2022-03-04T14:31:16-06:00 2021-06-30 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2020-07-01 250965274 BUTLER HEALTHCARE PROVIDERS % ERIC HUSS BUTL 7242844166 ONE HOSPITAL WAY BUTLER PA 16001 ERIC HUSS CFO 7242844429 2022-05-16 true ERIC HUSS 999009999 Anne E White P01708202 2604604000 2 2020 2022-09-23 18:48:47Z BUTLER MEMORIAL HOSPITAL KENNETH P DEFURIO ONE HOSPITAL WAY BUTLER PA 16001 313838849 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 10 2198 83 4199060 685989 2474339 1923454 264216354 294870206 5345250 11788844 6205554 5256345 278241497 313838849 23351000 29550000 0 0 133522192 133552957 0 0 0 126863966 145837187 283737158 308940144 -5495661 4898705 401551308 468960689 195364803 215264722 206186505 253695967 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 277705464 29550000 294952586 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 123 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. 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 TREATMENT, FAMILY SERVICES, PREVENTATIVE & WELLNESS PROGRAMS AND TERTIARY CARDIOVASCULAR CARE. IT ALSO HAS A NETWORK OF APPROXIMATELEY 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. CARDIOVASCULAR SERVICES AT BUTLER MEMORIAL HOSPITAL PROVIDE ROUTINE AND ADVANCED CARDIAC CARE, INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY, CARDIAC SURGERY, VASCULAR SURGERY, THORACIC SURGERY, INTERVENTIONAL RADIOLOGY 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. IN ADDITION TO OUR TOP THREE SERVICES DESCRIBED IN SCHEDULE H, BUTLER MEMORIAL HOSPITAL HAD ADDITIONAL ACCOMPLISHMENTS SPECIFICALLY RELATED TO THE COVID-19 PANDEMIC. THROUGHOUT THE PANDEMIC THE HEALTH AND SAFETY OF THE COMMUNITY WAS BUTLER MEMORIAL HOSPITAL'S HIGHEST PRIORITY. FROM JULY 2020-JUNE 2021, BMH PERFORMED 97,000 COVID TESTS FOR THE COMMUNITY IN AN OUTPATIENT SETTING. IN JANUARY OF 2021 BUTLER MEMORIAL HOSPITAL STARTED DISTRIBUTING DOSES OF THE VACCINE TO THE PUBLIC. IN APRIL OF 2021 BUTLER MEMORIAL HOSPITAL PARTNERED WITH BUTLER COUNTY TO OPEN A VACCINE CLINIC AT THE BUTLER CLEARVIEW MALL. THIS CLINIC ALONE VACCINATED ALMOST 33,000 MEMBERS OF THE COMMUNITY. AT THE CLINIC, BUTLER COUNTY COMMUNITY COLLEGE NURSING STUDENTS WERE GIVEN AN OPPORTUNITY TO GET AN EARLY START IN THE FIELD BY VOLUNTEERING AT THE CLINIC. APPROXIMATELY 80 STUDENTS WERE ROTATED THROUGH THE CLINIC AND WERE ABLE PERFORM TASKS THAT ASSISTED IN THE VACCINE CLINIC AND GAVE THEM REAL EXPERIENCE IN THE FIELD. BUTLER MEMORIAL HOSPITAL GAVE THE STUDENTS AN OPPORTUNITY TO NOT ONLY ASSIST THE COMMUNITY DURING THE PANDEMIC BUT ALSO A CHANCE TO FURTHER DEVELOP THEIR CLINICAL SKILLS. BUTLER MEMORIAL HOSPITAL ALSO WORKED WITH THE BUTLER COUNTY AREA AGENCY ON AGING AND BUTLER COUNTY CENTER FOR COMMUNITY RESOURCES TO VACCINATE RESIDENTS WHO ARE 65 AND OLDER. THROUGH THE EFFORTS OF THESE ORGANIZATIONS APPROXIMATELY 1,200 RESIDENTS WERE ASSISTED WITH SCHEDULING AND RECEIVING THEIR VACCINE. BY JUNE 2021 BUTLER MEMORIAL HOSPITAL, THROUGH THE COMMUNITY WIDE EFFORTS TO GET AS MANY PEOPLE VACCINATED AS POSSIBLE, BMH WAS PROUD TO BE RECOGNIZED AS HAVING THE 6TH HIGHEST VACCINATION RATE PER 100,000 RESIDENTS IN THE COMMONWEALTH OF PA, WITH 80,000 FULLY VACCINATED RESIDENTS. 277705464 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 136 0 true 2198 true true true false false false false false false false false false false false X 12 10 false false false false true true true true true false false true true true true true true true true false X X ERIC HUSS 7242836666 ONE HOSPITAL WAY BUTLER PA 16001 KENNETH P DEFURIO PRESIDENT & CEO 40.0 22.0 X X 740645 0 275200 ELLIOTT SMITH CHIEF MEDICAL OFFICER 40.0 20.0 X 541919 0 35322 NORMAN K BEALS CHIEF WELLNESS OFFICER 40.0 20.0 X 423560 0 62225 DAVID ROTTINGHAUS CHIEF MEDICAL OFFICER 40.0 20.0 X 383906 0 57904 KAREN ALLEN VP PATIENT SVC, CNO 55.0 0.0 X 321287 0 78442 THOMAS GENEVRO CHIEF OPERATING OFFICER 45.0 10.0 X 308454 0 76853 STEVEN DAVIS PRESIDENT CLARION HEALTH 20.0 40.0 X 318355 0 40073 PAULA L HOOPER 720-820 CHIEF LEGAL OFFICER 40.0 20.0 X 309425 0 33349 ROGER LUTZ CHIEF INFORMATION OFFICER 40.0 0.0 X 256118 0 68536 ERIC HUSS CHIEF FINANCIAL OFFICER 40.0 15.0 X 291645 0 26083 GREGORY P HAUDACH PHARMACIST 40.0 0.0 X 223234 0 35704 RANDY TEWKSBURY EXEC DIRECTOR OF REVENUE CYCLE 40.0 15.0 X 232370 0 14267 DENNIS DEMBY MD TRUSTEE 0.8 40.2 X 0 187871 12970 MARK KOVACH PHARMACIST 40.0 0.0 X 157330 0 30104 MATTHEW SCHNUR PHARMACIST 40.0 0.0 X 160280 0 26953 THOMAS RARAIGH DIRECTOR CARDIOLOGY & IMAGING 40.0 0.0 X 171601 0 14062 HILLARY HARLAN CHIEF CCMP 40.0 15.0 X 74584 0 4406 MARGARET IRVINE WEIR TRUSTEE 2.0 1.0 X 0 0 0 PATRICK HAMPSON TRUSTEE 2.0 1.0 X 0 0 0 DELIA BOUWERS BIANCHIN ESQ TRUSTEE BEGIN 1/21 1.0 2.0 X 0 0 0 LARRY RICHERT TRUSTEE BEGIN 1/21 1.0 2.0 X 0 0 0 TIMOTHY MORGUS CHAIR BEGIN 1/21 4.0 4.0 X X 0 0 0 RAJIV SAWHNEY DPT CORPORATE SECRETARY/TREASURER 2.0 2.0 X 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 FRED PORT TRUSTEE 1.0 2.0 X 0 0 0 CRAIG THOMASMEYER TRUSTEE 1.0 2.0 X 0 0 0 PATTI-ANN KANTERMAN CHAIR END 12/20 4.0 4.0 X X 0 0 0 MICHAEL FIORINA DO TRUSTEE END 12/20 2.0 1.0 X 0 0 0 TRACY VITALE ED D TRUSTEE END 12/20 2.0 1.0 X 0 0 0 4914713 187871 892453 98 false true false QUEST DIAGNOSTICS 875 GREENTREE ROAD 4 PARKWAY CENTE PITTSBURGH PA 152203610 LABORATORY SERVICES 3759548 BUTLER ANESTHESIA ASSOCIATES PO BOX 737 EAST BUTLER PA 16029 ANESTHESIOLOGY 3528803 NAVIN HAFFTY ASSOCIATES 1900 WEST PARK DRIVE SUITE 180 WESTBOROUGH MA 01581 COMPUTER CONSULTING 2971106 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 2303733 20 124401 1799053 0 1923454 NET PATIENT SERVICE REVENUE 621500 280110321 280110321 OTHER OPERATING REVENUE 621500 14759885 14759885 294870206 11766129 11766129 0 0 59665 0 59665 0 59665 59665 22715 22715 22715 22715 0 0 0 0 0 0 0 0 0 NON PATIENT LAB 541380 1556794 1556794 PHARMACY 446110 2102928 2102928 CAFETERIA 900099 997620 997620 539338 539338 5196680 313838849 294952586 4199060 12763749 29550000 29550000 0 0 0 4478843 4478843 0 97031064 90098382 6932682 4846686 4301832 544854 19999460 17751164 2248296 7196904 6387844 809060 0 838741 838741 118735 118735 0 0 0 38890520 34518531 4371989 1872750 1662219 210531 4776253 4239317 536936 3281666 2912748 368918 0 8023981 7121942 902039 198185 175905 22280 0 0 3959081 3959081 0 16825625 14934124 1891501 2609029 2315728 293301 MEDICAL AND OTHER SUPPLIES 57111831 50691442 6420389 BAD DEBT EXPENSE 6272461 6272461 DUES AND SUBSCRIPTIONS 516902 458793 58109 BANK AND CREDIT CARD FEES 398781 353951 44830 142646 142646 308940144 277705464 31234680 0 3624 3399 42043667 25978617 0 0 23780656 31248592 0 0 0 0 0 0 4313057 5170508 3177354 23300850 389156776 246274438 139804462 142882338 163255240 184257213 0 0 13569884 20124765 0 0 11603364 35994407 401551308 468960689 35449263 39880412 0 0 0 0 115730000 111815000 0 0 0 0 21231427 20573275 0 0 22954113 42996035 195364803 215264722 X 205474981 251204764 711524 2491203 206186505 253695967 401551308 468960689 X 4898705 14647660 6140689 21822408 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 40935 40935 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. 452697 680 453377 447823 4874 452697 444658 3165 447823 443590 1068 444658 442836 754 443590 1.00000 false true true 2577581 2577581 106211466 55834288 50377178 8380134 5555724 2824410 257452462 177117864 80334598 14535133 7766562 6768571 142882338 OTHER ASSETS 2190052 DUE FROM THIRD PARTY 2025696 DUE FROM AFFILIATES 13882982 OTHER ASSETS 15416602 INTEREST IN NET ASSETS 2479075 35994407 0 DUE TO AFFILIATES 8152664 ACCRUED INTEREST PAYABLE 2011047 THIRD PARTY PAYABLE 1300000 OTHER LIABILITIES 31532324 42996035 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 2457483 2457483 0.00810 33753061 25040653 8712408 0.02880 418800 290071 128729 0.00040 36629344 25330724 11298620 0.03730 86356 86356 0.00030 168380 168380 0.00060 7829960 6971997 857963 0.00280 1095685 1095685 0.00360 9180381 6971997 2208384 0.00730 45809725 32302721 13507004 0.04460 true 6272461 3362039 37254221 40403902 -3149681 X true true BUTLER PHYSICIANS LEASES MEDICAL OFFICE SPACE REALTY LLC 0.1667 0.1111 1 1 BUTLER MEMORIAL HOSPITAL ONE 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 19 true false false true X WWW.BUTLERHEALTHSYSTEM.ORG/ABOUT-BHS X true 19 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 SIX COUNTY HEALTH DEPARTMENTS (ALLEGHENY, BUCKS, CHESTER, 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 ASSESSMENT. SARAH MINION, AN EPIDEMIOLOGY PH.D. CANDIDATE FROM THE UNIVERSITY OF PITTSBURGH GRADUATE SCHOOL OF PUBLIC HEALTH WAS CONSULTED FOR HER RESEARCH ON MATERNAL AND FETAL HEALTH. AT THE STAKEHOLDER MEETING, THE REPRESENTATIVE FROM THE LIONS CLUB OF BUTLER COUNTY, HAS A DOCTORATE OF PUBLIC HEALTH. LASTLY, ONE OF THE LEADS ON THE PROJECT IS A MASTER OF PUBLIC HEALTH AND JURIS DOCTOR CANDIDATE AT THE UNIVERSITY OF PITTSBURGH. IN JUNE OF 2019, REPRESENTATIVES FROM MANY ORGANIZATIONS WITHIN BUTLER COUNTY CAME TOGETHER TO DISCUSS THE STRENGTHS AND NEEDS OF THE COMMUNITY. SEVERAL ORGANIZATIONS WERE UNABLE TO ATTEND THE INITIAL MEETING, SO INDIVIDUAL MEETINGS WERE SET UP TO DISCUSS ISSUES THAT PERTAIN TO THEIR RESPECTIVE POPULATIONS. THE FOLLOWING ORGANIZATIONS WERE REPRESENTED AT EITHER THE STAKEHOLDER MEETING OR WITH AN INDIVIDUAL MEETING; THE VULNERABLE POPULATIONS SERVED BY THE RESPECTIVE ORGANIZATIONS ARE IDENTIFIED AS WELL. . ALLIANCE FOR NON-PROFIT RESOURCES (ANR)- FOOD INSECURE INDIVIDUALS . ARC OF BUTLER COUNTY- INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES . 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 . GRAPEVINE CENTER- INDIVIDUALS WITH MENTAL ILLNESS, CO-OCCURRING DEPENDENCIES, FORMERLY INCARCERATED, HOMELESS . LIONS CLUB OF BUTLER COUNTY . 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 . SENECA VALLEY SCHOOL DISTRICT . VETERANS SERVICES- VETERANS HERE, INDIVIDUALS WERE ASKED TO DESCRIBE THE OVERALL HEALTH OF THE REGION. EACH ORGANIZATION WAS ALSO ASKED TO IDENTIFY THE TOP THREE HEALTH PRIORITIES FOR THE AREA. THESE ANSWERS WERE COMPARED AMONGST THE GROUP. INDIVIDUALS WERE ALSO ASKED TO INDICATE ANY ORGANIZATIONS IN THE AREA THAT ARE WORKING ON THE ISSUE. THE GROUP ALSO DISCUSSED BARRIERS THAT ARE IN PLACE OR MAY ARISE IN TRYING TO IMPLEMENT IMPROVEMENTS. IN THE DISCUSSION, OBESITY AND CHRONIC DISEASE WERE GROUPED TOGETHER, HOWEVER IT IS A LARGE ENOUGH ISSUE TO DISCUSS ON ITS OWN. THE TOP THREE HEALTH ISSUES STAKEHOLDERS IDENTIFIED WERE CHRONIC DISEASE (INCLUDING OBESITY), MENTAL HEALTH AND SUBSTANCE ABUSE. STAKEHOLDERS ALSO IDENTIFIED ISSUES GROUPED UNDER HEALTH EDUCATION, ACCESS, CHILDREN'S HEALTH NEEDS, TRANSPORTATION AND CARE TRANSITION. WE ARE IN THE PROCESS OF CONDUCTING A CHNA FOR 2022. PART V, SECTION B, LINE 11 HEALTH AND WELLNESS EDUCATIONAL OPPORTUNITY: - DEVELOPING AND IMPLEMENTING EDUCATIONAL TEAMS FOR COMMUNITY SUPPORT - ADVANCING "LIFESTYLE MEDICINE" INITIATIVES - CONNECTING CHRONIC DISEASE INDIVIDUALS WITH EDUCATIONAL CARE MANAGERS - COLLABORATING WITH PAYER PARTNERS IN VALUE BASED HEALTH INITIATIVES PHYSICIAN ACCESS DIFFICULTIES: - RECRUIT AND RETAIN PRIMARY CARE PHYSICIANS FOR ENHANCED AVAILABILITY - EXPAND USE OF ADVANCED PRACTICE PROVIDERS - IMPLEMENT SYSTEM WIDE SINGLE ELECTRONIC HEALTH PLATFORM - DEVELOP CARE PLANS TO SUPPORT CARE IN THE COMMUNITY SUBSTANCE USE DISORDER EFFORTS: - SUPPORT AND AUGMENT BMH DRUG AND ALCOHOL PROFESSIONALS - SUPPORT ACCESS TO AVAILABLE GRANTS TO FUND COMMUNITY SUPPORT INITIATIVES - EXPAND COMMUNITY OUTREACH THROUGH SOCIAL WORK EFFORTS - CONTINUE SUPPORT FOR BMH "OPIOID CENTER OF EXCELLENCE" MENTAL AND BEHAVIORAL HEALTH SUPPORT: - GROW AND ENHANCE ACCESS TO BEHAVIORAL HEALTH AND PSYCHIATRIC RESOURCES - COLLABORATE WITH COMMUNITY AGENCIES ENGAGED IN COMMON ACTIVITIES - MAINTAIN EMERGENCY DEPARTMENT SUPPORT ON BEHAVIORAL HEALTH - IMPROVE ACCESS THROUGH TOP OF LICENSE INITIATIVES 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 ONE 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 $6,272,461. 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 A PATIENT FINANCIAL SERVICE REPRESENTATIVE WILL REVIEW THE PATIENT'S OUTSTANDING ACCOUNTS FOR PRIOR SERVICES. ONCE THE APPLICATION HAS BEEN APPROVED IT WILL BE IN EFFECT FOR SIX MONTHS BEFORE AND AFTER THE APPROVAL DATE, ABSENT A SIGNIFICANT CHANGE IN PATIENT'S FINANCIAL CIRCUMSTANCES. BMH WILL PRESUMPTIVELY QUALIFY PATIENT FOR CHARITY CARE IF THEY MEET CRITERIA SUCH AS BEING FOOD STAMP ELIGIBLE AND QUALIFYING FOR SECTION 8 HOUSING. 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 66.2% OF HOUSEHOLDS IN BUTLER CITY HAD BROADBAND INTERNET, SO PAPER SURVEYS WERE CIRCULATED IN ADDITION TO THE ONLINE VERSION. STAKEHOLDERS AT THE INITIAL MEETING WERE GIVEN SURVEYS 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 ALSO DISTRIBUTED THE LINK TO THE ONLINE SURVEY THROUGH THEIR EMAIL LIST. THE BUTLER COUNTY COLLABORATIVE FOR FAMILIES IS A MULTI-AGENCY NETWORK THAT COLLABORATES TO PROVIDE SERVICES FOR INDIVIDUALS AND FAMILIES IN BUTLER COUNTY. BHS CARE MANAGERS DELIVERED PAPER SURVEYS AND FLYERS TO DISTRIBUTE 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. GENERAL COMMUNITY SURVEYS WERE ALSO TAKEN TO AN ENDOCRINE OUTPATIENT OFFICE FOR ADDITIONAL DATA COLLECTION. BUTLER MEMORIAL HOSPITAL COLLECTED 651 SURVEYS, THAT COMMUNITY MEMBERS COMPLETED EITHER ONLINE OR ON PAPER. 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 ON THE ABOUT BHS PAGE. AT THE TIME OF REGISTRATION, ANY PATIENT THAT IS UNINSURED IS GIVEN A PATIENT NOTICE OF FINANCIAL AID NOTICE. THE NOTICE INSTRUCTS THE PATIENT TO CALL OR VISIT THE PATIENT FINANCIAL ASSISTANCE DEPARTMENT. THE CHARITY CARE APPLICATION IS ALSO ON THE BACK OF OUR PATIENT STATEMENTS. PART VI, LINE 4 THE PRIMARY SERVICE AREA FOR BUTLER MEMORIAL HOSPITAL (BHM) WAS IDENTIFIED AS BUTLER COUNTY, PENNSYLVANIA. A MAJORITY OF PATIENTS AND VISITS ORIGINATE FROM THE BUTLER AND SURROUNDING COUNTIES. 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. THIS IS ILLUSTRATED IN FIGURE 1. Butler County Pennsylvania 2019 Population Estimate 187,853 12,801,989 Population Percent Change: April 2010-July 2019 2.2% 0.8% Median Age 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 (2015-2019) 13,168 759,474 Education High School Graduate or Higher 94.9% 90.5% Bachelor's Degree or Higher 36.0% 31.4% Median Household Income $70,668 $61,744 Per Capital Income in Past 12 Months $37,811 $34,352 Persons in Poverty, Percent 7.8% 12.0% Percent with a Disability under age 65, 2015-2019 8.4% 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/ PST045219) IN THE COUNTY, THERE IS A LARGE DIFFERENCE AMONG THE SOCIAL DETERMINANTS OF HEALTH DEPENDING ON THE LOCATION IN THE COUNTY DUE TO HOW LARGE THE GEOGRAPHIC AREA BUTLER COUNTY COVERS. 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 IN THE IMMEDIATE AREA OF 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 98.4% 96.8% 89.9% 95.9% BACHELOR'S DEGREE OR HIGHER 65.1% 59.1% 20.0% 35.9% MEDIAN HOUSEHOLD INCOME, 2015-2019 $128,484 $106,024 $31,361 $70,412 PER CAPITA INCOME PAST 12 MONTHS, 2015-2019 $62,005 $52,186 $20,821 $39,492 PERSONS IN POVERTY, PERCENT 2.0% 3.3% 27.8% 5.8% PERCENT WITH A DISABILITY, UNDER AGE 65, 2015-2019 4.0% 5.1% 19.6% 13.5% PERSONS WITHOUT HEALTH INSURANCE 1.0% 2.3% 5.5% 3.6% HOUSEHOLDS WITH BROADBAND INTERNET SUBSCRIPTION, 2015-2019 92.6% 94.1% 73.4% 84.6% LOOKING AT THE DATA AT COUNTY LEVEL, THERE IS A SIGNIFICANT PORTION OF OUR SERVICE POPULATION BEING UNDER-REPRESENTED. FACTORS LIKE INCOME, EDUCATION, AND DISABILITY SEE A DRAMATIC DIFFERENCE ACROSS 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 WESTERN PENNSYLVANIA WITH THE 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 APRIL 2021 THE BUTLER MEMORIAL HOSPITAL OPENED THE BHS FOOD INSTITUTE. THE MISSION OF THE FOOD INSTITUTE 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. PATIENTS WILL BE CONNECTED TO OTHER RESOURCES BASED ON NEED, AS DETERMINED BY INTAKE. 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 FOOD INSTITUTE IS A FREE SERVICE PROVIDED TO THE COMMUNITY AND PART OF BHS'S MISSION TO BE A HEALING PRESENCE IN THE COMMUNITY. THE BUTLER HEALTH SYSTEM HAS MADE A SIGNIFICANT FINANCIAL INVESTMENT IN DEVELOPING THE FOOD INSTITUTE. THIS INVESTMENT INCLUDES PHYSICAL SPACE, REFRIGERATION, FURNITURE, UTENSILS, DIETARY PERSONNEL, AND A FULL-TIME NUTRITION HEALTH LIAISON. BHS IS COMMITTED TO THE PROGRAM'S SUCCESS AND CONTINUES TO SEEK ADDITIONAL SUPPORT THROUGH GRANTS, MONETARY DONATIONS, AND IN-KIND DONATIONS. 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 WHICH HAS HELPED EXPAND THE OUTREACH TO INCLUDE SURROUNDING COUNTIES. OVER THE PAST 12 MONTHS WE HAVE PROVIDED OVER 1,100 EDUCATION HOURS TO OUR COMMUNITIES. THROUGH THE COMMUNITY NEEDS ASSESSMENT AND THE DIRECT FEEDBACK FROM BHS STAFF AND DEPARTMENTS TRANSPORTATION TO/FROM CLINICAL SERVICES WAS IDENTIFIED AS A BARRIER FOR ACCESS TO HEALTHCARE. THE BHS FOUNDATION STARTED THE PATIENT TRANSPORTATION FUND TO SUPPORT THIS VITAL NEED. EACH YEAR BHS TRANSPORTS PATIENTS FROM RURAL AREAS AROUND THE REGION, AS FAR-REACHING AS CLARION. RURAL TRANSPORTATION COSTS CAN BE COSTLY AND ARE BASED ON THE MILEAGE TO/FROM THE HOSPITAL. THE FUND SPENDS AN AVERAGE OF $1,500 PER MONTH ON PATIENT TRANSPORTATION. BHS IS COMMITTED TO THE PROGRAM'S SUCCESS AND CONTINUES TO SEEK ADDITIONAL SUPPORT THROUGH GRANTS, MONETARY DONATIONS, AND IN-KIND DONATIONS. OTHER ACTIVITIES TO IMPROVE THE HEALTH OF OUR COMMUNITY INCLUDE: . SCALES & AUTOMATIC BP CUFFS FOR CHF CLINIC PATIENTS . PURCHASE OF VOCERA LICENSES . BLANKET WARMER FOR THE ED . SUPPORT OF DIABETIC PATIENTS TO PROVIDE HEALTH COACHING FOR LIFESTYLE CHANGES & WEIGHT LOSS CLASSES FOR CHRONIC DISEASE . PURCHASED 3 ACCUVEIN FINDERS . PURCHASE OF NEUROQUANT SOFTWARE . PURCHASE OF I-PADS FOR COMPASSIONATE CARE ROUNDS- FOR PATIENTS WHO WERE ADMITTED TO THE HOSPITAL WHEN VISITORS WERE NOT ALLOWED, BUTLER MEMORIAL HOSPITAL CREATED A "COMPASSION ROUND" THAT ALLOWED PATIENTS TO USE TABLETS TO CONNECT WITH THEIR LOVED ONES. . VACCINE OUTREACH PROGRAMS FOR THE HOMELESS AND UNDERSERVED . MANY OF OUR OUTREACH EFFORTS FOCUSED ON PROVIDING EMPLOYEE SUPPORT AND ADJUSTING COMMUNITY SERVICES TO A VIRTUAL FORMAT: . VIRTUAL WORKFORCE SUPPORT GROUPS FOR EMPLOYEES . "NO ONE DIES ALONE" PROGRAM . "FEEDING OUR HEROES" INITIATIVE- PARTNERSHIP WITH LOCAL RESTAURANTS, FOOD VENDORS AND LOCAL NONPROFITS TO PROVIDE FUNDING FOR MEALS TO FRONTLINE WORKERS OF THE COVID-19 PANDEMIC. IT IS IMPORTANT TO NOTE THAT THE COVID-19 PANDEMIC HAS 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. PART VI, LINE 6 BUTLER HEALTH SYSTEM IS THE SOLE CORPORATE MEMBER OF BUTLER HEALTHCARE PROVIDERS. true COMMUNITY HEALTH CLINIC OF BUTLER 103 BONNIE DRIVE BUTLER PA 16002 204852135 501(C)(3) 50000 GENERAL SUPPORT BUTLER MEDICAL PROVIDERS ONE HOSPITAL WAY BUTLER PA 16002 251441961 501(C)(3) 29500000 OPERATING SUPPORT 2 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 676624 0 64021 255487 19713 1015845 ELLIOTT SMITH CHIEF MEDICAL OFFICER 521336 0 20583 15675 19647 577241 NORMAN K BEALS CHIEF WELLNESS OFFICER 410290 0 13270 47226 14999 485785 DAVID ROTTINGHAUS CHIEF MEDICAL OFFICER 377602 0 6304 38656 19248 441810 KAREN ALLEN VP PATIENT SVC, CNO 309576 0 11711 58491 19951 399729 THOMAS GENEVRO CHIEF OPERATING OFFICER 296492 0 11962 56921 19932 385307 ERIC HUSS CHIEF FINANCIAL OFFICER 276142 0 15503 20417 5666 317728 ROGER LUTZ CHIEF INFORMATION OFFICER 249814 0 6304 48670 19866 324654 STEVEN DAVIS PRESIDENT CLARION HEALTH 295267 0 23088 20650 19423 358428 RANDY TEWKSBURY EXEC DIRECTOR OF REVENUE CYCLE 201911 24000 6459 0 14267 246637 GREGORY P HAUDACH PHARMACIST 223234 0 0 15994 19710 258938 THOMAS RARAIGH DIRECTOR CARDIOLOGY & IMAGING 171601 0 0 12571 1491 185663 MATTHEW SCHNUR PHARMACIST 160280 0 0 7213 19740 187233 MARK KOVACH PHARMACIST 157330 0 0 10915 19189 187434 DENNIS DEMBY MD TRUSTEE 0 163925 0 16343 0 7603 0 0 0 12970 0 200841 PAULA L HOOPER 720-820 CHIEF LEGAL OFFICER 294578 0 14847 21322 12027 342774 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 CALENDER YEAR 2020 WERE: KENNETH P DEFURIO, $242,201; STEVEN DAVIS $20,650; ERIC HUSS $24,500; HILLARY HARLAN $17,501; THOMAS GENEVRO $35,546; KAREN ALLEN $37,116; NORMAN BEALS $28,701; ROGER LUTZ $29,932; DAVID ROTTINGHAUS $25,831. 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. IT IS NOTED THAT IN RECOGNITION OF THE MANY STRESSORS PLACED ON THE ORGANIZATION AS A RESULT OF THE COVID-19 PANDEMIC, INCLUDING FINANCIAL PRESSURES, NO BASE SALARY INCREASES OR INCENTIVE AWARDS WERE PAID TO ANY EXECUTIVE IN FY 2021. 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 21406533 0 100481533 0 0 0 1411658 0 0 0 0 0 2015 false true true true B 17260000 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. FORM 990, 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. IT IS NOTED THAT IN RECOGNITION OF THE MANY STRESSORS PLACED ON THE ORGANIZATION AS A RESULT OF THE COVID-19 PANDEMIC, INCLUDING FINANCIAL PRESSURES, NO BASE SALARY INCREASES OR INCENTIVE AWARDS WERE PAID TO ANY EXECUTIVE IN FY 2021. 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 $ 97,006 CHANGE IN PENSION ASSETS AND LIABILITIES $ 20,101,935 CHANGE IN NON-CONTROLLING INTEREST $ 298,884 NET PERIODIC PENSION BENEFIT $ 1,324,583 TOTAL $ 21,822,408 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:15595927 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:6442316 FORM 990 PART IX LINE 11G DESCRIPTION:OUTSIDE MEDICAL SERVICES TOTAL FEES:6780321 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER SERVICE FEES TOTAL FEES:10071956 BUTLER HEALTH SYSTEM ONE HOSPITAL WAY BUTLER PA 16001 251441855 HC DELIV SYST PA 501(C)(3) LINE 10 N/A false BUTLER MEDICAL PROVIDERS ONE HOSPITAL WAY BUTLER PA 16001 251441961 PHYS PRACTICE PA 501(C)(3) LINE 3 BHS false NIXSAR CORPORATION ONE HOSPITAL WAY BUTLER PA 16001 251441960 REAL ESTATE PA 501(C)(3) LINE 12B,II BHS false BUTLER HEALTH SYSTEM FOUNDATION ONE 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 PW 501(C)(3) LINE 3 CHS false CLARION HEALTHCARE SYSTEM ONE HOSPITAL DRIVE CLARION PA 16214 251534023 HOLDING CO PW 501(C)(3) LINE 12A,I BHS false CLARION HOSPITAL SELF INS TRUST FUND ONE HOSPITAL DRIVE CLARION PA 16214 250766602 SELF-INS. 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