2016-05-16T07:53:38-05:00 2015-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2014-07-01 231512747 HOLY SPIRIT HOSPITAL HOLY 5702716624 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 DAVID J FELICIO ESQ SECRETARY 5702716624 2016-05-12 1 JULIUS C GREEN CPA JD P00350393 2159720701 2014 2016-08-17 19:52:53Z X SISTER ROMAINE NIEMEYER 100 N ACADEMY AVE MC 49-70 DANVILLE PA 17822 369677818 0 X WWW.GEISINGER.ORG X 1963 PA TO PROVIDE HEALTH CARE TO THE COMMUNITY. 13 10 2446 400 3621179 97377 8349801 2134571 320657835 292096880 4656324 15183043 7970898 7336769 341634858 316751263 15232822 37421002 0 0 147055069 133769614 0 0 558034 182163122 158137999 344451013 329328615 -2816155 -12577352 284372598 224773221 143071838 166592756 141300760 58180465 X HOLY SPIRIT HOSPITAL IS A COMMUNITY CATHOLIC HOSPITAL SPONSORED BY THE SISTERS OF CHRISTIAN CHARITY TO CARRY OUT THE HEALING MINISTRY OF JESUS CHRIST TO ALL IN NEED. WE PROVIDE HIGH QUALITY, COST-EFFECTIVE HEALTH SERVICES TO DEVELOP HEALTHY COMMUNITIES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA. 0 0 64095868 37421002 117758248 PATIENT CARE SERVICES:PATIENT CARE SERVICES IS DRIVEN BY THE HOSPITAL'S MISSION, VISION AND VALUES. THE PROVISION OF HIGHLY SKILLED, COMPETENT AND COMPASSIONATE NURSING CARE IS ESSENTIAL TO FULFILL OUR COMMITMENT TO EXCELLENCE IN CLINICAL PRACTICE, EDUCATION AND NURSING RESEARCH. INPATIENT NURSING UNIT EXPENSES IN FY2015 WERE $20,464,112; SURGICAL NURSING SERVICE EXPENSES WERE $30,366,479; AND ALL OTHER NURSING EXPENSES TOTALED $13,265,277. THOSE EXPENSES TOTALED OVER $64 MILLION.IN MAY 2013, HOLY SPIRIT HOSPITAL NURSES ACHIEVED MAGNET STATUS FROM THE AMERICAN NURSES CREDENTIALING CENTER'S MAGNET RECOGNITION PROGRAM . ACHIEVING MAGNET IS THE GOLD STANDARD FOR NURSING EXCELLENCE AND REQUIRES UNDERGOING A VOLUNTARY, RIGOROUS AND LENGTHY REVIEW PROCESS THAT EXAMINES A BROAD RANGE OF BENCHMARKS FROM INNOVATIONS IN NURSING PRACTICE, PROFESSIONAL EDUCATION, AND PATIENT OUTCOMES TO QUALITY MEASURES AND PATIENT SATISFACTION. ONLY A SMALL PERCENTAGE OF HOSPITALS NATIONWIDE HAVE RECEIVED MAGNET CREDENTIALING TO DATE. U.S. NEWS & WORLD REPORT USES MAGNET STATUS AS ONE FACTOR IN DETERMINING ITS ANNUAL RANKING OF HOSPITALS NATIONWIDE. HOLY SPIRIT HOSPITAL WAS RECOGNIZED AS ONE OF THE BEST REGIONAL HOSPITALS, RANKING 13TH IN PENNSYLVANIA IN 2014-2015. IN ADDITION, HOLY SPIRIT HOSPITAL WAS HONORED AS A HIGH-PERFORMER IN SOUTH CENTRAL PENNSYLVANIA IN TEN SPECIALTIES, INCLUDING CANCER, DIABETES AND ENDOCRINOLOGY, GASTROENTEROLOGY AND GI SURGERY, GERIATRICS, GYNECOLOGY, NEPHROLOGY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDICS, PULMONARY, AND UROLOGY.HOLY SPIRIT HOSPITAL EARNED THE HEALTHSTREAM "EXCELLENCE THROUGH INNOVATION" AWARD FOR LEADING INNOVATION IN PATIENT EXPERIENCE. THE HOSPITAL SAFETY SCORE RATES HOW WELL HOSPITALS PROTECT PATIENTS FROM ACCIDENT, ERRORS, INJURIES, AND INFECTIONS. HOLY SPIRIT IS THE ONLY HOSPITAL IN THE HARRISBURG REGION TO CONSISTENTLY SCORE AN "A" RATING. IN NOVEMBER 2014, THE JOINT COMMISSION RECOGNIZED HOLY SPIRIT HOSPITAL AS A 2013 TOP PERFORMER ON KEY QUALITY MEASURES FOR ATTAINING AND SUSTAINING EXCELLENCE IN ACCOUNTABILITY MEASURE PERFORMANCE FOR HEART ATTACK, HEART FAILURE, PNEUMONIA, AND SURGICAL CARE. HOLY SPIRIT IS ONE OF 1.224 HOSPITALS IN THE UNITED STATES TO ACHIEVE THIS DISTINCTION AND ONE OF ONLY 314 HOSPITALS TO ACHIEVE THE TOP PERFORMER DISTINCTION FOR THE PAST THREE CONSECUTIVE YEARS. HOLY SPIRIT HOSPITAL EARNED THE 2015 GET WITH THE GUIDELINES STROKE GOLD PLUS AWARD, AS WELL AS THE 2015 GET WITH THE GUIDELINES A-FIB PARTICIPATING ACHIEVEMENT AWARD FROM THE AMERICAN HEART ASSOCIATION AND THE AMERICAN STROKE ASSOCIATION. THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA AWARDED HOLY SPIRIT WITH THE "SAFETY ACROSS THE BOARD" EXCELLENCE AWARD FOR THE HOSPITAL'S WORK ACROSS MULTIPLE TEAMS. HOLY SPIRIT ALSO EARNED THE READMISSIONS PROJECT EXCELLENCE AWARD FOR WORK ON THE PENNSYLVANIA HOSPITAL ENGAGEMENT NETWORK (PA-HEN) READMISSIONS PROJECT.REGISTERED NURSES IN PATIENT CARE SERVICES AND CLINICAL EDUCATION PROVIDED PRESENTATIONS (PODIUM AND POSTER) IN HOUSE, AT PROFESSIONAL CONFERENCES, AND IN VARIOUS OTHER VENUES. THE PRESENTATIONS INCLUDED: AUGUST 13, 2014 - PATIENT TEACHING STRATEGIES - LEA DAILEY, RN, CCRN, MSN/ED- SEPTEMBER 16, 2014: BLG, A HEALTHSTREAM COMPANY, NEW ORLEANS, LA. SPIRIT SERVICE EXCELLENCE - A SUSTAINABLE CULTURE TO OPTIMIZE SERVICE AND PERFORMANCE - SISTER ROMAINE NIEMEYER, SCC, CHIEF ADMINISTRATIVE OFFICER, RICK LAVANTURE, SENIOR VP/CHIEF STRATEGIC OFFICER, LISA LEWIS, MSN,RN, NEA-BC, VICE PRESIDENT OF PATIENT CARE SERVICES/CHIEF NURSING OFFICER- SEPTEMBER 16, 2014: LEADING CHANGE AND INNOVATION TO TRANSFORM HEALTHCARE, HARRISBURG, PA. HOW TO MAKE CHANGE DESIRABLE - KATHY SHEA, BSN, RN-BC- OCTOBER 7, 2014: ANCC RESEARCH SYMPOSIUM, DALLAS, TX. SEPSIS: A TEAM APPROACH TO CHANGING OUTCOMES - SARAH COLEMAN, RN, CCRN- OCTOBER 8, 2014 - INFECTION PREVENTION 101: "IT'S THE ONES YOU CAN'T SEE!" - JOANN ADKINS, RN, BSN, CIC- OCTOBER 24, 2014: EVIDENCE BASED PRACTICE: TRANSLATING RESEARCH INTO PRACTICE, GEISINGER MEDICAL CENTER, DANVILLE, PA. THE ART AND SCIENCE OF NURSING - SARAH COLEMAN, RN, CCRN, CINDY SWARTZ, MS, RN, ACNS-BC- NOVEMBER 11, 2014 - SUCCESSION PLANNING - JOANN ANN ADKINS, RN, BSN, CIC, RHETT BENNIE, RN, BSN, MSHA, CPI CERTIFIED TRAINER, PATRICIA A. CARNES, MHA, BSN, RN, NE-BC, SUSAN SWAILS, MED, BSN, RN-BC, DEBORAH THORNBERG, BSN, RN-BC- NOVEMBER 12, 2014 - GLYCEMIC CONTROL AND HEALTH OUTCOMES IN THE DIABETIC PATIENT - MARGARITA GARDNER, BSN, RN, CCRN- NOVEMBER 13, 2014: DICKINSON WELLNESS PROGRAM, DICKINSON COLLEGE, CARLISLE, PA. LIVING WELL WITH DIABETES - KATIE FLICKINGER, BSN, RN, CCP, CDE- NOVEMBER 14, 2014: SOUTH CENTRAL MAGNET CONSORTIUM, MAGNET CHAMPION CONFERENCE, HERSHEY MEDICAL CENTER, HERSHEY, PA. SEPSIS: A TEAM APPROACH TO CHANGING OUTCOMES - SARAH COLEMAN, RN, CCRN- JANUARY 30, 2015 RESEARCH DAY - PRESENTATIONS BY HOLY SPIRIT NURSES IN PARTNERSHIP WITH MESSIAH SENIOR NURSING STUDENTS- TO QUIT OR NOT TO QUIT, THAT IS THE QUESTION: CHALLENGES FACED IN THE DEVELOPMENT AND IMPLEMENTATION OF A SMOKING CESSATION PROGRAM - DEBORAH AUDETTE MS, RN, ACNS-BC, - CCRN-CSC, KATHY THUMMA BSN, RN, NE-BC- ARE WE DOING ENOUGH? EFFECTS OF EDUCATION ON NURSING ATTITUDES TOWARDS CHRONIC PAIN - JENNIFER KANE, BSN, RN, PCCN- EVIDENCE-BASED DISTRACTION TECHNIQUES TO DECREASED CHRONIC PAIN IN PEDIATRIC PATIENTS - ALISON NATTRESS, RN- EXERCISE INTERVENTIONS TO IMPROVE OUTCOMES IN HEART FAILURE PATIENTS - PEGGY TRAHAN, RN, PCCN- CARDIAC PRESCREENING IN YOUNG ADULT ATHLETES DECREASES RISK FOR SUDDEN CARDIAC EVENT - DEB THORNBERG, BSN, RN-BC- SHH LET THEM REST - KENDRA WILSON, BSN, RN-BC- CNS IN STROKE: PARTNERSHIP IN BUILDING EXCELLENCE - CYNTHIA SWARTZ MS, RN, ACNS-BC, MARYANN BROGDEN ND, MSN, RN, APN-C, CCNS, SCRN- IMPLEMENTATION OF HOURLY ROUNDING TO IMPROVE CLINICAL OUTCOMES" - JENNIFER HIXENBAUGH, BSN, RN- IV ACCESS - TINA SWARTZ CRNA, STEVE TODD BS, RN, JAMES KEVIN TRACEY, JR., RN, BSN, CNOR, ALLISON M. POLINSKI, RN, BSN, CPAN- EARLY IMPLEMENTATION OF PALLIATIVE CARE TO BETTER PATIENT OUTCOMES IN CONGESTIVE HEART FAILURE PATIENTS - PATRICIA A. CARNES, MHA, BSN, RN, NE-BC- KBMA NO SCANNER LEFT BEHIND - JODY HARCLERODE, RN-BC, MS, CPHQ- TRANSITIONING BETWEEN CARE SETTINGS - JUDITH HIMES, BSN, RN, CWON- PCEA: PATIENT CONTROLLED EPIDURAL ANALGESIA FOR INTRAPARTUM PATIENTS - ENID KREINER MSN, RNC-MNN, C-EFM- PAIN MANAGEMENT CARE MODEL - RHETT BENNIE, MSHA, BSN, RN- NURSING CERTIFICATION: LEADING THE WAY - MICHELLE DEFABIO, MS, RN, ACNS-BC- BEATING SEPSIS - IT'S A SPRINT, NOT A JOG - SARAH COLEMAN, AD, RN - THINK "INSIDE" THE BOX! TAKING AN IDEA FROM INCEPTION TO IMPLEMENTATION - JOANN ADKINS, RN, BSN, CIC, EDIE ASBURY, MLS, AHIP- CONNECTING THE DOTS: HOW DO WE PUT IT ALL TOGETHER? - JOANN ADKINS, RN, BSN, CIC, EDIE ASBURY, MLS, AHIP- MARCH 12, 2015 - ADVANCE DIRECTIVES: WHO, WHAT, WHEN, WHY, AND WHERE - MAUREEN ASPER, MS, RN, ACNS-BC- MARCH 20, 2015 - 2015 ADVANCED PRACTICE REGISTERED NURSE PANEL - PAMELA HARRIS-HAMAN MSN, CRNP,NPP-BC, MICHELLE DEFABIO, MS, RN, ACNS-BC, CCRN, ROBIN CROWLEY CRNA, MS- APRIL 30, 2015: HEALTHSTREAM SUMMIT, NASHVILLE, TN. "STANDARDS OF PERFORMANCE: BRINGING YOUR VALUES TO LIFE" - LISA LEWIS, MSN, RN, NEA-BC, AMI ZUMKHAWALA-COOK- MAY 21, 2015: CAREER DAY AT FINK ELEMENTARY SCHOOL, MIDDLETOWN, PA. "CAREERS IN NURSING" - MARTHA LEE, BSN, RNC-NIC, ENID KREINER, MSN, RNC-MNN/OB, C-EFM- JUNE 16, 2015 - OUR JOURNEY TO PATIENT AND FAMILY CENTERED CARE: CREATING A PATIENT AND FAMILY ADVISORY COUNCIL - CYNTHIA SWARTZ, MS, RN, ACNS-BC, SUSAN MCQUADE, RN, CPHQ, CNOR, BSN, MHA, ANN HENDRICKSON, MS, RN, ACNS-BCNURSES ALSO PARTICIPATED IN HOLY SPIRIT COMMUNITY EDUCATION PROGRAMS AND SCREENINGS. - SEPTEMBER 11, 2014: PROJECT HOMELESS CONNECT, FARM SHOW COMPLEX, HARRISBURG, PA. 61 FREE FLU VACCINES PROVIDED BY CHERYL SOLA, COMMUNITY HEALTH AND WELLNESS, LISA LEWIS, CNO, DIANA DAVIDSON, OR, MELISSA NATIVIDAD, OR, RENA EFENDIVA, OR, AND VANESSA GARCIA, MEDICAL OUTREACH- OCTOBER 3, 2014: ST. JOSEPH SCHOOL, MECHANICSBURG, PA. "WHAT TO EXPECT IN THE OR" - LORI BAURER, OR AND NATILIE HATTING, OR- OCTOBER 3, 2014: GIRLS' NIGHT OUT, HARRISBURG, PA. CARDIOVASCULAR RISK ASSESSMENTS AND BLOOD PRESSURE SCREENINGS PROVIDED BY JUDY HIMES, WOUND CARE, PEGGY TRAHAN, 8 MAIN, AND LEONA MLYNEK, WOUND CARE- FEBRUARY 7, 2015: HEARTCARING SYMPOSIUM, HOLY SPIRIT HOSPITAL. VARIOUS SCREENINGS TO DETERMINE CARDIOVASCULAR DISEASE RISK PROVIDED BY BRYNN STRINE, CVICU, AMANDA DONNANGELO, ED, REBECCA MILLER, CVU, MEGAN REEVES, CVU, JENNIFER HIXENBAUGH, CARDIAC DIAGNOSTICS, AMBER THOMAS, ED, WENDY SHOOK, CARDIAC REHAB, BARBARA MUMMERT, CARDIAC REHAB, VIRGINIA BAZAR, INVASIVE CARDIOLOGY, AND SHERRI HEFFNER, INVASIVE CARDIOLOGY- MAY 8, 2015: GIRLS' NIGHT OUT, HARRISBURG, PA. BLOOD PRESSURE SCREENINGS AND CARDIOVASCULAR RISK ASSESSMENTS PROVIDED BY JUDY HIMES, WOUND CARE, LESLY MILLER-JACOBS, MEDICAL INFUSION, JOHN LYONS, OR, PEGGY TRAHAN, 8 MAIN, LEONA MLYNEK, WOUND CARE, JENNIFER KANE, NURSING RESOURCES, AND 22194327 30743473 THE ORTENZIO HEART CENTER (OHC) AT HOLY SPIRIT IS A FOUR-STORY, 140,000-SQUARE-FOOT FACILITY EQUIPPED WITH THE LATEST TECHNOLOGY AND STAFFED WITH A SKILLED TEAM OF PHYSICIANS, NURSES AND CLINICAL SPECIALISTS. SOME OF THE REGION'S MOST EXPERIENCED CARDIOLOGISTS AND CARDIAC SURGEONS PRACTICE AT OHC, OFFERING OPEN HEART SURGERY, CARDIAC CATHETERIZATION, VASCULAR PROCEDURES, DIAGNOSTIC CARDIOLOGY, NUCLEAR CARDIOLOGY, CARDIAC REHABILITATION, ELECTROPHYSIOLOGY STUDIES, TILT STUDIES, AND DEVICES SUCH AS PACEMAKERS AND IMPLANTS. IN 2015, HOLY SPIRIT HOSPITAL EARNED TWO PRESTIGIOUS QUALITY AWARDS FOR IMPROVING ORGANIZATIONAL PERFORMANCE AND PATIENT OUTCOMES. THE QUALITY IMPROVEMENT AWARDS CONSISTED OF GET WITH THE GUIDELINES - HEART FAILURE GOLD PLUS ACHIEVEMENT AWARD AND GET WITH THE GUIDELINES - ATRIAL FIBRILLATION-BRONZE ACHIEVEMENT AWARD FROM THE AMERICAN HEART ASSOCIATION. HOLY SPIRIT HOSPITAL WAS THE FIRST PENNSYLVANIA HOSPITAL TO RECEIVE A QUALITY AWARD FROM THE AMERICAN HEART ASSOCIATION FOR ATRIAL FIBRILLATION. THE QUALITY ACHIEVEMENT AWARDS NATIONALLY RECOGNIZE HOLY SPIRIT HOSPITAL FOR USING EVIDENCE-BASED PRACTICES AND CONSISTENTLY PROVIDING EXEMPLARY CARE OF PATIENTS HOSPITALIZED WITH HEART FAILURE AND ATRIAL FIBRILLATION. THE HOSPITAL IMPLEMENTED QUALITY IMPROVEMENT PROGRAMS THAT USE BENCHMARKING AND PATIENT OUTCOMES TO ADVANCE ORGANIZATIONAL PERFORMANCE AND ENHANCE PATIENT OUTCOMES AND QUALITY OF LIFE. IN FY 2015, THE ORTENZIO HEART CENTER (OHC) AT HOLY SPIRIT PERFORMED 1,314 DIAGNOSTIC CARDIAC CATHETERIZATIONS AND 637 INTERVENTIONAL CARDIAC CATHETERIZATIONS. OHC STAFF ALSO PERFORMED 48,745 CARDIOVASCULAR DIAGNOSTIC PROCEDURES, 911 ELECTROPHYSIOLOGY PROCEDURES, AND 178 CARDIOTHORACIC SURGERIES. THE OHC PROVIDED 10,574 CARDIAC REHABILITATION SESSIONS TO HELP PATIENTS RECOVER FROM SURGERY OR HEART-RELATED PROBLEMS. THE GOAL OF CARDIAC REHABILITATION IS TO GET PATIENTS BACK TO NORMAL ACTIVITIES AND TO EDUCATE AND LEAD THEM TO ADOPT A HEART HEALTHY LIFESTYLE. IN EFFORTS TO ADDRESS COMMUNITY NEEDS, THE ORTENZIO HEART CENTER OFFERS SEVERAL SUPPORT GROUPS, INCLUDING THE SPIRITED HEARTS CARDIAC SUPPORT GROUP AND AN ATRIAL FIBRILLATION (A-FIB) SUPPORT GROUP WHERE MORE THAN MORE THAN 129 PEOPLE ATTENDED THE SUPPORT GROUPS IN 2015. THE ORTENZIO HEART CENTER ALSO OFFERS COMMUNITY EDUCATION ON CARDIOVASCULAR DISEASES THROUGH THE ANNUAL HEARTCARING SYMPOSIUM WHERE MORE THAN 132 PEOPLE ATTENDED IN 2015. THE OHC CARDIAC TEAM CONSISTENTLY EXCEEDS THE NATIONAL QUALITY BENCHMARKS FOR DOOR-TO-REPERFUSION (OPENING BLOCKED CORONARY ARTERIES AND RE-ESTABLISHING BLOOD FLOW TO THE HEART) TIME FOR CARDIAC PATIENTS. EARLY RESTORATION OF BLOOD FLOW (REPERFUSION) TO THE HEART CAN REDUCE THE EXTENT OF MYOCARDIAL DAMAGE. 14467544 50601075 HOLY SPIRIT IMAGING SERVICES ASSISTS HEALTHCARE PROVIDERS IN THE DIAGNOSIS AND TREATMENT OF A WIDE VARIETY OF DISEASES. FROM ROUTINE X-RAYS TO HIGH-TECH 4D IMAGERY, HOLY SPIRIT IMAGING PROVIDES SERVICES AT THE HOSPITAL AND THROUGH ITS NETWORK OF OUTPATIENT IMAGING CENTERS, LOCATED WITHIN THE HOSPITAL AND IN SURROUNDING COMMUNITIES. THE IMAGING SERVICES STAFF PARTICIPATES IN HEALTH FAIRS THROUGHOUT THE YEAR. IN FY 2015, THEY ATTENDED 30 HEALTH FAIRS AND SPIRIT OF WOMEN EVENTS AND PROVIDED 721 FREE BONE DENSITY SCREENINGS. IMAGING CENTERS OFFER FREE BONE DENSITY SCREENINGS AT SIX LOCATIONS. IN ADDITION, WOMEN WHO ARE SCHEDULED FOR MAMMOGRAMS ARE ASKED IF THEY WOULD LIKE A FREE BONE DENSITY TEST (IF THEY MEET THE SCREENING CRITERIA GUIDELINES). THIS QUICK AND EASY HEEL SCAN HELPS TO DETERMINE THE THICKNESS OF THE BONE, WHICH IS THE FIRST STEP IN CHECKING FOR SIGNS OF OSTEOPOROSIS. THROUGH THESE OFFERINGS, HOLY SPIRIT PROVIDED 1,462 FREE BONE DENSITY SCREENINGS. 148822124 93811451 HOSPITAL PROGRAMSRESEARCH: HOLY SPIRIT PARTICIPATES IN CLINICAL RESEARCH, A COMPLEX PROCESS INVOLVING COOPERATION AMONG PHYSICIANS, RESEARCH ADMINISTRATION, AND OTHER HEALTHCARE PROFESSIONALS. CLINICAL TRIALS ARE OVERSEEN BY THE INSTITUTIONAL REVIEW BOARD AND THE RESEARCH REVIEW COMMITTEE. MANY OF THESE CLINICAL TRIALS HAVE POSITIVELY AFFECTED AND EXTENDED MANY PATIENTS' LIVES. DURING FY2015, THE INSTITUTIONAL REVIEW BOARD APPROVED 16 NEW STUDIES (PROTOCOLS), 38 CONTINUING REVIEWS, AND 52 ADVERSE EVENT REPORTS. LABORATORY SERVICES: HOLY SPIRIT PROVIDES COMPREHENSIVE LABORATORY SERVICES, INCLUDING CHEMISTRY, URINALYSIS, TOXICOLOGY, THERAPEUTIC DRUG MONITORING, HEMATOLOGY, COAGULATION, MICROBIOLOGY, IMMUNOLOGY, BLOOD BANK AND TRANSFUSION SERVICES, CYTOLOGY AND HISTOLOGY. LABORATORY SERVICES ARE PROVIDED AT OUR CONVENIENTLY LOCATED OUTPATIENT CENTERS THROUGHOUT THE COMMUNITY. LABORATORY SERVICES STAFF PARTICIPATED IN 43 HEALTH FAIRS AND SCREENING EVENTS PROVIDING A MEANS TO IDENTIFY POTENTIAL DISEASE IN PARTICIPANTS WHO MAY NOT OTHERWISE HAVE ACCESS TO TESTING FOR HIGH CHOLESTEROL OR GLUCOSE. A TOTAL OF 1,093 GLUCOSE TESTS, 1,152 CHOLESTEROL TESTS AND 70 LIPID PROFILES WERE PERFORMED AT NO COST OR AT REDUCED COST.CLINICAL INFORMATION SYSTEMHOLY SPIRIT HOSPITAL DEPLOYED A FULLY FUNCTIONAL ELECTRONIC MEDICAL RECORD (EMR) SYSTEM IN 2007. USING THIS CONTINUALLY UPDATED AND CERTIFIED EMR, THE HOSPITAL HAS COMPLETED YEARS 1 AND 2 OF MEANINGFUL USE STAGE 1 AND YEARS 1 AND 2 OF MEANINGFUL USE STAGE 2. HIMSS HAS RECOGNIZED HOLY SPIRIT-A GEISINGER AFFILIATE AS A STAGE 6 HOSPITAL USING THIS FULL-FEATURED SYSTEM. IN SOME AREAS, USAGE QUALIFIES THE HOSPITAL FOR STAGE 7. ELECTRONIC PHYSICIAN PROGRESS NOTE DOCUMENTATION IS INCREASING IN USAGE. IN ADDITION TO RECOGNITION BY HIMSS, THE HOSPITAL'S USE OF AN ADVANCED EMR HELPED IT TO QUALIFY AS A MOST WIRED HOSPITAL IN 2013, 2014, AND 2015, MAKING IT ONE OF ONLY 289 ORGANIZATIONS NATIONWIDE TO MAKE THIS LIST.HOLY SPIRIT HOSPITAL LEVERAGES ITS CLINICAL INFORMATION SYSTEM FOR QUALITY AND PROCESS IMPROVEMENT INITIATIVES, PATIENT SAFETY, AND STATISTICAL RESEARCH. INFORMATICS RESEARCHERS AT HOLY SPIRIT-A GEISINGER AFFILIATE HAVE PUBLISHED PEER-REVIEWED MANUSCRIPTS, WHICH AID IN THE EVALUATION AND ENHANCEMENT OF OUR LOCAL EMR AND EMRS IN GENERAL. THIS VISIBILITY BENEFITS HOLY SPIRIT PATIENTS, OTHER INFORMATION TECHNOLOGY PROFESSIONALS IN THE HEALTHCARE INDUSTRY, AND, AS STANDARDS OF PRACTICE IMPROVE, ULTIMATELY BENEFITS PATIENTS EVERYWHERE.HOLY SPIRIT CONTINUES TO EXPAND USE OF CURRENT TECHNOLOGIES THROUGHOUT THE HOSPITAL AND INSTALL NEW FUNCTIONS THAT ENHANCE OUR CLINICIANS' ABILITIES TO RENDER SAFE, EFFECTIVE, AND COST-EFFICIENT CARE. THIS STRATEGY CONFIRMS OUR COMMITMENT TO REMAIN IN THE FOREFRONT OF DEVELOPING AND USING ADVANCED COMPUTER TECHNOLOGIES FOR HEALTHCARE FACILITIES.MULTI-DISCIPLINARY MEDICAL, HEALTH EDUCATION, AND DISEASE PREVENTION PROGRAMS HOLY SPIRIT NURSES AND EDUCATORS OFFER A CONTINUUM OF CHILDBIRTH AND PERINATAL EDUCATION CLASSES FOR EXPECTANT PARENTS. COUPLES ATTENDED THE FOLLOWING CLASSES OFFERED IN FY 2015:- BEAR ESSENTIALS CLASS - EDUCATION FOR EXPECTANT COUPLES (FREE)642 COUPLES (28 CLASSES)494 COUPLES PROVIDED TOURS OF THE BIRTHPLACE- CHILDBIRTH PREPARATION CLASSES132 COUPLES (11-4 WEEK SERIES CLASSES AND 7 WEEKEND CLASSES)- BREASTFEEDING BASICS CLASSES144 COUPLES (16 CLASSES)- BABY BOOT CAMP CLASSES (PARENTING CLASS)114 COUPLES (12-2 WEEK SERIES)- BIG BROTHER, BIG SISTER NIGHT (SIBLING PREPARATION CLASS)53 FAMILIES (8 CLASSES)- ONLINE CHILDBIRTH PREPARATION 26 COUPLESSCHOLARSHIPS:- 4 COMMUNITY SCHOLARSHIPS - THEY ARE GIVEN TO COUPLES WHO HAVE DIFFICULTY PAYING FOR THE ENTIRE SET OF CLASSES. THEY PAID $20, AND HOLY SPIRIT ABSORBED THE REMAINING $70.- 14 EMPLOYEE SCHOLARSHIPS - EMPLOYEES OF HOLY SPIRIT HOSPITAL AND SODEXO ARE OFFERED ALL CHILDBIRTH EDUCATION CLASSES FREE.NURSING STUDENTS FROM BOTH HACC AND MESSIAH COLLEGE OBSERVED OUR CHILDBIRTH PREPARATION CLASSES TO ENHANCE THEIR UNDERSTANDING OF MATERNAL CHILD EDUCATION.EDUCATORS PARTICIPATED IN HEALTH FAIRS, SPIRIT OF WOMEN EVENTS, AND CHILD SAFETY SEAT INSPECTION STATIONS.TWO (2) INSTRUCTORS RECEIVED THEIR CERTIFIED BREASTFEEDING COUNSELOR CERTIFICATION. THIS WILL BE HELPFUL AS THE BIRTHPLACE IS PART OF THE KEYSTONE TEN STEPS TOWARDS SUCCESSFUL BREASTFEEDING. COLLABORATIONS AMONG CLINICIANS FROM VARIOUS SERVICE LINES-INCLUDING PHYSICIANS AND BEHAVIORAL HEALTH PERSONNEL-INCREASE TOUCH POINTS TO PROMOTE PRENATAL CARE AND PREGNANCY WELLNESS, A KEY STRATEGY IN CURRENT HEALTHCARE POLICY. BEHAVIORAL HEALTH STAFF ALSO OFFERS WEEKLY SUPPORT GROUPS FOR PREGNANT WOMEN AND NEW MOTHERS (WITH BABIES WHO ARE 15 MONTHS OF AGE OR YOUNGER) WHO ARE FEELING ALONE, AFRAID, OVERWHELMED, SAD OR WORRIED. EDUCATIONAL FAMILY NIGHTS WITH CHILDCARE ARE OFFERED PERIODICALLY.DIABETES SERVICES STAFF HELPS PEOPLE WITH DIABETES TO MAINTAIN A HEALTHY LIFESTYLE AND REDUCE THE RISK OF DISEASE COMPLICATIONS. EMPLOYEES OFFER FREE EDUCATIONAL SERVICES TO INDIVIDUALS AND THE GENERAL PUBLIC AT A VARIETY OF VENUES. TOPICAL INFORMATION IS SHARED AT HEALTH FAIRS, LECTURES, AND SUPPORT GROUP MEETINGS, AND STAFF HOSTS AN ANNUAL EVENT OPEN TO THE PUBLIC WITH EXPERT SPEAKERS AND FREE SCREENINGS.THE STAFF ALSO PROVIDES EDUCATIONAL INFORMATION AT NO COST TO INTERESTED INDIVIDUALS, CARETAKERS, AND FAMILIES WHO ARE IN THE HOSPITAL. 148822124 93811451 249579863 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 0 1 0 0 1 1 0 0 0 0 0 1 1 1 1 0 1 2448 0 1 2446 1 1 1 0 0 0 0 1 1 0 0 0 0 X 13 10 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 PA X RANDY B MORRIS CFO 7177632100 503 NORTH 21ST STREET CAMP HILL PA 170112288 MICHAEL SERLUCO CHAIRPERSON 0.30 0.30 X X 0 0 0 RICK SZELES VICE CHAIR 0.30 0.70 X X 0 0 0 RANDY SINGISER EDD TREASURER 0.30 0.30 X X 0 0 0 SAMUEL COOPER III ESQUIRE DIRECTOR 0.30 0.00 X 0 0 0 RON DRNEVICH DIRECTOR 0.30 0.00 X 0 0 0 THOMAS KACHEL MD DIRECTOR 0.30 0.00 X 0 0 0 DEBORAH KEYS DIRECTOR 0.30 0.00 X 0 0 0 ROBERT J DIETZ DIRECTOR 0.30 18.30 X 0 0 0 SR MARY IRENE SORBER SCC DIRECTOR 0.30 0.00 X 0 0 0 RICHARD SCHREIBER MD DIRECTOR 40.00 0.00 X 220311 0 38209 TAPASDIP GAJJAR MD DIRECTOR 0.30 40.00 X 0 258846 34037 SR JOAN DANIEL HEALY SCC DIRECTOR 0.30 0.50 X 0 0 0 SR MARY JOSEPH SHULTZ SCC DIRECTOR 0.30 0.50 X 0 0 0 SR ROMAINE NIEMEYER SCC PRESIDENT & DIRECTOR (EX OFFICIO) 36.00 4.00 X X 0 0 0 JAMES BYERLY DIRECTOR 0.30 0.00 X 0 0 0 REVERAND ROBERT F SHARMAN DIRECTOR 0.30 0.00 X 0 0 0 DAVID J FELICIO ESQUIRE SECRETARY 0.00 40.00 X 0 662625 101181 MANUEL J EVANS SR VP, FINANCE, CFO 40.00 0.00 X 626112 0 63461 KEVIN F BRENNAN CPA FHFMA EVP, FINANCE, CFO 0.00 40.00 X 0 1028344 201791 EDWARD ZYCH ASSOCIATE CHIEF LEGAL OFFICER AND ASST SECRETARY 0.00 40.00 X 0 390565 42470 RICHARD A SCHAFFNER JR SR VP, COO 40.00 0.00 X 598646 0 75083 JOSEPH A TORCHIA MD SR VP, MED AFFAIRS 40.00 0.00 X 594277 0 61286 RICHARD E LAVANTURE SR VP, CORP AFFAIRS 40.00 0.00 X 493185 0 75978 WILLIAM P SHARTLE SR VP, HR 40.00 0.00 X 396512 0 59808 GERALD R NEWHOUSE VP, RISK MGMT, SUP SVCS 40.00 0.00 X 221513 0 34198 DAVID A GATESMAN VP PROFESS. SVCS 40.00 0.00 X 212244 0 35295 LISA F LEWIS VP, PAT CARE SVCS 40.00 0.00 X 405688 0 57321 EDITH C DEES CHIEF INFO OFFICER 40.00 0.00 X 328720 0 19381 MICHAEL J PASZEK MD PHYSICIAN, BIRTHPLACE 40.00 0.00 X 303286 0 40065 ROBERT W LUTHMANN PHYSICIST, OAKWOOD CANCER CTR 40.00 0.00 X 288666 0 36812 MARIA E PRUDENCIO MD PHYSICIAN, BIRTHPLACE 40.00 0.00 X 260493 0 19200 JAGADEESH K MOOLA PSYCHIATRIST 40.00 0.00 X 249094 0 34838 5198747 2340380 1030414 105 0 1 0 PAVONE 1006 MARKET STREET HARRISBURG PA 17101 MARKETING SERVICES 2374297 NORWOOD COMPANY 375 TECHNOLOGY DRIVE MALVERN PA 19355 CONSTRUCTION SERVICES 1872502 RESTORIX HEALTH 155 NORTH PLAINS ROAD SUITE 222 TARRYTOWN NY 10591 WOUND CARE MGMT SVCS 1731672 QUANTUM IMAGING 629-D LOWTHER ROAD LEWISBERRY PA 17339 PURCHASED MEDICAL SERVICES 1427000 WEST SHORE ANESTHESIA PO BOX 1050 CAMP HILL PA 17001 PHYSICIAN SERVICES 1284991 22 85000 287139 1581125 181307 2134571 OUTPATIENT SERVICES 621400 168862555 168862555 INPATIENT SERVICES 621400 123234325 123234325 292096880 1162491 1162491 434387 403681 30706 30706 30706 66482967 17133 52479548 0 14003419 17133 14020552 14020552 62324 85000 43326 18998 18998 6575 0 6575 6575 LABORATORY - NONPATIENT 621500 2955802 2955802 OTHER OPERATING REVENUE 900099 1168643 1168643 MEANINGFUL USE REVENUE 900099 817367 817367 2338678 665377 1673301 7280490 316751263 292914247 3621179 18081266 X 37246983 37246983 174019 174019 4004377 4004377 102862645 81262393 21299316 300936 4019968 3045002 961569 13397 15013842 11571545 3412653 29644 7868782 5908630 1937854 22298 6173010 6173010 294351 294351 228880 228880 9655 9655 106012 106012 35819736 21084986 14601088 133662 2735828 33662 2702166 12651640 6970893 5679065 1682 7267016 188766 7078250 8332120 5658022 2674098 1369878 1063034 306844 4395043 3342020 1040647 12376 15742756 10578442 5125299 39015 1820247 1387840 427383 5024 MEDICAL SUPPLIES 54874624 54760018 114606 BAD DEBT 5233329 5233329 ALL OTHER EXPENSES 644777 9768 635009 DUES 439097 60511 378586 329328615 249579863 79190718 558034 5515 5720 11737600 20736434 3591381 2699424 41361366 30679462 19104 737933 723397 2400917 1518074 121921170 9941019 118835900 111980151 86183675 53456022 19518311 2955433 284372598 224773221 38291254 32340623 85205000 91801321 1000075 948086 2951396 0 1750000 13874113 41502726 143071838 166592756 X 134675727 51586810 3776072 3771734 2848961 2821921 141300760 58180465 284372598 224773221 X -12577352 -13781263 -56761680 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 9655 9655 0 PART II-B, LINE 1: A PORTION OF THE HOSPITAL'S DUES PAID TO THE HOSPITAL ASSOCIATION OF PENNSYLVANIA ("HAP"), THE AMERICAN HOSPITAL ASSOCIATION ("AHA"), PA HOMECARE ASSOCIATION (PHA), THE NATIONAL ASSOCIATION FOR HOMECARE & HOSPICE (NACH) AND PENNSYLVANIA CATHOLIC HEALTH ASSOCIATION ("CHA") ARE USED FOR LOBBYING PURPOSES AS WELL AS NATIONAL ASSOCIATION OF HOME CARE & HOSPICE AND PA HOMECARE ASSOCIATION. 2848959 -22308 4730 2821921 2563164 285795 2848959 2470802 7245 178061 92727 217 2563164 2540943 9388 70652 8877 2470802 2226656 22983 306634 15330 2540943 1.00000 0 1 1 2656982 2656982 74651363 4552274 70099089 14847106 744245 14102861 27967798 4644500 23323298 1797921 1797921 111980151 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 14002299 BLUE CROSS CURRENT FINANCING ADVANCE 1222600 ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY 3025027 DEFERRED COMPENSATION 735441 DUE TO AFFILIATES 13906098 OBLIGATION UNDER CAPITAL LEASE 1881940 UNFAVORABLE LEASE LIABILITY 6440902 AMORTIZATION HSH REVENUE BOND 288419 41502726 PART V, LINE 4: INTEREST EARNED IS UNRESTRICTED AND TRANSFERRED TO THE OPERATING FUND. PART X, LINE 2: EFFECTIVE JULY 1, 2007, GEISINGER HEALTH SYSTEM(1) (GHS) ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES OR "FAS 109"). FIN 48 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF THE END OF THE FISCAL YEAR OR ANY PREVIOUS YEAR SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE FISCAL YEAR END GHS CONSOLIDATED FINANCIAL STATEMENTS. SHARE THE SPIRIT GALA 131911 85000 46911 1189 11606 2600 15711 SPRING FUND RAISER - FESTIVAL 15413 15413 783 2425 1850 7162 147324 85000 62324 1189 783 14031 4450 22873 43326 18998 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 3258288 3258288 0.01010 29827257 12613100 17214157 0.05310 33085545 12613100 20472445 0.06320 2762183 2762183 0.00850 299789 299789 0.00090 25248903 15848114 9400789 0.02900 28310875 15848114 12462761 0.03840 61396420 28461214 32935206 0.10160 1 5233329 1287399 51182933 67505835 -16322902 X 1 1 1 HS ORTHOPEDIC MANAGEMENT LLC PARTNERSHIP AGREEMENT WITH ORTHOPEDIC DOCTORS 0.40000 0.00000 0.60000 1 1 HOLY SPIRIT HOSPITAL 503 NORTH 21ST STREET CAMP HILL PA 17011 340801 X X X HOLY SPIRIT HOSPITAL 1 0 0 1 X X X X X X X X 12 1 1 0 1 X HTTP://WWW.HSH.ORG/CHNA X X 1 12 1 HTTP://WWW.HSH.ORG/CHNA 0 0 1 X 250.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X HSH.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE X HSH.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE X HSH.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X X 1 X 0 0 HOLY SPIRIT HOSPITAL PART V, SECTION B, LINE 5: HOLY SPIRIT HOSPITAL ENGAGED IN A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS THAT INVOLVED QUALITATIVE AND QUANTITATIVE DATA COLLECTION FROM A WIDE RANGE OF POPULATIONS, INCLUDING DIFFERENT AGES, INCOMES, HEALTH STATUS (INCLUDING RISK FACTORS, UTILIZATION AND ACCESS), AND GEOGRAPHIC AREAS (INCLUDING URBAN, SUBURBAN AND RURAL). AFTER DESIGNING SURVEY QUESTIONS AND INSTRUMENTS TO COLLECT PERTINENT INFORMATION FROM DIFFERENT AUDIENCES, THE CHNA TEAM EMPLOYED A VARIETY OF DATA COLLECTION TECHNIQUES. (1) POPULATIONS TARGETED TO PARTICIPATE IN COMMUNITY FOCUS GROUPS INCLUDED: HIV/AIDS, HOMELESS, IMMIGRANT/DISENFRANCHISED, OBESE/DIABETIC, RURAL/UNDERSERVED, SPANISH-SPEAKING ADULTS, SENIORS ON FIXED INCOMES, VETERANS, AND WORKING POOR. (2) COMMUNITY LEADERS WERE INTERVIEWED, INCLUDING PUBLIC HEALTH EXPERTS, MEDICAL PROFESSIONALS, SCHOOL SUPERINTENDENTS, EDUCATORS, CITIZEN ADVOCATES, AND ELECTED REPRESENTATIVES FROM LOCAL, COUNTY AND STATE GOVERNMENTS AND AGENCIES. (3) DATA WAS COLLECTED ON HAND-DISTRIBUTED SURVEYS THAT WERE BROADLY DISTRIBUTED ACROSS THE REGION INCLUDING AT: COMMUNITY CENTERS, HOMELESS SHELTERS, PUBLIC HEALTH CENTERS, FOOD BANKS, FREE CLINICS, SOCIAL SERVICES ORGANIZATIONS, SCHOOLS, CHURCHES, FAITH-BASED ORGANIZATIONS, CAREER AND JOB CENTERS, AND OTHER SETTINGS THAT SERVE POPULATIONS IN NEED. THIS EFFORT INCLUDED BI-LINGUAL SURVEYS IN SPANISH. (4) SECONDARY DATA FROM SEVERAL RELIABLE SOURCES, INCLUDING CNIS AND PA COUNTY HEALTH RANKINGS, WAS USED TO PREPARE QUANTITATIVE DATA. EVERY EFFORT WAS UNDERTAKEN TO GATHER AND REPORT DATA CONSISTENT WITH THE CHNA GUIDELINES AND HOLY SPIRIT'S MISSION TO SERVE THOSE IN NEED. INFORMATION FROM THE FINAL SUMMARY REPORTS WAS DELIVERED BACK TO THE COMMUNITY IN A VARIETY OF WAYS TO ASSURE BROAD DISTRIBUTION. HOLY SPIRIT HOSPITAL PART V, SECTION B, LINE 6A: PENN STATE MILTON S HERSHEY MEDICAL CENTER ANDPINNACLEHEALTH SYSTEM HOLY SPIRIT HOSPITAL PART V, SECTION B, LINE 7D: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED DURING THE FISCAL YEAR ENDED JUNE 30, 2013 (2012 TAX YEAR). THE REPORT IS CURRENTLY AVAILABLE ON THE HOSPITAL'S WEBSITE AND UPON REQUEST. THE HOSPITAL HAS ALSO MADE THE CHNA REPORT AVAILABLE AT A VARIETY OF COMMUNITY BASED INFORMATIONAL SESSIONS THAT THE HOSPITAL HOSTED BOTH AT THE HOSPITAL AND IN VARIOUS LOCATIONS THROUGHOUT THE HOSPITAL'S GEOGRAPHIC FOOTPRINT. HOLY SPIRIT HOSPITAL PART V, SECTION B, LINE 11: DURING TAX YEAR 2012, HOLY SPIRIT HOSPITAL, IN ACCORD WITH IRS REGULATIONS RE: COMMUNITY HEALTH NEEDS ASSESSMENT, AS STIPULATED IN THE AFFORDABLE CARE ACT LEGISLATION PASSED BY THE U.S. CONGRESS, PARTNERED WITH HERSHEY MEDICAL CENTER AND PINNACLE HEALTH TO SELECT TRIPP-UMBACH FIRM TO FACILITATE HOLY SPIRIT HOSPITAL (AND OTHER TWO HOSPITALS) IN THE DEVELOPMENT OF THE SURVEY DESIGN, PROCESS AND TIMETABLE FOR OUR CHNA. AS PART OF ITS STRATEGIC PLANNING PROCESS, HOLY SPIRIT HOSPITAL CONDUCTED AN ENVIRONMENTAL IMPACT ANALYSIS AND ASSESSED THE HEALTH CARE NEEDS OF ITS GEOGRAPHIC FOOTPRINT COMMUNITY (IES). HEART, CANCER, AND STROKE HAVE BEEN IDENTIFIED AS THE LEADING CAUSES OF DEATH, AND HOLY SPIRIT HAS COMMITTED RESOURCES TO THESE SERVICE LINES TO ADDRESS THE HEALTH NEEDS OF ITS COMMUNITY, AMONG OTHER ITEMS DRIVEN BY DEMOGRAPHICS AND EPIDEMIOLOGY. THE CEO/PRESIDENT AND EXECUTIVE STAFF OF HOLY SPIRIT HOSPITAL APPOINTED A TEAM OF DIRECTORS TO WORK WITH TRIPP-UMBACH TO PLAN AND CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR HOLY SPIRIT HOSPITAL. THE HOLY SPIRIT HOSPITAL CEO/PRESIDENT AND EXECUTIVE LEADERSHIP AND OUR STRATEGIC PLANNING DEPARTMENT, WITH THE APPOINTED INTERNAL HOLY SPIRIT HOSPITAL CHNA COMMITTEE MEMBERSHIP, REVIEWED ALL FINDINGS OF THE CHNA AND PREPARED A REPORT WITH RECOMMENDATIONS TO ADDRESS THE THREE PRIORITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA. THESE ARE: 1. PROMOTION OF HEALTHY LIFESTYLES: DIET AND NUTRITION AND PHYSICAL ACTIVITY; 2. HEALTH EDUCATION: FOCUSED UPON SCHOOL-AGED CHILDREN AND CULTURALLY APPROPRIATE MESSAGES TARGETED TO HIGH-NEED POPULATIONS AND3. ACCESS TO AFFORDABLE HEALTHCARE: DENTAL CARE; MENTAL HEALTH CARE; PRIMARY CARE; SPECIALTY CARE.AN IMPLEMENTATION PLAN WAS DEVELOPED WITH INPUT FROM A VARIETY OF STAKEHOLDERS, INTERNAL AND EXTERNAL AND PRESENTED FOR REVIEW, AND APPROVAL BY OUR CEO/PRESIDENT AND HER EXECUTIVE TEAM; THE PLAN WAS THEN REVIEWED AND APPROVED BY OUR HOLY SPIRIT HOSPITAL BOARD. THE CHNA REPORT IS POSTED ON OUR HOLY SPIRIT HOSPITAL WEBSITE AND HAS BEEN SHARED PROACTIVELY BY HOLY SPIRIT HOSPITAL WITH VARIOUS COMMUNITY STAKEHOLDERS AND PARTICIPANTS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS.NO SINGLE LOCAL HOSPITAL, HEALTH SYSTEM OR COLLABORATIVE GROUP IS CAPABLE OF ADDRESSING THE ENORMOUS PUBLIC HEALTH AND POLICY ISSUES EMERGING AS A RESULT OF HEALTHCARE REFORM. PARTNERS HAVE ALREADY BEGUN TO BUILD NETWORK CAPACITY, LEVERAGE TECHNOLOGY, AND USE SOCIAL AND ECONOMIC NETWORKS TO DEPLOY MULTI-FACETED INITIATIVES. BY EXAMPLE, HEALTH-RELATED NEEDS THAT REQUIRE LARGE-SCALE APPROACHES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING:- IMPROVE POPULATION NUTRITION LITERACY BY ENCOURAGING PEOPLE TO EXERCISE, LEARN TO READ AND UNDERSTAND FOOD LABELS, REDUCE RISKY BEHAVIORS, AND MAKE HEALTHY EATING CHOICES.- MAKE FRESH FOODS MORE AVAILABLE AT SCHOOLS AND MARKETS LOCATED IN AREAS WHERE THE DISENFRANCHISED AND VULNERABLE LIVE AND WORK.- INCREASE THE AVAILABILITY OF FREE OR DISCOUNTED TRANSPORTATION TO FACILITATE TRAVEL TO HEALTHCARE DESTINATIONS, MOST URGENTLY FOR CHRONIC DISEASE MANAGEMENT.- MITIGATE THE DECLINING AVAILABILITY OF SOME PRIMARY AND SPECIALTY CARE PROFESSIONALS DUE TO SHORTAGES OF PHYSICIANS, SPECIALISTS, AND EXTENDERS TRAINED AND CERTIFIED TO PRACTICE IN SPECIFIC SERVICE LINES AND DISEASE SPECIALTIES.- MEET THE INCREASING DEMAND FOR COMPREHENSIVE BEHAVIORAL HEALTH SERVICES THAT ADDRESS THE UNIQUE PHYSICAL AND EMOTIONAL NEEDS OF THOSE WHO REQUIRE MENTAL HEALTH EVALUATION, IMMEDIATE ACCESS TO CRISIS INTERVENTION SERVICES, LONG-TERM TREATMENT, AND MEDICATION SUPPORT.- RESEARCH TO IDENTIFY TRENDS AND DEMOGRAPHIC CHANGES, TRACK INCREMENTAL OUTCOMES, AND BUILD CONSENSUS FOR BEST PRACTICE.IT IS ESSENTIAL THAT SCHOOL DISTRICTS, CHARTER SCHOOLS ET. AL. PROACTIVELY ADDRESS THE NEED TO TEACH HEALTH AND WELLNESS BEST PRACTICES TO ALL GRADE LEVELS OF ITS STUDENT BODY AS WELL AS ASSIST PARENTS AND CAREGIVERS TO REINFORCE HEALTHY EATING HABITS AMONG ITS STUDENTS AND COLLABORATE IN MOTIVATING PARENTS AND CAREGIVERS TO BE MORE ABLE AS WELL AS DILIGENT IN PROMOTING HEALTHY EATING.AN ADDITIONAL BARRIER FOR OUR HOSPITAL IS THAT MANY SUPERMARKETS LOCATED IN AREAS WHERE THE DISENFRANCHISED AND VULNERABLE LIVE, WORK AND GO TO SCHOOL DO NOT CARRY HEALTHY FOOD ITEMS OR THE PRICES ARE PROHIBITIVE TO THE BUDGETS OF THOSE FAMILIES THAT NEED SUCH NUTRITIOUS FOODS. A COUNTY AND STATE WIDE INITIATIVE TO BRING TOGETHER FOOD PRODUCERS, AGRICULTURAL EXPERTS WITH A STATE MANDATE TO IMPROVE ACCESS TO FOODSTUFFS NEEDED FOR HEALTHY EATING WILL BE A GREAT IMPETUS TO COUNTERING THE DISMAL LACK OFHEALTHY FOODS IN IMPOVERISHED AREAS.- ACCESS TO PRIMARY CARE/SPECIALTY CARE IS ALSO LIMITED DUE TO THE CURRENT SHORTAGE OF PHYSICIANS AND PROVIDERS TRAINED AND CERTIFIED TO PRACTICE IN SUCH SERVICE LINES. FEDERAL AND STATE ENTITIES THAT HAVE LEGISLATIVE AUTHORITY TO EXPAND GRADUATE MEDICAL EDUCATION MUST DO SO NOW IF THE POPULATION IN SOUTH CENTRAL PENNSYLVANIA IS TO HAVE ACCESS TOPROFESSIONAL PROVIDERS.- ANOTHER AREA HOLY SPIRIT HOSPITAL IS NOT ABLE TO ADDRESS ALONE IS THE TREMENDOUS NEED FOR RURAL POPULATIONS TO HAVE THE MEANS TO TRAVEL TO CLINICS, FAMILY PRACTICE CENTERS AND OTHER SPECIALTY CENTERS FOR ACUTE OR CHRONIC DISEASE MANAGEMENT. CURRENTLY, ON OCCASION, HOLY SPIRIT HOSPITAL WILL ASSIST WITH TRANSPORTATION FOR A PATIENT IN AN ACUTE, LIFE-THREATENING SITUATION; A COMPREHENSIVE, COLLABORATIVE APPROACH WITH FEDERAL, STATE AND LOCAL FINANCIAL RESOURCES IS ESSENTIAL TO ASSIST ITS CITIZENS AND PATIENTS IN NEED TO TRAVEL TO THOSE CERTIFIED CLINICS AND CENTERS THAT CAN PROVIDE NEEDED ASSESSMENT, DIAGNOSTIC TESTING, MEDICATIONS AND TO DEVELOP A TREATMENT REGIMEN THAT LEADS TO IMPROVED HEALTH AND MORE EFFECTIVE CHRONIC DISEASE MANAGEMENT. THE TRANSPORTATION NEEDS EXIST IN THE URBAN AREAS AS WELL, WHERE OFTEN FAMILIES AND INDIVIDUALS MUST CHOOSE BETWEEN BUYING A BUS PASS TO GET TO A CLINIC PRIMARY CARE CENTER OR HOSPITAL VERSUS BUYING FOOD AND MEDICINE FOR SELF OR FAMILY MEMBERS. FOR MANY INDIVIDUALS AND FAMILIES, LACK OF INCOME MEANS THAT THEY TAKE NEEDED MEDICATION ONLY EVERY OTHER DAY DUE TO SHORTAGE OF FUNDS.A NATIONAL PARTNERSHIP AMONG FEDERAL, STATE AND LOCAL MUNICIPALITIES AND THE FOR-PROFIT PHARMACEUTICAL INDUSTRIES WOULD HELP TO ALLEVIATE SUCH DIRE SITUATIONS AMONG OUR PEOPLE THAT RESEMBLE A THIRD WORLD COUNTRY PHENOMENON AS THE TRANSPORTATION, TREATMENT AND MEDICATION NEEDS ARE PERVASIVE AMONG INFANTS, CHILDREN, ALL AGE GROUPS, UP TO END OF LIFE POPULATIONS LIVING IN THE UNITED STATES OF AMERICA. HOLY SPIRIT HOSPITAL PART V, SECTION B, LINE 13B: RECENT WAGE STATEMENTS, UNEMPLOYMENT OR OTHER DOCUMENTATION OF BENEFITS OR COMPENSATION RECEIVED MAY BE CONSIDERED IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY. HOLY SPIRIT HOSPITAL PART V, SECTION B, LINE 16I: PATIENT REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. HOLY SPIRIT HOSPITAL PART V, SECTION B, LINE 20E: UNDER NO CIRCUMSTANCE WILL HSH FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENT, ENFORCE LIENS, ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGMENT OR GARNISH THE WAGES OF A PATIENT AND/OR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER HSH'S FINANCIAL ASSISTANCE PROGRAM. HOLY SPIRIT HOSPITAL PART V, SECTION B, LINE 22D: HOLY SPIRIT HOSPITAL AVERAGES THE RATES FOR THE TOP 4 COMMERCIAL PAYORS BASED ON VOLUME TO ARRIVE AT AN AVERAGE DISCOUNT FOR INPATIENT, OUTPATIENT, AND EMERGENCY CHARGES. PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY HOLY SPIRIT HOSPITAL PART V, SECTION B, LINE 16A WEBSITE: HSH.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE HOLY SPIRIT HOSPITAL PART V, SECTION B, LINE 16B WEBSITE: HSH.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE HOLY SPIRIT HOSPITAL PART V, SECTION B, LINE 16C WEBSITE: HSH.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE PART I, LINE 6A: A SUMMARY OF THE COMMUNITY BENEFIT PROVIDED BY HOLY SPIRIT HOSPITAL (HSH) AND ITS RELATED CHARITABLE ORGANIZATIONS IS AVAILABLE AT WWW.HSH.ORG AND MADE AVAILABLE TO THE PUBLIC UPON REQUEST.GO TO: HTTP://WWW.HSH.ORG/HEALTH-RESOURCES/PUBLICATIONS PART I, LINE 7: A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COSTS REPORTED ON LINE 7 AND ADDRESSED PATIENT SEGMENTS BY PAYOR (E.G. MEDICARE, MEDICAID, COMMERCIAL PAYORS, SELF-PAY, ETC.). A COST-TO-CHARGE RATIO, CALCULATED PURSUANT TO WORKSHEET 2 OF THE FORM 990 INSTRUCTIONS WAS USED TO CALCULATE THE COST OF CHARITY. PART I, LINE 7G: THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED IN SUBSIDIZED HEALTH SERVICES. PART I, LN 7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A) BUT SUBTRACTED OUT FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCH H, PART I, LINE 7, COLUMN (F) IS $5,233,329. PART III, LINE 2: THE HOSPITAL USES THE ALLOWANCE METHOD TO RECORD BAD DEBT EXPENSES. USING THIS METHOD, THE EXPENSES ARE RECORDED EACH MONTH BASED ON THE CHANGE IN THE HOSPITAL'S ALLOWANCE FOR BAD DEBTS. THE AGING OF ACCOUNTS RECEIVABLE AND THE PROBABILITY OF COLLECTIONS IS USED TO ESTIMATED THE CREDIT NEEDED FOR THE HOSPITAL'S ALLOWANCE FOR BAD DEBTS. THEN ACCOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE ARE WRITTEN OFF TO THE ALLOWANCE FOR BAD DEBTS AND RECOVERIES OF PAST BAD DEBT ACCOUNTS ARE POSTED AGAINST THE SAME ALLOWANCE FOR BAD DEBTS. PART III, LINE 3: PATIENTS' ACCOUNTS ARE MONITORED THROUGHOUT THE BILLING PROCESS AND ARE RECLASSIFIED TO CHARITY CARE (100% DISCOUNTED CARE) WHENEVER A PATIENT BECOMES ELIGIBLE UNDER HSH'S UNCOMPENSATED OR CHARITY CARE POLICIES. BASED ON EXPERIENCE, HSH ESTIMATES THAT APPROXIMATELY 24.6% OF THE BAD DEBT ACCOUNTS ARE SUBSEQUENTLY RECLASSIFIED TO UNCOMPENSATED OR CHARITY CARE. THE HOSPITAL PROVIDES CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THIS IS PART OF THE HOSPITAL'S MISSION AND SHOULD BE CONSIDERED COMMUNITY BENEFIT. PART III, LINE 4: GEISINGER HEALTH SYSTEM FOUNDATION AND ITS AFFILIATES (THE "SYSTEM"), THAT INCLUDES HOLY SPIRIT HOSPITAL, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL CHARITABLE AFFILIATES. THE ORGANIZATIONS WRITE OFF ALL ACCOUNTS THAT HAVE BEEN IDENTIFIED AS UNCOLLECTIBLE. AN ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS IS RECORDED FOR ACCOUNTS NOT YET WRITTEN OFF THAT ARE ANTICIPATED TO BECOME UNCOLLECTABLE IN FUTURE PERIODS. FOR THE FOOTNOTES REGARDING ACCOUNTS RECEIVABLE AND ALLOWANCES SEE PAGE 8 OF THE ATTACHED GEISINGER HEALTH SYSTEM CONSOLIDATED FINANCIAL STATEMENTS, JUNE 30, 2015 AND JUNE 30, 2014. FOR THE FOOTNOTE REGARDING BAD DEBT, SEE PAGE 13 OF THE CONSOLIDATED FINANCIAL STATEMENTS. PART III, LINE 8: THE MEDICARE ALLOWABLE COSTS COME DIRECTLY FROM THE MEDICARE COST REPORT SCHEDULES. THESE AMOUNTS ONLY REPRESENT COST OF CLAIMS PAID AT THE TIME THE COST REPORT WAS SUBMITTED.HSH CONSIDERS THAT THE TOTAL MEDICARE SHORTFALL OF $16,322,902 SHOULD BE REPORTED AS COMMUNITY BENEFIT. ALONG WITH PROVIDING CARE TO MEDICAID PATIENTS AND PROVIDING FREE OR DISCOUNTED CARE TO OTHER LOW INCOME PATIENTS, THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. FOR MANY OF THE MEDICAL SERVICES PROVIDED BY THE HOSPITAL, MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE TO THESE PATIENTS, FORCING HSH TO USE OTHER FUNDS TO COVER THE SHORTFALL. MEDICARE SHORTFALLS MUST BE ABSORBED BY HSH IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. HSH PROVIDES CARE REGARDLESS OF THE MEDICARE SHORTFALL AND IS THEREBY PROVIDING ACCESS TO MEDICAL SERVICES FOR THE ELDERLY AND RELIEVING THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR PROVIDING CARE TO MEDICARE PATIENTS. ABSENT THE MEDICARE PROGRAM, IT IS LIKELY THAT MEDICARE PATIENTS WOULD BE ELIGIBLE FOR CHARITY CARE OR OTHER NEEDS BASED GOVERNMENT PROGRAMS. THE AMOUNT EXPENDED TO COVER THE SHORTFALL IS MONEY NOT AVAILABLE FOR FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS.PENNSYLVANIA REQUIRES NON-PROFIT HOSPITALS LIKE HSH TO PROVIDE A MINIMUM LEVEL OF COMMUNITY BENEFIT TO RETAIN EXEMPTION FROM STATE AND LOCAL TAXES. ACCORDING TO STATE GUIDANCE AND CASE LAW, THE UNREIMBURSED COST OF MEDICARE IS CONSIDERED TO BE COMMUNITY BENEFIT FOR STATE EXEMPTION PURPOSES. PART III, LINE 9B: HSH IS COMMITTED TO PROVIDING MEDICALLY NECESSARY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND HSH'S COLLECTION ACTIONS ARE CONSISTENTLY APPLIED TO ALL PATIENTS. IT IS HSH POLICY TO PROVIDE FINANCIAL ASSISTANCE AND COUNSELING TO PATIENTS WITH LIMITED FINANCIAL MEANS. A PATIENT MAY BECOME ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIAL/BILLING AND COLLECTION PROCESS. IN ANY STAGE OF THE BILLING PROCESS, COLLECTION ACTIONS ARE NOT PURSUED WHENEVER A PATIENT APPLIES AND IS BEING EVALUATED FOR FINANCIAL ASSISTANCE.UNDER NO CIRCUMSTANCE WILL HSH FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENT, ENFORCE LIENS, ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGMENT OR GARNISH THE WAGES OF A PATIENT AND/OR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER HSH'S FINANCIAL ASSISTANCE PROGRAM. PART VI, LINE 2: AS PART OF ITS STRATEGIC PLANNING PROCESS, HOLY SPIRIT HOSPITAL CONDUCTS AN ENVIRONMENTAL IMPACT ANALYSIS AND ASSESSES THE HEALTH CARE NEEDS OF ITS COMMUNITY. HEART, CANCER, AND STROKE HAVE BEEN IDENTIFIED AS THE LEADING CAUSES OF DEATH, AND HOLY SPIRIT HAS COMMITTED RESOURCES TO THESE SERVICE LINES TO ADDRESS THE HEALTH NEEDS OF ITS COMMUNITY, AMONG OTHER ITEMS DRIVEN BY DEMOGRAPHICS AND EPIDEMIOLOGY.HOLY SPIRIT HOSPITAL CONDUCTS PHYSICIAN NEEDS ASSESSMENTS TO IDENTIFY MEDICAL AND SURGICAL SPECIALITIES THAT ARE IN SHORT SUPPLY WITHIN ITS PRIMARY SERVICE AREA. STRONG PHYSICIAN RECRUITMENT TARGETS HAVE BEEN SET TO ASSURE THAT THE COMMUNITY HAS ACCESS TO THESE PHYSICIANS.HOLY SPIRIT HOSPITAL PARTICIPATED IN A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT WITH TWO OTHER LOCAL HOSPITAL/HEALTH SYSTEMS IN KEEPING WITH IRS GUIDANCE. A THIRD-PARTY CONSULTANT WAS ENGAGED TO OUTLINE THE PROCESS, CONDUCT RESEARCH, AND ENGAGE COMMUNITY STAKEHOLDERS. THIS INFORMATION WAS USED AS THE BASIS FOR A FORMAL, REGIONAL HEALTH ASSESSMENT DOCUMENT. SEE PART V OF SCHEDULE H. PART VI, LINE 3: THE HOSPITAL INFORMS PATIENTS ABOUT THE POSSIBILITY OF ASSISTANCE FROM GOVERNMENT PROGRAMS AND/OR THE HOSPITAL'S OWN CHARITY CARE POLICY IN A NUMBER OF WAYS. HOSPITAL-EMPLOYED FINANCIAL COUNSELORS AND/OR VENDOR AGENTS ASSIST UNINSURED PATIENTS IN APPLYING FOR AND RECEIVING MEDICAID ELIGIBILITY. IN ADDITION, THE HOSPITAL USES SIGNAGE AT PATIENT REGISTRATION LOCATIONS AND INCLUDES LANGUAGE IN PATIENT BROCHURES AND ON ITS BILLING STATEMENTS TO INFORM PATIENTS ABOUT THE HOSPITAL'S CHARITY CARE PROGRAM. PART VI, LINE 4: HOLY SPIRIT HOSPITAL IS A COMMUNITY CATHOLIC HOSPITAL FORMED TO CARRY OUT THE HEALING MINISTRY OF JESUS CHRIST TO ALL IN NEED. HOLY SPIRIT PROVIDES HIGH-QUALITY, COST-EFFECTIVE HEALTH SERVICES TO DEVELOP HEALTHY COMMUNITIES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA. HOLY SPIRIT HOSPITAL IS LOCATED IN CAMP HILL, WHICH IS SUBURBAN CUMBERLAND COUNTY, AND IS PART OF THE GREATER HARRISBURG-MECHANICSBURG-CARLISLE METROPOLITAN AREA. HOLY SPIRIT HOSPITAL'S PRIMARY SERVICE AREA COVERS PARTS OF THE FOUR COUNTIES OF CUMBERLAND, DAUPHIN, PERRY, AND NORTHERN YORK WITH A POPULATION OF APPROXIMATELY 500,000, INCLUDING STARKLY DIFFERENT AREAS OF URBAN, SUBURBAN, SEMI-RURAL, AND RURAL POPULATIONS. THIS SAME SERVICE AREA IS SERVED BY FOUR COMPETING HEALTH SYSTEMS: HOLY SPIRIT HOSPITAL, PINNACLEHEALTH SYSTEM, PENN STATE HERSHEY MEDICAL CENTER, AND CARLISLE REGIONAL MEDICAL CENTER. THE POPULATION IN THE HOSPITAL'S PRIMARY SERVICE AREA IS RAPIDLY AGING (MEDIAN AGE IS 40.7), AND THE OVER 65 POPULATION IS EXPECTED TO GROW TO OVER 18% OF TOTAL POPULATION IN THE NEXT FIVE YEARS. THE AVERAGE HOUSEHOLD INCOME IN THE PRIMARY SERVICE AREA IS $74,796, COMPARED TO THE NATIONAL AVERAGE INCOME OF $74,165 (2015 TRUVEN HEALTH ANALYTICS, INC.). PART VI, LINE 5: HOLY SPIRIT HOSPITAL HAS A TOTAL OF 307 PATIENT BEDS AND 15 BASSINETS. THERE ARE NEARLY 550 PHYSICIANS ON STAFF, AND ALMOST 2,000 EMPLOYEES, INCLUDING: NURSES, NURSING ASSISTANTS AND NURSING SUPPORT STAFF; LAB AND RADIOLOGY TECHNICIANS; PHYSICAL, RESPIRATORY, OCCUPATIONAL AND SPEECH THERAPISTS; PHLEBOTOMISTS AND A BROAD RANGE OF TECHNICAL AND ADMINISTRATIVE PERSONNEL. EACH IS HIGHLY TRAINED TO DELIVER QUALITY AND SAFE CARE TO INPATIENTS AND OUTPATIENTS OR SUPPORT THOSE WHO DO. THE HOSPITAL HAS:1) AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREAS;2) A BOARD OF DIRECTORS WHO GOVERN THE ORGANIZATION. THE BOARD IS COMPRISED OF COMMUNITY AND BUSINESS LEADERS, AND PHYSICIANS REPRESENTING THE GEOGRAPHIC AREA OF OUR REGION;3) AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES.HOLY SPIRIT HOSPITAL OFFERS A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT SERVICES WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. HOLY SPIRIT STAFF ARE DEDICATED TO THE VALUES OF DIGNITY, WHOLISM, SERVICE, STEWARDSHIP, QUALITY AND INTEGRITY. HOLY SPIRIT ALSO HAS A STRONG MISSION-DRIVEN TRADITION OF SUPPORTING THE REGIONAL COMMUNITY THROUGH A BROAD RANGE OF CHARITABLE SERVICES AND COMMUNITY BENEFIT PROGRAMS, WHICH ARE DETAILED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (AVAILABLE ON THE WEBSITE AT WWW.HSH.ORG). FREE AND LOW-COST SERVICES AND COMMUNITY BENEFIT PROGRAMS ARE PROVIDED THROUGHOUT THE SERVICE AREA. HOLY SPIRIT CONDUCTS AN ANNUAL APPEAL INVITING EMPLOYEES AND VOLUNTEERS TO SUPPORT INTERNAL COMMUNITY BENEFIT PROGRAMS, WHICH IN TURN HELPS TO PROVIDE FREE AND LOW-COST PROGRAMS. ANY DONATIONS OR GRANTS GENERATED ARE REFLECTED AS REVENUE WITHIN PROGRAMS AND CREDITED AGAINST OPERATING LOSSES. ANOTHER WAY THAT HOLY SPIRIT FACILITATES GIVING IS BY ALLOWING STAFF TO PARTICIPATE IN A SYSTEM-WIDE FUNDRAISER DIRECTING CONTRIBUTIONS TO UNITED WAY OF THE CAPITAL REGION. HOLY SPIRIT EMPLOYEES DONATED MORE THAN $35,740 TO UNITED WAY IN FY2015. WITHOUT THE ORGANIZATION'S INVOLVEMENT, THE MAJORITY OF INDIVIDUALS MOST LIKELY WOULD NOT HAVE CONTRIBUTED TO THIS WORTHWHILE COMMUNITY PROGRAM. IN ADDITION, HOLY SPIRIT EMPLOYEES SERVE IN A MULTITUDE OF VOLUNTEER ROLES INCLUDING, BUT NOT LIMITED TO, FIREFIGHTERS, EMERGENCY MANAGEMENT TECHNICIANS, CHAPLAINS, PARISH NURSES, GROUP LEADERS, MENTORS, EDUCATORS, AND DIRECTORS AND VOLUNTEERS FOR REGIONAL NONPROFITS. PART VI, LINE 6: HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY (HSH) IS AN AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM. GEISINGER HEALTH SYSTEM IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1) AN ARRAY OF HEALTH SERVICES PROVIDERS, INCLUDING SIX ACUTE CARE HOSPITALS AND A DRUG AND ALCOHOL TREATMENT FACILITY; 2) A MULTISPECIALTY PHYSICIAN GROUP PRACTICE OF 1,136 PHYSICIANS PRACTICING AT 91 PRIMARY AND SPECIALTY CLINICS; AND 3) ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH 478,501 MEMBERS. GEISINGER OPERATES IN 44 OF PENNSYLVANIA'S 67 COUNTIES, WITH A SIGNIFICANT PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, PRIMARILY OUTSIDE THE MAJOR METROPOLITAN AREAS.GEISINGER AT A GLANCE:-PHYSICIAN PRACTICE GROUP - MULTISPECIALTY GROUP PRACTICE WITH 1,136 EMPLOYED PHYSICIANS PRACTICING AT 91 CLINIC SITES-MANAGED CARE COMPANIES 478,501 MEMBERS-PROVIDER FACILITIES INCLUDES 1,326 LICENSED HOSPITAL BEDS, 344 SKILLED NURSING FACILITY BEDS AND 91 CHEMICAL DEPENDENCY BEDS.MISSION. GEISINGER'S MISSION IS TO ENHANCE THE QUALITY OF LIFE THROUGH AN INTEGRATED HEALTH SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. THIS MISSION STATEMENT HAS BEEN SUMMARIZED INTO FOUR WORDS - "HEAL. TEACH. DISCOVER. SERVE."HISTORY. GEISINGER HAD ITS BEGINNINGS IN THE SMALL COMMUNITY OF DANVILLE, WHICH IS LOCATED IN CENTRAL PENNSYLVANIA ON THE NORTHERN BRANCH OF THE SUSQUEHANNA RIVER. THERE, IN 1915, ABIGAIL A. GEISINGER FOUNDED THE GEORGE F. GEISINGER MEMORIAL HOSPITAL IN MEMORY OF HER HUSBAND. FROM THEBEGINNING, THE NEW HOSPITAL WAS DESIGNED AS A COMPREHENSIVE HEALTHCARE INSTITUTION THAT WOULD OFFER SPECIALIZED MEDICAL CARE TO PEOPLE IN THE RURAL AREAS OF CENTRAL AND NORTHEASTERN PENNSYLVANIA.UNLIKE MOST HEALTHCARE SYSTEMS, WHICH EVOLVED WITH A HOSPITAL FOCUS, GEISINGER'S HISTORY AND TRADITION IS THAT OF A PHYSICIAN-LED AND PHYSICIAN-DRIVEN HEALTHCARE ORGANIZATION. THIS TRADITION BEGAN WHEN MRS. GEISINGER BROUGHT DR. HAROLD FOSS, A MAYO CLINIC TRAINED PHYSICIAN, TO BE HER HOSPITAL'S FIRST CHIEF OF STAFF. TODAY, GEISINGER IS REGARDED AS A NATIONAL MODEL OF HEALTHCARE DELIVERY CENTERED ON A SOPHISTICATED MULTISPECIALTY GROUP PRACTICE. SINCE THE 1970S, GEISINGER'S STRATEGY OF INTEGRATING PHYSICIANS AND HOSPITALS EXPANDED TO INCLUDE THE MANAGEMENT OF HEALTH AND THE FINANCING OF HEALTHCARE SERVICES THROUGH ITS WHOLLY CONTROLLED HEALTH MAINTENANCE ORGANIZATION, GEISINGER HEALTH PLAN. TWO INDEMNITY HEALTH INSURERS, GEISINGER INDEMNITY INSURANCE COMPANY AND GEISINGER QUALITY OPTIONS, INC., KNOWN COLLECTIVELY WITH GEISINGER HEALTH PLAN AS "GEISINGER HEALTH PLANS OR "GHPS", HAVE BEEN ADDED IN RECENT YEARS.CORPORATE STRUCTURE. THE ORGANIZATIONAL STRUCTURE OF THE SYSTEM REFLECTS THE STRATEGIC GOAL OF OPERATING AS A FULLY INTEGRATED HEALTHCARE SYSTEM WHOSE CORPORATE COMPONENTS SHARE THE COMMON GOALS OF MANAGING AND IMPROVING THE HEALTHCARE OF ITS PATIENTS AND MEMBERS, WHILE RECOGNIZING AND RESPECTING THE CORPORATE IDENTITY OF EACH ENTITY. THIS INTEGRATION LINKS THE AREAS OF PHYSICIANS, HOSPITALS/CLINICS, AND HEALTHCARE INSURANCE.SEE SCHEDULE R FOR A LIST OF THE AFFILIATED ORGANIZATIONS COMPRISING THE GEISINGER HEALTH SYSTEM.THROUGHOUT THIS DOCUMENT THE TERMS "GEISINGER HEALTH SYSTEM", "GEISINGER OR "SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.HOLY SPIRIT HEALTH SYSTEM (HSHS) IS THE CORPORATE ENTITY OVER THE CORPORATIONS LISTED BELOW. EACH CORPORATION SERVES VARIOUS ROLES WITHIN THE HSHS NETWORK. IN PREPARATION FOR ANTICIPATED CHANGES RELATED TO HEALTHCARE REFORM, THE HSHS BOARD OF DIRECTORS ENGAGED IN RESEARCH AND PRELIMINARY DISCUSSIONS ON BEHALF OF THE NETWORK TO ASSESS THE VIABILITY OF AFFILIATING OR MERGING WITH ANOTHER HEALTH SYSTEM. HOLY SPIRIT BECAME AN AFFILIATE OF GEISINGER HEALTH SYSTEM IN OCTOBER 2014. HOLY SPIRIT HOSPITAL (THE "HOSPITAL") IS A COMMUNITY CATHOLIC HOSPITAL, PROVIDING HIGH-QUALITY, COST-EFFECTIVE HEALTH SERVICES TO PATIENTS IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA. THE HOSPITAL IS LICENSED FOR 307 ACUTE CARE BEDS AND OPERATES OUTPATIENT CENTERS IN CAMP HILL, MECHANICSBURG, CARLISLE, HARRISBURG, DILLSBURG, DUNCANNON, AND OTHER LOCATIONS. AFFILIATED SERVICES INCLUDE GENERAL AND SPECIALTY SURGERY. OTHER SERVICES INCLUDE CANCER TREATMENT (GAMMA KNIFE AND LINEAR ACCELERATOR) AT HOLY SPIRIT CANCER CENTER IN MECHANICSBURG, MULTIPLE CARDIAC REHABILITATION PROGRAMS, AND HOLY SPIRIT SLEEP CENTERS LOCATED IN LEMOYNE AND HARRISBURG. HOLY SPIRIT HOME HEALTH CARE, A DEPARTMENT OF THE HOSPITAL, OFFERS MEDICAL SERVICES UNDER THE DIRECTION OF A PATIENT'S PHYSICIAN IN THE COMFORT AND PRIVACY OF THE PATIENT'S OWN HOME. HOME HEALTH CARE CLINICIANS PROVIDE A VARIETY OF SERVICES, INCLUDING SKILED NURSING, PHYSICIAL AND OCCUPATIONAL THERAPY, SOCIAL SERVICES AND PERSONAL CARE. PROFESSIONALS ALSO PROVIDE SPECIALITY PROGRAMS IN WOUND AND OSTOMY CARE, INTRAVENOUS THERAPY, MENTAL HEALTH AND TELEHEALTH. THE HOSPITAL HAS: (1) AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREAS, AND (2) AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, AMONG OTHER SERVICES. A BOARD OF DIRECTORS COMPRISED OF COMMUNITY, BUSINESS, AND RELIGOUS LEADERS, AND PHYSICIANS GOVERNS THE ORGANIZATION. HOLY SPIRIT SPIRIT PHYSICIAN SERVICES, INC. ("SPSI") IS A NETWORK OF APPROXIMATELY 100 PHYSICIANS AND OTHER HEALTHCARE PROVIDERS DELIVERING PRIMARY AND SPECIALTY CARE SERVICES TO ITS SURROUNDING COMMUNITY. THE PHYSICIAN NETWORK IS OWNED BY HOLY SPIRIT HEALTH SYSTEM, A COMMUNITY CATHOLIC HEALTH SYSTEM. OUR SPECIALTIES INCLUDE FAMILY MEDICINE, OBSTETRICS AND GYNECOLOGY, INTERNAL MEDICINE, PEDIATRICS, GENERAL SURGERY, CARDIOTHORACIC SURGERY, ENDOCRINOLOGY, CARDIOLOGY, NEUROLOGY, NEUROSURGERY, VASCULAR SURGERY, RADIATION ONCOLOGY, URGENT CARE AND HOSPITALIST GROUPS. HOLY SPIRIT CORPORATION ("HSC") IS A REAL ESTATE HOLDING CORPORATION WITH PROPERTIES IN CAMP HILL, DILLSBURG, AND MECHANICSBURG, INCLUDING THE MEDICAL ARTS BUILDING, AMERICAN OFFICE CENTER, AND KINDER CARE CENTER. HOLY SPIRIT VENTURES, INC. ("HSV") IS THE CORPORATE ORGANIZATION THROUGH WHICH HSHS PARTICIPATES IN THE OWNERSHIP AND MANAGEMENT OF HEALTHCARE FACILITIES JOINTLY WITH OTHER HEALTHCARE PROVIDERS. IN ADDITION, HSV OWNS A RETAIL PHARMACY AND THE SENATE HOUSE, A COMBINED COMMERCIAL OFFICE/RESIDENTIAL APARTMENT BUILDING. WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC. ("WSALS") PROVIDES AMBULANCE AND MEDICAL TRANSPORT SERVICES ACROSS CENTRAL PENNSYLVANIA. SERVICES INCLUDE BASIC AND ADVANCED LIFE SUPPORT, AS WELL AS AUTOMATED EXTERNAL DEFIBRILLATION FOR QUICK RESPONSE TO HEART ATTACK AND OTHER CARDIAC EMERGENCIES. FOR NON-EMERGENCY NEEDS, WSALS PROVIDES WHEELCHAIR VANS AND COACH SERVICES TO TRANSPORT INVALID AND BED-BOUND PATIENTS. WSALS ALSO IS INVOLVED IN VARIOUS ADMINISTRATIVE AND CONSULTING SERVICES FOR OTHER AMBULANCE COMPANIES. PART VI, LINE 7: N/A 1 HOLY SPIRIT HEALTH SYSTEM 503 NORTH 21ST STREET CAMP HILL PA 17011 251865142 501(C)(3) 37246983 CASH N/A PROVIDE FINANCIAL SUPPORT FOR OPERATIONS OF AFFILIATED ORGANIZATION 1 0 SCHOLARSHIPS TO STUDENTS - COST CTRS: NURSING, PHYSICAL THERAPY, ANESTHESIA OCCUPATIONAL THERAPY AND OCCUPATIONAL HEALTH 30 174019 PART I, LINE 2: ASSISTANCE IS PROVIDED TO RELATED ENTITIES FOR FINANCIAL SUPPORT. MANAGEMENT OF THE HEALTH SYSTEM OVERSEES THE USE OF FUNDS AT THE AFFILIATED ENTITIES. THE ORGANIZATION REQUIRES ALL APPLICANTS FOR THE SCHOLARSHIP PROGRAM TO COMPLETE AN APPLICATION PRIOR TO THE START OF EACH COURSE THAT THE EMPLOYEE IS PLANNING TO TAKE. THIS APPLICATION REQUIRES AN APPROVAL SIGNATURE FROM THE EMPLOYEES' DIRECT MANAGER/DIRECTOR BEFORE IT IS SENT TO HUMAN RESOURCES. THE BENEFITS SPECIALIST REVIEWS THE APPLICATION TO ENSURE THAT THE EMPLOYEE IS ELIGIBLE TO PARTICIPATE IN THE APPLICABLE PROGRAM. TO ENSURE THAT ALL TIME COMMITMENTS ARE FULFILLED, A RUNNING SPREADSHEET IS USED TO TRACK THE TIME THE EMPLOYEE HAS COMMITTED TO THE ORGANIZATION. IF AN EMPLOYEE TERMINATES BEFORE THEIR TIME COMMITMENT IS FULFILLED, THE EMPLOYEE WOULD THEN BE RESPONSIBLE FOR PAYING THOSE MONIES BACK TO THE ORGANIZATION. 1 1 0 0 0 0 0 0 0 RICHARD SCHREIBER MD DIRECTOR 214620 0 0 0 5691 0 10854 0 27355 0 258520 0 0 0 TAPASDIP GAJJAR MD DIRECTOR 0 178614 0 45828 0 34404 0 9575 0 24462 0 292883 0 0 DAVID J FELICIO ESQUIRE SECRETARY 0 390448 0 164846 0 107331 0 76118 0 25063 0 763806 0 61110 MANUEL J EVANS SR VP, FINANCE, CFO 365396 0 150000 0 110716 0 51649 0 11812 0 689573 0 91773 0 KEVIN F BRENNAN CPA FHFMA EVP, FINANCE, CFO 0 531656 0 273329 0 223359 0 176933 0 24858 0 1230135 0 185023 EDWARD ZYCH ASSOCIATE CHIEF LEGAL OFFICER AND AS 0 262471 0 80515 0 47579 0 18720 0 23750 0 433035 0 30485 RICHARD A SCHAFFNER JR SR VP, COO 342619 0 163000 0 93027 0 50865 0 24218 0 673729 0 82414 0 JOSEPH A TORCHIA MD SR VP, MED AFFAIRS 359903 0 140000 0 94374 0 48850 0 12436 0 655563 0 85642 0 RICHARD E LAVANTURE SR VP, CORP AFFAIRS 313694 0 100000 0 79491 0 53357 0 22621 0 569163 0 68820 0 WILLIAM P SHARTLE SR VP, HR 233515 0 100000 0 62997 0 35172 0 24636 0 456320 0 57216 0 GERALD R NEWHOUSE VP, RISK MGMT, SUP SVCS 180441 0 40000 0 1072 0 11958 0 22240 0 255711 0 0 0 DAVID A GATESMAN VP PROFESS. SVCS 178187 0 30000 0 4057 0 9328 0 25967 0 247539 0 0 0 LISA F LEWIS VP, PAT CARE SVCS 241849 0 100000 0 63839 0 39302 0 18019 0 463009 0 50445 0 EDITH C DEES CHIEF INFO OFFICER 211916 0 60000 0 56804 0 8750 0 10631 0 348101 0 0 0 MICHAEL J PASZEK MD PHYSICIAN, BIRTHPLACE 288158 0 0 0 15128 0 15419 0 24646 0 343351 0 0 0 ROBERT W LUTHMANN PHYSICIST, OAKWOOD CANCER CTR 286788 0 0 0 1878 0 9785 0 27027 0 325478 0 0 0 MARIA E PRUDENCIO MD PHYSICIAN, BIRTHPLACE 249230 0 0 0 11263 0 17689 0 1511 0 279693 0 0 0 JAGADEESH K MOOLA PSYCHIATRIST 199895 0 0 0 49199 0 10215 0 24623 0 283932 0 0 0 PART I, LINE 3 COMPENSATION IS DETERMINED UNDER THE GEISINGER HEALTH SYSTEM PROCESS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE. THE FOLLOWING ARE USED TO ESTABLISH COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEY OR STUDIES, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. PART I, LINES 4A-B UPON INVOLUNTARY SEPARATION, EMPLOYEES MAY BE ELIGIBLE TO RECEIVE CONTINUATION OF SALARY FOR A TERM THAT IS BASED ON THEIR YEARS OF SERVICE AND POSITION. THE FOLLOWING INDIVIDUALS WERE PAID SEVERANCE IN FY2015: EDITH DEES- SEVERANCE PAY $17,465 COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN: MANUEL EVANS - $101,511 RICHARD SCHAFFNER - $91,514 JOSEPH TORCHIA - $91,958 RICHARD LAVANTURE - $76,894 WILLIAM SHARTLE - $57,216 LISA LEWIS - $62,854 KEVIN BRENNAN - $185,023 DAVID J. FELICIO - $61,110 FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER HEALTH SYSTEM AND "SYSTEM OR THE ACRONYM "GHS" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM. MICHAEL SERLUCO BOARD DIRECTOR MORTGAGE ON SPACE FOR PATIENT CARE X 1200000 948086 0 1 1 948086 SZELES CAPITAL DEVELOPMENT BUSINESS 111935 RENTAL/LEASE EXPENSERICHARD A. SZELES IS A OFFICER/DIRECTOR OF HOLY SPIRIT HOSPITAL AND AN OWNER/MANAGING PARTNER OF SZELES CAPITAL DEVELOPMENT AND OF SZELES REAL ESTATE DEVELOPMENT CO. 0 SZELES REAL ESTATE DEVELOPMENT CO BUSINESS 211430 RENTAL/LEASE EXPENSERICHARD A. SZELES IS A OFFICER/DIRECTOR OF HOLY SPIRIT HOSPITAL AND AN OWNER/MANAGING PARTNER OF SZELES CAPITAL DEVELOPMENT AND OF SZELES REAL ESTATE DEVELOPMENT CO. 0 KATHERINE LAVANTURE FAMILY MEMBER 22363 EMP. COMP. - KATHERINE IS A FAMILY MEMBER OF RICHARD LAVANTURE, A KEY EMPLOYEE OF HOLY SPIRIT HOSPITAL. 0 MONICA SZELES FAMILY MEMBER 60449 EMP. COMP. - MONICA IS A FAMILY MEMBER OF RICHARD A. SZELES, AN OFFICER/DIRECTOR OF HOLY SPIRIT HOSPITAL. 0 PART III, LINE 4A CONT.: UNCOMPENSATED CARE HOLY SPIRIT HOSPITAL RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. HOLY SPIRIT HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD HOLY SPIRIT HOSPITAL PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A. CHARITY CARE THE PRIMARY CONCERN OF HOLY SPIRIT HOSPITAL IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS OF THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST HOLY SPIRIT HOSPITAL INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. THE COST TO HOLY SPIRIT HOSPITAL OF PROVIDING THIS CHARITY CARE DURING THE FISCAL YEAR ENDED JUNE 30, 2015 WAS $3,258,288. B. MEDICARE/MEDICAID/OTHER GOVERNMENTAL RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE), THE POOR (MEDICAID) AS WELL AS OTHERS. HOLY SPIRIT HOSPITAL PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, HOLY SPIRIT HOSPITAL IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID AND/OR OTHER GOVERNMENTAL PAYERS IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. FOR FISCAL YEAR 2015, THE UNREIMBURSED COST OF PROVIDING CARE TO THESE PATIENTS WAS $60,587,102. C. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, HOLY SPIRIT HOSPITAL PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2015, WAS $1,599,766. COMMUNITY HEALTH, EDUCATION AND OUTREACH HOLY SPIRIT HOSPITAL STRIVES TO SERVE AS A PARTNER TO OUR LOCAL COMMUNITY AND LOCAL RESIDENTS. HOLY SPIRIT HOSPITAL PROVIDES CARE TO THE COMMUNITY THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH HOLY SPIRIT HOSPITAL BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THESE SERVICES AND PROGRAMS WERE PROVIDED AT A COST OF $3,061,972 DURING THE FISCAL YEAR ENDED JUNE 30, 2015. VOLUNTEER SERVICES THE VOLUNTEERS OF HOLY SPIRIT HOSPITAL ARE AN ACTIVE AND VITAL PART OF THE ACTIVITIES OF THE HOSPITAL. THE HOURS OF VOLUNTEER SERVICES ARE AN IMPORTANT CONTRIBUTION TO THE MISSION OF HOLY SPIRIT HOSPITAL. VOLUNTEERS FROM LOCAL COMMUNITIES CONTRIBUTED MORE THAN 33 THOUSAND HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND "WELLNESS" PROGRAMS COMMUNITY BENEFIT SUMMARY CHARITY CARE $ 3,258,288 MEDICARE/MEDICAID/OTHER GOVERNMENTAL 60,587,102 OTHER UNCOMPENSATED PATIENT SERVICES 1,599,766 COMMUNITY HEALTH, EDUCATION, OUTREACH AND OTHER 3,061,972 VOLUNTEER SERVICES 771,315 TOTAL COMMUNITY SERVICE $ 69,278,443 STATISTICS HOLY SPIRIT HOSPITAL FISCAL YEAR ENDED JUNE 30, 2015 TOTAL INPATIENT ADMISSIONS (INCLUDES NEWBORNS, NICU, EAC) 12,062 OUTPATIENT VISITS 283,641 EMERGENCY CARE VISITS 41,777 INPATIENT SURGICAL PROCEDURES 2,467 OUTPATIENT SURGICAL PROCEDURES 6,269 BEHAVIORAL HEALTH SERVICES OUTPATIENT VISITS 50,041 BIRTHPLACE DELIVERIES 1,195 DIAGNOSTIC CARDIAC CATHETERIZATIONS 1,314 INTERVENTIONAL CARDIAC PROCEDURES 637 ELECTROPHYSIOLOGY (EP) PROCEDURES 911 CARDIAC SURGERIES 221 GIS PROCEDURES 1,659 HOME HEALTH VISITS 21,522 MATERNAL ASSISTANCE PROGRAM CLIENT VISITS 9,869 TOTAL LABORATORY TESTS 1,002,988 TOTAL IMAGING PROCEDURES 126,908 PHYSICAL THERAPY TREATMENTS 46,229 RESPIRATORY THERAPY TREATMENTS 127,788 GRANDVIEW SURGERY & LASER CENTER* PROCEDURES 4,416 HOLY SPIRIT CANCER CENTER RADIATION ONCOLOGY TREATMENTS 5,898 HOLY SPIRIT MEDICAL GROUP PRACTICE VISITS/PROCEDURES 268,064 COMMUNITY PROGRAMS AND SCREENINGS HEALTH FAIRS 19 BLOOD PRESSURE SCREENINGS 5,608 BONE DENSITY SCREENINGS 1,345 CHOLESTEROL SCREENINGS 1,152 GLUCOSE SCREENINGS 1,093 CARDIOVASCULAR RISK ASSESSMENTS 202 BODY MASS INDEX SCREENINGS 221 PERIPHERAL ARTERY DISEASE ASSESSMENTS 92 MATERNAL CHILD EDUCATION PROGRAMS 1,605 FORM 990, PART VI, SECTION A, LINE 1 EFFECTIVE, OCTOBER 1, 2014, HOLY SPIRIT HEALTH SYSTEM AND AFFILIATES (HOLY SPIRIT HEALTH SYSTEM, HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY, WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC., SPIRIT PHYSICIAN SERVICES, INC., HOLY SPIRIT CORPORATION, AND HOLY SPIRIT VENTURES, INC.) DELEGATED CERTAIN AUTHORITIES TO GEISINGER SYSTEM SERVICES' (GSS, A RELATED TAX-EXEMPT ORGANIZATION) MANAGEMENT AND COMPENSATION COMMITTEE TO REVIEW AND APPROVE MATTERS RELATING TO EMPLOYEE BENEFIT PLANS, EXECUTIVE LEADERSHIP, SENIOR LEADERSHIP AND STAFF PERFORMANCE AND COMPENSATION AND GEISINGER CLINIC'S (GC, A RELATED TAX-EXEMPT ORGANIZATION) MANAGEMENT AND COMPENSATION COMMITTEE TO REVIEW AND APPROVE MATTERS RELATING TO PHYSICIAN COMPENSATION. FORM 990, PART VI, SECTION A, LINE 2 ROBERT J. DIETZ, MANUEL J. EVANS, DAVID J. FELICIO, ESQUIRE, AND SISTER ROMAINE NIEMEYER, SCC ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY. ALL OF THE AFFILIATES ARE PART OF THE GEISINGER HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT SERVICES ARE DELEGATED TO COMPREHENSIVE PHARMACY SERVICES (AKA MCKESSON) FOR MANAGEMENT OF THE PHARMACY AND THE CENTER FOR WOUND HEALING, INC. FOR HYPERBARIC OXYGEN THERAPY AND WOUND CARE. HS ORTHOPEDIC MANAGEMENT LLC OVERSEES THE PARTNERSHIP AGREEMENT WITH THE ORTHOPEDISTS. SODEXHO, INC. PROVIDES MANAGEMENT SERVICES FOR THE FOOD SERVICES DEPARTMENT, HOUSEKEEPING DEPARTMENT AND THE VALET PARKING PROGRAM. FORM 990, PART VI, SECTION A, LINE 4 PURSUANT TO A COMPREHENSIVE HEALTH SYSTEM INTEGRATION AGREEMENT AMONG GEISINGER HEALTH SYSTEM FOUNDATION, SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION AND HOLY SPIRIT HEALTH SYSTEM, DATED JUNE 19, 2014, GEISINGER HEALTH SYSTEM FOUNDATION BECAME THE SOLE MEMBER OF HOLY SPIRIT HEALTH SYSTEM EFFECTIVE OCTOBER 1, 2014, REPLACING SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION. AS A RESULT, GEISINGER HEALTH SYSTEM FOUNDATION ACQUIRED THE POWER TO APPOINT, OR APPROVE THE APPOINTMENT OF, ALL MEMBERS OF THE HOLY SPIRIT HEALTH SYSTEM BOARD OF DIRECTORS. ON OCTOBER 1, 2014, HOLY SPIRIT HEALTH SYSTEM CHANGED ITS ARTICLES OF INCORPORATION AND CORPORATE BYLAWS TO REFLECT THIS INTEGRATION AND GEISINGER HEALTH SYSTEM FOUNDATION AS ITS SOLE CORPORATE MEMBER. HOLY SPIRIT HOSPITAL, SPIRIT PHYSICIANS SERVICES, INC., WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC., HOLY SPIRIT CORPORATION, AND HOLY SPIRIT VENTURES CHANGED THEIR RESPECTIVE CORPORATE BYLAWS TO REFLECT GHSF'S APPROVAL OF ANY AMENDMENTS TO THE CORPORATE BYLAWS. FORM 990, PART VI, SECTION A, LINE 6 GEISINGER HEALTH SYSTEM FOUNDATION SERVES AS THE SOLE CORPORATE MEMBER OF HOLY SPIRIT HEALTH SYSTEM AND HOLY SPIRIT HEALTH SYSTEM SERVES AS CORPORATE MEMBER FOR HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY, SPIRIT PHYSICIAN SERVICES, INC., WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC., HOLY SPIRIT CORPORATION AND SOLE SHAREHOLDER OF HOLY SPIRIT VENTURES, INC. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE. FORM 990, PART VI, SECTION A, LINE 7B THE GOVERNANCE STRUCTURE OF HOLY SPIRIT HEALTH SYSTEM PROVIDES RESERVED POWERS IN FAVOR OF SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION (PARENT) AND HOLY SPIRIT HEALTH SYSTEM (THE CORPORATE MEMBER OF ALL SUBSIDIARY CORPORATIONS). THE RESERVED POWERS PERTAIN TO (I) CAPITAL DEBT OR MODIFICATION OF EXISTING CAPITAL DEBT, (II) SALE OR TRANSFER OF ANY LAND OR BUILDING, (III) ACQUISITION OR PURCHASE OF ANY LAND OR BUILDING, (IV) LEASING OUTSIDE OF THE ORDINARY COURSE OF BUSINESS, (V) APPROVAL OF ANY GUARANTEE OF ANY DEBT, (VI) APPROVAL OF ANY MERGER, CONSOLIDATION, ORGANIZATION OR REORGANIZATION, JOINT VENTURE OR ANY OTHER MODIFICATION OF CORPORATION STRUCTURE OR AFFILIATION, (VII) DISSOLUTION OR TERMINATION OF ANY EXISTING CORPORATION, (VIII) APPOINTMENT OF THE EXTERNAL FISCAL AUDITOR AND (IX) APPOINTMENT OF GENERAL COUNSEL. FORM 990, PART VI, SECTION B, LINE 11 ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH SYSTEM FOUNDATION BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, STAFF PERIODICALLY REVIEWS THE GHS ORGANIZATIONS' FORM 990 FILINGS. THE FORM 990 IS PREPARED BY THE GEISINGER HEALTH SYSTEM (GHS) TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN THE GEISINGER HEALTH SYSTEM. THE CHIEF FINANCIAL OFFICER (CFO) OF GHS AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GHS REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF THE GHS CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY THE GHS ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR FISCAL YEAR-ENDED JUNE 30, 2015. FORM 990, PART VI, SECTION B, LINE 12C ENFORCEMENT OF CONFLICTS POLICY THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GHS CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS (MAY INCLUDE INDEPENDENT CONTRACTORS). AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS (INCLUDING INDEPENDENT CONTRACTORS) AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT COMMITTEE AND BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GHS EMPLOYED BOARD DIRECTORS, OFFICERS AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GHS. THE CONSULTANT'S REPORT IS PRESENTED TO THE MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO ANY COMPENSATION DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE MANAGEMENT AND COMPENSATION COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE MANAGEMENT AND COMPENSATION COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ANNUAL REPORT FOR GEISINGER HEALTH SYSTEM, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, ARE AVAILABLE ON THE GEISINGER HEALTH SYSTEM WEBSITE. GO TO: WWW.GEISINGER.ORG/PAGES/ABOUT-GEISINGER AND SELECT ANNUAL REPORTS. THE ORGANIZATIONS FINANCIAL STATEMENTS, THE COMPLETE FORM 990 AND FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 20,858,206. MANAGEMENT AND GENERAL EXPENSES 12,844,575. FUNDRAISING EXPENSES 133,662. TOTAL EXPENSES 33,836,443. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 226,780. MANAGEMENT AND GENERAL EXPENSES 1,334,315. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,561,095. RECRUITMENT & EMPLOYMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 16,847. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,847. UTILIZATION REVIEW SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 405,351. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 405,351. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST -115,710. TRANSFER OF EQUITY DUE TO MERGER -56,645,970. FORM 990, PART XII, LINE 2C: EFFECTIVE OCTOBER 1, 2104, HOLY SPIRIT HEALTH SYSTEM WAS INTEGRATED INTO THE GEISINGER HEALTH SYSTEM, AS A RESULT OF THAT INTEGRATION, THE GEISINGER HEALTH SYSTEM FORM 990 REVIEW PROCESS, AS DESCRIBED IN THE SCHEDULE O RESPONSE TO FORM 990, PART VI, LINE 11, WAS IMPLEMENTED. IN ADDITION, THE GEISINGER HEALTH SYSTEM AUDIT COMMITTEE IS NOW RESPONSIBLE FOR THE OVERSIGHT OF THE CONSOLIDATED AUDIT AND SELECTION OF THE INDEPENDENT AUDITORS. FORM 990, PART XII, LINE 3B: FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER HEALTH SYSTEM'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133 FROM 990, PART IV, LINE 24 GEISINGER HEALTH SYSTEM FOUNDATION (GHSF) IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES WITH A TOTAL OUTSTANDING BALANCE OF $1,230,762,550, INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT AS OF JUNE 30, 2015. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GHSF SUBSIDIARIES, THE BOND LIABILITIES ARE REFLECTED ON THE BALANCE SHEETS OF THE FOLLOWING SUBSIDIARY ORGANIZATIONS: GEISINGER MEDICAL CENTER, EIN: 24-0795959 GEISINGER WYOMING VALLEY MEDICAL CENTER, EIN: 23-1996150 GEISINGER CLINIC, EIN: 23-6291113 MARWORTH, EIN: 23-2171417 GEISINGER SYSTEM SERVICES, EIN: 23-2164794 COMMUNITY MEDICAL CENTER, EIN: 24-0862246 MOUNTAIN VIEW NURSING HOME, INC., EIN: 23-2568288 GEISINGER-BLOOMSBURG HOSPITAL, EIN: 23-2193572 GEISINGER-BLOOMSBURG HEALTH CARE CENTER, EIN: 23-2242854 GEISINGER-LEWISTOWN HOSPITAL, EIN: 23-1352187 HOLY SPIRIT HOSPITAL, EIN: 23-1512747 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH SYSTEM FOUNDATION, EIN: 23-1995911. GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231995911 PHILANTHROPY PA 501(C)(3) 7 N/A 0 GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240795959 HOSPITAL PA 501(C)(3) 3 GHSF 1 GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 236291113 PHYSICIAN PA 501(C)(3) 11A GHSF 1 GEISINGER WYOMING VALLEY MEDICAL CT 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231996150 HOSPITAL PA 501(C)(3) 3 GHSF 1 MARWORTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232171417 D&A REHAB PA 501(C)(3) 3 GHSF 1 GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232311553 HEALTH INS PA 501(C)(4) GHSF 1 GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232164794 SUPPORT SVC PA 501(C)(3) 11A GHSF 1 GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232967235 HEALTH CARE PA 501(C)(3) 9 GSS 1 GEISINGER INSURANCE CORPORATIONRRG 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 141909894 SELF INS VT 501(C)(3) 11A GHSF 1 COMMUNITY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 240862246 HOSPITAL PA 501(C)(3) 3 GHSF 1 COMMUNITY MEDICAL CARE INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232429776 PHYSICIAN PA 501(C)(3) 9 GHSF 1 MOUNTAIN VIEW NURSING HOME INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232568288 LONG TERM PA 501(C)(3) 9 GHSF 1 COMMUNITY MEDICAL CTR HEALTHCARE SY 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232279376 SUPPORT SVC PA 501(C)(3) 11A GHSF 1 GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232193572 HOSPITAL PA 501(C)(3) 3 GHSF 1 GEISINGER-BLOOMSBURG HEALTHCARE CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232242854 SKILLED NU PA 501(C)(3) 9 GHSF 1 LEWISTOWN HEALTH CARE FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232344363 PHILANTHROPY PA 501(C)(3) 11A GHSF 1 GEISINGER-LEWISTOWN HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231352187 HOSPITAL PA 501(C)(3) 3 GHSF 1 LEWISTOWN AMBULATORY CARE CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232344362 RE HOLDING PA 501(C)(3) 11A GHSF 1 FAM HEALTH ASSOC OF GEISINGER-LEWIS 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251651582 PHYSICIAN PA 501(C)(3) 11A GHSF 1 KEYSTONE HEALTH INFORMATION EXCHANGE INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 464359893 RHIO PA 501(C)(3) 11A GHSF 1 HEALTH CARE CORP OF NORTHEAST PA 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232337286 SUPPORT SV PA 501(C)(3) 11A CMC 1 SUN HOME HEALTH SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 231736912 HEALTH CARE PA 501(C)(3) 9 GCHS 1 HOLY SPIRIT HEALTH SYSTEM 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251865142 PHILANTHROPY PA 501(C)(3) 11A GHSF 1 HOLY SPIRIT CORPORATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232214540 REAL ESTATE PA 501(C)(2) HSHS 1 SPIRIT PHYSICIAN SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 251766971 PHYSICIAN PA 501(C)(3) 9 HSHS 1 WEST SHORE ADVANCED LIFE SUPPORT 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232463002 HEALTH CARE PA 501(C)(3) 7 HSHS 1 SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION MALLINCKRODT COVENANT MENDHAM NJ 07945 232322926 HEALTH CARE NJ 501(C)(2) 1 N/A 0 KEYSTONE ACCOUNTABLE CARE ORG LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 454475297 ACO PA N/A LIFESOURCE GEISINGER BLOOD CTR LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 364718005 BLOOD COLLECTION PA N/A MERIDIAN GEISINGER HLTH NETWORK LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 455484165 ORG DEL SY NJ N/A HEALTHSOUTH I GHS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 721398803 PHY THERAEPY PA N/A EVANGELICAL-GEISINGER HEALTH LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 460567687 HEALTH CARE PA N/A LEMED II 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232391766 RENTAL PA N/A GEISINGER - SCA HOLDINGS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461615328 MANAGEMENT DE N/A CAMP HILL AMBULATORY SURG CTR LLC 569 BROOKWOOD VILLAG E SUITE 901 BIRMINGHAM AL 35209 521597478 HEALTH CARE PA N/A CAELIAN MEDICAL LLC 880 CENTURY DRIVE MECHANICSBURG PA 17055 208018724 HEALTH CARE RENTAL PA HOLY SPIRIT HOSPITAL RELATED 150040 228485 0 1 0.75000 HS ORTHOPEDIC MANAGEMENT CO LLC 503 NORTH 21ST STREET CAMP HILL PA 17011 460887384 HEALTH CARE PA HOLY SPIRIT HOSPITAL RELATED 82312 156925 0 1 0.40000 GRANDVIEW SURGERY CENTER LTD 569 BROOKWOOD VILLAG E SUITE 901 BIRMINGHAM AL 35209 521597483 HEALTH CARE PA N/A LACKAWANNA PHYSICIANS AMBULATORY SURGERY CENTER LLC 569 BROOKWOOD VILLAG E SUITE 901 BIRMINGHAM AL 35209 233024998 HEALTH CARE PA N/A GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232077663 HOTEL/REST PA N/A C 1 GEISINGER INDEMNITY INSURANCE CO 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232815174 HLTH INSURANCE PA N/A C 1 GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 204275139 HLTH INSURANCE PA N/A C 1 HEALTH ENTERPRISES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 232353212 PHARMACY PA N/A C 1 XG HEALTH SOLUTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE PA 17822 461657345 CONSULTING DE N/A C 1 GEISINGER ASSURANCE COMPANY LTD 23 LINE TREE BAY AVE PO BOX 1159 GRAND CAYMAN CJ KY1-1102 981016737 INSURANCE CJ N/A C 1 HOLY SPIRIT VENTURES INC NORTH 21ST STREET CAMP HILL PA 17011 232407709 MEDICAL SERVICES PA N/A C 1 0 1 0 0 0 0 0 0 0 1 1 1 1 0 0 1 0 1 0 CAELIAN MEDICAL LLC K 583016 COST SPIRIT PHYSICIAN SERVICES J 232911 GAAP HOLY SPIRIT COPORATION K 774906 GAAP HOLY SPIRIT VENTURES K 389630 GAAP SPIRIT PHYSICIAN SERVICES L 300933 GAAP HOLY SPIRIT VENTURES L 3245 GAAP SPIRIT PHYSICIAN SERVICES M 4395399 GAAP WEST SHORE ALS M 166918 GAAP HOLY SPIRIT VENTURES M 1022 GAAP HOLY SPIRIT HEALTH SYSTEM M 761948 GAAP GEISINGER HEALTH PLAN L 7642176 GAAP GEISINGER INSURANCE CORPORATION P 1955779 GAAP GEISINGER MEDICAL CENTER M 9166 GAAP GEISINGER SYSTEM SERVICES M 3294721 GAAP GEISINGER SYSTEM SERVICES L 42043 GAAP KEYSTONE HEALTH INFORMATION M 145290 GAAP HOLY SPIRIT HEALTH SYSTEM R 37130483 GAAP SCHEDULE R, PART V TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN THE RESPONSE TO FORM 990, SCHEDULE R, THE ORGANIZATION IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS. IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTER ORGANIZATIONAL TRANSACTIONS, WHICH MAY INCLUDE SALES, EXCHANGES AND LEASES OF PROPERTY, EXTENSIONS. OF CREDIT, FURNISHING OF GOODS, SERVICES AND FACILITIES, AND TRANSFERS OF ASSETS. THESE INTERORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES. THESE TYPES OF INTER ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GHS PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX EXEMPT STATUS.