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BUTLER HEALTHCARE PROVIDERS: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
BUTLER HEALTHCARE PROVIDERS (EIN 25-0965274)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-14
IRS object ID
201941349349307354
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-14T14:30:17-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351178661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19200 WORTHINGTON RD STE 200AddressLine1Txt
CityWESTERVILLECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43082ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN250965274EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BUTLER HEALTHCARE PROVIDERSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBUTLBusinessNameControlTxt
Phone7242844429PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL WAYAddressLine1Txt
CityBUTLERCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16001ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL DEITSCHMANNPersonNm
Person TitleCFOPersonTitleTxt
Phone7242844429PhoneNum
Signature2019-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANGELA N CRAWFORD CPAPreparerPersonNm
PTINP00573197PTIN
Phone6148852583PhoneNum
Preparation2019-05-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address165.225.0.63IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-14IPDt
IP Tm14:30:12IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id38D9E49CC0CA71BE8938C550DFC6219FF2DB8390AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1BUTLER MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerMICHAEL DEITSCHMANNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL WAYAddressLine1Txt
CityBUTLERCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16001ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$297,797,479GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BUTLERHEALTHSYSTEM.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1898FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTHE 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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee2184TotalEmployeeCnt
Total Volunteers280TotalVolunteersCnt
Total Gross UBI$3,372,831TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$431,748NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,591,514PYContributionsGrantsAmt
CY Contributions Grants$1,467,295CYContributionsGrantsAmt
PY Program Service Revenue$275,665,687PYProgramServiceRevenueAmt
CY Program Service Revenue$285,227,904CYProgramServiceRevenueAmt
PY Investment Income$2,849,758PYInvestmentIncomeAmt
CY Investment Income$5,178,440CYInvestmentIncomeAmt
PY Other Revenue$11,333,654PYOtherRevenueAmt
CY Other Revenue$5,923,840CYOtherRevenueAmt
PY Total Revenue$291,440,613PYTotalRevenueAmt
CY Total Revenue$297,797,479CYTotalRevenueAmt
PY Grants And Similar Paid$56,875PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$52,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$119,283,713PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$132,012,175CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$128,895,145PYOtherExpensesAmt
CY Other Expenses$124,207,321CYOtherExpensesAmt
PY Total Expenses$248,235,733PYTotalExpensesAmt
CY Total Expenses$256,271,496CYTotalExpensesAmt
PY Revenues Less Expenses$43,204,880PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$41,525,983CYRevenuesLessExpensesAmt
Total Assets BOY$374,074,540TotalAssetsBOYAmt
Total Assets EOY$385,593,697TotalAssetsEOYAmt
Total Liabilities BOY$179,067,429TotalLiabilitiesBOYAmt
Total Liabilities EOY$172,845,974TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$195,007,111NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$212,747,723NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$191,038,958ExpenseAmt
Grant$52,000GrantAmt
Revenue$285,526,565RevenueAmt
DescBUTLER 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 2,000 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 14,000 ACUTE CARE PATIENTS (ADMISSIONS) AND OVER 475,000 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 COMPLIMENTED 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 342,000 PATIENTS.Desc
Total Program Service Expenses$191,038,958TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of IssuerYes (1)OnBehalfOfIssuerInd
Engaged In Excess Benefit TransYes (1)EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document116IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2184EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or MisuseYes (1)MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAEL DEITSCHMANNPersonNm
Phone7242844429PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL WAYAddressLine1Txt
CityBUTLERCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16001ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
PATTI-ANN KANTERMAN
CHAIR4.004.00Yes (X)Yes (X)$0$0$0
TIMOTHY MORGUS
CORPORATE SECRETARY2.002.00Yes (X)Yes (X)$0$0$0
DENNIS DEMBY MD
TRUSTEE0.8040.20Yes (X)$0$248,490$7,072
MICHAEL FIORINA DO
TRUSTEE-TERM BEGAN OCT'172.001.00Yes (X)$0$0$0
PATRICK HAMPSON
TRUSTEE2.001.00Yes (X)$0$0$0
DOUGLAS K MCCLAINE
TRUSTEE2.001.00Yes (X)$0$0$0
RAJIV SAWHNEY DPT
TRUSTEE-TERM BEGAN JAN'182.001.00Yes (X)$0$0$0
DON SHAMEY
TRUSTEE2.001.00Yes (X)$0$0$0
ROBERT M SMITH PHD
TRUSTEE2.001.00Yes (X)$0$0$0
TRACY VITALE EDD
TRUSTEE-TERM BEGAN JAN'182.001.00Yes (X)$0$0$0
MARGARET IRVINE WEIR
TRUSTEE2.001.00Yes (X)$0$0$0
KENNETH P DEFURIO
PRESIDENT & CEO40.0022.00Yes (X)Yes (X)$770,059$0$236,589
ANNE B KREBS 71-103117
CHIEF FINANCIAL OFFICER40.0015.00Yes (X)$692,957$0$64,593
STEPHANIE ROSKOVSKI 71-8417
CHIEF OPERATING OFFICER35.0025.00$206,432$0$59,364Yes (X)
KAREN ALLEN
VP PATIENT SVC,CNO,55.000.00$367,342$0$55,536Yes (X)
A THOMAS MCGILL MD
VP QUALITY & SAFETY/CIO40.0015.00$530,046$0$84,254Yes (X)
JOHN C REEFER MD
VP PROF AFFAIRS & CMO52.008.00$782,510$0$80,667Yes (X)
PAULA L HOOPER
VP GENERAL COUNSEL30.0026.00$420,424$0$58,592Yes (X)
THOMAS GENEVRO
VP FACILITIES/HUMAN RESOUR45.0010.00$322,981$0$54,087Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,092,751TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$248,490TotReportableCompRltdOrgAmt
Total Other Compensation$700,754TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K90IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BUTLER ANESTHESIA ASSOCIATES
PO BOX 737EAST BUTLERPA16029ANESTHESIOLOGY$2,769,960
METZ CULINARY MANAGEMENT
TWO WOODLAND DRIVEDALLASPA18612DIETARY$2,533,887
THREE RIVERS CARDIAC
400 HOLIDAY DRIVE SUITE 101PITTSBURGHPA152203610CARDIOLOGY$2,181,391
QUEST DIAGNOSTICS
875 GREENTREE ROADPITTSBURGHPA152203610LABORATORY SERVICES$1,920,219
ADVANCED IMAGING
PO BOX 62395PITTSBURGHPA15241IMAGING SERVICES$1,713,431
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K17CntrctRcvdGreaterThan100KCnt
Related Organizations$156,595RelatedOrganizationsAmt
Government Grants$706,807GovernmentGrantsAmt
All Other Contributions$603,893AllOtherContributionsAmt
Total Contributions$1,467,295TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621500$277,162,454$277,162,454
OTHER OPERATING REVENUE621500$8,065,450$8,065,450
FieldValueIRS element (for citing)
Total Program Service Revenue$285,227,904TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,171,994TotalRevenueColumnAmt
Exclusion$5,171,994ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$298,661RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$298,661RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$298,661TotalRevenueColumnAmt
Related Or Exempt Func Income$298,661RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,774SecuritiesAmt
Other$4,672OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,774SecuritiesAmt
Other$4,672OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,446TotalRevenueColumnAmt
Exclusion$6,446ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PHARMACY446110$1,692,714$1,692,714
CAFETERIA900099$1,514,874$1,514,874
NON PATIENT LAB900099$1,226,821$1,226,821

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,190,770TotalRevenueColumnAmt
Unrelated Business Revenue$453,296UnrelatedBusinessRevenueAmt
Exclusion$737,474ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,625,179OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$297,797,479TotalRevenueColumnAmt
Related Or Exempt Func Income$285,526,565RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,372,831UnrelatedBusinessRevenueAmt
Exclusion$7,430,788ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$52,000TotalAmt
Program Services$52,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,497,308TotalAmt
Management And General$3,497,308ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$98,188,924TotalAmt
Program Services$83,443,039ProgramServicesAmt
Management And General$14,745,885ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,819,774TotalAmt
Program Services$2,312,215ProgramServicesAmt
Management And General$507,559ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,581,066TotalAmt
Program Services$16,876,474ProgramServicesAmt
Management And General$3,704,592ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,925,103TotalAmt
Program Services$5,786,642ProgramServicesAmt
Management And General$1,138,461ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,608,518TotalAmt
Program Services$11,049ProgramServicesAmt
Management And General$1,597,469ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$84,422TotalAmt
Management And General$84,422ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$30,031,242TotalAmt
Program Services$22,520,480ProgramServicesAmt
Management And General$7,510,762ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,037,294TotalAmt
Program Services$122,564ProgramServicesAmt
Management And General$914,730ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,725,567TotalAmt
Program Services$4,458,793ProgramServicesAmt
Management And General$1,266,774ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,052,364TotalAmt
Program Services$639,707ProgramServicesAmt
Management And General$1,412,657ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,517,535TotalAmt
Program Services$5,497,804ProgramServicesAmt
Management And General$3,019,731ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$250,038TotalAmt
Program Services$69,215ProgramServicesAmt
Management And General$180,823ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$88,083TotalAmt
Program Services$23,566ProgramServicesAmt
Management And General$64,517ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,794,507TotalAmt
Management And General$4,794,507ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,532,473TotalAmt
Management And General$13,532,473ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,994,442TotalAmt
Management And General$2,994,442ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL AND OTHER SUPPL$50,992,615$49,225,410$1,767,205
DUES & SUB.$729,348$729,348
BANK AND CREDIT CARD FE$289,030$289,030
TAXES$158,913$158,913

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,320,930TotalAmt
Management And General$1,320,930ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$256,271,496TotalAmt
Program Services$191,038,958ProgramServicesAmt
Management And General$65,232,538ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt
EOY$3,424EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$49,307,900BOYAmt
EOY$60,317,394EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$25,203,151BOYAmt
EOY$26,200,059EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,816,533BOYAmt
EOY$3,618,431EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,853,948BOYAmt
EOY$2,897,191EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$341,404,751LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$221,784,098LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$124,135,845BOYAmt
EOY$119,620,653EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$146,247,227BOYAmt
EOY$151,829,077EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$14,126,715BOYAmt
EOY$12,958,185EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,382,221BOYAmt
EOY$8,149,283EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$374,074,540BOYAmt
EOY$385,593,697EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$23,050,680BOYAmt
EOY$23,239,680EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$151,280,791BOYAmt
EOY$146,157,737EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,735,958BOYAmt
EOY$3,448,557EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$179,067,429BOYAmt
EOY$172,845,974EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$193,744,602BOYAmt
EOY$211,007,404EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,262,509BOYAmt
EOY$1,740,319EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$195,007,111BOYAmt
EOY$212,747,723EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$374,074,540BOYAmt
EOY$385,593,697EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$41,525,983ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$259,997NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$24,045,368OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$20,763OtherActivitiesAmt
Total Lobbying Expenditures$20,763TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA 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

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$442,082BeginningYearBalanceAmt
Investment Earnings Or Losses$754InvestmentEarningsOrLossesAmt
End Year Balance$442,836EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$441,977BeginningYearBalanceAmt
Investment Earnings Or Losses$105InvestmentEarningsOrLossesAmt
End Year Balance$442,082EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$438,686BeginningYearBalanceAmt
Investment Earnings Or Losses$3,291InvestmentEarningsOrLossesAmt
End Year Balance$441,977EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$102,055,762OtherCostOrOtherBasisAmt
Depreciation$52,900,261DepreciationAmt
Book Value$49,155,501BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,230,900OtherCostOrOtherBasisAmt
Depreciation$4,585,558DepreciationAmt
Book Value$1,645,342BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$228,010,401OtherCostOrOtherBasisAmt
Depreciation$164,298,279DepreciationAmt
Book Value$63,712,122BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,530,107OtherCostOrOtherBasisAmt
Book Value$2,530,107BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$119,620,653TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED INTEREST PAYABLE$2,212,639
THIRD PARTY PAYABLE$1,235,918
FieldValueIRS element (for citing)
Total Liability$3,448,557TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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:THE HOSPITAL, BHS, THE FOUNDATION, NIXSAR, AND BMP 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. 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, 2018 AND 2017, 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, 2017 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,738,823TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,738,823NetCommunityBenefitExpnsAmt
Total Expense0.01460TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,921,965TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,735,732DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,186,233NetCommunityBenefitExpnsAmt
Total Expense0.03580TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$374,066TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$315,541DirectOffsettingRevenueAmt
Net Community Benefit Expns$58,525NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,034,854TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,051,273DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,983,581NetCommunityBenefitExpnsAmt
Total Expense0.05060TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$112,128TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$112,128NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$197,250TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$197,250NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,566,937TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,860,421DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,706,516NetCommunityBenefitExpnsAmt
Total Expense0.01840TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$141,300TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$141,300NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,017,615TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,860,421DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,157,194NetCommunityBenefitExpnsAmt
Total Expense0.02020TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$50,052,469TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$31,911,694DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,140,775NetCommunityBenefitExpnsAmt
Total Expense0.07080TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$8,246,637BadDebtExpenseAmt
Bad Debt Expense Attributable$3,581,950BadDebtExpenseAttributableAmt
Reimbursed By Medicare$41,193,559ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$42,876,949CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,683,390MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 BUTLER PHYSICIANS REALTY LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesLEASES MEDICAL OFFICE SPACEPrimaryActivitiesTxt
Org Profit Or Ownership0.16670OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.11110OfcrEtcProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BUTLER MEMORIAL HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL WAYAddressLine1Txt
CityBUTLERCityNm
State AbbreviationPAStateAbbreviationCd
ZIP160014670ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.BUTLERHEALTHSYSTEM.ORGWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1BUTLER MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.BUTLERHEALTHSYSTEM.ORG/ABOUT-BHS/LEARN-ABOUT-OUR-COMMUNITY-S-HEALTHOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.BUTLERHEALTHSYSTEM.ORG/ABOUT-BHS/LEARN-ABOUT-OUR-COMMUNITY-S-HEALTHStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
BUTLER MEMORIAL HOSPITALPART V, SECTION B, LINE 5: INPUT FROM COMMUNITY AND DATA SOURCES:BETH HEROLD, DIRECTOR AREA AGENCY ON AGING, REPRESENTED NEEDS OF ELDERLYAMBER CROWE CATHOLIC CHARITIES SPECIAL NEEDS OF THE POORTRACY FUTSCHER RN, BROAD ST ELEMENTARY SCHOOL ( CHILDREN IN AN IMPOVERISHED NEIGHBORHOOD) LINDA STAROSTA, RN, SENECA VALLEY SCHOOLS OTHER CHILDREN IN BUTLER COUNTY.AMY HAMMONDS, RN, BHS BEHAVIORAL HEALTH OUTREACH BEHAVIORAL HEALTHDR. PLANK DO, FAMILY PRACTICE SMALLER TOWN AND MORE RURAL BUTLER COUNTY.THE BHRFSS FOR NON-ALLEGHENY COUNTY WESTERN PA WAS COMPARED TO PRIOR OUR COMMUNITY OVERSAMPLING SURVEY. NO SIGNIFICANT DIFFERENCES WERE FOUND SO OVERSAMPLING WAS NOT REPEATED THIS CYCLE.
BUTLER MEMORIAL HOSPITALPART V, SECTION B, LINE 11: MOBILE HEAL SCANNERS WERE DEPLOYED TO PCP OFFICES TO ASSIST IN IDENTIFICATION OF COMMUNITY MEMBERS WITH OSTEOPOROSIS, INCREASING YIELD.FALL RISK ASSESSMENT WAS ADDED TO ANNUAL WELLNESS VISIT SCREENINGS WITHIN ELECTRONIC MEDICAL RECORDS TO IDENTIFY HIGH RISK PATIENTS. DISPARITIES IN BIRTH OUTCOMES: S MINION'S RESEARCH UNDER REVIEW BY PHD COMMITTEE AT UNIVERSITY OF PITTSBURGH TO IDENTIFY SECTIONS OF COMMUNITY AT HIGHER RISKSCHOOL NURSES WERE ABLE TO SHARE NEEDED MEDICAL DATA TO IMPACT CARE AND IMPROVE TREATMENT OF CHILDHOOD ASTHMA IN SCHOOLS.CHILDHOOD IMMUNIZATION: CLINICS INSTRUCTED ON REPORTING VACCINATIONS TO STATE IMMUNIZATION DATABASE.BMH IS AN ACTIVE PARTICIPANT IN BUTLER COUNTY OPIOID TASK FORCE. MEDICAL STAFF EDUCATION ON OPIOID USE DISORDER AND SCREENING COMPLETED. OBESITY AND WELLNESS PROGRAMS OFFERED IN THE COMMUNITY. NUTRITIONAL EDUCATION AND DIABETES PREVENTION PROGRAMS IMPLEMENTED. UNABLE TO FINANCIALLY PROVIDE RESOURCES REQUIRED TO OVERCOME NEEDS WITHIN ALZHEIMER'S AND ORAL HEALTH.
PART V, SECTION B, LINE 16:A) FAP: HTTPS://WWW.BUTLERHEALTHSYSTEM.ORG/DOCUMENTS/CHARITY-CARE-POLICY-2018.PDFB) FAP APPLICATION:HTTPS://WWW.BUTLERHEALTHSYSTEM.ORG/DOCUMENTS/PATIENT-FINANCIAL-ASSISTANCE-APPLICATION.PDFC) FAP PLAIN LANGUAGE SUMMARY:HTTPS://WWW.BUTLERHEALTHSYSTEM.ORG/DOCUMENTS/CHARITY-CARE-SUMMARY-NOTICE-7-8-16.PDF
FieldValueIRS element (for citing)
Facility3FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - BUTLER HEALTHCARE PROVIDERS SNF
ONE HOSPITAL WAYBUTLERPA16001SKILLED NURSING FACILITY
2 - BUTLER HEALTHCARE PROVIDERS PSYCH
ONE HOSPITAL WAYBUTLERPA16001PSYCHIATRIC AND CHEMICAL DEPENDENCY
3 - BUTLER HEALTHCARE PROVIDERS OP PSYCH
216 NORTH WASHINGTON STREETBUTLERPA16001OUTPATIENT BEHAVIORAL HEALTH CLINIC

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 $8,246,637.
PART III, LINE 4:THE TEXT OF THE FOOTNOTE OT THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS FOUND ON PAGES 12-13.
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 1,124 DELIVERIES IN FISCAL YEAR 2018). INPATIENT AND ACUTE OBSERVATION PATIENTS ACCOUNT FOR APPROXIMATELY 18,500 ADMISSIONS EACH YEAR. THE EMERGENCY DEPARTMENT TREATED 45,220 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 295 CASES IN FISCAL YEAR 2018), 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 62 TAVR PROCEDURES TO DATE. 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

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CLINIC OF BUTLER COUNTYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1103 BONNIE DRIVEAddressLine1Txt
CityBUTLERCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16002ZIPCd
FieldValueIRS element (for citing)
Recipient EIN204852135RecipientEIN
IRC Section501C3IRCSectionDesc
Cash Grant$52,000CashGrantAmt
Purpose Of GrantGENERAL SUPPORT TO PROVIDE MEDICAL CARE OF INDIGENT PATIENTSPurposeOfGrantTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION'S BYLAWS CONTROL THE CONTRIBUTIONS THAT CAN BE MADE AND THE PROCESS RELATED TO SUCH.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DENNIS DEMBY MD
TRUSTEE$0$163,925$0$75,100$0$9,465$0$0$0$7,072$0$255,562$0$0
KENNETH P DEFURIO
PRESIDENT & CEO$579,176$0$144,794$0$46,089$0$220,270$0$16,319$0$1,006,648$0$0$0
ANNE B KREBS 71-103117
CHIEF FINANCIAL OFFICER$326,456$0$0$0$366,501$0$59,050$0$5,543$0$757,550$0$0$0
STEPHANIE ROSKOVSKI 71-8417
CHIEF OPERATING OFFICER$179,727$0$0$0$26,705$0$59,364$0$0$0$265,796$0$0$0
KAREN ALLEN
VP PATIENT SVC,CNO,$276,307$0$69,077$0$21,958$0$39,217$0$16,319$0$422,878$0$0$0
A THOMAS MCGILL MD
VP QUALITY & SAFETY/CIO$401,149$0$100,287$0$28,610$0$68,013$0$16,241$0$614,300$0$0$0
JOHN C REEFER MD
VP PROF AFFAIRS & CMO$366,371$0$100,001$0$316,138$0$63,840$0$16,827$0$863,177$0$0$0
PAULA L HOOPER
VP GENERAL COUNSEL$319,966$0$79,992$0$20,466$0$42,273$0$16,319$0$479,016$0$0$0
THOMAS GENEVRO
VP FACILITIES/HUMAN RESOUR$248,352$0$62,088$0$12,541$0$37,260$0$16,827$0$377,068$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINES 4A-B4(A) ANN KREBS RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $47,712. 4 (B) THE ORGANIZATION UTILIZES A SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) TO RECRUIT AND RETAIN LEADERSHIP TALENT. VESTING PERIODS ARE 5 AND 10 YEARS, AND FOR ALL EXECUTIVES, WITH THE EXCEPTION OF THE PRESIDENT/CEO, AT AGE 65. THE THIRD VESTING PERIOD FOR THE PRESIDENT/CEO IS AGE 60. ELIGIBLE EXECUTIVES RECEIVE DISTRIBUTIONS UPON REACHING THE VESTING PERIODS. ALL CONTRIBUTIONS TO THE SERP HAVE BEEN REPORTED PREVIOUSLY AND ARE REPORTED ANNUALLY. THE ANNUAL ACCRUAL AMOUNTS FOR CALENDER YEAR 2017 WERE: KENNETH P DEFURIO, 200,395; ANNE B. KREBS $39,175; JOHN C. REEFER MD $43,965; KAREN A. ALLEN $19,342; THOMAS GENEVRO $17,385; PAULA HOOPER $22,398.
PART I, LINE 7EMPLOYEES 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
BUTLER COUNTY HOSPITAL AUTHORITY
A251458912123592DR52015-03-18$100,481,533REFUND PRIOR ISSUE 4/29/09000
BUTLER COUNTY HOSPITAL AUTHORITY
B2514589121235926QB2009-04-29$50,000,000CONSTRUCTION OF ADDITION TO HOSPITAL000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndBond DefeasedBondDefeasedAmtCapital ExpendituresCapitalExpendituresAmt
A$100,481,533$1,411,65820150Yes (1)Yes (1)Yes (1)
B$50,000,000$833,4952010000Yes (1)$9,000,000$49,166,505

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00Yes (1)000000
B000Yes (1)Yes (1)0000

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDATE REBATE COMPUTATION PERFORMEDFormAndLineReferenceDesc
ExplanationISSUER NAME: BUTLER COUNTY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 08/11/2015ExplanationTxt

Schedule L IRS990ScheduleL

Disqualified Person Ex Bnft Tr DisqualifiedPersonExBnftTrGrp

FieldValueIRS element (for citing)
PersonSTEPHANIE ROSKOVSKIPersonNm
Rln Disqualified Person OrgCHIEF OPERATING OFFICERRlnDisqualifiedPersonOrgTxt
TransactionUNAUTHORIZED USE OF ORGANIZATION'S FUNDS-THE TRANSACTION HAS BEEN PARTIALLY CORRECTED AND THE ORGANIZATION TOOK ALL POSSIBLE ACTIONS TO CORRECT COMPLETELY.TransactionDesc
Transaction CorrectedYes (1)TransactionCorrectedInd
FieldValueIRS element (for citing)
Tax Imposed$330,700TaxImposedAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 5IN JULY 2017, MANAGEMENT OF BUTLER HEALTHCARE PROVIDERS D/B/A BUTLER MEMORIAL HOSPITAL DISCOVERED THAT A DISQUALIFIED PERSON VIS-A-VIS THE HOSPITAL, WITHIN THE MEANING OF SECTION 4958 OF THE INTERNAL REVENUE CODE, WAS EMBEZZLING FUNDS OVER A MULTI-YEAR PERIOD. MANAGEMENT TOOK ALL APPROPRIATE STEPS, INCLUDING TERMINATING THE EMPLOYEE, REPORTING THE EMBEZZLEMENT TO THE APPROPRIATE STATE AND FEDERAL AUTHORITIES, SEEKING REDRESS FROM THE DISQUALIFIED PERSON EMPLOYEE (INCLUDING AN AGREEMENT TO RECOUP ADDITIONAL FUNDS UPON THE VESTING OF A QUALIFIED PLAN), OBTAINING INSURANCE PROCEEDS UP TO THE POLICY LIMIT, AND INSTITUTING NEW POLICIES AND PROCEDURES TO MITIGATE THE RISK OF SUCH ACTIONS IN THE FUTURE. THE UNAUTHORIZED TRANSACTIONS HAVE BEEN REPORTED ON SCHEDULE L AND OTHER APPROPRIATE FORMS.
FORM 990, PART VI, SECTION A, LINE 6PER 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 7ABUTLER 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 7BAS 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 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.
FORM 990, PART VI, SECTION B, LINE 11BTHE COMPLETED 990 WAS REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND AN OUTSIDE INDEPENDENT PUBLIC ACCOUNTING FIRM. RELEVANT SECTIONS WERE REVIEWED BY THE CONTROLLER AND CHIEF LEGAL OFFICER. FORM 990 WAS PROVIDED TO THE FINANCE COMMITTEE AND THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT. AFTER THESE REVIEWS, BUT PRIOR TO FILING, THE FULL BOARD OF TRUSTEES AND THE FINANCE COMMITTEE WERE NOTIFIED THAT THE COMPLETED FORM 990 WAS AVAILABLE FOR REVIEW ON THE BOARD'S SECURE WEBSITE.
FORM 990, PART VI, SECTION B, LINE 12CTHE RESPONSES TO THE CONFLICT OF INTEREST DISCLOSURE FORM ARE COLLECTED AND REVIEWED ANNUALLY BY THE CHIEF LEGAL 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. THE CHIEF LEGAL OFFICER AND/OR CORPORATE COMPLIANCE OFFICER ATTENDS ALL BOARD MEETINGS AND ENSURES THAT ANY NEEDED RECUSALS OCCUR.
FORM 990, PART VI, SECTION B, LINE 15THE 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 19HISTORICAL 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 11GPURCHASED SERVICES: PROGRAM SERVICE EXPENSES 22,520,480. MANAGEMENT AND GENERAL EXPENSES 7,510,762. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,031,242.
FORM 990, PART XI, LINE 9:TRANSFERS (TO) FROM AFFILIATES -23,000,000. INCREASE IN INTEREST IN NET ASSETS OF BUTLER HEALTH SYSTEM FOUNDATION 426,264. DISTRIBUTIONS TO NON-CONTROLLING INTEREST -404,066. CHANGE IN PENSION ASSETS AND LIABILITIES -1,067,566.
PART XII LINE 2C EXPLANATIONTHE 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 (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BHS NALLATHAMBI MEDICAL ASSOCIATES PLLC
ONE HOSPITAL WAYBUTLERPA16601264746949PRIMARY CARE PHYSICIAN PRACTICEPABUTLER HEALTHCARE PROVIDERS
BUTLER IMAGING & INTERVENTIONAL ASSOCIATES LLC
ONE HOSPITAL WAYBUTLERPA16601264263364RADIOLOGY SERVICEPABUTLER HEALTHCARE PROVIDERS
BHS DERMATOLOGY ASSOCIATES
ONE HOSPITAL WAYBUTLERPA16601800929620DERMATOLOGY PHYSICIAN PRACTICEPABUTLER HEALTHCARE PROVIDERS
BHS SENECA MEDICAL CENTER LLC
ONE HOSPITAL WAYBUTLERPA16601464444529PRIMARY CARE PHYSICIAN PRACTICEPABUTLER HEALTHCARE PROVIDERS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
BUTLER HEALTH SYSTEM
ONE HOSPITAL WAYBUTLERPA16001251441855HEALTHCARE DELIVERY SYSTEMPA501(C)(3)LINE 30
BUTLER MEDICAL PROVIDERS
ONE HOSPITAL WAYBUTLERPA16001251441961PHYSICIAN PRACTICESPA501(C)(3)LINE 30BUTLER HEALTH SYSTEM
NIXSAR CORPORATION
ONE HOSPITAL WAYBUTLERPA16001251441960OWN AND OPERATE REAL ESTATEPA501(C)(3)LINE 30BUTLER HEALTH SYSTEM
BUTLER MEMORIAL HOSPITAL AUXILIARY
ONE HOSPITAL WAYBUTLERPA16001251457575HOSPITAL AUXILLARYPA501(C)(3)LINE 30BUTLER HEALTHCARE PROVIDERS
BUTLER HEALTH SYSTEM FOUNDATION
ONE HOSPITAL WAYBUTLERPA16001261543883FUNDRAISING ON BEHALF OF BUTLER HEALTH SYSTEMPA501(C)(3)LINE 30BUTLER HEALTH SYSTEM

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
BUTLER AMBULATORY SURGERY CENTER
102 TECHNOLOGY DRIVEBUTLERPA16001061728190SURGERYPAN/A
BHS FASTERCARE
ONE HOSPITAL WAYBUTLERPA16001271961562URGENT CAREPABUTLER HEALTHCARE PROVIDERSREALTED$540,022$903,5700Yes (1)0.51000
BUTLER HEALTH SYSTEM PROVIDER HOSPITAL ORGANIZATION
ONE HOSPITAL WAYBUTLERPA16001474212217PHYSICAN ORGANIZATIONPABUTLER HEALTHCARE PROVIDERS00
BHS FASTER CARE LABORATORY SERVICES LLC
ONE HOSPITAL WAYBUTLERPA16001800628384LABORATORY SERVICESPABUTLER HEALTHCARE PROVIDERSRELATED00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PCA OF BUTLER PCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1480 EAST JEFFERSON STREETAddressLine1Txt
CityBUTLERCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16001ZIPCd
FieldValueIRS element (for citing)
EIN251351445EIN
Primary ActivitiesPHYSICIAN OFFICE PRACTICEPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt
BHS FASTERCARE
J
BHS FASTERCARE
Q