2015-05-11T10:25:42-05:00 2014-06-30 390859910 BAKER TILLY VIRCHOW KRAUSE LLP 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2013-07-01 231512747 HOLY SPIRIT HOSPITAL HOLY 7177632100 503 NORTH 21ST STREET CAMP HILL PA 170112204 SR ROMAINE NIEMEYER PRESIDENT/CEO 7177632100 2015-04-08 1 JULIUS C GREEN CPA JD P00350393 2159720701 2013 2016-02-25 16:41:14Z SR ROMAINE NIEMEYER 503 NORTH 21ST STREET CAMP HILL PA 170112204 351253287 0 0928 X WWW.HSH.ORG X 1963 PA TO PROVIDE HEALTH CARE TO THE COMMUNITY. 16 14 2592 410 3728475 148069 2567534 8349801 332840166 320657835 6070214 4656324 11618913 7970898 353096827 341634858 16419614 15232822 0 0 144784296 147055069 0 0 633707 184989459 182163122 346193369 344451013 6903458 -2816155 281699757 284372598 143061952 143071838 138637805 141300760 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 82500905 15232822 128033766 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 FY2014 WERE $28,498,412; SURGICAL NURSING SERVICE EXPENSES WERE $34,808,150; AND ALL OTHER NURSING EXPENSES TOTALED $18,430,553. THOSE EXPENSES TOTALED ALMOST $82 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. ON 7/22/13, HOLY SPIRIT HOSPITAL WAS RECOGNIZED AS ONE OF THE TOP 20 "BEST HOSPITALS" IN PENNSYLVANIA; ONE OF THE FIVE "BEST HOSPITALS" IN SOUTH CENTRAL PENNSYLVANIA; AND ONE OF THE TWO "BEST HOSPITALS" IN THE HARRISBURG METRO AREA. HOLY SPIRIT HOSPITAL WAS HONORED AS A HIGH-PERFORMER IN EIGHT SPECIALTIES: DIABETES AND ENDOCRINOLOGY, GASTROENTEROLOGY AND GI SURGERY, GERIATRICS, GYNECOLOGY, NEPHROLOGY, NEUROLOGY AND NEUROSURGERY, PULMONOLOGY, AND UROLOGY, PUTTING HOLY SPIRIT IN THE TOP 15 PERCENT OF HOSPITALS RECOGNIZED FOR HIGH PERFORMANCE.FY2014 EXCELLENCE IN EDUCATION CME LECTURE SERIES INCLUDED:- 5/13/2014, WOUND HEALING THROUGH HYPERBARIATRIC MEDICINE; ALLAN J. GROSSMAN, MD- 4/29/2014, 7/15/2014, 10/14/2014; BCE DOCUMENTATION SERIES 2014- 4/15/2014, 4/22/2014, 4/29/2014: PAIN TRILOGY 2014- 3/31/2014, BREAST IMAGING CASE CONFERENCE 2014; SARAH SHIPLEY, MD- 3/26/2014, 8/13/2014, 10/22/2014; THE WEDNESDAY CME CASE SERIES- 3/14/2014, PATIENT SAFETY RISK MANAGEMENT CONFERENCE 2014- 2/20/2014, STROKE A BRAIN EMERGENCY; KEVIN COCKROFT, MD, CO-DIRECTOR, PENN STATE HERSHEY STROKE CENTER; PROFESSOR OF NEUROSURGERY, RADIOLOGY AND PUBLIC HEALTH SCIENCES, PENN STATE- 1/16/2014, CURRENT MANAGEMENT OF HYPERTENSION; ROBERT R. TOWNSEND, MD, PROFESSOR OF MEDICINE, DIRECTOR OF HYPERTENSION SECTION, DEPARTMENT OF INTERNAL MEDICINE-RENAL, UNIVERSITY OF PENNSYLVANIA- 10/22/13, CME CASE CONFERENCE, AUDITORIUM- 10/17/13, CME LECTURE, HSH AUDITORIUM "IMMUNIZATION-IT'S SERIOUS BUSINESS" JOANN ADKINS, RN, BSN, CIC- 10/14/13, BCE LECTURE SERIES-DEALING WITH THE DIFFICULT PERSON, AUDITORIUM- 8/13/13, CME CASE CONFERENCE, AUDITORIUMREGISTERED NURSES IN PATIENT CARE SERVICES (SOMETIMES WITH STAFF IN THE EDUCATION, TRAINING, AND DEVELOPMENT DEPARTMENT WHO ARE ALSO CREDENTIALED NURSES) PROVIDED PRESENTATIONS AT PROFESSIONAL CONFERENCES AND IN VARIOUS VENUES, ALONG WITH SCREENINGS AND OTHER COMMUNITY SERVICE ACTIVITIES, INCLUDING:- JULY 16-20, 2013: ASSOCIATION FOR NURSING PROFESSIONAL DEVELOPMENT, DALLAS, TEXAS SERVED ON PLANNING COMMITTEE FOR NATIONAL ANNUAL ANPD MEETING REVIEWING ABSTRACTS AND POSTERS THROUGHOUT THE YEAR. MODERATED 8 SESSIONS AND JUDGED POSTER SESSIONS AT THE MEETING IN DALLAS. SUSAN SWAILS, MED, BSN, RN-BC- AUGUST 2013: CHALLENGES IN CRITICAL CARE, HERSHEY, PA - IMPACT OF A MULTIDISCIPLINARY APPROACH TO AIRWAY MANAGEMENT IN SUSPECTED TRACHEOSTOMY DECANNULATION OR DISPLACEMENT DEBORAH AUDETTE, MS, RN, ACNS-BC, CSC, CARDIOVASCULAR CLINICAL NURSE SPECIALIST- SEPTEMBER 15, 22, 29/2014: SILVER SPRING PRESBYTERIAN CHURCH DIABETES MANAGEMENT, TRACY MULLEN HOON BSN,RN,CDE DIABETES SERVICES- SEPTEMBER 20, 2013: HEALTH MINISTRIES WITHIN CHANGING HEALTHCARE (REGIONAL SEMINAR FOR PARISH NURSES), HAMBURG, PA "PARISH NURSE PANEL REFLECTION" MAUREEN ASPER, RN, MS, ACNS-BCSEPTEMBER 2013: INTERNATIONAL RELATIONSHIP BASED CARE SYMPOSIUM, MICHIGAN "TRANSITION OF NURSING CARE MODEL TO A SYSTEM WIDE CULTURE OF CARING" CYNTHIA SWARTZ, MS, RN, ACNS-BC AND JENNIFER BREWER MSN, RN- SEPTEMBER 24, 2013: KNOWLEDGE CAFE, HARRISBURG, PA A "ON BECOMING INDISPENSIBLE: HOW TO BE A PERSON OF INFLUENCE: A PROGRAM FOR CLINICAL EDUCATORS" CHRISTINE BRAUNEGG, MSN, RN-BC, SUSAN SWAILS, MED, BSN, RN-BC- OCTOBER 2013: PENNSYLVANIA ORGANIZATION OF NURSE LEADERS, GETTYSBURG PA "SUCCESSFUL INTERDISCIPLINARY PRACTICE ON IMAGING CRITICAL TEST RESULTS" CYNTHIA SWARTZ, MS, RN, ACNS-BC AND PATRICIA CARNES MHA, BSN, RN, NE-BC- OCTOBER 10, 2013: SENIOR'S MEETING, TRINITY EVANGELICAL CONGREGATION, HARRISBURG, PA "ADVANCE DIRECTIVES", MAUREEN ASPER, RN, MS, ACNS-BC- NOVEMBER 5, 2013: INDEPENDENT RESIDENTS' SCHEDULED MEETING, CUMBERLAND CROSSINGS, CARLISLE, PA "ADVANCE DIRECTIVES", MAUREEN ASPER, RN, MS, ACNS-BC- NOVEMBER 6, 2013: MONTHLY MEETING OF INDEPENDENT RESIDENTS, GREEN RIDGE RETIREMENT VILLAGE, CARLISLE, PA "ADVANCE DIRECTIVES" MAUREEN ASPER, RN, MS, ACNS-BC- NOVEMBER 12, 2013: SPIRIT OF WOMEN EVENT, DICKINSON COLLEGE "THE UPS AND DOWNS OF BLOOD SUGAR", TRACY MULLEN HOON BSN, RN, CDE DIABETES SERVICES- NOVEMBER 12, 2013: HEALTH LITERACY, HSH AUDITORIUM "HEALTH LITERACY" ROBIN HALCOMB, RN AND MARY MARCHANT LPN, HOME HEALTH- NOVEMBER 22, 2013: EMERGENCY DEPARTMENT EDUCATION DAY, HSH AUDITORIUM "INFANT AND PEDIATRIC SEPSIS", PAMELA HAMAN-HARRIS, MSN, NNP-BC, NICU- DECEMBER 18, 2013: DECEMBER LUNCHEON AND HEALTH INFORMATION, RYE SENIOR CENTER AT MARYSVILLE "STROKE PRESENTATION", MARYANN M. BROGDEN, ND, MSN, RN, APN-C, CCNS, CRITICAL CARE CNS/STROKE COORDINATOR - MARCH 6-8, 2014: NACNS CONFERENCE, ORLANDO, FLORIDA (NATIONAL ASSOC. OF CLINICAL NURSE SPECIALISTS) (1) DEB AUDETTE: "AM I TOO SWEET: DEVELOPMENT OF PRE-PROCEDURAL BLOOD SUGAR PROTOCOL FOR OUTPATIENT INVASIVE CARDIOLOGY PATIENTS", (2) MARYANN BROGDEN AND CINDY SWARTZ: "CNS IN STROKE: PARTNERSHIP IN BUILDING EXCELLENCE" CYNTHIA SWARTZ, MS, RN, ACNS-BC AND MARYANN BROGDEN ND, MSN, RN, APN-C, CCNS- MARCH 12, 2014: NURSING GRAND ROUNDS, HSH CLOSTRIDIUM DIFFICILE INFECTION: WHAT'S OLD, WHAT'S NEW? JUDITH HIMES, BSN,RN, CWON- MARCH 16, 2014: HEALTH MINISTERS MEETING, ST. JOHN THE BAPTIST, NEW FREEDOM, PA - "GROWING YOUR HEALTH MINISTRIES PROGRAM" MAUREEN ASPER, RN, MS, ACNS-BC- MARCH 26, 2014: SPIRITED HEARTS, HSH AUDITORIUM "STROKE PRESENTATION" MARYANN M. BROGDEN, ND, MSN, RN, APN-C, CCNS, CRITICAL CARE CNS/STROKE COORDINATOR- MARCH 28, 2014: SOCIAL SERVICES STAFF MEETING, CLAREMONT NURSING HOME "ADVANCE DIRECTIVES AND PALLIATIVE CARE", MAUREEN ASPER, RN, MS, ACNS-BC- APRIL 24, 2014: HEALTH SOUTH, "STROKE PRESENTATION" MARYANN M. BROGDEN, ND, MSN, RN, APN-C, CCNS, CRITICAL CARE CNS/STROKE COORDINATOR- APRIL 25, 2014: COPD/ASTHMA, DICKINSON COLLEGE, CARLISLE PA "STROKE PRESENTATION" MARYANN M. BROGDEN, ND, MSN, RN, APN-C, CCNS, CRITICAL CARE CNS/STROKE COORDINATOR- MAY 5, 2014: STROKE AWARENESS MONTH, COLONIAL PARK "STROKE PRESENTATION" MARYANN M. BROGDEN, ND, MSN, RN, APN-C, CCNS, CRITICAL CARE CNS/STROKE COORDINATOR- MAY 8, 2014: SAM CLUB MEETING, OUR LADY OF LOURDES CHURCH, ENOLA, PA "STROKE PRESENTATION", MARYANN M. BROGDEN, ND, MSN, RN, APN-C, CCNS, CRITICAL CARE CNS/STROKE COORDINATOR- MAY 21, 2014: BUSINESS WOMEN'S FORUM, MESSIAH COLLEGE "STRESS: LETTING GO AND MOVING ON", KELLIE WILSON, RN, BA, CPLP- MAY 31, 2014: NATIONAL HEALTHCARE DECISIONS DAY, HSH AUDITORIUM A/B "LIVING WILLS AND ADVANCED DIRECTIVES" MAUREEN ASPER, RN, MS, ACNS-BCCOLLECTIVELY, 1,428 AFFILIATED HEALTH PROFESSIONALS-81% OF WHICH WERE RNS-PARTICIPATED IN VARIOUS CONTINUING EDUCATION PROGRAMS AWARDING 3,094 CONTACT HOURS.NURSES ALSO PARTICIPATED IN THREE ANNUAL HOLY SPIRIT-SPONSORED HEALTH FAIRS. - OCTOBER 13, 2013: GIRLS' NIGHT OUT, HARRISBURG, PA. BLOOD PRESSURE SCREENINGS BY MARYANN MAWHINNEY, OR, BETSY DAVISON, WOUND CARE AND LESLY MILLER-JACOBS, MIU; CARDIOVASCULAR RISK ASSESSMENTS BY DEB THORNBERG, CATH LAB AND PEGGY TRAHAN, 8 MAIN; PERIPHERAL ARTERY DISEASE ASSESSMENTS BY JOANNE HAWLEY, OR, COLLEEN RANNEY, PACU, ROBYN MCKILLIP, ICU AND SUZAN HORTON, CVU.- FEBRUARY 22, 2014: DAY OF DANCE, CAMP HILL, PA. BLOOD PRESSURE SCREENINGS BY TENA KEIFFER, OR, JUDY HIMES, WOUND CARE, CONNIE DORFF, OR AND BERNADETTE ANDERSON, BP; CARDIOVASCULAR RISK ASSESSMENTS BY LESLY MILLER-JACOBS, MIU, DEB THORNBERG, CATH LAB, AND LEONA MYLNEK, WOUND CARE; PERIPHERAL ARTERY DISEASE ASSESSMENTS BY COLLEEN RANNEY, PACU, COURTNEY KELLER, CATH LAB, JENNIFER KANE, NURSING RESOURCES, DAWN SMITH, NURSING ADMINISTRATION, MARYANN MAWHINNEY, OR; SUZAN HORTON, CVU, AND CHARLENA SCOTT, OR. - APRIL 4, 2014: GIRLS' NIGHT OUT, CARLISLE; BLOOD PRESSURE SCREENINGS DONE BY PEGGY TRAHAN, * MAIN, JUDY HIMES, WOUND CARE, AND DAWN HOOVER, OR; CARDIOVASCULAR RISK ASSESSMENTS DONE BY CHRISTY LEPORE 8 MAIN, LEONA MLYNEK, WOUND CARE AND LORI BAUER, ORLABOR AND DELIVERY NURSES: THE BIRTHPLACE AT HOLY SPIRIT IS EQUIPPED TO MEET THE NEEDS OF WOMEN DURING AND AFTER BABIES ARRIVE. A VARIE 28503837 35476834 CARDIOVASCULAR SERVICES: 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 JULY 2013, HOLY SPIRIT HOSPITAL EARNED ADVANCED CERTIFICATION FOR PRIMARY STROKE CENTERS FROM THE JOINT COMMISSION, IN CONJUNCTION WITH THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION. PRIMARY STROKE CENTER CERTIFICATION RECOGNIZES THAT HOLY SPIRIT PROVIDES AN ELEVATED STANDARD OF CARE BASED ON EVIDENCE-BASED PRACTICES TO MEET THE SPECIALIZED NEEDS OF STROKE PATIENTS. CERTIFICATION-WHICH IS VOLUNTARY AND ONLY AVAILABLE IN JOINT COMMISSION-ACCREDITED ACUTE CARE HOSPITALS-MEANS THAT PATIENTS BENEFIT FROM SPECIALISTS AND SPECIALLY-TRAINED MEDICAL STAFF WORKING IN A DEDICATED CARE UNIT WITH MEASURES IN PLACE TO PROVIDE EXPERT CRITICAL CARE NECESSARY TO ENSURE THE BEST CHANCE FOR A FAVORABLE OUTCOME AFTER A STROKE. ADDITIONALLY, HOLY SPIRIT WAS IDENTIFIED UNDER PENNSYLVANIA'S ACT 54 OF 2012 AS A DESIGNATED PRIMARY STROKE CENTER IN CUMBERLAND COUNTY. ACCORDINGLY, PA DEPARTMENT OF HEALTH EMS PROTOCOLS (BLS-706 AND ALS-7006), DIRECTS THAT SUSPECTED STROKE PATIENTS NEED ADVANCED LIFE SUPPORT AND SHOULD BE TRANSPORTED TO A PRIMARY STROKE CENTER.IN FY2014, THE ORTENZIO HEART CENTER (OHC) AT HOLY SPIRIT PERFORMED 1,797 DIAGNOSTIC CARDIAC CATHETERIZATIONS AND 731 INTERVENTIONAL CARDIAC CATHETERIZATIONS. OHC STAFF PERFORMED 1,133 ELECTROPHYSIOLOGY PROCEDURES AND 257 CARDIOTHORACIC SURGERIES. THERE WERE 10,574 CARDIAC REHABILITATION SESSIONS PROVIDED 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. THE CARDIAC REHABILITATION STAFF TEAMED UP WITH CARDIOLOGISTS AND CARDIOVASCULAR SURGEONS TO PROVIDE A SUPPORT GROUP FOR THOSE WITH HEART DISEASE, THEIR FAMILIES, AND CAREGIVERS TO PROMOTE LIFELONG HEART HEALTHY LIVING. MORE THAN 120 PEOPLE ATTENDED THE SPIRITED HEARTS CARDIAC SUPPORT GROUP, WHICH MEETS SEVERAL TIMES ANNUALLY. HOLY SPIRIT ALSO OFFERS A SUPPORT GROUP FOR THOSE WHO SUFFER FROM ATRIAL FIBRILLATION (A-FIB), A HEART CONDITION THAT AFFECTS MORE THAN THREE MILLION AMERICANS. EIGHTY-EIGHT PEOPLE ATTENDED THESE GROUP MEETINGS.THE OHC CARDIAC TEAM CONSISTENTLY BEATS THE NATIONAL QUALITY GOAL 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. 19329097 55720661 IMAGING SERVICES: HOLY SPIRIT IMAGING SERVICES ASSISTS HEALTHCARE PROVIDERS IN THE DIAGNOSIS AND TREATMENT OF A WIDE VARIETY OF DISEASES. FROM ROUTINE X-RAYS TO THE HIGH-TECH 4D IMAGERY, HOLY SPIRIT IMAGING PROVIDES SERVICES AT THE HOSPITAL AND THROUGH ITS OUTPATIENT IMAGING CENTERS, LOCATED WITHIN THE HOSPITAL AND IN SURROUNDING COMMUNITIES. THE IMAGING SERVICES STAFF PARTICIPATES IN HEALTH FAIRS THROUGHOUT THE YEAR. IN FY2014, THEY ATTENDED 56 HEALTH FAIRS AND SPIRIT OF WOMEN EVENTS AND PROVIDED 1,603 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 1,592 FREE BONE DENSITY SCREENINGS. 131417963 104297820 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 FY2014, THE INSTITUTIONAL REVIEW BOARD APPROVED 11 NEW STUDIES (PROTOCOLS), 30 CONTINUING REVIEWS, AND 61 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 40 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 1,850 GLUCOSE TESTS AND 1,927 CHOLESTEROL TESTS 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 YEAR 1 OF MEANINGFUL USE STAGE 2. THIS FULL-FEATURED SYSTEM IS RECOGNIZED BY HIMSS AS A STAGE 6 HOSPITAL, AND, IN SOME AREAS, USAGE WHICH WILL QUALIFY THE HOSPITAL FOR STAGE 7. THE ONLY MODALITY THAT IS NOT YET WIDELY USED IS ELECTRONIC PHYSICIAN PROGRESS NOTE DOCUMENTATION, AND IMPLEMENTATION TRAINING IS UNDERWAY. 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 AND 2014, MAKING IT ONE OF ONLY 289 ORGANIZATIONS NATIONWIDE TO MAKE THIS LIST. THE HOSPITAL HAS BEEN AWARDED LEAPFROG GRADE A FOR SAFETY SPECIFICALLY RELATED TO THE USE OF THE EMR.HOLY SPIRIT HOSPITAL LEVERAGES THE EMR FOR QUALITY AND PROCESS IMPROVEMENT INITIATIVES, PATIENT SAFETY, AND STATISTICAL RESEARCH. INFORMATICS RESEARCHERS HAVE PUBLISHED PEER-REVIEWED MANUSCRIPTS WHICH AID IN THE EVALUATION AND ENHANCEMENT OF OUR LOCAL EMR, AND EMRS IN GENERAL. THIS VISIBILITY BENEFITS OTHER INFORMATION TECHNOLOGY PROFESSIONALS IN THE HEALTHCARE INDUSTRY, ULTIMATELY BENEFITING HOLY SPIRIT PATIENTS AND, AS STANDARDS OF PRACTICE IMPROVE, 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. COURSES INCORPORATE CURRENT RESEARCH AND INCLUDE A FOUR-PART CHILDBIRTH PREPARATION SERIES, A TWO-PART CLASS FOR NEW PARENTS CALLED BABY BOOT CAMP, BREASTFEEDING BASICS CLASSES, BIG BROTHER, BIG SISTER (SIBLING PREPARATION) CLASSES, AND BEAR ESSENTIALS. ONLINE CHILDBIRTH PREPARATION COURSES ARE AVAILABLE AS AN ALTERNATIVE FOR COUPLES WHO CANNOT ATTEND TRADITIONAL CHILDBIRTH CLASSES DUE TO BED REST OR SCHEDULING CONFLICTS. ALL THESE COURSES ARE OFFERED TO PREGNANT WOMEN REGARDLESS OF WHERE THEY PLAN TO GIVE BIRTH. TOURS OF BIRTHPLACE ARE OFFERED TO ALL EXPECTANT COUPLES. 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 WORKSHOPS, 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 OR REFERRED BY STAFF IN THE HOLY SPIRIT NETWORK OR OTHER COMMUNITY CONNECTIONS. EMPLOYEES ACROSS MULTIPLE DISCIPLINES OFFERED FREE HEALTHY LIVING LECTURES ON THE FOLLOWING TOPICS THIS FY: STROKE AWARENESS, LAP BAND SURGERY, LIVING HEALTHY WITH HEART DISEASE, TRANSITIONING CHILDREN BACK TO SCHOOL, AND HOW TO MAKE YOUR HEALTHCARE WISHES KNOWN TO FAMILY MEMBERS. 131417963 104297820 261751802 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 93 0 1 2592 1 1 1 0 0 0 0 1 1 0 0 0 0 X 16 14 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 PA X MANUEL J EVANS CFO 7177632100 503 NORTH 21ST STREET CAMP HILL PA 170112288 ROBERT DIETZ CHAIRPERSON 1.00 2.00 X X 0 0 0 MICHAEL SERLUCO 1ST VICE CHAIRPERSON 1.00 1.00 X X 0 0 0 RANNY SINGISTER EDD SECRETARY/TREASURER 1.00 1.00 X X 0 0 0 JAMES C BYERLY DIRECTOR 1.00 X 0 0 0 SAMUEL COOPER III ESQUIRE DIRECTOR 1.00 X 0 0 0 TAPASDIP GAJJAR MD DIRECTOR 1.00 X 0 0 0 RON DRNEVICH DIRECTOR 1.00 X 0 0 0 SISTER JOAN DANIEL HEALY SCC DIRECTOR 1.00 1.00 X 0 0 0 THOMAS KACHEL MD DIRECTOR 1.00 X 0 0 0 DEBORAH KEYS DIRECTOR 1.00 X 0 0 0 SISTER MARY JOSEPH SCHULTZSCC DIRECTOR 1.00 1.00 X 0 0 0 REV ROBERT F SHARMAN DIRECTOR 1.00 X 0 0 0 SISTER MARY IRENE SORBER SCC DIRECTOR 1.00 X 0 0 0 RICHARD SCHREIBER MD DIRECTOR/PHYSICIAN 40.00 X 217354 0 24659 RICK SZELES DIRECTOR 1.00 1.00 X 0 0 0 SISTER ROMAINE NIEMEYER SCC PRESIDENT & CEO 36.00 4.00 X X 0 0 0 MANUEL J EVANS SR VP-FINANCE & CFO 39.00 1.00 X 362029 0 50847 JOSEPH A TORCHIA MD SR VP-MED AFFAIRS 39.00 1.00 X 355885 0 57454 RICHARD A SCHAFFNER JR SR VP & COO 40.00 X 345950 0 61016 RICHARD E LAVANTURE SR VP-CORP AFFAIRS 39.00 1.00 X 313556 0 70226 WILLIAM P SHARTLE SR VP-HR 40.00 X 234697 0 48016 MICHAEL J PASZEK MD PHYSICIAN, BRTHPLC 40.00 X 298018 0 31163 LISA F LEWIS VP-PT CARE SVCS 40.00 X 237326 0 48568 MARIA E PRUDENCIO MD PHYSICIAN, BRTHPLC 40.00 X 250505 0 17956 CHARLES E CLADEL MD PSYCHIATRIST-CMHC 40.00 X 220019 0 29484 EDITH C DEES CHIEF INFO OFFICER 40.00 X 218970 0 17464 3054309 0 456853 294 0 1 0 PYRAMID CONSTRUCTION SERVICE 840 NORTH FRONT STREET WORMLEYSBURG PA 17043 CONSTRUCTION SERVICES-MAINT&REPAIR 5157580 MAXIT VCS HEALTHCARE LLC 705 EAST MAIN STREET WESTFIELD IN 46074 IT PROFESSIONAL SERVICES 3228397 QUANTUM IMAGING 629-D LOWTHER ROAD LEWISBERRY PA 17339 PURCHASED MEDICAL SERVICES 1947187 RESTORIX HEALTH 155 NORTH PLAINS ROAD SUITE 222 TARRYTOWN NY 10591 WOUND CARE MGMT FEES 1415123 PAVONE 1006 MARKET STREET HARRISBURG PA 17101 MARKETING SERVICES 1257554 35 157499 1069157 1902277 5220868 8349801 OUTPATIENT SERVICES 621400 176735653 176735653 INPATIENT SERVICES 621400 143922182 143922182 320657835 1762233 1762233 221132 432924 -211792 -211792 -211792 11954584 64200 9122443 2250 2832141 61950 2894091 2894091 127039 157499 60812 66227 66227 LABORATORY - NONPATIENT 621500 2992874 2992874 MEANINGFUL USE REVENUE 900099 1819978 1819978 LTACH - RENT & OTHER SVCS 532000 713915 713915 2589696 1051268 21686 1516742 8116463 341634858 323529081 3728475 6027501 X 15000000 15000000 232822 232822 2787210 2787210 114826586 90060310 24466783 299493 4594677 3504477 1077666 12534 16190189 12508884 3648368 32937 8656407 6771182 1863560 21665 6239715 6239715 417143 417143 253202 253202 21707 21707 178475 178475 36440982 22442519 13794888 203575 2763312 27094 2736218 13114356 8020585 5085584 8187 7670953 233086 7437867 8755130 6059179 2695951 1790387 1277825 512562 4561354 3492762 1056977 11615 18263680 12345485 5878288 39907 1777088 1183316 589978 3794 UNRELATED BUSINESS EXPE 134592 134592 MEDICAL SUPPLIES 55735330 55660145 75185 BAD DEBT 18168807 18168807 MA ASSESSMENT 4695322 4695322 1181587 68002 1113585 344451013 261751802 82065504 633707 5135 5515 6521005 11737600 3591381 48194773 41361366 830158 737933 3523948 2400917 302590428 183754528 115104628 118835900 88398320 86183675 19121790 19518311 281699757 284372598 41295997 38291254 88260000 85205000 1049007 1000075 2951396 1750000 12456948 13874113 143061952 143071838 X 135988383 134675727 86256 3776072 2563166 2848961 138637805 141300760 281699757 284372598 X -2816155 5983884 -504774 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 21707 21707 0 PART II-B, LINE 1: A PORTION OF THE HOSPITAL'S DUES PAID TO THE HOSPITAL ASSOCIATION OF PENNSYLVNIA ("HAP"), THE AMERICAN HOSPITAL ASSOCIATION ("AHA") AND PENNSYLVANIA CATHOLIC HEALTH ASSOCIATION ("CHA") ARE USED FOR LOBBYING PURPOSES AS WELL AS NATIONAL ASSOCIATION OF HOME CARE & HOSPICE AND PA HOMECARE ASSOCIATION. IN FISCAL YEAR 2014, 22.85% OF DUES PAID TO HAP RELATED TO LOBBYING, 3.31% OF DUES PAID TO CHA RELATED TO LOBBYING AND 23.65% OF DUES PAID TO AHA RELATED TO LOBBYING. ALSO, 15% OF DUES PAID TO NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE AND 20% OF DUES PAID TO PA HOMECARE ASSOCIATION ARE RELATED TO LOBBYING. 2563164 285795 2848959 2470802 7245 178061 92727 217 2563164 2540943 9388 70652 8877 2470802 2226656 22983 306634 15330 2540943 2121932 9370 118956 23602 2226656 1.00000 0 1 1 2656982 2656982 154471243 82459927 72011316 20711122 4813067 15898055 123991769 96481534 27510235 759312 759312 118835900 DEFERRED FINANCING COSTS, NET 1201220 SOFTWARE IMPLEMENTATION 4678827 OTHER INVESTMENTS 153057 MEDICAL MALPRACTICE-KNOWN CLAIMS 3924000 GOODWILL 7134812 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 2426395 19518311 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 2639490 BLUE CROSS CURRENT FINANCING ADVANCE 1222600 ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY 5530000 DEFERRED COMPENSATION 1021139 DUE TO AFFILIATES 1146579 OBLIGATION UNDER CAPITAL LEASE 2314305 13874113 X 328496631 5983884 -18673581 -12689697 341186328 178475 270055 448530 341634858 325833676 -270055 -270055 326103731 178475 18168807 18347282 344451013 PART V, LINE 4: INTEREST EARNED IS UNRESTRICTED AND TRANSFERRED TO THE OPERATING FUND. PART X, LINE 2: THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT HAS DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2014 OR 2013. THE SYSTEM'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR FISCAL YEARS AFTER 2010 REMAIN SUBJECT TO EXAMINATION BY THE IRS. THE SYSTEM'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN SUPPLIES AND EXPENSES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST -56,154. BAD DEBT EXPENSE -18,168,807. AMORTIZED DISCOUNT ON PLEDGE -448,620. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -432,924. FUNDRAISING EVENT EXPENSES -60,812. TRANSFERS FROM RELATED ORGANIZATIONS NETTED ON THE F/S 763,791. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 432,924. FUNDRAISING EVENT EXPENSES 60,812. TRANSFERS TO RELATED ORGANIZATIONS NETTED ON THE F/S -763,791. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 18,168,807. SHARE THE SPIRIT GALA 161999 115000 46999 6667 14099 2500 16720 SPRING FUND RAISER - FESTIVAL 20594 8000 12594 330 445 2636 3050 7611 3 101945 34499 67446 579 4067 2108 284538 157499 127039 7576 445 20802 5550 26439 60812 66227 1 1 X 1 X 1 X 1 1 1 0 1 1 8688 1644997 1644997 0.00500 22241 24940028 11715698 13224330 0.04050 30929 26585025 11715698 14869327 0.04550 80 24319 716939 99 716840 0.00220 22 2111 1155930 277813 878117 0.00270 14 31755 24836408 16240981 8595427 0.02630 5 712 44099 44099 0.00010 121 58897 26753376 16518893 10234483 0.03130 121 89826 53338401 28234591 25103810 0.07680 1 5568739 1371225 64068936 73952297 -9883361 X 1 1 2 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 X X X HOLY SPIRIT HOSPITAL 1 1 X X X X X X X X 12 1 1 1 X HTTP://WWW.HSH.ORG/CHNA X X X X X X X X X X 0 0 1 1 200.000000000000 1 400.000000000000 1 X X 1 1 X X X X X 1 0 X X X X 1 X 0 0 HOLY SPIRIT HOSPITAL PART V, SECTION B, LINE 3: 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 4: PENN STATE MILTON S HERSHEY MEDICAL CENTER ANDPINNACLEHEALTH SYSTEM HOLY SPIRIT HOSPITAL PART V, SECTION B, LINE 5D: 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 6I: IN ACCORDANCE WITH IRS REGULATIONS REQUIRING COMMUNITY HEALTH NEEDS ASSESSMENTS, AS STIPULATED IN THE AFFORDABLE CARE ACT LEGISLATION PASSED BY THE U.S. CONGRESS, HOLY SPIRIT HOSPITAL PARTNERED WITH PENN STATE HERSHEY MEDICAL CENTER AND PINNACLEHEALTH SYSTEM TO UNDERTAKE A COMPREHENSIVE COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEARS 2011 AND 2012. THE CEOS OF HOLY SPIRIT HOSPITAL AND THE OTHER TWO HEALTH SYSTEMS DESIGNATED EMPLOYEES TO COMPLETE A TIMELY SURVEY TO DETERMINE THE STATE OF RESIDENTS' HEALTH IN FIVE CENTRAL PENNSYLVANIA COUNTIES, WHICH IS THE SHARED GEOGRAPHIC SERVICE AREA FOR ALL THREE SYSTEMS. THE WORK WAS SUPPORTED BY TRIPP-UMBACH (A RECOGNIZED NATIONAL LEADER IN COMPLETING COMMUNITY HEALTH NEEDS ASSESSMENTS OVER THE PAST 22 YEARS) AND A MULTI-DISCIPLINARY TEAM OF SENIOR LEADERS, DIRECTORS, MANAGERS, AND SPECIALISTS FROM ACROSS THE BREADTH OF THE HEALTH SYSTEMS. THE CHNA EMPLOYED A VARIETY OF PRIMARY AND SECONDARY DATA SOURCES AND IN-DEPTH INFORMATION GATHERING METHODOLOGIES TARGETED TO SPECIFIC POPULATION SEGMENTS (INCLUDING STAKEHOLDERS AND THOSE WITH EXPERTISE). THE PROCESS REQUIRED MORE THAN A YEAR TO COMPLETE, AND FINAL REPORTS WERE PRESENTED TO VARIOUS AUDIENCES THROUGHOUT AUGUST AND SEPTEMBER 2012.THE STUDY IDENTIFIED THE FOLLOWING PRIORITIES: (1) PROMOTION OF HEALTHY LIFESTYLES: DIET, NUTRITION AND PHYSICAL ACTIVITY, (2) HEALTH EDUCATION: FOCUSED ON SCHOOL-AGED CHILDREN AND CULTURALLY APPROPRIATE MESSAGES TARGETED TO HIGH-NEED POPULATIONS, AND (3) ACCESS TO AFFORDABLE HEALTHCARE: DENTAL CARE, MENTAL HEALTH CARE, PRIMARY CARE, AND SPECIALTY CARE. THESE FINDINGS ARE IN LINE WITH NATIONAL TRENDS THAT SHOW HEART DISEASE, CANCER AND STROKE AS LEADING CAUSES OF DEATH, AND THE NEED FOR MORE EFFECTIVE HEALTH EDUCATION AND PREVENTION STRATEGIES TO CHANGE BEHAVIOR.HOLY SPIRIT HOSPITAL'S CEO, EXECUTIVE LEADERSHIP, AND THE APPOINTED HOLY SPIRIT CHNA COMMITTEE THEN REVIEWED STUDY FINDINGS, ANALYZED DATA AND TRENDS, REVIEWED BEST PRACTICE MODELS, AND IDENTIFIED PROGRAMMATIC ASSETS AND INFRASTRUCTURE LIMITATIONS. FROM THAT, STAFF GENERATED AN IMPLEMENTATION PLAN, WHICH CONTAINS A COMPREHENSIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND STRATEGIES FOR THE THREE PRIORITY NEEDS IDENTIFIED IN THE STUDY. THE PLAN PRESENTS INFORMATION IN THREE SECTIONS: (1) CURRENT ACTIVITIES AND PROGRAMS TO BE MAINTAINED, (2) CURRENT ACTIVITIES AND PROGRAMS FOR POSSIBLE EXPANSION, AND (3) POTENTIAL NEW ACTIVITIES AND PROGRAMS. AFTER SEQUENTIAL INTERNAL REVIEW, THE IMPLEMENTATION PLAN WAS APPROVED BY THE HOLY SPIRIT HOSPITAL BOARD OF DIRECTORS ON 3/26/13. THE CHNA COMMITTEE NOW REVIEWS THE PLAN AT REGULAR INTERVALS. STAFF MEMBERS CONTINUE TO: (1) SEEK GREATER AWARENESS AND UNDERSTANDING OF THE COMMUNITY'S DIVERSE, INCREASING, AND, SOMETIMES, UNDERLYING HEALTH NEEDS; (2) CONTINUE TO BUILD RELATIONSHIPS WITH KEY STAKEHOLDERS AND COMMUNITY PARTNERS; (3) DELIVER MEANINGFUL COMMUNITY BENEFIT PROGRAMS, AND (4) RECOMMEND IMPROVEMENTS THAT BETTER ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS.THE CHNA REPORT IS POSTED ON THE HOLY SPIRIT WEBSITE (WWW.HSH.ORG) AND HAS BEEN SHARED THROUGHOUT THE REGION. THE STUDY PROCESS PROMPTED INCREASED INTEREST FROM REGIONAL PARTNERS, AND HOLY SPIRIT IS NOW ACTIVELY ENGAGED IN A NUMBER OF COUNTY COALITIONS, INCLUDING: NORTHERN DAUPHIN HEALTH INITIATIVE, PERRY COUNTY HEALTH COALITION, AND THE SOUTH MOUNTAIN PARTNERSHIP, WHICH LINKS COMMUNITY BENEFIT ORGANIZATIONS IN FRANKLIN AND ADAMS COUNTIES. HOLY SPIRIT HOSPITAL PART V, SECTION B, LINE 7: 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.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 AND 3. 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.HEALTH NEEDS AND ANCILLARY HEALTH POPULATION NEEDS IDENTIFIED IN THE CHNA THAT HOLY SPIRIT HOSPITAL CANNOT ADDRESS ARE THE FOLLOWING: - ENHANCING THE POPULATIONS READING AND NUTRITION LITERACY RE: HEALTH AND DIET AND FOOD LABELS.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 OF HEALTHY 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 TO PROFESSIONAL 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 20D: HOLY SPIRIT HOSPITAL AVERAGES THE RATES FOR THE TOP 4 COMMERCIAL PAYORS BASED ON VOLUME TO ARRIVE AT AN AVERAGE DISCOUNT FOR INPATIENT AND OUTPATIENT RESPECTIVELY. PART I, LINE 6A: THE HOSPITAL PREPARES A COMMUNITY BENEFIT REPORT WHICH IS INCLUDED IN THE ANNUAL REPORT OF THE HOLY SPIRIT HEALTH SYSTEM. PART I, LINE 7: LINE ITEMS 7A & B WERE CALCULATED USING THE COST CHARGE RATIO. THE COST ACCOUNTING SYSTEM WAS USED TO PROVIDE DATA FOR LINE ITEM 7G AND ADDRESSES ALL PATIENT SEGMENTS. ITEMS 7E,F & I ARE ALSO PROVIDED AT COST OF SALARIES AND EXPENSES. 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 $18,168,807. PART III, LINE 2: HOLY SPIRIT HOSPITAL USES THE COST TO CHARGE RATIO IN COMPUTING THE AMOUNTS REPORTED ON PART III, LINES 2 & 3. PART III, LINE 3: WE BELIEVE THAT A PORTION OF OUR BAD DEBTS RESULTS FROM SERVICES PROVIDED TO PATIENTS WHO MEET THE CHARITY CARE GUIDELINES BUT WERE UNABLE OR UNWILLING TO PROVIDE THE APPROPRIATE DOCUMENTATION TO ALLOW THAT CLASSIFICATION. THESE WOULD BE CLASSIFIED AS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO TO ARRIVE AT THE COST.THE ORGANIZATION ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS AS A REDUCTION OF REVENUE/ACCOUNTS RECEIVABLE AND ARE NOT COMPONENTS OF BAD DEBT EXPENSE. THE HOSPITAL PROVIDES CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THIS IS PART OF THE HOSPITAL'S MISSION.PATIENTS WITH BALANCES LESS THAN $1,500 WHO MEET CERTAIN CRITERIA (E.G. HOUSEHOLD INCOME LESS THAN 200% OF FPG) ARE DEEMED TO BE PRESUMPTIVELY ELIGIBLE FOR CHARITY CARE. OTHER PATIENTS MUST COMPLETE A FINANCIAL ASSISTANCE APPLICATION AND, DEPENDING UPON THE AMOUNT OWED, MAY ALSO BE ASKED FOR SUPPORTING DOCUMENTATION. PART III, LINE 4: ACCOUNTS RECEIVABLE, PATIENTS ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OFINDIVIDUAL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY OF PATIENT ACCOUNTS RECEIVABLE, THEHOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE (WHICH INCLUDES PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL ANALYZES CONTRACTUAL AMOUNTS DUE AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 8: THE HOSPITAL PROVIDES CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THIS IS PART OF THE HOSPITAL'S MISSION. THEREFORE, WE FEEL THAT THE SHORTFALL NOTED ABOVE SHOULD BE TREATED AS COMMUNITY BENEFIT.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. PART III, LINE 9B: THE COLLECTIONS POLICY STATES "THIS POLICY DOES NOT APPLY TO THOSE PATIENTS WHO HAVE DEMONSTRATED FINANCIAL NEED AND WHOSE FINANCIAL OBLIGATIONS TO HSH, IN WHOLE OR IN PART, ARE FOUND TO BE ELIGIBLE FOR CHARITY CARE ALLOWANCE AS DEFINED IN HSH'S FINANCIAL ASSISTANCE POLICY. HOWEVER, IN THOSE INSTANCES WHERE A PATIENT HAS APPLIED FOR FINANCIAL ASSISTANCE AND ONLY A PORTION OF THE ACCOUNT BALANCE QUALIFIES FOR CHARITY CARE ALLOWANCE, THE REMAINING BALANCE IS SUBJECT TO COLLECTION UNDER THE GUIDELINES SET FORTH HEREIN." 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 HAS CONDUCTED PHYSICIAN NEEDS ASSESSMENTS IN 2008 AND 2010 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 SPONSORED AND MANAGED BY THE SISTERS OF CHRISTIAN CHARITY 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 40.5), 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 IS $72,822, COMPARED TO THE NATIONAL AVERAGE INCOME OF $71,320 (2015 TRUVEN HEALTH ANALYTICS, INC.). PART VI, LINE 5: HOLY SPIRIT HOSPITAL HAS A TOTAL OF 311 PATIENT BEDS AND 15 BASSINETS. THERE ARE NEARLY 550 PHYSICIANS ON STAFF, AND MORE THAN 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 $35,386 TO UNITED WAY IN FY2014. 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 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 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 311 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, CANCER TREATMENT (WITH A GAMMA KNIFE) AT OAKWOOD 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 PRACTICE, OBSTETRICS AND GYNECOLOGY, INTERNAL MEDICINE, PEDIATRICS, GENERAL SURGERY, CARDIOTHORACIC SURGERY, ENDOCRINOLOGY, CARDIOLOGY, 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) 15000000 CASH N/A PROVIDE FINANCIAL SUPPORT FOR OPERATIONS OF AFFILIATED ORGANIZATION 1 0 SCHOLARSHIPS TO STUDENTS - COST CTRS: NURSING, PHYSCIAL THERAPY AND ANESTHESIA 36 232822 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. X X X X 0 1 0 0 0 0 0 0 0 RICHARD SCHREIBER MD DIRECTOR/PHYSICIAN 217354 0 0 0 0 0 8455 0 16204 0 242013 0 0 0 MANUEL J EVANS SR VP-FINANCE & CFO 361661 0 368 0 0 0 49350 0 1497 0 412876 0 0 0 JOSEPH A TORCHIA MD SR VP-MED AFFAIRS 355517 0 368 0 0 0 50546 0 6908 0 413339 0 0 0 RICHARD A SCHAFFNER JR SR VP & COO 345581 0 369 0 0 0 47970 0 13046 0 406966 0 0 0 RICHARD E LAVANTURE SR VP-CORP AFFAIRS 313191 0 365 0 0 0 51103 0 19123 0 383782 0 0 0 WILLIAM P SHARTLE SR VP-HR 234327 0 370 0 0 0 35207 0 12809 0 282713 0 0 0 MICHAEL J PASZEK MD PHYSICIAN, BRTHPLC 298018 0 0 0 0 0 15383 0 15780 0 329181 0 0 0 LISA F LEWIS VP-PT CARE SVCS 236961 0 365 0 0 0 35976 0 12592 0 285894 0 0 0 MARIA E PRUDENCIO MD PHYSICIAN, BRTHPLC 250505 0 0 0 0 0 17151 0 805 0 268461 0 0 0 CHARLES E CLADEL MD PSYCHIATRIST-CMHC 220019 0 0 0 0 0 17667 0 11817 0 249503 0 0 0 EDITH C DEES CHIEF INFO OFFICER 218600 0 370 0 0 0 11216 0 6248 0 236434 0 0 0 PART I, LINE 4B THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN: MANUEL EVANS - $36,285 RICHARD SCHAFFNER - $35,158 JOSEPH TORCHIA - $35,670 RICHARD LAVANTURE - $31,980 WILLIAM SHARTLE - $23,473 LISA LEWIS - $23,985 A WEST SHORE AREA AUTHORITY 232179305 955816AM5 2011-02-15 60958107 REFINANCE 1997 & 2001 BONDS, CAPITAL PROJECTS AND ISSUANCE COSTS 1 0 0 B WEST SHORE AREA AUTHORITY 232179305 955816AW3 2011-11-30 33618240 REFINANCE 2001 BOND, CAPITAL PROJECTS AND ISSUANCE COSTS 0 0 0 A 9265000 61015545 953188 25042278 35020079 2014 1 1 0 1 B 33618627 581495 7549722 25487410 2014 1 0 0 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 1 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 SCHEDULE K, PART II, LINE 3 TOTAL PROCEEDS OF ISSUE: TOTAL PROCEEDS REPORTED ON LINE 3 ARE GREATER THAN ISSUE PRICE LISTED IN PART I DUE TO INVESTMENT EARNINGS. MICHAEL SERLUCO BOARD DIRECTOR MORTGAGE ON SPACE FOR PATIENT CARE X 1200000 1000075 0 1 1 1000075 FORM 990, PART VI, SECTION A, LINE 1 (1) EXECUTIVE COMMITTEE: CHAIRPERSON, PRESIDENT, VICE-CHAIRPERSON, SECRETARY, TREASURER & ONE ADDITIONAL INDEPENDENT DIRECTOR DESIGNATED BY THE BOARD. CHAIRPERSON OF BOARD IS CHAIRPERSON OF EXECUTIVE COMMITTEE & IN ABSENCE OF CHAIRPERSON, THE VICE-CHAIRPERSON SHALL ACT AS CHAIRPERSON. EXECUTIVE COMMITTEE SHALL BE COMPRISED ENTIRELY OF INDEPENDENT DIRECTORS. (2) EXECUTIVE COMMITTEE SHALL ACT IN THE INTERIM BETWEEN MEETINGS OF FULL BOARD & SHALL BE SUBJECT TO THE CONTROL & DIRECTION OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL ACT ON MATTERS THAT CANNOT REASONABLY AWAIT ACTION BY BOARD OF DIRECTORS. BETWEEN MEETINGS THEY HAVE SPECIFIC AUTHORITY TO CONSIDER & GRANT OR DENY MEDICAL STAFF MEMBERSHIP & CLINICAL PRIVILEGES TO PRACTITIONERS, & CLINICAL PRIVILEGES TO SPECIFIED PROFESSIONAL PERSONNEL. THEY MEET AS NEEDED. CHAIRPERSON OR PRESIDENT MAY CALL A MEETING OF EXECUTIVE COMMITTEE. (3) DUTIES OF EXECUTIVE COMMITTEE, TO EXTENT PERMITTED BY APPLICABLE LAW, SHALL BE, BUT ARE NOT LIMITED TO: (A) ACT ON BEHALF OF THIS CORPORATION BETWEEN MEETINGS OF FULL BOARD OF DIRECTORS. (B) REVIEW ALL REPORTS OF COMMITTEES & TO RECOMMEND APPROPRIATE ACTION TO BOARD OF DIRECTORS. (C) RECOMMEND TO BOARD PERFORMANCE STANDARDS FOR DIRECTORS & OFFICERS. (D) TO IMPLEMENT & MONITOR CONFLICT OF INTEREST POLICY ADOPTED BY MEMBER. (E) TO IMPLEMENT & MONITOR CONFIDENTIALITY POLICY ADOPTED BY MEMBER. (F) TO IMPLEMENT & MONITOR CODE OF CONDUCT ADOPTED BY MEMBER. (G) ALL ACTIONS TAKEN BY EXECUTIVE COMMITTEE SHALL BE REPORTED IN MINUTES & REPORTED TO BOARD OF DIRECTORS AT ITS NEXT MEETING FOR RATIFICATION OR AFFIRMATION. 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 6 THE SOLE MEMBER OF HOLY SPIRIT HOSPITAL IS HOLY SPIRIT HEALTH SYSTEM, A PENNSYLVANIA NON-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE CHAIRPERSON OF THE BOARD OF TRUSTEES, SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION, HAS THE POWER TO APPOINT OR REMOVE THE PRESIDENT AND/OR CHIEF EXECUTIVE OFFICER OF THE HOSPITAL. THE BOARD OF DIRECTORS OF HOLY SPIRIT HEALTH SYSTEM (SOLE CORPORATE MEMBER OF HOLY SPIRIT HOSPITAL) HAS THE POWER TO ELECT THE DIRECTORS OF HOLY SPIRIT HOSPITAL AND TO APPROVE THE NOMINEES FOR ELECTED OFFICERS OF HOLY SPIRIT HOSPITAL. 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 IN ACCORDANCE WITH THE BYLAWS OF HOLY SPIRIT HEALTH SYSTEM (THE PARENT), THE FORM 990 WAS PRESENTED TO THE HEALTH SYSTEM'S FINANCE AND AUDIT COMMITTEE BY THE EXTERNAL TAX PREPARERS AND MANAGEMENT. FOLLOWING REVIEW AND APPROVAL BY THE FINANCE AND AUDIT COMMITTEE, THE FORM 990 WAS DISTRIBUTED TO THE BOARD OF DIRECTORS OF EACH CORPORATION VIA "BOARDNET" BEFORE THE FORM 990 WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE HOLY SPIRIT HOSPITAL BYLAWS HAVE A CONFLICT OF INTEREST PROVISION, SPECIFICALLY ARTICLE XII. ARTICLE XII IS APPLICABLE TO "ANY DIRECTOR, OFFICER OR COMMITTEE MEMBER (TO INCLUDE ANY MEMBER OF HIS OR HER IMMEDIATE FAMILY)" AND DESCRIBES THE NATURE OF A CONFLICT OF INTEREST. IN ADDITION, THERE IS A PROVISION IN ARTICLE XII (SECTION 12.2.1) WHICH SETS FORTH THE METHODOLOGY TO DETERMINE WHETHER A DIRECTOR, OFFICER OR COMMITTEE MEMBER HAS A CONFLICT OF INTEREST AND THE REQUIREMENTS PERTAINING TO REMOVAL OF THE DIRECTOR, OFFICER OR COMMITTEE MEMBER WITH THE CONFLICT OF INTEREST FROM THE MEETING, IMPACT ON THE QUORUM AND VOTING. SECTION 12.2 REQUIRES THAT IF A DIRECTOR, OFFICER OR COMMITTEE MEMBER IS DETERMINED TO HAVE A CONFLICT OF INTEREST THAT THE INDIVIDUAL CANNOT BE PRESENT AT THE MEETING WHEN THE MATTER WAS DISCUSSED OR VOTED UPON. ARTICLE XII ALSO REQUIRES THE BOARD OF DIRECTORS OF HOLY SPIRIT HEALTH SYSTEM TO ADOPT A CONFLICT OF INTEREST POLICY REQUIRING PERIODIC STATEMENTS (AT LEAST ANNUALLY) FROM DIRECTORS, OFFICERS AND COMMITTEE MEMBERS TO DISCLOSE EXISTING AND POTENTIAL CONFLICTS OF INTEREST. IN ADDITION, THE BOARD IS REQUIRED TO TAKE CORRECTIVE AND DISCIPLINARY ACTION WITH RESPECT TO TRANSGRESSIONS OF THE CONFLICT OF INTEREST POLICY. ANNUAL COMPLIANCE WITH CONFLICT OF INTEREST POLICY IS MONITORED BY THE EXECUTIVE ASSISTANT TO THE PRESIDENT & CEO. ANY DISCLOSED CONFLICTS NOTED EACH YEAR ARE SENT TO HOSPITAL COUNSEL FOR REVIEW AND FOLLOW UP. EACH SUBSIDIARY CORPORATION HAS A COMPARABLE PROVISION IN ITS CURRENT BYLAWS. ALL DIRECTORS, OFFICERS AND COMMITTEE MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL STATEMENT DISCLOSING EXISTING OR POTENTIAL CONFLICTS OF INTEREST. THIS ANNUAL DISCLOSURE REQUIREMENT HAS BEEN IN EFFECT FOR ALL CORPORATIONS FOR SEVERAL YEARS. THE HEALTH SYSTEM BOARD OF DIRECTORS ADOPTED A SEPARATE CONFLICT OF INTEREST POLICY ON MARCH 23, 2010. THAT CONFLICT OF INTEREST POLICY IS APPLICABLE TO ALL DIRECTORS, OFFICERS, KEY EMPLOYEES AND COMMITTEE MEMBERS FOR HOLY SPIRIT HEALTH SYSTEM AND ALL SUBSIDIARY CORPORATIONS. THAT CONFLICT OF INTEREST POLICY ALSO HAS EXPANDED THE ANNUAL DISCLOSURE STATEMENT. IN ADDITION, THE CORPORATE COMPLIANCE PROGRAM FOR HOLY SPIRIT HEALTH SYSTEM PROVIDES A CONFLICT OF INTEREST POLICY WHICH IS SUBSTANTIALLY THE SAME AS THE ONE DESCRIBED ABOVE, EXCEPT THAT POLICY IS APPLICABLE TO ALL EMPLOYEES OF HOLY SPIRIT HEALTH SYSTEM AND ALL SUBSIDIARY CORPORATIONS. IT IS NOT APPLICABLE TO DIRECTORS, OFFICERS OR COMMITTEE MEMBERS OF HOLY SPIRIT HEALTH SYSTEM OR ANY SUBSIDIARY CORPORATION. FORM 990, PART VI, SECTION B, LINE 15 AN INDEPENDENT NATIONALLY RECOGNIZED COMPENSATION CONSULTING FIRM ANNUALLY REVIEWS THE EXECUTIVE COMPENSATION GOVERNANCE PROCESS, EXECUTIVE COMPENSATION PHILOSOPHY, GUIDELINES FOR MANAGEMENT OF COMPENSATION INCREASES AND RECOMMENDS REVISIONS. IN ADDITION, THEY COLLECT COMPETITIVE MARKET DATA FOR DEVELOPMENT OF SALARY RANGES. A SUMMARY INCLUDING ANALYSIS AND RECOMMENDATIONS IS PRESENTED TO THE COMPENSATION COMMITTEE TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL. THIS PROCESS WAS IMPLEMENTED IN MARCH 2008 AND REPEATED ANNUALLY THROUGH 2014. THIS REVIEW WAS DONE FOR THE CEO, COO, ALL SENIOR VP'S AND VP'S. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED IN THE MEETING MINUTES OF THE COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 22,170,394. MANAGEMENT AND GENERAL EXPENSES 8,929,537. FUNDRAISING EXPENSES 203,575. TOTAL EXPENSES 31,303,506. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 272,125. MANAGEMENT AND GENERAL EXPENSES 4,346,602. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,618,727. RECRUITMENT & EMPLOYMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 112,546. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,546. UTILIZATION REVIEW SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 406,203. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 406,203. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST -56,154. AMORTIZED DISCOUNT OF PLEDGE -448,620. HOLY SPIRIT CORPORATION 503 NORTH 21ST STREET CAMP HILL PA 17011 232214540 REAL ESTATE PA 501(C)(2) N/A HOLY SPIRIT HEALTH SYSTEM 0 HOLY SPIRIT HEALTH SYSTEM 503 NORTH 21ST STREET CAMP HILL PA 17011 251865142 HEALTHCARE PA 501(C)(3) 11B SISTERS OF CHRISTIAN CHARITY HEALTH CORP 0 SISTERS OF CHRISTIAN CHARITY HEALTH CORP MALLINCKRODT CONVENT MENDHAM NJ 07945 232322926 HEALTHCARE NJ 501(C)(3) 1 N/A 0 SPIRIT PHYSICIAN SERVICES INC 503 NORTH 21ST STREET CAMP HILL PA 17011 251766971 HEALTHCARE PA 501(C)(3) 9 HOLY SPIRIT HEALTH SYSTEM 0 WEST SHORE ADVANCED LIFE SUPPORT SERVICES 503 NORTH 21ST STREET CAMP HILL PA 17011 232463002 HEALTHCARE PA 501(C)(3) 7 HOLY SPIRIT HEALTH SYSTEM 0 HS ORTHOPEDIC MANAGEMENT COMPANY LLC 503 NORTH 21ST STREET CAMP HILL PA 17011 460887384 HEALTHCARE MANAGEMENT PA HOLY SPIRIT HOSPITAL RELATED -5174 74615 0 1 0.40000 CAELIAN MEDICAL LLC 880 CENTURY DRIVE MECHANICBURG PA 17055 208018724 EQUIPMENT RENTAL PA HOLY SPIRIT HOSPITAL RELATED 1101 78444 0 1 0.75000 CAPITAL AREA RT ASSOCIATES 880 CENTURY DRIVE MECHANICBURG PA 17055 232439847 HEALTHCARE PA HOLY SPIRIT HOSPITAL RELATED 91365 0 1 0.50000 HOLY SPIRIT VENTURES INC 503 NORTH 21ST STREET CAMP HILL PA 17011 232407709 MEDICAL SERVICES PA N/A C 0 0 1 1 0 0 0 0 0 0 1 1 0 1 0 1 1 1 1 0 CAELIAN MEDICAL LLC K 656613 COST