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NIXSAR CORPORATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
NIXSAR CORPORATION (EIN 25-1441960)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-15
IRS object ID
201801359349303210
Schema version
2016v3.0
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)
Return2018-05-15T09:32:39-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

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 Line18800 Lyra Drive Suite 450AddressLine1Txt
CityColumbusCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43240ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN251441960EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Nixsar CorporationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNIXSBusinessNameControlTxt
Phone7242824429PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Hospital WayAddressLine1Txt
CityButlerCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16001ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
Personstephen karlsPersonNm
Person TitlecontrollerPersonTitleTxt
Phone7242824429PhoneNum
Signature2018-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMatthew DastaPreparerPersonNm
PTINP00544683PTIN
Phone6148852583PhoneNum
Preparation2018-05-15PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerStephen KarlsPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Hospital WayAddressLine1Txt
CityButlerCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16001ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,411,816GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BUTLERHEALTHSYSTEM.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionSupport Butler Health System and its subsidiaries that includes Butler Healthcare Providers by owning and leasing real estate assets.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers3TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$911,396PYProgramServiceRevenueAmt
CY Program Service Revenue$1,411,600CYProgramServiceRevenueAmt
PY Investment Income$149PYInvestmentIncomeAmt
CY Investment Income$216CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$911,545PYTotalRevenueAmt
CY Total Revenue$1,411,816CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,158,023PYOtherExpensesAmt
CY Other Expenses$2,946,654CYOtherExpensesAmt
PY Total Expenses$2,158,023PYTotalExpensesAmt
CY Total Expenses$2,946,654CYTotalExpensesAmt
PY Revenues Less Expenses-$1,246,478PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,534,838CYRevenuesLessExpensesAmt
Total Assets BOY$28,868,800TotalAssetsBOYAmt
Total Assets EOY$27,455,636TotalAssetsEOYAmt
Total Liabilities BOY$329,132TotalLiabilitiesBOYAmt
Total Liabilities EOY$50,806TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$28,539,668NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$27,404,830NetAssetsOrFundBalancesEOYAmt
MissionSupport Butler Health System and its subsidiaries that includes Butler Healthcare Providers by owning and leasing real estate assets.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,946,654ExpenseAmt
Revenue$1,411,600RevenueAmt
Descowns and leases medical office buildings and other real estate to support butler health system and its subsidiariesDesc
Total Program Service Expenses$2,946,654TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
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 Liabilities0ReportOtherLiabilitiesInd
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 Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
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 Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
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 Members3GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
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 CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Stephen KarlsBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7242824429PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Hospital WayAddressLine1Txt
CityButlerCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16001ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Ken DeFurio
President and CEO1.0061.00Yes (X)Yes (X)$0$753,015$218,026
Paula Hooper Esq
Corporate Secretary1.0054.00Yes (X)Yes (X)$0$388,364$65,805
Anne Krebs
Chair and CFO1.0055.00Yes (X)Yes (X)$0$404,463$84,164
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,545,842TotReportableCompRltdOrgAmt
Total Other Compensation$367,995TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Turner Construction
1133 Penn Avenue Suite 300PittsburghPA15222Construction$1,084,403
Quality Services Inc
559 Rodi RoadPittsburghPA15235Cleaning Services$156,155
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescProg.serv.revenue-RelaDesc
Business531120BusinessCd
Total Revenue Column$1,411,600TotalRevenueColumnAmt
Related Or Exempt Func Income$1,411,600RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,411,600TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$216TotalRevenueColumnAmt
Exclusion$216ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,411,816TotalRevenueColumnAmt
Related Or Exempt Func Income$1,411,600RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$216ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$478,456TotalAmt
Program Services$478,456ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$689TotalAmt
Program Services$689ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$477,052TotalAmt
Program Services$477,052ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,985,984TotalAmt
Program Services$1,985,984ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMedical and Surgical SuDesc
Total$4,473TotalAmt
Program Services$4,473ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,946,654TotalAmt
Program Services$2,946,654ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,517,414BOYAmt
EOY$1,453,451EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$79,270BOYAmt
EOY$10,996EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,374BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$34,228,494LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,237,305LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$27,266,742BOYAmt
EOY$25,991,189EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$28,868,800BOYAmt
EOY$27,455,636EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$329,132BOYAmt
EOY$50,806EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$329,132BOYAmt
EOY$50,806EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$28,539,668BOYAmt
EOY$27,404,830EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$28,539,668BOYAmt
EOY$27,404,830EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$28,868,800BOYAmt
EOY$27,455,636EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,534,838ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$400,000OtherChangesInNetAssetsAmt
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 Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Butler Healthcare ProvidersBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN250965274EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported Org0MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Page 5, Section C, Line 1FormAndLineReferenceDesc
ExplanationButler Health System, a related non profit organization, has the power to appoint the board of trustees for NixSar and Butler Healthcare Providers. All corporations are exempt organizations under section 501(c)(3).ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$438,686BeginningYearBalanceAmt
Investment Earnings Or Losses$3,291InvestmentEarningsOrLossesAmt
End Year Balance$441,977EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$440,373BeginningYearBalanceAmt
Investment Earnings Or Losses-$1,687InvestmentEarningsOrLossesAmt
End Year Balance$438,686EndYearBalanceAmt
FieldValueIRS element (for citing)
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$1,315,234OtherCostOrOtherBasisAmt
Book Value$1,315,234BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,794,444OtherCostOrOtherBasisAmt
Depreciation$6,187,727DepreciationAmt
Book Value$15,606,717BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,098,490OtherCostOrOtherBasisAmt
Depreciation$2,049,578DepreciationAmt
Book Value$9,048,912BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,326OtherCostOrOtherBasisAmt
Book Value$20,326BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$25,991,189TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationThe 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, 2017 and 2016, 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, 2016 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).ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
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 Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 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
Ken DeFurio
President and CEO$0$551,595$0$165,479$0$35,941$0$175,756$0$42,270$0$971,041$0$0
Paula Hooper Esq
Corporate Secretary$0$295,838$0$73,960$0$18,566$0$26,638$0$39,167$0$454,169$0$0
Anne Krebs
Chair and CFO$0$307,715$0$76,929$0$19,819$0$54,926$0$29,238$0$488,627$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3The CEO is paid by Butler Healthcare Providers, a nonprofit related corporation. Butler Healthcare providers uses the following methods to establish compensation for the CEO: compensation committee, independent compensation consultant, Form 990 of other organizations, compensation survey or study, independent legal review, and approval by the board and board compensation committee.
Part I, Line 4bAll of the benefits listed hereunder are also reported on the 990 for Butler Healthcare Providers. No additional payments are made by Nixsar Corporation. 4(b) Butler Healthcare Providers, a related organization utilizes a Supplemental Executive Retirement Program (SERP) to recruit and retain leadership talent. Vesting periods are 5 and 10 years, for all executives, with the exception of the President/CEO, at age 65. The third vesting period for the President/CEO is age 60. Eligible executives receive distributions upon reaching the vesting periods. All contributions to the SERP have been reported previously and are reported annually. The annual accrual amounts for calendar year 2016 were: Kenneth P DeFurio, 157,756; Anne B Krebs 36,926; Paula L Hooper 20,709.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 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 Form 990 was reviewed by the Chief Financial Officer and an outside independent public accounting firm. Relevant sections were reviewed by the Vice President and General Counsel. After these reviews, but prior to filing, the full Board of Trustees 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 General Counsel, 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, and committee members 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 Vice President and General Counsel attends all board meetings and ensures that any needed recusals occur.
Form 990, Part VI, Section B, line 15NixSar does not have employees and does not pay salaries. Compensation and benefits that are reported are recorded on the books of Butler Healthcare Providers (BMH), a related nonprofit corporation Butler Health System Executive Compensation Philosophy and Process The Board of Trustees recognizes the great challenges and difficulties that healthcare executives face, particularly in the current era of national and state healthcare reform. In addition, the Pittsburgh regional market is highly competitive and changing rapidly. The Board competes for and seeks executive talent on a national basis. It engages expert compensation consultants, utilizing national comparative data to guide the determination of competitive, appropriate levels of compensation. The total compensation program for executives consists of cash compensation and benefits. Factors taken into consideration in determining compensation for executives include: actual performance and effectiveness, market demand and competition for similar positions, experience and tenure in similar positions. Based on these and other pertinent criteria. 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. Exception must be supported by organizational and /or individual performance, or a retention/recruitment circumstance that warrants such compensation. The Compensation Committee consists exclusively of independent individuals with no real or perceived conflicts of interest in recommending executive compensation guidelines and levels. While benefits are accounted for in Schedule J, actual "take home" pay to the employees typically consists only of base salary, and incentive award earned, if any. Applicable taxes or other withholdings are deducted. Annual increases in base pay, if any, are based on competitive market trends from the comparison group. Supplemental retirement benefits are used as a vehicle for executive recruitment and retention with appropriate vesting periods. The Board of Trustees reviews and approves executive compensation in its entirety, including the use of "tally sheets", which disclose 100% executive compensation. The Board of Trustees engages external compensation and legal expertise to assure reasonableness of executive compensation levels.
Form 990, Part VI, Section C, line 19By-Laws, Articles of Incorporation and Conflict of Interest Policy are posted on the website.
Form 990, Part IX, line 11gPurchased Services: Program service expenses 478,456. Management and general expenses 0. Fundraising expenses 0. Total expenses 478,456.
Form 990, Part XI, line 9:transfer from affiliate 400,000.
Form 990, Part XII, Line 2c:The organization has not changed its overview or selection process regarding the audit during the current year.
Form 990 Schedule K Parts I - IVButler Healthcare Providers 25-0965274, Butler Health System 25-1441855, Butler Medical Providers 25-1441961 and NIXSAR Corporation 25-1441960 are all members of the Obligated group on debt issued under CUSIP #s 123592DR5 and 1235926QB. Within the Health System the debt is allocated 100% to Butler Healthcare Providers and is reported 100% on the Healthcare Providers 990 Schedule K.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 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 HEALTHCARE PROVIDERS DBA BUTLER MEMORIAL HOSPITAL
ONE HOSPITAL WAYBUTLERPA16001250965274ACUTE CARE HOSPITALPA501(c)(3)Line 30BUTLER HEALTH SYSTEM
BUTLER MEDICAL PROVIDERS
ONE HOSPITAL WAYBUTLERPA16001251441961PHYSICIAN PRACTICESPA501(c)(3)Line 30BUTLER HEALTH SYSTEM
BUTLER HEALTH SYSTEM FOUNDATION
ONE HOSPITAL WAYBUTLERPA16001261543883FUNDRAISING ON BEHALF OF BUTLER HEALTH SYSTEMPA501(c)(3)Line 12a, I0BUTLER HEALTH SYSTEM
BUTLER IMAGING AND INTERVENTIONAL ASSOCIATES
ONE HOSPITAL WAYBUTLERPA16001264263364IMAGINING AND INTERVENTIONALPA501(c)(3)Line 30BUTLER MEDICAL PROVIDERS
BHS NALLATHAMBI MEDICAL ASSOCIATES
ONE HOSPITAL WAYBUTLERPA16001264746949PHYSICIAN PRACTICESPA501(c)(3)Line 30BUTLER MEDICAL PROVIDERS
BHS DERMATOLOGY ASSOCIATES
ONE HOSPITAL WAYBUTLERPA16001800929620DERMATOLOGY PHYSICIAN PRACTICEPA501(c)(3)Line 30BUTLER MEDICAL PROVIDERS
BHS SENECA MEDICAL CENTER LLC
ONE HOSPITAL WAYBUTLERPA16001464444529PRIMARY CARE PRACTICEPA501(c)(3)Line 30BUTLER MEDICAL PROVIDERS
BUTLER HEALTH SYSTEM PROVIDER HOSPITAL ORGANIZATION
ONE HOSPITAL WAYBUTLERPA16001474212217PROVIDER HOSPITAL ORGANIZATIONPA501(c)(3)Line 30BUTLER HEALTHCARE PROVIDERS

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
BUTLER AMBULATORY SURGERY CENTER
102 TECHNOLOGY DRIVEBUTLERPA16001061728190SURGERY CENTERPA00
BHS FASTERCARE
ONE HOSPITAL WAYBUTLERPA16001271961562URGENT CAREPA00

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 Org0GiftGrntCapContriFromOthOrgInd
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 Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd