2013-05-15T10:49:00-05:00 2012-06-30 232932984 PARENTEBEARD LLC 400 MARKET STREET WILLIAMSPORT PA 17701 990 2011-07-01 231512747 HOLY SPIRIT HOSPITAL HOLY 7177632100 503 NORTH 21ST STREET CAMP HILL PA 170112204 SR ROMAINE NIEMEYER 7177632100 2013-05-09 1 JULIUS C GREEN CPA JD P00350393 5703236023 2011 2016-02-24 21:20:13Z SR ROMAINE NIEMEYER 503 NORTH 21ST STREET CAMP HILL PA 170112204 351710814 0 X WWW.HSH.ORG X 1963 PA TO PROVIDE HEALTH CARE TO THE COMMUNITY. 16 14 2718 432 4040804 657192 3353274 2932229 280338135 320024323 4017676 4818064 6422258 6968013 294131343 334742629 5543353 15692256 0 0 131110157 141505300 0 0 526948 148755712 172933840 285409222 330131396 8722121 4611233 256855160 268258437 128988791 138217004 127866369 130041433 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 81118760 112181797 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 2012 WERE $29,181,641; SURGICAL NURSING SERVICES' EXPENSES WERE $35,283,424; AND ALL OTHER NURSING EXPENSES TOTALED $16,653,696. THOSE EXPENSES TOTALED OVER $81.1 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 2012, THE NICU STAFF CARED FOR 120 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 2012, THE INSTITUTIONAL REVIEW BOARD APPROVED 19 NEW PROTOCOLS, CONTINUED REVIEWING 35 PROTOCOLS AND STUDIED APPROXIMATELY 2,361 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: - "TCAB PROGRESS - TRANSFORMING CARE AT THE BEDSIDE" ("TCAB" CONFERENCE, SEPTEMBER 2010)- "TEAM SUCCESS, BARRIERS, AND RECOMMENDATIONS" (CUSP COHORT 4 MEETING, FEBRUARY 2011)- PARTICIPATED IN THE HOSPITAL AND HEALTH SYSTEM ASSOCIATION OF PA (HAP) CUSP SAFETY VIDEO, FEBRUARY 2011- "PAIN EASE RESEARCH STUDY" POSTER PRESENTATION (30TH AMERICAN SOCIETY OF PERIANESTHESIA NURSES (ASPAN) NATIONAL CONFERENCE, APRIL 2011)- "EVIDENCE-BASED INTERVENTIONS FOR POST-OPERATIVE NAUSEA" POSTER PRESENTATION (PINNACLEHEALTH 20TH ANNUAL NURSING RESEARCH CONFERENCE, APRIL 2011)- ADDITION OF AROMATHERAPY IN "TREATMENT OF CHEMOTHERAPY INDUCED NAUSEA AND VOMITING" (PINNACLEHEALTH 20TH ANNUAL NURSING RESEARCH CONFERENCE, APRIL 2011)- "SIGNIFICANCE OF NOSOCOMIAL INFECTION RELATED TO IMPROPER CLEANING OF PULSE OXIMETERS" POSTER PRESENTATION (PINNACLEHEALTH 20TH ANNUAL NURSING RESEARCH CONFERENCE, APRIL 2011)- "THE INFLUENCE OF EDUCATION AND ACCOUNTABILITY ON ADHERENCE TO STANDARD ISOLATION PRECAUTIONS" POSTER PRESENTATION (PINNACLEHEALTH 20TH ANNUAL NURSING RESEARCH CONFERENCE, APRIL 2011)- "EVIDENCE-BASED RECOMMENDATIONS FOR EDUCATION OF HIGH-RISK STROKE PATIENTS" POSTER PRESENTATION (PINNACLEHEALTH 20TH ANNUAL NURSING RESEARCH CONFERENCE, APRIL 2011)- "EVIDENCE-BASED INTERVENTIONS FOR REDUCING READMISSION RATES IN CONGESTIVE HEART FAILURE (CHF) PATIENTS" POSTER PRESENTATION (PINNACLEHEALTH 20TH ANNUAL NURSING RESEARCH CONFERENCE, APRIL 2011)- "CONSISTENT-CARBOHYDRATE DIET FOR HOSPITALIZED ADULT DIABETIC PATIENTS" POSTER PRESENTATION (PINNACLEHEALTH 20TH ANNUAL NURSING RESEARCH CONFERENCE, APRIL 2011)- "EVIDENCE-BASED INTERVENTIONS FOR POST OPERATIVE NAUSEA" POSTER PRESENTATION (PINNACLEHEALTH 20TH ANNUAL NURSING RESEARCH CONFERENCE, APRIL 2011)- "HOLY SPIRIT HOSPITAL EXPERIENCE - WRONG SITE SURGERY PROJECT" (THE CENTER FOR TRANSFORMING HEALTHCARE WRONG SITE SURGERY, APRIL 2011)- "EVIDENCE-BASED INTERVENTIONS FOR REDUCING READMISSION RATES IN CONGESTIVE HEART FAILURE (CHF) PATIENTS" POSTER PRESENTATION (8TH ANNUAL SYMPOSIUM, MESSIAH COLLEGE, SCHOOL OF SCIENCE, ENGINEERING AND HEALTH, APRIL 2011)- "SIGNIFICANCE OF NOSOCOMIAL INFECTION RELATED TO IMPROPER CLEANING OF PULSE OXIMETERS" POSTER PRESENTATION (8TH ANNUAL SYMPOSIUM, MESSIAH COLLEGE, SCHOOL OF SCIENCE, ENGINEERING AND HEALTH, APRIL 2011)- "EVIDENCE-BASED RECOMMENDATIONS FOR EDUCATION OF HIGH-RISK STROKE PATIENTS" POSTER PRESENTATION (8TH ANNUAL SYMPOSIUM, MESSIAH COLLEGE, SCHOOL OF SCIENCE, ENGINEERING AND HEALTH, APRIL 2011)- "THE INFLUENCE OF EDUCATION AND ACCOUNTABILITY ON ADHERENCE TO STANDARD ISOLATION PRECAUTIONS" POSTER PRESENTATION (8TH ANNUAL SYMPOSIUM, MESSIAH COLLEGE, SCHOOL OF SCIENCE, ENGINEERING AND HEALTH, APRIL 2011)- "EVIDENCE-BASED INTERVENTIONS FOR POST OPERATIVE NAUSEA" POSTER PRESENTATION (8TH ANNUAL SYMPOSIUM, MESSIAH COLLEGE, SCHOOL OF SCIENCE, ENGINEERING AND HEALTH, APRIL 2011)- "CONSISTENT-CARBOHYDRATE DIET FOR HOSPITALIZED ADULT DIABETIC PATIENTS" POSTER PRESENTATION (8TH ANNUAL SYMPOSIUM, MESSIAH COLLEGE, SCHOOL OF SCIENCE, ENGINEERING AND HEALTH, APRIL 2011)- "A JOURNEY TO SUCCESS: TRAINING AND IMPLEMENTATION OF THE ALARIS GUARDRAILS PUMPS" (HEALTHSTREAM SUMMIT 2011, MAY 2011)- "OPPORTUNITIES IN HEALTH CARE" - HEALTH CAREERS EVENT (SUSQUENITA HIGH SCHOOL, MAY 2011)- "SKIN/WOUND ASSESSMENT INITIATIVE" (TCAB CONFERENCE, MAY 2011)- "TEAM SUCCESS, BARRIERS, AND RECOMMENDATIONS - CUSP CATHETER ASSOCIATED URINARY TRACT INFECTIONS (CAUTI)" (HAP, JUNE 2011)- "SCRATCHING THE SURFACE: BRING EBP TO THE BEDSIDE" POSTER PRESENTATION (ASSOCIATION OF WOMEN'S HEALTH, OBSTETRICS, AND NEONATAL NURSES 2011 CONVENTION, JUNE 2011)HOLY SPIRIT STAFF WORKED COLLABORATIVELY WITH DREXEL UNIVERSITY, HARRISBURG AREA COMMUNITY COLLEGE, MESSIAH COLLEGE, LIBERTY UNIVERSITY, WICKS UNIVERSITY, PENN STATE UNIVERSITY, SOUTHERN ADVENTIST UNIVERSITY, ST. LOUIS UNIVERSITY, UNIVERSITY OF CINCINNATI, UNIVERSITY OF DELAWARE, UNIVERSITY OF WISCONSIN, WIDENER UNIVERSITY, AND YORK COLLEGE TO PROVIDE CLINICAL LEARNING OPPORTUNITIES FOR STUDENTS. 27313411 36562055 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 2012, THE ORTENZIO HEART CENTER AT HOLY SPIRIT PERFORMED 2,244 DIAGNOSTIC CARDIAC CATHETERIZATIONS AND 991 INTERVENTIONAL CARDIAC CATHETERIZATIONS. MORE THAN 1,500 PATIENTS HAD ELECTROPHYSIOLOGY PROCEDURES PERFORMED AND 480 PATIENTS HAD CARDIOTHORACIC SURGERIES. MORE THAN 35,468 EKGS WERE PERFORMED IN FISCAL YEAR 2012. MORE THAN 8,200 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. NEARLY 200 PEOPLE ATTENDED THESE 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, SO THE HEART CAN REDUCE THE EXTENT OF MYOCARDIAL DAMAGE. 22287405 71014097 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 25 HEALTH FAIRS AND SPIRIT OF WOMEN EVENTS AND PROVIDED 1,333 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 4,168 FREE BONE DENSITY SCREENINGS. 124195595 15692256 100266375 LABORATORY SERVICES HOLY SPIRIT PROVIDES COMPREHENSIVE LABORATORY SERVICES, INCLUDING CHEMISTRY, URINALYSIS, TOXICOLOGY, THERAPEUTIC DRUG MONITORING, HEMATOLOGY, COAGULATION, MICROBIOLOGY, IMMUNOLOGY, BLOOD BANK AND TRANSFUSION SERVICES, CYTOLOGY AND HISTOLOGY. LABORATORY SERVICES ARE PROVIDED AT EIGHT CONVENIENT LOCATIONS.LABORATORY COLLECTION AND EKG SERVICES (PERFORMED BY LAB STAFF) EXPANDED TO A NEW FACILITY, THE HOLY SPIRIT SILVER SPRING CENTER.THE LABORATORY SERVICES STAFF PARTICIPATED IN 28 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 1,823 GLUCOSE TESTS AND 2,339 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) THAT FEWER THAN 30% OF THE NATION'S COMMUNITY HOSPITALS CAN BOAST. 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 $471,000 UNDER THE MEDICAID MEANINGFUL USE PROGRAM AS PART OF THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009. WE ARE IN AN EXCELLENT POSITION TO ALSO QUALIFY FOR FUNDING UNDER THE MEDICARE PORTION OF THIS LEGISLATION.IT HAS NOW BEEN FIVE 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 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: HEPATITIS C, WOMEN'S ISSUES AND TREATMENT OPTIONS, PREVENTING FALLS, MINIMALLY INVASIVE ROBOT-ASSISTED UROLOGY PROCEDURES, MEDICARE EDUCATION, STROKE, AND MAKING YOUR HEALTHCARE WISHES KNOWN TO FAMILY MEMBERS. HOLY SPIRIT HEALTH SYSTEM IS A MEMBER OF SPIRIT OF WOMEN. THE SPIRIT OF WOMEN HOSPITAL NETWORK IS A COALITION OF MORE THAN 80 HOSPITALS AND HEALTH CARE SYSTEMS ACROSS THE UNITED STATES THAT ASCRIBE TO THE HIGHEST STANDARDS OF EXCELLENCE IN WOMEN'S HEALTH, EDUCATION, AND COMMUNITY OUTREACH PROGRAMS. HOLY SPIRIT HOSTED THREE, FREE SPIRIT OF WOMEN EVENTS DURING THE FISCAL YEAR. DAY OF DANCE FOR HEALTH WAS HELD IN MARCH 2011. MORE THAN 1,200 PEOPLE ATTENDED THIS CARDIOVASCULAR HEALTH EVENT. APPROXIMATELY 90 PERCENT OF THE PARTICIPANTS WERE WOMEN, FIVE PERCENT WERE MEN AND FIVE PERCENT WERE CHILDREN. CHILDREN WERE WELCOME TO JOIN THE FUN OF DANCING. THE DAY WAS ALL ABOUT MOVEMENT, PROVING THAT EXERCISE CAN BE BOTH FUN AND BENEFICIAL TO THE HEART. IN ADDITION HEALTH SCREENINGS AND EDUCATION ON HEART DISEASE AND OTHER HEALTH ISSUES WAS AVAILABLE. MORE THAN 976 FREE HEALTH SCREENINGS WERE PROVIDED, INCLUDING 186 BLOOD PRESSURE, 211 BODY MASS INDEX, 112 CARDIAC RISK ASSESSMENT, 189 GLUCOSE/CHOLESTEROL, 278 VTE/PE SCREENINGS. THERE WERE A NUMBER OF PEOPLE WHO TOLD US THEY WERE TAKING ADVANTAGE OF THE FREE HEALTH SCREENINGS BECAUSE THEY WERE UNEMPLOYED AND/OR HAD DROPPED THEIR HEALTH INSURANCE BECAUSE THEY COULDN'T AFFORD IT ANY LONGER. SPIRIT GIRLS' NIGHT OUT WAS HELD IN OCTOBER 2010 WITH MORE THAN 800 WOMEN IN ATTENDANCE. THE EVENT FOCUSED ON BREAST HEALTH, BONES AND JOINTS AND GENDER-SPECIFIC KNEE REPLACEMENT, AS WELL AS OSTEOPOROSIS AND OTHER WOMEN'S HEALTH CONCERNS. THE EVENT INCLUDED FITNESS ACTIVITIES, HEALTH DISPLAYS AND EDUCATION. SEVEN PHYSICIANS GAVE PRESENTATIONS ON HEALTH TOPICS AND WERE AVAILABLE TO TALK TO WOMEN AT THE EVENT. MORE THAN 271 FREE SCREENINGS WERE PERFORMED, INCLUDING 101 BLOOD PRESSURE, 68 BODY MASS INDEX, AND 102 GLUCOSE AND CHOLESTEROL SCREENINGS.ANOTHER GIRLS' NIGHT OUT EVENT WAS HELD IN CARLISLE IN MAY 2011 WITH MORE THAN 600 WOMEN IN ATTENDANCE. THE EVENT FOCUSED ON ENDOMETRIOSIS, FIBROIDS, PROLAPSE, MENOPAUSE AND MINIMALLY INVASIVE SURGERY AND OTHER WOMEN'S HEALTH CONCERNS. MORE THAN 618 FREE HEALTH SCREENINGS WERE PROVIDED, INCLUDING 107 BLOOD PRESSURES, 118 BONE DENSITY, 41 SLEEP DISORDER RISK ASSESSMENTS, 39 CARDIOVASCULAR RISK ASSESSMENT, 99 DVT (BLOOD CLOT RISK), AND 107 GLUCOSE AND CHOLESTEROL SCREENINGS. CONSULTATION AND RELATED SERVICES:A SUBSTANTIAL PORTION OF THE HOSPITAL'S COMMUNITY SERVICE IS IN THE FORM OF CRISIS INTERVENTION, BEHAVIORAL HEALTH SERVICES AND FREE COUNSELING TO AREA SCHOOLS. UNDER CONTRACT WITH CUMBERLAND AND PERRY COUNTIES, THE HOSPITAL'S BEHAVIORAL HEALTH SERVICES PROVIDE CRISIS INTERVENTION SERVICES TO THE COMMUNITY. IN ADDITION, OUTREACH AND PREVENTATIVE SERVICES HAVE BEEN ADDED TO ASSIST THE COMMUNITY IN AN EFFORT TO PROMOTE MENTAL HEALTH WELLNESS. WHILE THE CONTRACT PROVIDES THE MAJORITY OF THE FUNDING FOR THIS SERVICE, HOLY SPIRIT HOSPITAL SUBSIDIZES AT LEAST 10 PERCENT OF THE FUNDING.HOLY SPIRIT HOSPITAL PROVIDES CRISIS INTERVENTION SERVICES TO THE COMMUNITY BY TELEPHONE, WALK-IN VISITS, AND, IN THEIR HOMES OR OTHER LOCATIONS IN THE COMMUNITY. CRISIS INTERVENTION WORKERS ASSIST INDIVIDUALS AND PROFESSIONAL SERVICE AGENCIES IN CUMBERLAND AND PERRY COUNTIES BY ASSESSING AND STABILIZING PEOPLE IN CRISIS SITUATIONS, SUCH AS THOSE WITH SUICIDAL OR HOMICIDAL THOUGHTS, GESTURES AND ATTEMPTS; PSYCHOTIC PERSONS; AND THOSE SHOWING SIGNS OF SERIOUS SELF-NEGLECT. BEGUN IN 1986, A SERVICE KNOWN AS TEENLINE OFFERS 24-HOUR ASSISTANCE FOR AREA YOUTH WHO ARE HAVING PROBLEMS COPING WITH PRESSURES AT HOME, SCHOOL, OR IN RELATIONSHIPS. TEENLINE OFFERS A WIDE RANGE OF PREVENTIVE SERVICES TO STUDENTS, FACULTY, AND PARENTS, INCLUDING WORKSHOPS ON SELF-ESTEEM, STRESS MANAGEMENT, EATING DISORDERS, PROBLEM-SOLVING AND COPING SKILLS; AND TRAINING ON TEEN DEPRESSION, SUICIDE AWARENESS, AND PARENTING. STAFF PROVIDES ON-SITE EVALUATIONS OF STUDENTS, REFERRALS, JOINT FACILITATION OF SUPPORT GROUPS FOR TEENS AT-RISK, AND ASSISTANCE TO AREA COMMUNITIES AND SCHOOLS FOLLOWING AN ATTEMPTED OR COMPLETED SUICIDE OR OTHER TRAUMATIC EVENTS. TEENLINE ALSO PROVIDES SCHOOL-BASED AND TELEPHONE COUNSELING. CRISIS INTERVENTION SERVICES AND TEENLINE ARE PROVIDED BY HOLY SPIRIT HOSPITAL AND PARTIALLY FUNDED THROUGH THE CUMBERLAND/PERRY COUNTY MH/IDD PROGRAM. BEHAVIORAL HEALTH SERVICES PROVIDES CARE TO INPATIENTS AND OUTPATIENTS WHO MEET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. DURING THE FISCAL YEAR ENDING JUNE 30, 2011, $2,027,000 CARE WAS DELIVERED TO INPATIENTS AND $3,450,666 CARE WAS DELIVERED TO OUTPATIENTS WITHOUT REIMBURSEMENT TO THE UNINSURED, THE UNDERINSURED, AND THE INDIGENT POPULATION OF SOUTH CENTRAL PENNSYLVANIA. THE HOSPITAL SUBSIDIZED A TOTAL OF $943,205 TO COUNTY-FUNDED PROGRAMS WITHIN MENTAL HEALTH SERVICES THIS YEAR. BEHAVIORAL HEALTH SERVICES ALSO FOCUSES SPECIAL ATTENTION ON PROVIDING OUTREACH SERVICES FOR THE SENIOR POPULATION AND PREGNANT WOMEN AT RISK. DURING THIS FISCAL YEAR, CHILDREN'S BEHAVIORAL HEALTH SERVICES WERE EXPANDED INTO THE CENTRAL CUMBERLAND/PERRY COUNTY AREA BY OFFERING ADDITIONAL PSYCHIATRIC AND COUNSELING SERVICES WITH A STRONG EMPHASIS ON YOUNG CHILDREN AND FAMILY SERVICES.THE CAPITAL REGION MATERNAL ASSISTANCE PROGRAM IS FUNDED BY THE PA DEPARTMENT OF HEALTH - BUREAU OF DRUG AND ALCOHOL PROGRAMS. THIS SERVICE INTERVENED 1,455 TIMES WITH SUBSTANCE-ABUSING, PREGNANT WOMEN BY PROVIDING SUPPORT, COUNSELING, TRANSPORTATION, AND COORDINATION OF SERVICES TO MEET THEIR PSYCHOSOCIAL AND PHYSICAL NEEDS. AN IMPORTANT PART OF THE HOSPITAL'S CONTRIBUTION TO THE COMMUNITY IS THROUGH HEALTH CAREER PREPARATION AND CONSULTING SUPPORT, AS WELL AS PRACTICAL INTERNSHIPS, SUPPLIED TO AREA NURSING SCHOOLS AND SCHOOLS FOR ALLIED HEALTH PROFESSIONALS. THIS YEAR, 58 STUDENTS COMPLETED INTERNSHIPS TOTALING 11,330 HOURS AND 182 STUDENTS FROM A VARIETY OF POST-SECONDARY, TECHNICAL, UNDERGRADUATE AND GRADUATE SCHOOLS PARTICIPATED IN ON-SITE EXPERIENCES AT HOLY SPIRIT TOTALING MORE THAN 800 HOURS. FOUR SPECIAL NEEDS HIGH SCHOOL STUDENTS PARTICIPATED IN JOB SKILLS TRAINING IN TWO DEPARTMENTS. TWENTY-ONE STUDENTS FROM 10 AREA HIGH SCHOOLS PARTICIPATED IN A 10-WEEK HEALTH CARE CAREERS EXPLORATION PROGRAM TO LEARN MORE ABOUT WHAT IT IS LIKE TO WORK IN THE HEALTH CARE INDUSTRY.THIS PAST FISCAL YEAR, HOLY SPIRIT HOSPITAL HAD 75 PHYSICIAN ASSISTANT AND 12 MEDICAL STUDENTS COMPLETE INTERNSHIPS. WE HAD AN AVERAGE OF 30 RESIDENTS WHO PARTICIPATED IN ROTATIONS IN GENERAL SURGERY, ORTHOPEDICS, OB/GYN, ENT, PULMONARY/CRITICAL CARE AND VASCULAR THROUGHOUT THE HOSPITAL. OTHER ACTIVITIES ARE OFFERED THROUGH THE GRADUATE MEDICAL EDUCATION PROGRAM. A WEEKLY SCHEDULED TEACHING CONFERENCE IS PROVIDED TO NURSES, RESIDENTS, STUDENTS AND OTHER ALLIED HEALTH PROFESSIONALS THROUGHOUT THE YEAR. HOLY SPIRIT HOSPITAL PROVIDES EDUCATION TO THE HOSPITAL'S MEDICAL STAFF AND THE PHYSICIANS IN THE SURROUNDING COMMUNITY VIA THE "EXCELLENCE IN EDUCATION CME LECTURE SERIES," OFFERED MONTHLY AT HOLY SPIRIT HOSPITAL. THESE LIVE ACTIVITIES PLUS ENDURING MATERIALS AND OTHER MEDICAL EDUCATIONAL OPPORTUNITIES ARE OFFERED THROUGH THE HOLY SPIRIT HOSPITAL CONTINUING MEDICAL EDUCATION PROGRAM, AND ARE APPROVED FOR AMA PRA CATEGORY 1 CREDIT THROUGH THE VOTING (PHYSICIAN) CONSTITUENTS OF THE LIBRARY AND MEDICAL EDUCATION COMMITTEE. APPROXIMATELY 450 PHYSICIANS AND 850 NURSES AND OTHER STAFF TOOK ADVANTAGE OF THE 117 CME OPPORTUNITIES OFFERED VIA SEVEN SEPARATE VENUES DURING THE 2011 FISCAL YEAR. NURSES, HEALTH EDUCATORS AND STAFF ROUTINELY PROVIDE FREE BLOOD PRESSURE AND BONE DENSITY SCREENS AND HEALTH LECTURES AT BUSINESSES AND IN THE COMMUNITY. THESE ACTIVITIES INCLUDE IN-SERVICES TO OTHER NON-PROFIT AGENCIES, PROFESSIONAL ADVISORY BOARD PARTICIPATION AND ARE PROVIDED AT NO COST TO THOSE BUSINESSES AND ORGANIZATIONS.MISSIONS:THE HOSPITAL DONATES USED MEDICAL EQUIPMENT AND SUPPLIES TO BOTH LOCAL AND OVERSEAS MISSIONS. THE VALUE OF DONATED SUPPLIES AND SERVICES WAS APPROXIMATELY $625. MEDICAL/SURGICAL SUPPLIES AND LINENS COMPRISED MOST OF THIS DOLLAR AMOUNT. UNCOMPENSATED CARE:THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. DURING THE FISCAL YEAR ENDING JUNE 30, 2011, $958,098 IN CARE WAS DELIVERED WITHOUT REIMBURSEMENT TO THE UNINSURED, THE UNDERINSURED, AND THE INDIGENT POPULATION OF SOUTH CENTRAL PENNSYLVANIA.COURTESY TRANSPORTATION:A COURTESY BUS OPERATES BETWEEN THE HOSPITAL'S PARKING LOT AND ITS BUILDINGS AS A COMMUNITY SERVICE FOR ALL PATIENTS AND VISITORS. THE HOSPITAL OFFERS FREE VALET PARKING SERVICE TO ALL PATIENTS AND VISITORS AT THE MAIN ENTRANCE AND AT THE EMERGENCY CENTER ENTRANCE. COMMUNITY SUPPORT: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 ALMOST $31,500 TO UNITED WAY. INDIVIDUALS WERE ENCOURAGED TO TAKE PART IN THIS SYSTEM-WIDE FUND-RAISER. 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. HOLY SPIRIT HAD 13 TEAMS WITH A TOTAL OF 164 WALKERS PARTICIPATE IN THE AMERICAN HEART ASSOCIATION'S HEART WALK IN OCTOBER AND RAISED MORE THAN $11,000.FOR CHRISTMAS 2010, ALMOST 60 HOLY SPIRIT EMPLOYEES, DONATED CHRISTMAS GIFTS TO BABIES AND CHILDREN WHOSE MOTHERS WERE CLIENTS OF THE CAPITAL REGION MATERNAL ASSISTANCE PROGRAM (MAP). ALL OF THE MAP FAMILIES SELECTED INVOLVED MOTHERS WHO WERE ACTIVELY WORKING TOWARDS A DRUG AND ALCOHOL FREE LIFE, WITH GOALS OF CREATING A HEALTHY ENVIRONMENT FOR THEIR NEWBORNS AS WELL AS THEIR FAMILIES. MEMBERS OF HOLY SPIRIT HEALTH SYSTEM'S LEADERSHIP TEAM ARE BOARD MEMBERS, MEMBERS OR PARTICIPATE WITH THE FOLLOWING ORGANIZATIONS: AMBULANCE ASSOCIATION OF PA, AMERICAN AMBULANCE ASSOCIATION, AMERICAN ASSOCIATION OF NURSE ANESTHETISTS, AMERICAN ASSOCIATION FOR RESPIRATORY CARE, AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES, AMERICAN LEGION AUXILIARY (NEWPORT), ASSOCIATION OF FUNDRAISING PROFESSIONALS AND THE SUSQUEHANNA VALLEY PLANNED GIVING COUNCIL, BOY SCOUTS OF AMERICA, CAMP HILL COMMUNITY FOUNDATION, CARLISLE CHAMBER OF COMMERCE, CARLISLE SUMMERFAIR COMMITTEE, CATHOLIC HEALTH ASSOCIATION, CENTER FOR SAFE SCHOOLS, CENTRAL PENNSYLVANIA HIMSS, CHAMBERSBURG CHAMBER OF COMMERCE, CUMBERLAND VALLEY HABITAT FOR HUMANITY, DOWNTOWN DAILY BREAD, EMERGENCY HEALTH SERVICES FEDERATION, GRANTHAM WOMEN'S CLUB, FRIENDS OF MESSIAH COLLEGE'S MURRAY LIBRARY, GENERAL FEDERATION OF WOMEN'S CLUB (DILLSBURG), HARRISBURG AREA COMMUNITY COLLEGE (PARAMEDIC PROGRAM ADVISORY BOARD, RESPIRATORY PROGRAM ADVISORY BOARD, DIAGNOSTIC MEDICAL SONOGRAPHER ADVISORY BOARD, CLINICAL LABORATORY TECHNICIAN PROGRAM ADVISORY COMMITTEE, NURSING PROGRAM, SHUMAKER PUBLIC SAFETY CENTER ADVISORY BOARD), HARRISBURG AREA DENTAL SOCIETY, HARRISBURG REGIONAL CHAMBER OF COMMERCE, HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION, THE INTERNATIONAL ASSOCIATION OF NURSE ANESTHETISTS, HARRISBURG UNIVERSITY, LEADERSHIP CUMBERLAND, LIONS' FOUNDATION (CAMP HILL), MESSIAH COLLEGE SCHOOL OF NURSING, THE MEDICAL GROUP MANAGEMENT ASSOCIATION, NATIONAL ASSOCIATION OF EMS EDUCATORS, MEMBER, NATIONAL ASSOCIATION OF EMS PHYSICIANS, PROFESSIONAL MEMBER, NATIONAL ASSOCIATION OF CLINICAL NURSE SPECIALISTS, NATIONAL EMS MANAGEMENT ASSOCIATION, PENNSYLVANIA ASSOCIATION OF NURSE ANESTHETISTS, PENNSYLVANIA CATHOLIC HEALTH ASSOCIATION, PENNSYLVANIA E-HEALTH COLLABORATIVE, PENNSYLVANIA SOCIETY FOR RESPIRATORY CARE, PERRY COUNTY HOUSING PROJECT, PROJECT SHARE, SOUTH CENTRAL TASK FORCE, SOUTH CENTRAL PA HOSPICE AND PALLIATIVE NURSES ASSOCIATION, TECHNOLOGY COUNCIL OF CENTRAL PA, UNITED WAY OF THE CAPITAL REGION, WEST SHORE CHAMBER OF COMMERCE, WORLD SURGICAL FOUNDATION, AND THE YWCA OF THE HARRISBURG AREA. THIS LIST DOES NOT INCLUDE THOSE COMMUNITY ORGANIZATIONS IN WHICH THE GENERAL EMPLOYEE POPULATION IS INVOLVED.IN THE PAST YEAR 237 VOLUNTEERS CONTRIBUTED NEARLY 47,000 HOURS OF SERVICE TO HOLY SPIRIT HOSPITAL. MORE THAN 1,700 HOURS WERE PROVIDED BY JUNIOR VOLUNTEERS. THESE HOURS REPRESENT THE VALUE OF THE VOLUNTEERS' TIME THAT ALLOWED US TO EXTEND OUR BUDGET BY $951,271. THIS IS 3,211 MORE HOURS AND A $65,000 INCREASE IN SERVICE OVER LAST FISCAL YEAR.HOLY SPIRIT'S ANNUAL GOLF TOURNAMENT WAS HELD IN AUGUST 2011. ALMOST 300 GOLFERS PARTICIPATED IN THE OUTING WHICH GENERATED MORE THAN $140,000. PROCEEDS (AFTER EXPENSES) WERE DISTRIBUTED TO HOLY SPIRIT'S TEENLINE PROGRAM, WHICH SERVES ADOLESCENTS IN CRISIS. HOLY SPIRIT CREATED TEENLINE 25 YEARS AGO IN RESPONSE TO AN ESCALATION OF TEEN SUICIDES. SINCE THEN, IT HAS BECOME A TRUSTED RESOURCE THROUGHOUT CENTRAL PA FOR THE PREVENTION AND INTERVENTION OF MENTAL HEALTH ISSUES AMONG CHILDREN, TEENS, AND THEIR FAMILIES. IT OFFERS A STATEWIDE 24-HOUR HOTLINE TO IDENTIFY, ASSESS AND REFER AT-RISK STUDENTS AND THEIR FAMILIES TO APPROPRIATE RESOURCES. 124195595 15692256 100266375 254915171 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 0 1 110 0 1 2718 1 1 1 0 0 0 0 1 1 0 0 0 0 X 16 14 0 1 1 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 X X 0 0 0 MICHAEL SERLUCO 1.00 X X 0 0 0 RANNY SINGISTER EDD 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 X 0 0 0 SISTER MARY JOSEPH SCHULTZSCC 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 217894 0 21166 DEBORAH KEYS 1.00 X 0 0 0 PAUL LICATA MD 1.00 X 0 0 0 STEPHEN POWERS MD 1.00 X 0 0 0 RICK SZELES 1.00 X 0 0 0 SISTER ROMAINE NIEMEYER SCC 40.00 X X 0 0 0 MANUEL J EVANS 40.00 X 368648 0 19215 JOSEPH A TORCHIA MD 40.00 X 350989 0 24848 RICHARD A SCHAFFNER JR 40.00 X 349248 0 25138 RICHARD E LAVANTURE 40.00 X 304863 0 23794 WILLIAM P SHARTLE 40.00 X 233347 0 10992 MICHAEL J PASZEK MD 40.00 X 270779 0 25899 LISA F LEWIS 40.00 X 234540 0 23254 MARIA E PRUDENCIO MD 40.00 X 230334 0 15867 ROBIN K MILLER MD 40.00 X 219636 0 17814 EDITH C DEES 40.00 X 209354 0 13990 2989632 0 221977 239 0 1 0 TCG ADVERTISING DESIGN 1921 STATE ST EAST PETERSBURG PA 17520 ADVERTISING SERVICES 1582921 QUANTUM IMAGING 629-D LOWTHER ROAD LEWISBURY PA 17339 PURCHASED MEDICAL SERVICES 1466371 MAXIT HEALTHCARE LLC LOCKBOX KK PO BOX 2589 FT WAYNE IN 46801 IT PROFESSIONAL SERVICES 1295280 CENTER FOR WOUND HEALING 155 WHITE PLAINS ROAD SUITE 222 TARRYTOWN NY 10591 MANAGEMENT SVCS - HYPERBARIC 1277216 WEST SHORE ANESTHESIA PO BOX 1050 CAMP HILL PA 17001 PHYSICIAN CONTRACT 1162611 33 112500 735189 1989376 95164 2932229 OUTPATIENT SERVICES 621400 166920125 166920125 INPATIENT SERVICES 621400 153104198 153104198 320024323 2202295 2202295 144155 35895 108260 108260 108260 19464856 14000 16821020 42067 2643836 -28067 2615769 2615769 93713 112500 69203 24510 24510 LABORATORY - NONPATIEN 621500 2956504 2956504 LTACH - RENT & OTHER S 532000 710590 710590 CAFETERIA 722210 557385 557385 2610764 1852042 373710 385012 6835243 334742629 321876365 4040804 5893231 15426823 15426823 265433 265433 2127077 2127077 111916360 84945196 26699540 271624 4160655 3100891 1052304 7460 14862351 11178068 3663455 20828 8438857 6380562 2038543 19752 5137448 5137448 540856 540856 151889 151889 22941 22941 168406 168406 26314705 19288670 6864554 161481 2161564 41344 2120220 13189261 8166901 5021011 1349 7024145 257924 6766221 7413312 5166077 2247235 2004462 1329060 675402 3623156 2698706 915821 8629 16035900 10506658 5496773 32469 1668545 1077210 587979 3356 UNRELATED BUSINESS EXPE 234101 234101 MEDICAL SUPPLIES 58341186 58175119 166067 BAD DEBT 22180754 22180754 MA ASSESSMENT 4509644 4509644 2211565 197190 2014375 330131396 254915171 74689277 526948 5025 4945 8007142 7251892 36084353 38924059 733548 1110872 2402625 2902695 255615239 158204888 85891408 97410351 112215504 104386314 11515555 16267309 256855160 268258437 30988761 35736217 90290000 91195000 1138678 1095063 6571352 10190724 128988791 138217004 X 125242161 127485754 83265 84874 2540943 2470805 127866369 130041433 256855160 268258437 X 4611233 -2436169 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 22941 22941 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. 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 2065616 2065616 65405079 36779083 28625996 7265554 3161542 4104012 167450179 114660950 52789229 13428811 3603313 9825498 97410351 DEFERRED FINANCING COSTS, NET 1386537 CASH SURRENDER VALUE OF LIFE INSURANCE 112260 SOFTWARE IMPLEMENTATION 5611695 OTHER INVESTMENTS 63450 MEDICAL MALPRACTICE-KNOWN CLAIMS 2839000 GOODWILL 6254367 16267309 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 910801 BLUE CROSS CURRENT FINANCING ADVANCE 1222600 ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY 4446000 DEFERRED COMPENSATION 398903 DUE TO AFFILIATES 367830 OBLIGATION UNDER CAPITAL LEASE 2844590 10190724 334742629 330131396 4611233 -2427293 -8876 -2436169 2175064 332053117 -2427293 -129708 -2557001 334610118 168406 -35895 132511 334742629 329878053 35895 35895 329842158 168406 120832 289238 330131396 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: 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 2012 OR 2011. THE SYSTEM'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR FISCAL YEARS AFTER 2008 REMAIN SUBJECT TO EXAMINATION BY THE IRS. PART XI, LINE 8 - OTHER ADJUSTMENTS: CHANGE IN SPLIT INTEREST AGREEMENT -1,848. CHANGE IN POLICY CASH SURRENDER VALUE -7,028. TOTAL TO SCHEDULE D, PART XI, LINE 8: -8,876. PART XII, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN SPLIT INTEREST AGREEMENTS -1,848. CHANGE IN POLICY CASH SURRENDER VALUE -7,028. TRANSFERS TO AFFILIATE NETTED ON F/S -112,500. CAFETERIA EXPENSES NETTED AGAINST REVENUE ON F/S -8,332. PART XII, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -35,895. PART XIII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 35,895. PART XIII, LINE 4B - OTHER ADJUSTMENTS: CAFETERIA EXPENSES NETTED AGAINST REVENUE ON F/S 8,332. TRANSFERS TO AFFILIATE NETTED ON F/S 112,500. SHARE THE SPIRIT GALA 164739 105000 59739 4468 19610 2700 14522 SPRING FUND RAISER - FESTIVAL 19099 2500 16599 474 445 3150 2600 9946 1 22375 5000 17375 3666 7622 206213 112500 93713 4942 445 26426 5300 32090 69203 24510 1 1 1 X 1 X 1 1 1 0 1 1 1579190 1579190 0.00510 20675451 11296964 9378487 0.03050 22254641 11296964 10957677 0.03560 13 20810 488028 90 487938 0.00160 8 233 286888 286888 0.00090 7 6988 20175756 11461543 8714213 0.02830 2 60 100150 100150 0.00030 30 28091 21050822 11461633 9589189 0.03110 30 28091 43305463 22758597 20546866 0.06670 0 6115234 557166 64109744 75228688 -11118944 X 1 1 1 HS CARDIAC MANAGEMENT LLC PARTNERSHIP AGREEMENT WITH CARDIOLOGISTS 0.30000 0.00000 0.70000 1 1 HOLY SPIRIT HOSPITAL

503 NORTH 21ST STREET CAMP HILL PA 17011

X X X HOLY SPIRIT HOSPITAL 1 1 1 200.000000000000 1 400.000000000000 1 X X 1 1 X X X X X 1 X X 1 X 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 $22,180,754. 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.DISCOUNTS APPLIED TO PATIENT ACCOUNTS ARE ACCOUNTED FOR AS "POLICY ALLOWANCES," WHICH ARE DEDUCTED FROM GROSS PATIENT SERVICE REVENUES IN ARRIVING AT NET REVENUE. PATIENT PAYMENTS ON ACCOUNTS IN A BAD DEBT CLASSIFICATION ARE ACCOUNTED FOR AS REDUCTIONS TO THE BAD DEBT EXPENSE.PATIENTS WITH BALANCES LESS THAN $1,500 WHO MEET CERTIAN 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 ELIGIBLE FOR CHARITY CARE ALLOWANCE AS DEFINED IN HSH'S FINANCIAL ASSISTANCE POLICY. HOWEVER, IN THOSE INSTANCES WHERE A PATIENT HAS APPLIED FOR FINANCIAL ASSISTANCE AND ONLY A PORTION OF THE ACCOUNT BALANCE QUALIFIES FOR CHARITY CARE ALLOWANCE, THE REMAINING BALANCE IS SUBJECT TO COLLECTION UNDER THE GUIDELINES SET FORTH HEREIN." PART VI, LINE 2: AS PART OF ITS ANNUAL 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. 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 316 PATIENT BEDS AND 15 BASSINETS. THERE ARE NEARLY 520 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 $44,500 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. HOLY SPIRIT HAD 39 WALKERS PARTICIPATE IN THE AMERICAN HEART ASSOCIATION'S HEART WALK IN OCTOBER AND RAISED MORE THAN $1,000. HOLY SPIRIT HOSPITAL PROVIDED NEARLY $85 MILLION THIS YEAR TO DIRECTLY BENEFIT THE COMMUNITIES WE SERVE. THIS TOTAL INCLUDES UNCOMPENSATED CARE, CHARITY CARE AND SUBSIDIES FOR MEDICARE AND MEDICAL ASSISTANCE AS WELL AS SUBSIDIES FOR BEHAVIORAL HEALTH SERVICES. HOLY SPIRIT IS ACCESSIBLE BEYOND TRADITIONAL HEALTHCARE SETTINGS, AT LOCAL COMPANIES, LIBRARIES, SENIOR CENTERS, CHURCHES, SCHOOLS, NEIGHBORHOOD EVENTS - REACHING THOSE IN NEED. WE ARE BECOMING MORE KEENLY AWARE OF WHAT QUALIFIES FOR COMMUNITY BENEFIT AND AS SUCH ARE ABLE TO MORE FULLY QUANTIFY OUR TRUE CONTRIBUTIONS.THROUGH FREE COMMUNITY HEALTH SCREENINGS, WE PROVIDED NEARLY 14,000 HEALTH SCREENING SUCH AS BLOOD PRESSURE, GLUCOSE, CHOLESTEROL, CAROTID ARTERY, PERIPHERAL ARTERY DISEASE, BONE DENSITY, CARDIOVASCULAR AND STROKE RISK. WE PARTICIPATED IN 37 EMPLOYER AND COMMUNITY HEALTH FAIRS, TALKING WITH HUNDREDS OF PEOPLE ABOUT DIABETES, STRESS MANAGEMENT, HEALTHY LIVING, AND WELLNESS. OUR FREE HEALTHY LIVING LECTURES HELPED EDUCATE THE COMMUNITY, AND THOUSANDS OF PEOPLE ATTENDED FREE HEALTH EVENTS SPONSORED BY OUR SPIRIT OF WOMEN PROGRAM. WE EVEN OFFER A PET THERAPY PROGRAM FOR INPATIENTS.ON A BROADER SCALE, WE DEVOTED TIME AND RESOURCES TO ASSURING OUR PREPAREDNESS IN THE EVENT OF A COMMUNITY WIDE DISASTER.IN CLINICAL EDUCATION, OUR STAFF SPENT ALMOST 3,000 HOURS WITH ABOUT 300 STUDENTS AT EVERY LEVEL WHO ARE CONSIDERING OR WORKING TOWARD CAREERS IN HEALTHCARE. OUR PROFESSIONAL STAFF ALSO SPENT MANY HOURS VOLUNTEERING AT HEALTH RELATED COMMUNITY EVENTS, VOLUNTEERING WITH EMERGENCY TASK FORCES, TEACHING CONTINUING MEDICAL EDUCATION COURSES AND SHARING THEIR EXPERTISE WITH FELLOW PRACTITIONERS.THE PHYSICIANS AND STAFF AT HOLY SPIRIT HOSPITAL CARED FOR 16,710 INPATIENTS DURING THE FISCAL YEAR. OUTPATIENT VISITS TOTALED 249,411. HOLY SPIRIT HEALTH SYSTEM AND ITS AFFILIATES ESTABLISH AND MAINTAIN ALL PROGRAMS AND SERVICES FOR SICK, INJURED, OR DISABLED PERSONS WITHOUT REGARD TO RACE, CREED, COLOR, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY.LIKE MANY OTHER NOT-FOR-PROFIT HOSPITALS, HOLY SPIRIT HOSPITAL SEEKS OPPORTUNITIES TO PROVIDE FREE SCREENINGS AND DISSEMINATE HEALTH INFORMATION TO INDIVIDUALS, ESPECIALLY THOSE WHO ARE UNINSURED AND UNDERINSURED, SO THEY CAN LEARN HOW TO MANAGE CHRONIC CONDITIONS AND LIVE HEALTHIER LIVES.HOLY SPIRIT HOSPITAL IS COMMITTED TO PROVIDING HEALTH MINISTRY ASSISTANCE TO ALL FAITH CONGREGATIONS THAT OFFER A MINISTRY OF HEALTH SERVICES. FREE HEALTH SERVICES OFFERED TO SOUTH CENTRAL PENNSYLVANIA FAITH COMMUNITIES INCLUDE AN ASSESSMENT OF THE CONGREGATION'S HEALTH AND WELLNESS NEEDS, ASSISTANCE IN DEVELOPING AN INDIVIDUALIZED MINISTRY OF HEALTH, ONGOING GUIDANCE, NETWORKING OPPORTUNITIES, A HEALTH AND WELLNESS RESOURCE CENTER AND LENDING LIBRARY, CONTINUING HEALTH IMPROVEMENT EDUCATIONAL PROGRAMS, AND MONTHLY LUNCH AND LEARN PROGRAMS.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: EMERGENCY PREPAREDNESSHOLY SPIRIT HOSPITAL RECEIVED A GRANT FROM THE OFFICE OF PUBLIC HEALTH PREPAREDNESS TO FUND SUPPLIES AND EQUIPMENT FOR MASS CASUALTY RESPONSE EFFORTS. EACH MONTH, THE SAFETY AND EMERGENCY MANAGEMENT COORDINATOR ATTENDS FOUR-HOUR REGIONAL COUNTERTERRORISM TASK FORCE MEETINGS, AND MULTIPLE REGIONAL WORKGROUP MEETINGS TO FURTHER ENHANCE REGIONAL RESPONSE PLANS AND CAPABILITIES.HEALTH EDUCATION AND DISEASE PREVENTION PROGRAMSHOLY SPIRIT OFFERED FREE HEALTHY LIVING LECTURES ON THE FOLLOWING TOPICS THIS FISCAL YEAR: HEPATITIS C, WOMEN'S ISSUES AND TREATMENT OPTIONS, PREVENTING FALLS, MINIMALLY INVASIVE ROBOT-ASSISTED UROLOGY PROCEDURES, MEDICARE EDUCATION, STROKE, AND MAKING YOUR HEALTHCARE WISHES KNOWN TO FAMILY MEMBERS.THE PASTORAL CARE DEPARTMENT OFFERS A BEREAVEMENT SUPPORT PROGRAM THAT PROVIDES GREATER MEANING TO THE GRIEF THAT FAMILY AND FRIENDS EXPERIENCE WHEN SOMEONE THEY LOVE DIES. THIS SIX-WEEK PROGRAM OFFERED BY CERTIFIED PROFESSIONAL CHAPLAINS IS HELD IN THE HOSPITAL ON WEDNESDAYS AFTERNOONS AND EVENINGS SEVERAL TIMES THROUGHOUT THE YEAR. IT IS OPEN TO EVERYONE IN THE COMMUNITY.IN OBSERVANCE OF NATIONAL DIABETES MONTH, HOLY SPIRIT HOSPITAL'S DIABETES SERVICES OFFERED A UNIQUE PROGRAM TO PEOPLE WITH DIABETES IN NOVEMBER 2011. MORE THAN 200 PEOPLE ATTENDED THIS FREE PROGRAM TO LEARN MORE ABOUT NUTRITION, EXERCISE AS MEDICATION, AND DIABETES.THE EDUCATION, TRAINING AND DEVELOPMENT OFFICE OFFERS A BABYSITTING CERTIFICATION CLASS, CALLED SAFE SITTER, TO CHILDREN AGES 11 TO 13 IN THE COMMUNITY. DURING THIS FISCAL YEAR 99 CHILDREN GRADUATED FROM THE PROGRAM. EACH PARTICIPANT PAYS $25 TO COVER PART OF THE COST OF STAFF TIME AND MATERIALS FOR THE TWO-DAY PROGRAM.HEALTH FAIRS/DISEASE PREVENTION PROGRAMS/HEALTH INFORMATIONDURING THE YEAR HOLY SPIRIT HEALTH SYSTEM PARTICIPATED IN 33 HEALTH FAIRS FOR BUSINESSES, CLUBS, ORGANIZATIONS, AND CHURCHES. STAFF PROVIDED MORE THAN 13,700 HEALTH SCREENINGS, INCLUDING GLUCOSE AND CHOLESTEROL, BLOOD PRESSURE, BODY MASS INDEX, BONE DENSITY, CARDIOVASCULAR RISK AND SLEEP ASSESSMENT TESTING, AT THE HEALTH FAIRS. MORE THAN 5,231 FREE BLOOD PRESSURE SCREENINGS WERE PERFORMED AT WEEKLY COMMUNITY SCREENINGS AT AREA LIBRARIES AND AT THE MONTHLY SCREENINGS HELD AT THE HOSPITAL. THE HOSPITAL ALSO PROVIDED EIGHT SPEAKERS ON VARIOUS HEALTH-RELATED TOPICS TO BUSINESSES, CLUBS, ORGANIZATIONS, AND CHURCHES. STAFF ALSO SPOKE AT SEVERAL HIGH SCHOOLS ABOUT HEALTHCARE CAREERS, INCLUDING NURSES, PHYSICIAN'S ASSISTANTS, PARAMEDICS, AND STAFF FROM THE PHARMACY AND IMAGING.REGISTERED NURSES IN PATIENT CARE SERVICES ASSISTED THE EDUCATION, TRAINING, AND DEVELOPMENT DEPARTMENT WITH SCREENINGS AT THREE COMMUNITY ACTIVITIES AND MONTHLY SCREENINGS DONE AT THE HOSPITAL.HOLY SPIRIT HOSPITAL EXTENDS ITS SPIRIT OF CARING INTO THE COMMUNITY BY SERVING AS A RESOURCE FOR INFORMATION ON HEALTHY LIVING AND MEDICAL ADVICE. THE HOSPITAL'S HEALTHCARE REFERRAL CENTER, IN ADDITION TO PROVIDING PHYSICIAN REFERRALS, SERVES AS A CENTRAL CALL-IN POINT FOR HEALTH INFORMATION. CALLERS CAN OBTAIN FREE INFORMATION ON OVER 1,350 HEALTH TOPICS AND ABOUT 5,000 MEDICATIONS.DURING THE LAST FISCAL YEAR, EDUCATION, TRAINING AND DEVELOPMENT'S MEDICAL LIBRARY ALSO DIRECTLY BENEFITED THE COMMUNITY, PROVIDING INFORMATION FROM MEDICAL DATABASES AND/OR INTERNET RESOURCES (142); BOOKS AND AUDIOVISUAL RESOURCES, (133); JOURNALS AND FULL-TEXT ITEMS (312); HEALTH EDUCATION MATERIALS (1,042), AND INTERLIBRARY LOANS (57). THESE FIGURES DO NOT INCLUDE INFORMATION PROVIDED TO PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS, OR FOR HEALTHCARE PROFESSIONALS TO GIVE TO PATIENTS.COMMUNITY NON-PROFIT PROJECTS OR EVENTSTHE HOSPITAL'S AUDITORIUM IS USED FOR HOSPITAL-SPONSORED EDUCATION AND LOANED FREE TO COMMUNITY NON-PROFIT GROUPS. MEETING SPACE DONATION WAS VALUED AT ALMOST $8,400. HOLY SPIRIT HOSPITAL OFFERS OTHER INNOVATIVE PROGRAMS TO SCHOOLS TO PROMOTE WELLNESS AND HEALTHY LIVING. THE HOLY SPIRIT HOSPITAL AUXILIARY AND VOLUNTEERS TEAMED UP TO TRAVEL TO AREA ELEMENTARY SCHOOLS THROUGHOUT THE YEAR TO PRESENT A PROGRAM ENTITLED "I'M IN CHARGE OF ME." THE PROGRAM USES SOFT-SCULPTURE DOLLS, SONGS, AND EXERCISE TO PROMOTE THE VALUES OF GOOD NUTRITION AND SAFETY, DRUG AND ALCOHOL AVOIDANCE, AND THE BENEFITS OF EXERCISE AMONG AREA THIRD GRADE STUDENTS. THE "I'M IN CHARGE OF ME" PROGRAM WAS PRESENTED FREE OF CHARGE TO MORE THAN 1,545 THIRD-GRADERS THIS FISCAL YEAR. EVERY STUDENT WAS GIVEN A COLORING BOOK AND "I'M IN CHARGE" STICKER AS A REMINDER OF THIS IMPORTANT HEALTH MESSAGE.HOLY SPIRIT HAS AN ER PATIENT AND FAMILY PASTORAL CARE SUPPORT PROGRAM THAT PROVIDES HOSPITALITY AND SUPPORT TO PATIENTS AND THEIR FAMILIES IN THE EMERGENCY DEPARTMENT. THIS UNIQUE PROGRAM OPERATES DURING THE EVENINGS HOURS AND SEVERAL AFTERNOONS A WEEK. TRAINED VOLUNTEERS MEET THE NEED TO PROVIDE HOSPITALITY AND COMPASSIONATE CARE TO MAKE THEIR STAY IN THE ER AS PLEASANT AS POSSIBLE. THIS EXTRA CARING EFFORT IS WELCOMED BY THE PERSONS THEY SERVE AND THE DOCTORS AND NURSES WHO ARE GRATEFUL FOR THEIR PRESENCE. HOLY SPIRIT HEALTH SYSTEM IS A MEMBER OF SPIRIT OF WOMEN. THE SPIRIT OF WOMEN HOSPITAL NETWORK IS A COALITION OF MORE THAN 80 HOSPITALS AND HEALTH CARE SYSTEMS ACROSS THE UNITED STATES THAT ASCRIBE TO THE HIGHEST STANDARDS OF EXCELLENCE IN WOMEN'S HEALTH, EDUCATION, AND COMMUNITY OUTREACH PROGRAMS.HOLY SPIRIT HOSTED THREE, FREE SPIRIT OF WOMEN EVENTS DURING THE FISCAL YEAR. SPIRIT GIRLS' NIGHT OUT HARRISBURG WAS HELD IN OCTOBER 2011 WITH MORE THAN 650 WOMEN IN ATTENDANCE. THE EVENT FOCUSED ON BREAST HEALTH WITH ADDITIONAL EDUCATIONAL WORKSHOPS ON DEEP VEIN THROMBOSIS AND PULMONARY EMBOLISM, DIABETES, AND OTHER WOMEN'S HEALTH CONCERNS. SIX CLINICIANS GAVE HEALTH EDUCATION PRESENTATIONS AND WERE AVAILABLE TO TALK TO WOMEN DURING THE EVENT. THE EVENT ALSO INCLUDED FITNESS ACTIVITIES AND HEALTH AND WELLNESS DISPLAYS. MORE THAN 964 FREE SCREENINGS WERE PERFORMED, INCLUDING 134 SLEEP ASSESSMENTS, 132 GLUCOSE AND CHOLESTEROL TESTS, 124 BONE DENSITY SCANS, 111 BLOOD PRESSURES, 100 BODY MASS INDEX CHECKS, 95 VTE/PE TESTS, 68 CARDIOVASCULAR RISK ASSESSMENTS, AND 68 CAROTID ARTERY ULTRASOUNDS.DAY OF DANCE FOR HEALTH WAS HELD IN FEBRUARY 2012. MORE THAN 1,100 PEOPLE ATTENDED THIS CARDIOVASCULAR HEALTH EVENT. APPROXIMATELY 90 PERCENT OF THE PARTICIPANTS WERE WOMEN, FIVE PERCENT WERE MEN AND FIVE PERCENT WERE CHILDREN. CHILDREN WERE WELCOME TO JOIN THE FUN OF DANCING. THE DAY WAS ALL ABOUT MOVEMENT, PROVING THAT EXERCISE CAN BE BOTH FUN AND BENEFICIAL TO THE HEART. IN ADDITION HEALTH SCREENINGS AND EDUCATION ON HEART DISEASE AND OTHER HEALTH ISSUES WAS AVAILABLE. MORE THAN 901 FREE HEALTH SCREENINGS WERE PROVIDED, INCLUDING 134 SLEEP ASSESSMENTS, 128 GLUCOSE AND CHOLESTEROL TESTS, 126 BLOOD PRESSURES, 100 BODY MASS INDEX CHECKS, 87 CARDIOVASCULAR RISK ASSESSMENTS, 81 VTE/PE TESTS, 62 PERIPHERAL ARTERY DISEASE CHECKS, AND 55 CAROTID ARTERY ULTRASOUNDS. THERE WERE A NUMBER OF PEOPLE WHO TOLD US THEY WERE TAKING ADVANTAGE OF THE FREE HEALTH SCREENINGS BECAUSE THEY WERE UNEMPLOYED AND/OR HAD DROPPED THEIR HEALTH INSURANCE BECAUSE THEY COULDN'T AFFORD IT ANY LONGER.SPIRIT GIRLS' NIGHT OUT CARLISLE WAS HELD IN MARCH 2012 AND HAD A FOCUS ON SKIN CANCER AND JOINT CONDITIONS, TREATMENT, AND REPLACEMENT. TWO PHYSICIANS GAVE HEALTH EDUCATION PRESENTATIONS AND WERE AVAILABLE TO TALK TO WOMEN THROUGHOUT THE EVENING. MORE THAN 600 WOMEN WERE IN ATTENDANCE, AND IN ADDITION TO THE HEALTH EDUCATION, ALSO ENJOYED THE FITNESS ACTIVITIES AND HEALTH AND WELLNESS DISPLAYS. HEALTH SCREENERS ONSITE PROVIDED MORE THAN 746 FREE HEALTH SCREENINGS, INCLUDING 110 BONE DENSITY SCANS, 102 GLUCOSE AND CHOLESTEROL TESTS, 91 BODY MASS INDEX CHECKS, 90 BLOOD PRESSURES, 69 VTE TESTS, 58 PERIPHERAL ARTERY DISEASE CHECKS, 58 SLEEP ASSESSMENTS, 53 CAROTID ARTERY ULTRASOUNDS, AND 13 CARDIOVASCULAR RISK ASSESSMENTS.CONSULTATION AND RELATED SERVICESA SUBSTANTIAL PORTION OF THE HOSPITAL'S COMMUNITY SERVICE IS IN THE FORM OF CRISIS INTERVENTION, BEHAVIORAL HEALTH SERVICES AND FREE COUNSELING TO AREA SCHOOLS. UNDER CONTRACT WITH CUMBERLAND AND PERRY COUNTIES, THE HOSPITAL'S BEHAVIORAL HEALTH SERVICES PROVIDE CRISIS INTERVENTION SERVICES TO THE COMMUNITY. IN ADDITION, OUTREACH AND PREVENTATIVE SERVICES HAVE BEEN ADDED TO ASSIST THE COMMUNITY IN AN EFFORT TO PROMOTE MENTAL HEALTH WELLNESS. WHILE THE CONTRACT PROVIDES THE MAJORITY OF THE FUNDING FOR THIS SERVICE, HOLY SPIRIT HOSPITAL SUBSIDIZES AT LEAST 10 PERCENT OF THE FUNDING.HOLY SPIRIT HOSPITAL PROVIDES CRISIS INTERVENTION SERVICES TO THE COMMUNITY BY TELEPHONE, WALK-IN VISITS, AND, IN THEIR HOMES OR OTHER LOCATIONS IN THE COMMUNITY. CRISIS INTERVENTION WORKERS ASSIST INDIVIDUALS AND PROFESSIONAL SERVICE AGENCIES IN CUMBERLAND AND PERRY COUNTIES BY ASSESSING AND STABILIZING PEOPLE IN CRISIS SITUATIONS, SUCH AS THOSE WITH SUICIDAL OR HOMICIDAL THOUGHTS, GESTURES AND ATTEMPTS; PSYCHOTIC PERSONS; AND THOSE SHOWING SIGNS OF SERIOUS SELF-NEGLECT.BEGUN IN 1986, A SERVICE KNOWN AS TEENLINE OFFERS 24-HOUR ASSISTANCE FOR AREA YOUTH WHO ARE HAVING PROBLEMS COPING WITH PRESSURES AT HOME, SCHOOL, OR IN RELATIONSHIPS. TEENLINE OFFERS A WIDE RANGE OF PREVENTIVE SERVICES TO STUDENTS, FACULTY, AND PARENTS, INCLUDING WORKSHOPS ON SELF-ESTEEM, STRESS MANAGEMENT, EATING DISORDERS, PROBLEM-SOLVING AND COPING SKILLS; AND TRAINING ON TEEN DEPRESSION, SUICIDE AWARENESS, AND PARENTING. STAFF PROVIDES ON-SITE EVALUATIONS OF STUDENTS, REFERRALS, JOINT FACILITATION OF SUPPORT GROUPS FOR TEENS AT-RISK, AND ASSISTANCE TO AREA COMMUNITIES AND SCHOOLS FOLLOWING AN ATTEMPTED OR COMPLETED SUICIDE OR OTHER TRAUMATIC EVENTS. TEENLINE ALSO PROVIDES SCHOOL-BASED AND TELEPHONE COUNSELING. CRISIS INTERVENTION SERVICES AND TEENLINE ARE PROVIDED BY HOLY SPIRIT HOSPITAL AND PARTIALLY FUNDED THROUGH THE CUMBERLAND/PERRY COUNTY MH/IDD PROGRAM. BEHAVIORAL HEALTH SERVICES PROVIDES CARE TO INPATIENTS AND OUTPATIENTS WHO MEET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. DURING THE FISCAL YEAR ENDING JUNE 30, 2012, $1,586,165 CARE WAS DELIVERED TO INPATIENTS AND $2,915,029 CARE WAS DELIVERED TO OUTPATIENTS WITHOUT REIMBURSEMENT TO THE UNINSURED, THE UNDERINSURED, AND THE INDIGENT POPULATION OF SOUTH CENTRAL PENNSYLVANIA. THE HOSPITAL SUBSIDIZED A TOTAL OF $1,092,726 TO COUNTY-FUNDED PROGRAMS WITHIN MENTAL HEALTH SERVICES THIS YEAR.BEHAVIORAL HEALTH SERVICES ALSO FOCUSES SPECIAL ATTENTION ON PROVIDING OUTREACH SERVICES FOR THE SENIOR POPULATION AND PREGNANT WOMEN AT RISK. CHILDREN'S BEHAVIORAL HEALTH SERVICES HAVE BEEN EXPANDED INTO THE CENTRAL CUMBERLAND/PERRY COUNTY AREA BY OFFERING ADDITIONAL PSYCHIATRIC AND COUNSELING SERVICES WITH A STRONG EMPHASIS ON YOUNG CHILDREN AND FAMILY SERVICES.THE CAPITAL REGION MATERNAL ASSISTANCE PROGRAM IS FUNDED BY THE PA DEPARTMENT OF HEALTH - BUREAU OF DRUG AND ALCOHOL PROGRAMS. THIS SERVICE INTERVENED 1,611 TIMES WITH SUBSTANCE-ABUSING, PREGNANT WOMEN BY PROVIDING SUPPORT, COUNSELING, TRANSPORTATION, AND COORDINATION OF SERVICES TO MEET THEIR PSYCHOSOCIAL AND PHYSICAL NEEDS.AN IMPORTANT PART OF THE HOSPITAL'S CONTRIBUTION TO THE COMMUNITY IS THROUGH HEALTH CAREER PREPARATION AND CONSULTING SUPPORT, AS WELL AS PRACTICAL INTERNSHIPS, SUPPLIED TO AREA NURSING SCHOOLS AND SCHOOLS FOR ALLIED HEALTH PROFESSIONALS. THIS YEAR, 44 STUDENTS COMPLETED INTERNSHIPS TOTALING 10,958 HOURS AND 166 STUDENTS FROM A VARIETY OF POST-SECONDARY, TECHNICAL, UNDERGRADUATE AND GRADUATE SCHOOLS PARTICIPATED IN ON-SITE EXPERIENCES AT HOLY SPIRIT TOTALING MORE THAN 1100 HOURS. TWENTY STUDENTS FROM 10 AREA HIGH SCHOOLS PARTICIPATED IN A 10-WEEK HEALTH CARE CAREERS EXPLORATION PROGRAM TO LEARN MORE ABOUT WHAT IT IS LIKE TO WORK IN THE HEALTH CARE INDUSTRY.HOLY SPIRIT HOSPITAL AVERAGES 43 RESIDENTS AND APPROXIMATELY 78 PHYSICIAN ASSISTANT STUDENTS WHO PARTICIPATE IN OUR GRADUATE MEDICAL EDUCATION EACH YEAR. THE ROTATIONS OCCUR IN GENERAL SURGERY, INTERNAL MEDICINE, ORTHOPEDICS, OB/GYN, ENT, PULMONARY/CRITICAL CARE AND VASCULAR. APPROXIMATELY 15 MEDICAL STUDENTS COMPLETED A VARIETY OF ROTATIONS THIS YEAR. ONE MEDICAL STUDENT FROM UNIVERSITY OF ANTIQUA HEALTH SCIENCES IS COMPLETING ALL OF HIS MEDICAL SCHOOL ROTATIONS AT HOLY SPIRIT HOSPITAL. THE GRADUATE MEDICAL EDUCATION PROGRAM OFFERS WEEKLY TEACHING CONFERENCES THAT ARE CHAIRED BY PHYSICIANS EMPLOYED BY HOLY SPIRIT HEALTH SYSTEM. THE CONFERENCES INCLUDE CASE CONFERENCE, CANCER CASE CONFERENCE AND A NEWLY FORMING M&M CONFERENCE THAT WILL BE HELD ONCE A MONTH. THESE CONFERENCES ARE PROVIDED TO PHYSICIANS, RESIDENTS, STUDENTS, NURSES AND OTHER ALLIED HEALTH PROFESSIONALS ALLOWING THE ATTENDEES TO LEARN ABOUT THE NEWEST TRENDS AND MOST UP-TO-DATE TECHNOLOGY BEING USED IN MEDICINE TODAY. BI-MONTHLY GRADUATE MEDICAL EDUCATION COMMITTEE MEETINGS ARE HELD.HOLY SPIRIT HEALTH SYSTEM IS ACCREDITED BY THE PENNSYLVANIA MEDICAL SOCIETY. HOLY SPIRIT HOSPITAL PROVIDES EDUCATION TO THE HOSPITAL'S MEDICAL STAFF AND THE PHYSICIANS IN THE SURROUNDING COMMUNITY VIA THE EXCELLENCE IN EDUCATION/GRAND ROUNDS CME LECTURE SERIES, THE FAMILY PRACTICE LECTURE SERIES, THE PAIN TRILOGY, THE PHYSICIANS DOCUMENTATION LECTURE SERIES, THE ANNUAL PATIENT SAFETY RISK MANAGEMENT CONFERENCE, AND THE ANNUAL BEHAVIORAL HEALTH AND THE PRIMARY CARE PHYSICIAN CONFERENCE. THESE LIVE ACTIVITIES PLUS ENDURING MATERIALS AND SEVERAL OTHER MEDICAL EDUCATIONAL OPPORTUNITIES ARE OFFERED THROUGH THE HOLY SPIRIT HEALTH SYSTEM CONTINUING MEDICAL EDUCATION PROGRAM, AND ARE APPROVED FOR AMA "PRA CATEGORY 1 CREDIT" THROUGH THE VOTING (PHYSICIAN) CONSTITUENTS OF THE LIBRARY & MEDICAL EDUCATION COMMITTEE. APPROXIMATELY 550 PHYSICIANS AND 1100 NURSES AND OTHER STAFF TOOK ADVANTAGE OF MORE THAN 94 HOURS OF CME OPPORTUNITIES OFFERED VIA EIGHTEEN SEPARATE VENUES DURING THE 2012 FISCAL YEAR. NURSES, HEALTH EDUCATORS AND STAFF ROUTINELY PROVIDE FREE BLOOD PRESSURE AND BONE DENSITY SCREENS AND HEALTH LECTURES AT BUSINESSES AND IN THE COMMUNITY. THESE ACTIVITIES INCLUDE IN-SERVICES TO OTHER NON-PROFIT AGENCIES, PROFESSIONAL ADVISORY BOARD PARTICIPATION AND ARE PROVIDED AT NO COST TO THOSE BUSINESSES AND ORGANIZATIONS.MISSIONSTHE HOSPITAL DONATES USED MEDICAL EQUIPMENT AND SUPPLIES TO BOTH LOCAL AND OVERSEAS MISSIONS. THE VALUE OF DONATED SUPPLIES AND SERVICES WAS APPROXIMATELY $625. MEDICAL/SURGICAL SUPPLIES AND LINENS COMPRISED MOST OF THIS DOLLAR AMOUNT. UNCOMPENSATED CARETHE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. DURING THE FISCAL YEAR ENDING JUNE 30, 2012, $1,673,897 IN CARE WAS DELIVERED WITHOUT REIMBURSEMENT TO THE UNINSURED, THE UNDERINSURED, AND THE INDIGENT POPULATION OF SOUTH CENTRAL PENNSYLVANIA.COURTESY TRANSPORTATIONA COURTESY BUS OPERATES BETWEEN THE HOSPITAL'S PARKING LOT AND ITS BUILDINGS AS A COMMUNITY SERVICE FOR ALL PATIENTS AND VISITORS. THE HOSPITAL OFFERS FREE VALET PARKING SERVICE TO ALL PATIENTS AND VISITORS AT THE MAIN ENTRANCE AND AT THE EMERGENCY CENTER ENTRANCE.COMMUNITY SUPPORTHOLY 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 ALMOST $44,548 TO UNITED WAY. INDIVIDUALS WERE ENCOURAGED TO TAKE PART IN THIS SYSTEM-WIDE FUND-RAISER. 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. HOLY SPIRIT HAD 39 WALKERS PARTICIPATE IN THE AMERICAN HEART ASSOCIATION'S HEART WALK IN OCTOBER AND RAISED MORE THAN $1,000.FOR CHRISTMAS 2011, 62 HOLY SPIRIT EMPLOYEES, DONATED CHRISTMAS GIFTS TO BABIES AND CHILDREN WHOSE MOTHERS WERE CLIENTS OF THE CAPITAL REGION MATERNAL ASSISTANCE PROGRAM (MAP). ALL OF THE MAP FAMILIES SELECTED INVOLVED MOTHERS WHO WERE ACTIVELY WORKING TOWARDS A DRUG AND ALCOHOL FREE LIFE, WITH GOALS OF CREATING A HEALTHY ENVIRONMENT FOR THEIR NEWBORNS AS WELL AS THEIR FAMILIES.MEMBERS OF HOLY SPIRIT HEALTH SYSTEM'S LEADERSHIP TEAM ARE BOARD MEMBERS, MEMBERS OR PARTICIPATE WITH THE FOLLOWING ORGANIZATIONS: ALLISON HILL MINISTERIUM, AMERICAN ACADEMY OF PROFESSIONAL CODERS, AMERICAN ASSOCIATION FOR RESPIRATORY CARE, AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHAB, AMERICAN ASSOCIATION OF CRITICAL CARE NURSES, AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES, AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION, AMERICAN LEGION AUXILIARY, DUNCANNON POST 340, AMERICAN NURSES ASSOCIATION, AMERICAN PHYSICAL THERAPY ASSOCIATION, AMERICAN SOCIETY OF PERIANESTHESIA NURSES, ANTIOCH FOOD PANTRY, ASSOCIATION FOR NURSING PROFESSIONAL DEVELOPMENT, ASSOCIATION OF FUNDRAISING PROFESSIONALS, ASTD & CENTRAL PA ASTD SOCIETY FOR HEALTHCARE CONSUMER ADVOCACY, BETHESDA MISSION, CARLISLE CHAMBER OF COMMERCE, CATHOLIC HEALTH ASSOCIATION, CENTRAL PENNSYLVANIA ENERGY CONSORTIUM, CENTRAL PENNSYLVANIA HIMSS, CHRISTIAN CHURCHES UNITED, COALITION TO END HOMELESSNESS, DAUPHIN COUNTY HEALTH IMPROVEMENT PARTNERSHIP, DILLSBURG AREA BUSINESS ASSOCIATION, DILLSBURG GENERAL FEDERATION OF WOMEN'S CLUB, DUNCANNON PARKS AND RECREATION COMMITTEE, ELCA, LOWER SUSQUEHANNA SYNOD, HARRISBURG CONFERENCE, EMERGENCY HEALTH SERVICES FEDERATION BOARD MEMBER, FRIENDS OF MESSIAH COLLEGE'S MURRAY LIBRARY, GIRL SCOUTS IN THE HEART OF PENNSYLVANIA, GRANTHAM WOMEN'S CLUB, HARRISBURG AREA COMMUNITY COLLEGE (NURSING PROGRAM) HARRISBURG AREA COMMUNITY COLLEGE (PARAMEDIC PROGRAM ADVISORY BOARD), HARRISBURG AREA COMMUNITY COLLEGE (RESPIRATORY PROGRAM ADVISORY BOARD), HARRISBURG AREA DENTAL SOCIETY, HARRISBURG REGIONAL CHAMBER OF COMMERCE, HEALTH CARE COMPLIANCE ASSOCIATION, HEALTH MINISTRIES OF CHRIST LUTHERAN CHURCH, HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION, HEALTHSHARE COMMUNITY PARTNERSHIP, HOSPICE & PALLIATIVE NURSES ASSOCIATION, HUMAN RESOURCE PROFESSIONALS OF CENTRAL PA, KEYSTONE FAMILY SERVICES, LEADERSHIP HARRISBURG, LEADERSHIP HARRISBURG AREA, LOURDES HOUSE, NATIONAL ASSOCIATION FOR HEALTHCARE QUALITY, NATIONAL ASSOCIATION OF CATHOLIC CHAPLAINS, NATIONAL ASSOCIATION OF CLINICAL NURSE SPECIALISTS, NATIONAL ASSOCIATION OF EMS EDUCATORS, NATIONAL ASSOCIATION OF EMS PHYSICIANS PROFESSIONAL MEMBER, NATIONAL ASSOCIATION OF SOCIAL WORKERS, NATIONAL EMS MANAGEMENT ASSOCIATION, NATIONAL NOTARY ASSOCIATION, NATIONAL SOCIETY OF ACCOUNTANTS, PA ACADEMY OF FAMILY PHYSICIANS, PA DEPARTMENT OF HEALTH (SOUTH CENTRAL DISTRICT), PENNSYLVANIA MEDICAL SOCIETY, PENNSYLVANIA ASSOCIATION OF PERIANESTHESIA NURSES, PENNSYLVANIA NIGHTINGALE ASSOCIATION, PENNSYLVANIA ORGANIZATION OF NURSE LEADERS, PENNSYLVANIA SOCIETY FOR RESPIRATORY CARE, PENNSYLVANIA STATE NURSES ASSOCIATION, PERRY COUNTY FAMILY SERVICES PARTNERSHIP, PERRY HOUSING INITIATIVES, PROGRAM FOR FEMALE OFFENDERS, PROJECT SHARE, ROTARY CLUB OF HARRISBURG AND AT PENN STATE UNIVERSITY, RYE TOWNSHIP PARKS AND RECREATION COUNCIL, SIGMA THETA TAU, SOCIETY FOR HUMAN RESOURCE PROFESSIONALS, SOUTH CENTRAL ORGANIZATION OF NURSE LEADERS, SOUTH CENTRAL PA HOSPICE & PALLIATIVE NURSES ASSOCIATION, SOUTH CENTRAL PENNSYLVANIA ASSOCIATION OF PERIANESTHESIA NURSES, SOUTH CENTRAL PENNSYLVANIA EVIDENCE BASED PRACTICE CONSORTIUM, ST. FRANCIS SOUP KITCHEN, SUSQUEHANNA VALLEY CHAPTER OF AMERICAN ASSOCIATION OF CRITICAL CARE NURSES, SUSQUEHANNA VALLEY PLANNED GIVING COUNCIL, THE YWCA OF THE HARRISBURG AREA, TRANSCULTURAL NURSING SOCIETY, TRI-STATE SOCIETY OF CARDIOVASCULAR AND PULMONARY REHAB, WEST SHORE CHAMBER OF COMMERCE, WOMEN'S LEADERSHIP NETWORK (PART OF THE UNITED WAY), WOMEN'S FUND OF THE FOUNDATION FOR ENHANCING COMMUNITIES, AND WORLD AT WORK ASSOCIATION. THIS LIST DOES NOT INCLUDE THOSE COMMUNITY ORGANIZATIONS IN WHICH THE GENERAL EMPLOYEE POPULATION IS INVOLVED.IN THE PAST YEAR 432 VOLUNTEERS CONTRIBUTED OVER 48,000 HOURS OF SERVICE TO HOLY SPIRIT HOSPITAL. MORE THAN 2,672 HOURS WERE PROVIDED BY JUNIOR VOLUNTEERS. THESE HOURS REPRESENT THE VALUE OF THE VOLUNTEERS' TIME THAT ALLOWED US TO EXTEND OUR BUDGET BY $1,048,000. THIS IS 1,132 MORE HOURS AND A $97,000 INCREASE IN SERVICE OVER LAST FISCAL YEAR.HOLY SPIRIT'S ANNUAL GOLF TOURNAMENT WAS HELD IN AUGUST 2012. ALMOST 300 GOLFERS PARTICIPATED IN THE OUTING WHICH GENERATED MORE THAN $150,000. PROCEEDS (AFTER EXPENSES) WERE DISTRIBUTED TO HOLY SPIRIT'S MEDICAL OUTREACH PROGRAM, WHICH WAS CELEBRATING 15 YEARS OF SERVICE TO HARRISBURG'S ALLISON HILL COMMUNITY. THIS MISSION-DRIVEN, NURSE-RUN CLINIC IS HOUSED IN A 100-YEAR-OLD CHURCH IN THE POOREST SECTION OF HARRISBURG. IT SERVES THE POOR, THE HOMELESS, THE UNEMPLOYED, AND THE UNINSURED IN THAT NEIGHBORHOOD. 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 319 ACUTE CARE BEDS AND OPERATES OUTPATIENT CENTERS IN CAMP HILL, COLONIAL PARK, MECHANICSBURG, DILLSBURG AND DUNCANNON, A GAMMA KNIFE AT OAKWOOD CANCER CENTER IN MECHANICSBURG, A CARDIAC REHAB PROGRAM IN CARLISLE, AND THE HOLY SPIRIT SLEEP CENTER LOCATED IN LEMOYNE. 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 SIX 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 AND NEUROLOGICAL HOSPITALIST SERVICES.PART VI, LINE 7: N/A 1 HOLY SPIRIT HEALTH SYSTEM 503 NORTH 21ST STREET CAMP HILL PA 17011 251865142 501(C)(3) 15314323 CASH N/A PROVIDE FINANCIAL SUPPORT FOR OPERATIONS OF AFFILIATED ORGANIZATION HOLY SPIRIT HEALTH SYSTEM 503 NORTH 21ST STREET CAMP HILL PA 17011 251865142 501(C)(3) 112500 CASH N/A PROVIDE FINANCIAL SUPPORT VIA HOSPITAL AUXILIARY DONATION 1 0 SCHOLARSHIPS TO STUDENTS - COST CTRS: NURSING, PHYSCIAL THERAPY AND ANESTHESIA 42 265433 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 0 0 0 0 0 0 0 0 RICHARD SCHREIBER MD 217894 0 0 0 0 0 0 0 21166 0 239060 0 0 0 MANUEL J EVANS 334357 0 34291 0 0 0 0 0 19215 0 387863 0 0 0 JOSEPH A TORCHIA MD 316698 0 34291 0 0 0 0 0 24848 0 375837 0 0 0 RICHARD A SCHAFFNER JR 314957 0 34291 0 0 0 0 0 25138 0 374386 0 0 0 RICHARD E LAVANTURE 276575 0 28288 0 0 0 0 0 23794 0 328657 0 0 0 WILLIAM P SHARTLE 211556 0 21791 0 0 0 0 0 10992 0 244339 0 0 0 MICHAEL J PASZEK MD 270779 0 0 0 0 0 0 0 25899 0 296678 0 0 0 LISA F LEWIS 210752 0 23788 0 0 0 0 0 23254 0 257794 0 0 0 MARIA E PRUDENCIO MD 230334 0 0 0 0 0 0 0 15867 0 246201 0 0 0 ROBIN K MILLER MD 219636 0 0 0 0 0 0 0 17814 0 237450 0 0 0 EDITH C DEES 192062 0 17292 0 0 0 0 0 13990 0 223344 0 0 0 WEST SHORE AREA AUTHORITY 232179305 955816AM5 2011-02-15 60958107 REFINANCE 1997 & 2001 BONDS, CAPITAL PROJECTS AND ISSUANCE COSTS 1 0 0 WEST SHORE AREA AUTHORITY 232179305 955816AW3 2011-11-30 33618240 REFINANCE 2001 BOND, CAPITAL PROJECTS AND ISSUANCE COSTS 0 0 0 61011341 953188 13204200 35020079 11833874 2014 1 1 0 1 33618240 581495 1124965 25487410 6424370 2014 1 0 0 1 0 0 1 1 0 0.00000 0.00000 0.00000 1 0 0 1 1 0 0.00000 0.00000 0.00000 1 0 0 0 0 0 1 0 0 0 0 0 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 V: WHILE NOT FORMALLY ADOPTED, THE HOSPITAL HAS PROCEDURES IN PLACE TO ENSURE COMPLIANCE TO IDENTIFY AND CORRECT ANY VIOLATIONS BY SELF REMEDIATION. THE HOSPITAL EXPECTS TO FORMALIZE THE POLICY SHORTLY. MICHAEL SERLUCO MORTGAGE ON OFFICE SPACE X 1200000 1095063 0 1 1 1095063 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 4 THE BYLAWS WERE CHANGED DURING FISCAL YEAR 2012 AS FOLLOWS: - TWO (2) SISTERS OF THE EASTERN PROVINCE OF THE SISTERS OF CHRISTIAN CHARITY SHALL BE APPOINTED BY THE CHAIRPERSON OF THE BOARD OF TRUSTEES OF THE SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION, OR THE CHAIRPERSON'S DESIGNEE, AS EX OFFICIO DIRECTORS. - MAXIMUM NUMBER OF BOARD MEMBERS INCREASED TO 18 DIRECTORS AND THE CHAIRPERSON OF THE HOLY SPIRIT HEALTH SYSTEM BOARD OF DIRECTORS WAS REMOVED AS AN EX OFFICIO DIRECTOR. 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 2012. THIS REVIEW WAS DONE FOR THE CEO, COO, ALL SENIOR VP'S AND VP'S. 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 5: NET UNREALIZED LOSSES ON INVESTMENTS: -2,427,293. CHANGE IN SPLIT INTEREST AGREEMENT -1,848. CHANGE IN POLICY CASH SURRENDER VALUE -7,028. TOTAL TO FORM 990, PART XI, LINE 5: -2,436,169. 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 HOLY SPIRIT VENTURES INC 503 NORTH 21ST STREET CAMP HILL PA 17011 232407709 MEDICAL SERVICES PA SISTERS OF CHRISTIAN CHARITY HEALTH CORP C 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1