2012-05-01T13:15:46-05:00 2011-06-30 PARENTEBEARD LLC 400 MARKET STREET WILLIAMSPORT PA 17701 990 2010-07-01 231512747 HOLY SPIRIT HOSPITAL HOLY 7177632100 503 NORTH 21ST STREET CAMP HILL PA 170112204 SR ROMAINE NIEMEYER 7177632100 2012-04-24 1 JULIUS C GREEN CPA JD 5703236023 2010 2016-02-24 21:20:13Z SR ROMAINE NIEMEYER 503 NORTH 21ST STREET CAMP HILL PA 170112204 312641450 0 X WWW.HSH.ORG X 1963 PA TO PROVIDE HEALTH CARE TO THE COMMUNITY. 14 12 2599 237 3896496 629098 3627675 3353274 258349139 280338135 2829630 4017676 6915780 6422258 271722224 294131343 5151206 5543353 0 0 123842975 131110157 0 0 375236 131364794 148755712 260358975 285409222 11363249 8722121 212401841 256855160 102545438 128988791 109856403 127866369 X 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. 0 0 75892725 101209391 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. 17986292 65940311 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. 17719038 25877854 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. 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. 103960644 5543353 92150200 215558699 1 1 0 1 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 84 0 2599 1 1 1 0 0 0 0 1 1 0 0 0 0 X 14 12 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 PA X OFFICERS 7177632100 503 NORTH 21ST STREET CAMP HILL PA 170112288 ROBERT DIETZ 1.00 X X 0 0 0 MICHAEL SERLUCO 1.00 X X 0 0 0 LAWRENCE M KLUGER 1.00 X X 0 0 0 JANAK M AMIN 1.00 X 0 0 0 JAMES C BYERLY 1.00 X 0 0 0 SAMUEL COOPER III ESQUIRE 1.00 X 0 0 0 SISTER JOAN DANIEL HEALY SCC 1.00 X 0 0 0 WILLIAM KEEN 1.00 X 0 0 0 SISTER MARY JOSEPH SCHULTZ SCC 1.00 X 0 0 0 SISTER MARY IRENE SORBER SCC 1.00 X 0 0 0 RICHARD SCHREIBER MD 40.00 X 199004 0 21285 REV ROBERT F SHARMAN 1.00 X 0 0 0 STEVEN WOLF MD 1.00 X 0 0 0 SISTER ROMAINE NIEMEYER SCC 40.00 X X 0 0 0 MANUEL J EVANS 40.00 X 363846 0 27209 JOSEPH A TORCHIA MD 40.00 X 357600 0 24143 RICHARD A SCHAFFNER JR 40.00 X 340207 0 24572 RICHARD LAVANTURE 40.00 X 306073 0 23320 WILLIAM P SHARTLE 40.00 X 223690 0 9515 MICHAEL J PASZEK MD 40.00 X 256447 0 25400 LISA F LEWIS 40.00 X 237919 0 19452 ROBIN K MILLER MD 40.00 X 214717 0 17182 EDITH C DEES 40.00 X 213699 0 14288 CHARLES E CLADEL MD 40.00 X 210231 0 25043 2923433 0 231409 189 0 1 0 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 24 139826 1010811 1953386 249251 3353274 PATIENT REVENUE - HOSP 621400 280338135 280338135 280338135 2023439 2023439 793447 933448 -140001 -140001 -140001 19517301 17268275 254789 2249026 -254789 1994237 1994237 57860 139826 53595 4265 4265 LAB SERVICES NONPATIEN 900099 2652107 2652107 LTACH - RENT & OTHER S 532000 725085 725085 INTENSIVE CASE MANAGEM 900099 716884 716884 2463918 1238374 519304 706240 6557994 294131343 282293393 3896496 4588180 5317506 5317506 225847 225847 1846711 1846711 103958879 79149381 24571587 237911 3763578 2813972 939241 10365 13589913 10366066 3200105 23742 7951076 6012431 1921400 17245 4886139 4886139 596759 596759 157137 157137 20131 20131 169575 169575 22155042 15696936 6458106 1858279 44406 1813873 59279907 54466742 4813165 5740550 164070 5576480 6631792 4691723 1940069 1914246 1339651 574595 4580 4580 3895780 2920853 974915 12 14730773 9581597 5149138 38 1303929 787929 515997 3 UNRELATED BUSINESS INCO 326526 326526 BAD DEBT EXPENSE 17748500 17748500 MA ASSESSMENT 4082930 4082930 LOSS ON BOND REFINANCIN 1535684 1535684 DUES 596344 64813 531531 1121109 78766 956423 85920 285409222 215558699 69475287 375236 4370 5025 8834373 8007142 32634073 36084353 710084 740203 733548 2089169 2402625 231508360 145616952 82780206 85891408 76989171 112215504 7620192 11515555 212401841 256855160 28887135 30988761 67975000 90290000 1174333 1138678 4508970 6571352 102545438 128988791 X 107509859 125242161 119888 83265 2226656 2540943 109856403 127866369 212401841 256855160 X 8722121 9287845 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 20131 20131 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: 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. 2226656 22983 306634 15330 2540943 2121932 9370 118956 23602 2226656 2526208 1218 -387499 17995 2121932 1.00000 1 0 2266858 2266858 64307034 34292143 30014891 5181638 2702684 2478954 152410158 105309782 47100376 7342672 3312343 4030329 85891408 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 210927 BLUE CROSS CURRENT FINANCING ADVANCE 1222600 ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY 1453000 DEFERRED COMPENSATION 293172 DUE TO AFFILIATES 306520 OBLIGATION UNDER CAPITAL LEASE 3085133 6571352 294131343 285409222 8722121 9042589 245256 9287845 18009966 303012011 9042589 7654 9050243 293961768 169575 169575 294131343 285002045 -237602 -237602 285239647 169575 169575 285409222 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. SHARE THE SPIRIT GALA 161589 124970 36619 3925 19139 2700 14993 SPRING FUND RAISER - FESTIVAL 16816 7163 9653 913 1 19281 7693 11588 4528 5800 1597 197686 139826 57860 3925 23667 8500 17503 53595 4265 1 1 1 X 1 X 1 1 1 0 1 1 1250445 1250445 0.00470 18508295 12968842 5539453 0.02070 19758740 12968842 6789898 0.02540 889227 38087 851140 0.00320 705407 705407 0.00260 18522970 12102099 6420871 0.02400 111362 111362 0.00040 9185 9185 0.00000 20238151 12140186 8097965 0.03020 39996891 25109028 14887863 0.05560 0 4699803 229846 58080705 67177819 -9097114 X 1 1 1 HS CARDIAC MANAGEMENT LLC PARTNERSHIP AGREEMENT WITH CARDIOLOGISTS 0.30000 0.00000 0.70000 1 1 HOLY SPIRIT HOSPITAL

503 NORTH 21ST STREET CAMP HILL PA 17011

X X X HOLY SPIRIT HOSPITAL 1 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 1 HOLY SPIRIT HEALTH SYSTEM 503 NORTH 21ST STREET CAMP HILL PA 17011 251865142 501(C)(3) 5317506 0 CASH N/A PROVIDE FINANCIAL SUPPORT FOR OPERATIONS OF AFFILIATED ORGANIZATION 1 0 SCHOLARSHIPS TO STUDENTS - COST CTRS: NURSING, PHYSCIAL THERAPY AND ANESTHESIA 129 225847 CASH N/A PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: ASSISTANCE IS PROVIDED TO RELATED ENTITIES FOR FINANCIAL SUPPORT. MANAGEMENT OF THE HEALTH SYSTEM OVERSEES THE USE OF FUNDS AT THE AFFILIATED ENTITIES. 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. X X X X 0 0 0 0 0 0 0 0 0 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 WEST SHORE AREA AUTHORITY 232179305 955816AM5 2011-02-15 60958107 1997 BOND REFUND, 2001 PARTIAL REFUND, CAPITAL PROJECTS AND ISSUE COSTS. 1 0 0 60963536 20356021 953188 2212007 14754240 22816739 2014 1 1 0 1 0 0 1 0 1 0.00000 0.00000 0.00000 0 0 0 0 0 0 1 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. MICHAEL SERLUCO MORTGAGE ON OFFICE SPACE X 1200000 1138678 0 1 1 1138678 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. FORM 990, PART VI, SECTION B, LINE 12C THE HOLY SPIRIT HOSPITAL BYLAWS HAVE A CONFLICT OF INTEREST PROVISION, SPECIFICALLY ARTICLE XII. ARTICLE XII IS APPLICABLE TO "ANY DIRECTOR, OFFICER OR COMMITTEE MEMBER (TO INCLUDE ANY MEMBER OF HIS OR HER IMMEDIATE FAMILY)" AND DESCRIBES THE NATURE OF A CONFLICT OF INTEREST. IN ADDITION, THERE IS A PROVISION IN ARTICLE XII (SECTION 12.2.1) WHICH SETS FORTH THE METHODOLOGY TO DETERMINE WHETHER A DIRECTOR, OFFICER OR COMMITTEE MEMBER HAS A CONFLICT OF INTEREST AND THE REQUIREMENTS PERTAINING TO REMOVAL OF THE DIRECTOR, OFFICER OR COMMITTEE MEMBER WITH THE CONFLICT OF INTEREST FROM THE MEETING, IMPACT ON THE QUORUM AND VOTING. SECTION 12.2 REQUIRES THAT IF A DIRECTOR, OFFICER OR COMMITTEE MEMBER IS DETERMINED TO HAVE A CONFLICT OF INTEREST THAT THE INDIVIDUAL CANNOT BE PRESENT AT THE MEETING WHEN THE MATTER WAS DISCUSSED OR VOTED UPON. ARTICLE XII ALSO REQUIRES THE BOARD OF DIRECTORS OF HOLY SPIRIT HEALTH SYSTEM TO ADOPT A CONFLICT OF INTEREST POLICY REQUIRING PERIODIC STATEMENTS (AT LEAST ANNUALLY) FROM DIRECTORS, OFFICERS AND COMMITTEE MEMBERS TO DISCLOSE EXISTING AND POTENTIAL CONFLICTS OF INTEREST. IN ADDITION, THE BOARD IS REQUIRED TO TAKE CORRECTIVE AND DISCIPLINARY ACTION WITH RESPECT TO TRANSGRESSIONS OF THE CONFLICT OF INTEREST POLICY. 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 15 AN INDEPENDENT NATIONALLY RECOGNIZED COMPENSATION CONSULTING FIRM ANNUALLY REVIEWS THE EXECUTIVE COMPENSATION GOVERNANCE PROCESS, EXECUTIVE COMPENSATION PHILOSOPHY, GUIDELINES FOR MANAGEMENT OF COMPENSATION INCREASES AND RECOMMENDS REVISIONS. IN ADDITION, THEY COLLECT COMPETITIVE MARKET DATA FOR DEVELOPMENT OF SALARY RANGES. A SUMMARY INCLUDING ANALYSIS AND RECOMMENDATIONS IS PRESENTED TO THE COMPENSATION COMMITTEE TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL. THIS PROCESS WAS IMPLEMENTED IN MARCH 2008 AND REPEATED IN 2009 AND 2010. THIS REVIEW WAS DONE FOR THE CEO, COO, ALL SENIOR VP'S AND VP'S. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: 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. 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 N/A 0 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 HOLY SPIRIT VENTURES INC 503 NORTH 21ST STREET CAMP HILL PA 17011 232407709 MEDICAL SERVICES PA N/A C 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1