BUTLER MEDICAL PROVIDERS: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- BUTLER MEDICAL PROVIDERS (EIN 25-1441961)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201421359349306702
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-15T13:46:53-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251441961 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Butler Medical Providers | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BUTL | NameControl |
| Phone | 7242844429 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Hospital Way | AddressLine1 |
| City | Butler | City |
| State | PA | State |
| ZIP Code | 16001 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Anne B Krebs | Name |
| Title | VP of Finance | Title |
| Phone | 7242844408 | Phone |
| Date Signed | 2014-05-15 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Kenneth DeFurio | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Hospital Way | AddressLine1 |
| City | Butler | City |
| State | PA | State |
| ZIP Code | 160014670 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 28022620 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.butlerhealthsystem.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1983 | YearFormation |
| State Legal Domicile | PA | StateLegalDomicile |
| Activity Or Mission Description | Butler Medical Providers is a multi specialty physician group practice that is dedicated to make a positive difference in the lives of people by providing compassionate high quality care and comfort and inspiring health and wellbeing. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 3 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 196 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 22330668 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 23209700 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3299035 | OtherRevenuePriorYear |
| Other Revenue Current Year | 4812920 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 25629703 | TotalRevenuePriorYear |
| Total Revenue Current Year | 28022620 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 23246265 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 27229623 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7734121 | OtherExpensePriorYear |
| Other Expenses Current Year | 7162712 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 30980386 | TotalExpensesPriorYear |
| Total Expenses Current Year | 34392335 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -5350683 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -6369715 | RevenuesLessExpensesCY |
| Total Assets BOY | 5924736 | TotalAssetsBOY |
| Total Assets EOY | 9243446 | TotalAssetsEOY |
| Total Liabilities BOY | 2124968 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3613393 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3799768 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 5630053 | NetAssetsOrFundBalancesEOY |
| Mission Description | Butler Medical Providers is a multi specialty physician group practice that is dedicated to make a positive difference in the lives of people by providing compassionate high quality care and comfort and inspiring health and wellbeing. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 33645757 | Expense |
| Revenue | 23209700 | Revenue |
| Description | In addition to Family Practice, our specialties include Internal Medicine, Infectious Disease, Adult and Pediatric Hospitalists, Electro Physiology, Cardiology, Dermatology, Pathology, General Surgery, Wound Care,Radiation Oncology and Radiology. The practice employs approximately 86 providers and approximately 95 support staff. During the year, we provided care for 103,991 patient visits in the office setting and procedures along with 87,309 hospital (Butler Healthcare Providers) and nursing home visits. Butler Healthcare Providers is a related non-profit corporation. | Description |
| Total Program Service Expense | 33645757 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 28 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 196 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 3 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | PA | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Finance Department | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7242844429 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Hospital Way | AddressLine1 |
| City | Butler | City |
| State | PA | State |
| ZIP Code | 160014670 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (10 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Kenneth P De Furio | ||||||||
| Chairman,Pres & CEO | 15.00 | 45.00 | X | X | 0 | 646340 | 194822 | |
| Stephanie Roskovski | ||||||||
| Corporate Secretary | 5.00 | 55.00 | X | X | 0 | 301258 | 62871 | |
| Samer Azouz MD | ||||||||
| Trustee | 40.00 | X | 697646 | 0 | 14225 | |||
| Dennis Demby MD | ||||||||
| Trustee | 40.00 | X | 216716 | 0 | 14225 | |||
| Anne B Krebs | ||||||||
| Chief Financial Officer | 7.00 | 43.00 | X | 0 | 323509 | 75685 | ||
| David A Cowan MD | ||||||||
| Physician | 40.00 | 845902 | 0 | 18990 | X | |||
| Dean E Wolz MD | ||||||||
| Physician | 40.00 | 596030 | 0 | 18990 | X | |||
| Sunder R Rao MD | ||||||||
| Physician | 40.00 | 1.00 | 552082 | 0 | 18990 | X | ||
| Gregory J Francken MD | ||||||||
| Physician | 40.00 | 520715 | 0 | 11553 | X | |||
| Brandon Repko MD | ||||||||
| Physician | 40.00 | 511831 | 0 | 23324 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3940922 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1271107 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 453675 | TotalOtherCompensation |
| Number Individuals GT100 K | 60 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Emergency Radiology | |||||
| 9 Brookridge Court | Bloomington | IL | 61704 | Radiology | 435661 |
| Radcom Associates LTD | |||||
| 7 Accee Dr | Natrona Hghts | PA | 15065 | Radiology Billing | 416483 |
| Franklin & Seidelmann | |||||
| PO Box 73473 | Cleveland | OH | 44193 | Radiology | 245695 |
| Medicus Hospitalists LLC | |||||
| 22 Roulston Road | Windham | NH | 03087 | Staffing | 167663 |
| Anna Mnuskin MD PhD | |||||
| 113 Shannon Drive | Pittsburgh | PA | 15238 | Pathology | 162200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 6 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Patient Revenue | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 23209700 | TotalRevenueColumn |
| Related Or Exempt Function Income | 23209700 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 23209700 | TotalProgramServiceRevenue |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Other Operating Revenu | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 4812920 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4812920 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 4812920 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28022620 | TotalRevenueColumn |
| Related Or Exempt Function Income | 28022620 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 924547 | Total |
| Program Services | 924547 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23216685 | Total |
| Program Services | 22665057 | ProgramServices |
| Management And General | 551628 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1974648 | Total |
| Program Services | 1910492 | ProgramServices |
| Management And General | 64156 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1113743 | Total |
| Program Services | 1070482 | ProgramServices |
| Management And General | 43261 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19286 | Total |
| Program Services | 17912 | ProgramServices |
| Management And General | 1374 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 847678 | Total |
| Program Services | 823298 | ProgramServices |
| Management And General | 24380 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 687 | Total |
| Program Services | 687 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 944474 | Total |
| Program Services | 944474 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 118008 | Total |
| Program Services | 111736 | ProgramServices |
| Management And General | 6272 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52005 | Total |
| Program Services | 51616 | ProgramServices |
| Management And General | 389 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 315615 | Total |
| Program Services | 314007 | ProgramServices |
| Management And General | 1608 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 816849 | Total |
| Program Services | 813568 | ProgramServices |
| Management And General | 3281 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Purchased services | 3538844 | 3531457 | 7387 |
| Miscellaneous | 509266 | 466424 | 42842 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34392335 | Total |
| Program Services | 33645757 | ProgramServices |
| Management And General | 746578 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1475 | BOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1457550 | BOY |
| EOY | 2223187 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2821321 | BOY |
| EOY | 5052948 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 557662 | BOY |
| EOY | 673533 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3160923 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2241654 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1086728 | BOY |
| EOY | 919269 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 374509 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5924736 | BOY |
| EOY | 9243446 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2124968 | BOY |
| EOY | 3613393 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2124968 | BOY |
| EOY | 3613393 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3799768 | BOY |
| EOY | 5630053 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3799768 | BOY |
| EOY | 5630053 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5924736 | BOY |
| EOY | 9243446 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -6369715 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 8200000 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 100366 | OtherCostOrOtherBasis |
| Book Value | 100366 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 847825 | OtherCostOrOtherBasis |
| Depreciation | 619839 | Depreciation |
| Book Value | 227986 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 187702 | OtherCostOrOtherBasis |
| Depreciation | 115784 | Depreciation |
| Book Value | 71918 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1992529 | OtherCostOrOtherBasis |
| Depreciation | 1475712 | Depreciation |
| Book Value | 516817 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 32501 | OtherCostOrOtherBasis |
| Depreciation | 30319 | Depreciation |
| Book Value | 2182 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 919269 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X, Line 2: | ReturnReference |
| Explanation | The System follows the guidance for accounting for uncertainty in income taxes recognized in a company's financial statements that prescribes a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. The guidance also addresses derecognition, classification, interest and penalties, accounting in interim periods, and disclosure. Management has determined that this guidance had no material effect on the consolidated financial statements. The System's policy is to recognize interest related to unrecognized tax benefits in interest expense and penalties in professional fees and miscellaneous expenses. There were no interest or penalties recognized on the consolidated statements of operations and changes in net assets as a result of this guidance. Generally, tax returns for year ended June 30, 2010, and thereafter remain subject to examination by federal and state tax authorities. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 1 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kenneth P De Furio | ||||||||||||||
| Chairman,Pres & CEO | 0 | 485319 | 0 | 130712 | 0 | 30309 | 0 | 155458 | 0 | 39364 | 0 | 841162 | 0 | 0 |
| Stephanie Roskovski | ||||||||||||||
| Corporate Secretary | 0 | 239600 | 0 | 48002 | 0 | 13656 | 0 | 41489 | 0 | 21382 | 0 | 364129 | 0 | 0 |
| Samer Azouz MD | ||||||||||||||
| Trustee | 494001 | 0 | 163645 | 0 | 40000 | 0 | 0 | 0 | 14225 | 0 | 711871 | 0 | 0 | 0 |
| Dennis Demby MD | ||||||||||||||
| Trustee | 163925 | 0 | 34791 | 0 | 18000 | 0 | 0 | 0 | 14225 | 0 | 230941 | 0 | 0 | 0 |
| Anne B Krebs | ||||||||||||||
| Chief Financial Officer | 0 | 266576 | 0 | 40229 | 0 | 16704 | 0 | 48275 | 0 | 27410 | 0 | 399194 | 0 | 0 |
| David A Cowan MD | ||||||||||||||
| Physician | 520960 | 0 | 299942 | 0 | 25000 | 0 | 0 | 0 | 18990 | 0 | 864892 | 0 | 0 | 0 |
| Dean E Wolz MD | ||||||||||||||
| Physician | 494000 | 0 | 27030 | 0 | 75000 | 0 | 0 | 0 | 18990 | 0 | 615020 | 0 | 0 | 0 |
| Sunder R Rao MD | ||||||||||||||
| Physician | 496306 | 0 | 30776 | 0 | 25000 | 0 | 0 | 0 | 18990 | 0 | 571072 | 0 | 0 | 0 |
| Gregory J Francken MD | ||||||||||||||
| Physician | 390003 | 0 | 105712 | 0 | 25000 | 0 | 0 | 0 | 11553 | 0 | 532268 | 0 | 0 | 0 |
| Brandon Repko MD | ||||||||||||||
| Physician | 424878 | 0 | 86953 | 0 | 0 | 0 | 0 | 0 | 23324 | 0 | 535155 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 3 | The CEO is paid by Butler Healthcare Providers a non profit related corporation. Butler Healthcare provides uses the following methods to establish compensation for the CEO: compensation committee, independent compensation consultant, Form 990 of other organizations, a written employment contract, compensation survey or study, and approval by the board or compensation committee. |
| Part I, Line 4b | 4(b) As part of the Senior Executive Benefit Plan, a related nonprofit corporation, Butler Healthcare Providers contributed to a SERP plan for the following individuals: Kenneth P DeFurio 134,458; Anne B Krebs 32,183;Stephanie Roskovski 26,687 |
| Part I, Line 5 | Dennis Demby received a 34,791 bonus based on an individual physician productivity plan that was based on net collections. Compensation is reasonable based upon Medical Group Management Association (MGMA) physician production survey and guidelines. |
| Part I, Line 6 | The following physicians received incentives based on overall division net income: Brandon Repko 86,953; Gregory Francken 105,712; David Cowan 290,942 Compensation is reasonable based upon Medical Group Management Association (MGMA) physician production survey and guidelines. |
| Part I, Line 7 | The following physician received incentives based upon various indicators including quality incentives, market development and RVU incentives: Samer Azouz 163,645; Dean Wolz 27,030; Sunder Rao 25,000 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 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 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. | |
| Form 990, Part VI, Section B, line 11 | The completed Form 990 was reviewed by the Chief Financial Officer and an outside independent public accounting firm. Relevant sections were reviewed by the Vice President and General Counsel. Highlights of the Form 990 where reviewed with the Board of Trustees. After these reviews, but prior to filing, the full Board of Trustees were notified that the completed 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 review annually by General Counsel, who then reviews the same with the Audit and Compliance Committee of the Board of Trustees. Conflict of Interest Disclosure forms are completed by all trustees, officers, committee members as well as the executive team. In the event a relationship results in a potential conflict for an issue being discussed by the Board, the trustee recues himself/herself from the discussion and vote. The recusal is documented in the minutes. The Vice President and General Counsel attends all board meetings and ensures that any needed recusals occur. | |
| Butler Health System Executive Compensation Philosophy and Process The Board of Trustees recognizes the great challenges and difficulties that healthcare executives face, particularly in the current era of national and state healthcare reform. In addition, the Pittsburgh regional market is highly 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, 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. 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 consists only of base salary and incentive award earned, if any. Applicable taxes and 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 19 | Historically 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: | Transfers to (from) affiliates 8,200,000. | Changes in Net Assets or Fund Balances: |
| Line XII, Line 2c: The organization has not changed its overview or selection process regarding the audit during the current year. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| BHS-Nallathambi Medical Associates PLLC | |||||||||
| One Hospital Way | Butler | PA | 16001 | 264746949 | Physician Office Practice | PA | 2468054 | 351424 | Butler Medical Providers |
| Butler Imaging and Interventional Associates LLC | |||||||||
| One Hospital Way | Butler | PA | 16001 | 264263364 | Radiology Services | PA | 7492735 | 691508 | Butler Medical Providers |
Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| Butler Health System | ||||||||||
| One Hospital Way | Butler | PA | 160014670 | 251441855 | Healthcare Delivery system | PA | 501(c)(3) | Line 3 | 0 | |
| Butler Healthcare Providers DBA Butler Memorial Hospital | ||||||||||
| One Hospital Way | Butler | PA | 160014670 | 250965274 | Acute Care hospital | PA | 501(c)(3) | Line 3 | 0 | Butler Health System |
| Nixsar Corporation | ||||||||||
| One Hospital Way | Butler | PA | 160014670 | 251441960 | Own and Operate real estate | PA | 501(c)(3) | Line 3 | 0 | Butler Health System |
| Butler Health System Foundation | ||||||||||
| One Hospital Way | Butler | PA | 160014670 | 261543883 | Fundraising | PA | 501(c)(3) | Line 11a, I | 0 | Butler Health System |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| Butler Ambulatory Surgery Center LLC | |||||||
| 102 Technology Drive | Butler | PA | 16001 | 061728190 | Surgery Center | PA | N/A |
| BHS FastERcare | |||||||
| One Hosptial Way | Butler | PA | 16001 | 271961562 | Urgent Care | PA | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PCA of Butler PC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 480 East Jefferson Street | AddressLine1 |
| City | Butler | City |
| State | PA | State |
| ZIP Code | 16001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 251351445 | EIN |
| Primary Activity | Physician Office Practice | PrimaryActivity |
| Legal Domicile State | PA | LegalDomicileState |
| Type Of Entity | C | TypeOfEntity |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
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