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        </AddressOfContractor>
        <DescriptionOfServices>Environmental/Dietar</DescriptionOfServices>
        <Compensation>2260935</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>MBM Contracting Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>4999 Old Clairton Road</AddressLine1>
            <City>Pittsburgh</City>
            <State>PA</State>
            <ZIPCode>15236</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Construction</DescriptionOfServices>
        <Compensation>2110173</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Quest Diagnostics</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>875 Greentree Road</AddressLine1>
            <City>Pittsburgh</City>
            <State>PA</State>
            <ZIPCode>152203610</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Laboratory Services</DescriptionOfServices>
        <Compensation>1616641</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Advanced Imaging Inc</BusinessNameLine1>
          </NameBusiness>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>4198 Washington Road</AddressLine1>
            <City>Mc Murray</City>
            <State>PA</State>
            <ZIPCode>15317</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Imaging Services</DescriptionOfServices>
        <Compensation>3564699</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>28</NumberOfContractorsGT100K>
      <FederatedCampaigns>6458</FederatedCampaigns>
      <RelatedOrganizations>1051664</RelatedOrganizations>
      <GovernmentGrants>1241743</GovernmentGrants>
      <AllOtherContributions>54450</AllOtherContributions>
      <TotalContributions>2354315</TotalContributions>
      <ProgramServiceRevenue>
        <Description>Net Patient Services</Description>
        <BusinessCode>621500</BusinessCode>
        <TotalRevenueColumn>204952852</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>201583122</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>3369730</UnrelatedBusinessRevenue>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>204952852</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>1804233</TotalRevenueColumn>
        <ExclusionAmount>1804233</ExclusionAmount>
      </InvestmentIncome>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromFundraisingEvents>
      <OtherRevenueMisc>
        <Description>Other Income</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>3854668</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>3684953</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>169715</UnrelatedBusinessRevenue>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Meaningful Use</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>2719928</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2719928</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>Dietary/Cafeteria Sales</Description>
        <BusinessCode>722210</BusinessCode>
        <TotalRevenueColumn>1419602</TotalRevenueColumn>
        <ExclusionAmount>1419602</ExclusionAmount>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>1568307</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>795463</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>772844</UnrelatedBusinessRevenue>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>9562505</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>218673905</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>208783466</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>4312289</UnrelatedBusinessRevenue>
        <ExclusionAmount>3223835</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>50000</Total>
        <ProgramServices>50000</ProgramServices>
      </GrantsToDomesticOrgs>
      <CompCurrentOfficersDirectors>
        <Total>3332896</Total>
        <ManagementAndGeneral>3332896</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
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        <ProgramServices>67204531</ProgramServices>
        <ManagementAndGeneral>7424318</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>9173631</Total>
        <ProgramServices>9173631</ProgramServices>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>9441917</Total>
        <ProgramServices>9441917</ProgramServices>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>5523672</Total>
        <ProgramServices>4854326</ProgramServices>
        <ManagementAndGeneral>669346</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>323134</Total>
        <ManagementAndGeneral>323134</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>120000</Total>
        <ManagementAndGeneral>120000</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>13748606</Total>
        <ProgramServices>10916194</ProgramServices>
        <ManagementAndGeneral>2832412</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>724044</Total>
        <ProgramServices>263930</ProgramServices>
        <ManagementAndGeneral>460114</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>49090448</Total>
        <ProgramServices>47929362</ProgramServices>
        <ManagementAndGeneral>1161086</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>1888596</Total>
        <ProgramServices>1888596</ProgramServices>
      </InformationTechnology>
      <Occupancy>
        <Total>4795198</Total>
        <ProgramServices>4314456</ProgramServices>
        <ManagementAndGeneral>480742</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>533164</Total>
        <ProgramServices>119379</ProgramServices>
        <ManagementAndGeneral>413785</ManagementAndGeneral>
      </Travel>
      <ConferencesMeetings>
        <Total>87083</Total>
        <ProgramServices>72522</ProgramServices>
        <ManagementAndGeneral>14561</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>5990380</Total>
        <ManagementAndGeneral>5990380</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>14031153</Total>
        <ManagementAndGeneral>14031153</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>1353997</Total>
        <ProgramServices>14994</ProgramServices>
        <ManagementAndGeneral>1339003</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Bad Debt</Description>
        <Total>8741047</Total>
        <ManagementAndGeneral>8741047</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Physician Fees</Description>
        <Total>5105409</Total>
        <ProgramServices>2668780</ProgramServices>
        <ManagementAndGeneral>2436629</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Miscellaneous</Description>
        <Total>4771157</Total>
        <ProgramServices>2953903</ProgramServices>
        <ManagementAndGeneral>1817254</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Recruitment</Description>
        <Total>368593</Total>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Organizational Dues</Description>
        <Total>349268</Total>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>227197</Total>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>214399439</Total>
        <ProgramServices>161866521</ProgramServices>
        <ManagementAndGeneral>51587860</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
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        <EOY>2875</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
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        <EOY>25275539</EOY>
      </SavingsAndTempCashInvestments>
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        <EOY>27674587</EOY>
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      <InventoriesForSaleOrUse>
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        <EOY>2946874</EOY>
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      <LandBldgEquipmentAccumDeprec>143566451</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
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        <EOY>78984616</EOY>
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      <InvestmentsProgramRelated>
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      <OtherAssetsTotal>
        <BOY>5909921</BOY>
        <EOY>5601525</EOY>
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      <TotalAssets>
        <BOY>323981857</BOY>
        <EOY>307666583</EOY>
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      <AccountsPayableAccruedExpenses>
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      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
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        <EOY>135309188</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>29045549</BOY>
        <EOY>19026836</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>196627380</BOY>
        <EOY>174484811</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>125887342</BOY>
        <EOY>131773372</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>1467135</BOY>
        <EOY>1408400</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>127354477</BOY>
        <EOY>133181772</EOY>
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      <TotalLiabNetAssetsFundBalances>
        <BOY>323981857</BOY>
        <EOY>307666583</EOY>
      </TotalLiabNetAssetsFundBalances>
      <ReconcilationRevenueExpenses>4274466</ReconcilationRevenueExpenses>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
      <FederalGrantAuditPerformed>false</FederalGrantAuditPerformed>
    </IRS990>
    <IRS990ScheduleA documentId="1">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="2">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="9">
      <DisclosedOrgsLegalControl>false</DisclosedOrgsLegalControl>
      <DisclosedForCharitablePurposes>false</DisclosedForCharitablePurposes>
      <WrittenPolicyMonitoring>false</WrittenPolicyMonitoring>
      <Sect170hRequirementsSatisfied>false</Sect170hRequirementsSatisfied>
      <SolicitedAssetsForSale>false</SolicitedAssetsForSale>
      <AgentTrusteeEtc>false</AgentTrusteeEtc>
      <IncludedOnFS>false</IncludedOnFS>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>false</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>2577581</OtherCostOrOtherBasis>
        <BookValue>2577581</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>84599665</OtherCostOrOtherBasis>
        <Depreciation>26622465</Depreciation>
        <BookValue>57977200</BookValue>
      </Buildings>
      <LeaseholdImprovements>
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        <Depreciation>2058384</Depreciation>
        <BookValue>4170778</BookValue>
      </LeaseholdImprovements>
      <Equipment>
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        <BookValue>87959390</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>9539502</OtherCostOrOtherBasis>
        <Depreciation>3421657</Depreciation>
        <BookValue>6117845</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>158802794</TotalOfBookValueLandBuildings>
      <InvestmentsProgramRelated>
        <Description>Benbrook Medical Holdings</Description>
        <BookValue>124154</BookValue>
      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>Chart Insurance Captive</Description>
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      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>Benbrook II</Description>
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      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>Butler Physicians Realty</Description>
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      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>Vie Care Butler</Description>
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      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>South Butler Medical</Description>
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      </InvestmentsProgramRelated>
      <InvestmentsProgramRelated>
        <Description>Medcare - DME</Description>
        <BookValue>844099</BookValue>
      </InvestmentsProgramRelated>
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      <OtherAssets>
        <Description>Splt $ Life Insurance</Description>
        <BookValue>1292171</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Delta Development Grp Fees</Description>
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      </OtherAssets>
      <OtherAssets>
        <Description>VHA of PA</Description>
        <BookValue>200000</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Debt Issuance Costs</Description>
        <BookValue>2411139</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Net Assets of Butler Health System Foundation</Description>
        <BookValue>1398271</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>5601525</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Pension liability</Description>
        <Amount>14125384</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Third party settlements</Description>
        <Amount>4901452</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>19026836</TotalOfAmounts>
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      <TotalExpenses>214399439</TotalExpenses>
      <ExcessOrDeficitForYear>4274466</ExcessOrDeficitForYear>
      <ExcessOrDeficitPerFS>4274466</ExcessOrDeficitPerFS>
      <Form990ScheduleDPartXIV>
        <Explanation>Part X (2) Fin 48 Footnote: The system accounts for uncertainty in income taxes using a recognition threshold of more-likely-than not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold is met. Management determined there were no tax uncertainties that met the recognition threshold in 2011 and 2010. The system's policy is to recognize interest related to unrecognition tax benefits in interest expense and penalties in operating expenses. The system's federal income tax and informational returns for 2009, 2008, and 2007 (fiscal years ended June 30, 2010, 2009, and 2008) remain subject to examination by the Internal Revenue Service.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="3">
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      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
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      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent300>X</Pcent300>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <UnableToProvideCare>false</UnableToProvideCare>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
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        <PercentOfTotalExpense>0.01240</PercentOfTotalExpense>
      </CharityCareAtCost>
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        <NetCommunityBenefitExpense>8935514</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04190</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <UnreimbursedCosts>
        <TotalCommunityBenefitExpense>213025</TotalCommunityBenefitExpense>
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        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </UnreimbursedCosts>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>29536299</TotalCommunityBenefitExpense>
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        <PercentOfTotalExpense>0.05450</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
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        <PercentOfTotalExpense>0.00130</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
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      </HealthProfessionsEducation>
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      </CashAndInKindContributions>
      <TotalOtherBenefits>
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        <PercentOfTotalExpense>0.03340</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
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        <PercentOfTotalExpense>0.08790</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <BadDebtExpenseReported>true</BadDebtExpenseReported>
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      <AmountAttributableTo>1222212</AmountAttributableTo>
      <AmountReimbursedByMedicare>39361533</AmountReimbursedByMedicare>
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      <MedicareSurplusOrShortfall>-3171767</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostAccountingSystem>X</CostAccountingSystem>
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      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
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      <Form990ScheduleHPartVSectionA>
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        <Name>
          <BusinessNameLine1>Butler Healthcare Providers</BusinessNameLine1>
          <BusinessNameLine2>DBA Butler Memorial Hospital</BusinessNameLine2>
        </Name>
        <Address>
          <AddressLine1>One Hospital Way</AddressLine1>
          <City>Butler</City>
          <State>PA</State>
          <ZIPCode>16001</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="4">
      <RecordsMaintained>false</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Community Health Clinic of Butler County</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>103 Bonnie Drive</AddressLine1>
          <City>Butler</City>
          <State>PA</State>
          <ZIPCode>16002</ZIPCode>
        </AddressUS>
        <EINOfRecipient>204852135</EINOfRecipient>
        <IRCSection>501 (c) (3)</IRCSection>
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        <DescriptionOfNonCashAssistance>General support to provide medical care for indigent patients</DescriptionOfNonCashAssistance>
      </RecipientTable>
    </IRS990ScheduleI>
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      <SubstantiationRequired>false</SubstantiationRequired>
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      <IndependentConsultant>X</IndependentConsultant>
      <Form990OfOtherOrganizations>X</Form990OfOtherOrganizations>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <RebuttablePresumptionProcedure>false</RebuttablePresumptionProcedure>
      <Form990ScheduleJPartII>
        <NamePerson>Kenneth P DeFurio</NamePerson>
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        <OtherCompensationFilingOrg>95253</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>141782</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>38918</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>892947</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Anne B Krebs</NamePerson>
        <BaseCompensationFilingOrg>244380</BaseCompensationFilingOrg>
        <BonusFilingOrg>48219</BonusFilingOrg>
        <OtherCompensationFilingOrg>31542</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>43397</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>26924</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>394462</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Maureen A Gray</NamePerson>
        <BaseCompensationFilingOrg>184061</BaseCompensationFilingOrg>
        <BonusFilingOrg>36887</BonusFilingOrg>
        <OtherCompensationFilingOrg>20189</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>27646</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>20983</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>289766</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Stephanie Roskovski</NamePerson>
        <BaseCompensationFilingOrg>152851</BaseCompensationFilingOrg>
        <BonusFilingOrg>29370</BonusFilingOrg>
        <OtherCompensationFilingOrg>23839</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>17622</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>15494</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>239176</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>A Thomas McGill MD</NamePerson>
        <BaseCompensationFilingOrg>267380</BaseCompensationFilingOrg>
        <BonusFilingOrg>53098</BonusFilingOrg>
        <OtherCompensationFilingOrg>57799</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>45070</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>27169</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>450516</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Michael Busch</NamePerson>
        <BaseCompensationFilingOrg>219168</BaseCompensationFilingOrg>
        <BonusFilingOrg>40602</BonusFilingOrg>
        <OtherCompensationFilingOrg>83181</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>16586</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>36031</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>395568</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>John C Reefer MD</NamePerson>
        <BaseCompensationFilingOrg>260343</BaseCompensationFilingOrg>
        <BonusFilingOrg>53129</BonusFilingOrg>
        <OtherCompensationFilingOrg>30383</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>46915</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>36475</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>427245</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Richard L Allen</NamePerson>
        <BaseCompensationFilingOrg>180320</BaseCompensationFilingOrg>
        <BonusFilingOrg>38601</BonusFilingOrg>
        <OtherCompensationFilingOrg>57007</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>19950</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>34347</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>330225</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Paula L Hooper</NamePerson>
        <BaseCompensationFilingOrg>197163</BaseCompensationFilingOrg>
        <BonusFilingOrg>39932</BonusFilingOrg>
        <OtherCompensationFilingOrg>39422</OtherCompensationFilingOrg>
        <DeferredCompFilingOrg>20702</DeferredCompFilingOrg>
        <NontaxableBenefitsFilingOrg>34349</NontaxableBenefitsFilingOrg>
        <TotalCompensationFilingOrg>331568</TotalCompensationFilingOrg>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Explanation>Part I Line 4 (a) Michael D Busch, former VP of Strategic Planning, received severence payments of $31,232. Richard L Allen, former VP of Strategic Facilities, received severence payments of $25,981. 4 (b) The following individuals received payment noted below as part of a Senior Executive Benefit Plan for a tax-deferred Capital Accumulation Account. The amounts represent the amount paid out after a two year vesting period. The program was discontinued January, 2009. However, in some cases payments have been deferred into future years. DeFurio 67,355 ; Krebs 16,719; Gray 8,407; Roskovski 14,901 McGill 38,666; Allen 139; Reefer 13,629; Busch 2,266 4 (b) As part of the Senior Executive Benefit Plan, the organization contributes to a SERP plan. The SERP plan is a benefit used to retain executives. Executives do not receive any payment from the plan until they reach a vesting milestone at 5 years, 10 years and then finally at 65 years of age. Benefits paid to participant are taxable. The organization contributed the following amounts to the SERP plan for the following individuals: DeFurio 126,816; Krebs 28,932; Gray 22,132; Roskovski 17,622 McGill 31,859; Busch 14,210; Hooper 13,976; Allen 13,510 Reefer 31,277 4 (b) The Senior Executive Benefit Plan permits participation in a 457 (b) plan. The following individuals had the wages listed below deferred to the plan in calendar 2010: DeFurio 14,966; Krebs 14,466; Gray 5,514; McGill 13,211 Busch 2,376; Hooper 6,726; Allen 6,440; Reefer 15,638 7 Officers and employees are eligible for and received bonus compensation. Bonuses are not guaranteed and are awarded based on Board approved metrics which include quality, services and financial performances. Butler Health System Executive Compensation Philosophy and Process The Board of Trustees recognizes the great challenges and difficulties that healthcare executives face, particularly in the current era of national and state healthcare reform. In addition, the Pittsburgh regional market is highly competative 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 competative, 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 in similar positions, and performance and effectiveness in similar positions. 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 made 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 non-interested 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 executives consists only of base salary and any incentive award earned. 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 compensarion levels.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="5">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Butler County Hospital Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>251458912</IssuerEIN>
        <CUSIPNumber>1235926QB</CUSIPNumber>
        <DateIssued>2009-04-29</DateIssued>
        <IssuePrice>50000000</IssuePrice>
        <DescriptionOfPurpose>Construction of addition to Hosp</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>true</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Butler County Hospital Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>251458912</IssuerEIN>
        <CUSIPNumber>123592CPO</CUSIPNumber>
        <DateIssued>2009-04-29</DateIssued>
        <IssuePrice>74728451</IssuePrice>
        <DescriptionOfPurpose>Consturtion of addition to Hosp</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>true</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>Butler County Hospital Authority</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>251458912</IssuerEIN>
        <DateIssued>2010-06-29</DateIssued>
        <IssuePrice>12165000</IssuePrice>
        <DescriptionOfPurpose>Constrution of addition to Hosp</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>true</OnBehalfOfIssuer>
        <PoolFinancing>false</PoolFinancing>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>50000000</TotalProceeds>
        <IssuanceCostsFromProceeds>833495</IssuanceCostsFromProceeds>
        <CapitalExpenditures>49166505</CapitalExpenditures>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>74728451</TotalProceeds>
        <AmountInReserveFund>6853385</AmountInReserveFund>
        <IssuanceCostsFromProceeds>1419179</IssuanceCostsFromProceeds>
        <CapitalExpenditures>66455887</CapitalExpenditures>
        <YearOfSubstCompletion>2010</YearOfSubstCompletion>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartII>
        <TotalProceeds>12165000</TotalProceeds>
        <IssuanceCostsFromProceeds>217226</IssuanceCostsFromProceeds>
        <CurrentRefunding>false</CurrentRefunding>
        <AdvanceRefunding>true</AdvanceRefunding>
        <FinalAllocationMade>true</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>false</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>false</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>false</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>false</BondCounselRoutinelyEngaged>
        <PostIssuanceComplianceProcdrs>false</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <RegulatorySafeHarborSatisfied>false</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <RegulatorySafeHarborSatisfied>false</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>false</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <SuperintegratedHedge>false</SuperintegratedHedge>
        <HedgeTerminated>false</HedgeTerminated>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <RegulatorySafeHarborSatisfied>false</RegulatorySafeHarborSatisfied>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="6">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Kelly Agnew</BusinessNameLine1>
            <BusinessNameLine2>Thomas Muzzonigro</BusinessNameLine2>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Trustee of Org; Dir, Officer, Owner</Relationship>
        <AmountOfTransaction>279203</AmountOfTransaction>
        <DescriptionOfTransaction>Refer to Part V</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Anne B Krebs</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Employed as CFO &amp; Officer of Org; Uncompensated as member of Board of Directors of YMCA</Relationship>
        <AmountOfTransaction>198090</AmountOfTransaction>
        <DescriptionOfTransaction>Org leases from YMCA</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>Richard F Latuska</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>Trustee of Org; Part Owner in Benbrook</Relationship>
        <AmountOfTransaction>290428</AmountOfTransaction>
        <DescriptionOfTransaction>Org Leases from Benbrook</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Explanation>Payments included on the schedule were made to Tri Rivers Surgical Associates (the Group) for physician recruitment support as well as consulting services. Consulting services totaled $18,299. The remaining $260,904 resulted from physician support agreements to assist with the recruitment of two specialized orthopedic surgeons in order to meet the community's need for these services. The Group is obligated to provide the services to the community for a specified period and if not so provided, the Group is required to repay the support provided by the hospital (prorated), plus interest.</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="7">
      <GeneralExplanation>
        <Explanation>Part VI (2) Dr Thomas Muzzonigro served for one year as an ex-officio trustee due to his position as President of the Medical Staff of Butler Memorial Hospital. Dr Kelly Agnew is a trustee on this corporation's Board as well. Both of these physicians are directors, officers and greater than 10% owners in a private medical group, as well as that group's affiliated entities. 11 (a) The Finance Committee of the Board conducts a detailed review of the 990 filing, which is then presented to the full board for final review and approval. 12 (c) The responses to the conflict of interest disclosure forms 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. This recusal is documented in the minutes. The Vice President and General Counsel attends all board meetings and ensures that any needed recusals occur. 15. Butler Health System Executive Compensation Philosophy and Process The Board of Trustees recognizes the great challenges and difficulties that healthcare executives face, particularly in the current era of national and state healthcare reform. In addition, the Pittsburgh regional market is highly competative 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 competative, 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 in similar positions, and performance and effectiveness in similar positions. 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 made 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 non-interested individuals with no real or perceived conflicts of interest in recommending executive compensation guidelines and levels. While benefits are accounted for in Schedule J, the actual take home pay to executives consists only of base salary and any incentive award earned. Annual increases in base pay, if any, are based on competative 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 executive compensation. The Board of Trustees engages external compensation and legal expertise to assure reasonableness of executive compensation levels. 19 Historically financial information is provided to the public at the annual public board meeting . Bylaws, Ariticles of Incorporation and the Conflict of Interest Policy are posted on the website. Part VII Section A Column B: Hours for related organization 1. DeFurio: Hospital 40; Butler Medical Providers 15; BHS Foundation 2; Butler Health System 2; Nixsar Corp 1 2. Krebs: Hospital 40 ; Butler Medical Providers 7 ; BHS Foundation 1 Butler Health System 1 ; Nixsar Corp 1 3. Roskovski: Hospital 45 ;Butler Medical Providers 5 4. McGill: Hospital 40; Butler Medical Providers 15 5. Busch: Hospital 20; Butler Medical Providers 25; Butler Health System 5 6. Reefer: Hospital 40; Butler Medical Providers 15 7. Hooper: Hospital 30; Butler Medical Providers 15 ; BHS Foundation 2: Butler Health System 5 ; Nixsar 1 8. Allen: Hospital 45; Butler Medical Providers 5 Schedule I Part II Grants and Other Assistance The organization's bylaws control the contributions that can be made and the process relating to such.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="8">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Butler Health System</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>One Hospital Way</AddressLine1>
          <City>Butler</City>
          <State>PA</State>
          <ZIPCode>16001</ZIPCode>
        </AddressUS>
        <EIN>251441855</EIN>
        <PrimaryActivities>Healthcare delivery system</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501 (c) (3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Butler Medical Providers</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>One Hospital Way</AddressLine1>
          <City>Butler</City>
          <State>PA</State>
          <ZIPCode>16001</ZIPCode>
        </AddressUS>
        <EIN>251441855</EIN>
        <PrimaryActivities>Physician practices</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501 (c) (3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Butler Health System Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>One Hospital Way</AddressLine1>
          <City>Butler</City>
          <State>PA</State>
          <ZIPCode>16001</ZIPCode>
        </AddressUS>
        <EIN>261543883</EIN>
        <PrimaryActivities>Fundraising on behalf of Butler Health Sys</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501 (c) (3)</ExemptCodeSection>
        <PublicCharityStatus>11-Type 1</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Nixsar Corporation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>One Hospital Way</AddressLine1>
          <City>Butler</City>
          <State>PA</State>
          <ZIPCode>16001</ZIPCode>
        </AddressUS>
        <EIN>251441960</EIN>
        <PrimaryActivities>Own &amp; operate real estate assets on behalf of Butler Health</PrimaryActivities>
        <LegalDomicileState>PA</LegalDomicileState>
        <ExemptCodeSection>501 (c) (3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>false</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Butler Ambulatory Surgery Center LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>102 Technology Drive</AddressLine1>
          <City>Butler</City>
          <State>PA</State>
          <ZIPCode>16001</ZIPCode>
        </AddressUS>
        <EIN>061728190</EIN>
        <PrimaryActivity>Surgery</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>not applicable</PredominantIncomeType>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>BHS FastER Care</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>One Hospital Way</AddressLine1>
          <City>Butler</City>
          <State>PA</State>
          <ZIPCode>16001</ZIPCode>
        </AddressUS>
        <EIN>271961562</EIN>
        <PrimaryActivity>Urgent Care</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>related</PredominantIncomeType>
        <ShareOfTotalIncome>139889</ShareOfTotalIncome>
        <ShareOfEOYAssets>76415</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>true</GeneralOrManagingPartner>
        <PercentageOwnership>0.51000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PCA of Butler PC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>480 East Jefferson St</AddressLine1>
          <City>Butler</City>
          <State>PA</State>
          <ZIPCode>16001</ZIPCode>
        </AddressUS>
        <EIN>251351445</EIN>
        <PrimaryActivity>Physician Office Practice</PrimaryActivity>
        <LegalDomicileState>PA</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C Corp</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>true</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
    </IRS990ScheduleR>
  </ReturnData>
</Return>