BUTLER HEALTHCARE PROVIDERS: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- BUTLER HEALTHCARE PROVIDERS (EIN 25-0965274)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-15
- IRS object ID
- 201831359349302943
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-15T09:32:39-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351178661 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Blue & Co LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8800 Lyra Drive Suite 450 | AddressLine1Txt |
| City | Columbus | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43240 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 250965274 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Butler Healthcare Providers | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BUTL | BusinessNameControlTxt |
| Phone | 7242844429 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Hospital Way | AddressLine1Txt |
| City | Butler | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16001 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Steve Karls | PersonNm |
| Person Title | Controller | PersonTitleTxt |
| Phone | 7242844429 | PhoneNum |
| Signature | 2018-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Matthew Dasta | PreparerPersonNm |
| PTIN | P00544683 | PTIN |
| Phone | 6148852583 | PhoneNum |
| Preparation | 2018-05-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Butler Memorial Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Steve Karls | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Hospital Way | AddressLine1Txt |
| City | Butler | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $291,994,799 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BUTLERHEALTHSYSTEM.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1898 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | The mission of Butler Healthcare Providers d/b/a Butler Memorial Hospital is to be a healing presence in the communities we serve. Butler Memorial Hospital and Butler Health System exist to make a positive difference in the lives of people by providing compassionate, high quality care and comfort, and inspiring health and well-being. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 2079 | TotalEmployeeCnt |
| Total Volunteers | 289 | TotalVolunteersCnt |
| Total Gross UBI | $4,181,491 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $803,359 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,001,456 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,591,514 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $261,839,305 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $275,665,687 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,603,429 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,849,758 | CYInvestmentIncomeAmt |
| PY Other Revenue | $10,601,412 | PYOtherRevenueAmt |
| CY Other Revenue | $11,333,654 | CYOtherRevenueAmt |
| PY Total Revenue | $279,045,602 | PYTotalRevenueAmt |
| CY Total Revenue | $291,440,613 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $53,900 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $56,875 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $112,601,078 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $119,283,713 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $120,445,829 | PYOtherExpensesAmt |
| CY Other Expenses | $128,895,145 | CYOtherExpensesAmt |
| PY Total Expenses | $233,100,807 | PYTotalExpensesAmt |
| CY Total Expenses | $248,235,733 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $45,944,795 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $43,204,880 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $348,613,993 | TotalAssetsBOYAmt |
| Total Assets EOY | $374,074,540 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $192,104,470 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $179,067,429 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $156,509,523 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $195,007,111 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Butler Healthcare Providers d/b/a Butler Memorial Hospital is to be a healing presence in the communities we serve. Butler Memorial Hospital and Butler Health System exist to make a positive difference in the lives of people by providing compassionate, high quality care and comfort, and inspiring health and well-being. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $212,109,812 | ExpenseAmt |
| Grant | $56,875 | GrantAmt |
| Revenue | $286,999,341 | RevenueAmt |
| Desc | Butler Healthcare Providers d/b/a Butler Memorial Hospital (BMH) is an independent, community-based hospital that has served Butler County, PA, and the surrounding area for over 100 years. BMH employs approximately 2,000 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. | Desc |
| Total Program Service Expenses | $212,109,812 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | Yes (1) | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2079 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Steve Karls | PersonNm |
| Phone | 7242844429 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | one hospital way | AddressLine1Txt |
| City | butler | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16001 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Kenneth P DeFurio | |||||||||
| President & CEO | 40.00 | 22.00 | Yes (X) | Yes (X) | $753,015 | $0 | $218,026 | ||
| Margaret Irvine-Weir | |||||||||
| chair until 12/31/16 | 0.80 | 0.20 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Patrick Hampson | |||||||||
| Trustee | 0.80 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| Patti-Ann Kanterman | |||||||||
| chair as of 1/1/17 | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Douglas K McClaine | |||||||||
| Trustee | 0.80 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| Robert M Smith PhD | |||||||||
| Trustee | 0.80 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| Dennis Demby MD | |||||||||
| Trustee | 0.80 | 40.20 | Yes (X) | $0 | $272,320 | $10,878 | |||
| Timothy Morgus | |||||||||
| corporate secretary | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Don Shamey | |||||||||
| Trustee | 0.80 | 0.20 | Yes (X) | $0 | $0 | $0 | |||
| Anne B Krebs | |||||||||
| Chief Financial Officer | 40.00 | 15.00 | Yes (X) | $404,463 | $0 | $84,164 | |||
| Stephanie Roskovski | |||||||||
| Chief Operating Officer | 35.00 | 25.00 | $407,103 | $0 | $70,954 | Yes (X) | |||
| Karen Allen | |||||||||
| VP Patient Svc,CNO, | 55.00 | 0.00 | $399,482 | $0 | $74,033 | Yes (X) | |||
| A Thomas McGill MD | |||||||||
| VP Quality & Safety/CIO | 40.00 | 15.00 | $518,090 | $0 | $105,174 | Yes (X) | |||
| John C Reefer MD | |||||||||
| VP Prof Affairs & CMO | 52.00 | 8.00 | $456,962 | $0 | $94,751 | Yes (X) | |||
| Paula L Hooper | |||||||||
| VP General Counsel | 30.00 | 26.00 | $388,364 | $0 | $65,805 | Yes (X) | |||
| Thomas Genevro | |||||||||
| VP Facilities/Human Resour | 45.00 | 10.00 | $288,440 | $0 | $59,724 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,615,919 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $272,320 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $783,509 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 19 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Butler Anesthesia Associates | |||||
| PO Box 737 | East Butler | PA | 16029 | Anesthesiology | $2,710,138 |
| Metz Culinary Management | |||||
| Two Woodland Drive | Dallas | PA | 18612 | Dietary | $2,562,436 |
| Three Rivers Cardiac | |||||
| 400 Holiday Drive Suite 101 | Pittsburgh | PA | 152203610 | Cardiology | $2,128,874 |
| Quest Diagnostics | |||||
| 875 Greentree Road | Pittsburgh | PA | 152203610 | Laboratory Services | $1,944,017 |
| Advanced Imaging | |||||
| PO Box 62395 | Pittsburgh | PA | 15241 | Imaging Services | $1,714,126 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,391,398 | GovernmentGrantsAmt |
| All Other Contributions | $200,116 | AllOtherContributionsAmt |
| Total Contributions | $1,591,514 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Prog.serv.revenue-Related-990 | Desc |
| Business | 621500 | BusinessCd |
| Total Revenue Column | $275,665,687 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $275,665,687 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $275,665,687 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,263,473 | TotalRevenueColumnAmt |
| Exclusion | $3,263,473 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $369,885 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $369,885 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $369,885 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $369,885 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $140,471 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $554,186 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $140,471 | SecuritiesAmt |
| Other | -$554,186 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$413,715 | TotalRevenueColumnAmt |
| Exclusion | -$413,715 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Miscellaneous Income | 900099 | $6,511,679 | $4,009,289 | $2,502,390 |
| Pharmacy | 446110 | $1,679,101 | $1,679,101 | |
| Cafeteria | 900099 | $1,638,157 | $1,638,157 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,134,832 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,134,832 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $10,963,769 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $291,440,613 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $282,817,850 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,181,491 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,849,758 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,875 | TotalAmt |
| Program Services | $56,875 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,272,609 | TotalAmt |
| Program Services | $79,281,718 | ProgramServicesAmt |
| Management And General | $13,990,891 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,692,325 | TotalAmt |
| Program Services | $2,288,476 | ProgramServicesAmt |
| Management And General | $403,849 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,723,139 | TotalAmt |
| Program Services | $14,214,668 | ProgramServicesAmt |
| Management And General | $2,508,471 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,595,640 | TotalAmt |
| Program Services | $5,606,294 | ProgramServicesAmt |
| Management And General | $989,346 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449,125 | TotalAmt |
| Program Services | $381,756 | ProgramServicesAmt |
| Management And General | $67,369 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,669 | TotalAmt |
| Program Services | $52,419 | ProgramServicesAmt |
| Management And General | $9,250 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,463,751 | TotalAmt |
| Program Services | $23,344,188 | ProgramServicesAmt |
| Management And General | $4,119,563 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,118,036 | TotalAmt |
| Program Services | $950,331 | ProgramServicesAmt |
| Management And General | $167,705 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,159,067 | TotalAmt |
| Program Services | $3,535,207 | ProgramServicesAmt |
| Management And General | $623,860 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,128,793 | TotalAmt |
| Program Services | $1,809,474 | ProgramServicesAmt |
| Management And General | $319,319 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,962,440 | TotalAmt |
| Program Services | $2,518,074 | ProgramServicesAmt |
| Management And General | $444,366 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,832 | TotalAmt |
| Program Services | $211,507 | ProgramServicesAmt |
| Management And General | $37,325 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $435,858 | TotalAmt |
| Program Services | $370,479 | ProgramServicesAmt |
| Management And General | $65,379 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,630,276 | TotalAmt |
| Program Services | $3,935,735 | ProgramServicesAmt |
| Management And General | $694,541 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,427,622 | TotalAmt |
| Program Services | $10,563,479 | ProgramServicesAmt |
| Management And General | $1,864,143 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,855,683 | TotalAmt |
| Program Services | $1,577,331 | ProgramServicesAmt |
| Management And General | $278,352 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical and Other Suppl | $61,266,147 | $52,076,225 | $9,189,922 |
| Bad Debt | $7,396,259 | $7,396,259 | |
| Miscellaneous | $1,962,629 | $1,659,703 | $302,926 |
| Bank and Credit Card fe | $264,139 | $224,518 | $39,621 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,819 | TotalAmt |
| Program Services | $55,096 | ProgramServicesAmt |
| Management And General | $9,723 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,235,733 | TotalAmt |
| Program Services | $212,109,812 | ProgramServicesAmt |
| Management And General | $36,125,921 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,474 | BOYAmt |
| EOY | $1,000 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,872,670 | BOYAmt |
| EOY | $49,307,900 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,412,893 | BOYAmt |
| EOY | $25,203,151 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $623,758 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,166,024 | BOYAmt |
| EOY | $3,816,533 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,005,674 | BOYAmt |
| EOY | $2,853,948 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $333,688,942 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $209,553,097 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,163,958 | BOYAmt |
| EOY | $124,135,845 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,603,717 | BOYAmt |
| EOY | $132,701,493 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,692,650 | BOYAmt |
| EOY | $11,932,056 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,069,175 | BOYAmt |
| EOY | $24,122,614 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $348,613,993 | BOYAmt |
| EOY | $374,074,540 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,754,227 | BOYAmt |
| EOY | $23,050,680 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,296,700 | BOYAmt |
| EOY | $151,280,791 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,053,543 | BOYAmt |
| EOY | $4,735,958 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,104,470 | BOYAmt |
| EOY | $179,067,429 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,334,900 | BOYAmt |
| EOY | $193,744,602 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,174,623 | BOYAmt |
| EOY | $1,262,509 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,509,523 | BOYAmt |
| EOY | $195,007,111 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $348,613,993 | BOYAmt |
| EOY | $374,074,540 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $43,204,880 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,462,269 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$9,169,561 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $17,279 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $17,279 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | A portion of the annual dues paid to the Hospital Association of Pennsylvania and the American HospITAL Association are used for lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $442,836 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $754 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $443,590 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $442,082 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $754 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $442,836 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $441,977 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $105 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $442,082 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $438,686 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,291 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $441,977 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $440,373 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,687 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $438,686 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,577,581 | OtherCostOrOtherBasisAmt |
| Book Value | $2,577,581 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $100,220,252 | OtherCostOrOtherBasisAmt |
| Depreciation | $49,328,639 | DepreciationAmt |
| Book Value | $50,891,613 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,210,767 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,162,220 | DepreciationAmt |
| Book Value | $2,048,547 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $223,514,137 | OtherCostOrOtherBasisAmt |
| Depreciation | $156,062,238 | DepreciationAmt |
| Book Value | $67,451,899 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,166,205 | OtherCostOrOtherBasisAmt |
| Book Value | $1,166,205 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $124,135,845 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other Assets | $1,814,471 |
| Other Receivables | $5,504,175 |
| Interest in Net Assets of BHS Found | $862,358 |
| Pension Assets | $1,814,895 |
| investments in affiliates | $14,126,715 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $24,122,614 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Accrued Interest Payable | $2,200,629 |
| Third Party Payable | $2,535,329 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,735,958 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Investment earnings will be used to support Butler Healthcare Providers or other related organizations per their restrictive purpose (e.g. technology and charity care) or if no restrictive purpose, at the discretion of the Board to support its mission. |
| Part X, Line 2: | 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, 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). |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,426,426 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,426,426 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01380 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,148,576 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,006,417 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,142,159 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02470 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $290,784 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $277,698 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,086 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,865,786 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,284,115 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,581,671 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03860 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $106,604 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $106,604 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $192,110 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $192,110 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,749,393 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,297,381 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,452,012 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01790 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $108,135 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $108,135 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,156,242 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,297,381 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,858,861 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01950 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $48,022,028 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,581,496 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $14,440,532 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05810 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $7,396,259 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,967,000 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $40,064,029 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $42,703,748 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,639,719 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 butler physicians realty llc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | leases medical office space | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.16670 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.11110 | OfcrEtcProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | butler memorial hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | one hospital way | AddressLine1Txt |
| City | butler | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 160014670 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.butlerhealthsystem.org | WebsiteAddressTxt |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | butler memorial hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.butlerhealthsystem.org/InTheCommunity/Pages/Community-Health-Ass | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.butlerhealthsystem.org | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.butlerhealthsystem.org/AboutBHS/Pages/Policies.aspx | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.butlerhealthsystem.org/AboutBHS/Pages/Policies.aspx | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.butlerhealthsystem.org/AboutBHS/Pages/Policies.aspx | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| butler memorial hospital | Part V, Section B, Line 5: 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 hospital | Part V, Section B, Line 11: Mobile heal scanner deployed to PCP office to assess yield on this type of osteoporosis screening. Fall risk assessment incorporated into EMRs to identify high risk patients.Disparities in birth outcomes: S Minion's research proposal under review by PhD committee, complete data set compiled.Asthma in children is behind schedule.Childhood immunization: work group examining barriers and how clinics could report to state immunization databaseBMH is an active participant in Butler County Opioid Task force. Opioid prescribing Medical education offered to all members of medical staff. Medical Staff rules and regulations incorporate requirements to use PDMP website before opioid prescribing.Obesity - wellness program started at BMH with intent to offer to local businesses once value demonstrated - about 18 months. The hospital could not address the needs for Alzheimer's and oral health due to being unable to financially provide resources to address these issues at this time. It is also not within the organization's strategic priorities. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - butler healthcare providers snf | ||||
| one hospital way | butler | PA | 16001 | skilled nursing facility |
| 2 - butler healthcare providers psych | ||||
| one hospital way | butler | PA | 16001 | psychiatric and chemical dependency |
| 3 - Butler Healthcare Providers OP PSych | ||||
| 216 North Washington street | butler | PA | 16001 | Outpatient Behavioral Health Clinic |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | The costing methodology is based on the ratio of cost to charges from Butler Memorial Hospital's accounting system. |
| Part II, Community Building Activities: | Supporting those in need: BMH Charity Care and Community Benefit BMH provides free care to those patients who have an obligation after insurance payments, if any. The amount of free care is determined based on the patient's income and family size. Free care is provided to those with incomes up to 300% of the Federal Poverty Guideline.To inform patients of this program, signs are posted in all the registration areas notifying the public of the availability of our free care program. More information is available in the Patient Handbook and on the System website www.butlerhealthsystem.org on the "About BHS" page. At the time of registration, any patient who is uninsured is given a "Patient Notice of Financial Aid notice. The notice instructs the patient to call or visit the Patient Financial Assistance Department to seek more information about how to qualify for free or discounted care.The monthly collection statements that are mailed to patients inform them that they may contact the Patient Financial Assistance Department to discuss their eligibility for free care. Financial representatives receive and make many calls to the patients. During the calls, financial representatives will discuss with the patients the availability of free care programs and will mail out applications to patients wanting to apply. BMH also contracts with representatives to assist patients in applying for Medical Assistance coverage. These representatives will also discuss with patients the availability of free care, especially for those who may not be eligible for the government healthcare plan.Government Program SubsidiesIn addition to providing free and discounted care to uninsured patients or patients that need financial help, BMH subsidizes the difference between the costs of care and the amount paid by government-sponsored programs such as Medicare and Medicaid. Last year, that amounted to more than $8.7 million. As provisions of the Patient Protection and Affordable Care Act are implemented, BMH expects this burden on our patients and the health system to increase. To that end and to remain a viable healthcare provider to our community, BMH continually evaluates ways to keep costs low and maintain high quality. Billing and CollectionsBMH is diligent in providing bills that are accurate and easy to understand. Every bill and statement includes information about how to contact financial representatives and arrange payment plans. BMH is committed to finding ways to help every patient pay the portion of their bill they are responsible for without experiencing an overwhelming financial burden. In addition to making the billing process easy to understand and ensuring ready access to charity care and financial assistance, upon request BMH will provide cost information to patients, in advance of services or treatment.Providing Needed Care and Services Plays a Critical Role in Meeting Patient Needs Butler Memorial Hospital subsidizes many of the critical services it offers, such as the Transitional Care Facility, Family Services, obstetrical services, psychiatric services, prevention and wellness services, and primary care services offered through our physician clinics. Last year, BMH provided $4,452,012 in subsidized care and services.BMH actively supports the Community Health Clinic. It provides financial support as well as operational and technical support for many of the diagnostic services provided at the Clinic. Many BMH physicians and employees volunteer time to treat patients at the Clinic.Building Our Community Strengthening the community is a responsibility for all local businesses and something BMH and its affiliates (collectively "the System") takes very seriously. For example, the System offers space for meetings and community education; the System helps local residents escape violent situations, the System employees volunteer to help those in need; the System provides education to new and expectant parents; and the System provides community health outreach and patient advocacy. Opening System Facilities for Local MeetingsThe Knowledge Center at Butler Memorial Hospital offers modern meeting and education space for local and regional conferences. Last year, the System hosted the seventh annual Carol Dietrich Memorial Health Symposium to physicians, nurses and other providers, entitled "Opiates: Concepts and Controversies". The day-long program provided a variety of high quality programs at no cost to participants. Through its accredited Continuing Medical Education Department, Butler Memorial Hospital also offers a series of programs which are made available to health care professionals throughout the region. In cooperation with local institutions such as Slippery Rock University and Butler County Community College, as well as others throughout Butler County and the region, BMH is fully-committed to maintaining high-quality professional health education for students and practitioners alike. Classroom space is provided for programs within the Knowledge Center, and students are given real-life clinical experience as they work with staff in the care and treatment of patients. BMH works closely with local school districts in supporting high school health occupation programs. The Simulation Laboratory is available for seminars that give students hands-on experience, exposing them to the highly complex world of health care delivery. |
| 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 $7,396,259. |
| 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 $17.1 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 6.9% 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 $17.1 million in total community benefit support. This accounts for over 6.9% 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 189 physicians and advanced practice providers with another 201 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 1,068 deliveries in fiscal year 2017). Inpatient and acute observation patients account for approximately 18,870 admissions each year. The Emergency Department treated 47,380 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 309 cases in fiscal year 2017), 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: | Community Health AssessmentButler Memorial Hospital (BMH) has conducted Community Health Assessments for over 20 years to guide resource allocation and service development. Past major initiatives that have been started or programs that have received ongoing support due to the recognized community needs have been:Maternal Services Program 1990Family First (support) 1992Mammography Outreach 1996Women's Imaging Center 1999Cardiovascular Surgery 1999Best Practices Stroke Care 2005Community Hospital Comprehensive Cancer Program 2006Tumor Registry 2006Community Health Clinic (support) 2008Pediatric Hospitalist Program 2012Lung Cancer Screening 2014"The BMH Committee" has used numerous data sources to identify gaps or unmet community health needs. These are prioritized to address needs that may have the greatest impact on overall health status of the populations affected.Previously Identified and Ongoing:Obesity and Lack of Exercise: Obesity and lack of exercise are associated with Type 2 Diabetes. Obesity is a national phenomenon. There is little evidence that community level interventions have a significant impact on obesity. The geography and population density of Butler County require that most residents drive or ride to work, school, and to nearly all destinations for shopping. For instance, in the Behavioral Risk Factor Surveillance Study, 39 to 40% of respondents report a long commute to work. In 2010 25% of county residents were obese, in 2015 30% were obese; this is consistent with national trends. From 2011 to 2012 the percent reporting physical inactivity fell from 24% to 23% but physical inactivity has remained steady at 23% for the last 4 years in spite of more access to exercise: Access to exercise opportunities has increased from 72% to 79% between 2014 and 2015.A recent report by Raj Chetty in JAMA suggested that location of residence and thus local policy might have an impact on health separately from income. The Committee will monitor this topic to see if this observation is proven to be substantiated by other investigators. (http://www.nytimes.com/interactive/2016/04/11/upshot/where-the-poor-live-longer-how-your-area-compares.html?_r=0)The literature for interventions in childhood obesity was reviewed. School based programs have small to modest impact. Community programs have not been shown to have a beneficial impact. Combined community and school based programs are being studied.Cancer: Cancer remains the leading cause of premature death in Butler County. Lung Cancer and breast cancer are the two most common types of cancer causing premature death. Cancer screening programs are in place for these two diseases. The Cancer Committee monitors the performance and outcomes of these programs. These are also reported by BMH at its annual community report.New Topics:Asthma In Children:Is associated with adult smoking and particulate air pollution: 18-19% of adults smoke, Butler County has the second highest level of small particulate air pollution (PM 2.5) in Pennsylvania. Particles less than 2.5 microns are not filtered by the upper airway defense systems and reach the lung and are absorbed into the body. School nurses identify asthma as the leading chronic health condition for which they oversee medication administration or use at school. Reliable access to medication is a problem that school nurses identify for a segment of the children in school.Maternal Fetal Health:Countywide maternal fetal health statistics have shown a small decline in the health of this population after many years of steady improvement. A county has many neighborhoods and subgroups. BMH has engaged an epidemiologist to perform an investigation to understand this change in long term trends with a focus on identifying neighborhoods that may benefit from targeted outreach. BMH is providing funding for study of this issue.High Rates of Osteoporosis Fractures: While there has been an improvement in hip fractures in women over 65 since 2003, Butler County has a relatively high rate of hip fractures in this population group. A hip fracture requires surgery, may ultimately be fatal, limits mobility and may force the person to leave their home. Plan: Increased screening and treatment for osteoporosis and fall risk assessment and prevention.Low Rates of Early Childhood Immunization:Early Childhood immunization rates in Butler County are lower than Pennsylvania averages. Pennsylvania is lower than US national rates. By 7th grade Butler County children are up-to-date on their immunizations. Barriers to immunizations based on time, transportation and money are part of this problem. Butler County now matches state and national vaccination rates for kindergarteners.Opioid Overdose Epidemic:National and State Authorities across the country have identified opioid addiction and overdoses as a national crisis. BMH will fully participate in these programs as they apply to physician education and best practices and patient education. In January, 2017 BHS received the designation as Center of Excellence for Opioid Treatment and a $500,000 grant for education. BMH implemented an education and clinical decision support for hydromorphone prescribers that resulted in a 50% reduction in the average dose and a 60% reduction in the cumulative dose during each hospital stay. |
| 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 56 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Community Health Clinic of Butler County | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 103 Bonnie Drive | AddressLine1Txt |
| City | Butler | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16002 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 204852135 | RecipientEIN |
| IRC Section | 501c3 | IRCSectionDesc |
| Cash Grant | $56,875 | CashGrantAmt |
| Purpose Of Grant | General support to provide medical care of indigent patients | PurposeOfGrantTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | The organization's bylaws control the contributions that can be made and the process related to such. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kenneth P DeFurio | ||||||||||||||
| President & CEO | $551,595 | $0 | $165,479 | $0 | $35,941 | $0 | $175,756 | $0 | $42,270 | $0 | $971,041 | $0 | $0 | $0 |
| Dennis Demby MD | ||||||||||||||
| Trustee | $0 | $163,925 | $0 | $88,950 | $0 | $19,445 | $0 | $0 | $0 | $10,878 | $0 | $283,198 | $0 | $0 |
| Anne B Krebs | ||||||||||||||
| Chief Financial Officer | $307,715 | $0 | $76,929 | $0 | $19,819 | $0 | $54,926 | $0 | $29,238 | $0 | $488,627 | $0 | $0 | $0 |
| Stephanie Roskovski | ||||||||||||||
| Chief Operating Officer | $310,170 | $0 | $77,542 | $0 | $19,391 | $0 | $47,019 | $0 | $23,935 | $0 | $478,057 | $0 | $0 | $0 |
| Karen Allen | ||||||||||||||
| VP Patient Svc,CNO, | $268,258 | $0 | $67,064 | $0 | $64,160 | $0 | $34,873 | $0 | $39,160 | $0 | $473,515 | $0 | $0 | $0 |
| A Thomas McGill MD | ||||||||||||||
| VP Quality & Safety/CIO | $389,459 | $0 | $97,365 | $0 | $31,266 | $0 | $64,735 | $0 | $40,439 | $0 | $623,264 | $0 | $0 | $0 |
| John C Reefer MD | ||||||||||||||
| VP Prof Affairs & CMO | $345,322 | $0 | $86,330 | $0 | $25,310 | $0 | $59,439 | $0 | $35,312 | $0 | $551,713 | $0 | $0 | $0 |
| Paula L Hooper | ||||||||||||||
| VP General Counsel | $295,838 | $0 | $73,960 | $0 | $18,566 | $0 | $26,638 | $0 | $39,167 | $0 | $454,169 | $0 | $0 | $0 |
| Thomas Genevro | ||||||||||||||
| VP Facilities/Human Resour | $229,632 | $0 | $57,408 | $0 | $1,400 | $0 | $20,740 | $0 | $38,984 | $0 | $348,164 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 4b | 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 2016 were: Kenneth P. DeFurio, $157,756; Anne B. Krebs $36,926; Stephanie J. Roskovski $37,220; A. Thomas McGill MD $46,735; John C. Reefer MD $41,439; Paula L. Hooper $20,709; Karen A. Allen 1$8,778; Thomas A. Genevro 1$6,074. |
| Part I, Line 7 | Employees are eligible and received bonus compensation. Bonuses are not guaranteed and are awarded based on Board approved metrics which include quality, services, and strategic financial performance. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| BUTLER COUNTY HOSPITAL AUTHORITY | ||||||||
| A | 251458912 | 123592dr5 | 2015-03-18 | $100,481,533 | REFUND PRIOR ISSUE 4/29/09 | 0 | 0 | 0 |
| BUTLER COUNTY HOSPITAL AUTHORITY | ||||||||
| B | 251458912 | 1235926QB | 2009-04-29 | $50,000,000 | CONSTRUCTION OF ADDITION TO HOSPITAL | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Bond DefeasedBondDefeasedAmt | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $1,831,777 | $100,481,533 | $1,411,658 | 2015 | 0 | Yes (1) | Yes (1) | Yes (1) | ||
| B | $10,665,000 | $50,000,000 | $833,495 | 2010 | 0 | 0 | 0 | Yes (1) | $9,000,000 | $49,166,505 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Date Rebate Computation Performed | FormAndLineReferenceDesc |
| Explanation | Issuer Name: BUTLER COUNTY HOSPITAL AUTHORITY Date the Rebate Computation was Performed: 08/11/2015 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | Per the By-Laws of the organization, the organization shall have one corporate member, Butler Health System, Inc. There shall be no other members. |
| Form 990, Part VI, Section A, line 7a | Butler Health System, Inc., the corporate member of the organization, appoints the members of the Board of Trustees. |
| Form 990, Part VI, Section A, line 7b | As per the By-Laws of the organization, the subject matters of the powers reserved to the Member are as follows: a. The number of Trustees that will comprise the Board. b. The election of Trustees. c. The removal of any Trustee for cause from the Corporation's Board of Trustees and approval of the replacement of any such removed Trustee for the unexpired portion of the term. d. The election, re-election, appointment and reappointment of all Officers of the Board. e. The amendment, revision, or restatement of the Corporation's Articles of Incorporation and/or By-Laws. f. The adoption or change in the mission, purpose, philosophy or objectives of the Corporation. g. The change in the general structure of the Corporation as a voluntary, nonprofit corporation. h. The dissolution, division, conversion or liquidation of the Corporation, the consolidation or merger of the Corporation with another corporation or entity, or the acquisition of substantially all of the assets of another corporation or entity, subject to the provision of the Articles of Incorporation. i. The Corporation's borrowing of money, issuance of indebtedness and/or incurrence of guarantees, whether in a single transaction or a series of related transactions, whether or not such borrowings or guarantees are to be secured by a mortgage, pledge or other lien on the Corporation's current or future real property, personal property or endowment funds. j. Approval of the annual capital and operating budgets of the Corporation and any amendments thereto. k. Approval of any charitable donation by the Corporation, other than to the Member or any nonprofit entity in which the Member is a sole member, in an amount exceeding $15,000 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 11b | The 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 reviewed with the Finance Committee and the Board of Trustees. After these reviews, but prior to filing, the full Board of Trustees and the Finance Committee was notified that the completed Form 990 was available for review on the Board's secure website. |
| Form 990, Part VI, Section B, line 12c | The responses to the Conflict of Interest Disclosure form are collected and reviewed annually by the General Counsel and 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 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 General Counsel attends all Board meetings and ensures that any needed recusals occur. |
| Form 990, Part VI, Section B, line 15 | The Board of Trustees recognizes the great challenges and difficulties that healthcare executives face, particularly in the current era of national and state healthcare reform. In addition, the Pittsburgh regional market is highly competitive. The Board competes for and seeks executive talent on a national basis. It engages expert compensation consultants, utilizing national comparative data to guide the determination of competitive, appropriate levels of compensation. The total compensation program for executives consists of cash compensation and benefits. Factors taken into consideration in determining compensation for executives include: market demand and competition for similar positions, experience and tenure, and actual performance and effectiveness. Based on these and other pertinent criteria, BHS targets total compensation to fall within a range of the 25th to 75th percentile of the market. BHS executive compensation generally will not exceed the 75th percentile of the market. Exceptions to this may be subject to review and recommendation by the Compensation Committee, which in turn is subject to review and approval by the Board of Trustees. Exceptions must be supported by organizational and /or individual performance, or a retention/recruitment circumstance that warrants such compensation. The Compensation Committee consists exclusively of independent individuals with no real or perceived conflicts of interest in recommending executive compensation guidelines and levels. The Board of Trustees has the final approval of all executive compensation decisions. While benefits are accounted for in Schedule J, actual "take home" pay to the executive typically consists only of base salary and any incentive award earned. Applicable taxes and other withholding are deducted. Annual increases in base pay, if any, are based on competitive market trends from the comparison group. Supplemental retirement benefits are used as a vehicle for executive recruitment and retention with appropriate vesting periods. The Board of Trustees reviews and approves executive compensation in its entirety, including the use of "tally sheets", which disclose 100% of each executive's compensation. The Board of Trustees engages external compensation consultants and external legal expertise to assure reasonableness of executive compensation levels. |
| Form 990, Part VI, Section C, line 19 | Historical financial information is provided to the public at the annual public board meeting. Bylaws, Articles of Incorporation and the Conflict of Interest Policy are posted on the website. |
| Form 990, Part IX, line 11g | Purchased Services: Program service expenses 23,344,188. Management and general expenses 4,119,563. Fundraising expenses 0. Total expenses 27,463,751. |
| Form 990, Part XI, line 9: | Transfers (to) from affiliates -13,463,689. decrease in interest in net assets of butler health system foundation -302,136. distributions to non-controlling interest -430,782. change in pension assets and liabilities 5,027,046. |
| Part XII Line 2c explanation | The organization has not changed its process for reviewing the audited financials or the selection of an independent auditor during the year. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Butler Health System Provider Hospital Organization | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | one hospital way | AddressLine1Txt |
| City | butler | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 474212217 | EIN |
| Primary Activities | provider hospital organization | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | butler healthcare providers | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| Butler Health System | ||||||||||
| One Hospital Way | Butler | PA | 16001 | 251441855 | Healthcare Delivery System | PA | 501(c)(3) | Line 3 | 0 | |
| Butler Medical Providers | ||||||||||
| One Hospital Way | Butler | PA | 16001 | 251441961 | Physician Practices | PA | 501(c)(3) | Line 3 | 0 | Butler Health System |
| Nixsar Corporation | ||||||||||
| One Hospital Way | Butler | PA | 16001 | 251441960 | Own and Operate real estate | PA | 501(c)(3) | Line 3 | 0 | Butler Health System |
| BHS Nallathambi Medical Associates | ||||||||||
| One Hospital Way | Butler | PA | 16001 | 264746949 | Physician Practice | PA | 501(c)(3) | Line 3 | 0 | Butler Medical Providers |
| Butler Imaging and Interventional Associates | ||||||||||
| One Hospital Way | Butler | PA | 16001 | 264263364 | Physician Practice | PA | 501(c)(3) | Line 3 | 0 | Butler Medical Providers |
| BHS Seneca Medical Center LLC | ||||||||||
| One Hospital Way | Butler | PA | 16001 | 464444529 | Physician Practice | PA | 501(c)(3) | Line 3 | 0 | Butler Medical Providers |
| BHS Dermatology Associates LLC | ||||||||||
| One Hospital Way | Butler | PA | 16001 | 800929620 | Physician Practice | PA | 501(c)(3) | Line 3 | 0 | Butler Medical Providers |
| BUTLER HEALTH SYSTEM FOUNDATION | ||||||||||
| One Hospital Way | Butler | PA | 16001 | 261543883 | FUNDRAISING ON BEHALF OF BUTLER HEALTH SYSTEM | PA | 501(c)(3) | Line 12a, I | 0 | BUtler Health System |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Butler Ambulatory Surgery Center | ||||||||||||
| 102 Technology Drive | Butler | PA | 16001 | 061728190 | Surgery | PA | N/A | |||||
| BHS FasterCare | ||||||||||||
| One Hospital Way | Butler | PA | 16001 | 271961562 | Urgent Care | PA | Butler Healthcare Providers | Related | 0 | Yes (1) | 0.51000 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PCA OF BUTLER PC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 480 EAST JEFFERSON STREET | AddressLine1Txt |
| City | BUTLER | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251351445 | EIN |
| Primary Activities | PHYSICIAN OFFICE PRACTICE | PrimaryActivitiesTxt |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| bhs fastercare | |
| J | $203,753 |
| bhs fastercare | |
| Q | $4,511,736 |