BHS Dermatology Surgery Center Benbrook Medical Center 1 102 Technology Drive, Suite 240 Butler, PA 16001 877-661-3376 Fax: 724-482-2212
Seneca, PA 16346 1-844-282-4370 Dermatology 102 Technology Drive, Suite 230, Butler, PA 16001 1-877-661-3376 24 Doctors Lane, Suite 300,
Seneca Hills Village (Independent Living) UPMC St Margaret Dermatology Ahn, Ji Won, MD Collins, Mary Katharine, MD 3937 Butler St Pittsburgh, PA
Butler Andrew Adams, M D 333 W Main St Suite 101 Saxonburg, PA 16056 Internal Medicine Surbhi Agarwal, M D 1241 Freedom Rd
ALLIANCE DERMATOLOGY PHYSICIANS PC SUITE 115 BUTLER PA 16033 GP030027G CALCAGNO ROSSI VEIN TREATMENT CTR LLC SENECA MEDICAL CENTER, LLC
Pathology Associates of Greenville, PA 8 Memorial Medical Court Seneca 29672 (864) 885-7758 1316999709 Collis Barksdale 545 West Butler Road
SENECA 131 LILA DOYLE DR SENECA, SC 29672 (864) 888?3717 131 LILA DOYLE DR PH CANCERINST 1865 N PARIS AVE PORT ROYAL, SC 29935 850 E BUTLER RD
102 West Seneca Street Manlius, NY 13104 (315) 682-6600 BARTON_DUBOIS, MARLYSS PA Regional Medical Practice Pc Secondary specialty: Dermatology
PA 18644 INTERNAL MEDICINE ADAM,JAMIE L 570-321-3780 570-321-2489 700 HIGH ST WILLIAMSPORT PA DERMATOLOGY AGNO,FELIZEN SOTO 2138 W SENECA ST
Clarion, PA 16214 SLIPPERY SENECA 2 Park Way Seneca Commons Seneca, PA 16346 724-794-7923 Chief of Dermatology, McDonald Army Health
BHS Dermatology Surgery Center BHS Heart Failure 122 South Washington Street, Butler, PA 16001 1 Park Way, Seneca Commons, Seneca, PA 16346
BUTLER HEALTH SYSTEM'S flagship, Butler Memorial Hospital, opened electrophysiology, cardiology, dermatology and neurosurgery, along with PA 16142 814-677-8999, ext 310 2 Park Way, Seneca Commons, Seneca, PA 16346
basis,” says Tony Maalouf, MD, head of Butler Health System's Robotic Surgery Program A member of Pennsylvania's State System of Higher Ellwood City 2 Park Way, Seneca Commons Seneca Dermatology For these locations,
Seneca Hills Village (Independent Living) Seneca Manor Pittsburgh, PA 15238 412-828-3800 UPMC St Margaret Dermatology Collins 3937 Butler St
Butler Medical Providers is a multi specialty physician group practice that is Dermatology, Pathology, General Surgery, Wound Care,Radiation Oncology and (4) BHS-Seneca Medical Center LLC Primary Care Physician PA 2,327,198
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39431_7251441961_201406_990.pdf efileGRAPHICprint-DONOTPROCESSAsFiledData-DLN:93493134071095 Form990ReturnofOrganizationExemptFromIncomeTaxOMBNo1545-0047 Undersection501(c),527,or4947(a)(1)oftheInternalRevenueCode(exceptprivate2O13foundations) DepartmentoftheTreasuryDonotenterSocialSecuritynumbersonthisformasitmaybemadepublicBylaw,theIRSOpen
InternalRevenueServicegenerallycannotredacttheinformationontheformInspection-InformationaboutForm990anditsinstructionsisatwww.IRS.gov/form990
Forthe2013calendaryear,ortaxyearbeginning07-01-2013,2013,andending06-30-2014 BCheckifapplicableCNameoforganizationDEmployeridentificationnumberButlerMedicalProviders FAddresschange25-1441961DoingBusinessAsFNamechangeButlerMedicalAssociates
1InitialreturnNumberandstreet(orP0boxifmailisnotdeliveredtostreetaddress)Room/suiteETelephonenumberOneHospitalWayF_Terminated
(724)284-4429 -(AmendedreturnCityortown,stateorprovince,country,andZIPorforeignpostalcode
Butler,PA16001
1ApplicationpendingGGrossreceipts$36,586,151
FNameandaddressofprincipalofficerH(a)IsthisagroupreturnforKennethDeFuriosubordinates?flYesFNoOneHospitalWay
Butler,PA160014670H(b)Areallsubordinates1Yes(-No
included? ITax-exemptstatusF501(c)(3)1501(c)()I(insertno(-4947(a)(1)orF_527If"No,"attachalist(seeinstructions) JWebsite:-wwwbutlerhealthsystemorgH(c)Groupexemptionnumber0-
KFormoforganizationFCorporation1TrustF_Association(-Other0-LYearofformation1983MStateoflegaldomicilePA
Summary
1Brieflydescribetheorganization'smissionormostsignificantactivities
ButlerMedicalProvidersisamultispecialtyphysiciangrouppracticethatisdedicatedtomakeapositivedifferenceinthelivesof
peoplebyprovidingcompassionatehighqualitycareandcomfortandinspiringhealthandwellbeingw
2Checkthisboxiftheorganizationdiscontinueditsoperationsordisposedofmorethan25%ofitsnetassets
3Numberofvotingmembersofthegoverningbody(PartVI,line1a).......33of
:'4Numberofindependentvotingmembersofthegoverningbody(PartVI,line1b)....40
5Totalnumberofindividualsemployedincalendaryear2013(PartV,line2a).5218
6Totalnumberofvolunteers(estimateifnecessary)60
7aTotalunrelatedbusinessrevenuefromPartVIII,column(C),line12.7a0
bNetunrelatedbusinesstaxableincomefromForm990-T,line34.......7b0
PriorYearCurrentYear
8Contributionsandgrants(PartVIII,line1h)00
9Programservicerevenue(PartVIII,line2g)........23,209,70029,443,700
N10Investmentincome(PartVIII,column(A),lines3,4,and7d.011
11Otherrevenue(PartVIII,column(A),lines5,6d,8c,9c,10c,and11e)4,812,9207,142,440
12Totalrevenue-addlines8through11(mustequalPartVIII,column(A),line
12)...................28,022,62036,586,151
13Grantsandsimilaramountspaid(PartIX,column(A),lines1-3).00
14Benefitspaidtoorformembers(PartIX,column(A),line4).00
15Salaries,othercompensation,employeebenefits(PartIX,column(A),lines
5-10)27,229,62334,318,151
16aProfessionalfundraisingfees(PartIX,column(A),line11e)00
LLJbTotalfundraisingexpenses(PartIX,column(D),line25)0-0
17Otherexpenses(PartIX,column(A),lines11a-11d,11f-24e)....7,162,7129,893,180
18TotalexpensesAddlines13-17(mustequalPartIX,column(A),line25)34,392,33544,211,331
19RevenuelessexpensesSubtractline18fromline12-6,369,715-7,625,180
BeginningofCurrentEndofYearYear
20Totalassets(PartX,line16)9,243,44623,242,362
%21Totalliabilities(PartX,line26)............3,613,3936,237,489 ZLL22NetassetsorfundbalancesSubtractline21fromline20.5,630,05317,004,873 lijaWSignatureBlock Underpenaltiesofperjury,IdeclarethatIhaveexaminedthisreturn,includin myknowledgeandbelief,itistrue,correct,andcompleteDeclarationofpreps preparerhasanyknowledge
SignSignatureofofficer
HereAnneBKrebsVPofFinance
Typeorprintnameandtitle
Print/Typepreparer'snamePreparerssignature
PaidFirm'sname0-
Preparer
UseOnlyFirm'saddress1-
MaytheIRSdiscussthisreturnwiththepreparershownabove?(seeinstructs ForPaperworkReductionActNotice,seetheseparateinstructions.
Form990(2013)Page2
StatementofProgramServiceAccomplishments
CheckifSchedule0containsaresponseornotetoanylineinthisPartIII.(-
1Brieflydescribetheorganization'smission
ButlerMedicalProvidersisamultispecialtyphysiciangrouppracticethatisdedicatedtomakeapositivedifferenceinthelivesofpeopleby
providingcompassionatehighqualitycareandcomfortandinspiringhealthandwellbeing
2Didtheorganizationundertakeanysignificantprogramservicesduringtheyearwhichwerenotlistedon
thepriorForm990or990-EZ?......................flYesFNo
If"Yes,"describethesenewservicesonSchedule0
3Didtheorganizationceaseconducting,ormakesignificantchangesinhowitconducts,anyprogram
services?............................FYesF7No
If"Yes,"describethesechangesonSchedule0
4Describetheorganization'sprogramserviceaccomplishmentsforeachofitsthreelargestprogramservices,asmeasuredby
expensesSection501(c)(3)and501(c)(4)organizationsarerequiredtoreporttheamountofgrantsandallocationstoothers,
thetotalexpenses,andrevenue,ifany,foreachprogramservicereported
4a(Code)(Expenses$43,599,432includinggrantsof$)(Revenue$36,586,140
InadditiontoFamilyPractice,ourspecialtiesincludeInternalMedicine,InfectiousDisease,AdultandPediatricHospitalists,ElectroPhysiology,Cardiology,
Dermatology,Pathology,GeneralSurgery,WoundCare,RadiationOncologyandRadiologyThepracticeemploysapproximately121providersandapproximately
109supportstaffDuringtheyear,weprovidedcarefor143,938patientvisitsintheofficesettingandproceduresalongwith91,019hospital(ButlerHealthcare
Providers)andnursinghomevisitsButlerHealthcareProvidersisarelatednon-profitcorporation
4b(Code)(Expenses$includinggrantsof$)(Revenue$
4c(Code)(Expenses$includinggrantsof$)(Revenue$
4dOtherprogramservices(DescribeinSchedule0
(Expenses$includinggrantsof$)(Revenue$
4eTotalprogramserviceexpenses0-43,599,432
Form990(2013)
Form990(2013)Page3
ChecklistofRequiredSchedules
YesNo
1Istheorganizationdescribedinsection501(c)(3)or4947(a)(1)(otherthanaprivatefoundation)?If"Yes,"Yes
completeScheduleAs.......................1
2IstheorganizationrequiredtocompleteScheduleB,ScheduleofContributors(seeinstructions)?.2No
3DidtheorganizationengageindirectorindirectpoliticalcampaignactivitiesonbehalfoforinoppositiontoNo
candidatesforpublicoffice?If"Yes,"completeScheduleC,PartI..........3
4Section501(c)(3)organizations.Didtheorganizationengageinlobbyingactivities,orhaveasection501(h)No
electionineffectduringthetaxyear?If"Yes,"completeScheduleC,PartII.......4
5Istheorganizationasection501(c)(4),501(c)(5),or501(c)(6)organizationthatreceivesmembershipdues,
assessments,orsimilaramountsasdefinedinRevenueProcedure98-19?If"Yes,"completeScheduleC,
PartIII............................5No
6Didtheorganizationmaintainanydonoradvisedfundsoranysimilarfundsoraccountsforwhichdonorshavethe
righttoprovideadviceonthedistributionorinvestmentofamountsinsuchfundsoraccounts?If"Yes,"complete
ScheduleD,PartIs......................6No
7Didtheorganizationreceiveorholdaconservationeasement,includingeasementstopreserveopenspace,
theenvironment,historiclandareas,orhistoricstructures?If"Yes,"completeScheduleD,PartII..7No
8Didtheorganizationmaintaincollectionsofworksofart,historicaltreasures,orothersimilarassets?If"Yes,"
completeScheduleD,PartIII....................8No
9DidtheorganizationreportanamountinPartX,line21forescroworcustodialaccountliability,serveasa
custodianforamountsnotlistedinPartX,orprovidecreditcounseling,debtmanagement,creditrepair,ordebt negotiationservices?If"Yes,"completeScheduleD,PartIV............9No
10Didtheorganization,directlyorthrougharelatedorganization,holdassetsintemporarilyrestrictedendowments,10No
permanentendowments,orquasi-endowments?If"Yes,"completeScheduleD,PartV.
11Iftheorganization'sanswertoanyofthefollowingquestionsis"Yes,"thencompleteScheduleD,PartsVI,VII,
VIII,IX,orXasapplicable
aDidtheorganizationreportanamountforland,buildings,andequipmentinPartX,line10? If"Yes,"completeScheduleD,PartVI.19...................llaYes bDidtheorganizationreportanamountforinvestments-othersecuritiesinPartX,line12thatis5%ormoreof itstotalassetsreportedinPartX,line16?If"Yes,"completeScheduleD,PartVII.......llbNo cDidtheorganizationreportanamountforinvestments-programrelatedinPartX,line13thatis5%ormoreof itstotalassetsreportedinPartX,line16?If"Yes,"completeScheduleD,PartVIII95......llcNo dDidtheorganizationreportanamountforotherassetsinPartX,line15thatis5%ormoreofitstotalassets reportedinPartX,line16?If"Yes,"completeScheduleD,PartIX'S............lidYes
eDidtheorganizationreportanamountforotherliabilitiesinPartXline25?If"Yes"completeScheduleDPart,>II,,,IleNo
fDidtheorganization'sseparateorconsolidatedfinancialstatementsforthetaxyearincludeafootnotethatllfYaddressestheorganization'sliabilityforuncertaintaxpositionsunderFIN48(ASC740)?If"Yes,"completees
ScheduleD,PartX..........................
12aDidtheorganizationobtainseparate,independentauditedfinancialstatementsforthetaxyear?
If"Yes,"completeScheduleD,PartsXIandXII.................12aNo
bWastheorganizationincludedinconsolidated,independentauditedfinancialstatementsforthetaxyear?If12bYes"Yes,"andiftheorganizationanswered"No"toline12a,thencompletingScheduleD,PartsXIandXIIisoptional
13Istheorganizationaschooldescribedinsection170(b)(1)(A)(ii)?If"Yes,"completeScheduleE13No
14aDidtheorganizationmaintainanoffice,employees,oragentsoutsideoftheUnitedStates?.14aNo
bDidtheorganizationhaveaggregaterevenuesorexpensesofmorethan$10,000fromgrantmaking,fundraising, business,investment,andprogramserviceactivitiesoutsidetheUnitedStates,oraggregateforeigninvestments valuedat$100,000ormore?If"Yes,"completeScheduleF,PartsIandIV........14bNo
15DidtheorganizationreportonPartIX,column(A),line3,morethan$5,000ofgrantsorotherassistancetoor
foranyforeignorganization?If"Yes,"completeScheduleF,PartsIIandIV15No
16DidtheorganizationreportonPartIX,column(A),line3,morethan$5,000ofaggregategrantsorother
assistancetoorforforeignindividuals?If"Yes,"completeScheduleF,PartsIIIandIV..16No
17Didtheorganizationreportatotalofmorethan$15,000ofexpensesforprofessionalfundraisingservicesonPart17No
IX,column(A),lines6and11e?If"Yes,"completeScheduleG,Partl(seeinstructions)....
18Didtheorganizationreportmorethan$15,000totaloffundraisingeventgrossincomeandcontributionsonPart
VIII,lines1cand8a?If"Yes,"completeScheduleG,PartII...........18No
19Didtheorganizationreportmorethan$15,000ofgrossincomefromgamingactivitiesonPartVIII,line9a?If19No
"Yes,"completeScheduleG,PartIII...................
20aDidtheorganizationoperateoneormorehospitalfacilities?If"Yes,"completeScheduleH..20aNo
bIf"Yes"toline20a,didtheorganizationattachacopyofitsauditedfinancialstatementstothisreturn?20b
Form990(2013)
Form990(2013)Page4
ChecklistofRequiredSchedules(continued)
21Didtheorganizationreportmorethan$5,000ofgrantsorotherassistancetoanydomesticorganizationor21governmentonPartIX,column(A),line1?If"Yes,"completeScheduleI,PartsIandII...
22Didtheorganizationreportmorethan$5,000ofgrantsorotherassistancetoindividualsintheUnitedStateson22PartIX,column(A),line2?If"Yes,"completeScheduleI,PartsIandIII........
23Didtheorganizationanswer"Yes"toPartVII,SectionA,line3,4,or5aboutcompensationoftheorganization's
currentandformerofficers,directors,trustees,keyemployees,andhighestcompensatedemployees?If"Yes,"23 completeScheduleJ.......................INI
24aDidtheorganizationhaveatax-exemptbondissuewithanoutstandingprincipalamountofmorethan$100,000
asofthelastdayoftheyear,thatwasissuedafterDecember31,2002?If"Yes,"answerlines24bthrough24d andcompleteScheduleK.If"No,"gotoline25a...............24a bDidtheorganizationinvestanyproceedsoftax-exemptbondsbeyondatemporaryperiodexception?.24b cDidtheorganizationmaintainanescrowaccountotherthanarefundingescrowatanytimeduringtheyear todefeaseanytax-exemptbonds?.24c dDidtheorganizationactasanonbehalfofissuerforbondsoutstandingatanytimeduringtheyear?.24d
25aSection501(c)(3)and501(c)(4)organizations.Didtheorganizationengageinanexcessbenefittransactionwith
adisqualifiedpersonduringtheyear?If"Yes,"completeScheduleL,PartI.......25a bIstheorganizationawarethatitengagedinanexcessbenefittransactionwithadisqualifiedpersoninaprior year,andthatthetransactionhasnotbeenreportedonanyoftheorganization'spriorForms990or990-EZ?If25b "Yes,"completeScheduleL,PartI...................
26DidtheorganizationreportanyamountonPartX,line5,6,or22forreceivablesfromorpayablestoanycurrent
orformerofficers,directors,trustees,keyemployees,highestcompensatedemployees,ordisqualifiedpersons?26
Ifso,completeScheduleL,PartII....................
27Didtheorganizationprovideagrantorotherassistancetoanofficer,director,trustee,keyemployee,substantial
contributororemployeethereof,agrantselectioncommitteemember,ortoa35%controlledentityorfamily27 memberofanyofthesepersons?If"Yes,"completeScheduleL,PartIII.........
28Wastheorganizationapartytoabusinesstransactionwithoneofthefollowingparties(seeScheduleL,PartIV
instructionsforapplicablefilingthresholds,conditions,andexceptions) aAcurrentorformerofficer,director,trustee,orkeyemployee?If"Yes,"completeScheduleL,Part
IV..........................28a
bAfamilymemberofacurrentorformerofficer,director,trustee,orkeyemployee?If"Yes," completeScheduleL,PartIV....................28b cAnentityofwhichacurrentorformerofficer,director,trustee,orkeyemployee(orafamilymemberthereof)was anofficer,director,trustee,ordirectorindirectowner?If"Yes,"completeScheduleL,PartIV..28c
29Didtheorganizationreceivemorethan$25,000innon-cashcontributions?If"Yes,"completeScheduleM29
30Didtheorganizationreceivecontributionsofart,historicaltreasures,orothersimilarassets,orqualified
conservationcontributions?If"Yes,"completeScheduleM............30
31Didtheorganizationliquidate,terminate,ordissolveandceaseoperations?If"Yes,"completeScheduleN,
PartI..........................31
32Didtheorganizationsell,exchange,disposeof,ortransfermorethan25%ofitsnetassets?If"Yes,"complete
ScheduleN,PartII.....................32
33Didtheorganizationown100%ofanentitydisregardedasseparatefromtheorganizationunderRegulations
sections3017701-2and3017701-3?If"Yes,"completeScheduleR,PartI........33
34Wastheorganizationrelatedtoanytax-exemptortaxableentity?If"Yes,"completeScheduleR,PartII,III,orIV,
andPartV,line1........................34
35aDidtheorganizationhaveacontrolledentitywithinthemeaningofsection512(b)(13)?35a
bIf'Yes'toline35a,didtheorganizationreceiveanypaymentfromorengageinanytransactionwithacontrolled35bentitywithinthemeaningofsection512(b)(13)?If"Yes,"completeScheduleR,PartV,line2...
36Section501(c)(3)organizations.Didtheorganizationmakeanytransferstoanexemptnon-charitablerelated
organization?If"Yes,"completeScheduleR,PartV,line2.............36
37Didtheorganizationconductmorethan5%ofitsactivitiesthroughanentitythatisnotarelatedorganization
andthatistreatedasapartnershipforfederalincometaxpurposes?If"Yes,"completeScheduleR,PartVIIN137
38DidtheorganizationcompleteSchedule0andprovideexplanationsinSchedule0forPartVI,lines1lband19?
Note.AllForm990filersarerequiredtocompleteSchedule0..........38 No No Yes No No No No No No No No No No No No No Yes No No No Yes
Form990(2013)
Form990(2013)Page5
MEW-StatementsRegardingOtherIRSFilingsandTaxCompliance CheckifSchedule0containsaresponseornotetoanylineinthisPartV(- YesNo laEnterthenumberreportedinBox3ofForm1096Enter-0-ifnotapplicable.la37 bEnterthenumberofFormsW-2GincludedinlinelaEnter-0-ifnotapplicablelb0 cDidtheorganizationcomplywithbackupwithholdingrulesforreportablepaymentstovendorsandreportable gaming(gambling)winningstoprizewinners?.................1cYes
2aEnterthenumberofemployeesreportedonFormW-3,TransmittalofWageand
TaxStatements,filedforthecalendaryearendingwithorwithintheyearcovered bythisreturn.................2a218
bIfatleastoneisreportedonline2a,didtheorganizationfileallrequiredfederalemploymenttaxreturns?2bYesNote.Ifthesumoflineslaand2aisgreaterthan250,youmayberequiredtoe-file(seeinstructions)
3aDidtheorganizationhaveunrelatedbusinessgrossincomeof$1,000ormoreduringtheyear?..3aNo
bIf"Yes,"hasitfiledaForm990-Tforthisyear?If'No"toline3b,provideanexplanationinScheduleO..3b
4aAtanytimeduringthecalendaryear,didtheorganizationhaveaninterestin,orasignatureorotherauthority
over,afinancialaccountinaforeigncountry(suchasabankaccount,securitiesaccount,orotherfinancial account)?..........................4aNo bIf"Yes,"enterthenameoftheforeigncountry0- SeeinstructionsforfilingrequirementsforFormTDF90-221,ReportofForeignBankandFinancialAccounts
5aWastheorganizationapartytoaprohibitedtaxsheltertransactionatanytimeduringthetaxyear?..
bDidanytaxablepartynotifytheorganizationthatitwasorisapartytoaprohibitedtaxsheltertransaction? cIf"Yes,"toline5aor5b,didtheorganizationfileForm8886-T?
6aDoestheorganizationhaveannualgrossreceiptsthatarenormallygreaterthan$100,000,anddidthe
organizationsolicitanycontributionsthatwerenottaxdeductibleascharitablecontributions?..
bIf"Yes,"didtheorganizationincludewitheverysolicitationanexpressstatementthatsuchcontributionsorgifts
werenottaxdeductible?.
7Organizationsthatmayreceivedeductiblecontributionsundersection170(c).
aDidtheorganizationreceiveapaymentinexcessof$75madepartlyasacontributionandpartlyforgoodsand servicesprovidedtothepayor?. bIf"Yes,"didtheorganizationnotifythedonorofthevalueofthegoodsorservicesprovided?.. cDidtheorganizationsell,exchange,orotherwisedisposeoftangiblepersonalpropertyforwhichitwasrequiredto fileForm82827. dIf"Yes,"indicatethenumberofForms8282filedduringtheyear7d eDidtheorganizationreceiveanyfunds,directlyorindirectly,topaypremiumsonapersonalbenefit contract?. fDidtheorganization,duringtheyear,paypremiums,directlyorindirectly,onapersonalbenefitcontract?
gIftheorganizationreceivedacontributionofqualifiedintellectualproperty,didtheorganizationfileForm8899as
required?.
hIftheorganizationreceivedacontributionofcars,boats,airplanes,orothervehicles,didtheorganizationfilea
Form1098-C?.
8Sponsoringorganizationsmaintainingdonoradvisedfundsandsection509(a)(3)supportingorganizations.Did
thesupportingorganization,oradonoradvisedfundmaintainedbyasponsoringorganization,haveexcess businessholdingsatanytimeduringtheyear?.
9Sponsoringorganizationsmaintainingdonoradvisedfunds.
aDidtheorganizationmakeanytaxabledistributionsundersection4966?.. bDidtheorganizationmakeadistributiontoadonor,donoradvisor,orrelatedperson?..
10Section501(c)(7)organizations.Enter
aInitiationfeesandcapitalcontributionsincludedonPartVIII,line12.10a bGrossreceipts,includedonForm990,PartVIII,line12,forpublicuseofclub10b facilities
11Section501(c)(12)organizations.Enter
aGrossincomefrommembersorshareholders........11a bGrossincomefromothersources(Donotnetamountsdueorpaidtoothersources againstamountsdueorreceivedfromthem).........11b
12aSection4947(a)(1)non-exemptcharitabletrusts.IstheorganizationfilingForm990inlieuofForm1041?
bIf"Yes,"entertheamountoftax-exemptinterestreceivedoraccruedduringthe year...................12b
13Section501(c)(29)qualifiednonprofithealthinsuranceissuers.
aIstheorganizationlicensedtoissuequalifiedhealthplansinmorethanonestate? Note.SeetheinstructionsforadditionalinformationtheorganizationmustreportonSchedule0 bEntertheamountofreservestheorganizationisrequiredtomaintainbythestates inwhichtheorganizationislicensedtoissuequalifiedhealthplans13b cEntertheamountofreservesonhand13c 5aNo 5bNo 5c 6aNo 6b 7aNo 7b 7cNo 7eNo 7fNo 7g 7h 8 9a 9b 12a 13a
14aDidtheorganizationreceiveanypaymentsforindoortanningservicesduringthetaxyear?...14aNo
bIf"Yes,"hasitfiledaForm720toreportthesepayments?If"No,"provideanexplanationinSchedule0.14b
Form990(2013)
Form990(2013)Page6
Governance,Management,andDisclosureForeach"Yes"responsetolines2through7bbelow,andfora "No"responsetolines8a,8b,or1Obbelow,describethecircumstances,processes,orchangesinSchedule0.
Seeinstructions.
CheckifSchedule0containsaresponseornotetoanylineinthisPartVI.F
SectionA.GoverningBodyandManagement
YesNo laEnterthenumberofvotingmembersofthegoverningbodyattheendofthetaxla3year Iftherearematerialdifferencesinvotingrightsamongmembersofthegoverning body,orifthegoverningbodydelegatedbroadauthoritytoanexecutivecommittee orsimilarcommittee,explaininSchedule0 bEnterthenumberofvotingmembersincludedinlinela,above,whoare independent..................lb0
2Didanyofficer,director,trustee,orkeyemployeehaveafamilyrelationshiporabusinessrelationshipwithany
otherofficer,director,trustee,orkeyemployee?2No
3Didtheorganizationdelegatecontrolovermanagementdutiescustomarilyperformedbyorunderthedirect3Nosupervisionofofficers,directorsortrustees,orkeyemployeestoamanagementcompanyorotherperson?
4DidtheorganizationmakeanysignificantchangestoitsgoverningdocumentssincethepriorForm990was
filed?..........................4No
5Didtheorganizationbecomeawareduringtheyearofasignificantdiversionoftheorganization'sassets?5No
6Didtheorganizationhavemembersorstockholders?6Yes
7aDidtheorganizationhavemembers,stockholders,orotherpersonswhohadthepowertoelectorappointoneor
moremembersofthegoverningbody?...................7aYes
bAreanygovernancedecisionsoftheorganizationreservedto(orsubjecttoapprovalby)members,stockholders,7bYes
orpersonsotherthanthegoverningbody?
8Didtheorganizationcontemporaneouslydocumentthemeetingsheldorwrittenactionsundertakenduringthe
yearbythefollowing aThegoverningbody?........................8aYes bEachcommitteewithauthoritytoactonbehalfofthegoverningbody?8bYes
9Isthereanyofficer,director,trustee,orkeyemployeelistedinPartVII,SectionA,whocannotbereachedatthe
organization'smailingaddress?If"Yes,"providethenamesandaddressesinSchedule0......9No SectionB.Policies(ThisSectionBrequestsinformationaboutpoliciesnotrequiredbytheInternalRevenueCode.) YesNo
10aDidtheorganizationhavelocalchapters,branches,oraffiliates?10aNo
bIf"Yes,"didtheorganizationhavewrittenpoliciesandproceduresgoverningtheactivitiesofsuchchapters, affiliates,andbranchestoensuretheiroperationsareconsistentwiththeorganization'sexemptpurposes?10b
11aHastheorganizationprovidedacompletecopyofthisForm990toallmembersofitsgoverningbodybeforefiling
theform?...........................11aYes bDescribeinSchedule0theprocess,ifany,usedbytheorganizationtoreviewthisForm990
12aDidtheorganizationhaveawrittenconflictofinterestpolicy?If"No,"gotoline13.12aYes
bWereofficers,directors,ortrustees,andkeyemployeesrequiredtodiscloseannuallyintereststhatcouldgive risetoconflicts?.........................12bYes cDidtheorganizationregularlyandconsistentlymonitorandenforcecompliancewiththepolicy?If"Yes,"describe inSchedule0howthiswasdone.12cYes
13Didtheorganizationhaveawrittenwhistleblowerpolicy?13Yes
14Didtheorganizationhaveawrittendocumentretentionanddestructionpolicy?.14Yes
15Didtheprocessfordeterminingcompensationofthefollowingpersonsincludeareviewandapprovalby
independentpersons,comparabilitydata,andcontemporaneoussubstantiationofthedeliberationanddecision? aTheorganization'sCEO,ExecutiveDirector,ortopmanagementofficial15aNo bOtherofficersorkeyemployeesoftheorganization15bNo If"Yes"toline15aor15b,describetheprocessinSchedule0(seeinstructions)
16aDidtheorganizationinvestin,contributeassetsto,orparticipateinajointventureorsimilararrangementwitha
taxableentityduringtheyear?.....................16aNo bIf"Yes,"didtheorganizationfollowawrittenpolicyorprocedurerequiringtheorganizationtoevaluateits participationinjointventurearrangementsunderapplicablefederaltaxlaw,andtakestepstosafeguardthe organization'sexemptstatuswithrespecttosucharrangements?..........16b
SectionC.Disclosure
17ListtheStateswithwhichacopyofthisForm990isrequiredtobefiled-PA
18Section6104requiresanorganizationtomakeitsForm1023(or1024ifapplicable),990,and990-T(501(c)
(3)sonly)availableforpublicinspectionIndicatehowyoumadetheseavailableCheckallthatapply FOwnwebsiteflAnother'swebsiteFUponrequestflOther(explaininScheduleO)
19DescribeinSchedule0whether(andifso,how)theorganizationmadeitsgoverningdocuments,conflictof
interestpolicy,andfinancialstatementsavailabletothepublicduringthetaxyear
20Statethename,physicaladdress,andtelephonenumberofthepersonwhopossessesthebooksandrecordsoftheorganization
-FinanceDepartmentOneHospitalWay
Butler,PA160014670(724)284-4429
Form990(2013)
Form990(2013)Page7
CompensationofOfficers,Directors,Trustees,KeyEmployees,HighestCompensated
Employees,andIndependentContractors
CheckifSchedule0containsaresponseornotetoanylineinthisPartVII.(- SectionA.Officers,Directors,Trustees,KevEmployees,andHighestCompensatedEmployees
laCompletethistableforallpersonsrequiredtobelistedReportcompensationforthecalendaryearendingwithorwithintheorganization's
taxyear
*Listalloftheorganization'scurrentofficers,directors,trustees(whetherindividualsororganizations),regardlessofamount
ofcompensationEnter-0-incolumns(D),(E),and(F)ifnocompensationwaspaid *Listalloftheorganization'scurrentkeyemployees,ifanySeeinstructionsfordefinitionof"keyemployee"
*Listtheorganization'sfivecurrenthighestcompensatedemployees(otherthananofficer,director,trusteeorkeyemployee)
whoreceivedreportablecompensation(Box5ofFormW-2and/orBox7ofForm1099-MISC)ofmorethan$100,000fromthe organizationandanyrelatedorganizations
*Listalloftheorganization'sformerofficers,keyemployees,orhighestcompensatedemployeeswhoreceivedmorethan$100,000
ofreportablecompensationfromtheorganizationandanyrelatedorganizations
*Listalloftheorganization'sformerdirectorsortrusteesthatreceived,inthecapacityasaformerdirectorortrusteeofthe
organization,morethan$10,000ofreportablecompensationfromtheorganizationandanyrelatedorganizations
Listpersonsinthefollowingorderindividualtrusteesordirectors,institutionaltrustees,officers,keyemployees,highest
compensatedemployees,andformersuchpersons
1Checkthisboxifneithertheorganizationnoranyrelatedorganizationcompensatedanycurrentofficer,director,ortrustee
(A)(B)(C)(D)(E)(F) NameandTitleAveragePosition(donotcheckReportableReportableEstimated hourspermorethanonebox,unlesscompensationcompensationamountof week(listpersonisbothanofficerfromthefromrelatedother anyhoursandadirector/trustee)organizationorganizationscompensation forrelatedT(W-2/1099-(W-2/1099-fromthe organizations(oLDMISC)MISC)organization belowc7mQ0randrelated dottedline)Sa _ organizationsSomc) ID J. (1)KennethPDeFurio1500
XX0671,449201,578
Chairman,Pres&CEO4700
(2)StephanieRoskovski2500
XX0341,01960,631
CorporateSecretary3500
(3)DennisDembyMD4000
X220,039014,754
Trustee
(4)AnneBKrebs1100
X0348,16177,874
ChiefFinancialOfficer4400
(5)SamerAzouzMD4000
X732,463017,223
Physician
(6)DavidACowanMD4000
X920,456019,692
Physician
(7)DeanEWolzMD4000
X589,425019,692
Physician
(8)SunderRRaoMD4000
X579,540019,692
Physician100
(9)GregoryIFranckenMD4000
X547,380011,882
Physician
Form990(2013)
Form990(2013)Page8
SectionA.Officers,Directors,Trustees,KeyEmployees,andHighestCompensatedEmployees(continued) (A)
NameandTitle
(B)
Average
hoursper week(list anyhours (C)
Position(donotcheck
morethanonebox,unless personisbothanofficer andadirector/trustee) (D)
Reportable
compensation fromthe organization(W- (E)
Reportable
compensation fromrelated organizations(W- (F)
Estimated
amountofother compensation fromthe forrelated organizations below dottedline) 0- - C:SL a 747.
;3 m_ ;rl ! M= boo fD ur T a
2/1099-MISC)2/1099-MISC)organizationand
related organizations lbSub-Total................ cTotalfromcontinuationsheetstoPartVII,SectionA.... dTotal(addlineslband1c)............0-3,589,3031,360,629443,018 Totalnumberofindividuals(includingbutnotlimitedtothoselistedabove)whoreceivedmorethan $100,000ofreportablecompensationfromtheorganization-72 No Didtheorganizationlistanyformerofficer,directorortrustee,keyemployee,orhighestcompensatedemployee onlinela?If"Yes,"completeScheduleJforsuchindividual.............3No
4Foranyindividuallistedonlinela,isthesumofreportablecompensationandothercompensationfromthe
organizationandrelatedorganizationsgreaterthan$150,0007If"Yes,"completeSchedule-7forsuch individual........................... Didanypersonlistedonlinelareceiveoraccruecompensationfromanyunrelatedorganizationorindividualfor servicesrenderedtotheorganization?If"Yes,"completeScheduleJforsuchperson.......5No
SectionB.IndependentContractors
1Completethistableforyourfivehighestcompensatedindependentcontractorsthatreceivedmorethan$100,000of
compensationfromtheorganizationReportcompensationforthecalendaryearendingwithorwithintheorganization'staxyear
(A)Nameandbusinessaddress(B)Descriptionofservices(C)Compensation RadcomAssociatesLTD7AcceeDrNatronaHghtsPA15065RadiologyBilling399,519 EmergencyRadiology9BrookridgeCourtBloomingtonIL61704Radiology356,827 MedicusHospitalistsLLC22RoulstonRoadWindhamNH03087Staffing328,268 SheridanRadiologyMgmtPOBOX452796SunriseFL33323RadiologyStaffing275,375 AnnaMnuskinMDPhD113ShannonDrivePittsburghPA15238Pathology175,500
2Totalnumberofindependentcontractors(includingbutnotlimitedtothoselistedabove)whoreceivedmorethan
$100,000ofcompensationfromtheorganization0-5
Form990(2013)
Form990(2013)Page9
StatementofRevenue
CheckifSchedule0containsaresponseornotetoanylineinthisPartVIIIF (A)(B)(C)(D)
TotalrevenueRelatedorUnrelatedRevenue
exemptbusinessexcludedfrom functionrevenuetaxunder revenuesections
512-514
laFederatedcampaigns.laZ r=bMembershipdues....lb 6-0
0EcFundraisingevents....1c
dRelatedorganizations.ld tJ'EeGovernmentgrants(contributions)le VfAllothercontributions,gifts,grants,andif^similaramountsnotincludedabove gNoncashcontributionsincludedinlines la-If$ hTotal.Addlinesla-1f.
BusinessCode
2aPatientRevenue62111029,443,70029,443,700
b c d e fAllotherprogramservicerevenue gTotal.Addlines2a-2f........0-29,443,700
3Investmentincome(includingdividends,interest,
10-andothersimilaramounts)1111
4Incomefrominvestmentoftax-exemptbondproceeds,.0-
5Royalties...........0-
(i)Real(ii)Personal
6aGrossrents
bLessrental expenses cRentalincome or(loss) dNetrentalincomeor(loss)..lim- (i)Securities(ii)Other
7aGrossamount
fromsalesof assetsother thaninventory bLesscostor otherbasisand salesexpenses cGainor(loss) dNetgainor(loss)..
8aGrossincomefromfundraising
Wevents(notincluding$
ofcontributionsreportedonline1c)
SeePartIV,line18
a sbLessdirectexpenses.b cNetincomeor(loss)fromfundraisingevents..0-
9aGrossincomefromgamingactivities
SeePartIV,line19..
a bLessdirectexpenses.b cNetincomeor(loss)fromgamingactivities...0-
10aGrosssalesofinventory,less
returnsandallowances. a bLesscostofgoodssold.b cNetincomeor(loss)fromsalesofinventory.lim-
MiscellaneousRevenueBusinessCode
11aOtherOperatingRevenu6211107,142,4407,142,440
b c dAllotherrevenue.. eTotal.Addlines11a-11d.0-7,142,440
12Totalrevenue.SeeInstructions36,586,15136,586,140011
Form990(2013)
Form990(2013)Page10
StatementofFunctionalExpenses
Section501(c)(3)and501(c)(4)organizationsmustcompleteallcolumnsAllotherorganizationsmustcompletecolumn(A)
CheckifSchedule0containsaresponseornotetoanylineinthisPartIX..............
Donotincludeamountsreportedonlines6b,
7b,8b,9b,and10bofPartVIII.
(A)
Totalexpenses
(B)Programservice expenses (C)
Managementand
generalexpenses (D)
Fundraising
expenses
1Grantsandotherassistancetogovernmentsandorganizations
intheUnitedStatesSeePartIV,line21
2Grantsandotherassistancetoindividualsinthe
UnitedStatesSeePartIV,line22
3Grantsandotherassistancetogovernments,
organizations,andindividualsoutsidetheUnited
StatesSeePartIV,lines15and16
4Benefitspaidtoorformembers
5Compensationofcurrentofficers,directors,trustees,and
keyemployees3,679,7923,679,792
6Compensationnotincludedabove,todisqualifiedpersons
(asdefinedundersection4958(f)(1))andpersons describedinsection4958(c)(3)(B).
7Othersalariesandwages27,001,13526,509,175491,960
8Pensionplanaccrualsandcontributions(includesection401(k)
and403(b)employercontributions).
9Otheremployeebenefits2,218,8642,204,55314,311
10Payrolltaxes..........1,418,3601,380,21938,141
11Feesforservices(non-employees)
aManagement.. bLegal10,13510,135 cAccounting.. dLobbying.. eProfessionalfundraisingservicesSeePartIV,line17 fInvestmentmanagementfees.. gOther(Ifline11gamountexceeds10%ofline25, column(A)amount,listline11gexpenseson
ScheduleO)..
12Advertisingandpromotion22,07521,178897
13Officeexpenses1,171,7851,141,14930,636
14Informationtechnology11,68311,466217
15Royalties
16Occupancy1,275,5871,275,587
17Travel...........139,859132,4157,444
18Paymentsoftravelorentertainmentexpensesforanyfederal,
state,orlocalpublicofficials
19Conferences,conventions,andmeetings58,90258,060842
20Interest156156
21Paymentstoaffiliates
22Depreciation,depletion,andamortization409,626407,8811,745
23Insurance926,374923,1023,272
24OtherexpensesItemizeexpensesnotcoveredabove(List
miscellaneousexpensesinline24eIfline24eamountexceeds10% ofline25,column(A)amount,listline24eexpensesonSchedule0 aPurchasedservices4,541,9114,524,82217,089 bBadDebt877,149876,276873 cMiscellaneous447,938443,4664,472 d eAllotherexpenses
25Totalfunctionalexpenses.Addlines1through24e44,211,33143,599,432611,8990
26Jointcosts.Completethislineonlyiftheorganization
reportedincolumn(B)jointcostsfromacombined educationalcampaignandfundraisingsolicitationCheck here-fliffollowingSOP98-2(ASC958-720)
Form990(2013)
Form990(2013)Page11
BalanceSheet
CheckifSchedule0containsaresponseornotetoanylineinthisPartXF (A)(B)
BeginningofyearEndofyear
1Cash-non-interest-bearing............1
2Savingsandtemporarycashinvestments........2,223,18727,599,033
3Pledgesandgrantsreceivable,net3
4Accountsreceivable,net............5,052,94849,173,547
5Loansandotherreceivablesfromcurrentandformerofficers,directors,trustees,key
employees,andhighestcompensatedemployeesCompletePartIIof
ScheduleL..
5
6Loansandotherreceivablesfromotherdisqualifiedpersons(asdefinedundersection
4958(f)(1)),personsdescribedinsection4958(c)(3)(B),andcontributingemployers
andsponsoringorganizationsofsection501(c)(9)voluntaryemployees'beneficiary organizations(seeinstructions)CompletePartIIofScheduleL 6
7Notesandloansreceivable,net7
'cc8Inventoriesforsaleoruse8
9Prepaidexpensesanddeferredcharges.673,5339913,540
10aLand,buildings,andequipmentcostorotherbasisComplete
PartVIofScheduleD10a3,980,369
bLessaccumulateddepreciation.10b2,562,830919,26910c1,417,539
11Investments-publiclytradedsecurities.11
12Investments-othersecuritiesSeePartIV,line1112
13Investments-program-relatedSeePartIV,line1113
14Intangibleassets..............14
15OtherassetsSeePartIV,line11374,509154,138,703
16Totalassets.Addlines1through15(mustequalline34).9,243,4461623,242,362
17Accountspayableandaccruedexpenses........3,613,393176,237,489
18Grantspayable18
19Deferredrevenue19
20Tax-exemptbondliabilities............20
21EscroworcustodialaccountliabilityCompletePartIVofScheduleD.21
22Loansandotherpayablestocurrentandformerofficers,directors,trustees,
keyemployees,highestcompensatedemployees,anddisqualified personsCompletePartIIofScheduleL.22
23Securedmortgagesandnotespayabletounrelatedthirdparties23
24Unsecurednotesandloanspayabletounrelatedthirdparties24
25Otherliabilities(includingfederalincometax,payablestorelatedthirdparties,
andotherliabilitiesnotincludedonlines17-24)CompletePartXofSchedule D.25
26Totalliabilities.Addlines17through25.3,613,393266,237,489
OrganizationsthatfollowSFAS117(ASC958),checkhere1-Fandcomplete lines27through29,andlines33and34.
C527Unrestrictednetassets5,630,0532717,004,873
Mca28Temporarilyrestrictednetassets28
r29Permanentlyrestrictednetassets29_ OrganizationsthatdonotfollowSFAS117(ASC958),checkhere1-fland completelines30through34.
30Capitalstockortrustprincipal,orcurrentfunds30
31Paid-inorcapitalsurplus,orland,buildingorequipmentfund31
4T32Retainedearnings,endowment,accumulatedincome,orotherfunds32
33Totalnetassetsorfundbalances5,630,0533317,004,873
z34Totalliabilitiesandnetassets/fundbalances9,243,4463423,242,362
Form990(2013)
Form990(2013)Page12
"ReconcilliationofNetAssets CheckifSchedule0containsaresponseornotetoanylineinthisPartXI.F
1Totalrevenue(mustequalPartVIII,column(A),line12)..
2Totalexpenses(mustequalPartIX,column(A),line25)..
3RevenuelessexpensesSubtractline2fromline1
4Netassetsorfundbalancesatbeginningofyear(mustequalPartX,line33,column(A))
5Netunrealizedgains(losses)oninvestments
6Donatedservicesanduseoffacilities
7Investmentexpenses..
8Priorperiodadjustments..
9Otherchangesinnetassetsorfundbalances(explaininSchedule0)
10NetassetsorfundbalancesatendofyearCombinelines3through9(mustequalPartX,line33,
column(B))
136,586,151
244,211,331
3-7,625,180
45,630,053
5 6 7 8
919,000,000
1017,004,873
FinancialStatementsandReporting
CheckifSchedule0containsaresponseornotetoanylineinthisPartXIIF YesNo
1AccountingmethodusedtopreparetheForm990flCashFAccrual(Other
Iftheorganizationchangeditsmethodofaccountingfromaprioryearorchecked"Other,"explainin
Schedule0
2aWeretheorganization'sfinancialstatementscompiledorreviewedbyanindependentaccountant?2a
If'Yes,'checkaboxbelowtoindicatewhetherthefinancialstatementsfortheyearwerecompiledorreviewedon aseparatebasis,consolidatedbasis,orboth flSeparatebasisflConsolidatedbasisflBothconsolidatedandseparatebasis bWeretheorganization'sfinancialstatementsauditedbyanindependentaccountant?2bYes If'Yes,'checkaboxbelowtoindicatewhetherthefinancialstatementsfortheyearwereauditedonaseparate basis,consolidatedbasis,orboth flSeparatebasisFConsolidatedbasisflBothconsolidatedandseparatebasis cIf"Yes,"toline2aor2b,doestheorganizationhaveacommitteethatassumesresponsibilityforoversightofthe audit,review,orcompilationofitsfinancialstatementsandselectionofanindependentaccountant?2cYes Iftheorganizationchangedeitheritsoversightprocessorselectionprocessduringthetaxyear,explainin
Schedule0
3aAsaresultofafederalaward,wastheorganizationrequiredtoundergoanauditorauditsassetforthinthe
SingleAuditActand0MBCircularA-133?3a
bIf"Yes,"didtheorganizationundergotherequiredauditoraudits?Iftheorganizationdidnotundergothe3b requiredauditoraudits,explainwhyinSchedule0anddescribeanystepstakentoundergosuchaudits No No
Form990(2013)
efileGRAPHICprint-DONOTPROCESSAsFiledData-DLN:93493134071095 SCHEDULEAPublicCharityStatusandPublicSupportOMBNo1545-0047 (Form990or990EZ)Completeiftheorganizationisasection501(c)(3)organizationorasection4947(a)(1)
2013nonexemptcharitabletrust.
DepartmentoftheIOilAttachtoForm990orForm990-EZ.OilSeeseparateinstructions.OpenTreasuryOilInformationaboutScheduleA(Form990or990-EZ)anditsinstructionsisatInspectInternalRevenueServicewww.irs.govform990.
NameoftheorganizationEmployeridentificationnumber
ButlerMedicalProviders
ReasonforPublicCharityStatus(Allorganizationsmustcompletethispart.)Seeinstructions. Theorganizationisnotaprivatefoundationbecauseitis(Forlines1through11,checkonlyonebox)
11Achurch,conventionofchurches,orassociationofchurchesdescribedinsection170(b)(1)(A)(i).
2flAschooldescribedinsection170(b)(1)(A)(ii).(AttachScheduleE)
3FAhospitaloracooperativehospitalserviceorganizationdescribedinsection170(b)(1)(A)(iii).
41Amedicalresearchorganizationoperatedinconjunctionwithahospitaldescribedinsection170(b)(1)(A)(iii).Enterthe
hospital'sname,city,andstate
51Anorganizationoperatedforthebenefitofacollegeoruniversityownedoroperatedbyagovernmentalunitdescribedin
section170(b)(1)(A)(iv).(CompletePartII)
61Afederal,state,orlocalgovernmentorgovernmentalunitdescribedinsection170(b)(1)(A)(v).
71Anorganizationthatnormallyreceivesasubstantialpartofitssupportfromagovernmentalunitorfromthegeneralpublic
describedinsection170(b)(1)(A)(vi).(CompletePartII)
8flAcommunitytrustdescribedinsection170(b)(1)(A)(vi)(CompletePartII)
91Anorganizationthatnormallyreceives(1)morethan331/3%ofitssupportfromcontributions,membershipfees,andgross
receiptsfromactivitiesrelatedtoitsexemptfunctions-subjecttocertainexceptions,and(2)nomorethan331/3%of
itssupportfromgrossinvestmentincomeandunrelatedbusinesstaxableincome(lesssection511tax)frombusinesses
acquiredbytheorganizationafterJune30,1975Seesection509(a)(2).(CompletePartIII)
101AnorganizationorganizedandoperatedexclusivelytotestforpublicsafetySeesection509(a)(4).
111Anorganizationorganizedandoperatedexclusivelyforthebenefitof,toperformthefunctionsof,ortocarryoutthepurposesof
oneormorepubliclysupportedorganizationsdescribedinsection509(a)(1)orsection509(a)(2)Seesection509(a)(3).Check
theboxthatdescribesthetypeofsupportingorganizationandcompletelinesIlethrough11h aflTypeIbflTypeIIcflTypeIII-FunctionallyintegrateddflTypeIII-Non-functionallyintegrated
e(-Bycheckingthisbox,Icertifythattheorganizationisnotcontrolleddirectlyorindirectlybyoneormoredisqualifiedpersons
otherthanfoundationmanagersandotherthanoneormorepubliclysupportedorganizationsdescribedinsection509(a)(1)or
section509(a)(2)
fIftheorganizationreceivedawrittendeterminationfromtheIRSthatitisaTypeI,TypeII,orTypeIIIsupportingorganization,
checkthisboxF gSinceAugust17,2006,hastheorganizationacceptedanygiftorcontributionfromanyofthe followingpersons? (i)Apersonwhodirectlyorindirectlycontrols,eitheraloneortogetherwithpersonsdescribedin(ii)YesNo and(iii)below,thegoverningbodyofthesupportedorganization?11g(i) (ii)Afamilymemberofapersondescribedin(i)above?11g(ii) (iii)A35%controlledentityofapersondescribedin(i)or(ii)above?11g(iii) hProvidethefollowinginformationaboutthesupportedorganization(s) (i)Nameof(ii)EIN(iii)Typeof(iv)Isthe(v)Didyounotify(vi)Isthe(vii)Amountof supportedorganizationorganizationintheorganizationorganizationinmonetary organization(describedoncol(i)listedinincol(i)ofyourcol(i)organizedsupport lines1-9aboveyourgoverningsupport?intheUS? orIRCsectiondocument? (see instructions))YesNoYesNoYesNo Total
ForPaperworkReductionActNotice,seetheInstructionsforForm990or990EZ.CatNo11285FScheduleA(Form990or990-EZ)2013
ScheduleA(Form990or990-EZ)2013Page2
MU^SupportScheduleforOrganizationsDescribedinSections170(b)(1)(A)(iv)and170(b)(1)(A)(vi) (Completeonlyifyoucheckedtheboxonline5,7,or8ofPartIoriftheorganizationfailedtoqualifyunder PartIII.Iftheorganizationfailstoqualifyunderthetestslistedbelow,pleasecompletePartIII.)
SectionA.PublicSupport
Calendaryear(orfiscalyearbeginning(a)2009(b)2010(c)2011(d)2012(e)2013(f)Totalin)11111
1Gifts,grants,contributions,and
membershipfeesreceived(Donot includeany"unusual grants")
2Taxrevenuesleviedforthe
organization'sbenefitandeither paidtoorexpendedonits behalf
3Thevalueofservicesorfacilities
furnishedbyagovernmentalunitto theorganizationwithoutcharge
4Total.Addlines1through3
5Theportionoftotalcontributions
byeachperson(otherthana governmentalunitorpublicly supportedorganization)includedon line1thatexceeds2%ofthe amountshownonline11,column (f)
6Publicsupport.Subtractline5from
line4
SectionB.TotalSupport
Calendaryear(orfiscalyearbeginning(a)2009(b)2010(c)2011(d)2012(e)2013(f)Totalin)►
7Amountsfromline4
8Grossincomefrominterest,
dividends,paymentsreceivedon securitiesloans,rents,royalties andincomefromsimilar sources
9Netincomefromunrelated
businessactivities,whetherornot thebusinessisregularlycarried on
10OtherincomeDonotincludegain
orlossfromthesaleofcapital assets(ExplaininPartIV)
11Totalsupport(Addlines7through
10)
12Grossreceiptsfromrelatedactivities,etc(seeinstructions)12
13Firstfiveyears.IftheForm990isfortheorganization'sfirst,second,third,fourth,orfifthtaxyearasa501(c)(3)organization,check
thisboxandstophere................................................^.
SectionC.ComputationofPublicSupportPercentage
14Publicsupportpercentagefor2013(line6,column(f)dividedbyline11,column(f))14
15Publicsupportpercentagefor2012ScheduleA,PartII,line1415
16a331/3%supporttest-2013.Iftheorganizationdidnotchecktheboxonline13,andline14is331/3%ormore,checkthisbox
andstophere.Theorganizationqualifiesasapubliclysupportedorganization
b331/3%supporttest-2012.Iftheorganizationdidnotcheckaboxonline13or16a,andline15is331/3%ormore,checkthis
boxandstophere.Theorganizationqualifiesasapubliclysupportedorganization
17a10%-facts-and-circumstancestest-2013.Iftheorganizationdidnotcheckaboxonline13,16a,or16b,andline14
is10%ormore,andiftheorganizationmeetsthe"facts-and-circumstances"test,checkthisboxandstophere.Explain
inPartIVhowtheorganizationmeetsthe"facts-and-circumstances"testTheorganizationqualifiesasapubliclysupported
organization b10%-facts-and-circumstancestest-2012.Iftheorganizationdidnotcheckaboxonline13,16a,16b,or17a,andline
15is10%ormore,andiftheorganizationmeetsthe"facts-and-circumstances"test,checkthisboxandstophere.
ExplaininPartIVhowtheorganizationmeetsthe"facts-and-circumstances"testTheorganizationqualifiesasapublicly
supportedorganization
18Privatefoundation.Iftheorganizationdidnotcheckaboxonline13,16a,16b,17a,or17b,checkthisboxandsee
instructions
ScheduleA(Form990or990-EZ)2013
ScheduleA(Form990or990-EZ)2013Page3
IMMITMSupportScheduleforOrganizationsDescribedinSection509(a)(2) (Completeonlyifyoucheckedtheboxonline9ofPartIoriftheorganizationfailedtoqualifyunder PartII.Iftheorganizationfailstoqualifyunderthetestslistedbelow,pleasecompletePartII.)
SectionA.PublicSupport
Calendaryear(orfiscalyearbeginning(a)2009(b)2010(c)2011(d)2012(e)2013(f)Totalin)11111
1Gifts,grants,contributions,and
membershipfeesreceived(Donot includeany"unusualgrants")
2Grossreceiptsfromadmissions,
merchandisesoldorservices performed,orfacilitiesfurnishedin anyactivitythatisrelatedtothe organization'stax-exempt purpose
3Grossreceiptsfromactivitiesthat
arenotanunrelatedtradeor businessundersection513
4Taxrevenuesleviedforthe
organization'sbenefitandeither paidtoorexpendedonits behalf
5Thevalueofservicesorfacilities
furnishedbyagovernmentalunitto theorganizationwithoutcharge
6Total.Addlines1through5
7aAmountsincludedonlines1,2,
and3receivedfromdisqualified persons bAmountsincludedonlines2and3 receivedfromotherthan disqualifiedpersonsthatexceed thegreaterof$5,000or1%ofthe amountonline13fortheyear cAddlines7aand7b
8Publicsupport(Subtractline7c
fromline6)
SectionB.TotalSuuuort
Calendaryear(orfiscalyearbeginning(a)2009(b)2010(c)2011(d)2012(e)2013(f)Totalin)►
9Amountsfromline6
10aGrossincomefrominterest,
dividends,paymentsreceivedon securitiesloans,rents,royalties andincomefromsimilar sources bUnrelatedbusinesstaxable income(lesssection511taxes) frombusinessesacquiredafter
June30,1975
cAddlines10aand10b
11Netincomefromunrelated
businessactivitiesnotincluded inline10b,whetherornotthe businessisregularlycarriedon
12OtherincomeDonotinclude
gainorlossfromthesaleof capitalassets(ExplaininPart IV)
13Totalsupport.(Addlines9,1Oc,
11,and12)
14Firstfiveyears.IftheForm990isfortheorganization'sfirst,second,third,fourth,orfifthtaxyearasa501(c)(3)organization,
checkthisboxandstophere
SectionC.ComputationofPublicSupportPercentage
15Publicsupportpercentagefor2013(line8,column(f)dividedbyline13,column(f))15
16Publicsupportpercentagefrom2012ScheduleA,PartIII,line1516
SectionD.ComputationofInvestmentIncomePercentage
17Investmentincomepercentagefor2013(line10c,column(f)dividedbyline13,column(f))17
18Investmentincomepercentagefrom2012ScheduleA,PartIII,line1718
19a331/3%supporttests-2013.Iftheorganizationdidnotchecktheboxonline14,andline15ismorethan331/3%,andline17isnot
morethan331/3%,checkthisboxandstophere.Theorganizationqualifiesasapubliclysupportedorganizationlk'F-
b331/3%supporttests-2012.Iftheorganizationdidnotcheckaboxonline14orline19a,andline16ismorethan331/3%andline18
isnotmorethan331/3%,checkthisboxandstophere.Theorganizationqualifiesasapubliclysupportedorganizationlk'F-
20Privatefoundation.Iftheorganizationdidnotcheckaboxonline14,19a,or19b,checkthisboxandseeinstructions
ScheduleA(Form990or990-EZ)2013
ScheduleA(Form990or990-EZ)2013Page4
SupplementalInformation.ProvidetheexplanationsrequiredbyPartII,line10;PartII,line17aor
17b;andPartIII,line12.Alsocompletethispartforanyadditionalinformation.(Seeinstructions).
FactsAndCircumstancesTest
IReturnReferenceIExplanationI
ScheduleA(Form990or990-EZ)2013
lefileGRAPHICprint-DONOTPROCESSAsFiledData-DLN:93493134071095 SCHEDULEDSupplementalFinancialStatementsOMBNo1545-0047 (Form990)
Completeiftheorganizationanswered"Yes,"toForm990,0-2013PartIV,line6,7,8,9,10,11a,11b,11c,11d,11e,11f,12a,or12b
DepartmentoftheTreasury0-AttachtoForm990.0-Seeseparateinstructions.1-InformationaboutScheduleD(Form990)•II.-
InternalRevenueServiceanditsinstructionsisatwww.irs.gov/form990..-
NameoftheorganizationEmployeridentificationnumber
ButlerMedicalProviders
25-1441961
OrganizationsMaintainingDonorAdvisedFundsorOtherSimilarFundsorAccounts.Completeifthe organizationanswered"Yes"toForm990,PartIV,line6. (a)Donoradvisedfunds(b)Fundsandotheraccounts
1Totalnumberatendofyear
2Aggregatecontributionsto(duringyear)
3Aggregategrantsfrom(duringyear)
4Aggregatevalueatendofyear
5Didtheorganizationinformalldonorsanddonoradvisorsinwritingthattheassetsheldindonoradvised
fundsaretheorganization'sproperty,subjecttotheorganization'sexclusivelegalcontrol?FYesINo
6Didtheorganizationinformallgrantees,donors,anddonoradvisorsinwritingthatgrantfundscanbe
usedonlyforcharitablepurposesandnotforthebenefitofthedonorordonoradvisor,orforanyotherpurpose conferringimpermissibleprivatebenefit?flYesflNo MRSTI-ConservationEasements.Completeiftheorganizationanswered"Yes"toForm990,PartIV,line7.
1Purpose(s)ofconservationeasementsheldbytheorganization(checkallthatapply)
1Preservationoflandforpublicuse(eg,recreationoreducation)1Preservationofanhistoricallyimportantlandarea
1Protectionofnaturalhabitat1Preservationofacertifiedhistoricstructure
flPreservationofopenspace
2Completelines2athrough2diftheorganizationheldaqualifiedconservationcontributionintheformofaconservation
easementonthelastdayofthetaxyear aTotalnumberofconservationeasements bTotalacreagerestrictedbyconservationeasements cNumberofconservationeasementsonacertifiedhistoricstructureincludedin(a) dNumberofconservationeasementsincludedin(c)acquiredafter8/17/06,andnotona historicstructurelistedintheNationalRegister
HeldattheEndoftheYear
2a 2b 2c 2d
3Numberofconservationeasementsmodified,transferred,released,extinguished,orterminatedbytheorganizationduring
thetaxyear0-
4Numberofstateswherepropertysubjecttoconservationeasementislocated0-
5Doestheorganizationhaveawrittenpolicyregardingtheperiodicmonitoring,inspection,handlingofviolations,and
enforcementoftheconservationeasementsitholds?flYesflNo
6Staffandvolunteerhoursdevotedtomonitoring,inspecting,andenforcingconservationeasementsduringtheyear
0-
7Amountofexpensesincurredinmonitoring,inspecting,andenforcingconservationeasementsduringtheyear
0-$
8Doeseachconservationeasementreportedonline2(d)abovesatisfytherequirementsofsection170(h)(4)(B)(i)
andsection170(h)(4)(B)(ii)?FYes1No
9InPartXIII,describehowtheorganizationreportsconservationeasementsinitsrevenueandexpensestatement,and
balancesheet,andinclude,ifapplicable,thetextofthefootnotetotheorganization'sfinancialstatementsthatdescribes
theorganization'saccountingforconservationeasements OrganizationsMaintainingCollectionsofArt,HistoricalTreasures,orOtherSimilarAssets. Completeiftheoraanizationanswered"Yes"toForm990.PartIV.line8.
laIftheorganizationelected,aspermittedunderSFAS116(ASC958),nottoreportinitsrevenuestatementandbalancesheet
worksofart,historicaltreasures,orothersimilarassetsheldforpublicexhibition,education,orresearchinfurtheranceofpublic
service,provide,inPartXIII,thetextofthefootnotetoitsfinancialstatementsthatdescribestheseitems
bIftheorganizationelected,aspermittedunderSFAS116(ASC958),toreportinitsrevenuestatementandbalancesheet
worksofart,historicaltreasures,orothersimilarassetsheldforpublicexhibition,education,orresearchinfurtheranceofpublic
service,providethefollowingamountsrelatingtotheseitems (i)RevenuesincludedinForm990,PartVIII,line1$ (ii)AssetsincludedinForm990,PartX$
2Iftheorganizationreceivedorheldworksofart,historicaltreasures,orothersimilarassetsforfinancialgain,providethe
followingamountsrequiredtobereportedunderSFAS116(ASC958)relatingtotheseitems aRevenuesincludedinForm990,PartVIII,line1$ bAssetsincludedinForm990,PartX$ ForPaperworkReductionActNotice,seetheInstructionsforForm990.CatNo52283DScheduleD(Form990)2013
ScheduleD(Form990)2013Page2
r:FTnFWOrganizationsMaintainingCollectionsofArt,HistoricalTreasures,orOtherSimilarAssets(continued)
3Usingtheorganization'sacquisition,accession,andotherrecords,checkanyofthefollowingthatareasignificantuseofits
collectionitems(checkallthatapply) aF_PublicexhibitiondflLoanorexchangeprograms b1Scholarlyresearche(-Other cFPreservationforfuturegenerations
4Provideadescriptionoftheorganization'scollectionsandexplainhowtheyfurthertheorganization'sexemptpurposein
PartXIII
5Duringtheyear,didtheorganizationsolicitorreceivedonationsofart,historicaltreasuresorothersimilar
assetstobesoldtoraisefundsratherthantobemaintainedaspartoftheorganization'scollection?1Yes1No EscrowandCustodialArrangements.Completeiftheorganizationanswered"Yes"toForm990, PartIV,line9,orreportedanamountonForm990,PartX,line21. laIstheorganizationanagent,trustee,custodianorotherintermediaryforcontributionsorotherassetsnot includedonForm990,PartX71YesFNo bIf"Yes,"explainthearrangementinPartXIIIandcompletethefollowingtable cBeginningbalance1c dAdditionsduringtheyearld eDistributionsduringtheyearle fEndingbalanceif
Amount
2aDidtheorganizationincludeanamountonForm990,PartX,line21?flYesflNo
bIf"Yes,"explainthearrangementinPartXIIICheckhereiftheexplanationhasbeenprovidedinPartXIII........F MWAF-EndowmentFunds.CompleteIftheorganizationanswered"Yes"toForm990,PartIV,line10. laBeginningofyearbalance. bContributions cNetinvestmentearnings,gains,andlosses dGrantsorscholarships eOtherexpendituresforfacilities andprograms fAdministrativeexpenses. gEndofyearbalance (a)Currentyear(b)Prioryearb(c)Twoyearsback(d)Threeyearsback(e)Fouryearsback
2Providetheestimatedpercentageofthecurrentyearendbalance(line1g,column(a))heldas
aBoarddesignatedorquasi-endowment0- bPermanentendowment0- cTemporarilyrestrictedendowment0-
Thepercentagesinlines2a,2b,and2cshouldequal100%
3aArethereendowmentfundsnotinthepossessionoftheorganizationthatareheldandadministeredforthe
organizationbyYesNo (i)unrelatedorganizations........................3a(i) (ii)relatedorganizations......................3a(ii) bIf"Yes"to3a(ii),aretherelatedorganizationslistedasrequiredonScheduleR?..I3b
4DescribeinPartXIIItheintendedusesoftheorganization'sendowmentfunds
Land,Buildings,andEquipment.Completeiftheorganizationanswered'Yes'toForm990,PartIV,line
11aSeeForm990PartXline1(l
Descriptionofproperty(a)Costorother
basis(investment) (b)Costorother basis(other) (c)Accumulated depreciation (d)Bookvalue laLand100,366100,366 bBuildings860,947669,696191,251 cLeaseholdimprovements257,669143,084114,585 dEquipment2,698,6291,718,938979,691 eOther62,75831,11231,646 Total.Addlines1athrough1e(Column(d)mustequalForm990,PartX,column(B),line10(c).)..0-1,417,539
ScheduleD(Form990)2013
ScheduleD(Form990)2013Page3
Investments-OtherSecurities.Completeiftheorganizationanswered'Yes'toForm990,PartIV,line11b.
SeeForm990,PartXline12.
(a)Descriptionofsecurityorcategory(b)Bookvalue(c)Methodofvaluation (includingnameofsecurity)Costorend-of-yearmarketvalue (1)Financialderivatives (2)Closely-heldequityinterests Other Total.(Column(b)mustequalForm990,PartX,col(B)line12)11. Investments-ProgramRelated.Completeiftheorganizationanswered'Yes'toForm990,PartIV,line11c.
SeeForm990,PartX,line13.
(a)Descriptionofinvestment(b)Bookvalue(c)Methodofvaluation
Costorend-of-yearmarketvalue
Total.(Column(b)mustequalForm990,PartX,col(8)line13)0.1 OtherAssets.Completeiftheorganizationanswered'Yes'toForm990,PartIV,line11dSeeForm990,PartX,line15 (a)Description(b)Bookvalue (1)IntercomoanvReceivable4.138.703 Total.(Column(b)mustequalForm990,PartX,co/.(8)line15.).0.14,138,703 OtherLiabilities.Completeiftheorganizationanswered'Yes'toForm990,PartIV,line11eor11f.See
FormQQflPartYimp7S
ScheduleD(Form990)2013
2.LiabilityforuncertaintaxpositionsInPartXIII,providethetextofthefootnotetotheorganization'sfinancialstatementsthat
reportstheorganization'sliabilityforuncertaintaxpositionsunderFIN48(ASC740)Checkhereifthetextofthefootnotehasbeen
providedinPartXIIIF
ScheduleD(Form990)2013Page4
ReconciliationofRevenueperAuditedFinancialStatementsWithRevenueperReturnCompleteif theorganizationanswered'Yes'toForm990,PartIVline12a.
1Totalrevenue,gains,andothersupportperauditedfinancialstatements.1
2Amountsincludedonline1butnotonForm990,PartVIII,line12
aNetunrealizedgainsoninvestments.2a bDonatedservicesanduseoffacilities.2b cRecoveriesofprioryeargrants2c dOther(DescribeinPartXIII)2d eAddlines2athrough2d....................2e
3Subtractline2efromline1....................3
4AmountsincludedonForm990,PartVIII,line12,butnotonline1
aInvestmentexpensesnotincludedonForm990,PartVIII,line7b.4a bOther(DescribeinPartXIII)..........4b cAddlines4aand4b......................4c
5TotalrevenueAddlines3and4c.(ThismustequalForm990,PartI,line12).....5
"ReconciliationofExpensesperAuditedFinancialStatementsWithExpensesperReturn.Complete iftheorganizationanswered'Yes'toForm990,PartIVline12a.
1Totalexpensesandlossesperauditedfinancialstatements..........1
2Amountsincludedonline1butnotonForm990,PartIX,line25
aDonatedservicesanduseoffacilities.2a bPrioryearadjustments2b cOtherlosses...............2c dOther(DescribeinPartXIII)...........2d eAddlines2athrough2d.....................2e
3Subtractline2efromline1....................3
4AmountsincludedonForm990,PartIX,line25,butnotonline1:
aInvestmentexpensesnotincludedonForm990,PartVIII,line7b4a bOther(DescribeinPartXIII)...........4b cAddlines4aand4b......................4c
5TotalexpensesAddlines3and4c.(ThismustequalForm990,PartI,line18).....5
UT1174MSupplementalInformation
ProvidethedescriptionsrequiredforPartII,lines3,5,and9,PartIII,lineslaand4,PartIV,lineslband2b,
PartV,line4,PartX,line2,PartXI,lines2dand4b,andPartXII,lines2dand4bAlsocompletethisparttoprovideanyadditional
information
ReturnReferenceExplanation
PartX,Line2TheSystemfollowstheguidanceforaccountingforuncertaintyinincometaxesrecognizedina company'sfinancialstatementsthatprescribesarecognitionthresholdofmore-likely-than-nottobe sustaineduponexaminationbytheappropriatetaxingauthorityMeasurementofthetaxuncertainty occursiftherecognitionthresholdhasbeenmetTheguidancealsoaddressesderecognition, classification,interestandpenalties,accountingininterimperiods,anddisclosureManagementhas determinedthatthisguidancehadnomaterialeffectontheconsolidatedfinancialstatementsThe System'spolicyistorecognizeinterestrelatedtounrecognizedtaxbenefitsininterestexpenseand penaltiesinprofessionalfeesandmiscellaneousexpensesTherewerenointerestorpenalties recognizedontheconsolidatedstatementsofoperationsandchangesinnetassetsasaresultofthis guidanceGenerally,taxreturnsforyearendedJune30,2011,andthereafterremainsubjectto examinationbyfederalandstatetaxauthorities
ScheduleD(Form990)2013
ScheduleD(Form990)2013
ScheduleD(Form990)2013Page5
lefileGRAPHICprint-DONOTPROCESSAsFiledData-DLN:93493134071095
ScheduleJCompensationInformationOMBNo1545-0047
(Form990)ForcertainOfficers,Directors,Trustees,KeyEmployees,andHighest
2013CompensatedEmployees
1-Completeiftheorganizationanswered"Yes"toForm990,PartIV,line23.DepartmentoftheTreasury1-AttachtoForm990.1-Seeseparateinstructions.'
InternalRevenueService1-InformationaboutScheduleJ(Form990)anditsinstructionsisatwww.irs.gov/form990.
NameoftheorganizationEmployeridentificationnumber
ButlerMedicalProviders
25-1441961
MYRTEQuestionsRegardingCompensation
YesNo laChecktheappropiatebox(es)iftheorganizationprovidedanyofthefollowingtoorforapersonlistedinForm
990,PartVII,SectionA,linelaCompletePartIIItoprovideanyrelevantinformationregardingtheseitems
1First-classorchartertravel1Housingallowanceorresidenceforpersonaluse
1Travelforcompanions1Paymentsforbusinessuseofpersonalresidence
1Taxidemnificationandgross-uppayments1Healthorsocialclubduesorinitiationfees
1Discretionaryspendingaccount1Personalservices(eg,maid,chauffeur,chef)
bIfanyoftheboxesinlinelaarechecked,didtheorganizationfollowawrittenpolicyregardingpaymentor reimbursementorprovisionofalloftheexpensesdescribedabove?If"No,"completePartIIItoexplainlb
2Didtheorganizationrequiresubstantiationpriortoreimbursingorallowingexpensesincurredbyall
directors,trustees,officers,includingtheCEO/ExecutiveDirector,regardingtheitemscheckedinlinela?2
3Indicatewhich,ifany,ofthefollowingthefilingorganizationusedtoestablishthecompensationofthe
organization'sCEO/ExecutiveDirectorCheckallthatapplyDonotcheckanyboxesformethods usedbyarelatedorganizationtoestablishcompensationoftheCEO/ExecutiveDirector,butexplaininPartIII
1Compensationcommittee1Writtenemploymentcontract
1Independentcompensationconsultant1Compensationsurveyorstudy
1Form990ofotherorganizations1Approvalbytheboardorcompensationcommittee
4Duringtheyear,didanypersonlistedinForm990,PartVII,SectionA,linelawithrespecttothefilingorganization
orarelatedorganization aReceiveaseverancepaymentorchange-of-controlpayment?4aNo bParticipatein,orreceivepaymentfrom,asupplementalnonqualifiedretirementplan?4bYes cParticipatein,orreceivepaymentfrom,anequity-basedcompensationarrangement?4cNo If"Yes"toanyoflines4a-c,listthepersonsandprovidetheapplicableamountsforeachiteminPartIII Only501(c)(3)and501(c)(4)organizationsonlymustcompletelines5-9.
5ForpersonslistedinForm990,PartVII,SectionA,linela,didtheorganizationpayoraccrueany
compensationcontingentontherevenuesof aTheorganization?5aYes bAnyrelatedorganization?5bNo
If"Yes,"toline5aor5b,describeinPartIII
6ForpersonslistedinForm990,PartVII,SectionA,linela,didtheorganizationpayoraccrueany
compensationcontingentonthenetearningsof aTheorganization?6aYes bAnyrelatedorganization?6bNo
If"Yes,"toline6aor6b,describeinPartIII
7ForpersonslistedinForm990,PartVII,SectionA,linela,didtheorganizationprovideanynon-fixed
paymentsnotdescribedinlines5and6?If"Yes,"describeinPartIII7Yes
8WereanyamountsreportedinForm990,PartVII,paidoraccuredpursuanttoacontractthatwas
subjecttotheinitialcontractexceptiondescribedinRegulationssection534958-4(a)(3)?If"Yes,"describe inPartIII8No
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