STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

BUTLER HEALTHCARE PROVIDERS: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
BUTLER HEALTHCARE PROVIDERS (EIN 25-0965274)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-15
IRS object ID
201711359349306396
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-15T13:21:19-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN250965274EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAnne B KrebsPersonNm
Person TitleVP of FinancePersonTitleTxt
Phone7242844400PhoneNum
Signature2017-05-15SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Butler Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerKenneth P DeFurioPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL WAYAddressLine1Txt
CityBUTLERCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16001ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$279,045,602GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.butlerhealthsystem.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1898FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionThe mission of Butler Memorial Hospital is to be a healing presence in the communities we serve. We 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 Body9VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee1995TotalEmployeeCnt
Total Volunteers289TotalVolunteersCnt
Total Gross UBI$4,903,538TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$831,940NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,882,509PYContributionsGrantsAmt
CY Contributions Grants$2,001,456CYContributionsGrantsAmt
PY Program Service Revenue$246,653,831PYProgramServiceRevenueAmt
CY Program Service Revenue$261,839,305CYProgramServiceRevenueAmt
PY Investment Income$2,930,999PYInvestmentIncomeAmt
CY Investment Income$4,603,429CYInvestmentIncomeAmt
PY Other Revenue$9,637,963PYOtherRevenueAmt
CY Other Revenue$10,601,412CYOtherRevenueAmt
PY Total Revenue$261,105,302PYTotalRevenueAmt
CY Total Revenue$279,045,602CYTotalRevenueAmt
PY Grants And Similar Paid$50,200PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$53,900CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$107,018,530PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$112,601,078CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$119,901,842PYOtherExpensesAmt
CY Other Expenses$120,445,829CYOtherExpensesAmt
PY Total Expenses$226,970,572PYTotalExpensesAmt
CY Total Expenses$233,100,807CYTotalExpensesAmt
PY Revenues Less Expenses$34,134,730PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$45,944,795CYRevenuesLessExpensesAmt
Total Assets BOY$320,336,569TotalAssetsBOYAmt
Total Assets EOY$348,613,993TotalAssetsEOYAmt
Total Liabilities BOY$181,184,338TotalLiabilitiesBOYAmt
Total Liabilities EOY$192,104,470TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$139,152,231NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$156,509,523NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe mission of Butler Memorial Hospital is to be a healing presence in the communities we serve. We exist to make a positive difference in the lives of people by providing compassionate, high quality care and comfort, and inspiring health and well-being.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$195,181,602ExpenseAmt
Grant$53,900GrantAmt
Revenue$267,538,191RevenueAmt
DescButler 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. The hospital 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 13,000 acute care patients (admissions) and over 516,000 outpatients each year. The Hospital 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, 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$195,181,602TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt BondsYes (1)InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of IssuerYes (1)OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document103IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1995EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Anne KrebsBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7242844429PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Kenneth P DeFurio
President & CEO40.0022.00Yes (X)Yes (X)$730,033$0$217,864
Marcia Segraves
Trustee0.801.00Yes (X)Yes (X)$0$0$0
Margaret Irvine-Weir
Chairperson2.002.00Yes (X)Yes (X)$0$0$0
Patrick Hampson
Trustee0.800.20Yes (X)$0$0$0
David E Foreman
Corporate Secretary1.001.00Yes (X)Yes (X)$0$0$0
Kathryn S Helfer
Trustee0.800.20Yes (X)$0$0$0
Patti-Ann Kanterman
Corporate Secretary0.800.20Yes (X)Yes (X)$0$0$0
Douglas K McClaine
Trustee0.800.20Yes (X)$0$0$0
Robert M Smith PhD
Trustee0.800.20Yes (X)$0$0$0
Dennis Demby MD
Trustee0.8040.20Yes (X)$0$280,737$10,654
Timothy Morgus
Trustee1.001.00Yes (X)$0$0$0
Don Shamey
Trustee1.001.00Yes (X)$0$0$0
Anne B Krebs
Chief Financial Officer40.0015.00Yes (X)$386,041$0$81,932
Stephanie Roskovski
Chief Operating Officer35.0025.00$400,741$0$69,915Yes (X)
Karen Allen
VP Patient Svc,CNO,55.000.00$330,436$0$71,151Yes (X)
A Thomas McGill MD
VP Quality & Safety/CIO40.0015.00$507,306$0$94,913Yes (X)
John C Reefer MD
VP Prof Affairs & CMO52.008.00$444,124$0$100,100Yes (X)
Paula L Hooper
VP General Counsel30.0026.00$374,639$0$63,703Yes (X)
Thomas Genevro
VP Facilities/Human Resour45.0010.00$289,867$0$59,475Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,463,187TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$280,737TotReportableCompRltdOrgAmt
Total Other Compensation$769,707TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K60IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Metz Culinary Management
Two Woodland DriveDallasPA18612Dietary$2,248,357
Butler Anesthesia Associates
PO Box 737East ButlerPA16029Anesthesiology$2,110,433
Quest Diagnostics
875 Greentree RoadPittsburghPA152203610Laboratory Services$1,688,367
Advanced Imaging
PO Box 62395PittsburghPA15241Imaging Services$1,680,365
Three Rivers Cardiac
400 Holiday Drive Suite 101PittsburghPA152203610Cardiology$1,662,612
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K23CntrctRcvdGreaterThan100KCnt
Related Organizations$532,733RelatedOrganizationsAmt
Government Grants$1,128,742GovernmentGrantsAmt
All Other Contributions$339,981AllOtherContributionsAmt
Total Contributions$2,001,456TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNet Patient RevenueDesc
Business621500BusinessCd
Total Revenue Column$261,839,305TotalRevenueColumnAmt
Related Or Exempt Func Income$259,060,390RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,778,915UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$261,839,305TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,603,429TotalRevenueColumnAmt
Unrelated Business Revenue$1,012UnrelatedBusinessRevenueAmt
Exclusion$4,602,417ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Other Income900099$5,581,037$5,240,124$340,913
Retail Pharmacy446110$1,603,243$1,603,243
Dietary722210$1,474,090$1,474,090

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,943,042TotalRevenueColumnAmt
Related Or Exempt Func Income$1,763,587RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$179,455UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$10,601,412OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$279,045,602TotalRevenueColumnAmt
Related Or Exempt Func Income$267,538,191RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,903,538UnrelatedBusinessRevenueAmt
Exclusion$4,602,417ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$53,900TotalAmt
Program Services$53,900ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,973,470TotalAmt
Management And General$1,973,470ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$85,696,221TotalAmt
Program Services$75,797,007ProgramServicesAmt
Management And General$9,899,214ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,017,356TotalAmt
Program Services$2,497,239ProgramServicesAmt
Management And General$520,117ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,770,993TotalAmt
Program Services$13,358,450ProgramServicesAmt
Management And General$2,412,543ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,143,038TotalAmt
Program Services$5,423,293ProgramServicesAmt
Management And General$719,745ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$553,796TotalAmt
Program Services$43,658ProgramServicesAmt
Management And General$510,138ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$58,541TotalAmt
Management And General$58,541ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,466,849TotalAmt
Program Services$4,859,162ProgramServicesAmt
Management And General$2,607,687ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$920,055TotalAmt
Program Services$6,898ProgramServicesAmt
Management And General$913,157ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$59,177,880TotalAmt
Program Services$58,781,087ProgramServicesAmt
Management And General$396,793ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,989,076TotalAmt
Program Services$1,969,526ProgramServicesAmt
Management And General$19,550ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,441,503TotalAmt
Program Services$5,287,212ProgramServicesAmt
Management And General$154,291ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$700,440TotalAmt
Program Services$244,449ProgramServicesAmt
Management And General$455,991ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$156,767TotalAmt
Program Services$90,859ProgramServicesAmt
Management And General$65,908ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,478,008TotalAmt
Management And General$4,478,008ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,804,469TotalAmt
Program Services$5,487,877ProgramServicesAmt
Management And General$6,316,592ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,838,361TotalAmt
Program Services$29,773ProgramServicesAmt
Management And General$1,808,588ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Purchased Services$15,859,988$12,604,414$3,255,574
Bad Debt$7,780,133$7,780,133
Miscellaneous$2,219,963$866,665$1,353,298

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$233,100,807TotalAmt
Program Services$195,181,602ProgramServicesAmt
Management And General$37,919,205ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,374BOYAmt
EOY$3,474EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$39,755,032BOYAmt
EOY$49,872,670EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$34,037,803BOYAmt
EOY$34,412,893EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$655,648BOYAmt
EOY$623,758EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,164,628BOYAmt
EOY$3,166,024EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,743,937BOYAmt
EOY$3,005,674EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$323,751,236LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$201,587,278LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$126,051,608BOYAmt
EOY$122,163,958EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$99,787,641BOYAmt
EOY$118,603,717EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$9,917,282BOYAmt
EOY$12,692,650EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,219,616BOYAmt
EOY$4,069,175EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$320,336,569BOYAmt
EOY$348,613,993EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$23,594,120BOYAmt
EOY$24,754,227EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$150,900,327BOYAmt
EOY$157,296,700EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,689,891BOYAmt
EOY$10,053,543EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$181,184,338BOYAmt
EOY$192,104,470EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$137,924,301BOYAmt
EOY$155,334,900EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,227,930BOYAmt
EOY$1,174,623EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$139,152,231BOYAmt
EOY$156,509,523EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$320,336,569BOYAmt
EOY$348,613,993EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$45,944,795ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,140,072NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$27,447,431OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$3,600OtherActivitiesAmt
Total Lobbying Expenditures$3,600TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationA portion of the annual dues paid to Hospital Council of Western Pennsylvania are used for lobbying.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$87,598,717OtherCostOrOtherBasisAmt
Depreciation$40,694,267DepreciationAmt
Book Value$46,904,450BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,835,041OtherCostOrOtherBasisAmt
Depreciation$4,825,208DepreciationAmt
Book Value$3,009,833BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$213,192,236OtherCostOrOtherBasisAmt
Depreciation$149,683,597DepreciationAmt
Book Value$63,508,639BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,547,661OtherCostOrOtherBasisAmt
Depreciation$6,384,206DepreciationAmt
Book Value$6,163,455BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$122,163,958TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Pension$8,284,028
Third Party Settlements$1,769,515
FieldValueIRS element (for citing)
Total Liability$10,053,543TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,573,036TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,573,036NetCommunityBenefitExpnsAmt
Total Expense0.01590TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,595,451TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,457,939DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,137,512NetCommunityBenefitExpnsAmt
Total Expense0.03170TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$31,168,487TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,457,939DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,710,548NetCommunityBenefitExpnsAmt
Total Expense0.04760TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$107,660TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$107,660NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$190,092TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$190,092NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,768,370TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,734,294DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,034,076NetCommunityBenefitExpnsAmt
Total Expense0.01790TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$131,401TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$131,401NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,197,523TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,734,294DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,463,229NetCommunityBenefitExpnsAmt
Total Expense0.01980TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,366,010TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,192,233DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,173,777NetCommunityBenefitExpnsAmt
Total Expense0.06740TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$7,650,000BadDebtExpenseAmt
Bad Debt Expense Attributable$4,131,000BadDebtExpenseAttributableAmt
Reimbursed By Medicare$34,687,336ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$35,642,633CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$955,297MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 Butler Physicians Realty LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesLeases medical office spacePrimaryActivitiesTxt
Org Profit Or Ownership0.15790OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.10530OfcrEtcProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Butler Memorial HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Hospital WayAddressLine1Txt
CityButlerCityNm
State AbbreviationPAStateAbbreviationCd
ZIP160014670ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.butlerhealthsystem.orgWebsiteAddressTxt
State License023-701StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Butler Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.butlerhealthsystem.org/InTheCommunity/Pages/Community-Health-AssOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.butlerhealthsystem.org/InTheCommunity/Pages/Community-Health-AssStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://www.butlerhealthsystem.org/AboutBHS/Pages/Policies.aspxFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://www.butlerhealthsystem.org/AboutBHS/Pages/Policies.aspxFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttp://www.butlerhealthsystem.org/AboutBHS/Pages/Policies.aspxFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Butler Memorial HospitalPart V, Section B, Line 5: Input from Community and Data Sources:Beth Herold, Director Area Agency on Aging represented needs of elderlyAmber Crowe Catholic Charities special needs of the poorTracy Futscher RN, Broad St Elementary School ( children in an impoverished neighborhood) Linda Starosta, RN, Seneca Valley Schools other children in Butler County.Amy Hammonds, RN, BHS Behavioral health Outreach behavioral healthDr. Plank DO, Family practice smaller town and more rural butler county.The BHRFSS for non-Allegheny County western PA was compared to prior our community oversampling survey. No significant differences were found so oversampling was not repeated this cycle.
Butler Memorial HospitalPart V, Section B, Line 11: Mobile heal 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
Butler Memorial HospitalPart V, Section B, Line 22d: The Hospital uses the look-back method to calculate the amounts generally billed.
Part V,Section B, line 2The CHNA was last conducted during the organization's 2015 tax year, which is equivalent to its fiscal year ended June 30, 2016. The implementation strategy was also adopted during that same fiscal year.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Butler Healthcare Providers SNF
One Hospital WayButlerPA16001Skilled Nursing Facility
2 - Butler Healthcare Providers Psych
One Hospital WayButlerPA16001Psychiatric and Chemical Dependency

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:The costing methodology is based on the ratio of cost to charges from our Butler Memorial Hospital's accounting system.
Part I, Ln 7 Col(f):The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), was subtracted for purposes of calculating the percentage in this column is $7,780,132.
Part II, Community Building Activities:Supporting those in need: Our 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 $8.1 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 $4,034,076 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 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 Controverssies". 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 4:Patient accounts receivable are reported at estimated net realizable value after deduction of allowances for doubtful accounts. The allowance for doubtful accounts is based on historical losses and an analysis of currently outstanding amounts for its major payor sources. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and payment balances due for which third-party coverage exists for part of the bill), the Hospital records a significant portion for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.The costing methodology is based on the ratio of cost to charges from our Butler Memorial Hospital's accounting system.
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. Butler Memorial Hospital is committed to serving the healthcare needs of all members of our community. We consider the revenue shortfall from the Medicare program payments to be part of our community contribution.
Part III, Line 9b:Patients who have previously applied and been approved for our charity care program are automatically qualified for any additional services provided over the next six months after application approval. We also 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 our community. In furtherance of our charitable mission, BMH provided over $16.1 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 6.74% 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 Butler Memorial Hospital, a key goal is to strengthen the health and well-being of the community. BMH understand 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 $16.1 million in total community benefit support. This accounts for over 6.74% 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. It employs more than 192 physicians and midlevels with another 201 on 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 949 deliveries in fiscal year 2016). Inpatient and acute observation patients account for approximately 18,260 admissions each year. The Emergency Department treated 48,448 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 unit is also located within the hospital building. The Skilled Nursing Facility 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. The Hospital also offers a broad range of community programs off-site including Family Services Center, focused on psycho-social issues that affect families and the health of the home.Tertiary care. Over the years, the Hospital 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 332 cases in fiscal year 2016), electrophysiology services, thoracic and vascular surgery, advanced orthopedics, palliative care, endocrinology, radiation and medical oncology, neurosurgery and spine surgery. The Hospital's goal is to expand services throughout its service areas so that its community has access to the highest quality tertiary services matching or exceeding the levels of care provided in Pittsburgh hospitals at a reasonable cost. 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 60 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 and Armstrong Counties. A comprehensive array of ambulatory services is available where patients can access 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. The BHS Crossroads Campus, which is approximately one-half mile from the Hospital, 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 the Hospital's primary and secondary markets. The urgent care centers were created as a joint venture with the Hospital'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 the Hospital 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 our services, are 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 192 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 the Hospital.
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: 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)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 areas that may benefit from targeted outreach.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.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.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.Achieving Quality Measure in Patient CareButler Health System offers exceptional quality of care and has been recognized for superior clinical excellences. Achieved 4 STARS rating and Physician Quality Report System PQRS goals as identified by payors, 2016. American Heart Association/American Stroke Association's"Get With the Guidelines Stroke" recognized the System as Gold Plus Quality Achievement Award with Target Stroke Honor roll Elite. American College of Radiology designated BHS a Lung Cancer Screening Center. Intersocietal Accreditation Commission accreditation echocardiograph all six sites. Society of Cardiovascular Patient Care gave a three year accreditation to BHS as a Chest Pain Center with Percutaneous Coronary Intervention. US Department of Health and Human Services has awarded a $200,000 grant to Butler Health System and Madison, WI based Wellbe as part of the Rural Health Care Services Outreach Grant program to support diabetes self-management using online patient engagement.The Women's Choice Award named the System as one of America's Best Hospitals for Patient Safety, and one of America's Best for Emergency and Orthopedic care (3 years). BHS was chosen by the state of Pennsylvania to be a Center of Excellence for Opioid Use/Disorders. Enhancing our Services to the CommunityNewly Renovated Women's Imaging Center including Breast Tomosynthesis unit and Radioactive Seed Localization ProcedureWe implemented this technology in December 2015. In the past 12 months we have screened 10,479 patients and have diagnosed 124 cancers. The new 3D Breast Tomosynthesis technology has been shown to be superior to digital mammography because it allows doctors to examine breast tissue one layer at a time. As part of an annual screening, 3D Breast Tomosynthesis may be used in conjunction with traditional digital mammography in order to capture more breast images. This technology is helping physicians find very small cancers and reduce the number of women called back for diagnostic mammograms each year. Recent studies have shown about a 30% increase in cancer detection and a 15% decrease in women recalled for additional imaging. Radioactive Seed Localization Procedure- This procedure utilizes small radioactive seed implanted by the radiologist to localize the lesion for the surgeon. The use of this radioactive seed in lieu of the standard wire localization approach reduces incidence of positive margins, allowing for improved surgical approach and removal of lesion.
Part VI, Line 4:Hybrid OR Suite/TAVR ProgramWe built a hybrid operating room suite. This is a surgical theatre that is equipped with advanced medical imaging devices. 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 transcatheter 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 transcatheter aortic valve replacement procedures. 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 transfemoral approach, which does not require a surgical incision in the chestor 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 transapical approach.We began our program in Sept 2016 and have performed 56 TAVR procedures to date. Palliative CareButler Memorial Hospital 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)Butler Memorial Hospital, in 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 Committee is made up of former patients and a few BMH employees. The Committee 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 Committee 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 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. Electroencephalographic (EEG) video monitoring medically necessary for the following indications, where the diagnosis cannot be made by neurological examination, standard EEG studies, and 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. 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 Butler Health 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. BHS is proud of its independence and pledges to always strive to provide high quality, low cost care in a comfortable and supporting environment.
Part VI, Line 6:This organization is not part of an affiliated health care system.Part VI, Line 3: There are signs posted in all registration areasindicating that free care is provided to those people in need.Information is provided to all self pay patients at time ofregistration indicating that help is available if the patient meets thecriteria. A notice is also posted on the hospital's web site. Eachpatient statement that is mailed out has a notice of the availabilityof free care and how to apply. The Hospital provides assistance topatients to determine if they are eligible for the Pennsylvania MedicalAssistance program. The Patient Financial Assistance staff notifiespatients of the availability of free care during phone conversationsabout the collection of balances due.Part VI,Line 5:A majority of the Governing Body of Butler MemorialHospital reside in our primary service area. Per the Corporate Bylaws60% of the Trustees must work or reside in the service area.Medical Staff Privileges are offered to all qualified physicianssubject to the recommendation of the Hospital Medical Staff and incompliance with the policies of the Board of Trustees. Currently 283physicians, podiatrists and dentists hold privileges on the ButlerMemorial Hospital Medical Staff. Privileges are offered based onqualifications and community need without regard to other factors suchas race, sex, color, creed, or national origin.Annually, Butler Memorial Hospital establishes operating and capitalbudgets designed to efficiently allocate funds for its ongoingoperation and for the additional investment in new and replacementpatient care equipment; plant and infrastructure; and technology. Uponpreparation by management staff the final budget is presented forapproval by the Board of Trustees.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Community Health Clinic of Butler CountyBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1103 Bonnie DriveAddressLine1Txt
CityButlerCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16002ZIPCd
FieldValueIRS element (for citing)
Recipient EIN204852135RecipientEIN
IRC Section501 (c) (3)IRCSectionDesc
Cash Grant$53,900CashGrantAmt
Purpose Of GrantGeneral Support to provide medical care of indigent patientsPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe organization's bylaws control the contributions that can be made and the process related to such.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Kenneth P DeFurio
President & CEO$524,020$0$160,655$0$45,358$0$176,114$0$41,750$0$947,897$0$0$0
Dennis Demby MD
Trustee$0$158,444$0$103,068$0$19,225$0$0$0$10,654$0$291,391$0$0
Anne B Krebs
Chief Financial Officer$294,509$0$73,263$0$18,269$0$52,749$0$29,183$0$467,973$0$0$0
Stephanie Roskovski
Chief Operating Officer$305,716$0$76,019$0$19,006$0$45,923$0$23,992$0$470,656$0$0$0
Karen Allen
VP Patient Svc,CNO,$249,588$0$62,676$0$18,172$0$32,591$0$38,560$0$401,587$0$0$0
A Thomas McGill MD
VP Quality & Safety/CIO$378,067$0$95,451$0$33,788$0$64,927$0$29,986$0$602,219$0$0$0
John C Reefer MD
VP Prof Affairs & CMO$333,450$0$84,635$0$26,039$0$60,054$0$40,046$0$544,224$0$0$0
Paula L Hooper
VP General Counsel$284,007$0$72,509$0$18,123$0$24,702$0$39,001$0$438,342$0$0$0
Thomas Genevro
VP Facilities/Human Resour$220,540$0$55,734$0$13,593$0$20,797$0$38,678$0$349,342$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 4b4 (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 thrid 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 2015 were: Kenneth P DeFurio, 153,158; Anne B Krebs 35,166; Stephanie J Roskovski 36,489; A Thomas McGill MD 45,817; John C Reefer MD 40,625; Paula L Hooper 20,302; Karen A Allen 17,549; Thomas A Genevro 15,605.
Part I, Line 7Employees are eligible and received bonus compensation. Bonuses are not guaranteed and are awarded based on Board approved metrics which include quality, services, and strategic financial performance.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Butler County Hospital Authority
A251458912123592DR52015-03-18$100,481,533Refund prior issue 4/29/09000
Butler County Hospital Authority
B2514589121235926QB2009-04-29$50,000,000Construction of addition to hospitalYes (1)00

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndBond DefeasedBondDefeasedAmtCapital ExpendituresCapitalExpendituresAmt
A$1,831,777$100,481,533$1,411,65820150Yes (1)Yes (1)Yes (1)
B$10,665,000$50,000,000$833,4952010000Yes (1)$9,000,000$49,166,505

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

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

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDate Rebate Computation PerformedFormAndLineReferenceDesc
ExplanationIssuer Name: Butler County Hospital Authority Date the Rebate Computation was Performed: 08/11/2015ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Per the By-Laws of the organization, the organization shall have one corporate member, Butler Health System, Inc. There shall be no other members.
Form 990, Part VI, Section A, line 7aButler Health System, Inc., the corporate member of the organization, appoints the members of the Board of Trustees.
Form 990, Part VI, Section A, line 7bAs per the By-Laws of the organization, the subject matters of the powers reserved to the Member are as follows: a. The number of Trustees that will comprise the Board. b. The election of Trustees. c. The removal of any Trustee for cause from the Corporation's Board of Trustees and approval of the replacement of any such removed Trustee for the unexpired portion of the term. d. The election, re-election, appointment and reappointment of all Officers of the Board. e. The amendment, revision, or restatement of the Corporation's Articles of Incorporation and/or By-Laws. f. The adoption or change in the mission, purpose, philosophy or objectives of the Corporation. g. The change in the general structure of the Corporation as a voluntary, nonprofit corporation. h. The dissolution, division, conversion or liquidation of the Corporation, the consolidation or merger of the Corporation with another corporation or entity, or the acquisition of substantially all of the assets of another corporation or entity, subject to the provision of the Articles of Incorporation. i. The Corporation's borrowing of money, issuance of indebtedness and/or incurrence of guarantees, whether in a single transaction or a series of related transactions, whether or not such borrowings or guarantees are to be secured by a mortgage, pledge or other lien on the Corporation's current or future real property, personal property or endowment funds. j. Approval of the annual capital and operating budgets of the Corporation and any amendments thereto. k. Approval of any charitable donation by the Corporation, other than to the Member or any nonprofit entity in which the Member is a sole member, in an amount exceeding $15,000 or in an amount exceeding $150,000 in the aggregate during any one fiscal year. l. Approval of any transfer other than charitable donations of the Corporation's assets unless specifically authorized in the Corporation's approved budgets. m. Approval of change of membership or voting rights of the Member.
Form 990, Part VI, Section B, line 11The completed 990 was reviewed by the Chief Financial Officer and an outside independent public accounting firm. Relevant sections were reviewed by the Vice President and General Counsel. Highlights of the Form 990 were 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 12cThe responses to the Conflict of Interest Disclosure form are collected and reviewed annually by General Counsel, who then reviews the same with the Audit and Compliance Committee of the Board of Trustees. Conflict of Interest Disclosure forms are completed by all Trustees, Officers, Committee Members as well as the Executive Team. In the event a relationship results in a potential conflict for an issue being discussed by the Board, the Trustee recuses himself/herself from the discussion and vote. The recusal is documented in the minutes. The Vice President and General Counsel attends all Board meetings and ensures that any needed recusals occur.
Form 990, Part VI, Section B, line 15The Board of Trustees recognizes the great challenges and difficulties that healthcare executives face, particularly in the current era of national and state healthcare reform. In addition, the Pittsburgh regional market is highly competitive and changing rapidly. The Board competes for and seeks executive talent on a national basis. It engages expert compensation consultants, utilizing national comparative data to guide the determination of competitive, appropriate levels of compensation. The total compensation program for executives consists of cash compensation and benefits. Factors taken into consideration in determining compensation for executives include: 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. Exception must be supported by organizational and /or individual performance, or a retention/recruitment circumstance that warrants such compensation. The Compensation Committee consists exclusively of independent individuals with no real or perceived conflicts of interest in recommending executive compensation guidelines and levels. While benefits are accounted for in Schedule J, actual "take home" pay to the executive typically consists only of base salary and 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% executive compensation. The Board of Trustees engages external compensation and legal expertise to assure reasonableness of executive compensation levels.
Form 990, Part VI, Section C, line 19Historical financial information is provided to the public at the annual public board meeting. Bylaws, Articles of Incorporation and the Conflict of Interest Policy are posted on the website.
Form 990, Part XI, line 9:Transfers (to) from affiliates -22,900,000. Accumulated liability for pension benefits -4,364,898. Decrease in interest in net assests of Butler Health System Foundation -53,307. Distribution to Butler Urgent Care Associates -129,226.
Part XII Line 2c explanationThe organization has not changed its process for reviewing the audited financials or the selection of an independent auditor during the year.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Butler Health System Provider Hospital OrganizationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Hospital WayAddressLine1Txt
CityButlerCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16001ZIPCd
FieldValueIRS element (for citing)
EIN474212217EIN
Primary ActivitiesProvider Hospital OrganizationPrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd
Total Income$234,120TotalIncomeAmt
End Of Year Assets$446,144EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Butler Healthcare ProvidersBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Butler Health System
One Hospital WayButlerPA16001251441855Healthcare Delivery SystemPA501(c)(3)Line 30
Butler Medical Providers
One Hospital WayButlerPA16001251441855Physician PracticesPA501(c)(3)Line 30Butler Health System
Butler Health System Foundation
One Hospital WayButlerPA16001261543883Fundraising on behalf of Butler Health SystemPA501(c)(3)Line 11a, I0Butler Health System
Nixsar Corporation
One Hospital WayButlerPA16001251441960Own and Operate real estatePA501(c)(3)Line 30Butler Health System
BHS Nallathambi Medical Associates
One Hospital WayButlerPA16001264746949Physician PracticePA501(c)(3)Line 30Butler Medical Providers
Butler Imaging and Interventional Associates
One Hospital WayButlerPA16001264263364Physician PracticePA501(c)(3)Line 30Butler Medical Providers
BHS Seneca Medical Center LLC
One Hospital WayButlerPA16001464444529Physician PracticePA501(c)(3)Line 30Butler Medical Providers
BHS Dermatology Associates LLC
One Hospital WayButlerPA16001800929620Physician PracticePA501(c)(3)Line 30Butler Medical Providers

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Butler Ambulatory Surgery Center
102 Technology DriveButlerPA16001061728190SurgeryPAN/A
BHS FasterCare
One Hospital WayButlerPA16001271961562Urgent CarePAButler Healthcare ProvidersRelated$19,080$1,362,2020Yes (1)0.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PCA of Butler PcBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1480 East Jefferson StreetAddressLine1Txt
CityButlerCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16001ZIPCd
FieldValueIRS element (for citing)
EIN251351445EIN
Primary ActivitiesPhysician Office PracticePrimaryActivitiesTxt
Legal Domicile StatePALegalDomicileStateCd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
BHS FasterCare
J$309,857
BHS FasterCare
Q$3,900,347