2026-05-15T19:46:06-05:00 2025-06-30 390859910 BAKER TILLY ADVISORY GROUP LP 20 STANWIX STREET PITTSBURGH PA 15222 990 2024-07-01 251010039 CLARION HOSPITAL CLAR 8142269500 ONE HOSPITAL DRIVE CLARION PA 16214 THOMAS S ALBANESI JR CPA FHFMA CFO 8142269500 2026-04-29 1 1 KELLY A BROCIOUS P01254262 4126976400 2026-04-29 2024 2025-03-06 01:10:19Z KENNETH P DEFURIO ONE HOSPITAL DRIVE CLARION PA 16214 69652207 0 X WWW.INDEPENDENCE.HEALTH X 1951 PA CLARION HOSPITAL, AN AFFILIATE OF INDEPENDENCE HEALTH SYSTEM, WILL BE RECOGNIZED AS THE PREMIER PROVIDER OF HIGH QUALITY, VALUE-DRIVEN AFFORDABLE INTEGRATED CARE IN THE REGION. WE WILL ACHIEVE THIS THROUGH UNWAVERING COMMITMENT TO INDIVIDUAL AND ORGANIZATIONAL EXCELLENCE AND TECHNOLOGICAL INNOVATION. 10 8 412 8 0 0 185156 3659765 56469504 64858423 546559 469801 640481 616383 57841700 69604372 0 0 0 0 20232208 22758616 0 0 0 35486507 37376570 55718715 60135186 2122985 9469186 76216427 57482035 44161748 17441171 32054679 40040864 X CLARION HOSPITAL, AN AFFILIATE OF INDEPENDENCE HEALTH SYSTEM, EXISTS TO PROVIDE A TRUSTED DELIVERY OF CARE WHICH MAKES A POSITIVE IMPACT ON THE LIVES OF EVERY INDIVIDUAL WE TOUCH. 0 0 46080404 65138401 CLARION HOSPITAL PROVIDED SERVICES TO 100,000 OUTPATIENTS AS WELL AS NEARLY 14,000 EMERGENCY ROOM VISITS. SERVICES INCLUDE, BUT ARE NOT LIMITED TO, RADIOLOGY SERVICES WHICH INCLUDE MRI, ULTRASOUND, CT, NUCLEAR MEDICINE AND X-RAY SERVICES, LABORATORY SERVICES, EKG AND PHYSICAL THERAPY SERVICES. CLARION HOSPITAL ALSO OFFERS SAME-DAY SURGERY, GENETIC COUNSELING, DRUG AND ALCOHOL TESTING, AND OUTPATIENT PHYSICAL THERAPY AND REHABILITATION SERVICES. CLARION HOSPITAL PROVIDED SERVICES TO 1,300 INPATIENTS FOR MEDICAL AND SURGICAL SERVICES AS WELL AS INTENSIVE CARE SERVICES. CLARION HOSPITAL PROVIDED EDUCATION AND SCREENING OPPORTUNITIES FOR THE COMMUNITY. SUPPORT GROUPS AND CLASSES ARE AVAILABLE FOR PEOPLE WITH DIABETES. THE ORGANIZATION ALSO OFFERS CPR AND EMT TRAINING COURSES AS WELL AS ON-LINE NUTRITION AND HEALTHY LIFESTYLE COURSES. CLARION HOSPITAL PROVIDED EDUCATION AND SCREENING OPPORTUNITIES FOR THE COMMUNITY. SUPPORT GROUPS AND CLASSES ARE AVAILABLE FOR NEW MOTHERS/BABIES AND PEOPLE WITH DIABETES. 46080404 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 109 0 412 1 0 0 0 0 0 0 0 0 0 0 X 10 8 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X THOMAS S ALBANESI JR CPA FHFMA 7248324561 ONE HOSPITAL WAY BUTLER PA 16001 KENNETH P DEFURIO PRESIDENT & CEO 10.00 50.00 X X 0 3614613 23311 PAUL BACHARACH CHAIRMAN 1.00 5.00 X X 0 0 0 TIMOTHY MORGUS VICE CHAIR 1.00 5.00 X X 0 0 0 PATRICK HAMPSON SECRETARY (UNTIL 12/17/24) 1.00 5.00 X X 0 0 0 JEFFREY CURRY TREASURER 1.00 5.00 X X 0 0 0 JOHN REEFER MD TRUSTEE 1.00 5.00 X 0 0 0 JAMES ADISEY MD TRUSTEE/PHYSICIAN 1.00 52.00 X 0 765506 32146 ANIE PERARD MD TRUSTEE(UNTIL 12/31/24)/PHYSICIAN 1.00 52.00 X 0 341249 15460 TERESA PETRICK TRUSTEE 1.00 5.00 X 0 0 0 LARRY RICHERT SECRETARY 1.00 5.00 X X 0 0 0 JOHN SPHON TRUSTEE 1.00 5.00 X 0 0 0 DEBRA THOMPSON PHD RN TRUSTEE 1.00 5.00 X 0 0 0 KAREN ALLEN PRESIDENT CLARION/BUTLER HOSPITAL 20.00 40.00 X 0 548866 25189 THOMAS S ALBANESI JR CPA CHIEF FINANCIAL OFFICER 10.00 50.00 X 0 663850 37722 DAVID ROTTINGHAUS PHYSICIAN & PROVIDER NETWORK PRESIDENT 10.00 50.00 X 0 713182 25189 MICHAEL FIORINA DO CHIEF MEDICAL OFFICER 10.00 50.00 X 0 429625 25326 THOMAS GENEVRO CHIEF HUMAN RESOURCES OFFICER 10.00 50.00 X 0 470820 15295 ROGER LUTZ CHIEF INFORMATION OFFICER 10.00 50.00 X 0 412850 25503 WILLIAM MADDEN CHIEF OPERATING OFFICER 10.00 50.00 X 0 429561 7388 PAMELA HEPP ESQ GENERAL COUNSEL 10.00 50.00 X 0 534359 7053 MATT SCHNUR PRESIDENT, BUTLER MEMORIAL & CLARION HOSPITALS 20.00 40.00 X 0 210124 10102 CAROL J FOX MD CHIEF MEDICAL OFFICER 10.00 50.00 X 0 675147 23135 MARY ELLEN SICHAK CRNA 40.00 X 240151 0 16794 THOMAS MORGO CRNA 40.00 X 159085 0 15189 LESLIE WALTERS CHIEF NURSING OFFICER 40.00 X 174487 0 23730 CHRISTIE CONRAD PHARMACIST 40.00 X 151792 0 23872 NICOLE DEHNER PHARMACY MANAGER 40.00 X 147322 0 26493 ERIC HUSS FORMER CHIEF FINANCIAL OFFICER 0.00 0.00 X 0 100800 0 872837 9910552 378897 14 1 1 0 CLARION REHABILITATION SERVICES 18 SPORTSMAN DRIVE LOXAHATCHEE FL 33470 REHABILITATION SERVICES 2749636 AMERGIS HEALTHCARE STAFFING INC 12558 COLLECTIONS CENTER DRIVE CHICAGO IL 60693 AGENCY STAFFING 1331572 METZ CULINARY MANAGEMENT 2 WOODLAND DR DALLAS PA 18612 FOOD SERVICES 282963 QUEST DIAGNOSTICS 14225 NEWBROOK DRIVE CHANTILLY VA 20151 LAB SERVICES 222631 DJD ANESTHESIA ASSOCIATES 216 SYCAMORE DRIVE SHIPPENVILLE PA 16254 ANETHESIA SERVICES 220042 23 3551195 108570 3659765 PATIENT CARE SERVICE REVENUE 621400 64579912 64579912 OTHER OPERATING REVENUE 621400 278511 278511 64858423 356686 356686 384240 47835 336405 336405 336405 113115 0 113115 113115 113115 CAFETERIA 900099 279978 279978 279978 69604372 65138401 0 806206 X 17573861 12828919 4744942 420000 306600 113400 3503499 2557554 945945 1261256 920717 340539 87627 87627 25300 25300 14049140 10360952 3688188 213710 156008 57702 377487 275566 101921 106317 77611 28706 1392956 1016858 376098 224500 163885 60615 8997 6568 2429 119 87 32 1914831 1397827 517004 989779 722539 267240 MEDICAL AND OTHER SUPPL 10496039 10496039 G&A COST ALLOCATION 2312045 2312045 BAD DEBT EXPENSE 2075872 2075872 MA MODERNIZATION ASSESS 1327249 1327249 1774602 1389553 385049 60135186 46080404 14054782 0 1275 1275 10433769 7464889 5371889 5815203 785988 912140 629444 327690 80504465 63041747 16484634 17462718 5666924 7295674 2578810 2578811 1591764 1632872 32671930 13990763 76216427 57482035 13901739 11293309 19482 30240527 6147862 44161748 17441171 X 30253213 38198290 1801466 1842574 32054679 40040864 76216427 57482035 X 9469186 126839 -1609840 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2403998 2403998 30962959 24556421 6406538 685164 639245 45919 41527232 35962654 5564578 4925112 1883427 3041685 17462718 DUE FROM AFFILIATES 5102244 DUE FROM THIRD PARTY 8724421 ROU OPERATING LEASES 164098 13990763 REFUNDABLE ADVANCES 6024962 OPERATING LEASE LIABILITY 122900 6147862 X PART X, LINE 2: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. 1 1 X 1 X 1 X 0 1 1 0 0 1409661 1409661 0.02430 5565349 3047175 2518174 0.04340 7269 18647 0 0.00000 6982279 3065822 3927835 0.06770 74946 33630 41316 0.00070 2268916 1021272 1247644 0.02150 2343862 1054902 1288960 0.02220 9326141 4120724 5216795 0.08990 2075872 9244697 9231755 12942 X 1 1 1 1 CLARION HOSPITAL ONE HOSPITAL DRIVE CLARION PA 16214 INDEPENDENCE.HEALTH/LOCATIONS/CLARION- X X X X CLARION HOSPITAL 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X INDEPENDENCE.HEALTH/ABOUT-US/COMMUNITY-WELLNESS 1 24 1 INDEPENDENCE.HEALTH/ABOUT-US/COMMUNITY-WELLNESS 0 1 X 200.000000000000 300.000000000000 1 1 X X X 1 X INDEPENDENCE.HEALTH/PATIENTS-VISITORS/FINANCIAL-SERVICES X INDEPENDENCE.HEALTH/PATIENTS-VISITORS/FINANCIAL-SERVICES X INDEPENDENCE.HEALTH/PATIENTS-VISITORS/FINANCIAL-SERVICES X X X X X 1 X 0 X X X X 1 X 0 0 CLARION HOSPITAL PART V, SECTION B, LINE 5: ASSESSMENT COMMITTEE MEMBERSHIP KATHY SELVAGGI, MS, MD, FAAHPM; BRIDGET THORNTON MS; LESLIE WALTERS DNP, CRNP, FNP-BC; EMILY BONK: JUAN DE SANTIAGO MHA, MBA; DAVID MCDEAVITT PHD, SUPERINTENDENT OF ALLEGHENY-CLARION SCHOOL DISTRICT METHODS THE ASSESSMENT COMMITTEE GATHERED INPUT FROM INDIVIDUALS AND ORGANIZATIONS THAT REPRESENT THE BROAD INTERESTS OF THE CLARION REGION; THIS WAS COMPLETED THROUGH A RANGE OF METHODS. -MULTIPLE MEETINGS WERE HELD WITH THE INDEPENDENCE HEALTH SYSTEM-CLARION HOSPITAL COMMUNITY ASSESSMENT TEAM TO IDENTIFY THE TOP HEALTH PRIORITIES WITHIN THE PRIMARY SERVICE AREA OF CLARION COUNTY. -INDEPENDENCE HEALTH SYSTEM- CLARION HOSPITAL COLLECTED HEALTH DATA FROM COUNTY HEALTH RANKINGS, CENTERS FOR DISEASE CONTROL AND PREVENTION, WORLD LIFE EXPECTANCY, PAYS (PENNSYLVANIA YOUTH SURVEY), AND US CENSUS. -208 COMMUNITY MEMBERS AND 16 STAKEHOLDERS COMPLETED ELECTRONIC AND PAPER SURVEYS TO PROVIDE ADDITIONAL DATA TO SURVEY THE HEALTH OF THE PEOPLE IN THE CLARION COUNTY REGION. -FOCUS GROUPS MET AND DISCUSSED THE DATA COLLECTED FROM ALL THE SOURCES ABOVE. THE MAIN THEMES THAT AROSE THROUGHOUT THE DISCUSSION WERE MENTAL/BEHAVIORAL HEALTH, FOOD INSECURITY, AND ACCESS TO CARE, TRANSPORTATION, SUBSTANCE ABUSE, DIABETES, OBESITY, AND CHILDCARE. CLARION HOSPITAL PART V, SECTION B, LINE 11: 2024 IMPLEMENTATION GOALS HEALTH & SUBSTANCE ABUSE -SEEK, SUPPORT, AND ESTABLISH COMMUNITY PARTNERSHIPS THAT ENHANCE AND EXPAND BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES. FOOD INSECURITY -PROVIDE EDUCATION AND ACCESS TO COMMUNITY RESOURCES THAT PROMOTE WELL-BALANCED NUTRITION AND HEALTHY EATING HABITS. HEALTHY LIFESTYLES -SUPPORT AND ENHANCE PHYSICAL ACTIVITY AND NUTRITION PROGRAMS TO BETTER MANAGE CHRONIC DISEASE WITHIN OUR COMMUNITIES.AS WITH MOST HEATH CARE FACILITIES, CLARION HOSPITAL HAS LIMITED FINANCIAL RESOURCES TO ADDRESS ALL ISSUES. PART I, LINE 7: THE COSTING METHODOLOGY IS BASED ON THE RATIO OF COST TO CHARGES FROM THE 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 $2,075,872. PART III, LINE 4: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE MODIFICATIONS TO THE PROVISION FOR BAD DEBTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS. PART III, LINE 9B: THE NEED FOR CHARITY CARE IS ADDRESSED AS SOON AS A PATIENT INDICATES A FINANCIAL HARDSHIP. GENERALLY, THIS OCCURS AT THE TIME OF SERVICE OR UPON THE INITIAL BILLING. A PATIENT WILL HAVE 90 DAYS FROM THE DATE OF FIRST STATEMENT TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE POLICY. ACCOUNTS CURRENTLY IN COLLECTION WILL NOT BE APPROVED UNDER THE CHARITY CARE PROGRAM. PART VI, LINE 2: CLARION HOSPITAL IS GOVERNED BY A BOARD OF VOLUNTEER DIRECTORS WHO REPRESENT THE COMMUNITY WE SERVE. THROUGH THEIR INPUT AND OCCASIONAL COMMUNITY SURVEYS, CLARION HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF ITS SERVICE AREA. EVERY THREE YEARS, THE CLARION HOSPITAL CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT IN COMPLIANCE WITH THE IRS REGULATIONS FOR NOT-FOR-PROFIT HOSPITALS. PART VI, LINE 3: MEDICAID APPLICATIONS ARE GIVEN TO SELF PAY PATIENTS IN EMERGENCY ROOM AND INPATIENT. THE HOSPITAL FINANCIAL POLICY AND BUSINESS OFFICE CONTACT INFORMATION ARE AVAILABLE AT REGISTRATION DESKS. FREE CARE GUIDELINES ARE PRINTED ON REVERSE SIDE OF PATIENT STATEMENTS. PART VI, LINE 4: CLARION HOSPITAL SERVES CLARION COUNTY AND PARTS OF THE SURROUNDING COUNTIES, INCLUDING VENANGO, FOREST, JEFFERSON, AND ARMSTRONG. OUR SERVICE AREA IS IN A RURAL PART OF WESTERN PENNSYLVANIA, WITH MANY LIVING BELOW OR WELL BELOW THE NATIONAL AND STATE INCOME AVERAGE. ACCORDING TO US CENSUS BUREAU DATA, AT JULY 1, 2022 CLARION COUNTY HAD AN ESTIMATED POPULATION OF 37,346 WITH AN AVERAGE AGE OF 41.5 AND A MEDIAN HOUSEHOLD INCOME OF $53,096. ADDITIONAL GEOGRAPHIC AND DEMOGRAPHIC INFORMATION CAN BE OBTAINED FROM THE MOST RECENTLY COMPLETED CLARION HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT WHICH IS POSTED ON THE HOSPITAL'S WEBSITE. PART VI, LINE 5: CLARION HOSPITAL, AN AFFILIATE OF INDEPENDENCE HEALTH SYSTEM, EXISTS TO PROVIDE A TRUSTED DELIVERY OF CARE WHICH MAKES A POSITIVE IMPACT ON THE LIVES OF EVERY INDIVIDUAL WE TOUCH. EVERY LIFE MEANS THAT INDEPENDENCE HEALTH SYSTEM DOES NOT DISCRIMINATE FOR RACE, RELIGION, GENDER, COLOR, OR CREED AND ACCEPTS ALL PATIENTS FOR ANY SERVICES, REGARDLESS OF THE ABILITY TO PAY FOR THOSE SERVICES. INDEPENDENCE HEALTH SYSTEM STRIVES TO PROVIDE ITS COMMUNITIES WITH STATE OF THE ART EQUIPMENT AND FACILITIES. THIS CAN ONLY BE ACCOMPLISHED BY INVESTING ANY EXCESS IN REVENUES OVER EXPENSES INDEPENDENCE HEALTH SYSTEM MAY HAVE IN SECURE INVESTMENTS TO PROVIDE FOR FUTURE TECHNOLOGY, TREATMENTS OF CARE, AND MAINTAIN AGING FACILITIES. INDEPENDENCE HEALTH SYSTEM ENCOURAGES PATIENTS TO TELL IT WHAT IT IS DOING RIGHT AND WRONG THROUGH PATIENT SATISFACTION SURVEYS AND INDEPENDENCE HEALTH SYSTEM REACTS TO THOSE SURVEYS. INDEPENDENCE HEALTH SYSTEM STRIVES TO PROVIDE ITS PATIENTS WITH GREATER ACCESS TO CARE THROUGH OFF SITE CLINICS AND DIAGNOSTIC SERVICE CENTERS. INDEPENDENCE HEALTH SYSTEM ASSISTS ITS MEDICAL STAFF IN RECRUITING TOP OF THE CLASS DOCTORS TO PROVIDE SERVICES TO ITS COMMUNITY WHERE THERE IS A NEED AND A SHORTAGE OF PHYSICIANS. INDEPENDENCE HEALTH SYSTEM ALSO RECRUITS SPECIALTY PHYSICIANS THAT WOULD HELP TO OFFSET THE BURDEN OF CALL COVERAGE AND FOR SUCCESSION PLANNING, WHICH IS ESSENTIAL FOR THE CONTINUUM OF CARE. PART VI, LINE 6: CLARION HOSPITAL IS PART OF INDEPENDENCE HEALTH SYSTEM. INDEPENDENCE HEALTH SYSTEM (IHS) COMPRISES BUTLER MEMORIAL, CLARION, FRICK, LATROBE, AND WESTMORELAND HOSPITALS. WITH A TOTAL BED COMPLEMENT OF 925, THE SYSTEM HAS MORE THAN 1,000 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS AND 7,300 EMPLOYEES. IHS IS NOW THE THIRD LARGEST HEALTHCARE SYSTEM IN WESTERN PENNSYLVANIA, SERVING A POPULATION BASE OF 750,000 IN A FOOTPRINT SPANNING MORE THAN 10 COUNTIES. 1 1 0 0 0 0 0 0 0 KENNETH P DEFURIO PRESIDENT & CEO 0 1015575 0 0 0 2599038 0 5175 0 18136 0 3637924 0 2501911 JAMES ADISEY MD TRUSTEE/PHYSICIAN 0 462342 0 183975 0 119189 0 13800 0 18346 0 797652 0 0 DAVID ROTTINGHAUS PHYSICIAN & PROVIDER NETWORK PRESIDE 0 546886 0 0 0 166296 0 5175 0 20014 0 738371 0 86493 THOMAS S ALBANESI JR CPA CHIEF FINANCIAL OFFICER 0 506372 0 0 0 157478 0 18292 0 19430 0 701572 0 0 CAROL J FOX MD CHIEF MEDICAL OFFICER 0 518439 0 0 0 156708 0 21355 0 1780 0 698282 0 0 KAREN ALLEN PRESIDENT CLARION/BUTLER HOSPITAL 0 486730 0 0 0 62136 0 5175 0 20014 0 574055 0 0 PAMELA HEPP ESQ GENERAL COUNSEL 0 508862 0 0 0 25497 0 5175 0 1878 0 541412 0 0 THOMAS GENEVRO CHIEF HUMAN RESOURCES OFFICER 0 162156 0 0 0 308664 0 3943 0 11352 0 486115 0 253308 MICHAEL FIORINA DO CHIEF MEDICAL OFFICER 0 425762 0 0 0 3863 0 5175 0 20151 0 454951 0 0 ROGER LUTZ CHIEF INFORMATION OFFICER 0 368219 0 0 0 44631 0 5175 0 20328 0 438353 0 0 WILLIAM MADDEN CHIEF OPERATING OFFICER 0 421771 0 0 0 7790 0 0 0 7388 0 436949 0 0 ANIE PERARD MD TRUSTEE(UNTIL 12/31/24)/PHYSICIAN 0 317782 0 0 0 23467 0 0 0 15460 0 356709 0 0 MARY ELLEN SICHAK CRNA 217357 0 0 0 22794 0 9692 0 7102 0 256945 0 0 0 MATT SCHNUR PRESIDENT, BUTLER MEMORIAL & CLARION 0 209734 0 0 0 390 0 3185 0 6917 0 220226 0 0 LESLIE WALTERS CHIEF NURSING OFFICER 173165 0 0 0 1322 0 7317 0 16413 0 198217 0 0 0 CHRISTIE CONRAD PHARMACIST 138203 0 0 0 13589 0 6295 0 17577 0 175664 0 0 0 THOMAS MORGO CRNA 151901 0 0 0 7184 0 6475 0 8714 0 174274 0 0 0 NICOLE DEHNER PHARMACY MANAGER 147033 0 0 0 289 0 6267 0 20226 0 173815 0 0 0 ERIC HUSS FORMER CHIEF FINANCIAL OFFICER 0 0 0 0 0 100800 0 0 0 0 0 100800 0 66472 PART I, LINE 3 THE CEO IS PAID BY BUTLER HEALTHCARE PROVIDERS, A NONPROFIT RELATED CORPORATION. BUTLER HEALTHCARE PROVIDERS USES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION FOR THE CEO: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEY OR STUDY, INDEPENDENT LEGAL REVIEW, AND APPROVAL BY THE BOARD AND BOARD COMPENSATION COMMITTEE. PART I, LINES 4A-B BUTLER HEALTHCARE PROVIDERS, A RELATED ORGANIZATION UTILIZES A SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) TO RECRUIT AND RETAIN LEADERSHIP TALENT. VESTING PERIODS ARE 5 AND 10 YEARS, FOR ALL EXECUTIVES, WITH THE EXCEPTION OF THE PRESIDENT/CEO, AT AGE 65. THE THIRD VESTING PERIOD FOR THE PRESIDENT/CEO IS AGE 60. ELIGIBLE EXECUTIVES RECEIVE DISTRIBUTIONS UPON REACHING THE VESTING PERIODS. ALL CONTRIBUTIONS TO THE SERP HAVE BEEN REPORTED PREVIOUSLY AND ARE REPORTED ANNUALLY. THE ANNUAL ACCRUAL AMOUNTS FOR CALENDAR YEAR 2024 WERE: KENNETH P DEFURIO, $351,888; KAREN ALLEN, $60,001. DURING CALENDAR YEAR 2024, ERIC HUSS RECEIVED SEVERANCE IN THE AMOUNT OF $34,328. PART I, LINE 7 EMPLOYEES ARE ELIGIBLE AND RECEIVED BONUS COMPENSATION. BONUSES ARE NOT GUARANTEED AND ARE AWARDED BASED ON BOARD APPROVED METRICS WHICH INCLUDE QUALITY, SERVICES, AND STRATEGIC FINANCIAL PERFORMANCE. PART II INDEPENDENCE HEALTH SYSTEM PRESIDENT & CEO KENNETH DEFURIO TURNED 60 DURING CALENDAR YEAR 2024. REACHING AGE 60 TRIGGERED A REQUIRED VESTED SERP PAYOUT OF $2,501,911. FOR THE PAST 18 YEARS, INDIVIDUAL SERP PAYMENTS FOR THE CEO HAD PREVIOUSLY BEEN REPORTED AS DEFERRED COMPENSATION IN COLUMN C OF SCHEDULE J. THIS REPORTED 2024 AMOUNT IS A TOTAL OF ALL PREVIOUSLY REPORTED FUNDING AMOUNTS. SERP PLANS ARE USED AS RECRUITMENT AND RETENTION VEHICLES IN A COMPETITIVE EXECUTIVE MARKET. FORM 990, PART VI, SECTION A, LINE 6 PER THE BY-LAWS OF THE ORGANIZATION, THE ORGANIZATION SHALL HAVE ONE CORPORATE MEMBER, BUTLER HEALTH SYSTEM, INC. THERE SHALL BE NO OTHER MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A BUTLER HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THE HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION HAS A CPA FIRM PREPARE ITS FORM 990. THE RETURN IS COMPLETED IN DRAFT FORM AND REVIEWED BY MANAGEMENT OF THE ORGANIZATION. THE FORM 990 IS THEN PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C A WEB-BASED SOFTWARE PROGRAM IS USED TO ADMINISTER A CONFLICT OF INTEREST DISCLOSURE FORM AND QUESTIONNAIRE ANNUALLY TO ALL BOARD TRUSTEES, KEY EMPLOYEES AND CERTAIN OTHER DIRECTORS, MANAGERS AND CONTRACTED PHYSICIANS. COMPLIANCE IN COMPLETING THE FORM IS REQUIRED AT 100% FOR OFFICERS, TRUSTEES AND KEY EMPLOYEES. THE DISCLOSURES ARE REVIEWED BY THE COMPLIANCE OFFICER, CHIEF LEGAL OFFICER AND CERTAIN BOARD COMMITTEES. ADDITIONALLY, THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT IS SHARED WITH EMPLOYEES, MEDICAL STAFF AND BUSINESS PARTNERS THROUGH ONE OR MORE OF THE FOLLOWING METHODS: POSTING ON THE ORGANIZATION'S INTRANET WEBSITE, ON THE ORGANIZATION'S PUBLIC WORLD WIDE WEBSITE, IN ITS POLICY MANUAL AND IN ITS CORPORATE CODE. REPORTS AND SUBSEQUENT FINDINGS OF NON-COMPLIANCE RESULT IN DISCIPLINARY ACTION THROUGH HUMAN RESOURCES, THE OFFICE OF MEDICAL AFFAIRS, OR THROUGH COMPANY SANCTIONS TOWARDS BUSINESS PARTNERS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF TRUSTEES RECOGNIZES THE GREAT CHALLENGES AND DIFFICULTIES THAT HEALTHCARE EXECUTIVES FACE, PARTICULARLY IN THE CURRENT ERA OF NATIONAL AND STATE HEALTHCARE REFORM. IN ADDITION, THE PITTSBURGH REGIONAL MARKET IS HIGHLY COMPETITIVE 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 EXECUTIVE COMPENSATION PROCESS IS OVERSEEN BY THE EXECUTIVE/COMPENSATION COMMITTEE OF THE IHS BOARD OF TRUSTEES. THE COMMITTEE IS COMPOSED ENTIRELY OF "DISINTERESTED" MEMBERS WITH NO CONFLICTS OF INTEREST. 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, IHS TARGETS TOTAL COMPENSATION TO FALL WITHIN A RANGE OF THE 25TH TO 75TH PERCENTILE OF THE MARKET. IHS 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 INCENTIVE AWARD EARNED, IF EARNED. APPLICABLE TAXES OR OTHER WITHHOLDINGS ARE DEDUCTED. ANNUAL INCREASES IN BASE PAY, IF ANY, ARE BASED ON COMPETITIVE MARKET TRENDS FROM THE COMPARISON GROUP. SUPPLEMENTAL RETIREMENT BENEFITS ARE USED AS A VEHICLE FOR EXECUTIVE RECRUITMENT AND RETENTION WITH APPROPRIATE VESTING PERIODS. THE BOARD OF TRUSTEES REVIEWS AND APPROVES EXECUTIVE COMPENSATION IN ITS ENTIRETY, INCLUDING THE USE OF "TALLY SHEETS", WHICH DISCLOSE 100% EXECUTIVE COMPENSATION. THE BOARD OF TRUSTEES ENGAGES EXTERNAL COMPENSATION AND LEGAL EXPERTISE TO ASSURE REASONABLENESS OF EXECUTIVE COMPENSATION LEVELS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORM 990, FORM 990-T, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 AT THIS TIME, THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 7,335,192. MANAGEMENT AND GENERAL EXPENSES 2,713,016. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,048,208. PHYSICIAN FEES: PROGRAM SERVICE EXPENSES 389,182. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 389,182. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 2,076,978. MANAGEMENT AND GENERAL EXPENSES 768,197. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,845,175. OTHER SERVICE FEES: PROGRAM SERVICE EXPENSES 559,600. MANAGEMENT AND GENERAL EXPENSES 206,975. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 766,575. FORM 990, PART XI, LINE 9: OTHER -2,484,840. TRANSFER FROM (TO) AFFILIATES 875,000. 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