2024-05-15T08:09:04-05:00 2023-06-30 FORVIS LLP 111 E Wayne St Suite 600 Fort Wayne IN 46802 990 2022-07-01 251010039 CLARION HOSPITAL % THOMAS ALBANESI CLAR 8142269500 ONE HOSPITAL DRIVE CLARION PA 16214 THOMAS S ALBANESI CFO 8142261300 2024-05-15 true THOMAS S ALBANESI 999009999 ANNE E WHITE P01708202 2604604000 2 2022 2023-04-26 12:10:37Z KAREN ALLEN ONE HOSPITAL DRIVE CLARION PA 16214 58362886 false X WWW.BUTLERHEALTHSYSTEM.ORG/CLARION-HOSPITAL X 1951 PA WE 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. 12 11 455 11 0 0 346921 60199 58934270 57368215 567560 509659 235053 408653 60083804 58346726 0 0 0 0 24710142 22765440 0 0 0 28468223 34797828 53178365 57563268 6905439 783458 40140164 61215961 11615057 31893603 28525107 29322358 X TO BE THE COMMUNITY'S DYNAMIC RESOURCE FOR QUALITY HEALTHCARE, CONTINUOUS EDUCATION, AND THE PROMOTION OF WELLNESS. false false 44866324 0 57673240 CLARION HOSPITAL PROVIDED SERVICES TO 103,532 OUTPATIENTS AS WELL A 12,971 EMERGENCY ROOM VISITS. SERVICES INCLUDE, BUT ARE NOT LIMITED TO, RADIOLOGY SERVICES WHICH INCLUDE MRI, ULTRASOUND, CT, NUCLEAR MEDICINE AND X-RAY SERVICES, LABORATORY SERVICES, EKG AND PHYSICAL THERAPY SERVICES. THE ORGANIZATION ALSO OFFERS SAME-DAY SURGERY, GENETIC COUNSELING, DRUG AND ALCOHOL TESTING, AND OUTPATIENT PHYSICAL THERAPY AND REHABILITATION SERVICES. CLARION HOSPITAL PROVIDED SERVICES TO 1,122 INPATIENTS FOR MEDICAL AND SURGICAL SERVICES AS WELL AS INTENSIVE CARE SERVICES. THE ORGANIZATION ALSO OFFERS AN INPATIENT REHABILITATION CENTER WHERE PATIENTS WHO HAVE SUFFERED MAJOR INJURIES OR TRAUMA CAN HAVE 24-HOUR NURSING CARE, ALONGSIDE INTENSIVE PHYSICAL, OCCUPATIONAL, AND/OR SPEECH THERAPY. CLARION HOSPITAL PROVIDED EDUCATION AND SCREENING OPPORTUNITIES FOR THE COMMUNITY. SUPPORT GROUPS AND CLASSES ARE AVAILABLE FOR PEOPLE WITH DIABETES. THE ORGANIZATION ALSO OFFERS CPR AND EMT TRAINING COURSES AS WELL AS ON-LINE NUTRITION AND HEALTHY LIFESTYLE COURSES. CLARION HOSPITAL PROVIDED EDUCATION AND SCREENING OPPORTUNITIES FOR THE COMMUNITY. SUPPORT GROUPS AND CLASSES ARE AVAILABLE FOR NEW MOTHERS/BABIES AND PEOPLE WITH DIABETES. THE ORGANIZATION ALSO OFFERS CPR AND EMT TRAINING COURSES AS WELL AS ON-LINE NUTRITION AND HEALTHY LIFESTYLE COURSES. 44866324 true true false false false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true false false false true 52 0 455 true false false false false false false false false false false false false X 12 11 false false false false true true false true true false false true true true true true true false false false PA X THOMAS ALBANESI 7242844187 ONE HOSPITAL WAY BUTLER PA 16001 KENNETH P DEFURIO PRESIDENT & CEO 15.0 47.0 X X 0 1015706 284204 KAREN ALLEN PRESIDENT CLARION/BUTLER HOSP. 20.0 30.0 X 0 406364 80552 STEVEN DAVIS LEFT 0323 PRESIDENT CLARION HEALTH 20.0 40.0 X 0 369433 57429 ERIC HUSS LEFT 0123 CHIEF FINANCIAL OFFICER 15.0 40.0 X 0 375306 48177 MARY ELLEN SICHAK CRNA 40.0 0.0 X 231657 0 15727 THOMAS MORGO CRNA 40.0 0.0 X 218103 0 23056 SHANA STEVENS CRNA 40.0 0.0 X 212900 0 22523 GEORGE YARRINGTON STAFF NURSE, RN 40.0 0.0 X 188956 0 7557 NICOLE DEHNER PHARMACY MANAGER 40.0 0.0 X 155042 0 23972 JOHN REEFER MD TRUSTEE 1.0 40.0 X 0 9800 0 PAUL BACHARACH CHAIRMAN 1.0 1.0 X X 0 0 0 TIMOTHY MORGUS VICE CHAIR 1.0 1.0 X X 0 0 0 PATRICK HAMPSON SECRETARY 1.0 1.0 X X 0 0 0 JEFFREY CURRY TREASURER 1.0 1.0 X X 0 0 0 JAMES ADISEY MD TRUSTEE 1.0 1.0 X 0 0 0 ANIE PERARD MD TRUSTEE 1.0 1.0 X 0 0 0 TERESA PETRICK TRUSTEE 1.0 1.0 X 0 0 0 LARRY RICHERT TRUSTEE 1.0 1.0 X 0 0 0 JOHN SPHON TRUSTEE 1.0 1.0 X 0 0 0 DEBRA THOMPSON RN PHD TRUSTEE 1.0 1.0 X 0 0 0 THOMAS S ALBANESI START 123 CHIEF FINANCIAL OFFICER 1.0 59.0 X 0 0 0 1006658 2176609 563197 17 false true false CLARION REHABILITATION SERVICES 18 SPORTSMAN DRIVE SUITE 10 CLARION PA 16214 REHABILITATION 2826276 ALLIED RESOURCES MEDICAL STAFFING 135 DOWLIN FORGE ROAD EXTON PA 19341 PATIENT CARE 217410 DJD ANESTHESIA 216 SYCAMORE DRIVE SHIPPENVILLE PA 16254 ANESTHESIA 396789 TOTAL CARE STAFFING PO BOX 511 DUBOIS PA 15801 NURSING 182833 COMPASSIONATE CARE NURSING 21 OLLIE LANE DUBOIS PA 15801 PATIENT CARE 153743 10 7169 53030 60199 PATIENT CARE SERVICE REVENUE 621400 45940757 45940757 PENNSYLVANIA RURAL HEALTH MODEL REVENUE 621400 7300754 7300754 OTHER OPERATING REVENUE 621400 4126704 4126704 57368215 442148 442148 0 0 119788 16160 103628 0 103628 103628 67511 67511 67511 67511 0 0 0 0 0 0 0 0 0 CAFETERIA 900099 305025 305025 305025 58346726 57673240 613287 X 0 0 0 0 0 0 18117349 13222129 4895220 0 420000 306518 113482 2900128 2116527 783601 1327963 969154 358809 0 0 0 0 0 0 15192420 11087501 4104919 193798 193798 2146457 1566495 579962 198469 144844 53625 0 1811622 1322130 489492 709 517 192 0 65851 48058 17793 23258 16974 6284 0 2898655 2115452 783203 1114438 813322 301116 MEDICAL AND OTHER SUPPLIES 8942351 8942351 BAD DEBT EXPENSE 2152621 2152621 OTHER EXPENSE 7577 5530 2047 DUES AND SUBSCRIPTIONS 49602 36201 13401 57563268 44866324 12696944 0 X 1275 1275 8411078 5648218 0 0 4984530 3159732 0 0 0 0 0 0 1106098 1162557 757456 666699 75696471 59299324 14735621 16397147 4315265 4574658 2518781 2540513 1685553 1518982 0 0 1624507 25546180 40140164 61215961 7124579 8149387 0 0 0 0 0 0 0 0 0 0 576651 275563 0 0 3913827 23468653 11615057 31893603 X 26614038 27590388 1911069 1731970 28525107 29322358 40140164 61215961 X 783458 189934 -176141 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2411498 2411498 27261827 23852965 3408862 685164 619597 65567 39531548 32941473 6590075 5806434 1885289 3921145 16397147 INTEREST IN PERPETUAL TRUST 175751 DUE FROM AFFILIATE 20216582 DUE FROM THIRD PARTY 5084757 ROU OPERATING LEASES 69090 25546180 0 REFUNDABLE ADVANCES 5803466 DUE TO AFFILIATES 17591148 OPERATING LEASE LIABILITY 74039 23468653 X 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 false true true false false 1973028 1797980 175048 0.00320 7071273 3864343 3206930 0.05790 9044301 5662323 3381978 0.06110 86626 34766 51860 0.00090 2230052 948232 1281820 0.02310 2876852 1810106 1066746 0.01920 5193530 2793104 2400426 0.04320 14237831 8455427 5782404 0.10430 true 2152621 275535 13239572 6339648 6899924 X true true 1 1 CLARION HOSPITAL ONE HOSPITAL DRIVE CLARION PA 16214 WWW.BUTLERHEALTHSYSTEM.ORG/CLARION-HOSPI X X X X CLARION HOSPITAL 1 false false true X X X X X X X X X 21 true false false true X SEE PART V, PAGE 8 true 21 true SEE PART V, PAGE 8 false true X 200. 300. true true X X X true X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 ASSESSMENT COMMITTEE MEMBERSHIP STEVEN DAVIS, MBA, FACHE; KATHY SELVAGGI, MS, MD, FAAHPM; ERIN STEWART, RN; BRIDGET THORNTON; JULIE KUNSELMAN; ALLISON ROTH, MHA CANDIDATE METHODS THE ASSESSMENT COMMITTEE GATHERED INPUT FROM INDIVIDUALS AND ORGANIZATIONS THAT REPRESENT THE BROAD INTERESTS OF THE CLARION REGION; THIS WAS COMPLETED THROUGH A RANGE OF METHODS. . MULTIPLE MEETINGS WERE HELD WITH THE BHS CLARION COMMUNITY ASSESSMENT TEAM TO IDENTIFY THE TOP HEALTH PRIORITIES WITHIN THE PRIMARY SERVICE AREA OF CLARION COUNTY. . BHS CLARION COLLECTED HEALTH DATA FROM COUNTY HEALTH RANKINGS, CENTERS FOR DISEASE CONTROL AND PREVENTION, WORLD LIFE EXPECTANCY, PAYS, AND US CENSUS. . 323 COMMUNITY MEMBERS COMPLETED ELECTRONIC AND PAPER SURVEYS TO PROVIDE ADDITIONAL DATA TO SURVEY THE HEALTH OF THE PEOPLE IN THE CLARION COUNTY REGION. ALONG WITH 13 COMPLETED STAKEHOLDER SURVEYS. . FOCUS GROUPS MET AND DISCUSSED THE DATA COLLECTED FROM ALL THE SOURCES ABOVE. THE MAIN THEMES THAT AROSE THROUGHOUT THE DISCUSSION WERE MENTAL/BEHAVIORAL HEALTH, FOOD INSECURITY, AND ACCESS TO CARE, TRANSPORTATION, COVID-19, SUBSTANCE ABUSE, DIABETES, OBESITY, AND CHILD CARE. SCHEDULE H, PART V, SECTION B, LINE 7A WWW.BUTLERHEALTHSYSTEM.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ SCHEDULE H, PART V, SECTION B, LINE 10A HTTPS://WWW.BUTLERHEALTHSYSTEM.ORG/DOCUMENTS/CLARION/CHNA-2021-GOALS-AND-I MPLEMENTATION-STRATEGIES.PDF SCHEDULE H, PART V, SECTION B, LINE 11 THE LAST COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED IN MARCH, 2021. AS A PART OF THIS PROCESS, AN EVALUATION OF THE CHNA IMPLEMENTATION STRATEGIES IS CONDUCTED TO EVALUATE THE EFFECTIVENESS OF THE PROGRAMS THAT ARE BEING IMPLEMENTED TO ADDRESS THE IDENTIFIED NEEDS. THESE PROGRAMS INCLUDE: TEDDY BEAR CLINIC, SENIOR WELLNESS EXPO, HEALTH WISE EMPLOYEE WELLNESS PROGRAM, DIABETES EDUCATION, LIFESTYLE COACHING SEMINARS, HEALTH WISE @ WORK PROGRAM, MULTIPHASIC BLOOD SCREENING LUNCH & LEARN EVENTS, AND ARMSTRONG INDIANA CLARION DRUG & ALCOHOL COMMISSION ARMOT PROGRAM. HEALTH WISE EMPLOYEE WELLNESS PROGRAM THIS WAS A PIVOTAL YEAR FOR THE HEALTH WISE PROGRAM AT CLARION HOSPITAL AS WE CONTINUE TO SHOW GROWTH IN EMPLOYEE ENGAGEMENT. WITH THE CORPORATE PARTNERSHIP BETWEEN THE YMCA AND THE HOSPITAL, MANY EMPLOYEES PARTICIPATED IN THE MANY EXERCISE OPPORTUNITIES THE YMCA OFFERS. FURTHERMORE, THE YMCA IS LOCATED LESS THAN 1 MILE FROM THE HOSPITAL AND OFFERS NUMEROUS FITNESS CLASSES PER WEEK PLUS A WIDE VARIETY OF EXERCISE EQUIPMENT AND EXERCISE OPPORTUNITIES. FOR THE REPORTING PERIOD OVER 110 EMPLOYEES AND THEIR FAMILIES HAVE TAKEN ADVANTAGE OF THE CORPORATE MEMBERSHIP PROGRAM WHICH OFFERS DISCOUNTED MEMBERSHIP RATES. THE HOSPITAL ALSO REIMBURSES 50% OF THE YEARLY MEMBERSHIP TO THOSE EMPLOYEES WHO REACH 144 VISITS OR MORE IN A CALENDAR YEAR. OUR 2021 WELLNESS REWARDS PROGRAM SHOWED SIGNIFICANT INCREASES IN EMPLOYEE PARTICIPATION. IT INCLUDED A BIOMETRIC SCREENING, ON-LINE HEALTH RISK ASSESSMENT, AND A PREVENTATIVE EXAM WITH THE EMPLOYEE'S HEALTH CARE PROVIDER. IMPROVEMENTS IN OUR 2021 WELLNESS REWARDS PROGRAM INCLUDED OUTCOME INCENTIVE POINTS FOR THOSE WHO MET HEALTHY VALUE RANGES FOR BMI, BLOOD PRESSURE, CHOLESTEROL AND BLOOD GLUCOSE. WITH THE HEALTH INSURANCE SAVINGS INCENTIVE BEING OFFERED FOR THOSE WHO REACHED THE POINTS REQUIREMENT, WE HAD 41% OF THE EMPLOYEES EARN THE INCENTIVE, WITH 133 COMPLETING THE REAL AGE TEST, 134 COMPLETING THE BIOMETRIC SCREENING, AND 124 RECEIVING THEIR PREVENTATIVE EXAM FROM THEIR MEDICAL PROVIDER. IN ADDITION, 38 ENGAGED WITH HEALTH COACH, 62 PARTICIPATED IN THE REAL AGE PROGRAM WHICH IHNCLUDES SLEEP, STRESS, STEPS, AND NUTRITION INIATIVES, AND 38 PARTICIPATED IN THE STEP IN UP PROGRAM. LIFESTYLE COACHING SEMINARS MULTIPLE NUTRITIONAL AND/OR WEIGHT MANAGEMENT EVENTS WERE OFFERED TO THE COMMUNITY, LED BY A REGISTERED DIETICIAN. THESE ORIGINALLY WERE DELIVERED LIVE BUT WEVER CONVERTED TO THE ZOOM PLATFORM DUE TO COVID SAFETY PRACTICES. TOPICS INCLUDED: PLANT BASED DIET, MEDITERRANEAN DIET, HEART HEALTH, THE DASH DIET, DIABETES, AND WEIGHT MANAGEMENT. THESE SESSIONS INCLUDED TIPS AND FACTUAL INFORMATION AS WELL AS HEALTHY RECIPES AND INFORMATIONAL BOOKLETS THAT THE PARTICIPANTS COULD TAKE HOME. OVER 850 COMMUNITY MEMBERS PARTICIPATED IN THESE SEMINARS. THE HEALTH WISE @ WORK PROGRAM, UNDER THE UMBRELLA OF HEALTH WISE, HAD TO BE TEMPORARILY HALTED. DUE TO COVID RESTRICTIONS AND SAFETY GUIDELINES, WE WERE UNABLE TO VISIT AREA BUSINESSES TO CONDUCT BIOMETRIC SCREENINGS FOR THEIR EMPLOYEES. COVID VACCINE CLINICS: VACCINE CLINICS HAVE CONTINUED AT THE HOSPITAL DATING BACK SEVERAL YEARS. FROM JULY 1, 2021 TO JUNE 30, 2022, BHS CLARION HOSPITAL ADMINISTERED 28,582 VACCINES AT OVER 80 CLINICS WITHIN OUR REGION. COVID TESTING SERVICES: DUE TO THE IMPACT OF THE COVID 19 PANDEMIC IN OUR REGION, BHS CLARION HOSPITAL CONTINUES TO SERVE AS ONE OF THE TOP TESTING SITES IN OUR AREA. ALL OUTPATIENT TESTING WAS CONDUCTED VIA DRIVE THROUGH SERVICES AND AT A REMOTE SITE TO ENSURE RECOMMENDED SAFETY PRACTICES FOR THE HOSPITAL. WE ADMINISTERED INPATIENT, OUTPATIENT AND INDUSTRIAL TESTS THAT TOTALED 19,555 DURING THE 12 MONTHS OF THIS REPORTING PERIOD. EMPLOYEES WERE ALSO INCLUDED IN THIS DATA AND WERE MANAGED BY OUR EMPLOYEE HEALTH DEPARTMENT. ARMSTRONG INDIANA CLARION DRUG & ALCOHOL COMMISSION ARMOT PROGRAM: CLARION HOSPITAL PARTNERS WITH THIS GROUP TO PROVIDE SCREENINGS, ASSESSMENTS AND REFERRALS FOR PATIENTS THAT EXHIBIT SIGNS AND SYMPTOMS OF DRUG AND ALCOHOL DEPENDENCY. THE ARMOT (ADDICTION RECOVERY MOBILE OUTREACH TEAM) STAFF PROVIDES THESE SERVICES ALONG WITH DRUG AND ALCOHOL EDUCATION TO AREA SCHOOLS, HOSPITALS, AND OTHER BUSINESSES AND ORGANIZATIONS WITHIN THE COMMUNITY. THIS YEAR, CLARION HOSPITAL MADE 21 REFERRALS TO THE ARMOT PROGRAM DURING THE REPORTING PERIOD. THE HOSPITAL IS ALSO MAKING EFFORTS TO WORK CLOSER WITH THIS GROUP FOR EXPANSION OF DRUG AND ALCOHOL SERVICES AND TO ESTABLISH A MORE EFFECTIVE PARTNERSHIP. WE ARE WORKING TOWARD EXPLORING STRATEGIES TO INCREASE REFERRAL RESOURCES IN OUR AREA AND IMPROVING OUTPATIENT SERVICES AND SUPPORT. SCHEDULE H, PART V, LINE 16A, 16B, 16C HTTPS://WWW.BUTLERHEALTHSYSTEM.ORG/PATIENTS-VISITORS/FOR-PATIENTS/FINANCIA L-SERVICES/CHARITY-CARE-FINANCIAL-ASSISTANCE/ SCHEDULE H, PART I, LINE 7 THE COSTING METHODOLOGY IS BASED ON THE RATIO OF COST TO CHARGES FROM THE HOSPITAL'S ACCOUNTING SYSTEM. SCHEDULE H, PART III, SECTION A, 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 $2,152,621. SCHEDULE H, PART III, SECTION A, LINE 3 BAD DEBT ATTRIBUTABLE TO PATIENT'S ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY WAS DETERMINED USING POVERTY LIMIT DEMOGRAPHIC INFORMATION OBTAINED FROM THROUGH THE US CENSUS BUREAU. USING 2017 - 2021 DATA, 11.8 PERCENT OF CLARION COUNTY WAS CONSIDERED TO LIVE IN POVERTY. SCHEDULE H, PART III, SECTION A, LINE 4 THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE IS FOUND ON PAGE 24. SCHEDULE H, PART III, SECTION B, LINE 8 SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. SCHEDULE H, PART III, SECTION C, LINE 9B THE NEED FOR CHARITY CARE IS ADDRESSED AS SOON AS A PATIENT INDICATES A FINANCIAL HARDSHIP. GENERALLY, THIS OCCURS AT THE TIME OF SERVICE OR UPON THE INITIAL BILLING. A PATIENT WILL HAVE 90 DAYS FROM THE DATE OF FIRST STATEMENT TO APPLY FOR FINANCIAL ASSISTANCE UNDER THE CHARITY CARE POLICY. ACCOUNTS CURRENTLY IN COLLECTION WILL NOT BE APPROVED UNDER THE CHARITY CARE PROGRAM. SCHEDULE H, PART VI, LINE 2 CLARION HOSPITAL IS GOVERNED BY A BOARD OF VOLUNTEER DIRECTORS WHO REPRESENT THE COMMUNITY WE SERVE. THROUGH THEIR INPUT AND OCCASIONAL COMMUNITY SURVEYS, CLARION HOSPITAL ASSESSES THE HEALTH CARE NEEDS OF ITS SERVICE AREA. EVERY THREE YEARS, THE CLARION HOSPITAL CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT IN COMPLIANCE WITH THE IRS REGULATIONS FOR NOT-FOR-PROFIT HOSPITALS. TO BEGIN THE PROCESS, A COMMITTEE IS CREATED MADE UP OF SENIOR LEADERS FROM WITHIN THE HEALTH SYSTEM REPRESENTING VARIOUS AREAS OF EXPERTISE. THE RESPONSIBILITY OF THE COMMITTEE IS TO COLLECT AND ANALYZE DATA FROM PUBLIC HEALTH RESOURCES, ORGANIZE FOCUS GROUPS FROM DIFFERENT SECTORS OF THE COMMUNITY, AND STAKEHOLDER INTERVIEWS. ONCE THE DATA IS COLLECTED AND ANALYZED, THE COMMITTEE CAREFULLY SELECTS THREE PRIORITY HEALTH NEEDS BASED ON ACCOUNTABLE ROLE OF THE HOSPITAL, MAGNITUDE OF THE PROBLEM, IMPACT ON OTHER HEALTH OUTCOMES, AND THE CAPACITY TO IMPLEMENT SOLUTIONS. AFTER THE NEEDS HAVE BEEN IDENTIFIED, THE GROUP THEN DISCUSSES AND OUTLINES IMPLEMENTATION STRATEGIES THAT WILL ASSIST THE HOSPITAL IN ADDRESSING THE NEEDS. UPON COMPLETION OF THE PROJECT AND APPROVAL OF THE CLARION HOSPITAL BOARD OF DIRECTORS, AN EXTENSIVE WRITTEN REPORT IS PREPARED OUTLINING THE ENTIRE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND THEN POSTED ON THE CLARION HOSPITAL WEBSITE PRIOR TO JUNE 30TH OF THE REPORTING YEAR. THE THREE PRIORITIES THAT HAVE BEEN IDENTIFIED FOR THE 2021 CHNA INCLUDE: 1. SUPPORT & IMPROVE PHYSICAL ACTIVITY AND NUTRITION EDUCATION/PROGRAMS TO PROMOTE HEALTHY LIFESTYLES AND REDUCE CHRONIC DISEASE, 2. EXPAND PARTNERSHIPS TO ENHANCE BEHAVIORAL HEALTH AND SUBSTANCE ABUSE PROGRAMS WITHIN THE COMMUNITY, 3. ADDRESS THE ISSUE OF FOOD INSECURITY BY GIVING COMMUNITY MEMBERS ACCESS TO HEALTHY FOODS AND NUTRITION RESOURCES. SCHEDULE H, PART VI, LINE 3 MEDICAID APPLICATIONS ARE GIVEN TO SELF PAY PATIENTS IN EMERGENCY ROOM AND INPATIENT. THE HOSPITAL FINANCIAL POLICY AND BUSINESS OFFICE CONTACT INFORMATION ARE AVAILABLE AT REGISTRATION DESKS. FREE CARE GUIDELINES ARE PRINTED ON REVERSE SIDE OF PATIENT STATEMENTS. SCHEDULE H, PART VI, LINE 4 CLARION HOSPITAL SERVES CLARION COUNTY AND PARTS OF THE SURROUNDING COUNTIES, INCLUDING VENANGO, FOREST, JEFFERSON, AND ARMSTRONG. OUR SERVICE AREA IS IN A RURAL PART OF WESTERN PENNSYLVANIA, WITH MANY LIVING BELOW OR WELL BELOW THE NATIONAL AND STATE INCOME AVERAGE. ACCORDING TO US CENSUS BUREAU DATA, AT JULY 1, 2022 CLARION COUNTY HAD AN ESTIMATED POPULATION OF 37,346 WITH AN AVERAGE AGE OF 41.5 AND A MEDIAN HOUSEHOLD INCOME OF $53,096. ADDITIONAL GEOGRAPHIC AND DEMOGRAPHIC INFORMATION CAN BE OBTAINED FROM THE MOST RECENTLY COMPLETED CLARION HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT WHICH IS POSTED ON THE HOSPITAL'S WEB SITE. SCHEDULE H, PART VI, LINE 5 CLARION HOSPITAL PROVIDES CLASSES ON CPR AND AED, WITH OR WITHOUT FIRST AID. THESE COURSES ARE OFFERED SEVERAL TIMES A YEAR AND ARE TAUGHT BY CLARION HOSPITAL PARAMEDICS. THE HOSPITAL IS AN AMERICAN HEART ASSOCIATION TRAINING CENTER AND HAVE INSTRUCTORS FROM SEVERAL OTHER AREAS WHO TEACH CLASSES AT OUR SITE. THE HOSPITAL ALSO PROVIDES DIABETES EDUCATION CLASSES SEVERAL MONTHS THROUGHOUT THE YEAR AND INDIVIDUAL COUNSELING BY OUR REGISTERED DIETICIAN TO REVIEW DIETARY GUIDELINES FOR DIABETICS. ADDITIONALLY, THE CLARION HOSPITAL FOUNDATION AWARDS SCHOLARSHIPS TO CLARION COUNTY STUDENTS PURSUING CAREERS IN HEALTH CARE. SCHEDULE H, PART VI, LINE 6 CLARION HOSPITAL WAS ESTABLISHED IN 1954 TO SERVE THE HEALTHCARE NEEDS OF THE RESIDENTS OF RURAL CLARION COUNTY. THROUGHOUT ITS HISTORY, CLARION HOSPITAL HAS CONTINUED TO OFFER HIGH QUALITY CARE TO RESIDENTS OF CLARION, PENNSYLVANIA AND THE SURROUNDING COMMUNITIES. AFTER CAREFUL CONSIDERATION, CLARION'S MANAGEMENT AND BOARD OF DIRECTORS DECIDED TO INTEGRATE WITH BUTLER HEALTH SYSTEM, A STRONG INDEPENDENT HEALTH SYSTEM LOCATED APPROXIMATELY 45 MILES SOUTHWEST OF CLARION, WITH A SIMILAR CULTURE AND MISSION TO ENHANCE ACCESS TO CARE CLOSE TO HOME. BUTLER HEALTH SYSTEM IS THE PARENT ORGANIZATION TO BUTLER MEMORIAL HOSPITAL, A LARGE COMMUNITY HOSPITAL LOCATED IN NEIGHBORING BUTLER COUNTY AND BUTLER MEDICAL PROVIDERS, A MULTISPECIALTY PROVIDER GROUP. ON DECEMBER 1, 2019, CLARION HOSPITAL OFFICIALLY BECAME PART OF BUTLER HEALTH SYSTEM. AS PART OF THIS INTEGRATION, THE TWO ORGANIZATIONS IMPLEMENTED A COMMON HEALTH INFORMATION SYSTEM PLATFORM AND BEGAN STANDARDIZING ITS OPERATIONS, POLICIES AND PROCEDURES. SHORTLY FOLLOWING THE ACQUISITION, CLARION HOSPITAL AND THE BUTLER HEALTH SYSTEM LEADERSHIP EMBARKED ON A STRATEGIC PLAN TO MOVE FROM ILLNESS CARE TO WELLNESS CARE. BY INVESTING IN THE INNOVATIVE BHS HEALTH AND WELLNESS CENTER IN CLARION, THE SYSTEM CREATED THE VENUE FROM WHICH TO LAUNCH NUMEROUS STRATEGIES TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITY. THESE STRATEGIES INCLUDE, BUT ARE NOT LIMITED TO; ENHANCED ACCESS TO MULTIPLE SPECIALTIES IN THE CLARION HOSPITAL SERVICE AREA THROUGH BOTH OFFICE VISITS AND TELEHEALTH TECHNOLOGY; ENHANCED COMMUNITY HEALTH EDUCATION OFFERINGS OF LIFESTYLE MEDICINE/COACHING CLASSES TO ADDRESS SDOH AND REDUCE THE PREVALENCE OF CHRONIC DISEASE; CRITICAL CARE AND CARDIOVASCULAR PHYSICIAN SUPPORT VIA TELEMEDICINE TO THE CLARION HOSPITAL INPATIENTS; OPENING OF A CARDIAC REHAB PROGRAM FOR THE FIRST TIME IN CLARION COUNTY; NEW CLINICAL SPACE FOR THE CLARION HOSPITAL RESIDENCY PROGRAM TO ENSURE ACCESS TO CARE FOR THE UNDERSERVED AND TO CONTINUE TO ATTRACT THE NEXT GENERATION OF PROVIDERS FOR THE REGION; CREATION OF THE EXERCISE INSTITUTE, A CORNERSTONE TO GETTING PEOPLE MOVING AND ADDRESSING THE PHYSICAL COMPONENT OF LIFESTYLE MEDICINE. false true false false false false false false false KENNETH P DEFURIO PRESIDENT & CEO 693580 280001 42125 263951 20253 1299910 ERIC HUSS LEFT 0123 CHIEF FINANCIAL OFFICER 353885 0 21421 40941 7236 423483 STEVEN DAVIS LEFT 0323 PRESIDENT CLARION HEALTH 291195 60183 18055 37014 20415 426862 MARY ELLEN SICHAK CRNA 231657 9265 6462 247384 THOMAS MORGO CRNA 218103 8723 14333 241159 SHANA STEVENS CRNA 212900 8515 14008 235423 GEORGE YARRINGTON STAFF NURSE, RN 188956 7557 0 196513 NICOLE DEHNER PHARMACY MANAGER 155042 6201 17771 179014 KAREN ALLEN PRESIDENT CLARION/BUTLER HOSP. 0 308560 0 78874 0 18930 0 59609 0 20943 0 486916 0 0 PART I, LINE 4B THE ORGANIZATION UTILIZES A SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) TO RECRUIT AND RETAIN LEADERSHIP TALENT. VESTING PERIODS ARE 5 AND 10 YEARS FOR ALL EXECUTIVES, WITH THE EXCEPTION OF THE PRESIDENT/CEO, AT AGE 65. THE THIRD VESTING PERIOD FOR THE PRESIDENT/CEO IS AGE 60. ELIGIBLE EXECUTIVES RECEIVE DISTRIBUTIONS UPON REACHING THE VESTING PERIODS. ALL CONTRIBUTIONS TO THE SERP HAVE BEEN REPORTED PREVIOUSLY AND ARE REPORTED ANNUALLY. THE ANNUAL ACCRUAL AMOUNTS FOR CALENDAR YEAR 2022 WERE: KENNETH P DEFURIO, $242,201; STEVE DAVIS 21,064; ERIC HUSS 24,991; KAREN ALLEN, $37,859. 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. 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. IS THE SOLE MEMBER OF THE HOSPITAL. 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 EXECUTIVE DIRECTOR, FINANCE. FORM 990 WAS PROVIDED TO THE BUTLER HEALTH SYSTEM AUDIT AND COMPLIANCE COMMITTEE AND THE BUTLER HEALTH SYSTEM BOARD OF TRUSTEES FOR REVIEW AND COMMENT. AFTER THESE REVIEWS, BUT PRIOR TO FILING, THE FULL CLARION HOSPITAL 25-1010039 BUTLER HEALTH SYSTEM BOARD OF TRUSTEES AND THE AUDIT AND COMPLIANCE COMMITTEE WERE NOTIFIED THAT THE FINAL FORM 990 WAS AVAILABLE FOR REVIEW ON THE BOARD'S SECURE WEBSITE. FORM 990, PART VI, SECTION B, LINE 12C THE RESPONSES TO THE CONFLICT OF INTEREST DISCLOSURE FORM ARE COLLECTED AND REVIEWED ANNUALLY BY THE CHIEF LEGAL COUNSEL AND THE CORPORATE COMPLIANCE OFFICER, WHO THEN REVIEWS THE SAME WITH THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF TRUSTEES. CONFLICT OF INTEREST DISCLOSURE FORMS ARE COMPLETED BY ALL TRUSTEES, OFFICERS, COMMITTEE MEMBERS, MEMBERS OF MANAGEMENT, EMPLOYED PHYSICIANS AS WELL AS THE EXECUTIVE TEAM. IN THE EVENT A RELATIONSHIP RESULTS IN A POTENTIAL CONFLICT FOR AN ISSUE BEING DISCUSSED BY THE BOARD, THE TRUSTEE RECUSES HIMSELF/HERSELF FROM THE DISCUSSION AND VOTE. THE RECUSAL IS DOCUMENTED IN THE MINUTES. THE CHIEF LEGAL OFFICER AND/OR CORPORATE COMPLIANCE OFFICER ATTENDS ALL BOARD MEETINGS AND ENSURES THAT ANY NEEDED RECUSALS OCCUR. FORM 990, PART VI, SECTION B, LINE 15A & 15B CLARION HOSPITAL EXECUTIVE COMPENSATION PHILOSOPHY & PROCESS: THE BOARD OF TRUSTEES RECOGNIZES THE GREAT CHALLENGES AND DIFFICULTIES THAT HEALTHCARE EXECUTIVES FACE, PARTICULARLY IN THE CURRENT ERA OF NATIONAL AND STATE HEALTHCARE REFORM. IN ADDITION, THE PITTSBURGH REGIONAL MARKET IS HIGHLY COMPETITIVE AND CHANGING RAPIDLY. THE BOARD COMPETES FOR AND SEEKS EXECUTIVE TALENT ON A NATIONAL BASIS. IT ENGAGES EXPERT COMPENSATION CONSULTANTS, UTILIZING NATIONAL COMPARATIVE DATA TO GUIDE THE DETERMINATION OF COMPETITIVE, APPROPRIATE LEVELS OF COMPENSATION. THE TOTAL COMPENSATION PROGRAM FOR EXECUTIVES CONSISTS OF CASH COMPENSATION AND BENEFITS. FACTORS TAKEN INTO CONSIDERATION IN DETERMINING COMPENSATION FOR EXECUTIVES INCLUDE: MARKET DEMAND AND COMPETITION FOR SIMILAR POSITIONS, EXPERIENCE AND TENURE, AND ACTUAL PERFORMANCE AND EFFECTIVENESS. BASED ON THESE AND OTHER PERTINENT CRITERIA, CH TARGETS TOTAL COMPENSATION TO FALL WITHIN A RANGE OF THE 25TH TO 75TH PERCENTILE OF THE MARKET. CH EXECUTIVE COMPENSATION GENERALLY WILL NOT EXCEED THE 75TH PERCENTILE OF THE MARKET. EXCEPTIONS TO THIS MAY BE SUBJECT TO REVIEW AND RECOMMENDATION BY THE COMPENSATION COMMITTEE, WHICH IN TURN IS SUBJECT TO REVIEW AND APPROVAL BY THE BOARD OF TRUSTEES. EXCEPTION MUST BE SUPPORTED BY ORGANIZATIONAL AND/OR INDIVIDUAL PERFORMANCE, OR A RETENTION/RECRUITMENT CIRCUMSTANCE THAT WARRANTS SUCH COMPENSATION. THE COMPENSATION COMMITTEE CONSISTS EXCLUSIVELY OF INDEPENDENT INDIVIDUALS WITH NO REAL OR PERCEIVED CONFLICTS OF INTEREST IN RECOMMENDING EXECUTIVE COMPENSATION GUIDELINES AND LEVELS. WHILE BENEFITS ARE ACCOUNTED FOR IN SCHEDULE J, ACTUAL "TAKE HOME" PAY TO THE EXECUTIVE TYPICALLY CONSISTS ONLY OF BASE SALARY, AND INCENTIVE AWARD EARNED, IF EARNED. APPLICABLE TAXES OR OTHER WITHHOLDINGS ARE DEDUCTED. ANNUAL INCREASES IN BASE PAY, IF ANY, ARE BASED ON COMPETITIVE MARKET TRENDS FROM THE COMPARISON GROUP. SUPPLEMENTAL RETIREMENT BENEFITS ARE USED AS A VEHICLE FOR EXECUTIVE RECRUITMENT AND RETENTION WITH APPROPRIATE VESTING PERIODS. THE BOARD OF TRUSTEES REVIEWS AND APPROVES EXECUTIVE COMPENSATION IN ITS ENTIRETY, INCLUDING THE USE OF "TALLY SHEETS", WHICH DISCLOSE 100% EXECUTIVE COMPENSATION. THE BOARD OF TRUSTEES ENGAGES EXTERNAL COMPENSATION AND LEGAL EXPERTISE TO ASSURE REASONABLENESS OF EXECUTIVE COMPENSATION LEVELS. FORM 990, PART VI, SECTION C, LINE 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 INTEREST IN NET ASSETS OF FOUNDATION $-176,141 FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:6483383 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:612289 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:4988171 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER SERVICE FEES TOTAL FEES:3108577 BUTLER HEALTH SYSTEM ONE HOSPITAL WAY BUTLER PA 16001 251441855 HC DELIV SYST PA 501(C)(3) LINE 10 NA false BUTLER HEALTH SYSTEM FOUNDATION ONE HOSPITAL WAY BUTLER PA 16001 261543883 FUNDRAISING PA 501(C)(3) LINE 12A, I BHS false BUTLER HEALTHCARE PROVIDERS ONE HOSPITAL WAY BUTLER PA 16001 250965274 HOSPITAL PA 501(C)(3) LINE 3 BHS false BUTLER MEDICAL PROVIDERS ONE HOSPITAL WAY BUTLER PA 16001 251441961 PHYS PRACTICE PA 501(C)(3) LINE 3 BHS false CLARION HEALTHCARE SYSTEM ONE HOSPITAL DRIVE CLARION PA 16214 251534023 HOLDING CO PA 501(C)(3) LINE 12A, I BHS false CLARION HOSPITAL SELF INS TRUST FUND ONE HOSPITAL DRIVE CLARION PA 16214 250766602 SELF-INS. 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