HOLY SPIRIT HEALTH SYSTEM: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
HOLY SPIRIT HEALTH SYSTEM (EIN 25-1865142)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-16
IRS object ID
201111369349302251
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-16T09:34:49-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PARENTEBEARD LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1400 MARKET STREETAddressLine1
CityWILLIAMSPORTCity
StatePAState
ZIP Code17701ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251865142EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOLY SPIRIT HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOLYNameControl
Phone7177632130Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1503 NORTH 21ST STREETAddressLine1
CityCAMP HILLCity
StatePAState
ZIP Code17011ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSR ROMAINE NIEMEYERName
TitlePresident/CEOTitle
Phone7177632130Phone
Date Signed2011-05-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone5703236023Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonManuel J EvansNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1503 NORTH 21ST STREETAddressLine1
CityCAMP HILLCity
StatePAState
ZIP Code17011ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9596515GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.hsh.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE RESOURCES FOR THE RESTORATION AND MAINTENANCE OF HEALTH AND THE PREVENTION OF DISEASE.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees8TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5157486ContributionsGrantsPriorYear
Contributions Grants Current Year5456339ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year-216178InvestmentIncomePriorYear
Investment Income Current Year295238InvestmentIncomeCurrentYear
Other Revenue Prior Year641043OtherRevenuePriorYear
Other Revenue Current Year719388OtherRevenueCurrentYear
Total Revenue Prior Year5582351TotalRevenuePriorYear
Total Revenue Current Year6470965TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year4346106GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4930171GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year432340SalariesEtcPriorYear
Salaries Etc Current Year477309SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year146990TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY171014TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year171014TotalFundrsngExpCurrentYear
Other Expense Prior Year328775OtherExpensePriorYear
Other Expenses Current Year409472OtherExpensesCurrentYear
Total Expenses Prior Year5254211TotalExpensesPriorYear
Total Expenses Current Year5987966TotalExpensesCurrentYear
Revenues Less Expenses Prior Year328140RevenuesLessExpensesPriorYear
Revenues Less Expenses CY482999RevenuesLessExpensesCY
Total Assets BOY9714177TotalAssetsBOY
Total Assets EOY10473639TotalAssetsEOY
Total Liabilities BOY73094TotalLiabilitiesBOY
Total Liabilities EOY108798TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9641083NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10364841NetAssetsOrFundBalancesEOY
Mission DescriptionHOLY 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense5692938Expense
Grants4930171Grants
DescriptionSUPPORTED 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.Description
Total Program Service Expense5692938TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10969NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees8NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Sister Romaine Niemeyer SCCBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7177632130TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1503 NORTH 21ST STREETAddressLine1
CityCAMP HILLCity
StatePAState
ZIP Code17011ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
NILES BENN ESQ
CHAIR1.00XX000
BRUCE J BROWN
VICE CHAIR1.00XX000
JAMES GIBSON
TREASURER1.00XX000
SR ROMAINE NIEMEYER SCC
PRESIDENT/CEO1.00XX000
ROBERT DIETZ
DIRECTOR1.00X000
SR MARIA ASSUMPTA SHURER SCC
SECRETARY1.00X000
SR JOSEPH SPRING SCC
DIRECTOR1.00X000
SR JOAN DANIEL HEALY SCC
DIRECTOR1.00X000
ELIZABETH BERGEY MD
DIRECTOR1.00X000
DR MADLYN HANES PHD
DIRECTOR1.00X000
MARK JACOBSON MD
DIRECTOR1.00X000
LEON FEINERMAN
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Holy Spirit Hospital
North 21st StreetCamp HillPA17011Benefits, Supplies, Salaries203011
STEVENS & LEE
PO BOX 679READINGPA19603PROFESSIONAL SERVICES163514
PARENTEBEARD LLC
46 PUBLIC SQUARE STE 400WILKESBARREPA18701AUDITING & Tax Prep133255
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Fundraising Events63116FundraisingEvents
Related Organizations4635445RelatedOrganizations
Government Grants236161GovernmentGrants
All Other Contributions521617AllOtherContributions
Noncash Contributions7608NoncashContributions
Total Contributions5456339TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column157429TotalRevenueColumn
Exclusion$157,429ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3217888Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3080079Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities137809Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column137809TotalRevenueColumn
Exclusion$137,809ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events58897GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events63116CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses45471FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column13426TotalRevenueColumn
Exclusion$13,426ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
resource development900099392764$392,764
CORPORATE COMPLIANCE R900099310558$310,558
Miscellaneous9000992640$2,640
FieldValueIRS element (for citing)
Total Other Revenue705962TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6470965TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,014,626ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total4925171Total
Program Services4925171ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total5000Total
Program Services5000ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total408735Total
Program Services408735ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total11371Total
Program Services11371ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total54617Total
Program Services54617ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2586Total
Program Services2586ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total47419Total
Program Services47419ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7802Total
Program Services950ProgramServices
Management And General6852ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total80574Total
Management And General80574ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total171014Total
Fundraising171014Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total14783Total
Management And General14783ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total21805Total
Management And General21805ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total110070Total
Program Services110070ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total35846Total
Program Services35846ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total165Total
Program Services165ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4087Total
Program Services4087ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2570Total
Program Services2570ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total656Total
Program Services656ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
ANNUAL REPORT5264552645
DUES AND SUBSCRIPTIONS2083520835
OtHER MISCELLANEOUS72137213
Market Research27502750
Donor Recognition252252

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5987966Total
Program Services5692938ProgramServices
Management And General124014ManagementAndGeneral
Fundraising171014Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY500BOY
EOY500EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY632831BOY
EOY948522EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY12960BOY
EOY36741EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis19343LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6586LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10326BOY
EOY12757EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5924690BOY
EOY5988645EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2862285BOY
EOY3092536EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY270585BOY
EOY393938EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9714177BOY
EOY10473639EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY28274BOY
EOY50848EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY44820BOY
EOY57950EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY73094BOY
EOY108798EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9641083BOY
EOY10364841EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9641083BOY
EOY10364841EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9714177BOY
EOY10473639EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (5 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocOrganized In USOrganizedInUSAmountAmountSupported Organization NotifiedSupportedOrganizationNotified
SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION
232322926111$0
HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY
231512747311$652,9011
SPIRIT PHYSICIAN SERVICES INC
251766971911$4,272,2701
WEST SHORE ADVANCED LIFE SUPPORT SERVICES INC
232463002711$0
COMFORT CARE OF HOLY SPIRIT INC
232465952911$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs5TotalNumberOfSupportedOrgs
Sum Of Amounts4925171SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2121932BeginningOfYearBalance
Contributions9370Contributions
Investment Earnings Or Losses118956InvestmentEarningsOrLosses
Administrative Expenses23602AdministrativeExpenses
End Of Year Balance2226656EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2526208BeginningOfYearBalance
Contributions1218Contributions
Investment Earnings Or Losses-387499InvestmentEarningsOrLosses
Administrative Expenses17995AdministrativeExpenses
End Of Year Balance2121932EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis7709OtherCostOrOtherBasis
Depreciation6424Depreciation
Book Value1285BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis11634OtherCostOrOtherBasis
Depreciation162Depreciation
Book Value11472BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12757TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionPA COMMUNITY HOSPITAL ASSOCIATES INVESTMENTDescription
Book Value3092536BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities3092536TotalOfBookValueSecurities

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds:INTEREST EARNED IS UNRESTRICTED AND TRANSFERRED TO THE OPERATING ACCOUNT TO BE USED FOR OPERATIONAL EXPENSES.
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.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising1AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation (2 entries)

ActivityActivityFundraiser Control Of FundsFundraiserControlOfFundsGross ReceiptsGrossReceiptsAmount Retained By ContractorAmountRetainedByContractorNet To OrganizationNetToOrganization
STEVENS & LEE
FEDERAL AND STATE GRANTS018355016351420036
PROCOPIO
FOUNDATION GRANTS058479750050979
FieldValueIRS element (for citing)
Total Gross Receipts242029TotalGrossReceipts
Total Retained By Contractors171014TotalRetainedByContractors
Total Net To Organization71015TotalNetToOrganization
Licensed StatesPALicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event1122013GrossReceiptsEvent1
Charitable Contributions Event163116CharitableContributionsEvent1
Gross Revenue Event158897GrossRevenueEvent1
Non Cash Prizes Event17608NonCashPrizesEvent1
Rent Facility Costs Event122891RentFacilityCostsEvent1
Food And Beverage Event19111FoodAndBeverageEvent1
Other Direct Expenses Event15861OtherDirectExpensesEvent1
Gross Receipts Total122013GrossReceiptsTotal
Charitable Contributions Total63116CharitableContributionsTotal
Gross Revenue Total Events58897GrossRevenueTotalEvents
Non Cash Prizes Total Events7608NonCashPrizesTotalEvents
Rent Facility Costs Total Events22891RentFacilityCostsTotalEvents
Food And Beverage Total Events9111FoodAndBeverageTotalEvents
Other Direct Expenses Total Events5861OtherDirectExpensesTotalEvents
Direct Expense Summary Events45471DirectExpenseSummaryEvents
Net Income Summary13426NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
SPIRIT PHYSICIAN SERVICES INC
503 NORTH 21ST STREETCAMP HILLPA17011251766971501(C)(3)42722700CASHN/APROVIDE FINANCIAL SUPPORT FOR OPERATIONS.
HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY
503 NORTH 21ST STREETCAMP HILLPA17011231512747501(C)(3)6529010CASHN/APROVIDE FINANCIAL SUPPORT FOR OPERATIONS.
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantDonation - Personal GiftTypeOfGrant
Number Of Recipients1NumberOfRecipients
Amount Of Cash Grant5000AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationcashMethodOfValuation
Description Of Non Cash Assistancen/aDescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 6The 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 7aThe 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 7bThe 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 11In 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 before the Form 990 was filed.
Form 990, Part VI, Section B, line 12cThe 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 15HOLY SPIRIT HEALTH SYSTEM RETAINED A CONSULTING FIRM TO REVIEW THE EXECUTIVE COMPENSATION PROGRAM IN APRIL 2008 AND TO UPDATE THE ANALYSIS IN MAY 2009. 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 19THE ORGANZIATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNA
comfort care of holy spirit inc
503 N 21st StreetCamp HillPA17011232465952HealthcarePA501(c)(3)9N/A
Holy Spirit Hospital
503 N 21st StreetCamp HillPA17011231512747HealthcarePA501(c)(3)3N/A
Holy Spirit Corporation
503 N 21st StreetCamp HillPA17011232214540REAL ESTATEPA501(c)(2)N/A
Spirit Physicians Services Inc
503 N 21st StreetCamp HillPA17011251766971HealthcarePA501(c)(3)9N/A
West Shore Advanced Life Support Services Inc
503 N 21st StreetCamp HillPA17011232463002HealthcarePA501(c)(3)7N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Holy Spirit Ventures IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1North 21st StreetAddressLine1
CityCamp HillCity
StatePAState
ZIP Code17011ZIPCode
FieldValueIRS element (for citing)
EIN232407709EIN
Primary ActivityMedical SErvicesPrimaryActivity
Legal Domicile StatePALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
HOLY SPIRIT HOSPITAL
B652901
HOLY SPIRIT HOSPITAL
Q55800
HOLY SPIRIT HOSPITAL
C4635445
SPIRIT PHYSICIAN SERVICES
B4272270

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