BUTLER HEALTHCARE PROVIDERS: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: BUTLER HEALTHCARE PROVIDERS (EIN 25-0965274)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-05-15
IRS object ID: 202641359349316469
Schema version: 2024v5.5
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 H
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-05-15T19:47:36-05:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390859910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER TILLY ADVISORY GROUP LP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	20 STANWIX STREET	AddressLine1Txt
City	PITTSBURGH	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	15222	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	250965274	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BUTLER HEALTHCARE PROVIDERS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BUTL	BusinessNameControlTxt
Phone	7242844166	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HOSPITAL WAY	AddressLine1Txt
City	BUTLER	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16001	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS S ALBANESI JR CPA FHFMA	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7242844166	PhoneNum
Signature	2026-04-24	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KELLY A BROCIOUS	PreparerPersonNm
PTIN	P01254262	PTIN
Phone	4126976400	PhoneNum
Preparation	2026-04-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	BUTLER MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	KENNETH P DEFURIO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HOSPITAL WAY	AddressLine1Txt
City	BUTLER	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16001	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$333,028,054	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.INDEPENDENCE.HEALTH	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1898	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	BUTLER HEALTHCARE PROVIDERS, AN AFFILIATE OF INDEPENDENCE HEALTH SYSTEM, WILL BE RECOGNIZED AS THE PREMIER PROVIDER OF HIGH QUALITY, VALUE-DRIVEN AFFORDABLE INTEGRATED CARE IN THE REGION. WE WILL ACHIEVE THIS THROUGH UNWAVERING COMMITMENT TO INDIVIDUAL AND ORGANIZATIONAL EXCELLENCE AND TECHNOLOGICAL INNOVATION.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	2298	TotalEmployeeCnt
Total Volunteers	8	TotalVolunteersCnt
Total Gross UBI	$5,630,404	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$260,167	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,242,479	PYContributionsGrantsAmt
CY Contributions Grants	$6,431,056	CYContributionsGrantsAmt
PY Program Service Revenue	$310,140,580	PYProgramServiceRevenueAmt
CY Program Service Revenue	$314,372,495	CYProgramServiceRevenueAmt
PY Investment Income	$5,816,131	PYInvestmentIncomeAmt
CY Investment Income	$4,895,308	CYInvestmentIncomeAmt
PY Other Revenue	$7,382,995	PYOtherRevenueAmt
CY Other Revenue	$7,329,195	CYOtherRevenueAmt
PY Total Revenue	$324,582,185	PYTotalRevenueAmt
CY Total Revenue	$333,028,054	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$128,686,575	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$140,232,444	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$167,958,084	PYOtherExpensesAmt
CY Other Expenses	$164,748,256	CYOtherExpensesAmt
PY Total Expenses	$296,644,659	PYTotalExpensesAmt
CY Total Expenses	$304,980,700	CYTotalExpensesAmt
PY Revenues Less Expenses	$27,937,526	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$28,047,354	CYRevenuesLessExpensesAmt
Total Assets BOY	$383,733,665	TotalAssetsBOYAmt
Total Assets EOY	$408,629,116	TotalAssetsEOYAmt
Total Liabilities BOY	$205,284,746	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$190,997,750	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$178,448,919	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$217,631,366	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	BUTLER HEALTHCARE PROVIDERS, AN AFFILIATE OF INDEPENDENCE HEALTH SYSTEM, EXISTS TO PROVIDE A TRUSTED DELIVERY OF CARE WHICH MAKES A POSITIVE IMPACT ON THE LIVES OF EVERY INDIVIDUAL WE TOUCH.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$273,409,265	ExpenseAmt
Revenue	$314,372,495	RevenueAmt
Desc	BUTLER HEALTHCARE PROVIDERS D/B/A BUTLER MEMORIAL HOSPITAL (BMH) IS AN INDEPENDENT, COMMUNITY-BASED HOSPITAL THAT HAS SERVED BUTLER COUNTY, PA, AND THE SURROUNDING AREA FOR OVER 100 YEARS. BMH EMPLOYS APPROXIMATELY 1,600 PEOPLE. BMH HAS GROWN INTO A REGIONAL REFERRAL CENTER. IT IS THE LARGEST HOSPITAL FACILITY BETWEEN PITTSBURGH AND ERIE. IT IS COMPRISED OF 296 ACUTE CARE BEDS. BMH SERVES APPROXIMATELY 10,200 ACUTE CARE PATIENTS (ADMISSIONS) AND NEARLY 430,000 OUTPATIENT REGISTRATIONS EACH YEAR. BMH MAINTAINS A DEEP COMMITMENT TO ITS COMMUNITY, AS IS DEMONSTRATED THROUGH ITS BROAD SERVICES OFFERING, INCLUDING ALL LEVELS OF GENERAL MEDICAL AND SURGICAL CARE, EMERGENCY SERVICES, OBSTETRICS AND GYNECOLOGY SERVICES, A ROBUST BEHAVIORAL HEALTH SERVICE, DRUG AND ALCOHOL TREATMENT, FAMILY SERVICES, PREVENTATIVE & WELLNESS PROGRAMS AND TERTIARY CARDIOVASCULAR CARE. IT ALSO HAS A NETWORK OF APPROXIMATELY 60 CONVENIENT, LOW COST OUTPATIENT SITES THAT ARE LOCATED IN COMMUNITIES THROUGH BUTLER COUNTY AND THE SURROUNDING AREA. A DESCRIPTION OF THE TOP THREE SERVICE LINES FOLLOW.BUTLER MEMORIAL HOSPITAL (BMH) MEDICAL IMAGING SERVICES PROVIDES THE COMMUNITIES WE SERVE WITH EASY ACCESS TO THE LATEST MEDICAL IMAGING TECHNOLOGIES. BUTLER MEMORIAL HOSPITAL IMAGING SERVICES INCLUDE COMPUTERIZED TOMOGRAPHY (CT), MEDICAL RESONANCE IMAGING (MRI), PET/CT, AND DIGITAL MAMMOGRAPHY. ADDITIONAL IMAGING SERVICE INCLUDE ULTRASOUND (SONOGRAPHY), NUCLEAR MEDICINE, BONE DENSITY TESTING, X-RAYS AND FLUOROSCOPIC STUDIES. BMH'S IMAGING STUDIES ARE INTERPRETED BY ON-SITE BOARD-CERTIFIED RADIOLOGISTS TRAINED IN THE FOLLOWING SUBSPECIALTIES: INTERVENTIONAL RADIOLOGY, WOMEN'S IMAGING, MUSCULOSKELETAL IMAGING, BODY IMAGING, NEURORADIOLOGY AND ADVANCED VEIN CARE. BMH PROVIDED MEDICAL IMAGING SERVICES TO APPROXIMATELY 100,000 PATIENTS.CARDIOLOGY SERVICES AT BUTLER MEMORIAL HOSPITAL PROVIDES ROUTINE CARDIAC CARE, INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY, OPEN HEART SURGERY AND CARDIAC REHABILITATION. OTHER SERVICE AREAS INCLUDE A DEVICE MANAGEMENT CLINIC, VALVE CLINIC, HEART FAILURE CLINIC AND CHEST PAIN CENTER WITH PCI ACCREDITATION.BUTLER MEMORIAL HOSPITAL LABORATORY HAS STATE-OF-THE ART INSTRUMENTATION COMPLEMENTED BY PROFESSIONAL EXPERTISE IN MICROBIOLOGY, PATHOLOGY, CHEMISTRY, HEMATOLOGY AND CYTOLOGY. OUR LABORATORY PROVIDES BLOOD WORK AND TESTING THROUGHOUT OUR SERVICE AREA, FOR PATIENTS, PHYSICIAN OFFICES AND LONG-TERM CARE FACILITIES AND IS ACCREDITED BY THE COLLEGE OF AMERICAN PATHOLOGISTS (CAP) AND LICENSED BY THE CLINICAL LABORATORY IMPROVEMENT ACT (CLIA). LABORATORY SERVICES VARY BY LOCATION AND COVER ALL OF THE FOLLOWING AREAS: SURGICAL PATHOLOGY, MOLECULAR DIAGNOSTICS, DERMATOPATHOLOGY, CYTOPATHOLOGY, HEMATOPATHOLOGY AND TRANSFUSION MEDICINE. BUTLER MEMORIAL HOSPITAL PROVIDE LABORATORY SERVICE TO OVER 200,000 PATIENTS.	Desc
Total Program Service Expenses	$273,409,265	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	Yes (1)	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	235	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2298	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THOMAS S ALBANESI JR CPA FHFMA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7248324561	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE HOSPITAL WAY	AddressLine1Txt
City	BUTLER	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	16001	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
KENNETH P DEFURIO
PRESIDENT & CEO	20.00	40.00	Yes (X)	Yes (X)	$3,614,613	$0	$23,311
JEFFREY CURRY
TREASURER	4.00	5.00	Yes (X)	Yes (X)	$0	$0	$0
TIMOTHY MORGUS
VICE CHAIR	4.00	5.00	Yes (X)	Yes (X)	$0	$0	$0
PAUL BACHARACH
CHAIR	4.00	5.00	Yes (X)	Yes (X)	$0	$0	$0
ANIE PERARD MD
TRUSTEE (UNTIL 12/31/24)/PHYSICIAN	3.00	50.00	Yes (X)		$0	$341,249	$15,460
JAMES ADISEY MD
TRUSTEE/PHYSICIAN	3.00	50.00	Yes (X)		$0	$765,506	$32,146
PATRICK HAMPSON
SECRETARY (UNTIL 12/17/24)	2.00	5.00	Yes (X)	Yes (X)	$0	$0	$0
DEBRA THOMPSON PHD RN
TRUSTEE	1.00	5.00	Yes (X)		$0	$0	$0
JOHN SPHON
TRUSTEE	1.00	5.00	Yes (X)		$0	$0	$0
TERESA PETRICK
TRUSTEE	1.00	5.00	Yes (X)		$0	$0	$0
LARRY RICHERT
SECRETARY	1.00	5.00	Yes (X)	Yes (X)	$0	$0	$0
JOHN REEFER MD
TRUSTEE	1.00	5.00	Yes (X)		$0	$0	$0
MATT SCHNUR
PRESIDENT, BUTLER MEMORIAL & CLARION HOSPITALS	40.00	20.00		Yes (X)	$210,124	$0	$10,102
KAREN ALLEN
PRESIDENT, BUTLER MEMORIAL & CLARION HOSPITALS	40.00	20.00		Yes (X)	$548,866	$0	$25,189
THOMAS GENEVRO
CHIEF HUMAN RESOURCES OFFICER	20.00	40.00		Yes (X)	$470,820	$0	$15,295
WILLIAM MADDEN
CHIEF OPERATING OFFICER	20.00	40.00		Yes (X)	$429,561	$0	$7,388
ROGER LUTZ
CHIEF INFORMATION OFFICER	20.00	40.00		Yes (X)	$412,850	$0	$25,503
PAMELA HEPP ESQ
CHIEF LEGAL OFFICER	20.00	40.00		Yes (X)	$534,359	$0	$7,053
CAROL J FOX MD
CHIEF MEDICAL OFFICER	20.00	40.00		Yes (X)	$0	$675,147	$23,135
MICHAEL FIORINA DO
CHIEF MEDICAL OFFICER	20.00	40.00		Yes (X)	$429,625	$0	$25,326
DAVID ROTTINGHAUS
PHYSICIAN & PROVIDER NETWORK PRESIDENT	20.00	40.00		Yes (X)	$713,182	$0	$25,189
THOMAS S ALBANESI JR CPA
CHIEF FINANCIAL OFFICER	20.00	40.00		Yes (X)	$0	$663,850	$37,722
JUSTIN MCCARTHY
STAFF ATTORNEY	40.00				$197,016	$0	$3,402	Yes (X)
DAVID DILLON
CHIEF INTEGRATION OFFICER	40.00				$416,956	$0	$25,007	Yes (X)
MATTHEW SCHNUR
VP, ANCILLARY SERVICES	40.00				$210,124	$0	$10,102	Yes (X)
MELINDA HILDEBRANDT
CHIEF QUALITY OFFICER	40.00				$237,257	$0	$11,191	Yes (X)
KATHY SELVAGGI
CHIEF COMMUNITY HEALTH OFFICER	40.00				$289,944	$0	$21,678	Yes (X)
ERIC HUSS
FORMER CHIEF FINANCIAL OFFICER	0.00	0.00			$100,800	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$8,816,097	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,445,752	TotReportableCompRltdOrgAmt
Total Other Compensation	$344,199	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	198	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
FTI CONSULTING INC
1000 OMEGA DRIVE SUITE 1325	PITTSBURGH	PA	15205	CONSULTING	$2,601,126
BUTLER ANESTHESIA ASSOCIATES PC
PO BOX 645587	PITTSBURGH	PA	152645253	ANETHESIA SERVICES	$1,442,820
ARTECH GROUP
201 BARDINE RD	CRABTREE	PA	15624	COMMERCIAL CONTRACTOR	$1,038,565
AMERGIS HEALTHCARE STAFFING INC
317 E CARSON ST SUITE 430	PITTSBURGH	PA	15219	NURSING AGENCY	$1,014,726
QUEST DIAGNOSTICS
526 PENN AVE	PITTSBURGH	PA	15222	LABORATORY SERVICES	$930,220

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	142	CntrctRcvdGreaterThan100KCnt
Government Grants	$4,029,794	GovernmentGrantsAmt
All Other Contributions	$2,401,262	AllOtherContributionsAmt
Total Contributions	$6,431,056	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621500	$309,653,263	$309,653,263
OTHER OPERATING REVENUE	621500	$4,719,232	$4,719,232

Field	Value	IRS element (for citing)
Total Program Service Revenue	$314,372,495	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,888,031	TotalRevenueColumnAmt
Exclusion	$4,888,031	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$342,200	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$342,200	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$342,200	TotalRevenueColumnAmt
Exclusion	$342,200	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$7,277	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$7,277	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,277	TotalRevenueColumnAmt
Exclusion	$7,277	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PHARMACY	456110	$3,820,964	$3,820,964
CAFETERIA	900099	$1,356,591		$1,356,591
NON PATIENT LAB	541380	$1,263,573	$1,263,573

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$545,867	TotalRevenueColumnAmt
Unrelated Business Revenue	$545,867	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$6,986,995	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$333,028,054	TotalRevenueColumnAmt
Related Or Exempt Func Income	$314,372,495	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,630,404	UnrelatedBusinessRevenueAmt
Exclusion	$6,594,099	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,357,235	TotalAmt
Management And General	$6,357,235	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$103,189,550	TotalAmt
Program Services	$91,580,726	ProgramServicesAmt
Management And General	$11,608,824	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,157,058	TotalAmt
Program Services	$3,689,389	ProgramServicesAmt
Management And General	$467,669	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$18,352,329	TotalAmt
Program Services	$16,287,692	ProgramServicesAmt
Management And General	$2,064,637	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,176,272	TotalAmt
Program Services	$7,256,441	ProgramServicesAmt
Management And General	$919,831	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,422,945	TotalAmt
Management And General	$1,422,945	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$189,479	TotalAmt
Management And General	$189,479	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$16,443	TotalAmt
Program Services	$14,593	ProgramServicesAmt
Management And General	$1,850	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$41,682,915	TotalAmt
Program Services	$37,582,010	ProgramServicesAmt
Management And General	$4,100,905	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$472,021	TotalAmt
Program Services	$418,919	ProgramServicesAmt
Management And General	$53,102	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,193,070	TotalAmt
Program Services	$1,058,850	ProgramServicesAmt
Management And General	$134,220	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,315,280	TotalAmt
Program Services	$1,167,311	ProgramServicesAmt
Management And General	$147,969	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,583,683	TotalAmt
Program Services	$4,068,019	ProgramServicesAmt
Management And General	$515,664	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$354,069	TotalAmt
Program Services	$314,236	ProgramServicesAmt
Management And General	$39,833	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$4,008	TotalAmt
Program Services	$3,557	ProgramServicesAmt
Management And General	$451	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,275,559	TotalAmt
Program Services	$4,682,059	ProgramServicesAmt
Management And General	$593,500	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$16,407,031	TotalAmt
Program Services	$14,561,240	ProgramServicesAmt
Management And General	$1,845,791	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,758,581	TotalAmt
Program Services	$3,335,741	ProgramServicesAmt
Management And General	$422,840	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$62,770,907	$62,770,907
BAD DEBT EXPENSE	$9,223,022	$9,223,022
EQUIPMENT RENTAL & MAIN	$8,551,279	$7,589,260	$962,019
MA MODERNIZATION ASSESS	$8,239,135	$8,239,135

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	-$711,171	TotalAmt
Program Services	-$433,842	ProgramServicesAmt
Management And General	-$277,329	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$304,980,700	TotalAmt
Program Services	$273,409,265	ProgramServicesAmt
Management And General	$31,571,435	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,953	BOYAmt
EOY	$1,953	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$26,885,710	BOYAmt
EOY	$21,427,182	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$39,380,912	BOYAmt
EOY	$51,112,094	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,188,524	BOYAmt
EOY	$3,710,817	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$16,045,154	BOYAmt
EOY	$15,721,758	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$428,958,367	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$316,620,039	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$115,904,220	BOYAmt
EOY	$112,338,328	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$93,132,155	BOYAmt
EOY	$88,402,623	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$20,585,211	BOYAmt
EOY	$23,403,926	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$68,609,826	BOYAmt
EOY	$92,510,435	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$383,733,665	BOYAmt
EOY	$408,629,116	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$46,954,287	BOYAmt
EOY	$62,052,926	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$103,149,530	BOYAmt
EOY	$98,196,982	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$14,716,494	BOYAmt
EOY	$14,273,416	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$40,464,435	BOYAmt
EOY	$16,474,426	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$205,284,746	BOYAmt
EOY	$190,997,750	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$175,247,577	BOYAmt
EOY	$213,552,463	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,201,342	BOYAmt
EOY	$4,078,903	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$178,448,919	BOYAmt
EOY	$217,631,366	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$383,733,665	BOYAmt
EOY	$408,629,116	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$28,047,354	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$68,044	NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments	$7,738,361	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$3,328,688	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$16,443	OtherActivitiesAmt
Total Lobbying Expenditures	$16,443	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	A PORTION OF THE ANNUAL DUES PAID TO THE HOSPITAL ASSOCIATION OF PENNSYLVANIA AND THE AMERICAN HOSPITAL ASSOCIATION ARE USED FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$485,903	BeginningYearBalanceAmt
Investment Earnings Or Losses	$16,575	InvestmentEarningsOrLossesAmt
End Year Balance	$502,478	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$467,911	BeginningYearBalanceAmt
Investment Earnings Or Losses	$17,992	InvestmentEarningsOrLossesAmt
End Year Balance	$485,903	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$454,304	BeginningYearBalanceAmt
Investment Earnings Or Losses	$13,607	InvestmentEarningsOrLossesAmt
End Year Balance	$467,911	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$453,377	BeginningYearBalanceAmt
Investment Earnings Or Losses	$927	InvestmentEarningsOrLossesAmt
End Year Balance	$454,304	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$452,697	BeginningYearBalanceAmt
Investment Earnings Or Losses	$680	InvestmentEarningsOrLossesAmt
End Year Balance	$453,377	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,577,581	OtherCostOrOtherBasisAmt
Book Value	$2,577,581	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$112,909,753	OtherCostOrOtherBasisAmt
Depreciation	$71,816,732	DepreciationAmt
Book Value	$41,093,021	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,632,130	OtherCostOrOtherBasisAmt
Depreciation	$7,547,358	DepreciationAmt
Book Value	$1,084,772	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$279,981,798	OtherCostOrOtherBasisAmt
Depreciation	$227,312,146	DepreciationAmt
Book Value	$52,669,652	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,857,105	OtherCostOrOtherBasisAmt
Depreciation	$9,943,803	DepreciationAmt
Book Value	$14,913,302	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$112,338,328	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENTS IN AFFILIATES	Desc
Book Value	$23,403,926	BookValueAmt
Method Valuation	C	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$23,403,926	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
OTHER ASSETS	$9,647,236
DUE FROM THIRD PARTY	$2,655,412
DUE FROM AFFILIATES	$77,886,524
RIGHT OF USE ASSET - OPERATING	$2,321,263

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$92,510,435	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
ACCRUED INTEREST PAYABLE	$1,871,952
OPERATING LEASE LIABILITES	$5,252,929
457(B) PLAN LIABILITIES	$2,097,071
SERP PLAN LIABILITIES	$1,475,829
DUE TO THIRD-PARTY PAYORS	$5,776,645

Field	Value	IRS element (for citing)
Total Liability	$16,474,426	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	INVESTMENT EARNINGS WILL BE USED TO SUPPORT BUTLER HEALTHCARE PROVIDERS OR OTHER RELATED ORGANIZATIONS PER THEIR RESTRICTIVE PURPOSE (E.G. TECHNOLOGY AND CHARITY CARE) OR IF NO RESTRICTIVE PURPOSE, AT THE DISCRETION OF THE BOARD TO SUPPORT ITS MISSION.
PART X, LINE 2:	MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	0	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,883,154	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,883,154	NetCommunityBenefitExpnsAmt
Total Expense	0.03000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,444,502	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,221,321	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,223,181	NetCommunityBenefitExpnsAmt
Total Expense	0.04470	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$376,795	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$394,330	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,704,451	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,615,651	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,106,335	NetCommunityBenefitExpnsAmt
Total Expense	0.07470	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$96,046	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$96,046	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$237,967	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$237,967	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$99,194	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$99,194	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$433,207	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$433,207	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$41,137,658	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,615,651	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,539,542	NetCommunityBenefitExpnsAmt
Total Expense	0.07610	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$9,223,022	BadDebtExpenseAmt
Reimbursed By Medicare	$28,954,481	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$29,103,433	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$148,952	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 BUTLER PHYSICIANS REALTY LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	LEASES MEDICAL OFFICE SPACE	PrimaryActivitiesTxt
Org Profit Or Ownership	0.16670	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.11110	OfcrEtcProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BUTLER MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 HOSPITAL WAY	AddressLine1Txt
City	BUTLER	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	160014670	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.BUTLERHEALTHSYSTEM.ORG	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	BUTLER MEMORIAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	INDEPENDENCE.HEALTH/ABOUT-US/COMMUNITY-WELLNESS	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	INDEPENDENCE.HEALTH/ABOUT-US/COMMUNITY-WELLNESS	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	INDEPENDENCE.HEALTH/PATIENTS-VISITORS/FINANCIAL-SERVICES	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	INDEPENDENCE.HEALTH/PATIENTS-VISITORS/FINANCIAL-SERVICES	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	INDEPENDENCE.HEALTH/PATIENTS-VISITORS/FINANCIAL-SERVICES	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

BUTLER MEMORIAL HOSPITAL

PART V, SECTION B, LINE 5: THERE IS NOT A COUNTY HEALTH DEPARTMENT IN BUTLER COUNTY OR ITS PRIMARY SERVICE AREA. CURRENTLY, PENNSYLVANIA HAS SEVEN COUNTY HEALTH DEPARTMENTS (ALLEGHENY, BUCKS, CHESTER, DELAWARE, ERIE, MONTGOMERY, AND PHILADELPHIA) AND FOUR MUNICIPAL HEALTH DEPARTMENTS (ALLENTOWN, BETHLEHEM, WILKES-BARRE, AND YORK). SEVERAL PUBLIC HEALTH PROFESSIONALS WERE CONSULTED IN THE PROCESS OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDING ALLISON ROTH, MHA CANDIDATE (MASTERS IN HEALTH ADMINISTRATION) FROM THE UNIVERSITY OF PITTSBURGH GRADUATE SCHOOL OF PUBLIC HEALTH. SHE WAS A MAJOR CONTRIBUTOR IN DATA COLLECTION AND ANALYSIS.IN JUNE OF 2021, REPRESENTATIVES FROM MANY ORGANIZATIONS WITHIN THE BUTLER COMMUNITY CAME TOGETHER VIA ZOOM (DUE TO COVID RESTRICTIONS) TO DISCUSS THE STRENGTHS AND NEEDS OF THE COMMUNITY. INPUT WAS GATHERED FROM A WIDE RANGE OF INDIVIDUALS AND ORGANIZATIONS THAT REPRESENT THE BROAD INTERESTS OF THE BUTLER REGION; THIS WAS COMPLETED THROUGH A VARIETY OF METHODS INCLUDING INDIVIDUAL ZOOM MEETINGS, GROUP ZOOM MEETINGS, SURVEY MONKEY QUESTIONNAIRES AND PHONE CONVERSATIONS.MULTIPLE MEETINGS WERE HELD TO IDENTIFY THE TOP HEALTH PRIORITIES WITHIN THE PRIMARY SERVICE AREA OF BUTLER COUNTY. BUTLER MEMORIAL HOSPITAL (BMH) COLLECTED HEALTH DATA FROM COUNTY HEALTH RANKINGS, CENTERS FOR DISEASE CONTROL AND PREVENTION, WORLD LIFE EXPECTANCY, PAYS, AND US CENSUS. 529 COMMUNITY MEMBERS COMPLETED ELECTRONIC AND PAPER SURVEYS TO PROVIDE ADDITIONAL DATA AND 36 COMMUNITY STAKEHOLDER SURVEYS WERE ALSO COMPLETED.PARTICIPATING ORGANIZATIONS:- ALLIANCE FOR NON-PROFIT RESOURCES (ANR) - FOOD INSECURE INDIVIDUALS- BUTLER AREA SCHOOL DISTRICT- BUTLER COUNTY CHILDREN'S CENTER- CHILDREN AND LOW-INCOME FAMILIES- BUTLER COUNTY COMMUNITY COLLEGE- BUTLER COUNTY HUMAN SERVICES- AGING, DRUG AND ALCOHOL, CHILDREN & YOUTH, FAIR HOUSING- BUTLER COUNTY PARKS AND RECREATION- BUTLER MEMORIAL HOSPITAL-CARE MANAGEMENT- BUTLER TRANSPORTATION AUTHORITY- CATHOLIC CHARITIES OF BUTLER COUNTY- PEOPLE LIVING IN SHELTERS, HOMELESS OR AT RISK OF BEING HOMELESS, EXPECTANT AND NEW MOTHERS- CENTER FOR COMMUNITY RESOURCES (CCR) - HOMELESS, CHILDREN AND ADULTS WITH MENTAL ILLNESS (INCLUDING SUBSTANCE USE), INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, VETERANS, HIV + INDIVIDUALS- COMMUNITY CARE CONNECTIONS- INFANTS, CHILDREN AND ADULTS WHO HAVE DEVELOPMENTAL DELAYS OR DISABILITIES- COMMUNITY OPTIONS INC.- INDIVIDUALS WITH DISABILITIES- MARS AREA SCHOOL DISTRICT- MEALS ON WHEELS OF BUTLER COUNTY- HOMEBOUND INDIVIDUALS- MONITEAU SCHOOL DISTRICT- NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) -INDIVIDUALS WITH SEVERE MENTAL ILLNESS AND THEIR FAMILIES- VETERANS SERVICES- VETERANS- AC VALLEY SCHOOL DISTRICT- ARC OF BUTLER COUNTY - INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTALFOCUS GROUPS MET VIA ZOOM AND DISCUSSED THE DATA COLLECTED FROM ALL THE SOURCES ABOVE. INDIVIDUALS WERE ASKED TO DESCRIBE THE OVERALL HEALTH OF THE REGION. EACH ORGANIZATION WAS ASKED TO IDENTIFY THE TOP THREE HEALTH PRIORITIES FOR THE AREA. THESE ANSWERS WERE ALSO COMPARED AMONGST THE GROUP. THE MAIN THEMES THAT AROSE OUT OF THE FOCUS GROUPS WERE MENTAL/BEHAVIORAL HEALTH, FOOD INSECURITY AND THE ONGOING NEED FOR HEALTH AND NUTRITION EDUCATION AND SUBSTANCE ABUSE AND ADDICTION. OTHER TOP PRIORITY ISSUES IDENTIFIED WERE ACCESS TO CARE, TRANSPORTATION, COVID-19, DIABETES, OBESITY, AND CHILDCARE.

BUTLER MEMORIAL HOSPITAL

PART V, SECTION B, LINE 11: FUTURE STRATEGIES TO IMPROVE MENTAL HEALTH ISSUES- IMPLEMENT A SYSTEM TO COMMUNICATE TO PARENTS AND STUDENTS OF SCHOOL AND COMMUNITY EVENTS TO INCREASE PARTICIPATION IN EXTRACURRICULAR ACTIVITIES.- DEVELOP SOCIAL NETWORKS FOR CHILDREN TO CONNECT WITH EACH OTHER TO HELP CREATE MEANINGFUL RELATIONSHIPS FOR THOSE WHO DO NOT HAVE THE SOCIAL SKILLS TO DO IT ON THEIR OWN.- DEVELOP BETTER REFERRAL PROCESSES TO ACCESS MENTAL HEALTH SPECIALISTS. WAIT LISTS CAN BE LONG AND IT IS DIFFICULT FOR PEOPLE TO RECEIVE PROPER CARE IN A TIMELY FASHION.- THE BUTLER AREA SCHOOL DISTRICT IS IN THE PROCESS OF HIRING BEHAVIORAL MODIFICATION SPECIALISTS TO HELP CHILDREN DEVELOP AND IMPROVE SOCIAL THEIR SOCIAL SKILLS AND INTERACTIONS.FUTURE STRATEGIES TO IMPROVE SUBSTANCE ABUSE ISSUES- PROVIDE EDUCATION TO PARENTS ON THE SIGNS AND SYMPTOMS OF SUBSTANCE ABUSE. SCHOOLS EDUCATE STUDENTS BUT PARENTS NEED EDUCATION AS WELL.- PROVIDE EASIER ACCESS AND AVAILABILITY TO RECOVERY PROGRAMS. WE NEED TO ADDRESS BARRIERS SUCH AS LACK OF TRANSPORTATION AND ONGOING MENTAL HEALTH ISSUES THAT PREVENT PEOPLE FROM SEEKING HELP.- CONTINUE ONGOING ENGAGEMENT AND COLLABORATION WITH LAW ENFORCEMENT TO HELP INDIVIDUALS OBTAIN THE BASICS LIKE EMPLOYMENT AND A DRIVER'S LICENSE FOR THOSE WHO HAVE A HISTORY OF INCARCERATION.FUTURE STRATEGIES TO IMPROVE HEALTH EDUCATION AND CHRONIC ILLNESS- ENGAGE BUTLER COUNTY FARMS WITH FOOD INSECURE RESIDENTS. THIS PILOT STUDY OF 15 FAMILIES REQUIRED FAMILIES TO BE AT THE 200% FEDERAL POVERTY LINE. THE GOAL OF THIS PROGRAM WAS TO PROVIDE NUTRITION EDUCATION AND HEALTHY MEALS TO FOOD-INSECURE FAMILIES ON A LIMITED BUDGET. A BARRIER IDENTIFIED BY THIS PROGRAM WAS THAT QUALIFIED FAMILIES DID NOT WANT TO IDENTIFY THEMSELVES AS NEEDING ASSISTANCE.- INSTITUTE MORE FARMERS MARKETS IN THE COMMUNITY TO INCREASE ACCESS TO FRESH FRUITS AND VEGETABLES AND PROVIDING HEALTHY RECIPES.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - BUTLER HEALTHCARE PROVIDERS PSYCH
1 HOSPITAL WAY	BUTLER	PA	16001	PSYCHIATRIC AND CHEMICAL DEPENDENCY
2 - BUTLER HEALTHCARE PROVIDERS OP PSYCH
216 NORTH WASHINGTON STREET	BUTLER	PA	16001	OUTPATIENT BEHAVIORAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	THE COSTING METHODOLOGY IS BASED ON THE RATIO OF COST TO CHARGES FROM BUTLER MEMORIAL HOSPITAL'S ACCOUNTING SYSTEM.
PART I, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $9,223,022.
PART III, LINE 4:	THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS.
PART III, LINE 8:	THE COSTING METHODOLOGY IS BASED ON THE RATIO OF COST TO CHARGES FROM BUTLER MEMORIAL HOSPITAL'S ACCOUNTING SYSTEM.
PART III, LINE 9B:	AS PART OF OUR COMMITMENT TO THE HEALTH CARE NEEDS OF OUR COMMUNITY BHM HAS A PROGRAM DESIGNED TO PROVIDE FINANCIAL ASSISTANCE THAT MAY COVER ALL OR PART OF PATIENT CARE. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS DETERMINED THROUGH AN APPLICATION PROCESS. BMH FOLLOWS THE FEDERAL POVERTY GUIDELINES WHEN DETERMINING THE PATIENT ELIGIBILITY. ONCE THE APPLICATION IS APPROVED, IT WILL BE IN EFFECT FOR SIX MONTHS BEFORE AND AFTER THE APPROVAL DATE. BMH WILL REVIEW ALL ACCOUNTS PRIOR TO PLACEMENT WITH A COLLECTION AGENCY TO SEE IF THE PATIENT IS ELIGIBLE UNDER OUR PRESUMPTIVE CHARITY CARE PROCESS. IF THERE IS NO APPLICATION ON FILE, BHM WILL USE ONE OR MORE OF THE FOLLOWING CRITERIA TO MAKE A DETERMINATION BASED ON: PATIENTS WHO QUALIFY FOR SECTION 8 HOUSING, NO ESTATE, FOOD STAMP ELIGIBILITY, PATIENT IS HOMELESS OR RECEIVED CARE FROM A HOMELESS CLINIC, OR A LETTER FROM FAMILY OR FRIENDS OF A PATIENT THAT PROVIDE INFORMATION ESTABLISHING THE PATIENT'S INABILITY TO PAY.
PART VI, LINE 2:	WHILE BMH HAS ALWAYS CONSIDERED THE NEEDS OF THE REGION IT SERVES, IT HAS FORMALLY BEEN CONDUCTING COMMUNITY HEALTH ASSESSMENTS FOR OVER 20 YEARS. THESE ASSESSMENTS HAVE ALLOWED THE ORGANIZATION TO APPROPRIATELY ALLOCATE RESOURCES AND DEVELOP SERVICES THAT BEST SUIT THE NEEDS OF BUTLER COUNTY AND SURROUNDING REGIONS. DURING THE CHNA PROCESS IN ATTEMPT TO REACH AS MANY PEOPLE AND DISTINCT POPULATIONS AS POSSIBLE, BMH DISTRIBUTED THE SURVEY USING VARIOUS METHODS. CENSUS DATA SHOWED THAT ONLY 78.5% OF HOUSEHOLDS IN BUTLER CITY (16001) HAD BROADBAND INTERNET, SO PAPER SURVEYS WERE CIRCULATED IN ADDITION TO AN ONLINE VERSION. DUE TO COVID RESTRICTIONS, STAKEHOLDERS AT THE INITIAL ZOOM MEETING WERE GIVEN THE ONLINE SURVEY LINK TO TAKE BACK AND DISTRIBUTE TO THEIR RESPECTIVE POPULATIONS. THEY WERE ALSO ENCOURAGED TO PROMOTE THE ONLINE VERSION OF THE SURVEY AMONGST THEIR ORGANIZATION. THE BUTLER COUNTY COLLABORATIVE FOR FAMILIES (BCF) ALSO DISTRIBUTED THE LINK TO THE ONLINE SURVEY THROUGH THEIR EMAIL LIST. THE BCF IS A MULTI-AGENCY NETWORK THAT COLLABORATES TO PROVIDE SERVICES FOR INDIVIDUALS AND FAMILIES IN BUTLER COUNTY. THE ELECTRONIC VERSION WAS ALSO DISTRIBUTED TO PRIMARY CARE OFFICES IN THE SERVICE AREA.THE EMPLOYEE SURVEY PROMPTED EMPLOYEES WHO LIVE IN BUTLER COUNTY TO TAKE THE GENERAL COMMUNITY SURVEY UPON COMPLETION OF THE EMPLOYEE SPECIFIC QUESTIONNAIRE. BUTLER MEMORIAL HOSPITAL COLLECTED A TOTAL 565 SURVEYS COMPLETED (EITHER ONLINE OR ON PAPER) BY COMMUNITY MEMBERS AND STAKEHOLDERS. THE SURVEY ASKED SEVERAL QUESTIONS REGARDING THE INDIVIDUAL'S HEALTH STATUS AND OTHER FACTORS LINKED TO HEALTH, LIKE DEMOGRAPHICS AND PROXIMITY TO STORES WITH FRESH FRUITS AND VEGETABLES. A SUMMARY OF THE RESULTS FOUND THROUGH THE COMMUNITY SURVEY ARE SHOWN IN OUR RESPONSE FOR VI, LINE 4.
PART VI, LINE 3:	SUPPORTING THOSE IN NEED: BMH CHARITY CARE AND COMMUNITY BENEFIT - BMH PROVIDES FREE CARE TO THOSE PATIENTS WHO HAVE AN OBLIGATION AFTER INSURANCE PAYMENTS, IF ANY. THE AMOUNT OF FREE CARE IS DETERMINED BASED ON THE PATIENT'S INCOME AND FAMILY SIZE. FREE CARE IS PROVIDED TO THOSE WITH INCOMES UP TO 300% OF THE FEDERAL POVERTY GUIDELINE.TO INFORM PATIENTS OF THIS PROGRAM, SIGNS ARE POSTED IN ALL THE REGISTRATION AREAS NOTIFYING THE PUBLIC OF THE AVAILABILITY OF OUR FREE CARE PROGRAM. MORE INFORMATION IS AVAILABLE IN THE PATIENT HANDBOOK AND ON THE SYSTEM WEBSITE WWW.BUTLERHEALTHSYSTEM.ORG UNDER PATIENT & VISITORS TAB THEN SELECT FINANCIAL SERVICES. AT THE TIME OF REGISTRATION, ANY PATIENT IS UNINSURED IS GIVEN A PATIENT NOTICE OF FINANCIAL AID NOTICE. THE NOTICE INSTRUCTS THE PATIENT TO CALL THE PATIENT FINANCIAL ASSISTANCE DEPARTMENT. THE CHARITY CARE APPLICATION IS ALSO ON THE BACK OF OUR PATIENT STATEMENTS.
PART VI, LINE 4:	THE PRIMARY SERVICE AREA FOR BMH WAS IDENTIFIED AS BUTLER COUNTY, PENNSYLVANIA. A MAJORITY OF PATIENTS AND VISITS ORIGINATE FROM BUTLER CITY (16001 ZIP CODE). AS SUCH BHS HAS PLACED SEVERAL SERVICE LOCATIONS WITHIN THIS AREA TO MEET THE DEMAND OF THE PRIMARY LOCATION. THE INDIVIDUALS THAT COME FROM SURROUNDING COUNTIES TO RECEIVE MORE ADVANCED SERVICES INCLUDE: ARMSTRONG, WESTMORELAND, CLARION, BEAVER, LAWRENCE, MERCER, VENANGO, AND ALLEGHENY. FOR THE PURPOSE OF SECONDARY DATA COLLECTION, CLARION COUNTY WAS DETERMINED TO BE THE COMMUNITY SERVED. APPROXIMATELY 80% OF THE HOSPITAL'S RESIDENTS RESIDE WITHIN THE COUNTY.BELOW IS A TABLE SUMMARIZING THE COUNTY POPULATION DATA COMPARED TO DATA SPECIFIC TO THE STATE OF PENNSYLVANIA BUTLER COUNTY PENNSYLVANIA2021 POPULATION ESTIMATE 194,273 12,964,056POPULATION PERCENT CHANGE:APRIL 2020-JULY 2021 .3% -0.3%MEDIAN AGE (2019) 43.3 YEARS 40.8 YEARSPERCENT UNDER 18 19.7% 20.6%PERCENT 65 YEARS AND OLDER 19.4% 18.7%RACE AND ORIGINWHITE ALONE, NOT HISPANIC ORLATINO, PERCENT 95.8% 81.6%BLACK OR AFRICAN AMERICAN,PERCENT 1.4% 12%AMERICAN INDIAN & ALASKANNATIVE ALONE, PERCENT 0.2% 0.4%ASIAN ALONE, PERCENT 1.5% 3.8%HISPANIC OR LATINO, PERCENT 1.6% 7.8%TWO OR MORE RACES, PERCENT 1.2% 2.1%VETERANS (2016-2020) 12,838 731,411EDUCATIONHIGH SCHOOL GRADUATE OR HIGHER 95.4% 91.0%BACHELOR'S DEGREE OR HIGHER 37.5% 32.3%MEDIAN HOUSEHOLD INCOME $72,642 $63,627PER CAPITAL INCOME IN PAST12 MONTHS $39,906 $35,518PERSONS IN POVERTY, PERCENT 7.4% 10.9%PERCENT WITH A DISABILITY UNDERAGE 65, 2016-2020 8.5% 9.8%PERSONS WITHOUT HEALTHINSURANCE UNDER AGE 65, PERCENT 4.8% 7.0%TABLE: BUTLER COUNTY DEMOGRAPHICS(HTTPS://WWW.CENSUS.GOV/QUICKFACTS/FACT/TABLE/PA,BUTLERCOUNTYPENNSYLVANIA/BZA210219)WITHIN THE COUNTY, THERE IS SIGNIFICANT VARIABILITY AMONGST MANY OF THE SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH DEPENDING ON THE LOCATION IN THE COUNTY BECAUSE OF THE LARGE GEOGRAPHIC AREA BUTLER COUNTY ENCOMPASSES.RECURRING THEME AMONG COMMUNITY STAKEHOLDERS WAS THE ACCESS AND RESOURCES IN THE SOUTHERN PART OF THE COUNTY DIFFERS WITHIN THE COUNTY FROM THE CENTRAL AND NORTHERN AREAS. BECAUSE OF THESE DIFFERENCES, IT SHOULD BE REMEMBERED THAT COUNTY LEVEL DATA ON HEALTH RELATED ISSUES MIGHT BE TILTED TOWARDS THE AFFLUENCE OF THE SOUTH.THE TABLE BELOW SHOWS A SELECT NUMBER OF DISPARITIES THAT EXIST WITHIN THE PRIMARY SERVICE AREA OF BMH. THESE AREAS INCLUDE: ADAMS TOWNSHIP, CRANBERRY TOWNSHIP, BUTLER CITY, AND CENTER TOWNSHIP. BUTLER CITY IS THE IMMEDIATE AREA SURROUNDING BMH, AND CENTER TOWNSHIP IS IN NORTHERN BUTLER COUNTY. ADAMS CRANBERRY BUTLER CENTER TOWNSHIP TOWNSHIP CITY TOWNSHIP (16046) (16066) (16001) (16061)HIGH SCHOOL GRADUATEOR HIGHER, PERCENT 98.8% 97.3% 91.0% 96.8%BACHELOR'S DEGREEOR HIGHER 66.2% 62.0% 22.7% 36.1%MEDIAN HOUSEHOLDINCOME, 2016-2020 $124,982 $108,160 $32,746 $76,100PER CAPITA INCOMEPAST 12 MONTHS, 2016-2020 $69,935 $53,744 $22,127 $42,109PERSONS IN POVERTY,PERCENT 3.6% 3.1% 24.2% 4.1%PERCENT WITH A DISABILITY,UNDER AGE 65, 2016-2020 3.8% 4.7% 20.4% 10.8%PERSONS WITHOUT HEALTHINSURANCE 8% 2.2% 6.1% 2.6%HOUSEHOLDS WITH BROADBANDINTERNET SUBSCRIPTION,2016-2020 93.3% 94.9% 78.5% 85.3%(HTTPS://WWW.CENSUS.GOV/QUICKFACTS/FACT/TABLE/ADAMSTOWNSHIPBUTLERCOUNTYPENNSYLVANIA, CRANBERRYTOWNSHIPBUTLERCOUNTYPENNSYLVANIA,BUTLERCITYPENNSYLVANIA,CENTERTOWNSHIPBUTLERCOUNTYPENNSYLVANIA/BZA210219)LOOKING AT DATA AT THE COUNTY LEVEL, THERE IS A SIGNIFICANT PORTION OF OUR SERVICE POPULATION BEING UNDER-REPRESENTED. THERE ARE DRAMATIC DIFFERENCES IN FACTORS LIKE INCOME, EDUCATION, AND DISABILITY ACROSS THE COUNTY CREATING A DIFFERENT PICTURE OF HEALTH AND THE HEALTH NEEDS OF DEFINED SUBPOPULATIONS WITHIN THE COUNTY.
PART VI, LINE 5:	BUTLER HEALTHCARE PROVIDERS, AN AFFILIATE OF INDEPENDENCE HEALTH SYSTEM, EXISTS TO PROVIDE A TRUSTED DELIVERY OF CARE WHICH MAKES A POSITIVE IMPACT ON THE LIVES OF EVERY INDIVIDUAL WE TOUCH. EVERY LIFE MEANS THAT INDEPENDENCE HEALTH SYSTEM DOES NOT DISCRIMINATE FOR RACE, RELIGION, GENDER, COLOR, OR CREED AND ACCEPTS ALL PATIENTS FOR ANY SERVICES, REGARDLESS OF THE ABILITY TO PAY FOR THOSE SERVICES. INDEPENDENCE HEALTH SYSTEM STRIVES TO PROVIDE ITS COMMUNITIES WITH STATE OF THE ART EQUIPMENT AND FACILITIES. THIS CAN ONLY BE ACCOMPLISHED BY INVESTING ANY EXCESS IN REVENUES OVER EXPENSES INDEPENDENCE HEALTH SYSTEM MAY HAVE IN SECURE INVESTMENTS TO PROVIDE FOR FUTURE TECHNOLOGY, TREATMENTS OF CARE, AND MAINTAIN AGING FACILITIES. INDEPENDENCE HEALTH SYSTEM ENCOURAGES PATIENTS TO TELL IT WHAT IT IS DOING RIGHT AND WRONG THROUGH PATIENT SATISFACTION SURVEYS AND INDEPENDENCE HEALTH SYSTEM REACTS TO THOSE SURVEYS. INDEPENDENCE HEALTH SYSTEM STRIVES TO PROVIDE ITS PATIENTS WITH GREATER ACCESS TO CARE THROUGH OFF SITE CLINICS AND DIAGNOSTIC SERVICE CENTERS. INDEPENDENCE HEALTH SYSTEM ASSISTS ITS MEDICAL STAFF IN RECRUITING TOP OF THE CLASS DOCTORS TO PROVIDE SERVICES TO ITS COMMUNITY WHERE THERE IS A NEED AND A SHORTAGE OF PHYSICIANS. INDEPENDENCE HEALTH SYSTEM ALSO RECRUITS SPECIALTY PHYSICIANS THAT WOULD HELP TO OFFSET THE BURDEN OF CALL COVERAGE AND FOR SUCCESSION PLANNING, WHICH IS ESSENTIAL FOR THE CONTINUUM OF CARE.
PART VI, LINE 6:	BUTLER HEALTHCARE PROVIDERS IS PART OF INDEPENDENCE HEALTH SYSTEM. INDEPENDENCE HEALTH SYSTEM (IHS) COMPRISES BUTLER MEMORIAL, CLARION, FRICK, LATROBE, AND WESTMORELAND HOSPITALS. WITH A TOTAL BED COMPLEMENT OF 925, THE SYSTEM HAS MORE THAN 1,000 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS AND 7,300 EMPLOYEES. IHS IS NOW THE THIRD LARGEST HEALTHCARE SYSTEM IN WESTERN PENNSYLVANIA, SERVING A POPULATION BASE OF 750,000 IN A FOOTPRINT SPANNING MORE THAN 10 COUNTIES.

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KENNETH P DEFURIO
PRESIDENT & CEO	$1,015,575	$0	$0	$0	$2,599,038	$0	$5,175	$0	$18,136	$0	$3,637,924	$0	$2,501,911	$0
JAMES ADISEY MD
TRUSTEE/PHYSICIAN	$0	$462,342	$0	$183,975	$0	$119,189	$0	$13,800	$0	$18,346	$0	$797,652	$0	$0
DAVID ROTTINGHAUS
PHYSICIAN & PROVIDER NETWORK PRESIDE	$546,886	$0	$0	$0	$166,296	$0	$5,175	$0	$20,014	$0	$738,371	$0	$86,493	$0
THOMAS S ALBANESI JR CPA
CHIEF FINANCIAL OFFICER	$0	$506,372	$0	$0	$0	$157,478	$0	$18,292	$0	$19,430	$0	$701,572	$0	$0
CAROL J FOX MD
CHIEF MEDICAL OFFICER	$0	$518,439	$0	$0	$0	$156,708	$0	$21,355	$0	$1,780	$0	$698,282	$0	$0
KAREN ALLEN
PRESIDENT, BUTLER MEMORIAL & CLARION	$486,730	$0	$0	$0	$62,136	$0	$5,175	$0	$20,014	$0	$574,055	$0	$0	$0
PAMELA HEPP ESQ
CHIEF LEGAL OFFICER	$508,862	$0	$0	$0	$25,497	$0	$5,175	$0	$1,878	$0	$541,412	$0	$0	$0
THOMAS GENEVRO
CHIEF HUMAN RESOURCES OFFICER	$162,156	$0	$0	$0	$308,664	$0	$3,943	$0	$11,352	$0	$486,115	$0	$253,308	$0
MICHAEL FIORINA DO
CHIEF MEDICAL OFFICER	$425,762	$0	$0	$0	$3,863	$0	$5,175	$0	$20,151	$0	$454,951	$0	$0	$0
DAVID DILLON
CHIEF INTEGRATION OFFICER	$397,405	$0	$0	$0	$19,551	$0	$5,175	$0	$19,832	$0	$441,963	$0	$0	$0
ROGER LUTZ
CHIEF INFORMATION OFFICER	$368,219	$0	$0	$0	$44,631	$0	$5,175	$0	$20,328	$0	$438,353	$0	$0	$0
WILLIAM MADDEN
CHIEF OPERATING OFFICER	$421,771	$0	$0	$0	$7,790	$0	$0	$0	$7,388	$0	$436,949	$0	$0	$0
ANIE PERARD MD
TRUSTEE (UNTIL 12/31/24)/PHYSICIAN	$0	$317,782	$0	$0	$0	$23,467	$0	$0	$0	$15,460	$0	$356,709	$0	$0
KATHY SELVAGGI
CHIEF COMMUNITY HEALTH OFFICER	$219,861	$0	$0	$0	$70,083	$0	$3,750	$0	$17,928	$0	$311,622	$0	$63,739	$0
MELINDA HILDEBRANDT
CHIEF QUALITY OFFICER	$236,515	$0	$0	$0	$742	$0	$3,579	$0	$7,612	$0	$248,448	$0	$0	$0
MATT SCHNUR
PRESIDENT, BUTLER MEMORIAL & CLARION	$209,734	$0	$0	$0	$390	$0	$3,185	$0	$6,917	$0	$220,226	$0	$0	$0
MATTHEW SCHNUR
VP, ANCILLARY SERVICES	$209,734	$0	$0	$0	$390	$0	$3,185	$0	$6,917	$0	$220,226	$0	$0	$0
JUSTIN MCCARTHY
STAFF ATTORNEY	$197,016	$0	$0	$0	$0	$0	$2,955	$0	$447	$0	$200,418	$0	$0	$0
ERIC HUSS
FORMER CHIEF FINANCIAL OFFICER	$0	$0	$0	$0	$100,800	$0	$0	$0	$0	$0	$100,800	$0	$66,472	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINES 4A-B	4(B) THE ORGANIZATION UTILIZES A SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) TO RECRUIT AND RETAIN LEADERSHIP TALENT. VESTING PERIODS ARE 5 AND 10 YEARS, FOR ALL EXECUTIVES, WITH THE EXCEPTION OF THE PRESIDENT/CEO, AT AGE 65. THE THIRD VESTING PERIOD FOR THE PRESIDENT/CEO IS AGE 60. ELIGIBLE EXECUTIVES RECEIVE DISTRIBUTIONS UPON REACHING THE VESTING PERIODS. ALL CONTRIBUTIONS TO THE SERP HAVE BEEN REPORTED PREVIOUSLY AND ARE REPORTED ANNUALLY. THE ANNUAL ACCRUAL AMOUNTS FOR CALENDAR YEAR 2024 WERE: KENNETH P DEFURIO, $351,888; DAVID ROTTINGHAUS, $61,042; KAREN ALLEN, $60,001; ROGER LUTZ, $38,114; MICHAEL FIORINA, DO, $43,002. DURING CALENDAR YEAR 2024, ERIC HUSS RECEIVED SEVERANCE IN THE AMOUNT OF $34,328.
PART I, LINE 7	EMPLOYEES ARE ELIGIBLE AND RECEIVED BONUS COMPENSATION. BONUSES ARE NOT GUARANTEED AND ARE AWARDED BASED ON BOARD APPROVED METRICS WHICH INCLUDE QUALITY, SERVICES, AND STRATEGIC FINANCIAL PERFORMANCE.
PART II	INDEPENDENCE HEALTH SYSTEM PRESIDENT & CEO KENNETH DEFURIO TURNED 60 DURING CALENDAR YEAR 2024. REACHING AGE 60 TRIGGERED A REQUIRED VESTED SERP PAYOUT OF $2,501,911. FOR THE PAST 18 YEARS, INDIVIDUAL SERP PAYMENTS FOR THE CEO HAD PREVIOUSLY BEEN REPORTED AS DEFERRED COMPENSATION IN COLUMN C OF SCHEDULE J. THIS REPORTED 2024 AMOUNT IS A TOTAL OF ALL PREVIOUSLY REPORTED FUNDING AMOUNTS. SERP PLANS ARE USED AS RECRUITMENT AND RETENTION VEHICLES IN A COMPETITIVE EXECUTIVE MARKET.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
BUTLER COUNTY HOSPITAL AUTHORITY
A	251458912	123592DR5	2015-03-18	$100,481,533	SEE PART VI	0	0	0
BUTLER COUNTY HOSPITAL AUTHORITY
B	251458912		2015-03-18	$41,000,000	SEE PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$22,795,000	$100,481,533	$1,107,924	2015	Yes (1)	0	Yes (1)	Yes (1)
B	$14,070,000	$41,000,000		2015	Yes (1)	0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	0
B	0	0	0	0	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	0	0	Yes (1)	0	0	0	0	0
B	0	0	Yes (1)	0	Yes (1)	0	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
ALISON ANNETT
FAMILY MEMBER OF KENNETH DEFURIO, PRESIDENT & CEO	$47,636	EMPLOYEE	0
JOSHUA LUTZ
FAMILY MEMBER OF ROGER LUTZ, CIO	$15,428	EMPLOYEE	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	PER THE BY-LAWS OF THE ORGANIZATION, THE ORGANIZATION SHALL HAVE ONE CORPORATE MEMBER, BUTLER HEALTH SYSTEM, INC. THERE SHALL BE NO OTHER MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A	BUTLER HEALTH SYSTEM, INC., THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, APPOINTS THE MEMBERS OF THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B	AS PER THE BY-LAWS OF THE ORGANIZATION, THE SUBJECT MATTERS OF THE POWERS RESERVED TO THE MEMBER ARE AS FOLLOWS: A. THE NUMBER OF TRUSTEES THAT WILL COMPRISE THE BOARD. B. THE ELECTION OF TRUSTEES. C. THE REMOVAL OF ANY TRUSTEE FOR CAUSE FROM THE CORPORATION'S BOARD OF TRUSTEES AND APPROVAL OF THE REPLACEMENT OF ANY SUCH REMOVED TRUSTEE FOR THE UNEXPIRED PORTION OF THE TERM. D. THE ELECTION, RE-ELECTION, APPOINTMENT AND REAPPOINTMENT OF ALL OFFICERS OF THE BOARD. E. THE AMENDMENT, REVISION, OR RESTATEMENT OF THE CORPORATION'S ARTICLES OF INCORPORATION AND/OR BY-LAWS. F. THE ADOPTION OR CHANGE IN THE MISSION, PURPOSE, PHILOSOPHY OR OBJECTIVES OF THE CORPORATION. G. THE CHANGE IN THE GENERAL STRUCTURE OF THE CORPORATION AS A VOLUNTARY, NONPROFIT CORPORATION. H. THE DISSOLUTION, DIVISION, CONVERSION OR LIQUIDATION OF THE CORPORATION, THE CONSOLIDATION OR MERGER OF THE CORPORATION WITH ANOTHER CORPORATION OR ENTITY, OR THE ACQUISITION OF SUBSTANTIALLY ALL OF THE ASSETS OF ANOTHER CORPORATION OR ENTITY, SUBJECT TO THE PROVISION OF THE ARTICLES OF INCORPORATION. I. THE CORPORATION'S BORROWING OF MONEY, ISSUANCE OF INDEBTEDNESS AND/OR INCURRENCE OF GUARANTEES, WHETHER IN A SINGLE TRANSACTION OR A SERIES OF RELATED TRANSACTIONS, WHETHER OR NOT SUCH BORROWINGS OR GUARANTEES ARE TO BE SECURED BY A MORTGAGE, PLEDGE OR OTHER LIEN ON THE CORPORATION'S CURRENT OR FUTURE REAL PROPERTY, PERSONAL PROPERTY OR ENDOWMENT FUNDS. J. APPROVAL OF THE ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ANY AMENDMENTS THERETO. K. APPROVAL OF ANY CHARITABLE DONATION BY THE CORPORATION, OTHER THAN TO THE MEMBER OR ANY NONPROFIT ENTITY IN WHICH THE MEMBER IS A SOLE MEMBER, IN AN AMOUNT EXCEEDING $15,000 PER DONEE OR IN AN AMOUNT EXCEEDING $150,000 IN THE AGGREGATE DURING ANY ONE FISCAL YEAR. L. APPROVAL OF ANY TRANSFER OTHER THAN CHARITABLE DONATIONS OF THE CORPORATION'S ASSETS UNLESS SPECIFICALLY AUTHORIZED IN THE CORPORATION'S APPROVED BUDGETS. M. APPROVAL OF CHANGE OF MEMBERSHIP OR VOTING RIGHTS OF THE MEMBER. N. APPROVAL OF THE STRATEGIC PLANS AND/OR INVESTMENT POLICIES OF THE CORPORATION AND ANY SUBSIDIARY OF THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION. THE FORM 990 IS THEN PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	A WEB-BASED SOFTWARE PROGRAM IS USED TO ADMINISTER A CONFLICT OF INTEREST DISCLOSURE FORM AND QUESTIONNAIRE ANNUALLY TO ALL BOARD TRUSTEES, KEY EMPLOYEES AND CERTAIN OTHER DIRECTORS, MANAGERS AND CONTRACTED PHYSICIANS. COMPLIANCE IN COMPLETING THE FORM IS REQUIRED AT 100% FOR OFFICERS, TRUSTEES AND KEY EMPLOYEES. THE DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER, CHIEF LEGAL OFFICER AND CERTAIN BOARD COMMITTEES. ADDITIONALLY, THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT IS SHARED WITH EMPLOYEES, MEDICAL STAFF AND BUSINESS PARTNERS THROUGH ONE OR MORE OF THE FOLLOWING METHODS: POSTING ON THE ORGANIZATION'S INTRANET WEBSITE, ON THE ORGANIZATION'S PUBLIC WORLD WIDE WEBSITE, IN ITS POLICY MANUAL AND IN ITS CORPORATE CODE. REPORTS AND SUBSEQUENT FINDINGS OF NON-COMPLIANCE RESULT IN DISCIPLINARY ACTION THROUGH HUMAN RESOURCES, THE OFFICE OF MEDICAL AFFAIRS, OR THROUGH COMPANY SANCTIONS TOWARDS BUSINESS PARTNERS.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD OF TRUSTEES RECOGNIZES THE GREAT CHALLENGES AND DIFFICULTIES THAT HEALTHCARE EXECUTIVES FACE, PARTICULARLY IN THE CURRENT ERA OF NATIONAL AND STATE HEALTHCARE REFORM. IN ADDITION, THE PITTSBURGH REGIONAL MARKET IS HIGHLY COMPETITIVE AND CHANGING RAPIDLY. THE BOARD COMPETES FOR AND SEEKS EXECUTIVE TALENT ON A NATIONAL BASIS. IT ENGAGES EXPERT COMPENSATION CONSULTANTS, UTILIZING NATIONAL COMPARATIVE DATA TO GUIDE THE DETERMINATION OF COMPETITIVE, APPROPRIATE LEVELS OF COMPENSATION. THE EXECUTIVE COMPENSATION PROCESS IS OVERSEEN BY THE EXECUTIVE/COMPENSATION COMMITTEE OF THE IHS BOARD OF TRUSTEES. THE COMMITTEE IS COMPOSED ENTIRELY OF "DISINTERESTED" MEMBERS WITH NO CONFLICTS OF INTEREST. THE TOTAL COMPENSATION PROGRAM FOR EXECUTIVES CONSISTS OF CASH COMPENSATION AND BENEFITS. FACTORS TAKEN INTO CONSIDERATION IN DETERMINING COMPENSATION FOR EXECUTIVES INCLUDE: MARKET DEMAND AND COMPETITION FOR SIMILAR POSITIONS, EXPERIENCE AND TENURE, AND ACTUAL PERFORMANCE AND EFFECTIVENESS. BASED ON THESE AND OTHER PERTINENT CRITERIA, IHS TARGETS TOTAL COMPENSATION TO FALL WITHIN A RANGE OF THE 25TH TO 75TH PERCENTILE OF THE MARKET. IHS EXECUTIVE COMPENSATION GENERALLY WILL NOT EXCEED THE 75TH PERCENTILE OF THE MARKET. EXCEPTIONS TO THIS MAY BE SUBJECT TO REVIEW AND RECOMMENDATION BY THE COMPENSATION COMMITTEE, WHICH IN TURN IS SUBJECT TO REVIEW AND APPROVAL BY THE BOARD OF TRUSTEES. EXCEPTION MUST BE SUPPORTED BY ORGANIZATIONAL AND/OR INDIVIDUAL PERFORMANCE, OR A RETENTION/RECRUITMENT CIRCUMSTANCE THAT WARRANTS SUCH COMPENSATION. THE COMPENSATION COMMITTEE CONSISTS EXCLUSIVELY OF INDEPENDENT INDIVIDUALS WITH NO REAL OR PERCEIVED CONFLICTS OF INTEREST IN RECOMMENDING EXECUTIVE COMPENSATION GUIDELINES AND LEVELS. WHILE BENEFITS ARE ACCOUNTED FOR IN SCHEDULE J, ACTUAL "TAKE HOME" PAY TO THE EXECUTIVE TYPICALLY CONSISTS ONLY OF BASE SALARY, AND INCENTIVE AWARD EARNED, IF EARNED. APPLICABLE TAXES OR OTHER WITHHOLDINGS ARE DEDUCTED. ANNUAL INCREASES IN BASE PAY, IF ANY, ARE BASED ON COMPETITIVE MARKET TRENDS FROM THE COMPARISON GROUP. SUPPLEMENTAL RETIREMENT BENEFITS ARE USED AS A VEHICLE FOR EXECUTIVE RECRUITMENT AND RETENTION WITH APPROPRIATE VESTING PERIODS. THE BOARD OF TRUSTEES REVIEWS AND APPROVES EXECUTIVE COMPENSATION IN ITS ENTIRETY, INCLUDING THE USE OF "TALLY SHEETS", WHICH DISCLOSE 100% EXECUTIVE COMPENSATION. THE BOARD OF TRUSTEES ENGAGES EXTERNAL COMPENSATION AND LEGAL EXPERTISE TO ASSURE REASONABLENESS OF EXECUTIVE COMPENSATION LEVELS.
FORM 990, PART VI, SECTION C, LINE 18	THE ORGANIZATION MAKES ITS FORM 990, FORM 990-T, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	AT THIS TIME, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC.
FORM 990, PART IX, LINE 11G	PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 427,598. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 427,598. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 31,110,395. MANAGEMENT AND GENERAL EXPENSES 3,943,571. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,053,966. OTHER FEES: PROGRAM SERVICE EXPENSES 1,241,188. MANAGEMENT AND GENERAL EXPENSES 157,334. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,398,522. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,802,829. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,802,829.
FORM 990, PART XI, LINE 9:	PENSION OBLIGATION ADJUSTMENT 6,711,580. OTHER. NET ADJUSTMENTS -1,900,392. TRANSFER TO AFFILIATES -1,482,500.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt
BHS DERMATOLOGY ASSOCIATES
1 HOSPITAL WAY	BUTLER	PA	16001	800929620	DERMATOLOGY	PA	BHP
BUTLER IMAGING & INTERVENTIONAL ASSOC
1 HOSPITAL WAY	BUTLER	PA	16001	264263364	RADIOLOGY	PA	BHP
BHS NALLATHAMBI MEDICAL ASSOCIATES PLLC
1 HOSPITAL WAY	BUTLER	PA	16001	264746949	PRIMARY CARE	PA	BHP
BUTLER HEALTH SYSTEM PROVIDER HOSPITAL
1 HOSPITAL WAY	BUTLER	PA	16001	474212217	PHYS HOSP ORG	PA	BHP	$750,576	$7,435,744
BHS SENECA MEDICAL CENTER LLC
1 HOSPITAL WAY	BUTLER	PA	16001	464444529	PRIMARY CARE	PA	BHP

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (17 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
LATROBE AREA HOSPITAL
121 W SECOND AVENUE	LATROBE	PA	15650	250965414	HEALTH CARE	PA	501(C)(3)	LINE 3	EXCELA HEALTH	0
WESTMORELAND REGIONAL HOSPITAL
532 WEST PITTSBURGH STREET	GREENSBURG	PA	15601	250965612	HEALTH CARE	PA	501(C)(3)	LINE 3	EXCELA HEALTH	0
LATROBE AREA HOSPITAL CHARITABLE FOUNDATION
ONE MELLON WAY	LATROBE	PA	15650	251750654	FUNDRAISING	PA	501(C)(3)	LINE 12A, I	LATROBE AREA HOSPITAL	0
WESTMORELANDFRICK HOSPITAL FOUNDATION
532 WEST PITTSBURGH STREET	GREENSBURG	PA	15601	251309084	FUNDRAISING	PA	501(C)(3)	LINE 12A, I	EXCELA HEALTH	0
FRICK HOSPITAL
508 SOUTH CHURCH STREET	MOUNT PLEASANT	PA	15650	250965375	HEALTH CARE	PA	501(C)(3)	LINE 3	EXCELA HEALTH	0
EXCELA HEALTH HOME CARE AND HOSPICE
532 WEST PITTSBURGH STREET	GREENSBURG	PA	15601	203474707	HEALTH CARE	PA	501(C)(3)	LINE 10	EXCELA HEALTH	0
EXCELA HEALTH
532 WEST PITTSBURGH STREET	GREENSBURG	PA	15601	251471089	HEALTH CARE	PA	501(C)(3)	LINE 12C, III-FI	INDEPENDENCE HEALTH SYSTEM	0
CAREGIVERS OF SOUTHWESTERN PA
532 WEST PITTSBURGH STREET	GREENSBURG	PA	15601	251570733	HEALTH CARE	PA	501(C)(3)	LINE 10	EXCELA HEALTH	0
MOUNTAIN VIEW CANCER ASSOCIATES INC
200 VILLAGE DRIVE	GREENSBURG	PA	15601	030480551	HEALTH CARE	PA	501(C)(3)	LINE 3	EXCELA HEALTH	0
BUTLER HEALTH SYSTEM
ONE HOSPITAL WAY	BUTLER	PA	16001	251441855	HC DELIV SYST	PA	501(C)(3)	LINE 10	INDEPENDENCE HEALTH SYSTEM	0
BUTLER MEDICAL PROVIDERS
ONE HOSPITAL WAY	BUTLER	PA	16001	251441961	PHYSICIAN PRACTICE	PA	501(C)(3)	LINE 3	BUTLER HEALTH SYSTEM	0
NIXSAR CORPORATION
ONE HOSPITAL WAY	BUTLER	PA	16001	251441960	REAL ESTATE	PA	501(C)(3)	LINE 12B, II	BUTLER HEALTH SYSTEM	0
BUTLER HEALTH SYSTEM FOUNDATION
ONE HOSPITAL WAY	BUTLER	PA	16001	261543883	FUNDRAISING	PA	501(C)(3)	LINE 12A, I	BUTLER HEALTH SYSTEM	0
CLARION HOSPITAL
ONE HOSPITAL WAY	CLARION	PA	16214	251010039	HOSPITAL	PA	501(C)(3)	LINE 3	BUTLER HEALTH SYSTEM	0
CLARION HOSPITAL SELF INS TRUST FUND
ONE HOSPITAL WAY	CLARION	PA	16217	250766602	SELF INSURANCE	PA	501(C)(3)	LINE 12A, I	CLARION HOSPITAL	0
BUTLER MEMORIAL HOSPITAL AUXILIARY
ONE HOSPITAL WAY	BUTLER	PA	16001	251457575	AUXILIARY	PA	501(C)(3)	LINE 10	BUTLER HEALTH SYSTEM	0
INDEPENDENCE HEALTH SYSTEM
ONE HOSPITAL WAY	BUTLER	PA	16001	921340805	HEALTH CARE	PA	501(C)(3)	LINE 12B, II		0	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
BUTLER AMBULATORY SURGERY CENTER LLC
102 TECHNOLOGY DRIVE	BUTLER	PA	16001	061728190	AMBULATORY SURG.	PA	N/A	0	0
BHS FASTERCARE
ONE HOSPITAL WAY	BUTLER	PA	16001	271961562	URGENT CARE	PA		0	0	BUTLER HEALTHCARE PROVIDERS	RELATED	$2,943,565	$1,080,303	0.53400
BHS FASTER CARE LABORATORY
ONE HOSPITAL WAY	BUTLER	PA	16001	800628384	LAB. SERVICES	PA		0	0	BUTLER HEALTHCARE PROVIDERS	RELATED			0.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
EXCELA HEALTH PHYSICIAN PRACTICES
532 WEST PITTSBURGH STREET	GREENSBURG	PA	15601	251744392	HEALTH CARE	PA	N/A	C	0
EXCELA HEALTH HOLDING COMPANY
532 WEST PITTSBURGH STREET	GREENSBURG	PA	15601	251826537	HEALTH CARE	PA	N/A	C	0
EXCELA HEALTH VENTURES LLC
532 WEST PITTSBURGH STREET	GREENSBURG	PA	15601	461290845	REAL ESTATE	PA	N/A	C	0
EXCELA RECIPROCAL RRG & SUBSIDIARY
100 BANK STREET SUITE 610	BURLINGTON	VT	05401	464602850	INSURANCE	VT	N/A	C	0
EXCELA PHYSICIAN HOSPITAL ORGANIZATION LLC
532 WEST PITTSBURGH STREET	GREENSBURG	PA	15601	820639487	HEALTH CARE	PA	N/A	C	0
EXCELA HEALTH DIVERSIFIED SERVICES LLC
532 WEST PITTSBURGH STREET	GREENSBURG	PA	15601	871455824	HEALTH CARE	PA	N/A	C	0
PCA OF BUTLER PC
480 EAST JEFFERSON STREET	BUTLER	PA	16001	251351445	PHY. OFFICE	PA	N/A	C	0
CLARION DEVELOPMENT CORPORATION
ONE HOSPITAL DRIVE	CLARION	PA	16214	251516298	PHARMACY	PA	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd