BUTLER HEALTHCARE PROVIDERS: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: BUTLER HEALTHCARE PROVIDERS (EIN 25-0965274)
Tax period: 2019-07-01 to 2020-06-30
Filed: 2021-05-15
IRS object ID: 202141359349301699
Schema version: 2019v5.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-15T12:51:50-05:00	ReturnTs
Tax Period End	2020-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	351178661	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BLUE & CO LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	9200 WORTHINGTON RD STE 200	AddressLine1Txt
City	WESTERVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43082	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-07-01	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	7242844429	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	ERIC HUSS	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7242844429	PhoneNum
Signature	2021-05-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	ANGELA N CRAWFORD CPA	PreparerPersonNm
PTIN	P00573197	PTIN
Phone	6148852583	PhoneNum
Preparation	2021-05-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$278,304,140	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.BUTLERHEALTHSYSTEM.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1898	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF BUTLER HEALTHCARE PROVIDERS D/B/A BUTLER MEMORIAL HOSPITAL IS TO BE A HEALING PRESENCE IN THE COMMUNITIES WE SERVE. BUTLER MEMORIAL HOSPITAL AND BUTLER HEALTH SYSTEM EXIST TO MAKE A POSITIVE DIFFERENCE IN THE LIVES OF PEOPLE BY PROVIDING COMPASSIONATE, HIGH QUALITY CARE AND COMFORT, AND INSPIRING HEALTH AND WELL-BEING.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2287	TotalEmployeeCnt
Total Volunteers	256	TotalVolunteersCnt
Total Gross UBI	$4,601,287	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,105,480	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,721,420	PYContributionsGrantsAmt
CY Contributions Grants	$2,474,339	CYContributionsGrantsAmt
PY Program Service Revenue	$282,538,639	PYProgramServiceRevenueAmt
CY Program Service Revenue	$264,216,354	CYProgramServiceRevenueAmt
PY Investment Income	$6,747,967	PYInvestmentIncomeAmt
CY Investment Income	$5,345,250	CYInvestmentIncomeAmt
PY Other Revenue	$6,100,675	PYOtherRevenueAmt
CY Other Revenue	$6,205,554	CYOtherRevenueAmt
PY Total Revenue	$298,108,701	PYTotalRevenueAmt
CY Total Revenue	$278,241,497	CYTotalRevenueAmt
PY Grants And Similar Paid	$26,553,500	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$23,351,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$137,174,842	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$133,522,192	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$123,001,492	PYOtherExpensesAmt
CY Other Expenses	$126,863,966	CYOtherExpensesAmt
PY Total Expenses	$286,729,834	PYTotalExpensesAmt
CY Total Expenses	$283,737,158	CYTotalExpensesAmt
PY Revenues Less Expenses	$11,378,867	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$5,495,661	CYRevenuesLessExpensesAmt
Total Assets BOY	$388,929,088	TotalAssetsBOYAmt
Total Assets EOY	$401,551,308	TotalAssetsEOYAmt
Total Liabilities BOY	$170,452,364	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$195,364,803	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$218,476,724	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$206,186,505	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF BUTLER HEALTHCARE PROVIDERS D/B/A BUTLER MEMORIAL HOSPITAL IS TO BE A HEALING PRESENCE IN THE COMMUNITIES WE SERVE. BUTLER MEMORIAL HOSPITAL AND BUTLER HEALTH SYSTEM EXIST TO MAKE A POSITIVE DIFFERENCE IN THE LIVES OF PEOPLE BY PROVIDING COMPASSIONATE, HIGH QUALITY CARE AND COMFORT, AND INSPIRING HEALTH AND WELL-BEING.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$251,840,038	ExpenseAmt
Grant	$23,351,000	GrantAmt
Revenue	$264,430,467	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 2,300 PEOPLE. BMH HAS GROWN INTO A REGIONAL REFERRAL CENTER FOR THE AREAS. IT IS THE LARGEST HOSPITAL FACILITY BETWEEN PITTSBURGH AND ERIE. IT IS COMPRISED OF 296 ACUTE CARE BEDS AND A 25 BED SKILLED NURSING FACILITY. BMH SERVES APPROXIMATELY 12,000 ACUTE CARE PATIENTS (ADMISSIONS) AND OVER 350,000 OUTPATIENTS EACH YEAR. BMH MAINTAINS A DEEP COMMITMENT TO ITS COMMUNITY, AS IS DEMONSTRATED THROUGH ITS BROAD SERVICES OFFERING. IT PROVIDES ALL LEVELS OF GENERAL MEDICAL AND SURGICAL CARE, EMERGENCY SERVICES, OBSTETRICS AND GYNECOLOGY SERVICES, A ROBUST PSYCHIATRIC SERVICE, DRUG & 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 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. BUTLER MEMORIAL HOSPITAL PROVIDED MEDICAL IMAGING SERVICES TO 112,166 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 300,000 PATIENTS.	Desc
Total Program Service Expenses	$251,840,038	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	0	ReportProgramRelatedInvstInd
Report Other Assets	0	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	Yes (1)	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	0	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	Yes (1)	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	119	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2287	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
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
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERIC HUSS CFO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7242836666	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 (33 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
PATTI-ANN KANTERMAN
CHAIR	4.00	4.00	Yes (X)	Yes (X)	$0	$0	$0
TIMOTHY MORGUS
CORPORATE SECRETARY	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
DENNIS DEMBY MD
TRUSTEE	0.80	40.20	Yes (X)		$0	$226,492	$12,050
MICHAEL FIORINA DO
TRUSTEE	2.00	1.00	Yes (X)		$0	$0	$0
PATRICK HAMPSON
TRUSTEE	2.00	1.00	Yes (X)		$0	$0	$0
JOSEPH GRUNENWALD PHD
TRUSTEE BEGIN 1/1/20	2.00	1.00	Yes (X)		$0	$0	$0
RAJIV SAWHNEY DPT
TRUSTEE	2.00	1.00	Yes (X)		$0	$0	$0
FRED PORT
TRUSTEE BEGIN 1/1/20	2.00	1.00	Yes (X)		$0	$0	$0
ROBERT M SMITH PHD
TRUSTEE END 12/31/19	2.00	1.00	Yes (X)		$0	$0	$0
TRACY VITALE EDD
TRUSTEE	2.00	1.00	Yes (X)		$0	$0	$0
MARGARET IRVINE WEIR
TRUSTEE	2.00	1.00	Yes (X)		$0	$0	$0
CRAIG THOMASMEYER
TRUSTEE	2.00	1.00	Yes (X)		$0	$0	$0
HOLLY HAMPE
TRUSTEE BEGIN 1/1/20	2.00	1.00	Yes (X)		$0	$0	$0
KENNETH P DEFURIO
PRESIDENT & CEO	40.00	22.00	Yes (X)	Yes (X)	$1,912,520	$0	$263,628
MICHAEL DEITSCHMANN 719-819
CHIEF FINANCIAL OFFICER	40.00	15.00		Yes (X)	$326,702	$0	$38,002
JASON SCIARRO 719-1019
CHIEF OPERATING OFFICER	35.00	25.00		Yes (X)	$463,387	$0	$44,617
KAREN ALLEN
VP PATIENT SVC,CNO,	55.00			Yes (X)	$368,772	$0	$73,706
A THOMAS MCGILL MD
VP QUALITY & SAFETY/CIO	40.00	15.00		Yes (X)	$360,719	$0	$7,244
ROGER LUTZ
CHIEF INFORMATION OFFICER	40.00			Yes (X)	$296,004	$0	$55,743
JOHN C REEFER MD
VP PROF AFFAIRS & CMO	52.00	8.00		Yes (X)	$9,750	$0	$0
PAULA L HOOPER
CHIEF LEGAL OFFICER	30.00	26.00		Yes (X)	$631,910	$0	$83,792
ELLIOTT SMITH
CHIEF CLINICAL OFFICER	40.00	20.00		Yes (X)	$558,610	$0	$64,078
RANDY TEWKSBURY 819-320
INTERIM CHIEF FINANCIAL OFFICER	40.00	15.00		Yes (X)	$123,159	$0	$0
THOMAS GENEVRO
VP FACILITIES/HUMAN RESOUR	45.00	10.00		Yes (X)	$434,384	$0	$70,654
DAVID ROTTINGHAUS
CHIEF MEDICAL OFFICER	40.00	20.00		Yes (X)	$458,854	$0	$33,808
NORMAN K BEALS
CHIEF WELLNESS OFFICER	40.00	20.00		Yes (X)	$384,319	$0	$62,158
STEVEN DAVIS
PRESIDENT CLARION HEALTH	20.00	40.00		Yes (X)	$0	$24,520	$0
ERIC HUSS 320-620
CHIEF FINANCIAL OFFICER	40.00	15.00		Yes (X)	$0	$0	$0
GREGORY P HAUDACH
PHARMACIST	40.00				$196,024	$0	$32,611	Yes (X)
HILLARY HARLAN
CORPORATE COMPLIANCE OFFICER	40.00				$221,989	$0	$17,516	Yes (X)
DAVID SHINHERR
OPERATIONS DIRECTOR	40.00				$183,775	$0	$18,040	Yes (X)
MATTHEW SCHNUR
PHARMACIST	40.00				$158,182	$0	$24,579	Yes (X)
THOMAS RARAIGH
EXECUTIVE DIRECTOR	40.00				$182,178	$0	$13,788	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,271,238	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$251,012	TotReportableCompRltdOrgAmt
Total Other Compensation	$916,014	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	108	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	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
NAVIN HAFFTY & ASSOCIATES
1900 WEST PARK DRIVE	WESTBOROUGH	MA	01581	COMPUTER CONSULTING	$3,618,055
BUTLER ANESTHESIA ASSOCIATES
PO BOX 737	EAST BUTLER	PA	16029	ANESTHESIOLOGY	$3,446,365
METZ CULINARY MANAGEMENT
TWO WOODLAND DRIVE	DALLAS	PA	18612	DIETARY	$2,560,974
THREE RIVERS CARDIAC
400 HOLIDAY DRIVE SUITE 101	PITTSBURGH	PA	152203610	CARDIOLOGY	$2,075,671
QUEST DIAGNOSTICS
873 GREENTREE ROAD	PITTSBURGH	PA	152203610	LABORATORY SERVICES	$1,971,866

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	57	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,422,818	RelatedOrganizationsAmt
Government Grants	$1,051,521	GovernmentGrantsAmt
Total Contributions	$2,474,339	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621500	$247,886,872	$247,886,872
OTHER OPERATING REVENUE	621500	$16,329,482	$16,329,482

Field	Value	IRS element (for citing)
Total Program Service Revenue	$264,216,354	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,407,893	TotalRevenueColumnAmt
Exclusion	$5,407,893	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$276,756	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	$276,756	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$276,756	TotalRevenueColumnAmt
Related Or Exempt Func Income	$276,756	RelatedOrExemptFuncIncomeAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$62,643	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$62,643	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$62,643	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$62,643	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
NON PATIENT LAB	541380	$2,108,589	$2,108,589
PHARMACY	446110	$1,920,194	$1,920,194
CAFETERIA	900099	$1,327,511		$1,327,511

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$572,504	TotalRevenueColumnAmt
Unrelated Business Revenue	$572,504	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,928,798	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$278,241,497	TotalRevenueColumnAmt
Related Or Exempt Func Income	$264,430,467	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$4,601,287	UnrelatedBusinessRevenueAmt
Exclusion	$6,735,404	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$23,351,000	TotalAmt
Program Services	$23,351,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,151,008	TotalAmt
Management And General	$4,151,008	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$95,914,391	TotalAmt
Program Services	$86,903,379	ProgramServicesAmt
Management And General	$9,011,012	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,391,326	TotalAmt
Program Services	$4,132,677	ProgramServicesAmt
Management And General	$258,649	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$21,777,962	TotalAmt
Program Services	$20,495,240	ProgramServicesAmt
Management And General	$1,282,722	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,287,505	TotalAmt
Program Services	$6,327,741	ProgramServicesAmt
Management And General	$959,764	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,039,998	TotalAmt
Program Services	$937,870	ProgramServicesAmt
Management And General	$102,128	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$138,426	TotalAmt
Management And General	$138,426	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$35,709,846	TotalAmt
Program Services	$32,461,066	ProgramServicesAmt
Management And General	$3,248,780	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$904,805	TotalAmt
Program Services	$686,023	ProgramServicesAmt
Management And General	$218,782	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,329,405	TotalAmt
Program Services	$4,798,955	ProgramServicesAmt
Management And General	$1,530,450	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,145,879	TotalAmt
Program Services	$1,627,005	ProgramServicesAmt
Management And General	$518,874	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,793,687	TotalAmt
Program Services	$6,708,388	ProgramServicesAmt
Management And General	$2,085,299	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$253,264	TotalAmt
Program Services	$192,025	ProgramServicesAmt
Management And General	$61,239	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$124,797	TotalAmt
Program Services	$94,621	ProgramServicesAmt
Management And General	$30,176	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,685,481	TotalAmt
Program Services	$4,685,481	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,585,339	TotalAmt
Program Services	$10,807,137	ProgramServicesAmt
Management And General	$2,778,202	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,619,417	TotalAmt
Program Services	$1,599,678	ProgramServicesAmt
Management And General	$1,019,739	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL AND OTHER SUPPL	$48,691,006	$44,630,663	$4,060,343
DUES & SUB.	$732,496	$555,378	$177,118
BANK AND CREDIT CARD FE	$298,517	$226,336	$72,181
UBI TAX	$167,341		$167,341

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$644,262	TotalAmt
Program Services	$619,375	ProgramServicesAmt
Management And General	$24,887	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$283,737,158	TotalAmt
Program Services	$251,840,038	ProgramServicesAmt
Management And General	$31,897,120	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,324	BOYAmt
EOY	$3,624	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$47,915,496	BOYAmt
EOY	$42,043,667	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$27,217,242	BOYAmt
EOY	$23,780,656	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,329,742	BOYAmt
EOY	$4,313,057	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,561,217	BOYAmt
EOY	$3,177,354	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$369,653,547	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$229,849,085	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$122,186,117	BOYAmt
EOY	$139,804,462	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$158,090,103	BOYAmt
EOY	$163,255,240	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$13,437,936	BOYAmt
EOY	$13,569,884	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$13,187,911	BOYAmt
EOY	$11,603,364	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$388,929,088	BOYAmt
EOY	$401,551,308	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$24,809,096	BOYAmt
EOY	$35,449,263	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$141,425,968	BOYAmt
EOY	$136,961,427	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,217,300	BOYAmt
EOY	$22,954,113	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$170,452,364	BOYAmt
EOY	$195,364,803	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	$217,122,050	BOYAmt
EOY	$205,474,981	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,354,674	BOYAmt
EOY	$711,524	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$218,476,724	BOYAmt
EOY	$206,186,505	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$388,929,088	BOYAmt
EOY	$401,551,308	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$5,495,661	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$48,682	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$6,843,240	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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	0	FederalGrantAuditRequiredInd

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	$19,458	OtherActivitiesAmt
Total Lobbying Expenditures	$19,458	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	$447,823	BeginningYearBalanceAmt
Investment Earnings Or Losses	$4,874	InvestmentEarningsOrLossesAmt
End Year Balance	$452,697	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$444,658	BeginningYearBalanceAmt
Investment Earnings Or Losses	$3,165	InvestmentEarningsOrLossesAmt
End Year Balance	$447,823	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$443,590	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,068	InvestmentEarningsOrLossesAmt
End Year Balance	$444,658	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$442,836	BeginningYearBalanceAmt
Investment Earnings Or Losses	$754	InvestmentEarningsOrLossesAmt
End Year Balance	$443,590	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$442,082	BeginningYearBalanceAmt
Investment Earnings Or Losses	$754	InvestmentEarningsOrLossesAmt
End Year Balance	$442,836	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	$117,257,252	OtherCostOrOtherBasisAmt
Depreciation	$59,272,530	DepreciationAmt
Book Value	$57,984,722	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,415,673	OtherCostOrOtherBasisAmt
Depreciation	$5,201,511	DepreciationAmt
Book Value	$1,214,162	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$243,123,950	OtherCostOrOtherBasisAmt
Depreciation	$165,375,044	DepreciationAmt
Book Value	$77,748,906	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$279,091	OtherCostOrOtherBasisAmt
Book Value	$279,091	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$139,804,462	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
ACCRUED INTEREST PAYABLE	$2,067,076
THIRD PARTY PAYABLE	$19,252,860
PENSION LIABILITIES	$1,634,177

Field	Value	IRS element (for citing)
Total Liability	$22,954,113	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:

BMH, BHS, BMH FOUNDATION, NIXSAR, BMP, CH, HSC, AND CH FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS AND ARE EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE). ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. THE SURGERY CENTER'S MEMBERS HAVE ELECTED TO HAVE THE SURGERY CENTER'S INCOME TAXED AS A PARTNERSHIP UNDER THE PROVISIONS OF THE CODE; THEREFORE, TAXABLE INCOME OR LOSS IS REPORTED TO THE PARTNERS FOR INCLUSION IN THEIR RESPECTIVE TAX RETURNS. NO PROVISION FOR FEDERAL OR STATE INCOME TAXES IS INCLUDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. PCA IS A FOR-PROFIT CORPORATION SUBJECT TO FEDERAL AND STATE INCOME TAXES. MANAGEMENT BELIEVES THE TAX IMPACT OF PCA IS IMMATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS AS A WHOLE. BHS FASTERCARE, PHO, AND BHS FASTERCARE LAB ARE PENNSYLVANIA LIMITED LIABILITY COMPANIES AND, THEREFORE, TAXABLE INCOME OR LOSS IS REPORTED TO THE MEMBERS FOR INCLUSION IN THEIR RESPECTIVE TAX RETURNS. NO PROVISION FOR FEDERAL OR STATE INCOME TAXES IS INCLUDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. CDC IS A TAXABLE CORPORATION SUBJECT TO FEDERAL AND STATE INCOME TAXES. DEFERRED INCOME TAXES ARE PROVIDED ON A LIABILITY METHOD WHEREBY DEFERRED INCOME TAX ASSETS ARE RECOGNIZED FOR DEDUCTIBLE TEMPORARY DIFFERENCES AND OPERATING LOSS AND TAX CREDIT CARRYFORWARDS AND DEFERRED INCOME TAX LIABILITIES ARE RECOGNIZED FOR TAXABLE TEMPORARY DIFFERENCES. DEFERRED TAX ASSETS ARE RECORDED IN OTHER LONG-TERM ASSETS ON THE CONSOLIDATED BALANCE SHEETS. TEMPORARY DIFFERENCES ARE THE DIFFERENCES BETWEEN THE REPORTED AMOUNTS OF ASSETS AND LIABILITIES AND THEIR TAX BASES. DEFERRED INCOME TAX ASSETS ARE REDUCED BY A VALUATION ALLOWANCE WHEN, IN THE OPINION OF MANAGEMENT, IT IS MORE LIKELY THAN NOT THAT SOME PORTION OR ALL OF THE DEFERRED INCOME TAX ASSETS WILL NOT BE REALIZED. DEFERRED INCOME TAX ASSETS ARE ADJUSTED FOR THE EFFECTS OF CHANGES IN TAX LAWS AND RATES ON THE DATE OF ENACTMENT. AS OF JUNE 30, 2020, CDC HAS RECORDED A DEFERRED TAX ASSET OF $157,124 WHICH IS INCLUDED IN OTHER LONG-TERM ASSETS ON THE CONSOLIDATED BALANCE SHEET. DEFERRED TAX ASSETS OF $212,876 WERE INCLUDED AS PART OF THE ACQUISITION DISCLOSED IN NOTE 3. NO VALUATION ALLOWANCES HAVE BEEN RECORDED AS OF JUNE 30, 2020. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF AN UNCERTAIN POSITION HAS BEEN TAKEN THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THESE ENTITIES AND HAS CONCLUDED THAT AS OF JUNE 30, 2020 AND 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM HAS FILED ITS FEDERAL AND STATE INCOME TAX RETURNS FOR PERIODS THROUGH JUNE 30, 2019 AND IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS. HOWEVER, AS OF THE DATE THE CONSOLIDATED FINANCIAL STATEMENTS WERE ISSUED, THERE WERE NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THESE INCOME TAX RETURNS ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS).

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	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,214,653	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,214,653	NetCommunityBenefitExpnsAmt
Total Expense	0.01130	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,527,160	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,397,099	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,130,061	NetCommunityBenefitExpnsAmt
Total Expense	0.03220	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$361,407	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$300,422	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$60,985	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$35,103,220	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,697,521	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,405,699	NetCommunityBenefitExpnsAmt
Total Expense	0.04370	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$98,325	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$98,325	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$219,697	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$219,697	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,815,625	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,552,508	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,263,117	NetCommunityBenefitExpnsAmt
Total Expense	0.02210	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$138,350	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$138,350	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,271,997	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,552,508	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,719,489	NetCommunityBenefitExpnsAmt
Total Expense	0.02370	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$51,375,217	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,250,029	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,125,188	NetCommunityBenefitExpnsAmt
Total Expense	0.06740	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$6,900,486	BadDebtExpenseAmt
Bad Debt Expense Attributable	$3,698,660	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$38,197,568	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$42,083,767	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,886,199	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	ONE 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	18	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	WWW.BUTLERHEALTHSYSTEM.ORG/ABOUT-BHS/LEARN-ABOUT-OUR-COMMUNITY-S-HEALTH	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.BUTLERHEALTHSYSTEM.ORG/ABOUT-BHS/LEARN-ABOUT-OUR-COMMUNITY-S-HEALTH	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	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	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
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
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: THE HOSPITAL SOUGHT INPUT FROM THOSE REPRESENTING THE BROADEST INTEREST OF THE COMMUNITY. FOCUS GROUPS WERE HELD DURING THE ASSESSMENT THAT INCLUDED THE FOLLOWING ORGANIZATIONS:- ALLIANCE FOR NON-PROFIT RESOURCES FOOD INSECURE INDIVIDUALS (SANDRA CURRY)- ARC OF BUTLER COUNTY - INDIVIDUALS WITH INTELLECTUAL CHALLENGES (JOHN LINK)- BUTLER TRANSPORTATION AUTHORITY TRANSPORTATION (K. STEWART)- CATHOLIC CHARITIES OF BUTLER COUNTY SHELTERS AND HOMELESSNESS, EXPECTANT AND NEW MOTHERS (AMBER CROWE)- GRAPEVINE CENTER INDIVIDUALS WITH MENTAL ILLNESS, CO-OCCURRING DEPENDENCIES, HOMELESSNESS, AND THE FORMERLY INCARCERATED (BETTE PEOPLES)- BUTLER AREA SCHOOL DISTRICT SOCIAL DETERMINANTS OF HEALTH AND EDUCATION (DR BRIAN WHITE, JR)- BUTLER COUNTY CHILDREN'S CENTER UNDERSERVED CHILDREN (ELISA SPADAFORA)- BUTLER COUNTY HUMAN SERVICES AGING, DRUG AND ALCOHOL, FAIR HOUSING, CHILDREN AND YOUTH (JOYCE AINSWORTH)- BUTLER MEMORIAL HOSPITAL CARE MANAGEMENT SOCIAL DETERMINANTS OF HEALTH (AMY HORTERT, RN)- BUTLER MEMORIAL HOSPITAL RURAL CARE INITIATIVE CARE ACCESS AND EDUCATION (ERIN STEWART, RN)- CENTER FOR COMMUNITY RESOURCES - HOMELESSNESS, SUBSTANCE ABUSE, CHILDREN AND ADULTS WITH MENTAL ILLNESS AND DEVELOPMENTAL DISABILITIES, HIV + INDIVIDUALS, VETERANS ISSUES (JIM SMITH)- COMMUNITY OPTIONS INC INDIVIDUALS WITH DISABILITIES (TIM HAWK)- LIONS CLUB OF BULTER COUNTY (LINDA GIEBALA)- MARS AREA SCHOOL DISTRICT (DR. WESLEY W. SHIPLEY)- MEALS ON WHEELS OF BUTLER COUNTY HOMEBOUND, FOOD INSECURITY (MARY PATAKY)- MONITEAU SCHOOL DISTRICT (DR. SEAN ARNEY)- NATIONAL ALLIANCE ON MENTAL ILLNESS - INDIVIDUALS WITH SEVERE MENTAL ILLNESS AND THEIR FAMILIES- SENECA VALLEY SCHOOL DISTRICT (RICHARD EAGLE)- VETERANS SERVICES (JOHN CYPRIAN)INDIVIDUALS WITH EXPERTISE IN PUBLIC HEALTH CONTRIBUTING INCLUDE: ELLIOT L. SMITH, MD, SYDNEY LUKUS JD, MPH CANDIDATE, AND SARAH MINION, PHD CANDIDATE.

BUTLER MEMORIAL HOSPITAL

PART V, SECTION B, LINE 11: HEALTH AND WELLNESS EDUCATIONAL OPPORTUNITY:- DEVELOPING AND IMPLEMENTING EDUCATIONAL TEAMS FOR COMMUNITY SUPPORT- ADVANCING "LIFESTYLE MEDICINE" INITIATIVES- CONNECTING CHRONIC DISEASE INDIVIDUALS WITH EDUCATIONAL CARE MANAGERS- COLLABORATING WITH PAYER PARTNERS IN VALUE BASED HEALTH INITIATIVESPHYSICIAN ACCESS DIFFICULTIES:- RECRUIT AND RETAIN PRIMARY CARE PHYSICIANS FOR ENHANCED AVAILABILITY- EXPAND USE OF ADVANCED PRACTICE PROVIDERS- IMPLEMENT SYSTEM WIDE SINGLE ELECTRONIC HEALTH PLATFORM- DEVELOP CARE PLANS TO SUPPORT CARE IN THE COMMUNITYSUBSTANCE USE DISORDER EFFORTS- SUPPORT AND AUGMENT BMH DRUG AND ALCOHOL PROFESSIONALS- SUPPORT ACCESS TO AVAILABLE GRANTS TO FUND COMMUNITY SUPPORT INITIATIVES- EXPAND COMMUNITY OUTREACH THROUGH SOCIAL WORK EFFORTS- CONTINUE SUPPORT FOR BMH "OPIOID CENTER OF EXCELLENCE"MENTAL AND BEHAVIORAL HEALTH SUPPORT- GROW AND ENHANCE ACCESS TO BEHAVIORAL HEALTH AND PSYCHIATRIC RESOURCES- COLLABORATE WITH COMMUNITY AGENCIES ENGAGED IN COMMON ACTIVITIES- MAINTAIN EMERGENCY DEPARTMENT SUPPORT ON BEHAVIORAL HEALTH- IMPROVE ACCESS THROUGH TOP OF LICENSE INITIATIVES

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

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

Supplemental Information Detail SupplementalInformationDetail (11 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 II, COMMUNITY BUILDING ACTIVITIES:	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 ON THE "ABOUT BHS" PAGE. AT THE TIME OF REGISTRATION, ANY PATIENT WHO IS UNINSURED IS GIVEN A "PATIENT NOTICE OF FINANCIAL AID NOTICE. THE NOTICE INSTRUCTS THE PATIENT TO CALL OR VISIT THE PATIENT FINANCIAL ASSISTANCE DEPARTMENT TO SEEK MORE INFORMATION ABOUT HOW TO QUALIFY FOR FREE OR DISCOUNTED CARE.THE MONTHLY COLLECTION STATEMENTS THAT ARE MAILED TO PATIENTS INFORM THEM THAT THEY MAY CONTACT THE PATIENT FINANCIAL ASSISTANCE DEPARTMENT TO DISCUSS THEIR ELIGIBILITY FOR FREE CARE. FINANCIAL REPRESENTATIVES RECEIVE AND MAKE MANY CALLS TO THE PATIENTS. DURING THE CALLS, FINANCIAL REPRESENTATIVES WILL DISCUSS WITH THE PATIENTS THE AVAILABILITY OF FREE CARE PROGRAMS AND WILL MAIL OUT APPLICATIONS TO PATIENTS WANTING TO APPLY. BMH ALSO CONTRACTS WITH REPRESENTATIVES TO ASSIST PATIENTS IN APPLYING FOR MEDICAL ASSISTANCE COVERAGE. THESE REPRESENTATIVES WILL ALSO DISCUSS WITH PATIENTS THE AVAILABILITY OF FREE CARE, ESPECIALLY FOR THOSE WHO MAY NOT BE ELIGIBLE FOR THE GOVERNMENT HEALTHCARE PLAN.GOVERNMENT PROGRAM SUBSIDIESIN ADDITION TO PROVIDING FREE AND DISCOUNTED CARE TO UNINSURED PATIENTS OR PATIENTS THAT NEED FINANCIAL HELP, BMH SUBSIDIZES THE DIFFERENCE BETWEEN THE COSTS OF CARE AND THE AMOUNT PAID BY GOVERNMENT-SPONSORED PROGRAMS SUCH AS MEDICARE AND MEDICAID. LAST YEAR, THAT AMOUNTED TO MORE THAN $8.7 MILLION. AS PROVISIONS OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT ARE IMPLEMENTED, BMH EXPECTS THIS BURDEN ON OUR PATIENTS AND THE HEALTH SYSTEM TO INCREASE. TO THAT END AND TO REMAIN A VIABLE HEALTHCARE PROVIDER TO OUR COMMUNITY, BMH CONTINUALLY EVALUATES WAYS TO KEEP COSTS LOW AND MAINTAIN HIGH QUALITY. BILLING AND COLLECTIONSBMH IS DILIGENT IN PROVIDING BILLS THAT ARE ACCURATE AND EASY TO UNDERSTAND. EVERY BILL AND STATEMENT INCLUDES INFORMATION ABOUT HOW TO CONTACT FINANCIAL REPRESENTATIVES AND ARRANGE PAYMENT PLANS. BMH IS COMMITTED TO FINDING WAYS TO HELP EVERY PATIENT PAY THE PORTION OF THEIR BILL THEY ARE RESPONSIBLE FOR WITHOUT EXPERIENCING AN OVERWHELMING FINANCIAL BURDEN. IN ADDITION TO MAKING THE BILLING PROCESS EASY TO UNDERSTAND AND ENSURING READY ACCESS TO CHARITY CARE AND FINANCIAL ASSISTANCE, UPON REQUEST BMH WILL PROVIDE COST INFORMATION TO PATIENTS, IN ADVANCE OF SERVICES OR TREATMENT.PROVIDING NEEDED CARE AND SERVICES PLAYS A CRITICAL ROLE IN MEETING PATIENT NEEDS BUTLER MEMORIAL HOSPITAL SUBSIDIZES MANY OF THE CRITICAL SERVICES IT OFFERS, SUCH AS THE TRANSITIONAL CARE FACILITY, FAMILY SERVICES, OBSTETRICAL SERVICES, PSYCHIATRIC SERVICES, PREVENTION AND WELLNESS SERVICES, AND PRIMARY CARE SERVICES OFFERED THROUGH OUR PHYSICIAN CLINICS. LAST YEAR, BMH PROVIDED $4,452,012 IN SUBSIDIZED CARE AND SERVICES.BMH ACTIVELY SUPPORTS THE COMMUNITY HEALTH CLINIC. IT PROVIDES FINANCIAL SUPPORT AS WELL AS OPERATIONAL AND TECHNICAL SUPPORT FOR MANY OF THE DIAGNOSTIC SERVICES PROVIDED AT THE CLINIC. MANY BMH PHYSICIANS AND EMPLOYEES VOLUNTEER TIME TO TREAT PATIENTS AT THE CLINIC.BUILDING OUR COMMUNITY STRENGTHENING THE COMMUNITY IS A RESPONSIBILITY FOR ALL LOCAL BUSINESSES AND SOMETHING BMH AND ITS AFFILIATES (COLLECTIVELY "THE SYSTEM") TAKES VERY SERIOUSLY. FOR EXAMPLE, THE SYSTEM OFFERS SPACE FOR MEETINGS AND COMMUNITY EDUCATION; THE SYSTEM HELPS LOCAL RESIDENTS ESCAPE VIOLENT SITUATIONS, THE SYSTEM EMPLOYEES VOLUNTEER TO HELP THOSE IN NEED; THE SYSTEM PROVIDES EDUCATION TO NEW AND EXPECTANT PARENTS; AND THE SYSTEM PROVIDES COMMUNITY HEALTH OUTREACH AND PATIENT ADVOCACY. OPENING SYSTEM FACILITIES FOR LOCAL MEETINGSTHE KNOWLEDGE CENTER AT BUTLER MEMORIAL HOSPITAL OFFERS MODERN MEETING AND EDUCATION SPACE FOR LOCAL AND REGIONAL CONFERENCES. LAST YEAR, THE SYSTEM HOSTED THE SEVENTH ANNUAL CAROL DIETRICH MEMORIAL HEALTH SYMPOSIUM TO PHYSICIANS, NURSES AND OTHER PROVIDERS, ENTITLED "OPIATES: CONCEPTS AND CONTROVERSIES". THE DAY-LONG PROGRAM PROVIDED A VARIETY OF HIGH QUALITY PROGRAMS AT NO COST TO PARTICIPANTS. THROUGH ITS ACCREDITED CONTINUING MEDICAL EDUCATION DEPARTMENT, BUTLER MEMORIAL HOSPITAL ALSO OFFERS A SERIES OF PROGRAMS WHICH ARE MADE AVAILABLE TO HEALTH CARE PROFESSIONALS THROUGHOUT THE REGION. IN COOPERATION WITH LOCAL INSTITUTIONS SUCH AS SLIPPERY ROCK UNIVERSITY AND BUTLER COUNTY COMMUNITY COLLEGE, AS WELL AS OTHERS THROUGHOUT BUTLER COUNTY AND THE REGION, BMH IS FULLY-COMMITTED TO MAINTAINING HIGH-QUALITY PROFESSIONAL HEALTH EDUCATION FOR STUDENTS AND PRACTITIONERS ALIKE. CLASSROOM SPACE IS PROVIDED FOR PROGRAMS WITHIN THE KNOWLEDGE CENTER, AND STUDENTS ARE GIVEN REAL-LIFE CLINICAL EXPERIENCE AS THEY WORK WITH STAFF IN THE CARE AND TREATMENT OF PATIENTS. BMH WORKS CLOSELY WITH LOCAL SCHOOL DISTRICTS IN SUPPORTING HIGH SCHOOL HEALTH OCCUPATION PROGRAMS. THE SIMULATION LABORATORY IS AVAILABLE FOR SEMINARS THAT GIVE STUDENTS HANDS-ON EXPERIENCE, EXPOSING THEM TO THE HIGHLY COMPLEX WORLD OF HEALTH CARE DELIVERY.ECONOMIC DEVELOPMENT THE HOSPITAL PARTICIPATES AS GRANT RECIPIENT TO SUPPORT FAMILY SERVICE CORPS. FAMILY SERVICES CORPS IS A NATIONAL VOLUNTEERISM PROGRAM THAT PROVIDES MENTORING TO ITS MEMBERS TO HELP THEM LEARN SOFT SKILLS IN ORDER TO BE MORE EMPLOYABLE. THERE ARE ALSO MEMBERS WITH VARIOUS DISABILITIES WHO USE THIS PROGRAM TO LEARN NEW SKILLS AND BEGIN TO ASSESS IF THEY ARE READY TO RE-ENTER THE WORK FORCE. MOST OF THE MEMBERS WERE PREVIOUS UNEMPLOYED OR UNDEREMPLOYED. THE MEMBERS ARE PLACED AT COMMUNITY NON-PROFIT AGENCIES THAT ADDRESS MENTAL HEALTH ISSUES, DRUG AND ALCOHOL ISSUES, HOUSING, FOOD SECURITY AND UTILITY NEEDS IN ORDER TO INCREASE MANPOWER TO SERVE MORE CLIENTS. THE AMERICORPS PROGRAM ALSO PARTICIPATES IN NATIONAL DISASTER PREPAREDNESS TRAINING. COMMUNITY SUPPORTSEVERAL YEARS AGO THE ORGANIZATION RECOGNIZED A NEED FOR MENTAL HEALTH SERVICES TO BE PROVIDED IN THE COMMUNITY. TO FILL THIS NEED, THE ORGANIZATION PUT TOGETHER A SERVICE PROPOSAL FOR AN ASSERTIVE COMMUNITY TREATMENT TEAM AND WAS GRANTED THIS PROPOSAL. THE ASSERTIVE COMMUNITY TREATMENT TEAM ASSISTS THOSE WITH CHRONIC AND SEVERE MENTAL ILLNESS MAINTAIN IN THE COMMUNITY AND LIVE THEIR LIVES TO THEIR FULLEST POTENTIAL. THE FOLLOWING ARE A FEW OF THE TEAM'S CHARACTERISTICTHE DEFINING CHARACTERISTICS OF ACT INCLUDE: A FOCUS ON PARTICIPANTS (ALSO KNOWN AS MEMBERS, CONSUMERS, CLIENTS, OR PATIENTS) WHO REQUIRE THE MOST HELP FROM THE SERVICE DELIVERY SYSTEM; AN EXPLICIT MISSION TO PROMOTE THE PARTICIPANTS' INDEPENDENCE, REHABILITATION, COMMUNITY INTEGRATION, AND RECOVERY, AND IN SO DOING TO PREVENT HOMELESSNESS, UNNECESSARY HOSPITALIZATION, AND OTHER NEGATIVE OUTCOMES; AN EMPHASIS ON HOME VISITS AND OTHER IN VIVO (OUT OF THE OFFICE) INTERVENTIONS, ELIMINATING THE NEED TO TRANSFER NEWLY LEARNED SKILLS FROM AN ARTIFICIAL REHABILITATION OR TREATMENT SETTING TO THE "REAL WORLD" ADDITIONALLY, BHS - OUT-PATIENT MENTAL HEALTH SERVICES OFFERS INDIVIDUALS, FAMILIES AND GROUPS A RANGE OF EVIDENCED BASED TREATMENT INTERVENTIONS AND PROGRAMS TO SUPPORT SUCCESSFUL INTEGRATION INTO THE COMMUNITY, HOME, SCHOOL AND WORKPLACE.SERVICES ARE AVAILABLE FOR ALL AGES, 2 YEARS AND OLDER, ADDRESSING ISSUES THROUGHOUT THE LIFESPAN.SERVICES OFFERED INCLUDE: INDIVIDUAL, MARITAL, FAMILY AND GROUP THERAPY. CURRENT GROUPS INCLUDE:-MENTAL HEALTH SYMPTOM MANAGEMENT-" BOYS TO MEN" - TRANSITION AGE SOCIAL SKILLS GROUP-WOMEN'S GROUP - ADDRESSING WOMEN'S ISSUES-SOCIAL SKILLS GROUP - PSYCHIATRIC EVALUATION AND MEDICATION MANAGEMENT - INTENSIVE OUT PATIENT PROGRAM ( FOR CHILDREN GRADES 1ST 6TH - TREATMENT FOR CHILDREN EXPERIENCING SIGNIFICANT CHALLENGES AT HOME AND SCHOOL DUE TO POOR SOCIAL SKILLS AND DIFFICULTY WITH BEHAVIOR MANAGEMENT GOAL TO IMPROVE SOCIAL AND EMOTIONAL FUNCTIONING) - ADOLESCENT PROGRAM ( 7TH 12TH GRADE - SAME GOAL IMPROVE SOCIAL AND EMOTIONAL FUNCTIONING) - PARENT CHILD INTERACTIVE THERAPY (AGES 2- 7 - ASSISTS PARENTS IN DEVELOPING MORE EFFECTIVE BEHAVIOR MANAGEMENT AND COMMUNICATION SKILLS) - PLAY THERAPY INTERACTIVE THERAPY FOR PRE - SCHOOL AGED CHILDREN
PART III, LINE 2:	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 $6,900,486.
PART III, LINE 4:	THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS FOUND ON PAGES 15-16.
PART III, LINE 8:	THE COST USED TO DETERMINE THE MEDICARE PAYMENT SHORTFALL COMES FROM THE CMS REQUIRED FILING OF THE MEDICARE COST REPORT. THE METHODOLOGY USES A RATIO OF COST TO CHARGES TO DETERMINE THE COST ASSIGNED TO THE MEDICARE SERVICES. BMH IS COMMITTED TO SERVING THE HEALTHCARE NEEDS OF ALL MEMBERS OF OUR COMMUNITY. BMH CONSIDERS THE REVENUE SHORTFALL FROM THE MEDICARE PROGRAM PAYMENTS TO BE PART OF ITS COMMUNITY CONTRIBUTION.
PART III, LINE 9B:	PATIENTS WHO HAVE PREVIOUSLY APPLIED AND BEEN APPROVED FOR THE BMH CHARITY CARE PROGRAM ARE AUTOMATICALLY QUALIFIED FOR ANY ADDITIONAL SERVICES PROVIDED OVER THE NEXT SIX MONTHS AFTER APPLICATION APPROVAL. BMH WILL PRESUMPTIVELY QUALIFY PATIENTS FOR CHARITY CARE IF THEY MEET CRITERIA SUCH AS BEING FOOD STAMP ELIGIBLE AND QUALIFYING FOR SECTION 8 HOUSING.
PART VI, LINE 2:	EXECUTIVE SUMMARYBUTLER MEMORIAL HOSPITAL (BMH) IS PROUD TO SERVE ITS COMMUNITY. IN FURTHERANCE OF ITS CHARITABLE MISSION, BMH PROVIDED $17 MILLION IN SUPPORT IN THE FORM OF CHARITY CARE, UNREIMBURSED CARE, COMMUNITY HEALTH IMPROVEMENT, HEALTH EDUCATION, SUBSIDIZED SERVICES AND CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS. THIS SUPPORT ACCOUNTS FOR OVER 7% OF TOTAL EXPENSES. BMH DEMONSTRATES ITS COMMITMENT BY IMPROVING THE OVERALL HEALTH OF OUR COMMUNITY THROUGH THE OPERATION OF AN EFFICIENT AND EFFECTIVE HEALTH CARE SYSTEM AND BY ACTIVELY SUPPORTING APPROPRIATE COMMUNITY SERVICES. SUMMARY OF SERVICES AND COMMUNITY SUPPORTHELPING PEOPLE TO LIVE BETTER, EVERY DAYAT BMH, A KEY GOAL IS TO STRENGTHEN THE HEALTH AND WELL-BEING OF THE COMMUNITY. BMH UNDERSTANDS THAT AS A SOLE COMMUNITY HOSPITAL IT PLAYS AN IMPORTANT ROLE IN THE HEALTH OF BUTLER COUNTY RESIDENTS. THIS ROLE IS TAKEN VERY SERIOUSLY. LAST YEAR, BMH PROVIDED OVER $17 MILLION IN TOTAL COMMUNITY BENEFIT SUPPORT. THIS ACCOUNTS FOR OVER 7% OF OUR TOTAL EXPENSES. THE SERVICES BMH PROVIDES ARE ESSENTIAL TO NOT ONLY THE COMMUNITY'S OVERALL HEALTH, BUT ALSO TO THE QUALITY OF LIFE OF EVERY RESIDENT. BUTLER HEALTH SYSTEMBUTLER MEMORIAL HOSPITAL HAS A SOLE CORPORATE MEMBER, BUTLER HEALTH SYSTEM ("SYSTEM"). BUTLER HEALTH SYSTEM IS AN INTEGRATED HEALTH ORGANIZATION SERVING A MULTI-COUNTY AREA IN WESTERN PENNSYLVANIA. THROUGH ITS AFFILIATE, BUTLER MEDICAL PROVIDERS, THE SYSTEM EMPLOYS MORE THAN 190 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS WITH ANOTHER 200 PHYSICIANS ON THE BMH ACTIVE MEDICAL STAFF. ITS SCOPE INCLUDES ACUTE HOSPITAL CARE, AMBULATORY CARE, URGENT CARE, AND A NETWORK OF LABORATORY SERVICES TO MORE THAN 150 CLIENTS. PRIMARY COMMUNITY HEALTH CARE. THE 296-BED GENERAL ACUTE CARE HOSPITAL PROVIDES ESSENTIAL SERVICES TO THE COMMUNITY INCLUDING EMERGENCY SERVICES, SURGICAL INTENSIVE CARE, MEDICAL INTENSIVE CARE, GERIATRIC AND ADULT PSYCHIATRY, CHEMICAL DEPENDENCY, AND OBSTETRICS (WITH 988 DELIVERIES IN FISCAL YEAR 2019). INPATIENT AND ACUTE OBSERVATION PATIENTS ACCOUNT FOR APPROXIMATELY 14,000 ADMISSIONS EACH YEAR. THE EMERGENCY DEPARTMENT TREATED 45,746 PATIENTS LAST YEAR. ALL MAJOR SPECIALTIES AND CONSULTANTS ARE AVAILABLE, INCLUDING GENERAL SURGERY, ORTHOPEDICS, NEUROLOGY, PATHOLOGY, ANESTHESIA, RADIOLOGY, PULMONARY/CRITICAL CARE MEDICINE, CARDIOLOGY, UROLOGY, OTOLARYNGOLOGY, GASTROENTEROLOGY, OPHTHALMOLOGY, PALLIATIVE CARE, ELECTROPHYSIOLOGY, ENDOCRINOLOGY, NEUROSURGERY, RADIATION AND MEDICAL ONCOLOGY, AND A HOSPITALIST SERVICE. A 25-BED SKILLED NURSING FACILITY (SNF) IS ALSO LOCATED WITHIN THE HOSPITAL BUILDING. IN ADDITION TO BEING A CHOICE AVAILABLE TO PATIENTS REQUIRING SKILLED NURSING OR REHABILITATION, THE SNF AT TIMES PROVIDES A SAFETY NET BY TREATING PATIENTS WITH MORE COMPLEX AND COSTLY TO TREAT CONDITIONS THAT OTHER SKILLED NURSING FACILITIES OFTEN MAY NOT CARE FOR OR BE WILLING TO ACCEPT. BMH ALSO OFFERS A BROAD RANGE OF COMMUNITY PROGRAMS OFF-SITE INCLUDING ITS FAMILY SERVICES CENTER, FOCUSED ON PSYCHO-SOCIAL ISSUES THAT AFFECT FAMILIES AND THE HEALTH OF THE HOME.TERTIARY CARE. OVER THE YEARS, BMH HAS CONTINUED TO EXPAND THE SCOPE AND DEPTH OF TERTIARY SERVICES SO RESIDENTS HAVE ACCESS TO SERVICES LOCALLY WITHOUT THE NEED FOR PATIENTS AND FAMILIES TO TRAVEL TO PITTSBURGH. THESE SERVICES INCLUDE OPEN HEART SURGERY (WITH 261 CASES IN FISCAL YEAR 2019), ELECTROPHYSIOLOGY SERVICES, THORACIC AND VASCULAR SURGERY, ADVANCED ORTHOPEDICS, PALLIATIVE CARE, ENDOCRINOLOGY, RADIATION AND MEDICAL ONCOLOGY, NEUROSURGERY AND SPINE SURGERY. FOR YEARS, BMH HAS ADDED SERVICES RANGING FROM PRIMARY AMBULATORY CARE TO ADVANCED TERTIARY SERVICES, ASSURING THE COMMUNITY ACCESS TO THE SERVICES MATCHING OR EXCEEDING THE LEVELS OF CARE PROVIDED IN PITTSBURGH HOSPITALS. BMH COSTS ARE TYPICALLY LOWER THAN PITTSBURGH HOSPITALS PROVIDING AN IDENTICAL SERVICE. THIS RANGE AND COMPLEXITY OF SERVICE IS NOT OFFERED BY ANY OTHER ENTITY IN BUTLER COUNTY.AMBULATORY EXPANSIONSINCE 1999, THE SYSTEM HAS RECOGNIZED AND EMBARKED UPON THE NECESSITY FOR AN AVAILABLE, LOW-COST, HIGH-QUALITY, AMBULATORY NETWORK. THIS NETWORK NOW INCLUDES OVER 70 CONVENIENT LOCATIONS WHERE REGIONAL RESIDENTS CAN ACCESS A BROAD RANGE OF SERVICES. THIS NETWORK OF SERVICES CONTINUES TO GROW, WITH LOCATIONS IN SIX COUNTIES. IN ADDITION TO SERVING BUTLER COUNTY, SERVICES HAVE BEEN EXPANDED IN LAWRENCE, VENANGO, MERCER, CLARION, ARMSTRONG AND INDIANA COUNTIES. A COMPREHENSIVE ARRAY OF AMBULATORY SERVICES IS AVAILABLE TO PATIENTS, INCLUDING ADVANCED IMAGING, CARDIAC TESTING, WELLNESS, PRIMARY CARE, SPECIALTY CARE AND WALK-IN/URGENT CARE, OFTEN PROVIDING A CONTINUUM OF SERVICES JUST SHORT OF ACUTE INPATIENT CARE. BHS CROSSROADS CAMPUS, WHICH IS APPROXIMATELY ONE-HALF MILE FROM BMH, SERVES AS THE SYSTEM'S LARGEST AMBULATORY LOCATION. THE ORIGINAL BUILDING HOUSES THE CARDIOVASCULAR AND MUSCULOSKELETAL CENTERS. DUE TO THE GROWTH IN THE SYSTEM'S SERVICES, IN NOVEMBER 2015, A NEW MEDICAL OFFICE BUILDING WAS OPENED. THIS CAMPUS NOW HOUSES CARDIOLOGY TESTING, MEDICAL AND INTERVENTIONAL CARDIOLOGISTS, CARDIOVASCULAR SURGEONS, ELECTROPHYSIOLOGISTS, NEUROSURGEONS, ORTHOPEDIC SURGEONS, LABORATORY/X-RAY/PRE-ADMISSION TESTING, PULMONOLOGY, GENERAL SURGERY, WOMEN'S IMAGING, OBSTETRICIANS/GYNECOLOGISTS, MEDICAL ONCOLOGISTS, PALLIATIVE CARE AND ENDOCRINOLOGY. IN ADDITION, THE SYSTEM HAS FOUR URGENT CARE CENTERS. THESE URGENT CARE CENTERS ARE STRATEGICALLY LOCATED IN BMH'S PRIMARY AND SECONDARY MARKETS. THE URGENT CARE CENTERS WERE CREATED AS A JOINT VENTURE WITH BMH'S EMERGENCY ROOM PHYSICIANS. THE SYSTEM FOCUSES ON STRONG RELATIONSHIPS WITH THE MEDICAL STAFF. THIS JOINT VENTURE IS ONE EXAMPLE OF THE PARTNERSHIPS DEVELOPED WITH PHYSICIANS.ANOTHER EXAMPLE OF THE SYSTEM ENGAGING WITH PHYSICIANS IS THE DEVELOPMENT OF A PROVIDER HOSPITAL ORGANIZATION (PHO) IN 2015. PARTICIPANTS OF THIS PHO INCLUDE BOTH EMPLOYED AND INDEPENDENT MEMBERS OF THE BUTLER MEMORIAL HOSPITAL MEDICAL STAFF. THE PHO IS A VEHICLE THAT WILL ALLOW BMH AND ITS PHYSICIAN PARTNERS TO WORK COLLABORATIVELY TO PROVIDE HIGH LEVEL, COST EFFECTIVE CARE TO THE PATIENTS OF THE COMMUNITIES IN WHICH WE SERVICE IN A MANNER THAT RESULTS IN AN EXCEPTIONAL EXPERIENCE.SURROUNDING THE SYSTEM'S SERVICES IS A ROBUST COMPLEMENT OF PRIMARY AND SPECIALTY PHYSICIANS. THESE PHYSICIANS INCLUDE FAMILY PRACTICE, INTERNAL MEDICINE, ADULT AND PEDIATRIC HOSPITALIST, INTENSIVIST, RADIATION ONCOLOGY, PATHOLOGY, PALLIATIVE CARE, ELECTROPHYSIOLOGY, ENDOCRINOLOGY, NEUROLOGY, CARDIOLOGY, ONCOLOGY, SURGERY, ORTHOPEDICS, RADIOLOGY, GYNECOLOGY/OBSTETRICS, INFECTIOUS DISEASE AND DERMATOLOGY. PROVIDING CONVENIENT CARE WITH A POSITIVE EXPERIENCE IS THE FOCUS OF SUCH PHYSICIAN PRACTICES. WITH 189 PHYSICIAN AND MID-LEVEL PROVIDERS IN OVER 60 OFFICES COVERING SIX COUNTIES, THESE PROVIDERS OFFER OFFICE VISITS AND TESTING CLOSE TO HOME WHILE REFERRING INPATIENT BUSINESS TO BMH.
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 ON THE "ABOUT BHS" PAGE. 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 OR VISIT THE PATIENT FINANCIAL ASSISTANCE DEPARTMENT. THE CHARITY CARE APPLICATION IS ALSO ON THE BACK OF OUR PATIENT STATEMENTS.
PART VI, LINE 4:	HYBRID OR SUITE/TAVR PROGRAMBMH RECENTLY ADDED A HYBRID OPERATING ROOM SUITE. THIS IS A SURGICAL SUITE THAT IS EQUIPPED WITH ADVANCED MEDICAL IMAGING TECHNOLOGY. THE LAST FEW YEARS HAVE SEEN A PARADIGM SHIFT IN THE TREATMENT OF CARDIOVASCULAR-RELATED DISEASES, FROM ONCE TRADITIONAL OPEN SURGICAL MODALITIES TO THE ENTIRE CARDIOVASCULAR TREE BEING AMENABLE TO PERCUTANEOUS INTERVENTIONS. THE TREMENDOUS ADVANCES IN TRANS-CATHETER ENDOVASCULAR PROCEDURES CURRENTLY BEING APPLIED TO THE HEART AND THE PERIPHERAL VASCULATURE HAVE RESULTED IN A TREATMENT PARADIGM SHIFT IN THE CARE OF THE CARDIOVASCULAR PATIENT. TO ALLOW THESE PROCEDURES, OPERATING ROOMS WITH INTEGRATED X-RAY IMAGING CAPABILITIES HAVE TO BE INSTALLED.A FULLY INTEGRATED INTERVENTIONAL SUITE COMBINES SURGICAL STERILITY WITH FLAT-PANEL CARDIOVASCULAR IMAGING, A LINKED WORKSTATION, POST PROCESSING AND STORAGE FACILITIES. SUPPORTIVE EQUIPMENT IS AVAILABLE IN THE ROOM, INCLUDES PATIENT MONITORING, ANESTHESIA, INTRAVASCULAR ULTRASOUND, THREE-DIMENSIONAL (3D) TRANSESOPHAGEAL ECHOCARDIOGRAM OR ROTATIONAL ANGIOGRAPHY. THE ABILITY FOR OPEN CONVERSION OR HYBRID INTERVENTION, AS WELL AS ENDOVASCULAR SUPPLIES AND DEVICES, ARE ALL LOCATED WITHIN THE HYBRID OR SUITE. THE NEW HYBRID OR SUITE PROVIDED THE PLATFORM TO PERFORM TRANS-CATHETER AORTIC VALVE REPLACEMENT PROCEDURES. ("TAVR") THIS IS A MINIMALLY INVASIVE SURGICAL PROCEDURE IN WHICH THE AORTIC HEART VALVE IS REPAIRED WITHOUT REMOVING THE OLD, DAMAGED VALVE, INSTEAD IT WEDGES A REPLACEMENT VALVE INTO THE AORTIC VALVES PLACE. USUALLY VALVE REPLACEMENT REQUIRES AN OPEN HEART PROCEDURE WITH A "STERNOTOMY", IN WHICH THE CHEST IS SURGICALLY SEPARATED (OPEN) FOR THE PROCEDURE. THE TAVR OR TAVI PROCEDURES CAN BE DONE THROUGH VERY SMALL OPENINGS THAT LEAVE ALL THE CHEST BONES IN PLACE. THE TAVR PROCEDURE IS PERFORMED USING ONE OF TWO DIFFERENT APPROACHES, ALLOWING THE CARDIOLOGIST OR SURGEON TO CHOOSE WHICH ONE PROVIDES THE BEST AND SAFEST WAY TO ACCESS THE VALVE:ENTERING THROUGH THE FEMORAL ARTERY (LARGE ARTERY IN THE GROIN), CALLED THE TRANS FEMORAL APPROACH, WHICH DOES NOT REQUIRE A SURGICAL INCISION IN THE CHEST OR USING A MINIMALLY INVASIVE SURGICAL APPROACH WITH A SMALL INCISION IN THE CHEST AND ENTERING THROUGH A LARGE ARTERY IN THE CHEST OR THROUGH THE TIP OF THE LEFT VENTRICLE (THE APEX), WHICH IS KNOWN AS THE TRANS APICAL APPROACH.WE BEGAN OUR PROGRAM IN SEPT 2016 AND HAVE PERFORMED 72 TAVR PROCEDURES IN FISCAL YEAR 2019.PALLIATIVE CAREBMH ADDED PALLIATIVE CARE SERVICES IN 2015 TO OUR BROAD ARRAY OF SPECIALTIES. PALLIATIVE CARE SERVICE WAS INITIALLY OFFERED TO PEOPLE SUFFERING SERIOUS ILLNESS WHO WERE BEING TREATED AS AN INPATIENT OF THE HOSPITAL. IN 2016, THE SERVICE WAS EXPANDED TO INCLUDE OUTPATIENT SERVICES. AN ADDITIONAL PHYSICIAN AND OFFICE OFFERS PATIENTS CONTINUED CARE AND ALLOWS PRIMARY CARE DOCTORS TO REFER OTHER SERIOUSLY ILL PATIENTS AND FAMILIES. ASSERTIVE COMMUNITY TREATMENT (ACT)BMH, WORKING WITH LOCAL AGENCIES, IS NOW STAFFING A MUCH NEEDED SERVICE. THE ASSERTIVE COMMUNITY TREATMENT, OR ACT, IS A WAY OF DELIVERING A FULL RANGE OF SERVICES TO PEOPLE WHO HAVE BEEN DIAGNOSED WITH A SERIOUS MENTAL ILLNESS. ACT'S GOAL IS TO GIVE CONSUMERS OUTSTANDING COMMUNITY CARE AND TO HELP THEM HAVE A LIFE THAT IS NOT DOMINATED BY THEIR MENTAL ILLNESS. WITH ACT, CONSUMERS GET HELP TAKING CARE OF THEIR BASIC NEEDS, FROM TAKING MEDICATIONS TO GETTING OUT AND GETTING THROUGH THE DAY. ACT TEAMS WORK CLOSELY WITH CONSUMERS TO SEE WHICH MEDICATIONS AND THERAPIES WORK BEST FOR THEM. THEY HELP CONSUMERS FIND HOUSING, APPLY FOR FOOD STAMPS, GO BACK TO SCHOOL OR GET A JOB AND BECOME PRODUCTIVE MEMBERS OF SOCIETY. THE ACT TEAM HAS BEEN SUCCESSFUL IN REDUCING THE NUMBER OF HOSPITALIZED DAYS FOR CLIENTS IN OUR REGION.THE PATIENT AND FAMILY ADVISORY COUNCILAS PART OF BMH'S COMMITMENT TO EXCELLENT SERVICE, THE PATIENT AND FAMILY ADVISORY COUNCIL WAS FORMED IN SEPTEMBER OF 2014. THE COUNCIL IS MADE UP OF FORMER PATIENTS AND A FEW BMH EMPLOYEES. THE COUNCIL IS DEDICATED TO STRENGTHENING COLLABORATION BETWEEN PATIENTS, FAMILY MEMBERS AND THE HEALTH CARE TEAM. THE SYSTEM WANTS TO ASSURE WE ARE PROVIDING PATIENT-CENTERED CARE AND BELIEVES THE PATIENTS ARE THE RIGHT PEOPLE TO PROVIDE DIRECTION ON WHAT IS MOST IMPORTANT TO PATIENTS. SINCE ITS INCEPTION, THE COUNCIL HAS PROVIDED VALUABLE INPUT TO MANY INITIATIVES, INCLUDING BUT NOT LIMITED TO: THE PATIENT HANDBOOK, THE SYSTEM WEBSITE, EMERGENCY ROOM WAITING EXPERIENCE, QUIET AT NIGHT, PATIENT EXPERIENCE VIDEO AND CALL BELL RESPONSE TIME.THE PATIENT AND FAMILY ADVISORY COUNCIL APPROVED THE IMPLEMENTATION OF TWO SERVICE IMPROVEMENT PROJECTS. FIRST, A SUPPORT GROUP FOR PATIENTS WITH CARDIAC DISEASE AND SECONDLY, A PATIENT INFORMATION PRIVACY CODE SYSTEM TO ALLOW FAMILY TO OBTAIN PATIENT INFORMATION AND PROTECT PATIENT PRIVACY. THE NEW SUPPORT GROUP FOR CARDIAC PATIENTS, HEART AND SOUL, WAS DESIGNED, IMPLEMENTED AND MEETS REGULARLY AND PROVIDES EMOTIONAL SUPPORT TO THOSE WHO HAVE EXPERIENCED CARDIAC DISEASE. THE PATIENT INFORMATION PRIVACY CODE WAS IMPLEMENTED IN MAY OF 2016.24 HOUR ELECTROENCEPHALOGRAPHIC (EEG) VIDEO MONITORINGA 24 HOUR ELECTROENCEPHALOGRAPHIC (EEG) VIDEO MONITORING SERVICE WAS IMPLEMENTED TO IMPROVE INPATIENT OUTCOME BY PERMITTING ACCURATE DIAGNOSES AND MODIFIED THERAPY OF SEIZURE DISORDERS FOR IN-PATIENTS. THIS PROCEDURE IS WIDELY REGARDED AS SAFE AND EFFECTIVE FOR EVALUATING SEIZURES DISORDERS. THE AMERICAN EPILEPSY SOCIETY HAS STATED THAT THIS TECHNIQUE IS THE METHOD OF CHOICE FOR THE EVALUATION OF INTRACTABLE AND/OR UNDIAGNOSED SEIZURE DISORDERS. ADDITIONALLY, MANY STUDIES HAVE REPORTED THE USEFULNESS OF THIS TECHNIQUE, AND RECOMMENDED ITS USE FOR THE DIAGNOSIS OF PSYCHOGENIC SEIZURES. EEG VIDEO MONITORING IS MEDICALLY NECESSARY FOR THE FOLLOWING INDICATIONS, WHERE THE DIAGNOSIS CANNOT BE MADE BY NEUROLOGICAL EXAMINATION, STANDARD EEG STUDIES, AND AN AMBULATORY EEG MONITORING, AND NON-NEUROLOGICAL CAUSES OF SYMPTOMS (E.G., SYNCOPE, CARDIAC ARRHYTHMIAS) HAVE BEEN RULED OUT: TO DIFFERENTIATE EPILEPTIC EVENTS FROM PSYCHOGENIC SEIZURES; OR TO ESTABLISH THE FIRST DIAGNOSIS OF A SEIZURE DISORDER; OR TO ESTABLISH THE SPECIFIC TYPE OF EPILEPSY IN POORLY CHARACTERIZED SEIZURE TYPES WHERE SUCH CHARACTERIZATION IS MEDICALLY NECESSARY TO SELECT THE MOST APPROPRIATE THERAPEUTIC REGIMEN.INTERVENTIONAL NEUROLOGY SERVICES INTERVENTIONAL NEUROLOGY SERVICES ADDED A BIPLANE IMAGING INTERVENTIONAL PROCEDURE LAB IN 2014. TREATMENT OF CEREBRAL VASCULAR ANEURYSM ENDOVASCULAR COILING STUDIES HAVE SHOWN THAT PATIENTS WITH A RUPTURED ANEURYSM TEND TO DO BETTER IN THE LONG TERM AFTER A COILING PROCEDURE. A COILING PROCEDURE IS PERFORMED AS AN EXTENSION OF THE ANGIOGRAM. MOST ELECTIVE PATIENTS WILL GO HOME THE NEXT DAY AFTER SURGERY AND ARE BACK TO NORMAL ACTIVITIES THE FOLLOWING DAY. INTERVENTIONAL RADIOLOGY CANCER TREATMENTS YTTRIUM-90 TREATMENT OF NONRESECTABLE LIVER CANCER, WAS IMPLEMENTED IN 2014. INTERVENTIONAL RADIOLOGISTS USE INTRA-ARTERIAL YTTRIUM-90 (Y-90) RADIOEMBOLIZATION, TO TREAT LIVER CANCER. STUDIES SHOW THAT TREATING LIVER TUMORS WITH DOSES OF Y-90, PROVIDES RESULTS WHEN CHEMOTHERAPIES HAVE FAILED, PRESERVES THE PATIENT'S QUALITY OF LIFE, AND CAN BE DONE ON AN OUTPATIENT BASIS. RADIOEMBOLIZATION IS A MINIMALLY INVASIVE PROCEDURE THAT COMBINES EMBOLIZATION AND RADIATION THERAPY TO TREAT LIVER CANCER. IT CAN HELP EXTEND THE LIVES OF PATIENTS WITH INOPERABLE TUMORS AND IMPROVE THEIR QUALITY OF LIFE.ELECTROPHYSIOLOGY CRYOABLATION PROCEDURESELECTROPHYSIOLOGY CRYOABLATION PROCEDURES WERE IMPLEMENTED IN 2015. CRYOABLATION IS A THERAPY THAT USES THE REMOVAL OF HEAT FROM TISSUE TO TREAT CARDIAC ARRHYTHMIAS.
PART VI, LINE 5:	EMPLOYEES IN THE COMMUNITYEVERY YEAR, THE SYSTEM AND ITS EMPLOYEES SUPPORT A VARIETY OF COMMUNITY SUPPORT PROGRAMS. THESE INCLUDE THE CARING ANGEL PROGRAM, THE UNITED WAY, THE AMERICAN HEART ASSOCIATION, THE AMERICAN CANCER SOCIETY, THE BUTLER YMCA AND THE MARCH OF DIMES, AMONG OTHERS. IN ADDITION TO THESE ACTIVITIES, EMPLOYEES PARTICIPATE IN A VARIETY OF COMMUNITY SERVICE INITIATIVES, SUCH AS HABITAT FOR HUMANITY, DOCTORS WITHOUT BORDERS, RIDE FOR THE CURE, PRODUCE TO THE PEOPLE, AND LOCAL STUDENT MENTORING PROGRAMS.SUMMARYTHE SYSTEM PHYSICIANS, NURSES, EMPLOYEES, VOLUNTEERS AND VOLUNTEER LEADERSHIP MAINTAIN DEEP CONNECTIONS TO THE COMMUNITIES THEY SERVE. THEY LIVE AND WORK IN THE MULTI-COUNTY AREA THAT THE SYSTEM SERVES, AND THEY ARE ACUTELY AWARE OF THE NEEDS OF RESIDENTS. AS A TAX-EXEMPT CHARITABLE ORGANIZATION, THE SYSTEM IS CAREFUL TO MANAGE ITS RESOURCES TO MEET THE CURRENT AND FUTURE HEALTHCARE NEEDS OF RESIDENTS. THE SYSTEM IS PROUD OF ITS INDEPENDENCE AND PLEDGES TO ALWAYS STRIVE TO PROVIDE HIGH QUALITY, LOW COST CARE IN A COMFORTABLE AND SUPPORTING ENVIRONMENT.A MAJORITY OF THE GOVERNING BODY OF BMH RESIDE IN OUR PRIMARY SERVICE AREA. PER THE CORPORATE BYLAWS 60% OF THE TRUSTEES MUST WORK OR RESIDE IN THE SERVICE AREA. MEDICAL STAFF PRIVILEGES ARE OFFERED TO ALL QUALIFIED PHYSICIANS SUBJECT TO THE RECOMMENDATION OF THE HOSPITAL MEDICAL STAFF AND IN COMPLIANCE WITH THE POLICIES OF THE BOARD OF TRUSTEES. CURRENTLY 283 PHYSICIANS, PODIATRISTS AND DENTISTS HOLD PRIVILEGES ON THE BMH MEDICAL STAFF. PRIVILEGES ARE OFFERED BASED ON QUALIFICATIONS AND COMMUNITY NEED WITHOUT REGARD TO OTHER FACTORS SUCHAS RACE, SEX, COLOR, CREED, OR NATIONAL ORIGIN.ANNUALLY, BMH ESTABLISHES OPERATING AND CAPITAL BUDGETS DESIGNED TO EFFICIENTLY ALLOCATE FUNDS FOR ITS ONGOINGOPERATION AND FOR THE ADDITIONAL INVESTMENT IN NEW AND REPLACEMENT PATIENT CARE EQUIPMENT; PLANT AND INFRASTRUCTURE; AND TECHNOLOGY. UPON PREPARATION BY MANAGEMENT STAFF THE FINAL BUDGET IS PRESENTED FORAPPROVAL BY THE BOARD OF TRUSTEES.
PART VI, LINE 6:	BUTLER HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF BUTLER HEALTHCARE PROVIDERS.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
COMMUNITY HEALTH CLINIC OF BUTLER COUNTY
103 BONNIE DRIVE	BUTLER	PA	16002	204852135	501(C)3	$23,300,000	GENERAL SUPPORT TO PROVIDE MEDICAL CARE OF INDIGENT PATIENTS
BUTLER MEDICAL PROVIDERS
ONE HOSPITAL WAY	BUTLER	PA	16002	251441961	501(C)3	$51,000	OPERATING SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION'S BYLAWS CONTROL THE CONTRIBUTIONS THAT CAN BE MADE AND THE PROCESS RELATED TO SUCH.	ExplanationTxt

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 (17 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
DENNIS DEMBY MD
TRUSTEE	$0	$163,609	$0	$59,062	$0	$3,821	$0	$0	$0	$12,050	$0	$238,542	$0	$0
KENNETH P DEFURIO
PRESIDENT & CEO	$663,102	$0	$162,646	$0	$1,086,772	$0	$246,101	$0	$17,527	$0	$2,176,148	$0	$1,048,070	$0
MICHAEL DEITSCHMANN 719-819
CHIEF FINANCIAL OFFICER	$181,064	$0	$0	$0	$145,638	$0	$20,475	$0	$17,527	$0	$364,704	$0	$0	$0
JASON SCIARRO 719-1019
CHIEF OPERATING OFFICER	$330,163	$0	$70,000	$0	$63,224	$0	$24,500	$0	$20,117	$0	$508,004	$0	$0	$0
KAREN ALLEN
VP PATIENT SVC,CNO,	$297,500	$0	$58,631	$0	$12,641	$0	$56,179	$0	$17,527	$0	$442,478	$0	$0	$0
A THOMAS MCGILL MD
VP QUALITY & SAFETY/CIO	$85,940	$0	$0	$0	$274,779	$0	$5,863	$0	$1,381	$0	$367,963	$0	$0	$0
ROGER LUTZ
CHIEF INFORMATION OFFICER	$241,575	$0	$47,736	$0	$6,693	$0	$37,708	$0	$18,035	$0	$351,747	$0	$0	$0
PAULA L HOOPER
CHIEF LEGAL OFFICER	$379,750	$0	$94,302	$0	$157,858	$0	$66,265	$0	$17,527	$0	$715,702	$0	$0	$0
ELLIOTT SMITH
CHIEF CLINICAL OFFICER	$448,012	$0	$89,003	$0	$21,595	$0	$46,551	$0	$17,527	$0	$622,688	$0	$0	$0
THOMAS GENEVRO
VP FACILITIES/HUMAN RESOUR	$265,980	$0	$65,874	$0	$102,530	$0	$52,619	$0	$18,035	$0	$505,038	$0	$0	$0
DAVID ROTTINGHAUS
CHIEF MEDICAL OFFICER	$293,198	$0	$152,001	$0	$13,655	$0	$21,000	$0	$12,808	$0	$492,662	$0	$0	$0
NORMAN K BEALS
CHIEF WELLNESS OFFICER	$369,348	$0	$0	$0	$14,971	$0	$49,000	$0	$13,158	$0	$446,477	$0	$0	$0
GREGORY P HAUDACH
PHARMACIST	$195,748	$0	$276	$0	$0	$0	$14,571	$0	$18,040	$0	$228,635	$0	$0	$0
HILLARY HARLAN
CORPORATE COMPLIANCE OFFICER	$173,988	$0	$48,001	$0	$0	$0	$0	$0	$17,516	$0	$239,505	$0	$0	$0
DAVID SHINHERR
OPERATIONS DIRECTOR	$177,195	$0	$5,790	$0	$790	$0	$0	$0	$18,040	$0	$201,815	$0	$0	$0
MATTHEW SCHNUR
PHARMACIST	$152,662	$0	$5,520	$0	$0	$0	$6,539	$0	$18,040	$0	$182,761	$0	$0	$0
THOMAS RARAIGH
EXECUTIVE DIRECTOR	$172,407	$0	$8,769	$0	$1,002	$0	$13,146	$0	$642	$0	$195,966	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINES 4A-B

4(A) MICHAEL DIETSCHMANN RECEIVED SEVERANCE PAY IN THE AMOUNT OF $112,504. JASON SCIARRO RECEIVED SEVERANCE PAY IN THE AMOUNT OF $49,708. 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 CEO ACHIEVED THE SERP 10-YEAR VESTING PERIOD IN 2019. AS STATED PREVIOUSLY, ALL CONTRIBUTIONS TO THE CEO SERP HAVE BEEN REPORTED ANNUALLY. THE ANNUAL ACCRUAL AMOUNTS FOR CALENDER YEAR 2019 WERE: KENNETH P DEFURIO, $225,101; MICHAEL DEITSCHMANN $20,475; JASON SCIARRO $24,500; ELLIOT SMITH $31,151; THOMAS GENEVRO $31,619; KAREN ALLEN $35,179; NORMAN BEALS $28,000, PAULA HOOPER $45,265; ROGER LUTZ $16,708; DAVID ROTTINGHAUS $21,000.

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.

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	REFUND PRIOR ISSUE 4/29/09	0	0	0
BUTLER COUNTY HOSPITAL AUTHORITY
B	251458912	1235926QB	2009-04-29	$50,000,000	CONSTRUCTION OF ADDITION TO HOSPITAL	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	Bond DefeasedBondDefeasedAmt	Capital ExpendituresCapitalExpendituresAmt
A	$1,831,777	$100,481,533	$1,411,658	2015	0	Yes (1)	Yes (1)	Yes (1)
B	$10,665,000	$50,000,000	$833,495	2010	0	0	0	Yes (1)	$9,000,000	$49,166,505

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	Yes (1)	0	0	0	0	0	0
B	0	0	0	Yes (1)	Yes (1)	0	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: BUTLER COUNTY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2019	ExplanationTxt

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 COMPLETED 990 WAS PREPARED BY THE TAX DEPARTMENT OF AN EXTERNAL AUDIT FIRM IN CONJUNCTION WITH HOSPITAL STAFF AND REVIEWED BY THE CHIEF FINANCIAL OFFICER. RELEVANT SECTIONS WERE ALSO REVIEWED BY THE IN-HOUSE COUNCIL. FORM 990 WAS PROVIDED TO THE AUDIT AND COMPLIANCE COMMITTEE AND THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT. AFTER THESE REVIEWS, BUT PRIOR TO FILING, THE FULL BOARD OF TRUSTEES AND THE AUDIT AND COMPLIANCE COMMITTEE WERE NOTIFIED THAT THE FINAL FORM 990 WAS AVAILABLE FOR REVIEW ON THE BOARD'S SECURE WEBSITE.
FORM 990, PART VI, SECTION B, LINE 12C	THE RESPONSES TO THE CONFLICT OF INTEREST DISCLOSURE FORM ARE COLLECTED AND REVIEWED ANNUALLY BY IN-HOUSE COUNSEL AND THE CORPORATE COMPLIANCE OFFICER, WHO THEN REVIEWS THE SAME WITH THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES. CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED BY ALL TRUSTEES, OFFICERS, COMMITTEE MEMBERS, MEMBERS OF MANAGEMENT, EMPLOYED PHYSICIANS AS WELL AS THE EXECUTIVE TEAM. IN THE EVENT A RELATIONSHIP RESULTS IN A POTENTIAL CONFLICT FOR AN ISSUE BEING DISCUSSED BY THE BOARD, THE TRUSTEE RECUSES HIMSELF/HERSELF FROM THE DISCUSSION AND VOTE. THE RECUSAL IS DOCUMENTED IN THE MINUTES. IN-HOUSE COUNCIL AND/OR CORPORATE COMPLIANCE OFFICER ATTENDS ALL BOARD MEETINGS AND ENSURES THAT ANY NEEDED RECUSALS OCCUR.
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. 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 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, BHS TARGETS TOTAL COMPENSATION TO FALL WITHIN A RANGE OF THE 25TH TO 75TH PERCENTILE OF THE MARKET. BHS 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. EXCEPTIONS 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. THE BOARD OF TRUSTEES HAS THE FINAL APPROVAL OF ALL EXECUTIVE COMPENSATION DECISIONS. WHILE BENEFITS ARE ACCOUNTED FOR IN SCHEDULE J, ACTUAL "TAKE HOME" PAY TO THE EXECUTIVE TYPICALLY CONSISTS ONLY OF BASE SALARY AND ANY INCENTIVE AWARD EARNED. APPLICABLE TAXES AND OTHER WITHHOLDING 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% OF EACH EXECUTIVE'S COMPENSATION. THE BOARD OF TRUSTEES ENGAGES EXTERNAL COMPENSATION CONSULTANTS AND EXTERNAL LEGAL EXPERTISE TO ASSURE REASONABLENESS OF EXECUTIVE COMPENSATION LEVELS.
FORM 990, PART VI, SECTION C, LINE 19	HISTORICAL FINANCIAL INFORMATION IS PROVIDED TO THE PUBLIC AT THE ANNUAL PUBLIC BOARD MEETING. BYLAWS, ARTICLES OF INCORPORATION AND THE CONFLICT OF INTEREST POLICY ARE POSTED ON THE WEBSITE.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 32,461,066. MANAGEMENT AND GENERAL EXPENSES 1,036,411. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,497,477. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,212,369. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,212,369.
FORM 990, PART XI, LINE 9:	INCREASE IN INTEREST IN NET ASSETS OF BUTLER HEALTH SYSTEM FOUNDATION -643,151. DISTRIBUTIONS TO NON-CONTROLLING INTEREST -262,163. CHANGE IN PENSION ASSETS AND LIABILITIES -5,937,926.
PART XII LINE 2C EXPLANATION	THE ORGANIZATION HAS NOT CHANGED ITS PROCESS FOR REVIEWING THE AUDITED FINANCIALS OR THE SELECTION OF AN INDEPENDENT AUDITOR DURING THE YEAR.

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
BHS NALLATHAMBI MEDICAL ASSOCIATES PLLC
ONE HOSPITAL WAY	BUTLER	PA	16601	264746949	PRIMARY CARE PHYSICIAN PRACTICE	PA	BUTLER HEALTHCARE PROVIDERS
BUTLER IMAGING & INTERVENTIONAL ASSOCIATES LLC
ONE HOSPITAL WAY	BUTLER	PA	16601	264263364	RADIOLOGY SERVICE	PA	BUTLER HEALTHCARE PROVIDERS
BHS DERMATOLOGY ASSOCIATES
ONE HOSPITAL WAY	BUTLER	PA	16601	800929620	DERMATOLOGY PHYSICIAN PRACTICE	PA	BUTLER HEALTHCARE PROVIDERS
BHS SENECA MEDICAL CENTER LLC
ONE HOSPITAL WAY	BUTLER	PA	16601	464444529	PRIMARY CARE PHYSICIAN PRACTICE	PA	BUTLER HEALTHCARE PROVIDERS
BUTLER HEALTH SYSTEM PROVIDER HOSPITAL ORGANIZATION
ONE HOSPITAL WAY	BUTLER	PA	16601	474212217	PHYSICIAN HOSPITAL ORGANIZATION	PA	BUTLER HEALTHCARE PROVIDERS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BUTLER HEALTH SYSTEM
ONE HOSPITAL WAY	BUTLER	PA	16001	251441855	HEALTHCARE DELIVERY SYSTEM	PA	501(C)(3)	LINE 10	0
BUTLER MEDICAL PROVIDERS
ONE HOSPITAL WAY	BUTLER	PA	16001	251441961	PHYSICIAN PRACTICES	PA	501(C)(3)	LINE 3	0	BUTLER HEALTH SYSTEM
NIXSAR CORPORATION
ONE HOSPITAL WAY	BUTLER	PA	16001	251441960	OWN AND OPERATE REAL ESTATE	PA	501(C)(3)	LINE 12B, II	0	BUTLER HEALTH SYSTEM
BUTLER HEALTH SYSTEM FOUNDATION
ONE HOSPITAL WAY	BUTLER	PA	16001	261543883	FUNDRAISING ON BEHALF OF BUTLER HEALTH SYSTEM	PA	501(C)(3)	LINE 12A, I	0	BUTLER HEALTH SYSTEM
CLARION HOSPITAL
ONE HOSPITAL DRIVE	CLARION	PA	16214	251010039	HOSPITAL	PA	501(C)(3)	LINE 3	0	CLARION HEALTHCARE SYSTEM
HEALTH SERVICES OF CLARION
ONE HOSPITAL DRIVE	CLARION	PA	16214	753126134	PHYSICIAN GROUP	PA	501(C)(3)	LINE 3	0	CLARION HEALTHCARE SYSTEM
CLARION HEALTHCARE SYSTEM
ONE HOSPITAL DRIVE	CLARION	PA	16214	251534023	HOLDING COMPANY	PA	501(C)(3)	LINE 12A, I	0	BUTLER HEALTH SYSTEM
CLARION HOSPITAL SELF INS TRUST FUND
ONE HOSPITAL DRIVE	CLARION	PA	16214	250766602	SELF-INSURANCE	PA	501(C)(3)	LINE 12A, I	0	CLARION HEALTHCARE SYSTEM

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
BUTLER AMBULATORY SURGERY CENTER
102 TECHNOLOGY DRIVE	BUTLER	PA	16001	061728190	SURGERY	PA	N/A
BHS FASTERCARE
ONE HOSPITAL WAY	BUTLER	PA	16001	271961562	URGENT CARE	PA		BUTLER HEALTHCARE PROVIDERS	RELATED	-$82,483	$75,227	0	Yes (1)	0.51000
BHS FASTER CARE LABORATORY SERVICES LLC
ONE HOSPITAL WAY	BUTLER	PA	16001	800628384	LABORATORY SERVICES	PA		BUTLER HEALTHCARE PROVIDERS	RELATED			0	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
PCA OF BUTLER PC
480 EAST JEFFERSON STREET	BUTLER	PA	16001	251351445	PHYSICIAN OFFICE PRACTICE	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

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt
BUTLER HEALTH SYSTEM FOUNDATION
C	$1,422,818
BUTLER MEDICAL PROVIDERS
B	$23,300,000
BUTLER HEALTH SYSTEM
K	$75,000