SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
BLYTHEDALE CHILDREN'S HOSPITAL
 
Employer identification number

13-1739922
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    174,360   174,360 0.180 %
b Medicaid (from Worksheet 3, column a) . . . . .     72,403,402 65,675,853 6,727,549 7.130 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     72,577,762 65,675,853 6,901,909 7.310 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     57,043   57,043 0.060 %
f Health professions education (from Worksheet 5) . . .     511,179 88,458 422,721 0.450 %
g Subsidized health services (from Worksheet 6) . . . .     656,199 392,643 263,556 0.280 %
h Research (from Worksheet 7) .     110,503   110,503 0.120 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .            
j Total. Other Benefits . .     1,334,924 481,101 853,823 0.910 %
k Total. Add lines 7d and 7j .     73,912,686 66,156,954 7,755,732 8.220 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support 1   481,256 193,009 288,247 0.310 %
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total 1   481,256 193,009 288,247 0.310 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
0
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
80
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
0
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
0
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
 
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 BLYTHEDALE CHILDREN'S HOSPITAL
95 BRADHURST AVE
VALHALLA,NY10595
WWW.BLYTHEDALE.ORG
5957000H 		X   X           THE STEVEN & ALEXANDRA COHEN PEDIATRIC LONG TERM CARE FACILITY  
Schedule H (Form 990) 2022
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Schedule H (Form 990) 2022
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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
BLYTHEDALE CHILDREN'S HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 22
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.BLYTHEDALE.ORG
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2022
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Schedule H (Form 990) 2022
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
BLYTHEDALE CHILDREN'S HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
WWW.BLYTHEDALE.ORG
b
WWW.BLYTHEDALE.ORG
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2022
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Schedule H (Form 990) 2022
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Part VFacility Information (continued)

Billing and Collections
BLYTHEDALE CHILDREN'S HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21   No
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2022
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Schedule H (Form 990) 2022
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Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
BLYTHEDALE CHILDREN'S HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2022
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Schedule H (Form 990) 2022
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Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
BLYTHEDALE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 5: THE WESTCHESTER COUNTY DEPARTMENT OF HEALTH CONVENED A WORKGROUP OF LOCAL HOSPITALS TO SELECT PRIORITIES FROM THE STATE'S PREVENTION AGENDA AND COLLABORATIVELY DEVELOP PLANS TO ADDRESS THESE PRIORITIES AS PART OF THE COUNTY'S COMMUNITY HEALTH ASSESSMENT. THE WORKGROUP DISTRIBUTED COMMUNITY AND PROVIDER SURVEYS TO COLLECT EXTENSIVE DATA ABOUT THE PARAMOUNT HEALTH CARE NEEDS WITHIN THE COMMUNITY AND COMPARED THAT DATA WITH THE CURRENT SITUATION WITHIN THE COUNTY TO DESIGNATE SPECIFIC AGENDA ITEMS. IN ADDITION TO OUR REFERRING HOSPITALS AND INPUT FROM OUR PATIENTS AND FAMILIES, THIS COUNTY-WIDE INPUT AIDS IN OUR IDENTIFICATION OF COMMUNITY HEALTH PRIORITIES RELEVANT TO BLYTHEDALE'S MISSION AND SERVICES. FINALLY, BLYTHEDALE ALSO PARTICIPATED IN STATEWIDE CALLS WITH THE GREATER NEW YORK HEALTH ASSOCIATION ON PLANNING ACROSS THE STATE FOR THE NEW COMMUNITY SERVICE PLAN YEAR.THE PURPOSE OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY SERVICE PLAN IS THREEFOLD:1. ASSIST IN IDENTIFYING PRIORITY HEALTH NEEDS OF THE GEOGRAPHIC AREA SERVED BY BLYTHEDALE CHILDREN'S HOSPITAL;2. COMPLY WITH THE REQUIREMENTS AND GUIDELINES OF THE NYS DEPARTMENT OF HEALTH FOR A COMMUNITY SERVICE PLAN; AND3. COMPLY WITH THE REQUIREMENTS PROMULGATED BY THE INTERNAL REVENUE SERVICE (IRS) BASED ON THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT ENACTED MARCH 23, 2010 THAT ALL 501(C)(3) HOSPITAL ORGANIZATIONS CONDUCT A "COMMUNITY HEALTH NEEDS ASSESSMENT AND PREPARE A CORRESPONDING IMPLEMENTATION STRATEGY ONCE EVERY THREE TAXABLE YEARS."AS DIRECTED BY THE STATE HEALTH DEPARTMENT, BLYTHEDALE'S 2022-2024 COMMUNITY SERVICE PLAN ADDRESSES HEALTH IMPROVEMENT PRIORITIES FROM THE STATE'S PREVENTION AGENDA, INCLUDING THOSE IDENTIFIED BY THE WESTCHESTER COUNTY WORKGROUP AND THEMES FROM THE STATEWIDE DISCUSSION. AS A SPECIALTY HOSPITAL SERVING ONLY MEDICALLY COMPLEX CHILDREN AND ADOLESCENTS, BLYTHEDALE HAS SELECTED PRIORITIES FROM THE PREVENTION AGENDA WHICH ADDRESS ISSUES OF CONCERN TO OUR LOCAL COMMUNITY AND THOSE OF REFERRING HOSPITALS IN THE NEW YORK CITY METROPOLITAN AREA. WE ALSO IDENTIFIED TARGET OBJECTIVES FOR MEASURING OUR ANTICIPATED FUTURE ACHIEVEMENTS IN THESE AREAS.
BLYTHEDALE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 6B: WESTCHESTER COUNTY DEPARTMENT OF HEALTHREGIONAL BEHAVIORAL HEALTH WORKGROUPA LARGE COLLECTION OF AGENCIES AND HOSPITALS FROM ACROSS THE MID-HUDSON REGION HAVE JOINED TOGETHER TO CREATE A MONTHLY BEHAVIORAL HEALTH WORKGROUP THAT EVALUATES THE MENTAL AND BEHAVIORAL HEALTH NEEDS OF THE COMMUNITY. COMMUNITY PARTNERS OF OSSINING, CENTERS FOR DISEASE CONTROL/NHSN, AND WESTCHESTER MEDICAL CENTER
BLYTHEDALE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 11: BLYTHEDALE'S COMMUNITY SERVICE PLAN FOR 2022-2024 IDENTIFIED SEVERAL HEALTH INDICATORS AS A BASIS FOR SELECTING PRIORITIES. A VARIETY OF DATA FROM THE NYS DEPARTMENT OF HEALTH, WESTCHESTER COUNTY COMMUNITY HEALTH ASSESSMENTS, OUR PATIENTS AND FAMILIES, AND STATEWIDE TRENDS FOR THE COMMUNITY SERVICE PLAN WERE USED TO IDENTIFY THESE HEALTH PRIORITIES. THE FOLLOWING GOALS WERE SELECTED AS STATE AND COUNTY-WIDE PRIORITIES: PREVENT COMMUNICABLE DISEASES PREVENT CHRONIC DISEASES PROMOTE A HEALTHY AND SAFE ENVIRONMENT PROMOTE HEALTHY WOMEN, INFANTS AND CHILDREN PROMOTE WELL-BEING AND PREVENT MENTAL AND SUBSTANCE ABUSE DISORDERSAS NOTED ABOVE, SEVERAL OF PRIORITY INITIATIVES ARE NOT WITHIN BLYTHEDALE'S SCOPE OF PRACTICE. THEREFORE, WE ELECTED TO FOCUS ON THOSE PRIORITIES THAT FALL WITHIN THE HOSPITAL'S MISSION.BY 2024, BLYTHEDALE CHILDREN'S HOSPITAL HOPES TO MEET THE FOLLOWING OBJECTIVES:1. INCREASE FOOD SECURITY FOR CHILDREN AND YOUTH WITH SPECIAL HEALTHCARE NEEDSA. DEVELOP A PROCESS FOR FORMALLY SCREENING FOR FOOD INSECURITY ACROSS THE HOSPITAL'SPROGRAMS;B. ANALYZE THE DATA OBTAINED FROM THESE SCREENINGS TO BETTER UNDERSTAND THE NEEDS WITHIN THE MEDICALLY FRAGILE POPULATION THE HOSPITAL SERVES. DATA CAN THEN ALSO BE SORTED ALONG RACIAL, ETHNIC, AND GEOGRAPHIC LINES;ANDC. SHARE THIS DATA, WHICH IS SPECIFIC TO A SUBSET OF THE POPULATION OF CHILDREN IN WESTCHESTER COUNTY AND THE BRONX, WITH THE APPROPRIATE COUNTY OFFICIALS, ALONG WITH RECOMMENDATIONS TO ADDRESS THE PROBLEM.2. REDUCE DENTAL CARRIES AMONG CHILDREN AND YOUTH WITH SPECIAL HEALTHCARE NEEDSA. AN ANNUAL DENTAL VISIT WILL BE LISTED AS A GOAL ON EACH HEALTH HOME CARE MANAGEMENT MEMBER'S PLAN OF CARE; ANDB. ACCESS TO SPECIALTY DENTAL CARE PROVIDERS IN BOTH THE BRONX AND WESTCHESTER (THE COUNTIES SERVED BY BLYTHEDALE CARE MANAGEMENT) WILL BE ASSESSED AND TRACKED AS IT RELATES TO THE MEDICALLY FRAGILE POPULATION.
BLYTHEDALE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 16J: BLYTHEDALE CHILDREN'S HOSPITAL IS A LONG-TERM, REFERRAL-BASED, CHILDREN'S HOSPITAL. ALL PATIENTS ARE PROVIDED INFORMATION REGARDING BLYTHEDALE'S POLICIES UPON THEIR REFERRAL TO THE HOSPITAL.
BLYTHEDALE CHILDREN'S HOSPITAL PART V, SECTION B, LINE 21D: HOSPITAL IS A REGIONAL SPECIALTY CHILDREN'S HOSPITAL, AND DOES NOT HAVE AN EMERGENCY ROOM.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2022
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Schedule H (Form 990) 2022
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?  
Name and address Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10
Schedule H (Form 990) 2022
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Schedule H (Form 990) 2022
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Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C: NA
PART I, LINE 7: NYS ICR EXHIBIT 46 / 53 ALLOWABLE COST TO CHARGES SCHEDULES.
PART II, COMMUNITY BUILDING ACTIVITIES: AS A RESULT OF THE COVID-19 CONTINUATION IN 2022, THE ORGANIZATION'S ABILITY TO PHYSICALLY INTERACT WITH MANY COMPONENTS OF THE COMMUNITY AT PREVIOUS REPORTED SERVICE LEVELS WAS HAMPERED. BLYTHEDALE STILL PROVIDED A SIGNIFICANT AMOUNT OF COMMUNITY BENEFIT PROGRAMS, AS EVIDENCED THROUGH A VARIETY OF PROGRAMS AND SERVICES, INCLUDING:BLYTHEDALE HOSPITAL, BECAUSE OF THE UNIQUE NATURE OF OUR PATIENT POPULATION & MISSION, PROVIDES OUTPATIENT SERVICES TO MEDICAL FRAGILE CHILDREN UNDER THE EARLY INTERVENTION PROGRAM. THE HOSPITAL ALSO PROVIDES OUTPATIENT TELETHERAPY SERVICES TO PATIENTS UNABLE TO ATTEND THE BLYTHEDALE SCHOOL AS A RESULT OF COVID19 OR OTHER HEALTH RELATED ISSUES PREVENTING THEM FROM ATTENDING IN PERSON. THE COST TO PROVIDE THESE SERVICES IS HISTORICALLY UNDER/UNREIMBURSED.BLYTHEDALE HOSPITAL, BECAUSE OF THE UNIQUE NATURE OF OUR PATIENT POPULATION & MISSION, PROVIDES SIGNIFICANT TRAINING TO MEDICAL PROFESSIONALS THROUGHOUT THE REGION THROUGH COLLABORATIONS WITH SEVERAL INSTITUTIONS OF HIGHER EDUCATION. BLYTHEDALE HOSPITAL PROVIDED ON-SITE TRAINING FOR STUDENTS FREE OF CHARGE ACROSS THE MULTIPLE SPECIALTIES INCLUDING; NURSING, PHARMACY, SOCIAL WORK, ASSISTIVE TECHNOLOGY, INFORMATION TECHNOLOGY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY. IN 2022, BLYTHEDALE'S CONTINUED COLLABORATION WITH 10 SCHOOLS OF NURSING, PROVIDING ALMOST 30,000 HOURS OF TRAINING AND PRECEPTORSHIP TO THE NEXT GENERATION OF PEDIATRIC NURSES IN THE REGION. OUR CHILD LIFE DEPARTMENT PROVIDED OVER 740 HOURS OF EXPERIENCE THROUGH VARIOUS INTERNSHIPS PROVIDING STUDENTS WITH BED-SIDE EXPERIENCE. SOCIAL WORK PROVIDED OVER 800 HOURS OF INTERNSHIP EXPERIENCE IN 2022.OUR PHARMACY DEPARTMENT COLLABORATED WITH 2 COLLEGES AND PROVIDED ROUGHLY 1,000 HOURS OF TRAINING TO STUDENTS IN 2022. THE STUDENTS LEARNED TO LOOK UP RESEARCH FOR NEW DRUG THERAPIES, HELP COUNSEL PATIENTS BEING DISCHARGED (IN CONJUNCTION WITH A PHARMACIST), PERFORM ORAL LIQUID COMPOUNDING, CALL MANUFACTURERS FOR DRUG QUESTIONS, CALL VENDORS TO FIND REPLACEMENTS FOR DRUG SHORTAGES, AND TO GO ON DELIVERIES WITH OUR TECHNICIANS.WE INCREASED OUR RESPIRATORY THERAPY (RT) SCHOOLS WHO DO CLINICAL ROTATIONS AT BCH. IN 2022 WE HOSTED FOUR COLLEGES/UNIVERSITIES FOR THEIR RT PEDIATRIC CLINICAL EXPERIENCES AND PROVIDED APPROXIMATELY 400 HOURS OF RT STUDENT CLINICAL TRAINING. BLYTHEDALE HAS THE LARGEST STAFF OF PEDIATRIC THERAPIST IN THE REGION AND CONSIDERS IT A PART OF THEIR MISSION TO TRAIN THE NEXT GENERATION OF THERAPIST WHO WILL PROVIDE THE CARE TO OUR MEDICALLY FRAGILE POPULATION. WE PROVIDED OVER 1,100 HOURS OF CLINICAL PRECEPTORSHIP ACROSS ALL OUR THERAPY DEPARTMENTS INCLUDING PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES.BLYTHEDALE HAS PARTNERED WITH THE NEW YORK LEGAL ASSISTANCE GROUP (NYLAG) TO CREATE A FREE LEGAL CLINIC OPEN TO ALL BLYTHEDALE PATIENTS, RESIDENTS, HEALTH HOME SERVING CHILDREN MEMBERS, AND THEIR FAMILIES. THE CLINIC IS HELD TWICE EACH MONTH IN A VIRTUAL FORMAT AND THE ATTORNEY ASSISTS FAMILIES WITH ISSUES INCLUDING ENTITLEMENTS, HOUSING, IMMIGRATION, LEGAL GUARDIANSHIP, AND EDUCATIONAL CONCERNS. THESE SOCIAL DETERMINANTS OF HEALTH CAN HAVE A GREAT IMPACT ON A MEDICALLY FRAGILE CHILD'S STABILITY AND THE ABILITY OF A FAMILY TO PROVIDE TIMELY CARE AND SUPPORT, SO THIS CLINIC IS AN INVALUABLE WAY TO PROVIDE ASSISTANCE AND SUPPORT TO THOSE MOST IN NEED. THE CLINIC OPENED 84 NEW LEGAL MATTERS FOR 50 UNIQUE FAMILIES DURING 2022.CARE MANAGEMENT: BLYTHEDALE BEGAN WORKING WITH HUDSON RIVER HEALTHCARE'S COMMUNITY CARE COLLABORATIVE HEALTH HOME SERVING CHILDREN PROGRAM AS A CMA (CARE MANAGEMENT AGENCY) FOR MEDICALLY FRAGILE CHILDREN. OUR CARE MANAGER SERVES AN AVERAGE OF 15 MEDICALLY FRAGILE CHILDREN AND THEIR FAMILIES IN WESTCHESTER COUNTY THROUGH THIS IMPORTANT NYSDOH INITIATIVE.CPR TRAINING CENTER: BLYTHEDALE HAS BEEN A COMMUNITY TRAINING CENTER FOR THE AMERICAN HEART ASSOCIATION, PROVIDING TRAINING IN HEARTSAVER CPR (CARDIO-PULMONARY RESUSCITATION), HEARTSAVER AED (AUTOMATED EXTERNAL DEFIBRILLATOR) AND HEARTSAVER FIRST AID. IN ADDITION TO BLYTHEDALE STAFF, THOSE TRAINED INCLUDE HEALTH CARE PROFESSIONALS, MEMBERS OF LOCAL POLICE AND FIRE DEPARTMENTS, STUDENTS AT AREA SCHOOLS AND STAFF FROM VARIOUS COMMUNITY AGENCIES. BLYTHEDALE HAS ALSO OFFERED PEDIATRIC CPR TRAINING FOR THE COMMUNITY AND HEALTH CARE PROFESSIONALS AND IS A CERTIFIED PEDIATRIC ADVANCED LIFE SUPPORT (PALS) TRAINING CENTER.FIRST RESPONDER TRAINING PROGRAM: BLYTHEDALE, IN COORDINATION WITH THE WESTCHESTER REGIONAL EMS OFFICE, WESTCHESTER COUNTY DEPARTMENT OF ENVIRONMENTAL SERVICES, AND THE NYS EMS FOR CHILDREN PROGRAM, HAS DEVELOPED A SPECIAL PEDIATRIC CONTINUING MEDICAL EDUCATION SERIES FOR FIRST RESPONDERS OF THE WESTCHESTER EMS REGION. THE SERIES COVERS SUBJECTS VITAL TO FIRST RESPONDERS, INCLUDING TRAUMATIC BRAIN INJURY, AUTISM, TECHNOLOGY AND CARE OF THE INFANT OR CHILD, CHILD ABUSE/NEGLECT AND CHILD/INFANT SAFETY DURING TRANSFER. THE COURSES ARE PRESENTED BY BLYTHEDALE CLINICAL EXPERTS, INCLUDING PHYSICIANS, NURSES, AND THERAPISTS.BLYTHEDALE CHILDREN'S HOSPITAL PROVIDES BOTH ONGOING SERVICES COORDINATION AND SUPPLEMENTAL AUDIOLOGICAL EVALUATIONS TO CHILDREN THROUGH OUR CONTRACT WITH NEW YORK STATE'S EARLY INTERVENTION PROGRAM.
PART III, LINE 2: IN 2022 THE HOSPITAL RECORDED $0 IN THE BAD DEBT EXPENSE ON THE IRS 990. THIS WAS A RESULT OF THE HOSPITAL ADOPTING NEW ACCOUNTING STANDARD ASU 2014-09 WHICH NEGATES THE WAY BAD DEBT WAS DISCLOSED IN PRIOR YEARS. THE HOSPITAL DID RECOGNIZE $412,456 OF IMPLICIT PRICE CONCESSIONS IN 2022 RELATED TO DENIED REIMBURSEMENT FROM THIRD PARTY INSURERS WHERE CARE WAS PROVIDED.
PART III, LINE 3: AS A RESULT OF IMPLEMENTING ASU 2014-09, CERTAIN PATIENT ACTIVITY WHERE COLLECTION IS UNCERTAIN PREVIOUSLY REPORTED AS NET PATIENT SERVICE REVENUE AND BAD DEBT EXPENSE IN THE HOSPITAL'S CONSOLIDATED STATEMENTS OF OPERATIONS NO LONGER MEETS THE CRITERIA FOR REVENUE RECOGNITION AND, ACCORDINGLY, BAD DEBT EXPENSE AFTER THE ADOPTION DATE IS SIGNIFICANTLY REDUCED WITH A CORRESPONDING REDUCTION TO NET PATIENT SERVICE REVENUE. FOR THE YEAR ENDED DECEMBER 31, 2022, THE HOSPITAL RECORDED $412,456 OF IMPLICIT PRICE CONCESSIONS AS A DIRECT REDUCTION TO NET PATIENT SERVICE REVENUE THAT WOULD HAVE BEEN RECORDED AS BAD DEBT EXPENSE PRIOR TO THE ADOPTION OF ASU 2014-09. ADDITIONALLY, BAD DEBT EXPENSE AFTER DECEMBER 31, 2019 IS NOW PRESENTED AS AN EXPENSE ITEM (INCLUDED AS A COMPONENT OF SUPPLIES AND OTHER EXPENSES) RATHER THAN A REDUCTION TO NET PATIENT SERVICE REVENUE.THE HOSPITAL ALSO PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. BECAUSE THE COLLECTIONS OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE IS NOT PURSUED, THEY ARE NOT REPORTED AS REVENUE. THE AMOUNT OF IDENTIFIED CHARITY CARE PROVIDED AT COSTNET OF ANY REIMBURSEMENTS DURING THE YEARS ENDED DECEMBER 31, 2022 AND 2021, WAS $174,360 AND $12,464, RESPECTIVELY. THE ESTIMATED COST OF THESE CHARITY CARE SERVICES WAS DETERMINED USING A RATIO OF COST TO GROSS CHARGES AND APPLYING THAT RATIO TO THE GROSS CHARGES ASSOCIATED WITH PROVIDING CARE TO CHARITY PATIENTS FOR THE PERIOD.
PART III, LINE 4: ACCOUNTS RECEIVABLE FOR SERVICES TO PATIENTS AND PATIENT SERVICE REVENUEACCOUNTS RECEIVABLE ARE STATED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHER INSURERS TO WHICH THE HOSPITAL EXPECTS TO BE ENTITLED IN EXCHANGE FOR PROVIDING PATIENT CARE. MANAGEMENT PERIODICALLY REVIEWS THE ADEQUACY OF THE IMPLICIT PRICE CONCESSIONS BASED ON HISTORICAL EXPERIENCE, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.SUBSEQUENT CHANGES TO THE ESTIMATE OF THE TRANSACTION PRICE (DETERMINED ON A PORTFOLIO BASIS WHEN APPLICABLE) ARE GENERALLY RECORDED AS ADJUSTMENTS TO PATIENT SERVICE REVENUE IN THE PERIOD OF THE CHANGE. FOR THE YEAR ENDED DECEMBER 31, 2022, CHANGES IN THE HOSPITAL'S ESTIMATES OF EXPECTED PAYMENTS FOR PERFORMANCE OBLIGATIONS SATISFIED IN PRIOR YEARS WERE NOT SIGNIFICANT. PORTFOLIO COLLECTION ESTIMATES ARE UPDATED BASED ON COLLECTION TRENDS. SUBSEQUENT CHANGES THAT ARE DETERMINED TO BE THE RESULT OF AN ADVERSE CHANGE IN THE PATIENT'S ABILITY TO PAY (DETERMINED ON A PORTFOLIO BASIS WHEN APPLICABLE) ARE RECORDED AS BAD DEBT EXPENSE. BAD DEBT EXPENSE FOR THE YEAR ENDED DECEMBER 31, 2021, WAS NOT SIGNIFICANT.
PART III, LINE 8: BLYTHEDALE IS A CHILDREN'S HOSPITAL AND SERVES A PEDIATRIC POPULATION TYPICALLY NOT ELIGIBLE FOR THE MEDICARE PROGRAM.BLYTHEDALE, AS A CHILDREN'S HOSPITAL RECEIVED IMMATERIAL AMOUNTS OF MEDICARE REIMBURSEMENT. IN 2022 THE HOSPITAL FILED A LOW/NO COST UTILIZATION REPORT WITH CMS.
PART III, LINE 9B: 1. BLYTHEDALE WILL SEEK PAYMENT ON ACCOUNTS WITH BALANCES IN SELF-PAY (I.E., PATIENT LIABILITY). BLYTHEDALE DOES NOT TAKE PART IN EXTRAORDINARY COLLECTION ACTIONS (ECA) BEFORE MAKING BEYOND REASONABLE EFFORTS TO DECIDE WHETHER FINANCIAL ASSISTANCE IS AVAILABLE AND/OR COLLECTION EFFORTS HAVE BEEN PURSUED. ANY ITEMIZED STATEMENT REQUESTED BY A GUARANTOR WILL BE GIVEN WITHIN TEN (10) DAYS OF SUCH REQUEST, IN COMPLIANCE WITH NEW YORK LAW.2. BLYTHEDALE WILL MAKE REASONABLE EFFORTS TO NOTIFY PATIENTS AND FAMILIES ABOUT THE FAP THROUGH THE FOLLOWING METHODS:A. ORALLY NOTIFY INDIVIDUALS ABOUT THE FAP AND HOW TO OBTAIN ASSISTANCE WITH THE APPLICATION PROCESS.B. BLYTHEDALE WILL REFRAIN FROM INITIATING ECAS UNLESS AUTHORIZED BY THE CFO AFTER ALL POSSIBLE AVENUES OF REIMBURSEMENT HAVE BEEN EXHAUSTED WITH EXTERNAL PAYORS.C. BLYTHEDALE WILL SEND AT LEAST THREE MONTHLY BILLING NOTICES IN A THIRTY (30) DAY PERIOD, FOR AT LEAST 3 MONTHS OR CYCLES, TO THE GUARANTOR OF AN ACCOUNT INFORMING OF A BALANCE DUE.1) FIRST NOTICE INFORMS THE GUARANTOR THAT THERE IS AN UNPAID BALANCE DUE ON AN ACCOUNT;2) SECOND NOTICE REMINDS THE GUARANTOR OF CONTINUED UNPAID BALANCE;3) FINAL NOTICE OF THE PAST DUE ACCOUNT NOTIFIES THE GUARANTOR THAT HE/SHE HAS THIRTY (30) DAYS TO RESOLVE THE DEBT, OR ECAS MAY BE TAKEN ON THE DEBT AND WILL SPECIFY THE ECAS THAT BLYTHEDALE INTENDS TO TAKE AND INCLUDE A COPY OF THE PLAIN LANGUAGE SUMMARY.NOTE: THE ACCOUNT CAN EITHER BE PAID IN FULL, SET UP ON A PAYMENT PLAN, REFERRED TO FINANCIAL COUNSELING, OR MORE INSURANCE INFORMATION OBTAINED DURING THIS TIMELINE. A PLAIN LANGUAGE NOTICE OF BLYTHEDALE'S FAP IS PROVIDED IN BOTH ENGLISH AND SPANISH ON EVERY BILLING STATEMENT.D. AFTER THREE (3) BILLING NOTICES HAVE BEEN SENT AND NO PAYMENT HAS BEEN RECEIVED WITHIN SIXTY (60) DAYS OF THE FINAL NOTICE, THE ACCOUNT MAY BE CONSIDERED BAD DEBT AND ECAS MAY BE TAKEN.1) ACCOUNTS QUALIFY FOR BAD DEBT WHEN PATIENT BALANCES (I.E., SELF-PAY) HAVE NOT BEEN PAID AND THE HOSPITAL HAS MADE REASONABLE EFFORTS, THAT INCLUDE BUT ARE NOT LIMITED TO PHONE CALLS, STATEMENTS OR LETTERS, TO DECIDE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE.2) THE BAD DEBT AGENCY WILL REPORT TO THE CREDIT BUREAU SIXTY (60) DAYS AFTER AN ACCOUNT IS PLACED WITH SUCH BAD DEBT AGENCY IF NO ACTION IS TAKEN BY THE GUARANTOR TO RESOLVE THE BALANCE EITHER BY MAKING A PAYMENT OR BY SUBMITTING ADDITIONAL DISPUTE INFORMATION.3) IF ALL OTHER OPTIONS TO COLLECT PAYMENT HAVE BEEN TAKEN AND AN ACCOUNT IN BAD DEBT HAS AGED MORE THAN SIXTY (60) DAYS WITHOUT CONTACT FROM THE GUARANTOR OR THE GUARANTOR REFUSES TO RESOLVE THE BALANCE, LEGAL ACTION IS ALWAYS AN OPTION, BUT NOT ONE THE HOSPITAL PURSUES LIGHTLY. IN RARE OCCURRENCES, WHERE IT CAN BE DEMONSTRATED THAT THE PARENT/GUARANTOR IS IN RECEIPT OF INSURANCE PAYMENTS, AND FAILED TO FORWARD THEM TOWARDS DEBT DUE THE HOSPITAL, LEGAL ACTIONS ARE AN OPTION. IN 2022 THERE WERE NO INSTANCES OF THIS SITUATION.E. INITIATION OF A FINANCIAL ASSISTANCE APPLICATION1) THE APPLICATION PERIOD FOR FINANCIAL ASSISTANCE WILL END NO EARLIER THAN 240 DAYS FROM THE FIRST POST-VISIT BILL.F. ALL PARTIES ENGAGED IN COLLECTION ACTIONS FOR BLYTHEDALE WILL FOLLOW THIS POLICY.
PART VI, LINE 2: SINCE THE VAST MAJORITY OF ADMISSIONS TO BLYTHEDALE COME BY REFERRAL FROM OTHER HOSPITALS, PARTICULARLY THE LARGE MEDICAL CENTERS IN THE METROPOLITAN NEW YORK AND HUDSON VALLEY AREA, BLYTHEDALE'S SENSE OF NEED FOR CLINICAL SERVICES LARGELY EMANATES FROM REFERRING HOSPITALS AND THEIR PHYSICIANS. BLYTHEDALE CONTINUOUSLY REVIEWS WITH REFERRING HOSPITALS AND PHYSICIANS THEIR NEEDS FOR SERVICES.HOWEVER, IN ADDITION TO ITS REFERRAL HOSPITALS, BLYTHEDALE ALSO WORKS CLOSELY WITH A VARIETY OF LOCAL AGENCIES, NOTABLY THE WESTCHESTER, ROCKLAND AND PUTNAM COUNTY DEPARTMENTS OF HEALTH TO IDENTIFY COMMUNITY HEALTH PRIORITIES THAT ARE RELEVANT TO BLYTHEDALE'S MISSION AND SERVICES. PARTICIPANTS IN THESE COALITIONS INCLUDE THE MAJOR CHILD AND ADOLESCENT HEALTH-FOCUSED COMMUNITY-BASED ORGANIZATIONS IN WESTCHESTER. BLYTHEDALE ALSO HAS CLOSE WORKING RELATIONSHIPS WITH MANY OF THE SCHOOL DISTRICTS IN WESTCHESTER COUNTY, THROUGH ITS NUTRITION EDUCATION ACTIVITIES, AND THROUGH ARRANGEMENTS WHEREBY BLYTHEDALE STAFF ARE CONTRACTED TO PROVIDE PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY SERVICES TO CHILDREN IN THE SCHOOLS.
PART VI, LINE 3: CONSISTENT WITH ITS MISSION AND STATE REQUIREMENTS (NEW YORK STATE PUBLICHEALTH LAW 2807(K) (9-A), BLYTHEDALE HAS DEVELOPED GUIDELINES THAT DELINEATE THE CIRCUMSTANCES AND PROCEDURES UNDER WHICH FREE OR REDUCED COST CARE IS AVAILABLE. THESE GUIDELINES ARE MADE AVAILABLE TO ALL FAMILIES UPON REGISTRATION, AND HOSPITAL STAFF PROVIDE COUNSELING AS NECESSARY. INTERPRETATION SERVICES ARE AVAILABLE FOR PATIENTS NEEDING INFORMATION IN LANGUAGES OTHER THAN ENGLISH. PATIENTS ARE ALSO NOTIFIED OF BLYTHEDALE'S CHARITY CARE FINANCIAL ASSISTANCE POLICIES THROUGH NOTICES IN ENGLISH AND SPANISH POSTED IN THE HOSPITAL'S LOBBY AND IN PATIENT REGISTRATION AND WAITING AREAS. IN ADDITION, BLYTHEDALE'S PATIENT ASSISTANCE FUNDS HELPS PROVIDE CHILDREN WITH VARIOUS ITEMS (I.E., EQUIPMENT, CLOTHING, ETC.) WHERE FAMILY RESOURCES ARE LIMITED AND INSURANCE DOES NOT COVER.
PART VI, LINE 4: AS A SPECIALTY CHILDREN'S HOSPITAL SERVING CHILDREN WITH A BROAD RANGE OF DIAGNOSES, BLYTHEDALE'S SERVICE AREA IS WIDESPREAD, WITH INPATIENT POPULATIONS COMING FROM THE ENTIRE SOUTHERN PORTION OF NEW YORK STATE AS WELL AS ADJACENT AREAS OF CONNECTICUT, NEW JERSEY AND UPSTATE NEW YORK. NEW YORK CITY (55%), WESTCHESTER & THE HUDSON VALLEY (35%), AND (10%) FROM OUT OF STATE AND UPSTATE NEW YORK. BLYTHEDALE ATTRACTS 90% OF ITS OUTPATIENT PROGRAMS FROM BRONX, WESTCHESTER-HUDSON VALLEY REGION. THE HOSPITAL IS LOCATED IN SUBURBAN WESTCHESTER COUNTY THAT IS PART OF THE GREATER NEW YORK METROPOLITAN AREA. BLYTHEDALE'S PATIENT POPULATION REFLECTS THE ETHNIC AND RACIAL DIVERSITY OF ITS LARGE SERVICE AREA, AS ILLUSTRATED BY ITS PATIENT POPULATION THAT SELF-IDENTIFIES AS 85% MINORITIES AND PEOPLE OF COLOR. TO ADDRESS THIS DIVERSITY, THE HOSPITAL PROVIDES STAFF TRAINING IN CULTURAL DIVERSITY, INTERPRETER SERVICES, DIETARY VARIETY AND OTHER ACCOMMODATIONS TO SUPPORT FAMILIES FROM DIFFERENT CULTURAL BACKGROUNDS WHILE THEIR CHILDREN ARE PATIENTS AT BLYTHEDALE.
PART VI, LINE 5: THE GLOBAL VIRAL OUTBREAK CAUSED BY CORONAVIRUS DISEASE 2019 ("COVID-19") HAS RESULTED IN A NATIONAL PUBLIC HEALTH EMERGENCY DURING 2020, WHICH IS CONTINUING INTO 2022. THERE HAVE BEEN RESULTING EFFECTS IN THE ECONOMY GENERALLY AND TO THE HEALTH CARE INDUSTRY SPECIFICALLY THAT HAVE AND WILL CONTINUE TO IMPACT THE HOSPITAL'S FINANCIAL CONDITION, INCLUDING SIGNIFICANT CAPITAL MARKET VOLATILITY, VARIOUS TEMPORARY CLOSURES AND CANCELLATIONS, AND OTHER EFFECTS THAT HAVE AND WILL LIKELY CONTINUE TO RESULT IN SUPPLY DISRUPTIONS AND DECISIONS TO DEFER MEDICAL TREATMENT AT THE HOSPITAL. AS A RESULT, MANY OF THE COMMUNITY BASED SERVICES THAT HAVE BEEN PROVIDED BY BLYTHEDALE IN PAST CONTINUED TO BE IMPACTED IN 2022. LIKE MANY AGENCIES ACROSS THE COUNTRY, BLYTHEDALE HAS FOCUSED ON ISSUES OF DIVERSITY, EQUITY, AND INCLUSION (DEI) AS THEY AFFECT BOTH OUR PATIENT POPULATION AND OUR EMPLOYEES. WE CREATED AN EMPLOYEE-DRIVEN TASK FORCE DURING THE SUMMER OF 2020 TO BETTER UNDERSTAND AND ANALYZE ISSUES RELATED TO DEI AND OUR HIRING AND RECRUITMENT PROCESSES, THE CULTURAL COMPETENCY OF OUR STAFF, AND OUR POLICIES AND PROCEDURES. THE TASK FORCE GOAL IS FOR THE DIVERSITY OF OUR STAFF TO BE COMPARABLE TO THE VAST DIVERSITY OF OUR PATIENT POPULATION.PARENT ASSISTANCE FUNDS: FUNDS RAISED THROUGH PHILANTHROPY ARE USED TO SUPPORT BLYTHEDALE'S PATIENTS, RESIDENTS, AND FAMILIES WITH TRANSPORTATION TO THE HOSPITAL AND TO CLINICAL APPOINTMENTS, TO PROVIDE CLOTHING FOR CHILDREN WHEN FAMILIES HAVE LIMITED MEANS, AND TO FILL FUNDING GAPS FOR MEDICALLY NECESSARY EQUIPMENT THAT IS NOT FULLY FUNDED THROUGH INSURANCE PLANS. BLYTHEDALE PARTNERS WITH COMMUNITY AGENCIES INCLUDING LOAVES FOR LIFE, 914 CARES, AND COMMUNITY SCHOOLS AND OTHER GROUPS TO PROVIDE NON-PERISHABLE FOOD ITEMS, TOILETRIES, LAUNDRY DETERGENT, AND CVS GIFT CARDS TO FAMILIES IN NEED.HEALTH HOME CARE MANAGEMENT: BLYTHEDALE IS A DOWNSTREAM CARE MANAGEMENT AGENCY FOR NEW YORK STATE'S HEALTH HOME SERVING CHILDREN PROGRAM FOR BOTH SKYWARD HEALTH IN WESTCHESTER COUNTY AND MONTEFIORE HEALTH HOME IN THE BRONX, WITH CAPACITY TO WORK WITH UP TO 60 MEDICALLY COMPLEX CHILDREN AND THEIR FAMILIES. OUR PROACTIVE CARE COORDINATION MODEL PROVIDES THE FAMILIES OF THESE CHILDREN WITH THE SUPPORT THEY NEED LEADING TO MORE CONSISTENT MEDICAL CARE ON A REGULAR BASIS. OUR TEAM ADDRESSES GAPS IN CARE, APPOINTMENT COMPLIANCE, ADHERENCE TO MEDICATION REGIMENS, AND ENSURES THAT THESE CHILDREN AND FAMILIES HAVE THE RIGHT SUPPORTS IN PLACE TO SUPPORT THEM AT HOME. IT IS A CRITICAL LIFELINE FOR FAMILIES LIVING ON THE EDGE OF POVERTY AND/OR STRUGGLING WITH THE OVERWHELMING DEMANDS OF CARING FOR A MEDICALLY COMPLEX CHILD.NEW YORK LEGAL ASSISTANCE GROUP (NYLAG): BLYTHEDALE HAS PARTNERED WITH THE NEW YORK LEGAL ASSISTANCE GROUP (NYLAG) TO CREATE A FREE LEGAL CLINIC OPEN TO ALL BLYTHEDALE PATIENTS, RESIDENTS, HEALTH HOME SERVING CHILDREN MEMBERS, AND THEIR FAMILIES. THE CLINIC IS HELD TWICE EACH MONTH IN A VIRTUAL FORMAT AND THE ATTORNEY ASSISTS FAMILIES WITH ISSUES INCLUDING ENTITLEMENTS, HOUSING, IMMIGRATION, LEGAL GUARDIANSHIP, AND EDUCATIONAL CONCERNS. THESE SOCIAL DETERMINANTS OF HEALTH CAN HAVE A GREAT IMPACT ON A MEDICALLY FRAGILE CHILD'S STABILITY AND THE ABILITY OF A FAMILY TO PROVIDE TIMELY CARE AND SUPPORT, SO THIS CLINIC IS AN INVALUABLE WAY TO PROVIDE ASSISTANCE AND SUPPORT TO THOSE MOST IN NEED. THE CLINIC OPENED 84 NEW LEGAL MATTERS FOR 50 UNIQUE FAMILIES DURING 2022.
PART VI, LINE 7, REPORTS FILED WITH STATES NY
Schedule H (Form 990) 2022
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