING IN PRESCHOOL. CHILDREN WITH THE FOLLOWING DIFFICULTIES ARE MOST COMMON IN THE PROGRAM:- DELAYS OR LAGS IN COGNITIVE, LANGUAGE, MOTOR OR SOCIAL EMOTIONAL DEVELOPMENT- CONGENITAL OR ACQUIRED ABNORMALITIES- DIAGNOSED MEDICAL CONDITIONS SUCH AS CEREBRAL PALSY, NEUROMUSCULAR OR OTHER NEUROLOGICAL DISORDERS	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	2644075	Expense
Revenue	1591580	Revenue
Description	EARLY INTERVENTION - THE EARLY INTERVENTION PROGRAM IS A STATEWIDE PROGRAM THAT PROVIDES MANY DIFFERENT TYPES OF EARLY INTERVENTION SERVICES TO CHILDREN BETWEEN THE AGES OF BIRTH TO THREE YEARS WITH DEVELOPMENT DELAY OR DIAGNOSED DISABILITIES AND TO THEIR FAMILIES. IN NEW YORK STATE, THE DEPARTMENT OF HEALTH IS THE LEAD STATE AGENCY RESPONSIBLE FOR THE EARLY INTERVENTION PROGRAM. IN 2012, THE PROGRAM SERVED ON AVERAGE OF 18 PATIENTS PER SCHOOL DAY FOR A TOTAL OF 4,569 VISITS. THE HOSPITAL ALSO PROVIDED 3,277 OUTPATIENT THERAPY AND CLINIC VISITS TO PATIENTS IN THE PROGRAM. 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 AND IMPATIENT PLANS. 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: - 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 OFFERS VARIOUS OUTPATIENT THERAPY AND SUB SPECIALTY MEDICAL CLINICS TO SPECIAL NEEDS CHILDREN THROUGHOUT THE REGION. IN 2012 THE HOSPITAL PROVIDED OVER 3,953 ENCOUNTERS TO CHILDREN REQUIRING THESE SERVICES (THESE SERVICES INCLUDE AUDIOLOGY, PHYSIATRY OR REHABILIATION MEDICINE, NEUROLOGY, ORTHOPEDICS, SPINA BIFIDA CLINIC, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, BRACE AND EQUIPMENT MODIFICATION AND FITTING).	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	3398551	Expense
Revenue	5053314	Revenue

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	3398551	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	5053314	TotalOfOtherProgramServiceRev
Total Program Service Expense	49713439	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	35	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	498	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	BD	NameOfForeignCountry
Name Of Foreign Country	CJ	NameOfForeignCountry
Name Of Foreign Country	VI	NameOfForeignCountry
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	36	NbrVotingGoverningBodyMembers
Number Independent Voting Members	36	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Field	Value	IRS element (for citing)
Telephone Number	9145927555	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	95 BRADHURST AVE	AddressLine1
City	VALHALLA	City
State	NY	State
ZIP Code	10595	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (52 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
OWEN GUTFREUND
CHAIR OF THE BOARD	1.00	X	0	0	0
JEANNE SAVITT
SECRETARY	1.00	X	0	0	0
TIM EVNIN
TREASURER	1.00	X	0	0	0
DAVID PEDOWITZ
VICE-CHAIRMAN	1.00	X	0	0	0
JUDITH GOODHUE
VICE-CHAIRMAN	1.00	X	0	0	0
PEGGY EPSTEIN TANNER
VICE-CHAIRMAN	1.00	X	0	0	0
ABBEY POPPER
TRUSTEE	1.00	X	0	0	0
DARREN FOGEL
TRUSTEE	1.00	X	0	0	0
DAVID OSBORN
TRUSTEE	1.00	X	0	0	0
EDWARD DAVIDOWITZ
TRUSTEE	1.00	X	0	0	0
FARREL STARKER
TRUSTEE	1.00	X	0	0	0
FRANK STERN
TRUSTEE	1.00	X	0	0	0
HEIDI SCHWARTZ
TRUSTEE	1.00	X	0	0	0
HOWARD ADLER
TRUSTEE	1.00	X	0	0	0
JEAN HOFMEIMER BENNETT
TRUSTEE	1.00	X	0	0	0
JOHN BARKER
TRUSTEE	1.00	X	0	0	0
JON BURNHAM
TRUSTEE	1.00	X	0	0	0
JOHN FURTH
TRUSTEE	1.00	X	0	0	0
HOLOVACH JORDANA
TRUSTEE	1.00	X	0	0	0
LAURENCE COHEN
TRUSTEE	1.00	X	0	0	0
LESLIE WEISSMAN
TRUSTEE	1.00	X	0	0	0
LOUISE GRAYER
TRUSTEE	1.00	X	0	0	0
LUCY SCHMOLKA
TRUSTEE	1.00	X	0	0	0
MATTHEW FELDMAN
TRUSTEE	1.00	X	0	0	0
MERWIN HASKEL
TRUSTEE	1.00	X	0	0	0
MICHAEL MARGULIES
TRUSTEE	1.00	X	0	0	0
NANCY PUNDYK
TRUSTEE	1.00	X	0	0	0
PATRICIA STANLEY
TRUSTEE	1.00	X	0	0	0
PETER RITTMASTER
TRUSTEE	1.00	X	0	0	0
PHYLLIS LASHINS
TRUSTEE	1.00	X	0	0	0
SCOTT KARR
TRUSTEE	1.00	X	0	0	0
STEVEN SOLOMON
TRUSTEE	1.00	X	0	0	0
TERRI HERENSTEIN
TRUSTEE	1.00	X	0	0	0
THOMAS BROCK
TRUSTEE	1.00	X	0	0	0
WILLIAM CAHN
TRUSTEE	1.00	X	0	0	0
WILLIAM LEVY
TRUSTEE	1.00	X	0	0	0
LAWRENCE LEVINE
CEO	37.50		580757	0	145339	X
JOHN CANNING
CFO	37.50		343346	0	61663	X
JOELLE MAST
CMO	37.50		289338	0	60230	X
MAUREEN DESIMONE
COO	37.50		276601	0	83342	X
REGINA KELLY
COMPLIANCE GOV RELATIONS	37.50		171740	0	59016	X
RONALD GALLO
CHIEF HUMAN RESOURCES OFFICER	37.50		214408	0	57436		X
JANE MACDONALD
CHIEF DEVELOPMENT OFFICER	37.50		205425	0	33831		X
ELIZABETH BOWMAN
CHIEF MARKETING OFFICER	37.50		203284	0	23053		X
JUDI PEACOCK
CNO	37.50		175297	0	4159		X
LOIS ALLEN
CQO	37.50		180185	0	3324		X
RONI AMIEL
CIO	37.50		167920	0	29137		X
MILICENT MITCHELL
CHIEF OF PULMONOLOGY	37.50		239062	0	66330			X
BYRON FERNANDEZ
PEDIATRICIAN	37.50		230151	0	30079			X
LAURA MIRKINSON
CHIEF OF PEDIATRICS	37.50		219811	0	25536			X
KATHY SILVERMAN
PEDIATRICIAN	37.50		176084	0	29349			X
MARY DIDIE
PEDIATRICIAN	37.50		175085	0	63571			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3848494	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	775395	TotalOtherCompensation
Number Individuals GT100 K	64	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
BOVIS LEND LEASE
200 PARK AVENUE	NEW YORK	NY	10166	GENERAL CONTRACTORS	6575733
SODEXO INC & AFFILIATES
PO BOX 81049	WOBURN	MA	018131049	FACILITIES, HOUSEKEEPING AND DIETARY AND	2863225
PAR ENVIRONMENTAL CORP
313 SPOOK ROCK ROAD	SUFFERN	NY	10901	CONTRACTORS	1187047
FOJP SERVICE CORP
PO BOX 10073	UNIONDALE	NY	11555	INSURANCE BROKERAGE SERVICES	552310
SSC INC
PO BOX 13	BRATTLEBORO	VT	053020135	SECURITY	481130

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	30	NumberOfContractorsGT100K
Fundraising Events	790975	FundraisingEvents
All Other Contributions	2090251	AllOtherContributions
Noncash Contributions	86263	NoncashContributions
Total Contributions	2881226	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INPATIENT	900099	47563777	47563777
DAY HOSPITAL	900099	10757485	10757485
EARLY INT / OPD	900099	1591580	1591580

Field	Value	IRS element (for citing)
Total Program Service Revenue	59912842	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	399411	TotalRevenueColumn
Exclusion	$399,411	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	6520480	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	6520480	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	6520480	TotalRevenueColumn
Exclusion	$6,520,480	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	87855	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	790975	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	187245	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-99390	TotalRevenueColumn
Exclusion	-$99,390	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HI TECH REVENUE	900099	1470366	1470366
SCHOOL CONTRACT	900099	875000	875000
OFFSITE THERAPIES	900099	617595	617595

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2090353	TotalRevenueColumn
Related Or Exempt Function Income	2090353	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	5053314	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	74667883	TotalRevenueColumn
Related Or Exempt Function Income	64966156	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$6,820,501	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	3307849	Total
Program Services	516287	ProgramServices
Management And General	2600551	ManagementAndGeneral
Fundraising	191011	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	30331340	Total
Program Services	27027691	ProgramServices
Management And General	3078994	ManagementAndGeneral
Fundraising	224655	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3640084	Total
Program Services	3301082	ProgramServices
Management And General	309642	ManagementAndGeneral
Fundraising	29360	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	3741150	Total
Program Services	3227289	ProgramServices
Management And General	477022	ManagementAndGeneral
Fundraising	36839	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2388244	Total
Program Services	1984367	ProgramServices
Management And General	375823	ManagementAndGeneral
Fundraising	28054	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	2525002	Total
Program Services	1160648	ProgramServices
Management And General	1314003	ManagementAndGeneral
Fundraising	50351	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	360528	Total
Management And General	360528	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	260734	Total
Management And General	239490	ManagementAndGeneral
Fundraising	21244	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	15826	Total
Management And General	15826	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	23525	Total
Management And General	23525	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	164619	Total
Program Services	70590	ProgramServices
Management And General	89005	ManagementAndGeneral
Fundraising	5024	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	762110	Total
Program Services	437372	ProgramServices
Management And General	320840	ManagementAndGeneral
Fundraising	3898	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	5239382	Total
Program Services	4164074	ProgramServices
Management And General	1073241	ManagementAndGeneral
Fundraising	2067	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	59598	Total
Program Services	27933	ProgramServices
Management And General	29041	ManagementAndGeneral
Fundraising	2624	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	76414	Total
Program Services	42815	ProgramServices
Management And General	31922	ManagementAndGeneral
Fundraising	1677	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	19564	Total
Management And General	19564	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	6174223	Total
Program Services	3543359	ProgramServices
Management And General	2599279	ManagementAndGeneral
Fundraising	31585	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	687187	Total
Program Services	402720	ProgramServices
Management And General	284467	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
CONTRACTED LABOR	3100372	2405597	588442	106333
UTILITIES	794079	455719	334298	4062
TAXES & OTHER ASSESSMEN	742846	658605	84241	0
DEBT FINANCE FEES	500598	287291	210746	2561

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	64915274	Total
Program Services	49713439	ProgramServices
Management And General	14460490	ManagementAndGeneral
Fundraising	741345	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	21846638	BOY
EOY	20063359	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	14654507	BOY
EOY	5591416	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	1351544	BOY
EOY	975644	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	7357080	BOY
EOY	10139574	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	257264	BOY
EOY	269748	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	534662	BOY
EOY	513735	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	94369294	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	21006781	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	69640819	BOY
EOY	73362513	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	21793485	BOY
EOY	35177227	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	52857544	BOY
EOY	58170392	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	5456813	BOY
EOY	1288293	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	195750356	BOY
EOY	205551901	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	5942352	BOY
EOY	4636299	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	27000000	BOY
EOY	26405000	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	146242	BOY
EOY	19744	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	24784437	BOY
EOY	26595171	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	57873031	BOY
EOY	57656214	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	128669885	BOY
EOY	137764695	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5275246	BOY
EOY	6150300	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3929194	BOY
EOY	3980692	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	137877325	BOY
EOY	147895687	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	195750356	BOY
EOY	205551901	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	9752609	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	921052	ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment	1965576	ReconcilationPriorAdjustment
Reconcilation Other Changes	-2620875	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$15,826	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	15826	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	BLYTHEDALE CHILDREN'S HOSPITAL, AS A MEMBER OF STATE-WIDE HOSPITAL ORGANIZATIONS, HAS A PORTION OF ITS DUES USED FOR LOBBYING. IN ADDITION, BLYTHEDALE HAS ENGAGED AN OUTSIDE LOBBYIST TO LOBBY ON ITS BEHALF ON ISSUES RELATING TO THE STATE BUDGET.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	9207439	BeginningOfYearBalance
Contributions	1230427	Contributions
Investment Earnings Or Losses	923951	InvestmentEarningsOrLosses
Other Expenditures	1230826	OtherExpenditures
End Of Year Balance	10130991	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	14508992	BeginningOfYearBalance
Contributions	911024	Contributions
Investment Earnings Or Losses	-687562	InvestmentEarningsOrLosses
Other Expenditures	5525015	OtherExpenditures
End Of Year Balance	9207439	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	20617212	BeginningOfYearBalance
Contributions	430633	Contributions
Investment Earnings Or Losses	1098917	InvestmentEarningsOrLosses
Other Expenditures	7637770	OtherExpenditures
End Of Year Balance	14508992	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	19230372	BeginningOfYearBalance
Contributions	1619160	Contributions
Investment Earnings Or Losses	372366	InvestmentEarningsOrLosses
Other Expenditures	604686	OtherExpenditures
End Of Year Balance	20617212	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	28286047	BeginningOfYearBalance
Contributions	1671350	Contributions
Investment Earnings Or Losses	-2147297	InvestmentEarningsOrLosses
Other Expenditures	8579728	OtherExpenditures
End Of Year Balance	19230372	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.00000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.39290	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.60710	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	1	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1383879	OtherCostOrOtherBasis
Book Value	1383879	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	45516063	OtherCostOrOtherBasis
Depreciation	7691855	Depreciation
Book Value	37824208	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	40033724	OtherCostOrOtherBasis
Depreciation	11490574	Depreciation
Book Value	28543150	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	2000000	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	5435628	OtherCostOrOtherBasis
Depreciation	1824352	Depreciation
Book Value	5611276	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	73362513	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	LIMITED LIABILITY PARTNERSHIP (HEDGE FUNDS)	Description
Book Value	58170392	BookValue
Method Of Valuation	C	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	58170392	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION LIABILITY	$22,297,716
DUE TO THIRD PARTY PAYORS	$3,348,248
ASSET RETIREMENT OBLIGATION	$121,207
MALPRACTICE LIABILITIES	$828,000

Field	Value	IRS element (for citing)
Total Of Amounts	26595171	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	74852626	TotRevenueEtcAuditedFinclStmt
Other Revenues	1230826	OtherRevenues
Revenue Not Rptd F990	1230826	RevenueNotRptdF990
Revenue Subtotal	73621800	RevenueSubtotal
Other Revenues Not Included	1046083	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	1046083	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	74667883	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	65102519	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	187245	OtherExpensesIncluded
Expenses Not Rptd F990	187245	ExpensesNotRptdF990
Expenses Subtotal	64915274	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	64915274	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	TEMPORARILY RESTRICTED NET ASSETS ARE THOSE WHOSE USE BY BLYTHEDALE CHILDREN'S HOSPITAL (THE "HOSPITAL") HAS BEEN LIMITED BY DONORS TO A SPECIFIC PERIOD OR PURPOSE. PERMANENTLY RESTRICTED NET ASSETS HAVE BEEN RESTRICTED BY DONORS TO BE MAINTAINED BY THE HOSPITAL IN PERPETUITY. THE HOSPITAL'S ENDOWMENT CONSISTS OF APPROXIMATELY 20 INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE HOSPITAL BECAME SUBJECT TO NYPMIFA (THE NEW YORK PRUDENT MANAGEMENT OF INSTITUTIONAL FUNDS ACT) WHICH WAS ENACTED IN SEPTEMBER 2010. THE BOARD OF TRUSTEES INTERPRETED NYPMIFA AS (A) REQUIRING THE PRESERVATION OF THE ORIGINAL GIFT AS OF THE GIFT DATE OF THE DONOR-RESTRICTED ENDOWMENT FUNDS ABSENT EXPLICIT DONOR STIPULATIONS TO THE CONTRARY. AS A RESULT OF THIS INTERPRETATION, THE HOSPITAL CLASSIFIES AS PERMANENTLY RESTRICTED NET ASSETS: (A) THE ORIGINAL VALUE OF GIFTS DONATED TO THE PERMANENT ENDOWMENT, (B) THE ORIGINAL VALUE OF SUBSEQUENT GIFTS TO THE PERMANENT ENDOWMENT, AND (C) ACCUMULATIONS OF INCOME ARE ADDED TO THE FUND IN ACCORDANCE WITH THE DIRECTION OF THE APPLICABLE DONOR GIFT INSTRUMENT AT THE TIME THE ACCUMULATION IS ADDED TO THE FUND. THE REMAINING PORTION OF THE DONOR-RESTRICTED ENDOWMENT FUND THAT IS NOT CLASSIFIED IN PERMANENTLY RESTRICTED NET ASSETS IS CLASSIFIED AS TEMPORARILY RESTRICTED UNTIL THOSE AMOUNTS ARE APPROPRIATED FOR EXPENDITURE BY THE ORGANIZATION. IN ACCORDANCE WITH NYPMIFA THE ORGANIZATION CONSIDERS THE FOLLOWING FACTORS IN MAKING A DETERMINATION TO APPROPRIATE OR ACCUMULATE DONOR-RESTRICTED ENDOWMENT FUNDS: (A) THE DURATION AND PRESERVATION OF THE FUND (B) THE PURPOSES OF THE ORGANIZATION AND THE DONOR-RESTRICTED ENDOWMENTFUND (C) GENERAL ECONOMIC CONDITIONS (D) THE POSSIBLE EFFECT OF INFLATION AND DEFLATION (E) THE EXPECTED TOTAL RETURN FROM INCOME AND THE APPRECIATION OFINVESTMENTS (F) OTHER RESOURCES OF THE ORGANIZATION (G) THE INVESTMENT POLICIES OF THE ORGANIZATION TEMPORARILY RESTRICTED NET ASSETS AS OF DECEMBER 31, 2012 AND 2011, ARE AVAILABLE FOR THE FOLLOWING PURPOSES: 2012 2011 PLANT REPLACEMENT $1,147,607 $1,240,131 TEMPORARILY RECTRICTED PORTION OF ENDOWMENT FUND $3,185,006 $2,437,491 MEDICAL EQUIPMENT $87,366 $197,518 OTHER $1,7030,321 $1,400,106 TOTALS $6,150,300 $5,275,246 PERMANENTLY RESTRICTED NET ASSETS AS OF DECEMBER 31, 2012 AND 2011 ARE RESTRICTED TO THE FOLLOWING: 2012 2011 INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT HEALTH CARE SERVICES $3,980,629 ___________ $3,932,194 BLYTHEDALE CHILDREN'S HOSPITAL HAS A CHARITABLE REMAINDER TRUST HELD BY TRUSTEES CITIBANK, CALLED THE HENRY STERN TRUST. THE PRINCIPLE IS PERMANENTLY RESTRICTED.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	IN JUNE 2006, THE FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ISSUED ASC 740-10-65, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RE
PART XI, LINE 2D - OTHER ADJUSTMENTS:		NET ASSET RELEASED FROM RESTRICTION 1,230,826.
PART XI, LINE 4B - OTHER ADJUSTMENTS:		TEMP REST CONTRIBUTIONS 1,226,007. PERM REST CONTRIBUTIONS 4,420. REALIZED GAINS ON INVESTMENT 2,899. FUNDRAISING EXPENSE RECLASS -187,245. ROUNDING 2.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		FUNDRAISING EXPENSE RECLASS 187,245.
		PART V, LINE 3A(I): BLYTHEDALE CHILDREN'S HOSPITAL HAS A CHARITABLE REMAINDER TRUST HELD BY TRUSTEES CITIBANK, CALLED THE HENRY STERN TRUST. THE PRINCIPLE IS PERMANENTLY RESTRICTED.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA & THE CARIBBEAN	Region
Number Of Offices	0	NumberOfOffices
Number Of Employees	0	NumberOfEmployees
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConducted
Total Expenditures	50793370	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	50793370	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	50793370	TotalAmountSpent
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	1	ForeignPartnership
Boycott Countries	0	BoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	SPRING EVENT	NameOfEvent1
Gross Receipts Event1	485593	GrossReceiptsEvent1
Charitable Contributions Event1	444463	CharitableContributionsEvent1
Gross Revenue Event1	41130	GrossRevenueEvent1
Rent Facility Costs Event1	11660	RentFacilityCostsEvent1
Food And Beverage Event1	41130	FoodAndBeverageEvent1
Entertainment Event1	4800	EntertainmentEvent1
Other Direct Expenses Event1	18746	OtherDirectExpensesEvent1
Name Of Event2	GOLF EVENT	NameOfEvent2
Gross Receipts Event2	229840	GrossReceiptsEvent2
Charitable Contributions Event2	183115	CharitableContributionsEvent2
Gross Revenue Event2	46725	GrossRevenueEvent2
Cash Prizes Event2	1530	CashPrizesEvent2
Non Cash Prizes Event2	1200	NonCashPrizesEvent2
Rent Facility Costs Event2	39890	RentFacilityCostsEvent2
Food And Beverage Event2	9340	FoodAndBeverageEvent2
Other Direct Expenses Event2	9701	OtherDirectExpensesEvent2
Gross Receipts Other Events	163397	GrossReceiptsOtherEvents
Charitable Contrib Other Events	163397	CharitableContribOtherEvents
Rent Facility Costs Other Events	40400	RentFacilityCostsOtherEvents
Other Direct Expenses Other Events	8848	OtherDirectExpensesOtherEvents
Gross Receipts Total	878830	GrossReceiptsTotal
Charitable Contributions Total	790975	CharitableContributionsTotal
Gross Revenue Total Events	87855	GrossRevenueTotalEvents
Cash Prizes Total Events	1530	CashPrizesTotalEvents
Non Cash Prizes Total Events	1200	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	91950	RentFacilityCostsTotalEvents
Food And Beverage Total Events	50470	FoodAndBeverageTotalEvents
Entertainment Total Events	4800	EntertainmentTotalEvents
Other Direct Expenses Total Events	37295	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	187245	DirectExpenseSummaryEvents
Net Income Summary	-99390	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	400.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18627	TotalCommunityBenefitExpense
Net Community Benefit Expense	18627	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	658605	TotalCommunityBenefitExpense
Direct Offsetting Revenue	433827	DirectOffsettingRevenue
Net Community Benefit Expense	224778	NetCommunityBenefitExpense
Percent Of Total Expense	0.00350	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	677232	TotalCommunityBenefitExpense
Direct Offsetting Revenue	433827	DirectOffsettingRevenue
Net Community Benefit Expense	243405	NetCommunityBenefitExpense
Percent Of Total Expense	0.00380	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	754594	TotalCommunityBenefitExpense
Direct Offsetting Revenue	332802	DirectOffsettingRevenue
Net Community Benefit Expense	421792	NetCommunityBenefitExpense
Percent Of Total Expense	0.00650	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	497747	TotalCommunityBenefitExpense
Direct Offsetting Revenue	82393	DirectOffsettingRevenue
Net Community Benefit Expense	415354	NetCommunityBenefitExpense
Percent Of Total Expense	0.00640	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	355638	TotalCommunityBenefitExpense
Direct Offsetting Revenue	142032	DirectOffsettingRevenue
Net Community Benefit Expense	213606	NetCommunityBenefitExpense
Percent Of Total Expense	0.00330	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	208079	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	208079	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1816058	TotalCommunityBenefitExpense
Direct Offsetting Revenue	557227	DirectOffsettingRevenue
Net Community Benefit Expense	1258831	NetCommunityBenefitExpense
Percent Of Total Expense	0.01940	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2493290	TotalCommunityBenefitExpense
Direct Offsetting Revenue	991054	DirectOffsettingRevenue
Net Community Benefit Expense	1502236	NetCommunityBenefitExpense
Percent Of Total Expense	0.02320	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	2206526	TotalCommunityBuildingExpense
Direct Offsetting Revenue	1119612	DirectOffsettingRevenue
Net Community Building Expense	1086914	NetCommunityBuildingExpense
Percent Of Total Expense	0.01670	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	177100	TotalCommunityBuildingExpense
Direct Offsetting Revenue	29819	DirectOffsettingRevenue
Net Community Building Expense	147281	NetCommunityBuildingExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	2383626	TotalCommunityBuildingExpense
Direct Offsetting Revenue	1149431	DirectOffsettingRevenue
Net Community Building Expense	1234195	NetCommunityBuildingExpense
Percent Of Total Expense	0.01900	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$571,861	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	0	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	0	CostOfCareReimbursedByMedicare
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	BLYTHEDALE CHILDREN'S HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	95 BRADHURST AVE	AddressLine1
City	VALHALLA	City
State	NY	State
ZIP Code	10595	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.BLYTHEDALE.ORG	WebsiteAddress
Licensed Hospital	X	LicensedHospital
Childrens Hospital	X	ChildrensHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BLYTHEDALE CHILDREN'S HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	400.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Permit Report To Credit Agency	X	PermitReportToCreditAgency
Collection Activities	1	CollectionActivities
Report To Credit Agency	X	ReportToCreditAgency
Notify Upon Admission	X	NotifyUponAdmission
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	0	NondiscrimEmergencyCarePolicy
No Emergency Care	X	NoEmergencyCare
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

ExplanationExplanation
PART I, L7 COL(F): BAD DEBTS WILL BE RECORDED AND RECOGNIZED IN THE PERIOD IN WHICH IT IS DETERMINED THE DEBT IS UNCOLLECTIBLE. BAD DEBT IS RECOGNIZED AS THE AMOUNT CONTRACTUALLY OBLIGATED AND RECOGNIZED AS REVENUE FOR WHICH ALL AVENUES OF COLLECTION HAVE BEEN EXHAUSTED. REVENUE IS RECOGNIZED WHEN THE CLAIM HAS (1) PERVASIVE EVIDENCE OF A PAYMENT AGREEMENT / AUTHORIZATION, RATE SHEET OR CONTRACT (2) SERVICES HAVE BEEN RENDERED (3) PRICE IS FIXED AND DETERMINABLE (4) COLLECTABILITY IS REASONABLE ASSURED. BAD DEBT IS RECOGNIZED IF MANAGEMENT IS UNABLE TO COLLECT THE DEBT AFTER THESE CRITERIA HAVE BEEN MET. BAD DEBTS DO NOT INCLUDE CHARITY CARE, COURTESY DISCOUNTS, SELF PAY ALLOWANCES, OR ALLOWANCES FOR OUTPATIENT SERVICES PROVIDED THAT ARE NOT AUTHORIZED.
PART II: BLYTHEDALE IS INVOLVED IN NUMEROUS COMMUNITY BUILDING ACTIVITIES 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 CHILD HEALTH ADVOCACY NETWORK, WHOSE PRINCIPAL GOAL IS TO MAXIMIZE ENROLLMENT OF ELIGIBLE CHILDREN IN NEW YORK STATE'S MEDICAID AND CHILD HEALTH PLUS PROGRAMS. ADDITIONALLY, UNDER THE AEGIS OF THE NEW YORK COALITION OF MEDICALLY FRAGILE CHILDREN, BLYTHEDALE HAS WORKED TO ADVOCATE FOR SERVICES TO SUPPORT FAMILIES CARING FOR MEDICALLY FRAGILE CHILDREN AT HOME.
PART III, LINE 4: PROVISION AND ALLOWANCE FOR DOUBTFUL ACCOUNTS - TO PROVIDE FOR ACCOUNTS RECEIVABLE THAT COULD BECOME UNCOLLECTIBLE IN THE FUTURE, THE HOSPITAL ESTABLISHES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS TO REDUCE THE CARRYING VALUE OF SUCH RECEIVABLES TO THEIR ESTIMATED NET REALIZABLE VALUE. IN EVALUATING THE COLLECTIBILITY OF ACCOUNTS RECEIVABLE, BLYTHEDALE ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. BLYTHEDALE PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE EXHAUSTED THIRD PARTY BENEFITS RELATIVE TO SERVICES PROVIDED AT THE HOSPITAL AND HAVE NO SECONDARY SOURCE OF COVERAGE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE HOSPITAL DID NOT CHANGE ITS CHARITY CARE OR UNINSURED DISCOUNT POLICIES DURING FISCAL YEAR 2012. THE HOSPITAL MAINTAINED AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IN 2012 AND 2011 RESPECTIVELY IN THE AMOUNTS OF APPROXIMATELY $892,000 AND $876,000. THESE AMOUNTS REPRESENT 1.4% AND 1.7% OF NET PATIENT SERVICES REVENUE RESPECTIVELY.
PART III, LINE 8: BLYTHEDALE , AS A CHILDRENS HOSPITAL RECEIVED IMMATERIAL AMOUNTS OF MEDICARE REIMBURSEMENT. IN 2012 THE HOSPITAL FILED A LOW/NO COST UTLIZATION REPORT WITH CMS
PART III, LINE 9B: COLLECTION POLICIES ARE THE SAME FOR ALL PATIENTS. ALL PATIENTS HAVING DIFFICULTY PAYING THEIR BILLS ARE DIRECTED TO HOSPITAL STAFF WHO ASSIST THE FAMILY IN COMPLETING A FINANCIAL ASSESSMENT AND TRY TO QUALIFY THE PATIENT FOR ASSISTANCE. ONCE A LEVEL OF FINANCIAL ASSISTANCE IS DETERMINED, THE ACCOUNT BALANCE IS PRORATED FOR CONTRACTUAL ADJUSTMENTS AND THEN PRO RATED TO COST. FROM COSTS, THE LEVEL OF FINANCIAL ASSISTANCE IS THEN APPLIED, ANY REMAINING BALANCE IS COLLECTABLE AS PATIENT RESPONSIBILITY. PATIENTS ARE SCREENED FOR ELIGIBILTY FOR FINANCIAL ASSISTANCE BEFORE COLLECTION PROCEDURE BEGIN. IF AT ANY POINT IN THE COLLECTION PROCESS, DOCUMENTATION IS RECEIVED THAT INDICATES THAT THE PATIENT IS POTENTIALLY ELIGIBLE FOR FINANCIAL ASSISTANCE BUT HAS NOT APPLIED FOR IT, THE ACCOUNT IS REFERRED BACK FOR A FINANCIAL ASSISTANCE REVIEW. BLYTHEDALE DOES NOT PURSUE COLLECTION OF AMOUNTS FROM PATIENTS DETERMINED TO QUALIFY FOR CHARITY CARE. IF A PATIENT HAS REQUESTED AND/OR FILLED OUT A FINANCIAL ASSISTANCE APPLICATION, ALL DEBT COLLECTION ACTIVITIES STOP UNTIL ELIGIBILTY FOR FINANCIAL ASSISTANCE CAN BE DETERMINED. BLYTHEDALE'S POLICY PROVIDES THAT WE WILL NOT REFER ANY ACCOUNTS FOR COLLECTION UNTIL IT IS DETERMINED WHETHER THE INDIVIDUAL IS INSURED AND NOT ELIGIBLE FOR FINANCIAL ASSISTANCE.
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. 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, THE WESTCHESTER CHILD HEALTH ADVOCACY NETWORK AND THE WESTCHESTER SAFE KIDS COALITION, 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 AND INJURY AND DISEASE PREVENTION 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 PUBLIC HEALTH 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, BLYTHEDAL'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. THE HOSPITAL IS LOCATED IN A SUBURBAN COUNTY (WESTCHESTER) THAT IS PART OF THE GREATER NEW YORK METROPOLITAN AREA, WHICH HAS AN EXTREMELY DIVERSE POPULATION. THE HOSPITAL'S PATIENT ARE BROADLY REPRESENTATIVE OF THIS POPULATION.
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 CHILDREN'S HOSPITAL IS REACHING OUT TO SCHOOL DISTRICTS THROUGHOUT WESTCHESTER COUNTY WITH ITS EAT WELL, BE WELL SCHOOL-BASED NUTRITION EDUCATION PROGRAM. THE EAT WELL, BE WELL PROGRAM, WITH SUPPORT FROM KOHL'S 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. IN 2012 THIS PROGRAM REACHED MORE THAN 21,155 STUDENTS IN 38 SCHOOLS THROUGHOUT WESTCHESTER AND PUTNAM, AS WELL AS THEIR PARENTS AND TEACHERS, WITH INFORMATION ON HOW TO MAKE FOOD AND LIFESTYLE CHOICES THAT WILL PROMOTE HEALTHY LIVING FOR A LIFETIME.INJURY PREVENTION: BLYTHEDALE IS COMMITTED TO KEEPING CHILDREN SAFE AND INJURY FREE. IN ORDER TO PROVIDE CHILDREN WITH LESSONS THAT WILL HELP ESTABLISH GOOD SAFETY HABITS, BLYTHEDALE HAS DEVELOPED A SCHOOL-BASED INJURY PROGRAM. WITH THE SUPPORT OF KOHL'S DEPARTMENT STORES, THIS PROGRAM IS DESIGNED TO PROMOTE THE SAFE PRACTICES AND THE CONSISTENT USE OF PROTECTIVE QUIPMENT TO CHILDREN IN THE THIRD, FOURTH AND FIFTH GRADES. IN 2012 THIS PROGRAM REACHED OVER 6,200 CHILDREN. THE INJURY PREVENTION PROGRAM PROVIDES CLASSROOM INSTRUCTIONS TO CHILDREN FROM GRADES K-5. THE THREE AREAS ADDRESSED BY THE PROGRAM ARE: BICYCLE SAFETY, FIRE AND WATER SAFETY. THIS YEAR THE PROGRAM WAS BEEN PRESENTED IN 10 SCHOOLS THROUGHOUT WESTCHESTER, ROCKLAND AND PUNTAM COUNTIES. HOSPITAL STAFF ALSO PARTICIPATED IN SEVERAL HEALTH FAIRS AND SAFETY DAYS. IN ADDITION TO THIS SPECIAL INJURY PREVENTION EDUCATION PROGRAM, BLYTHEDALE HAS FOR MANY YEARS COORDINATED THE WESTCHESTER SAFE KIDS COALITION, THE LOCAL AFFILIATE OF THE NATIONAL SAFE KIDS CAMPAIGN. SAFE KIDS IS DEDICATED TO PREVENTING UNINTENTIONAL CHILDHOOD INJURY FROM ACCIDENTS SUCH AS MOTOR VEHICLE CRASHES, FIRES, DROWNING, POISONING AND FALLS, BY PROMOTING CHANGE IN BEHAVIORS, LAWS AND THE ENVIRONMENT. AS PART OF ITS SAFE KIDS ACTIVITIES, BLYTHEDALE SPONSORS FITTING AND INSTALLATION CHECKS FOR BOTH REGULAR AND SPECIAL-NEED CAR SEATS ON SITE AT THE HOSPITAL. HOSPITAL STAFF ALSO ARE INSTRUCTORS IN CAR SEAT TECHNOLOGIST TRAINING COURSES IN THE LOWER HUDSON VALLEY. CPR TRAINING CENTER: BLYTHEDALE IS A COMMUNITY TRAINING CENTER FOR THE AMERICAN HEART ASSOCIATION, PROVIDING TRAINING IN HEARTSAVER CPR, HEARTSAVER AED AND HEARTSAVER FIRST AID. THOSE TRAINED INCLUDE HEALTH CARE PROFESSIONALS, MEMBER OF LOCAL POLICE AND FIRE DEPARTMENTS, STUDENTS AT AREA SCHOOLS AND STAFF FROM VARIOUS COMMUNITY AGENCIES. BLYTHEDALE ALSO OFFERS PEDIATRIC CPR TRAINING FOR THE COMMUNITY AND HEALTH CARE PROFESSIONALS, AND IS A CERTIFIED PEDIATRIC ADVANCED LIFE SUPPORT TRAINING CENTER. 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. BLYTHEDALE IS THE SPONSOR OF THE REGIONAL CHAPTER OF THE SOCIETY FOR PEDIATRIC NURSING (SPN) WHICH PROMOTES EXCELLENCE IN NURSING CARE OF CHILDREN AND THEIR FAMILIES THROUGH SUPPORT OF ITS MEMBERS' CLINICAL PRACTICE, EDUCATION, RESEARCH AND ADVOCACY. SPN HOSTS BI-ANNUAL CONFERENCES WHICH HAVE COVERED TOPICS RANGING FROM PREVENTING THE SPREAD OF INFECTION TO ETHICS AND LEGAL ISSUES IN PREDIATRIC PRACTICE.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
LAWRENCE LEVINE
CEO	516139	0	51905	0	12713	0	121721	0	23618	0	726096	0	0	0
JOHN CANNING
CFO	304250	0	30596	0	8500	0	37487	0	24176	0	405009	0	0	0
JOELLE MAST
CMO	280966	0	5600	0	2772	0	36612	0	23618	0	349568	0	0	0
MAUREEN DESIMONE
COO	243400	0	24447	0	8754	0	65407	0	17935	0	359943	0	0	0
REGINA KELLY
COMPLIANCE GOV RELATIONS	161576	0	8000	0	2164	0	34845	0	24171	0	230756	0	0	0
RONALD GALLO
CHIEF HUMAN RESOURCES OFFICER	189892	0	13367	0	11149	0	39747	0	17689	0	271844	0	0	0
JANE MACDONALD
CHIEF DEVELOPMENT OFFICER	189482	0	13338	0	2605	0	22343	0	11488	0	239256	0	0	0
ELIZABETH BOWMAN
CHIEF MARKETING OFFICER	189069	0	13309	0	906	0	19294	0	3759	0	226337	0	0	0
JUDI PEACOCK
CNO	30288	0	0	0	145009	0	673	0	3486	0	179456	0	0	0
LOIS ALLEN
CQO	167443	0	8400	0	4342	0	0	0	3324	0	183509	0	0	0
RONI AMIEL
CIO	156192	0	11500	0	228	0	4475	0	24662	0	197057	0	0	0
MILICENT MITCHELL
CHIEF OF PULMONOLOGY	233572	0	4698	0	792	0	51572	0	14758	0	305392	0	0	0
BYRON FERNANDEZ
PEDIATRICIAN	226571	0	3400	0	180	0	7961	0	22118	0	260230	0	0	0
LAURA MIRKINSON
CHIEF OF PEDIATRICS	219315	0	0	0	496	0	25266	0	270	0	245347	0	0	0
KATHY SILVERMAN
PEDIATRICIAN	172168	0	3400	0	516	0	21351	0	7998	0	205433	0	0	0
MARY DIDIE
PEDIATRICIAN	170893	0	3400	0	792	0	42072	0	21499	0	238656	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART I, LINES 4A-B

JUDI PEACOCK $145,009. SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN - EFFECTIVE AS OF JANUARY 1, 2008, THE HOSPITAL IMPLEMENTED THE BLYTHEDALE CHILDREN'S HOSPITAL SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) TO PROVIDE PENSION BENEFITS FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. THIS PLAN IS UNFUNDED AND A TARGET DEFINED BENEFIT PLAN. AS OF DECEMBER 31, 2012 AND 2011, THE PROJECTED BENEFIT OBLIGATION WAS $1,245,926 AND $1,076,770, RESPECTIVELY AND IS INCLUDED IN ACCRUED PENSION LIABILITY IN THE STATEMENTS OF FINANCIAL POSITION. IN 2012 THE HOSPITAL CONTRIBUTED $89,074 TO A SERP ON BEHALF OF LARRY LEVINE. EFFECTIVE AS OF JANUARY 1, 2012 THE HOSPITAL IMPLEMENTED AN ADDITIONAL SERP. THIS PLAN IS UNFUNDED AND A DEFINED CONTRIBUTION PLAN. FOR EACH PLAN YEAR THE HOSPITAL WILL MAKE A CONTRIBUTION ON BEHALF OF THE PARTICIPANT IN AN AMOUNT EQUAL TO TEN PERCENT (10%) OF THE PARTICIPANT'S BASE COMPENSATION. BOTH PLANS ARE MAINTAINED TO PROVIDE DEFERRED COMPENSATION TO A MEMBER OF A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. IN 2012 THE HOSPITAL CONTRIBUTED $30,425 TO A SERP ON BEHALF OF JOHN CANNING.

PART I, LINE 7

BLYTHEDALE ENGAGED SULLIVAN COTTER IN 2011 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

Form990 Schedule K Part I Form990ScheduleKPartI

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 THE STATE OF NEW YORK	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	146000293	IssuerEIN
CUSIP Number	649905DG8	CUSIPNumber
Date Issued	2009-06-19	DateIssued
Issue Price	27000000	IssuePrice
Description Of Purpose	CONSTRUCTION	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount In Reserve Fund	27227655	AmountInReserveFund
Capitalized Interest	65392	CapitalizedInterest
Issuance Costs From Proceeds	540000	IssuanceCostsFromProceeds
Credit Enhancement	820868	CreditEnhancement
Capital Expenditures	25801395	CapitalExpenditures
Amount Unspent	479342	AmountUnspent
Year Of Subst Completion	2011	YearOfSubstCompletion
Current Refunding	0	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	0	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	1	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	0	EngageBondCounselContracts
Any Research Agreements	0	AnyResearchAgreements
Bond Iss Meet Prvt Security Pay Test	0	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs	1	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiled
Rebate Not Due Yet	0	RebateNotDueYet
Exception To Rebate	0	ExceptionToRebate
No Rebate Due	0	NoRebateDue
Variable Rate Issue	1	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	0	ProcToUndertkCorrectiveAction

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifier	ExplanationExplanation
SCHEDULE K SUPPLENTAL INFORMATION	PART 1, COLUMN (E) & PART II, LINE 3 THE DIFFERENCES BETWEEN THE ISSUE PRICE (PART I, COLUMN (E)) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS
PART II, LINE 4	THE AMOUNT ENTERED HERE IS A DEBT SERVICE FUND BALANCE AND PREPAYMENTS ON THE BOND PRINCIPAL.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	11	NumberOfContributions
Noncash Contribs Rptd F990	86263	NoncashContribsRptdF990
Method Of Determining Revenues	COST OR SELLING PRICE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS:	Identifier
Return Reference	PART I, COLUMN (B):	ReturnReference
Explanation	THE AMOUNT REPORTED IN COLUMN (B) REFERS TO THE NUMBER OF CONTRIBUTORS; THERE WERE 13 STOCK CONTRIBUTIONS IN 2012.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2	JOHN FURTH AND OWEN GUTFREUND (BOARD MEMBERS) HAVE A FAMILY RELATIONSHIP. DAVID PEDOWITZ HAS BUSINESS RELATIONSHIPS WITH PEGGY EPSTEIN TANNER, PATRICIA STANLEY AND LARRY COHEN (BOARD MEMBERS). ANDREW HERENSTEIN (SPOUSE OF BOARD MEMBER TERRI HERENSTEIN) HAS BUSINESS RELATIONSHIPS WITH DAVID TANNER (SPOUSE OF BOARD MEMBER PEGGY EPSTEIN TANNER) AND LARRY COHEN. FRANK STERN AND JOHN BARKER (BOARD MEMBERS) HAVE A BUSINESS RELATIONSHIP. JOHN BARKER, DAVID PEDOWITZ AND DARREN FOGEL ARE EMPLOYEES OF NEUBERGER BERMAN, WHICH MANAGES SOME ASSET AND PENSION PORTFOLIOS FOR THE HOSPITAL. THESE MEMBERS RECUSE THEMSELVES FROM ALL ISSUES RELATED TO THESE INVESTMENTS.
FORM 990, PART VI, SECTION B, LINE 11	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.
FORM 990, PART VI, SECTION B, LINE 15	IT IS THE PRACTICE OF BLYTHEDALE CHILDREN'S HOSPITAL TO ENGAGE AN INDEPENDENT COMPENSATION CONSULTANT APPROXIMATELY EVERY 2 YEARS TO PROVIDE THE COMPENSATION COMMITTEE WITH A THOROUGH REVIEW AND ASSESSMENT OF ALL ELEMENTS OF EXECUTIVE COMPENSATION TO ENSURE THE OVERALL REASONABLENESS OF THE TOTAL COMPENSATION PROVIDED TO ITS EXECUTIVES. IN SEPTEMBER 2011, SULLIVAN, COTTER AND ASSOCIATES, INC ASSISTED THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES IN REVIEWING BLYTHEDALE'S EXECUTIVE COMPENSATION PHILOSOPHY STATEMENT AND A COMPENSATION COMMITTEE CHARTER STATEMENT. ADDITIONALLY, SULLIVAN COTTER 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. IN DECEMBER OF 2011 THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES APPROVED ALL 2012 EXECUTIVE COMPENSATION. IN DECEMBER OF 2012 THE COMPENSATION COMMITTEE APPROVED INCENTIVE COMPENSATION AWARDS FOR THE EXECUTIVE MANAGEMENT TEAM. SINCE ITS FOUNDING IN 1992, SULLIVAN COTTER'S EFFORTS HAVE BEEN DEVOTED TO ASSISTING HEALTHCARE ORGANIZATIONS WITH THE DESIGN AND IMPLEMENTATION OF COMPENSATION SYSTEMS AND PROGRAMS. THE FIRM HAS WORKED WITH OVER 700 HEALTHCARE ORGANIZATIONS INCLUDING MANY PEDIATRIC HOSPITALS/HEALTH SYSTEMS. SULLIVAN COTTER MAINTAINS A LIBRARY CONTAINING NEARLY ALL OF THE MAJOR HEALTHCARE EXECUTIVE COMPENSATION SURVEYS AS WELL AS THE RESULTS OF ITS OWN CUSTOM SURVEYS. IN ORDER FOR BLYTHEDALE TO ESTABLISH A "REBUTTABLE PRESUMPTION OF REASONABLENESS" ACCORDING TO INTERMEDIATE SANCTIONS REGULATIONS, EXECUTIVE'S COMPENSATION WAS REVIEWED TO ENSURE THE OVERALL REASONABLENESS OF THE "TOTAL" PACKAGE PROVIDED. THUS, SULLIVAN COTTER PREPARED AN ANALYSIS OF COMPPLUS360 TOTAL COMPENSATION (DOLLAR VALUE OF CASH PLUS BENEFITS) RELATIVE TO MARKET PRACTICE, WHICH WILL SATISFY REQUIREMENTS TO ESTABLISH A "REBUTTABLE PRESUMPTION OF REASONABLENESS." THE ANALYSIS ENABLED THE COMPENSATION COMMITTEE TO REVIEW COMPENSATION DATA FROM INDEPENDENT SOURCES FOR FUNCTIONALLY COMPARABLE POSITIONS IN ORGANIZATIONS COMPARABLE TO BLYTHEDALE TO ENSURE THAT COMPENSATION PROVIDED TO BLYTHEDALE EXECUTIVES IS REASONABLE AND CONSISTENT WITH THESE MARKET PRACTICES. THE ANALYSIS WAS SUBMITTED IN ACCORDANCE WITH THE PROVISIONS OF TREASURY REGULATION SECTION 53.4958-6(C)(2) AND IS ALSO INTENDED TO SATISFY THE PROFESSIONAL ADVICE REQUIREMENTS OF TREASURY REGULATION SECTION 53.4958-1(0)(III). IN LIGHT OF THESE PROVISIONS, THE COMPENSATION COMMITTEE ENSURED 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:	CHANGE IN PENSION LIABILITY -2,620,873. ROUNDING -2. NET ASSETS RELEASED FROM RESTRICTIONS - OPERATIONS 0.	CHANGES IN NET ASSETS OR FUND BALANCES: