BLYTHEDALE CHILDRENS HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: BLYTHEDALE CHILDRENS HOSPITAL (EIN 13-1739922)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-07
IRS object ID: 201213129349300821
Schema version: 2011v1.2
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	2012-11-07T10:04:23-06:00	Timestamp
Tax Period End Date	2011-12-31	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	2011-01-01	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	2012-11-07	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
PTIN	P00743140	PTIN
Phone	5169187000	Phone
Date Prepared	2012-11-06	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	LAWRENCE LEVINE	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	92581252	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	SEE SCHEDULE O	ActivityOrMissionDescription
Nbr Voting Members Governing Body	34	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	34	NbrIndependentVotingMembers
Total Nbr Employees	494	TotalNbrEmployees
Total Nbr Volunteers	252	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1986785	ContributionsGrantsPriorYear
Contributions Grants Current Year	6034551	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	56457526	ProgramServiceRevenuePriorYear
Program Service Revenue CY	50726819	ProgramServiceRevenueCY
Investment Income Prior Year	7855281	InvestmentIncomePriorYear
Investment Income Current Year	-367130	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2081355	OtherRevenuePriorYear
Other Revenue Current Year	4333160	OtherRevenueCurrentYear
Total Revenue Prior Year	68380947	TotalRevenuePriorYear
Total Revenue Current Year	60727400	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	34146677	SalariesEtcPriorYear
Salaries Etc Current Year	37398653	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	635036	TotalFundrsngExpCurrentYear
Other Expense Prior Year	14190915	OtherExpensePriorYear
Other Expenses Current Year	16808675	OtherExpensesCurrentYear
Total Expenses Prior Year	48337592	TotalExpensesPriorYear
Total Expenses Current Year	54207328	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	20043355	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	6520072	RevenuesLessExpensesCY
Total Assets BOY	189805578	TotalAssetsBOY
Total Assets EOY	195750356	TotalAssetsEOY
Total Liabilities BOY	48818723	TotalLiabilitiesBOY
Total Liabilities EOY	57873031	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	140986855	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	137877325	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	SEE SCHEDULE O	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	28451169	Expense
Revenue	39945124	Revenue
Description	SEE SCHEDULE O	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	9328448	Expense
Revenue	9804335	Revenue
Description	SEE SCHEDULE O	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	1083486	Expense
Revenue	977360	Revenue
Description	SEE SECHEDULE O	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	38863103	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
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	34	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	494	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	OC	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	34	NbrVotingGoverningBodyMembers
Number Independent Voting Members	34	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 (57 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
HOWARD ADLER
TRUSTEE	1.00	X	0	0	0
JOHN BARKER
TRUSTEE	1.00	X	0	0	0
JEAN HOFMEIMER BENNETT
TRUSTEE	1.00	X	0	0	0
THOMAS BROCK
TRUSTEE	1.00	X	0	0	0
JOHN BURNHAM
TRUSTEE	1.00	X	0	0	0
WILLIAM CAHN
TRUSTEE	1.00	X	0	0	0
LAURENCE COHEN
TRUSTEE	1.00	X	0	0	0
EDWARD DAVIDOWITZ
TRUSTEE	1.00	X	0	0	0
PEGGY EPSTEIN TANNER
VICE-CHAIRMAN	1.00	X	0	0	0
TIM EVNIN
TREASURER	1.00	X	0	0	0
MATTHEW FELDMAN
TRUSTEE	1.00	X	0	0	0
DARREN FOGEL
TRUSTEE	1.00	X	0	0	0
JOHN FURTH
TRUSTEE	1.00	X	0	0	0
JUDITH GOODHUE
VICE-CHAIRMAN	1.00	X	0	0	0
LOUISE GRAYER
TRUSTEE	1.00	X	0	0	0
OWEN GUTFREUND
CHAIR OF THE BOARD	1.00	X	0	0	0
MERWIN HASKEL
TRUSTEE	1.00	X	0	0	0
SCOTT KARR
TRUSTEE	1.00	X	0	0	0
PHYLLIS LASHINS
TRUSTEE	1.00	X	0	0	0
MARION LEVY
TRUSTEE HONORARY	1.00	X	0	0	0
WILLIAM LEVY
TRUSTEE	1.00	X	0	0	0
GEORGE LUSK
TRUSTEE HONORARY	1.00	X	0	0	0
MICHAEL MARGULIES
TRUSTEE	1.00	X	0	0	0
DAVID OSBORN
TRUSTEE	1.00	X	0	0	0
DAVID PEDOWITZ
VICE-CHAIRMAN	1.00	X	0	0	0
ELIZABETH PFORZHEIMER
TRUSTEE HONORARY	1.00	X	0	0	0
ABBEY POPPER
TRUSTEE	1.00	X	0	0	0
NANCY PUNDYK
TRUSTEE	1.00	X	0	0	0
PETER RITTMASTER
TRUSTEE	1.00	X	0	0	0
JEANNE SAVITT
SECRETARY	1.00	X	0	0	0
LUCY SCHMOLKA
TRUSTEE	1.00	X	0	0	0
HEIDI SCHWARTZ
TRUSTEE	1.00	X	0	0	0
STEVEN SOLOMON
TRUSTEE	1.00	X	0	0	0
PATRICIA STANLEY
TRUSTEE	1.00	X	0	0	0
FRANK STERN
TRUSTEE	1.00	X	0	0	0
CHARLES WEINBERG
TRUSTEE	1.00	X	0	0	0
LESLIE WEISSMAN
TRUSTEE	1.00	X	0	0	0
JOAN BERNHARD
TRUSTEE HONORARY	1.00	X	0	0	0
JOSEPHINE BIRNBAUM
TRUSTEE HONORARY	1.00	X	0	0	0
PEG MICHELMAN
TRUSTEE HONORARY	1.00	X	0	0	0
LINDA MILLER
TRUSTEE HONORARY	1.00	X	0	0	0
DAVID STEIN
TRUSTEE HONORARY	1.00	X	0	0	0
LAWRENCE LEVINE
PRESIDENT & CEO	37.50		560336	0	168018	X
JOHN CANNING
CHIEF FINANCIAL OFFICER	37.50		331642	0	37197	X
JOELLE MAST
CHIEF MEDICAL OFFICER	37.50		282782	0	71120	X
MAUREEN DESIMONE
CHIEF OPERATIONS OFFICER	37.50		267491	0	85969	X
REGINA KELLY
CHIEF GOVERNMENT RELATIONS OFFICER	37.50		156870	0	62480	X
JUDITH PEACOCK
CHIEF NURSING OFFICER	37.50		166808	0	10292		X
LOIS ALLEN
CHIEF QUALITY OFFICER	37.50		172566	0	39197		X
RONALD GALLO
CHIEF HUMAN RESOURCES OFFICER	37.50		204425	0	39663		X
JANE MACDONALD
CHIEF DEVELOPMENT OFFICER	37.50		194654	0	12862		X
ELIZABETH BOWMAN
CHIEF INSTITUTIONAL ADVANCEMENT OFFICER	37.50		194563	0	17927		X
MILICENT MITCHELL
CHIEF OF PULMONOLOGY	37.50		230588	0	58194			X
BYRON FERNANDEZ
UNIT CHIEF PEDIATRICS	37.50		208870	0	30571			X
KATHY SILVERMAN
UNIT CHIEF PEDIATRICS	37.50		170293	0	23126			X
MARY DIDIE
UNIT CHIEF PEDIATRICS	37.50		169293	0	56034			X
LAURA MIRKINSON
CHIEF OF PEDIATRICS	37.50		220385	0	21476			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3531566	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	734126	TotalOtherCompensation
Number Individuals GT100 K	15	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
WALDNER'S BUSINESS ENVIRONMENTS
125 ROUTE 110	FARMINGDALE	NY	11735	FURNITURE DISTRIBUTION	859828
OMNICELL
1201 CHARLESTON ROAD	MOUNTAIN VIEW	CA	94043	PHARMACY DISTRIBUTION	668232
MORRISSWITZER
185 TALCOTT ROAD	WILLISTON	VT	05495	ARCHITECTS	614183
PETER J ROMANO AND COMPANY
69 FIFTH AVENUE	PELHAM	NY	10803	PLANNING & CONSULTING	436369
HOSPTIALS INSURANCE COMPANY
50 MAIN STREET SUITE 1220	WHITE PLAINS	NY	10606	MALPRACTICE & PROF. LIABILITY	355748

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	20	NumberOfContractorsGT100K
Fundraising Events	600304	FundraisingEvents
All Other Contributions	5434247	AllOtherContributions
Noncash Contributions	44740	NoncashContributions
Total Contributions	6034551	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INPATIENT	900099	39917849	39917849
DAY HOSPITAL	900099	9838704	9838704
OUTPATIENT	900099	970266	970266

Field	Value	IRS element (for citing)
Total Program Service Revenue	50726819	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	462269	TotalRevenueColumn
Exclusion	$462,269	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	30830862	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	31660261	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	-829399	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-829399	TotalRevenueColumn
Exclusion	-$829,399	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	57392	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	600304	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	193591	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-136199	TotalRevenueColumn
Exclusion	-$136,199	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	ExclusionExclusionAmount
HI TECH REVENUE	900099	1837958	1837958
SCHOOL CONTRACT	900099	860414		$860,414
OFFSITE THERAPIES	900099	790119		$790,119

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	980868	TotalRevenueColumn
Exclusion	$980,868	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	4469359	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	60727400	TotalRevenueColumn
Related Or Exempt Function Income	52564777	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$2,128,072	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2358892	Total
Program Services	447061	ProgramServices
Management And General	1719711	ManagementAndGeneral
Fundraising	192120	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	26580097	Total
Program Services	22800507	ProgramServices
Management And General	3524317	ManagementAndGeneral
Fundraising	255273	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	2744634	Total
Program Services	1946008	ProgramServices
Management And General	767993	ManagementAndGeneral
Fundraising	30633	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	3588310	Total
Program Services	2729178	ProgramServices
Management And General	805445	ManagementAndGeneral
Fundraising	53687	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2126720	Total
Program Services	1617529	ProgramServices
Management And General	494763	ManagementAndGeneral
Fundraising	14428	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	2966696	Total
Program Services	1494822	ProgramServices
Management And General	1460132	ManagementAndGeneral
Fundraising	11742	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	278851	Total
Management And General	278851	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	217800	Total
Management And General	217800	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	23182	Total
Management And General	23182	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	169294	Total
Management And General	169294	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1303995	Total
Program Services	82351	ProgramServices
Management And General	1202766	ManagementAndGeneral
Fundraising	18878	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	570961	Total
Management And General	564812	ManagementAndGeneral
Fundraising	6149	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4386281	Total
Program Services	3714946	ProgramServices
Management And General	656775	ManagementAndGeneral
Fundraising	14560	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	42338	Total
Program Services	21614	ProgramServices
Management And General	19207	ManagementAndGeneral
Fundraising	1517	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	28225	Total
Program Services	14409	ProgramServices
Management And General	12805	ManagementAndGeneral
Fundraising	1011	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	23149	Total
Management And General	23149	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3007673	Total
Program Services	2195454	ProgramServices
Management And General	779826	ManagementAndGeneral
Fundraising	32393	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	596355	Total
Program Services	350753	ProgramServices
Management And General	242957	ManagementAndGeneral
Fundraising	2645	Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
CONTRACTED LABOR	1984340	1448471	535869
TAXES & OTHER	697593	0	697593
BAD DEBTS	511942	0	511942

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	54207328	Total
Program Services	38863103	ProgramServices
Management And General	14709189	ManagementAndGeneral
Fundraising	635036	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	9744707	BOY
EOY	21846638	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	11631837	BOY
EOY	14654507	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	1461216	BOY
EOY	1351544	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	8485147	BOY
EOY	7357080	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	292718	BOY
EOY	257264	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	255905	BOY
EOY	534662	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	84280215	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	14639396	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	54158688	BOY
EOY	69640819	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	43212904	BOY
EOY	21793485	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	52835261	BOY
EOY	52857544	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	7727195	BOY
EOY	5456813	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	189805578	BOY
EOY	195750356	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	7663657	BOY
EOY	5942352	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	383043	BOY
EOY	146242	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	13772023	BOY
EOY	24784437	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	48818723	BOY
EOY	57873031	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	126477863	BOY
EOY	128669885	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10538526	BOY
EOY	5275246	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3970466	BOY
EOY	3929194	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	140986855	BOY
EOY	137877325	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	189805578	BOY
EOY	195750356	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	6520072	ReconcilationRevenueExpenses
Reconcilation Other Changes	-9629602	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
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	$23,182	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	0	OtherActivities
Total Lobbying Expenditures IIB	23182	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	PART IV, SUPPLEMENTAL INFORMATION:	Identifier
Explanation	FORM 990, SCHEDULE C, PART II-B, LINE 1G: 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	14508992	BeginningOfYearBalance
Contributions	911024	Contributions
Investment Earnings Or Losses	-687562	InvestmentEarningsOrLosses
Other Expenditures	5525014	OtherExpenditures
End Of Year Balance	9207440	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Minus3 Years CurrentYearMinus3Years

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)
Permanent Endowment EOY Balance	0.42710	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.57290	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	43792521	OtherCostOrOtherBasis
Depreciation	5959584	Depreciation
Book Value	37832937	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	35529042	OtherCostOrOtherBasis
Depreciation	7304852	Depreciation
Book Value	28224190	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3574773	OtherCostOrOtherBasis
Depreciation	1374960	Depreciation
Book Value	2199813	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	69640819	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	LIMITED LIABILITY PARTNERSHIP (HEDGE FUNDS)	Description
Book Value	52857544	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	52857544	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION LIABILITY	$19,231,293
DUE TO THIRD PARTY PAYORS	$3,621,314
ASSET RETIREMENT OBLIGATION	$1,078,830
MALPRACTICE LIABILITIES	$853,000

Field	Value	IRS element (for citing)
Total Of Amounts	24784437	TotalOfAmounts
Total Revenue	60727400	TotalRevenue
Total Expenses	54207328	TotalExpenses
Excess Or Deficit For Year	6520072	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-1615883	NetUnrealizedGLOnInvestments
Other	-$8,013,719	OtherAmount
Total Adjustments	-9629602	TotalAdjustments
Excess Or Deficit Per FS	-3109530	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	51097798	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-1615883	NetUnrealizedGainsInvestments
Other Revenues	-8013719	OtherRevenues
Revenue Not Rptd F990	-9629602	RevenueNotRptdF990
Revenue Subtotal	60727400	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	60727400	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	54207328	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	54207328	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	54207328	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 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 ENDOWMENT FUND (C) GENERAL ECONOMIC CONDITIONS (D) THE POSSIBLE EFFECT OF INFLATION AND DEFLATION (E) THE EXPECTED TOTAL RETURN FROM INCOME AND THE APPRECIATION OF INVESTMENTS (F) OTHER RESOURCES OF THE ORGANIZATION (G) THE INVESTMENT POLICIES OF THE ORGANIZATION TEMPORARILY RESTRICTED NET ASSETS AS OF DECEMBER 31, 2011 AND 2010, ARE AVAILABLE FOR THE FOLLOWING PURPOSES: 2011 2010 PLANT REPLACEMENT $1,240,131 $6,747,300 TEMPORARILY RECTRICTED PORTION OF ENDOWMENT FUND 2,437,491 2,452,254 MEDICAL EQUIPMENT 197,518 268,585 OTHER 1,400,106 1,070,387 TOTALS $5,275,246 $10,538,526 PERMANENTLY RESTRICTED NET ASSETS AS OF DECEMBER 31, 2011 AND 2010, ARE RESTRICTED TO THE FOLLOWING: 2011 2010 INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT HEALTH CARE SERVICES $3,932,194 $3,970,466
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	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 RECOGNIZED IN AN ENTERPRISE'S FINANCIAL STATEMENTS IN ACCORDANCE WITH ASC 740, ACCOUNTING FOR INCOME TAXES. THIS INTERPRETATION PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THIS INTERPRETATION ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. THE HOSPITAL ADOPTED THE PROVISIONS OF ASC 740-10-65 ON JANUARY 1, 2009. THE ADOPTION HAD NO IMPACT UPON THE FINANCIAL STATEMENTS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		CHANGE IN PENSION LIABILITY -8,013,721. ROUNDING 2. TOTAL TO SCHEDULE D, PART XI, LINE 8: -8,013,719.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		CHANGE IN PENSION LIABILITY -8,013,721. ROUNDING 2.
		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
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConducted
Total Expenditures	45396294	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	45396294	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	45396294	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	0	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	232705	GrossReceiptsEvent1
Charitable Contributions Event1	221230	CharitableContributionsEvent1
Gross Revenue Event1	11475	GrossRevenueEvent1
Rent Facility Costs Event1	28404	RentFacilityCostsEvent1
Food And Beverage Event1	11400	FoodAndBeverageEvent1
Entertainment Event1	1750	EntertainmentEvent1
Other Direct Expenses Event1	8278	OtherDirectExpensesEvent1
Name Of Event2	GOLF EVENT	NameOfEvent2
Gross Receipts Event2	224720	GrossReceiptsEvent2
Charitable Contributions Event2	179558	CharitableContributionsEvent2
Gross Revenue Event2	45162	GrossRevenueEvent2
Cash Prizes Event2	1700	CashPrizesEvent2
Rent Facility Costs Event2	25265	RentFacilityCostsEvent2
Food And Beverage Event2	18100	FoodAndBeverageEvent2
Other Direct Expenses Event2	6554	OtherDirectExpensesEvent2
Total Number Of Other Events	2	TotalNumberOfOtherEvents
Gross Receipts Other Events	200271	GrossReceiptsOtherEvents
Charitable Contrib Other Events	199516	CharitableContribOtherEvents
Gross Revenue Other Events	755	GrossRevenueOtherEvents
Other Direct Expenses Other Events	92140	OtherDirectExpensesOtherEvents
Gross Receipts Total	657696	GrossReceiptsTotal
Charitable Contributions Total	600304	CharitableContributionsTotal
Gross Revenue Total Events	57392	GrossRevenueTotalEvents
Cash Prizes Total Events	1700	CashPrizesTotalEvents
Rent Facility Costs Total Events	53669	RentFacilityCostsTotalEvents
Food And Beverage Total Events	29500	FoodAndBeverageTotalEvents
Entertainment Total Events	1750	EntertainmentTotalEvents
Other Direct Expenses Total Events	106972	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	193591	DirectExpenseSummaryEvents
Net Income Summary	-136199	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	22630	TotalCommunityBenefitExpense
Net Community Benefit Expense	22630	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	22630	TotalCommunityBenefitExpense
Net Community Benefit Expense	22630	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	810738	TotalCommunityBenefitExpense
Direct Offsetting Revenue	451132	DirectOffsettingRevenue
Net Community Benefit Expense	359606	NetCommunityBenefitExpense
Percent Of Total Expense	0.00670	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	651839	TotalCommunityBenefitExpense
Direct Offsetting Revenue	90124	DirectOffsettingRevenue
Net Community Benefit Expense	561715	NetCommunityBenefitExpense
Percent Of Total Expense	0.01050	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	248143	TotalCommunityBenefitExpense
Direct Offsetting Revenue	27016	DirectOffsettingRevenue
Net Community Benefit Expense	221127	NetCommunityBenefitExpense
Percent Of Total Expense	0.00410	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1710720	TotalCommunityBenefitExpense
Direct Offsetting Revenue	568272	DirectOffsettingRevenue
Net Community Benefit Expense	1142448	NetCommunityBenefitExpense
Percent Of Total Expense	0.02130	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1733350	TotalCommunityBenefitExpense
Direct Offsetting Revenue	568272	DirectOffsettingRevenue
Net Community Benefit Expense	1165078	NetCommunityBenefitExpense
Percent Of Total Expense	0.02170	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	2673119	TotalCommunityBuildingExpense
Direct Offsetting Revenue	1433100	DirectOffsettingRevenue
Net Community Building Expense	1240019	NetCommunityBuildingExpense
Percent Of Total Expense	0.02310	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	158730	TotalCommunityBuildingExpense
Direct Offsetting Revenue	37602	DirectOffsettingRevenue
Net Community Building Expense	121128	NetCommunityBuildingExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	2831849	TotalCommunityBuildingExpense
Direct Offsetting Revenue	1470702	DirectOffsettingRevenue
Net Community Building Expense	1361147	NetCommunityBuildingExpense
Percent Of Total Expense	0.02540	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$511,942	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)
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
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
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
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 MANY COMMUNITY ACTIVITIES WHICH PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES. BLYTHEDALE ACTIVELY PARTICIPATES IN THE WESTCHESTER CHILDREN'S ASSOCIATION'S CHILD HEALTH ADVOCACY NETWORK, WHOSE PRINCIPAL GOALS ARE TO MAXIMIZE ENROLLMENT OF ELIGIBLE CHILDREN IN NEW YORK STATE'S MEDICAID AND CHILD HEALTH PLUS PROGRAMS, AND TO SUPPORT OTHER PROGRAMS TO IMPROVE CHILDREN'S HEALTH AND MENTAL HEALTH. 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 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 V, SECTION B, LINE 19D: BLYTHEDALE USES A SCALE BASED UPON 400% OF THE FPG TO ASSESS THE DISCOUNT. THE DISCOUNT IS CALCULATED OFF OF ACTUAL COSTS USING THE MOST RECENTLY PUBLISHED RATIO OF COST TO CHARGES IN THE ICR TO CONVERT THE ACCOUNT TO COST. THE DIFFERENCE BETWEEN COST AND CHARGES IS WRITTEN AS A NORMAL CONTRACTUAL ALLOWANCE. ONCE COST FOR THE SERVICE IS ESTABLISHED, A DISCOUNT IS APPLIED USING A SCALE BASED UPON 400% OF THE FPG AND FAMILY SIZE. THE AMOUNT BETWEEN COST AND THE FINAL DISCOUNT AMOUNT IS RECORDED AS CHARITY CARE, THE DISCOUNTED BALANCE IS RECORD AS THE PATIENT'S FINANCIAL RESPONSIBILITY.	BLYTHEDALE CHILDREN'S HOSPITAL
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 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, BLYTHEDALE'S PATIENT ASSISTANCE FUND 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 PATIENTS ARE BROADLY REPRESENTATIVE OF THIS POPULATION.
PART VI, LINE 5: BLYTHEDALE ALSO 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. TO DATE THIS PROGRAM HAS REACHED MORE THAN 50,000 STUDENTS IN 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 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-NEEDS CAR SEATS ON SITE AT THE HOSPITAL. HOSPITAL STAFF ARE ALSO 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, MEMBERS 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 NEW YORK 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 CONFERENCES WHICH HAVE COVERED TOPICS RANGING FROM PREVENTING THE SPREAD OF INFECTION TO ETHICS AND LEGAL ISSUES IN PEDIATRIC PRACTICE.
NY	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	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 (15 entries)

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
499299	0	50393	0	10644	0	135428	0	32590	0	728354	0	0	0
JOHN CANNING
294849	0	28000	0	8793	0	5341	0	31856	0	368839	0	0	0
JOELLE MAST
270976	0	10000	0	1806	0	31030	0	40090	0	353902	0	0	0
MAUREEN DESIMONE
234113	0	23000	0	10378	0	62725	0	23244	0	353460	0	0	0
REGINA KELLY
154763	0	0	0	2107	0	24975	0	37505	0	219350	0	0	0
JUDITH PEACOCK
154085	0	12000	0	723	0	6690	0	3602	0	177100	0	0	0
LOIS ALLEN
160372	0	10000	0	2194	0	35837	0	3360	0	211763	0	0	0
RONALD GALLO
182705	0	11000	0	10720	0	25200	0	14463	0	244088	0	0	0
JANE MACDONALD
181120	0	11000	0	2534	0	0	0	12862	0	207516	0	0	0
ELIZABETH BOWMAN
182680	0	11000	0	883	0	11641	0	6286	0	212490	0	0	0
MILICENT MITCHELL
226796	0	3000	0	792	0	37294	0	20900	0	288782	0	0	0
BYRON FERNANDEZ
208690	0	0	0	180	0	5296	0	25275	0	239441	0	0	0
KATHY SILVERMAN
165777	0	4000	0	516	0	13684	0	9442	0	193419	0	0	0
MARY DIDIE
165501	0	3000	0	792	0	23849	0	32185	0	225327	0	0	0
LAURA MIRKINSON
219869	0	0	0	516	0	20474	0	1002	0	241861	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

PART I, LINE 4B

THE PURPOSE OF BLYTHEDALE CHILDREN'S HOSPITAL SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (THE "PLAN") IS TO PROVIDE DEFERRED COMPENSATION FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. THERE IS ONE PARTICIPANT IN THE PLAN. BLYTHEDALE CHILDREN'S HOSPITAL IS A TAX-EXEMPT ENTITY UNDER THE INTERNAL REVENUE CODE OF 1986. THE PLAN IS TAXED UNDER CODE SECTION 457(F) AND IS INTENDED TO BE A "TOP-HAT PLAN" PURSUANT TO SECTIONS 201(2), 301(A)(3) AND 401(A)(1) OF THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974, AS AMENDED ("ERISA"). THE PLAN IS ALSO INTENDED TO COMPLY WITH THE REQUIREMENTS OF SECTION 409A OF THE CODE, AS ADDED BY THE AMERICAN JOBS CREATION ACT OF 2004, AND THE TREASURY REGULATIONS OR ANY OTHER AUTHORITATIVE GUIDANCE ISSUED THERE UNDER ("SECTION 409A"). THE SECRETARY OF LABOR WAS PROVIDED WRITTEN NOTICE OF THE PLAN IN JULY OF 2008 AND THAT BLYTHEDALE CHILDREN'S HOSPITAL WOULD UTILIZE THE ALTERNATIVE FORM OF COMPLIANCE WITH REPORTING AND DISCLOSURE REQUIREMENTS OF PART 1 OF TITLE 1 OF ERISA.

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

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)
Total Proceeds	27226230	TotalProceeds
Amount In Reserve Fund	58138	AmountInReserveFund
Issuance Costs From Proceeds	540000	IssuanceCostsFromProceeds
Credit Enhancement	820868	CreditEnhancement
Capital Expenditures	24303952	CapitalExpenditures
Amount Unspent	1561410	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)
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
Post Issuance Compliance Procdrs	0	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
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
Exception To Rebate	0	ExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifier	ExplanationExplanation
PART I, 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	7	NumberOfContributions
Noncash Contribs Rptd F990	44740	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION MISSION STATEMENT	FORM 990, PART I, LINE 1	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.
ORGANIZATION MISSION STATEMENT	FORM 990, PART III, LINE 1	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.
PROGRAM SERVICE STATEMENT	FORM 990, PART III, LINE 4A	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 92 LICENSED BEDS AND PROVIDED CARE TO OVER 63 INPATIENTS PER DAY ON AVERAGE IN 2011. THE HOSPITAL HAD 448 TOTAL DISCHARGES. OVER 74% OF OUR INPATIENT ADMISSIONS WERE REIMBURSED THROUGH THE MEDICAID PROGRAM (FFS & MANAGED) IN 2011. WHILE 100% OF THE HOSPITALS INPATIENT POPULATION IS REFERRED IN FROM OTHER ACUTE CARE HOSPITALS IN THE REGION, OVER >55% COME DIRECTLY FROM INTENSIVE CARE UNITS (ICU'S). THIS SPEAKS TO THE HIGH ACUITY OF THE PATIENT POPULATION BEING MANAGED AT BLYTHEDALE. IN 2011 OVER 58.3% 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.
PROGRAM SERVICE STATEMENT	FORM 990, PART III, LINE 4B	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 2011, 60% OF THE PROGRAM CAME DIRECTLY FROM THE INPATIENT SETTING, 35% CAME DIRECTLY FROM REFERRALS IN THE COMMUNITY AND 5% THROUGH THE EARLY INTERVENTION/CPSE PROGRAMS. IN 2011, THE PROGRAM SERVED ON AVERAGE OF 79 PATIENTS PER SCHOOL DAY FOR A TOTAL OF 18,243 VISITS. OVER 76% 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. 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 2011, THE PROGRAM SERVED ON AVERAGE OF 24 PATIENTS PER SCHOOL DAY FOR A TOTAL OF 5,923 VISITS. THE HOSPITAL ALSO PROVIDED 8,484 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 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 2011, THE PROGRAM SERVED ON AVERAGE OF 16 PATIENTS PER SCHOOL DAY FOR A TOTAL OF 3,755 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
PROGRAM SERVICE STATEMENT	FORM 990, PART III, LINE 4C	BLYTHEDALE CHILDREN'S HOSPITAL OFFERS VARIOUS OUTPATIENT THERAPY AND SUB SPECIALTY MEDICAL CLINICS TO SPECIAL NEEDS CHILDREN THROUGHOUT THE REGION. IN 2011 THE HOSPITAL PROVIDED OVER 7,833 ENCOUNTERS TO CHILDREN REQUIRING THESE SERVICES (THESE SERVICES INCLUDE AUDIOLOGY, NEUROLOGY, ORTHOPEDICS, SPINA BIFIDA CLINIC, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, BRACE AND EQUIPMENT MODIFICATION AND FITTING).
	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). NANCY ADLER (SPOUSE OF BOARD MEMBER HOWARD ADLER) HAS A BUSINESS RELATIONSHIP WITH JOHN FURTH. 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 RECUES 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	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. 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. IN DECEMBER OF 2010 THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES APPROVED ALL 2011 EXECUTIVE COMPENSATION. IN DECEMBER OF 2011 THE COMPENSATION COMMITTEE APPROVED INCENTIVE COMPENSATION AWARDS FOR THE EXECUTIVE MANAGEMENT TEAM.
	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.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -1,615,883. CHANGE IN PENSION LIABILITY -8,013,721. ROUNDING 2. TOTAL TO FORM 990, PART XI, LINE 5: -9,629,602.
	FORM 990, PART V, LINE 4B	INVESTMENT NAME FOREIGN COUNTRY YORK CREDIT OPPORTUNITIES UNIT TRUST CAYMAN ISLANDS NEW PROVIDENCE FUND LTD. BAHAMAS DAVIDSON KEMPNER INTERNATIONAL BRITISH VIRGIN ISLANDS NEW GENERATION TURNAROUND FUND (BERMUDA) L.P. BERMUDA PENNANT CREDIT OPPORTUNITIES OFFSHORE FUND LTD. CAYMAN ISLANDS PENNANT WINDWARD FUND CAYMAN ISLANDS OVERSEAS CAP PARTNERS CAYMAN ISLANDS SAB OVERSEAS FUND BRITISH WEST INDIES SCOUT CAPITAL, LTD. CAYMAN ISLANDS CONVEXITY CAPITAL OFFSHORE L.P. CAYMAN ISLANDS ELLIOTT INTERNATIONAL LIMITED BRITISH WEST INDIES CITADEL KENSINGTON GLOBAL STRATEGIES FUND LTD. BERMUDA JAPAN MACRO OPPORTUNITIES OFFSHORE PARTNERS, L.P. CAYMAN ISLANDS