PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER (EIN 23-1512747)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-16
IRS object ID: 201111369349301441
Schema version: 2009v1.7
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-16T10:00:49-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	400 MARKET STREET	AddressLine1
City	WILLIAMSPORT	City
State	PA	State
ZIP Code	17701	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	231512747	EIN

Name Name

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

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

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	SR ROMAINE NIEMEYER	Name
Title	PRESIDENT/CEO	Title
Phone	7177632100	Phone
Date Signed	2011-05-11	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	5703236023	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	288830484	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.hsh.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1963	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE HEALTH CARE TO THE COMMUNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	2682	TotalNbrEmployees
Total Nbr Volunteers	425	TotalNbrVolunteers
Total Gross UBI	3773004	TotalGrossUBI
Net Unrelated Business Txbl Income	801729	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3796976	ContributionsGrantsPriorYear
Contributions Grants Current Year	3627675	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	704246700	ProgramServiceRevenuePriorYear
Program Service Revenue CY	258349139	ProgramServiceRevenueCY
Investment Income Prior Year	-2150986	InvestmentIncomePriorYear
Investment Income Current Year	2829630	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7335725	OtherRevenuePriorYear
Other Revenue Current Year	6915780	OtherRevenueCurrentYear
Total Revenue Prior Year	713228415	TotalRevenuePriorYear
Total Revenue Current Year	271722224	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	3808716	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	5151206	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	117564856	SalariesEtcPriorYear
Salaries Etc Current Year	123842975	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	393439	TotalFundrsngExpCurrentYear
Other Expense Prior Year	586072980	OtherExpensePriorYear
Other Expenses Current Year	131364794	OtherExpensesCurrentYear
Total Expenses Prior Year	707446552	TotalExpensesPriorYear
Total Expenses Current Year	260358975	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	5781863	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	11363249	RevenuesLessExpensesCY
Total Assets BOY	197877541	TotalAssetsBOY
Total Assets EOY	212401841	TotalAssetsEOY
Total Liabilities BOY	101505290	TotalLiabilitiesBOY
Total Liabilities EOY	102545438	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	96372251	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	109856403	NetAssetsOrFundBalancesEOY
Mission Description	Holy Spirit Hospital is a community Catholic hospital sponsored by the Sisters of Christian Charity to carry out the healing ministry of Jesus Christ to all in need. We provide high quality, cost-effective health services to develop healthy communities in the greater Harrisburg area and South Central Pennsylvania.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	71509219	Expense
Revenue	87619260	Revenue
Description	Nursing Services:Nursing Services is driven by the hospital's Mission, Vision and Values. The provision of highly skilled, competent and compassionate nursing care is essential to fulfill our commitment to excellence in clinical practice, education and nursing research. Inpatient nursing units' expenses in fiscal year 2010 were $27,042,981; surgical nursing services' expenses were $30,757,781; and all other nursing expenses totaled $13,708,458. Those expenses totaled over $71.5 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 2010, the NICU staff cared for 108 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 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 administrators 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 2010, the Institutional Review Board approved 9 new protocols, continued reviewing 70 protocols and studied approximately 1,425 adverse event reports.Holy Spirit Hospital is committed to providing assistance to all faiths with their faith-based ministry of health. Free services offered to South Central Pennsylvania faith communities include an assessment of the congregation's needs, assistance in developing an individualized ministry of health, ongoing guidance, networking opportunities, a resource center and lending library, continuing 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 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 performed at the hospital. In addition, hospital nurses helped to administer free flu immunizations to the low income, uninsured population in a three-county area.Holy Spirit staff works collaboratively with Harrisburg Area Community College, Messiah College, York College, Eastern University, Widener University, Penn State University, Drexel University, South University, Southern Adventist University and Misericordia University to provide clinical learning opportunities for students.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	19549225	Expense
Revenue	31404142	Revenue
Description	Cardiovascular Services:The Ortenzio Heart Center at Holy Spirit is a four-story, 140,000-square-foot facility equipped with the latest technology and staffed with a skilled team of nurses and clinical specialists. Some of the region's most experienced cardiologists and cardiac surgeons practice in The Ortenzio Heart Center at Holy Spirit, offering open heart surgery, cardiac catheterization, vascular procedures, diagnostic cardiology, nuclear cardiology, cardiac rehabilitation, electrophysiology studies, tilt studies, and CRM device, pacemaker and other device implants.In fiscal year 2010, The Ortenzio Heart Center at Holy Spirit performed 2,249 diagnostic cardiac catheterizations and 866 interventional cardiac catheterizations. More than 1,500 patients had electrophysiology procedures performed and 310 patients had cardiothoracic surgeries. More than 32,668 EKGs were performed in fiscal year 2010. More than 7,500 cardiac rehabilitation sessions were provided to help patients recover from surgery or heart-related problems. The goal is to get the patients back to their normal activities and to educate and lead them to adopt a heart healthy lifestyle. Our cardiac team consistently beat the national quality goal for door-to-reperfusion (opening blocked coronary arteries and re-establishing blood flow to the heart) time for cardiac patients. Early restoration of blood flow, or reperfusion, to the heart can reduce the extent of myocardial damage.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	16364142	Expense
Revenue	57509908	Revenue
Description	Imaging Services:Holy Spirit Imaging Services assists healthcare providers in the diagnosis and treatment of a wide variety of diseases. From routine X-rays to the high-tech 4D imagery, Holy Spirit Imaging provides services at the hospital and through its outpatient imaging centers, located within the hospital and in surrounding communities. In August 2009, Holy Spirit opened a new center in Camp Hill. This center provides imaging services, including CT, digital mammography, general and vascular 4D ultrasound, and digital X-ray. In the fall, stereotactic breast biopsy and virtual colonoscopy services were added at this center.The Imaging Services staff participates in health fairs throughout the year. During this fiscal year, they attended 42 health fairs and Spirit of Women events and provided 2,227 free bone density screenings and 393 free carotid ultrasound screenings.Holy Spirit Imaging Centers offer free bone density screenings at convenient 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 4,040 free bone density screenings.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	90630697	Expense
Grants	5151206	Grants
Revenue	81815829	Revenue
Description	Laboratory ServicesHoly Spirit provides comprehensive laboratory services, including chemistry, urinalysis, toxicology, therapeutic drug monitoring, hematology, coagulation, microbiology, immunology, blood bank and transfusion services, cytology and histology. Laboratory services are provided at eight convenient locations.Laboratory collection and blood donor services relocated to a new facility, the Holy Spirit Camp Hill Center and were expanded.The Laboratory Services staff participated in 38 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 1,899 glucose tests and 2,104 cholesterol tests were performed at no cost or at a reduced cost to patients. 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.Clinical Information SystemOver the last five years Holy Spirit Hospital has implemented an advanced electronic medical record (EMR) that fewer than 20% 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 substantial improvements 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 is in excellent position to demonstrate meaningful use of its EMR, consistent with incentive funding authorized by the American Recovery and Reinvestment Act of 2009. The hospital stands to gain approximately $7 million over the next four years for its efforts.It has now been three 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.During the 2010 fiscal year Holy Spirit expanded use of bar-coded medication administration, another safety based technology. Starting with the first quarter of the next fiscal year we will embark on a major upgrade that will be the final step which will qualify us for meaningful use. Thereafter we will continue to add other patient safety and efficiency modules to our EMR. The most recent research suggests that only about 12% of hospitals similar to ours in size and structure have introduced the types of technologies that we already have. As we continue to introduce new and upgraded technologies we remain in the forefront of those institutions.Clinical Information SystemOver the last five years Holy Spirit Hospital has implemented an advanced electronic medical record (EMR) that fewer than 20% 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 substantial improvements 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 is in an excellent position to demonstrate meaningful use of its EMR, consistent with incentive funding authorized by the American Recovery and Reinvestment Act of 2009. The hospital stands to gain approximately $7 million over the next four years for its efforts.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: breast cancer, prostate cancer, heart disease, diabetes, minimally invasive surgery, Crohn's disease, ulcerative colitis and childhood depression.The Pastoral Care department offered several free bereavement support group/lecture series during the year for anyone grieving the death of a loved one and for those who care about friends who are grieving. Various aspects of the grieving process are discussed to help individuals understand how to cope with grief.In observance of National Diabetes Month, Holy Spirit Hospital's Diabetes Services offered a unique program to people with diabetes in November 2009. 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 89 children graduated from the program. Each participant pays $25 to cover the cost of materials for the two-day program.Health Fairs/Disease Prevention Programs/Health InformationDuring the year Holy Spirit Health System participated in 56 health fairs for businesses, clubs, organizations, and churches. Staff provided more than 3,200 health screenings, including glucose and cholesterol, blood pressure, body mass index, bone density and lung function testing, at the health fairs. More than 3,000 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 22 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.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 $7,600. Holy Spirit Hospital offers other innovative programs to schools to promote 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 1400 third-graders in 75 classrooms 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's Pastoral Care's Emergency Room (ER) Family Support Program helps patients and families in the ER, seven days a week, from 6 to 9 p.m. Through this program, specially trained volunteers provide information, to listen, to be a liaison between the family and the caregivers and to provide refreshments if needed. 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. Consultation and Related ServicesHoly 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.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	90630697	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	5151206	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	81815829	TotalOfOtherProgramServiceRev
Total Program Service Expense	198053283	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	77	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	2682	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	1	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
LEON FEINERMAN
CHAIRPERSON	1.00	X	X	0	0	0
ROBERT DIETZ
FIRST VICE CHAIRPERSON	1.00	X	X	0	0	0
MICHAEL SERLUCO
SECRETARY/TREASURER	1.00	X	X	0	0	0
JAMES C BYERLY
DiRECTOR	1.00	X		0	0	0
JANAK M AMIN
DIRECTOR	1.00	X		0	0	0
SAMUEL COOPER III ESQUIRE
DIRECTOR	1.00	X		0	0	0
SISTER JOAN DANIEL HEALY SCC
DIRECTOR	1.00	X		0	0	0
timothy clark md
DIRECTOR	1.00	X		0	0	0
LAWRENCE M KLUGER
DIRECTOR	1.00	X		0	0	0
SISTER JOSITA MARKS SCC
DIRECTOR	1.00	X		0	0	0
SISTER ANNE THERESA PEACH SCC
DIRECTOR	1.00	X		0	0	0
RICHARD SCHREIBER MD
DIRECTOR	40.00	X		174429	0	9014
REV WILLIAM WALTERSHEID
DIRECTOR	1.00	X		0	0	0
SISTER ROMAINE NIEMEYER SCC
PRESIDENT	40.00	X	X	0	0	0
steven wolf md
direcTOR	1.00	X		0	0	0
MANUEL J EVANS
SENIOR VP - FINANCE	40.00			337772	0	24853	X
RICHARD A SCHAFFNER JR
SENIOR VP & COO	40.00			310051	0	22183	X
RICHARD LAVANTURE
Sr VP Corp Affairs	40.00			279456	0	21016	X
DR JOSEPH A TORCHIA
SR VP MED AFFAIRS	40.00			346456	0	22285	X
William P Shartle
Sr VP HR	40.00			209567	0	8728	X
CHARLES CLADEL MD
PHYSICIAN/PRESIDENT MEDICA	40.00			211875	0	23653		X
DR MICHAEL J PASZEK
MED DIR BIRTHPLACE	40.00			239569	0	22159		X
edith c dees
chief info officer	40.00			210797	0	13512		X
Lisa F Lewis
VP Patient Care Svcs	40.00			224304	0	13748		X
DR Robin K Miller
PHYSICIAN CMHC	40.00			204594	0	14450		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2748870	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	195601	TotalOtherCompensation
Number Individuals GT100 K	144	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
West Shore Anesthesia
PO Box 1050	Camp Hill	PA	17001	Physician Contract	1127688
quantum imaging
629-D Lowther Road	lewisbury	PA	17339	Purchased Medical Services	1038491
center for wound healing
155 white plains road Suite 222	tarrytown	NY	10591	management svcs - Hyperbaric	862032
Quest Diagnostics
12436 Collections Center Drive	Chicago	IL	60693	Purchased Medical Services	768665
HaRRISBURG MOBILE LITHOTRIPSEY
100 WEST THIRD AVE STE 350	CoLUMBUS	OH	43201	Purchased Medical Services	757800

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	27	NumberOfContractorsGT100K
Fundraising Events	80997	FundraisingEvents
Related Organizations	652901	RelatedOrganizations
Government Grants	2203404	GovernmentGrants
All Other Contributions	690373	AllOtherContributions
Total Contributions	3627675	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REV - ANCILLAR	621400	227091652	227091652
PATIENT REV - ROOM & B	621400	24850918	24850918
PATIENT REV - ANCILLAR	621400	3282545	3282545
PATIENT REV - ROOM & B	621400	3124024	3124024

Field	Value	IRS element (for citing)
Total Program Service Revenue	258349139	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1876278	TotalRevenueColumn
Exclusion	$1,876,278	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	703360	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	687755	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	15605	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	15605	TotalRevenueColumn
Exclusion	$15,605	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	17318581	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	16309454	Securities
Other	55775	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1009127	Securities
Other	-55775	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	953352	TotalRevenueColumn
Exclusion	$953,352	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	98219	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	80997	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	55276	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	42943	TotalRevenueColumn
Exclusion	$42,943	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
LABORATORY - NON PATIE	621500	2590778	2590778
INTENSIVE CASE MANAGEM	900099	687431		687431
LTACH - RENT & OTHER S	532000	658272	658272

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2920751	TotalRevenueColumn
Related Or Exempt Function Income	1527387	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	523954	UnrelatedBusinessRevenue
Exclusion	$869,410	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	6857232	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	271722224	TotalRevenueColumn
Related Or Exempt Function Income	260563957	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3773004	UnrelatedBusinessRevenue
Exclusion	$3,757,588	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	4635445	Total
Program Services	4635445	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	515761	Total
Program Services	515761	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1656447	Total
Management And General	1656447	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	99286842	Total
Program Services	75252417	ProgramServices
Management And General	23795542	ManagementAndGeneral
Fundraising	238883	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3500620	Total
Program Services	2615862	ProgramServices
Management And General	884741	ManagementAndGeneral
Fundraising	17	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	11729067	Total
Program Services	8860797	ProgramServices
Management And General	2868213	ManagementAndGeneral
Fundraising	57	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7669999	Total
Program Services	5819267	ProgramServices
Management And General	1850704	ManagementAndGeneral
Fundraising	28	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	4715998	Total
Management And General	4715998	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	388937	Total
Management And General	388937	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	126973	Total
Management And General	126973	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	140540	Total
Management And General	140540	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	18698895	Total
Program Services	14256740	ProgramServices
Management And General	4287784	ManagementAndGeneral
Fundraising	154371	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1823038	Total
Program Services	36978	ProgramServices
Management And General	1786060	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	57178265	Total
Program Services	52742117	ProgramServices
Management And General	4436146	ManagementAndGeneral
Fundraising	2	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	5440518	Total
Program Services	214392	ProgramServices
Management And General	5226126	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7068239	Total
Program Services	5038106	ProgramServices
Management And General	2030133	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	632482	Total
Program Services	382456	ProgramServices
Management And General	250026	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	23563	Total
Program Services	216	ProgramServices
Management And General	23347	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	4097493	Total
Program Services	3061879	ProgramServices
Management And General	1035594	ManagementAndGeneral
Fundraising	20	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	14211091	Total
Program Services	9445372	ProgramServices
Management And General	4765664	ManagementAndGeneral
Fundraising	55	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1404894	Total
Program Services	872131	ProgramServices
Management And General	532757	ManagementAndGeneral
Fundraising	6	Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
UNRELATED BUSINESS INCO	203822	203822
BAD DEBT EXPENSE	14143276		14143276
DueS	473199	420365	52834
MedicAL LIBRARY/Physici	123071	123071
EmPLOYEE RECOGNITION	122835	122835

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	347665	Total
Program Services	107237	ProgramServices
Management And General	240428	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	260358975	Total
Program Services	198053283	ProgramServices
Management And General	61912253	ManagementAndGeneral
Fundraising	393439	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	4170	BOY
EOY	4370	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	5684466	BOY
EOY	8834373	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	15930	BOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	33667126	BOY
EOY	32634073	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	710084	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	794485	BOY
EOY	740203	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2255466	BOY
EOY	2089169	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	215154135	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	132373929	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	81813986	BOY
EOY	82780206	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	64775681	BOY
EOY	76989171	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	8866231	BOY
EOY	7620192	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	197877541	BOY
EOY	212401841	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	27296717	BOY
EOY	28887135	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	70125000	BOY
EOY	67975000	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
EOY	1174333	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	4083573	BOY
EOY	4508970	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	101505290	BOY
EOY	102545438	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	93824905	BOY
EOY	107509859	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	425414	BOY
EOY	119888	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2121932	BOY
EOY	2226656	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	96372251	BOY
EOY	109856403	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	197877541	BOY
EOY	212401841	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$20,083	OtherActivitiesAmount
Total Lobbying Expenditures IIB	20083	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i:	Identifier
Return Reference	Explanation of Other Lobbying Activities:	ReturnReference
Explanation	A PORTION OF THE HOSPITAL'S DUES PAID TO THE HOSPITAL ASSOCIATION OF PENNSYLVANIA ("HAP") AND THE AMERICAN HOSPITAL ASSOCIATION ("AHA") ARE USED FOR LOBBYING PURPOSES. IN FISCAL YEAR 2010, 25.82% OF DUES PAID TO HAP RELATED TO LOBBYING, 23.76% OF DUES PAID TO AHA RELATED TO LOBBYING AND 5.46% OF DUES PAID TO CHA RELATED TO LOBBYING.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Field	Value	IRS element (for citing)
Board Designated EOY Balance	1.00000	BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs	1	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2215369	OtherCostOrOtherBasis
Book Value	2215369	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	61232926	OtherCostOrOtherBasis
Depreciation	31749195	Depreciation
Book Value	29483731	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3047945	OtherCostOrOtherBasis
Depreciation	2280679	Depreciation
Book Value	767266	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	143044363	OtherCostOrOtherBasis
Depreciation	95321985	Depreciation
Book Value	47722378	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5613532	OtherCostOrOtherBasis
Depreciation	3022070	Depreciation
Book Value	2591462	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	82780206	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$1,395,209
BLUE CROSS CURRENT FINANCING ADVANCE	$1,222,600
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY	$1,492,000
DEFERRED COMPENSATION	$287,635
due to affiliates	$111,526

Field	Value	IRS element (for citing)
Total Of Amounts	4508970	TotalOfAmounts
Total Revenue	271722224	TotalRevenue
Total Expenses	260358975	TotalExpenses
Excess Or Deficit For Year	11363249	ExcessOrDeficitForYear
Net Unrealized GL On Investments	2144505	NetUnrealizedGLOnInvestments
Other	-$23,603	OtherAmount
Total Adjustments	2120902	TotalAdjustments
Excess Or Deficit Per FS	13484151	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	273702586	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	2144505	NetUnrealizedGainsInvestments
Other Revenues	-23603	OtherRevenues
Revenue Not Rptd F990	2120902	RevenueNotRptdF990
Revenue Subtotal	271581684	RevenueSubtotal
Investment Expenses Not Included	140540	InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt	140540	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	271722224	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	260218435	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	260218435	ExpensesSubtotal
Investment Expenses Not Included2	140540	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	140540	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	260358975	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part V, Line 4:	Description of Intended Use of Endowment Funds:	Interest earned is unrestricted and transferred to the operating fund.
Part X:	Description of Uncertain Tax Positions Under FIN 48:	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 2010 or 2009. The System's federal Exempt Organization Business Income Tax Returns for 2009, 2008, and 2007 remain subject to examination by the IRS.
Part XI, Line 8 - Other Adjustments:		CHANGE IN SPLIT INTEREST AGREEMENTS: -1275. CHANGE IN POLICY CASH SURRENDER VALUE: -22328.
Part XII, Line 2d - Other Adjustments:		CHANGE IN SPLIT INTEREST AGREEMENTS: -1275. CHANGE IN POLICY CASH SURRENDER VALUE: -22328.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Share the spirit gala	NameOfEvent1
Gross Receipts Event1	144732	GrossReceiptsEvent1
Charitable Contributions Event1	71690	CharitableContributionsEvent1
Gross Revenue Event1	73042	GrossRevenueEvent1
Non Cash Prizes Event1	3700	NonCashPrizesEvent1
Food And Beverage Event1	17757	FoodAndBeverageEvent1
Entertainment Event1	2300	EntertainmentEvent1
Other Direct Expenses Event1	12084	OtherDirectExpensesEvent1
Name Of Event2	spring fund raiser	NameOfEvent2
Gross Receipts Event2	17910	GrossReceiptsEvent2
Charitable Contributions Event2	5405	CharitableContributionsEvent2
Gross Revenue Event2	12505	GrossRevenueEvent2
Food And Beverage Event2	3585	FoodAndBeverageEvent2
Other Direct Expenses Event2	8484	OtherDirectExpensesEvent2
Total Number Of Other Events	2	TotalNumberOfOtherEvents
Gross Receipts Other Events	16574	GrossReceiptsOtherEvents
Charitable Contrib Other Events	3902	CharitableContribOtherEvents
Gross Revenue Other Events	12672	GrossRevenueOtherEvents
Non Cash Prizes Other Events	350	NonCashPrizesOtherEvents
Food And Beverage Other Events	5170	FoodAndBeverageOtherEvents
Other Direct Expenses Other Events	1846	OtherDirectExpensesOtherEvents
Gross Receipts Total	179216	GrossReceiptsTotal
Charitable Contributions Total	80997	CharitableContributionsTotal
Gross Revenue Total Events	98219	GrossRevenueTotalEvents
Non Cash Prizes Total Events	4050	NonCashPrizesTotalEvents
Food And Beverage Total Events	26512	FoodAndBeverageTotalEvents
Entertainment Total Events	2300	EntertainmentTotalEvents
Other Direct Expenses Total Events	22414	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	55276	DirectExpenseSummaryEvents
Net Income Summary	42943	NetIncomeSummary

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	788826	TotalCommunityBenefitExpense
Net Community Benefit Expense	788826	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16870224	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10546566	DirectOffsettingRevenue
Net Community Benefit Expense	6323658	NetCommunityBenefitExpense
Percent Of Total Expense	0.02570	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17659050	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10546566	DirectOffsettingRevenue
Net Community Benefit Expense	7112484	NetCommunityBenefitExpense
Percent Of Total Expense	0.02890	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	702744	TotalCommunityBenefitExpense
Net Community Benefit Expense	702744	NetCommunityBenefitExpense
Percent Of Total Expense	0.00290	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1027583	TotalCommunityBenefitExpense
Direct Offsetting Revenue	329672	DirectOffsettingRevenue
Net Community Benefit Expense	697911	NetCommunityBenefitExpense
Percent Of Total Expense	0.00280	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17093209	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11148941	DirectOffsettingRevenue
Net Community Benefit Expense	5944268	NetCommunityBenefitExpense
Percent Of Total Expense	0.02410	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	76823	TotalCommunityBenefitExpense
Net Community Benefit Expense	76823	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17298	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6695	DirectOffsettingRevenue
Net Community Benefit Expense	10603	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18917657	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11485308	DirectOffsettingRevenue
Net Community Benefit Expense	7432349	NetCommunityBenefitExpense
Percent Of Total Expense	0.03010	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	36576707	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22031874	DirectOffsettingRevenue
Net Community Benefit Expense	14544833	NetCommunityBenefitExpense
Percent Of Total Expense	0.05900	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$4,474,152	BadDebtExpenseAmount
Amount Attributable To	887479	AmountAttributableTo
Amount Reimbursed By Medicare	56384504	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	60951262	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-4566758	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

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

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	HS CARDIAC MANAGEMENT LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	PARTNERSHIP AGREEMENT WITH CARDIOLOGISTS	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.30000	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.70000	PhysicansProfitOrOwnership

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	holy spirit hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	503 North 21st Street	AddressLine1
City	Camp Hill	City
State	PA	State
ZIP Code	17011	ZIPCode

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

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Subsidized Health Services Expln	Part I, Line 7g: THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	Part I, Line 7f: 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 $14,143,276.	PercentOfTotalExpenseExpln
Bad Debt Footnote	Part III, Line 4: HOLY SPIRIT HOSPITAL USES THE COST TO CHARGE RATIO IN COMPUTING THE AMOUNTS REPORTED ON PART III, LINES 2 & 3. 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. 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 reserve. Patients with balances less than $1,500 who meet certain criteria (e.g. household income less than 200% of FPG) are deemed to be presumptively eligible for charity care. Other patients must complete a financial assistance application and, depending upon the amount owed, may also be asked for supporting documentation.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 documentations to allow that classification. These would be classified as bad debt expense times the cost to charge ratio to arrive at 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. Hospital provides care to all patients who need it, regardless of their ability to pay. This is part of the hospital's mission.	BadDebtFootnote
Shortfall As Community Benefit	Part III, Line 8: The Adjusted Allowable Costs come directly from the Medicare Cost Report schedules. Amount only represents cost of claims paid at the time the Cost Report was submitted.	ShortfallAsCommunityBenefit
Debt Collection Policy	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."	DebtCollectionPolicy
Needs Assessment	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 specialties 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.	NeedsAssessment
Patient Education Assistance	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.	PatientEducationAssistance
Community Information	Part VI, Line 4: Holy Spirit Hospital is located in suburban Cumberland County in 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 area is $57,129.	CommunityInformation
Community Building Activities	Part VI, Line 5: 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 $32,500 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.Almost 60 Holy Spirit employees donated Christmas gifts to children whose mothers were clients of the Capital Region Maternal Assistance Program (MAP) and were successfully working toward their goals of overcoming drug, alcohol or tobacco addiction. 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 College of Healthcare Executives, American Legion Auxiliary (Newport), Boy Scouts of America, Camp Hill Community Foundation, Carlisle Chamber of Commerce, Carlisle Welcome Jam, Catholic Health Association, Central Pennsylvania Energy Consortium, Central Pennsylvania HIMSS, Chambersburg Chamber of Commerce, Community Action Commission of the Tri-County Area, Dauphin County Department of Corrections' Program for Female Offenders, Dauphin County Health Improvement Partnership, Derry Township School District, Downtown Daily Bread, Emergency Health Services Federation, General Federation of Women's Club (Dillsburg), Goodwill, Greyhound Bus Station, Harrisburg Area Community College (Paramedic Program 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, HELP Office, Junior Achievement of Central PA, Keystone Family Services, Leadership Cumberland, Leadership Harrisburg Area, Lions' Club (New Bloomfield), Lions' Community Theater, Lions' Foundation (Camp Hill), Lourdes House, Lower Swatara Volunteer Fire Department, Mechanicsburg Chamber of Commerce, Messiah College School of Nursing, National EMS Management Association, Pennsylvania Catholic Health Association, Pennsylvania Health Information Exchange, Pennsylvania Society for Respiratory Care, Perry Housing Partnership, Rotary Club, South Central PA Healthcare Partnership Pre-hospital Committee, South Central Task Force, St. Francis Soup Kitchen, Susquenita High School West Side Singers Organization, Technology Council of Central PA, United Way of the Capital Region, West Shore Chamber of Commerce, 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 425 volunteers contributed 43,766 hours of service to Holy Spirit Hospital. These hours represent 22.8 FTEs with an approximate value of $886,253.Holy Spirit's annual golf tournament was held August 2009. Almost 300 golfers participated in the outing which raised approximately $120,000. Proceeds were distributed to Holy Spirit's outreach programs.	CommunityBuildingActivities
Other Information	Part VI, Line 6: 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. The hospital has more than 550 physicians on its medical staff and offers a comprehensive array of inpatient and outpatient services, including pre- and post-hospital care. The organization extends staff privileges to all qualified physicians in the area. We commit ourselves to the values of dignity, holism, service, stewardship, quality, and integrity. A majority of the organization's governing body is comprised of persons who reside in the organization's primary service area. They are neither contractors, nor family members of persons in the organization. There is only one person on the governing board who is an employee of the organization.Holy Spirit Hospital provided more than $58 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.Through free community health screenings, we provided more than 13,000 health screening such as blood pressure, glucose, cholesterol, carotid artery, peripheral artery disease, bone density, cardiovascular and stroke risk. We participated in 56 employer and community health fairs, talking with hundreds of people about diabetes, stress management and more. 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 more than 19,670 hours with some 1300 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 15,447 inpatients during the fiscal year. Outpatient visits totaled 229,391. The Social Service/Case Management department handled 9,865 cases. 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.Missions: The hospital donates used medical equipment and supplies to both local and overseas missions. The value of donated supplies and services was approximately $1,875. 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, 2010, $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.	OtherInformation
Affiliated Health Care System	Part VI, Line 7: 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.Comfort Care of Holy Spirit, Inc. ("CC") provides medical services under the direction of a patient's physician, in the comfort and privacy of the patient's own home. CC clinicians provide a variety of services, including skilled nursing, physical and occupational therapy, social services and personal care. Professionals also provide specialty programs in wound and ostomy care, intravenous therapy, mental health and telehealth.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 8: N/A	AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

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

Address US AddressUS

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

Field	Value	IRS element (for citing)
EIN Of Recipient	251865142	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Cash Grant	4635445	AmountOfCashGrant
Method Of Valuation	CASH	MethodOfValuation
Description Of Non Cash Assistance	N/A	DescriptionOfNonCashAssistance
Purpose Of Grant	provide financial support for operations of affiliated organization	PurposeOfGrant

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

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	SCHOLARSHIPS AND GRANT/LOAN PROGRAMS FOR Nursing, Anesthesia, Respiratory Therapy, Lab, Employee Hlth, Community Hlth, Risk Mgmt, Education, Hlth Information Svcs, Behavorial Hlth, Dietary, Patient Registration, Administration, and Human Resources students.	TypeOfGrant
Number Of Recipients	101	NumberOfRecipients
Amount Of Cash Grant	515761	AmountOfCashGrant
Method Of Valuation	CASH	MethodOfValuation
Description Of Non Cash Assistance	N/A	DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: The organization requires all applicants for the tuition and scholarship program(s) 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 for processing. After the application(s) are received in Human Resources, the Benefits Specialist reviews the application to ensure that the employee is eligible to participate in the applicable program. Employees are required to submit proper documentation (proof of grades/payment) after completion of the course in order to receive reimbursement for the program. To ensure that all time commitments are fulfilled, a running spreadsheet is used to track the time the employee has committed to the organization. If an employee terminates before their time commitment is fulfilled, the employee would then be responsible for paying those monies back to the organization.	Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RICHARD SCHREIBER MD
174429	0	0	0	0	0	0	0	9014	0	183443	0	0	0
MANUEL J EVANS
270601	0	67171	0	0	0	0	0	24853	0	362625	0	0	0
RICHARD A SCHAFFNER JR
248437	0	61614	0	0	0	0	0	22183	0	332234	0	0	0
RICHARD LAVANTURE
223471	0	55985	0	0	0	0	0	21016	0	300472	0	0	0
DR JOSEPH A TORCHIA
279217	0	67239	0	0	0	0	0	22285	0	368741	0	0	0
William P Shartle
168078	0	41489	0	0	0	0	0	8728	0	218295	0	0	0
CHARLES CLADEL MD
211875	0	0	0	0	0	0	0	23653	0	235528	0	0	0
DR MICHAEL J PASZEK
239569	0	0	0	0	0	0	0	22159	0	261728	0	0	0
edith c dees
177723	0	33074	0	0	0	0	0	13512	0	224309	0	0	0
Lisa F Lewis
177769	0	46535	0	0	0	0	0	13748	0	238052	0	0	0
DR Robin K Miller
204594	0	0	0	0	0	0	0	14450	0	219044	0	0	0

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	MICHAEL SERLUCO	NamePerson
Purpose Of Loan	MORTGAGE ON OFFICE SPACE	PurposeOfLoan
Loan To Organization	X	LoanToOrganization
Original Principal	$1,200,000	OriginalPrincipalAmount
Balance Due	1174333	BalanceDue
Default	0	Default
Approved By Board	1	ApprovedByBoard
Written Agreement	1	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	1174333	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	RICHARD SCHRIEBER MD	NamePerson

Field	Value	IRS element (for citing)
Relationship	BOARD DIRECTOR	Relationship
Amount Of Transaction	39350	AmountOfTransaction
Description Of Transaction	DR. RICHARD SCHRIEBER WAS PAID AS INDEPENDENT CONTRACTOR TO BE THE PHYSICIAN ADVISOR FOR THE IT MEDICAL INFORMATICS DEPARTMENT OF HOLY SPIRIT HOSPITAL. IN APRIL 2009, HE BECAME AN EMPLOYEE OF THE HOSPIAL IN THE SAME CAPACITY AS PHYSICIAN ADVISOR FOR THE IT MEDICAL INFORMATICS DEPARTMENT.	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	ExplanationExplanation
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 to 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	In FY10, the Bylaws of Holy Spirit Hospital of the Sisters of Christian Charity were revised to reflect changes made as a result of the Governance Enhancement & Restructuring process. The revisions were approved by the Holy Spirit Board of Directors, Holy Spirit Health System Board of Directors & Sisters of Christian Charty Health Care Corp. Significant revisions:Included reducing the size of the Board of Directors to no fewer than eleven (11) or greater than fifteen (15) Directors, w/majority of voting members being Independent Directors, instituting term limits of Directors to three-year terms & of Officers to three consecutive one-year terms; & incorporating language of the Auditing Accountability & Responsibility Act(Sarbanes-Oxley) to adopt & enforce adopted code of conduct, to monitor & enforce the conflict of interest policy, the compliance program, the whistleblower program, and the document retention & destruction policy.
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. 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 in 2009 and 2010. 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 ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART I, LINES 9 AND 17:	Contractual Allowances are reported in the current year as net of patient service revenue as is typically done with hospital organizations. Prior year presentation reflected Gross patient service revenue on the Statement of Revenues (line 9 of Part I) and contractual allowances on the Statement of Functional Expenses (line 17 of Part I).

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA
HOLY SPIRIT CORPORATION
503 NORTH 21ST STREET	CAMP HILL	PA	17011	232214540	REAL ESTATE	PA	501(C)(2)	N/A	N/A
HOLY SPIRIT HEALTH SYSTEM
503 NORTH 21ST STREET	CAMP HILL	PA	17011	251865142	HEALTHCARE	PA	501(C)(3)	11B	N/A
COMFORT CARE OF HOLY SPIRIT INC
503 NORTH 21ST STREET	CAMP HILL	PA	17011	232465952	HEALTHCARE	PA	501(C)(3)	9	N/A
SISTERS OF CHRISTIAN CHARITY HEALTH CORP
MALLINCKRODT CONVENT	MENDHAM	NJ	07945	232322926	HEALTHCARE	NJ	501(C)(3)	1	N/A
SPIRIT PHYSICIAN SERVICES INC
503 NORTH 21ST STREET	CAMP HILL	PA	17011	251766971	HEALTHCARE	PA	501(C)(3)	9	N/A
WEST SHORE ADVANCED LIFE SUPPORT SERVICES
503 NORTH 21ST STREET	CAMP HILL	PA	17011	232463002	HEALTHCARE	PA	501(C)(3)	7	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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

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

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