BLYTHEDALE CHILDRENS HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- BLYTHEDALE CHILDRENS HOSPITAL (EIN 13-1739922)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-08
- IRS object ID
- 201133129349302363
- Schema version
- 2010v3.4
- 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 | 2011-11-08T15:37:41-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-01-01 | 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 | 2011-11-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5169187000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | 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 | 175192249 | 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 | 35 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 35 | NbrIndependentVotingMembers |
| Total Nbr Employees | 457 | TotalNbrEmployees |
| Total Nbr Volunteers | 241 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2825746 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1986785 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 47661794 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 56457526 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 407584 | InvestmentIncomePriorYear |
| Investment Income Current Year | 7855281 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1893443 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2081355 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 52788567 | TotalRevenuePriorYear |
| Total Revenue Current Year | 68380947 | 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 | 32607432 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 34146677 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 695245 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 12901609 | OtherExpensePriorYear |
| Other Expenses Current Year | 14190915 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 45509041 | TotalExpensesPriorYear |
| Total Expenses Current Year | 48337592 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 7279526 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 20043355 | RevenuesLessExpensesCY |
| Total Assets BOY | 170714534 | TotalAssetsBOY |
| Total Assets EOY | 189805578 | TotalAssetsEOY |
| Total Liabilities BOY | 52185934 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 48818723 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 118528600 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 140986855 | 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 | 29149942 | Expense |
| Revenue | 45833857 | Revenue |
| Description | SEE SCHEDULE O | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 5496094 | Expense |
| Revenue | 9751353 | Revenue |
| Description | SEE SCHEDULE O | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 950426 | Expense |
| Revenue | 872316 | Revenue |
| Description | SEE SCHEDULE O | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | COMMITTEE ON PRESCHOOL SPECIAL EDUCATION (CPSE PROGRAM) - BLYTHEDALECHILDREN'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 2010, THE PROGRAM SERVED ON AVERAGE OF 15 PATIENTS PER SCHOOL DAY FOR A TOTAL OF 3,529 VISITS. EVALUATION AND TREATMENT PLANNING ARE PERFORMED BY A MULTIDISCIPLINARY TEAM THAT MAY CONSIST OF THERAPISTS, SPECIAL EDUCATION TEACHERS, AUDIOLOGISTS, PHYSIATRISTS (REHABILITATION DOCTORS), NEUROLOGISTS, PSYCHIATRISTS, PSYCHOLOGISTS, SOCIAL WORKERS, NURSES, NUTRITIONISTS, AND OTHER SPECIALTY CONSULTANTS. AT BLYTHEDALE, WE PROVIDE INDIVIDUALIZED RELATED SERVICES TO ELIGIBLE CHILDREN AGE'S THREE TO FIVE THROUGH OUR OUTPATIENT DEPARTMENT. WE SERVE CHILDREN WITH A WIDE RANGE OF NEEDS INCLUDING DIFFICULTIES THAT MAY INTERFERE WITH THEIR LEARNING AND FUNCTIONING IN PRESCHOOL. CHILDREN WITH THE FOLLOWING DIFFICULTIES ARE MOST COMMON IN THE PROGRAM:- DELAYS OR LAGS IN COGNITIVE, LANGUAGE, MOTOR OR SOCIAL EMOTIONALDEVELOPMENT- CONGENITAL OR ACQUIRED ABNORMALITIES- DIAGNOSED MEDICAL CONDITIONS SUCH AS CEREBRAL PALSY, NEUROMUSCULAR OROTHER NEUROLOGICAL DISORDERS | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 35596462 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| 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 | 0 | 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 | 457 | 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 |
| 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 | 35 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 35 | 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 | 1.00 | X | 0 | 0 | 0 | |||
| WILLIAM LEVY | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| GEORGE LUSK | ||||||||
| TRUSTEE | 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 | 1.00 | X | 0 | 0 | 0 | |||
| ABBEY POPPER | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| NANCY PUNDYK | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| SONDRA RAPPAPORT | ||||||||
| 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 | 1.00 | X | 0 | 0 | 0 | |||
| JOSEPHINE BIRNBAUM | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| PEG MICHELMAN | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| LINDA MILLER | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| DAVID STEIN | ||||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |||
| LAWRENCE LEVINE | ||||||||
| PRESIDENT & CEO | 37.50 | 579503 | 0 | 175412 | X | |||
| JOHN CANNING | ||||||||
| CHIEF FINANCIAL OFFICER | 37.50 | 341006 | 0 | 30817 | X | |||
| JOELLE MAST | ||||||||
| CHIEF MEDICAL OFFICER | 37.50 | 290295 | 0 | 61538 | X | |||
| MAUREEN DESIMONE | ||||||||
| CHIEF OPERATING OFFICER | 37.50 | 273692 | 0 | 79891 | X | |||
| REGINA KELLY | ||||||||
| CHIEF PLANNING OFFICER | 37.50 | 159171 | 0 | 43711 | X | |||
| LINDA HURWITZ | ||||||||
| CHIEF NURSING OFFICER | 37.50 | 200458 | 0 | 39183 | X | |||
| LOIS ALLEN | ||||||||
| DIRECTOR OF QUALITY | 37.50 | 192945 | 0 | 35791 | X | |||
| RONALD GALLO | ||||||||
| DIRECTOR OF HUMAN RESOURCES | 37.50 | 192958 | 0 | 34628 | X | |||
| ELIZABETH BOWMAN | ||||||||
| CHIEF DEVELOPMENT OFFICER | 37.50 | 191666 | 0 | 19013 | X | |||
| MILICENT MITCHELL | ||||||||
| CHIEF OF PULMONOLOGY | 37.50 | 237486 | 0 | 58294 | X | |||
| BYRON FERNANDEZ | ||||||||
| PEDIATRICIAN | 37.50 | 210583 | 0 | 23239 | X | |||
| KATHY SILVERMAN | ||||||||
| PEDIATRICIAN | 37.50 | 175069 | 0 | 21241 | X | |||
| MARY DIDIE | ||||||||
| PEDIATRICIAN | 37.50 | 168761 | 0 | 46507 | X | |||
| LAURA MIRKINSON | ||||||||
| CHIEF OF PEDIATRICS | 37.50 | 205262 | 0 | 12736 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3418855 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 682001 | TotalOtherCompensation |
| Number Individuals GT100 K | 14 | 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 |
|---|---|---|---|---|---|
| MORRIS SWITZER | |||||
| 185 TALCOTT ROAD | WILLISTON | VT | 05495 | ARCHITECTS | 658559 |
| NEW PROVIDENCE ASSET MANAGEMENT | |||||
| 570 LEXINGTON AVE | NEW YORK | NY | 10022 | ASSET MANAGEMENT | 326943 |
| NEW YORK PRESBYTERIAN HOSPITAL | |||||
| PO BOX 6635 | NEW YORK | NY | 102496635 | MEDICAL RESIDENTS | 218052 |
| NAVIN HAFFY & ASSOCIATES LLC | |||||
| 200 CORDWAINER DRIVE | NORWELL | MA | 02061 | MEDITECH CONSULTANTS | 150879 |
| GARFUNKEL WILD PC | |||||
| 111 GREAT NECK ROAD | GREAT NECK | NY | 11021 | LEGAL | 146715 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 16 | NumberOfContractorsGT100K |
| Fundraising Events | 544798 | FundraisingEvents |
| All Other Contributions | 1441987 | AllOtherContributions |
| Noncash Contributions | 79549 | NoncashContributions |
| Total Contributions | 1986785 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| INPATIENT | 900099 | 45833857 | 45833857 |
| DAY HOSPITAL | 900099 | 9751353 | 9751353 |
| OUTPATIENT | 900099 | 872316 | 872316 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 56457526 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 361763 | TotalRevenueColumn |
| Exclusion | $361,763 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 114202076 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 106708558 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7493518 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7493518 | TotalRevenueColumn |
| Exclusion | $7,493,518 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 166137 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 544798 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 102744 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 63393 | TotalRevenueColumn |
| Exclusion | $63,393 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| SCHOOL CONTRACT | 900099 | 825000 | $825,000 |
| OFFSITE THERAPIES | 900099 | 776080 | $776,080 |
| CAFETERIA REVENUE | 900099 | 195485 | $195,485 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 221397 | TotalRevenueColumn |
| Exclusion | $221,397 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2017962 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 68380947 | TotalRevenueColumn |
| Related Or Exempt Function Income | 56457526 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $9,936,636 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2841818 | Total |
| Program Services | 2281340 | ProgramServices |
| Management And General | 507866 | ManagementAndGeneral |
| Fundraising | 52612 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23855634 | Total |
| Program Services | 19150702 | ProgramServices |
| Management And General | 4263278 | ManagementAndGeneral |
| Fundraising | 441654 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2234535 | Total |
| Program Services | 1793829 | ProgramServices |
| Management And General | 399337 | ManagementAndGeneral |
| Fundraising | 41369 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3153107 | Total |
| Program Services | 2531235 | ProgramServices |
| Management And General | 563497 | ManagementAndGeneral |
| Fundraising | 58375 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2061583 | Total |
| Program Services | 1654987 | ProgramServices |
| Management And General | 368429 | ManagementAndGeneral |
| Fundraising | 38167 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70154 | Total |
| Management And General | 70154 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 202500 | Total |
| Management And General | 202500 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 907785 | Total |
| Program Services | 503555 | ProgramServices |
| Management And General | 404230 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2000 | Total |
| Fundraising | 2000 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 494599 | Total |
| Program Services | 93945 | ProgramServices |
| Management And General | 397329 | ManagementAndGeneral |
| Fundraising | 3325 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 580214 | Total |
| Management And General | 580214 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3054778 | Total |
| Program Services | 1802319 | ProgramServices |
| Management And General | 1243295 | ManagementAndGeneral |
| Fundraising | 9164 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23010 | Total |
| Program Services | 9120 | ProgramServices |
| Management And General | 11022 | ManagementAndGeneral |
| Fundraising | 2868 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12308 | Total |
| Program Services | 3483 | ProgramServices |
| Management And General | 8825 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2000416 | Total |
| Program Services | 1180245 | ProgramServices |
| Management And General | 814170 | ManagementAndGeneral |
| Fundraising | 6001 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 598221 | Total |
| Program Services | 380412 | ProgramServices |
| Management And General | 217809 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| PURCHASED SERVICES | 1328204 | 188663 | 1107733 | 31808 |
| MEDICAL SUPPLIES | 993021 | 993021 | ||
| CONTRACTED LABOR | 884121 | 884121 | ||
| DRUGS | 766048 | 766048 | ||
| BAD DEBT EXPENSE | 563428 | 563428 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1710108 | Total |
| Program Services | 816009 | ProgramServices |
| Management And General | 886197 | ManagementAndGeneral |
| Fundraising | 7902 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48337592 | Total |
| Program Services | 35596462 | ProgramServices |
| Management And General | 12045885 | ManagementAndGeneral |
| Fundraising | 695245 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15001501 | BOY |
| EOY | 9744707 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54665360 | BOY |
| EOY | 11631837 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2076819 | BOY |
| EOY | 1461216 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5704174 | BOY |
| EOY | 8485147 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 220082 | BOY |
| EOY | 292718 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 327256 | BOY |
| EOY | 255905 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 67334858 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 13176170 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24940401 | BOY |
| EOY | 54158688 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59718704 | BOY |
| EOY | 43212904 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4787761 | BOY |
| EOY | 52835261 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3272476 | BOY |
| EOY | 7727195 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 170714534 | BOY |
| EOY | 189805578 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7720974 | BOY |
| EOY | 7663657 | 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 | 549928 | BOY |
| EOY | 383043 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16915032 | BOY |
| EOY | 13772023 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52185934 | BOY |
| EOY | 48818723 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97911388 | BOY |
| EOY | 126477863 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17017038 | BOY |
| EOY | 10538526 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3600174 | BOY |
| EOY | 3970466 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 118528600 | BOY |
| EOY | 140986855 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 170714534 | BOY |
| EOY | 189805578 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 20043355 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 2414900 | 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 | $33,192 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 33192 | 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 | 20617212 | BeginningOfYearBalance |
| Contributions | 430633 | Contributions |
| Investment Earnings Or Losses | 1098917 | InvestmentEarningsOrLosses |
| Other Expenditures | -7637770 | OtherExpenditures |
| End Of Year Balance | 14508992 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| 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 Minus2 Years CurrentYearMinus2Years
| 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 | 0.73000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.27000 | 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 | 96449 | OtherCostOrOtherBasis |
| Book Value | 96449 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6556026 | OtherCostOrOtherBasis |
| Depreciation | 5471494 | Depreciation |
| Book Value | 1084532 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13158533 | OtherCostOrOtherBasis |
| Depreciation | 5872548 | Depreciation |
| Book Value | 7285985 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 47523850 | OtherCostOrOtherBasis |
| Depreciation | 1832128 | Depreciation |
| Book Value | 45691722 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 54158688 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LIMITED LIABILITY PARTNERSHIP (HEDGE FUNDS) | Description |
| Book Value | 52835261 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 52835261 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PENSION LIABILITY | $10,311,147 |
| ASSET RETIREMENT OBLIGATION | $1,047,789 |
| DUE TO THIRD PARTY PAYORS | $2,413,087 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 13772023 | TotalOfAmounts |
| Total Revenue | 68380947 | TotalRevenue |
| Total Expenses | 48337592 | TotalExpenses |
| Excess Or Deficit For Year | 20043355 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1452207 | NetUnrealizedGLOnInvestments |
| Other | $962,693 | OtherAmount |
| Total Adjustments | 2414900 | TotalAdjustments |
| Excess Or Deficit Per FS | 22458255 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 70795847 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1452207 | NetUnrealizedGainsInvestments |
| Other Revenues | 962693 | OtherRevenues |
| Revenue Not Rptd F990 | 2414900 | RevenueNotRptdF990 |
| Revenue Subtotal | 68380947 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 68380947 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 48337592 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 48337592 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 48337592 | 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, 2010 AND 2009, ARE AVAILABLE FOR THE FOLLOWING PURPOSES: 2010 2009 PLANT REPLACEMENT $6,747,300 $14,819,291 TEMPORARILY RECTRICTED PORTION OF ENDOWMENT FUND 2,452,254 1,254,666 MEDICAL EQUIPMENT 268,585 804,786 OTHER 1,070,387 138,295 TOTALS $10,538,526 $17,017,038 PERMANENTLY RESTRICTED NET ASSETS AS OF DECEMBER 31, 2010 AND 2009, ARE RESTRICTED TO THE FOLLOWING: 2010 2009 INVESTMENTS TO BE HELD IN PERPETUITY, THE INCOME FROM WHICH IS EXPENDABLE TO SUPPORT HEALTH CARE SERVICES $3,970,466 $3,600,174 |
| 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 962,693. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN PENSION LIABILITY 962,693. | |
| 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 AND THE CARIBBEAN | Region |
| Type Of Activities Conducted | INVESTMENT | TypeOfActivitiesConducted |
| Total Expenditures | 43781519 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 43781519 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 43781519 | 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 | 290324 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 228573 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 61751 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 0 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 1649 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 6450 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 13450 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 12750 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 10390 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GOLF EVENT | NameOfEvent2 |
| Gross Receipts Event2 | 188309 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 124425 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 63884 | GrossRevenueEvent2 |
| Cash Prizes Event2 | 0 | CashPrizesEvent2 |
| Non Cash Prizes Event2 | 1552 | NonCashPrizesEvent2 |
| Rent Facility Costs Event2 | 19525 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 15015 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 690 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 8510 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 2 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 232302 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 191800 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 40502 | GrossRevenueOtherEvents |
| Cash Prizes Other Events | 0 | CashPrizesOtherEvents |
| Non Cash Prizes Other Events | 366 | NonCashPrizesOtherEvents |
| Rent Facility Costs Other Events | 0 | RentFacilityCostsOtherEvents |
| Food And Beverage Other Events | 0 | FoodAndBeverageOtherEvents |
| Entertainment Other Events | 8520 | EntertainmentOtherEvents |
| Other Direct Expenses Other Events | 3877 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 710935 | GrossReceiptsTotal |
| Charitable Contributions Total | 544798 | CharitableContributionsTotal |
| Gross Revenue Total Events | 166137 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 3567 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 25975 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 28465 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 21960 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 22777 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 102744 | DirectExpenseSummaryEvents |
| Net Income Summary | 63393 | 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 | 64117 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 64117 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 564579 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 564579 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01180 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 628696 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 628696 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01310 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 674629 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 310748 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 363881 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00760 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 617786 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 90124 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 527662 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01100 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 192501 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 106464 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 86037 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1484916 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 507336 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 977580 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02040 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2113612 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 507336 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1606276 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03350 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2534871 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 1062946 | DirectOffsettingRevenue |
| Net Community Building Expense | 1471925 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.03080 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 117119 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 31654 | DirectOffsettingRevenue |
| Net Community Building Expense | 85465 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2651990 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 1094600 | DirectOffsettingRevenue |
| Net Community Building Expense | 1557390 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.03260 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $563,428 | 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 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (7 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 INVLOVED 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 CHILDREN'S ASSOCIATION'S CHILD HEALTH TASK FORCE, WHOSE PRINCIPAL GOAL IS TO MAXIMIZE ENROLLMENT OF ELIGIBLE CHILDREN IN NEW YORK STATE'S MEDICAID AND CHILD HEALTH PLUS PROGRAMS. ADDITIONALLY, 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 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 6: 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. TO DATE THIS PROGRAM HAS REACHED MORE THAN 55,000 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.A RELATED BLYTHEDALE UNDERTAKING IN THE AREA OF HEALTHY EATING FOR CHILDREN AND ADOLESCENTS IS A COMMUNITY LECTURE SERIES ORGANIZED BY BLYTHEDALE AND SUPPORTED BY THE DANNON CORPORATION. THIS SERIES HAS INCLUDED SESSIONS FOCUSING ON BUILDING BLOCKS FOR NUTRITION FOR VARIOUS AGE GROUPS. IN 2010 OVER 200 PARENTS AND CHILDREN ATTENDED THESE SESSIONS.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 TWO YEARS THIS PROGRAM HAS REACHED OVER 15,000 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 HAS BEEN PRESENTED IN 17 SCHOOLS THROUGHOUT WESTCHESTER, ROCKLAND AND PUNTAM COUNTIES AND HAS REACHED OVER 4,633 STUDENTS. 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. THE SPN ALSO SPONSORS A REVIEW COURSE AND ON-SITE EXAM FOR NATIONAL PEDIATRIC CERTIFICATION BOARD FOR PEDIATRICS NURSES FROM THE SURROUNDING COMMUNITY. |
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 (14 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 | |||||||||||||
| 480281 | 0 | 32248 | 0 | 66974 | 0 | 149261 | 0 | 26151 | 0 | 754915 | 0 | 0 | 0 |
| JOHN CANNING | |||||||||||||
| 278883 | 0 | 20188 | 0 | 41935 | 0 | 4003 | 0 | 26814 | 0 | 371823 | 0 | 0 | 0 |
| JOELLE MAST | |||||||||||||
| 250465 | 0 | 7990 | 0 | 31840 | 0 | 29387 | 0 | 32151 | 0 | 351833 | 0 | 0 | 0 |
| MAUREEN DESIMONE | |||||||||||||
| 221708 | 0 | 13843 | 0 | 38141 | 0 | 53141 | 0 | 26750 | 0 | 353583 | 0 | 0 | 0 |
| REGINA KELLY | |||||||||||||
| 140581 | 0 | 3063 | 0 | 15527 | 0 | 19754 | 0 | 23957 | 0 | 202882 | 0 | 0 | 0 |
| LINDA HURWITZ | |||||||||||||
| 174728 | 0 | 4000 | 0 | 21730 | 0 | 20595 | 0 | 18588 | 0 | 239641 | 0 | 0 | 0 |
| LOIS ALLEN | |||||||||||||
| 157831 | 0 | 16110 | 0 | 19004 | 0 | 30238 | 0 | 5553 | 0 | 228736 | 0 | 0 | 0 |
| RONALD GALLO | |||||||||||||
| 159099 | 0 | 10800 | 0 | 23059 | 0 | 17466 | 0 | 17162 | 0 | 227586 | 0 | 0 | 0 |
| ELIZABETH BOWMAN | |||||||||||||
| 175097 | 0 | 3584 | 0 | 12985 | 0 | 9763 | 0 | 9250 | 0 | 210679 | 0 | 0 | 0 |
| MILICENT MITCHELL | |||||||||||||
| 211068 | 0 | 4428 | 0 | 21990 | 0 | 34637 | 0 | 23657 | 0 | 295780 | 0 | 0 | 0 |
| BYRON FERNANDEZ | |||||||||||||
| 192235 | 0 | 0 | 0 | 18348 | 0 | 4030 | 0 | 19209 | 0 | 233822 | 0 | 0 | 0 |
| KATHY SILVERMAN | |||||||||||||
| 159574 | 0 | 0 | 0 | 15495 | 0 | 12951 | 0 | 8290 | 0 | 196310 | 0 | 0 | 0 |
| MARY DIDIE | |||||||||||||
| 150314 | 0 | 0 | 0 | 18447 | 0 | 28582 | 0 | 17925 | 0 | 215268 | 0 | 0 | 0 |
| LAURA MIRKINSON | |||||||||||||
| 195092 | 0 | 6936 | 0 | 3234 | 0 | 4684 | 0 | 8052 | 0 | 217998 | 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 2010 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 | 27176275 | TotalProceeds |
| Amount In Reserve Fund | 10423 | AmountInReserveFund |
| Issuance Costs From Proceeds | 540000 | IssuanceCostsFromProceeds |
| Credit Enhancement | 820868 | CreditEnhancement |
| Capital Expenditures | 15717346 | CapitalExpenditures |
| Amount Unspent | 10098060 | AmountUnspent |
| 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 | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Post Issuance Compliance Procdrs | 1 | 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 V Form990ScheduleKPartV (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. |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 5 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 79549 | 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, REPIRATORY 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 SPECIALITIES (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, REPIRATORY, SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY, THERAPEUTIC RECREATION, SOCIAL WORK AND CASE MANAGEMENT. THE INPATIENT SERVICES ARE PRIMARLY 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 PATIENTS PER DAY ON AVERAGE IN 2010. OVER 65.5% OF OUR INPATIENT POPULATION WAS REIMBURSED THROUGH THE MEDICAID PROGRAM IN 2010. 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 2010 OVER 54% 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 2010, 50% OF THE PROGRAM CAME DIRECTLY FROM THE INPATIENT SETTING, 40% CAME DIRECTLY FROM REFERRALS IN THE COMMUNITY AND 10% THROUGH THE EARLY INTERVENTION/CPSE PROGRAMS. IN 2010, THE PROGRAM SERVED ON AVERAGE OF 78 PATIENTS PER SCHOOL DAY FOR A TOTAL OF 18,524 VISITS. OVER 77% 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 CONJUCTION WITH A FULL ACADEMIC PROGRAM UNDER THE AUSPICES OF THE MOUNT PLEASANT-BLYTHEDALE UNION FREE SCHOOL DISTRICT. |
| PROGRAM SERVICE STATEMENT | FORM 990, PART III, LINE 4C | 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 REPONSIBLE FOR THE EARLY INTERVENTION PROGRAM. IN 2010, THE PROGRAM SERVED ON AVERAGE OF 27 PATIENTS PER SCHOOL DAY FOR A TOTAL OF 6,501 VISITS. 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 AQUIRED ABNORMALITIES SUCH AS VISION OR HEARING IMPAIREMENTS - DIAGNOSED MEDICAL CONDTIONS SUCH AS CEREBRAL PALSY, NEUROMUSCULAR OR OTHER NEUROLOGICAL DISORDERS |
| 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). STEPHEN GOODHUE (SPOUSE OF BOARD MEMBER JUDY GOODHUE) AND NANCY ADLER (SPOUSE OF BOARD MEMBER HOWARD ADLER) HAVE BUSINESS RELATIONSHIPS 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 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 | IN NOVEMBER 2008 SULLIVAN, COTTER AND ASSOCIATES, INC ASSISTED THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES IN DEVELOPING AND FORMALLY APPROVING AN 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. COMPENSATION INCLUDES BASE SALARY, ANNUAL AND LONG-TERM INCENTIVES, ALL EMPLOYEE/STANDARD BENEFITS, SUPPLEMENTAL BENEFITS (I.E., THOSE FOR EXECUTIVES OR HIGHLY-COMPENSATED EMPLOYEES ONLY) AND PERQUISITES. 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, ALL ELEMENTS OF EXECUTIVES'COMPENSATION WERE 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 2009 THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES APPROVED ALL 2010 EXECUTIVE COMPENSATION. IN DECEMBER OF 2010 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 GAINS ON INVESTMENTS: 1,452,207. CHANGE IN PENSION LIABILITY 962,693. TOTAL TO FORM 990, PART XI, LINE 5: 2,414,900. |
| 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 AMICI FUND 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 |
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