TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) ROBERT DIETZ........................................................................ CHAIRPERSON	1.00 .......................2.00	X	X		0	0
(2) MICHAEL SERLUCO........................................................................ 1ST VICE CHAIRPERSON	1.00 .......................1.00	X	X		0	0
(3) RANNY SINGISTER EDD........................................................................ SECRETARY/TREASURER	1.00 .......................1.00	X	X		0	0
(4) JAMES C BYERLY........................................................................ DIRECTOR	1.00 .......................	X			0	0
(5) SAMUEL COOPER III ESQUIRE........................................................................ DIRECTOR	1.00 .......................	X			0	0
(6) TAPASDIP GAJJAR MD........................................................................ DIRECTOR	1.00 .......................	X			0	0
(7) RON DRNEVICH........................................................................ DIRECTOR	1.00 .......................	X			0	0
(8) SISTER JOAN DANIEL HEALY SCC........................................................................ DIRECTOR	1.00 .......................1.00	X			0	0
(9) THOMAS KACHEL MD........................................................................ DIRECTOR	1.00 .......................	X			0	0
(10) DEBORAH KEYS........................................................................ DIRECTOR	1.00 .......................	X			0	0
(11) SISTER MARY JOSEPH SCHULTZSCC........................................................................ DIRECTOR	1.00 .......................1.00	X			0	0
(12) REV ROBERT F SHARMAN........................................................................ DIRECTOR	1.00 .......................	X			0	0
(13) SISTER MARY IRENE SORBER SCC........................................................................ DIRECTOR	1.00 .......................	X			0	0
(14) RICHARD SCHREIBER MD........................................................................ DIRECTOR/PHYSICIAN	40.00 .......................	X			217,354	24,659
(15) RICK SZELES........................................................................ DIRECTOR	1.00 .......................1.00	X			0	0
(16) SISTER ROMAINE NIEMEYER SCC........................................................................ PRESIDENT & CEO	36.00 .......................4.00	X	X		0	0
(17) MANUEL J EVANS........................................................................ SR VP-FINANCE & CFO	39.00 .......................1.00			X	362,029	50,847

(A) Name and business address	(B) Description of services	(C) Compensation
PYRAMID CONSTRUCTION SERVICE840 NORTH FRONT STREETWORMLEYSBURGPA17043	CONSTRUCTION SERVICES-MAINT&REPAIR	5,157,580
MAXIT VCS HEALTHCARE LLC705 EAST MAIN STREETWESTFIELDIN46074	IT PROFESSIONAL SERVICES	3,228,397
QUANTUM IMAGING629-D LOWTHER ROADLEWISBERRYPA17339	PURCHASED MEDICAL SERVICES	1,947,187
RESTORIX HEALTH155 NORTH PLAINS ROAD SUITE 222TARRYTOWNNY10591	WOUND CARE MGMT FEES	1,415,123
PAVONE1006 MARKET STREETHARRISBURGPA17101	MARKETING SERVICES	1,257,554
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 35

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	15,000,000	15,000,000
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	232,822	232,822
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	2,787,210		2,787,210
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	114,826,586	90,060,310	24,466,783	299,493
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	4,594,677	3,504,477	1,077,666	12,534
9	Other employee benefits .......	16,190,189	12,508,884	3,648,368	32,937
10	Payroll taxes ...........	8,656,407	6,771,182	1,863,560	21,665
11	Fees for services (non-employees):
a	Management ......	6,239,715		6,239,715
b	Legal .........	417,143		417,143
c	Accounting ...........	253,202		253,202
d	Lobbying ...........	21,707		21,707
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	178,475		178,475
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	36,440,982	22,442,519	13,794,888	203,575
12	Advertising and promotion ....	2,763,312	27,094	2,736,218
13	Office expenses .......	13,114,356	8,020,585	5,085,584	8,187
14	Information technology ......	7,670,953	233,086	7,437,867
15	Royalties ..
16	Occupancy ...........	8,755,130	6,059,179	2,695,951
17	Travel ............	1,790,387	1,277,825	512,562
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....
20	Interest ...........	4,561,354	3,492,762	1,056,977	11,615
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	18,263,680	12,345,485	5,878,288	39,907
23	Insurance ..............	1,777,088	1,183,316	589,978	3,794
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	UNRELATED BUSINESS EXPE	134,592		134,592
b	MEDICAL SUPPLIES	55,735,330	55,660,145	75,185
c	BAD DEBT	18,168,807	18,168,807
d	MA ASSESSMENT	4,695,322	4,695,322
e	All other expenses	1,181,587	68,002	1,113,585
25	Total functional expenses. Add lines 1 through 24e	344,451,013	261,751,802	82,065,504	633,707
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	5,135	1	5,515
2	Savings and temporary cash investments .........	6,521,005	2	11,737,600
3	Pledges and grants receivable, net ...........		3	3,591,381
4	Accounts receivable, net .............	48,194,773	4	41,361,366
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	830,158	8	737,933
9	Prepaid expenses and deferred charges ..........	3,523,948	9	2,400,917
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	302,590,428
b	Less: accumulated depreciation .....	10b	183,754,528	115,104,628	10c	118,835,900
11	Investments—publicly traded securities ..........	88,398,320	11	86,183,675
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	19,121,790	15	19,518,311
16	Total assets. Add lines 1 through 15 (must equal line 34)......	281,699,757	16	284,372,598
	17	Accounts payable and accrued expenses .........	41,295,997	17	38,291,254
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............	88,260,000	20	85,205,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	1,049,007	22	1,000,075
23	Secured mortgages and notes payable to unrelated third parties ..		23	2,951,396
24	Unsecured notes and loans payable to unrelated third parties ....		24	1,750,000
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	12,456,948	25	13,874,113
26	Total liabilities. Add lines 17 through 25.........	143,061,952	26	143,071,838
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	135,988,383	27	134,675,727
28	Temporarily restricted net assets ...........	86,256	28	3,776,072
29	Permanently restricted net assets ...........	2,563,166	29	2,848,961
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	138,637,805	33	141,300,760
34	Total liabilities and net assets/fund balances ........	281,699,757	34	284,372,598

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

HOLY SPIRIT HOSPITAL

Employer identification number

23-1512747

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

HOLY SPIRIT HOSPITAL

Employer identification number

23-1512747

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization HOLY SPIRIT HOSPITAL

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization HOLY SPIRIT HOSPITAL

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
HOLY SPIRIT HOSPITAL

Employer identification number

23-1512747

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

HOLY SPIRIT HOSPITAL

Employer identification number

23-1512747

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2013

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

21,707

Total. Add lines 1c through 1i ...............................

21,707

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	A PORTION OF THE HOSPITAL'S DUES PAID TO THE HOSPITAL ASSOCIATION OF PENNSYLVNIA ("HAP"), THE AMERICAN HOSPITAL ASSOCIATION ("AHA") AND PENNSYLVANIA CATHOLIC HEALTH ASSOCIATION ("CHA") ARE USED FOR LOBBYING PURPOSES AS WELL AS NATIONAL ASSOCIATION OF HOME CARE & HOSPICE AND PA HOMECARE ASSOCIATION. IN FISCAL YEAR 2014, 22.85% OF DUES PAID TO HAP RELATED TO LOBBYING, 3.31% OF DUES PAID TO CHA RELATED TO LOBBYING AND 23.65% OF DUES PAID TO AHA RELATED TO LOBBYING. ALSO, 15% OF DUES PAID TO NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE AND 20% OF DUES PAID TO PA HOMECARE ASSOCIATION ARE RELATED TO LOBBYING.

Return Reference

Explanation

PART II-B, LINE 1:

A PORTION OF THE HOSPITAL'S DUES PAID TO THE HOSPITAL ASSOCIATION OF PENNSYLVNIA ("HAP"), THE AMERICAN HOSPITAL ASSOCIATION ("AHA") AND PENNSYLVANIA CATHOLIC HEALTH ASSOCIATION ("CHA") ARE USED FOR LOBBYING PURPOSES AS WELL AS NATIONAL ASSOCIATION OF HOME CARE & HOSPICE AND PA HOMECARE ASSOCIATION. IN FISCAL YEAR 2014, 22.85% OF DUES PAID TO HAP RELATED TO LOBBYING, 3.31% OF DUES PAID TO CHA RELATED TO LOBBYING AND 23.65% OF DUES PAID TO AHA RELATED TO LOBBYING. ALSO, 15% OF DUES PAID TO NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE AND 20% OF DUES PAID TO PA HOMECARE ASSOCIATION ARE RELATED TO LOBBYING.

Schedule C (Form 990 or 990EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

HOLY SPIRIT HOSPITAL

Employer identification number

23-1512747

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	2,563,164	2,470,802	2,540,943	2,226,656	2,121,932
b	Contributions ........		7,245		22,983	9,370
c	Net investment earnings, gains, and losses	285,795	178,061	9,388	306,634	118,956
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........		92,727	70,652
f	Administrative expenses ....		217	8,877	15,330	23,602
g	End of year balance ......	2,848,959	2,563,164	2,470,802	2,540,943	2,226,656

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

Yes

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	2,656,982		2,656,982
b	Buildings ................	154,471,243	82,459,927	72,011,316
c	Leasehold improvements ............	20,711,122	4,813,067	15,898,055
d	Equipment ................	123,991,769	96,481,534	27,510,235
e	Other .................	759,312		759,312
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				118,835,900

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DEFERRED FINANCING COSTS, NET				1,201,220
(2) SOFTWARE IMPLEMENTATION				4,678,827
(3) OTHER INVESTMENTS				153,057
(4) MEDICAL MALPRACTICE-KNOWN CLAIMS				3,924,000
(5) GOODWILL				7,134,812
(6) ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS				2,426,395



Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				19,518,311

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS		2,639,490
BLUE CROSS CURRENT FINANCING ADVANCE		1,222,600
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY		5,530,000
DEFERRED COMPENSATION		1,021,139
DUE TO AFFILIATES		1,146,579
OBLIGATION UNDER CAPITAL LEASE		2,314,305



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		13,874,113
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	328,496,631
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a	5,983,884
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d	-18,673,581
e	Add lines 2a through 2d .....................			2e	-12,689,697
3	Subtract line 2e from line 1.....................			3	341,186,328
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	178,475
b	Other (Describe in Part XIII.) ...........	4b	270,055
c	Add lines 4a and 4b.......................			4c	448,530
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	341,634,858

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	325,833,676
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	-270,055
e	Add lines 2a through 2d......................			2e	-270,055
3	Subtract line 2e from line 1.....................			3	326,103,731
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	178,475
b	Other (Describe in Part XIII.) ............	4b	18,168,807
c	Add lines 4a and 4b.......................			4c	18,347,282
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	344,451,013

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART V, LINE 4:	INTEREST EARNED IS UNRESTRICTED AND TRANSFERRED TO THE OPERATING FUND.
PART X, LINE 2:	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 2014 OR 2013. THE SYSTEM'S FEDERAL EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURNS FOR FISCAL YEARS AFTER 2010 REMAIN SUBJECT TO EXAMINATION BY THE IRS. THE SYSTEM'S POLICY IS TO RECOGNIZE INTEREST RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND PENALTIES IN SUPPLIES AND EXPENSES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN BENEFICIAL INTEREST -56,154. BAD DEBT EXPENSE -18,168,807. AMORTIZED DISCOUNT ON PLEDGE -448,620.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	RENTAL EXPENSES -432,924. FUNDRAISING EVENT EXPENSES -60,812. TRANSFERS FROM RELATED ORGANIZATIONS NETTED ON THE F/S 763,791.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	RENTAL EXPENSES 432,924. FUNDRAISING EVENT EXPENSES 60,812. TRANSFERS TO RELATED ORGANIZATIONS NETTED ON THE F/S -763,791.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBT EXPENSE 18,168,807.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization
HOLY SPIRIT HOSPITAL

Employer identification number

23-1512747

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

Yes

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total .................

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2013

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 SHARE THE SPIRIT GALA (event type)	(b) Event #2 SPRING FUND RAISER - FESTIVAL (event type)	(c) Other events 3 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	161,999	20,594	101,945	284,538
2	Less: Contributions . .	115,000	8,000	34,499	157,499
3	Gross income (line 1 minus line 2) . . .	46,999	12,594	67,446	127,039
4	Cash prizes . . .
5	Noncash prizes . .	6,667	330	579	7,576
6	Rent/facility costs . .		445		445
7	Food and beverages .	14,099	2,636	4,067	20,802
8	Entertainment . . .	2,500	3,050		5,550
9	Other direct expenses .	16,720	7,611	2,108	26,439
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........				60,812
11	Net income summary. Subtract line 10 from line 3, column (d)...........				66,227

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

(a) Bingo

(b) Pull tabs/Instant
bingo/progressive bingo

(c) Other gaming

(d) Total gaming (add col.(a) through col.(c))

Gross revenue . . . .

Cash prizes . . . .

Non-cash prizes . . .

Rent/facility costs . . .

Other direct expenses . .

Volunteer labor . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow

Enter the state(s) in which the organization operates gaming activities:

Is the organization licensed to operate gaming activities in each of these states? ............

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2013

Page 3

Does the organization operate gaming activities with nonmembers? .................

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? ..........................

YesNo

Indicate the percentage of gaming activity operated in:

The organization's facility ......................

13a

An outside facility ........................

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? ......................................

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? ............................

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

HOLY SPIRIT HOSPITAL

Employer identification number

23-1512747

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..		8,688	1,644,997		1,644,997	0.500 %
b	Medicaid (from Worksheet 3, column a) ....		22,241	24,940,028	11,715,698	13,224,330	4.050 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .		30,929	26,585,025	11,715,698	14,869,327	4.550 %
Other Benefits		80	24,319	716,939	99	716,840	0.220 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	80	24,319	716,939	99	716,840	0.220 %
f	Health professions education (from Worksheet 5) ..	22	2,111	1,155,930	277,813	878,117	0.270 %
g	Subsidized health services (from Worksheet 6) ..	14	31,755	24,836,408	16,240,981	8,595,427	2.630 %
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	5	712	44,099		44,099	0.010 %
j	Total. Other Benefits ..	121	58,897	26,753,376	16,518,893	10,234,483	3.130 %
k	Total. Add lines 7d and 7j .	121	89,826	53,338,401	28,234,591	25,103,810	7.680 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

5,568,739

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

1,371,225

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

64,068,936

Enter Medicare allowable costs of care relating to payments on line 5.....

73,952,297

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-9,883,361

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
12 HS ORTHOPEDIC MANAGEMENT LLC	PARTNERSHIP AGREEMENT WITH ORTHOPEDIC DOCTORS	40.000 %	0 %	60.000 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number
1	HOLY SPIRIT HOSPITAL 503 NORTH 21ST STREET CAMP HILL,PA17011	X	X	X

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	HOLY SPIRIT HOSPITAL
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 12

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTP://WWW.HSH.ORG/CHNA

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 400.000000000000% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B.Provide descriptions required for Part V, Section B, lines 1j, 3, 4, 5d, 6i, 7, 10, 11, 12i, 14g, 16e, 17e, 18e, 19c, 19d, 20d, 21, and 22. If applicable, provide separate descriptions for each facility in a facility reporting group, designated by "Facility A," "Facility B," etc.
Form and Line Reference	Explanation
HOLY SPIRIT HOSPITAL	PART V, SECTION B, LINE 3: HOLY SPIRIT HOSPITAL ENGAGED IN A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS THAT INVOLVED QUALITATIVE AND QUANTITATIVE DATA COLLECTION FROM A WIDE RANGE OF POPULATIONS, INCLUDING DIFFERENT AGES, INCOMES, HEALTH STATUS (INCLUDING RISK FACTORS, UTILIZATION AND ACCESS), AND GEOGRAPHIC AREAS (INCLUDING URBAN, SUBURBAN AND RURAL). AFTER DESIGNING SURVEY QUESTIONS AND INSTRUMENTS TO COLLECT PERTINENT INFORMATION FROM DIFFERENT AUDIENCES, THE CHNA TEAM EMPLOYED A VARIETY OF DATA COLLECTION TECHNIQUES. (1) POPULATIONS TARGETED TO PARTICIPATE IN COMMUNITY FOCUS GROUPS INCLUDED: HIV/AIDS, HOMELESS, IMMIGRANT/DISENFRANCHISED, OBESE/DIABETIC, RURAL/UNDERSERVED, SPANISH-SPEAKING ADULTS, SENIORS ON FIXED INCOMES, VETERANS, AND WORKING POOR. (2) COMMUNITY LEADERS WERE INTERVIEWED, INCLUDING PUBLIC HEALTH EXPERTS, MEDICAL PROFESSIONALS, SCHOOL SUPERINTENDENTS, EDUCATORS, CITIZEN ADVOCATES, AND ELECTED REPRESENTATIVES FROM LOCAL, COUNTY AND STATE GOVERNMENTS AND AGENCIES. (3) DATA WAS COLLECTED ON HAND-DISTRIBUTED SURVEYS THAT WERE BROADLY DISTRIBUTED ACROSS THE REGION INCLUDING AT: COMMUNITY CENTERS, HOMELESS SHELTERS, PUBLIC HEALTH CENTERS, FOOD BANKS, FREE CLINICS, SOCIAL SERVICES ORGANIZATIONS, SCHOOLS, CHURCHES, FAITH-BASED ORGANIZATIONS, CAREER AND JOB CENTERS, AND OTHER SETTINGS THAT SERVE POPULATIONS IN NEED. THIS EFFORT INCLUDED BI-LINGUAL SURVEYS IN SPANISH. (4) SECONDARY DATA FROM SEVERAL RELIABLE SOURCES, INCLUDING CNIS AND PA COUNTY HEALTH RANKINGS, WAS USED TO PREPARE QUANTITATIVE DATA. EVERY EFFORT WAS UNDERTAKEN TO GATHER AND REPORT DATA CONSISTENT WITH THE CHNA GUIDELINES AND HOLY SPIRIT'S MISSION TO SERVE THOSE IN NEED. INFORMATION FROM THE FINAL SUMMARY REPORTS WAS DELIVERED BACK TO THE COMMUNITY IN A VARIETY OF WAYS TO ASSURE BROAD DISTRIBUTION.
HOLY SPIRIT HOSPITAL	PART V, SECTION B, LINE 4: PENN STATE MILTON S HERSHEY MEDICAL CENTER ANDPINNACLEHEALTH SYSTEM
HOLY SPIRIT HOSPITAL	PART V, SECTION B, LINE 5D: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED DURING THE FISCAL YEAR ENDED JUNE 30, 2013 (2012 TAX YEAR). THE REPORT IS CURRENTLY AVAILABLE ON THE HOSPITAL'S WEBSITE AND UPON REQUEST. THE HOSPITAL HAS ALSO MADE THE CHNA REPORT AVAILABLE AT A VARIETY OF COMMUNITY BASED INFORMATIONAL SESSIONS THAT THE HOSPITAL HOSTED BOTH AT THE HOSPITAL AND IN VARIOUS LOCATIONS THROUGHOUT THE HOSPITAL'S GEOGRAPHIC FOOTPRINT.
HOLY SPIRIT HOSPITAL	PART V, SECTION B, LINE 6I: IN ACCORDANCE WITH IRS REGULATIONS REQUIRING COMMUNITY HEALTH NEEDS ASSESSMENTS, AS STIPULATED IN THE AFFORDABLE CARE ACT LEGISLATION PASSED BY THE U.S. CONGRESS, HOLY SPIRIT HOSPITAL PARTNERED WITH PENN STATE HERSHEY MEDICAL CENTER AND PINNACLEHEALTH SYSTEM TO UNDERTAKE A COMPREHENSIVE COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEARS 2011 AND 2012. THE CEOS OF HOLY SPIRIT HOSPITAL AND THE OTHER TWO HEALTH SYSTEMS DESIGNATED EMPLOYEES TO COMPLETE A TIMELY SURVEY TO DETERMINE THE STATE OF RESIDENTS' HEALTH IN FIVE CENTRAL PENNSYLVANIA COUNTIES, WHICH IS THE SHARED GEOGRAPHIC SERVICE AREA FOR ALL THREE SYSTEMS. THE WORK WAS SUPPORTED BY TRIPP-UMBACH (A RECOGNIZED NATIONAL LEADER IN COMPLETING COMMUNITY HEALTH NEEDS ASSESSMENTS OVER THE PAST 22 YEARS) AND A MULTI-DISCIPLINARY TEAM OF SENIOR LEADERS, DIRECTORS, MANAGERS, AND SPECIALISTS FROM ACROSS THE BREADTH OF THE HEALTH SYSTEMS. THE CHNA EMPLOYED A VARIETY OF PRIMARY AND SECONDARY DATA SOURCES AND IN-DEPTH INFORMATION GATHERING METHODOLOGIES TARGETED TO SPECIFIC POPULATION SEGMENTS (INCLUDING STAKEHOLDERS AND THOSE WITH EXPERTISE). THE PROCESS REQUIRED MORE THAN A YEAR TO COMPLETE, AND FINAL REPORTS WERE PRESENTED TO VARIOUS AUDIENCES THROUGHOUT AUGUST AND SEPTEMBER 2012.THE STUDY IDENTIFIED THE FOLLOWING PRIORITIES: (1) PROMOTION OF HEALTHY LIFESTYLES: DIET, NUTRITION AND PHYSICAL ACTIVITY, (2) HEALTH EDUCATION: FOCUSED ON SCHOOL-AGED CHILDREN AND CULTURALLY APPROPRIATE MESSAGES TARGETED TO HIGH-NEED POPULATIONS, AND (3) ACCESS TO AFFORDABLE HEALTHCARE: DENTAL CARE, MENTAL HEALTH CARE, PRIMARY CARE, AND SPECIALTY CARE. THESE FINDINGS ARE IN LINE WITH NATIONAL TRENDS THAT SHOW HEART DISEASE, CANCER AND STROKE AS LEADING CAUSES OF DEATH, AND THE NEED FOR MORE EFFECTIVE HEALTH EDUCATION AND PREVENTION STRATEGIES TO CHANGE BEHAVIOR.HOLY SPIRIT HOSPITAL'S CEO, EXECUTIVE LEADERSHIP, AND THE APPOINTED HOLY SPIRIT CHNA COMMITTEE THEN REVIEWED STUDY FINDINGS, ANALYZED DATA AND TRENDS, REVIEWED BEST PRACTICE MODELS, AND IDENTIFIED PROGRAMMATIC ASSETS AND INFRASTRUCTURE LIMITATIONS. FROM THAT, STAFF GENERATED AN IMPLEMENTATION PLAN, WHICH CONTAINS A COMPREHENSIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND STRATEGIES FOR THE THREE PRIORITY NEEDS IDENTIFIED IN THE STUDY. THE PLAN PRESENTS INFORMATION IN THREE SECTIONS: (1) CURRENT ACTIVITIES AND PROGRAMS TO BE MAINTAINED, (2) CURRENT ACTIVITIES AND PROGRAMS FOR POSSIBLE EXPANSION, AND (3) POTENTIAL NEW ACTIVITIES AND PROGRAMS. AFTER SEQUENTIAL INTERNAL REVIEW, THE IMPLEMENTATION PLAN WAS APPROVED BY THE HOLY SPIRIT HOSPITAL BOARD OF DIRECTORS ON 3/26/13. THE CHNA COMMITTEE NOW REVIEWS THE PLAN AT REGULAR INTERVALS. STAFF MEMBERS CONTINUE TO: (1) SEEK GREATER AWARENESS AND UNDERSTANDING OF THE COMMUNITY'S DIVERSE, INCREASING, AND, SOMETIMES, UNDERLYING HEALTH NEEDS; (2) CONTINUE TO BUILD RELATIONSHIPS WITH KEY STAKEHOLDERS AND COMMUNITY PARTNERS; (3) DELIVER MEANINGFUL COMMUNITY BENEFIT PROGRAMS, AND (4) RECOMMEND IMPROVEMENTS THAT BETTER ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS.THE CHNA REPORT IS POSTED ON THE HOLY SPIRIT WEBSITE (WWW.HSH.ORG) AND HAS BEEN SHARED THROUGHOUT THE REGION. THE STUDY PROCESS PROMPTED INCREASED INTEREST FROM REGIONAL PARTNERS, AND HOLY SPIRIT IS NOW ACTIVELY ENGAGED IN A NUMBER OF COUNTY COALITIONS, INCLUDING: NORTHERN DAUPHIN HEALTH INITIATIVE, PERRY COUNTY HEALTH COALITION, AND THE SOUTH MOUNTAIN PARTNERSHIP, WHICH LINKS COMMUNITY BENEFIT ORGANIZATIONS IN FRANKLIN AND ADAMS COUNTIES.
HOLY SPIRIT HOSPITAL	PART V, SECTION B, LINE 7: NO SINGLE LOCAL HOSPITAL, HEALTH SYSTEM OR COLLABORATIVE GROUP IS CAPABLE OF ADDRESSING THE ENORMOUS PUBLIC HEALTH AND POLICY ISSUES EMERGING AS A RESULT OF HEALTHCARE REFORM. PARTNERS HAVE ALREADY BEGUN TO BUILD NETWORK CAPACITY, LEVERAGE TECHNOLOGY, AND USE SOCIAL AND ECONOMIC NETWORKS TO DEPLOY MULTI-FACETED INITIATIVES. BY EXAMPLE, HEALTH-RELATED NEEDS THAT REQUIRE LARGE-SCALE APPROACHES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING:- IMPROVE POPULATION NUTRITION LITERACY BY ENCOURAGING PEOPLE TO EXERCISE, LEARN TO READ AND UNDERSTAND FOOD LABELS, REDUCE RISKY BEHAVIORS, AND MAKE HEALTHY EATING CHOICES.- MAKE FRESH FOODS MORE AVAILABLE AT SCHOOLS AND MARKETS LOCATED IN AREAS WHERE THE DISENFRANCHISED AND VULNERABLE LIVE AND WORK.- INCREASE THE AVAILABILITY OF FREE OR DISCOUNTED TRANSPORTATION TO FACILITATE TRAVEL TO HEALTHCARE DESTINATIONS, MOST URGENTLY FOR CHRONIC DISEASE MANAGEMENT. - MITIGATE THE DECLINING AVAILABILITY OF SOME PRIMARY AND SPECIALTY CARE PROFESSIONALS DUE TO SHORTAGES OF PHYSICIANS, SPECIALISTS, AND EXTENDERS TRAINED AND CERTIFIED TO PRACTICE IN SPECIFIC SERVICE LINES AND DISEASE SPECIALTIES. - MEET THE INCREASING DEMAND FOR COMPREHENSIVE BEHAVIORAL HEALTH SERVICES THAT ADDRESS THE UNIQUE PHYSICAL AND EMOTIONAL NEEDS OF THOSE WHO REQUIRE MENTAL HEALTH EVALUATION, IMMEDIATE ACCESS TO CRISIS INTERVENTION SERVICES, LONG-TERM TREATMENT, AND MEDICATION SUPPORT.- RESEARCH TO IDENTIFY TRENDS AND DEMOGRAPHIC CHANGES, TRACK INCREMENTAL OUTCOMES, AND BUILD CONSENSUS FOR BEST PRACTICE.DURING TAX YEAR 2012, HOLY SPIRIT HOSPITAL, IN ACCORD WITH IRS REGULATIONS RE: COMMUNITY HEALTH NEEDS ASSESSMENT, AS STIPULATED IN THE AFFORDABLE CARE ACT LEGISLATION PASSED BY THE U.S. CONGRESS, PARTNERED WITH HERSHEY MEDICAL CENTER AND PINNACLE HEALTH TO SELECT TRIPP-UMBACH FIRM TO FACILITATE HOLY SPIRIT HOSPITAL (AND OTHER TWO HOSPITALS) IN THE DEVELOPMENT OF THE SURVEY DESIGN, PROCESS AND TIMETABLE FOR OUR CHNA. AS PART OF ITS STRATEGIC PLANNING PROCESS, HOLY SPIRIT HOSPITAL CONDUCTED AN ENVIRONMENTAL IMPACT ANALYSIS AND ASSESSED THE HEALTH CARE NEEDS OF ITS GEOGRAPHIC FOOTPRINT COMMUNITY (IES). 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.THE CEO/PRESIDENT AND EXECUTIVE STAFF OF HOLY SPIRIT HOSPITAL APPOINTED A TEAM OF DIRECTORS TO WORK WITH TRIPP-UMBACH TO PLAN AND CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR HOLY SPIRIT HOSPITAL.THE HOLY SPIRIT HOSPITAL CEO/PRESIDENT AND EXECUTIVE LEADERSHIP AND OUR STRATEGIC PLANNING DEPARTMENT, WITH THE APPOINTED INTERNAL HOLY SPIRIT HOSPITAL CHNA COMMITTEE MEMBERSHIP, REVIEWED ALL FINDINGS OF THE CHNA AND PREPARED A REPORT WITH RECOMMENDATIONS TO ADDRESS THE THREE PRIORITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA.THESE ARE: 1. PROMOTION OF HEALTHY LIFESTYLES: DIET AND NUTRITION AND PHYSICAL ACTIVITY; 2. HEALTH EDUCATION: FOCUSED UPON SCHOOL-AGED CHILDREN AND CULTURALLY APPROPRIATE MESSAGES TARGETED TO HIGH-NEED POPULATIONS AND 3. ACCESS TO AFFORDABLE HEALTHCARE: DENTAL CARE; MENTAL HEALTH CARE; PRIMARY CARE; SPECIALTY CARE.AN IMPLEMENTATION PLAN WAS DEVELOPED WITH INPUT FROM A VARIETY OF STAKEHOLDERS, INTERNAL AND EXTERNAL AND PRESENTED FOR REVIEW, AND APPROVAL BY OUR CEO/PRESIDENT AND HER EXECUTIVE TEAM; THE PLAN WAS THEN REVIEWED AND APPROVED BY OUR HOLY SPIRIT HOSPITAL BOARD.THE CHNA REPORT IS POSTED ON OUR HOLY SPIRIT HOSPITAL WEBSITE AND HAS BEEN SHARED PROACTIVELY BY HOLY SPIRIT HOSPITAL WITH VARIOUS COMMUNITY STAKEHOLDERS AND PARTICIPANTS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS.HEALTH NEEDS AND ANCILLARY HEALTH POPULATION NEEDS IDENTIFIED IN THE CHNA THAT HOLY SPIRIT HOSPITAL CANNOT ADDRESS ARE THE FOLLOWING: - ENHANCING THE POPULATIONS READING AND NUTRITION LITERACY RE: HEALTH AND DIET AND FOOD LABELS.IT IS ESSENTIAL THAT SCHOOL DISTRICTS, CHARTER SCHOOLS ET. AL. PROACTIVELY ADDRESS THE NEED TO TEACH HEALTH AND WELLNESS BEST PRACTICES TO ALL GRADE LEVELS OF ITS STUDENT BODY AS WELL AS ASSIST PARENTS AND CAREGIVERS TO REINFORCE HEALTHY EATING HABITS AMONG ITS STUDENTS AND COLLABORATE IN MOTIVATING PARENTS AND CAREGIVERS TO BE MORE ABLE AS WELL AS DILIGENT IN PROMOTING HEALTHY EATING.AN ADDITIONAL BARRIER FOR OUR HOSPITAL IS THAT MANY SUPERMARKETS LOCATED IN AREAS WHERE THE DISENFRANCHISED AND VULNERABLE LIVE, WORK AND GO TO SCHOOL DO NOT CARRY HEALTHY FOOD ITEMS OR THE PRICES ARE PROHIBITIVE TO THE BUDGETS OF THOSE FAMILIES THAT NEED SUCH NUTRITIOUS FOODS. A COUNTY AND STATE WIDE INITIATIVE TO BRING TOGETHER FOOD PRODUCERS, AGRICULTURAL EXPERTS WITH A STATE MANDATE TO IMPROVE ACCESS TO FOODSTUFFS NEEDED FOR HEALTHY EATING WILL BE A GREAT IMPETUS TO COUNTERING THE DISMAL LACK OF HEALTHY FOODS IN IMPOVERISHED AREAS.- ACCESS TO PRIMARY CARE, SPECIALTY CARE IS ALSO LIMITED DUE TO THE CURRENT SHORTAGE OF PHYSICIANS AND PROVIDERS TRAINED AND CERTIFIED TO PRACTICE IN SUCH SERVICE LINES. FEDERAL AND STATE ENTITIES THAT HAVE LEGISLATIVE AUTHORITY TO EXPAND GRADUATE MEDICAL EDUCATION MUST DO SO NOW IF THE POPULATION IN SOUTH CENTRAL PENNSYLVANIA IS TO HAVE ACCESS TO PROFESSIONAL PROVIDERS.- ANOTHER AREA HOLY SPIRIT HOSPITAL IS NOT ABLE TO ADDRESS ALONE IS THE TREMENDOUS NEED FOR RURAL POPULATIONS TO HAVE THE MEANS TO TRAVEL TO CLINICS, FAMILY PRACTICE CENTERS AND OTHER SPECIALTY CENTERS FOR ACUTE OR CHRONIC DISEASE MANAGEMENT.CURRENTLY, ON OCCASION, HOLY SPIRIT HOSPITAL WILL ASSIST WITH TRANSPORTATION FOR A PATIENT IN AN ACUTE, LIFE-THREATENING SITUATION; A COMPREHENSIVE, COLLABORATIVE APPROACH WITH FEDERAL, STATE AND LOCAL FINANCIAL RESOURCES IS ESSENTIAL TO ASSIST ITS CITIZENS AND PATIENTS IN NEED TO TRAVEL TO THOSE CERTIFIED CLINICS AND CENTERS THAT CAN PROVIDE NEEDED ASSESSMENT, DIAGNOSTIC TESTING, MEDICATIONS AND TO DEVELOP A TREATMENT REGIMEN THAT LEADS TO IMPROVED HEALTH AND MORE EFFECTIVE CHRONIC DISEASE MANAGEMENT.THE TRANSPORTATION NEEDS EXIST IN THE URBAN AREAS AS WELL, WHERE OFTEN FAMILIES AND INDIVIDUALS MUST CHOOSE BETWEEN BUYING A BUS PASS TO GET TO A CLINIC PRIMARY CARE CENTER OR HOSPITAL VERSUS BUYING FOOD AND MEDICINE FOR SELF OR FAMILY MEMBERS. FOR MANY INDIVIDUALS AND FAMILIES. LACK OF INCOME MEANS THAT THEY TAKE NEEDED MEDICATION ONLY EVERY OTHER DAY DUE TO SHORTAGE OF FUNDS.A NATIONAL PARTNERSHIP AMONG FEDERAL, STATE AND LOCAL MUNICIPALITIES AND THE FOR-PROFIT PHARMACEUTICAL INDUSTRIES WOULD HELP TO ALLEVIATE SUCH DIRE SITUATIONS AMONG OUR PEOPLE THAT RESEMBLE A THIRD WORLD COUNTRY PHENOMENON AS THE TRANSPORTATION, TREATMENT AND MEDICATION NEEDS ARE PERVASIVE AMONG INFANTS, CHILDREN, ALL AGE GROUPS, UP TO END OF LIFE POPULATIONS LIVING IN THE UNITED STATES OF AMERICA.
HOLY SPIRIT HOSPITAL	PART V, SECTION B, LINE 20D: HOLY SPIRIT HOSPITAL AVERAGES THE RATES FOR THE TOP 4 COMMERCIAL PAYORS BASED ON VOLUME TO ARRIVE AT AN AVERAGE DISCOUNT FOR INPATIENT AND OUTPATIENT RESPECTIVELY.

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
HOLY SPIRIT HOSPITAL	PART V, SECTION B, LINE 3: HOLY SPIRIT HOSPITAL ENGAGED IN A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS THAT INVOLVED QUALITATIVE AND QUANTITATIVE DATA COLLECTION FROM A WIDE RANGE OF POPULATIONS, INCLUDING DIFFERENT AGES, INCOMES, HEALTH STATUS (INCLUDING RISK FACTORS, UTILIZATION AND ACCESS), AND GEOGRAPHIC AREAS (INCLUDING URBAN, SUBURBAN AND RURAL). AFTER DESIGNING SURVEY QUESTIONS AND INSTRUMENTS TO COLLECT PERTINENT INFORMATION FROM DIFFERENT AUDIENCES, THE CHNA TEAM EMPLOYED A VARIETY OF DATA COLLECTION TECHNIQUES. (1) POPULATIONS TARGETED TO PARTICIPATE IN COMMUNITY FOCUS GROUPS INCLUDED: HIV/AIDS, HOMELESS, IMMIGRANT/DISENFRANCHISED, OBESE/DIABETIC, RURAL/UNDERSERVED, SPANISH-SPEAKING ADULTS, SENIORS ON FIXED INCOMES, VETERANS, AND WORKING POOR. (2) COMMUNITY LEADERS WERE INTERVIEWED, INCLUDING PUBLIC HEALTH EXPERTS, MEDICAL PROFESSIONALS, SCHOOL SUPERINTENDENTS, EDUCATORS, CITIZEN ADVOCATES, AND ELECTED REPRESENTATIVES FROM LOCAL, COUNTY AND STATE GOVERNMENTS AND AGENCIES. (3) DATA WAS COLLECTED ON HAND-DISTRIBUTED SURVEYS THAT WERE BROADLY DISTRIBUTED ACROSS THE REGION INCLUDING AT: COMMUNITY CENTERS, HOMELESS SHELTERS, PUBLIC HEALTH CENTERS, FOOD BANKS, FREE CLINICS, SOCIAL SERVICES ORGANIZATIONS, SCHOOLS, CHURCHES, FAITH-BASED ORGANIZATIONS, CAREER AND JOB CENTERS, AND OTHER SETTINGS THAT SERVE POPULATIONS IN NEED. THIS EFFORT INCLUDED BI-LINGUAL SURVEYS IN SPANISH. (4) SECONDARY DATA FROM SEVERAL RELIABLE SOURCES, INCLUDING CNIS AND PA COUNTY HEALTH RANKINGS, WAS USED TO PREPARE QUANTITATIVE DATA. EVERY EFFORT WAS UNDERTAKEN TO GATHER AND REPORT DATA CONSISTENT WITH THE CHNA GUIDELINES AND HOLY SPIRIT'S MISSION TO SERVE THOSE IN NEED. INFORMATION FROM THE FINAL SUMMARY REPORTS WAS DELIVERED BACK TO THE COMMUNITY IN A VARIETY OF WAYS TO ASSURE BROAD DISTRIBUTION.
HOLY SPIRIT HOSPITAL	PART V, SECTION B, LINE 4: PENN STATE MILTON S HERSHEY MEDICAL CENTER ANDPINNACLEHEALTH SYSTEM
HOLY SPIRIT HOSPITAL	PART V, SECTION B, LINE 5D: THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED DURING THE FISCAL YEAR ENDED JUNE 30, 2013 (2012 TAX YEAR). THE REPORT IS CURRENTLY AVAILABLE ON THE HOSPITAL'S WEBSITE AND UPON REQUEST. THE HOSPITAL HAS ALSO MADE THE CHNA REPORT AVAILABLE AT A VARIETY OF COMMUNITY BASED INFORMATIONAL SESSIONS THAT THE HOSPITAL HOSTED BOTH AT THE HOSPITAL AND IN VARIOUS LOCATIONS THROUGHOUT THE HOSPITAL'S GEOGRAPHIC FOOTPRINT.
HOLY SPIRIT HOSPITAL	PART V, SECTION B, LINE 6I: IN ACCORDANCE WITH IRS REGULATIONS REQUIRING COMMUNITY HEALTH NEEDS ASSESSMENTS, AS STIPULATED IN THE AFFORDABLE CARE ACT LEGISLATION PASSED BY THE U.S. CONGRESS, HOLY SPIRIT HOSPITAL PARTNERED WITH PENN STATE HERSHEY MEDICAL CENTER AND PINNACLEHEALTH SYSTEM TO UNDERTAKE A COMPREHENSIVE COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DURING TAX YEARS 2011 AND 2012. THE CEOS OF HOLY SPIRIT HOSPITAL AND THE OTHER TWO HEALTH SYSTEMS DESIGNATED EMPLOYEES TO COMPLETE A TIMELY SURVEY TO DETERMINE THE STATE OF RESIDENTS' HEALTH IN FIVE CENTRAL PENNSYLVANIA COUNTIES, WHICH IS THE SHARED GEOGRAPHIC SERVICE AREA FOR ALL THREE SYSTEMS. THE WORK WAS SUPPORTED BY TRIPP-UMBACH (A RECOGNIZED NATIONAL LEADER IN COMPLETING COMMUNITY HEALTH NEEDS ASSESSMENTS OVER THE PAST 22 YEARS) AND A MULTI-DISCIPLINARY TEAM OF SENIOR LEADERS, DIRECTORS, MANAGERS, AND SPECIALISTS FROM ACROSS THE BREADTH OF THE HEALTH SYSTEMS. THE CHNA EMPLOYED A VARIETY OF PRIMARY AND SECONDARY DATA SOURCES AND IN-DEPTH INFORMATION GATHERING METHODOLOGIES TARGETED TO SPECIFIC POPULATION SEGMENTS (INCLUDING STAKEHOLDERS AND THOSE WITH EXPERTISE). THE PROCESS REQUIRED MORE THAN A YEAR TO COMPLETE, AND FINAL REPORTS WERE PRESENTED TO VARIOUS AUDIENCES THROUGHOUT AUGUST AND SEPTEMBER 2012.THE STUDY IDENTIFIED THE FOLLOWING PRIORITIES: (1) PROMOTION OF HEALTHY LIFESTYLES: DIET, NUTRITION AND PHYSICAL ACTIVITY, (2) HEALTH EDUCATION: FOCUSED ON SCHOOL-AGED CHILDREN AND CULTURALLY APPROPRIATE MESSAGES TARGETED TO HIGH-NEED POPULATIONS, AND (3) ACCESS TO AFFORDABLE HEALTHCARE: DENTAL CARE, MENTAL HEALTH CARE, PRIMARY CARE, AND SPECIALTY CARE. THESE FINDINGS ARE IN LINE WITH NATIONAL TRENDS THAT SHOW HEART DISEASE, CANCER AND STROKE AS LEADING CAUSES OF DEATH, AND THE NEED FOR MORE EFFECTIVE HEALTH EDUCATION AND PREVENTION STRATEGIES TO CHANGE BEHAVIOR.HOLY SPIRIT HOSPITAL'S CEO, EXECUTIVE LEADERSHIP, AND THE APPOINTED HOLY SPIRIT CHNA COMMITTEE THEN REVIEWED STUDY FINDINGS, ANALYZED DATA AND TRENDS, REVIEWED BEST PRACTICE MODELS, AND IDENTIFIED PROGRAMMATIC ASSETS AND INFRASTRUCTURE LIMITATIONS. FROM THAT, STAFF GENERATED AN IMPLEMENTATION PLAN, WHICH CONTAINS A COMPREHENSIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND STRATEGIES FOR THE THREE PRIORITY NEEDS IDENTIFIED IN THE STUDY. THE PLAN PRESENTS INFORMATION IN THREE SECTIONS: (1) CURRENT ACTIVITIES AND PROGRAMS TO BE MAINTAINED, (2) CURRENT ACTIVITIES AND PROGRAMS FOR POSSIBLE EXPANSION, AND (3) POTENTIAL NEW ACTIVITIES AND PROGRAMS. AFTER SEQUENTIAL INTERNAL REVIEW, THE IMPLEMENTATION PLAN WAS APPROVED BY THE HOLY SPIRIT HOSPITAL BOARD OF DIRECTORS ON 3/26/13. THE CHNA COMMITTEE NOW REVIEWS THE PLAN AT REGULAR INTERVALS. STAFF MEMBERS CONTINUE TO: (1) SEEK GREATER AWARENESS AND UNDERSTANDING OF THE COMMUNITY'S DIVERSE, INCREASING, AND, SOMETIMES, UNDERLYING HEALTH NEEDS; (2) CONTINUE TO BUILD RELATIONSHIPS WITH KEY STAKEHOLDERS AND COMMUNITY PARTNERS; (3) DELIVER MEANINGFUL COMMUNITY BENEFIT PROGRAMS, AND (4) RECOMMEND IMPROVEMENTS THAT BETTER ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS.THE CHNA REPORT IS POSTED ON THE HOLY SPIRIT WEBSITE (WWW.HSH.ORG) AND HAS BEEN SHARED THROUGHOUT THE REGION. THE STUDY PROCESS PROMPTED INCREASED INTEREST FROM REGIONAL PARTNERS, AND HOLY SPIRIT IS NOW ACTIVELY ENGAGED IN A NUMBER OF COUNTY COALITIONS, INCLUDING: NORTHERN DAUPHIN HEALTH INITIATIVE, PERRY COUNTY HEALTH COALITION, AND THE SOUTH MOUNTAIN PARTNERSHIP, WHICH LINKS COMMUNITY BENEFIT ORGANIZATIONS IN FRANKLIN AND ADAMS COUNTIES.
HOLY SPIRIT HOSPITAL	PART V, SECTION B, LINE 7: NO SINGLE LOCAL HOSPITAL, HEALTH SYSTEM OR COLLABORATIVE GROUP IS CAPABLE OF ADDRESSING THE ENORMOUS PUBLIC HEALTH AND POLICY ISSUES EMERGING AS A RESULT OF HEALTHCARE REFORM. PARTNERS HAVE ALREADY BEGUN TO BUILD NETWORK CAPACITY, LEVERAGE TECHNOLOGY, AND USE SOCIAL AND ECONOMIC NETWORKS TO DEPLOY MULTI-FACETED INITIATIVES. BY EXAMPLE, HEALTH-RELATED NEEDS THAT REQUIRE LARGE-SCALE APPROACHES INCLUDE, BUT ARE NOT LIMITED TO, THE FOLLOWING:- IMPROVE POPULATION NUTRITION LITERACY BY ENCOURAGING PEOPLE TO EXERCISE, LEARN TO READ AND UNDERSTAND FOOD LABELS, REDUCE RISKY BEHAVIORS, AND MAKE HEALTHY EATING CHOICES.- MAKE FRESH FOODS MORE AVAILABLE AT SCHOOLS AND MARKETS LOCATED IN AREAS WHERE THE DISENFRANCHISED AND VULNERABLE LIVE AND WORK.- INCREASE THE AVAILABILITY OF FREE OR DISCOUNTED TRANSPORTATION TO FACILITATE TRAVEL TO HEALTHCARE DESTINATIONS, MOST URGENTLY FOR CHRONIC DISEASE MANAGEMENT. - MITIGATE THE DECLINING AVAILABILITY OF SOME PRIMARY AND SPECIALTY CARE PROFESSIONALS DUE TO SHORTAGES OF PHYSICIANS, SPECIALISTS, AND EXTENDERS TRAINED AND CERTIFIED TO PRACTICE IN SPECIFIC SERVICE LINES AND DISEASE SPECIALTIES. - MEET THE INCREASING DEMAND FOR COMPREHENSIVE BEHAVIORAL HEALTH SERVICES THAT ADDRESS THE UNIQUE PHYSICAL AND EMOTIONAL NEEDS OF THOSE WHO REQUIRE MENTAL HEALTH EVALUATION, IMMEDIATE ACCESS TO CRISIS INTERVENTION SERVICES, LONG-TERM TREATMENT, AND MEDICATION SUPPORT.- RESEARCH TO IDENTIFY TRENDS AND DEMOGRAPHIC CHANGES, TRACK INCREMENTAL OUTCOMES, AND BUILD CONSENSUS FOR BEST PRACTICE.DURING TAX YEAR 2012, HOLY SPIRIT HOSPITAL, IN ACCORD WITH IRS REGULATIONS RE: COMMUNITY HEALTH NEEDS ASSESSMENT, AS STIPULATED IN THE AFFORDABLE CARE ACT LEGISLATION PASSED BY THE U.S. CONGRESS, PARTNERED WITH HERSHEY MEDICAL CENTER AND PINNACLE HEALTH TO SELECT TRIPP-UMBACH FIRM TO FACILITATE HOLY SPIRIT HOSPITAL (AND OTHER TWO HOSPITALS) IN THE DEVELOPMENT OF THE SURVEY DESIGN, PROCESS AND TIMETABLE FOR OUR CHNA. AS PART OF ITS STRATEGIC PLANNING PROCESS, HOLY SPIRIT HOSPITAL CONDUCTED AN ENVIRONMENTAL IMPACT ANALYSIS AND ASSESSED THE HEALTH CARE NEEDS OF ITS GEOGRAPHIC FOOTPRINT COMMUNITY (IES). 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.THE CEO/PRESIDENT AND EXECUTIVE STAFF OF HOLY SPIRIT HOSPITAL APPOINTED A TEAM OF DIRECTORS TO WORK WITH TRIPP-UMBACH TO PLAN AND CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR HOLY SPIRIT HOSPITAL.THE HOLY SPIRIT HOSPITAL CEO/PRESIDENT AND EXECUTIVE LEADERSHIP AND OUR STRATEGIC PLANNING DEPARTMENT, WITH THE APPOINTED INTERNAL HOLY SPIRIT HOSPITAL CHNA COMMITTEE MEMBERSHIP, REVIEWED ALL FINDINGS OF THE CHNA AND PREPARED A REPORT WITH RECOMMENDATIONS TO ADDRESS THE THREE PRIORITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA.THESE ARE: 1. PROMOTION OF HEALTHY LIFESTYLES: DIET AND NUTRITION AND PHYSICAL ACTIVITY; 2. HEALTH EDUCATION: FOCUSED UPON SCHOOL-AGED CHILDREN AND CULTURALLY APPROPRIATE MESSAGES TARGETED TO HIGH-NEED POPULATIONS AND 3. ACCESS TO AFFORDABLE HEALTHCARE: DENTAL CARE; MENTAL HEALTH CARE; PRIMARY CARE; SPECIALTY CARE.AN IMPLEMENTATION PLAN WAS DEVELOPED WITH INPUT FROM A VARIETY OF STAKEHOLDERS, INTERNAL AND EXTERNAL AND PRESENTED FOR REVIEW, AND APPROVAL BY OUR CEO/PRESIDENT AND HER EXECUTIVE TEAM; THE PLAN WAS THEN REVIEWED AND APPROVED BY OUR HOLY SPIRIT HOSPITAL BOARD.THE CHNA REPORT IS POSTED ON OUR HOLY SPIRIT HOSPITAL WEBSITE AND HAS BEEN SHARED PROACTIVELY BY HOLY SPIRIT HOSPITAL WITH VARIOUS COMMUNITY STAKEHOLDERS AND PARTICIPANTS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS.HEALTH NEEDS AND ANCILLARY HEALTH POPULATION NEEDS IDENTIFIED IN THE CHNA THAT HOLY SPIRIT HOSPITAL CANNOT ADDRESS ARE THE FOLLOWING: - ENHANCING THE POPULATIONS READING AND NUTRITION LITERACY RE: HEALTH AND DIET AND FOOD LABELS.IT IS ESSENTIAL THAT SCHOOL DISTRICTS, CHARTER SCHOOLS ET. AL. PROACTIVELY ADDRESS THE NEED TO TEACH HEALTH AND WELLNESS BEST PRACTICES TO ALL GRADE LEVELS OF ITS STUDENT BODY AS WELL AS ASSIST PARENTS AND CAREGIVERS TO REINFORCE HEALTHY EATING HABITS AMONG ITS STUDENTS AND COLLABORATE IN MOTIVATING PARENTS AND CAREGIVERS TO BE MORE ABLE AS WELL AS DILIGENT IN PROMOTING HEALTHY EATING.AN ADDITIONAL BARRIER FOR OUR HOSPITAL IS THAT MANY SUPERMARKETS LOCATED IN AREAS WHERE THE DISENFRANCHISED AND VULNERABLE LIVE, WORK AND GO TO SCHOOL DO NOT CARRY HEALTHY FOOD ITEMS OR THE PRICES ARE PROHIBITIVE TO THE BUDGETS OF THOSE FAMILIES THAT NEED SUCH NUTRITIOUS FOODS. A COUNTY AND STATE WIDE INITIATIVE TO BRING TOGETHER FOOD PRODUCERS, AGRICULTURAL EXPERTS WITH A STATE MANDATE TO IMPROVE ACCESS TO FOODSTUFFS NEEDED FOR HEALTHY EATING WILL BE A GREAT IMPETUS TO COUNTERING THE DISMAL LACK OF HEALTHY FOODS IN IMPOVERISHED AREAS.- ACCESS TO PRIMARY CARE, SPECIALTY CARE IS ALSO LIMITED DUE TO THE CURRENT SHORTAGE OF PHYSICIANS AND PROVIDERS TRAINED AND CERTIFIED TO PRACTICE IN SUCH SERVICE LINES. FEDERAL AND STATE ENTITIES THAT HAVE LEGISLATIVE AUTHORITY TO EXPAND GRADUATE MEDICAL EDUCATION MUST DO SO NOW IF THE POPULATION IN SOUTH CENTRAL PENNSYLVANIA IS TO HAVE ACCESS TO PROFESSIONAL PROVIDERS.- ANOTHER AREA HOLY SPIRIT HOSPITAL IS NOT ABLE TO ADDRESS ALONE IS THE TREMENDOUS NEED FOR RURAL POPULATIONS TO HAVE THE MEANS TO TRAVEL TO CLINICS, FAMILY PRACTICE CENTERS AND OTHER SPECIALTY CENTERS FOR ACUTE OR CHRONIC DISEASE MANAGEMENT.CURRENTLY, ON OCCASION, HOLY SPIRIT HOSPITAL WILL ASSIST WITH TRANSPORTATION FOR A PATIENT IN AN ACUTE, LIFE-THREATENING SITUATION; A COMPREHENSIVE, COLLABORATIVE APPROACH WITH FEDERAL, STATE AND LOCAL FINANCIAL RESOURCES IS ESSENTIAL TO ASSIST ITS CITIZENS AND PATIENTS IN NEED TO TRAVEL TO THOSE CERTIFIED CLINICS AND CENTERS THAT CAN PROVIDE NEEDED ASSESSMENT, DIAGNOSTIC TESTING, MEDICATIONS AND TO DEVELOP A TREATMENT REGIMEN THAT LEADS TO IMPROVED HEALTH AND MORE EFFECTIVE CHRONIC DISEASE MANAGEMENT.THE TRANSPORTATION NEEDS EXIST IN THE URBAN AREAS AS WELL, WHERE OFTEN FAMILIES AND INDIVIDUALS MUST CHOOSE BETWEEN BUYING A BUS PASS TO GET TO A CLINIC PRIMARY CARE CENTER OR HOSPITAL VERSUS BUYING FOOD AND MEDICINE FOR SELF OR FAMILY MEMBERS. FOR MANY INDIVIDUALS AND FAMILIES. LACK OF INCOME MEANS THAT THEY TAKE NEEDED MEDICATION ONLY EVERY OTHER DAY DUE TO SHORTAGE OF FUNDS.A NATIONAL PARTNERSHIP AMONG FEDERAL, STATE AND LOCAL MUNICIPALITIES AND THE FOR-PROFIT PHARMACEUTICAL INDUSTRIES WOULD HELP TO ALLEVIATE SUCH DIRE SITUATIONS AMONG OUR PEOPLE THAT RESEMBLE A THIRD WORLD COUNTRY PHENOMENON AS THE TRANSPORTATION, TREATMENT AND MEDICATION NEEDS ARE PERVASIVE AMONG INFANTS, CHILDREN, ALL AGE GROUPS, UP TO END OF LIFE POPULATIONS LIVING IN THE UNITED STATES OF AMERICA.
HOLY SPIRIT HOSPITAL	PART V, SECTION B, LINE 20D: HOLY SPIRIT HOSPITAL AVERAGES THE RATES FOR THE TOP 4 COMMERCIAL PAYORS BASED ON VOLUME TO ARRIVE AT AN AVERAGE DISCOUNT FOR INPATIENT AND OUTPATIENT RESPECTIVELY.

Schedule H (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
HOLY SPIRIT HOSPITAL

Employer identification number
23-1512747

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance
(1) HOLY SPIRIT HEALTH SYSTEM 503 NORTH 21ST STREET CAMP HILL,PA17011	25-1865142	501(C)(3)	15,000,000	CASH	N/A	PROVIDE FINANCIAL SUPPORT FOR OPERATIONS OF AFFILIATED ORGANIZATION

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2013

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant
(1) SCHOLARSHIPS TO STUDENTS - COST CTRS: NURSING, PHYSCIAL THERAPY AND ANESTHESIA	36	232,822

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference

Explanation

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.

Schedule I (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

HOLY SPIRIT HOSPITAL

Employer identification number

23-1512747

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)RICHARD SCHREIBER MDDIRECTOR/PHYSICIAN	(i) (ii)	217,354 0	0 0	0 0	8,455 0	16,204 0	242,013 0	0 0
(2)MANUEL J EVANSSR VP-FINANCE & CFO	(i) (ii)	361,661 0	368 0	0 0	49,350 0	1,497 0	412,876 0	0 0
(3)JOSEPH A TORCHIA MDSR VP-MED AFFAIRS	(i) (ii)	355,517 0	368 0	0 0	50,546 0	6,908 0	413,339 0	0 0
(4)RICHARD A SCHAFFNER JRSR VP & COO	(i) (ii)	345,581 0	369 0	0 0	47,970 0	13,046 0	406,966 0	0 0
(5)RICHARD E LAVANTURESR VP-CORP AFFAIRS	(i) (ii)	313,191 0	365 0	0 0	51,103 0	19,123 0	383,782 0	0 0
(6)WILLIAM P SHARTLESR VP-HR	(i) (ii)	234,327 0	370 0	0 0	35,207 0	12,809 0	282,713 0	0 0
(7)MICHAEL J PASZEK MDPHYSICIAN, BRTHPLC	(i) (ii)	298,018 0	0 0	0 0	15,383 0	15,780 0	329,181 0	0 0
(8)LISA F LEWISVP-PT CARE SVCS	(i) (ii)	236,961 0	365 0	0 0	35,976 0	12,592 0	285,894 0	0 0
(9)MARIA E PRUDENCIO MDPHYSICIAN, BRTHPLC	(i) (ii)	250,505 0	0 0	0 0	17,151 0	805 0	268,461 0	0 0
(10)CHARLES E CLADEL MDPSYCHIATRIST-CMHC	(i) (ii)	220,019 0	0 0	0 0	17,667 0	11,817 0	249,503 0	0 0
(11)EDITH C DEESCHIEF INFO OFFICER	(i) (ii)	218,600 0	370 0	0 0	11,216 0	6,248 0	236,434 0	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 4B	THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN: MANUEL EVANS - $36,285 RICHARD SCHAFFNER - $35,158 JOSEPH TORCHIA - $35,670 RICHARD LAVANTURE - $31,980 WILLIAM SHARTLE - $23,473 LISA LEWIS - $23,985

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
HOLY SPIRIT HOSPITAL

Employer identification number
23-1512747

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	WEST SHORE AREA AUTHORITY	23-2179305	955816AM5	02-15-2011	60,958,107	REFINANCE 1997 & 2001 BONDS, CAPITAL PROJECTS AND ISSUANCE COSTS	X			X		X
B	WEST SHORE AREA AUTHORITY	23-2179305	955816AW3	11-30-2011	33,618,240	REFINANCE 2001 BOND, CAPITAL PROJECTS AND ISSUANCE COSTS		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	9,265,000
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	61,015,545		33,618,627
4 Gross proceeds in reserve funds . . . . . . . . . . . .
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .
7 Issuance costs from proceeds . . . . . . . . . . . .	953,188		581,495
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	25,042,278		7,549,722
11 Other spent proceeds . . . . . . . . . . . . . .	35,020,079		25,487,410
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2014		2014
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X		X
15 Were the bonds issued as part of an advance refunding issue? . . . . .	X			X
16 Has the final allocation of proceeds been made? . . . . . . . .		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0 %		0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %		0 %
7 Does the bond issue meet the private security or payment test? . . . . .		X		X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .	X		X
b Exception to rebate? . . . . . . . .		X		X
c No rebate due? . . . . . . . .		X		X
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X		X
b Name of provider . . . . . . . . .
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .	X			X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
SCHEDULE K, PART II, LINE 3 TOTAL PROCEEDS OF ISSUE:	TOTAL PROCEEDS REPORTED ON LINE 3 ARE GREATER THAN ISSUE PRICE LISTED IN PART I DUE TO INVESTMENT EARNINGS.

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

HOLY SPIRIT HOSPITAL

Employer identification number

23-1512747

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No
(1) MICHAEL SERLUCO	BOARD DIRECTOR	MORTGAGE ON SPACE FOR PATIENT CARE	X		1,200,000	1,000,075		No	Yes		Yes





Total ...... $						1,000,075

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2013

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	Yes	No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

HOLY SPIRIT HOSPITAL

Employer identification number

23-1512747

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 1	(1) EXECUTIVE COMMITTEE: CHAIRPERSON, PRESIDENT, VICE-CHAIRPERSON, SECRETARY, TREASURER & ONE ADDITIONAL INDEPENDENT DIRECTOR DESIGNATED BY THE BOARD. CHAIRPERSON OF BOARD IS CHAIRPERSON OF EXECUTIVE COMMITTEE & IN ABSENCE OF CHAIRPERSON, THE VICE-CHAIRPERSON SHALL ACT AS CHAIRPERSON. EXECUTIVE COMMITTEE SHALL BE COMPRISED ENTIRELY OF INDEPENDENT DIRECTORS. (2) EXECUTIVE COMMITTEE SHALL ACT IN THE INTERIM BETWEEN MEETINGS OF FULL BOARD & SHALL BE SUBJECT TO THE CONTROL & DIRECTION OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL ACT ON MATTERS THAT CANNOT REASONABLY AWAIT ACTION BY BOARD OF DIRECTORS. BETWEEN MEETINGS THEY HAVE SPECIFIC AUTHORITY TO CONSIDER & GRANT OR DENY MEDICAL STAFF MEMBERSHIP & CLINICAL PRIVILEGES TO PRACTITIONERS, & CLINICAL PRIVILEGES TO SPECIFIED PROFESSIONAL PERSONNEL. THEY MEET AS NEEDED. CHAIRPERSON OR PRESIDENT MAY CALL A MEETING OF EXECUTIVE COMMITTEE. (3) DUTIES OF EXECUTIVE COMMITTEE, TO EXTENT PERMITTED BY APPLICABLE LAW, SHALL BE, BUT ARE NOT LIMITED TO: (A) ACT ON BEHALF OF THIS CORPORATION BETWEEN MEETINGS OF FULL BOARD OF DIRECTORS. (B) REVIEW ALL REPORTS OF COMMITTEES & TO RECOMMEND APPROPRIATE ACTION TO BOARD OF DIRECTORS. (C) RECOMMEND TO BOARD PERFORMANCE STANDARDS FOR DIRECTORS & OFFICERS. (D) TO IMPLEMENT & MONITOR CONFLICT OF INTEREST POLICY ADOPTED BY MEMBER. (E) TO IMPLEMENT & MONITOR CONFIDENTIALITY POLICY ADOPTED BY MEMBER. (F) TO IMPLEMENT & MONITOR CODE OF CONDUCT ADOPTED BY MEMBER. (G) ALL ACTIONS TAKEN BY EXECUTIVE COMMITTEE SHALL BE REPORTED IN MINUTES & REPORTED TO BOARD OF DIRECTORS AT ITS NEXT MEETING FOR RATIFICATION OR AFFIRMATION.
FORM 990, PART VI, SECTION A, LINE 3	MANAGEMENT SERVICES ARE 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 ORTHOPEDIC MANAGEMENT LLC OVERSEES THE PARTNERSHIP AGREEMENT WITH THE ORTHOPEDISTS. SODEXHO, INC. PROVIDES MANAGEMENT SERVICES FOR THE FOOD SERVICES DEPARTMENT, HOUSEKEEPING DEPARTMENT AND THE VALET PARKING PROGRAM.
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 ANNUALLY THROUGH 2014. THIS REVIEW WAS DONE FOR THE CEO, COO, ALL SENIOR VP'S AND VP'S. THE REVIEW AND APPROVAL PROCESS IS DOCUMENTED IN THE MEETING MINUTES OF THE COMPENSATION COMMITTEE.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 22,170,394. MANAGEMENT AND GENERAL EXPENSES 8,929,537. FUNDRAISING EXPENSES 203,575. TOTAL EXPENSES 31,303,506. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 272,125. MANAGEMENT AND GENERAL EXPENSES 4,346,602. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,618,727. RECRUITMENT & EMPLOYMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 112,546. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,546. UTILIZATION REVIEW SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 406,203. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 406,203.
FORM 990, PART XI, LINE 9:	CHANGE IN BENEFICIAL INTEREST -56,154. AMORTIZED DISCOUNT OF PLEDGE -448,620.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

HOLY SPIRIT HOSPITAL

Employer identification number

23-1512747

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) HOLY SPIRIT CORPORATION 503 NORTH 21ST STREET CAMP HILL,PA17011 23-2214540	REAL ESTATE	PA	501(C)(2)	N/A	HOLY SPIRIT HEALTH SYSTEM		No
(2) HOLY SPIRIT HEALTH SYSTEM 503 NORTH 21ST STREET CAMP HILL,PA17011 25-1865142	HEALTHCARE	PA	501(C)(3)	11B	SISTERS OF CHRISTIAN CHARITY HEALTH CORP		No
(3) SISTERS OF CHRISTIAN CHARITY HEALTH CORP MALLINCKRODT CONVENT MENDHAM,NJ07945 23-2322926	HEALTHCARE	NJ	501(C)(3)	1	N/A		No
(4) SPIRIT PHYSICIAN SERVICES INC 503 NORTH 21ST STREET CAMP HILL,PA17011 25-1766971	HEALTHCARE	PA	501(C)(3)	9	HOLY SPIRIT HEALTH SYSTEM		No
(5) WEST SHORE ADVANCED LIFE SUPPORT SERVICES 503 NORTH 21ST STREET CAMP HILL,PA17011 23-2463002	HEALTHCARE	PA	501(C)(3)	7	HOLY SPIRIT HEALTH SYSTEM		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) HS ORTHOPEDIC MANAGEMENT COMPANY LLC 503 NORTH 21ST STREET CAMP HILL,PA17011 46-0887384	HEALTHCARE MANAGEMENT	PA	HOLY SPIRIT HOSPITAL	RELATED	-5,174	74,615		No		Yes		40.000 %
(2) CAELIAN MEDICAL LLC 880 CENTURY DRIVE MECHANICBURG,PA17055 20-8018724	EQUIPMENT RENTAL	PA	HOLY SPIRIT HOSPITAL	RELATED	1,101	78,444		No		Yes		75.000 %
(3) CAPITAL AREA RT ASSOCIATES 880 CENTURY DRIVE MECHANICBURG,PA17055 23-2439847	HEALTHCARE	PA	HOLY SPIRIT HOSPITAL	RELATED	91,365			No		Yes		50.000 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) HOLY SPIRIT VENTURES INC 503 NORTH 21ST STREET CAMP HILL,PA17011 23-2407709	MEDICAL SERVICES	PA	N/A	C				No

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) CAELIAN MEDICAL LLC	K	656,613	COST

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE HEALTH CARE TO THE COMMUNITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	2,592
6	Total number of volunteers (estimate if necessary) .............	6	410
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	3,728,475
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	148,069

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,567,534	8,349,801
9	Program service revenue (Part VIII, line 2g) .........	332,840,166	320,657,835
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	6,070,214	4,656,324
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	11,618,913	7,970,898
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	353,096,827	341,634,858
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	16,419,614	15,232,822
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	144,784,296	147,055,069
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 633,707
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	184,989,459	182,163,122
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	346,193,369	344,451,013
19	Revenue less expenses. Subtract line 18 from line 12.......	6,903,458	-2,816,155
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	281,699,757	284,372,598
21	Total liabilities (Part X, line 26).............	143,061,952	143,071,838
22	Net assets or fund balances. Subtract line 21 from line 20.....	138,637,805	141,300,760

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 82,500,905 including grants of $ 15,232,822 ) (Revenue $ 128,033,766 )
	PATIENT CARE SERVICES:PATIENT CARE SERVICES IS DRIVEN BY THE HOSPITAL'S MISSION, VISION AND VALUES. THE PROVISION OF HIGHLY SKILLED, COMPETENT AND COMPASSIONATE NURSING CARE IS ESSENTIAL TO FULFILL OUR COMMITMENT TO EXCELLENCE IN CLINICAL PRACTICE, EDUCATION AND NURSING RESEARCH.INPATIENT NURSING UNIT EXPENSES IN FY2014 WERE $28,498,412; SURGICAL NURSING SERVICE EXPENSES WERE $34,808,150; AND ALL OTHER NURSING EXPENSES TOTALED $18,430,553. THOSE EXPENSES TOTALED ALMOST $82 MILLION.IN MAY 2013, HOLY SPIRIT HOSPITAL NURSES ACHIEVED MAGNET STATUS FROM THE AMERICAN NURSES CREDENTIALING CENTER'S MAGNET RECOGNITION PROGRAM. ACHIEVING MAGNET IS THE GOLD STANDARD FOR NURSING EXCELLENCE AND REQUIRES UNDERGOING A VOLUNTARY, RIGOROUS AND LENGTHY REVIEW PROCESS THAT EXAMINES A BROAD RANGE OF BENCHMARKS FROM INNOVATIONS IN NURSING PRACTICE, PROFESSIONAL EDUCATION, AND PATIENT OUTCOMES TO QUALITY MEASURES AND PATIENT SATISFACTION. ONLY A SMALL PERCENTAGE OF HOSPITALS NATIONWIDE HAVE RECEIVED MAGNET CREDENTIALING TO DATE. U.S. NEWS & WORLD REPORT USES MAGNET STATUS AS ONE FACTOR IN DETERMINING ITS ANNUAL RANKING OF HOSPITALS NATIONWIDE. ON 7/22/13, HOLY SPIRIT HOSPITAL WAS RECOGNIZED AS ONE OF THE TOP 20 "BEST HOSPITALS" IN PENNSYLVANIA; ONE OF THE FIVE "BEST HOSPITALS" IN SOUTH CENTRAL PENNSYLVANIA; AND ONE OF THE TWO "BEST HOSPITALS" IN THE HARRISBURG METRO AREA. HOLY SPIRIT HOSPITAL WAS HONORED AS A HIGH-PERFORMER IN EIGHT SPECIALTIES: DIABETES AND ENDOCRINOLOGY, GASTROENTEROLOGY AND GI SURGERY, GERIATRICS, GYNECOLOGY, NEPHROLOGY, NEUROLOGY AND NEUROSURGERY, PULMONOLOGY, AND UROLOGY, PUTTING HOLY SPIRIT IN THE TOP 15 PERCENT OF HOSPITALS RECOGNIZED FOR HIGH PERFORMANCE.FY2014 EXCELLENCE IN EDUCATION CME LECTURE SERIES INCLUDED:- 5/13/2014, WOUND HEALING THROUGH HYPERBARIATRIC MEDICINE; ALLAN J. GROSSMAN, MD- 4/29/2014, 7/15/2014, 10/14/2014; BCE DOCUMENTATION SERIES 2014- 4/15/2014, 4/22/2014, 4/29/2014: PAIN TRILOGY 2014- 3/31/2014, BREAST IMAGING CASE CONFERENCE 2014; SARAH SHIPLEY, MD- 3/26/2014, 8/13/2014, 10/22/2014; THE WEDNESDAY CME CASE SERIES- 3/14/2014, PATIENT SAFETY RISK MANAGEMENT CONFERENCE 2014- 2/20/2014, STROKE A BRAIN EMERGENCY; KEVIN COCKROFT, MD, CO-DIRECTOR, PENN STATE HERSHEY STROKE CENTER; PROFESSOR OF NEUROSURGERY, RADIOLOGY AND PUBLIC HEALTH SCIENCES, PENN STATE- 1/16/2014, CURRENT MANAGEMENT OF HYPERTENSION; ROBERT R. TOWNSEND, MD, PROFESSOR OF MEDICINE, DIRECTOR OF HYPERTENSION SECTION, DEPARTMENT OF INTERNAL MEDICINE-RENAL, UNIVERSITY OF PENNSYLVANIA- 10/22/13, CME CASE CONFERENCE, AUDITORIUM- 10/17/13, CME LECTURE, HSH AUDITORIUM "IMMUNIZATION-IT'S SERIOUS BUSINESS" JOANN ADKINS, RN, BSN, CIC- 10/14/13, BCE LECTURE SERIES-DEALING WITH THE DIFFICULT PERSON, AUDITORIUM- 8/13/13, CME CASE CONFERENCE, AUDITORIUMREGISTERED NURSES IN PATIENT CARE SERVICES (SOMETIMES WITH STAFF IN THE EDUCATION, TRAINING, AND DEVELOPMENT DEPARTMENT WHO ARE ALSO CREDENTIALED NURSES) PROVIDED PRESENTATIONS AT PROFESSIONAL CONFERENCES AND IN VARIOUS VENUES, ALONG WITH SCREENINGS AND OTHER COMMUNITY SERVICE ACTIVITIES, INCLUDING:- JULY 16-20, 2013: ASSOCIATION FOR NURSING PROFESSIONAL DEVELOPMENT, DALLAS, TEXAS SERVED ON PLANNING COMMITTEE FOR NATIONAL ANNUAL ANPD MEETING REVIEWING ABSTRACTS AND POSTERS THROUGHOUT THE YEAR. MODERATED 8 SESSIONS AND JUDGED POSTER SESSIONS AT THE MEETING IN DALLAS. SUSAN SWAILS, MED, BSN, RN-BC- AUGUST 2013: CHALLENGES IN CRITICAL CARE, HERSHEY, PA - IMPACT OF A MULTIDISCIPLINARY APPROACH TO AIRWAY MANAGEMENT IN SUSPECTED TRACHEOSTOMY DECANNULATION OR DISPLACEMENT DEBORAH AUDETTE, MS, RN, ACNS-BC, CSC, CARDIOVASCULAR CLINICAL NURSE SPECIALIST- SEPTEMBER 15, 22, 29/2014: SILVER SPRING PRESBYTERIAN CHURCH DIABETES MANAGEMENT, TRACY MULLEN HOON BSN,RN,CDE DIABETES SERVICES- SEPTEMBER 20, 2013: HEALTH MINISTRIES WITHIN CHANGING HEALTHCARE (REGIONAL SEMINAR FOR PARISH NURSES), HAMBURG, PA "PARISH NURSE PANEL REFLECTION" MAUREEN ASPER, RN, MS, ACNS-BCSEPTEMBER 2013: INTERNATIONAL RELATIONSHIP BASED CARE SYMPOSIUM, MICHIGAN "TRANSITION OF NURSING CARE MODEL TO A SYSTEM WIDE CULTURE OF CARING" CYNTHIA SWARTZ, MS, RN, ACNS-BC AND JENNIFER BREWER MSN, RN- SEPTEMBER 24, 2013: KNOWLEDGE CAFE, HARRISBURG, PA A "ON BECOMING INDISPENSIBLE: HOW TO BE A PERSON OF INFLUENCE: A PROGRAM FOR CLINICAL EDUCATORS" CHRISTINE BRAUNEGG, MSN, RN-BC, SUSAN SWAILS, MED, BSN, RN-BC- OCTOBER 2013: PENNSYLVANIA ORGANIZATION OF NURSE LEADERS, GETTYSBURG PA "SUCCESSFUL INTERDISCIPLINARY PRACTICE ON IMAGING CRITICAL TEST RESULTS" CYNTHIA SWARTZ, MS, RN, ACNS-BC AND PATRICIA CARNES MHA, BSN, RN, NE-BC- OCTOBER 10, 2013: SENIOR'S MEETING, TRINITY EVANGELICAL CONGREGATION, HARRISBURG, PA "ADVANCE DIRECTIVES", MAUREEN ASPER, RN, MS, ACNS-BC- NOVEMBER 5, 2013: INDEPENDENT RESIDENTS' SCHEDULED MEETING, CUMBERLAND CROSSINGS, CARLISLE, PA "ADVANCE DIRECTIVES", MAUREEN ASPER, RN, MS, ACNS-BC- NOVEMBER 6, 2013: MONTHLY MEETING OF INDEPENDENT RESIDENTS, GREEN RIDGE RETIREMENT VILLAGE, CARLISLE, PA "ADVANCE DIRECTIVES" MAUREEN ASPER, RN, MS, ACNS-BC- NOVEMBER 12, 2013: SPIRIT OF WOMEN EVENT, DICKINSON COLLEGE "THE UPS AND DOWNS OF BLOOD SUGAR", TRACY MULLEN HOON BSN, RN, CDE DIABETES SERVICES- NOVEMBER 12, 2013: HEALTH LITERACY, HSH AUDITORIUM "HEALTH LITERACY" ROBIN HALCOMB, RN AND MARY MARCHANT LPN, HOME HEALTH- NOVEMBER 22, 2013: EMERGENCY DEPARTMENT EDUCATION DAY, HSH AUDITORIUM "INFANT AND PEDIATRIC SEPSIS", PAMELA HAMAN-HARRIS, MSN, NNP-BC, NICU- DECEMBER 18, 2013: DECEMBER LUNCHEON AND HEALTH INFORMATION, RYE SENIOR CENTER AT MARYSVILLE "STROKE PRESENTATION", MARYANN M. BROGDEN, ND, MSN, RN, APN-C, CCNS, CRITICAL CARE CNS/STROKE COORDINATOR - MARCH 6-8, 2014: NACNS CONFERENCE, ORLANDO, FLORIDA (NATIONAL ASSOC. OF CLINICAL NURSE SPECIALISTS) (1) DEB AUDETTE: "AM I TOO SWEET: DEVELOPMENT OF PRE-PROCEDURAL BLOOD SUGAR PROTOCOL FOR OUTPATIENT INVASIVE CARDIOLOGY PATIENTS", (2) MARYANN BROGDEN AND CINDY SWARTZ: "CNS IN STROKE: PARTNERSHIP IN BUILDING EXCELLENCE" CYNTHIA SWARTZ, MS, RN, ACNS-BC AND MARYANN BROGDEN ND, MSN, RN, APN-C, CCNS- MARCH 12, 2014: NURSING GRAND ROUNDS, HSH CLOSTRIDIUM DIFFICILE INFECTION: WHAT'S OLD, WHAT'S NEW? JUDITH HIMES, BSN,RN, CWON- MARCH 16, 2014: HEALTH MINISTERS MEETING, ST. JOHN THE BAPTIST, NEW FREEDOM, PA - "GROWING YOUR HEALTH MINISTRIES PROGRAM" MAUREEN ASPER, RN, MS, ACNS-BC- MARCH 26, 2014: SPIRITED HEARTS, HSH AUDITORIUM "STROKE PRESENTATION" MARYANN M. BROGDEN, ND, MSN, RN, APN-C, CCNS, CRITICAL CARE CNS/STROKE COORDINATOR- MARCH 28, 2014: SOCIAL SERVICES STAFF MEETING, CLAREMONT NURSING HOME "ADVANCE DIRECTIVES AND PALLIATIVE CARE", MAUREEN ASPER, RN, MS, ACNS-BC- APRIL 24, 2014: HEALTH SOUTH, "STROKE PRESENTATION" MARYANN M. BROGDEN, ND, MSN, RN, APN-C, CCNS, CRITICAL CARE CNS/STROKE COORDINATOR- APRIL 25, 2014: COPD/ASTHMA, DICKINSON COLLEGE, CARLISLE PA "STROKE PRESENTATION" MARYANN M. BROGDEN, ND, MSN, RN, APN-C, CCNS, CRITICAL CARE CNS/STROKE COORDINATOR- MAY 5, 2014: STROKE AWARENESS MONTH, COLONIAL PARK "STROKE PRESENTATION" MARYANN M. BROGDEN, ND, MSN, RN, APN-C, CCNS, CRITICAL CARE CNS/STROKE COORDINATOR- MAY 8, 2014: SAM CLUB MEETING, OUR LADY OF LOURDES CHURCH, ENOLA, PA "STROKE PRESENTATION", MARYANN M. BROGDEN, ND, MSN, RN, APN-C, CCNS, CRITICAL CARE CNS/STROKE COORDINATOR- MAY 21, 2014: BUSINESS WOMEN'S FORUM, MESSIAH COLLEGE "STRESS: LETTING GO AND MOVING ON", KELLIE WILSON, RN, BA, CPLP- MAY 31, 2014: NATIONAL HEALTHCARE DECISIONS DAY, HSH AUDITORIUM A/B "LIVING WILLS AND ADVANCED DIRECTIVES" MAUREEN ASPER, RN, MS, ACNS-BCCOLLECTIVELY, 1,428 AFFILIATED HEALTH PROFESSIONALS-81% OF WHICH WERE RNS-PARTICIPATED IN VARIOUS CONTINUING EDUCATION PROGRAMS AWARDING 3,094 CONTACT HOURS.NURSES ALSO PARTICIPATED IN THREE ANNUAL HOLY SPIRIT-SPONSORED HEALTH FAIRS. - OCTOBER 13, 2013: GIRLS' NIGHT OUT, HARRISBURG, PA. BLOOD PRESSURE SCREENINGS BY MARYANN MAWHINNEY, OR, BETSY DAVISON, WOUND CARE AND LESLY MILLER-JACOBS, MIU; CARDIOVASCULAR RISK ASSESSMENTS BY DEB THORNBERG, CATH LAB AND PEGGY TRAHAN, 8 MAIN; PERIPHERAL ARTERY DISEASE ASSESSMENTS BY JOANNE HAWLEY, OR, COLLEEN RANNEY, PACU, ROBYN MCKILLIP, ICU AND SUZAN HORTON, CVU.- FEBRUARY 22, 2014: DAY OF DANCE, CAMP HILL, PA. BLOOD PRESSURE SCREENINGS BY TENA KEIFFER, OR, JUDY HIMES, WOUND CARE, CONNIE DORFF, OR AND BERNADETTE ANDERSON, BP; CARDIOVASCULAR RISK ASSESSMENTS BY LESLY MILLER-JACOBS, MIU, DEB THORNBERG, CATH LAB, AND LEONA MYLNEK, WOUND CARE; PERIPHERAL ARTERY DISEASE ASSESSMENTS BY COLLEEN RANNEY, PACU, COURTNEY KELLER, CATH LAB, JENNIFER KANE, NURSING RESOURCES, DAWN SMITH, NURSING ADMINISTRATION, MARYANN MAWHINNEY, OR; SUZAN HORTON, CVU, AND CHARLENA SCOTT, OR. - APRIL 4, 2014: GIRLS' NIGHT OUT, CARLISLE; BLOOD PRESSURE SCREENINGS DONE BY PEGGY TRAHAN, * MAIN, JUDY HIMES, WOUND CARE, AND DAWN HOOVER, OR; CARDIOVASCULAR RISK ASSESSMENTS DONE BY CHRISTY LEPORE 8 MAIN, LEONA MLYNEK, WOUND CARE AND LORI BAUER, ORLABOR AND DELIVERY NURSES: THE BIRTHPLACE AT HOLY SPIRIT IS EQUIPPED TO MEET THE NEEDS OF WOMEN DURING AND AFTER BABIES ARRIVE. A VARIE

4b	(Code: ) (Expenses $ 28,503,837 including grants of $ ) (Revenue $ 35,476,834 )
	CARDIOVASCULAR SERVICES: THE ORTENZIO HEART CENTER (OHC) AT HOLY SPIRIT IS A FOUR-STORY, 140,000-SQUARE-FOOT FACILITY EQUIPPED WITH THE LATEST TECHNOLOGY AND STAFFED WITH A SKILLED TEAM OF PHYSICIANS, NURSES AND CLINICAL SPECIALISTS. SOME OF THE REGION'S MOST EXPERIENCED CARDIOLOGISTS AND CARDIAC SURGEONS PRACTICE AT OHC, OFFERING OPEN HEART SURGERY, CARDIAC CATHETERIZATION, VASCULAR PROCEDURES, DIAGNOSTIC CARDIOLOGY, NUCLEAR CARDIOLOGY, CARDIAC REHABILITATION, ELECTROPHYSIOLOGY STUDIES, TILT STUDIES, AND DEVICES SUCH AS PACEMAKERS AND IMPLANTS. IN JULY 2013, HOLY SPIRIT HOSPITAL EARNED ADVANCED CERTIFICATION FOR PRIMARY STROKE CENTERS FROM THE JOINT COMMISSION, IN CONJUNCTION WITH THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION. PRIMARY STROKE CENTER CERTIFICATION RECOGNIZES THAT HOLY SPIRIT PROVIDES AN ELEVATED STANDARD OF CARE BASED ON EVIDENCE-BASED PRACTICES TO MEET THE SPECIALIZED NEEDS OF STROKE PATIENTS. CERTIFICATION-WHICH IS VOLUNTARY AND ONLY AVAILABLE IN JOINT COMMISSION-ACCREDITED ACUTE CARE HOSPITALS-MEANS THAT PATIENTS BENEFIT FROM SPECIALISTS AND SPECIALLY-TRAINED MEDICAL STAFF WORKING IN A DEDICATED CARE UNIT WITH MEASURES IN PLACE TO PROVIDE EXPERT CRITICAL CARE NECESSARY TO ENSURE THE BEST CHANCE FOR A FAVORABLE OUTCOME AFTER A STROKE. ADDITIONALLY, HOLY SPIRIT WAS IDENTIFIED UNDER PENNSYLVANIA'S ACT 54 OF 2012 AS A DESIGNATED PRIMARY STROKE CENTER IN CUMBERLAND COUNTY. ACCORDINGLY, PA DEPARTMENT OF HEALTH EMS PROTOCOLS (BLS-706 AND ALS-7006), DIRECTS THAT SUSPECTED STROKE PATIENTS NEED ADVANCED LIFE SUPPORT AND SHOULD BE TRANSPORTED TO A PRIMARY STROKE CENTER.IN FY2014, THE ORTENZIO HEART CENTER (OHC) AT HOLY SPIRIT PERFORMED 1,797 DIAGNOSTIC CARDIAC CATHETERIZATIONS AND 731 INTERVENTIONAL CARDIAC CATHETERIZATIONS. OHC STAFF PERFORMED 1,133 ELECTROPHYSIOLOGY PROCEDURES AND 257 CARDIOTHORACIC SURGERIES. THERE WERE 10,574 CARDIAC REHABILITATION SESSIONS PROVIDED TO HELP PATIENTS RECOVER FROM SURGERY OR HEART-RELATED PROBLEMS. THE GOAL OF CARDIAC REHABILITATION IS TO GET PATIENTS BACK TO 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. MORE THAN 120 PEOPLE ATTENDED THE SPIRITED HEARTS CARDIAC SUPPORT GROUP, WHICH MEETS SEVERAL TIMES ANNUALLY. HOLY SPIRIT ALSO OFFERS A SUPPORT GROUP FOR THOSE WHO SUFFER FROM ATRIAL FIBRILLATION (A-FIB), A HEART CONDITION THAT AFFECTS MORE THAN THREE MILLION AMERICANS. EIGHTY-EIGHT PEOPLE ATTENDED THESE GROUP MEETINGS.THE OHC 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 (REPERFUSION) TO THE HEART CAN REDUCE THE EXTENT OF MYOCARDIAL DAMAGE.

4c	(Code: ) (Expenses $ 19,329,097 including grants of $ ) (Revenue $ 55,720,661 )
	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. THE IMAGING SERVICES STAFF PARTICIPATES IN HEALTH FAIRS THROUGHOUT THE YEAR. IN FY2014, THEY ATTENDED 56 HEALTH FAIRS AND SPIRIT OF WOMEN EVENTS AND PROVIDED 1,603 FREE BONE DENSITY SCREENINGS. IMAGING CENTERS OFFER FREE BONE DENSITY SCREENINGS AT SIX LOCATIONS. IN ADDITION, WOMEN WHO ARE SCHEDULED FOR MAMMOGRAMS ARE ASKED IF THEY WOULD LIKE A FREE BONE DENSITY TEST (IF THEY MEET THE SCREENING CRITERIA GUIDELINES). THIS QUICK AND EASY HEEL SCAN HELPS TO DETERMINE THE THICKNESS OF THE BONE, WHICH IS THE FIRST STEP IN CHECKING FOR SIGNS OF OSTEOPOROSIS. THROUGH THESE OFFERINGS, HOLY SPIRIT PROVIDED 1,592 FREE BONE DENSITY SCREENINGS.

	(Code: ) (Expenses $ 131,417,963 including grants of $ ) (Revenue $ 104,297,820 )
	HOSPITAL PROGRAMSRESEARCH: 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 FY2014, THE INSTITUTIONAL REVIEW BOARD APPROVED 11 NEW STUDIES (PROTOCOLS), 30 CONTINUING REVIEWS, AND 61 ADVERSE EVENT REPORTS. 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 OUR CONVENIENTLY LOCATED OUTPATIENT CENTERS THROUGHOUT THE COMMUNITY. LABORATORY SERVICES STAFF PARTICIPATED IN 40 HEALTH FAIRS AND SCREENING EVENTS PROVIDING A MEANS TO IDENTIFY POTENTIAL DISEASE IN PARTICIPANTS WHO MAY NOT OTHERWISE HAVE ACCESS TO TESTING FOR HIGH CHOLESTEROL OR GLUCOSE. A TOTAL OF 1,850 GLUCOSE TESTS AND 1,927 CHOLESTEROL TESTS WERE PERFORMED AT NO COST OR AT REDUCED COST.CLINICAL INFORMATION SYSTEMHOLY SPIRIT HOSPITAL DEPLOYED A FULLY FUNCTIONAL ELECTRONIC MEDICAL RECORD (EMR) SYSTEM IN 2007. USING THIS CONTINUALLY UPDATED AND CERTIFIED EMR, THE HOSPITAL HAS COMPLETED YEARS 1 AND 2 OF MEANINGFUL USE STAGE 1, AND YEAR 1 OF MEANINGFUL USE STAGE 2. THIS FULL-FEATURED SYSTEM IS RECOGNIZED BY HIMSS AS A STAGE 6 HOSPITAL, AND, IN SOME AREAS, USAGE WHICH WILL QUALIFY THE HOSPITAL FOR STAGE 7. THE ONLY MODALITY THAT IS NOT YET WIDELY USED IS ELECTRONIC PHYSICIAN PROGRESS NOTE DOCUMENTATION, AND IMPLEMENTATION TRAINING IS UNDERWAY. IN ADDITION TO RECOGNITION BY HIMSS, THE HOSPITAL'S USE OF AN ADVANCED EMR HELPED IT TO QUALIFY AS A MOST WIRED HOSPITAL IN 2013 AND 2014, MAKING IT ONE OF ONLY 289 ORGANIZATIONS NATIONWIDE TO MAKE THIS LIST. THE HOSPITAL HAS BEEN AWARDED LEAPFROG GRADE A FOR SAFETY SPECIFICALLY RELATED TO THE USE OF THE EMR.HOLY SPIRIT HOSPITAL LEVERAGES THE EMR FOR QUALITY AND PROCESS IMPROVEMENT INITIATIVES, PATIENT SAFETY, AND STATISTICAL RESEARCH. INFORMATICS RESEARCHERS HAVE PUBLISHED PEER-REVIEWED MANUSCRIPTS WHICH AID IN THE EVALUATION AND ENHANCEMENT OF OUR LOCAL EMR, AND EMRS IN GENERAL. THIS VISIBILITY BENEFITS OTHER INFORMATION TECHNOLOGY PROFESSIONALS IN THE HEALTHCARE INDUSTRY, ULTIMATELY BENEFITING HOLY SPIRIT PATIENTS AND, AS STANDARDS OF PRACTICE IMPROVE, PATIENTS EVERYWHERE.HOLY SPIRIT CONTINUES TO EXPAND 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 DEVELOPING AND USING ADVANCED COMPUTER TECHNOLOGIES FOR HEALTHCARE FACILITIES.MULTI-DISCIPLINARY MEDICAL, HEALTH EDUCATION, AND DISEASE PREVENTION PROGRAMS HOLY SPIRIT NURSES AND EDUCATORS OFFER A CONTINUUM OF CHILDBIRTH AND PERINATAL EDUCATION CLASSES FOR EXPECTANT PARENTS. COURSES INCORPORATE CURRENT RESEARCH AND INCLUDE A FOUR-PART CHILDBIRTH PREPARATION SERIES, A TWO-PART CLASS FOR NEW PARENTS CALLED BABY BOOT CAMP, BREASTFEEDING BASICS CLASSES, BIG BROTHER, BIG SISTER (SIBLING PREPARATION) CLASSES, AND BEAR ESSENTIALS. ONLINE CHILDBIRTH PREPARATION COURSES ARE AVAILABLE AS AN ALTERNATIVE FOR COUPLES WHO CANNOT ATTEND TRADITIONAL CHILDBIRTH CLASSES DUE TO BED REST OR SCHEDULING CONFLICTS. ALL THESE COURSES ARE OFFERED TO PREGNANT WOMEN REGARDLESS OF WHERE THEY PLAN TO GIVE BIRTH. TOURS OF BIRTHPLACE ARE OFFERED TO ALL EXPECTANT COUPLES. COLLABORATIONS AMONG CLINICIANS FROM VARIOUS SERVICE LINES-INCLUDING PHYSICIANS AND BEHAVIORAL HEALTH PERSONNEL-INCREASE TOUCH POINTS TO PROMOTE PRENATAL CARE AND PREGNANCY WELLNESS, A KEY STRATEGY IN CURRENT HEALTHCARE POLICY. BEHAVIORAL HEALTH STAFF ALSO OFFERS WEEKLY SUPPORT GROUPS FOR PREGNANT WOMEN AND NEW MOTHERS (WITH BABIES WHO ARE 15 MONTHS OF AGE OR YOUNGER) WHO ARE FEELING ALONE, AFRAID, OVERWHELMED, SAD OR WORRIED. EDUCATIONAL FAMILY NIGHTS WITH CHILDCARE ARE OFFERED PERIODICALLY.DIABETES SERVICES STAFF HELPS PEOPLE WITH DIABETES TO MAINTAIN A HEALTHY LIFESTYLE AND REDUCE THE RISK OF DISEASE COMPLICATIONS. EMPLOYEES OFFER FREE EDUCATIONAL SERVICES TO INDIVIDUALS AND THE GENERAL PUBLIC AT A VARIETY OF VENUES. TOPICAL INFORMATION IS SHARED AT HEALTH FAIRS, LECTURES, AND WORKSHOPS, AND STAFF HOSTS AN ANNUAL EVENT OPEN TO THE PUBLIC WITH EXPERT SPEAKERS AND FREE SCREENINGS. THE STAFF ALSO PROVIDES EDUCATIONAL INFORMATION AT NO COST TO INTERESTED INDIVIDUALS, CARETAKERS, AND FAMILIES WHO ARE IN THE HOSPITAL OR REFERRED BY STAFF IN THE HOLY SPIRIT NETWORK OR OTHER COMMUNITY CONNECTIONS. EMPLOYEES ACROSS MULTIPLE DISCIPLINES OFFERED FREE HEALTHY LIVING LECTURES ON THE FOLLOWING TOPICS THIS FY: STROKE AWARENESS, LAP BAND SURGERY, LIVING HEALTHY WITH HEART DISEASE, TRANSITIONING CHILDREN BACK TO SCHOOL, AND HOW TO MAKE YOUR HEALTHCARE WISHES KNOWN TO FAMILY MEMBERS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 131,417,963 including grants of $ ) (Revenue $ 104,297,820 )
4e	Total program service expenses261,751,802

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) JOSEPH A TORCHIA MD........................................................................ SR VP-MED AFFAIRS	39.00 .......................1.00	X		355,885	0	57,454
(19) RICHARD A SCHAFFNER JR........................................................................ SR VP & COO	40.00 .......................	X		345,950	0	61,016
(20) RICHARD E LAVANTURE........................................................................ SR VP-CORP AFFAIRS	39.00 .......................1.00	X		313,556	0	70,226
(21) WILLIAM P SHARTLE........................................................................ SR VP-HR	40.00 .......................	X		234,697	0	48,016
(22) MICHAEL J PASZEK MD........................................................................ PHYSICIAN, BRTHPLC	40.00 .......................		X	298,018	0	31,163
(23) LISA F LEWIS........................................................................ VP-PT CARE SVCS	40.00 .......................		X	237,326	0	48,568
(24) MARIA E PRUDENCIO MD........................................................................ PHYSICIAN, BRTHPLC	40.00 .......................		X	250,505	0	17,956
(25) CHARLES E CLADEL MD........................................................................ PSYCHIATRIST-CMHC	40.00 .......................		X	220,019	0	29,484
(26) EDITH C DEES........................................................................ CHIEF INFO OFFICER	40.00 .......................		X	218,970	0	17,464

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	3,054,309	0	456,853

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c		157,499
d	Related organizations...1d		1,069,157
e	Government grants (contributions)1e		1,902,277

f	All other contributions, gifts, grants, and similar amounts not included above1f		5,220,868

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			8,349,801
			Business Code
2a	OUTPATIENT SERVICES		621400	176,735,653	176,735,653
b	INPATIENT SERVICES		621400	143,922,182	143,922,182
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			320,657,835
3	Investment income (including dividends, interest, and other similar amounts).......			1,762,233			1,762,233
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	221,132
b	Less: rental expenses	432,924
c	Rental income or (loss)	-211,792
d	Net rental income or (loss).......			-211,792			-211,792
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	11,954,584	64,200
b	Less: cost or other basis and sales expenses	9,122,443	2,250
c	Gain or (loss)	2,832,141	61,950
d	Net gain or (loss)..........			2,894,091			2,894,091
8a	Gross income from fundraising events (not including $ 157,499 of contributions reported on line 1c). See Part IV, line 18 ..
	a		127,039
b	Less: direct expenses ...b		60,812
c	Net income or (loss) from fundraising events..			66,227			66,227
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	LABORATORY - NONPATIENT		621500	2,992,874		2,992,874
b	MEANINGFUL USE REVENUE		900099	1,819,978	1,819,978
c	LTACH - RENT & OTHER SVCS		532000	713,915		713,915
d	All other revenue ....			2,589,696	1,051,268	21,686	1,516,742
e	Total. Add lines 11a–11d ......			8,116,463
12	Total revenue. See Instructions......			341,634,858	323,529,081	3,728,475	6,027,501


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			5,135	1	5,515
2	Savings and temporary cash investments .........			6,521,005	2	11,737,600
3	Pledges and grants receivable, net ...........				3	3,591,381
4	Accounts receivable, net .............			48,194,773	4	41,361,366
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			830,158	8	737,933
9	Prepaid expenses and deferred charges ..........			3,523,948	9	2,400,917
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	302,590,428
b	Less: accumulated depreciation .....	10b	183,754,528	115,104,628	10c	118,835,900
11	Investments—publicly traded securities ..........			88,398,320	11	86,183,675
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			19,121,790	15	19,518,311
16	Total assets. Add lines 1 through 15 (must equal line 34)......			281,699,757	16	284,372,598
17	Accounts payable and accrued expenses .........			41,295,997	17	38,291,254
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............			88,260,000	20	85,205,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			1,049,007	22	1,000,075
23	Secured mortgages and notes payable to unrelated third parties ..				23	2,951,396
24	Unsecured notes and loans payable to unrelated third parties ....				24	1,750,000
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			12,456,948	25	13,874,113
26	Total liabilities. Add lines 17 through 25.........			143,061,952	26	143,071,838
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			135,988,383	27	134,675,727
28	Temporarily restricted net assets ...........			86,256	28	3,776,072
29	Permanently restricted net assets ...........			2,563,166	29	2,848,961
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			138,637,805	33	141,300,760
34	Total liabilities and net assets/fund balances ........			281,699,757	34	284,372,598