CLARION HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CLARION HOSPITAL (EIN 25-1010039)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-15
IRS object ID
202411369349303016
Schema version
2022v5.0
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)
Return2024-05-15T08:09:04-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 E Wayne St Suite 600AddressLine1Txt
CityFort WayneCityNm
State AbbreviationINStateAbbreviationCd
ZIP46802ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN251010039EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CLARION HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% THOMAS ALBANESIInCareOfNm
Business Name ControlCLARBusinessNameControlTxt
Phone8142269500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL DRIVEAddressLine1Txt
CityCLARIONCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16214ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS S ALBANESIPersonNm
Person TitleCFOPersonTitleTxt
Phone8142261300PhoneNum
Signature2024-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTHOMAS SPersonFirstNm
Person LastALBANESIPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANNE E WHITEPreparerPersonNm
PTINP01708202PTIN
Phone2604604000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKAREN ALLENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL DRIVEAddressLine1Txt
CityCLARIONCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16214ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$58,362,886GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BUTLERHEALTHSYSTEM.ORG/CLARION-HOSPITALWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1951FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionWE 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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee455TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$346,921PYContributionsGrantsAmt
CY Contributions Grants$60,199CYContributionsGrantsAmt
PY Program Service Revenue$58,934,270PYProgramServiceRevenueAmt
CY Program Service Revenue$57,368,215CYProgramServiceRevenueAmt
PY Investment Income$567,560PYInvestmentIncomeAmt
CY Investment Income$509,659CYInvestmentIncomeAmt
PY Other Revenue$235,053PYOtherRevenueAmt
CY Other Revenue$408,653CYOtherRevenueAmt
PY Total Revenue$60,083,804PYTotalRevenueAmt
CY Total Revenue$58,346,726CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$24,710,142PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$22,765,440CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$28,468,223PYOtherExpensesAmt
CY Other Expenses$34,797,828CYOtherExpensesAmt
PY Total Expenses$53,178,365PYTotalExpensesAmt
CY Total Expenses$57,563,268CYTotalExpensesAmt
PY Revenues Less Expenses$6,905,439PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$783,458CYRevenuesLessExpensesAmt
Total Assets BOY$40,140,164TotalAssetsBOYAmt
Total Assets EOY$61,215,961TotalAssetsEOYAmt
Total Liabilities BOY$11,615,057TotalLiabilitiesBOYAmt
Total Liabilities EOY$31,893,603TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$28,525,107NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$29,322,358NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO BE THE COMMUNITY'S DYNAMIC RESOURCE FOR QUALITY HEALTHCARE, CONTINUOUS EDUCATION, AND THE PROMOTION OF WELLNESS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$44,866,324ExpenseAmt
Grant$0GrantAmt
Revenue$57,673,240RevenueAmt
DescCLARION HOSPITAL PROVIDED SERVICES TO 103,532 OUTPATIENTS AS WELL A 12,971 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. THE ORGANIZATION ALSO OFFERS SAME-DAY SURGERY, GENETIC COUNSELING, DRUG AND ALCOHOL TESTING, AND OUTPATIENT PHYSICAL THERAPY AND REHABILITATION SERVICES. CLARION HOSPITAL PROVIDED SERVICES TO 1,122 INPATIENTS FOR MEDICAL AND SURGICAL SERVICES AS WELL AS INTENSIVE CARE SERVICES. THE ORGANIZATION ALSO OFFERS AN INPATIENT REHABILITATION CENTER WHERE PATIENTS WHO HAVE SUFFERED MAJOR INJURIES OR TRAUMA CAN HAVE 24-HOUR NURSING CARE, ALONGSIDE INTENSIVE PHYSICAL, OCCUPATIONAL, AND/OR SPEECH THERAPY. 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. THE ORGANIZATION ALSO OFFERS CPR AND EMT TRAINING COURSES AS WELL AS ON-LINE NUTRITION AND HEALTHY LIFESTYLE COURSES.Desc
Total Program Service Expenses$44,866,324TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document52IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee455EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTHOMAS ALBANESIPersonNm
Phone7242844187PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
KENNETH P DEFURIO
PRESIDENT & CEO15.047.0Yes (X)Yes (X)$0$1,015,706$284,204
KAREN ALLEN
PRESIDENT CLARION/BUTLER HOSP.20.030.0Yes (X)$0$406,364$80,552
STEVEN DAVIS LEFT 0323
PRESIDENT CLARION HEALTH20.040.0Yes (X)$0$369,433$57,429
ERIC HUSS LEFT 0123
CHIEF FINANCIAL OFFICER15.040.0Yes (X)$0$375,306$48,177
MARY ELLEN SICHAK
CRNA40.00.0$231,657$0$15,727Yes (X)
THOMAS MORGO
CRNA40.00.0$218,103$0$23,056Yes (X)
SHANA STEVENS
CRNA40.00.0$212,900$0$22,523Yes (X)
GEORGE YARRINGTON
STAFF NURSE, RN40.00.0$188,956$0$7,557Yes (X)
NICOLE DEHNER
PHARMACY MANAGER40.00.0$155,042$0$23,972Yes (X)
JOHN REEFER MD
TRUSTEE1.040.0Yes (X)$0$9,800$0
PAUL BACHARACH
CHAIRMAN1.01.0Yes (X)Yes (X)$0$0$0
TIMOTHY MORGUS
VICE CHAIR1.01.0Yes (X)Yes (X)$0$0$0
PATRICK HAMPSON
SECRETARY1.01.0Yes (X)Yes (X)$0$0$0
JEFFREY CURRY
TREASURER1.01.0Yes (X)Yes (X)$0$0$0
JAMES ADISEY MD
TRUSTEE1.01.0Yes (X)$0$0$0
ANIE PERARD MD
TRUSTEE1.01.0Yes (X)$0$0$0
TERESA PETRICK
TRUSTEE1.01.0Yes (X)$0$0$0
LARRY RICHERT
TRUSTEE1.01.0Yes (X)$0$0$0
JOHN SPHON
TRUSTEE1.01.0Yes (X)$0$0$0
DEBRA THOMPSON RN PHD
TRUSTEE1.01.0Yes (X)$0$0$0
THOMAS S ALBANESI START 123
CHIEF FINANCIAL OFFICER1.059.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,006,658TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,176,609TotReportableCompRltdOrgAmt
Total Other Compensation$563,197TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K17IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CLARION REHABILITATION SERVICES
18 SPORTSMAN DRIVE SUITE 10CLARIONPA16214REHABILITATION$2,826,276
ALLIED RESOURCES MEDICAL STAFFING
135 DOWLIN FORGE ROADEXTONPA19341PATIENT CARE$217,410
DJD ANESTHESIA
216 SYCAMORE DRIVESHIPPENVILLEPA16254ANESTHESIA$396,789
TOTAL CARE STAFFING
PO BOX 511DUBOISPA15801NURSING$182,833
COMPASSIONATE CARE NURSING
21 OLLIE LANEDUBOISPA15801PATIENT CARE$153,743
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Related Organizations$7,169RelatedOrganizationsAmt
All Other Contributions$53,030AllOtherContributionsAmt
Total Contributions$60,199TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT CARE SERVICE REVENUE621400$45,940,757$45,940,757
PENNSYLVANIA RURAL HEALTH MODEL REVENUE621400$7,300,754$7,300,754
OTHER OPERATING REVENUE621400$4,126,704$4,126,704
FieldValueIRS element (for citing)
Total Program Service Revenue$57,368,215TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$442,148TotalRevenueColumnAmt
Exclusion$442,148ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$119,788RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$16,160RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$103,628RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$103,628TotalRevenueColumnAmt
Exclusion$103,628ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$67,511OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$67,511OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$67,511TotalRevenueColumnAmt
Exclusion$67,511ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFETERIADesc
Business900099BusinessCd
Total Revenue Column$305,025TotalRevenueColumnAmt
Related Or Exempt Func Income$305,025RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$305,025OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$58,346,726TotalRevenueColumnAmt
Related Or Exempt Func Income$57,673,240RelatedOrExemptFuncIncomeAmt
Exclusion$613,287ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$18,117,349TotalAmt
Program Services$13,222,129ProgramServicesAmt
Management And General$4,895,220ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$420,000TotalAmt
Program Services$306,518ProgramServicesAmt
Management And General$113,482ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,900,128TotalAmt
Program Services$2,116,527ProgramServicesAmt
Management And General$783,601ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,327,963TotalAmt
Program Services$969,154ProgramServicesAmt
Management And General$358,809ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,192,420TotalAmt
Program Services$11,087,501ProgramServicesAmt
Management And General$4,104,919ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$193,798TotalAmt
Management And General$193,798ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,146,457TotalAmt
Program Services$1,566,495ProgramServicesAmt
Management And General$579,962ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$198,469TotalAmt
Program Services$144,844ProgramServicesAmt
Management And General$53,625ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,811,622TotalAmt
Program Services$1,322,130ProgramServicesAmt
Management And General$489,492ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$709TotalAmt
Program Services$517ProgramServicesAmt
Management And General$192ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$65,851TotalAmt
Program Services$48,058ProgramServicesAmt
Management And General$17,793ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$23,258TotalAmt
Program Services$16,974ProgramServicesAmt
Management And General$6,284ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,898,655TotalAmt
Program Services$2,115,452ProgramServicesAmt
Management And General$783,203ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,114,438TotalAmt
Program Services$813,322ProgramServicesAmt
Management And General$301,116ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL AND OTHER SUPPLIES$8,942,351$8,942,351
BAD DEBT EXPENSE$2,152,621$2,152,621
OTHER EXPENSE$7,577$5,530$2,047
DUES AND SUBSCRIPTIONS$49,602$36,201$13,401

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$57,563,268TotalAmt
Program Services$44,866,324ProgramServicesAmt
Management And General$12,696,944ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,275BOYAmt
EOY$1,275EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,411,078BOYAmt
EOY$5,648,218EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,984,530BOYAmt
EOY$3,159,732EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,106,098BOYAmt
EOY$1,162,557EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$757,456BOYAmt
EOY$666,699EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$75,696,471LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$59,299,324LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,735,621BOYAmt
EOY$16,397,147EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$4,315,265BOYAmt
EOY$4,574,658EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,518,781BOYAmt
EOY$2,540,513EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,685,553BOYAmt
EOY$1,518,982EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,624,507BOYAmt
EOY$25,546,180EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$40,140,164BOYAmt
EOY$61,215,961EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,124,579BOYAmt
EOY$8,149,387EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$576,651BOYAmt
EOY$275,563EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,913,827BOYAmt
EOY$23,468,653EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,615,057BOYAmt
EOY$31,893,603EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$26,614,038BOYAmt
EOY$27,590,388EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,911,069BOYAmt
EOY$1,731,970EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$28,525,107BOYAmt
EOY$29,322,358EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$40,140,164BOYAmt
EOY$61,215,961EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$783,458ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$189,934NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$176,141OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

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 D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,411,498OtherCostOrOtherBasisAmt
Book Value$2,411,498BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,261,827OtherCostOrOtherBasisAmt
Depreciation$23,852,965DepreciationAmt
Book Value$3,408,862BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$685,164OtherCostOrOtherBasisAmt
Depreciation$619,597DepreciationAmt
Book Value$65,567BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,531,548OtherCostOrOtherBasisAmt
Depreciation$32,941,473DepreciationAmt
Book Value$6,590,075BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,806,434OtherCostOrOtherBasisAmt
Depreciation$1,885,289DepreciationAmt
Book Value$3,921,145BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,397,147TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
INTEREST IN PERPETUAL TRUST$175,751
DUE FROM AFFILIATE$20,216,582
DUE FROM THIRD PARTY$5,084,757
ROU OPERATING LEASES$69,090
FieldValueIRS element (for citing)
Total Book Value Other Assets$25,546,180TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
REFUNDABLE ADVANCES$5,803,466
DUE TO AFFILIATES$17,591,148
OPERATING LEASE LIABILITY$74,039
FieldValueIRS element (for citing)
Total Liability$23,468,653TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceASC 740 FOOTNOTEFormAndLineReferenceDesc
ExplanationMANAGEMENT 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.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentfalseFreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,973,028TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,797,980DirectOffsettingRevenueAmt
Net Community Benefit Expns$175,048NetCommunityBenefitExpnsAmt
Total Expense0.00320TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,071,273TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,864,343DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,206,930NetCommunityBenefitExpnsAmt
Total Expense0.05790TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,044,301TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,662,323DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,381,978NetCommunityBenefitExpnsAmt
Total Expense0.06110TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$86,626TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$34,766DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,860NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,230,052TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$948,232DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,281,820NetCommunityBenefitExpnsAmt
Total Expense0.02310TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,876,852TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,810,106DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,066,746NetCommunityBenefitExpnsAmt
Total Expense0.01920TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,193,530TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,793,104DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,400,426NetCommunityBenefitExpnsAmt
Total Expense0.04320TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,237,831TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,455,427DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,782,404NetCommunityBenefitExpnsAmt
Total Expense0.10430TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$2,152,621BadDebtExpenseAmt
Bad Debt Expense Attributable$275,535BadDebtExpenseAttributableAmt
Reimbursed By Medicare$13,239,572ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$6,339,648CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$6,899,924MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CLARION HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL DRIVEAddressLine1Txt
CityCLARIONCityNm
State AbbreviationPAStateAbbreviationCd
ZIP16214ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.BUTLERHEALTHSYSTEM.ORG/CLARION-HOSPIWebsiteAddressTxt
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CLARION HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)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
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, PAGE 8OwnWebsiteURLTxt
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, PAGE 8StrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, PAGE 8FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, PAGE 8FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, PAGE 8FAPSummaryOnWebsiteURLTxt
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
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5ASSESSMENT COMMITTEE MEMBERSHIP STEVEN DAVIS, MBA, FACHE; KATHY SELVAGGI, MS, MD, FAAHPM; ERIN STEWART, RN; BRIDGET THORNTON; JULIE KUNSELMAN; ALLISON ROTH, MHA CANDIDATE 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 BHS CLARION COMMUNITY ASSESSMENT TEAM TO IDENTIFY THE TOP HEALTH PRIORITIES WITHIN THE PRIMARY SERVICE AREA OF CLARION COUNTY. . BHS CLARION COLLECTED HEALTH DATA FROM COUNTY HEALTH RANKINGS, CENTERS FOR DISEASE CONTROL AND PREVENTION, WORLD LIFE EXPECTANCY, PAYS, AND US CENSUS. . 323 COMMUNITY MEMBERS COMPLETED ELECTRONIC AND PAPER SURVEYS TO PROVIDE ADDITIONAL DATA TO SURVEY THE HEALTH OF THE PEOPLE IN THE CLARION COUNTY REGION. ALONG WITH 13 COMPLETED STAKEHOLDER SURVEYS. . 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, COVID-19, SUBSTANCE ABUSE, DIABETES, OBESITY, AND CHILD CARE.
SCHEDULE H, PART V, SECTION B, LINE 7AWWW.BUTLERHEALTHSYSTEM.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/
SCHEDULE H, PART V, SECTION B, LINE 10AHTTPS://WWW.BUTLERHEALTHSYSTEM.ORG/DOCUMENTS/CLARION/CHNA-2021-GOALS-AND-I MPLEMENTATION-STRATEGIES.PDF
SCHEDULE H, PART V, SECTION B, LINE 11THE LAST COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN MARCH, 2021. AS A PART OF THIS PROCESS, AN EVALUATION OF THE CHNA IMPLEMENTATION STRATEGIES IS CONDUCTED TO EVALUATE THE EFFECTIVENESS OF THE PROGRAMS THAT ARE BEING IMPLEMENTED TO ADDRESS THE IDENTIFIED NEEDS. THESE PROGRAMS INCLUDE: TEDDY BEAR CLINIC, SENIOR WELLNESS EXPO, HEALTH WISE EMPLOYEE WELLNESS PROGRAM, DIABETES EDUCATION, LIFESTYLE COACHING SEMINARS, HEALTH WISE @ WORK PROGRAM, MULTIPHASIC BLOOD SCREENING LUNCH & LEARN EVENTS, AND ARMSTRONG INDIANA CLARION DRUG & ALCOHOL COMMISSION ARMOT PROGRAM. HEALTH WISE EMPLOYEE WELLNESS PROGRAM THIS WAS A PIVOTAL YEAR FOR THE HEALTH WISE PROGRAM AT CLARION HOSPITAL AS WE CONTINUE TO SHOW GROWTH IN EMPLOYEE ENGAGEMENT. WITH THE CORPORATE PARTNERSHIP BETWEEN THE YMCA AND THE HOSPITAL, MANY EMPLOYEES PARTICIPATED IN THE MANY EXERCISE OPPORTUNITIES THE YMCA OFFERS. FURTHERMORE, THE YMCA IS LOCATED LESS THAN 1 MILE FROM THE HOSPITAL AND OFFERS NUMEROUS FITNESS CLASSES PER WEEK PLUS A WIDE VARIETY OF EXERCISE EQUIPMENT AND EXERCISE OPPORTUNITIES. FOR THE REPORTING PERIOD OVER 110 EMPLOYEES AND THEIR FAMILIES HAVE TAKEN ADVANTAGE OF THE CORPORATE MEMBERSHIP PROGRAM WHICH OFFERS DISCOUNTED MEMBERSHIP RATES. THE HOSPITAL ALSO REIMBURSES 50% OF THE YEARLY MEMBERSHIP TO THOSE EMPLOYEES WHO REACH 144 VISITS OR MORE IN A CALENDAR YEAR. OUR 2021 WELLNESS REWARDS PROGRAM SHOWED SIGNIFICANT INCREASES IN EMPLOYEE PARTICIPATION. IT INCLUDED A BIOMETRIC SCREENING, ON-LINE HEALTH RISK ASSESSMENT, AND A PREVENTATIVE EXAM WITH THE EMPLOYEE'S HEALTH CARE PROVIDER. IMPROVEMENTS IN OUR 2021 WELLNESS REWARDS PROGRAM INCLUDED OUTCOME INCENTIVE POINTS FOR THOSE WHO MET HEALTHY VALUE RANGES FOR BMI, BLOOD PRESSURE, CHOLESTEROL AND BLOOD GLUCOSE. WITH THE HEALTH INSURANCE SAVINGS INCENTIVE BEING OFFERED FOR THOSE WHO REACHED THE POINTS REQUIREMENT, WE HAD 41% OF THE EMPLOYEES EARN THE INCENTIVE, WITH 133 COMPLETING THE REAL AGE TEST, 134 COMPLETING THE BIOMETRIC SCREENING, AND 124 RECEIVING THEIR PREVENTATIVE EXAM FROM THEIR MEDICAL PROVIDER. IN ADDITION, 38 ENGAGED WITH HEALTH COACH, 62 PARTICIPATED IN THE REAL AGE PROGRAM WHICH IHNCLUDES SLEEP, STRESS, STEPS, AND NUTRITION INIATIVES, AND 38 PARTICIPATED IN THE STEP IN UP PROGRAM. LIFESTYLE COACHING SEMINARS MULTIPLE NUTRITIONAL AND/OR WEIGHT MANAGEMENT EVENTS WERE OFFERED TO THE COMMUNITY, LED BY A REGISTERED DIETICIAN. THESE ORIGINALLY WERE DELIVERED LIVE BUT WEVER CONVERTED TO THE ZOOM PLATFORM DUE TO COVID SAFETY PRACTICES. TOPICS INCLUDED: PLANT BASED DIET, MEDITERRANEAN DIET, HEART HEALTH, THE DASH DIET, DIABETES, AND WEIGHT MANAGEMENT. THESE SESSIONS INCLUDED TIPS AND FACTUAL INFORMATION AS WELL AS HEALTHY RECIPES AND INFORMATIONAL BOOKLETS THAT THE PARTICIPANTS COULD TAKE HOME. OVER 850 COMMUNITY MEMBERS PARTICIPATED IN THESE SEMINARS. THE HEALTH WISE @ WORK PROGRAM, UNDER THE UMBRELLA OF HEALTH WISE, HAD TO BE TEMPORARILY HALTED. DUE TO COVID RESTRICTIONS AND SAFETY GUIDELINES, WE WERE UNABLE TO VISIT AREA BUSINESSES TO CONDUCT BIOMETRIC SCREENINGS FOR THEIR EMPLOYEES. COVID VACCINE CLINICS: VACCINE CLINICS HAVE CONTINUED AT THE HOSPITAL DATING BACK SEVERAL YEARS. FROM JULY 1, 2021 TO JUNE 30, 2022, BHS CLARION HOSPITAL ADMINISTERED 28,582 VACCINES AT OVER 80 CLINICS WITHIN OUR REGION. COVID TESTING SERVICES: DUE TO THE IMPACT OF THE COVID 19 PANDEMIC IN OUR REGION, BHS CLARION HOSPITAL CONTINUES TO SERVE AS ONE OF THE TOP TESTING SITES IN OUR AREA. ALL OUTPATIENT TESTING WAS CONDUCTED VIA DRIVE THROUGH SERVICES AND AT A REMOTE SITE TO ENSURE RECOMMENDED SAFETY PRACTICES FOR THE HOSPITAL. WE ADMINISTERED INPATIENT, OUTPATIENT AND INDUSTRIAL TESTS THAT TOTALED 19,555 DURING THE 12 MONTHS OF THIS REPORTING PERIOD. EMPLOYEES WERE ALSO INCLUDED IN THIS DATA AND WERE MANAGED BY OUR EMPLOYEE HEALTH DEPARTMENT. ARMSTRONG INDIANA CLARION DRUG & ALCOHOL COMMISSION ARMOT PROGRAM: CLARION HOSPITAL PARTNERS WITH THIS GROUP TO PROVIDE SCREENINGS, ASSESSMENTS AND REFERRALS FOR PATIENTS THAT EXHIBIT SIGNS AND SYMPTOMS OF DRUG AND ALCOHOL DEPENDENCY. THE ARMOT (ADDICTION RECOVERY MOBILE OUTREACH TEAM) STAFF PROVIDES THESE SERVICES ALONG WITH DRUG AND ALCOHOL EDUCATION TO AREA SCHOOLS, HOSPITALS, AND OTHER BUSINESSES AND ORGANIZATIONS WITHIN THE COMMUNITY. THIS YEAR, CLARION HOSPITAL MADE 21 REFERRALS TO THE ARMOT PROGRAM DURING THE REPORTING PERIOD. THE HOSPITAL IS ALSO MAKING EFFORTS TO WORK CLOSER WITH THIS GROUP FOR EXPANSION OF DRUG AND ALCOHOL SERVICES AND TO ESTABLISH A MORE EFFECTIVE PARTNERSHIP. WE ARE WORKING TOWARD EXPLORING STRATEGIES TO INCREASE REFERRAL RESOURCES IN OUR AREA AND IMPROVING OUTPATIENT SERVICES AND SUPPORT.
SCHEDULE H, PART V, LINE 16A, 16B, 16CHTTPS://WWW.BUTLERHEALTHSYSTEM.ORG/PATIENTS-VISITORS/FOR-PATIENTS/FINANCIA L-SERVICES/CHARITY-CARE-FINANCIAL-ASSISTANCE/

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7THE COSTING METHODOLOGY IS BASED ON THE RATIO OF COST TO CHARGES FROM THE HOSPITAL'S ACCOUNTING SYSTEM.
SCHEDULE H, PART III, SECTION A, LINE 2THE 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 $2,152,621.
SCHEDULE H, PART III, SECTION A, LINE 3BAD DEBT ATTRIBUTABLE TO PATIENT'S ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED FROM THROUGH THE US CENSUS BUREAU. USING 2017 - 2021 DATA, 11.8 PERCENT OF CLARION COUNTY WAS CONSIDERED TO LIVE IN POVERTY.
SCHEDULE H, PART III, SECTION A, LINE 4THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS FOUND ON PAGE 24.
SCHEDULE H, PART III, SECTION B, LINE 8SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
SCHEDULE H, PART III, SECTION C, LINE 9BTHE 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.
SCHEDULE H, PART VI, LINE 2CLARION 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. TO BEGIN THE PROCESS, A COMMITTEE IS CREATED MADE UP OF SENIOR LEADERS FROM WITHIN THE HEALTH SYSTEM REPRESENTING VARIOUS AREAS OF EXPERTISE. THE RESPONSIBILITY OF THE COMMITTEE IS TO COLLECT AND ANALYZE DATA FROM PUBLIC HEALTH RESOURCES, ORGANIZE FOCUS GROUPS FROM DIFFERENT SECTORS OF THE COMMUNITY, AND STAKEHOLDER INTERVIEWS. ONCE THE DATA IS COLLECTED AND ANALYZED, THE COMMITTEE CAREFULLY SELECTS THREE PRIORITY HEALTH NEEDS BASED ON ACCOUNTABLE ROLE OF THE HOSPITAL, MAGNITUDE OF THE PROBLEM, IMPACT ON OTHER HEALTH OUTCOMES, AND THE CAPACITY TO IMPLEMENT SOLUTIONS. AFTER THE NEEDS HAVE BEEN IDENTIFIED, THE GROUP THEN DISCUSSES AND OUTLINES IMPLEMENTATION STRATEGIES THAT WILL ASSIST THE HOSPITAL IN ADDRESSING THE NEEDS. UPON COMPLETION OF THE PROJECT AND APPROVAL OF THE CLARION HOSPITAL BOARD OF DIRECTORS, AN EXTENSIVE WRITTEN REPORT IS PREPARED OUTLINING THE ENTIRE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND THEN POSTED ON THE CLARION HOSPITAL WEBSITE PRIOR TO JUNE 30TH OF THE REPORTING YEAR. THE THREE PRIORITIES THAT HAVE BEEN IDENTIFIED FOR THE 2021 CHNA INCLUDE: 1. SUPPORT & IMPROVE PHYSICAL ACTIVITY AND NUTRITION EDUCATION/PROGRAMS TO PROMOTE HEALTHY LIFESTYLES AND REDUCE CHRONIC DISEASE, 2. EXPAND PARTNERSHIPS TO ENHANCE BEHAVIORAL HEALTH AND SUBSTANCE ABUSE PROGRAMS WITHIN THE COMMUNITY, 3. ADDRESS THE ISSUE OF FOOD INSECURITY BY GIVING COMMUNITY MEMBERS ACCESS TO HEALTHY FOODS AND NUTRITION RESOURCES.
SCHEDULE H, PART VI, LINE 3MEDICAID 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.
SCHEDULE H, PART VI, LINE 4CLARION 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 WEB SITE.
SCHEDULE H, PART VI, LINE 5CLARION HOSPITAL PROVIDES CLASSES ON CPR AND AED, WITH OR WITHOUT FIRST AID. THESE COURSES ARE OFFERED SEVERAL TIMES A YEAR AND ARE TAUGHT BY CLARION HOSPITAL PARAMEDICS. THE HOSPITAL IS AN AMERICAN HEART ASSOCIATION TRAINING CENTER AND HAVE INSTRUCTORS FROM SEVERAL OTHER AREAS WHO TEACH CLASSES AT OUR SITE. THE HOSPITAL ALSO PROVIDES DIABETES EDUCATION CLASSES SEVERAL MONTHS THROUGHOUT THE YEAR AND INDIVIDUAL COUNSELING BY OUR REGISTERED DIETICIAN TO REVIEW DIETARY GUIDELINES FOR DIABETICS. ADDITIONALLY, THE CLARION HOSPITAL FOUNDATION AWARDS SCHOLARSHIPS TO CLARION COUNTY STUDENTS PURSUING CAREERS IN HEALTH CARE.
SCHEDULE H, PART VI, LINE 6CLARION HOSPITAL WAS ESTABLISHED IN 1954 TO SERVE THE HEALTHCARE NEEDS OF THE RESIDENTS OF RURAL CLARION COUNTY. THROUGHOUT ITS HISTORY, CLARION HOSPITAL HAS CONTINUED TO OFFER HIGH QUALITY CARE TO RESIDENTS OF CLARION, PENNSYLVANIA AND THE SURROUNDING COMMUNITIES. AFTER CAREFUL CONSIDERATION, CLARION'S MANAGEMENT AND BOARD OF DIRECTORS DECIDED TO INTEGRATE WITH BUTLER HEALTH SYSTEM, A STRONG INDEPENDENT HEALTH SYSTEM LOCATED APPROXIMATELY 45 MILES SOUTHWEST OF CLARION, WITH A SIMILAR CULTURE AND MISSION TO ENHANCE ACCESS TO CARE CLOSE TO HOME. BUTLER HEALTH SYSTEM IS THE PARENT ORGANIZATION TO BUTLER MEMORIAL HOSPITAL, A LARGE COMMUNITY HOSPITAL LOCATED IN NEIGHBORING BUTLER COUNTY AND BUTLER MEDICAL PROVIDERS, A MULTISPECIALTY PROVIDER GROUP. ON DECEMBER 1, 2019, CLARION HOSPITAL OFFICIALLY BECAME PART OF BUTLER HEALTH SYSTEM. AS PART OF THIS INTEGRATION, THE TWO ORGANIZATIONS IMPLEMENTED A COMMON HEALTH INFORMATION SYSTEM PLATFORM AND BEGAN STANDARDIZING ITS OPERATIONS, POLICIES AND PROCEDURES. SHORTLY FOLLOWING THE ACQUISITION, CLARION HOSPITAL AND THE BUTLER HEALTH SYSTEM LEADERSHIP EMBARKED ON A STRATEGIC PLAN TO MOVE FROM ILLNESS CARE TO WELLNESS CARE. BY INVESTING IN THE INNOVATIVE BHS HEALTH AND WELLNESS CENTER IN CLARION, THE SYSTEM CREATED THE VENUE FROM WHICH TO LAUNCH NUMEROUS STRATEGIES TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITY. THESE STRATEGIES INCLUDE, BUT ARE NOT LIMITED TO; ENHANCED ACCESS TO MULTIPLE SPECIALTIES IN THE CLARION HOSPITAL SERVICE AREA THROUGH BOTH OFFICE VISITS AND TELEHEALTH TECHNOLOGY; ENHANCED COMMUNITY HEALTH EDUCATION OFFERINGS OF LIFESTYLE MEDICINE/COACHING CLASSES TO ADDRESS SDOH AND REDUCE THE PREVALENCE OF CHRONIC DISEASE; CRITICAL CARE AND CARDIOVASCULAR PHYSICIAN SUPPORT VIA TELEMEDICINE TO THE CLARION HOSPITAL INPATIENTS; OPENING OF A CARDIAC REHAB PROGRAM FOR THE FIRST TIME IN CLARION COUNTY; NEW CLINICAL SPACE FOR THE CLARION HOSPITAL RESIDENCY PROGRAM TO ENSURE ACCESS TO CARE FOR THE UNDERSERVED AND TO CONTINUE TO ATTRACT THE NEXT GENERATION OF PROVIDERS FOR THE REGION; CREATION OF THE EXERCISE INSTITUTE, A CORNERSTONE TO GETTING PEOPLE MOVING AND ADDRESSING THE PHYSICAL COMPONENT OF LIFESTYLE MEDICINE.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KENNETH P DEFURIO
PRESIDENT & CEO$693,580$280,001$42,125$263,951$20,253$1,299,910
ERIC HUSS LEFT 0123
CHIEF FINANCIAL OFFICER$353,885$0$21,421$40,941$7,236$423,483
STEVEN DAVIS LEFT 0323
PRESIDENT CLARION HEALTH$291,195$60,183$18,055$37,014$20,415$426,862
MARY ELLEN SICHAK
CRNA$231,657$9,265$6,462$247,384
THOMAS MORGO
CRNA$218,103$8,723$14,333$241,159
SHANA STEVENS
CRNA$212,900$8,515$14,008$235,423
GEORGE YARRINGTON
STAFF NURSE, RN$188,956$7,557$0$196,513
NICOLE DEHNER
PHARMACY MANAGER$155,042$6,201$17,771$179,014
KAREN ALLEN
PRESIDENT CLARION/BUTLER HOSP.$308,560$78,874$18,930$59,609$20,943$486,916$0$0$0$0$0$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BTHE 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 2022 WERE: KENNETH P DEFURIO, $242,201; STEVE DAVIS 21,064; ERIC HUSS 24,991; KAREN ALLEN, $37,859.
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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6PER THE BY-LAWS OF THE ORGANIZATION, THE ORGANIZATION SHALL HAVE ONE CORPORATE MEMBER, BUTLER HEALTH SYSTEM, INC. THERE SHALL BE NO OTHER MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7ABUTLER HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THE HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 11BTHE COMPLETED 990 WAS PREPARED BY THE TAX DEPARTMENT OF AN EXTERNAL AUDIT FIRM IN CONJUNCTION WITH HOSPITAL STAFF AND REVIEWED BY THE EXECUTIVE DIRECTOR, FINANCE. FORM 990 WAS PROVIDED TO THE BUTLER HEALTH SYSTEM AUDIT AND COMPLIANCE COMMITTEE AND THE BUTLER HEALTH SYSTEM BOARD OF TRUSTEES FOR REVIEW AND COMMENT. AFTER THESE REVIEWS, BUT PRIOR TO FILING, THE FULL CLARION HOSPITAL 25-1010039 BUTLER HEALTH SYSTEM BOARD OF TRUSTEES AND THE AUDIT AND COMPLIANCE COMMITTEE WERE NOTIFIED THAT THE FINAL 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 THE CHIEF LEGAL COUNSEL AND THE CORPORATE COMPLIANCE OFFICER, WHO THEN REVIEWS THE SAME WITH THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES. CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED BY ALL TRUSTEES, OFFICERS, COMMITTEE MEMBERS, MEMBERS OF MANAGEMENT, EMPLOYED PHYSICIANS 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 CHIEF LEGAL OFFICER AND/OR CORPORATE COMPLIANCE OFFICER ATTENDS ALL BOARD MEETINGS AND ENSURES THAT ANY NEEDED RECUSALS OCCUR.
FORM 990, PART VI, SECTION B, LINE 15A & 15BCLARION HOSPITAL EXECUTIVE COMPENSATION PHILOSOPHY & PROCESS: THE BOARD OF TRUSTEES RECOGNIZES THE GREAT CHALLENGES AND DIFFICULTIES THAT HEALTHCARE EXECUTIVES FACE, PARTICULARLY IN THE CURRENT ERA OF NATIONAL AND STATE HEALTHCARE REFORM. IN ADDITION, THE PITTSBURGH REGIONAL MARKET IS HIGHLY COMPETITIVE AND CHANGING RAPIDLY. THE BOARD COMPETES FOR AND SEEKS EXECUTIVE TALENT ON A NATIONAL BASIS. IT ENGAGES EXPERT COMPENSATION CONSULTANTS, UTILIZING NATIONAL COMPARATIVE DATA TO GUIDE THE DETERMINATION OF COMPETITIVE, APPROPRIATE LEVELS OF COMPENSATION. THE TOTAL COMPENSATION PROGRAM FOR EXECUTIVES CONSISTS OF CASH COMPENSATION AND BENEFITS. FACTORS TAKEN INTO CONSIDERATION IN DETERMINING COMPENSATION FOR EXECUTIVES INCLUDE: MARKET DEMAND AND COMPETITION FOR SIMILAR POSITIONS, EXPERIENCE AND TENURE, AND ACTUAL PERFORMANCE AND EFFECTIVENESS. BASED ON THESE AND OTHER PERTINENT CRITERIA, CH TARGETS TOTAL COMPENSATION TO FALL WITHIN A RANGE OF THE 25TH TO 75TH PERCENTILE OF THE MARKET. CH 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 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 9CHANGE IN INTEREST IN NET ASSETS OF FOUNDATION $-176,141
FORM 990 PART IX LINE 11GDESCRIPTION:PURCHASED SERVICES TOTAL FEES:6483383
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN FEES TOTAL FEES:612289
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT LABOR TOTAL FEES:4988171
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER SERVICE FEES TOTAL FEES:3108577

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
BUTLER HEALTH SYSTEM
ONE HOSPITAL WAYBUTLERPA16001251441855HC DELIV SYSTPA501(C)(3)LINE 10NAfalse
BUTLER HEALTH SYSTEM FOUNDATION
ONE HOSPITAL WAYBUTLERPA16001261543883FUNDRAISINGPA501(C)(3)LINE 12A, IBHSfalse
BUTLER HEALTHCARE PROVIDERS
ONE HOSPITAL WAYBUTLERPA16001250965274HOSPITALPA501(C)(3)LINE 3BHSfalse
BUTLER MEDICAL PROVIDERS
ONE HOSPITAL WAYBUTLERPA16001251441961PHYS PRACTICEPA501(C)(3)LINE 3BHSfalse
CLARION HEALTHCARE SYSTEM
ONE HOSPITAL DRIVECLARIONPA16214251534023HOLDING COPA501(C)(3)LINE 12A, IBHSfalse
CLARION HOSPITAL SELF INS TRUST FUND
ONE HOSPITAL DRIVECLARIONPA16214250766602SELF-INS.PA501(C)(3)LINE 12A, IBHSfalse
HEALTH SERVICES OF CLARION
ONE HOSPITAL DRIVECLARIONPA16214753126134PHYSICIANSPA501(C)(3)LINE 3BHSfalse
NIXSAR CORPORATION
ONE HOSPITAL WAYBUTLERPA16001251441960REAL ESTATEPA501(C)(3)LINE 12B,IIBHSfalse
BUTLER MEMORIAL HOSPITAL AUXILIARY
ONE HOSPITAL WAYBUTLERPA16001251457575AUXILIARYPA501(C)(3)LINE 10BHSfalse
LATROBE AREA HOSPITAL
121 W SECOND AVENUELATROBEPA15650250965414HEALTHCAREPA501(C)(3)LINE 3EHfalse
WESTMORELAND REGIONAL HOSPITAL
532 WEST PITTSBURGH STREETGREENSBURGPA15601250965612HEALTHCAREPA501(C)(3)LINE 3EHfalse
WESTMORELANDFRICK HOSPITAL FOUNDATION
532 WEST PITTSBURGH STREETGREENSBURGPA15601251309084FUNDRAISINGPA501(C)(3)LINE 12A IEHfalse
LATROBE AREA HOSPITAL CHARITABLE FDN
ONE MELLON WAYLATROBEPA15650251750654FUNDRAISINGPA501(C)(3)LINE 12A ILAHfalse
FRICK HOSPITAL
508 SOUTH CHURCH STREETMOUNT PLEASANTPA15650250965375HEALTHCAREPA501(C)(3)LINE 3EHfalse
EXCELA HEALTH HOME CARE AND HOSPICE
532 WEST PITTSBURGH STREETGREENSBURGPA15601203474707HEALTHCAREPA501(C)(3)LINE 3EHfalse
EXCELA HEALTH
532 WEST PITTSBURGH STREETGREENSBURGPA15601251471089HEALTHCAREPA501(C)(3)LINE 12CIIIIHSfalse
CAREGIVERS OF SOUTHWESTERN PA
532 WEST PITTSBURGH STREETGREENSBURGPA15601251570733HEALTHCAREPA501(C)(3)LINE 3EHfalse
MOUNTAIN VIEW CANCER ASSOCIATES INC
200 VILLAGE DRIVEGREENSBURGPA15601030480551HEALTHCAREPA501(C)(3)LINE 3EHfalse
INDEPENDENCE HEALTH SYSTEM
ONE HOSPITAL WAYBUTLERPA16001921340805HEALTHCAREPA501(C)(3)LINE 12B IINAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerInd
BUTLER AMBULATORY SURGERY CENTER LLC
102 TECHNOLOGY DRIVEBUTLERPA16001061728190SURGERYPANAfalse$0false
BHS FASTERCARE
ONE HOSPITAL WAYBUTLERPA16001271961562URGENT CAREPANAfalse$0false
BHS FASTER CARE LABORATORY SERVICES
ONE HOSPITAL WAYBUTLERPA16001800628384LAB SERVICESPANAfalse$0false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
CLARION DEVELOPMENT CORPORATION
ONE HOSPITAL DRIVECLARIONPA16214251516298PHARMACYPANAC CORPfalse
PCA OF BUTLER PC
480 E JEFFERSON STREETBUTLERPA16001251351445PHYSICIAN OFFPANAC CORPfalse
EXCELA HEALTH PHYSICIAN PRACTICES
532 WEST PITTSBURGH STREETGREENSBURGPA15601251744392HEALTHCAREPAEHHCC CORPfalse
EXCELA HEALTH HOLDING COMPANY
532 WEST PITTSBURGH STREETGREENSBURGPA15601251826537HEALTHCAREPAEHC CORPfalse
EXCELA HEALTH VENTURES LLC
532 WEST PITTSBURGH STREETGREENSBURGPA15601251826537REAL ESTATEPAEHPPIC CORPfalse
EXCELA RECIPROCAL RRG & SUBSIDIARY
100 BANK STREET 610BURLINGTONVT05401464602850INSURANCEVTEHC CORPfalse
EXCELA PHYSICIAN HOSPITAL ORGANIZATION L
532 WEST PITTSBURGH STREETGREENSBURGPA15601820639487HEALTHCAREPAEHC CORPfalse
EXCELA HEALTH DIVERSIFIED SERVICES LLC
532 WEST PITTSBURGH STREETGREENSBURGPA15601871455824HEALTHCAREPAEHPPIC CORPfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.