PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER: Form 990, tax year 2010

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Organization: PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER (EIN 23-1512747)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-01
IRS object ID: 201201229349300340
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-01T13:15:46-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	231512747	EIN

Name Name

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

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

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	SR ROMAINE NIEMEYER	Name
Title	PRESIDENT/CEO	Title
Phone	7177632100	Phone
Date Signed	2012-04-24	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JULIUS C GREEN CPA JD	Name
Phone	5703236023	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

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

Field	Value	IRS element (for citing)
Gross Receipts	312641450	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.HSH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1963	YearFormation
State Legal Domicile	PA	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE HEALTH CARE TO THE COMMUNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	2599	TotalNbrEmployees
Total Nbr Volunteers	237	TotalNbrVolunteers
Total Gross UBI	3896496	TotalGrossUBI
Net Unrelated Business Txbl Income	629098	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3627675	ContributionsGrantsPriorYear
Contributions Grants Current Year	3353274	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	258349139	ProgramServiceRevenuePriorYear
Program Service Revenue CY	280338135	ProgramServiceRevenueCY
Investment Income Prior Year	2829630	InvestmentIncomePriorYear
Investment Income Current Year	4017676	InvestmentIncomeCurrentYear
Other Revenue Prior Year	6915780	OtherRevenuePriorYear
Other Revenue Current Year	6422258	OtherRevenueCurrentYear
Total Revenue Prior Year	271722224	TotalRevenuePriorYear
Total Revenue Current Year	294131343	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	5151206	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	5543353	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	123842975	SalariesEtcPriorYear
Salaries Etc Current Year	131110157	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	375236	TotalFundrsngExpCurrentYear
Other Expense Prior Year	131364794	OtherExpensePriorYear
Other Expenses Current Year	148755712	OtherExpensesCurrentYear
Total Expenses Prior Year	260358975	TotalExpensesPriorYear
Total Expenses Current Year	285409222	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	11363249	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	8722121	RevenuesLessExpensesCY
Total Assets BOY	212401841	TotalAssetsBOY
Total Assets EOY	256855160	TotalAssetsEOY
Total Liabilities BOY	102545438	TotalLiabilitiesBOY
Total Liabilities EOY	128988791	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	109856403	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	127866369	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	HOLY SPIRIT HOSPITAL IS A COMMUNITY CATHOLIC HOSPITAL SPONSORED BY THE SISTERS OF CHRISTIAN CHARITY TO CARRY OUT THE HEALING MINISTRY OF JESUS CHRIST TO ALL IN NEED. WE PROVIDE HIGH QUALITY, COST-EFFECTIVE HEALTH SERVICES TO DEVELOP HEALTHY COMMUNITIES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	75892725	Expense
Revenue	101209391	Revenue
Description	NURSING SERVICES: NURSING SERVICES IS DRIVEN BY THE HOSPITAL'S MISSION, VISION AND VALUES. THE PROVISION OF HIGHLY SKILLED, COMPETENT AND COMPASSIONATE NURSING CARE IS ESSENTIAL TO FULFILL OUR COMMITMENT TO EXCELLENCE IN CLINICAL PRACTICE, EDUCATION AND NURSING RESEARCH. INPATIENT NURSING UNITS' EXPENSES IN FISCAL YEAR 2011 WERE $27,881,736; SURGICAL NURSING SERVICES' EXPENSES WERE $33,509,035; AND ALL OTHER NURSING EXPENSES TOTALED $14,501,954. THOSE EXPENSES TOTALED OVER $75.9 MILLION.THE BIRTHPLACE AT HOLY SPIRIT IS EQUIPPED TO MEET THE NEEDS OF WOMEN DURING AND AFTER THE BABY ARRIVES. A VARIETY OF SERVICES ARE OFFERED IN A COMFORTABLE AND WARM ENVIRONMENT. A TEAM OF SPECIALLY TRAINED NURSES PROVIDES CARE TO EACH MOM AND BABY DURING LABOR, DELIVERY, AND RECOVERY. THE NEONATAL INTENSIVE CARE UNIT (NICU) IS STAFFED BY SOME OF THE AREA'S MOST WELL-RESPECTED NEONATOLOGISTS, READY TO ASSIST PHYSICIANS OR MIDWIVES WITH BABIES' MEDICAL NEEDS. THE NICU OFFERS LEVEL III CARE ONSITE, WHICH MEANS TODAY'S MOST ADVANCED MEDICAL TECHNOLOGY IS CLOSE AT HAND TO DEAL WITH ANY SPECIAL NEEDS. IN FISCAL YEAR 2011, THE NICU STAFF CARED FOR 132 BABIES IN A FAMILY-FRIENDLY ENVIRONMENT. STAFF MEMBERS HAVE CARED FOR BABIES AS YOUNG AS 24-WEEKS' GESTATION AND OTHER BABIES WHO NEED INTENSIVE CARE. HOLY SPIRIT OFFERS AN ONLINE CHILDBIRTH PREPARATION COURSE AS AN ALTERNATIVE FOR COUPLES WHO CANNOT ATTEND A TRADITIONALLY PREPARED CHILDBIRTH COURSE DUE TO BED REST AND SCHEDULING CONFLICTS. THE E-LEARNING COURSE IS OFFERED TO PREGNANT WOMEN REGARDLESS OF WHERE THEY ARE PLANNING TO GIVE BIRTH. HOLY SPIRIT PARTICIPATES IN CLINICAL RESEARCH, A COMPLEX PROCESS INVOLVING COOPERATION AMONG PHYSICIANS, RESEARCH ADMINISTRATION AND OTHER HEALTHCARE PROFESSIONALS. CLINICAL TRIALS ARE OVERSEEN BY THE INSTITUTIONAL REVIEW BOARD AND THE RESEARCH REVIEW COMMITTEE. MANY OF THESE CLINICAL TRIALS HAVE POSITIVELY AFFECTED AND EXTENDED MANY PATIENTS' LIVES. DURING FISCAL YEAR 2011, THE INSTITUTIONAL REVIEW BOARD APPROVED 19 NEW PROTOCOLS, CONTINUED REVIEWING 35 PROTOCOLS AND STUDIED APPROXIMATELY 2,361 ADVERSE EVENT REPORTS.HOLY SPIRIT HOSPITAL IS COMMITTED TO PROVIDING HEALTH MINISTRY ASSISTANCE TO ALL FAITH CONGREGATIONS THAT OFFER A MINISTRY OF HEALTH SERVICES. FREE HEALTH SERVICES OFFERED TO SOUTH CENTRAL PENNSYLVANIA FAITH COMMUNITIES INCLUDE AN ASSESSMENT OF THE CONGREGATION'S HEALTH AND WELLNESS NEEDS, ASSISTANCE IN DEVELOPING AN INDIVIDUALIZED MINISTRY OF HEALTH, ONGOING GUIDANCE, NETWORKING OPPORTUNITIES, A HEALTH AND WELLNESS RESOURCE CENTER AND LENDING LIBRARY, CONTINUING HEALTH IMPROVEMENT EDUCATIONAL PROGRAMS, AND MONTHLY LUNCH AND LEARN PROGRAMS.FOR INDIVIDUALS WHO ARE VICTIMS OF SEXUAL VIOLENCE, HAVING A POSITIVE EXPERIENCE IN THE HOSPITAL SETTING CAN CONTRIBUTE GREATLY TO OVERALL HEALING. TO ENSURE DIGNITY AND COMPASSION, OUR EMERGENCY CENTER DEDICATED AN EXAMINATION ROOM EQUIPPED WITH THE LATEST FORENSIC TECHNOLOGY. A TEAM OF NURSES WHO ARE TRAINED SEXUAL ASSAULT NURSE EXAMINERS COLLECT MEDICAL AND LEGAL EVIDENCE, WHILE BEING SENSITIVE AND EMPATHETIC TO THE PATIENTS NEEDS.REGISTERED NURSES IN PATIENT CARE SERVICES ASSISTED THE EDUCATION, TRAINING, AND DEVELOPMENT DEPARTMENT WITH SCREENINGS AT COMMUNITY ACTIVITIES AND MONTHLY SCREENINGS DONE AT THE HOSPITAL. NURSES FROM HOLY SPIRIT HOSPITAL PARTICIPATED IN PRESENTATIONS AT THE FOLLOWING PROFESSIONAL CONFERENCES TO EDUCATE THEIR PEERS: * "TCAB PROGRESS" - TRANSFORMING CARE AT THE BEDSIDE (TCAB) CONFERENCE, SEPTEMBER 2010.* "TEAM SUCCESS, BARRIERS, AND RECOMMENDATIONS" - CUSP COHORT 4 MEETING, FEBRUARY 2011.* PARTICIPATED IN THE HOSPITAL AND HEALTH SYSTEM ASSOCIATION OF PA (HAP) CUSP SAFETY VIDEO, FEBRUARY 2011.* "PAIN EASE RESEARCH STUDY" POSTER PRESENTATION - 30TH AMERICAN SOCIETY OF PERIANESTHESIA NURSES (ASPAN) NATIONAL CONFERENCE, APRIL 2011.* "EVIDENCE-BASED INTERVENTIONS FOR POST-OPERATIVE NAUSEA" POSTER PRESENTATION - PINNACLEHEALTH 20TH ANNUAL NURSING RESEARCH CONFERENCE, APRIL 2011.* "ADDITION OF AROMATHERAPY IN TREATMENT OF CHEMOTHERAPY INDUCED NAUSEA AND VOMITING" - PINNACLEHEALTH 20TH ANNUAL NURSING RESEARCH CONFERENCE, APRIL 2011.* "SIGNIFICANCE OF NOSOCOMIAL INFECTION RELATED TO IMPROPER CLEANING OF PULSE OXIMETERS' POSTER PRESENTATION" - PINNACLEHEALTH 20TH ANNUAL NURSING RESEARCH CONFERENCE, APRIL 2011.* "THE INFLUENCE OF EDUCATION AND ACCOUNTABILITY ON ADHERENCE TO STANDARD ISOLATION PRECAUTIONS" POSTER PRESENTATION - PINNACLEHEALTH 20TH ANNUAL NURSING RESEARCH CONFERENCE, APRIL 2011.* "EVIDENCE-BASED RECOMMENDATIONS FOR EDUCATION OF HIGH-RISK STROKE PATIENTS" POSTER PRESENTATION - PINNACLEHEALTH 20TH ANNUAL NURSING RESEARCH CONFERENCE, APRIL 2011.* "EVIDENCE-BASED INTERVENTIONS FOR REDUCING READMISSION RATES IN CONGESTIVE HEART FAILURE (CHF) PATIENTS" POSTER PRESENTATION - PINNACLEHEALTH 20TH ANNUAL NURSING RESEARCH CONFERENCE, APRIL 2011.* "CONSISTENT-CARBOHYDRATE DIET FOR HOSPITALIZED ADULT DIABETIC PATIENTS" POSTER PRESENTATION - PINNACLEHEALTH 20TH ANNUAL NURSING RESEARCH CONFERENCE, APRIL 2011.* "EVIDENCE-BASED INTERVENTIONS FOR POST OPERATIVE NAUSEA" POSTER PRESENTATION - PINNACLEHEALTH 20TH ANNUAL NURSING RESEARCH CONFERENCE, APRIL 2011.* "HOLY SPIRIT HOSPITAL EXPERIENCE - WRONG SITE SURGERY PROJECT" - THE CENTER FOR TRANSFORMING HEALTHCARE - WRONG SITE SURGERY, APRIL 2011.* "EVIDENCE-BASED INTERVENTIONS FOR REDUCING READMISSION RATES IN CONGESTIVE HEART FAILURE (CHF) PATIENTS" POSTER PRESENTATION - 8TH ANNUAL SYMPOSIUM, MESSIAH COLLEGE, SCHOOL OF SCIENCE, ENGINEERING AND HEALTH, APRIL 2011.* "SIGNIFICANCE OF NOSOCOMIAL INFECTION RELATED TO IMPROPER CLEANING OF PULSE OXIMETERS" POSTER PRESENTATION - 8TH ANNUAL SYMPOSIUM, MESSIAH COLLEGE, SCHOOL OF SCIENCE, ENGINEERING AND HEALTH, APRIL 2011.* "EVIDENCE-BASED RECOMMENDATIONS FOR EDUCATION OF HIGH-RISK STROKE PATIENTS" POSTER PRESENTATION - 8TH ANNUAL SYMPOSIUM, MESSIAH COLLEGE, SCHOOL OF SCIENCE, ENGINEERING AND HEALTH, APRIL 2011.* "THE INFLUENCE OF EDUCATION AND ACCOUNTABILITY ON ADHERENCE TO STANDARD ISOLATION PRECAUTIONS" POSTER PRESENTATION - 8TH ANNUAL SYMPOSIUM, MESSIAH COLLEGE, SCHOOL OF SCIENCE, ENGINEERING AND HEALTH, APRIL 2011.* "EVIDENCE-BASED INTERVENTIONS FOR POST OPERATIVE NAUSEA" POSTER PRESENTATION - 8TH ANNUAL SYMPOSIUM, MESSIAH COLLEGE, SCHOOL OF SCIENCE, ENGINEERING AND HEALTH, APRIL 2011.* "CONSISTENT-CARBOHYDRATE DIET FOR HOSPITALIZED ADULT DIABETIC PATIENTS" POSTER PRESENTATION - 8TH ANNUAL SYMPOSIUM, MESSIAH COLLEGE, SCHOOL OF SCIENCE, ENGINEERING AND HEALTH, APRIL 2011.* "A JOURNEY TO SUCCESS: TRAINING AND IMPLEMENTATION OF THE ALARIS GUARDRAILS PUMPS" - HEALTHSTREAM SUMMIT 2011, MAY 2011.* "OPPORTUNITIES IN HEALTH CARE" - HEALTH CAREERS EVENT, SUSQUENITA HIGH SCHOOL, MAY 2011.* "SKIN/WOUND ASSESSMENT INITIATIVE" - TCAB CONFERENCE, MAY 2011.* "TEAM SUCCESS, BARRIERS, AND RECOMMENDATIONS" - CUSP CATHETER ASSOCIATED URINARY TRACT INFECTIONS (CAUTI), HAP, JUNE 2011.* "SCRATCHING THE SURFACE: BRING EBP TO THE BEDSIDE" POSTER PRESENTATION - ASSOCIATION OF WOMEN'S HEALTH, OBSTETRICS, AND NEONATAL NURSES 2011 CONVENTION, JUNE 2011.HOLY SPIRIT STAFF WORKED COLLABORATIVELY WITH DREXEL UNIVERSITY, HARRISBURG AREA COMMUNITY COLLEGE, MESSIAH COLLEGE, LIBERTY UNIVERSITY, WICKS UNIVERSITY, PENN STATE UNIVERSITY, SOUTHERN ADVENTIST UNIVERSITY, ST. LOUIS UNIVERSITY, UNIVERSITY OF CINCINNATI, UNIVERSITY OF DELAWARE, UNIVERSITY OF WISCONSIN, WIDENER UNIVERSITY, AND YORK COLLEGE TO PROVIDE CLINICAL LEARNING OPPORTUNITIES FOR STUDENTS.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	17986292	Expense
Revenue	65940311	Revenue
Description	IMAGING SERVICES: HOLY SPIRIT IMAGING SERVICES ASSISTS HEALTHCARE PROVIDERS IN THE DIAGNOSIS AND TREATMENT OF A WIDE VARIETY OF DISEASES. FROM ROUTINE X-RAYS TO THE HIGH-TECH 4D IMAGERY, HOLY SPIRIT IMAGING PROVIDES SERVICES AT THE HOSPITAL AND THROUGH ITS OUTPATIENT IMAGING CENTERS, LOCATED WITHIN THE HOSPITAL AND IN SURROUNDING COMMUNITIES. IN NOVEMBER 2010, HOLY SPIRIT OPENED A NEW CENTER IN MECHANICSBURG. THIS CENTER PROVIDES IMAGING SERVICES, INCLUDING GENERAL AND VASCULAR ULTRASOUND, INCLUDING 4D AND DIGITAL X-RAY AND DIGITAL MAMMOGRAPHY, GENERAL. THE IMAGING SERVICES STAFF PARTICIPATES IN HEALTH FAIRS THROUGHOUT THE YEAR. DURING THIS FISCAL YEAR, THEY ATTENDED 25 HEALTH FAIRS AND SPIRIT OF WOMEN EVENTS AND PROVIDED 1,333 FREE BONE DENSITY SCREENINGS.HOLY SPIRIT IMAGING CENTERS OFFER FREE BONE DENSITY SCREENINGS AT SIX LOCATIONS EVERY MONTH. IN ADDITION, WOMEN WHO ARE SCHEDULED FOR MAMMOGRAMS ARE ASKED IF THEY WOULD LIKE TO HAVE A FREE BONE DENSITY TEST. THIS QUICK AND EASY HEEL SCAN HELPS TO DETERMINE THE THICKNESS OF THE BONE - THE FIRST STEP IN CHECKING FOR SIGNS OF OSTEOPOROSIS. THROUGH THESE OFFERINGS, HOLY SPIRIT PROVIDED 4,168 FREE BONE DENSITY SCREENINGS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	17719038	Expense
Revenue	25877854	Revenue
Description	CARDIOVASCULAR SERVICES: THE ORTENZIO HEART CENTER AT HOLY SPIRIT IS A FOUR-STORY, 140,000-SQUARE-FOOT FACILITY EQUIPPED WITH THE LATEST TECHNOLOGY AND STAFFED WITH A SKILLED TEAM OF NURSES AND CLINICAL SPECIALISTS. SOME OF THE REGION'S MOST EXPERIENCED CARDIOLOGISTS AND CARDIAC SURGEONS PRACTICE IN THE ORTENZIO HEART CENTER AT HOLY SPIRIT, OFFERING OPEN HEART SURGERY, CARDIAC CATHETERIZATION, VASCULAR PROCEDURES, DIAGNOSTIC CARDIOLOGY, NUCLEAR CARDIOLOGY, CARDIAC REHABILITATION, ELECTROPHYSIOLOGY STUDIES, TILT STUDIES, AND CRM DEVICE, PACEMAKER AND OTHER DEVICE IMPLANTS.IN FISCAL YEAR 2011, THE ORTENZIO HEART CENTER AT HOLY SPIRIT PERFORMED 2,167 DIAGNOSTIC CARDIAC CATHETERIZATIONS AND 820 INTERVENTIONAL CARDIAC CATHETERIZATIONS. MORE THAN 1,500 PATIENTS HAD ELECTROPHYSIOLOGY PROCEDURES PERFORMED AND 481 PATIENTS HAD CARDIOTHORACIC SURGERIES. MORE THAN 35,468 EKGS WERE PERFORMED IN FISCAL YEAR 2011. MORE THAN 8,200 CARDIAC REHABILITATION SESSIONS WERE PROVIDED TO HELP PATIENTS RECOVER FROM SURGERY OR HEART-RELATED PROBLEMS. THE GOAL OF CARDIAC REHABILITATION IS TO GET PATIENTS BACK TO THEIR NORMAL ACTIVITIES AND TO EDUCATE AND LEAD THEM TO ADOPT A HEART HEALTHY LIFESTYLE. THE CARDIAC REHABILITATION STAFF TEAMED UP WITH CARDIOLOGISTS AND CARDIOVASCULAR SURGEONS TO PROVIDE A SUPPORT GROUP FOR THOSE WITH HEART DISEASE, THEIR FAMILIES, AND CAREGIVERS TO PROMOTE LIFELONG HEART HEALTHY LIVING. HOLY SPIRIT'S "SPIRITED HEARTS" CARDIAC SUPPORT GROUP MET SEVERAL TIMES IN THIS FISCAL YEAR. NEARLY 200 PEOPLE ATTENDED THESE MEETINGS.OUR CARDIAC TEAM CONSISTENTLY BEATS THE NATIONAL QUALITY GOAL FOR DOOR-TO-REPERFUSION (OPENING BLOCKED CORONARY ARTERIES AND RE-ESTABLISHING BLOOD FLOW TO THE HEART) TIME FOR CARDIAC PATIENTS. EARLY RESTORATION OF BLOOD FLOW, OR REPERFUSION, TO THE HEART CAN REDUCE THE EXTENT OF MYOCARDIAL DAMAGE.	Description

Activity Other ActivityOther (3 entries)

ExpenseExpense	GrantsGrants	RevenueRevenue	DescriptionDescription
103960644	5543353	92150200	LABORATORY SERVICES:HOLY SPIRIT PROVIDES COMPREHENSIVE LABORATORY SERVICES, INCLUDING CHEMISTRY, URINALYSIS, TOXICOLOGY, THERAPEUTIC DRUG MONITORING, HEMATOLOGY, COAGULATION, MICROBIOLOGY, IMMUNOLOGY, BLOOD BANK AND TRANSFUSION SERVICES, CYTOLOGY AND HISTOLOGY. LABORATORY SERVICES ARE PROVIDED AT EIGHT CONVENIENT LOCATIONS. LABORATORY COLLECTION AND EKG SERVICES (PERFORMED BY LAB STAFF) EXPANDED TO A NEW FACILITY, THE HOLY SPIRIT SILVER SPRING CENTER.THE LABORATORY SERVICES STAFF PARTICIPATED IN 28 HEALTH FAIRS AND SCREENING EVENTS IN ORDER TO PROVIDE A MEANS TO IDENTIFY POTENTIAL DISEASE IN PATIENTS WHO MAY NOT OTHERWISE HAVE ACCESS TO TESTING FOR HIGH CHOLESTEROL OR GLUCOSE. A TOTAL OF 2,084 GLUCOSE TESTS AND 2,298 CHOLESTEROL TESTS WERE PERFORMED AT NO COST OR AT A REDUCED COST TO PATIENTS.EMERGENCY PREPAREDNESS:HOLY SPIRIT HOSPITAL RECEIVED A GRANT FROM THE OFFICE OF PUBLIC HEALTH PREPAREDNESS TO FUND SUPPLIES AND EQUIPMENT FOR MASS CASUALTY RESPONSE EFFORTS. EACH MONTH, THE SAFETY AND EMERGENCY MANAGEMENT COORDINATOR ATTENDS FOUR-HOUR REGIONAL COUNTERTERRORISM TASK FORCE MEETINGS, AND MULTIPLE REGIONAL WORKGROUP MEETINGS TO FURTHER ENHANCE REGIONAL RESPONSE PLANS AND CAPABILITIES.CLINICAL INFORMATION SYSTEM:SINCE 2007 HOLY SPIRIT HOSPITAL HAS INSTALLED AND DEVELOPED AN ADVANCED ELECTRONIC MEDICAL RECORD (EMR) THAT FEWER THAN 30% OF THE NATION'S COMMUNITY HOSPITALS CAN BOAST. THE HOSPITAL BOARD, THE ADMINISTRATION AND STAFF HAVE MADE A SUBSTANTIAL TIME AND MONETARY COMMITMENT WHICH CONTINUES TO DEMONSTRATE SIGNIFICANT ENHANCEMENTS IN PATIENT SAFETY WHILE DIMINISHING DUPLICATION, WASTE, AND INCOMPLETE DOCUMENTATION. THE INFORMATION SYSTEM HAS CONTRIBUTED TO IMPROVEMENTS IN PATIENT SATISFACTION SCORES AND QUALITY SCORES. THE HOSPITAL HAS INSTALLED A NATIONALLY CERTIFIED EMR WHICH HAS ALREADY RESULTED IN PAYMENT OF APPROXIMATELY $471,000 UNDER THE MEDICAID MEANINGFUL USE PROGRAM AS PART OF THE AMERICAN RECOVERY AND REINVESTMENT ACT OF 2009. WE ARE IN AN EXCELLENT POSITION TO ALSO QUALIFY FOR FUNDING UNDER THE MEDICARE PORTION OF THIS LEGISLATION.IT HAS NOW BEEN FOUR YEARS THAT HOLY SPIRIT CLINICIANS HAVE USED COMPUTERIZED PROVIDER ORDER ENTRY (CPOE). CPOE OFFERS EXCEPTIONAL IMPROVEMENTS IN PATIENT SAFETY, REDUCED TURN-AROUND TIMES, AND REDUCTIONS IN WASTEFUL DUPLICATE TESTING. IN ADDITION, CPOE INCLUDES POINT-OF-CARE CLINICAL DECISION SUPPORT TO ASSIST CLINICIANS IN SELECTING THE SAFEST ORDERS.WE CONTINUE TO EXPAND OUR USE OF CURRENT TECHNOLOGIES THROUGHOUT THE HOSPITAL, AND INSTALL NEW FUNCTIONS THAT ENHANCE OUR CLINICIANS' ABILITIES TO RENDER SAFE, EFFECTIVE, AND COST-EFFICIENT CARE. THIS STRATEGY CONFIRMS OUR COMMITMENT TO REMAIN IN THE FOREFRONT OF THE USE OF ADVANCED COMPUTER TECHNOLOGIES FOR HEALTHCARE FACILITIES.HEALTH EDUCATION AND DISEASE PREVENTION PROGRAMS:HOLY SPIRIT'S PERINATAL EDUCATION SERVICES OFFERS A CONTINUUM OF APPROPRIATE POPULATION-BASED HEALTH INITIATIVES FOR THE COMMUNITY. COURSES INCORPORATE CURRENT RESEARCH AND ARE AVAILABLE FOR ALL EXPECTANT FAMILIES. EDUCATIONAL OFFERINGS INCLUDE CHILDBIRTH PREPARATION, INFANT FEEDING, BABY BOOT CAMP, AND SIBLING PREPARATION. PARTNERSHIPS WITH CLINICIANS FROM VARIOUS SERVICE LINES, INCLUDING PHYSICIANS AND PERSONNEL FROM BEHAVIORAL HEALTH HAVE BEEN ESTABLISHED WITH AN AIM TO INCREASE HEALTH PROMOTION AND PREGNANCY WELLNESS, A KEY STRATEGY IN CURRENT HEALTHCARE POLICY. THE BEHAVIORAL HEALTH STAFF OFFERS A WEEKLY SUPPORT GROUP FOR PREGNANT WOMEN AND NEW MOTHERS WHO ARE FEELING ALONE, AFRAID, OVERWHELMED, SAD OR WORRIED. PREGNANT WOMEN AND NEW MOTHERS WITH BABIES LESS THAN ONE YEAR OF AGE ARE WELCOME. EDUCATIONAL FAMILY NIGHTS WITH CHILDCARE ARE OFFERED PERIODICALLY.HOLY SPIRIT ALSO OFFERED FREE HEALTHY LIVING LECTURES ON THE FOLLOWING TOPICS THIS FISCAL YEAR: HEPATITIS C, WOMEN'S ISSUES AND TREATMENT OPTIONS, PREVENTING FALLS, MINIMALLY INVASIVE ROBOT-ASSISTED UROLOGY PROCEDURES, MEDICARE EDUCATION, STROKE, AND MAKING YOUR HEALTHCARE WISHES KNOWN TO FAMILY MEMBERS.THE PASTORAL CARE DEPARTMENT OFFERS A BEREAVEMENT SUPPORT PROGRAM THAT PROVIDES GREATER MEANING TO THE GRIEF THAT FAMILY AND FRIENDS EXPERIENCE WHEN SOMEONE THEY LOVE DIES. THIS SIX-WEEK PROGRAM OFFERED BY CERTIFIED PROFESSIONAL CHAPLAINS IS HELD IN THE HOSPITAL ON WEDNESDAYS AFTERNOONS AND EVENINGS SEVERAL TIMES THROUGHOUT THE YEAR. IT IS OPEN TO EVERYONE IN THE COMMUNITY.IN OBSERVANCE OF NATIONAL DIABETES MONTH, HOLY SPIRIT HOSPITAL'S DIABETES SERVICES OFFERED A UNIQUE PROGRAM TO PEOPLE WITH DIABETES IN NOVEMBER 2010. MORE THAN 200 PEOPLE ATTENDED THIS FREE PROGRAM TO LEARN MORE ABOUT NUTRITION, EXERCISE AS MEDICATION, AND DIABETES.THE EDUCATION, TRAINING AND DEVELOPMENT OFFICE OFFERS A BABYSITTING CERTIFICATION CLASS, CALLED SAFE SITTER, TO CHILDREN AGES 11 TO 13 IN THE COMMUNITY. DURING THIS FISCAL YEAR 68 CHILDREN GRADUATED FROM THE PROGRAM. EACH PARTICIPANT PAYS $25 TO COVER PART OF THE COST OF STAFF TIME AND MATERIALS FOR THE TWO-DAY PROGRAM.HEALTH FAIRS/DISEASE PREVENTION PROGRAMS/HEALTH INFORMATIONDURING THE YEAR HOLY SPIRIT HEALTH SYSTEM PARTICIPATED IN 39 HEALTH FAIRS FOR BUSINESSES, CLUBS, ORGANIZATIONS, AND CHURCHES. STAFF PROVIDED MORE THAN 8,294 HEALTH SCREENINGS, INCLUDING GLUCOSE AND CHOLESTEROL, BLOOD PRESSURE, BODY MASS INDEX, BONE DENSITY, CARDIOVASCULAR RISK AND SLEEP ASSESSMENT TESTING, AT THE HEALTH FAIRS. MORE THAN 2,958 FREE BLOOD PRESSURE SCREENINGS WERE PERFORMED AT WEEKLY COMMUNITY SCREENINGS AT AREA LIBRARIES AND AT THE MONTHLY SCREENINGS HELD AT THE HOSPITAL. THE HOSPITAL ALSO PROVIDED 16 SPEAKERS' ON VARIOUS HEALTH-RELATED TOPICS TO BUSINESSES, CLUBS, ORGANIZATIONS, AND CHURCHES. STAFF ALSO SPOKE AT SEVERAL HIGH SCHOOLS ABOUT HEALTHCARE CAREERS, INCLUDING NURSES, PHYSICIAN'S ASSISTANTS, PARAMEDICS, AND STAFF FROM THE PHARMACY AND IMAGING.REGISTERED NURSES IN PATIENT CARE SERVICES ASSISTED THE EDUCATION, TRAINING, AND DEVELOPMENT DEPARTMENT WITH SCREENINGS AT FIVE COMMUNITY ACTIVITIES AND MONTHLY SCREENINGS DONE AT THE HOSPITAL.HOLY SPIRIT HOSPITAL EXTENDS ITS SPIRIT OF CARING INTO THE COMMUNITY BY SERVING AS A RESOURCE FOR INFORMATION ON HEALTHY LIVING AND MEDICAL ADVICE. THE HOSPITAL'S HEALTHCARE REFERRAL CENTER, IN ADDITION TO PROVIDING PHYSICIAN REFERRALS, SERVES AS A CENTRAL CALL-IN POINT FOR HEALTH INFORMATION. CALLERS CAN OBTAIN FREE INFORMATION ON OVER 1,350 HEALTH TOPICS AND ABOUT 5,000 MEDICATIONS. THIS YEAR, THE REFERRAL CENTER ANSWERED MORE THAN 6,200 CALLS. OF THAT NUMBER, CLOSE TO 120 REQUESTS WERE FOR FREE HEALTH INFORMATION AND MORE THAN 4,970 WERE FOR PHYSICIAN REFERRALS. MORE THAN 445 PEOPLE CALLED OUR WOMEN'S SERVICES' LINE LOOKING TO SCHEDULE APPOINTMENTS FOR AN OBSTETRICIAN/GYNECOLOGIST, COUNSELING OR MAMMOGRAM OR OTHER IMAGING STUDIES AND FOR INFORMATION ON OTHER WOMEN'S SERVICES.DURING THE LAST FISCAL YEAR, EDUCATION, TRAINING AND DEVELOPMENT'S MEDICAL LIBRARY ALSO DIRECTLY BENEFITED THE COMMUNITY, PROVIDING INFORMATION FROM MEDICAL DATABASES AND/OR INTERNET RESOURCES (117); BOOKS, VIDEOTAPES, AND AUDIO RECORDINGS (204); JOURNALS AND FULL-TEXT ITEMS (173); HEALTH EDUCATION MATERIALS (1,049), AND INTERLIBRARY LOANS (42). THESE FIGURES DO NOT INCLUDE INFORMATION PROVIDED TO PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS, OR FOR HEALTHCARE PROFESSIONALS TO GIVE TO PATIENTS.COMMUNITY NON-PROFIT PROJECTS OR EVENTS:THE HOSPITAL'S AUDITORIUM IS USED FOR HOSPITAL-SPONSORED EDUCATION AND LOANED FREE TO COMMUNITY NON-PROFIT GROUPS. MEETING SPACE DONATION WAS VALUED AT ALMOST $8,400. HOLY SPIRIT HOSPITAL OFFERS OTHER INNOVATIVE PROGRAMS TO SCHOOLS TO PROMOTE WELLNESS AND HEALTHY LIVING. THE HOLY SPIRIT HOSPITAL AUXILIARY AND VOLUNTEERS TEAMED UP TO TRAVEL TO AREA ELEMENTARY SCHOOLS THROUGHOUT THE YEAR TO PRESENT A PROGRAM ENTITLED "I'M IN CHARGE OF ME." THE PROGRAM USES SOFT-SCULPTURE DOLLS, SONGS, AND EXERCISE TO PROMOTE THE VALUES OF GOOD NUTRITION AND SAFETY, DRUG AND ALCOHOL AVOIDANCE, AND THE BENEFITS OF EXERCISE AMONG AREA THIRD GRADE STUDENTS. THE "I'M IN CHARGE OF ME" PROGRAM WAS PRESENTED FREE OF CHARGE TO MORE THAN 1,700 THIRD-GRADERS IN 72 CLASSROOMS THIS FISCAL YEAR. EVERY STUDENT WAS GIVEN A COLORING BOOK AND "I'M IN CHARGE OF ME" STICKER AS A REMINDER OF THIS IMPORTANT HEALTH MESSAGE.HOLY SPIRIT HAS AN ER PATIENT AND FAMILY PASTORAL CARE SUPPORT PROGRAM THAT PROVIDES HOSPITALITY AND SUPPORT TO PATIENTS AND THEIR FAMILIES IN THE EMERGENCY DEPARTMENT. THIS UNIQUE PROGRAM OPERATES DURING THE EVENINGS HOURS AND SEVERAL AFTERNOONS A WEEK. TRAINED VOLUNTEERS MEET THE NEED TO PROVIDE HOSPITALITY AND COMPASSIONATE CARE TO MAKE THEIR STAY IN THE ER AS PLEASANT AS POSSIBLE. THIS EXTRA CARING EFFORT IS WELCOMED BY THE PERSONS THEY SERVE AND THE DOCTORS AND NURSES WHO ARE GRATEFUL FOR THEIR PRESENCE.
			HOLY SPIRIT HEALTH SYSTEM IS A MEMBER OF SPIRIT OF WOMEN. THE SPIRIT OF WOMEN HOSPITAL NETWORK IS A COALITION OF MORE THAN 80 HOSPITALS AND HEALTH CARE SYSTEMS ACROSS THE UNITED STATES THAT ASCRIBE TO THE HIGHEST STANDARDS OF EXCELLENCE IN WOMEN'S HEALTH, EDUCATION, AND COMMUNITY OUTREACH PROGRAMS. HOLY SPIRIT HOSTED THREE, FREE SPIRIT OF WOMEN EVENTS DURING THE FISCAL YEAR. DAY OF DANCE FOR HEALTH WAS HELD IN MARCH 2011. MORE THAN 1,200 PEOPLE ATTENDED THIS CARDIOVASCULAR HEALTH EVENT. APPROXIMATELY 90 PERCENT OF THE PARTICIPANTS WERE WOMEN, FIVE PERCENT WERE MEN AND FIVE PERCENT WERE CHILDREN. CHILDREN WERE WELCOME TO JOIN THE FUN OF DANCING. THE DAY WAS ALL ABOUT MOVEMENT, PROVING THAT EXERCISE CAN BE BOTH FUN AND BENEFICIAL TO THE HEART. IN ADDITION HEALTH SCREENINGS AND EDUCATION ON HEART DISEASE AND OTHER HEALTH ISSUES WAS AVAILABLE. MORE THAN 976 FREE HEALTH SCREENINGS WERE PROVIDED, INCLUDING 186 BLOOD PRESSURE, 211 BODY MASS INDEX, 112 CARDIAC RISK ASSESSMENT, 189 GLUCOSE/CHOLESTEROL, 278 VTE/PE SCREENINGS. THERE WERE A NUMBER OF PEOPLE WHO TOLD US THEY WERE TAKING ADVANTAGE OF THE FREE HEALTH SCREENINGS BECAUSE THEY WERE UNEMPLOYED AND/OR HAD DROPPED THEIR HEALTH INSURANCE BECAUSE THEY COULDN'T AFFORD IT ANY LONGER. SPIRIT GIRLS' NIGHT OUT WAS HELD IN OCTOBER 2010 WITH MORE THAN 800 WOMEN IN ATTENDANCE. THE EVENT FOCUSED ON BREAST HEALTH, BONES AND JOINTS AND GENDER-SPECIFIC KNEE REPLACEMENT, AS WELL AS OSTEOPOROSIS AND OTHER WOMEN'S HEALTH CONCERNS. THE EVENT INCLUDED FITNESS ACTIVITIES, HEALTH DISPLAYS AND EDUCATION. SEVEN PHYSICIANS GAVE PRESENTATIONS ON HEALTH TOPICS AND WERE AVAILABLE TO TALK TO WOMEN AT THE EVENT. MORE THAN 271 FREE SCREENINGS WERE PERFORMED, INCLUDING 101 BLOOD PRESSURE, 68 BODY MASS INDEX, AND 102 GLUCOSE AND CHOLESTEROL SCREENINGS.ANOTHER GIRLS' NIGHT OUT EVENT WAS HELD IN CARLISLE IN MAY 2011 WITH MORE THAN 600 WOMEN IN ATTENDANCE. THE EVENT FOCUSED ON ENDOMETRIOSIS, FIBROIDS, PROLAPSE, MENOPAUSE AND MINIMALLY INVASIVE SURGERY AND OTHER WOMEN'S HEALTH CONCERNS. MORE THAN 618 FREE HEALTH SCREENINGS WERE PROVIDED, INCLUDING 107 BLOOD PRESSURES, 118 BONE DENSITY, 41 SLEEP DISORDER RISK ASSESSMENTS, 39 CARDIOVASCULAR RISK ASSESSMENT, 99 DVT (BLOOD CLOT RISK), AND 107 GLUCOSE AND CHOLESTEROL SCREENINGS. CONSULTATION AND RELATED SERVICES:A SUBSTANTIAL PORTION OF THE HOSPITAL'S COMMUNITY SERVICE IS IN THE FORM OF CRISIS INTERVENTION, BEHAVIORAL HEALTH SERVICES AND FREE COUNSELING TO AREA SCHOOLS. UNDER CONTRACT WITH CUMBERLAND AND PERRY COUNTIES, THE HOSPITAL'S BEHAVIORAL HEALTH SERVICES PROVIDE CRISIS INTERVENTION SERVICES TO THE COMMUNITY. IN ADDITION, OUTREACH AND PREVENTATIVE SERVICES HAVE BEEN ADDED TO ASSIST THE COMMUNITY IN AN EFFORT TO PROMOTE MENTAL HEALTH WELLNESS. WHILE THE CONTRACT PROVIDES THE MAJORITY OF THE FUNDING FOR THIS SERVICE, HOLY SPIRIT HOSPITAL SUBSIDIZES AT LEAST 10 PERCENT OF THE FUNDING.HOLY SPIRIT HOSPITAL PROVIDES CRISIS INTERVENTION SERVICES TO THE COMMUNITY BY TELEPHONE, WALK-IN VISITS, AND, IN THEIR HOMES OR OTHER LOCATIONS IN THE COMMUNITY. CRISIS INTERVENTION WORKERS ASSIST INDIVIDUALS AND PROFESSIONAL SERVICE AGENCIES IN CUMBERLAND AND PERRY COUNTIES BY ASSESSING AND STABILIZING PEOPLE IN CRISIS SITUATIONS, SUCH AS THOSE WITH SUICIDAL OR HOMICIDAL THOUGHTS, GESTURES AND ATTEMPTS; PSYCHOTIC PERSONS; AND THOSE SHOWING SIGNS OF SERIOUS SELF-NEGLECT. BEGUN IN 1986, A SERVICE KNOWN AS TEENLINE OFFERS 24-HOUR ASSISTANCE FOR AREA YOUTH WHO ARE HAVING PROBLEMS COPING WITH PRESSURES AT HOME, SCHOOL, OR IN RELATIONSHIPS. TEENLINE OFFERS A WIDE RANGE OF PREVENTIVE SERVICES TO STUDENTS, FACULTY, AND PARENTS, INCLUDING WORKSHOPS ON SELF-ESTEEM, STRESS MANAGEMENT, EATING DISORDERS, PROBLEM-SOLVING AND COPING SKILLS; AND TRAINING ON TEEN DEPRESSION, SUICIDE AWARENESS, AND PARENTING. STAFF PROVIDES ON-SITE EVALUATIONS OF STUDENTS, REFERRALS, JOINT FACILITATION OF SUPPORT GROUPS FOR TEENS AT-RISK, AND ASSISTANCE TO AREA COMMUNITIES AND SCHOOLS FOLLOWING AN ATTEMPTED OR COMPLETED SUICIDE OR OTHER TRAUMATIC EVENTS. TEENLINE ALSO PROVIDES SCHOOL-BASED AND TELEPHONE COUNSELING. CRISIS INTERVENTION SERVICES AND TEENLINE ARE PROVIDED BY HOLY SPIRIT HOSPITAL AND PARTIALLY FUNDED THROUGH THE CUMBERLAND/PERRY COUNTY MH/IDD PROGRAM. BEHAVIORAL HEALTH SERVICES PROVIDES CARE TO INPATIENTS AND OUTPATIENTS WHO MEET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. DURING THE FISCAL YEAR ENDING JUNE 30, 2011, $2,027,000 CARE WAS DELIVERED TO INPATIENTS AND $3,450,666 CARE WAS DELIVERED TO OUTPATIENTS WITHOUT REIMBURSEMENT TO THE UNINSURED, THE UNDERINSURED, AND THE INDIGENT POPULATION OF SOUTH CENTRAL PENNSYLVANIA. THE HOSPITAL SUBSIDIZED A TOTAL OF $943,205 TO COUNTY-FUNDED PROGRAMS WITHIN MENTAL HEALTH SERVICES THIS YEAR. BEHAVIORAL HEALTH SERVICES ALSO FOCUSES SPECIAL ATTENTION ON PROVIDING OUTREACH SERVICES FOR THE SENIOR POPULATION AND PREGNANT WOMEN AT RISK. DURING THIS FISCAL YEAR, CHILDREN'S BEHAVIORAL HEALTH SERVICES WERE EXPANDED INTO THE CENTRAL CUMBERLAND/PERRY COUNTY AREA BY OFFERING ADDITIONAL PSYCHIATRIC AND COUNSELING SERVICES WITH A STRONG EMPHASIS ON YOUNG CHILDREN AND FAMILY SERVICES.THE CAPITAL REGION MATERNAL ASSISTANCE PROGRAM IS FUNDED BY THE PA DEPARTMENT OF HEALTH - BUREAU OF DRUG AND ALCOHOL PROGRAMS. THIS SERVICE INTERVENED 1,455 TIMES WITH SUBSTANCE-ABUSING, PREGNANT WOMEN BY PROVIDING SUPPORT, COUNSELING, TRANSPORTATION, AND COORDINATION OF SERVICES TO MEET THEIR PSYCHOSOCIAL AND PHYSICAL NEEDS. AN IMPORTANT PART OF THE HOSPITAL'S CONTRIBUTION TO THE COMMUNITY IS THROUGH HEALTH CAREER PREPARATION AND CONSULTING SUPPORT, AS WELL AS PRACTICAL INTERNSHIPS, SUPPLIED TO AREA NURSING SCHOOLS AND SCHOOLS FOR ALLIED HEALTH PROFESSIONALS. THIS YEAR, 58 STUDENTS COMPLETED INTERNSHIPS TOTALING 11,330 HOURS AND 182 STUDENTS FROM A VARIETY OF POST-SECONDARY, TECHNICAL, UNDERGRADUATE AND GRADUATE SCHOOLS PARTICIPATED IN ON-SITE EXPERIENCES AT HOLY SPIRIT TOTALING MORE THAN 800 HOURS. FOUR SPECIAL NEEDS HIGH SCHOOL STUDENTS PARTICIPATED IN JOB SKILLS TRAINING IN TWO DEPARTMENTS. TWENTY-ONE STUDENTS FROM 10 AREA HIGH SCHOOLS PARTICIPATED IN A 10-WEEK HEALTH CARE CAREERS EXPLORATION PROGRAM TO LEARN MORE ABOUT WHAT IT IS LIKE TO WORK IN THE HEALTH CARE INDUSTRY.THIS PAST FISCAL YEAR, HOLY SPIRIT HOSPITAL HAD 75 PHYSICIAN ASSISTANT AND 12 MEDICAL STUDENTS COMPLETE INTERNSHIPS. WE HAD AN AVERAGE OF 30 RESIDENTS WHO PARTICIPATED IN ROTATIONS IN GENERAL SURGERY, ORTHOPEDICS, OB/GYN, ENT, PULMONARY/CRITICAL CARE AND VASCULAR THROUGHOUT THE HOSPITAL. OTHER ACTIVITIES ARE OFFERED THROUGH THE GRADUATE MEDICAL EDUCATION PROGRAM. A WEEKLY SCHEDULED TEACHING CONFERENCE IS PROVIDED TO NURSES, RESIDENTS, STUDENTS AND OTHER ALLIED HEALTH PROFESSIONALS THROUGHOUT THE YEAR. HOLY SPIRIT HOSPITAL PROVIDES EDUCATION TO THE HOSPITAL'S MEDICAL STAFF AND THE PHYSICIANS IN THE SURROUNDING COMMUNITY VIA THE "EXCELLENCE IN EDUCATION CME LECTURE SERIES," OFFERED MONTHLY AT HOLY SPIRIT HOSPITAL. THESE LIVE ACTIVITIES PLUS ENDURING MATERIALS AND OTHER MEDICAL EDUCATIONAL OPPORTUNITIES ARE OFFERED THROUGH THE HOLY SPIRIT HOSPITAL CONTINUING MEDICAL EDUCATION PROGRAM, AND ARE APPROVED FOR AMA PRA CATEGORY 1 CREDIT THROUGH THE VOTING (PHYSICIAN) CONSTITUENTS OF THE LIBRARY AND MEDICAL EDUCATION COMMITTEE. APPROXIMATELY 450 PHYSICIANS AND 850 NURSES AND OTHER STAFF TOOK ADVANTAGE OF THE 117 CME OPPORTUNITIES OFFERED VIA SEVEN SEPARATE VENUES DURING THE 2011 FISCAL YEAR. NURSES, HEALTH EDUCATORS AND STAFF ROUTINELY PROVIDE FREE BLOOD PRESSURE AND BONE DENSITY SCREENS AND HEALTH LECTURES AT BUSINESSES AND IN THE COMMUNITY. THESE ACTIVITIES INCLUDE IN-SERVICES TO OTHER NON-PROFIT AGENCIES, PROFESSIONAL ADVISORY BOARD PARTICIPATION AND ARE PROVIDED AT NO COST TO THOSE BUSINESSES AND ORGANIZATIONS.MISSIONS:THE HOSPITAL DONATES USED MEDICAL EQUIPMENT AND SUPPLIES TO BOTH LOCAL AND OVERSEAS MISSIONS. THE VALUE OF DONATED SUPPLIES AND SERVICES WAS APPROXIMATELY $625. MEDICAL/SURGICAL SUPPLIES AND LINENS COMPRISED MOST OF THIS DOLLAR AMOUNT. UNCOMPENSATED CARE:THE HOSPITAL PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. DURING THE FISCAL YEAR ENDING JUNE 30, 2011, $958,098 IN CARE WAS DELIVERED WITHOUT REIMBURSEMENT TO THE UNINSURED, THE UNDERINSURED, AND THE INDIGENT POPULATION OF SOUTH CENTRAL PENNSYLVANIA.COURTESY TRANSPORTATION:A COURTESY BUS OPERATES BETWEEN THE HOSPITAL'S PARKING LOT AND ITS BUILDINGS AS A COMMUNITY SERVICE FOR ALL PATIENTS AND VISITORS. THE HOSPITAL OFFERS FREE VALET PARKING SERVICE TO ALL PATIENTS AND VISITORS AT THE MAIN ENTRANCE AND AT THE EMERGENCY CENTER ENTRANCE.
			COMMUNITY SUPPORT:HOLY SPIRIT HAS ALWAYS HAD A TRADITION OF SUPPORTING OUR COMMUNITY. ONE OF THE WAYS THAT WE HAVE BEEN ABLE TO HELP IS THROUGH OUR CONTRIBUTIONS TO UNITED WAY. HOLY SPIRIT EMPLOYEES DONATED ALMOST $31,500 TO UNITED WAY. INDIVIDUALS WERE ENCOURAGED TO TAKE PART IN THIS SYSTEM-WIDE FUND-RAISER. WITHOUT THE ORGANIZATION'S INVOLVEMENT, THE MAJORITY OF INDIVIDUALS MOST LIKELY WOULD NOT HAVE CONTRIBUTED TO THIS WORTHWHILE COMMUNITY PROGRAM. UNITED WAY OF THE CAPITAL REGION HELPS CHANGE LIVES LOCALLY BY INVESTING IN CHILDREN AND YOUTH, CARING FOR FAMILIES AND SENIORS, OVERCOMING DISEASE AND DISABILITIES, PROVIDING EMERGENCY FOOD AND SHELTER, AND BUILDING A STRONGER AND SAFER COMMUNITY. HOLY SPIRIT HAD 13 TEAMS WITH A TOTAL OF 164 WALKERS PARTICIPATE IN THE AMERICAN HEART ASSOCIATION'S HEART WALK IN OCTOBER AND RAISED MORE THAN $11,000.FOR CHRISTMAS 2010, ALMOST 60 HOLY SPIRIT EMPLOYEES, DONATED CHRISTMAS GIFTS TO BABIES AND CHILDREN WHOSE MOTHERS WERE CLIENTS OF THE CAPITAL REGION MATERNAL ASSISTANCE PROGRAM (MAP). ALL OF THE MAP FAMILIES SELECTED INVOLVED MOTHERS WHO WERE ACTIVELY WORKING TOWARDS A DRUG AND ALCOHOL FREE LIFE, WITH GOALS OF CREATING A HEALTHY ENVIRONMENT FOR THEIR NEWBORNS AS WELL AS THEIR FAMILIES. MEMBERS OF HOLY SPIRIT HEALTH SYSTEM'S LEADERSHIP TEAM ARE BOARD MEMBERS, MEMBERS OR PARTICIPATE WITH THE FOLLOWING ORGANIZATIONS: AMBULANCE ASSOCIATION OF PA, AMERICAN AMBULANCE ASSOCIATION, AMERICAN ASSOCIATION OF NURSE ANESTHETISTS, AMERICAN ASSOCIATION FOR RESPIRATORY CARE, AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES, AMERICAN LEGION AUXILIARY (NEWPORT), ASSOCIATION OF FUNDRAISING PROFESSIONALS AND THE SUSQUEHANNA VALLEY PLANNED GIVING COUNCIL, BOY SCOUTS OF AMERICA, CAMP HILL COMMUNITY FOUNDATION, CARLISLE CHAMBER OF COMMERCE, CARLISLE SUMMERFAIR COMMITTEE, CATHOLIC HEALTH ASSOCIATION, CENTER FOR SAFE SCHOOLS, CENTRAL PENNSYLVANIA HIMSS, CHAMBERSBURG CHAMBER OF COMMERCE, CUMBERLAND VALLEY HABITAT FOR HUMANITY, DOWNTOWN DAILY BREAD, EMERGENCY HEALTH SERVICES FEDERATION, GRANTHAM WOMEN'S CLUB, FRIENDS OF MESSIAH COLLEGE'S MURRAY LIBRARY, GENERAL FEDERATION OF WOMEN'S CLUB (DILLSBURG), HARRISBURG AREA COMMUNITY COLLEGE (PARAMEDIC PROGRAM ADVISORY BOARD, RESPIRATORY PROGRAM ADVISORY BOARD, DIAGNOSTIC MEDICAL SONOGRAPHER ADVISORY BOARD, CLINICAL LABORATORY TECHNICIAN PROGRAM ADVISORY COMMITTEE, NURSING PROGRAM, SHUMAKER PUBLIC SAFETY CENTER ADVISORY BOARD), HARRISBURG AREA DENTAL SOCIETY, HARRISBURG REGIONAL CHAMBER OF COMMERCE, HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION, THE INTERNATIONAL ASSOCIATION OF NURSE ANESTHETISTS, HARRISBURG UNIVERSITY, LEADERSHIP CUMBERLAND, LIONS' FOUNDATION (CAMP HILL), MESSIAH COLLEGE SCHOOL OF NURSING, THE MEDICAL GROUP MANAGEMENT ASSOCIATION, NATIONAL ASSOCIATION OF EMS EDUCATORS, MEMBER, NATIONAL ASSOCIATION OF EMS PHYSICIANS, PROFESSIONAL MEMBER, NATIONAL ASSOCIATION OF CLINICAL NURSE SPECIALISTS, NATIONAL EMS MANAGEMENT ASSOCIATION, PENNSYLVANIA ASSOCIATION OF NURSE ANESTHETISTS, PENNSYLVANIA CATHOLIC HEALTH ASSOCIATION, PENNSYLVANIA E-HEALTH COLLABORATIVE, PENNSYLVANIA SOCIETY FOR RESPIRATORY CARE, PERRY COUNTY HOUSING PROJECT, PROJECT SHARE, SOUTH CENTRAL TASK FORCE, SOUTH CENTRAL PA HOSPICE AND PALLIATIVE NURSES ASSOCIATION, TECHNOLOGY COUNCIL OF CENTRAL PA, UNITED WAY OF THE CAPITAL REGION, WEST SHORE CHAMBER OF COMMERCE, WORLD SURGICAL FOUNDATION, AND THE YWCA OF THE HARRISBURG AREA. THIS LIST DOES NOT INCLUDE THOSE COMMUNITY ORGANIZATIONS IN WHICH THE GENERAL EMPLOYEE POPULATION IS INVOLVED.IN THE PAST YEAR 237 VOLUNTEERS CONTRIBUTED NEARLY 47,000 HOURS OF SERVICE TO HOLY SPIRIT HOSPITAL. MORE THAN 1,700 HOURS WERE PROVIDED BY JUNIOR VOLUNTEERS. THESE HOURS REPRESENT THE VALUE OF THE VOLUNTEERS' TIME THAT ALLOWED US TO EXTEND OUR BUDGET BY $951,271. THIS IS 3,211 MORE HOURS AND A $65,000 INCREASE IN SERVICE OVER LAST FISCAL YEAR.HOLY SPIRIT'S ANNUAL GOLF TOURNAMENT WAS HELD IN AUGUST 2011. ALMOST 300 GOLFERS PARTICIPATED IN THE OUTING WHICH GENERATED MORE THAN $140,000. PROCEEDS (AFTER EXPENSES) WERE DISTRIBUTED TO HOLY SPIRIT'S TEENLINE PROGRAM, WHICH SERVES ADOLESCENTS IN CRISIS. HOLY SPIRIT CREATED TEENLINE 25 YEARS AGO IN RESPONSE TO AN ESCALATION OF TEEN SUICIDES. SINCE THEN, IT HAS BECOME A TRUSTED RESOURCE THROUGHOUT CENTRAL PA FOR THE PREVENTION AND INTERVENTION OF MENTAL HEALTH ISSUES AMONG CHILDREN, TEENS, AND THEIR FAMILIES. IT OFFERS A STATEWIDE 24-HOUR HOTLINE TO IDENTIFY, ASSESS AND REFER AT-RISK STUDENTS AND THEIR FAMILIES TO APPROPRIATE RESOURCES.

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	103960644	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	5543353	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	92150200	TotalOfOtherProgramServiceRev
Total Program Service Expense	215558699	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	84	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	2599	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	1	QuidProQuoContributions
Quid Pro Quo Disclosure	1	QuidProQuoDisclosure
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	1	DelegationOfManagementDuties
Changes To Organizing Docs	1	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	PA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
ROBERT DIETZ
CHAIRPERSON	1.00	X	X	0	0	0
MICHAEL SERLUCO
1ST VICE CHAIRPERSON	1.00	X	X	0	0	0
LAWRENCE M KLUGER
SECRETARY/TREASURER	1.00	X	X	0	0	0
JANAK M AMIN
DIRECTOR	1.00	X		0	0	0
JAMES C BYERLY
DIRECTOR	1.00	X		0	0	0
SAMUEL COOPER III ESQUIRE
DIRECTOR	1.00	X		0	0	0
SISTER JOAN DANIEL HEALY SCC
DIRECTOR	1.00	X		0	0	0
WILLIAM KEEN
DIRECTOR	1.00	X		0	0	0
SISTER MARY JOSEPH SCHULTZ SCC
DIRECTOR	1.00	X		0	0	0
SISTER MARY IRENE SORBER SCC
DIRECTOR	1.00	X		0	0	0
RICHARD SCHREIBER MD
DIRECTOR	40.00	X		199004	0	21285
REV ROBERT F SHARMAN
DIRECTOR	1.00	X		0	0	0
STEVEN WOLF MD
DIRECTOR	1.00	X		0	0	0
SISTER ROMAINE NIEMEYER SCC
PRESIDENT & CEO	40.00	X	X	0	0	0
MANUEL J EVANS
SR VP-FINANACE	40.00			363846	0	27209	X
JOSEPH A TORCHIA MD
SR VP-MED AFFAIRS	40.00			357600	0	24143	X
RICHARD A SCHAFFNER JR
SR VP & COO	40.00			340207	0	24572	X
RICHARD LAVANTURE
SR VP CORP AFFAIRS	40.00			306073	0	23320	X
WILLIAM P SHARTLE
SR VP HR	40.00			223690	0	9515	X
MICHAEL J PASZEK MD
PHYSCIAN, BRTHPLC	40.00			256447	0	25400		X
LISA F LEWIS
VP PATIENT CARE SVCS	40.00			237919	0	19452		X
ROBIN K MILLER MD
PSYCHIATRIST-CMHC	40.00			214717	0	17182		X
EDITH C DEES
CHIEF INFO OFFICER	40.00			213699	0	14288		X
CHARLES E CLADEL MD
PSYCHIATRIST-CMHC	40.00			210231	0	25043		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2923433	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	231409	TotalOtherCompensation
Number Individuals GT100 K	189	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
QUANTUM IMAGING
629-D LOWTHER ROAD	LEWISBURY	PA	17339	PURCHASED MEDICAL SERVICES	1310421
WEST SHORE ANESTHESIA
PO BOX 1050	CAMP HILL	PA	17001	PHYSICIAN CONTRACT	1172810
CENTER FOR WOUND HEALING
155 WHITE PLAINS ROAD SUITE 222	TARRYTOWN	NY	10591	MANAGEMENT SVCS - HYPERBARIC	1084134
HARRISBURG MOBILE LITHOTRIPSEY
100 WEST THIRD AVE STE 350	COLUMBUS	OH	43201	PURCHASED MEDICAL SERVICES	962100
QUEST DIAGNOSTICS
12436 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	LABORATORY SERVICES	823973

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	24	NumberOfContractorsGT100K
Fundraising Events	139826	FundraisingEvents
Related Organizations	1010811	RelatedOrganizations
Government Grants	1953386	GovernmentGrants
All Other Contributions	249251	AllOtherContributions
Total Contributions	3353274	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT REVENUE - HOSP	Description
Business Code	621400	BusinessCode
Total Revenue Column	280338135	TotalRevenueColumn
Related Or Exempt Function Income	280338135	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	280338135	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2023439	TotalRevenueColumn
Exclusion	$2,023,439	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	793447	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	933448	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-140001	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-140001	TotalRevenueColumn
Exclusion	-$140,001	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	19517301	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	17268275	Securities
Other	254789	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2249026	Securities
Other	-254789	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1994237	TotalRevenueColumn
Exclusion	$1,994,237	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	57860	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	139826	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	53595	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	4265	TotalRevenueColumn
Exclusion	$4,265	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Unrelated Business RevenueUnrelatedBusinessRevenue	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
LAB SERVICES NONPATIEN	900099	2652107	2652107
LTACH - RENT & OTHER S	532000	725085	725085
INTENSIVE CASE MANAGEM	900099	716884		716884

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2463918	TotalRevenueColumn
Related Or Exempt Function Income	1238374	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	519304	UnrelatedBusinessRevenue
Exclusion	$706,240	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	6557994	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	294131343	TotalRevenueColumn
Related Or Exempt Function Income	282293393	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	3896496	UnrelatedBusinessRevenue
Exclusion	$4,588,180	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	5317506	Total
Program Services	5317506	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	225847	Total
Program Services	225847	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1846711	Total
Management And General	1846711	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	103958879	Total
Program Services	79149381	ProgramServices
Management And General	24571587	ManagementAndGeneral
Fundraising	237911	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3763578	Total
Program Services	2813972	ProgramServices
Management And General	939241	ManagementAndGeneral
Fundraising	10365	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	13589913	Total
Program Services	10366066	ProgramServices
Management And General	3200105	ManagementAndGeneral
Fundraising	23742	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	7951076	Total
Program Services	6012431	ProgramServices
Management And General	1921400	ManagementAndGeneral
Fundraising	17245	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	4886139	Total
Management And General	4886139	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	596759	Total
Management And General	596759	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	157137	Total
Management And General	157137	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	20131	Total
Management And General	20131	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	169575	Total
Management And General	169575	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	22155042	Total
Program Services	15696936	ProgramServices
Management And General	6458106	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1858279	Total
Program Services	44406	ProgramServices
Management And General	1813873	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	59279907	Total
Program Services	54466742	ProgramServices
Management And General	4813165	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	5740550	Total
Program Services	164070	ProgramServices
Management And General	5576480	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	6631792	Total
Program Services	4691723	ProgramServices
Management And General	1940069	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1914246	Total
Program Services	1339651	ProgramServices
Management And General	574595	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	4580	Total
Program Services	4580	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	3895780	Total
Program Services	2920853	ProgramServices
Management And General	974915	ManagementAndGeneral
Fundraising	12	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	14730773	Total
Program Services	9581597	ProgramServices
Management And General	5149138	ManagementAndGeneral
Fundraising	38	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1303929	Total
Program Services	787929	ProgramServices
Management And General	515997	ManagementAndGeneral
Fundraising	3	Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	Program ServicesProgramServices
UNRELATED BUSINESS INCO	326526	326526
BAD DEBT EXPENSE	17748500		17748500
MA ASSESSMENT	4082930		4082930
LOSS ON BOND REFINANCIN	1535684	1535684
DUES	596344	531531	64813

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1121109	Total
Program Services	78766	ProgramServices
Management And General	956423	ManagementAndGeneral
Fundraising	85920	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	285409222	Total
Program Services	215558699	ProgramServices
Management And General	69475287	ManagementAndGeneral
Fundraising	375236	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	4370	BOY
EOY	5025	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	8834373	BOY
EOY	8007142	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	32634073	BOY
EOY	36084353	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	710084	BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	740203	BOY
EOY	733548	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2089169	BOY
EOY	2402625	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	231508360	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	145616952	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	82780206	BOY
EOY	85891408	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	76989171	BOY
EOY	112215504	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	7620192	BOY
EOY	11515555	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	212401841	BOY
EOY	256855160	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	28887135	BOY
EOY	30988761	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	67975000	BOY
EOY	90290000	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	1174333	BOY
EOY	1138678	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	4508970	BOY
EOY	6571352	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	102545438	BOY
EOY	128988791	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	107509859	BOY
EOY	125242161	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	119888	BOY
EOY	83265	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2226656	BOY
EOY	2540943	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	109856403	BOY
EOY	127866369	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	212401841	BOY
EOY	256855160	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	8722121	ReconcilationRevenueExpenses
Reconcilation Other Changes	9287845	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Both	X	FinancialStatementBoth
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$20,131	OtherActivitiesAmount
Total Lobbying Expenditures IIB	20131	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF OTHER LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1I:	ReturnReference
Explanation	A PORTION OF THE HOSPITAL'S DUES PAID TO THE HOSPITAL ASSOCIATION OF PENNSYLVANIA ("HAP") AND THE AMERICAN HOSPITAL ASSOCIATION ("AHA") AND PENNSYLVANIA CATHOLIC HEALTH ASSOCIATION ("CHA") ARE USED FOR LOBBYING PURPOSES AS WELL AS NATIONAL ASSOCATION OF HOME CARE & HOSPICE AND PA HOMECARE ASSOCIATION. IN FISCAL YEAR 2011, 21.26% OF DUES PAID TO HAP RELATED TO LOBBYING, 4.68% OF DUES PAID TO CHA RELATED TO LOBBYING. ALSO, 10% OF DUES PAID TO NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE AND 20% OF DUES PAID TO PA HOMECARE ASSOCIATION ARE RELATED TO LOBBYING.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	2226656	BeginningOfYearBalance
Contributions	22983	Contributions
Investment Earnings Or Losses	306634	InvestmentEarningsOrLosses
Administrative Expenses	15330	AdministrativeExpenses
End Of Year Balance	2540943	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	1	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	0	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2266858	OtherCostOrOtherBasis
Book Value	2266858	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	64307034	OtherCostOrOtherBasis
Depreciation	34292143	Depreciation
Book Value	30014891	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	5181638	OtherCostOrOtherBasis
Depreciation	2702684	Depreciation
Book Value	2478954	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	152410158	OtherCostOrOtherBasis
Depreciation	105309782	Depreciation
Book Value	47100376	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7342672	OtherCostOrOtherBasis
Depreciation	3312343	Depreciation
Book Value	4030329	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	85891408	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescription	AmountAmount
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$210,927
BLUE CROSS CURRENT FINANCING ADVANCE	$1,222,600
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY	$1,453,000
DEFERRED COMPENSATION	$293,172
DUE TO AFFILIATES	$306,520
OBLIGATION UNDER CAPITAL LEASE	$3,085,133

Field	Value	IRS element (for citing)
Total Of Amounts	6571352	TotalOfAmounts
Total Revenue	294131343	TotalRevenue
Total Expenses	285409222	TotalExpenses
Excess Or Deficit For Year	8722121	ExcessOrDeficitForYear
Net Unrealized GL On Investments	9042589	NetUnrealizedGLOnInvestments
Other	$245,256	OtherAmount
Total Adjustments	9287845	TotalAdjustments
Excess Or Deficit Per FS	18009966	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	303012011	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	9042589	NetUnrealizedGainsInvestments
Other Revenues	7654	OtherRevenues
Revenue Not Rptd F990	9050243	RevenueNotRptdF990
Revenue Subtotal	293961768	RevenueSubtotal
Investment Expenses Not Included	169575	InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt	169575	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	294131343	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	285002045	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	-237602	OtherExpensesIncluded
Expenses Not Rptd F990	-237602	ExpensesNotRptdF990
Expenses Subtotal	285239647	ExpensesSubtotal
Investment Expenses Not Included2	169575	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	169575	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	285409222	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	PART V, LINE 4:	INTEREST EARNED IS UNRESTRICTED AND TRANSFERRED TO THE OPERATING FUND.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT HAS DETERMINED THAT THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2011 OR 2010. THE SYSTEM'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR FISCAL YEARS AFTER 2007 REMAIN SUBJECT TO EXAMINATION BY THE IRS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		CHANGE IN SPLIT INTEREST AGREEMENT -1,543. CHANGE IN POLICY CASH SURRENDER VALUE -13,786. TRANSFER FROM AFFILIATE UPON DISSOLUTION 260,585.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		CHANGE IN SPLIT INTEREST AGREEMENTS -1,543. CHANGE IN POLICY CASH SURRENDER VALUE -13,786. TRANSFER FROM AFFILIATE UPON DISSOLUTION 22,983.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		TRANSFER FROM AFFILIATE UPON DISSOLUTION NETTED AGAINST TRANSFERS OUT -237,602.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	SHARE THE SPIRIT GALA	NameOfEvent1
Gross Receipts Event1	161589	GrossReceiptsEvent1
Charitable Contributions Event1	124970	CharitableContributionsEvent1
Gross Revenue Event1	36619	GrossRevenueEvent1
Non Cash Prizes Event1	3925	NonCashPrizesEvent1
Food And Beverage Event1	19139	FoodAndBeverageEvent1
Entertainment Event1	2700	EntertainmentEvent1
Other Direct Expenses Event1	14993	OtherDirectExpensesEvent1
Name Of Event2	SPRING FUND RAISER - FESTIVAL	NameOfEvent2
Gross Receipts Event2	16816	GrossReceiptsEvent2
Charitable Contributions Event2	7163	CharitableContributionsEvent2
Gross Revenue Event2	9653	GrossRevenueEvent2
Other Direct Expenses Event2	913	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	19281	GrossReceiptsOtherEvents
Charitable Contrib Other Events	7693	CharitableContribOtherEvents
Gross Revenue Other Events	11588	GrossRevenueOtherEvents
Food And Beverage Other Events	4528	FoodAndBeverageOtherEvents
Entertainment Other Events	5800	EntertainmentOtherEvents
Other Direct Expenses Other Events	1597	OtherDirectExpensesOtherEvents
Gross Receipts Total	197686	GrossReceiptsTotal
Charitable Contributions Total	139826	CharitableContributionsTotal
Gross Revenue Total Events	57860	GrossRevenueTotalEvents
Non Cash Prizes Total Events	3925	NonCashPrizesTotalEvents
Food And Beverage Total Events	23667	FoodAndBeverageTotalEvents
Entertainment Total Events	8500	EntertainmentTotalEvents
Other Direct Expenses Total Events	17503	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	53595	DirectExpenseSummaryEvents
Net Income Summary	4265	NetIncomeSummary

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1250445	TotalCommunityBenefitExpense
Net Community Benefit Expense	1250445	NetCommunityBenefitExpense
Percent Of Total Expense	0.00470	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18508295	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12968842	DirectOffsettingRevenue
Net Community Benefit Expense	5539453	NetCommunityBenefitExpense
Percent Of Total Expense	0.02070	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	19758740	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12968842	DirectOffsettingRevenue
Net Community Benefit Expense	6789898	NetCommunityBenefitExpense
Percent Of Total Expense	0.02540	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	889227	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38087	DirectOffsettingRevenue
Net Community Benefit Expense	851140	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	705407	TotalCommunityBenefitExpense
Net Community Benefit Expense	705407	NetCommunityBenefitExpense
Percent Of Total Expense	0.00260	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	18522970	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12102099	DirectOffsettingRevenue
Net Community Benefit Expense	6420871	NetCommunityBenefitExpense
Percent Of Total Expense	0.02400	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	111362	TotalCommunityBenefitExpense
Net Community Benefit Expense	111362	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9185	TotalCommunityBenefitExpense
Net Community Benefit Expense	9185	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	20238151	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12140186	DirectOffsettingRevenue
Net Community Benefit Expense	8097965	NetCommunityBenefitExpense
Percent Of Total Expense	0.03020	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	39996891	TotalCommunityBenefitExpense
Direct Offsetting Revenue	25109028	DirectOffsettingRevenue
Net Community Benefit Expense	14887863	NetCommunityBenefitExpense
Percent Of Total Expense	0.05560	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$4,699,803	BadDebtExpenseAmount
Amount Attributable To	229846	AmountAttributableTo
Amount Reimbursed By Medicare	58080705	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	67177819	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-9097114	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

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

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 HS CARDIAC MANAGEMENT LLC	BusinessNameLine1

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

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

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

Address Address

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

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)

ExplanationExplanation
PART I, LINE 6A: THE HOSPITAL PREPARES A COMMUNITY BENEFIT REPORT WHICH IS INCLUDED IN THE ANNUAL REPORT OF THE HOLY SPIRIT HEALTH SYSTEM.
PART I, LINE 7G: THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED IN SUBSIDIZED HEALTH SERVICES.
PART I, L7 COL(F): THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A) BUT SUBTRACTED OUT FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCH H, PART I, LINE 7, COLUMN (F) IS $17,748,500.
PART III, LINE 4: THE HOSPITAL USES THE ALLOWANCE METHOD TO RECORD BAD DEBT EXPENSES. USING THIS METHOD, THE EXPENSES ARE RECORDED EACH MONTH BASED ON THE CHANGE IN THE HOSPITAL'S ALLOWANCE FOR BAD DEBTS. THE AGING OF ACCOUNTS RECEIVABLE AND THE PROBABILITY OF COLLECTIONS IS USED TO ESTIMATE THE CREDIT NEEDED FOR THE HOSPITAL'S ALLOWANCE FOR BAD DEBTS. THEN ACCOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE ARE WRITTEN OFF TO THE ALLOWANCE FOR BAD DEBTS AND RECOVERIES OF PAST BAD DEBT ACCOUNTS ARE POSTED AGAINST THE SAME ALLOWANCE FOR BAD DEBTS.HOLY SPIRIT HOSPITAL USES THE COST TO CHARGE RATIO IN COMPUTING THE AMOUNTS REPORTED ON PART III, LINES 2 & 3. WE BELIEVE THAT A PORTION OF OUR BAD DEBTS RESULTS FROM SERVICES PROVIDED TO PATIENTS WHO MEET THE CHARITY CARE GUIDELINES BUT WERE UNABLE OR UNWILLING TO PROVIDE THE APPROPRIATE DOCUMENTATION TO ALLOW THAT CLASSIFICATION. THESE WOULD BE CLASSIFIED AS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO TO ARRIVE AT THE COST. THE ORGANIZATION ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS AS A REDUCTION OF REVENUE/ACCOUNTS RECEIVABLE AND ARE NOT COMPONENTS OF BAD DEBT EXPENSE. THE HOSPITAL PROVIDES CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THIS IS PART OF THE HOSPITALS MISSION.DISCOUNTS APPLIED TO PATIENT ACCOUNTS ARE ACCOUNTED FOR AS "POLICY ALLOWANCES," WHICH ARE DEDUCTED FROM GROSS PATIENT SERVICE REVENUES IN ARRIVING AT NET REVENUE. PATIENT PAYMENTS ON ACCOUNTS IN A BAD DEBT CLASSIFICATION ARE ACCOUNTED FOR AS REDUCTIONS TO THE BAD DEBT EXPENSE.PATIENTS WITH BALANCES LESS THAN $1,500 WHO MEET CERTIAN CRITERIA (E.G. HOUSEHOLD INCOME LESS THAN 200% OF FPG) ARE DEEMED TO BE PRESUMPTIVELY ELIGIBLE FOR CHARITY CARE. OTHER PATIENTS MUST COMPLETE A FINANCIAL ASSISTANCE APPLICATION AND, DEPENDING UPON THE AMOUNT OWED, MAY ALSO BE ASKED FOR SUPPORTING DOCUMENTATION.
PART III, LINE 8: WE BELIEVE THAT A PORTION OF OUR BAD DEBTS RESULTS FROM SERVICES PROVIDED TO PATIENTS WHO MEET THE CHARITY CARE GUIDELINES BUT WERE UNABLE OR UNWILLING TO PROVIDE THE APPROPRIATE DOCUMENTATION TO ALLOW THAT CLASSIFICATION. THESE WOULD BE CLASSIFIED AS BAD DEBT EXPENSE TIMES THE COST TO CHARGE RATIO TO ARRIVE AT THE COST. THE ORGANIZATION ACCOUNTS FOR DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS AS A REDUCTION OF REVENUE/ACCOUNTS RECEIVABLE AND ARE NOT COMPONENTS OF BAD DEBT EXPENSE. THE HOSPITAL PROVIDES CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THIS IS PART OF THE HOSPITAL'S MISSION.THE MEDICARE ALLOWABLE COSTS COME DIRECTLY FROM THE MEDICARE COST REPORT SCHEDULES. THESE AMOUNTS ONLY REPRESENT COST OF CLAIMS PAID AT THE TIME THE COST REPORT WAS SUBMITTED.
PART III, LINE 9B: THE COLLECTIONS POLICY STATES "THIS POLICY DOES NOT APPLY TO THOSE PATIENTS WHO HAVE DEMONSTRATED FINANCIAL NEED AND WHOSE FINANCIAL OBLIGATIONS TO HSH, IN WHOLE OR IN PART, ARE FOUND TO ELIGIBLE FOR CHARITY CARE ALLOWANCE AS DEFINED IN HSH'S FINANCIAL ASSISTANCE POLICY. HOWEVER, IN THOSE INSTANCES WHERE A PATIENT HAS APPLIED FOR FINANCIAL ASSISTANCE AND ONLY A PORTION OF THE ACCOUNT BALANCE QUALIFIES FOR CHARITY CARE ALLOWANCE, THE REMAINING BALANCE IS SUBJECT TO COLLECTION UNDER THE GUIDELINES SET FORTH HEREIN."
PART III LINE 1: THE HOSPITAL HAS EARLY ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ACCOUNTING STANDARDS UPDATE NO. 2011-07 WHICH, AMONG OTHER THINGS, REQUIRES HEALTH CARE ENTITIES TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR DOUBTFUL COLLECTIONS FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUES, NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS.
PART VI, LINE 2: AS PART OF ITS ANNUAL STRATEGIC PLANNING PROCESS, HOLY SPIRIT HOSPITAL CONDUCTS AN ENVIRONMENTAL IMPACT ANALYSIS AND ASSESSES THE HEALTH CARE NEEDS OF ITS COMMUNITY. HEART, CANCER, AND STROKE HAVE BEEN IDENTIFIED AS THE LEADING CAUSES OF DEATH, AND HOLY SPIRIT HAS COMMITTED RESOURCES TO THESE SERVICE LINES TO ADDRESS THE HEALTH NEEDS OF ITS COMMUNITY, AMONG OTHER ITEMS DRIVEN BY DEMOGRAPHICS AND EPIDEMIOLOGY.HOLY SPIRIT HOSPITAL HAS CONDUCTED PHYSICIAN NEEDS ASSESSMENTS IN 2008 AND 2010 TO IDENTIFY MEDICAL AND SURGICAL SPECIALITIES THAT ARE IN SHORT SUPPLY WITHIN ITS PRIMARY SERVICE AREA. STRONG PHYSICIAN RECRUITMENT TARGETS HAVE BEEN SET TO ASSURE THAT THE COMMUNITY HAS ACCESS TO THESE PHYSICIANS.
PART VI, LINE 3: THE HOSPITAL INFORMS PATIENTS ABOUT THE POSSIBILITY OF ASSISTANCE FROM GOVERNMENT PROGRAMS AND/OR THE HOSPITAL'S OWN CHARITY CARE POLICY IN A NUMBER OF WAYS. HOSPITAL-EMPLOYED FINANCIAL COUNSELORS AND/OR VENDOR AGENTS ASSIST UNINSURED PATIENTS IN APPLYING FOR AND RECEIVING MEDICAID ELIGIBILITY. IN ADDITION, THE HOSPITAL USES SIGNAGE AT PATIENT REGISTRATION LOCATIONS AND INCLUDES LANGUAGE IN PATIENT BROCHURES AND ON ITS BILLING STATEMENTS TO INFORM PATIENTS ABOUT THE HOSPITAL'S CHARITY CARE PROGRAM.
PART VI, LINE 4: HOLY SPIRIT HOSPITAL IS LOCATED IN SUBURBAN CUMBERLAND COUNTY IN SOUTH CENTRAL PENNSYLVANIA AND IS PART OF THE LARGER HARRISBURG-CARLISLE METROPOLITAN AREA. HOLY SPIRIT HOSPITAL'S PRIMARY SERVICE AREA COVERS PARTS OF THE FOUR COUNTIES OF CUMBERLAND, DAUPHIN, PERRY, AND YORK WITH A POPULATION OF APPROXIMATELY 500,000, INCLUDING POCKETS OF URBAN, SUBURBAN, SEMI-RURAL, AND RURAL POPULATIONS. THIS SAME SERVICE AREA IS SERVED BY FOUR COMPETING HEALTH SYSTEMS -- HOLY SPIRIT HOSPITAL, PINNACLEHEALTH SYSTEM, PENN STATE, AND HEALTH MANAGEMENT ASSOCIATES. THE HOSPITAL'S PRIMARY SERVICE AREA IS RAPIDLY AGING (MEDIAN AGE IS 40.5), AND THE OVER 65 POPULATION IS EXPECTED TO GROW BY OVER 16% IN THE NEXT FIVE YEARS. THE MEDIAN HOUSEHOLD INCOME IN THE PRIMARY SERVICE IS $57,129.
PART VI, LINE 6: HOLY SPIRIT HOSPITAL HAS A TOTAL OF 319 PATIENT BEDS AND 15 BASSINETS. THERE ARE NEARLY 520 PHYSICIANS ON STAFF, AND APPROXIMATELY 1,750 CLINICAL EMPLOYEES, INCLUDING LAB TECHNICIANS, NURSES, NURSING ASSISTANTS, PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, RADIOLOGY TECHNICIANS, PHLEBOTOMISTS, AND SUPPORT PERSONNEL. EACH ARE HIGHLY TRAINED TO DELIVER QUALITY AND SAFE CARE TO INPATIENTS AND OUTPATIENTS. THE HOSPITAL HAS:1) AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREAS;2) A BOARD OF DIRECTORS WHO GOVERN THE ORGANIZATION. THE BOARD IS COMPRISED OF COMMUNITY AND BUSINESS LEADERS, AND PHYSICIANS REPRESENTING THE GEOGRAPHIC AREA OF OUR REGION;3) AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES.HOLY SPIRIT HAS ALWAYS HAD A TRADITION OF SUPPORTING OUR COMMUNITY. ONE OF THE WAYS THAT WE HAVE BEEN ABLE TO HELP IS THROUGH OUR CONTRIBUTIONS TO UNITED WAY. HOLY SPIRIT EMPLOYEES DONATED MORE THAN $32,500 TO UNITED WAY. INDIVIDUALS WERE ENCOURAGED TO TAKE PART IN THIS SYSTEM-WIDE FUNDRAISER. WITHOUT THE ORGANIZATION'S INVOLVEMENT, THE MAJORITY OF INDIVIDUALS MOST LIKELY WOULD NOT HAVE CONTRIBUTED TO THIS WORTHWHILE COMMUNITY PROGRAM, UNITED WAY OF THE CAPITAL REGION HELPS CHANGE LIVES LOCALLY BY INVESTING IN CHILDREN AND YOUTH. CARING FOR FAMILIES AND SENIORS, OVERCOMING DISEASE AND DISABILITIES, PROVIDING EMERGENCY FOOD AND SHELTER, AND BUILDING A STRONGER AND SAFER COMMUNITY. HOLY SPIRIT HAD 13 TEAMS WITH A TOTAL OF 164 WALKERS PARTICIPATE IN THE AMERICAN HEART ASSOCIATION'S HEART WALK IN OCTOBER AND RAISED MORE THAN $11,000.SEE ALSO DISCLOSURES FOR PART III LINES 4A THROUGH 4D (CONTINUED ON SCHEDULE O) FOR DETAILS OF HOSPITAL PROGRAMS AND BENEFITS TO THE COMMUNITY.
PART VI, LINE 7: HOLY SPIRIT HOSPITAL (THE "HOSPITAL") IS A COMMUNITY CATHOLIC HOSPITAL, PROVIDING HIGH-QUALITY, COST-EFFECTIVE HEALTH SERVICES TO PATIENTS IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA. THE HOSPITAL IS LICENSED FOR 319 ACUTE CARE BEDS AND OPERATES OUTPATIENT CENTERS IN CAMP HILL, COLONIAL PARK, MECHANICSBURG, DILLSBURG AND DUNCANNON, A GAMMA KNIFE AT OAKWOOD CANCER CENTER IN MECHANICSBURG, A CARDIAC REHAB PROGRAM IN CARLISLE, AND THE HOLY SPIRIT SLEEP CENTER LOCATED IN LEMOYNE. HOLY SPIRIT CORPORATION ("HSC") IS A REAL ESTATE HOLDING CORPORATION WITH PROPERTIES IN CAMP HILL, DILLSBURG, AND MECHANICSBURG, INCLUDING THE MEDICAL ARTS BUILDING, AMERICAN OFFICE CENTER, AND KINDER CARE CENTER.HOLY SPIRIT VENTURES, INC. ("HSV") IS THE CORPORATE ORGANIZATION THROUGH WHICH HSHS PARTICIPATES IN THE OWNERSHIP AND MANAGEMENT OF HEALTHCARE FACILITIES JOINTLY WITH OTHER HEALTHCARE PROVIDERS. IN ADDITION, HSV OWNS A RETAIL PHARMACY AND THE SENATE HOUSE, A COMBINED COMMERCIAL OFFICE/RESIDENTIAL APARTMENT BUILDING.COMFORT CARE OF HOLY SPIRIT, INC. ("CC") PROVIDES MEDICAL SERVICES UNDER THE DIRECTION OF A PATIENT'S PHYSICIAN, IN THE COMFORT AND PRIVACY OF THE PATIENT'S OWN HOME. CC CLINICIANS PROVIDE A VARIETY OF SERVICES, INCLUDING SKILLED NURSING, PHYSICAL AND OCCUPATIONAL THERAPY, SOCIAL SERVICES AND PERSONAL CARE. PROFESSIONALS ALSO PROVIDE SPECIALTY PROGRAMS IN WOUND AND OSTOMY CARE, INTRAVENOUS THERAPY, MENTAL HEALTH AND TELEHEALTH.WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC. ("WSALS") PROVIDES AMBULANCE AND MEDICAL TRANSPORT SERVICES ACROSS CENTRAL PENNSYLVANIA. SERVICES INCLUDE BASIC AND ADVANCED LIFE SUPPORT, AS WELL AS AUTOMATED EXTERNAL DEFIBRILLATION FOR QUICK RESPONSE TO HEART ATTACK AND OTHER CARDIAC EMERGENCIES. FOR NON-EMERGENCY NEEDS, WSALS PROVIDES WHEELCHAIR VANS AND COACH SERVICES TO TRANSPORT INVALID AND BED-BOUND PATIENTS. WSALS ALSO IS INVOLVED IN VARIOUS ADMINISTRATIVE AND CONSULTING SERVICES.SPIRIT PHYSICIAN SERVICES, INC. ("SPSI") PROVIDES CONVENIENT HEALTH CARE TO THE COMMUNITY THROUGH ITS SIX FAMILY HEALTH CENTERS; AN INTERNAL MEDICINE PRACTICE, TWO WOMEN'S HEALTH CENTERS, A GENERAL SURGERY PRACTICE, A PEDIATRICS PRACTICE, A CARDIOTHORACIC SURGERY PRACTICE, GENERAL INTERNAL MEDICINE HOSPITALIST SERVICES AND NEUROLOGICAL HOSPITALIST SERVICES.PART VI, LINE 8: N/A

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

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

Address US AddressUS

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

Field	Value	IRS element (for citing)
EIN Of Recipient	251865142	EINOfRecipient
IRC Section	501(C)(3)	IRCSection
Amount Of Cash Grant	5317506	AmountOfCashGrant
Amount Of Non Cash Assistance	0	AmountOfNonCashAssistance
Method Of Valuation	CASH	MethodOfValuation
Description Of Non Cash Assistance	N/A	DescriptionOfNonCashAssistance
Purpose Of Grant	PROVIDE FINANCIAL SUPPORT FOR OPERATIONS OF AFFILIATED ORGANIZATION	PurposeOfGrant

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

Form990 Schedule I Part III Form990ScheduleIPartIII

Field	Value	IRS element (for citing)
Type Of Grant	SCHOLARSHIPS TO STUDENTS - COST CTRS: NURSING, PHYSCIAL THERAPY AND ANESTHESIA	TypeOfGrant
Number Of Recipients	129	NumberOfRecipients
Amount Of Cash Grant	225847	AmountOfCashGrant
Method Of Valuation	CASH	MethodOfValuation
Description Of Non Cash Assistance	N/A	DescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, PART I, LINE 2: ASSISTANCE IS PROVIDED TO RELATED ENTITIES FOR FINANCIAL SUPPORT. MANAGEMENT OF THE HEALTH SYSTEM OVERSEES THE USE OF FUNDS AT THE AFFILIATED ENTITIES. THE ORGANIZATION REQUIRES ALL APPLICANTS FOR THE SCHOLARSHIP PROGRAM TO COMPLETE AN APPLICATION PRIOR TO THE START OF EACH COURSE THAT THE EMPLOYEE IS PLANNING TO TAKE. THIS APPLICATION REQUIRES AN APPROVAL SIGNATURE FROM THE EMPLOYEES' DIRECT MANAGER/DIRECTOR BEFORE IT IS SENT TO HUMAN RESOURCES. THE BENEFITS SPECIALIST REVIEWS THE APPLICATION TO ENSURE THAT THE EMPLOYEE IS ELIGIBLE TO PARTICIPATE IN THE APPLICABLE PROGRAM. TO ENSURE THAT ALL TIME COMMITMENTS ARE FULFILLED, A RUNNING SPREADSHEET IS USED TO TRACK THE TIME THE EMPLOYEE HAS COMMITTED TO THE ORGANIZATION. IF AN EMPLOYEE TERMINATES BEFORE THEIR TIME COMMITMENT IS FULFILLED, THE EMPLOYEE WOULD THEN BE RESPONSIBLE FOR PAYING THOSE MONIES BACK TO THE ORGANIZATION.	Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
RICHARD SCHREIBER MD
199004	0	0	0	0	0	0	0	21285	0	220289	0	0	0
MANUEL J EVANS
291599	0	72247	0	0	0	0	0	27209	0	391055	0	0	0
JOSEPH A TORCHIA MD
285280	0	72320	0	0	0	0	0	24143	0	381743	0	0	0
RICHARD A SCHAFFNER JR
274007	0	66200	0	0	0	0	0	24572	0	364779	0	0	0
RICHARD LAVANTURE
239993	0	66080	0	0	0	0	0	23320	0	329393	0	0	0
WILLIAM P SHARTLE
179098	0	44592	0	0	0	0	0	9515	0	233205	0	0	0
MICHAEL J PASZEK MD
256447	0	0	0	0	0	0	0	25400	0	281847	0	0	0
LISA F LEWIS
188121	0	49798	0	0	0	0	0	19452	0	257371	0	0	0
ROBIN K MILLER MD
214717	0	0	0	0	0	0	0	17182	0	231899	0	0	0
EDITH C DEES
178385	0	35314	0	0	0	0	0	14288	0	227987	0	0	0
CHARLES E CLADEL MD
210231	0	0	0	0	0	0	0	25043	0	235274	0	0	0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	WEST SHORE AREA AUTHORITY	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	232179305	IssuerEIN
CUSIP Number	955816AM5	CUSIPNumber
Date Issued	2011-02-15	DateIssued
Issue Price	60958107	IssuePrice
Description Of Purpose	1997 BOND REFUND, 2001 PARTIAL REFUND, CAPITAL PROJECTS AND ISSUE COSTS.	DescriptionOfPurpose
Defeased	1	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Total Proceeds	60963536	TotalProceeds
Refunding Escrow	20356021	RefundingEscrow
Issuance Costs From Proceeds	953188	IssuanceCostsFromProceeds
Capital Expenditures	2212007	CapitalExpenditures
Other Spent Proceeds	14754240	OtherSpentProceeds
Amount Unspent	22816739	AmountUnspent
Year Of Subst Completion	2014	YearOfSubstCompletion
Current Refunding	1	CurrentRefunding
Advance Refunding	1	AdvanceRefunding
Final Allocation Made	0	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	1	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Bond Counsel Routinely Engaged	1	BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	0	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	1	ExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

IdentifierIdentifier	ExplanationExplanation
SCHEDULE K, PART II, LINE 3 TOTAL PROCEEDS	TOTAL PROCEEDS REPORTED ON PART II LINE 3 ARE GREATER THAN ISSUE PRICE LISTED IN PART I DUE TO INVESTMENT EARNINGS.
SCHEDULE K, PART III, LINE 7:	WHILE NOT FORMALLY ADOPTED, THE ORGANIZATION HAS PROCEDURES IN PLACE TO ENSURE POST-ISSUANCE COMPLIANCE OF ITS TAX-EXEMPT BONDS AND EXPECTS TO FORMALIZE THE POLICY SHORTLY.

Schedule L IRS990ScheduleL

Loan Table LoanTable

Field	Value	IRS element (for citing)
Name Person	MICHAEL SERLUCO	NamePerson
Purpose Of Loan	MORTGAGE ON OFFICE SPACE	PurposeOfLoan
Loan To Organization	X	LoanToOrganization
Original Principal	$1,200,000	OriginalPrincipalAmount
Balance Due	1138678	BalanceDue
Default	0	Default
Approved By Board	1	ApprovedByBoard
Written Agreement	1	WrittenAgreement

Field	Value	IRS element (for citing)
Total Balance Due	1138678	TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 3	THE ORGANIZATION DELEGATES CONTROL OVER FOOD MANAGEMENT SERVICES TO SODEXHO. MANAGEMENT SERVICES ARE ALSO DELEGATED TO COMPREHENSIVE PHARMACY SERVICES (AKA MCKESSON) FOR MANAGEMENT OF THE PHARMACY AND THE CENTER FOR WOUND HEALING, INC. FOR HYPERBARIC OXYGEN THERAPY AND WOUND CARE. HS CARDIAC MANAGEMENT LLC OVERSEES THE PARTNERSHIP AGREEMENT WITH CARDIOLOGISTS.
FORM 990, PART VI, SECTION A, LINE 4	IN FY2011, BYLAWS OF HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY WERE REVISED TO CONCUR WITH THE MEDICAL STAFF BYLAWS / RULES & REGULATIONS REGARDING THE NEW HOLY SPIRIT OUTPATIENT ENDOSCOPY CENTER, AS REQUESTED BY THE PA DEPARTMENT OF HEALTH. THE FACILITIES AND STANDARDS COMMITTEE, QUALITY COUNCIL, AND PLANNING AND MARKETING COMMITTEES WERE DELETED FROM THE BYLAWS. THE FACILITIES AND STANDARDS COMMITTEE NO LONGER EXISTS, THE QUALITY COUNCIL IS A HOSPITAL COMMITTEE AND THE PLANNING AND MARKETING COMMITTEE BECAME THE STRATEGIC PLANNING COMMITTEE UNDER THE HOLY SPIRIT HEALTH SYSTEM BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF HOLY SPIRIT HOSPITAL IS HOLY SPIRIT HEALTH SYSTEM, A PENNSYLVANIA NON-PROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE CHAIRPERSON OF THE BOARD OF TRUSTEES, SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION, HAS THE POWER TO APPOINT OR REMOVE THE PRESIDENT AND/OR CHIEF EXECUTIVE OFFICER OF THE HOSPITAL. THE BOARD OF DIRECTORS OF HOLY SPIRIT HEALTH SYSTEM (SOLE CORPORATE MEMBER OF HOLY SPIRIT HOSPITAL) HAS THE POWER TO ELECT THE DIRECTORS OF HOLY SPIRIT HOSPITAL AND TO APPROVE THE NOMINEES FOR ELECTED OFFICERS OF HOLY SPIRIT HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7B	THE GOVERNANCE STRUCTURE OF HOLY SPIRIT HEALTH SYSTEM PROVIDES RESERVED POWERS IN FAVOR OF SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION (PARENT) AND HOLY SPIRIT HEALTH SYSTEM (THE CORPORATE MEMBER OF ALL SUBSIDIARY CORPORATIONS). THE RESERVED POWERS PERTAIN TO (I) CAPITAL DEBT OR MODIFICATION OF EXISTING CAPITAL DEBT, (II) SALE OR TRANSFER OF ANY LAND OR BUILDING, (III) ACQUISITION OR PURCHASE OF ANY LAND OR BUILDING, (IV) LEASING OUTSIDE OF THE ORDINARY COURSE OF BUSINESS, (V) APPROVAL OF ANY GUARANTEE OF ANY DEBT, (VI) APPROVAL OF ANY MERGER, CONSOLIDATION, ORGANIZATION OR REORGANIZATION, JOINT VENTURE OR ANY OTHER MODIFICATION OF CORPORATION STRUCTURE OR AFFILIATION, (VII) DISSOLUTION OR TERMINATION OF ANY EXISTING CORPORATION, (VIII) APPOINTMENT OF THE EXTERNAL FISCAL AUDITOR AND (IX) APPOINTMENT OF GENERAL COUNSEL.
FORM 990, PART VI, SECTION B, LINE 11	IN ACCORDANCE WITH THE BYLAWS OF HOLY SPIRIT HEALTH SYSTEM (THE PARENT), THE FORM 990 WAS PRESENTED TO THE HEALTH SYSTEM'S FINANCE AND AUDIT COMMITTEE BY THE EXTERNAL TAX PREPARERS AND MANAGEMENT. FOLLOWING REVIEW AND APPROVAL BY THE FINANCE AND AUDIT COMMITTEE, THE FORM 990 WAS DISTRIBUTED TO THE BOARD OF DIRECTORS OF EACH CORPORATION VIA "BOARDNET" BEFORE THE FORM 990 WAS FILED.
	THE HOLY SPIRIT HOSPITAL BYLAWS HAVE A CONFLICT OF INTEREST PROVISION, SPECIFICALLY ARTICLE XII. ARTICLE XII IS APPLICABLE TO "ANY DIRECTOR, OFFICER OR COMMITTEE MEMBER (TO INCLUDE ANY MEMBER OF HIS OR HER IMMEDIATE FAMILY)" AND DESCRIBES THE NATURE OF A CONFLICT OF INTEREST. IN ADDITION, THERE IS A PROVISION IN ARTICLE XII (SECTION 12.2.1) WHICH SETS FORTH THE METHODOLOGY TO DETERMINE WHETHER A DIRECTOR, OFFICER OR COMMITTEE MEMBER HAS A CONFLICT OF INTEREST AND THE REQUIREMENTS PERTAINING TO REMOVAL OF THE DIRECTOR, OFFICER OR COMMITTEE MEMBER WITH THE CONFLICT OF INTEREST FROM THE MEETING, IMPACT ON THE QUORUM AND VOTING. SECTION 12.2 REQUIRES THAT IF A DIRECTOR, OFFICER OR COMMITTEE MEMBER IS DETERMINED TO HAVE A CONFLICT OF INTEREST THAT THE INDIVIDUAL CANNOT BE PRESENT AT THE MEETING WHEN THE MATTER WAS DISCUSSED OR VOTED UPON. ARTICLE XII ALSO REQUIRES THE BOARD OF DIRECTORS OF HOLY SPIRIT HEALTH SYSTEM TO ADOPT A CONFLICT OF INTEREST POLICY REQUIRING PERIODIC STATEMENTS (AT LEAST ANNUALLY) FROM DIRECTORS, OFFICERS AND COMMITTEE MEMBERS TO DISCLOSE EXISTING AND POTENTIAL CONFLICTS OF INTEREST. IN ADDITION, THE BOARD IS REQUIRED TO TAKE CORRECTIVE AND DISCIPLINARY ACTION WITH RESPECT TO TRANSGRESSIONS OF THE CONFLICT OF INTEREST POLICY. ANNUAL COMPLIANCE WITH CONFLICT OF INTEREST POLICY IS MONITORED BY THE EXECUTIVE ASSISTANT TO THE PRESIDENT & CEO. ANY DISCLOSED CONFLICTS NOTED EACH YEAR ARE SENT TO HOSPITAL COUNSEL FOR REVIEW AND FOLLOW UP. EACH SUBSIDIARY CORPORATION HAS A COMPARABLE PROVISION IN ITS CURRENT BYLAWS. ALL DIRECTORS, OFFICERS AND COMMITTEE MEMBERS ARE REQUIRED TO COMPLETE AN ANNUAL STATEMENT DISCLOSING EXISTING OR POTENTIAL CONFLICTS OF INTEREST. THIS ANNUAL DISCLOSURE REQUIREMENT HAS BEEN IN EFFECT FOR ALL CORPORATIONS FOR SEVERAL YEARS. THE HEALTH SYSTEM BOARD OF DIRECTORS ADOPTED A SEPARATE CONFLICT OF INTEREST POLICY ON MARCH 23, 2010. THAT CONFLICT OF INTEREST POLICY IS APPLICABLE TO ALL DIRECTORS, OFFICERS, KEY EMPLOYEES AND COMMITTEE MEMBERS FOR HOLY SPIRIT HEALTH SYSTEM AND ALL SUBSIDIARY CORPORATIONS. THAT CONFLICT OF INTEREST POLICY ALSO HAS EXPANDED THE ANNUAL DISCLOSURE STATEMENT. IN ADDITION, THE CORPORATE COMPLIANCE PROGRAM FOR HOLY SPIRIT HEALTH SYSTEM PROVIDES A CONFLICT OF INTEREST POLICY WHICH IS SUBSTANTIALLY THE SAME AS THE ONE DESCRIBED ABOVE, EXCEPT THAT POLICY IS APPLICABLE TO ALL EMPLOYEES OF HOLY SPIRIT HEALTH SYSTEM AND ALL SUBSIDIARY CORPORATIONS. IT IS NOT APPLICABLE TO DIRECTORS, OFFICERS OR COMMITTEE MEMBERS OF HOLY SPIRIT HEALTH SYSTEM OR ANY SUBSIDIARY CORPORATION.	FORM 990, PART VI, SECTION B, LINE 12C
	AN INDEPENDENT NATIONALLY RECOGNIZED COMPENSATION CONSULTING FIRM ANNUALLY REVIEWS THE EXECUTIVE COMPENSATION GOVERNANCE PROCESS, EXECUTIVE COMPENSATION PHILOSOPHY, GUIDELINES FOR MANAGEMENT OF COMPENSATION INCREASES AND RECOMMENDS REVISIONS. IN ADDITION, THEY COLLECT COMPETITIVE MARKET DATA FOR DEVELOPMENT OF SALARY RANGES. A SUMMARY INCLUDING ANALYSIS AND RECOMMENDATIONS IS PRESENTED TO THE COMPENSATION COMMITTEE TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL. THIS PROCESS WAS IMPLEMENTED IN MARCH 2008 AND REPEATED IN 2009 AND 2010. THIS REVIEW WAS DONE FOR THE CEO, COO, ALL SENIOR VP'S AND VP'S.	FORM 990, PART VI, SECTION B, LINE 15
	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.	FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:	NET UNREALIZED GAINS ON INVESTMENTS: 9,042,589. CHANGE IN SPLIT INTEREST AGREEMENT -1,543. CHANGE IN POLICY CASH SURRENDER VALUE -13,786. TRANSFER FROM AFFILIATE UPON DISSOLUTION 260,585. TOTAL TO FORM 990, PART XI, LINE 5: 9,287,845.	FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
HOLY SPIRIT CORPORATION
503 NORTH 21ST STREET	CAMP HILL	PA	17011	232214540	REAL ESTATE	PA	501(C)(2)	N/A	HOLY SPIRIT HEALTH SYSTEM	0
HOLY SPIRIT HEALTH SYSTEM
503 NORTH 21ST STREET	CAMP HILL	PA	17011	251865142	HEALTHCARE	PA	501(C)(3)	11B	SISTERS OF CHRISTIAN CHARITY HEALTH CORP	0
COMFORT CARE OF HOLY SPIRIT INC
503 NORTH 21ST STREET	CAMP HILL	PA	17011	232465952	HEALTHCARE	PA	501(C)(3)	9	HOLY SPIRIT HEALTH SYSTEM	0
SISTERS OF CHRISTIAN CHARITY HEALTH CORP
MALLINCKRODT CONVENT	MENDHAM	NJ	07945	232322926	HEALTHCARE	NJ	501(C)(3)	1		0	N/A
SPIRIT PHYSICIAN SERVICES INC
503 NORTH 21ST STREET	CAMP HILL	PA	17011	251766971	HEALTHCARE	PA	501(C)(3)	9	HOLY SPIRIT HEALTH SYSTEM	0
WEST SHORE ADVANCED LIFE SUPPORT SERVICES
503 NORTH 21ST STREET	CAMP HILL	PA	17011	232463002	HEALTHCARE	PA	501(C)(3)	7	HOLY SPIRIT HEALTH SYSTEM	0

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

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

Address US AddressUS

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

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

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