2014-05-13T10:51:13-05:00 2013-06-30 232932984 PARENTEBEARD LLC 1650 MARKET STREET SUITE 4500 PHILADELPHIA PA 19103 990 2012-07-01 231512747 HOLY SPIRIT HOSPITAL HOLY 7177632100 503 NORTH 21ST STREET CAMP HILL PA 170112204 SR ROMAINE NIEMEYER 7177632100 2014-05-08 1 JULIUS C GREEN CPA JD P00350393 2159720701 2012 2016-02-25 16:41:14Z SR ROMAINE NIEMEYER 503 NORTH 21ST STREET CAMP HILL PA 170112204 367582989 0 X WWW.HSH.ORG X 1963 PA TO PROVIDE HEALTH CARE TO THE COMMUNITY. 15 13 2744 455 4194535 466727 2932229 2567534 320024323 332840166 4818064 6070214 6968013 11618913 334742629 353096827 15692256 16419614 0 0 141505300 144784296 0 0 545942 172933840 184989459 330131396 346193369 4611233 6903458 268258437 281699757 138217004 143061952 130041433 138637805 X HOLY SPIRIT HOSPITAL IS A COMMUNITY CATHOLIC HOSPITAL SPONSORED BY THE SISTERS OF CHRISTIAN CHARITY TO CARRY OUT THE HEALING MINISTRY OF JESUS CHRIST TO ALL IN NEED. WE PROVIDE HIGH QUALITY, COST-EFFECTIVE HEALTH SERVICES TO DEVELOP HEALTHY COMMUNITIES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA. 0 0 83943496 16419614 137509200 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. 29749189 28436037 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. 20381900 57266616 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. 133279545 109628313 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. 133279545 109628313 267354130 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 112 0 1 2744 1 1 1 0 0 0 0 1 1 0 0 0 0 X 15 13 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 PA X MANUEL J EVANS CFO 7177632100 503 NORTH 21ST STREET CAMP HILL PA 170112288 ROBERT DIETZ 1.00 2.00 X X 0 0 0 MICHAEL SERLUCO 1.00 1.00 X X 0 0 0 RANNY SINGISTER EDD 1.00 1.00 X X 0 0 0 JAMES C BYERLY 1.00 X 0 0 0 SAMUEL COOPER III ESQUIRE 1.00 X 0 0 0 RON DRNEVICH 1.00 X 0 0 0 SISTER JOAN DANIEL HEALY SCC 1.00 1.00 X 0 0 0 SISTER MARY JOSEPH SCHULTZSCC 1.00 1.00 X 0 0 0 REV ROBERT F SHARMAN 1.00 X 0 0 0 SISTER MARY IRENE SORBER SCC 1.00 X 0 0 0 RICHARD SCHREIBER MD 40.00 X 214808 0 23865 DEBORAH KEYS 1.00 X 0 0 0 PAUL LICATA MD 1.00 X 0 0 0 RICK SZELES 1.00 1.00 X 0 0 0 SISTER ROMAINE NIEMEYER SCC 36.00 4.00 X X 0 0 0 MANUEL J EVANS 40.00 X 383942 0 41152 JOSEPH A TORCHIA MD 39.00 1.00 X 369316 0 39716 RICHARD A SCHAFFNER JR 40.00 X 359662 0 45290 RICHARD E LAVANTURE 39.00 1.00 X 323554 0 44036 WILLIAM P SHARTLE 40.00 X 244668 0 31834 MICHAEL J PASZEK MD 40.00 X 292091 0 31074 LISA F LEWIS 40.00 X 245549 0 35388 MARIA E PRUDENCIO MD 40.00 X 249833 0 17585 COURTNEY K BAKER DO 40.00 X 225611 0 12978 EDITH C DEES 40.00 X 219375 0 15119 3128409 0 338037 272 0 1 0 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 15 124749 476715 1966060 10 2567534 OUTPATIENT SERVICES 621400 173717101 173717101 INPATIENT SERVICES 621400 159123065 159123065 332840166 1892548 1892548 165605 229812 -64207 -64207 -64207 18376663 3600 14192553 10044 4184110 -6444 4177666 4177666 89079 124749 53753 35326 35326 MEANINGFUL USE REVENUE 900099 4405390 4405390 LABORATORY - NONPATIENT 621500 3362168 3362168 LTACH - RENT & OTHER SVCS 532000 719470 719470 3160766 1559821 112897 1488048 11647794 353096827 338805377 4194535 7529381 16200000 16200000 219614 219614 2095091 2095091 113677012 88156385 25263214 257413 4461777 3391458 1063554 6765 16123739 12375135 3722604 26000 8426677 6475091 1933413 18173 5705708 5705708 544246 544246 183274 183274 32864 32864 182047 182047 30970884 22504309 8276117 190458 2751981 29889 2722092 13383220 8041666 5340059 1495 8874220 190644 8683576 7913407 5656014 2257393 1759818 1281413 478405 586 586 4068455 3100482 958920 9053 17445372 11678122 5734163 33087 1848360 1233274 611588 3498 UNRELATED BUSINESS EXPE 160900 160900 MEDICAL SUPPLIES 59748649 59657128 91521 BAD DEBT 22477038 22477038 MA ASSESSMENT 4495560 4495560 2442870 190322 2252548 346193369 267354130 78293297 545942 4945 5135 7251892 6521005 38924059 48194773 1110872 830158 2902695 3523948 287695159 172590531 97410351 115104628 104386314 88398320 16267309 19121790 268258437 281699757 35736217 41295997 91195000 88260000 1095063 1049007 10190724 12456948 138217004 143061952 X 127485754 135988383 84874 86256 2470805 2563166 130041433 138637805 268258437 281699757 X 6903458 1778613 -85699 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 32864 32864 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: 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. 2470802 7245 178061 92727 217 2563164 2540943 9388 70652 8877 2470802 2226656 22983 306634 15330 2540943 2121932 9370 118956 23602 2226656 2526208 1218 -387499 17995 2121932 1.00000 0 1 1 2266858 2266858 69712111 39248826 30463285 20017057 3850228 16166829 182466477 125596657 56869820 13232656 3894820 9337836 115104628 DEFERRED FINANCING COSTS, NET 1292725 SOFTWARE IMPLEMENTATION 6012473 OTHER INVESTMENTS 79787 MEDICAL MALPRACTICE-KNOWN CLAIMS 3135000 GOODWILL 6254367 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 2347438 19121790 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 2399686 BLUE CROSS CURRENT FINANCING ADVANCE 1222600 ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY 4891000 DEFERRED COMPENSATION 671178 DUE TO AFFILIATES 684588 OBLIGATION UNDER CAPITAL LEASE 2587896 12456948 X 354891259 1778613 -85699 1692914 353198345 182047 -283565 -101518 353096827 346294887 283565 283565 346011322 182047 182047 346193369 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. SHARE THE SPIRIT GALA 170854 107500 63354 731 346 18134 1250 14259 SPRING FUND RAISER - FESTIVAL 21145 5000 16145 410 445 2898 3500 7359 3 21829 12249 9580 4106 315 213828 124749 89079 731 756 445 25138 4750 21933 53753 35326 1 1 1 X 1 X 1 1 1 0 1 1 257 1699383 1699383 0.00520 22549316 11643089 10906227 0.03370 257 24248699 11643089 12605610 0.03890 24 23905 449231 90 449141 0.00140 17 1625 527666 527666 0.00160 7 6778 23553236 13668429 9884807 0.03050 3 206 13926 13926 0.00000 51 32514 24544059 13668519 10875540 0.03350 51 32771 48792758 25311608 23481150 0.07240 1 6601506 1559276 66944518 77162953 -10218435 X 1 1 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 1 1 HOLY SPIRIT HOSPITAL

503 NORTH 21ST STREET CAMP HILL PA 17011

X X X HOLY SPIRIT HOSPITAL 1 1 X X X X X X X X 12 1 1 1 X X X X X X X X X X X 0 0 1 1 200.000000000000 1 400.000000000000 1 X X 1 1 X X X X X 1 0 X X X X 1 X 0 0 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." HOLY SPIRIT HOSPITAL 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. 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 1 HOLY SPIRIT HEALTH SYSTEM 503 NORTH 21ST STREET CAMP HILL PA 17011 251865142 501(C)(3) 16200000 CASH N/A PROVIDE FINANCIAL SUPPORT FOR OPERATIONS OF AFFILIATED ORGANIZATION 1 0 SCHOLARSHIPS TO STUDENTS - COST CTRS: NURSING, PHYSCIAL THERAPY AND ANESTHESIA 24 219614 CASH N/A PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: 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. X X X X 0 1 0 0 0 0 0 0 0 RICHARD SCHREIBER MD 214808 0 0 0 0 0 0 0 23865 0 238673 0 0 0 MANUEL J EVANS 358651 0 25291 0 0 0 27200 0 13952 0 425094 0 0 0 JOSEPH A TORCHIA MD 344025 0 25291 0 0 0 20100 0 19616 0 409032 0 0 0 RICHARD A SCHAFFNER JR 334371 0 25291 0 0 0 19800 0 25490 0 404952 0 0 0 RICHARD E LAVANTURE 303266 0 20288 0 0 0 15000 0 29036 0 367590 0 0 0 WILLIAM P SHARTLE 228376 0 16292 0 0 0 11000 0 20834 0 276502 0 0 0 MICHAEL J PASZEK MD 292091 0 0 0 0 0 0 0 31074 0 323165 0 0 0 LISA F LEWIS 229261 0 16288 0 0 0 11250 0 24138 0 280937 0 0 0 MARIA E PRUDENCIO MD 249833 0 0 0 0 0 0 0 17585 0 267418 0 0 0 COURTNEY K BAKER DO 225611 0 0 0 0 0 0 0 12978 0 238589 0 0 0 EDITH C DEES 209083 0 10292 0 0 0 0 0 15119 0 234494 0 0 0 PART I, LINE 4B 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 A WEST SHORE AREA AUTHORITY 232179305 955816AM5 2011-02-15 60958107 REFINANCE 1997 & 2001 BONDS, CAPITAL PROJECTS AND ISSUANCE COSTS 1 0 0 B WEST SHORE AREA AUTHORITY 232179305 955816AW3 2011-11-30 33618240 REFINANCE 2001 BOND, CAPITAL PROJECTS AND ISSUANCE COSTS 0 0 0 A 6210000 61015545 953188 22389650 35020079 2652628 2014 1 1 0 1 B 33618627 581495 3008847 25487410 4540875 2014 1 0 0 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 0 0 0 1 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 SCHEDULE K, PART II, LINE 3 TOTAL PROCEEDS OF ISSUE: TOTAL PROCEEDS REPORTED ON LINE 3 ARE GREATER THAN ISSUE PRICE LISTED IN PART I DUE TO INVESTMENT EARNINGS. 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. MICHAEL SERLUCO BOARD DIRECTOR MORTGAGE ON SPACE FOR PATIENT CARE X 1200000 1049007 0 1 1 1049007 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. HOLY SPIRIT CORPORATION 503 NORTH 21ST STREET CAMP HILL PA 17011 232214540 REAL ESTATE PA 501(C)(2) N/A HOLY SPIRIT HEALTH SYSTEM 0 HOLY SPIRIT HEALTH SYSTEM 503 NORTH 21ST STREET CAMP HILL PA 17011 251865142 HEALTHCARE PA 501(C)(3) 11B SISTERS OF CHRISTIAN CHARITY HEALTH CORP 0 SISTERS OF CHRISTIAN CHARITY HEALTH CORP MALLINCKRODT CONVENT MENDHAM NJ 07945 232322926 HEALTHCARE NJ 501(C)(3) 1 N/A 0 SPIRIT PHYSICIAN SERVICES INC 503 NORTH 21ST STREET CAMP HILL PA 17011 251766971 HEALTHCARE PA 501(C)(3) 9 HOLY SPIRIT HEALTH SYSTEM 0 WEST SHORE ADVANCED LIFE SUPPORT SERVICES 503 NORTH 21ST STREET CAMP HILL PA 17011 232463002 HEALTHCARE PA 501(C)(3) 7 HOLY SPIRIT HEALTH SYSTEM 0 HS ORTHOPEDIC MANAGEMENT COMPANY LLC 503 NORTH 21ST STREET CAMP HILL PA 17011 460887384 HEALTHCARE MANAGEMENT PA HOLY SPIRIT HOSPITAL RELATED 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 HOLY SPIRIT VENTURES INC 503 NORTH 21ST STREET CAMP HILL PA 17011 232407709 MEDICAL SERVICES PA N/A C 0 0 1 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1