PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER (EIN 23-1512747)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-11
IRS object ID: 201731319349302518
Schema version: 2015v3.0
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 H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-11T12:13:22-04:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	231512747	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOLY SPIRIT HOSPITAL OF THE SISTERS	BusinessNameLine1Txt
Business Name Line2	OF CHRISTIAN CHARITY	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	HOLY	BusinessNameControlTxt
Phone	5702716624	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 N ACADEMY AVE MC 49-70	AddressLine1Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	178229800	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID J FELICIO ESQUIRE	PersonNm
Person Title	SECRETARY	PersonTitleTxt
Phone	5702716640	PhoneNum
Signature	2017-05-08	SignatureDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KYLE C SNYDER MHA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 NORTH ACADEMY AVENUE MC 22-01	AddressLine1Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17822	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$294,663,241	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HSH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1963	FormationYr
Legal Domicile State	PA	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE RESOURCES FOR THE RESTORATION AND MAINTENANCE OF HEALTH AND THE PREVENTION OF DISEASE.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	2303	TotalEmployeeCnt
Total Volunteers	190	TotalVolunteersCnt
Total Gross UBI	$1,813,766	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$406,982	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,134,571	PYContributionsGrantsAmt
CY Contributions Grants	$2,156,722	CYContributionsGrantsAmt
PY Program Service Revenue	$292,096,880	PYProgramServiceRevenueAmt
CY Program Service Revenue	$285,299,314	CYProgramServiceRevenueAmt
PY Investment Income	$15,183,043	PYInvestmentIncomeAmt
CY Investment Income	$4,295,914	CYInvestmentIncomeAmt
PY Other Revenue	$7,336,769	PYOtherRevenueAmt
CY Other Revenue	$2,911,291	CYOtherRevenueAmt
PY Total Revenue	$316,751,263	PYTotalRevenueAmt
CY Total Revenue	$294,663,241	CYTotalRevenueAmt
PY Grants And Similar Paid	$37,421,002	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$133,769,614	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$131,956,007	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$158,137,999	PYOtherExpensesAmt
CY Other Expenses	$156,729,841	CYOtherExpensesAmt
PY Total Expenses	$329,328,615	PYTotalExpensesAmt
CY Total Expenses	$288,685,848	CYTotalExpensesAmt
PY Revenues Less Expenses	-$12,577,352	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,977,393	CYRevenuesLessExpensesAmt
Total Assets BOY	$224,773,221	TotalAssetsBOYAmt
Total Assets EOY	$206,226,257	TotalAssetsEOYAmt
Total Liabilities BOY	$166,592,756	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$147,921,316	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$58,180,465	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$58,304,941	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	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 PATIENT CARE SERVICES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$250,835,508	ExpenseAmt
Revenue	$286,196,279	RevenueAmt
Desc	PATIENT CARE SERVICES: PATIENT CARE 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 UNIT EXPENSES IN FY2015 WERE 20,464,112; SURGICAL NURSING SERVICE EXPENSES WERE 30,366,479; AND ALL OTHER NURSING EXPENSES TOTALED 13,265,277. THOSE EXPENSES TOTALED OVER 64 MILLION. IN MAY 2013, HOLY SPIRIT HOSPITAL NURSES ACHIEVED MAGNET STATUS FROM THE AMERICAN NURSES CREDENTIALING CENTER'S MAGNET RECOGNITION PROGRAM. ACHIEVING MAGNET IS THE GOLD STANDARD FOR NURSING EXCELLENCE AND REQUIRES UNDERGOING A VOLUNTARY, RIGOROUS AND LENGTHY REVIEW PROCESS THAT EXAMINES A BROAD RANGE OF BENCHMARKS FROM INNOVATIONS IN NURSING PRACTICE, PROFESSIONAL EDUCATION, AND PATIENT OUTCOMES TO QUALITY MEASURES AND PATIENT SATISFACTION. ONLY A SMALL PERCENTAGE OF HOSPITALS NATIONWIDE HAVE RECEIVED MAGNET CREDENTIALING TO DATE. U.S. NEWS & WORLD REPORTS USES MAGNET STATUS AS ONE FACTOR IN DETERMINING ITS ANNUAL RANKING OF HOSPITALS NATIONWIDE. HOLY SPIRIT HOSPITAL WAS RECOGNIZED AS ONE OF THE BEST REGIONAL HOSPITALS, RANKING 13TH IN PENNSYLVANIA IN 2014-2015. IN ADDITION, HOLY SPIRIT HOSPITAL WAS HONORED AS A HIGH-PERFORMER IN SOUTH CENTRAL PENNSYLVANIA IN TEN SPECIALTIES, INCLUDING CANCER, DIABETES AND ENDOCRINOLOGY, GASTROENTEROLOGY AND GI SURGERY, GERIATRICS, GYNECOLOGY, NEPHROLOGY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDICS, PULMONARY, AND UROLOGY. HOLY SPIRIT HOSPITAL EARNED THE HEALTHSTREAM "EXCELLENCE THROUGH INNOVATION" AWARD FOR LEADING INNOVATION IN PATIENT EXPERIENCE. THE HOSPITAL SAFETY SCORE RATES HOW WELL HOSPITALS PROTECT PATIENTS FROM ACCIDENT, ERRORS, INJURIES, AND INFECTIONS. HOLY SPIRIT IS THE ONLY HOSPITAL IN THE HARRISBURG REGION TO CONSISTENTLY SCORE AN "A" RATING. IN NOVEMBER 2014, THE JOINT COMMISSION RECOGNIZED HOLY SPIRIT HOSPITAL AS A 2013 TOP PERFORMER ON KEY QUALITY MEASURES FOR ATTAINING AND SUSTAINING EXCELLENCE IN ACCOUNTABILITY MEASURE PERFORMANCE FOR HEART ATTACK, HEART FAILURE, PNEUMONIA, AND SURGICAL CARE. HOLY SPIRIT ISONE OF 1,224 HOSPITALS IN THE UNITED STATES TO ACHIEVE THIS DISTINCTION AND ONE OF ONLY 314 HOSPITALS TO ACHIEVE THE TOP PERFORMER DISTINCTION FOR THE PAST THREE CONSECUTIVE YEARS. HOLY SPIRIT HOSPITAL EARNED THE 2015 GET WITH THE GUIDELINES STROKE GOLD PLUS AWARD, AS WELL AS THE 2015 GET WITH THE GUIDELINES A-FIB PARTICIPATING ACHIEVEMENT AWARD FROM THE AMERICAN HEART ASSOCIATION AND THE AMERICAN STROKE ASSOCIATION. THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA AWARDED HOLY SPIRIT WITH THE "SAFETY ACROSS THE BOARD" EXCELLENCE AWARD FOR THE HOSPITAL'S WORK ACROSS MULTIPLE TEAMS. HOLY SPIRIT ALSO EARNED THE READMISSIONS PROJECT EXCELLENCE AWARD FOR WORK ON THE PENNSYLVANIA HOSPITAL ENGAGEMENT NETWORK (PA-HEN) READMISSIONS PROJECT. REGISTERED NURSES IN PATIENT CARE SERVICES AND CLINICAL EDUCATION PROVIDED PRESENTATIONS (PODIUM AND POSTER) IN HOUSE, AT PROFESSIONAL CONFERENCES, AND IN VARIOUS OTHER VENUES. THE PRESENTATIONS INCLUDED: - AUGUST 13, 2014: PATIENT TEACHING STRATEGIES - LEA DAILEY, RN, CCRN, MSN, ED - SEPTEMBER 16, 2014:BLDG., A HEALTHSTREAM COMPANY, NEW ORLEANS, LA. - SPIRIT SERVICE EXCELLENCE - A SUSTAINABLE CULTURE TO OPTIMIZE SERVICE AND PERFORMANCE - SISTER ROMAINE NIEMEYER, SCC, CHIEF ADMINISTRATIVE OFFICER, RICK LAVANTURE, SENIOR VICE PRESIDENT/CHIEF STRATEGIC OFFICER, LISA LEWIS, MSN, RN, NEA-BC, VICE PRESIDENT OF PATIENT CARE SERVICES/CHIEF NURSING OFFICER - SEPTEMBER 16, 2014:LEADING CHANGE AND INNOVATION TO TRANSFORM HEALTHCARE, HARRISBURG, PA. HOW TO MAKE CHANGE DESIRABLE - KATHY SHEA, BSN, RN-BC - OCTOBER 7, 2014: ANCC RESEARCH SYMPOSIUM, DALLAS, TX. - SEPSIS: A TEAM APPROACH TO CHANGING OUTCOMES - SARAH COLEMAN, RN, CCRN - OCTOBER 8, 2014 - INFECTION PREVENTION 101: "IT'S THE ONES YOU CAN'T SEE" - JOANN ADKINS, RN, BSN, CIC - OCTOBER 24, 2014: EVIDENCE BASED PRACTICE: TRANSLATING RESEARCH INTO PRACTICE, GEISINGER MEDICAL CENTER, DANVILLE, PA. THE ART AND SCIENCE OF NURSING - SARAH COLEMAN, RN, CCRN, CINDY SWARTZ, MS, RN, ACNS-BC - NOVEMBER 11, 2014 - SUCCESSION PLANNING - JOANN ANN ADKINS, RN, BSN,CIC, RHETT BENNIE, RN, BSN, MSHA, CPI CERTIFIED TRAINER, PATRICIA A. CARNES, MHA, BSN, RN, NE -BC, SUSAN SWAILS, MED, BSN, RN-BC, DEBORAH THORNBERG, BSN, RN-BC - NOVEMBER 12, 2014 - GLYCEMIC CONTROL AND HEALTH OUTCOMES IN THE DIABETIC PATIENT - MARGARITA GARDNER, BSN, RN, CCRN - NOVEMBER 13, 2014:DICKINSON WELLNESS PROGRAM, DICKINSON COLLEGE, CARLISLE, PA. LIVING WELL WITH DIABETES - KATIE FLICKINGER, BSN, RN, CCP, CDE - NOVEMBER 14, 2014:SOUTH CENTRAL MAGNET CONSORTIUM, MAGNET CHAMPION CONFERENCE, HERSHEY MEDICAL CENTER, HERSHEY, PA. SEPSIS: A TEAM APPROACH TO CHANGING OUTCOMES - SARAH COLEMAN, RN, CCRN - JANUARY 30, 2015 RESEARCH DAY - PRESENTATIONS BY HOLY SPIRIT NURSES IN PARTNERSHIP WITH MESSIAH SENIOR NURSING STUDENTS - TO QUIT OR NOT TO QUIT, THAT IS THE QUESTION: CHALLENGES FACED IN THE DEVELOPMENT AND IMPLEMENTATION OF A SMOKING CESSATION PROGRAM - DEBORAH AUDETTE, MS, RN, ACNS-BC, CCRN-CSC, KATHY THUMMA BSN, RN, NE-RC - ARE WE DOING ENOUGH? EFFECTS OF EDUCATION ON NURSING ATTITUDES TOWARDS CHRONIC PAIN - JENNIFER KANE, BSN, RN, PCCN - EVIDENCE-BASED DISTRACTION TECHNIQUES TO DECREASE CHRONIC PAIN IN PEDIATRIC PATIENTS - ALISON NATTRESS, RN - EXERCISE INTERVENTIONS TO IMPROVE OUTCOMES IN HEART FAILURE PATIENTS - PEGGY TRAHAN, RN, PCCN - CARDIAC PRESCREENING IN YOUNG ADULT ATHLETES DECREASES RISK FOR SUDDEN CARDIAC EVENT - DEB THORNBERG, BSN, RN-BC - SHHLET THEM REST - KENDRA WILSON, BSN, RN-BC - CNS IN STROKE: PARTNERSHIP IN BUILDING EXCELLENCE - CYNTHIA SWARTZ, MS, RN, ACNS-BC, MARYANN BROGDEN, ND, MSN, RN, APN-C, CCNS, SCRN - IMPLEMENTATION OF HOURLY ROUNDING TO IMPROVE CLINICAL OUTCOMES" - JENNIFER HIXENBAUGH, BSN, RN - IV ACCESS - TINA SWARTZ CRNA, STEVE TODD BS, RN, JAMES KEVIN TRACEY, JR., RN, BSN, CNOR, ALLISON M. POLINSKI, RN, BSN, CPAN - EARLY IMPLEMENTATION OF PALLIATIVE CARE TO BETTER PATIENT OUTCOMES IN CONGESTIVE HEART FAILURE PATIENTS - PATRICIA A. CARNES, MHA, BSN, RN, NE-BC - KBMA NO SCANNER LEFT BEHIND - JODY HARCLERODE, RN-BC, MS, CPHQ - TRANSITIONING BETWEEN CARE SETTINGS - JUDITH HIMES, BSN, RN, CWON - PCEA:PATIENT CONTROLLED EPIDURAL ANALGESIA FOR INTRAPARTUM PATIENTS - ENID KREINER, MSN, RNC-MNN, C-EFM - PAIN MANAGEMENT CARE MODEL - RHETT BENNIE, MSHA, BSN, RN - NURSING CERTIFICATION: LEADING THE WAY - MICHELLE DEFABIO, MS, RN, ACNS- BC - BEATING SEPSIS - IT'S A SPRINT, NOT A JOG - SARAH COLEMAN, AD, RN - THINK "INSIDE" THE BOX TAKING AN IDEA FROM INCEPTION TO IMPLEMENTATION - JOANN ADKINS, RN, BSN, CIC, EDIE ASBURY, MLS, AHIP - CONNECTING THE DOTS: HOW DO WE PUT IT ALL TOGETHER? - JOANN ADKINS, RN, BSN, CIC, EDIE ASBURY, MLS, AHIP - MARCH 12, 2015 - ADVANCE DIRECTIVES: WHO, WHAT, WHEN, WHY, AND WHERE - MAUREEN ASPER, MS, RN, ACNS-BC - MARCH 20, 2015 - 2015 ADVANCED PRACTICE REGISTERED NURSE PANEL - PAMELA HARRIS-HAMAN, MSN, CRNP, NPP-BC, MICHELLE DEFABIO, MS, RN, ACNS-BC, CCRN, ROBIN CROWLEY CRNA, MS - APRIL 30, 2015: HEALTHSTREAM SUMMIT, NASHVILLE, TN. "STANDARDS OF PERFORMANCE: BRINGING YOUR VALUES TO LIFE" - LISA LEWIS, MSN, RN, NEA- BC, AMI ZUMKHAWALA-COOK - MAY 21, 2015:CAREER DAY AT FINK ELEMENTARY SCHOOL, MIDDLETOWN, PA. "CAREERS IN NURSING" - MARTHA LEE, BSN, RNC-NIC, ENID KREINER, MSN, RNC- MNN/OBC-EFM - JUNE 16, 2015 - OUR JOURNEY TO PATIENT AND FAMILY CENTERED CARE: CREATING A PATIENT AND FAMILY ADVISORY COUNCIL - CYNTHIA SWARTZ, MS, RN, ACNS-BC, SUSAN MCQUADE, RN, CPHQ, CNOR, BSN, MHA, ANN HENDRICKSON, MS, RN,ACNS-BC NURSES ALSO PARTICIPATED IN HOLY SPIRIT COMMUNITY EDUCATION PROGRAMS AND SCREENINGS. - SEPTEMBER 11, 2014: PROJECT HOMELESS CONNECT, FARM SHOW COMPLEX, HARRISBURG, PA. 61 FREE FLU VACCINES PROVIDED BY CHERYL SOLA, COMMUNITY HEALTH AND WELLNESS, LISA LEWIS, CNO, DIANA DAVIDSON, OR, MELISSA NATIVIDAD, OR, RENA EFENDIVA, OR, AND VANESSA GARCIA, MEDICAL OUTREACH - OCTOBER 3, 2014: ST. JOSEPH SCHOOL, MECHANICSBURG, PA. "WHAT TO EXPECT IN THE OR" - LORI BAURER, OR AND NATILIE HATTING, OR - OCTOBER 3, 2014: GIRLS' NIGHT OUT, HARRISBURG, PA. CARDIOVASCULAR RISK ASSESSMENTS AND BLOOD PRESSURE SCREENINGS PROVIDED BY JUDY HIMES, WOUND CARE, PEGGY TRAHAN, 8 MAIN, AND LEONA MLYNEK, WOUND CARE - FEBRUARY 7, 2015: HEARTCARING SYMPOSIUM, HOLY SPIRIT HOSPITAL. VARIOUS SCREENINGS TO DETERMINE CARDIOVASCULAR DISEASE RISK PROVIDED BY BRYNN STRINE, CVICU, AMANDA DONNANGELO, ED, REBECCA MILLER, CVU, MEGAN REEVES, CVU, JENNIFER HIXENBAUGH, CARDIAC DIAGNOSTICS, AMBER THOMAS, ED, WENDY SHOOK, CARDIAC REHAB, BARBARA MUMMERT, CARDIAC REHAB, VIRGINIA BAZAR, INVASIVE CARDIOLOGY, AND SHERRI HEFFNER, INVASIVE CARDIOLOGY - MAY 8, 2015: GIRLS' NIGHT OUT, HARRISBURG, PA. BLOOD PRESSURE SCREENINGS AND CARDIOVASCULAR RISK ASSESSMENTS PROVIDED BY JUDY HIMES, WOUND CARE, LESLY MILLER-JACOBS, MEDICAL INFUSION, JOHN LYONS, OR, PEGGY TRAHAN, 8 MAIN, LEONA MLYNEK,	Desc
Total Program Service Expenses	$250,835,508	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (true)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2303	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	Yes (true)	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	RANDY B MORRIS VP FINANCE HSHS	PersonNm
Phone	7177632130	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	100 N ACADEMY AVE MC 86-22	AddressLine1Txt
City	DANVILLE	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17822	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID PETERS DO
DIRECTOR	0.25	Yes (X)	$0	$0	$0
DEBORAH KEYS
DIRECTOR	0.25	Yes (X)	$0	$0	$0
GREG GUNN
DIRECTOR	0.25	Yes (X)	$0	$0	$0	0.25
LAURIE SALTZGIVER ESQUIRE
DIRECTOR	0.25	Yes (X)	$0	$0	$0
NORA HABIG
DIRECTOR	0.25	Yes (X)	$0	$0	$0	0.25
PATRICIA HUSIC
DIRECTOR	0.25	Yes (X)	$0	$0	$0	0.25
RANNY L SINGISER EDD
DIRECTOR	0.25	Yes (X)	$0	$0	$0	0.25
REVEREND ROBERT F SHARMAN
DIRECTOR	0.25	Yes (X)	$0	$0	$0
RICHARD SZELES
VICE CHAIR,	0.25	Yes (X)	$0	$0	$0	0.25	Yes (X)
RON DRNEVICH
DIRECTOR	0.25	Yes (X)	$0	$0	$0
ROBERT SCAER
DIRECTOR	0.25	Yes (X)	$0	$0	$0	0.25
SAMUEL COOPER III
DIRECTOR	0.25	Yes (X)	$0	$0	$0
SISTER ROMAINE NIEMEYER SCC
PRESIDENT, D	0.25	Yes (X)	$0	$0	$0	1.00	Yes (X)
SISTER JOAN DANIEL HEALY SCC
DIRECTOR	0.25	Yes (X)	$0	$0	$0
SISTER JOANN MARIE AUMAND SCC
DIRECTOR	0.25	Yes (X)	$0	$0	$0
SISTER MARIE PAULINE DEMEK SCC
DIRECTOR	0.25	Yes (X)	$0	$0	$0
SISTER MARY IRENE SORBER SCC
DIRECTOR	0.25	Yes (X)	$0	$0	$0
SISTER MARY JOSEPH SHULTZ SCC
DIRECTOR	0.25	Yes (X)	$0	$0	$0
CHARLES KINGSLEY MD
DIRECTOR	0.25	Yes (X)	$0	$0	$0	0.00
THOMAS KACHEL MD
DIRECTOR	0.25	Yes (X)	$0	$0	$0
SISTER MARY MARK SMITH SCC
DIRECTOR	0.25	Yes (X)	$0	$0	$0	0.00
MICHAEL SERLUCO
CHAIR, DIREC	0.25	Yes (X)	$0	$0	$0	0.25	Yes (X)
HENRY STRAUB
DIRECTOR	0.25	Yes (X)	$0	$0	$0
DANIEL E LOHR ESQUIRE
ASST. SECRET			$0	$329,289	$40,678	40.00	Yes (X)
DAVID J FELICIO ESQUIRE
SECRETARY			$0	$766,266	$102,890	40.00	Yes (X)
KEVIN F BRENNAN CPA FHFMA
EVP, FINANCE			$0	$1,083,348	$211,615	40.00	Yes (X)
MANUEL J EVANS
TREASURER	40.00		$474,426	$0	$22,041		Yes (X)
RANDY B MORRIS
TREASURER	40.00		$172,170	$60,991	$22,035		Yes (X)
DAVID A GATESMAN
VP PRO SERVI	40.00		$163,014	$58,045	$41,064			Yes (X)
JOSEPH A TORCHIA MD
SVP MEDICAL	40.00		$444,566	$0	$26,227			Yes (X)
LISA F TORCHIA
VP PATIENT C	40.00		$295,142	$0	$35,682			Yes (X)
BARBARA SUMBATIAN MD
PHYSICIAN	40.00		$236,482	$0	$33,512				Yes (X)
MARIA E PRUDENCIO MD
PHYSICIAN	40.00		$265,124	$0	$23,368				Yes (X)
MICHAEL J PASZEK MD
REGIONAL MED	40.00		$314,185	$0	$44,305				Yes (X)
PAUL D BRETTSCHNEIDER MD
PHYSICIAN	40.00		$246,331	$0	$39,182				Yes (X)
WILLIAM P SHARTLE
SVP, HR	40.00		$296,141	$0	$13,438				Yes (X)
EDWARD J ZYCH ESQUIRE
FORMER OFFIC			$0	$326,218	$16,680	40.00				Yes (X)
GERALD R NEWHOUSE
FORMER KEY E	40.00		$195,623	$0	$39,837					Yes (X)
RICHARD LAVANTURE
FORMER KEY E	40.00		$377,107	$0	$49,552					Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,480,311	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,624,157	TotReportableCompRltdOrgAmt
Total Other Compensation	$762,106	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	124	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
SODEXO INC
9801 WASHINGTONIAN BLVD	GAITHERSBURG	MD	20878	DIETARY ETC	$7,688,567
RESTORIX HEALTH
445 HAMILTON AVE	WHITE PLAINS	NY	10601	WOUND CARE	$2,044,799	SUITE 800
PAVONE
1006 MARKET ST	HARRISBURG	PA	17101	AD AGENCY	$1,910,432
QUANTUM IMAGING THERAPEUTIC
629D LOWTHER RD	LEWISBERRY	PA	17339	IMAGING SERVICE	$1,514,479
WEST SHORE ANESTHESIA
503 N 21ST STREE	CAMP HILL	PA	17011	ANESTHESIA	$1,284,524

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	41	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Government Grants	$1,883,649	GovernmentGrantsAmt
All Other Contributions	$273,073	AllOtherContributionsAmt
Total Contributions	$2,156,722	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT SERVICE REVENUE	622110	$283,296,973	$283,296,973
NON-PATIENT LAB	621500	$1,063,945		$1,063,945
RENTAL INCOME	531120	$516,021			$516,021
INTER ENTITY REVENUE	622110	$399,671			$399,671
REGISTRATION INCOME	611710	$22,704			$22,704

Field	Value	IRS element (for citing)
Total Program Service Revenue	$285,299,314	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,270,025	TotalRevenueColumnAmt
Exclusion	$4,270,025	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$36,652	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$36,652	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,652	TotalRevenueColumnAmt
Exclusion	$36,652	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$25,889	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$25,889	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,889	TotalRevenueColumnAmt
Exclusion	$25,889	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
GUEST SERVICE REVENUE	532000	$1,197,521	$1,197,521
OTHER OPERATING REV LTACH	900099	$744,233		$744,233
OTHER OPERATING REV GENERAL	900099	$647,837			$647,837

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$285,048	TotalRevenueColumnAmt
Related Or Exempt Func Income	$249,128	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,588	UnrelatedBusinessRevenueAmt
Exclusion	$30,332	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,874,639	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$294,663,241	TotalRevenueColumnAmt
Related Or Exempt Func Income	$284,193,938	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,813,766	UnrelatedBusinessRevenueAmt
Exclusion	$6,498,815	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,133,820	TotalAmt
Program Services	$762,894	ProgramServicesAmt
Management And General	$370,926	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,266,783	TotalAmt
Program Services	$800,082	ProgramServicesAmt
Management And General	$466,701	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$104,976,215	TotalAmt
Program Services	$99,112,726	ProgramServicesAmt
Management And General	$5,863,489	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,743,005	TotalAmt
Program Services	$3,743,005	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,218,907	TotalAmt
Program Services	$72,283	ProgramServicesAmt
Management And General	$13,146,624	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,617,277	TotalAmt
Program Services	$333,419	ProgramServicesAmt
Management And General	$7,283,858	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,086	TotalAmt
Program Services	$128	ProgramServicesAmt
Management And General	$2,958	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$57,511	TotalAmt
Program Services	$3,750	ProgramServicesAmt
Management And General	$53,761	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$74,179	TotalAmt
Management And General	$74,179	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$290,772	TotalAmt
Program Services	$172,435	ProgramServicesAmt
Management And General	$118,337	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$27,685,349	TotalAmt
Program Services	$26,106,766	ProgramServicesAmt
Management And General	$1,578,583	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,978,737	TotalAmt
Program Services	$1,976,555	ProgramServicesAmt
Management And General	$2,182	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,355,526	TotalAmt
Program Services	$8,205,035	ProgramServicesAmt
Management And General	$150,491	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,913,230	TotalAmt
Program Services	$6,639,255	ProgramServicesAmt
Management And General	$273,975	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,575,073	TotalAmt
Program Services	$6,931,019	ProgramServicesAmt
Management And General	$644,054	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$637,441	TotalAmt
Program Services	$544,869	ProgramServicesAmt
Management And General	$92,572	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$231,870	TotalAmt
Program Services	$205,491	ProgramServicesAmt
Management And General	$26,379	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,499,907	TotalAmt
Program Services	$4,497,772	ProgramServicesAmt
Management And General	$2,135	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$13,577,575	TotalAmt
Program Services	$9,186,961	ProgramServicesAmt
Management And General	$4,390,614	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,018,986	TotalAmt
Program Services	$13,850	ProgramServicesAmt
Management And General	$2,005,136	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$51,303,759	$51,303,759
IC EXPENSE	$21,193,964	$20,286,643	$907,321
UNCOLLECTIBLE EXPENSE	$9,578,478	$9,578,478
BOOKS, LICENSES, FEES	$431,219	$289,310	$141,909

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$323,179	TotalAmt
Program Services	$69,023	ProgramServicesAmt
Management And General	$254,156	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$288,685,848	TotalAmt
Program Services	$250,835,508	ProgramServicesAmt
Management And General	$37,850,340	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,720	BOYAmt
EOY	$3,000,417	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$20,736,434	BOYAmt
EOY	$3,110,033	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,699,424	BOYAmt
EOY	$1,699,424	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$30,679,462	BOYAmt
EOY	$21,964,806	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$11,231	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$19,104	BOYAmt
EOY	$19,999	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$723,397	BOYAmt
EOY	$4,391,349	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,518,074	BOYAmt
EOY	$2,120,631	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$138,508,828	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$22,971,759	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$111,980,151	BOYAmt
EOY	$115,537,069	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$53,456,022	BOYAmt
EOY	$6,860,641	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$44,955,124	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,955,433	BOYAmt
EOY	$2,555,533	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$224,773,221	BOYAmt
EOY	$206,226,257	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$32,340,623	BOYAmt
EOY	$8,124,699	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$50,960	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$91,801,321	BOYAmt
EOY	$88,071,758	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$948,086	BOYAmt
EOY	$911,636	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$41,502,726	BOYAmt
EOY	$50,762,263	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$166,592,756	BOYAmt
EOY	$147,921,316	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$51,586,810	BOYAmt
EOY	$51,856,287	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,771,734	BOYAmt
EOY	$3,856,338	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,821,921	BOYAmt
EOY	$2,592,316	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$58,180,465	BOYAmt
EOY	$58,304,941	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$224,773,221	BOYAmt
EOY	$206,226,257	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$5,977,393	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$5,080,254	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$772,663	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$3,112	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$74,179	OtherActivitiesAmt
Total Lobbying Expenditures	$77,291	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B, LINE 1	FormAndLineReferenceDesc
Explanation	LINE 1G AMOUNT REPORTED ON LINE 1G REPRESENTS THE WAGES AND BENEFITS OF EMPLOYEES WHO ASSIST THE GOVERNMENT RELATIONS DEPARTMENT OF THE ORGANIZATION'S AFFILIATE, GEISINGER SYSTEM SERVICES. THE PRIMARY PURPOSE OF THE GOVERNMENT RELATIONS DEPARTMENT IS TO MAINTAIN CONTACT WITH FEDERAL, STATE, AND LOCAL GOVERNMENT OFFICIALS. THE DEPARTMENT PROMOTES LEGISLATIVE ACTIONS WITH RESPECT TO HEALTHCARE RELATED ISSUES THAT COULD IMPACT THE ORGANIZATION AND ITS AFFILIATES. LINE 1I OTHER LOBBYING ACTIVITIES REPORTED ON LINE 1I REPRESENTS THE PORTION OF MEMBERSHIP DUES, PAID BY THE ORGANIZATION TO TRADE OR PROFESSIONAL ASSOCIATIONS, ATTRIBUTABLE TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,821,921	BeginningYearBalanceAmt
Contributions	$109,799,000	ContributionsAmt
Investment Earnings Or Losses	-$2,060,358	InvestmentEarningsOrLossesAmt
Other Expenditures	-$3,474,000	OtherExpendituresAmt
Administrative Expenses	$1,752	AdministrativeExpensesAmt
End Year Balance	$107,084,811	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,848,959	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$22,308	InvestmentEarningsOrLossesAmt
Administrative Expenses	$4,730	AdministrativeExpensesAmt
End Year Balance	$2,821,921	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,563,164	BeginningYearBalanceAmt
Investment Earnings Or Losses	$285,795	InvestmentEarningsOrLossesAmt
End Year Balance	$2,848,959	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,470,802	BeginningYearBalanceAmt
Contributions	$7,245	ContributionsAmt
Investment Earnings Or Losses	$178,061	InvestmentEarningsOrLossesAmt
Other Expenditures	$92,727	OtherExpendituresAmt
Administrative Expenses	$217	AdministrativeExpensesAmt
End Year Balance	$2,563,164	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,540,943	BeginningYearBalanceAmt
Investment Earnings Or Losses	$9,388	InvestmentEarningsOrLossesAmt
Other Expenditures	$70,652	OtherExpendituresAmt
Administrative Expenses	$8,877	AdministrativeExpensesAmt
End Year Balance	$2,470,802	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.23000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.69000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.08000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$42,973,945	OtherCostOrOtherBasisAmt
Depreciation	$4,742,887	DepreciationAmt
Book Value	$38,231,058	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,750,348	OtherCostOrOtherBasisAmt
Depreciation	$1,461,046	DepreciationAmt
Book Value	$12,289,302	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$64,643,695	OtherCostOrOtherBasisAmt
Depreciation	$16,689,417	DepreciationAmt
Book Value	$47,954,278	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,140,840	OtherCostOrOtherBasisAmt
Depreciation	$78,409	DepreciationAmt
Book Value	$17,062,431	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$115,537,069	TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$44,955,124	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$44,955,124	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$28,831,271
ESTIMATED 3RD PARTY PAYOR SETTLEMENT	$13,938,782
OBLIGATION UNDER CAPITAL LEASE	$4,702,164
SECURED 3RD PARTY NOTES	$1,662,457
PATIENT CREDIT BALANCE	$1,029,921
DEFENSE MED LEGAL CLAIMS ALLOW	$597,668

Field	Value	IRS element (for citing)
Total Liability	$50,762,263	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PAGE 2, PART V, LINE 4

INTEREST EARNED IS UNRESTRICTED AND TRANSFERRED TO THE OPERATING FUND. PART V, LINE 1B - CONTRIBUTIONS 106,445,000 OF THE 109,799,000 REPORTED ON LINE 1B REPRESENTS THE TOTAL ENDOWMENTS HELD BY GEISINGER HEALTH ON BEHALF OF ALL ITS AFFILIATED ORGANIZATIONS. THE 2014 REPORTING PERIOD WAS THE FIRST REPORTING PERIOD DURING WHICH GEISINGER HEALTH HELD ENDOWMENTS ON BEHALF OF HOLY SPIRIT HOSPITAL.

SCHEDULE D, PAGE 4, PART XIII

PART V, ENDOWMENT FUNDS THE AMOUNT REPORTED ON LINE 1B CONTRIBUTIONS INCLUDES 106,772,000 FROM GEISINGER HEALTH, EIN 23-1995911. THE AMOUNT REPRESENTS THE BEGINNING BALANCE OF THE AGGREGATE ENDOWMENTS HELD BY GEISINGER HEALTH FOR ALL OF ITS AFFILIATED ORGANIZATIONS, INCLUDING HOLY SPIRIT HOSPITAL. THIS WAS THE FIRST YEAR THAT GEISINGER HEALTH HELD ENDOWMENTS ON BEHALF OF HOLY SPIRIT HOSPITAL. PART X, LINE 2-LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48(ASC 740): EFFECTIVE JULY 1, 2007, GEISINGER(1) ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES- OR "FAS 109"). FIN 48 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF THE END OF THE FISCAL YEAR OR ANY PREVIOUS YEARS SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE GEISINGER CONSOLIDATED FINANCIAL STATEMENTS. (1) THROUGHOUT THIS DOCUMENT, THE TERMS "SYSTEM- OR "GEISINGER", SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH "GH" AS PARENT AND ALL SUBSIDIARY ENTITIES COMPRISING THE SYSTEM.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	3.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,164,182	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,164,182	NetCommunityBenefitExpnsAmt
Total Expense	0.00750	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,195,029	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,292,035	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,902,994	NetCommunityBenefitExpnsAmt
Total Expense	0.07240	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$30,359,211	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,292,035	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,067,176	NetCommunityBenefitExpnsAmt
Total Expense	0.07990	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$256,126	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$256,126	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$507,523	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$104,413	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$403,110	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$753,171	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$690,450	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$62,721	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,516,820	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$794,863	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$721,957	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,876,031	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,086,898	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,789,133	NetCommunityBenefitExpnsAmt
Total Expense	0.08240	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$9,578,478	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,356,306	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$49,654,979	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$68,138,818	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$18,483,839	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	HS ORTHO MGMT CO LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	PARTNERSIP AGREEMENT WITH ORTHO PHYS.	PrimaryActivitiesTxt
Org Profit Or Ownership	0.40000	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.60000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOLY SPIRIT HOSPITAL	BusinessNameLine1Txt
Business Name Line2	OF THE SISTERS OF CHRISTIAN CHARITY	BusinessNameLine2Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	503 NORTH 21ST STREET	AddressLine1Txt
City	CANP HILL	CityNm
State Abbreviation	PA	StateAbbreviationCd
ZIP	17011	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.HSH.ORG	WebsiteAddressTxt
State License	340801	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HOLY SPIRIT HOSPITAL	BusinessNameLine1Txt
Business Name Line2	OF THE SISTERS OF CHRISTIAN CHARITY	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.HSH.ORG	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HTTP://WWW.HSH.ORG/CHNA	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.HSH.ORG/CHNA	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPHSHORG REFER TO SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPHSHORG REFER TO SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPHSHORG REFER TO SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	Yes (true)	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY 1, HOLY SPIRIT HOSPITAL - PART V, LINE 5	SECTION B., COMMUNITY HEALTH NEEDS ASSESSMENT, LINES 3 AND 5 HOLY SPIRIT HOSPITAL ENGAGED IN A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS THAT INVOLVED QUALITATIVE AND QUANTITATIVE DATA COLLECTION FROM A WIDE RANGE OF POPULATIONS, INCLUDING DIFFERENT AGES, INCOMES, HEALTH STATUS (INCLUDING RISK FACTORS, UTILIZATION, AND ACCESS), AND GEOGRAPHIC AREAS (INCLUDING URBAN, SUBURBAN, AND RURAL). AFTER DESIGNING SURVEY QUESTIONS AND INSTRUMENTS TO COLLECT PERTINENT INFORMATION FROM DIFFERENT AUDIENCES, THE CHNA TEAM EMPLOYED A VARIETY OF DATA COLLECTION TECHNIQUES. (1) COMMUNITY LEADERS WERE INTERVIEWED, INCLUDING PUBLIC HEALTH EXPERTS, MEDICAL PROFESSIONALS, SCHOOL SUPERINTENDENTS, EDUCATORS, CITIZEN ADVOCATES, AND ELECTED REPRESENTATIVES FROM LOCAL, COUNTY, AND STATE GOVERNMENTS AND AGENCIES. (2) DATA WAS COLLECTED ON HAND-DISTRIBUTED SURVEYS THAT WERE BROADLY DISTRIBUTED TO RESIDENTS ACROSS THE REGION, INCLUDING AT COMMUNITY CENTERS, HOMELESS SHELTERS, PUBLIC HEALTH CENTERS, FOOD BANKS, FREE CLINICS, SOCIAL SERVICES ORGANIZATIONS, SCHOOLS, CHURCHES, FAITH-BASED ORGANIZATIONS, CAREER AND JOB CENTERS, AND OTHER SETTINGS THAT SERVE POPULATIONS IN NEED. THIS SURVEY WAS AVAILABLE IN BOTH ENGLISH AND SPANISH. (3) HEALTH PROVIDERS WERE SURVEYED TO COLLECT THEIR THOUGHTS AND OPINIONS RELATED TO THE CARE AND SERVICES THEY PROVIDE, AS WELL AS THE TOP HEALTH PROBLEMS IN THE COMMUNITY. (4) A PUBLIC COMMENTARY SURVEY WAS DEVELOPED TO GATHER INPUT FROM THE PUBLIC REGARDING THE PREVIOUS CHNA REPORT AND ADOPTED IMPLEMENTATION PLAN. THIS SURVEY WAS AVAILABLE AT VARIOUS LOCATIONS WITHIN THE HOSPITAL. (5) A COMMUNITY FORUM WAS HELD TO GATHER INPUT FROM COMMUNITY ORGANIZATION LEADERS, RELIGIOUS LEADERS, GOVERNMENT STAKEHOLDERS, AND OTHER KEY CONSTITUENTS. THE CHNA FINDINGS, VARIOUS SURVEY RESULTS, AND SUPPORTING DATA WERE PRESENTED TO OBTAIN FEEDBACK REGARDING THE NEEDS AND CONCERNS OF THE COMMUNITY OVERALL. (6) SECONDARY DATA FROM SEVERAL RELIABLE SOURCES, INCLUDING COMMUNITY NEEDS INDEX (CNI), PENNSYLVANIA COUNTY HEALTH RANKINGS, HEALTHY PEOPLE 2020, KIDS COUNT, AND PENNSYLVANIA DEPARTMENT OF RURAL HEALTH, WAS USED TO PREPARE QUANTITATIVE DATA. EVERY EFFORT WAS UNDERTAKEN TO GATHER AND REPORT DATA CONSISTENT WITH THE CHNA GUIDELINES AND HOLY SPIRIT'S MISSION TO SERVE THOSE IN NEED. INFORMATION FROM THE FINAL SUMMARY REPORT WAS DELIVERED BACK TO THE COMMUNITY IN A VARIETY OF WAYS TO ASSURE BROAD DISTRIBUTION.
FACILITY 1, HOLY SPIRIT HOSPITAL - PART V, LINE 6A	CARLISLE REGIONAL MEDICAL CENTER, PENN STATE MILTON S. HERSHEY MEDICAL CENTER, AND PINNACLEHEALTH SYSTEM PARTICIPATED IN THE CHNA.
FACILITY 1, HOLY SPIRIT HOSPITAL - PART V, LINE 6B	HAMILTON HEALTH CENTER AND PENNSYLVANIA PSYCHIATRIC INSTITUTE PARTICIPATED IN THE CHNA.
FACILITY 1, HOLY SPIRIT HOSPITAL - PART V, LINE 7D	THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED DURING FISCAL YEAR ENDED JUNE 30, 2016 (2015 TAX YEAR). THE REPORT IS CURRENTLY AVAILABLE ON THE HOSPITAL'S WEBSITE (HTTP://WWW.HSH.ORG/CHNA) AND UPON REQUEST. THE HOSPITAL HAS ALSO MADE THE CHNA REPORT AVAILABLE AT A VARIETY OF COMMUNITY BASED INFORMATIONAL SESSIONS THAT THE HOSPITAL HOSTED BOTH AT THE HOSPITAL AND IN VARIOUS LOCATIONS THROUGHOUT THE HOSPITAL'S GEOGRAPHIC FOOTPRINT.
FACILITY 1, HOLY SPIRIT HOSPITAL - PART V, LINE 11	DURING TAX YEAR 2015, HSH, IN ACCORDANCE WITH IRS REGULATIONS REGARDING A COMMUNITY HEALTH NEEDS ASSESSMENT, AS STIPULATED IN THE AFFORDABLE CARE ACT PASSED BY THE U.S. CONGRESS, PARTNERED WITH CARLISLE REGIONAL MEDICAL CENTER, PENN STATE MILTON S. HERSHEY MEDICAL CENTER, PINNACLEHEALTH SYSTEM, HAMILTON HEALTH CENTER, AND PENNSYLVANIA PSYCHIATRIC INSTITUTE TO SELECT THE TRIPP-UMBACH FIRM TO FACILITATE HOLY SPIRIT HOSPITAL (AND THREE OTHER HOSPITAL/HEALTH SYSTEMS AND TWO OTHER HEALTH CARE ORGANIZATIONS) IN THE DEVELOPMENT OF THE SURVEY DESIGN, PROCESS, AND TIMETABLE FOR ITS CHNA. AS PART OF ITS CLINICAL PROGRAM PLANNING AND ENVIRONMENTAL ASSESSMENT PROCESS, HOLY SPIRIT HOSPITAL ADDRESSED THE HEALTH CARE NEEDS OF ITS GEOGRAPHIC FOOTPRINT COMMUNITY. HEART, CANCER, AND STROKE HAVE BEEN IDENTIFIED AS THE LEADING CAUSES OF DEATH. HOLY SPIRIT HAS COMMITTED RESOURCES TO THESE SERVICE LINES TO ADDRESS THE HEALTH NEEDS OF ITS COMMUNITY, AMONG OTHER ITEMS DRIVEN BY DEMOGRAPHICS AND EPIDEMIOLOGY. THE CEO/PRESIDENT AND EXECUTIVE LEADERSHIP OF HOLY SPIRIT HOSPITAL APPOINTED A TEAM OF DIRECTORS TO WORK WITH TRIPP-UMBACH TO PLAN AND CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR HOLY SPIRIT HOSPITAL. THE HOLY SPIRIT HOSPITAL CEO/PRESIDENT, EXECUTIVE LEADERSHIP, AND STRATEGIC PLANNING DEPARTMENT, ALONG WITH THE APPOINTED HOLY SPIRIT COMMUNITY HEALTH NEEDS/ COMMUNITY BENEFIT COMMITTEE MEMBERSHIP, REVIEWED ALL FINDINGS OF THE CHNA AND PREPARED A REPORT WITH RECOMMENDATIONS TO ADDRESS THE THREE PRIORITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA. THE PRIORITY HEALTH NEEDS ARE: 1.ACCESS TO HEALTH SERVICES - PRIMARY CARE, SPECIALTY CARE, AND DENTAL CARE 2.BEHAVIORAL HEALTH SERVICES - MENTAL HEALTH AND SUBSTANCE ABUSE 3.HEALTHY LIFESTYLES - LACK OF PHYSICAL ACTIVITY, INADEQUATE NUTRITION/OBESITY, AND SMOKING CESSATION AND PREVENTION AN IMPLEMENTATION PLAN, OR ACTION PLAN, WAS DEVELOPED WITH INPUT FROM A VARIETY OF STAKEHOLDERS, INTERNAL AND EXTERNAL, AND PRESENTED FOR REVIEW AND APPROVAL BY OUR CEO/PRESIDENT AND EXECUTIVE LEADERSHIP. THE CHNA ACTION PLAN WAS THEN REVIEWED AND APPROVED BY HOLY SPIRIT PLATFORM LEADERSHIP, HOLY SPIRIT HOSPITAL BOARD OF DIRECTORS, HOLY SPIRIT HEALTH SYSTEM BOARD OF DIRECTORS, AND GEISINGER HEALTH SYSTEM FOUNDATION BOARD OF DIRECTORS. THE CHNA REPORT IS POSTED ON THE HOLY SPIRIT HOSPITAL WEBSITE AND HAS BEEN SHARED PROACTIVELY BY HOLY SPIRIT HOSPITAL WITH VARIOUS COMMUNITY STAKEHOLDERS AND PARTICIPANTS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. THE CHNA ACTION PLAN AND ACCOMPANYING BROCHURE THAT DESCRIBES OUR RESPONSE TO THE IDENTIFIED COMMUNITY NEEDS ARE ALSO POSTED ON HOLY SPIRIT'S WEBSITE.
FACILITY 1, HOLY SPIRIT HOSPITAL - PART V, LINE 13B	RECENT WAGE STATEMENTS, UNEMPLOYMENT OR OTHER DOCUMENTATION OF BENEFITS OR COMPENSATION RECEIVED MAY BE CONSIDERED IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY.
FACILITY 1, HOLY SPIRIT HOSPITAL - PART V, LINE 16I	THE FAP, FAP APPLICATION AND A PLAIN LANGUAGE SUMMARY OF THE FAP ARE WIDELY AVAILABLE AT: HSH.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE/FINANCIAL ASSISTANCE IN ADDITION, PATIENT REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY.
FACILITY 1, HOLY SPIRIT HOSPITAL - PART V, LINE 20E	UNDER NO CIRCUMSTANCE WILL HSH FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENT, ENFORCE LIENS, ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGMENT OR GARNISH THE WAGES OF A PATIENT AND/OR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER HSH'S FINANCIAL ASSISTANCE PROGRAM.
FACILITY 1, HOLY SPIRIT HOSPITAL - PART V, LINE 22D	PATIENTS WHOSE HOUSEHOLD INCOME IS 300% OR LOWER OF THE FEDERAL POVERTY GUIDELINES ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FAP. PATIENTS WHO MEET THIS CRITERIA ARE ELIGIBLE FOR 100% DISCOUNT ON CHARGES, RESULTING IN 0 CHARGES FOR MEDICALLY NECESSARY CARE. NO OTHER DISCOUNTS ARE AVAILABLE UNDER HSH'S FAP. FREE CARE OR 0 CHARGE IS BELOW THE HOSPITAL FACILITY'S AMOUNT GENERALLY BILLED, AS WELL AS, MEDICARE'S PROSPECTIVE BILLING AMOUNT.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE	SUPPORTING DOCUMENTATION FOR ELIGIBILITY MAY CONSIST OF INCOME AND ASSET INFORMATION, INCLUSIVE BUT NOT LIMITED TO: FEDERAL INCOME TAX FORM 1040 FROM THE PRIOR YEAR, PAY STUB COPIES (FROM FOUR PRIOR PAY PERIODS), WRITTEN VERIFICATION OF ANY OTHER INCOME RECEIVED (I.E. SOCIAL SECURITY, ADC, CHILD SUPPORT, ALIMONY, ETC.), CURRENT CREDIT REPORTS AND ASSET VERIFICATION. HSH MAY ALSO UTILIZE INDUSTRY TESTED EXTERNAL ANALYTICS TOOLS TO QUALIFY PATIENTS FOR UNCOMPENSATED CARE (AKA PRESUMPTIVE CHARITY).
PART I, LINE 6A - RELATED ORGANIZATION INFORMATION	COMMUNITY BENEFIT REPORT: A SUMMARY OF THE COMMUNITY BENEFIT PROVIDED BY HOLY SPIRIT HOSPITAL (HSH) AND ITS RELATED CHARITABLE ORGANIZATIONS IS AVAILABLE AT WWW.HSH.ORG AND MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE REPORT CAN BE FOUND AT: HTTPS://WWW.GEISINGER.ORG/ABOUT-GEISINGER/NEWS-AND-MEDIA/FOR-MEDIA/ANNUAL- REPORTS
PART I, LINE 7G - SUBSIDIZED HEALTH SERVICES EXPLANATION	THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED IN SUBSIDIZED HEALTH SERVICES.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COSTS REPORTED ON LINE 7 THAT ADDRESSES PATIENT SEGMENTS BY PAYOR (E.G. MEDICARE, MEDICAID, COMMERCIAL PAYERS, SELF-PAY, ETC.). A COST TO CHARGE RATIO, CALCULATED PURSUANT TO WORKSHEET 2 OF THE FORM 990 INSTRUCTIONS, WAS USED TO CALCULATE THE COST OF CHARITY CARE.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	REFER TO THE RESPONSE FOR PART III, LINE 4.
PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE	PATIENTS' ACCOUNTS ARE MONITORED THROUGHOUT THE BILLING PROCESS AND ARE RECLASSIFIED TO CHARITY CARE (100% DISCOUNTED CARE) WHENEVER A PATIENT BECOMES ELIGIBLE UNDER HSH'S UNCOMPENSATED OR CHARITY CARE POLICIES. HSH ESTIMATES THAT APPROXIMATELY 24.6% OF THE BAD DEBT ACCOUNTS ARE SUBSEQUENTLY RECLASSIFIED TO UNCOMPENSATED OR CHARITY CARE. THIS IS PART OF THE HOSPITAL'S MISSION AND SHOULD BE CONSIDERED COMMUNITY BENEFIT.
BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS	PART III, LINE 2 AND LINE 4 GEISINGER HEALTH AND ITS AFFILIATES (THE "SYSTEM"), THAT INCLUDES HOLY SPIRIT HOSPITAL (HSH), PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL CHARITABLE AFFILIATES. THE ORGANIZATIONS WRITE OFF ALL ACCOUNTS THAT HAVE BEEN IDENTIFIED AS UNCOLLECTABLE. AN ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS IS RECORDED FOR ACCOUNTS NOT YET WRITTEN OFF THAT ARE ANTICIPATED TO BECOME UNCOLLECTABLE IN FUTURE PERIODS. FOR THE FOOTNOTES REGARDING ACCOUNTS RECEIVABLE AND ALLOWANCES SEE PAGE 8 OF THE ATTACHED GEISINGER HEALTH SYSTEM CONSOLIDATED FINANCIAL STATEMENTS, JUNE 30, 2016 AND JUNE 30, 2015. FOR THE FOOTNOTE REGARDING BAD DEBT, SEE PAGE 13 OF THE CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8 - MEDICARE EXPLANATION	PART III, LINE 3-BAD DEBT: THE ORGANIZATION BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND THE COST OF BAD DEBT ARE COMMUNITY BENEFIT AND SHOULD BE INCLUDED ON FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW, THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON- DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND IS CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. SATISFYING THE "COMMUNITY BENEFIT STANDARD," AS ARTICULATED BY THE INTERNAL REVENUE SERVICE (IRS) IN REVENUE RULING 69-545, IS CURRENTLY REQUIRED FOR A HOSPITAL TO BE RECOGNIZED AS A CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE (IRC) 501(C)(3). THIS RULING REMOVED THE PREVIOUS REQUIREMENT OF REVENUE RULING 56-185, KNOWN AS THE "CHARITY CARE STANDARD," THAT IN ORDER TO BE A CHARITABLE ORGANIZATION, A HOSPITAL HAD TO PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS UNABLE TO PAY FOR THEIR CARE. THIS EARLIER RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT MEAN THAT A HOSPITAL WAS NOT CHARITABLE SINCE THAT LEVEL COULD REFLECT THE HOSPITAL'S FINANCIAL ABILITY TO PROVIDE SUCH CARE. REVENUE RULING 56-185 ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT IMPACT A HOSPITAL'S CHARITABLE STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. UNDER THE COMMUNITY BENEFIT STANDARD DEVELOPED IN REVENUE RULING 69-545, HOSPITALS WERE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THIS RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED THOSE WHO COULD PAY FOR THE SERVICES EITHER BY THEMSELVES, THROUGH PRIVATE INSURANCE OR PUBLIC PROGRAMS SUCH AS MEDICARE. IN ADDITION, THE HOSPITAL OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL WAS CHARITABLE BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM CHARITABLE, AS REQUIRED BY TREASURY REGULATION SECTION 1.501(C)(3)-1(D)(2). THE IRS RULED THAT THE PROMOTION OF HEALTH, LIKE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES OF THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN WHEN THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO THOSE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER FACTORS THAT DEMONSTRATED COMMUNITY BENEFIT INCLUDED: SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND FACILITIES AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; AND IT WAS CONTROLLED BY A BOARD OF DIRECTORS THAT CONSISTED OF INDEPENDENT CIVIC LEADERS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") HOLDS THE POSITION THAT MEDICARE UNDERPAYMENTS (SHORTFALLS) AND BAD DEBT SHOULD BE REPORTED AS COMMUNITY BENEFIT ON FORM 990, SCHEDULE H, PART I, LINE 7. IN A LETTER TO THE IRS DATED AUGUST 21, 2007 RESPONDING TO A DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA ARGUES THAT MEDICARE UNDERPAYMENTS (SHORTFALLS) IS COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: -PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS REMAINS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. -MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. RECENTLY, MEDICARE REIMBURSES ONLY 92 CENTS FOR EVERY DOLLAR HOSPITALS SPEND TO CARE FOR MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION IN ITS MARCH 2007 REPORT CAUTIONED THAT UNDERPAYMENT WILL GET EVEN WORSE. -MANY MEDICARE PATIENTS, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 46% OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200% OF THE FEDERAL POVERTY LEVEL. MANY ARE ALSO ELIGIBLE FOR MEDICAID, SO CALLED -DUAL ELIGIBLES". PENNSYLVANIA REQUIRES NON-PROFIT HOSPITALS LIKE HSH TO PROVIDE A MINIMUM LEVEL OF COMMUNITY BENEFIT TO RETAIN EXEMPTION FROM STATE AND LOCAL TAXES. ACCORDING TO STATE GUIDANCE AND CASE LAW, THE UNREIMBURSED COST OF MEDICARE AND BAD DEBT IS CONSIDERED TO BE COMMUNITY BENEFIT FOR STATE TAX EXEMPTION PURPOSES. PART III, LINE 6 ONLY INCLUDES THOSE COSTS THAT ARE ALLOWED TO BE REPORTED ON GLH'S MEDICARE COST REPORT THAT ARE REQUIRED TO BE FILED WITH THE FEDERAL GOVERNMENT. GLH CONSIDERS THE TOTAL MEDICARE UNDERPAYMENTS (SHORTFALL) OF 28,684,303 SHOULD BE REPORTED AS COMMUNITY BENEFIT ON THE FORM 990, SCHEDULE H, PART I, LINE 7. ALONG WITH PROVIDING CARE TO MEDICAID PATIENTS AND PROVIDING FREE OR DISCOUNTED CARE TO OTHER LOW INCOME PATIENTS, THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. LIKE MEDICAID, MEDICARE DOES NOT PAY THE FULL COST OF PROVIDING CARE TO THESE PATIENTS, FORCING HSH TO USE OTHER FUNDS TO COVER THE SHORTFALL. MEDICARE SHORTFALLS MUST BE ABSORBED BY HSH IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. HSH PROVIDES CARE REGARDLESS OF THE MEDICARE SHORTFALL AND IS THEREBY PROVIDING ACCESS TO MEDICAL SERVICES FOR THE ELDERLY AND RELIEVING THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR PROVIDING CARE TO MEDICARE PATIENTS. ABSENT THE MEDICARE PROGRAM, IT IS LIKELY THAT MANY MEDICARE PATIENTS WOULD BE ELIGIBLE FOR CHARITY CARE OR OTHER NEEDS BASED GOVERNMENT PROGRAMS. THE AMOUNT EXPENDED TO COVER THE SHORTFALL IS MONEY NOT AVAILABLE FOR FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS. BOTH HSH AND THE AHA BELIEVE THAT PATIENT BAD DEBT BE REPORTED AS A COMMUNITY BENEFIT ON FORM 990, SCHEDULE H, PART I, LINE 7. LIKE MEDICARE UNDERPAYMENTS (SHORTFALLS), BAD DEBT SHOULD BE REPORTED AS COMMUNITY BENEFIT BECAUSE: -A SIGNIFICANT PORTION OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO FOR MANY REASONS DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY UNDER HSH'S CHARITY CARE OR FINANCIAL ASSISTANCE POLICY (FAP). A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO"), "NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFIT", CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." -THE CBO REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF THE BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR CHARITABLE MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THE EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ACCORDING THE CBO REPORT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. (IN FY 2016, APPROXIMATELY 24.6% OF HSH'S BAD DEBT WAS SUBSEQUENTLY RECLASSIFIED TO CHARITY CARE.) THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE (BAD DEBT AND CHARITY CARE) AS A MEASURE OF COMMUNITY BENEFITS" ASSUMING THE FINDINGS ARE GENERALIZED NATIONALLY. THE EXPERIENCE OF HOSPITALS NATIONWIDE REINFORCE THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITAL'S BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE CHARITABLE MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS' SHOULDER IN SERVING ALL PATIENTS REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. IN ADDITION, THE HOSPITAL INVESTS SIGNIFICANT RESOURCES IN SYSTEMS AND STAFF TRAINING TO ASSIST PATIENTS THAT ARE IN NEED OF FINANCIAL ASSISTANCE. FOR FISCAL YEAR ENDED 6/30/2016, HSH'S COST OF PROVIDING PATIENT CARE FOR SERVICES ACCOUNTED FOR AS BAD DEBT WAS 2,823,470.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	HSH IS COMMITTED TO PROVIDING MEDICAL NECESSARY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND HSH'S COLLECTION ACTIONS ARE CONSISTENTLY APPLIED TO ALL PATIENTS. IT IS HSH POLICY TO PROVIDE FINANCIAL ASSISTANCE AND COUNSELING TO PATIENTS WITH LIMITED FINANCIAL MEANS. A PATIENT MAY BECOME ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIAL/BILLING AND COLLECTION PROCESS. IN ANY STAGE OF THE BILLING PROCESS, COLLECTION ACTIONS ARE NOT PURSUED WHENEVER A PATIENT APPLIES AND IS BEING EVALUATED FOR FINANCIAL ASSISTANCE. UNDER NO CIRCUMSTANCES WILL HSH FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENT, ENFORCE LIENS, ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGMENT OR GARNISH THE WAGES OF A PATIENT AND/OR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER HSH'S FINANCIAL ASSISTANCE PROGRAM.
PART VI, LINE 2 - NEEDS ASSESSMENT	AS PART OF ITS CLINICAL PROGRAM PLANNING AND ENVIRONMENTAL ANALYSIS, HSH ASSESSES THE HEALTH CARE NEEDS OF ITS COMMUNITY. HEART, CANCER, AND STROKE HAVE BEEN IDENTIFIED AS THE LEADING CAUSES OF DEATH. 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 REGULARLY CONDUCTED PHYSICIAN NEEDS ASSESSMENTS TO IDENTIFY MEDICAL AND SURGICAL SPECIALTIES THAT ARE IN SHORT SUPPLY WITHIN ITS PRIMARY SERVICE AREA. STRONG PHYSICIAN RECRUITMENT INITIATIVES HAVE BEEN DEVELOPED TO ASSURE THAT THE COMMUNITY HAS ACCESS TO THESE PHYSICIANS. HOLY SPIRIT HOSPITAL PARTICIPATED IN A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT WITH THREE OTHER LOCAL HOSPITAL/HEALTH SYSTEMS AND TWO OTHER HEALTH CARE ORGANIZATIONS IN KEEPING WITH IRS GUIDANCE. A THIRD-PARTY CONSULTANT WAS ENGAGED TO OUTLINE THE PROCESS, CONDUCT RESEARCH, AND ENGAGE COMMUNITY STAKEHOLDERS. THIS INFORMATION WAS USED AS THE BASIS FOR A FORMAL, REGIONAL HEALTH ASSESSMENT DOCUMENT. SEE PART V OF SCHEDULE H.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	FOR URGENT AND EMERGENT SERVICES, PATIENTS ARE PROVIDED CARE REGARDLESS OF THEIR ABILITY TO PAY. IN THE EVENT A PATIENT HAS AN EMERGENCY MEDICAL CONDITION, TREATMENT IS NOT DELAYED TO PERMIT AN INQUIRY REGARDING A PATIENT'S METHOD OF PAYMENT OR INSURANCE STATUS. FOR OTHER THAN URGENT AND EMERGENT SERVICES, THE HOSPITAL PROVIDES UNCOMPENSATED CARE, FREE OF CHARGE, OR ON A 100% DISCOUNTED BASIS, TO THOSE PATIENTS WHO DEMONSTRATE AN INABILITY TO PAY. DEPENDING UPON FAMILY SIZE AND INCOME, FREE OR 100% DISCOUNTED SERVICES ARE AVAILABLE TO A PATIENT WITH FAMILY INCOME OF 300% OR LESS OF THE FEDERAL POVERTY GUIDELINES. IT IS GEISINGER POLICY TO PROVIDE FINANCIAL ASSISTANCE AND FINANCIAL COUNSELING TO PATIENTS OF LIMITED MEANS. A PATIENT MAY BECOME ELIGIBLE FOR CHARITY CARE OR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIAL/BILLING PROCESS. INFORMATION (SIGNS, BROCHURES, ETC.) REGARDING GEISINGER'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES ARE PROVIDED AT THE EMERGENCY ROOM, REGISTRATION AND VARIOUS ACCESS POINTS THROUGHOUT THE HOSPITAL. REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY. NOTICE OF HSH'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES CAN ALSO BE FOUND ON THE WEB SITE AT HSH.ORG/PATIENTS-AND-VISITORS/BILLING- INSURANCE/FINANCIAL ASSISTANCE. PATIENTS ARE ALSO PROVIDED INFORMATION ON GEISINGER'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES WITH EACH PATIENT BILL.
PART VI, LINE 4 - COMMUNITY INFORMATION	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. HOLY SPIRIT PROVIDES HIGH-QUALITY, COST-EFFECTIVE HEALTH SERVICES TO DEVELOP HEALTHY COMMUNITIES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA. HOLY SPIRIT HOSPITAL IS LOCATED IN CAMP HILL, WHICH IS IN SUBURBAN CUMBERLAND COUNTY, AND IS PART OF THE GREATER HARRISBURG- MECHANICSBURG-CARLISLE METROPOLITAN AREA. HOLY SPIRIT HOSPITAL'S PRIMARY SERVICE AREA COVERS PARTS OF THE FOUR COUNTIES OF CUMBERLAND, DAUPHIN, PERRY, AND NORTHERN YORK WITH A POPULATION OF APPROXIMATELY 500,000, INCLUDING STARKLY DIFFERENT AREAS 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 MILTON S. HERSHEY MEDICAL CENTER, AND CARLISLE REGIONAL MEDICAL CENTER. THE POPULATION IN THE HOSPITAL'S PRIMARY SERVICE AREA IS RAPIDLY AGING, AND THE OVER 65 POPULATION IS EXPECTED TO GROW TO ALMOST 20% OF THE TOTAL POPULATION IN THE NEXT FIVE YEARS. THE AVERAGE HOUSEHOLD INCOME IN THE PRIMARY SERVICE IS 80,522, COMPARED TO THE NATIONAL AVERAGE INCOME OF 77,153 (2016 TRUVEN HEALTH ANALYTICS, INC.).
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	CURRENTLY, HOLY SPIRIT HOSPITAL HAS A TOTAL OF 311 PATIENT BEDS AND 15 BASSINETS. THERE ARE NEARLY 540 PHYSICIANS ON STAFF AND ALMOST 1,800 EMPLOYEES, INCLUDING NURSES, NURSING ASSISTANTS AND NURSING SUPPORT STAFF; LAB AND RADIOLOGY TECHNICIANS; PHYSICAL, RESPIRATORY, OCCUPATIONAL AND SPEECH THERAPISTS; PHLEBOTOMISTS AND A BROAD RANGE OF TECHNICAL AND ADMINISTRATIVE PERSONNEL. EACH IS HIGHLY TRAINED TO DELIVER QUALITY AND SAFE CARE TO INPATIENTS AND OUTPATIENTS OR SUPPORT THOSE WHO DO. THE HOSPITAL HAS: 1) AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREAS; 2) A BOARD OF DIRECTORS WHO GOVERN THE ORGANIZATION. THE BOARD IS COMPRISED OF COMMUNITY, BUSINESS, AND RELIGIOUS LEADERS AND PHYSICIANS REPRESENTING THE GEOGRAPHIC AREA OF OUR REGION; AND 3) AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. HOLY SPIRIT HOSPITAL OFFERS A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT SERVICES WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. HOLY SPIRIT STAFF ARE DEDICATED TO THE VALUES OF DIGNITY, WHOLISM, SERVICE, STEWARDSHIP, QUALITY, AND INTEGRITY. HOLY SPIRIT ALSO HAS A STRONG MISSION-DRIVEN TRADITION OF SUPPORTING THE REGIONAL COMMUNITY THROUGH A BROAD RANGE OF CHARITABLE SERVICES AND COMMUNITY BENEFIT PROGRAMS, WHICH ARE DETAILED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (AVAILABLE ON THE WEBSITE AT WWW.HSH.ORG/CHNA). FREE AND LOW-COST SERVICES AND COMMUNITY BENEFIT PROGRAMS ARE PROVIDED THROUGHOUT THE SERVICE AREA. HOLY SPIRIT CONDUCTS AN ANNUAL APPEAL INVITING EMPLOYEES AND VOLUNTEERS TO SUPPORT INTERNAL COMMUNITY BENEFIT PROGRAMS, WHICH IN TURN HELPS TO PROVIDE FREE AND LOW-COST PROGRAMS. ANY DONATIONS OR GRANTS GENERATED ARE REFLECTED AS REVENUE WITHIN PROGRAMS AND CREDITED AGAINST OPERATING LOSSES. IN ADDITION, HOLY SPIRIT EMPLOYEES SERVE IN A MULTITUDE OF VOLUNTEER ROLES, INCLUDING, BUT NOT LIMITED TO, FIREFIGHTERS, EMERGENCY MANAGEMENT TECHNICIANS, CHAPLAINS, PARISH NURSES, GROUP LEADERS, MENTORS, EDUCATORS, AND DIRECTORS AND VOLUNTEERS FOR REGIONAL NONPROFITS. ALSO SEE THE STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS/COMMUNITY BENEFIT REPORTED IN SCHEDULE O.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY (HSH) IS AN AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM. GEISINGER HEALTH SYSTEM IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1) AN ARRAY OF HEALTH SERVICES PROVIDERS, INCLUDING SIX ACUTE CARE HOSPITALS AND A DRUG AND ALCOHOL TREATMENT FACILITY; 2) A MULTISPECIALTY PHYSICIAN GROUP PRACTICE OF 1,136 PHYSICIANS PRACTICING AT 91 PRIMARY AND SPECIALTY CLINICS; AND 3) ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH OVER 340,000 MEMBERS. GEISINGER OPERATES IN 44 OF PENNSYLVANIA'S 67 COUNTIES, WITH A SIGNIFICANT PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, PRIMARILY OUTSIDE THE MAJOR METROPOLITAN AREAS. GEISINGER AT A GLANCE. -PHYSICIAN PRACTICE GROUP - MULTISPECIALTY GROUP PRACTICE WITH 1,136 EMPLOYED PHYSICIANS PRACTICING AT 91 CLINIC SITES -MANAGED CARE COMPANIES 340,217 MEMBERS -PROVIDER FACILITIES INCLUDES 1,326 LICENSED HOSPITAL BEDS, 344 SKILLED NURSING FACILITY BEDS AND 91 CHEMICAL DEPENDENCY BEDS. MISSION. GEISINGER'S MISSION IS TO ENHANCE THE QUALITY OF LIFE THROUGH AN INTEGRATED HEALTH SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. THIS MISSION STATEMENT HAS BEEN SUMMARIZED INTO FOUR WORDS - "HEAL. TEACH. DISCOVER. SERVE." HISTORY. GEISINGER HAD ITS BEGINNINGS IN THE SMALL COMMUNITY OF DANVILLE, WHICH IS LOCATED IN CENTRAL PENNSYLVANIA ON THE NORTHERN BRANCH OF THE SUSQUEHANNA RIVER. THERE, IN 1915, ABIGAIL A. GEISINGER FOUNDED THE GEORGE F. GEISINGER MEMORIAL HOSPITAL IN MEMORY OF HER HUSBAND. FROM THE BEGINNING, THE NEW HOSPITAL WAS DESIGNED AS A COMPREHENSIVE HEALTHCARE INSTITUTION THAT WOULD OFFER SPECIALIZED MEDICAL CARE TO PEOPLE IN THE RURAL AREAS OF CENTRAL AND NORTHEASTERN PENNSYLVANIA. UNLIKE MOST HEALTHCARE SYSTEMS, WHICH EVOLVED WITH A HOSPITAL FOCUS, GEISINGER'S HISTORY AND TRADITION IS THAT OF A PHYSICIAN-LED AND PHYSICIAN-DRIVEN HEALTHCARE ORGANIZATION. THIS TRADITION BEGAN WHEN MRS. GEISINGER BROUGHT DR. HAROLD FOSS, A MAYO CLINIC TRAINED PHYSICIAN, TO BE HER HOSPITAL'S FIRST CHIEF OF STAFF. TODAY, GEISINGER IS REGARDED AS A NATIONAL MODEL OF HEALTHCARE DELIVERY CENTERED ON A SOPHISTICATED MULTISPECIALTY GROUP PRACTICE. SINCE THE 1970S, GEISINGER'S STRATEGY OF INTEGRATING PHYSICIANS AND HOSPITALS EXPANDED TO INCLUDE THE MANAGEMENT OF HEALTH AND THE FINANCING OF HEALTHCARE SERVICES THROUGH ITS WHOLLY CONTROLLED HEALTH MAINTENANCE ORGANIZATION, GEISINGER HEALTH PLAN. TWO INDEMNITY HEALTH INSURERS, GEISINGER INDEMNITY INSURANCE COMPANY AND GEISINGER QUALITY OPTIONS, INC., KNOWN COLLECTIVELY WITH GEISINGER HEALTH PLAN AS "GEISINGER HEALTH PLANS- OR "GHPS", HAVE BEEN ADDED IN RECENT YEARS. CORPORATE STRUCTURE. THE ORGANIZATIONAL STRUCTURE OF THE SYSTEM REFLECTS THE STRATEGIC GOAL OF OPERATING AS A FULLY INTEGRATED HEALTHCARE SYSTEM WHOSE CORPORATE COMPONENTS SHARE THE COMMON GOALS OF MANAGING AND IMPROVING THE HEALTHCARE OF ITS PATIENTS AND MEMBERS, WHILE RECOGNIZING AND RESPECTING THE CORPORATE IDENTITY OF EACH ENTITY. THIS INTEGRATION LINKS THE AREAS OF PHYSICIANS, HOSPITALS/CLINICS, AND HEALTHCARE INSURANCE. HOLY SPIRIT HEALTH SYSTEM (HSHS) IS THE CORPORATE ENTITY OVER THE CORPORATIONS LISTED BELOW. EACH CORPORATION SERVES VARIOUS ROLES WITHIN THE HSHS NETWORK. IN PREPARATION FOR ANTICIPATED CHANGES RELATED TO HEALTH CARE REFORM, THE HSHS BOARD OF DIRECTORS ENGAGED IN RESEARCH AND PRELIMINARY DISCUSSIONS ON BEHALF OF THE NETWORK TO ASSESS THE VIABILITY OF AFFILIATING OR MERGING WITH ANOTHER HEALTH SYSTEM. HOLY SPIRIT BECAME AN AFFILIATE OF GEISINGER HEALTH SYSTEM IN OCTOBER 2014. 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 311 ACUTE CARE BEDS AND OPERATES OUTPATIENT CENTERS IN CAMP HILL, CARLISLE, DILLSBURG, DUNCANNON, HARRISBURG, AND MECHANICSBURG. AFFILIATED SERVICES INCLUDE GENERAL AND SPECIALTY SURGERY. OTHER SERVICES INCLUDE CANCER TREATMENT (GAMMA KNIFE AND LINEAR ACCELERATOR) AT THE HOLY SPIRIT CANCER CENTER IN MECHANICSBURG, MULTIPLE CARDIAC REHABILITATION PROGRAMS, AND HOLY SPIRIT SLEEP CENTERS LOCATED IN LEMOYNE AND HARRISBURG. HOLY SPIRIT HOME HEALTH CARE, A DEPARTMENT OF THE HOSPITAL, OFFERS MEDICAL SERVICES UNDER THE DIRECTION OF A PATIENT'S PHYSICIAN IN THE COMFORT AND PRIVACY OF THE PATIENT'S OWN HOME. HOME HEALTH CARE CLINICIANS PROVIDE A VARIETY OF SERVICES, INCLUDING SKILLED NURSING CARE, 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. THE HOSPITAL HAS (1) AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREAS AND (2) AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. A BOARD OF DIRECTORS COMPRISED OF COMMUNITY, BUSINESS, AND RELIGIOUS LEADERS AND PHYSICIANS GOVERNS THE ORGANIZATION. HOLY SPIRIT PHYSICIAN SERVICES, INC. ("SPSI") IS A NETWORK OF OVER 100 PHYSICIANS AND OTHER HEALTH CARE PROVIDERS DELIVERING PRIMARY AND SPECIALTY CARE SERVICES TO ITS SURROUNDING COMMUNITY. THE PHYSICIAN NETWORK IS OWNED BY HOLY SPIRIT HEALTH SYSTEM, A COMMUNITY CATHOLIC HEALTH SYSTEM. OUR SPECIALTIES INCLUDE FAMILY MEDICINE, OBSTETRICS AND GYNECOLOGY, INTERNAL MEDICINE, PEDIATRICS, GENERAL SURGERY, BREAST CARE, CARDIOTHORACIC SURGERY, CARDIOLOGY, ENDOCRINOLOGY, NEUROLOGY, NEUROSURGERY, ORTHOPAEDICS, PLASTIC SURGERY, PSYCHIATRY (ADULT AND PEDIATRIC), PULMONARY, VASCULAR SURGERY, RADIATION ONCOLOGY, URGENT CARE, AND HOSPITALISTS GROUPS. 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 HEALTH CARE FACILITIES JOINTLY WITH THE OTHER HEALTH CARE PROVIDERS. IN ADDITION, HSV OWNS A RETAIL PHARMACY AND THE SENATE HOUSE, A COMBINED COMMERCIAL OFFICE/RESIDENTIAL APARTMENT BUILDING. WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC. ("WSALS") PROVIDES AMBULANCE AND MEDICAL TRANSPORT SERVICES ACROSS CENTRAL PENNSYLVANIA. SERVICES INCLUDE BASIC AND ADVANCED LIFE SUPPORT, AS WELL AS AUTOMATED EXTERNAL DEFIBRILLATION FOR QUICK RESPONSE TO HEART ATTACK AND OTHER CARDIAC EMERGENCIES. FOR NON-EMERGENCY NEEDS, WSALS PROVIDES WHEELCHAIR VANS AND COACH SERVICES TO TRANSPORT INVALID AND BED-BOUND PATIENTS. WSALS ALSO IS INVOLVED IN VARIOUS ADMINISTRATIVE AND CONSULTING SERVICES FOR OTHER AMBULANCE COMPANIES. SEE SCHEDULE R FOR A LIST OF THE AFFILIATED ORGANIZATIONS COMPRISING GEISINGER. THROUGHOUT THIS DOCUMENT THE TERMS "SYSTEM- OR "GEISINGER" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH ("GH") AS PARENT AND ALL SUBSIDIARY ENTITIES COMPRISING THE SYSTEM.
ADDITIONAL INFORMATION	PART VI, LINE 7, STATE FILING OF COMMUNITY BENEFIT REPORT: AT THIS TIME, HSH AND ITS AFFILIATES ARE NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH ANY STATE.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	Yes (true)	InitialContractExceptionInd
Rebuttable Presumption Proc	Yes (true)	RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount
DANIEL E LOHR ESQUIRE
ASST. SECRETARY	$231,485	$76,502	$21,302	$19,110	$21,568	$369,967
DAVID J FELICIO ESQUIRE
SECRETARY	$402,686	$156,692	$206,888	$77,507	$25,383	$869,156	$152,495
KEVIN F BRENNAN CPA FHFMA
EVP, FINANCE, CFO	$541,622	$299,769	$241,957	$185,717	$25,898	$1,294,963	$202,451
MANUEL J EVANS
TREASURER								$258,674	$215,752	$11,093	$10,948	$496,467
RANDY B MORRIS
TREASURER	$59,478		$1,513	$3,035	$3,756	$67,782		$125,023	$5,608	$8,090	$7,154	$187,414	$41,539
DAVID A GATESMAN
VP PRO SERVICES	$57,759		$286	$1,639	$8,927	$68,611		$131,495	$2,719	$9,955	$20,543	$193,512	$28,800
JOSEPH A TORCHIA MD
SVP MEDICAL AFFAIRS								$366,344	$22,633	$14,015	$12,212	$470,793	$55,589
LISA F TORCHIA
VP PATIENT CARE SVCS								$237,600	$20,010	$10,627	$25,055	$330,824	$37,532
BARBARA SUMBATIAN MD
PHYSICIAN								$221,179	$15,303	$7,245	$26,267	$269,994
MARIA E PRUDENCIO MD
PHYSICIAN								$262,011	$3,113	$20,829	$2,539	$288,492
MICHAEL J PASZEK MD
REGIONAL MED DIR								$306,851	$7,334	$16,154	$28,151	$358,490
PAUL D BRETTSCHNEIDER MD
PHYSICIAN								$233,576	$12,755	$12,191	$26,991	$285,513
WILLIAM P SHARTLE
SVP, HR								$71,653	$224,488	$5,391	$8,047	$309,579
EDWARD J ZYCH ESQUIRE
FORMER OFFICER	$108,861		$217,357	$5,645	$11,035	$342,898	$32,454
GERALD R NEWHOUSE
FORMER KEY EMPLOYEE								$193,027	$2,596	$17,438	$22,399	$235,460
RICHARD LAVANTURE
FORMER KEY EMPLOYEE								$306,576	$22,086	$17,257	$32,295	$426,659	$48,445

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 4	DAVID J. FELICIO, ESQUIRE 0 152,495 0 KEVIN F. BRENNAN, CPA, FHFMA 0 202,451 0 MANUEL J. EVANS 110,179 0 0 WILLIAM P. SHARTLE 178,038 0 0 EDWARD J. ZYCH, ESQUIRE 0 32,454 0
SCHEDULE J, PAGE 1, PART I, LINE 7	BECAUSE THE PAYMENT OF EARNED PERFORMANCE BASED COMPENSATION IS AT THE DISCRETION OF MANAGEMENT AND THE BOARD OF DIRECTORS, SUCH PAYMENTS MAY BE CONSIDERED NON-FIXED PAYMENTS. PERFORMANCE BASED COMPENSATION IS DETERMINED BY MEETING INDIVIDUALLY MEASURED PERFORMANCE GOALS THAT ARE ALIGNED WITH OVERALL GEISINGER OBJECTIVES, INCLUDING: CLINICAL QUALITY, COMMUNITY MISSION ACHIEVEMENT, AND FINANCIAL STEWARDSHIP.
SCHEDULE J, PAGE 1, PART I, LINE 8	THE EMPLOYEES LISTED PARTICIPATE IN A COMPENSATION PROGRAM DESIGNED TO BE MARKET COMPETITIVE. FROM TIME TO TIME, DEPENDING ON THE AVAILABILITY OF QUALIFIED APPLICANTS, RECRUITMENT LOANS MAY BE MADE AVAILABLE TO QUALIFIED APPLICANTS IN DIFFICULT TO RECRUIT POSITIONS. SUCH LOANS ARE ONLY PROVIDED IF TOTAL COMPENSATION, INCLUDING THE LOAN AMOUNT, IS CONSIDERED REASONABLE COMPENSATION PER INDEPENDENT SALARY SURVEYS.
SCHEDULE J, PART III	PART I, LINE 4A - SEVERANCE PAYMENT UPON INVOLUNTARY SEPARATION, EMPLOYEES MAY BE ELIGIBLE TO RECEIVE CONTINUATION OF SALARY FOR A TERM THAT IS BASED ON THEIR YEARS OF GEISINGER SERVICE AND POSITION. PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. __________________________________________________________________________ FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH "GH" AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan To OrganizationLoanToOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd	Loan From OrganizationLoanFromOrganizationInd
MICHAEL SERLUCO
BOARD DIRECTOR	MORTGAGE ON SPACE FOR PATIENT CARE	Yes (X)	$1,200,000	$911,636	false	Yes (true)	Yes (true)
RANDY B MORRIS
OFFICER	RECRUITMENT		$20,000	$11,231	false	Yes (true)	Yes (true)	Yes (X)

Field	Value	IRS element (for citing)
Total Balance Due	$922,867	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SZELES REAL ESTATE DEVELOPMENT CO
BUSINESS	$237,676	RENTAL/LEASE EXPENSE	false
SZELES CAPITAL DEVELOPMENT CO LP
BUSINESS	$60,273	RENTAL/LEASE EXPENSE	false
ALEX R SZELES INC
BUSINESS	$6,243	WATER REMEDIATON SVC	false
KATHERINE LAVANTURE
FAMILY	$20,525	EMPLOYEE COMP/BEN	false
MONICA R JONES
FAMILY	$65,843	EMPLOYEE COMP/BEN	false
SHANNON M GATESMAN
FAMILY	$65,928	EMPLOYEE COMP/BEN	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE L, PART V	FormAndLineReferenceDesc
Explanation	RICHARD A. SZELES IS AN OFFICER AND DIRECTOR OF HOLY SPIRIT HOSPITAL AND AN OWNER AND MANAGING PARTNER OF: SZELES REAL ESTATE DEVELOPMENT CO., SZELES CAPTIAL DEVELOPMENT CO, LP AND ALEX R. SZELES, INC. KATHERINE LAVANTURE IS A FAMILY MEMBER OF RICHARD E. LAVANTURE, A FORMER KEY EMPLOYEE OF HOLY SPIRIT HOSPITAL. MONICA R. JONES IS A FAMILY MEMBER OF RICHARD A. SZELES, AN OFFICER AND DIRECTOR OF HOLY SPIRIT HOSPITAL. SHANNON A. GATESMAN IS A FAMILY MEMBER OF DAVID A. GATESMAN, A KEY EMPLOYEE OF HOLY SPIRIT HOSPITAL.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSION	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 PATIENT CARE SERVICES.
FORM 990	FORM 990, PART IV, LINE 24A: DID THE ORGANIZATION HAVE A TAX-EXEMPT BOND ISSUE WITH AN OUTSTANDING PRINCIPAL AMOUNT OF MORE THAN 100,000 AS OF THE LAST DAY OF THE YEAR, THAT WAS ISSUED AFTER DECEMBER 31, 2002? GEISINGER HEALTH (GH) IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES WITH A TOTAL OUTSTANDING BALANCE OF 1,447,263,694, INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT AS OF JUNE 30, 2016. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GH SUBSIDIARIES, THE BOND LIABILITIES ARE REFLECTED ON THE BALANCE SHEETS OF THE FOLLOWING SUBSIDIARY ORGANIZATIONS: GEISINGER MEDICAL CENTER, EIN: 24-0795959 GEISINGER WYOMING VALLEY MEDICAL CENTER, EIN: 23-1996150 GEISINGER CLINIC, EIN: 23-6291113 MARWORTH, EIN: 23-2171417 GEISINGER SYSTEM SERVICES, EIN: 23-2164794 COMMUNITY MEDICAL CENTER, EIN: 24-0862246 MOUNTAIN VIEW NURSING HOME, INC., EIN: 23-2568288 GEISINGER-BLOOMSBURG HOSPITAL, EIN: 23-2193572 GEISINGER-BLOOMSBURG HEALTH CARE CENTER, EIN: 23-2242854 GEISINGER-LEWISTOWN HOSPITAL, EIN: 23-1352187 HOLY SPIRIT HOSPITAL, EIN: 23-1512747 ATLANTICARE REGIONAL MEDICAL CENTER, EIN 21-0634549 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH, EIN: 23-1995911.
FORM 990, PAGE 2, PART III, LINE 4A	IN MAY 2013, HOLY SPIRIT HOSPITAL NURSES ACHIEVED MAGNET STATUS FROM THE AMERICAN NURSES CREDENTIALING CENTER'S MAGNET RECOGNITION PROGRAM. ACHIEVING MAGNET IS THE GOLD STANDARD FOR NURSING EXCELLENCE AND REQUIRES UNDERGOING A VOLUNTARY, RIGOROUS AND LENGTHY REVIEW PROCESS THAT EXAMINES A BROAD RANGE OF BENCHMARKS FROM INNOVATIONS IN NURSING PRACTICE, PROFESSIONAL EDUCATION, AND PATIENT OUTCOMES TO QUALITY MEASURES AND PATIENT SATISFACTION. ONLY A SMALL PERCENTAGE OF HOSPITALS NATIONWIDE HAVE RECEIVED MAGNET CREDENTIALING TO DATE. U.S. NEWS & WORLD REPORTS USES MAGNET STATUS AS ONE FACTOR IN DETERMINING ITS ANNUAL RANKING OF HOSPITALS NATIONWIDE. HOLY SPIRIT HOSPITAL WAS RECOGNIZED AS ONE OF THE BEST REGIONAL HOSPITALS, RANKING 13TH IN PENNSYLVANIA IN 2014-2015. IN ADDITION, HOLY SPIRIT HOSPITAL WAS HONORED AS A HIGH-PERFORMER IN SOUTH CENTRAL PENNSYLVANIA IN TEN SPECIALTIES, INCLUDING CANCER, DIABETES AND ENDOCRINOLOGY, GASTROENTEROLOGY AND GI SURGERY, GERIATRICS, GYNECOLOGY, NEPHROLOGY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDICS, PULMONARY, AND UROLOGY. HOLY SPIRIT HOSPITAL EARNED THE HEALTHSTREAM "EXCELLENCE THROUGH INNOVATION" AWARD FOR LEADING INNOVATION IN PATIENT EXPERIENCE. THE HOSPITAL SAFETY SCORE RATES HOW WELL HOSPITALS PROTECT PATIENTS FROM ACCIDENT, ERRORS, INJURIES, AND INFECTIONS. HOLY SPIRIT IS THE ONLY HOSPITAL IN THE HARRISBURG REGION TO CONSISTENTLY SCORE AN "A" RATING. IN NOVEMBER 2014, THE JOINT COMMISSION RECOGNIZED HOLY SPIRIT HOSPITAL AS A 2013 TOP PERFORMER ON KEY QUALITY MEASURES FOR ATTAINING AND SUSTAINING EXCELLENCE IN ACCOUNTABILITY MEASURE PERFORMANCE FOR HEART ATTACK, HEART FAILURE, PNEUMONIA, AND SURGICAL CARE. HOLY SPIRIT ISONE OF 1,224 HOSPITALS IN THE UNITED STATES TO ACHIEVE THIS DISTINCTION AND ONE OF ONLY 314 HOSPITALS TO ACHIEVE THE TOP PERFORMER DISTINCTION FOR THE PAST THREE CONSECUTIVE YEARS. HOLY SPIRIT HOSPITAL EARNED THE 2015 GET WITH THE GUIDELINES STROKE GOLD PLUS AWARD, AS WELL AS THE 2015 GET WITH THE GUIDELINES A-FIB PARTICIPATING ACHIEVEMENT AWARD FROM THE AMERICAN HEART ASSOCIATION AND THE AMERICAN STROKE ASSOCIATION. THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA AWARDED HOLY SPIRIT WITH THE "SAFETY ACROSS THE BOARD" EXCELLENCE AWARD FOR THE HOSPITAL'S WORK ACROSS MULTIPLE TEAMS. HOLY SPIRIT ALSO EARNED THE READMISSIONS PROJECT EXCELLENCE AWARD FOR WORK ON THE PENNSYLVANIA HOSPITAL ENGAGEMENT NETWORK (PA-HEN) READMISSIONS PROJECT. REGISTERED NURSES IN PATIENT CARE SERVICES AND CLINICAL EDUCATION PROVIDED PRESENTATIONS (PODIUM AND POSTER) IN HOUSE, AT PROFESSIONAL CONFERENCES, AND IN VARIOUS OTHER VENUES. THE PRESENTATIONS INCLUDED: - AUGUST 13, 2014: PATIENT TEACHING STRATEGIES - LEA DAILEY, RN, CCRN, MSN, ED - SEPTEMBER 16, 2014:BLDG., A HEALTHSTREAM COMPANY, NEW ORLEANS, LA. - SPIRIT SERVICE EXCELLENCE - A SUSTAINABLE CULTURE TO OPTIMIZE SERVICE AND PERFORMANCE - SISTER ROMAINE NIEMEYER, SCC, CHIEF ADMINISTRATIVE OFFICER, RICK LAVANTURE, SENIOR VICE PRESIDENT/CHIEF STRATEGIC OFFICER, LISA LEWIS, MSN, RN, NEA-BC, VICE PRESIDENT OF PATIENT CARE SERVICES/CHIEF NURSING OFFICER - SEPTEMBER 16, 2014:LEADING CHANGE AND INNOVATION TO TRANSFORM HEALTHCARE, HARRISBURG, PA. HOW TO MAKE CHANGE DESIRABLE - KATHY SHEA, BSN, RN-BC - OCTOBER 7, 2014: ANCC RESEARCH SYMPOSIUM, DALLAS, TX. - SEPSIS: A TEAM APPROACH TO CHANGING OUTCOMES - SARAH COLEMAN, RN, CCRN - OCTOBER 8, 2014 - INFECTION PREVENTION 101: "IT'S THE ONES YOU CAN'T SEE" - JOANN ADKINS, RN, BSN, CIC - OCTOBER 24, 2014: EVIDENCE BASED PRACTICE: TRANSLATING RESEARCH INTO PRACTICE, GEISINGER MEDICAL CENTER, DANVILLE, PA. THE ART AND SCIENCE OF NURSING - SARAH COLEMAN, RN, CCRN, CINDY SWARTZ, MS, RN, ACNS-BC - NOVEMBER 11, 2014 - SUCCESSION PLANNING - JOANN ANN ADKINS, RN, BSN,CIC, RHETT BENNIE, RN, BSN, MSHA, CPI CERTIFIED TRAINER, PATRICIA A. CARNES, MHA, BSN, RN, NE -BC, SUSAN SWAILS, MED, BSN, RN-BC, DEBORAH THORNBERG, BSN, RN-BC - NOVEMBER 12, 2014 - GLYCEMIC CONTROL AND HEALTH OUTCOMES IN THE DIABETIC PATIENT - MARGARITA GARDNER, BSN, RN, CCRN - NOVEMBER 13, 2014:DICKINSON WELLNESS PROGRAM, DICKINSON COLLEGE, CARLISLE, PA. LIVING WELL WITH DIABETES - KATIE FLICKINGER, BSN, RN, CCP, CDE - NOVEMBER 14, 2014:SOUTH CENTRAL MAGNET CONSORTIUM, MAGNET CHAMPION CONFERENCE, HERSHEY MEDICAL CENTER, HERSHEY, PA. SEPSIS: A TEAM APPROACH TO CHANGING OUTCOMES - SARAH COLEMAN, RN, CCRN - JANUARY 30, 2015 RESEARCH DAY - PRESENTATIONS BY HOLY SPIRIT NURSES IN PARTNERSHIP WITH MESSIAH SENIOR NURSING STUDENTS - TO QUIT OR NOT TO QUIT, THAT IS THE QUESTION: CHALLENGES FACED IN THE DEVELOPMENT AND IMPLEMENTATION OF A SMOKING CESSATION PROGRAM - DEBORAH AUDETTE, MS, RN, ACNS-BC, CCRN-CSC, KATHY THUMMA BSN, RN, NE-RC - ARE WE DOING ENOUGH? EFFECTS OF EDUCATION ON NURSING ATTITUDES TOWARDS CHRONIC PAIN - JENNIFER KANE, BSN, RN, PCCN - EVIDENCE-BASED DISTRACTION TECHNIQUES TO DECREASE CHRONIC PAIN IN PEDIATRIC PATIENTS - ALISON NATTRESS, RN - EXERCISE INTERVENTIONS TO IMPROVE OUTCOMES IN HEART FAILURE PATIENTS - PEGGY TRAHAN, RN, PCCN - CARDIAC PRESCREENING IN YOUNG ADULT ATHLETES DECREASES RISK FOR SUDDEN CARDIAC EVENT - DEB THORNBERG, BSN, RN-BC - SHHLET THEM REST - KENDRA WILSON, BSN, RN-BC - CNS IN STROKE: PARTNERSHIP IN BUILDING EXCELLENCE - CYNTHIA SWARTZ, MS, RN, ACNS-BC, MARYANN BROGDEN, ND, MSN, RN, APN-C, CCNS, SCRN - IMPLEMENTATION OF HOURLY ROUNDING TO IMPROVE CLINICAL OUTCOMES" - JENNIFER HIXENBAUGH, BSN, RN - IV ACCESS - TINA SWARTZ CRNA, STEVE TODD BS, RN, JAMES KEVIN TRACEY, JR., RN, BSN, CNOR, ALLISON M. POLINSKI, RN, BSN, CPAN - EARLY IMPLEMENTATION OF PALLIATIVE CARE TO BETTER PATIENT OUTCOMES IN CONGESTIVE HEART FAILURE PATIENTS - PATRICIA A. CARNES, MHA, BSN, RN, NE-BC - KBMA NO SCANNER LEFT BEHIND - JODY HARCLERODE, RN-BC, MS, CPHQ - TRANSITIONING BETWEEN CARE SETTINGS - JUDITH HIMES, BSN, RN, CWON - PCEA:PATIENT CONTROLLED EPIDURAL ANALGESIA FOR INTRAPARTUM PATIENTS - ENID KREINER, MSN, RNC-MNN, C-EFM - PAIN MANAGEMENT CARE MODEL - RHETT BENNIE, MSHA, BSN, RN - NURSING CERTIFICATION: LEADING THE WAY - MICHELLE DEFABIO, MS, RN, ACNS- BC - BEATING SEPSIS - IT'S A SPRINT, NOT A JOG - SARAH COLEMAN, AD, RN - THINK "INSIDE" THE BOX TAKING AN IDEA FROM INCEPTION TO IMPLEMENTATION - JOANN ADKINS, RN, BSN, CIC, EDIE ASBURY, MLS, AHIP - CONNECTING THE DOTS: HOW DO WE PUT IT ALL TOGETHER? - JOANN ADKINS, RN, BSN, CIC, EDIE ASBURY, MLS, AHIP - MARCH 12, 2015 - ADVANCE DIRECTIVES: WHO, WHAT, WHEN, WHY, AND WHERE - MAUREEN ASPER, MS, RN, ACNS-BC - MARCH 20, 2015 - 2015 ADVANCED PRACTICE REGISTERED NURSE PANEL - PAMELA HARRIS-HAMAN, MSN, CRNP, NPP-BC, MICHELLE DEFABIO, MS, RN, ACNS-BC, CCRN, ROBIN CROWLEY CRNA, MS - APRIL 30, 2015: HEALTHSTREAM SUMMIT, NASHVILLE, TN. "STANDARDS OF PERFORMANCE: BRINGING YOUR VALUES TO LIFE" - LISA LEWIS, MSN, RN, NEA- BC, AMI ZUMKHAWALA-COOK - MAY 21, 2015:CAREER DAY AT FINK ELEMENTARY SCHOOL, MIDDLETOWN, PA. "CAREERS IN NURSING" - MARTHA LEE, BSN, RNC-NIC, ENID KREINER, MSN, RNC- MNN/OBC-EFM - JUNE 16, 2015 - OUR JOURNEY TO PATIENT AND FAMILY CENTERED CARE: CREATING A PATIENT AND FAMILY ADVISORY COUNCIL - CYNTHIA SWARTZ, MS, RN, ACNS-BC, SUSAN MCQUADE, RN, CPHQ, CNOR, BSN, MHA, ANN HENDRICKSON, MS, RN,ACNS-BC NURSES ALSO PARTICIPATED IN HOLY SPIRIT COMMUNITY EDUCATION PROGRAMS AND SCREENINGS. - SEPTEMBER 11, 2014: PROJECT HOMELESS CONNECT, FARM SHOW COMPLEX, HARRISBURG, PA. 61 FREE FLU VACCINES PROVIDED BY CHERYL SOLA, COMMUNITY HEALTH AND WELLNESS, LISA LEWIS, CNO, DIANA DAVIDSON, OR, MELISSA NATIVIDAD, OR, RENA EFENDIVA, OR, AND VANESSA GARCIA, MEDICAL OUTREACH - OCTOBER 3, 2014: ST. JOSEPH SCHOOL, MECHANICSBURG, PA. "WHAT TO EXPECT IN THE OR" - LORI BAURER, OR AND NATILIE HATTING, OR - OCTOBER 3, 2014: GIRLS' NIGHT OUT, HARRISBURG, PA. CARDIOVASCULAR RISK ASSESSMENTS AND BLOOD PRESSURE SCREENINGS PROVIDED BY JUDY HIMES, WOUND CARE, PEGGY TRAHAN, 8 MAIN, AND LEONA MLYNEK, WOUND CARE - FEBRUARY 7, 2015: HEARTCARING SYMPOSIUM, HOLY SPIRIT HOSPITAL. VARIOUS SCREENINGS TO DETERMINE CARDIOVASCULAR DISEASE RISK PROVIDED BY BRYNN STRINE, CVICU, AMANDA DONNANGELO, ED, REBECCA MILLER, CVU, MEGAN REEVES, CVU, JENNIFER HIXENBAUGH, CARDIAC DIAGNOSTICS, AMBER THOMAS, ED, WENDY SHOOK, CARDIAC REHAB, BARBARA MUMMERT, CARDIAC REHAB, VIRGINIA BAZAR, INVASIVE CARDIOLOGY, AND SHERRI HEFFNER, INVASIVE CARDIOLOGY - MAY 8, 2015: GIRLS' NIGHT OUT, HARRISBURG, PA. BLOOD PRESSURE SCREENINGS AND CARDIOVASCULAR RISK ASSESSMENTS PROVIDED BY JUDY HIMES, WOUND CARE, LESLY MILLER-JACOBS, MEDICAL INFUSION, JOHN LYONS, OR, PEGGY TRAHAN, 8 MAIN, LEONA MLYNEK, WOUND CARE, JENNIFER KANE, NURSING RESOURCES, AND MICHELLE YEAGER, 6 MAIN - MAY 20, 2015:VIERA LIFE, MECHANICSBURG, PA. BODY MASS INDEX SCREENING. INDEX PROVIDED BY KATE BAKOWICZ, NURSING RESOURCES - JUNE 1, 2015:COLONIAL PARK MALL WALKING LOOP, HARRISBURG, PA. BLOOD PRESSURE SCREENINGS PROVIDED BY AMBER CUNNINGHAM, MSICU - JUNE 6, 2015:MOUNT VICTORY UNITED METHODIST CHURCH. BLOOD PRESSURE SCREENINGS PROVIDED BY MICHELLE YEAGER NURSING GRAND ROUNDS - AUGUST 13, 2014: PATIENT TE
FORM 990, PART V	ENTER THE NUMBER REPORTED IN BOX 3 OF FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF U.S. INFORMATION RETURNS. HOLY SPIRIT HEALTH SYSTEM (HSHS), PARENT OF THE ORGANIZATION, PREPARED AND FILED FORM 1099 UNDER ITS EIN FOR ALL REPORTABLE PAYMENTS OF THE FILING ORGANIZATION AND ITS AFFILIATES. THE NUMBER OF 1099'S FILED BY HSHS FOR THE 2015 REPORTING PERIOD ON BEHALF OF ITSELF AND ITS AFFILIATES WAS 170. THE RESPONSE ENTERED ON LINE 1A FOR THE ORGANIZATION INCLUDES ONLY THOSE FORM 1099S FILED UNDER THE ORGANIZATION'S EIN. IT DOES NOT INCLUDE THOSE FILED BY HSHS ON ITS BEHALF.
FORM 990, PART VI	FORM 990, PART VI, SECTION A, LINE 1B: ENTER THE NUMBER OF VOTING MEMBERS THAT ARE INDEPENDENT. BASED ON THE FORM 990 DEFINITION OF "INDEPENDENCE" AS IT RELATES TO VOTING MEMBERS OF THE GOVERNING BODY, ONE VOTING MEMBER IS NOT INDEPENDENT DUE TO A TRANSACTION REPORTED ON SCHEDULE L, PART II AND ANOTHER VOTING MEMEBER IS NOT INDEPENDENT DUE TO TRANSACTIONS REPORTED ON SCHEDULE L, PART IV. FORM 990, PART VI, SECTION A, LINE 2: DID ANY OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE HAVE A FAMILY RELATION- SHIP OR BUSINESS RELATIONSHIP WITH ANY OTHER OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE? DANIEL E. LOHR, ESQUIRE, SISTER ROMAINE NIEMEYER, SCC, RANDY B. MORRIS, MANUEL J. EVANS, KEVIN F. BRENNAN, CPA, FHFMA, AND DAVID J. FELICIO, ESQUIRE ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY. ALL OF THE AFFILIATES ARE PART OF GEISINGER.
FORM 990, PAGE 6, PART VI, LINE 1A	EFFECTIVE OCTOBER 1, 2014, HOLY SPIRIT HEALTH SYSTEM AND AFFILIATES (HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY, WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC., SPIRIT PHYSICIAN SERVICES, INC., HOLY SPIRIT CORPORATION, AND HOLY SPIRIT VENTURES, INC.) DELEGATED CERTAIN AUTHORITIES TO GEISINGER SYSTEM SERVICES' GEISINGER FAMILY COMMITTEE TO REVIEW AND APPROVE MATTERS RELATING TO EMPLOYEE BENEFIT PLANS, EXECUTIVE LEADERSHIP, SENIOR LEADERSHIP AND STAFF PERFORMANCE AND COMPENSATION. HOLY SPIRIT HEALTH SYSTEM AND AFFILIATES ALSO DELEGATED TO GEISINGER CLINIC'S GEISINGER FAMILY COMMITTEE THE REVIEW AND APPROVAL OF MATTERS RELATING TO PHYSICIAN COMPENSATION. GEISINGER SYSTEM SERVICES AND GEISINGER CLINIC ARE 501(C)(3) TAX-EXEMPT AFFILIATES OF GEISINGER.
FORM 990, PAGE 6, PART VI, LINE 6	GEISINGER HEALTH SERVES AS THE SOLE CORPORATE MEMBER OF HOLY SPIRIT HEALTH SYSTEM AND HOLY SPIRIT HEALTH SYSTEM SERVES AS CORPORATE MEMBER FOR HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY, SPIRIT PHYSICIAN SERVICES, INC., WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC., HOLY SPIRIT CORPORATION AND SOLE SHAREHOLDER OF HOLY SPIRIT VENTURES INC. THE MEMBERS OF THE CORPORATION HAVE THE POWER AND AUTHORITY TO ELECT AND REMOVE THE DIRECTORS; ELECT AND REMOVE THE PRESIDENT AND FILL ANY VACANCY IN THE OFFICE OF THE PRESIDENT OF THE CORPORATION; AND, MAY APPROVE AMENDMENTS TO THE CORPORATE BYLAWS IN LIEU OF SUCH APPROVAL BY THE BOARD OF DIRECTORS. THE MEMBERS ALSO HAVE THE RESERVE POWERS AS SET FORTH IN THE PENNSYLVANIA NONPROFIT CORPORATION LAW.
FORM 990, PAGE 6, PART VI, LINE 7A	THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE.
FORM 990, PAGE 6, PART VI, LINE 9	BARBARA SUMBATIAN, MD
FORM 990, PAGE 6, PART VI, LINE 11B	ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, GEISINGER ORGANIZATIONS' FORM 990 FILINGS ARE REVIEWED ANNUALLY. THE FORM 990 IS PREPARED BY GEISINGER TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN GEISINGER. THE CHIEF FINANCIAL OFFICER (CFO) OF GEISINGER AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GEISINGER REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF GEISINGER CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY GEISINGER ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR REPORTING PERIOD.
FORM 990, PAGE 6, PART VI, LINE 12C	THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GEISINGER CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS (MAY INCLUDE INDEPENDENT CONTRACTORS). AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS (INCLUDING INDEPENDENT CONTRACTORS) AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN GEISINGER. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE AND BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER.
FORM 990, PAGE 6, PART VI, LINE 15A	THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GEISINGER EMPLOYED BOARD DIRECTORS, OFFICERS, AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GEISINGER. THE CONSULTANT'S REPORT IS PRESENTED TO THE GEISINGER FAMILY COMMITTEE PRIOR TO ANY COMPENSATION ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE GEISINGER FAMILY COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY THE GEISINGER FAMILY COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE GEISINGER FAMILY COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION.
FORM 990, PAGE 6, PART VI, LINE 15B	SEE SCHEDULE O RESPONSE TO FORM 990, PART VI SECTION B, QUESTION 15A.
FORM 990, PAGE 6, PART VI, LINE 19	THE ANNUAL REPORT FOR GEISINGER, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, IS AVAILABLE ON THE GEISINGER WEBSITE. GO TO: WWW.GEISINGER.ORG/PAGES/ABOUT-GEISINGER AND SELECT ANNUAL REPORTS. FINANCIAL STATEMENTS, FORM 990, FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VIII	FORM 990, PART VIII, LINE 2F: THE IC SUPPORT SERVICE REVENUE REPRESENTS REVENUE FROM INTERCOMPANY MANAGEMENT, ADMINISTRATIVE, AND CONSULTING SERVICES PROVIDED TO RELATED TAXABLE ORGANIZATIONS. THE ORGANIZATION AND RELATED TAXABLE ORGANIZATIONS ARE ALL CONTROLLED BY GEISINGER HEALTH. THE SERVICES, PROVIDED AT OR BELOW COST, ARE PERFORMED WITHOUT A PROFIT MOTIVE TO PROMOTE THE EFFICIENT OPERATION OF GEISINGER IN CARRYING OUT ITS CHARITABLE MISSION. THE SERVICES ARE NOT OFFERED TO UNRELATED ORGANIZATIONS OR TO THE GENERAL PUBLIC. UNDER IRS ADVISORY DATED MARCH 7, 2014, THESE INTERCOMPANY SHARED SERVICES ARE NOT INCLUDED IN THE DEFINITION OF UNRELATED BUSINESS INCOME AND SHOULD NOT TO BE INCLUDED ON FORM 990-T DUE TO THE ABSENCE OF THE FOLLOWING TWO CONDITIONS: (1) THE SERVICES MUST BE ABOVE COST OR AT FAIR MARKET VALUE, AND (2) THERE MUST BE A PROFIT MOTIVE.
FORM 990, PART XI, LINE 9	DONATION AND ENDOWMENT ADJUSTMENT 24,857 TRANSFER TO AFFILIATE -797,520 TOTAL -772,663
FORM 990, PART XII	FORM 990, PART XII, LINE 3A: AS A RESULT OF A FEDERAL AWARD, WAS THE ORGANIZATION REQUIRED TO UNDERGO AN AUDIT OR AUDITS AS SET FORTH IN THE AUDIT ACT OR OMB CIRCULAR A-133? FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133. FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER- AND "SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (34 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GEISINGER HEALTH
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231995911	PHILANTHRO	PA	501C3	7	N/A	Yes (true)
GEISINGER MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	240795959	HOSPITAL	PA	501C3	3		Yes (true)	GH
GEISINGER CLINIC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	236291113	PHYSICIAN	PA	501C3	11A		Yes (true)	GH
GEISINGER WYOMING VALLEY MEDICAL CE
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231996150	HOSPITAL	PA	501C3	3		Yes (true)	GH
MARWORTH
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232171417	D&A REHAB	PA	501C3	3		Yes (true)	GH
GEISINGER HEALTH PLAN
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232311553	HEALTH INS	PA	501C4			Yes (true)	GH
GEISINGER SYSTEM SERVICES
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232164794	SUPPORT SV	PA	501C3	11A		Yes (true)	GH
GEISINGER COMMUNITY HEALTH SERVICES
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232967235	HEALTHCARE	PA	501C3	9		Yes (true)	GSS
GEISINGER INSURANCE CORPORATION RR
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	141909894	SELF INS	VT	501C3	11A		Yes (true)	GH
COMMUNITY MEDICAL CENTER
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	240862246	HOSPITAL	PA	501C3	3		Yes (true)	GH
MOUNTAIN VIEW NURSING HOME INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232568288	LONG TERM	PA	501C3	9		Yes (true)	GH
COMMUNITY MEDICAL CENTER HEALTHCARE
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232279376	SUPPORT SV	PA	501C3	11A		Yes (true)	GH
GEISINGER-BLOOMSBURG HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232193572	HOSPITAL	PA	501C3	3		Yes (true)	GH
GEISINGER-BLOOMSBURG HEALTHCARE CEN
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232242854	SKILLED NU	PA	501C3	9		Yes (true)	GH
LEWISTOWN HEALTH CARE FOUNDATION
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232344363	PHILANTHRO	PA	501C3	11A		Yes (true)	GH
GEISINGER-LEWISTOWN HOSPITAL
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231352187	HOSPITAL	PA	501C3	3		Yes (true)	GH
LEWISTOWN AMBULATORY CARE CORPORATI
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232344362	HOLDING CO	PA	501C3	11A		Yes (true)	GH
FAMILY HEALTH ASSOCIATES OF GEISING
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251651582	PHYSICIAN	PA	501C3	11A		Yes (true)	GH
KEYSTONE HEALTH INFORMATION EXCHANG
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	464359893	RHIO	PA	501C3	11A		Yes (true)	GH
HEALTH CARE CORP OF NORTHEAST PA
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232337286	SUPPORT SV	PA	501C3	11A		Yes (true)	CMC
SUN HOME HEALTH SERVICES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	231736912	HEALTHCARE	PA	501C3	9		Yes (true)	GCHS
HOLY SPIRIT HEALTH SYSTEM
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251865142	PHILANTHRO	PA	501C3	11A		Yes (true)	GH
HOLY SPIRIT CORPORATION
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232214540	HOLDING CO	PA	501C2			Yes (true)	HSHS
SPIRIT PHYSICIAN SERVICES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	251766971	PHYSICIAN	PA	501C3	9		Yes (true)	HSHS
WEST SHORE ADVANCED LIFE SUPPORT SE
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232463002	HEALTHCARE	PA	501C3	7		Yes (true)	HSHS
ATLANTICARE BEHAVORIAL HEALTH INC
2511 FIRE ROAD	EGG HARBOR TOWNSHIP	NJ	08234	210721208	HEALTHCARE	NJ	501C3	7		Yes (true)	ARHS
ATLANTICARE FOUNDATION
6725 DELILAH ROAD	EGG HARBOR TOWNSHIP	NJ	08234	222148992	SUPPORT AR	NJ	501C3	7		Yes (true)	AH SYSTEM
ATLANTICARE HEALTH ENGAGEMENT INC
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	611608389	HEALTHCARE	NJ	501C3	11A		Yes (true)	AH SYSTEM
ATLANTICARE HEALTH SERVICES INC
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	223265214	HEALTHCARE	NJ	501C3	9		Yes (true)	ARHS
ATLANTICARE HEALTH SYSTEM INC
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	223265213	SUPPORT AR	NJ	501C3	11A		Yes (true)	GH
ATLANTICARE REGIONAL MEDICAL CENTER
1925 PACIFIC AVENUE	ATLANTIC CITY	NJ	08401	210634549	HOSPITAL	NJ	501C3	3		Yes (true)	ARHS
ATLANTICARE PHYSICIAN GROUP PA
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	020701782	HEALTHCARE	NJ	501C3	9		Yes (true)	AH SYSTEM
INFOSHARE INC
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	223337816	INFO SERVI	NJ	501C3	11A		Yes (true)	AH SYSTEM
ATLANTICARE REGIONAL HEALTH SERVICE
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	800834222	HOLDING CO	NJ	501C3	11A		Yes (true)	AH SYSTEM

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
KEYSTONE ACCOUNTABLE CARE ORG LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	454475297	ACO	PA	N/A	false	false
LIFESOURCE GEISINGER BLOOD CTR LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	364718005	BLOOD COLL	PA	N/A	false	false
MERIDIAN GEISINGER HLTH NETWORKLLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	455484165	ORG DEL SY	NJ	N/A	false	false
HEALTHSOUTH GHS LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	721398803	PHY THERAP	PA	N/A	false	false
EVANGELICAL-GEISINGER HEALTH LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	460567687	HEALTHCARE	PA	N/A	false	false
LEMED II
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232391766	RENTAL	PA	N/A	false	false
GEISINGER-SCA HOLDINGS LLC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	461615328	HEALTHCARE	DE	N/A	false	false
CAMP HILL AMBULATORY SURG CTR LLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	521597478	HEALTHCARE	PA	N/A	false	false
HS ORTHOPEDIC MANAGEMENT CO LLC
503 NORTH 21ST STREET	CANP HILL	PA	17011	460887384	HEALTHCARE	PA		false	Yes (true)	HSH	RELATED	$17,744	$174,666	0.40000
CAELIAN MEDICAL LLC
880 CENTURY DRIVE	MECHANICSBURG	PA	17055	208018724	HEALTHCARE	PA		false	Yes (true)	HSH	RELATED	$64,100
GRANDVIEW SURGERY CENTER LTD
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	521597483	HEALTHCARE	PA	N/A	false	false
LACKAWANNA PHYS AMB SURG CTRLLC
569 BROOKWOOD VILLAGE SUITE 901	BIRMINGHAM	AL	35209	233024998	HEALTHCARE	PA	N/A	false	false
SOUTHERN JERSEY ONCOLOGY PROPERTIES
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	943463625	HEALTHCARE	NJ	N/A	false	false
ATLANTICARE SURGERY CENTER LLC
2500 ENGLISH CREEK AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	223491867	HEALTHCARE	NJ	N/A	false	false
COOPERATIVE HEALTH SRVS OF S JERSEY
1301 ATLANTIC AVENUE	ATLANTIC CITY	NJ	08401	223619231	PURCHASING	NJ	N/A	false	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
GEISINGER MEDICAL MANAGEMENT CORP
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232077663	HOTEL/REST	PA	N/A	Yes (true)
GEISINGER INDEMNITY INSURANCE CO
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232815174	HLTH INSUR	PA	N/A	Yes (true)
GEISINGER QUALITY OPTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	204275139	HLTH INSUR	PA	N/A	Yes (true)
XG HEALTH SOLUTIONS INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	461657345	CONSULTING	DE	N/A	Yes (true)
GEISINGER ASSURANCE COMPANY LTD
				981016737	INSURANCE		N/A	Yes (true)	878 WEST BAY ROAD PO BOX 1159	GRAND CAYMAN	GRAND CAYMAN	CJ	KY1-1102	CJ
HOLY SPIRIT VENTURES INC
100 NORTH ACADEMY AVENUE MC 49-70	DANVILLE	PA	17822	232407709	MED. SERV.	PA	N/A	Yes (true)
ATLANTICARE HEALTH PLANS INC
1001 SOUTH GRAND ST PO BOX 941	HAMMONTON	NJ	08037	223265212	INACTIVE	NJ	N/A	Yes (true)
ENGLISH CREEK ASSURANCE LTD
				980656394	FINANCIAL		N/A	Yes (true)	44 CHURCH STREET HM12 HAMILTON	BERMUDA	BERMUDA	BD		BD
ATLANTICARE HEALTH SOLUTIONS INC
2500 ENGLISH CREEK AVENUE BLDG 500	EGG HARBOR TOWNSHIP	NJ	08234	383856295	ACO/HEALTH	NJ	N/A	Yes (true)
ATLANTICARE ASSURANCE ALLIANCE INC
2500 ENGLISH CREEK AVENUE BLDG 500	EGG HARBOR TOWNSHIP	NJ	08234	463730123	HEALTHCARE	NJ	N/A	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (24 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GEISINGER MEDICAL CENTER
P	$199,179	GAAP
GEISINGER INDEMNITY INSURANCE COMPA
P	$938,576	GAAP
GEISINGER SYSTEM SERVICES
L	$94,483	GAAP
GEISINGER COMMUNITY HEALTH SERVICES
L	$50	GAAP
GEISINGER HEALTH PLAN
L	$13,937,000	GAAP
GEISINGER CLINIC
B	$245	GAAP
GEISINGER CLINIC
M	$416,484	GAAP
GEISINGER SYSTEM SERVICES
M	$5,682,544	GAAP
GEISINGER COMMUNITY HEALTH SERVICES
M	$149,111	GAAP
SUN HOME HEALTH SERVICES
M	$1,742	GAAP
SPIRIT PHYSICIAN SERVICES INC
K	$7,504,469	GAAP
WEST SHORE ADVANCED LIFE SUPPORT
K	$33,243	GAAP
HOLY SPIRIT CORPORATION
K	$1,153,733	GAAP
HOLY SPIRIT VENTURES
K	$562,498	GAAP
GEISINGER LEWISTOWN HOSPITAL
P	$150	GAAP
SPIRIT PHYSICIAN SERVICES INC
L	$801,160	GAAP
WEST SHORE ADVANCED LIFE SUPPORT
L	$221,002	GAAP
HOLY SPIRIT VENTURES INC
L	$6,241	GAAP
HOLY SPIRIT HEALTH SYSTEM
L	$762,896	GAAP
KEYSTONE HEALTH INFO EXCHANGE
M	$218,750	GAAP
SPIRIT PHYSICIAN SERVICES INC
M	$230,268	GAAP
HOLY SPIRIT VENTURES INC
M	$4,389	GAAP
GEISINGER LEWISTOWN HOSPITAL
A	$69,656	GAAP
SPIRIT PHYSICIAN SERVICES INC
A	$381,732	GAAP

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R	FormAndLineReferenceDesc
Explanation	FORM 990, SCHEDULE R, PART V - TRANSACTIONS WITH RELATED ORGANIZATIONS: AS SHOWN IN THE RESPONSE TO FORM 990, SCHEDULE R, THE ORGANIZATION IS CLOSELY AFFILIATED WITH SEVERAL OTHER ORGANIZATIONS. IN THE NORMAL COURSE OF THE OPERATIONS OF THESE AFFILIATED ORGANIZATIONS THERE ARE NUMEROUS INTER ORGANIZATIONAL TRANSACTIONS, WHICH MAY INCLUDE SALES, EXCHANGES AND LEASES OF PROPERTY, EXTENSIONS OF CREDIT, FURNISHING OF GOODS, SERVICES AND FACILITIES, AND TRANSFERS OF ASSETS. THESE INTERORGANIZATION TRANSACTIONS PROMOTE THE EFFICIENT OPERATION OF THE VARIOUS ORGANIZATIONS AND THE ATTAINMENT OF THEIR TAX EXEMPT PURPOSES. THESE TYPES OF INTER ORGANIZATION TRANSACTIONS WERE DESCRIBED TO THE INTERNAL REVENUE SERVICE IN A RULING APPLICATION AND WERE RECOGNIZED BY THE NATIONAL OFFICE OF THE IRS IN A SERIES OF GHS PRIVATE RULINGS AS BEING ENTIRELY CONSISTENT WITH THE ORGANIZATIONS' TAX EXEMPT STATUS. _	ExplanationTxt