PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER (EIN 23-1512747)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-13
IRS object ID: 201421339349301742
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-13T10:51:13-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	232932984	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PARENTEBEARD LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1650 MARKET STREET SUITE 4500	AddressLine1
City	PHILADELPHIA	City
State	PA	State
ZIP Code	19103	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	231512747	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	HOLY SPIRIT HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	HOLY	NameControl
Phone	7177632100	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	503 NORTH 21ST STREET	AddressLine1
City	CAMP HILL	City
State	PA	State
ZIP Code	170112204	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	SR ROMAINE NIEMEYER	Name
Title	PRESIDENT/CEO	Title
Phone	7177632100	Phone
Date Signed	2014-05-08	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JULIUS C GREEN CPA JD	Name
PTIN	P00350393	PTIN
Phone	2159720701	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	SR ROMAINE NIEMEYER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	503 NORTH 21ST STREET	AddressLine1
City	CAMP HILL	City
State	PA	State
ZIP Code	170112204	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	367582989	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.HSH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1963	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE HEALTH CARE TO THE COMMUNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	2744	TotalNbrEmployees
Total Nbr Volunteers	455	TotalNbrVolunteers
Total Gross UBI	4194535	TotalGrossUBI
Net Unrelated Business Txbl Income	466727	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2932229	ContributionsGrantsPriorYear
Contributions Grants Current Year	2567534	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	320024323	ProgramServiceRevenuePriorYear
Program Service Revenue CY	332840166	ProgramServiceRevenueCY
Investment Income Prior Year	4818064	InvestmentIncomePriorYear
Investment Income Current Year	6070214	InvestmentIncomeCurrentYear
Other Revenue Prior Year	6968013	OtherRevenuePriorYear
Other Revenue Current Year	11618913	OtherRevenueCurrentYear
Total Revenue Prior Year	334742629	TotalRevenuePriorYear
Total Revenue Current Year	353096827	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	15692256	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	16419614	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	141505300	SalariesEtcPriorYear
Salaries Etc Current Year	144784296	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	545942	TotalFundrsngExpCurrentYear
Other Expense Prior Year	172933840	OtherExpensePriorYear
Other Expenses Current Year	184989459	OtherExpensesCurrentYear
Total Expenses Prior Year	330131396	TotalExpensesPriorYear
Total Expenses Current Year	346193369	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	4611233	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	6903458	RevenuesLessExpensesCY
Total Assets BOY	268258437	TotalAssetsBOY
Total Assets EOY	281699757	TotalAssetsEOY
Total Liabilities BOY	138217004	TotalLiabilitiesBOY
Total Liabilities EOY	143061952	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	130041433	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	138637805	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	83943496	Expense
Grants	16419614	Grants
Revenue	137509200	Revenue
Description	NURSING SERVICES: NURSING 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 UNITS' EXPENSES IN FISCAL YEAR 2013 WERE $29,541,080; SURGICAL NURSING SERVICES' EXPENSES WERE $36,275,006; AND ALL OTHER NURSING EXPENSES TOTALED $18,127,410. THOSE EXPENSES TOTALED OVER $83.9 MILLION. THE BIRTHPLACE AT HOLY SPIRIT IS EQUIPPED TO MEET THE NEEDS OF WOMEN DURING AND AFTER THE BABY ARRIVES. A VARIETY OF SERVICES ARE OFFERED IN A COMFORTABLE AND WARM ENVIRONMENT. A TEAM OF SPECIALLY TRAINED NURSES PROVIDES CARE TO EACH MOM AND BABY DURING LABOR, DELIVERY, AND RECOVERY. THE NEONATAL INTENSIVE CARE UNIT (NICU) IS STAFFED BY SOME OF THE AREA'S MOST WELL-RESPECTED NEONATOLOGISTS, READY TO ASSIST PHYSICIANS OR MIDWIVES WITH BABIES' MEDICAL NEEDS. THE NICU OFFERS LEVEL III CARE ONSITE, WHICH MEANS TODAY'S MOST ADVANCED MEDICAL TECHNOLOGY IS CLOSE AT HAND TO DEAL WITH ANY SPECIAL NEEDS. IN FISCAL YEAR 2013, THE NICU STAFF CARED FOR 105 BABIES IN A FAMILY-FRIENDLY ENVIRONMENT. STAFF MEMBERS HAVE CARED FOR BABIES AS YOUNG AS 24-WEEKS' GESTATION AND OTHER BABIES WHO NEED INTENSIVE CARE. HOLY SPIRIT OFFERS AN ONLINE CHILDBIRTH PREPARATION COURSE AS AN ALTERNATIVE FOR COUPLES WHO CANNOT ATTEND A TRADITIONAL PREPARED CHILDBIRTH COURSE DUE TO BED REST AND SCHEDULING CONFLICTS. THE ELEARNING COURSE IS OFFERED TO PREGNANT WOMEN REGARDLESS OF WHERE THEY ARE PLANNING TO GIVE BIRTH. 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 FISCAL YEAR 2013, THE INSTITUTIONAL REVIEW BOARD APPROVED 24 NEW STUDIES (PROTOCOLS), 43 CONTINUING REVIEWS, AND 96 ADVERSE EVENT REPORTS. FOR INDIVIDUALS WHO ARE VICTIMS OF SEXUAL VIOLENCE, HAVING A POSITIVE EXPERIENCE IN THE HOSPITAL SETTING CAN CONTRIBUTE GREATLY TO OVERALL HEALING. TO ENSURE DIGNITY AND COMPASSION, OUR EMERGENCY CENTER DEDICATED AN EXAMINATION ROOM EQUIPPED WITH THE LATEST FORENSIC TECHNOLOGY. A TEAM OF NURSES WHO ARE TRAINED SEXUAL ASSAULT NURSE EXAMINERS COLLECT MEDICAL AND LEGAL EVIDENCE, WHILE BEING SENSITIVE AND EMPATHETIC TO THE PATIENTS NEEDS. REGISTERED NURSES IN PATIENT CARE SERVICES ASSISTED THE EDUCATION, TRAINING, AND DEVELOPMENT DEPARTMENT WITH SCREENINGS AT COMMUNITY ACTIVITIES AND MONTHLY SCREENINGS DONE AT THE HOSPITAL. NURSES FROM HOLY SPIRIT HOSPITAL PARTICIPATED IN PRESENTATIONS AT THE FOLLOWING PROFESSIONAL CONFERENCES TO EDUCATE THEIR PEERS: JULY 13, 2012: NATIONAL NURSING STAFF DEVELOPMENT ORGANIZATION ANNUAL CONVENTION, BOSTON, MA. "A TALK FOR ALL TIME: A NURSING PROFESSIONAL DEVELOPMENT WORLD CAFE" PRESENTED BY CHRISTINE BRAUNEGG, MSN, RN-BC - EDUCATION, TRAINING AND DEVELOPMENT. JULY 27, 2012: HOLY SPIRIT HOSPITAL, CAMP HILL, PA. "PORTRAIT IN RED, YELLOW AND BLACK" PRESENTED BY LEONA S. MLYNEK, MSN, RN, CWOCN - WOUND CARE COORDINATOR, WOUND OSTOMY CARE. AUGUST 7, 2012: POMA ANNUAL CONFERENCE; HERSHEY, PA. "DIABETES MANAGEMENT: A VISION FOR THE FUTURE" PRESENTED BY SUZANNE NESMITH, MSN, M.ED., CDE, DIABETES SERVICES SEPTEMBER 9, 2012: NATIONAL RELATIONSHIP BASED CARE SYMPOSIUM, HURON, OH. "TRANSITION OF A NURSING CARE MODEL TO A SYSTEM-WIDE CULTURE OF CARING" PRESENTED BY CYNTHIA SWARTZ, MS, RN, ACNS-BC, AND JENNIFER BREWER, BSN, RN. SEPTEMBER 2012: PONL NURSING LEADERSHIP SYMPOSIUM, STATE COLLEGE, PA. "TRANSITION OF A NURSING CARE MODEL TO A SYSTEM-WIDE CULTURE OF CARING" PRESENTED BY CYNTHIA SWARTZ, MS, RN, ACNS-BC, AND JENNIFER BREWER, BSN, RN. OCTOBER 12, 2012: GIRLS' NIGHT OUT, HARRISBURG AREA COMMUNITY COLLEGE, HARRISBURG, PA. "INFLUENZA & MOMMA SAYS..." STORYBOARDS PRESENTED BY JOANN ADKINS, RN, MANAGER, INFECTION PREVENTION AND CONTROL. OCTOBER 15, 2012: CARDIAC REHABILITATION SUPPORT GROUP, HOLY SPIRIT HOSPITAL, CAMP HILL, PA. "DIABETES: WHAT'S IT ALL ABOUT?" PRESENTED BY SUZANNE NESMITH, MSN, M.ED., CDE, DIABETES SERVICES. NOVEMBER 15, 2012: CME LECTURE, HOLY SPIRIT HOSPITAL, CAMP HILL, PA. "INFLUENZA-PREPARE, PROTECT, EDUCATE AND STRATEGIZE" PRESENTED BY JOANN ADKINS, RN, MANAGER, INFECTION PREVENTION AND CONTROL. FEBRUARY 11, 2013: "A TOUCH OF SUGAR" SUPPORT GROUP, WEGMANS, MECHANICSBURG, PA. "DIABETES AND TECHNOLOGY" PRESENTED BY SHELLEY CHRISTIAN TAYLOR, BSN, RN,CDE, DIABETES SERVICES. MARCH 3, 2013: GUEST LECTURER AT MCCANN SCHOOL, CARLISLE, PA. "INFECTION CONTROL AND BLOODBORNE PATHOGENS" PRESENTED BY JOANN ADKINS, RN, MANAGER, INFECTION PREVENTION AND CONTROL. MARCH 8, 2013: COUNCIL PRESENTATION, HOLY SPIRIT HOSPITAL, CAMP HILL, PA. "RECRUITMENT AND RETENTION" PRESENTED BY NURSING EXCELLENCE COUNCIL AND HUMAN RESOURCES. MARCH 25, 2013: SPEAKER PROGRAM; ESSEX HOUSE, CAMP HILL, PA; "DIABETES BASICS" PRESENTED BY TRACY MULLEN-HOON, BSN, RN, CDE, DIABETES SERVICES. APRIL 2013: PRESENTATION FOR RESPIRATORY STUDENTS, HOLY SPIRIT HOSPITAL, CAMP HILL, PA. "RESPIRATORY STUDENTS AND WOUND CARE" PRESENTED BY LEONA S. MLYNEK, MSN, RN, CWOCN, WOUND CARE COORDINATOR, WOUND OSTOMY CARE. APRIL 5, 2013: TRI-STATE SOCIETY OF CARDIOVASCULAR AND PULMONARY REHAB ANNUAL SYMPOSIUM, PRINCETON, NJ. "PROGRAM CERTIFICATION/ RECERTIFICATION: DOES YOUR PROGRAM MEET THE NEWEST REQUIREMENTS?" PRESENTED BY KATHY THUMMA, RN, NE-BC, CARDIAC REHAB NURSE MANAGER. MAY 14, 2013: NURSING GRAND ROUNDS; HOLY SPIRIT HOSPITAL, CAMP HILL, PA. "OSTOMY AND PERISTOMAL SKIN COMPLICATIONS" PRESENTED BY ELIZABETH DAVISON, BS, RN, CWCN, COCN. MAY 20-23, 2013: NATIONAL TEACHING INSTITUTE CRITICAL CARE EXPOSITION; BOSTON, MA. "IMPACT OF A MULTIDISCIPLINARY APPROACH TO AIRWAY MANAGEMENT IN SUSPECTED TRACHEOSTOMY DECANNULATION OR DISPLACEMENT" PRESENTED BY DEBORAH AUDETTE, MS, RN, ACNS-BC, CCRN-CSC. JUNE 10, 2013: "A TOUCH OF SUGAR" SUPPORT GROUP; WEGMAN'S, MECHANICSBURG, PA. "GROCERY STORE TIPS" PRESENTED BY CHELSEA JOHNS, RD, DIABETES SERVICES. JUNE 19, 2013: SPEAKER PROGRAM; MESSIAH LIFEWAYS, MECHANICSBURG, PA. "DIABETES BASICS" PRESENTED BY TRACY MULLEN-HOON, BSN, RN, CDE, DIABETES SERVICES. JULY 17, 2012: NURSING GRAND ROUNDS, HOLY SPIRIT HOSPITAL, CAMP HILL, PA. "DIABETES MANAGEMENT: A VISION FOR THE FUTURE" PRESENTED BY SUZANNE L. NESMITH, RN, BSN, M.ED., CDE, CRNP, DIABETES SERVICES. JULY 20, 2012: NURSING GRAND ROUNDS FOR NIGHT SHIFT, HOLY SPIRIT HOSPITAL, CAMP HILL, PA. "PORTRAIT IN RED, YELLOW, BLACK: PRESSURE ULCERS AT HOLY SPIRIT HOSPITAL" PRESENTED BY LEONA MLYNEK, MSN, RN, CWOCN, AND JUDY HIMES, BSN, RN, CWON. SEPTEMBER 19, 2012: NURSING GRAND ROUNDS, HOLY SPIRIT HOSPITAL, CAMP HILL, PA. "SLEEP DEPRIVATION IN THE CRITICAL CARE AREAS" PRESENTED BY LEA DAILEY RN, BSN, CCRN.THEY PARTICIPATED IN NURSING GRAND ROUNDS TO EDUCATE OTHERS. OCTOBER 17, 2012: NURSING GRAND ROUNDS, HOLY SPIRIT HOSPITAL, CAMP HILL, PA. "STROKE CARE 2012" PRESENTED BY KATHRYN CROWLEY-SHEA, BSN, RN. NOVEMBER 19, 2012: NURSING GRAND ROUNDS FOR NIGHT SHIFT, HOLY SPIRIT HOSPITAL, CAMP HILL, PA. "DIVERTICULAR DISEASE GONE BAD" PRESENTED BY LEONA MLYNEK, MSN, RN, CWOCN. NOVEMBER 14, 2012: NURSING GRAND ROUNDS, HOLY SPIRIT HOSPITAL, CAMP HILL, PA. "NURSES AND NURSING EDUCATION: THEN AND NOW" PRESENTED BY SUSAN LANDAU, MSN, BSN, BA, RN-BC. DECEMBER 20, 2012: NURSING GRAND ROUNDS FOR NIGHT SHIFT, HOLY SPIRIT HOSPITAL, CAMP HILL, PA. "STROKE CARE 2012" PRESENTED BY KATHRYN CROWLEY-SHEA, BSN, RN. JANUARY 15, 2012: NURSING GRAND ROUNDS, HOLY SPIRIT HOSPITAL, CAMP HILL, PA. "ALCOHOL WITHDRAWAL USING CIWA-AR" PRESENTED BY LAUREN MCNAUGHTON, BSN, RN, CCRN, AND ANDREA WEATHERFORD, BSN, RN, CEN. JANUARY 21, 2012: NURSING GRAND ROUNDS, HOLY SPIRIT HOSPITAL, CAMP HILL, PA. "ATTENTION PLEASE, ATTENTION PLEASE, HANDHELD CAPNOGRAPHY IN CODE BLUE" PRESENTED BY CHRISTY LIDDINGTON, BSN, RN, AND MICHELLE E. DEFABIO, MS,RN, ACNS-BC. FEBRUARY 20, 2013: NURSING GRAND ROUNDS, HOLY SPIRIT HOSPITAL, CAMP HILL, PA. "WHY CAN'T PATIENTS JUST FOLLOW DIRECTIONS? BARRIERS TO PATIENT-CENTERED COMMUNICATION" PRESENTED BY JODY SILLIKER, RN, BS, MDIV, VANESSA GARCIA, MA, RN, CTN-B, VERA MIELKE RN, BSN, AND MARGARITA WENGER. FEBRUARY 27, 2013: NURSING GRAND ROUNDS, HOLY SPIRIT HOSPITAL, CAMP HILL, PA. "THE UNIQUE NEEDS OF A DYING PATIENT" PRESENTED BY MAUREEN ASPER, RN, MS, ACNS-BC. MARCH 26, 2013: NURSING GRAND ROUNDS, HOLY SPIRIT HOSPITAL, CAMP HILL, PA. "STROKE CARE 2012" PRESENTED BY KATHRYN CROWLEY-SHEA, BSN, RN. MAY 14, 2013: NURSING GRAND ROUNDS, HOLY SPIRIT HOSPITAL, CAMP HILL, PA. "STOMAL AND PERISTOMAL COMPLICATIONS" PRESENTED BY ELIZABETH DAVISON, RN, BS, COCN, CWCN.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	29749189	Expense
Revenue	28436037	Revenue
Description	CARDIOVASCULAR SERVICES: THE ORTENZIO HEART CENTER AT HOLY SPIRIT IS A FOUR-STORY, 140,000-SQUARE-FOOT FACILITY EQUIPPED WITH THE LATEST TECHNOLOGY AND STAFFED WITH A SKILLED TEAM OF NURSES AND CLINICAL SPECIALISTS. SOME OF THE REGION'S MOST EXPERIENCED CARDIOLOGISTS AND CARDIAC SURGEONS PRACTICE IN THE ORTENZIO HEART CENTER AT HOLY SPIRIT, OFFERING OPEN HEART SURGERY, CARDIAC CATHETERIZATION, VASCULAR PROCEDURES, DIAGNOSTIC CARDIOLOGY, NUCLEAR CARDIOLOGY, CARDIAC REHABILITATION, ELECTROPHYSIOLOGY STUDIES, TILT STUDIES, AND CRM DEVICE, PACEMAKER AND OTHER DEVICE IMPLANTS. IN FISCAL YEAR 2013, THE ORTENZIO HEART CENTER AT HOLY SPIRIT PERFORMED 2,040 DIAGNOSTIC CARDIAC CATHETERIZATIONS AND 887 INTERVENTIONAL CARDIAC CATHETERIZATIONS. WE PERFORMED 1,199 ELECTROPHYSIOLOGY PROCEDURES AND 372 CARDIOTHORACIC SURGERIES. MORE THAN 10,037 CARDIAC REHABILITATION SESSIONS WERE PROVIDED TO HELP PATIENTS RECOVER FROM SURGERY OR HEART-RELATED PROBLEMS. THE GOAL OF CARDIAC REHABILITATION IS TO GET PATIENTS BACK TO THEIR 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. HOLY SPIRIT'S "SPIRITED HEARTS" CARDIAC SUPPORT GROUP MET SEVERAL TIMES IN THIS FISCAL YEAR. MORE THAN 112 PEOPLE ATTENDED THESE MEETINGS. SEVERAL TIMES A YEAR, 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. MORE THAN 75 PEOPLE ATTENDED THESE SUPPORT GROUP MEETINGS. OUR 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, OR REPERFUSION, TO THE HEART CAN REDUCE THE EXTENT OF MYOCARDIAL DAMAGE.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	20381900	Expense
Revenue	57266616	Revenue
Description	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. DURING THIS FISCAL YEAR, THEY ATTENDED 45 HEALTH FAIRS AND "SPIRIT OF WOMEN" EVENTS AND PROVIDED 2,336 FREE BONE DENSITY SCREENINGS. HOLY SPIRIT IMAGING CENTERS OFFER FREE BONE DENSITY SCREENINGS AT SIX LOCATIONS EVERY MONTH. IN ADDITION, WOMEN WHO ARE SCHEDULED FOR MAMMOGRAMS ARE ASKED IF THEY WOULD LIKE TO HAVE A FREE BONE DENSITY TEST. THIS QUICK AND EASY HEEL SCAN HELPS TO DETERMINE THE THICKNESS OF THE BONE - THE FIRST STEP IN CHECKING FOR SIGNS OF OSTEOPOROSIS. THROUGH THESE OFFERINGS, HOLY SPIRIT PROVIDED 912 FREE BONE DENSITY SCREENINGS.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	133279545	Expense
Revenue	109628313	Revenue
Description	LABORATORY SERVICESHOLY 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.THE LABORATORY SERVICES STAFF PARTICIPATED IN 44 HEALTH FAIRS AND SCREENING EVENTS IN ORDER TO PROVIDE A MEANS TO IDENTIFY POTENTIAL DISEASE IN PATIENTS WHO MAY NOT OTHERWISE HAVE ACCESS TO TESTING FOR HIGH CHOLESTEROL OR GLUCOSE. A TOTAL OF 2,142 GLUCOSE TESTS AND 2,253 CHOLESTEROL TESTS WERE PERFORMED AT NO COST OR AT A REDUCED COST TO PATIENTS.CLINICAL INFORMATION SYSTEMSINCE 2007 HOLY SPIRIT HOSPITAL HAS INSTALLED AND DEVELOPED AN ADVANCED ELECTRONIC MEDICAL RECORD (EMR).THE HOSPITAL BOARD, THE ADMINISTRATION AND STAFF HAVE MADE A SUBSTANTIAL TIME AND MONETARY COMMITMENT WHICH CONTINUES TO DEMONSTRATE SIGNIFICANT ENHANCEMENTS IN PATIENT SAFETY WHILE DIMINISHING DUPLICATION, WASTE, AND INCOMPLETE DOCUMENTATION. THE INFORMATION SYSTEM HAS CONTRIBUTED TO IMPROVEMENTS IN PATIENT SATISFACTION SCORES AND QUALITY SCORES.THE HOSPITAL HAS INSTALLED A NATIONALLY CERTIFIED EMR WHICH HAS ALREADY RESULTED IN PAYMENT OF APPROXIMATELY $4,838,486 UNDER MEDICARE AND $980,284 UNDER THE MEDICAID MEANINGFUL USE PROGRAM AS PART OF THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009. IT HAS NOW BEEN SIX YEARS THAT HOLY SPIRIT CLINICIANS HAVE USED COMPUTERIZED PROVIDER ORDER ENTRY (CPOE). CPOE OFFERS EXCEPTIONAL IMPROVEMENTS IN PATIENT SAFETY, REDUCED TURN-AROUND TIMES, AND REDUCTIONS IN WASTEFUL DUPLICATE TESTING. IN ADDITION, CPOE INCLUDES POINT-OF-CARE CLINICAL DECISION SUPPORT TO ASSIST CLINICIANS IN SELECTING THE SAFEST, EVIDENCE-BASED ORDERS.WE CONTINUE TO EXPAND OUR 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 THE USE OF ADVANCED COMPUTER TECHNOLOGIES FOR HEALTHCARE FACILITIES.HEALTH EDUCATION AND DISEASE PREVENTION PROGRAMSHOLY SPIRIT'S PERINATAL EDUCATION SERVICES OFFERS A CONTINUUM OF APPROPRIATE POPULATION-BASED HEALTH INITIATIVES FOR THE COMMUNITY. COURSES INCORPORATE CURRENT RESEARCH AND ARE AVAILABLE FOR ALL EXPECTANT FAMILIES. EDUCATIONAL OFFERINGS INCLUDE CHILDBIRTH PREPARATION, INFANT FEEDING, BABY BOOT CAMP, AND SIBLING PREPARATION. PARTNERSHIPS WITH CLINICIANS FROM VARIOUS SERVICE LINES, INCLUDING PHYSICIANS AND PERSONNEL FROM BEHAVIORAL HEALTH HAVE BEEN ESTABLISHED WITH AN AIM TO INCREASE HEALTH PROMOTION AND PREGNANCY WELLNESS, A KEY STRATEGY IN CURRENT HEALTHCARE POLICY. THE BEHAVIORAL HEALTH STAFF OFFERS A WEEKLY SUPPORT GROUP FOR PREGNANT WOMEN AND NEW MOTHERS WHO ARE FEELING ALONE, AFRAID, OVERWHELMED, SAD OR WORRIED. PREGNANT WOMEN AND NEW MOTHERS WITH BABIES LESS THAN ONE YEAR OF AGE ARE WELCOME. EDUCATIONAL FAMILY NIGHTS WITH CHILDCARE ARE OFFERED PERIODICALLY.HOLY SPIRIT ALSO OFFERED FREE HEALTHY LIVING LECTURES ON THE FOLLOWING TOPICS THIS FISCAL YEAR: STROKE AWARENESS, LAP BAND SURGERY, LIVING HEALTHY WITH HEART DISEASE, TRANSITIONING BACK TO SCHOOL, AND HOW TO MAKE YOUR HEALTHCARE WISHES KNOWN TO FAMILY MEMBERS.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	133279545	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	109628313	TotalOfOtherProgramServiceRev
Total Program Service Expense	267354130	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	112	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2744	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	MANUEL J EVANS CFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7177632100	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	503 NORTH 21ST STREET	AddressLine1
City	CAMP HILL	City
State	PA	State
ZIP Code	170112288	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
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
RON DRNEVICH
DIRECTOR	1.00		X		0	0	0
SISTER JOAN DANIEL HEALY SCC
DIRECTOR	1.00	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	40.00		X		214808	0	23865
DEBORAH KEYS
DIRECTOR	1.00		X		0	0	0
PAUL LICATA MD
DIRECTOR	1.00		X		0	0	0
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	40.00				383942	0	41152	X
JOSEPH A TORCHIA MD
SR VP-MED AFFAIRS	39.00	1.00			369316	0	39716	X
RICHARD A SCHAFFNER JR
SR VP & COO	40.00				359662	0	45290	X
RICHARD E LAVANTURE
SR VP-CORP AFFAIRS	39.00	1.00			323554	0	44036	X
WILLIAM P SHARTLE
SR VP-HR	40.00				244668	0	31834	X
MICHAEL J PASZEK MD
PHYSICIAN, BRTHPLC	40.00				292091	0	31074		X
LISA F LEWIS
VP-PT CARE SVCS	40.00				245549	0	35388		X
MARIA E PRUDENCIO MD
PHYSICIAN, BRTHPLC	40.00				249833	0	17585		X
COURTNEY K BAKER DO
PSYCHIATRIST-CMHC	40.00				225611	0	12978		X
EDITH C DEES
CHIEF INFO OFFICER	40.00				219375	0	15119		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3128409	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	338037	TotalOtherCompensation
Number Individuals GT100 K	272	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
MAXIT VCS HEALTHCARE LLC
705 EAST MAIN ST WESTFIELD IN 46	FT WAYNE	IN	46801	IT PROFESSIONAL SERVICES	2783240
WEST SHORE ANESTHESIA
PO BOX 1050	CAMP HILL	PA	17001	PHYSICIAN CONTRACT	1172516
QUEST DIAGNOSTICS
12436 COLLECTIONS CENTER DR	CHICAGO	IL	60693	LAB SERVICES	1066488
HARRISBURG LITHOTRIPSY
100 W THIRD AVE SUITE 350	COLUMBUS	OH	43201	PURCHASE MEDICAL SERVICES	1005300
PA NEUROSURGERY NEUROSCIENCE INSTITUTE
4310 LONDONDERRY RD	HARRISBURG	PA	17109	PHYSICIAN ONCALL SERVICES	377142

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	15	NumberOfContractorsGT100K
Fundraising Events	124749	FundraisingEvents
Related Organizations	476715	RelatedOrganizations
Government Grants	1966060	GovernmentGrants
All Other Contributions	10	AllOtherContributions
Total Contributions	2567534	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OUTPATIENT SERVICES	621400	173717101	173717101
INPATIENT SERVICES	621400	159123065	159123065

Field	Value	IRS element (for citing)
Total Program Service Revenue	332840166	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1892548	TotalRevenueColumn
Exclusion	$1,892,548	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	165605	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	229812	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-64207	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-64207	TotalRevenueColumn
Exclusion	-$64,207	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	18376663	Securities
Other	3600	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	14192553	Securities
Other	10044	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	4184110	Securities
Other	-6444	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	4177666	TotalRevenueColumn
Exclusion	$4,177,666	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	89079	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	124749	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	53753	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	35326	TotalRevenueColumn
Exclusion	$35,326	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
MEANINGFUL USE REVENUE	900099	4405390	4405390
LABORATORY - NONPATIENT	621500	3362168		3362168
LTACH - RENT & OTHER SVCS	532000	719470		719470

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3160766	TotalRevenueColumn
Related Or Exempt Function Income	1559821	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	112897	UnrelatedBusinessRevenue
Exclusion	$1,488,048	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	11647794	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	353096827	TotalRevenueColumn
Related Or Exempt Function Income	338805377	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	4194535	UnrelatedBusinessRevenue
Exclusion	$7,529,381	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	16200000	Total
Program Services	16200000	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	219614	Total
Program Services	219614	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2095091	Total
Management And General	2095091	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	113677012	Total
Program Services	88156385	ProgramServices
Management And General	25263214	ManagementAndGeneral
Fundraising	257413	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4461777	Total
Program Services	3391458	ProgramServices
Management And General	1063554	ManagementAndGeneral
Fundraising	6765	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	16123739	Total
Program Services	12375135	ProgramServices
Management And General	3722604	ManagementAndGeneral
Fundraising	26000	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	8426677	Total
Program Services	6475091	ProgramServices
Management And General	1933413	ManagementAndGeneral
Fundraising	18173	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	5705708	Total
Management And General	5705708	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	544246	Total
Management And General	544246	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	183274	Total
Management And General	183274	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	32864	Total
Management And General	32864	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	182047	Total
Management And General	182047	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	30970884	Total
Program Services	22504309	ProgramServices
Management And General	8276117	ManagementAndGeneral
Fundraising	190458	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2751981	Total
Program Services	29889	ProgramServices
Management And General	2722092	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	13383220	Total
Program Services	8041666	ProgramServices
Management And General	5340059	ManagementAndGeneral
Fundraising	1495	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	8874220	Total
Program Services	190644	ProgramServices
Management And General	8683576	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7913407	Total
Program Services	5656014	ProgramServices
Management And General	2257393	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1759818	Total
Program Services	1281413	ProgramServices
Management And General	478405	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	586	Total
Program Services	586	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	4068455	Total
Program Services	3100482	ProgramServices
Management And General	958920	ManagementAndGeneral
Fundraising	9053	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	17445372	Total
Program Services	11678122	ProgramServices
Management And General	5734163	ManagementAndGeneral
Fundraising	33087	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1848360	Total
Program Services	1233274	ProgramServices
Management And General	611588	ManagementAndGeneral
Fundraising	3498	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
UNRELATED BUSINESS EXPE	160900	160900
MEDICAL SUPPLIES	59748649	91521	59657128
BAD DEBT	22477038		22477038
MA ASSESSMENT	4495560		4495560

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2442870	Total
Program Services	190322	ProgramServices
Management And General	2252548	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	346193369	Total
Program Services	267354130	ProgramServices
Management And General	78293297	ManagementAndGeneral
Fundraising	545942	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	4945	BOY
EOY	5135	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	7251892	BOY
EOY	6521005	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	38924059	BOY
EOY	48194773	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1110872	BOY
EOY	830158	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2902695	BOY
EOY	3523948	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	287695159	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	172590531	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	97410351	BOY
EOY	115104628	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	104386314	BOY
EOY	88398320	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	16267309	BOY
EOY	19121790	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	268258437	BOY
EOY	281699757	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	35736217	BOY
EOY	41295997	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	91195000	BOY
EOY	88260000	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	1095063	BOY
EOY	1049007	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	10190724	BOY
EOY	12456948	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	138217004	BOY
EOY	143061952	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	127485754	BOY
EOY	135988383	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	84874	BOY
EOY	86256	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2470805	BOY
EOY	2563166	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	130041433	BOY
EOY	138637805	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	268258437	BOY
EOY	281699757	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	6903458	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	1778613	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-85699	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Both	X	FinancialStatementBoth

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$32,864	OtherActivitiesAmount
Total Lobbying Expenditures IIB	32864	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	A PORTION OF THE HOSPITAL'S DUES PAID TO THE HOSPITAL ASSOCIATION OF PENNSYLVANIA ("HAP") AND 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.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2470802	BeginningOfYearBalance
Contributions	7245	Contributions
Investment Earnings Or Losses	178061	InvestmentEarningsOrLosses
Other Expenditures	92727	OtherExpenditures
Administrative Expenses	217	AdministrativeExpenses
End Of Year Balance	2563164	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2540943	BeginningOfYearBalance
Investment Earnings Or Losses	9388	InvestmentEarningsOrLosses
Other Expenditures	70652	OtherExpenditures
Administrative Expenses	8877	AdministrativeExpenses
End Of Year Balance	2470802	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2226656	BeginningOfYearBalance
Contributions	22983	Contributions
Investment Earnings Or Losses	306634	InvestmentEarningsOrLosses
Administrative Expenses	15330	AdministrativeExpenses
End Of Year Balance	2540943	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2121932	BeginningOfYearBalance
Contributions	9370	Contributions
Investment Earnings Or Losses	118956	InvestmentEarningsOrLosses
Administrative Expenses	23602	AdministrativeExpenses
End Of Year Balance	2226656	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2526208	BeginningOfYearBalance
Contributions	1218	Contributions
Investment Earnings Or Losses	-387499	InvestmentEarningsOrLosses
Administrative Expenses	17995	AdministrativeExpenses
End Of Year Balance	2121932	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2266858	OtherCostOrOtherBasis
Book Value	2266858	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	69712111	OtherCostOrOtherBasis
Depreciation	39248826	Depreciation
Book Value	30463285	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	20017057	OtherCostOrOtherBasis
Depreciation	3850228	Depreciation
Book Value	16166829	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	182466477	OtherCostOrOtherBasis
Depreciation	125596657	Depreciation
Book Value	56869820	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	13232656	OtherCostOrOtherBasis
Depreciation	3894820	Depreciation
Book Value	9337836	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	115104628	TotalOfBookValueLandBuildings

Other Assets OtherAssets (6 entries)

DescriptionDescription	Book ValueBookValue
DEFERRED FINANCING COSTS, NET	1292725
SOFTWARE IMPLEMENTATION	6012473
OTHER INVESTMENTS	79787
MEDICAL MALPRACTICE-KNOWN CLAIMS	3135000
GOODWILL	6254367
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	2347438

Field	Value	IRS element (for citing)
Total Book Value Other Assets	19121790	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$2,399,686
BLUE CROSS CURRENT FINANCING ADVANCE	$1,222,600
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY	$4,891,000
DEFERRED COMPENSATION	$671,178
DUE TO AFFILIATES	$684,588
OBLIGATION UNDER CAPITAL LEASE	$2,587,896

Field	Value	IRS element (for citing)
Total Of Amounts	12456948	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	354891259	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	1778613	NetUnrealizedGainsInvestments
Other Revenues	-85699	OtherRevenues
Revenue Not Rptd F990	1692914	RevenueNotRptdF990
Revenue Subtotal	353198345	RevenueSubtotal
Investment Expenses Not Included	182047	InvestmentExpensesNotIncluded
Other Revenues Not Included	-283565	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-101518	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	353096827	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	346294887	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	283565	OtherExpensesIncluded
Expenses Not Rptd F990	283565	ExpensesNotRptdF990
Expenses Subtotal	346011322	ExpensesSubtotal
Investment Expenses Not Included2	182047	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	182047	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	346193369	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	INTEREST EARNED IS UNRESTRICTED AND TRANSFERRED TO THE OPERATING FUND.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	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 2013 OR 2012. THE SYSTEM'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR FISCAL YEARS AFTER 2009 REMAIN SUBJECT TO EXAMINATION BY THE IRS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:		CHANGE IN SPLIT INTEREST AGREEMENTS 7,245. CHANGE IN POLICY CASH SURRENDER VALUE -217. OTHER CHANGE IN RESTRICTED NET ASSETS -92,727.
PART XI, LINE 4B - OTHER ADJUSTMENTS:		RENTAL EXPENSES -229,812. FUNDRAISING EVENT EXPENSES -53,753.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		RENTAL EXPENSES 229,812. FUNDRAISING EVENT EXPENSES 53,753.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	SHARE THE SPIRIT GALA	NameOfEvent1
Gross Receipts Event1	170854	GrossReceiptsEvent1
Charitable Contributions Event1	107500	CharitableContributionsEvent1
Gross Revenue Event1	63354	GrossRevenueEvent1
Cash Prizes Event1	731	CashPrizesEvent1
Non Cash Prizes Event1	346	NonCashPrizesEvent1
Food And Beverage Event1	18134	FoodAndBeverageEvent1
Entertainment Event1	1250	EntertainmentEvent1
Other Direct Expenses Event1	14259	OtherDirectExpensesEvent1
Name Of Event2	SPRING FUND RAISER - FESTIVAL	NameOfEvent2
Gross Receipts Event2	21145	GrossReceiptsEvent2
Charitable Contributions Event2	5000	CharitableContributionsEvent2
Gross Revenue Event2	16145	GrossRevenueEvent2
Non Cash Prizes Event2	410	NonCashPrizesEvent2
Rent Facility Costs Event2	445	RentFacilityCostsEvent2
Food And Beverage Event2	2898	FoodAndBeverageEvent2
Entertainment Event2	3500	EntertainmentEvent2
Other Direct Expenses Event2	7359	OtherDirectExpensesEvent2
Total Number Of Other Events	3	TotalNumberOfOtherEvents
Gross Receipts Other Events	21829	GrossReceiptsOtherEvents
Charitable Contrib Other Events	12249	CharitableContribOtherEvents
Gross Revenue Other Events	9580	GrossRevenueOtherEvents
Food And Beverage Other Events	4106	FoodAndBeverageOtherEvents
Other Direct Expenses Other Events	315	OtherDirectExpensesOtherEvents
Gross Receipts Total	213828	GrossReceiptsTotal
Charitable Contributions Total	124749	CharitableContributionsTotal
Gross Revenue Total Events	89079	GrossRevenueTotalEvents
Cash Prizes Total Events	731	CashPrizesTotalEvents
Non Cash Prizes Total Events	756	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	445	RentFacilityCostsTotalEvents
Food And Beverage Total Events	25138	FoodAndBeverageTotalEvents
Entertainment Total Events	4750	EntertainmentTotalEvents
Other Direct Expenses Total Events	21933	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	53753	DirectExpenseSummaryEvents
Net Income Summary	35326	NetIncomeSummary

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	257	PersonsServed
Total Community Benefit Expense	1699383	TotalCommunityBenefitExpense
Net Community Benefit Expense	1699383	NetCommunityBenefitExpense
Percent Of Total Expense	0.00520	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	22549316	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11643089	DirectOffsettingRevenue
Net Community Benefit Expense	10906227	NetCommunityBenefitExpense
Percent Of Total Expense	0.03370	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	257	PersonsServed
Total Community Benefit Expense	24248699	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11643089	DirectOffsettingRevenue
Net Community Benefit Expense	12605610	NetCommunityBenefitExpense
Percent Of Total Expense	0.03890	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	24	NumberOfActivitiesOrPrograms
Persons Served	23905	PersonsServed
Total Community Benefit Expense	449231	TotalCommunityBenefitExpense
Direct Offsetting Revenue	90	DirectOffsettingRevenue
Net Community Benefit Expense	449141	NetCommunityBenefitExpense
Percent Of Total Expense	0.00140	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	17	NumberOfActivitiesOrPrograms
Persons Served	1625	PersonsServed
Total Community Benefit Expense	527666	TotalCommunityBenefitExpense
Net Community Benefit Expense	527666	NetCommunityBenefitExpense
Percent Of Total Expense	0.00160	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	7	NumberOfActivitiesOrPrograms
Persons Served	6778	PersonsServed
Total Community Benefit Expense	23553236	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13668429	DirectOffsettingRevenue
Net Community Benefit Expense	9884807	NetCommunityBenefitExpense
Percent Of Total Expense	0.03050	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	206	PersonsServed
Total Community Benefit Expense	13926	TotalCommunityBenefitExpense
Net Community Benefit Expense	13926	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	51	NumberOfActivitiesOrPrograms
Persons Served	32514	PersonsServed
Total Community Benefit Expense	24544059	TotalCommunityBenefitExpense
Direct Offsetting Revenue	13668519	DirectOffsettingRevenue
Net Community Benefit Expense	10875540	NetCommunityBenefitExpense
Percent Of Total Expense	0.03350	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	51	NumberOfActivitiesOrPrograms
Persons Served	32771	PersonsServed
Total Community Benefit Expense	48792758	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25311608	DirectOffsettingRevenue
Net Community Benefit Expense	23481150	NetCommunityBenefitExpense
Percent Of Total Expense	0.07240	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$6,601,506	BadDebtExpenseAmount
Amount Attributable To	1559276	AmountAttributableTo
Amount Reimbursed By Medicare	66944518	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	77162953	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-10218435	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 HS CARDIAC MANAGEMENT LLC
PARTNERSHIP AGREEMENT WITH CARDIOLOGISTS	0.30000	0.00000	0.70000
2 HS ORTHOPEDIC MANAGEMENT LLC
PARTNERSHIP AGREEMENT WITH ORTHOPEDIC DOCTORS	0.40000	0.00000	0.60000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	HOLY SPIRIT HOSPITAL	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	503 NORTH 21ST STREET	AddressLine1
City	CAMP HILL	City
State	PA	State
ZIP Code	17011	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HOLY SPIRIT HOSPITAL	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	1	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Other Method	X	OtherMethod
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
Other Needs Addressed	X	OtherNeedsAddressed
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Medical Indigency	X	MedicalIndigency
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Notify Upon Admission	X	NotifyUponAdmission
Notify Before Discharge	X	NotifyBeforeDischarge
Notified All Patients	X	NotifiedAllPatients
Documented Determination	X	DocumentedDetermination
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

ExplanationExplanation	IdentifierIdentifier
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.
PART I, LINE 7G: THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED IN SUBSIDIZED HEALTH SERVICES.
PART I, L7 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 $22,477,038.
PART III, LINE 4: 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 ESTIMATE 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.HOLY SPIRIT HOSPITAL USES THE COST TO CHARGE RATIO IN COMPUTING THE AMOUNTS REPORTED ON PART III, LINES 2 & 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 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 V, SECTION B, LINE 3: HOLY SPIRIT HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS INVOLVED REPRESENTATIVE AGE GROUPS OF CITIZENS AND A VARIETY OF PUBLIC AND PRIVATE ORGANIZATIONS. AFTER DESIGNING THE CHNA SURVEY INSTRUMENT, INTERVIEWS WERE CONDUCTED WITH A VARIETY OF INDIVIDUALS AND GROUPS REPRESENTING ALL AREAS OF HOLY SPIRIT'S GEOGRAPHIC FOOTPRINT URBAN, RURAL, AND SUBURBAN), VARIOUS AGE GROUPS, COMMUNITY HEALTH CENTERS, HEALTH-RELATED PROFESSIONALS, HEALTH AND HUMAN SERVICE AND SOCIAL SERVICES ORGANIZATIONS, EDUCATIONAL LEADERS, CITIZENS' ADVOCACY GROUPS, FAITH-BASED ORGANIZATIONS, PUBLIC HEALTH AS WELL AS VARIOUS ELECTED REPRESENTATIVES OF LOCAL, COUNTY, AND STATE GOVERNMENT. THE CHNA PROCESS INCLUDED THE DESIGN OF A SURVEY INSTRUMENT TO COLLECT PERTINENT KNOWLEDGE ABOUT THE COMMUNITY'S HEALTH STATUS, HEALTH RISK FACTORS, HEALTH SERVICE UTILIZATION, AND EXISTING AND/OR NEEDED COMMUNITY HEALTH RESOURCES.	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 5C: 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: HOLY SPIRIT HOSPITAL CONDUCTED ITS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, WITH SURVEY INSTRUMENT DESIGN AND INTERVIEWS, FACILITATED BY TRIPP-UMBACH, A RECOGNIZED NATIONAL LEADER IN COMPLETING COMMUNITY HEALTH NEEDS ASSESSMENTS OVER THE PAST 22 YEARS. HOLY SPIRIT HOSPITAL RECEIVED THE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT IN SEPTEMBER 2012.THE HOLY SPIRIT HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS (EXECUTIVE SUMMARY AND EXECUTIVE REPORT POSTED ON OUR HOLY SPIRIT HOSPITAL WEBSITE) STATE THAT "COMMUNITY HEALTH NEEDS ASSESSMENT PROJECT LEADERSHIP, WITH FACILITATION AND ANALYSIS PROVIDED BY TRIPP-UMBACH, IDENTIFIED THREE REGIONAL HEALTH PRIORITIES." 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.	HOLY SPIRIT HOSPITAL
PART V, SECTION B, LINE 7: 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.	HOLY SPIRIT HOSPITAL
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. WE PROVIDE 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 SUBURBAN CUMBERLAND COUNTY IN SOUTH CENTRAL PENNSYLVANIA AND IS PART OF THE LARGER HARRISBURG-CARLISLE METROPOLITAN AREA. HOLY SPIRIT HOSPITAL'S PRIMARY SERVICE AREA COVERS PARTS OF THE FOUR COUNTIES OF CUMBERLAND, DAUPHIN, PERRY, AND YORK WITH A POPULATION OF APPROXIMATELY 500,000, INCLUDING POCKETS 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, AND HEALTH MANAGEMENT ASSOCIATES. THE HOSPITAL'S PRIMARY SERVICE AREA IS RAPIDLY AGING (MEDIAN AGE IS 40.5), AND THE OVER 65 POPULATION IS EXPECTED TO GROW BY OVER 16% IN THE NEXT FIVE YEARS. THE MEDIAN HOUSEHOLD INCOME IN THE PRIMARY SERVICE IS $57,129.
PART VI, LINE 5: HOLY SPIRIT HOSPITAL HAS A TOTAL OF 315 PATIENT BEDS AND 15 BASSINETS. THERE ARE NEARLY 550 PHYSICIANS ON STAFF, AND APPROXIMATELY 1,750 CLINICAL EMPLOYEES, INCLUDING LAB TECHNICIANS, NURSES, NURSING ASSISTANTS, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, RADIOLOGY TECHNICIANS, PHLEBOTOMISTS, AND SUPPORT PERSONNEL. EACH ARE HIGHLY TRAINED TO DELIVER QUALITY AND SAFE CARE TO INPATIENTS AND OUTPATIENTS. 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 HAS ALWAYS HAD A TRADITION OF SUPPORTING OUR COMMUNITY. ONE OF THE WAYS THAT WE HAVE BEEN ABLE TO HELP IS THROUGH OUR CONTRIBUTIONS TO UNITED WAY. HOLY SPIRIT EMPLOYEES DONATED MORE THAN $46,987 TO UNITED WAY. INDIVIDUALS WERE ENCOURAGED TO TAKE PART IN THIS SYSTEM-WIDE FUNDRAISER. WITHOUT THE ORGANIZATION'S INVOLVEMENT, THE MAJORITY OF INDIVIDUALS MOST LIKELY WOULD NOT HAVE CONTRIBUTED TO THIS WORTHWHILE COMMUNITY PROGRAM. UNITED WAY OF THE CAPITAL REGION HELPS CHANGE LIVES LOCALLY BY INVESTING IN CHILDREN AND YOUTH, CARING FOR FAMILIES AND SENIORS, OVERCOMING DISEASE AND DISABILITIES, PROVIDING EMERGENCY FOOD AND SHELTER, AND BUILDING A STRONGER AND SAFER COMMUNITY. IN ADDITION TO AN ANNUAL UNITED WAY CAMPAIGN APPEAL, HOLY SPIRIT RAISES FUNDS FOR ITS INTERNAL CHARITABLE PROGRAMS THROUGH AN ANNUAL APPEAL.SEE ALSO FORM 990, PART III LINE 4 FOR COMMUNITY ACTIVITIES PROVIDED DURING THE YEAR.
PART VI, LINE 6: 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 315 ACUTE CARE BEDS AND OPERATES OUTPATIENT CENTERS IN CAMP HILL, CARLISLE, DILLSBURG, DUNCANNON, HARRISBURG, AND MECHANICSBURG, GAMMA KNIFE SERVICES AT OAKWOOD CANCER CENTER IN MECHANICSBURG, A CARDIAC REHAB PROGRAM IN CARLISLE, THE HOLY SPIRIT SLEEP CENTER LOCATED IN LEMOYNE, AND A WOUND HEALING AND HYPERBARIC CENTER IN HARRISBURG. HOLY SPIRIT ALSO OPERATES HOME HEALTH SERVICES.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.SPIRIT PHYSICIAN SERVICES, INC. ("SPSI") PROVIDES CONVENIENT HEALTH CARE TO THE COMMUNITY THROUGH ITS FAMILY HEALTH CENTERS, AN INTERNAL MEDICINE PRACTICE, TWO WOMEN'S HEALTH CENTERS, A GENERAL SURGERY PRACTICE, A PEDIATRICS PRACTICE, A CARDIOTHORACIC SURGERY PRACTICE, GENERAL INTERNAL MEDICINE HOSPITALIST SERVICES, A CARDIOLOGY PRACTICE, A VASCULAR PRACTICE, ENDOCRINOLOGY PRACTICE, AND NEUROLOGICAL HOSPITALIST SERVICES. SPSI ALSO OPERATES AN URGENT CARE CENTER.PART VI, LINE 7: N/A

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	HOLY SPIRIT HEALTH SYSTEM	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	503 NORTH 21ST STREET	AddressLine1
City	CAMP HILL	City
State	PA	State
ZIP Code	17011	ZIPCode

Field	Value	IRS element (for citing)
EIN Of Recipient	251865142	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Non Cash Assistance	16200000	AmountOfNonCashAssistance
Method Of Valuation	CASH	MethodOfValuation
Description Of Non Cash Assistance	N/A	DescriptionOfNonCashAssistance
Purpose Of Grant	PROVIDE FINANCIAL SUPPORT FOR OPERATIONS OF AFFILIATED ORGANIZATION	PurposeOfGrant

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	1	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	SCHOLARSHIPS TO STUDENTS - COST CTRS: NURSING, PHYSCIAL THERAPY AND ANESTHESIA	TypeOfGrant
Number Of Recipients	24	NumberOfRecipients
Amount Of Cash Grant	219614	AmountOfCashGrant
Method Of Valuation	CASH	MethodOfValuation
Description Of Non Cash Assistance	N/A	DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RICHARD SCHREIBER MD
DIRECTOR	214808	0	0	0	0	0	0	0	23865	0	238673	0	0	0
MANUEL J EVANS
SR VP-FINANCE & CFO	358651	0	25291	0	0	0	27200	0	13952	0	425094	0	0	0
JOSEPH A TORCHIA MD
SR VP-MED AFFAIRS	344025	0	25291	0	0	0	20100	0	19616	0	409032	0	0	0
RICHARD A SCHAFFNER JR
SR VP & COO	334371	0	25291	0	0	0	19800	0	25490	0	404952	0	0	0
RICHARD E LAVANTURE
SR VP-CORP AFFAIRS	303266	0	20288	0	0	0	15000	0	29036	0	367590	0	0	0
WILLIAM P SHARTLE
SR VP-HR	228376	0	16292	0	0	0	11000	0	20834	0	276502	0	0	0
MICHAEL J PASZEK MD
PHYSICIAN, BRTHPLC	292091	0	0	0	0	0	0	0	31074	0	323165	0	0	0
LISA F LEWIS
VP-PT CARE SVCS	229261	0	16288	0	0	0	11250	0	24138	0	280937	0	0	0
MARIA E PRUDENCIO MD
PHYSICIAN, BRTHPLC	249833	0	0	0	0	0	0	0	17585	0	267418	0	0	0
COURTNEY K BAKER DO
PSYCHIATRIST-CMHC	225611	0	0	0	0	0	0	0	12978	0	238589	0	0	0
EDITH C DEES
CHIEF INFO OFFICER	209083	0	10292	0	0	0	0	0	15119	0	234494	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINE 4B	ReturnReference
Explanation	THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN: MANUEL EVANS - $27,200 RICHARD SCHAFFNER - $19,800 JOSEPH TORCHIA - $20,100 RICHARD LAVENTURE - $15,000 WILLIAM SHARTLE - $11,000 LISA LEWIS - $11,250	Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
WEST SHORE AREA AUTHORITY
A	232179305	955816AM5	2011-02-15	60958107	REFINANCE 1997 & 2001 BONDS, CAPITAL PROJECTS AND ISSUANCE COSTS	1	0	0
WEST SHORE AREA AUTHORITY
B	232179305	955816AW3	2011-11-30	33618240	REFINANCE 2001 BOND, CAPITAL PROJECTS AND ISSUANCE COSTS	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	6210000	61015545	953188	22389650	35020079	2652628	2014	1	1	0	1
B		33618627	581495	3008847	25487410	4540875	2014	1	0	0	1

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
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

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
A	0	1	0	0	0	0	0	1	1
B	0	1	0	0	0	0	0	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	1
B	1

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifier	ExplanationExplanation
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.
SCHEDULE K, PART IV, LINE 6 INVESTING BEYOND TEMPORARY PERIOD:	THE DEFEASANCE ESCROW WAS INVESTED BEYOND THE APPLICABLE TEMPORARY PERIOD, BUT BELOW THE YIELD ON THE APPLICABLE BONDS.

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	MICHAEL SERLUCO	NamePerson
Relationship With Organization	BOARD DIRECTOR	RelationshipWithOrganization
Purpose Of Loan	MORTGAGE ON SPACE FOR PATIENT CARE	PurposeOfLoan
Loan To Organization	X	LoanToOrganization
Original Principal	$1,200,000	OriginalPrincipalAmount
Balance Due	1049007	BalanceDue
Default	0	Default
Approved By Board	1	ApprovedByBoard
Written Agreement	1	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	1049007	TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PROGRAM SERVICES	FORM 990, PART III, LINE 4A:	JUNE 11, 2013: NURSING GRAND ROUNDS, HOLY SPIRIT HOSPITAL, CAMP HILL, PA. "PATIENT CONTROLLED ANALGESIA: IMPROVED MONITORING WITH CAPNOGRAPHY" PRESENTED BY COLLEEN RANNEY, RN, BSN, CPAN, AND MICHELLE E. DEFABIO, MS, RN, ACNS-BC. NURSES PARTICIPATED IN HEALTH FAIRS AND COMMUNITY SCREENINGS. JULY 27, 2012: D & H, 7TH STREET; SERVICES PROVIDED: BLOOD PRESSURE SCREENINGS BY DIANE LOMAN, BEHAVIORAL HEALTH. JUNE 13, 2013: PA TURNPIKE COMMISSION; SERVICES PROVIDED: BLOOD PRESSURE SCREENINGS BY SARAH COLEMAN, SICU OCTOBER 12, 2012: GIRLS' NIGHT OUT, HARRISBURG, PA. BLOOD PRESSURE SCREENINGS BY JUDY HIMES, WOUND CARE, COLLEEN RANNEY, PACU, AND LESLY MILLER-JACOBS, MIU; CARDIOVASCULAR RISK ASSESSMENTS BY TENA KEIFFER, OR, BETSY DAVISON, WOUND CARE, AND LEONA MYLNEK, WOUND CARE; PERIPHERAL ARTERY DISEASE ASSESSMENTS BY DEB THORNBERG, CATH LAB; TOM ABRUZZO, CVU, AND LENNIA VEGA, CVU. FEBRUARY 23, 2013: DAY OF DANCE, CAMP HILL, PA. BLOOD PRESSURE SCREENINGS BY SUE LANDAU, 7M, JUDY HIMES, WOUND CARE, AND COLLEEN RANNEY, PACU; CARDIOVASCULAR RISK ASSESSMENTS BY LESLY MILLER-JACOBS, MIU, CHRISTY LEPORE, 8M, AND LEONA MYLNEK, WOUND CARE; PERIPHERAL ARTERY DISEASE ASSESSMENTS BY DEB AUDETTE, NURSING ADMINISTRATION, RENA EFENDIVA, OR, JOHN LYONS, OR, TOM ABRUZZO, CVU, PAT STRAILEY, CATH LAB, MARYANN MAWHINNEY, OR; STEPHANIE REHMAN, CVU, AMANDA WILLIAMS AND GINNY BAZAR, CATH LAB. APRIL 19, 2013: GIRLS' NIGHT OUT, CARLISLE; BLOOD PRESSURE SCREENINGS DONE BY TERRY BOLLINGER, OR, AND MARYANN MAWHINNEY, OR; CARDIOVASCULAR RISK ASSESSMENTS DONE BY DANA MARCY, OR, AND CHARLENA SCOTT, OR HOLY SPIRIT STAFF WORKED COLLABORATIVELY WITH DREXEL UNIVERSITY, HARRISBURG AREA COMMUNITY COLLEGE, MESSIAH COLLEGE, PENN STATE UNIVERSITY, UNIVERSITY OF CINCINNATI, UNIVERSITY OF DELAWARE, WIDENER UNIVERSITY, EASTERN UNIVERSITY, MANSFIELD UNIVERSITY, UNIVERSITY OF DELAWARE AND PENN COLLEGE OF TECHNOLOGY TO PROVIDE CLINICAL LEARNING OPPORTUNITIES FOR UNDERGRADUATE AND GRADUATE NURSING STUDENTS.
	FORM 990, PART VI, SECTION A, LINE 3	THE ORGANIZATION DELEGATES CONTROL OVER FOOD MANAGEMENT SERVICES TO SODEXHO. MANAGEMENT SERVICES ARE ALSO 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 CARDIAC MANAGEMENT LLC OVERSEES THE PARTNERSHIP AGREEMENT WITH CARDIOLOGISTS.
	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 2013. 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.
CHANGES IN NET ASSETS OR FUND BALANCES:	FORM 990, PART XI, LINE 9:	CHANGE IN SPLIT INTEREST AGREEMENT 7,245. CHANGE IN POLICY CASH SURRENDER VALUE -217. OTHER CHANGE IN RESTRICTED NET ASSETS -92,727.
	FORM 990, PART VI, 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 BETWEEM 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 CONFILICT 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
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		0	N/A
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

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
HS ORTHOPEDIC MANAGEMENT COMPANY LLC
503 NORTH 21ST STREET	CAMP HILL	PA	17011	460887384	HEALTHCARE MANAGEMENT	PA	HOLY SPIRIT HOSPITAL	RELATED	31787	79787	0	1	0.40000
HS CARDIAC MANAGEMENT LLC
503 NORTH 21ST STREET	CAMP HILL	PA	17011	270445873	HEALTHCARE MANAGEMENT	PA	HOLY SPIRIT HOSPITAL	RELATED	-15468		0	1	0.30000

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	HOLY SPIRIT VENTURES INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	503 NORTH 21ST STREET	AddressLine1
City	CAMP HILL	City
State	PA	State
ZIP Code	17011	ZIPCode

Field	Value	IRS element (for citing)
EIN	232407709	EIN
Primary Activity	MEDICAL SERVICES	PrimaryActivity
Legal Domicile State	PA	LegalDomicileState
Direct Controlling Entity NA	N/A	DirectControllingEntityNA
Type Of Entity	C	TypeOfEntity
Controlled Org	0	ControlledOrg

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg