2012-05-01T13:15:46-05:00 2011-06-30 PARENTEBEARD LLC 400 MARKET STREET WILLIAMSPORT PA 17701 990 2010-07-01 251865142 HOLY SPIRIT HEALTH SYSTEM HOLY 7177632130 503 NORTH 21ST STREET CAMP HILL PA 17011 SR ROMAINE NIEMEYER 7177632130 2012-04-26 1 5703236023 2010 2016-02-24 21:20:13Z MANUEL J EVANS 503 NORTH 21ST STREET CAMP HILL PA 17011 9973521 0 X WWW.HSH.ORG X 1999 PA TO PROVIDE RESOURCES FOR THE RESTORATION AND MAINTENANCE OF HEALTH AND THE PREVENTION OF DISEASE. 12 12 12 0 0 0 5456339 8690229 0 0 295238 364874 719388 869808 6470965 9924911 4930171 8660218 0 0 477309 604843 171014 130940 130940 409472 535318 5987966 9931319 482999 -6408 10473639 11399281 108798 222072 10364841 11177209 X HOLY SPIRIT HEALTH SYSTEM IS A COMMUNITY CATHOLIC HEALTH SYSTEM 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 IN A CARING, PATIENT-FOCUSED ENVIRONMENT TO DEVELOP HEALTHY COMMUNITIES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA. 1 0 9694193 8660218 SUPPORTED AND CARRIED OUT THE MISSION OF, AND IDENTIFIED WITH THE ETHICAL PRINCIPLES OF, THE ROMAN CATHOLIC CHURCH TO PROVIDE RESOURCES FOR THE RESTORATION AND MAINTENANCE OF HEALTH AND THE PREVENTION OF DISEASE.HOLY SPIRIT HEALTH SYSTEM PROVIDES FINANCIAL SUPPORT TO ITS' CONTROLLED ENTITIES TO ALLOW THESE ENTITIES TO CARRY ON WITH THEIR EXEMPT PURPOSES OF PROVIDING AFFORDABLE HEALTHCARE AND MEDICAL SERVICES TO RESIDENTS OF CAMP HILL PENNSYLVANIA AND SURROUNDING COMMUNITIES. 9694193 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 0 1 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 7 0 1 12 1 0 0 0 0 0 1 1 0 0 0 0 X 12 12 0 0 1 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 PA X SISTER ROMAINE NIEMEYER SCC 7177632130 503 NORTH 21ST STREET CAMP HILL PA 17011 X X NILES BENN ESQ 1.00 X 0 0 0 BRUCE J BROWN 1.00 X X 0 0 0 JAMES GIBSON 1.00 X X 0 0 0 SR ROMAINE NIEMEYER SCC 1.00 X X 0 0 0 ROBERT DIETZ 1.00 X 0 0 0 SR MARIA ASSUMPTA SHURER SCC 1.00 X 0 0 0 SR JOSEPH SPRING SCC 1.00 X 0 0 0 SR JOAN DANIEL HEALY SCC 1.00 X 0 0 0 ELIZABETH BERGEY MD 1.00 X 0 0 0 DR MADLYN HANES PHD 1.00 X 0 0 0 MARK JACOBSON MD 1.00 X X 0 0 0 LEON FEINERMAN 1.00 X 0 0 0 SUSAN STUART 40.00 X 128095 0 9734 128095 0 9734 1 0 0 0 SPIRIT PHYSICIAN SERVICES INC 503 N 21ST STREET CAMP HILL PA 17011 401K, CAPITAL CONTRIBUTIONS, INSURANCE 5620801 HOLY SPIRIT HOSPITAL NORTH 21ST STREET CAMP HILL PA 17011 BENEFITS, SUPPLIES, SALARIES 1208029 STEVENS & LEE PO BOX 679 READING PA 19603 PROFESSIONAL SERVICES 123440 PARENTEBEARD LLC 46 PUBLIC SQUARE STE 400 WILKESBARRE PA 18701 AUDITING & TAX PREP 105750 4 80050 7317506 485088 807585 14015 8690229 196184 196184 168690 168690 168690 168690 44023 80050 48610 -4587 -4587 CORPORATE COMPLIANCE R 900099 497100 497100 RESOURCE DEVELOPMENT 900099 374789 374789 MISCELLANEOUS 900099 2506 2506 874395 9924911 0 0 1234682 8660218 8660218 508179 508179 16515 16515 77999 77999 2150 2150 93416 93416 54059 52833 1226 57972 57972 130940 130940 15171 15171 31817 31817 138814 138814 38021 38021 287 287 8954 8954 2355 2355 403 403 ANNUAL REPORT 50364 50364 DUES AND SUBSCRIPTIONS 40581 40581 MARKET RESEARCH 2750 2750 DONOR RECOGNITION 23 23 331 331 9931319 9694193 106186 130940 500 500 948522 1237828 36741 55051 29541 8942 12757 20599 5988645 6373678 3092536 3322536 393938 389089 10473639 11399281 50848 153832 57950 68240 108798 222072 X 10364841 11177209 10364841 11177209 10473639 11399281 X -6408 818776 X 0 1 1 X 0 X X 0 0 0 SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION 232322926 1 1 1 0 HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY 231512747 3 1 1 0 SPIRIT PHYSICIAN SERVICES INC 251766971 9 1 1 1 5431253 WEST SHORE ADVANCED LIFE SUPPORT SERVICES INC 232463002 7 1 1 0 COMFORT CARE OF HOLY SPIRIT INC 232465952 9 1 1 1 180000 5 5611253 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2226656 22983 306634 -15330 2571603 2121932 9370 118956 23602 2226656 2526208 1218 -387499 17995 2121932 1.00000 0 1 1 7709 7709 0 21832 1233 20599 20599 PA COMMUNITY HOSPITAL ASSOCIATES INVESTMENT 3322536 C 3322536 9924911 9931319 -6408 818776 818776 812368 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: INTEREST EARNED IS UNRESTRICTED AND TRANSFERRED TO THE OPERATING ACCOUNT TO BE USED FOR OPERATIONAL EXPENSES. 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 2011 OR 2010. THE SYSTEM'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR 2010, 2009, AND 2008 REMAIN SUBJECT TO EXAMINATION BY THE IRS. X X X X X X 1 STEVENS & LEE 111 NORTH 6TH STREET READING PA 19601 FEDERAL AND STATE GRANTS 0 350000 123440 226560 PROCOPIO 459 OVERLOOK BLVD SHAMOKIN PA 17872 FOUNDATION GRANTS 0 0 7500 0 350000 130940 226560 PA GOLF OUTING 124073 80050 44023 11518 32252 2062 2778 124073 80050 44023 11518 32252 2062 2778 48610 -4587 0 SPIRIT PHYSICIAN SERVICES INC 503 NORTH 21ST STREET CAMP HILL PA 17011 251766971 501(C)(3) 5571224 CASH N/A PROVIDE FINANCIAL SUPPORT FOR OPERATIONS. COMFORT CARE OF HOLY SPIRIT INC 503 NORTH 21ST STREET CAMP HILL PA 17011 232465952 501(C)(3) 180895 CASH N/A PROVIDE FINANCIAL SUPPORT FOR OPERATIONS. HOLY SPIRIT CORPORATION 503 NORTH 21ST STREET CAMP HILL PA 17011 232214540 501(C)(3) 1878309 CASH N/A PROVIDE FINANCIAL SUPPORT FOR OPERATIONS. HOLY SPIRIT HOSPITAL 503 NORTH 21ST STREET CAMP HILL PA 17011 501(C)(3) 1010811 CASH N/A PROVIDE FINANCIAL SUPPORT FOR OPERATIONS. 2 1 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. NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 MISSION INTEGRATION ENGAGES ALL OF THE EFFORTS, PROCESSES, PROGRAMS, AND RELATIONSHIPS OF HOLY SPIRIT HOSPITAL AND HEALTH SYSTEM WHICH SERVE TO ENHANCE THE UNDERSTANDING OF AND COMMITMENT TO THE MISSION, CHARISM, TRADITION, AND VALUES OF THE SPONSORS, THE SISTERS OF CHRISTIAN CHARITY, AND HOLY SPIRIT HEALTH SYSTEM. THE DIRECTOR OF MISSION INTEGRATION FOR HSHS PROMOTES THE INTEGRATION OF MISSION INTO OUR DAILY WORK, PROMOTES THE MISSION AND CORE VALUES OF THE ORGANIZATION, COORDINATES EFFORTS TO ENSURE THAT THE VISION, PHILOSOPHY, AND VALUES OF THE SISTERS OF CHRISTIAN CHARITY ARE CONSISTENTLY AND CLEARLY ARTICULATED, AND THAT THEY ARE INTEGRATED INTO THE PLANNING AND DECISION-MAKING, ENHANCES THE UNDERSTANDING OF THE PRESENCE AND IMPORTANCE OF INTEGRATION OF MISSION IN DAILY RESPONSIBILITIES, ENCOURAGES SPIRITUALITY AND PHILANTHROPY IN THE WORKPLACE, SUPPORTS BEHAVIORS WITHIN THE CONTEXT OF CATHOLIC MORAL TRADITION, PROMOTES SYSTEMS APPROACH, ENCOURAGES SPIRITUALITY IN THE WORKPLACE, EDUCATES THE ORGANIZATION OF THE ORIGIN OF ITS MISSION AND CATHOLIC IDENTITY, ASSISTS THE ORGANIZATION IN ENSURING FAITHFULNESS TO ITS PURPOSE, IDENTITY, AND VALUES, SUPPORTS AND PROMOTES THE STRATEGIC GOALS OF THE ORGANIZATION, PARTICIPATES AS STAFF ON THE STRATEGIC PLANNING COMMITTEE AND ETHICS BOARD COMMITTEE FOR THE ORGANIZATION, AND PROVIDES LEADERSHIP IN DESIGN AND IMPLEMENTATION OF HSHS'S COMMUNITY BENEFIT HEALTH NEEDS ASSESSMENT AND SOCIAL ACCOUNTABILITY INVENTORY STRATEGIC GOALS AND WORK PLAN. FORM 990, PART VI, SECTION A, LINE 4 HSHS CHANGED ITS BYLAWS TO DELETE SOME STANDING COMMITTEES AND TO ADD SOME OTHER COMMITTEES. FORM 990, PART VI, SECTION A, LINE 6 THE SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION, A PENNSYLVANIA NON-PROFIT CORPORATION, IS THE SOLE MEMBER OF HOLY SPIRIT HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A THE CHAIRPERSON OF THE BOARD OF TRUSTEES, SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION (PARENT), HAS THE POWER TO APPOINT OR REMOVE THE PRESIDENT AND/OR CHIEF EXECUTIVE OFFICER OF THIS CORPORATION. THE PARENT ALSO HAS THE POWER TO ELECT THE DIRECTORS OF THE CORPORATION AND TO APPROVE NOMINEES FOR ELECTED OFFICERS. 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 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 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 IS 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. 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 HOLY SPIRIT HEALTH SYSTEM RETAINED A CONSULTING FIRM TO REVIEW THE EXECUTIVE COMPENSATION PROGRAM IN APRIL 2008 AND TO UPDATE THE ANALYSIS IN MAY 2010. THE FIRM COLLECTED MARKET DATA FROM VARIOUS SOURCES. THE FIRM COMPARED HOLY SPIRIT HEALTH SYSTEM TO HOSPITALS SIMILAR IN SCOPE AND SCALE AND TRENDED THE DATA BASED ON THE FIRM'S US COMPENSATION PLANNING SURVEY. THE RESULTS AND RECOMMENDATIONS WERE PRESENTED TO THE BOARD. THE FOLLOWING POSITIONS THAT ARE ANALYZED ARE PRESIDENT, SENIOR VP MEDICAL AFFAIRS, SENIOR VP FINANCE, SENIOR VP AND CHIEF OPERATING OFFICER, SENIOR VP CORPORATE AFFAIRS, SENIOR VP OF HUMAN SERVICES, VP PATIENT CARE SERVICES, CHIEF INFORMATION OFFICER, VP RISK MANAGMENT AND SUPPORT SERVICES, VP/COO SPIRIT PHYSICIAN SERVICES, VP/COO WEST SHORE ADVANCED LIFE SUPPORT, PRESIDENT/CEO OF COMFORT CARE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII: AVERAGE HOURS PER WEEK FOR ALL RELATED ORGANIZATIONS ARE AS FOLLOWS FOR THE THE FOLLOWING INDIVIDUALS: - SISTER ROMAINE NIEMEYER, S.C.C. - 40 HOURS CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 818,776. COMFORT CARE OF HOLY SPIRIT INC 503 N 21ST STREET CAMP HILL PA 17011 232465952 HEALTHCARE PA 501(C)(3) 9 HOLY SPIRIT HEALTH SYSTEM 1 HOLY SPIRIT HOSPITAL 503 N 21ST STREET CAMP HILL PA 17011 231512747 HEALTHCARE PA 501(C)(3) 3 HOLY SPIRIT HEALTH SYSTEM 1 HOLY SPIRIT CORPORATION 503 N 21ST STREET CAMP HILL PA 17011 232214540 REAL ESTATE PA 501(C)(2) HOLY SPIRIT HEALTH SYSTEM 1 SPIRIT PHYSICIANS SERVICES INC 503 N 21ST STREET CAMP HILL PA 17011 251766971 HEALTHCARE PA 501(C)(3) 9 HOLY SPIRIT HEALTH SYSTEM 1 WEST SHORE ADVANCED LIFE SUPPORT SERVICES INC 503 N 21ST STREET CAMP HILL PA 17011 232463002 HEALTHCARE PA 501(C)(3) 7 HOLY SPIRIT HEALTH SYSTEM 1 SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION MALLINCKRODT CONVENT MENDHAM NJ 07945 232322926 HEALTHCARE NJ 501(C)(3) 1 N/A 0 HOLY SPIRIT VENTURES INC NORTH 21ST STREET CAMP HILL PA 17011 232407709 MEDICAL SERVICES PA N/A C 0 1 1 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 COMFORT CARE OF HOLY SPIRIT INC B 180895 CASH HOLY SPIRIT HOSPITAL C 5317506 CASH SPIRIT PHYSICIAN SERVICES INC B 5571224 CASH HOLY SPIRIT CORPORATION B 1878309 CASH HOLY SPIRIT VENTURES INC C 2000000 CASH HOLY SPIRIT HOSPITAL B 1010811 CASH