2023-05-11T13:00:04-05:00 2022-06-30 FORVIS LLP 111 E Wayne St Suite 600 Fort Wayne IN 46802 990 2021-07-01 250965274 BUTLER HEALTHCARE PROVIDERS % THOMAS ALBANESI BUTL 7242844166 ONE HOSPITAL WAY BUTLER PA 16001 THOMAS ALBANESI CFO 7242844429 2023-05-15 true TOM ALBANESI 999009999 ANNE E WHITE P01708202 2604604000 2 2021 2023-04-26 12:10:37Z BUTLER MEMORIAL HOSPITAL KENNETH P DEFURIO ONE HOSPITAL WAY BUTLER PA 16001 346015872 false X WWW.BUTLERHEALTHSYSTEM.ORG X 1898 PA THE MISSION OF BUTLER HEALTHCARE PROVIDERS D/B/A BUTLER MEMORIAL HOSPITAL IS TO BE A HEALING PRESENCE IN THE COMMUNITIES WE SERVE. 12 8 2274 100 5071336 1198659 1923454 1009234 294870206 319831317 11788844 18870127 5256345 6305194 313838849 346015872 29550000 40453255 0 0 133552957 153045452 0 0 0 145837187 156493018 308940144 349991725 4898705 -3975853 468960689 410605787 215264722 195637795 253695967 214967992 X THE MISSION OF BUTLER HEALTHCARE PROVIDERS D/B/A BUTLER MEMORIAL HOSPITAL IS TO BE A HEALING PRESENCE IN THE COMMUNITIES WE SERVE. BUTLER MEMORIAL HOSPITAL AND BUTLER HEALTH SYSTEM EXIST TO MAKE A POSITIVE DIFFERENCE IN THE LIVES OF PEOPLE BY PROVIDING COMPASSIONATE, HIGH QUALITY CARE AND COMFORT, AND INSPIRING HEALTH AND WELL-BEING. false false 315587782 40453255 319831317 BUTLER HEALTHCARE PROVIDERS D/B/A BUTLER MEMORIAL HOSPITAL (BMH) IS AN INDEPENDENT, COMMUNITY-BASED HOSPITAL THAT HAS SERVED BUTLER COUNTY, PA, AND THE SURROUNDING AREA FOR OVER 100 YEARS. BMH EMPLOYS APPROXIMATELY 2,300 PEOPLE. BMH HAS GROWN INTO A REGIONAL REFERRAL CENTER FOR THE AREAS. IT IS THE LARGEST HOSPITAL FACILITY BETWEEN PITTSBURGH AND ERIE. IT IS COMPRISED OF 296 ACUTE CARE BEDS AND A 25 BED SKILLED NURSING FACILITY. BMH SERVES APPROXIMATELY 12,000 ACUTE CARE PATIENTS (ADMISSIONS) AND OVER 350,000 OUTPATIENTS EACH YEAR. BMH MAINTAINS A DEEP COMMITMENT TO ITS COMMUNITY, AS IS DEMONSTRATED THROUGH ITS BROAD SERVICES OFFERING. IT PROVIDES ALL LEVELS OF GENERAL MEDICAL AND SURGICAL CARE, EMERGENCY SERVICES, OBSTETRICS AND GYNECOLOGY SERVICES, A ROBUST PSYCHIATRIC SERVICE, DRUG AND ALCOHOL THROUGH ITS BROAD SERVICES OFFERING. IT PROVIDES ALL LEVELS OF GENERAL MEDICAL AND SURGICAL CARE, EMERGENCY SERVICES, OBSTETRICS AND GYNECOLOGY SERVICES, A ROBUST PSYCHIATRIC SERVICE, DRUG & ALCOHOL TREATMENT, FAMILY SERVICES, PREVENTATIVE & WELLNESS PROGRAMS AND TERTIARY CARDIOVASCULAR CARE. IT ALSO HAS A NETWORK OF APPROXIMATELY 60 CONVENIENT, LOW COST OUTPATIENT SITES THAT ARE LOCATED IN COMMUNITIES THROUGH BUTLER COUNTY AND THE SURROUNDING AREA. A DESCRIPTION OF THE TOP THREE SERVICE LINES FOLLOW. BUTLER MEMORIAL HOSPITAL MEDICAL IMAGING SERVICES PROVIDES THE COMMUNITIES WE SERVE WITH EASY ACCESS TO THE LATEST MEDICAL IMAGING TECHNOLOGIES. BUTLER MEMORIAL HOSPITAL IMAGING SERVICES INCLUDE COMPUTERIZED TOMOGRAPHY (CT), MEDICAL RESONANCE IMAGING (MRI), PET/CT, AND DIGITAL MAMMOGRAPHY. ADDITIONAL IMAGING SERVICE INCLUDE ULTRASOUND (SONOGRAPHY), NUCLEAR MEDICINE, BONE DENSITY TESTING, X-RAYS AND FLUOROSCOPIC STUDIES. BMH'S IMAGING STUDIES ARE INTERPRETED BY ON-SITE BOARD CERTIFIED RADIOLOGISTS TRAINED IN THE FOLLOWING SUBSPECIALTIES; INTERVENTIONAL RADIOLOGY, WOMEN'S IMAGING, MUSCULOSKELETAL IMAGING, BODY IMAGING, NEURORADIOLOGY AND ADVANCED VEIN CARE. BUTLER MEMORIAL HOSPITAL PROVIDED MEDICAL IMAGING SERVICES TO 112,166 PATIENTS. CARDIOLOGY SERVICES AT BUTLER MEMORIAL HOSPITAL PROVIDES ROUTINE CARDIAC CARE, INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY OPEN HEART SURGERY AND CARDIAC REHABILITATION. OTHER SERVICE AREAS INCLUDE A DEVICE MANAGEMENT CLINIC, VALVE CLINIC, HEART FAILURE CLINIC AND CHEST PAIN CENTER WITH PCI ACCREDITATION. BUTLER MEMORIAL HOSPITAL LABORATORY HAS STATE-OF-THE ART INSTRUMENTATION COMPLEMENTED BY PROFESSIONAL EXPERTISE IN MICROBIOLOGY, PATHOLOGY, CHEMISTRY, HEMATOLOGY AND CYTOLOGY. OUR LABORATORY PROVIDES BLOOD WORK AND TESTING THROUGHOUT OUR SERVICE AREA, FOR PATIENTS, PHYSICIAN OFFICES AND LONG-TERM CARE FACILITIES AND IS ACCREDITED BY THE COLLEGE OF AMERICAN PATHOLOGISTS (CAP) AND LICENSED BY THE CLINICAL LABORATORY IMPROVEMENT ACT (CLIA). LABORATORY SERVICES VARY BY LOCATION AND COVER ALL OF THE FOLLOWING AREAS: SURGICAL PATHOLOGY, MOLECULAR DIAGNOSTICS, DERMATOPATHOLOGY, CYTOPATHOLOGY, HEMATOPATHOLOGY AND TRANSFUSION MEDICINE. BUTLER MEMORIAL HOSPITAL PROVIDE LABORATORY SERVICE TO OVER 300,000 PATIENTS. 315587782 true true false true false false false false false true true false false true true true false true false false false false false false false false true true true false true true false false true false false false false false false false false false false false false true true false false false true 195 0 true 2274 true true true false false false false false false false false false false false X 12 8 false false false false true true true true true false false true true true true true true true true false X X THOMAS ALBANESI 7242836666 ONE HOSPITAL WAY BUTLER PA 16001 KENNETH P DEFURIO PRESIDENT & CEO 40.0 22.0 X X 985734 0 280404 DAVID ROTTINGHAUS CHIEF MEDICAL OFFICER 40.0 20.0 X 584667 0 59858 KAREN ALLEN VP PATIENT SVC, CNO 55.0 0.0 X 564288 0 77373 NORMAN K BEALS CHIEF WELLNESS OFFICER 40.0 20.0 X 494345 0 63886 THOMAS GENEVRO CHIEF OPERATING OFFICER 45.0 10.0 X 394587 0 76065 ERIC HUSS CHIEF FINANCIAL OFFICER 40.0 15.0 X 406719 0 46880 ROGER LUTZ CHIEF INFORMATION OFFICER 40.0 0.0 X 324043 0 70110 STEVEN DAVIS PRESIDENT CLARION HEALTH 20.0 40.0 X 349904 0 39716 KATHY SELVAGGI CHIEF COMMUNITY HEALTH OFFICER 40.0 0.0 X 321373 0 38741 HILARY HARLAN CHIEF CCMP 40.0 15.0 X 311805 0 41234 ANIE PERARD MD TRUSTEE (BEGIN 01/22) 1.0 40.0 X 0 323930 16649 MICHAEL FIORINA DO VP MEDICAL EDUCATION 40.0 0.0 X 254966 0 24690 DENNIS DEMBY MD TRUSTEE 0.8 40.2 X 0 234781 15519 RANDY TEWKBURY EXEC DIRECTOR OF REVENUE CYCLE 40.0 15.0 X 211191 0 27210 GREGORY P HAUDACH PHARMACIST 40.0 0.0 X 176599 0 31508 THOMAS RARAIGH DIRECTOR CARDIOLOGY & IMAGING 40.0 0.0 X 189367 0 15047 MATTHEW SCHNUR PHARMACIST 40.0 0.0 X 169899 0 26613 KELLY KRENITSKY PHARMACIST 40.0 0.0 X 162705 0 20202 JOHN REEFER MD TRUSTEE (BEGIN 01/22) 1.0 2.0 X 0 15855 0 DELIA BOUWERS BIANCHIN ESQ TRUSTEE (END 11/21) 1.0 2.0 X 0 0 0 JOSEPH GRUNENWALD PHD TRUSTEE 1.0 2.0 X 0 0 0 HOLLY HAMPE DSC TRUSTEE 1.0 2.0 X 0 0 0 PATRICK HAMPSON TRUSTEE 2.0 1.0 X 0 0 0 TIMOTHY MORGUS CHAIR 4.0 4.0 X X 0 0 0 FRED PORT TRUSTEE 1.0 2.0 X 0 0 0 LARRY RICHERT TRUSTEE 1.0 2.0 X 0 0 0 RAJIV SAWHNEY DPT CORPORATE SECRETARY/TREASURER 2.0 2.0 X X 0 0 0 CRAIG THOMASMEYER TRUSTEE 1.0 2.0 X 0 0 0 MARGARET IRVINE WEIR TRUSTEE (END 12/21) 1.0 2.0 X 0 0 0 5902192 574566 971705 172 false true false QUEST DIAGNOSTICS 875 GREENTREE ROAD 4 PARKWAY CENTE PITTSBURGH PA 152203610 LABORATORY SERVICES 3843933 BUTLER ANESTHESIA ASSOCIATES PO BOX 737 EAST BUTLER PA 16029 ANESTHESIOLOGY 1347333 MBM CONTRACTING 4999 OLD CLAIRTON ROAD PITTSBURGH PA 15236 CONSTRUCTION 8006556 PBS MENTAL HEALTH ASSOCIATES 901 E BRADY STREET SUITE 103 BUTLER PA 16001 MEDICAL CONSULTING 2425000 METZ CULINARY MANAGEMENT TWO WOODLAND DRIVE DALLAS PA 18612 DIETARY 2480552 10 144035 845199 20000 1009234 NET PATIENT SERVICE REVENUE 621500 293179005 293179005 OTHER OPERATING REVENUE 621500 26652312 26652312 319831317 18848645 18848645 0 0 189290 0 189290 0 189290 189290 21482 21482 21482 21482 0 0 0 0 0 0 0 0 0 NON PATIENT LAB 541380 1840478 1840478 PHARMACY 446110 2428035 2428035 CAFETERIA 900099 1044568 1044568 802823 802823 6115904 346015872 319831317 5071336 20103985 40453255 40453255 0 0 0 5867375 5867375 0 112475358 105038898 7436460 5104744 4530880 573864 21456284 19044215 2412069 8141691 7226420 915271 0 781480 781480 235475 235475 23210 18568 4642 0 0 41695859 37029101 4666758 1234279 1095524 138755 5181886 4599350 582536 4664586 4140203 524383 0 8151766 7235362 916404 259274 230127 29147 0 0 3916245 3916245 0 17997184 15973979 2023205 2264515 2009943 254572 0 MEDICAL AND OTHER SUPPLIES 60267726 53492558 6775168 BAD DEBT EXPENSE 8531405 8531405 DUES AND SUBSCRIPTIONS 655267 581603 73664 BANK AND CREDIT CARD FEES 495893 440146 55747 136968 136968 349991725 315587782 34403943 0 3399 2699 25978617 13531593 0 0 31248592 28422866 0 0 0 0 0 0 5170508 4716864 23300850 18769221 398491828 264205611 142882338 134286217 184257213 162521255 0 0 20124765 20219106 0 0 35994407 28135966 468960689 410605787 39880412 40314708 0 0 0 0 111815000 107785000 0 0 0 0 20573275 19907057 0 0 42996035 27631030 215264722 195637795 X 251204764 214955853 2491203 12139 253695967 214967992 468960689 410605787 X -3975853 -32013426 -2738696 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 23210 23210 false PART II-B, LINE 1, LOBBYING ACTIVITIES: A PORTION OF THE ANNUAL DUES PAID TO THE HOSPITAL ASSOCIATION OF PENNSYLVANIA AND THE AMERICAN HOSPITAL ASSOCIATION ARE USED FOR LOBBYING. 453377 927 454304 452697 680 453377 447823 4874 452697 444658 3165 447823 443590 1068 444658 1.00000 false true true 2577581 2577581 108640322 59800520 48839802 8388034 6116337 2271697 263043077 189981105 73061972 15842814 8307649 7535165 134286217 OTHER ASSETS 2067097 DUE FROM THIRD PARTY 2971023 DUE FROM AFFILIATES 19787784 OTHER ASSETS 3310062 28135966 0 DUE TO AFFILIATES 12661764 ACCRUED INTEREST PAYABLE 1995318 THIRD PARTY PAYABLE 1300000 OTHER LIABILITIES 11673948 27631030 X SCHEDULE D, PART V, LINE 4 INVESTMENT EARNINGS WILL BE USED TO SUPPORT BUTLER HEALTHCARE PROVIDERS OR OTHER RELATED ORGANIZATIONS PER THEIR RESTRICTIVE PURPOSE (E.G. TECHNOLOGY AND CHARITY CARE) OR IF NO RESTRICTIVE PURPOSE, AT THE DISCRETION OF THE BOARD TO SUPPORT ITS MISSION. ASC 740 FOOTNOTE 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. true true X true X true X true true true false false 2304807 2304807 0.00670 40581979 29012838 11569141 0.03390 382240 301826 80414 0.00020 43269026 29314664 13954362 0.04080 85583 85583 0.00030 186413 186413 0.00050 8739794 6813807 1925987 0.00560 326219 326219 0.00100 9338009 6813807 2524202 0.00740 52607035 36128471 16478564 0.04820 true 8531405 3688433 38455551 41382440 -2926889 X true true BUTLER PHYSICIANS LEASES MEDICAL OFFICE SPACE REALTY LLC 0.1667 0.1111 1 1 BUTLER MEMORIAL HOSPITAL 1 HOSPITAL WAY BUTLER PA 160014670 WWW.BUTLERHEALTHSYSTEM.ORG X X X BUTLER MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 22 true false false true X WWW.BUTLERHEALTHSYSTEM.ORG/ABOUT-BHS X true 22 true WWW.BUTLERHEALTHSYSTEM.ORG/ABOUT-BHS false true X 200. 300. true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 5 THERE IS NOT A COUNTY HEALTH DEPARTMENT IN BUTLER COUNTY OR ITS PRIMARY SERVICE AREA. CURRENTLY, PENNSYLVANIA HAS SEVEN COUNTY HEALTH DEPARTMENTS (ALLEGHENY, BUCKS, CHESTER, DELAWARE, ERIE, MONTGOMERY, AND PHILADELPHIA) AND FOUR MUNICIPAL HEALTH DEPARTMENTS (ALLENTOWN, BETHLEHEM, WILKES-BARRE, AND YORK). SEVERAL PUBLIC HEALTH PROFESSIONALS WERE CONSULTED IN THE PROCESS OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDING ALLISON ROTH, MHA CANDIDATE (MASTERS IN HEALTH ADMINISTRATION) FROM THE UNIVERSITY OF PITTSBURGH GRADUATE SCHOOL OF PUBLIC HEALTH. SHE WAS A MAJOR CONTRIBUTOR IN DATA COLLECTION AND ANALYSIS. IN JUNE OF 2021, REPRESENTATIVES FROM MANY ORGANIZATIONS WITHIN THE BUTLER COMMUNITY CAME TOGETHER VIA ZOOM (DUE TO COVID RESTRICTIONS) TO DISCUSS THE STRENGTHS AND NEEDS OF THE COMMUNITY. INPUT WAS GATHERED FROM A WIDE RANGE OF INDIVIDUALS AND ORGANIZATIONS THAT REPRESENT THE BROAD INTERESTS OF THE BUTLER REGION; THIS WAS COMPLETED THROUGH A VARIETY OF METHODS INCLUDING INDIVIDUAL ZOOM MEETINGS, GROUP ZOOM MEETINGS, SURVEY MONKEY QUESTIONNAIRES AND PHONE CONVERSATIONS. MULTIPLE MEETINGS WERE HELD TO IDENTIFY THE TOP HEALTH PRIORITIES WITHIN THE PRIMARY SERVICE AREA OF BUTLER COUNTY. BUTLER MEMORIAL HOSPITAL (BMH) COLLECTED HEALTH DATA FROM COUNTY HEALTH RANKINGS, CENTERS FOR DISEASE CONTROL AND PREVENTION, WORLD LIFE EXPECTANCY, PAYS, AND US CENSUS. 529 COMMUNITY MEMBERS COMPLETED ELECTRONIC AND PAPER SURVEYS TO PROVIDE ADDITIONAL DATA AND 36 COMMUNITY STAKEHOLDER SURVEYS WERE ALSO COMPLETED. PARTICIPATING ORGANIZATIONS: . ALLIANCE FOR NON-PROFIT RESOURCES (ANR) - FOOD INSECURE INDIVIDUALS . BUTLER AREA SCHOOL DISTRICT . BUTLER COUNTY CHILDREN'S CENTER- CHILDREN AND LOW-INCOME FAMILIES . BUTLER COUNTY COMMUNITY COLLEGE . BUTLER COUNTY HUMAN SERVICES- AGING, DRUG AND ALCOHOL, CHILDREN & YOUTH, FAIR HOUSING . BUTLER COUNTY PARKS AND RECREATION . BUTLER MEMORIAL HOSPITAL-CARE MANAGEMENT . BUTLER TRANSPORTATION AUTHORITY . CATHOLIC CHARITIES OF BUTLER COUNTY- PEOPLE LIVING IN SHELTERS, HOMELESS OR AT RISK OF BEING HOMELESS, EXPECTANT AND NEW MOTHERS . CENTER FOR COMMUNITY RESOURCES (CCR) - HOMELESS, CHILDREN AND ADULTS WITH MENTAL ILLNESS (INCLUDING SUBSTANCE USE), INTELLECTUAL AND DEVELOPMENTAL DISABILITIES, VETERANS, HIV + INDIVIDUALS . COMMUNITY CARE CONNECTIONS- INFANTS, CHILDREN AND ADULTS WHO HAVE DEVELOPMENTAL DELAYS OR DISABILITIES . COMMUNITY OPTIONS INC.- INDIVIDUALS WITH DISABILITIES . MARS AREA SCHOOL DISTRICT . MEALS ON WHEELS OF BUTLER COUNTY- HOMEBOUND INDIVIDUALS . MONITEAU SCHOOL DISTRICT . NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) -INDIVIDUALS WITH SEVERE MENTAL ILLNESS AND THEIR FAMILIES . VETERANS SERVICES- VETERANS . AC VALLEY SCHOOL DISTRICT . ARC OF BUTLER COUNTY - INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL FOCUS GROUPS MET VIA ZOOM AND DISCUSSED THE DATA COLLECTED FROM ALL THE SOURCES ABOVE. INDIVIDUALS WERE ASKED TO DESCRIBE THE OVERALL HEALTH OF THE REGION. EACH ORGANIZATION WAS ASKED TO IDENTIFY THE TOP THREE HEALTH PRIORITIES FOR THE AREA. THESE ANSWERS WERE ALSO COMPARED AMONGST THE GROUP. THE MAIN THEMES THAT AROSE OUT OF THE FOCUS GROUPS WERE MENTAL/BEHAVIORAL HEALTH, FOOD INSECURITY AND THE ONGOING NEED FOR HEALTH AND NUTRITION EDUCATION AND SUBSTANCE ABUSE AND ADDICTION. OTHER TOP PRIORITY ISSUES IDENTIFIED WERE ACCESS TO CARE, TRANSPORTATION, COVID-19, DIABETES, OBESITY, AND CHILDCARE. PART V, SECTION B, LINE 11 FUTURE STRATEGIES TO IMPROVE MENTAL HEALTH ISSUES . IMPLEMENT A SYSTEM TO COMMUNICATE TO PARENTS AND STUDENTS OF SCHOOL AND COMMUNITY EVENTS TO INCREASE PARTICIPATION IN EXTRACURRICULAR ACTIVITIES. . DEVELOP SOCIAL NETWORKS FOR CHILDREN TO CONNECT WITH EACH OTHER TO HELP CREATE MEANINGFUL RELATIONSHIPS FOR THOSE WHO DO NOT HAVE THE SOCIAL SKILLS TO DO IT ON THEIR OWN. . DEVELOP BETTER REFERRAL PROCESSES TO ACCESS MENTAL HEALTH SPECIALISTS. WAIT LISTS CAN BE LONG AND IT IS DIFFICULT FOR PEOPLE TO RECEIVE PROPER CARE IN A TIMELY FASHION. . THE BUTLER AREA SCHOOL DISTRICT IS IN THE PROCESS OF HIRING BEHAVIORAL MODIFICATION SPECIALISTS TO HELP CHILDREN DEVELOP AND IMPROVE SOCIAL THEIR SOCIAL SKILLS AND INTERACTIONS. FUTURE STRATEGIES TO IMPROVE SUBSTANCE ABUSE ISSUES . PROVIDE EDUCATION TO PARENTS ON THE SIGNS AND SYMPTOMS OF SUBSTANCE ABUSE. SCHOOLS EDUCATE STUDENTS BUT PARENTS NEED EDUCATION AS WELL. . PROVIDE EASIER ACCESS AND AVAILABILITY TO RECOVERY PROGRAMS. WE NEED TO ADDRESS BARRIERS SUCH AS LACK OF TRANSPORTATION AND ONGOING MENTAL HEALTH ISSUES THAT PREVENT PEOPLE FROM SEEKING HELP. . CONTINUE ONGOING ENGAGEMENT AND COLLABORATION WITH LAW ENFORCEMENT TO HELP INDIVIDUALS OBTAIN THE BASICS LIKE EMPLOYMENT AND A DRIVER'S LICENSE FOR THOSE WHO HAVE A HISTORY OF INCARCERATION. FUTURE STRATEGIES TO IMPROVE HEALTH EDUCATION AND CHRONIC ILLNESS . ENGAGE BUTLER COUNTY FARMS WITH FOOD INSECURE RESIDENTS. THIS PILOT STUDY OF 15 FAMILIES REQUIRED FAMILIES TO BE AT THE 200% FEDERAL POVERTY LINE. THE GOAL OF THIS PROGRAM WAS TO PROVIDE NUTRITION EDUCATION AND HEALTHY MEALS TO FOOD-INSECURE FAMILIES ON A LIMITED BUDGET. A BARRIER IDENTIFIED BY THIS PROGRAM WAS THAT QUALIFIED FAMILIES DID NOT WANT TO IDENTIFY THEMSELVES AS NEEDING ASSISTANCE. . INSTITUTE MORE FARMERS MARKETS IN THE COMMUNITY TO INCREASE ACCESS TO FRESH FRUITS AND VEGETABLES AND PROVIDING HEALTHY RECIPES. PART V, SECTION B, LINE 16A, 16B, 16C https://www.butlerhealthsystem.org/patients-visitors/for-patients/financia l-services/charity-care-financial-assistance/ 2 BUTLER HEALTHCARE PROVIDERS PSYCH 1 HOSPITAL WAY BUTLER PA 16001 PSYCHIATRIC AND CHEMICAL DEPENDENCY BUTLER HEALTHCARE PROVIDERS OP PSYCH 216 NORTH WASHINGTON STREET BUTLER PA 16001 OUTPATIENT BEHAVIORAL HEALTH CLINIC PART I, LINE 7: THE COSTING METHODOLOGY IS BASED ON THE RATIO OF COST TO CHARGES FROM BUTLER MEMORIAL HOSPITAL'S ACCOUNTING SYSTEM. PART III, LINE 2: THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), WAS SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $8,531,405. PART III, LINE 4: THE FOOTNOTE DESCRIBING THE BAD DEBT EXPENSE CAN BE FOUND ON PAGE 10 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: THE COSTING METHODOLOGY IS BASED ON THE RATIO OF COST TO CHARGES FROM BUTLER MEMORIAL HOSPITAL'S ACCOUNTING SYSTEM. PART III, LINE 9B: AS PART OF OUR COMMITMENT TO THE HEALTH CARE NEEDS OF OUR COMMUNITY BHM HAS A PROGRAM DESIGNED TO PROVIDE FINANCIAL ASSISTANCE THAT MAY COVER ALL OR PART OF Patient CARE. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS DETERMINED THROUGH AN APPLICATION PROCESS. BMH FOLLOWS THE FEDERAL POVERTY GUIDELINES WHEN DETERMINING THE PATIENT ELIGIBILITY. ONCE THE APPLICATION IS APPROVED, IT WILL BE IN EFFECT FOR SIX MONTHS BEFORE AND AFTER THE APPROVAL DATE. BMH WILL REVIEW ALL ACCOUNTS PRIOR TO PLACEMENT WITH A COLLECTION AGENCY TO SEE IF THE PATIENT IS ELIGIBLE UNDER OUR PRESUMPTIVE CHARITY CARE PROCESS. IF THERE IS NO APPLICATION ON FILE, BHM WILL USE ONE OR MORE OF THE FOLLOWING CRITERIA TO MAKE A DETERMINATION BASED ON: PATIENTS WHO QUALIFY FOR SECTION 8 HOUSING, NO ESTATE, FOOD STAMP ELIGIBILITY, PATIENT IS HOMELESS OR RECEIVED CARE FROM A HOMELESS CLINIC, OR A LETTER FROM FAMILY OR FRIENDS OF A PATIENT THAT PROVIDE INFORMATION ESTABLISHING THE PATIENT'S INABILITY TO PAY. PART VI, LINE 2: WHILE BMH HAS ALWAYS CONSIDERED THE NEEDS OF THE REGION IT SERVES, IT HAS FORMALLY BEEN CONDUCTING COMMUNITY HEALTH ASSESSMENTS FOR OVER 20 YEARS. THESE ASSESSMENTS HAVE ALLOWED THE ORGANIZATION TO APPROPRIATELY ALLOCATE RESOURCES AND DEVELOP SERVICES THAT BEST SUIT THE NEEDS OF BUTLER COUNTY AND SURROUNDING REGIONS. DURING THE CHNA PROCESS IN ATTEMPT TO REACH AS MANY PEOPLE AND DISTINCT POPULATIONS AS POSSIBLE, BMH DISTRIBUTED THE SURVEY USING VARIOUS METHODS. CENSUS DATA SHOWED THAT ONLY 78.5% OF HOUSEHOLDS IN BUTLER CITY (16001) HAD BROADBAND INTERNET, SO PAPER SURVEYS WERE CIRCULATED IN ADDITION TO AN ONLINE VERSION. DUE TO COVID RESTRICTIONS, STAKEHOLDERS AT THE INITIAL ZOOM MEETING WERE GIVEN THE ONLINE SURVEY LINK TO TAKE BACK AND DISTRIBUTE TO THEIR RESPECTIVE POPULATIONS. THEY WERE ALSO ENCOURAGED TO PROMOTE THE ONLINE VERSION OF THE SURVEY AMONGST THEIR ORGANIZATION. THE BUTLER COUNTY COLLABORATIVE FOR FAMILIES (BCF) ALSO DISTRIBUTED THE LINK TO THE ONLINE SURVEY THROUGH THEIR EMAIL LIST. THE BCF IS A MULTI-AGENCY NETWORK THAT COLLABORATES TO PROVIDE SERVICES FOR INDIVIDUALS AND FAMILIES IN BUTLER COUNTY. THE ELECTRONIC VERSION WAS ALSO DISTRIBUTED TO PRIMARY CARE OFFICES IN THE SERVICE AREA. THE EMPLOYEE SURVEY PROMPTED EMPLOYEES WHO LIVE IN BUTLER COUNTY TO TAKE THE GENERAL COMMUNITY SURVEY UPON COMPLETION OF THE EMPLOYEE SPECIFIC QUESTIONNAIRE. BUTLER MEMORIAL HOSPITAL COLLECTED A TOTAL 565 SURVEYS COMPLETED (EITHER ONLINE OR ON PAPER) BY COMMUNITY MEMBERS AND STAKEHOLDERS. THE SURVEY ASKED SEVERAL QUESTIONS REGARDING THE INDIVIDUAL'S HEALTH STATUS AND OTHER FACTORS LINKED TO HEALTH, LIKE DEMOGRAPHICS AND PROXIMITY TO STORES WITH FRESH FRUITS AND VEGETABLES. A SUMMARY OF THE RESULTS FOUND THROUGH THE COMMUNITY SURVEY ARE SHOWN IN OUR RESPONSE FOR VI, LINE 4. PART VI, LINE 3: SUPPORTING THOSE IN NEED: BMH CHARITY CARE AND COMMUNITY BENEFIT - BMH PROVIDES FREE CARE TO THOSE PATIENTS WHO HAVE AN OBLIGATION AFTER INSURANCE PAYMENTS, IF ANY. THE AMOUNT OF FREE CARE IS DETERMINED BASED ON THE PATIENT'S INCOME AND FAMILY SIZE. FREE CARE IS PROVIDED TO THOSE WITH INCOMES UP TO 300% OF THE FEDERAL POVERTY GUIDELINE. TO INFORM PATIENTS OF THIS PROGRAM, SIGNS ARE POSTED IN ALL THE REGISTRATION AREAS NOTIFYING THE PUBLIC OF THE AVAILABILITY OF OUR FREE CARE PROGRAM. MORE INFORMATION IS AVAILABLE IN THE PATIENT HANDBOOK AND ON THE SYSTEM WEBSITE WWW.BUTLERHEALTHSYSTEM.ORG UNDER PATIENT & VISITORS TAB THEN SELECT FINANCIAL SERVICES. AT THE TIME OF REGISTRATION, ANY PATIENT IS UNINSURED IS GIVEN A PATIENT NOTICE OF FINANCIAL AID NOTICE. THE NOTICE INSTRUCTS THE PATIENT TO CALL THE PATIENT FINANCIAL ASSISTANCE DEPARTMENT. THE CHARITY CARE APPLICATION IS ALSO ON THE BACK OF OUR PATIENT STATEMENTS. PART VI, LINE 4: THE PRIMARY SERVICE AREA FOR BMH WAS IDENTIFIED AS BUTLER COUNTY, PENNSYLVANIA. A MAJORITY OF PATIENTS AND VISITS ORIGINATE FROM BUTLER CITY (16001 ZIP CODE). AS SUCH BHS HAS PLACED SEVERAL SERVICE LOCATIONS WITHIN THIS AREA TO MEET THE DEMAND OF THE PRIMARY LOCATION. THE INDIVIDUALS THAT COME FROM SURROUNDING COUNTIES TO RECEIVE MORE ADVANCED SERVICES INCLUDE: ARMSTRONG, WESTMORELAND, CLARION, BEAVER, LAWRENCE, MERCER, VENANGO, AND ALLEGHENY. FOR THE PURPOSE OF SECONDARY DATA COLLECTION, CLARION COUNTY WAS DETERMINED TO BE THE COMMUNITY SERVED. APPROXIMATELY 80% OF THE HOSPITAL'S RESIDENTS RESIDE WITHIN THE COUNTY. BELOW IS A TABLE SUMMARIZING THE COUNTY POPULATION DATA COMPARED TO DATA SPECIFIC TO THE STATE OF PENNSYLVANIA Butler County Pennsylvania 2021 Population Estimate 194,273 12,964,056 Population Percent Change: April 2020-July 2021 .3% -0.3% Median Age (2019) 43.3 years 40.8 years Percent under 18 19.7% 20.6% Percent 65 years and older 19.4% 18.7% Race and Origin White alone, not Hispanic or Latino, Percent 95.8% 81.6% Black or African American, Percent 1.4% 12% American Indian & Alaskan Native alone, Percent 0.2% 0.4% Asian alone, Percent 1.5% 3.8% Hispanic or Latino, Percent 1.6% 7.8% Two or More Races, Percent 1.2% 2.1% Veterans (2016-2020) 12,838 731,411 Education High School Graduate or Higher 95.4% 91.0% Bachelor's Degree or Higher 37.5% 32.3% Median Household Income $72,642 $63,627 Per Capital Income in Past 12 Months $39,906 $35,518 Persons in Poverty, Percent 7.4% 10.9% Percent with a Disability under age 65, 2016-2020 8.5% 9.8% Persons without Health Insurance under age 65, Percent 4.8% 7.0% Table: Butler County Demographics (https://www.census.gov/quickfacts/fact/table/PA,butlercountypennsylvania/ BZA210219) WITHIN THE COUNTY, THERE IS SIGNIFICANT VARIABILITY AMONGST MANY OF THE SOCIAL AND ECONOMIC DETERMINANTS OF HEALTH DEPENDING ON THE LOCATION IN THE COUNTY BECAUSE OF THE LARGE GEOGRAPHIC AREA BUTLER COUNTY ENCOMPASSES. A RECURRING THEME AMONG COMMUNITY STAKEHOLDERS WAS THE ACCESS AND RESOURCES IN THE SOUTHERN PART OF THE COUNTY DIFFERS WITHIN THE COUNTY FROM THE CENTRAL AND NORTHERN AREAS. BECAUSE OF THESE DIFFERENCES, IT SHOULD BE REMEMBERED THAT COUNTY LEVEL DATA ON HEALTH RELATED ISSUES MIGHT BE TILTED TOWARDS THE AFFLUENCE OF THE SOUTH. THE TABLE BELOW SHOWS A SELECT NUMBER OF DISPARITIES THAT EXIST WITHIN THE PRIMARY SERVICE AREA OF BMH. THESE AREAS INCLUDE: ADAMS TOWNSHIP, CRANBERRY TOWNSHIP, BUTLER CITY, AND CENTER TOWNSHIP. BUTLER CITY IS THE IMMEDIATE AREA SURROUNDING BMH, AND CENTER TOWNSHIP IS IN NORTHERN BUTLER COUNTY. ADAMS CRANBERRY BUTLER CENTER TOWNSHIP TOWNSHIP CITY TOWNSHIP (16046) (16066) (16001) (16061) HIGH SCHOOL GRADUATE OR HIGHER, PERCENT 98.8% 97.3% 91.0% 96.8% BACHELOR'S DEGREE OR HIGHER 66.2% 62.0% 22.7% 36.1% MEDIAN HOUSEHOLD INCOME, 2016-2020 $124,982 $108,160 $32,746 $76,100 PER CAPITA INCOME PAST 12 MONTHS, 2016-2020 $69,935 $53,744 $22,127 $42,109 PERSONS IN POVERTY, PERCENT 3.6% 3.1% 24.2% 4.1% PERCENT WITH A DISABILITY, UNDER AGE 65, 2016-2020 3.8% 4.7% 20.4% 10.8% PERSONS WITHOUT HEALTH INSURANCE .8% 2.2% 6.1% 2.6% HOUSEHOLDS WITH BROADBAND INTERNET SUBSCRIPTION, 2016-2020 93.3% 94.9% 78.5% 85.3% (HTTPS://WWW.CENSUS.GOV/QUICKFACTS/FACT/TABLE/ADAMSTOWNSHIPBUTLERCOUNTYPEN NSYLVANIA, CRANBERRYTOWNSHIPBUTLERCOUNTYPENNSYLVANIA, BUTLERCITYPENNSYLVANIA,CENTERTOWNSHIPBUTLERCOUNTYPENNSYLVANIA/BZA210219) LOOKING AT DATA AT THE COUNTY LEVEL, THERE IS A SIGNIFICANT PORTION OF OUR SERVICE POPULATION BEING UNDER-REPRESENTED. THERE ARE DRAMATIC DIFFERENCES IN FACTORS LIKE INCOME, EDUCATION, AND DISABILITY ACROSS THE COUNTY CREATING A DIFFERENT PICTURE OF HEALTH AND THE HEALTH NEEDS OF DEFINED SUBPOPULATIONS WITHIN THE COUNTY. PART VI, LINE 5: AS OF MARCH 2021, BUTLER HEALTH SYSTEM PLEDGED ITS PARTICIPATION IN GOOD FOOD, HEALTHY HOSPITALS, A 5-YEAR CDC FUNDED STATEWIDE INITIATIVE TO PROMOTE HEALTH AND WELLNESS IN HEALTH CARE SETTINGS. BUTLER HEALTH SYSTEM IS THE 1ST HEALTH SYSTEM IN SOUTHWESTERN PENNSYLVANIA WITH THIS DESIGNATION. THE GOALS OF THE PROGRAM INCLUDE: . INCREASE OFFERING OF HEALTHIER AND MORE SUSTAINABLE FOOD AND BEVERAGE CHOICES . ELIMINATE INDUSTRIALLY PRODUCED TRANS FATS . DECREASE THE SODIUM CONTENT IN AVAILABLE FOODS . DECREASE THE ADDED SUGAR IN BEVERAGES AND DESSERT OFFERINGS . ALLOW INDIVIDUALS TO MAKE INFORMED CHOICES ABOUT WHAT THEY ARE PURCHASING, SELECTING, AND EATING THROUGH LABELING OF MENU ITEMS . IN OUR FIRST YEAR OF PARTICIPATION, WE RECEIVED THE GOOD FOOD, HEALTHY HOSPITALS BRONZE AWARD AND WE HOPE TO WIN THE SILVER AWARD IN THE NEXT 1-2 YEARS. IN APRIL 2021 THE BUTLER HEALTH SYSTEM OPENED THE FOOD INSTITUTE (FI) ON THE BUTLER CAMPUS. THE MISSION OF THE FI IS TO IMPROVE THE COMMUNITY'S HEALTH BY LINKING PATIENTS TO A MORE NUTRITIOUS LIFESTYLE BY PROVIDING ACCESS TO HEALTHY FOOD OPTIONS AND EMPOWERING LIFESTYLE SELF-MANAGEMENT THROUGH EDUCATION, COACHING, AND CONNECTION TO SERVICES. THE NUTRITION HEALTH LIAISON CONDUCTS NUTRITION COUNSELING DURING THE MONTHLY VISIT, AND PATIENTS HAVE ACCESS TO LIVE AND VIDEO FOOD PREPARATIONS AND HEALTHY RECIPES. AS OF MARCH 31, 2023 WE HAVE HAD 750 REFERRALS WITH A 61% PARTICIPATION RATE. DATA AND CLIENT TESTIMONIALS ARE REVEALING DECREASES IN WEIGHT, BODY MASS INDEX AND BLOOD PRESSURES AND IMPROVED GLUCOSE CONTROL. PATIENTS ARE ALSO CONNECTED TO OTHER COMMUNITY SERVICES AS DETERMINED BY THE SOCIAL DETERMINANTS OF HEALTH QUESTIONNAIRE UPON INTAKE AT THE FI. THE BHS DIETARY DEPARTMENT OBTAINS THE FOOD PROVIDED FOR THE PROGRAM THROUGH A COMPETITIVE PRICING PROCESS. ORDERS ARE PLACED TWICE WEEKLY TO KEEP FOOD FRESH, REDUCE WASTE, AND LIMIT THE POTENTIAL FOR FOOD OUTAGES. THE FI IS A FREE SERVICE PROVIDED TO OUR PATIENTS IN LINE WITH OUR MISSION TO BE A HEALING PRESENCE IN THE COMMUNITY. THE BHS HAS MADE A SIGNIFICANT FINANCIAL INVESTMENT IN DEVELOPING THE FOOD INSTITUTE. THIS INVESTMENT INCLUDES PHYSICAL SPACE, REFRIGERATION, FURNITURE, UTENSILS, DIETARY PERSONNEL, A FULL-TIME NUTRITION HEALTH LIAISON AND A FOOD INSTITUTE TECH. BHS ADMINISTRATION IS COMMITTED TO THE PROGRAM'S SUCCESS AND CONTINUES TO SEEK ADDITIONAL SUPPORT THROUGH GRANTS, MONETARY DONATIONS, AND IN-KIND DONATIONS. AFTER RECEIVING A HRSA GRANT, A SECOND FI WAS OPENED AT THE BHS -CLARION CAMPUS IN NOVEMBER 2022. BMH ALSO PROVIDES EVIDENCE-BASED LIFESTYLE COACHING EDUCATIONAL SEMINARS. THE RESEARCH-BASED APPROACHES INCLUDE VOLUMETRIC WEIGHT MANAGEMENT, DIABETES LIFESTYLE COACHING, DIETARY APPROACHES TO STOP HYPERTENSION (DASH), HEART-HEALTHY EATING LIFESTYLE, THE MEDITERRANEAN LIFESTYLE, AND PLANT-BASED EATING. LIFESTYLE COACHING TO ADDRESS SELF-CARE WAS CREATED DURING COVID-19 TO ADDRESS THE FOUR PILLARS OF HEALTH - EATING RIGHT, MOVE MORE, STRESS LESS, AND SLEEP WELL. THIS FOUNDATION OF HEALTH IS VITAL TO EMOTIONAL AND PHYSICAL WELL-BEING AND HAS BEEN INCORPORATED INTO OTHER ACTIVITIES. THE CLASSES ARE OFFERED VIRTUALLY, IN PERSON AND NOW VIDEO ON DEMAND. THIS VARIETY IN EDUCATIONAL TEACHING TOOLS HAS HELPED EXPAND THE OUTREACH TO INCLUDE SURROUNDING COUNTIES. IN 2022 WE AGAIN PROVIDED OVER 1,100 EDUCATION HOURS TO OUR COMMUNITIES. THROUGH THE COMMUNITY NEEDS ASSESSMENT AND DIRECT FEEDBACK FROM BHS STAFF, TRANSPORTATION TO/FROM CLINICAL SERVICES WAS IDENTIFIED AS A BARRIER FOR ACCESS TO HEALTHCARE. EACH YEAR BHS TRANSPORTS PATIENTS FROM RURAL AREAS AROUND THE REGION. THE BHS FOUNDATION CONTINUES TO RAISE DOLLARS FOR THE MUCH NEEDED TRANSPORTATION FUND TO SUPPORT THIS VITAL NEED. IN AUGUST 2022 A FUNDRAISING EVENT YIELDED $100,000 FOR THE SPECIFIC PURPOSE TRANSPORTATION FUND. BHS IS COMMITTED TO THE PROGRAM'S SUCCESS AND CONTINUES TO SEEK ADDITIONAL SUPPORT THROUGH GRANTS, MONETARY DONATIONS, AND IN-KIND DONATIONS IT IS IMPORTANT TO NOTE THAT THE COVID-19 PANDEMIC CREATED AN INCREASED AWARENESS OF SOCIAL DETERMINANTS OF HEALTH AND THE NEED FOR COMMUNITY-INTEGRATED CARE. IN JANUARY, 2021, THE HEALTH SYSTEM DEVELOPED A NEW POSITION OF CHIEF COMMUNITY HEALTH OFFICER TO FOCUS ON INITIATIVES SPECIFIC TO SOCIAL DETERMINANTS OF HEALTH. THE FOLLOWING IS A LIST OF SOME OF THE ONGOING AND NEWLY DEVELOPED PROGRAMS: 1. HEALTH AND WELLNESS EDUCATIONAL OPPORTUNITIES A. DEVELOP AND IMPLEMENT EDUCATIONAL TEAMS FOR COMMUNITY SUPPORT . HEART HEALTHY DIET SEMINARS - MEDITERRANEAN, DASH, PLANT-BASED, FLEXITARIAN, HEART HEALTHY LIFESTYLES - BHS LIFESTYLE COACHING CLASSES . DIABETES LIFESTYLE COACHING 4 WEEK SERIES - BHS ENDOCRINOLOGY PARTNERSHIP WITH LIFESTYLE COACHING . BRAIN HEALTH SEMINARS - BHS STROKE CENTER . ONGOING VOLUMETRIC WEIGHT MANAGEMENT PROGRAM - BHS LIFESTYLE COACHING . SELF-CARE - BHS EMPLOYEE ASSISTANCE PROGRAM . MENU PLANNING - BHS FOOD INSTITUTE STAFF . LONGEVITY LESSONS - BHS LIFESTYLE COACHING B. ADVANCE LIFESTYLE MEDICINE INITIATIVES TO SUPPORT COMMUNITY NEEDS . ALL CLASSES PIVOTED TO VIRTUAL TO ADDRESS LIFESTYLE EDUCATION NEEDS DURING COVID RESTRICTION. CLASSES ARE BEGINNING TO RESUME IN PERSON AND WE HAVE DEVELOPED A VIDEO ON DEMAND PLATFORM. . WEIGHT MANAGEMENT PROGRAM: CHANGED TO ONGOING PROGRAM INSTEAD OF A 4 WEEK PROGRAM AS EVIDENCE BASED GUIDELINES RECOMMEND AT LEAST 6 MONTHS OF INTERVENTION TO ALLOW BEHAVIOR CHANGE . ADDED SELF-CARE SERIES TO ADDRESS STRESSORS ASSOCIATED WITH COVID AND ITS AFTERMATH . UPDATED DIABETES SERIES TO REFLECT ASSOCIATION OF DIABETES CARE & EDUCATION SPECIALISTS (ACDES) CURRICULUM ADCES7 SELF-CARE BEHAVIORS FOR PEOPLE WITH DIABETES . VIDEO SERIES ON LIFESTYLE COACHING SEMINARS AND CLASSES ADVERTISED ON SOCIAL MEDIA, IN PHYSICIAN OFFICES PATIENT POINT, AND LIFESTYLE COACHING WEBSITE . ADVERTISE 6 MONTH LIFESTYLE COACHING FLYER TO COMMUNITY ON SOCIAL MEDIA C. GROW EDUCATIONAL OUTREACH THROUGH PARTNERSHIPS WITHIN THE COMMUNITY . LOCAL RADIO INTERVIEWS AND NEWSPAPER ARTICLES . OUTREACH TO ALL SURROUNDING COUNTIES INCLUDING CLARION, ARMSTRONG, INDIANA AND VENANGO D. COLLABORATE WITH PAYERS TO BRING HEALTHY INITIATIVES INTO THE COMMUNITY 2. PHYSICIAN ACCESS A. GROW AND EXPAND BHS CARE CENTER TO ENHANCE ACCESS TO CARE . TRANSITIONED ALMOST ALL OF PRIMARY CARE AND ALL OF SPECIALTY CARE TO THE BHS CARE CENTER . PROVIDE UNDISTURBED, PATIENT FOCUSED, AND TIMELY RESPONSES TO PATIENT CALLS . PROVIDE ACCESS TO CLINICAL SUPPORT, MESSAGING PROVIDERS, REQUESTING REFILLS, AND SCHEDULING APPOINTMENTS DURING EXPANDED HOURS EVEN WITH THE PRACTICE IS CLOSED . PROVIDED INSIGHT TO PRACTICE PROVIDERS AND LEADERSHIP TO INCREASE PATIENT ACCESS BY ADDING AVAILABILITY TO THEIR SCHEDULES . BUILD THE PATIENT PORTAL SUPPORT TEAM TO ASSIST PATIENTS IN PROVIDING IMMEDIATE ACCESS TO MESSAGE THEIR PROVIDERS AND REQUEST APPOINTMENTS OUTSIDE OF BUSINESS HOURS . PROVIDED A ONE CALL NUMBER 833-602-CARE TO LOCATE A PROVIDER, PCP OR SPECIALIST THAT MEETS THE PATIENTS' NEEDS BOTH CLINICALLY AND GEOGRAPHICALLY. B. DEVELOP CARE PLANS TO SUPPORT CARE ACROSS THE CONTINUUM . CARE PLANS FOR HEART FAILURE AND COPD WERE COMPLETED AND USED BY OUR CARE TRANSITION COORDINATOR AND AMBULATORY CARE MANAGERS. THESE HAVE BEEN APPROVED AND WILL BE IMPLEMENTED AT CLARION HOSPITAL. A CARE TRANSITION COORDINATOR POSITION WAS ADDED AT CLARION TO WORK WITH COPD PATIENTS WITHIN THE PENNSYLVANIA RURAL HEALTH MODEL (PARHM) GOALS . DEVELOPED A TEAM OF PHYSICIANS, CASE MANAGERS, CARE MANAGERS AND CARE CENTER STAFF TO DEVELOP A PATHWAY FOR PNEUMONIA C. SUPPORT TEAM-BASED CARE INITIATIVES: . DEVELOPED PROCESSES WITH CARE CENTER TEAM TO ASSIST PATIENTS SEARCHING FOR PRIMARY CARE PROVIDERS . WORK IN PROCESS: . STANDARDIZE WORKFLOWS . PROVIDER SCHEDULING TEMPLATES . ANALYZE DATA TO DRIVE OPPORTUNITIES (REDUCE OUTMIGRATION) . PATIENT AND PROVIDER ENGAGEMENT WITH TELEHEALTH/VIDEO VISITS . HIGH RISK DISCHARGE PROJECT - MULTI-DISCIPLINARY TEAM DEVELOPED DISCHARGE PROCESS FOR HIGH RISK PATIENTS, CARE COORDINATION, REDUCE READMISSIONS . WORK IN PROGRESS: USE OF TEAM BASED CARE MODEL FOR OTHER HIGH RISK DIAGNOSES TO REDUCE READMISSIONS 3. SUBSTANCE USE DISORDER EFFORTS A. BMH SUPPORTS DRUG AND ALCOHOL (D&A) PROFESSIONALS BY: . REFORMULATED STAFFING MODELS TO MEET ASAM CRITERIA. (AMERICAN SOCIETY OF ADDICTION MEDICINE . PROVIDED EQUIPMENT AND IT SUPPORT TO CONVERT SERVICES TO TELEHEALTH DURING THE COVID PANDEMIC B. EXPAND COMMUNITY OUTREACH: . BMH AND THE D&A LEADERSHIP MEET QUARTERLY WITH COUNTY OFFICIALS TO DISCUSS NEW TREATMENT NEEDS, BARRIERS WITH CURRENT TREATMENT OPTIONS, AND WAYS TO COMMUNICATE SERVICES TO THE PUBLIC . PARTICIPATION IN RECOVERY EVENTS THROUGHOUT THE YEAR SPONSORED BY VARIOUS HUMAN SERVICE AGENCIES . DISCUSS ADDICTION AND TREATMENT OPTIONS ON LOCAL RADIO (WISR) . PARTICIPATED IN A PUBLIC SERVICE ANNOUNCEMENT WITH KNOCH HIGH SCHOOL TO EDUCATE THE PUBLIC ON THE DANGERS OF SUBSTANCE USE . PARTICIPATED IN THE YEARLY OCTOBER RECOVERY INFORMATION INSERT IN THE BUTLER EAGL PART VI, LINE 6: BUTLER HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF BUTLER HEALTHCARE PROVIDERS. true BUTLER MEDICAL PROVIDERS 1 HOSPITAL WAY BUTLER PA 16001 251441961 501(C)(3) 40453255 OPERATING SUPPORT 1 PART I, LINE 2: THE ORGANIZATION'S BYLAWS CONTROL THE CONTRIBUTIONS THAT CAN BE MADE AND THE PROCESS RELATED TO SUCH. X X X X X false true false false false false false true false KENNETH P DEFURIO PRESIDENT & CEO 699194 245001 41539 263951 16453 1266138 NORMAN K BEALS CHIEF WELLNESS OFFICER 411590 61501 21254 47551 16335 558231 DAVID ROTTINGHAUS CHIEF MEDICAL OFFICER 449730 118004 16933 41781 18077 644525 KAREN ALLEN VP PATIENT SVC, CNO 310488 77324 176476 58866 18507 641661 162547 THOMAS GENEVRO CHIEF OPERATING OFFICER 306094 76253 12240 57296 18769 470652 ERIC HUSS CHIEF FINANCIAL OFFICER 351350 35000 20369 40450 6430 453599 ROGER LUTZ CHIEF INFORMATION OFFICER 254714 62358 6971 51682 18428 394153 HILARY HARLAN CHIEF CCMP 254024 46878 10903 26826 14408 353039 STEVEN DAVIS PRESIDENT CLARION HEALTH 296142 44251 9511 20650 19066 389620 MICHAEL FIORINA DO VP MEDICAL EDUCATION 243657 11309 18375 6315 279656 KATHY SELVAGGI CHIEF COMMUNITY HEALTH OFFICER 268674 34377 18322 38101 640 360114 RANDY TEWKBURY EXEC DIRECTOR OF REVENUE CYCLE 200991 10200 0 10812 16398 238401 GREGORY P HAUDACH PHARMACIST 176439 160 0 13390 18118 208107 THOMAS RARAIGH DIRECTOR CARDIOLOGY & IMAGING 180635 8732 0 13567 1480 204414 MATTHEW SCHNUR PHARMACIST 161683 8216 0 7967 18646 196512 KELLY KRENITSKY PHARMACIST 162545 160 0 12349 7853 182907 DENNIS DEMBY MD TRUSTEE 0 222900 0 5097 0 6784 0 0 0 15519 0 250300 ANIE PERARD MD TRUSTEE (BEGIN 01/22) 0 299198 0 0 0 24732 0 0 0 16649 0 340579 PART I, LINES 4B: 4(B) THE ORGANIZATION UTILIZES A SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) TO RECRUIT AND RETAIN LEADERSHIP TALENT. VESTING PERIODS ARE 5 AND 10 YEARS, 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 2021 WERE: KENNETH P DEFURIO, $242,201; NORMAN BEALS, $28,701; DAVID ROTTINGHAUS, $25,831; KAREN ALLEN, $37,116; THOMAS GENEVRO, $35,546; ERIC HUSS, $24,500; ROGER LUTZ, $29,932; HILARY HARLAN, $17,501; STEVE DAVIS, $20,650; MICHAEL FIORINA, DO, $18,375; KATHY SELVAGGI, $19,251. DURING CALENDAR YEAR 2021, KAREN ALLEN RECEIVED A SERP PAYOUT OF $162,547. THIS AMOUNT IS REPORTED IN SCH J, PART II, COLUMN F. 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. A BUTLER COUNTY HOSPITAL AUTHORITY 251458912 123592DR5 2015-03-18 100481533 REFUND PRIOR ISSUE 04/29/09 false false false B BUTLER COUNTY HOSPITAL AUTHORITY 251458912 1235926QB 2009-04-29 50000000 CONSTRUCTION OF ADDITION TO HOSPIT false false false A 24031533 0 100481533 0 0 0 1411658 0 0 0 0 0 2015 false true true true B 18665000 9000000 50000000 0 0 0 833495 0 0 49165505 0 0 2010 false false false true A false false false false 0 false false false false B false false false false 0 false false false false A false false true false false false 0 false 0 false B false false false true true false 0 false 0 false false A false B false SCHEDULE K, PART I, BOND ISSUES: (A) ISSUER NAME: BUTLER COUNTY HOSPITAL AUTHORITY (F) DESCRIPTION OF PURPOSE: CONSTRUCTION OF ADDITION TO HOSPITAL SCHEDULE K, PART IV, ARBITRAGE, LINE 2C (A) ISSUER NAME: BUTLER COUNTY HOSPITAL AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 07/01/2019 FORM 990, PART VI, SECTION A, LINE 6 PER THE BY-LAWS OF THE ORGANIZATION, THE ORGANIZATION SHALL HAVE ONE CORPORATE MEMBER, BUTLER HEALTH SYSTEM, INC. THERE SHALL BE NO OTHER MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A BUTLER HEALTH SYSTEM, INC., THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, APPOINTS THE MEMBERS OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B AS PER THE BY-LAWS OF THE ORGANIZATION, THE SUBJECT MATTERS OF THE POWERS RESERVED TO THE MEMBER ARE AS FOLLOWS: A. THE NUMBER OF TRUSTEES THAT WILL COMPRISE THE BOARD. B. THE ELECTION OF TRUSTEES. C. THE REMOVAL OF ANY TRUSTEE FOR CAUSE FROM THE CORPORATION'S BOARD OF TRUSTEES AND APPROVAL OF THE REPLACEMENT OF ANY SUCH REMOVED TRUSTEE FOR THE UNEXPIRED PORTION OF THE TERM. D. THE ELECTION, RE-ELECTION, APPOINTMENT AND REAPPOINTMENT OF ALL OFFICERS OF THE BOARD. E. THE AMENDMENT, REVISION, OR RESTATEMENT OF THE CORPORATION'S ARTICLES OF INCORPORATION AND/OR BY-LAWS. F. THE ADOPTION OR CHANGE IN THE MISSION, PURPOSE, PHILOSOPHY OR OBJECTIVES OF THE CORPORATION. G. THE CHANGE IN THE GENERAL STRUCTURE OF THE CORPORATION AS A VOLUNTARY, NONPROFIT CORPORATION. H. THE DISSOLUTION, DIVISION, CONVERSION OR LIQUIDATION OF THE CORPORATION, THE CONSOLIDATION OR MERGER OF THE CORPORATION WITH ANOTHER CORPORATION OR ENTITY, OR THE ACQUISITION OF SUBSTANTIALLY ALL OF THE ASSETS OF ANOTHER CORPORATION OR ENTITY, SUBJECT TO THE PROVISION OF THE ARTICLES OF INCORPORATION. I. THE CORPORATION'S BORROWING OF MONEY, ISSUANCE OF INDEBTEDNESS AND/OR INCURRENCE OF GUARANTEES, WHETHER IN A SINGLE TRANSACTION OR A SERIES OF RELATED TRANSACTIONS, WHETHER OR NOT SUCH BORROWINGS OR GUARANTEES ARE TO BE SECURED BY A MORTGAGE, PLEDGE OR OTHER LIEN ON THE CORPORATION'S CURRENT OR FUTURE REAL PROPERTY, PERSONAL PROPERTY OR ENDOWMENT FUNDS. J. APPROVAL OF THE ANNUAL CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ANY AMENDMENTS THERETO. K. APPROVAL OF ANY CHARITABLE DONATION BY THE CORPORATION, OTHER THAN TO THE MEMBER OR ANY NONPROFIT ENTITY IN WHICH THE MEMBER IS A SOLE MEMBER, IN AN AMOUNT EXCEEDING $15,000 PER DONEE OR IN AN AMOUNT EXCEEDING $150,000 IN THE AGGREGATE DURING ANY ONE FISCAL YEAR. L. APPROVAL OF ANY TRANSFER OTHER THAN CHARITABLE DONATIONS OF THE CORPORATION'S ASSETS UNLESS SPECIFICALLY AUTHORIZED IN THE CORPORATION'S APPROVED BUDGETS. M. APPROVAL OF CHANGE OF MEMBERSHIP OR VOTING RIGHTS OF THE MEMBER. N. APPROVAL OF THE STRATEGIC PLANS AND/OR INVESTMENT POLICIES OF THE CORPORATION AND ANY SUBSIDIARY OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE COMPLETED 990 WAS PREPARED BY THE TAX DEPARTMENT OF AN EXTERNAL AUDIT FIRM IN CONJUNCTION WITH HOSPITAL STAFF AND REVIEWED BY THE CHIEF FINANCIAL OFFICER. RELEVANT SECTIONS WERE ALSO REVIEWED BY THE IN-HOUSE COUNSEL. FORM 990 WAS PROVIDED TO THE AUDIT AND COMPLIANCE COMMITTEE AND THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT. AFTER THESE REVIEWS, BUT PRIOR TO FILING, THE FULL 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. PART VI, SECTION B, LINE 12C THE RESPONSES TO THE CONFLICT OF INTEREST DISCLOSURE FORM ARE COLLECTED AND REVIEWED ANNUALLY BY THE CORPORATE COMPLIANCE OFFICER, AND IN-HOUSE COUNSEL AS NEEDED, 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. IN-HOUSE COUNSEL AND/OR CORPORATE COMPLIANCE OFFICER ATTENDS ALL BOARD MEETINGS AND ENSURES THAT ANY NEEDED RECUSALS OCCUR. FORM 990, PART VI, SECTION B, LINE 15A & 15B THE BOARD OF TRUSTEES RECOGNIZES THE GREAT CHALLENGES AND DIFFICULTIES THAT HEALTHCARE EXECUTIVES FACE, PARTICULARLY IN THE CURRENT ERA OF NATIONAL AND STATE HEALTHCARE REFORM. IN ADDITION, THE PITTSBURGH REGIONAL MARKET IS HIGHLY COMPETITIVE. THE BOARD COMPETES FOR AND SEEKS EXECUTIVE TALENT ON A NATIONAL BASIS. IT ENGAGES EXPERT COMPENSATION CONSULTANTS, UTILIZING NATIONAL COMPARATIVE DATA TO GUIDE THE DETERMINATION OF COMPETITIVE, APPROPRIATE LEVELS OF COMPENSATION. THE TOTAL COMPENSATION PROGRAM FOR EXECUTIVES CONSISTS OF CASH COMPENSATION AND BENEFITS. FACTORS TAKEN INTO CONSIDERATION IN DETERMINING COMPENSATION FOR EXECUTIVES INCLUDE: MARKET DEMAND AND COMPETITION FOR SIMILAR POSITIONS, EXPERIENCE AND TENURE, AND ACTUAL PERFORMANCE AND EFFECTIVENESS. BASED ON THESE AND OTHER PERTINENT CRITERIA, BHS TARGETS TOTAL COMPENSATION TO FALL WITHIN A RANGE OF THE 25TH TO 75TH PERCENTILE OF THE MARKET. BHS EXECUTIVE COMPENSATION GENERALLY WILL NOT EXCEED THE 75TH PERCENTILE OF THE MARKET. EXCEPTIONS TO THIS MAY BE SUBJECT TO REVIEW AND RECOMMENDATION BY THE COMPENSATION COMMITTEE, WHICH IN TURN IS SUBJECT TO REVIEW AND APPROVAL BY THE BOARD OF TRUSTEES. EXCEPTIONS MUST BE SUPPORTED BY ORGANIZATIONAL AND/OR INDIVIDUAL PERFORMANCE, OR A RETENTION/RECRUITMENT CIRCUMSTANCE THAT WARRANTS SUCH COMPENSATION. THE COMPENSATION COMMITTEE CONSISTS EXCLUSIVELY OF INDEPENDENT INDIVIDUALS WITH NO REAL OR PERCEIVED CONFLICTS OF INTEREST IN RECOMMENDING EXECUTIVE COMPENSATION GUIDELINES AND LEVELS. THE BOARD OF TRUSTEES HAS THE FINAL APPROVAL OF ALL EXECUTIVE COMPENSATION DECISIONS. WHILE BENEFITS ARE ACCOUNTED FOR IN SCHEDULE J, ACTUAL TAKE HOME PAY TO THE EXECUTIVE TYPICALLY CONSISTS ONLY OF BASE SALARY AND ANY INCENTIVE AWARD, IF EARNED. APPLICABLE TAXES AND OTHER WITHHOLDING ARE DEDUCTED. ANNUAL INCREASES IN BASE PAY, IF ANY, ARE BASED ON COMPETITIVE MARKET TRENDS FROM THE COMPARISON GROUP. SUPPLEMENTAL RETIREMENT BENEFITS ARE USED AS A VEHICLE FOR EXECUTIVE RECRUITMENT AND RETENTION WITH APPROPRIATE VESTING PERIODS. THE BOARD OF TRUSTEES REVIEWS AND APPROVES EXECUTIVE COMPENSATION IN ITS ENTIRETY, INCLUDING THE USE OF TALLY SHEETS, WHICH DISCLOSE 100% OF EACH EXECUTIVE'S COMPENSATION. THE BOARD OF TRUSTEES ENGAGES EXTERNAL COMPENSATION CONSULTANTS AND EXTERNAL LEGAL EXPERTISE TO ASSURE REASONABLENESS OF EXECUTIVE COMPENSATION LEVELS. FORM 990, PART VI, SECTION C, LINE 19 HISTORICAL FINANCIAL INFORMATION IS PROVIDED TO THE PUBLIC AT THE ANNUAL PUBLIC BOARD MEETING. BYLAWS, ARTICLES OF INCORPORATION AND THE CONFLICT OF INTEREST POLICY ARE POSTED ON THE WEBSITE. FORM 990, PART XI, LINE 9 CHANGE IN NET ASSETS OF BUTLER HEALTH FOUNDATION $- 2,479,075 CHANGE IN PENSION ASSETS AND LIABILITIES $- 3,726,474 CHANGE IN NON-CONTROLLING INTEREST $- 458,579 NET PERIODIC PENSION BENEFIT $ 3,925,432 TOTAL $- 2,738,696 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:20349692 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:6133631 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE MEDICAL SERVICES TOTAL FEES:5313261 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER SERVICE FEES TOTAL FEES:9899275 BUTLER HEALTH SYSTEM 1 HOSPITAL WAY BUTLER PA 16001 251441855 HC DELIV SYST PA 501(C)(3) LINE 10 N/A false BUTLER MEDICAL PROVIDERS 1 HOSPITAL WAY BUTLER PA 16001 251441961 PHYS PRACTICE PA 501(C)(3) LINE 3 BHS false NIXSAR CORPORATION 1 HOSPITAL WAY BUTLER PA 16001 251441960 REAL ESTATE PA 501(C)(3) LINE 12B,II BHS false BUTLER HEALTH SYSTEM FOUNDATION 1 HOSPITAL WAY BUTLER PA 16001 261543883 FUNDRAISING PA 501(C)(3) LINE 12A,I BHS false CLARION HOSPITAL ONE HOSPITAL DRIVE CLARION PA 16214 251010039 HOSPITAL PA 501(C)(3) LINE 3 CHS false HEALTH SERVICES OF CLARION ONE HOSPITAL DRIVE CLARION PA 16214 753126134 PHYSICIANS PA 501(C)(3) LINE 3 CHS false CLARION HEALTHCARE SYSTEM ONE HOSPITAL DRIVE CLARION PA 16214 251534023 HOLDING CO PA 501(C)(3) LINE 12A,I BHS false CLARION HOSPITAL SELF INS TRUST FUND ONE HOSPITAL DRIVE CLARION PA 16214 250766602 SELF-INSURANC PA 501(C)(3) LINE 12A,I CHS false BUTLER MEMORIAL HOSPITAL AUXILIARY 1 HOSPITAL WAY BUTLER PA 160014670 251457575 AUXILIARY PA 501(C)(3) LINE 10 BHS false BUTLER AMBULATORY SURGERY CENTER 102 TECHNOLOGY DRIVE BUTLER PA 16001 061728190 SURGERY PA NA N/A 0 0 false 0 false 0.00000 BHS FASTERCARE 1 HOSPITAL WAY BUTLER PA 16001 271961562 URGENT CARE PA BHP RELATED 152339 1873939 false 0 true 0.53402 BHS FASTER CARE LABORATORY SERVICES LLC 1 HOSPITAL WAY BUTLER PA 16001 800628384 LAB SERVICES PA BHP RELATED 0 0 false 0 true 0.51000 PCA OF BUTLER PC 480 EAST JEFFERSON STREET BUTLER PA 16001 251351445 PHYSICIAN OFF PA NA C CORP 0 0 0.00000 false CLARION DEVELOPMENT CORPORATION ONE HOSPITAL DRIVE CLARION PA 16214 251516298 PHARMACY PA NA C CORP 0 0 0.00000 false false true true false false false false false false true true true true true true true true false false