BUTLER HEALTHCARE PROVIDERS: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
BUTLER HEALTHCARE PROVIDERS (EIN 25-0965274)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-17
IRS object ID
201111379349300446
Schema version
2009v1.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-17T16:21:17-04:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Butler Healthcare ProvidersBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1911 East Brady StreetAddressLine1
CityButlerCity
StatePAState
ZIP Code160014646ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN250965274EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Butler Healthcare ProvidersBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBUTLNameControl
Phone7242844429Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Hospital WayAddressLine1
CityButlerCity
StatePAState
ZIP Code160014670ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameAnne B KrebsName
TitleVP of FinanceTitle
Phone7242844429Phone
Date Signed2011-05-16DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Date Prepared2011-05-17DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Butler Memorial HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonKenneth P DeFurioNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1One Hospital WayAddressLine1
CityButlerCity
StatePAState
ZIP Code160014670ZIPCode
FieldValueIRS element (for citing)
Gross Receipts205215204GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web Sitewww.butlerhealthsystem.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1898YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionThe mission of Butler Memorial Hospital is to be a healing presence in the communities we serve. We exist 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 Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees1945TotalNbrEmployees
Total Nbr Volunteers318TotalNbrVolunteers
Total Gross UBI3920597TotalGrossUBI
Net Unrelated Business Txbl Income780124NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1839252ContributionsGrantsPriorYear
Contributions Grants Current Year1304061ContributionsGrantsCurrentYear
Program Service Revenue Prior Year177783653ProgramServiceRevenuePriorYear
Program Service Revenue CY196712595ProgramServiceRevenueCY
Investment Income Prior Year1407947InvestmentIncomePriorYear
Investment Income Current Year1723717InvestmentIncomeCurrentYear
Other Revenue Prior Year4370391OtherRevenuePriorYear
Other Revenue Current Year5474831OtherRevenueCurrentYear
Total Revenue Prior Year185401243TotalRevenuePriorYear
Total Revenue Current Year205215204TotalRevenueCurrentYear
Grants And Similar Amnts CY54167GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year89068047SalariesEtcPriorYear
Salaries Etc Current Year98762897SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year83831333OtherExpensePriorYear
Other Expenses Current Year88270196OtherExpensesCurrentYear
Total Expenses Prior Year172899380TotalExpensesPriorYear
Total Expenses Current Year187087260TotalExpensesCurrentYear
Revenues Less Expenses Prior Year12501863RevenuesLessExpensesPriorYear
Revenues Less Expenses CY18127944RevenuesLessExpensesCY
Total Assets BOY303033487TotalAssetsBOY
Total Assets EOY323981857TotalAssetsEOY
Total Liabilities BOY183840822TotalLiabilitiesBOY
Total Liabilities EOY196627380TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY119192665NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY127354477NetAssetsOrFundBalancesEOY
Mission DescriptionThe mission of Butler Memorial Hospital is to be a healing presence in the communities we serve. We exist 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense151575853Expense
Revenue196712595Revenue
DescriptionButler 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 nearly 2,000 people, making it the largest employer in Butler County. The hospital has grown into a regional referral center for the area. It is the largest hospital facility between Pittsburgh and Erie. It is comprised of 232 acute care beds and a 25 bed skilled nursing facility. BMH serves approximately 14,000 acute care patients(admissions) and over 450,000 outpatients each year. The hospital maintains a deep commitment to its community, as is demonstrated through its broad service offering. It provides all levels of general medical and surgical care, emergency services,a robust psychiatric service, drug & alcohol treatment, family services, preventative & wellness programs, and tertiary cardiovascular care. It also has a network of 25 convenient, low-cost outpatient sites that are located in communities throughout Butler County and the surrounding area.Description
Total Program Service Expense151575853TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With1096102NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1945NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Butler Healthcare ProvidersBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7242844429TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1One Hospitlal WayAddressLine1
CityButlerCity
StatePAState
ZIP Code160014670ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
D Kelly Agnew MD
Trustee1.00X000
T T Channapati MD
Trustee5.00X2500000
David E Foreman
Trustee1.00X000
Kathryn Helfer
Trustee1.00X000
PattiAnn Kanterman
Trustee1.00X000
Richard F Latuska MD
Trustee1.00X000
Patricia Liebman
Trustee1.00X000
Douglas K McClaine
Trustee1.00X000
Thomas Muzzonigro MD
Trustee1.00X000
Surendra K Sethi MD
Trustee1.00X600000
Robert M Smith PhD
Trustee1.00X000
Margaret Weir
Trustee1.00X000
Kenneth P DeFurio
President and CEO50.00X66513000X
Fiore C Londino
Chairman2.00X000X
Anne B Krebs
Chief Financial Officer50.00X30042400X
Marcia Segraves
Corporate Secretary2.00X000X
Maureen A Gray
VP Patient Svc Chief Nurse Officer50.0023478400X
Stephanie Roskovski
VP of Outpatient Services50.0019653000X
A Thomas McGill MD
VP Quality & Safety50.0036753200X
Charles E Oleson
VP Info Systems & CIO50.0025069400X
Michael D Busch
VP Strategic Planning & Growth50.0024498000X
Paula L Hooper
VP General Counsel50.0023682700X
Richard L Allen
VP Strategic Facilities Development50.0022121900X
John C Reefer MD
Trustee50.00X30819100X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3057311TotalReportableCompFromOrg
Number Individuals GT100 K28NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1Address Line2AddressOfContractor/AddressUS/AddressLine2CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Turner Construction Company
Two PNC Plaza620 Liberty Ave 27th FloorPittsburghPA152222719Construction40962253
Turner Logistics LLC
Four Skyline DriveHawthorneNY10532Construction4197181
Advanced Imaging Inc
90 Chamber PlaceCharleroiPA15022Imaging Services2513335
Metz Associates Ltd
Two Woodland DriveDallasPA18612Environmental/Dietar2205996
Independence Excavating Inc
5720 Schaaf RoadIndependenceOH44131Construction2195276
FieldValueIRS element (for citing)
Number Of Contractors GT100 K29NumberOfContractorsGT100K
Federated Campaigns7080FederatedCampaigns
Related Organizations91894RelatedOrganizations
Government Grants1203748GovernmentGrants
All Other Contributions1339AllOtherContributions
Total Contributions1304061TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient ServicesDescription
Business Code621500BusinessCode
Total Revenue Column196712595TotalRevenueColumn
Related Or Exempt Function Income193391449RelatedOrExemptFunctionIncome
Unrelated Business Revenue3321146UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue196712595TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1723717TotalRevenueColumn
Exclusion$1,723,717ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Other Income90009933009533059945241008
Dietary/Cafeteria Sales7222101238313$1,238,313
Physician Billing Services541900935565577122358443
FieldValueIRS element (for citing)
Total Other Revenue5474831TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column205215204TotalRevenueColumn
Related Or Exempt Function Income197028516RelatedOrExemptFunctionIncome
Unrelated Business Revenue3920597UnrelatedBusinessRevenue
Exclusion$2,962,030ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total54167Total
Program Services54167ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1944977Total
Management And General1944977ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total73974314Total
Program Services66184224ProgramServices
Management And General7790090ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total5232900Total
Program Services5232900ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total12650063Total
Program Services12650063ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4960643Total
Program Services4392119ProgramServices
Management And General568524ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total343632Total
Program Services138118ProgramServices
Management And General205514ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total90000Total
Management And General90000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total12934243Total
Program Services10250912ProgramServices
Management And General2683331ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total603755Total
Program Services390556ProgramServices
Management And General213199ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total46643605Total
Program Services45439423ProgramServices
Management And General1204182ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1471890Total
Program Services1187512ProgramServices
Management And General284378ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3732849Total
Program Services3294579ProgramServices
Management And General438270ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total414564Total
Program Services167967ProgramServices
Management And General276597ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total140917Total
Program Services84233ProgramServices
Management And General56684ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1314193Total
Management And General1314193ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7617081Total
Management And General7617081ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1790370Total
Program Services1029922ProgramServices
Management And General760448ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
Bad Debt Expense80082518008251
Miscellaneous19264281033261893167
Recruitment703395598946104449
Organizational Dues35780827626681542
Collection Agency Fees177215177215

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total187087260Total
Program Services151575853ProgramServices
Management And General35541407ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2700BOY
EOY2715EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY14786602BOY
EOY14552724EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY20373185BOY
EOY21608199EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2172108BOY
EOY1805925EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2669582BOY
EOY2892860EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3600054BOY
EOY3225060EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis285471435LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec129747013LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY72843705BOY
EOY155724422EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY179936482BOY
EOY114895581EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1994357BOY
EOY3364450EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4654712BOY
EOY5909921EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY303033487BOY
EOY323981857EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY20275494BOY
EOY30628011EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY143116135BOY
EOY136953820EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY20449193BOY
EOY29045549EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY183840822BOY
EOY196627380EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY118818066BOY
EOY125887342EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY374599BOY
EOY1467135EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY119192665BOY
EOY127354477EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY303033487BOY
EOY323981857EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2550603OtherCostOrOtherBasis
Book Value2550603BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis30797492OtherCostOrOtherBasis
Depreciation23962931Depreciation
Book Value6834561BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4562376OtherCostOrOtherBasis
Depreciation1627311Depreciation
Book Value2935065BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis126680374OtherCostOrOtherBasis
Depreciation101125065Depreciation
Book Value25555309BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis120880588OtherCostOrOtherBasis
Depreciation3031704Depreciation
Book Value117848884BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings155724422TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (7 entries)

DescriptionDescriptionBook ValueBookValue
Benbrook Medical Holdings118633
Chart - Insurance Captive1729359
Benbrook II214450
Butler Physicians Realty121354
Vie Care Butler LLC128110
South Butler Medical146000
Medcare - DME906544
FieldValueIRS element (for citing)
Total Of Book Value Program Related3364450TotalOfBookValueProgramRelated

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
Splt $ Life Insurance1351050
Delta Development Grp Fees316608
Asset Value Life Insurance43666
VHA of PA200000
Debt Issuance Costs2562773
Net Assets of Butler Health System Foundation1435824
FieldValueIRS element (for citing)
Total Book Value Other Assets5909921TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Pension liability$24,201,276
Third party settlements$4,844,273
FieldValueIRS element (for citing)
Total Of Amounts29045549TotalOfAmounts
Total Revenue205215204TotalRevenue
Total Expenses187087260TotalExpenses
Excess Or Deficit For Year18127944ExcessOrDeficitForYear
Excess Or Deficit Per FS18127944ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationPart X (2) Fin 48 Footnote: The Hospital accounts for uncertainty in income taxes using a recognition threshold of more-likely-than-not to be substained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold is met. Management determined there were no tax uncertainties that met the recognition threshold in 2009. The Hospital's federal tax returns for 2010, 2009, 2008, and 2007 remain subject to examination by the IRS. BMH'S policy is to recognize interest related to unrecognized tax benefits in interest expense and penalties in operating expenses. Part XI Change in Net Assets: Net transfers to related entities (2,199,935) Pension liability adjustment (8,918,759) Non controlling interest in Net Loss of Consolidated Subsidiary 60,026Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigentfalseFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1404880TotalCommunityBenefitExpense
Direct Offsetting Revenue509089DirectOffsettingRevenue
Net Community Benefit Expense895791NetCommunityBenefitExpense
Percent Of Total Expense0.00500PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense21345407TotalCommunityBenefitExpense
Direct Offsetting Revenue13993460DirectOffsettingRevenue
Net Community Benefit Expense7351947NetCommunityBenefitExpense
Percent Of Total Expense0.04110PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense212888TotalCommunityBenefitExpense
Direct Offsetting Revenue183778DirectOffsettingRevenue
Net Community Benefit Expense29110NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense22963175TotalCommunityBenefitExpense
Direct Offsetting Revenue14686327DirectOffsettingRevenue
Net Community Benefit Expense8276848NetCommunityBenefitExpense
Percent Of Total Expense0.04630PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense252623TotalCommunityBenefitExpense
Direct Offsetting Revenue15095DirectOffsettingRevenue
Net Community Benefit Expense237528NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense388001TotalCommunityBenefitExpense
Net Community Benefit Expense388001NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense17018233TotalCommunityBenefitExpense
Direct Offsetting Revenue11427856DirectOffsettingRevenue
Net Community Benefit Expense5590377NetCommunityBenefitExpense
Percent Of Total Expense0.03120PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense190091TotalCommunityBenefitExpense
Net Community Benefit Expense190091NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense17848948TotalCommunityBenefitExpense
Direct Offsetting Revenue11442951DirectOffsettingRevenue
Net Community Benefit Expense6405997NetCommunityBenefitExpense
Percent Of Total Expense0.03580PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense40812123TotalCommunityBenefitExpense
Direct Offsetting Revenue26129278DirectOffsettingRevenue
Net Community Benefit Expense14682845NetCommunityBenefitExpense
Percent Of Total Expense0.08210PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,178,244BadDebtExpenseAmount
Amount Attributable To1144332AmountAttributableTo
Amount Reimbursed By Medicare38317185AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare35647361CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall2669824MedicareSurplusOrShortfall
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1Butler Healthcare ProvidersBusinessNameLine1
Business Name Line2DBA Butler Memorial HospitalBusinessNameLine2

Address Address

FieldValueIRS element (for citing)
Address Line1One Hospital WayAddressLine1
CityButlerCity
StatePAState
ZIP Code16001ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Community Health Clinic of Butler CountyBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1103 Bonnie DriveAddressLine1
CityButlerCity
StatePAState
ZIP Code16002ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient204852135EINOfRecipient
IRC Section501 (c) (3)IRCSection
Amount Of Cash Grant54167AmountOfCashGrant
Purpose Of GrantGeneral support to provide medical care for indigent patientsPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Kenneth P DeFurio
4243151480509276513477540889840794
Anne B Krebs
23676548231154284228936023378736
Maureen A Gray
18243736888154592687320893282550
Stephanie Roskovski
14684829370203122643315644238607
A Thomas McGill MD
26456953100498634084926867435248
Charles E Oleson
19259229520285822558634325310605
Michael D Busch
19999130450145391621434576295770
Paula L Hooper
19471929948121601469534272285794
Richard L Allen
18876419300131552331332813277345
John C Reefer MD
23611944556275164010235689383982

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Explanation(1) (a) The CEO is provided with a membership to the local country club within Butler County, which is primarily utilized for work-related functions and meetings. Approximate annual membership cost is $2,700. The amount is not included in taxable income. (4)(b) The following individuals received payment noted below as part of a Senior Executive Benefit Plan for a tax-deferred Capital Accumulation Account. The amounts represent the amount paid out after a two year vesting period. The program was discontinued January, 2009. However, in some cases payments have been deferred into future years. DeFurio 50,462 Gray 3,696 Roskovski 11,321 McGill 32,532 Oleson 13,959 Allen 1,130 Reefer 12,121 (4) (b) As part of the Senior Executive Benefit Plan, the Hospital contributed to A SERP plan for the following individuals: DeFurio 120,981 Krebs 28,932 Gray 22,132 Roskovski 17,622 McGill 31,859 Oleson 13,777 Busch 14,211 Hooper 13,976 Allen 13,511 Reefer 26,735 (4) (b) The Senior Executive Benefit Plan permits participation in a 457(b) plan. The following individuals had the wages listed below deferred to the plan in calendar 2009: DeFurio 13,794 Krebs 13,357 Gray 4,741 Roskovski 8,811 McGill 8,990 Oleson 11,809 Busch 2,003 Hooper 719 Allen 9,802 Reefer 13,367 (7) Officers and employees are eligible for and received bonus compensation. Bonuses are not guaranteed and are awarded based on Board approved metrics which include quality, services and finanacial performances.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
Butler County Hospital Authority
2514589121235926Q82009-04-2950000000Construction of addition to Hospfalsetrue
Butler County Hospital Authority
251458912123592CPO2009-04-2974728451Construction of addition to Hospfalsetrue
Butler County Hospital Authority
2514589122010-06-2912165000Construction of addition to Hospfalsetrue

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsAmount UnspentAmountUnspentIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount In Reserve FundAmountInReserveFund
5000000012347559833495368189462010falsefalsefalsetrue
7472845160290291419179604261432010falsefalsefalsetrue6853300
12165000217226falsetruetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalsefalse

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Anne B Krebs
Officer of Org; On Board of Dir of YMCA198196Hosp leases from YMCAfalse
Richard F Latuska MD
Trustee of Org; Part owner in Benbrook276589Hosp leases from Benbrookfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
ExplanationPart VI 2 Dr. Thomas Muzzonigro served for one year as an ex-officio trustee due to his position as President of the Medical Staff of Butler Memorial Hospital. Dr. Kelly Agnew is a trustee on this corporation's Board as well. Both of these physicians are directors, officers and greater than 10% owners in a private medical group, as well as that group's affiliated entities. 11 (a) The Finance Committee of the Board conducts a detailed review of the 990 filing, which is then provided to the full board for final review and approval. 12 (c) The reponses to the conflict of interest disclosure form are collected and reviewed 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 recuses himself/herself from the discussion and vote. This recusal is documented in the minutes. The Vice President and General Counsel attends all board meetings and ensures that any needed recusals occur. 15 The organization engages a compensation consultant and outside legal councel to review current market for all of its executive positions. This consultant then meets with the fully independent Board Compensation Committee to review market for the various positions,including obtaining reasonableness opinions and engaging outside counsel regarding compensation relating to each executive position. The recommendations of the Compensation Committee are then presented to full board for final approval. The most recent review occurred in September, 2010. 19. Historically finanacials are provided to the public at the annual public board meeting and through mailing. Bylaws, Articles of Incorporation and the Conflict of Interest Policy are posted on the website. Part VII: Section A includes John C Reefer, MD as a former trustee and a VP of Professional Affairs & Medical Director with compensation. His term as trustee ended in February, 2005 prior to taking the VP position. This compensation relates to his role as VP of Professional Affairs. Schedule I Part II: Grants and Other Assistance: The organization's bylaws control the contributions that can be made and the process relating to such.Explanation

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
Butler Health System
One Hospital WayButlerPA16001251441855Healthcare delivery systemPA501 (c) (3)3N/A
Butler Medical Providers
One Hospital WayButlerPA16001251441961Physician practicesPA501 (c) (3)3N/A
Butler Health System Foundation
One Hospital WayButlerPA16001261543883Fundraising on behalf of Butler Health SystemPA501 (c) (3)11-Type 1N/A
Nixsar Corporation
One Hospital WayButlerPA16001251441960Own and operate real estate assets on behalf of Butler Health SystemPA501 (c) (3)11- Type 1N/A

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Butler Ambulatory Surgery Center LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1102 Technology DriveAddressLine1
CityButlerCity
StatePAState
ZIP Code16001ZIPCode
FieldValueIRS element (for citing)
EIN061728190EIN
Primary ActivityAmbulatory surgery centerPrimaryActivity
Legal Domicile StatePALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Predominant Income Typenot applicablePredominantIncomeType
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnerfalseGeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1PCA of Butler PCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1480 East Jefferson StAddressLine1
CityButlerCity
StatePAState
ZIP Code16001ZIPCode
FieldValueIRS element (for citing)
EIN251351445EIN
Primary ActivityPhysician Office PracticePrimaryActivity
Legal Domicile StatePALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityC CorpTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Comments

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