TY 2014 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)
(1) MICHAEL SERLUCO........................................................................ CHAIRPERSON	0.30 .......................0.30	X	X	0	0	0
(2) RICK SZELES........................................................................ VICE CHAIR	0.30 .......................0.70	X	X	0	0	0
(3) RANDY SINGISER EDD........................................................................ TREASURER	0.30 .......................0.30	X	X	0	0	0
(4) SAMUEL COOPER III ESQUIRE........................................................................ DIRECTOR	0.30 .......................0.00	X		0	0	0
(5) RON DRNEVICH........................................................................ DIRECTOR	0.30 .......................0.00	X		0	0	0
(6) THOMAS KACHEL MD........................................................................ DIRECTOR	0.30 .......................0.00	X		0	0	0
(7) DEBORAH KEYS........................................................................ DIRECTOR	0.30 .......................0.00	X		0	0	0
(8) ROBERT J DIETZ........................................................................ DIRECTOR	0.30 .......................18.30	X		0	0	0
(9) SR MARY IRENE SORBER SCC........................................................................ DIRECTOR	0.30 .......................0.00	X		0	0	0
(10) RICHARD SCHREIBER MD........................................................................ DIRECTOR	40.00 .......................0.00	X		220,311	0	38,209
(11) TAPASDIP GAJJAR MD........................................................................ DIRECTOR	0.30 .......................40.00	X		0	258,846	34,037
(12) SR JOAN DANIEL HEALY SCC........................................................................ DIRECTOR	0.30 .......................0.50	X		0	0	0
(13) SR MARY JOSEPH SHULTZ SCC........................................................................ DIRECTOR	0.30 .......................0.50	X		0	0	0
(14) SR ROMAINE NIEMEYER SCC........................................................................ PRESIDENT & DIRECTOR (EX OFFICIO)	36.00 .......................4.00	X	X	0	0	0
(15) JAMES BYERLY........................................................................ DIRECTOR	0.30 .......................0.00	X		0	0	0
(16) REVERAND ROBERT F SHARMAN........................................................................ DIRECTOR	0.30 .......................0.00	X		0	0	0
(17) DAVID J FELICIO ESQUIRE........................................................................ SECRETARY	0.00 .......................40.00		X	0	662,625	101,181

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) MANUEL J EVANS........................................................................ SR VP, FINANCE, CFO	40.00 .......................0.00	X			626,112	0	63,461
(19) KEVIN F BRENNAN CPA FHFMA........................................................................ EVP, FINANCE, CFO	0.00 .......................40.00	X			0	1,028,344	201,791
(20) EDWARD ZYCH........................................................................ ASSOCIATE CHIEF LEGAL OFFICER AND ASST SECRETARY	0.00 .......................40.00	X			0	390,565	42,470
(21) RICHARD A SCHAFFNER JR........................................................................ SR VP, COO	40.00 .......................0.00		X		598,646	0	75,083
(22) JOSEPH A TORCHIA MD........................................................................ SR VP, MED AFFAIRS	40.00 .......................0.00		X		594,277	0	61,286
(23) RICHARD E LAVANTURE........................................................................ SR VP, CORP AFFAIRS	40.00 .......................0.00		X		493,185	0	75,978
(24) WILLIAM P SHARTLE........................................................................ SR VP, HR	40.00 .......................0.00		X		396,512	0	59,808
(25) GERALD R NEWHOUSE........................................................................ VP, RISK MGMT, SUP SVCS	40.00 .......................0.00		X		221,513	0	34,198
(26) DAVID A GATESMAN........................................................................ VP PROFESS. SVCS	40.00 .......................0.00		X		212,244	0	35,295
(27) LISA F LEWIS........................................................................ VP, PAT CARE SVCS	40.00 .......................0.00		X		405,688	0	57,321
(28) EDITH C DEES........................................................................ CHIEF INFO OFFICER	40.00 .......................0.00			X	328,720	0	19,381
(29) MICHAEL J PASZEK MD........................................................................ PHYSICIAN, BIRTHPLACE	40.00 .......................0.00			X	303,286	0	40,065
(30) ROBERT W LUTHMANN........................................................................ PHYSICIST, OAKWOOD CANCER CTR	40.00 .......................0.00			X	288,666	0	36,812
(31) MARIA E PRUDENCIO MD........................................................................ PHYSICIAN, BIRTHPLACE	40.00 .......................0.00			X	260,493	0	19,200
(32) JAGADEESH K MOOLA........................................................................ PSYCHIATRIST	40.00 .......................0.00			X	249,094	0	34,838

(A) Name and business address	(B) Description of services	(C) Compensation
PAVONE 1006 MARKET STREET HARRISBURG,PA17101	MARKETING SERVICES	2,374,297
NORWOOD COMPANY 375 TECHNOLOGY DRIVE MALVERN,PA19355	CONSTRUCTION SERVICES	1,872,502
RESTORIX HEALTH 155 NORTH PLAINS ROAD SUITE 222 TARRYTOWN,NY10591	WOUND CARE MGMT SVCS	1,731,672
QUANTUM IMAGING 629-D LOWTHER ROAD LEWISBERRY,PA17339	PURCHASED MEDICAL SERVICES	1,427,000
WEST SHORE ANESTHESIA PO BOX 1050 CAMP HILL,PA17001	PHYSICIAN SERVICES	1,284,991
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 22

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 domestic organizations and domestic governments. See Part IV, line 21 ....	37,246,983	37,246,983
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....	174,019	174,019
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............
4	Benefits paid to or for members ....
5	Compensation of current officers, directors, trustees, and key employees ....	4,004,377		4,004,377
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 ....	102,862,645	81,262,393	21,299,316	300,936
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	4,019,968	3,045,002	961,569	13,397
9	Other employee benefits .......	15,013,842	11,571,545	3,412,653	29,644
10	Payroll taxes ...........	7,868,782	5,908,630	1,937,854	22,298
11	Fees for services (non-employees):
a	Management ......	6,173,010		6,173,010
b	Legal .........	294,351		294,351
c	Accounting ...........	228,880		228,880
d	Lobbying ...........	9,655		9,655
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	106,012		106,012
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....	35,819,736	21,084,986	14,601,088	133,662
12	Advertising and promotion ....	2,735,828	33,662	2,702,166
13	Office expenses .......	12,651,640	6,970,893	5,679,065	1,682
14	Information technology ......	7,267,016	188,766	7,078,250
15	Royalties ..
16	Occupancy ...........	8,332,120	5,658,022	2,674,098
17	Travel ............	1,369,878	1,063,034	306,844
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....
20	Interest ...........	4,395,043	3,342,020	1,040,647	12,376
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	15,742,756	10,578,442	5,125,299	39,015
23	Insurance ..............	1,820,247	1,387,840	427,383	5,024
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	MEDICAL SUPPLIES	54,874,624	54,760,018	114,606
b	BAD DEBT	5,233,329	5,233,329
c	ALL OTHER EXPENSES	644,777	9,768	635,009
d	DUES	439,097	60,511	378,586
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	329,328,615	249,579,863	79,190,718	558,034
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 .............	5,515	1	5,720
2	Savings and temporary cash investments .........	11,737,600	2	20,736,434
3	Pledges and grants receivable, net ...........	3,591,381	3	2,699,424
4	Accounts receivable, net .............	41,361,366	4	30,679,462
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	19,104
8	Inventories for sale or use ..............	737,933	8	723,397
9	Prepaid expenses and deferred charges ..........	2,400,917	9	1,518,074
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	121,921,170
b	Less: accumulated depreciation .....	10b	9,941,019	118,835,900	10c	111,980,151
11	Investments—publicly traded securities ..........	86,183,675	11	53,456,022
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 ...........	19,518,311	15	2,955,433
16	Total assets. Add lines 1 through 15 (must equal line 34)......	284,372,598	16	224,773,221
	17	Accounts payable and accrued expenses .........	38,291,254	17	32,340,623
18	Grants payable .................		18
19	Deferred revenue ................		19
20	Tax-exempt bond liabilities .............	85,205,000	20	91,801,321
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..........	1,000,075	22	948,086
23	Secured mortgages and notes payable to unrelated third parties ..	2,951,396	23	0
24	Unsecured notes and loans payable to unrelated third parties ....	1,750,000	24
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....................	13,874,113	25	41,502,726
26	Total liabilities. Add lines 17 through 25.........	143,071,838	26	166,592,756
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	134,675,727	27	51,586,810
28	Temporarily restricted net assets ...........	3,776,072	28	3,771,734
29	Permanently restricted net assets ...........	2,848,961	29	2,821,921
	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 ...........	141,300,760	33	58,180,465
34	Total liabilities and net assets/fund balances ........	284,372,598	34	224,773,221

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

OMB No. 1545-0047

2014

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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. 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—2013. 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—2014. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. 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 VI 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) 2014

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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(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 VI.) ..
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 section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. 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—2013. 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) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

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

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

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

2014

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, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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 totaling $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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

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	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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

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) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
HOLY SPIRIT HOSPITAL

Employer identification number

23-1512747

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. 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) (2014)

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

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

OMB No. 1545-0047

2014

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) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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) 2014

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(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) 2014

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

9,655

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

9,655

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, lines 1 and 2 (see instructions), 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 PENNSYLVANIA ("HAP"), THE AMERICAN HOSPITAL ASSOCIATION ("AHA"), PA HOMECARE ASSOCIATION (PHA), THE NATIONAL ASSOCIATION FOR HOMECARE & HOSPICE (NACH) AND PENNSYLVANIA CATHOLIC HEALTH ASSOCIATION ("CHA") ARE USED FOR LOBBYING PURPOSES AS WELL AS NATIONAL ASSOCIATION OF HOME CARE & HOSPICE AND PA HOMECARE ASSOCIATION.

Schedule C (Form 990 or 990EZ) 2014

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

OMB No. 1545-0047

2014

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 value of contributions to (during year)
3	Aggregate value of 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)

Revenue 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:

Revenue 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) 2014

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, for escrow or custodial account liability?

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 ....	2,848,959	2,563,164	2,470,802	2,540,943	2,226,656
b	Contributions ........			7,245		22,983
c	Net investment earnings, gains, and losses	-22,308	285,795	178,061	9,388	306,634
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........			92,727	70,652
f	Administrative expenses ....	4,730		217	8,877	15,330
g	End of year balance ......	2,821,921	2,848,959	2,563,164	2,470,802	2,540,943

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 ................	74,651,363	4,552,274	70,099,089
c	Leasehold improvements ............	14,847,106	744,245	14,102,861
d	Equipment ................	27,967,798	4,644,500	23,323,298
e	Other .................	1,797,921		1,797,921
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				111,980,151

Schedule D (Form 990) 2014

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









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

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		14,002,299
BLUE CROSS CURRENT FINANCING ADVANCE		1,222,600
ESTIMATED MEDICAL MALPRACTICE CLAIMS LIABILITY		3,025,027
DEFERRED COMPENSATION		735,441
DUE TO AFFILIATES		13,906,098
OBLIGATION UNDER CAPITAL LEASE		1,881,940
UNFAVORABLE LEASE LIABILITY		6,440,902
AMORTIZATION HSH REVENUE BOND		288,419

Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		41,502,726
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) 2014

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
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
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
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

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
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
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
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
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

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:

EFFECTIVE JULY 1, 2007, GEISINGER HEALTH SYSTEM(1) (GHS) ADOPTED ACCOUNTING STANDARDS CODIFICATION 740 (FIN 48), (FORMERLY KNOWN AS "STATEMENT 109: ACCOUNTING FOR INCOME TAXES OR "FAS 109"). FIN 48 CLARIFIES THE ACCOUNTING AND REPORTING FOR INCOME TAXES WHERE INTERPRETATION OF THE TAX LAW MAY BE UNCERTAIN. FIN 48 PRESCRIBES A COMPREHENSIVE MODEL FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, PRESENTATION AND DISCLOSURE OF INCOME TAX UNCERTAINTIES WITH RESPECT TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS. THE ADOPTION OF FIN 48 HAD NO IMPACT ON UNRESTRICTED NET ASSETS AS OF THE END OF THE FISCAL YEAR OR ANY PREVIOUS YEAR SINCE ADOPTION. ACCORDINGLY, NO FIN 48 FOOTNOTE DISCLOSURE WAS MADE IN THE FISCAL YEAR END GHS CONSOLIDATED FINANCIAL STATEMENTS.

Schedule D (Form 990) 2014

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

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

OMB No. 1545-0047

2014

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) 2014

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)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . .	131,911	15,413	147,324
2	Less: Contributions . .	85,000		85,000
3	Gross income (line 1 minus line 2) . . .	46,911	15,413	62,324
4	Cash prizes . . .
5	Noncash prizes . .	1,189		1,189
6	Rent/facility costs . .		783	783
7	Food and beverages .	11,606	2,425	14,031
8	Entertainment . . .	2,600	1,850	4,450
9	Other direct expenses .	15,711	7,162	22,873
10	Direct expense summary. Add lines 4 through 9 in column (d) ...........			43,326
11	Net income summary. Subtract line 10 from line 3, column (d)...........			18,998

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 conducts gaming activities:

Is the organization licensed to conduct 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) 2014

Page 3

Does the organization conduct 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 activities conducted 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 provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2014

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 25000.0000000000 %

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 criteria used 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		(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) ..	3,258,288		3,258,288	1.010 %
b	Medicaid (from Worksheet 3, column a) ....	29,827,257	12,613,100	17,214,157	5.310 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	33,085,545	12,613,100	20,472,445	6.320 %
Other Benefits		2,762,183		2,762,183	0.850 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	2,762,183		2,762,183	0.850 %
f	Health professions education (from Worksheet 5) ..	299,789		299,789	0.090 %
g	Subsidized health services (from Worksheet 6) ..	25,248,903	15,848,114	9,400,789	2.900 %
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)
j	Total. Other Benefits ..	28,310,875	15,848,114	12,462,761	3.840 %
k	Total. Add lines 7d and 7j .	61,396,420	28,461,214	32,935,206	10.160 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

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. ......

5,233,329

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. ......

1,287,399

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).....

51,182,933

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

67,505,835

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

-16,322,902

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 %
11 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) 2014

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 (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	HOLY SPIRIT HOSPITAL 503 NORTH 21ST STREET CAMP HILL,PA17011 340801	X	X	X

Schedule H (Form 990) 2014

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

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 12....................

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 significant 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 Section C)

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 Section C 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 Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 12

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): HTTP://WWW.HSH.ORG/CHNA

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, 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) 2014

Page

Part VFacility Information (continued)

	HOLY SPIRIT HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url): HSH.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE

The FAP application form was widely available on a website (list url): HSH.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
HSH.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	HOLY SPIRIT HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other 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?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (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)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

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 Section C)

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 Section C.

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 Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
HOLY SPIRIT HOSPITAL	PART V, SECTION B, LINE 5: HOLY SPIRIT HOSPITAL ENGAGED IN A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS THAT INVOLVED QUALITATIVE AND QUANTITATIVE DATA COLLECTION FROM A WIDE RANGE OF POPULATIONS, INCLUDING DIFFERENT AGES, INCOMES, HEALTH STATUS (INCLUDING RISK FACTORS, UTILIZATION AND ACCESS), AND GEOGRAPHIC AREAS (INCLUDING URBAN, SUBURBAN AND RURAL). AFTER DESIGNING SURVEY QUESTIONS AND INSTRUMENTS TO COLLECT PERTINENT INFORMATION FROM DIFFERENT AUDIENCES, THE CHNA TEAM EMPLOYED A VARIETY OF DATA COLLECTION TECHNIQUES. (1) 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 6A: PENN STATE MILTON S HERSHEY MEDICAL CENTER ANDPINNACLEHEALTH SYSTEM
HOLY SPIRIT HOSPITAL	PART V, SECTION B, LINE 7D: 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 11: 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 AND3. 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.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.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 OFHEALTHY 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 TOPROFESSIONAL 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 13B: RECENT WAGE STATEMENTS, UNEMPLOYMENT OR OTHER DOCUMENTATION OF BENEFITS OR COMPENSATION RECEIVED MAY BE CONSIDERED IN DETERMINING FINANCIAL ASSISTANCE ELIGIBILITY.
HOLY SPIRIT HOSPITAL	PART V, SECTION B, LINE 16I: PATIENT REGISTRATION PERSONNEL ALSO REFER UNINSURED AND/OR LOW INCOME PATIENTS TO FINANCIAL COUNSELORS TO DISCUSS THE FINANCIAL ASSISTANCE POLICY.
HOLY SPIRIT HOSPITAL	PART V, SECTION B, LINE 20E: UNDER NO CIRCUMSTANCE WILL HSH FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENT, ENFORCE LIENS, ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGMENT OR GARNISH THE WAGES OF A PATIENT AND/OR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER HSH'S FINANCIAL ASSISTANCE PROGRAM.
HOLY SPIRIT HOSPITAL	PART V, SECTION B, LINE 22D: HOLY SPIRIT HOSPITAL AVERAGES THE RATES FOR THE TOP 4 COMMERCIAL PAYORS BASED ON VOLUME TO ARRIVE AT AN AVERAGE DISCOUNT FOR INPATIENT, OUTPATIENT, AND EMERGENCY CHARGES.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
HOLY SPIRIT HOSPITAL PART V, SECTION B, LINE 16A WEBSITE:	HSH.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE
HOLY SPIRIT HOSPITAL PART V, SECTION B, LINE 16B WEBSITE:	HSH.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE
HOLY SPIRIT HOSPITAL PART V, SECTION B, LINE 16C WEBSITE:	HSH.ORG/PATIENTS-AND-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE

Schedule H (Form 990) 2014

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) 2014

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
PART I, LINE 6A:	A SUMMARY OF THE COMMUNITY BENEFIT PROVIDED BY HOLY SPIRIT HOSPITAL (HSH) AND ITS RELATED CHARITABLE ORGANIZATIONS IS AVAILABLE AT WWW.HSH.ORG AND MADE AVAILABLE TO THE PUBLIC UPON REQUEST.GO TO: HTTP://WWW.HSH.ORG/HEALTH-RESOURCES/PUBLICATIONS
PART I, LINE 7:	A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE COSTS REPORTED ON LINE 7 AND ADDRESSED PATIENT SEGMENTS BY PAYOR (E.G. MEDICARE, MEDICAID, COMMERCIAL PAYORS, SELF-PAY, ETC.). A COST-TO-CHARGE RATIO, CALCULATED PURSUANT TO WORKSHEET 2 OF THE FORM 990 INSTRUCTIONS WAS USED TO CALCULATE THE COST OF CHARITY.
PART I, LINE 7G:	THERE ARE NO PHYSICIAN CLINICAL SERVICES INCLUDED IN SUBSIDIZED HEALTH SERVICES.
PART I, LN 7 COL(F):	THE AMOUNT OF BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25 COLUMN (A) BUT SUBTRACTED OUT FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCH H, PART I, LINE 7, COLUMN (F) IS $5,233,329.
PART III, LINE 2:	THE HOSPITAL USES THE ALLOWANCE METHOD TO RECORD BAD DEBT EXPENSES. USING THIS METHOD, THE EXPENSES ARE RECORDED EACH MONTH BASED ON THE CHANGE IN THE HOSPITAL'S ALLOWANCE FOR BAD DEBTS. THE AGING OF ACCOUNTS RECEIVABLE AND THE PROBABILITY OF COLLECTIONS IS USED TO ESTIMATED THE CREDIT NEEDED FOR THE HOSPITAL'S ALLOWANCE FOR BAD DEBTS. THEN ACCOUNTS THAT ARE DEEMED TO BE UNCOLLECTIBLE ARE WRITTEN OFF TO THE ALLOWANCE FOR BAD DEBTS AND RECOVERIES OF PAST BAD DEBT ACCOUNTS ARE POSTED AGAINST THE SAME ALLOWANCE FOR BAD DEBTS.
PART III, LINE 3:	PATIENTS' ACCOUNTS ARE MONITORED THROUGHOUT THE BILLING PROCESS AND ARE RECLASSIFIED TO CHARITY CARE (100% DISCOUNTED CARE) WHENEVER A PATIENT BECOMES ELIGIBLE UNDER HSH'S UNCOMPENSATED OR CHARITY CARE POLICIES. BASED ON EXPERIENCE, HSH ESTIMATES THAT APPROXIMATELY 24.6% OF THE BAD DEBT ACCOUNTS ARE SUBSEQUENTLY RECLASSIFIED TO UNCOMPENSATED OR CHARITY CARE. THE HOSPITAL PROVIDES CARE TO ALL PATIENTS WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. THIS IS PART OF THE HOSPITAL'S MISSION AND SHOULD BE CONSIDERED COMMUNITY BENEFIT.
PART III, LINE 4:	GEISINGER HEALTH SYSTEM FOUNDATION AND ITS AFFILIATES (THE "SYSTEM"), THAT INCLUDES HOLY SPIRIT HOSPITAL, PREPARE AND ISSUE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE SYSTEM'S ALLOWANCE FOR DOUBTFUL ACCOUNTS (BAD DEBT EXPENSE) METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED ACROSS ALL CHARITABLE AFFILIATES. THE ORGANIZATIONS WRITE OFF ALL ACCOUNTS THAT HAVE BEEN IDENTIFIED AS UNCOLLECTIBLE. AN ALLOWANCE FOR UNCOLLECTABLE ACCOUNTS IS RECORDED FOR ACCOUNTS NOT YET WRITTEN OFF THAT ARE ANTICIPATED TO BECOME UNCOLLECTABLE IN FUTURE PERIODS. FOR THE FOOTNOTES REGARDING ACCOUNTS RECEIVABLE AND ALLOWANCES SEE PAGE 8 OF THE ATTACHED GEISINGER HEALTH SYSTEM CONSOLIDATED FINANCIAL STATEMENTS, JUNE 30, 2015 AND JUNE 30, 2014. FOR THE FOOTNOTE REGARDING BAD DEBT, SEE PAGE 13 OF THE CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE MEDICARE ALLOWABLE COSTS COME DIRECTLY FROM THE MEDICARE COST REPORT SCHEDULES. THESE AMOUNTS ONLY REPRESENT COST OF CLAIMS PAID AT THE TIME THE COST REPORT WAS SUBMITTED.HSH CONSIDERS THAT THE TOTAL MEDICARE SHORTFALL OF $16,322,902 SHOULD BE REPORTED AS COMMUNITY BENEFIT. ALONG WITH PROVIDING CARE TO MEDICAID PATIENTS AND PROVIDING FREE OR DISCOUNTED CARE TO OTHER LOW INCOME PATIENTS, THE IRS COMMUNITY BENEFIT STANDARD INCLUDES THE PROVISION OF CARE TO THE ELDERLY AND MEDICARE PATIENTS. FOR MANY OF THE MEDICAL SERVICES PROVIDED BY THE HOSPITAL, MEDICARE DOES NOT PROVIDE SUFFICIENT REIMBURSEMENT TO COVER THE COST OF PROVIDING CARE TO THESE PATIENTS, FORCING HSH TO USE OTHER FUNDS TO COVER THE SHORTFALL. MEDICARE SHORTFALLS MUST BE ABSORBED BY HSH IN ORDER TO CONTINUE TREATING THE ELDERLY IN OUR COMMUNITY. HSH PROVIDES CARE REGARDLESS OF THE MEDICARE SHORTFALL AND IS THEREBY PROVIDING ACCESS TO MEDICAL SERVICES FOR THE ELDERLY AND RELIEVING THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR PROVIDING CARE TO MEDICARE PATIENTS. ABSENT THE MEDICARE PROGRAM, IT IS LIKELY THAT MEDICARE PATIENTS WOULD BE ELIGIBLE FOR CHARITY CARE OR OTHER NEEDS BASED GOVERNMENT PROGRAMS. THE AMOUNT EXPENDED TO COVER THE SHORTFALL IS MONEY NOT AVAILABLE FOR FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFIT NEEDS.PENNSYLVANIA REQUIRES NON-PROFIT HOSPITALS LIKE HSH TO PROVIDE A MINIMUM LEVEL OF COMMUNITY BENEFIT TO RETAIN EXEMPTION FROM STATE AND LOCAL TAXES. ACCORDING TO STATE GUIDANCE AND CASE LAW, THE UNREIMBURSED COST OF MEDICARE IS CONSIDERED TO BE COMMUNITY BENEFIT FOR STATE EXEMPTION PURPOSES.
PART III, LINE 9B:	HSH IS COMMITTED TO PROVIDING MEDICALLY NECESSARY SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY AND HSH'S COLLECTION ACTIONS ARE CONSISTENTLY APPLIED TO ALL PATIENTS. IT IS HSH POLICY TO PROVIDE FINANCIAL ASSISTANCE AND COUNSELING TO PATIENTS WITH LIMITED FINANCIAL MEANS. A PATIENT MAY BECOME ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING TREATMENT OR DURING THE CONTINUUM OF THE FINANCIAL/BILLING AND COLLECTION PROCESS. IN ANY STAGE OF THE BILLING PROCESS, COLLECTION ACTIONS ARE NOT PURSUED WHENEVER A PATIENT APPLIES AND IS BEING EVALUATED FOR FINANCIAL ASSISTANCE.UNDER NO CIRCUMSTANCE WILL HSH FREEZE OR ATTACH BANK ACCOUNTS OF A PATIENT, ENFORCE LIENS, ACTIVELY PURSUE ASSETS FROM A PRIOR JUDGMENT OR GARNISH THE WAGES OF A PATIENT AND/OR FAMILY MEMBER BEFORE DETERMINING IF THE PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER HSH'S FINANCIAL ASSISTANCE PROGRAM.
PART VI, LINE 2:	AS PART OF ITS STRATEGIC PLANNING PROCESS, HOLY SPIRIT HOSPITAL CONDUCTS AN ENVIRONMENTAL IMPACT ANALYSIS AND ASSESSES THE HEALTH CARE NEEDS OF ITS COMMUNITY. HEART, CANCER, AND STROKE HAVE BEEN IDENTIFIED AS THE LEADING CAUSES OF DEATH, AND HOLY SPIRIT HAS COMMITTED RESOURCES TO THESE SERVICE LINES TO ADDRESS THE HEALTH NEEDS OF ITS COMMUNITY, AMONG OTHER ITEMS DRIVEN BY DEMOGRAPHICS AND EPIDEMIOLOGY.HOLY SPIRIT HOSPITAL CONDUCTS PHYSICIAN NEEDS ASSESSMENTS TO IDENTIFY MEDICAL AND SURGICAL SPECIALITIES THAT ARE IN SHORT SUPPLY WITHIN ITS PRIMARY SERVICE AREA. STRONG PHYSICIAN RECRUITMENT TARGETS HAVE BEEN SET TO ASSURE THAT THE COMMUNITY HAS ACCESS TO THESE PHYSICIANS.HOLY SPIRIT HOSPITAL PARTICIPATED IN A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT WITH TWO OTHER LOCAL HOSPITAL/HEALTH SYSTEMS IN KEEPING WITH IRS GUIDANCE. A THIRD-PARTY CONSULTANT WAS ENGAGED TO OUTLINE THE PROCESS, CONDUCT RESEARCH, AND ENGAGE COMMUNITY STAKEHOLDERS. THIS INFORMATION WAS USED AS THE BASIS FOR A FORMAL, REGIONAL HEALTH ASSESSMENT DOCUMENT. SEE PART V OF SCHEDULE H.
PART VI, LINE 3:	THE HOSPITAL INFORMS PATIENTS ABOUT THE POSSIBILITY OF ASSISTANCE FROM GOVERNMENT PROGRAMS AND/OR THE HOSPITAL'S OWN CHARITY CARE POLICY IN A NUMBER OF WAYS. HOSPITAL-EMPLOYED FINANCIAL COUNSELORS AND/OR VENDOR AGENTS ASSIST UNINSURED PATIENTS IN APPLYING FOR AND RECEIVING MEDICAID ELIGIBILITY. IN ADDITION, THE HOSPITAL USES SIGNAGE AT PATIENT REGISTRATION LOCATIONS AND INCLUDES LANGUAGE IN PATIENT BROCHURES AND ON ITS BILLING STATEMENTS TO INFORM PATIENTS ABOUT THE HOSPITAL'S CHARITY CARE PROGRAM.
PART VI, LINE 4:	HOLY SPIRIT HOSPITAL IS A COMMUNITY CATHOLIC HOSPITAL FORMED TO CARRY OUT THE HEALING MINISTRY OF JESUS CHRIST TO ALL IN NEED. HOLY SPIRIT PROVIDES HIGH-QUALITY, COST-EFFECTIVE HEALTH SERVICES TO DEVELOP HEALTHY COMMUNITIES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA. HOLY SPIRIT HOSPITAL IS LOCATED IN CAMP HILL, WHICH IS SUBURBAN CUMBERLAND COUNTY, AND IS PART OF THE GREATER HARRISBURG-MECHANICSBURG-CARLISLE METROPOLITAN AREA. HOLY SPIRIT HOSPITAL'S PRIMARY SERVICE AREA COVERS PARTS OF THE FOUR COUNTIES OF CUMBERLAND, DAUPHIN, PERRY, AND NORTHERN YORK WITH A POPULATION OF APPROXIMATELY 500,000, INCLUDING STARKLY DIFFERENT AREAS OF URBAN, SUBURBAN, SEMI-RURAL, AND RURAL POPULATIONS. THIS SAME SERVICE AREA IS SERVED BY FOUR COMPETING HEALTH SYSTEMS: HOLY SPIRIT HOSPITAL, PINNACLEHEALTH SYSTEM, PENN STATE HERSHEY MEDICAL CENTER, AND CARLISLE REGIONAL MEDICAL CENTER. THE POPULATION IN THE HOSPITAL'S PRIMARY SERVICE AREA IS RAPIDLY AGING (MEDIAN AGE IS 40.7), AND THE OVER 65 POPULATION IS EXPECTED TO GROW TO OVER 18% OF TOTAL POPULATION IN THE NEXT FIVE YEARS. THE AVERAGE HOUSEHOLD INCOME IN THE PRIMARY SERVICE AREA IS $74,796, COMPARED TO THE NATIONAL AVERAGE INCOME OF $74,165 (2015 TRUVEN HEALTH ANALYTICS, INC.).
PART VI, LINE 5:	HOLY SPIRIT HOSPITAL HAS A TOTAL OF 307 PATIENT BEDS AND 15 BASSINETS. THERE ARE NEARLY 550 PHYSICIANS ON STAFF, AND ALMOST 2,000 EMPLOYEES, INCLUDING: NURSES, NURSING ASSISTANTS AND NURSING SUPPORT STAFF; LAB AND RADIOLOGY TECHNICIANS; PHYSICAL, RESPIRATORY, OCCUPATIONAL AND SPEECH THERAPISTS; PHLEBOTOMISTS AND A BROAD RANGE OF TECHNICAL AND ADMINISTRATIVE PERSONNEL. EACH IS HIGHLY TRAINED TO DELIVER QUALITY AND SAFE CARE TO INPATIENTS AND OUTPATIENTS OR SUPPORT THOSE WHO DO. THE HOSPITAL HAS:1) AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREAS;2) A BOARD OF DIRECTORS WHO GOVERN THE ORGANIZATION. THE BOARD IS COMPRISED OF COMMUNITY AND BUSINESS LEADERS, AND PHYSICIANS REPRESENTING THE GEOGRAPHIC AREA OF OUR REGION;3) AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES.HOLY SPIRIT HOSPITAL OFFERS A COMPREHENSIVE ARRAY OF INPATIENT AND OUTPATIENT SERVICES WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. HOLY SPIRIT STAFF ARE DEDICATED TO THE VALUES OF DIGNITY, WHOLISM, SERVICE, STEWARDSHIP, QUALITY AND INTEGRITY. HOLY SPIRIT ALSO HAS A STRONG MISSION-DRIVEN TRADITION OF SUPPORTING THE REGIONAL COMMUNITY THROUGH A BROAD RANGE OF CHARITABLE SERVICES AND COMMUNITY BENEFIT PROGRAMS, WHICH ARE DETAILED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (AVAILABLE ON THE WEBSITE AT WWW.HSH.ORG). FREE AND LOW-COST SERVICES AND COMMUNITY BENEFIT PROGRAMS ARE PROVIDED THROUGHOUT THE SERVICE AREA. HOLY SPIRIT CONDUCTS AN ANNUAL APPEAL INVITING EMPLOYEES AND VOLUNTEERS TO SUPPORT INTERNAL COMMUNITY BENEFIT PROGRAMS, WHICH IN TURN HELPS TO PROVIDE FREE AND LOW-COST PROGRAMS. ANY DONATIONS OR GRANTS GENERATED ARE REFLECTED AS REVENUE WITHIN PROGRAMS AND CREDITED AGAINST OPERATING LOSSES. ANOTHER WAY THAT HOLY SPIRIT FACILITATES GIVING IS BY ALLOWING STAFF TO PARTICIPATE IN A SYSTEM-WIDE FUNDRAISER DIRECTING CONTRIBUTIONS TO UNITED WAY OF THE CAPITAL REGION. HOLY SPIRIT EMPLOYEES DONATED MORE THAN $35,740 TO UNITED WAY IN FY2015. WITHOUT THE ORGANIZATION'S INVOLVEMENT, THE MAJORITY OF INDIVIDUALS MOST LIKELY WOULD NOT HAVE CONTRIBUTED TO THIS WORTHWHILE COMMUNITY PROGRAM. IN ADDITION, HOLY SPIRIT EMPLOYEES SERVE IN A MULTITUDE OF VOLUNTEER ROLES INCLUDING, BUT NOT LIMITED TO, FIREFIGHTERS, EMERGENCY MANAGEMENT TECHNICIANS, CHAPLAINS, PARISH NURSES, GROUP LEADERS, MENTORS, EDUCATORS, AND DIRECTORS AND VOLUNTEERS FOR REGIONAL NONPROFITS.
PART VI, LINE 6:	HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY (HSH) IS AN AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM. GEISINGER HEALTH SYSTEM IS A PHYSICIAN-LED, INTEGRATED HEALTH SERVICES ORGANIZATION THAT HAS AS ITS MAIN COMPONENTS: 1) AN ARRAY OF HEALTH SERVICES PROVIDERS, INCLUDING SIX ACUTE CARE HOSPITALS AND A DRUG AND ALCOHOL TREATMENT FACILITY; 2) A MULTISPECIALTY PHYSICIAN GROUP PRACTICE OF 1,136 PHYSICIANS PRACTICING AT 91 PRIMARY AND SPECIALTY CLINICS; AND 3) ONE OF THE NATION'S LARGEST RURAL HEALTH INSURANCE ORGANIZATIONS WITH 478,501 MEMBERS. GEISINGER OPERATES IN 44 OF PENNSYLVANIA'S 67 COUNTIES, WITH A SIGNIFICANT PRESENCE IN CENTRAL AND NORTHEASTERN PENNSYLVANIA, PRIMARILY OUTSIDE THE MAJOR METROPOLITAN AREAS.GEISINGER AT A GLANCE:-PHYSICIAN PRACTICE GROUP - MULTISPECIALTY GROUP PRACTICE WITH 1,136 EMPLOYED PHYSICIANS PRACTICING AT 91 CLINIC SITES-MANAGED CARE COMPANIES 478,501 MEMBERS-PROVIDER FACILITIES INCLUDES 1,326 LICENSED HOSPITAL BEDS, 344 SKILLED NURSING FACILITY BEDS AND 91 CHEMICAL DEPENDENCY BEDS.MISSION. GEISINGER'S MISSION IS TO ENHANCE THE QUALITY OF LIFE THROUGH AN INTEGRATED HEALTH SERVICE ORGANIZATION BASED ON A BALANCED PROGRAM OF PATIENT CARE, EDUCATION, RESEARCH, AND COMMUNITY SERVICE. THIS MISSION STATEMENT HAS BEEN SUMMARIZED INTO FOUR WORDS - "HEAL. TEACH. DISCOVER. SERVE."HISTORY. GEISINGER HAD ITS BEGINNINGS IN THE SMALL COMMUNITY OF DANVILLE, WHICH IS LOCATED IN CENTRAL PENNSYLVANIA ON THE NORTHERN BRANCH OF THE SUSQUEHANNA RIVER. THERE, IN 1915, ABIGAIL A. GEISINGER FOUNDED THE GEORGE F. GEISINGER MEMORIAL HOSPITAL IN MEMORY OF HER HUSBAND. FROM THEBEGINNING, THE NEW HOSPITAL WAS DESIGNED AS A COMPREHENSIVE HEALTHCARE INSTITUTION THAT WOULD OFFER SPECIALIZED MEDICAL CARE TO PEOPLE IN THE RURAL AREAS OF CENTRAL AND NORTHEASTERN PENNSYLVANIA.UNLIKE MOST HEALTHCARE SYSTEMS, WHICH EVOLVED WITH A HOSPITAL FOCUS, GEISINGER'S HISTORY AND TRADITION IS THAT OF A PHYSICIAN-LED AND PHYSICIAN-DRIVEN HEALTHCARE ORGANIZATION. THIS TRADITION BEGAN WHEN MRS. GEISINGER BROUGHT DR. HAROLD FOSS, A MAYO CLINIC TRAINED PHYSICIAN, TO BE HER HOSPITAL'S FIRST CHIEF OF STAFF. TODAY, GEISINGER IS REGARDED AS A NATIONAL MODEL OF HEALTHCARE DELIVERY CENTERED ON A SOPHISTICATED MULTISPECIALTY GROUP PRACTICE. SINCE THE 1970S, GEISINGER'S STRATEGY OF INTEGRATING PHYSICIANS AND HOSPITALS EXPANDED TO INCLUDE THE MANAGEMENT OF HEALTH AND THE FINANCING OF HEALTHCARE SERVICES THROUGH ITS WHOLLY CONTROLLED HEALTH MAINTENANCE ORGANIZATION, GEISINGER HEALTH PLAN. TWO INDEMNITY HEALTH INSURERS, GEISINGER INDEMNITY INSURANCE COMPANY AND GEISINGER QUALITY OPTIONS, INC., KNOWN COLLECTIVELY WITH GEISINGER HEALTH PLAN AS "GEISINGER HEALTH PLANS OR "GHPS", HAVE BEEN ADDED IN RECENT YEARS.CORPORATE STRUCTURE. THE ORGANIZATIONAL STRUCTURE OF THE SYSTEM REFLECTS THE STRATEGIC GOAL OF OPERATING AS A FULLY INTEGRATED HEALTHCARE SYSTEM WHOSE CORPORATE COMPONENTS SHARE THE COMMON GOALS OF MANAGING AND IMPROVING THE HEALTHCARE OF ITS PATIENTS AND MEMBERS, WHILE RECOGNIZING AND RESPECTING THE CORPORATE IDENTITY OF EACH ENTITY. THIS INTEGRATION LINKS THE AREAS OF PHYSICIANS, HOSPITALS/CLINICS, AND HEALTHCARE INSURANCE.SEE SCHEDULE R FOR A LIST OF THE AFFILIATED ORGANIZATIONS COMPRISING THE GEISINGER HEALTH SYSTEM.THROUGHOUT THIS DOCUMENT THE TERMS "GEISINGER HEALTH SYSTEM", "GEISINGER OR "SYSTEM" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.HOLY SPIRIT HEALTH SYSTEM (HSHS) IS THE CORPORATE ENTITY OVER THE CORPORATIONS LISTED BELOW. EACH CORPORATION SERVES VARIOUS ROLES WITHIN THE HSHS NETWORK. IN PREPARATION FOR ANTICIPATED CHANGES RELATED TO HEALTHCARE REFORM, THE HSHS BOARD OF DIRECTORS ENGAGED IN RESEARCH AND PRELIMINARY DISCUSSIONS ON BEHALF OF THE NETWORK TO ASSESS THE VIABILITY OF AFFILIATING OR MERGING WITH ANOTHER HEALTH SYSTEM. HOLY SPIRIT BECAME AN AFFILIATE OF GEISINGER HEALTH SYSTEM IN OCTOBER 2014. HOLY SPIRIT HOSPITAL (THE "HOSPITAL") IS A COMMUNITY CATHOLIC HOSPITAL, PROVIDING HIGH-QUALITY, COST-EFFECTIVE HEALTH SERVICES TO PATIENTS IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA. THE HOSPITAL IS LICENSED FOR 307 ACUTE CARE BEDS AND OPERATES OUTPATIENT CENTERS IN CAMP HILL, MECHANICSBURG, CARLISLE, HARRISBURG, DILLSBURG, DUNCANNON, AND OTHER LOCATIONS. AFFILIATED SERVICES INCLUDE GENERAL AND SPECIALTY SURGERY. OTHER SERVICES INCLUDE CANCER TREATMENT (GAMMA KNIFE AND LINEAR ACCELERATOR) AT HOLY SPIRIT CANCER CENTER IN MECHANICSBURG, MULTIPLE CARDIAC REHABILITATION PROGRAMS, AND HOLY SPIRIT SLEEP CENTERS LOCATED IN LEMOYNE AND HARRISBURG. HOLY SPIRIT HOME HEALTH CARE, A DEPARTMENT OF THE HOSPITAL, OFFERS MEDICAL SERVICES UNDER THE DIRECTION OF A PATIENT'S PHYSICIAN IN THE COMFORT AND PRIVACY OF THE PATIENT'S OWN HOME. HOME HEALTH CARE CLINICIANS PROVIDE A VARIETY OF SERVICES, INCLUDING SKILED NURSING, PHYSICIAL AND OCCUPATIONAL THERAPY, SOCIAL SERVICES AND PERSONAL CARE. PROFESSIONALS ALSO PROVIDE SPECIALITY PROGRAMS IN WOUND AND OSTOMY CARE, INTRAVENOUS THERAPY, MENTAL HEALTH AND TELEHEALTH. THE HOSPITAL HAS: (1) AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREAS, AND (2) AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS IN NEED REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES, AMONG OTHER SERVICES. A BOARD OF DIRECTORS COMPRISED OF COMMUNITY, BUSINESS, AND RELIGOUS LEADERS, AND PHYSICIANS GOVERNS THE ORGANIZATION. HOLY SPIRIT SPIRIT PHYSICIAN SERVICES, INC. ("SPSI") IS A NETWORK OF APPROXIMATELY 100 PHYSICIANS AND OTHER HEALTHCARE PROVIDERS DELIVERING PRIMARY AND SPECIALTY CARE SERVICES TO ITS SURROUNDING COMMUNITY. THE PHYSICIAN NETWORK IS OWNED BY HOLY SPIRIT HEALTH SYSTEM, A COMMUNITY CATHOLIC HEALTH SYSTEM. OUR SPECIALTIES INCLUDE FAMILY MEDICINE, OBSTETRICS AND GYNECOLOGY, INTERNAL MEDICINE, PEDIATRICS, GENERAL SURGERY, CARDIOTHORACIC SURGERY, ENDOCRINOLOGY, CARDIOLOGY, NEUROLOGY, NEUROSURGERY, VASCULAR SURGERY, RADIATION ONCOLOGY, URGENT CARE AND HOSPITALIST GROUPS. HOLY SPIRIT CORPORATION ("HSC") IS A REAL ESTATE HOLDING CORPORATION WITH PROPERTIES IN CAMP HILL, DILLSBURG, AND MECHANICSBURG, INCLUDING THE MEDICAL ARTS BUILDING, AMERICAN OFFICE CENTER, AND KINDER CARE CENTER. HOLY SPIRIT VENTURES, INC. ("HSV") IS THE CORPORATE ORGANIZATION THROUGH WHICH HSHS PARTICIPATES IN THE OWNERSHIP AND MANAGEMENT OF HEALTHCARE FACILITIES JOINTLY WITH OTHER HEALTHCARE PROVIDERS. IN ADDITION, HSV OWNS A RETAIL PHARMACY AND THE SENATE HOUSE, A COMBINED COMMERCIAL OFFICE/RESIDENTIAL APARTMENT BUILDING. WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC. ("WSALS") PROVIDES AMBULANCE AND MEDICAL TRANSPORT SERVICES ACROSS CENTRAL PENNSYLVANIA. SERVICES INCLUDE BASIC AND ADVANCED LIFE SUPPORT, AS WELL AS AUTOMATED EXTERNAL DEFIBRILLATION FOR QUICK RESPONSE TO HEART ATTACK AND OTHER CARDIAC EMERGENCIES. FOR NON-EMERGENCY NEEDS, WSALS PROVIDES WHEELCHAIR VANS AND COACH SERVICES TO TRANSPORT INVALID AND BED-BOUND PATIENTS. WSALS ALSO IS INVOLVED IN VARIOUS ADMINISTRATIVE AND CONSULTING SERVICES FOR OTHER AMBULANCE COMPANIES. PART VI, LINE 7: N/A

Schedule H (Form 990) 2014

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

2014

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 Domestic Organizations and Domestic Governments. 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 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)	37,246,983	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) 2014

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. 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, PHYSICAL THERAPY, ANESTHESIA OCCUPATIONAL THERAPY AND OCCUPATIONAL HEALTH	30	174,019

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) 2014

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

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

OMB No. 1545-0047

2014

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? ................

Yes

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), 501(c)(4), and 501(c)(29) organizations 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) 2014

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 in column(B) 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)
1RICHARD SCHREIBER MDDIRECTOR	(i) (ii)	214,620 ............................... 0	0 ............................... 0	5,691 ............................... 0	10,854 ............................... 0	27,355 ............................... 0	258,520 ............................... 0	0 ............................... 0
2TAPASDIP GAJJAR MDDIRECTOR	(i) (ii)	0 ............................... 178,614	0 ............................... 45,828	0 ............................... 34,404	0 ............................... 9,575	0 ............................... 24,462	0 ............................... 292,883	0 ............................... 0
3DAVID J FELICIO ESQUIRESECRETARY	(i) (ii)	0 ............................... 390,448	0 ............................... 164,846	0 ............................... 107,331	0 ............................... 76,118	0 ............................... 25,063	0 ............................... 763,806	0 ............................... 61,110
4MANUEL J EVANSSR VP, FINANCE, CFO	(i) (ii)	365,396 ............................... 0	150,000 ............................... 0	110,716 ............................... 0	51,649 ............................... 0	11,812 ............................... 0	689,573 ............................... 0	91,773 ............................... 0
5KEVIN F BRENNAN CPA FHFMAEVP, FINANCE, CFO	(i) (ii)	0 ............................... 531,656	0 ............................... 273,329	0 ............................... 223,359	0 ............................... 176,933	0 ............................... 24,858	0 ............................... 1,230,135	0 ............................... 185,023
6EDWARD ZYCHASSOCIATE CHIEF LEGAL OFFICER AND AS	(i) (ii)	0 ............................... 262,471	0 ............................... 80,515	0 ............................... 47,579	0 ............................... 18,720	0 ............................... 23,750	0 ............................... 433,035	0 ............................... 30,485
7RICHARD A SCHAFFNER JRSR VP, COO	(i) (ii)	342,619 ............................... 0	163,000 ............................... 0	93,027 ............................... 0	50,865 ............................... 0	24,218 ............................... 0	673,729 ............................... 0	82,414 ............................... 0
8JOSEPH A TORCHIA MDSR VP, MED AFFAIRS	(i) (ii)	359,903 ............................... 0	140,000 ............................... 0	94,374 ............................... 0	48,850 ............................... 0	12,436 ............................... 0	655,563 ............................... 0	85,642 ............................... 0
9RICHARD E LAVANTURESR VP, CORP AFFAIRS	(i) (ii)	313,694 ............................... 0	100,000 ............................... 0	79,491 ............................... 0	53,357 ............................... 0	22,621 ............................... 0	569,163 ............................... 0	68,820 ............................... 0
10WILLIAM P SHARTLESR VP, HR	(i) (ii)	233,515 ............................... 0	100,000 ............................... 0	62,997 ............................... 0	35,172 ............................... 0	24,636 ............................... 0	456,320 ............................... 0	57,216 ............................... 0
11GERALD R NEWHOUSEVP, RISK MGMT, SUP SVCS	(i) (ii)	180,441 ............................... 0	40,000 ............................... 0	1,072 ............................... 0	11,958 ............................... 0	22,240 ............................... 0	255,711 ............................... 0	0 ............................... 0
12DAVID A GATESMANVP PROFESS. SVCS	(i) (ii)	178,187 ............................... 0	30,000 ............................... 0	4,057 ............................... 0	9,328 ............................... 0	25,967 ............................... 0	247,539 ............................... 0	0 ............................... 0
13LISA F LEWISVP, PAT CARE SVCS	(i) (ii)	241,849 ............................... 0	100,000 ............................... 0	63,839 ............................... 0	39,302 ............................... 0	18,019 ............................... 0	463,009 ............................... 0	50,445 ............................... 0
14EDITH C DEESCHIEF INFO OFFICER	(i) (ii)	211,916 ............................... 0	60,000 ............................... 0	56,804 ............................... 0	8,750 ............................... 0	10,631 ............................... 0	348,101 ............................... 0	0 ............................... 0
15MICHAEL J PASZEK MDPHYSICIAN, BIRTHPLACE	(i) (ii)	288,158 ............................... 0	0 ............................... 0	15,128 ............................... 0	15,419 ............................... 0	24,646 ............................... 0	343,351 ............................... 0	0 ............................... 0
16ROBERT W LUTHMANNPHYSICIST, OAKWOOD CANCER CTR	(i) (ii)	286,788 ............................... 0	0 ............................... 0	1,878 ............................... 0	9,785 ............................... 0	27,027 ............................... 0	325,478 ............................... 0	0 ............................... 0
17MARIA E PRUDENCIO MDPHYSICIAN, BIRTHPLACE	(i) (ii)	249,230 ............................... 0	0 ............................... 0	11,263 ............................... 0	17,689 ............................... 0	1,511 ............................... 0	279,693 ............................... 0	0 ............................... 0
18JAGADEESH K MOOLAPSYCHIATRIST	(i) (ii)	199,895 ............................... 0	0 ............................... 0	49,199 ............................... 0	10,215 ............................... 0	24,623 ............................... 0	283,932 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

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 3

COMPENSATION IS DETERMINED UNDER THE GEISINGER HEALTH SYSTEM PROCESS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE. THE FOLLOWING ARE USED TO ESTABLISH COMPENSATION: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEY OR STUDIES, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.

PART I, LINES 4A-B

UPON INVOLUNTARY SEPARATION, EMPLOYEES MAY BE ELIGIBLE TO RECEIVE CONTINUATION OF SALARY FOR A TERM THAT IS BASED ON THEIR YEARS OF SERVICE AND POSITION. THE FOLLOWING INDIVIDUALS WERE PAID SEVERANCE IN FY2015: EDITH DEES- SEVERANCE PAY $17,465 COMPENSATION FOR ELIGIBLE EMPLOYEES MAY BE DEFERRED TO A 457(F) NONQUALIFIED PLAN THAT VESTS WITH COMPLETION OF SERVICE, DEATH AND/OR PERMANENT DISABILITY. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A NONQUALIFIED RETIREMENT PLAN: MANUEL EVANS - $101,511 RICHARD SCHAFFNER - $91,514 JOSEPH TORCHIA - $91,958 RICHARD LAVANTURE - $76,894 WILLIAM SHARTLE - $57,216 LISA LEWIS - $62,854 KEVIN BRENNAN - $185,023 DAVID J. FELICIO - $61,110 FOOTNOTE: THROUGHOUT FORM 990, THE TERMS "GEISINGER HEALTH SYSTEM AND "SYSTEM OR THE ACRONYM "GHS" SHALL REFER TO THE ENTIRE HEALTHCARE SYSTEM COMPRISED OF GEISINGER HEALTH SYSTEM FOUNDATION ("THE FOUNDATION") AS PARENT AND ALL SUBSIDIARY CORPORATIONS COMPRISING THE SYSTEM.

Schedule J (Form 990) 2014

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

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

OMB No. 1545-0047

2014

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), section 501(c)(4), and 501(c)(29) 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	948,086		No	Yes		Yes





Total ...... $						948,086

Part III

Grants or Assistance Benefiting 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) 2014

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	(b) Relationship between interested person and the organization	(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
(1) SZELES CAPITAL DEVELOPMENT	BUSINESS	111,935	RENTAL/LEASE EXPENSERICHARD A. SZELES IS A OFFICER/DIRECTOR OF HOLY SPIRIT HOSPITAL AND AN OWNER/MANAGING PARTNER OF SZELES CAPITAL DEVELOPMENT AND OF SZELES REAL ESTATE DEVELOPMENT CO.		No
(2) SZELES REAL ESTATE DEVELOPMENT CO	BUSINESS	211,430	RENTAL/LEASE EXPENSERICHARD A. SZELES IS A OFFICER/DIRECTOR OF HOLY SPIRIT HOSPITAL AND AN OWNER/MANAGING PARTNER OF SZELES CAPITAL DEVELOPMENT AND OF SZELES REAL ESTATE DEVELOPMENT CO.		No
(3) KATHERINE LAVANTURE	FAMILY MEMBER	22,363	EMP. COMP. - KATHERINE IS A FAMILY MEMBER OF RICHARD LAVANTURE, A KEY EMPLOYEE OF HOLY SPIRIT HOSPITAL.		No
(4) MONICA SZELES	FAMILY MEMBER	60,449	EMP. COMP. - MONICA IS A FAMILY MEMBER OF RICHARD A. SZELES, AN OFFICER/DIRECTOR OF HOLY SPIRIT HOSPITAL.		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) 2014

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 990-EZ 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

2014

Open to Public
Inspection

Name of the organization

HOLY SPIRIT HOSPITAL

Employer identification number

23-1512747

Return Reference	Explanation
PART III, LINE 4A CONT.:	UNCOMPENSATED CARE HOLY SPIRIT HOSPITAL RECOGNIZES THAT ITS MISSION IS TO SERVE ALL THE MEMBERS OF THE COMMUNITY WITH RESPECT TO THE PROVISION OF HEALTHCARE SERVICES AND EDUCATION. HOLY SPIRIT HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY. IN THIS REGARD HOLY SPIRIT HOSPITAL PROVIDES FREE OR SUBSIDIZED CARE BELOW COST AND SUPPORTS VARIOUS HEALTH ACTIVITIES AND PROGRAMS IN SUPPORT OF THE COMMUNITY. A. CHARITY CARE THE PRIMARY CONCERN OF HOLY SPIRIT HOSPITAL IS THE DELIVERY OF HEALTH CARE TO ALL THE CITIZENS OF THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA, REGARDLESS OF THEIR ABILITY TO PAY. THE UNREIMBURSED COST OF CHARITY CARE REPRESENTS THE COST HOLY SPIRIT HOSPITAL INCURS BY PROVIDING FREE OR DISCOUNTED SERVICES TO THOSE WHO CANNOT AFFORD TO PAY. THE COST TO HOLY SPIRIT HOSPITAL OF PROVIDING THIS CHARITY CARE DURING THE FISCAL YEAR ENDED JUNE 30, 2015 WAS $3,258,288. B. MEDICARE/MEDICAID/OTHER GOVERNMENTAL RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO THE ELDERLY (MEDICARE), THE POOR (MEDICAID) AS WELL AS OTHERS. HOLY SPIRIT HOSPITAL PROVIDES CARE, BELOW COST, TO PERSONS COVERED BY THESE GOVERNMENTAL PROGRAMS. TO THE EXTENT REIMBURSEMENT IS BELOW THE COST OF PROVIDING HEALTHCARE, HOLY SPIRIT HOSPITAL IS FURTHERING ITS MISSION TO THE ENTIRE COMMUNITY. THE UNREIMBURSED VALUE OF MEDICARE AND/OR MEDICAID AND/OR OTHER GOVERNMENTAL PAYERS IS EQUAL TO THE COST OF PROVIDING SERVICES LESS THE AMOUNT RECEIVED AS REIMBURSEMENT UNDER THE PROGRAM. FOR FISCAL YEAR 2015, THE UNREIMBURSED COST OF PROVIDING CARE TO THESE PATIENTS WAS $60,587,102. C. OTHER UNCOMPENSATED PATIENT SERVICES IN ADDITION, HOLY SPIRIT HOSPITAL PROVIDES OTHER PATIENT SERVICES FOR WHICH FULL PAYMENT IS NOT RECEIVED. THE UNCOMPENSATED COST OF PROVIDING SUCH PATIENT SERVICES DURING THE FISCAL YEAR ENDED JUNE 30, 2015, WAS $1,599,766. COMMUNITY HEALTH, EDUCATION AND OUTREACH HOLY SPIRIT HOSPITAL STRIVES TO SERVE AS A PARTNER TO OUR LOCAL COMMUNITY AND LOCAL RESIDENTS. HOLY SPIRIT HOSPITAL PROVIDES CARE TO THE COMMUNITY THROUGH MANY REDUCED PRICE SERVICES AND FREE PROGRAMS OFFERED THROUGHOUT THE YEAR BASED UPON ACTIVITIES AND SERVICES WHICH HOLY SPIRIT HOSPITAL BELIEVES WILL SERVE A BONA FIDE COMMUNITY HEALTH NEED. THESE SERVICES AND PROGRAMS WERE PROVIDED AT A COST OF $3,061,972 DURING THE FISCAL YEAR ENDED JUNE 30, 2015. VOLUNTEER SERVICES THE VOLUNTEERS OF HOLY SPIRIT HOSPITAL ARE AN ACTIVE AND VITAL PART OF THE ACTIVITIES OF THE HOSPITAL. THE HOURS OF VOLUNTEER SERVICES ARE AN IMPORTANT CONTRIBUTION TO THE MISSION OF HOLY SPIRIT HOSPITAL. VOLUNTEERS FROM LOCAL COMMUNITIES CONTRIBUTED MORE THAN 33 THOUSAND HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTHCARE OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND "WELLNESS" PROGRAMS COMMUNITY BENEFIT SUMMARY CHARITY CARE $ 3,258,288 MEDICARE/MEDICAID/OTHER GOVERNMENTAL 60,587,102 OTHER UNCOMPENSATED PATIENT SERVICES 1,599,766 COMMUNITY HEALTH, EDUCATION, OUTREACH AND OTHER 3,061,972 VOLUNTEER SERVICES 771,315 TOTAL COMMUNITY SERVICE $ 69,278,443 STATISTICS HOLY SPIRIT HOSPITAL FISCAL YEAR ENDED JUNE 30, 2015 TOTAL INPATIENT ADMISSIONS (INCLUDES NEWBORNS, NICU, EAC) 12,062 OUTPATIENT VISITS 283,641 EMERGENCY CARE VISITS 41,777 INPATIENT SURGICAL PROCEDURES 2,467 OUTPATIENT SURGICAL PROCEDURES 6,269 BEHAVIORAL HEALTH SERVICES OUTPATIENT VISITS 50,041 BIRTHPLACE DELIVERIES 1,195 DIAGNOSTIC CARDIAC CATHETERIZATIONS 1,314 INTERVENTIONAL CARDIAC PROCEDURES 637 ELECTROPHYSIOLOGY (EP) PROCEDURES 911 CARDIAC SURGERIES 221 GIS PROCEDURES 1,659 HOME HEALTH VISITS 21,522 MATERNAL ASSISTANCE PROGRAM CLIENT VISITS 9,869 TOTAL LABORATORY TESTS 1,002,988 TOTAL IMAGING PROCEDURES 126,908 PHYSICAL THERAPY TREATMENTS 46,229 RESPIRATORY THERAPY TREATMENTS 127,788 GRANDVIEW SURGERY & LASER CENTER* PROCEDURES 4,416 HOLY SPIRIT CANCER CENTER RADIATION ONCOLOGY TREATMENTS 5,898 HOLY SPIRIT MEDICAL GROUP PRACTICE VISITS/PROCEDURES 268,064 COMMUNITY PROGRAMS AND SCREENINGS HEALTH FAIRS 19 BLOOD PRESSURE SCREENINGS 5,608 BONE DENSITY SCREENINGS 1,345 CHOLESTEROL SCREENINGS 1,152 GLUCOSE SCREENINGS 1,093 CARDIOVASCULAR RISK ASSESSMENTS 202 BODY MASS INDEX SCREENINGS 221 PERIPHERAL ARTERY DISEASE ASSESSMENTS 92 MATERNAL CHILD EDUCATION PROGRAMS 1,605
FORM 990, PART VI, SECTION A, LINE 1	EFFECTIVE, OCTOBER 1, 2014, HOLY SPIRIT HEALTH SYSTEM AND AFFILIATES (HOLY SPIRIT HEALTH SYSTEM, HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY, WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC., SPIRIT PHYSICIAN SERVICES, INC., HOLY SPIRIT CORPORATION, AND HOLY SPIRIT VENTURES, INC.) DELEGATED CERTAIN AUTHORITIES TO GEISINGER SYSTEM SERVICES' (GSS, A RELATED TAX-EXEMPT ORGANIZATION) MANAGEMENT AND COMPENSATION COMMITTEE TO REVIEW AND APPROVE MATTERS RELATING TO EMPLOYEE BENEFIT PLANS, EXECUTIVE LEADERSHIP, SENIOR LEADERSHIP AND STAFF PERFORMANCE AND COMPENSATION AND GEISINGER CLINIC'S (GC, A RELATED TAX-EXEMPT ORGANIZATION) MANAGEMENT AND COMPENSATION COMMITTEE TO REVIEW AND APPROVE MATTERS RELATING TO PHYSICIAN COMPENSATION.
FORM 990, PART VI, SECTION A, LINE 2	ROBERT J. DIETZ, MANUEL J. EVANS, DAVID J. FELICIO, ESQUIRE, AND SISTER ROMAINE NIEMEYER, SCC ALL HAVE A BUSINESS RELATIONSHIP WITH ONE ANOTHER BECAUSE THEY SERVE AS OFFICERS AND/OR DIRECTORS ON ONE OR MORE FOR-PROFIT AFFILIATES OF HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY. ALL OF THE AFFILIATES ARE PART OF THE GEISINGER HEALTH SYSTEM.
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 4	PURSUANT TO A COMPREHENSIVE HEALTH SYSTEM INTEGRATION AGREEMENT AMONG GEISINGER HEALTH SYSTEM FOUNDATION, SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION AND HOLY SPIRIT HEALTH SYSTEM, DATED JUNE 19, 2014, GEISINGER HEALTH SYSTEM FOUNDATION BECAME THE SOLE MEMBER OF HOLY SPIRIT HEALTH SYSTEM EFFECTIVE OCTOBER 1, 2014, REPLACING SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION. AS A RESULT, GEISINGER HEALTH SYSTEM FOUNDATION ACQUIRED THE POWER TO APPOINT, OR APPROVE THE APPOINTMENT OF, ALL MEMBERS OF THE HOLY SPIRIT HEALTH SYSTEM BOARD OF DIRECTORS. ON OCTOBER 1, 2014, HOLY SPIRIT HEALTH SYSTEM CHANGED ITS ARTICLES OF INCORPORATION AND CORPORATE BYLAWS TO REFLECT THIS INTEGRATION AND GEISINGER HEALTH SYSTEM FOUNDATION AS ITS SOLE CORPORATE MEMBER. HOLY SPIRIT HOSPITAL, SPIRIT PHYSICIANS SERVICES, INC., WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC., HOLY SPIRIT CORPORATION, AND HOLY SPIRIT VENTURES CHANGED THEIR RESPECTIVE CORPORATE BYLAWS TO REFLECT GHSF'S APPROVAL OF ANY AMENDMENTS TO THE CORPORATE BYLAWS.
FORM 990, PART VI, SECTION A, LINE 6	GEISINGER HEALTH SYSTEM FOUNDATION SERVES AS THE SOLE CORPORATE MEMBER OF HOLY SPIRIT HEALTH SYSTEM AND HOLY SPIRIT HEALTH SYSTEM SERVES AS CORPORATE MEMBER FOR HOLY SPIRIT HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY, SPIRIT PHYSICIAN SERVICES, INC., WEST SHORE ADVANCED LIFE SUPPORT SERVICES, INC., HOLY SPIRIT CORPORATION AND SOLE SHAREHOLDER OF HOLY SPIRIT VENTURES, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE BOARD OF DIRECTORS OF THE CORPORATION SHALL SERVE AS THE GOVERNING BODY OF THE CORPORATION. THE PRESIDENT OF THE CORPORATION SHALL BE A DIRECTOR BY REASON OF HOLDING SUCH OFFICE. THE REMAINING DIRECTORS SHALL BE ELECTED BY THE MEMBERS AT THE ANNUAL MEETING OF THE MEMBERS. THE MEMBERS OF THE CORPORATION MAY SERVE AS DIRECTORS AND DIRECTORS MAY SUCCEED THEMSELVES FROM TERM TO TERM. VACANCIES ON THE BOARD OF DIRECTORS SHALL BE FILLED BY THE MEMBERS AT THEIR DISCRETION AT THE ANNUAL MEETING OF THE MEMBERS OR AT A SPECIAL MEETING CALLED FOR SUCH PURPOSE.
FORM 990, 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	ALL OFFICERS AND DIRECTORS WERE ELECTRONICALLY PROVIDED A FINAL COPY OF THE FORM 990 PRIOR TO FILING THE RETURN WITH THE IRS. AN EXECUTIVE SUMMARY OF THE INFORMATION REPORTED ON THE RETURN IS PROVIDED TO ASSIST IN THE REVIEW. IN ACCORDANCE WITH THE GEISINGER HEALTH SYSTEM FOUNDATION BOARD OF DIRECTOR'S FINANCE COMMITTEE CHARTER, STAFF PERIODICALLY REVIEWS THE GHS ORGANIZATIONS' FORM 990 FILINGS. THE FORM 990 IS PREPARED BY THE GEISINGER HEALTH SYSTEM (GHS) TAX AND FINANCIAL REPORTING DEPARTMENTS WITH INFORMATION PROVIDED FROM FINANCE, TAX, HUMAN RESOURCES, LEGAL SERVICES AND OTHER RELEVANT DEPARTMENTS WITHIN THE GEISINGER HEALTH SYSTEM. THE CHIEF FINANCIAL OFFICER (CFO) OF GHS AND THE INDIVIDUAL ORGANIZATIONS SENIOR FINANCIAL MANAGERS REVIEW THEIR RESPECTIVE FORM 990 PRIOR TO MAKING THE FINAL RETURN AVAILABLE TO THE BOARD. IN ADDITION, THE CHIEF LEGAL OFFICER AND CHIEF HUMAN RESOURCE OFFICER OF GHS REVIEW THE INFORMATION DISCLOSED ON THE FORM 990 RELEVANT TO THEIR RESPECTIVE AREAS OF RESPONSIBILITY. FOR PURPOSES OF THEIR ANNUAL AUDIT OF THE GHS CONSOLIDATED FINANCIAL STATEMENTS, INDEPENDENT AUDITORS REVIEW ALL FEDERAL TAX RETURNS FILED BY THE GHS ORGANIZATIONS TO IDENTIFY MATERIAL ITEMS, INCLUDING IF THERE ARE ANY UNCERTAIN TAX POSITIONS THAT MAY BE REQUIRED TO BE RECOGNIZED. THE COMPANY HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED FOR FISCAL YEAR-ENDED JUNE 30, 2015.
FORM 990, PART VI, SECTION B, LINE 12C	ENFORCEMENT OF CONFLICTS POLICY THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO THE GHS CONFLICT OF INTEREST POLICY FOR DIRECTORS, OFFICERS AND SENIOR LEADERS (MAY INCLUDE INDEPENDENT CONTRACTORS). AT LEAST ONCE EACH YEAR DIRECTORS, OFFICERS, KEY EMPLOYEES, SENIOR LEADERS (INCLUDING INDEPENDENT CONTRACTORS) AND OTHERS DESIGNATED BY THE BOARD OF DIRECTORS ARE REQUIRED TO DISCLOSE IN WRITING THE EXISTENCE OF ANY POTENTIAL FINANCIAL INTERESTS THAT MAY GIVE RISE TO A CONFLICT OF INTEREST WITH ANY AFFILIATE WITHIN THE GEISINGER HEALTH SYSTEM. THE DISCLOSURES ARE REVIEWED BY THE OFFICE OF THE CHIEF LEGAL OFFICER AND REPORTED TO THE AUDIT COMMITTEE AND BOARD OF DIRECTORS. AFTER REVIEW OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, INPUT FROM DEPARTMENT OF LEGAL SERVICES AND ANY DISCUSSION WITH THE PERSON DESIRED BY THE BOARD OR COMMITTEE, THE BOARD DECIDES IF A CONFLICT EXISTS AND TAKES APPROPRIATE ACTION. THE INDIVIDUAL DISCLOSING THE FINANCIAL INTEREST IS ABSENT DURING THE BOARD DELIBERATIONS AND DECISIONS ON THE MATTER.
FORM 990, PART VI, SECTION B, LINE 15	THE PROCESS TO REVIEW AND APPROVE THE COMPENSATION OF GHS EMPLOYED BOARD DIRECTORS, OFFICERS AND EXECUTIVE MANAGEMENT IS DESIGNED TO SATISFY THE REBUTTABLE PRESUMPTION PROCEDURE AVAILABLE FOR INTERMEDIATE SANCTION PURPOSES. THE PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY CONTEMPORANEOUS DOCUMENTATION OF THE PROCESS. ON AN ANNUAL BASIS AN INDEPENDENT, NATIONALLY RECOGNIZED COMPENSATION CONSULTANT COMPLETES A COMPARATIVE ASSESSMENT OF COMPENSATION FOR THE CEO AND SENIOR MANAGEMENT WITHIN GHS. THE CONSULTANT'S REPORT IS PRESENTED TO THE MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO ANY COMPENSATION DISINTERESTED PARTIES, USE OF APPROPRIATE COMPARABILITY DATA AND ADJUSTMENT. THE REPORT SUPPORTS THE RIGOROUS REVIEW COMPLETED BY THE MANAGEMENT AND COMPENSATION COMMITTEE TO ENSURE THAT THE PROGRAM IS RESPONSIBLE TO THE GEISINGER CHARITABLE MISSION, REFLECTS REASONABLE COMPENSATION WITHIN THE NONPROFIT MARKET AND IS COMPLIANT WITH THE IRS'S INTERMEDIATE SANCTION REQUIREMENTS. THE SURVEY DATA IN THE COMPARATIVE ANALYSIS IS CAPTURED FOR FUNCTIONALLY COMPARABLE POSITIONS IN MULTIPLE SIMILAR NONPROFIT ORGANIZATIONS AND REFLECTS TOTAL REMUNERATION PROVIDED IN THE MARKET. ALL SURVEYS ARE CONDUCTED BY THIRD PARTY ORGANIZATIONS AND NOT CONDUCTED AT THE SPECIFIC DIRECTION OF GEISINGER. ANY COMPENSATION ADJUSTMENTS ARE APPROVED BY MANAGEMENT AND COMPENSATION COMMITTEE PRIOR TO THE EFFECTIVE DATE OF THE PAYMENT. THE MANAGEMENT AND COMPENSATION COMMITTEE AT ITS SOLE DISCRETION MAY POSITIVELY OR NEGATIVELY ADJUST ANY RECOMMENDED COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19	THE ANNUAL REPORT FOR GEISINGER HEALTH SYSTEM, CONTAINING COMMUNITY BENEFIT INFORMATION, CONSOLIDATED FINANCIAL INFORMATION AND OTHER INFORMATION, ARE AVAILABLE ON THE GEISINGER HEALTH SYSTEM WEBSITE. GO TO: WWW.GEISINGER.ORG/PAGES/ABOUT-GEISINGER AND SELECT ANNUAL REPORTS. THE ORGANIZATIONS FINANCIAL STATEMENTS, THE COMPLETE FORM 990 AND FORM 990-T, THE CONFLICTS OF INTEREST POLICY, AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 20,858,206. MANAGEMENT AND GENERAL EXPENSES 12,844,575. FUNDRAISING EXPENSES 133,662. TOTAL EXPENSES 33,836,443. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 226,780. MANAGEMENT AND GENERAL EXPENSES 1,334,315. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,561,095. RECRUITMENT & EMPLOYMENT FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 16,847. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,847. UTILIZATION REVIEW SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 405,351. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 405,351.
FORM 990, PART XI, LINE 9:	CHANGE IN BENEFICIAL INTEREST -115,710. TRANSFER OF EQUITY DUE TO MERGER -56,645,970.
FORM 990, PART XII, LINE 2C:	EFFECTIVE OCTOBER 1, 2104, HOLY SPIRIT HEALTH SYSTEM WAS INTEGRATED INTO THE GEISINGER HEALTH SYSTEM, AS A RESULT OF THAT INTEGRATION, THE GEISINGER HEALTH SYSTEM FORM 990 REVIEW PROCESS, AS DESCRIBED IN THE SCHEDULE O RESPONSE TO FORM 990, PART VI, LINE 11, WAS IMPLEMENTED. IN ADDITION, THE GEISINGER HEALTH SYSTEM AUDIT COMMITTEE IS NOW RESPONSIBLE FOR THE OVERSIGHT OF THE CONSOLIDATED AUDIT AND SELECTION OF THE INDEPENDENT AUDITORS.
FORM 990, PART XII, LINE 3B:	FEDERAL AWARDS ARE AUDITED AS A PART OF THE GEISINGER HEALTH SYSTEM'S CONSOLIDATED REPORT ON FEDERAL AWARDS IN ACCORDANCE WITH OMB CIRCULAR A-133
FROM 990, PART IV, LINE 24	GEISINGER HEALTH SYSTEM FOUNDATION (GHSF) IS CURRENTLY THE SOLE OBLIGOR UNDER A SERIES OF BOND ISSUES WITH A TOTAL OUTSTANDING BALANCE OF $1,230,762,550, INCLUSIVE OF UNAMORTIZED ORIGINAL ISSUE DISCOUNT AS OF JUNE 30, 2015. BECAUSE THE BOND PROCEEDS ARE DISBURSED TO GHSF SUBSIDIARIES, THE BOND LIABILITIES ARE REFLECTED ON THE BALANCE SHEETS OF THE FOLLOWING SUBSIDIARY ORGANIZATIONS: GEISINGER MEDICAL CENTER, EIN: 24-0795959 GEISINGER WYOMING VALLEY MEDICAL CENTER, EIN: 23-1996150 GEISINGER CLINIC, EIN: 23-6291113 MARWORTH, EIN: 23-2171417 GEISINGER SYSTEM SERVICES, EIN: 23-2164794 COMMUNITY MEDICAL CENTER, EIN: 24-0862246 MOUNTAIN VIEW NURSING HOME, INC., EIN: 23-2568288 GEISINGER-BLOOMSBURG HOSPITAL, EIN: 23-2193572 GEISINGER-BLOOMSBURG HEALTH CARE CENTER, EIN: 23-2242854 GEISINGER-LEWISTOWN HOSPITAL, EIN: 23-1352187 HOLY SPIRIT HOSPITAL, EIN: 23-1512747 SCHEDULE K WAS PREPARED ON A CONSOLIDATED BASIS AND IS INCLUDED IN THE FORM 990 FILING OF GEISINGER HEALTH SYSTEM FOUNDATION, EIN: 23-1995911.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

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

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

OMB No. 1545-0047

2014

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) GEISINGER HEALTH SYSTEM FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-1995911	PHILANTHROPY	PA	501(C)(3)	7	N/A		No
(2) GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 24-0795959	HOSPITAL	PA	501(C)(3)	3	GHSF	Yes
(3) GEISINGER CLINIC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-6291113	PHYSICIAN	PA	501(C)(3)	11A	GHSF	Yes
(4) GEISINGER WYOMING VALLEY MEDICAL CT 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-1996150	HOSPITAL	PA	501(C)(3)	3	GHSF	Yes
(5) MARWORTH 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2171417	D&A REHAB	PA	501(C)(3)	3	GHSF	Yes
(6) GEISINGER HEALTH PLAN 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2311553	HEALTH INS	PA	501(C)(4)		GHSF	Yes
(7) GEISINGER SYSTEM SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2164794	SUPPORT SVC	PA	501(C)(3)	11A	GHSF	Yes
(8) GEISINGER COMMUNITY HEALTH SERVICES 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2967235	HEALTH CARE	PA	501(C)(3)	9	GSS	Yes
(9) GEISINGER INSURANCE CORPORATIONRRG 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 14-1909894	SELF INS	VT	501(C)(3)	11A	GHSF	Yes
(10) COMMUNITY MEDICAL CENTER 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 24-0862246	HOSPITAL	PA	501(C)(3)	3	GHSF	Yes
(11) COMMUNITY MEDICAL CARE INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2429776	PHYSICIAN	PA	501(C)(3)	9	GHSF	Yes
(12) MOUNTAIN VIEW NURSING HOME INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2568288	LONG TERM	PA	501(C)(3)	9	GHSF	Yes
(13) COMMUNITY MEDICAL CTR HEALTHCARE SY 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2279376	SUPPORT SVC	PA	501(C)(3)	11A	GHSF	Yes
(14) GEISINGER-BLOOMSBURG HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2193572	HOSPITAL	PA	501(C)(3)	3	GHSF	Yes
(15) GEISINGER-BLOOMSBURG HEALTHCARE CTR 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2242854	SKILLED NU	PA	501(C)(3)	9	GHSF	Yes
(16) LEWISTOWN HEALTH CARE FOUNDATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2344363	PHILANTHROPY	PA	501(C)(3)	11A	GHSF	Yes
(17) GEISINGER-LEWISTOWN HOSPITAL 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-1352187	HOSPITAL	PA	501(C)(3)	3	GHSF	Yes
(18) LEWISTOWN AMBULATORY CARE CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2344362	RE HOLDING	PA	501(C)(3)	11A	GHSF	Yes
(19) FAM HEALTH ASSOC OF GEISINGER-LEWIS 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 25-1651582	PHYSICIAN	PA	501(C)(3)	11A	GHSF	Yes
(20) KEYSTONE HEALTH INFORMATION EXCHANGE INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 46-4359893	RHIO	PA	501(C)(3)	11A	GHSF	Yes
(21) HEALTH CARE CORP OF NORTHEAST PA 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2337286	SUPPORT SV	PA	501(C)(3)	11A	CMC	Yes
(22) SUN HOME HEALTH SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-1736912	HEALTH CARE	PA	501(C)(3)	9	GCHS	Yes
(23) HOLY SPIRIT HEALTH SYSTEM 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 25-1865142	PHILANTHROPY	PA	501(C)(3)	11A	GHSF	Yes
(24) HOLY SPIRIT CORPORATION 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2214540	REAL ESTATE	PA	501(C)(2)		HSHS	Yes
(25) SPIRIT PHYSICIAN SERVICES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 25-1766971	PHYSICIAN	PA	501(C)(3)	9	HSHS	Yes
(26) WEST SHORE ADVANCED LIFE SUPPORT 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2463002	HEALTH CARE	PA	501(C)(3)	7	HSHS	Yes
(27) SISTERS OF CHRISTIAN CHARITY HEALTH CARE CORPORATION MALLINCKRODT COVENANT MENDHAM,NJ07945 23-2322926	HEALTH CARE	NJ	501(C)(2)	1	N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2014

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) KEYSTONE ACCOUNTABLE CARE ORG LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 45-4475297	ACO	PA	N/A
(2) LIFESOURCE GEISINGER BLOOD CTR LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 36-4718005	BLOOD COLLECTION	PA	N/A
(3) MERIDIAN GEISINGER HLTH NETWORK LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 45-5484165	ORG DEL SY	NJ	N/A
(4) HEALTHSOUTH I GHS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 72-1398803	PHY THERAEPY	PA	N/A
(5) EVANGELICAL-GEISINGER HEALTH LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 46-0567687	HEALTH CARE	PA	N/A
(6) LEMED II 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2391766	RENTAL	PA	N/A
(7) GEISINGER - SCA HOLDINGS LLC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 46-1615328	MANAGEMENT	DE	N/A
(8) CAMP HILL AMBULATORY SURG CTR LLC 569 BROOKWOOD VILLAG E SUITE 901 BIRMINGHAM,AL35209 52-1597478	HEALTH CARE	PA	N/A
(9) CAELIAN MEDICAL LLC 880 CENTURY DRIVE MECHANICSBURG,PA17055 20-8018724	HEALTH CARE RENTAL	PA	HOLY SPIRIT HOSPITAL	RELATED	150,040	228,485		No		Yes		75.000 %
(10) HS ORTHOPEDIC MANAGEMENT CO LLC 503 NORTH 21ST STREET CAMP HILL,PA17011 46-0887384	HEALTH CARE	PA	HOLY SPIRIT HOSPITAL	RELATED	82,312	156,925		No		Yes		40.000 %
(11) GRANDVIEW SURGERY CENTER LTD 569 BROOKWOOD VILLAG E SUITE 901 BIRMINGHAM,AL35209 52-1597483	HEALTH CARE	PA	N/A
(12) LACKAWANNA PHYSICIANS AMBULATORY SURGERY CENTER LLC 569 BROOKWOOD VILLAG E SUITE 901 BIRMINGHAM,AL35209 23-3024998	HEALTH CARE	PA	N/A

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) GEISINGER MEDICAL MANAGEMENT CORP 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2077663	HOTEL/REST	PA	N/A	C			Yes
(2) GEISINGER INDEMNITY INSURANCE CO 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2815174	HLTH INSURANCE	PA	N/A	C			Yes
(3) GEISINGER QUALITY OPTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 20-4275139	HLTH INSURANCE	PA	N/A	C			Yes
(4) HEALTH ENTERPRISES INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 23-2353212	PHARMACY	PA	N/A	C			Yes
(5) XG HEALTH SOLUTIONS INC 100 NORTH ACADEMY AVENUE MC 49-70 DANVILLE,PA17822 46-1657345	CONSULTING	DE	N/A	C			Yes
(6) GEISINGER ASSURANCE COMPANY LTD 23 LINE TREE BAY AVE PO BOX 1159 GRAND CAYMAN KY1-1102 CJ 98-1016737	INSURANCE	CJ	N/A	C			Yes
(7) HOLY SPIRIT VENTURES INC NORTH 21ST STREET CAMP HILL,PA17011 23-2407709	MEDICAL SERVICES	PA	N/A	C			Yes

Schedule R (Form 990) 2014

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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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) . . . . . . . . . . . . . . . . . . . .

Yes

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) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Yes

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

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	583,016	COST
(2) SPIRIT PHYSICIAN SERVICES	J	232,911	GAAP
(3) HOLY SPIRIT COPORATION	K	774,906	GAAP
(4) HOLY SPIRIT VENTURES	K	389,630	GAAP
(5) SPIRIT PHYSICIAN SERVICES	L	300,933	GAAP
(6) HOLY SPIRIT VENTURES	L	3,245	GAAP
(7) SPIRIT PHYSICIAN SERVICES	M	4,395,399	GAAP
(8) WEST SHORE ALS	M	166,918	GAAP
(9) HOLY SPIRIT VENTURES	M	1,022	GAAP
(10) HOLY SPIRIT HEALTH SYSTEM	M	761,948	GAAP
(11) GEISINGER HEALTH PLAN	L	7,642,176	GAAP
(12) GEISINGER INSURANCE CORPORATION	P	1,955,779	GAAP
(13) GEISINGER MEDICAL CENTER	M	9,166	GAAP
(14) GEISINGER SYSTEM SERVICES	M	3,294,721	GAAP
(15) GEISINGER SYSTEM SERVICES	L	42,043	GAAP
(16) KEYSTONE HEALTH INFORMATION	M	145,290	GAAP
(17) HOLY SPIRIT HEALTH SYSTEM	R	37,130,483	GAAP

Schedule R (Form 990) 2014

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) 2014

Page 5

Part VII

Supplemental Information

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

Return Reference

Explanation

SCHEDULE R, PART V

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

Schedule R (Form 990) 2014

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	13
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	2,446
6	Total number of volunteers (estimate if necessary) .............	6	400
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	3,621,179
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	97,377

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	8,349,801	2,134,571
9	Program service revenue (Part VIII, line 2g) .........	320,657,835	292,096,880
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	4,656,324	15,183,043
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	7,970,898	7,336,769
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	341,634,858	316,751,263
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	15,232,822	37,421,002
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)	147,055,069	133,769,614
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 558,034
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	182,163,122	158,137,999
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	344,451,013	329,328,615
19	Revenue less expenses. Subtract line 18 from line 12.......	-2,816,155	-12,577,352
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	284,372,598	224,773,221
21	Total liabilities (Part X, line 26).............	143,071,838	166,592,756
22	Net assets or fund balances. Subtract line 21 from line 20.....	141,300,760	58,180,465

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 64,095,868 including grants of $ 37,421,002 ) (Revenue $ 117,758,248 )
	PATIENT CARE SERVICES:PATIENT CARE SERVICES IS DRIVEN BY THE HOSPITAL'S MISSION, VISION AND VALUES. THE PROVISION OF HIGHLY SKILLED, COMPETENT AND COMPASSIONATE NURSING CARE IS ESSENTIAL TO FULFILL OUR COMMITMENT TO EXCELLENCE IN CLINICAL PRACTICE, EDUCATION AND NURSING RESEARCH. INPATIENT NURSING UNIT EXPENSES IN FY2015 WERE $20,464,112; SURGICAL NURSING SERVICE EXPENSES WERE $30,366,479; AND ALL OTHER NURSING EXPENSES TOTALED $13,265,277. THOSE EXPENSES TOTALED OVER $64 MILLION.IN MAY 2013, HOLY SPIRIT HOSPITAL NURSES ACHIEVED MAGNET STATUS FROM THE AMERICAN NURSES CREDENTIALING CENTER'S MAGNET RECOGNITION PROGRAM . ACHIEVING MAGNET IS THE GOLD STANDARD FOR NURSING EXCELLENCE AND REQUIRES UNDERGOING A VOLUNTARY, RIGOROUS AND LENGTHY REVIEW PROCESS THAT EXAMINES A BROAD RANGE OF BENCHMARKS FROM INNOVATIONS IN NURSING PRACTICE, PROFESSIONAL EDUCATION, AND PATIENT OUTCOMES TO QUALITY MEASURES AND PATIENT SATISFACTION. ONLY A SMALL PERCENTAGE OF HOSPITALS NATIONWIDE HAVE RECEIVED MAGNET CREDENTIALING TO DATE. U.S. NEWS & WORLD REPORT USES MAGNET STATUS AS ONE FACTOR IN DETERMINING ITS ANNUAL RANKING OF HOSPITALS NATIONWIDE. HOLY SPIRIT HOSPITAL WAS RECOGNIZED AS ONE OF THE BEST REGIONAL HOSPITALS, RANKING 13TH IN PENNSYLVANIA IN 2014-2015. IN ADDITION, HOLY SPIRIT HOSPITAL WAS HONORED AS A HIGH-PERFORMER IN SOUTH CENTRAL PENNSYLVANIA IN TEN SPECIALTIES, INCLUDING CANCER, DIABETES AND ENDOCRINOLOGY, GASTROENTEROLOGY AND GI SURGERY, GERIATRICS, GYNECOLOGY, NEPHROLOGY, NEUROLOGY AND NEUROSURGERY, ORTHOPEDICS, PULMONARY, AND UROLOGY.HOLY SPIRIT HOSPITAL EARNED THE HEALTHSTREAM "EXCELLENCE THROUGH INNOVATION" AWARD FOR LEADING INNOVATION IN PATIENT EXPERIENCE. THE HOSPITAL SAFETY SCORE RATES HOW WELL HOSPITALS PROTECT PATIENTS FROM ACCIDENT, ERRORS, INJURIES, AND INFECTIONS. HOLY SPIRIT IS THE ONLY HOSPITAL IN THE HARRISBURG REGION TO CONSISTENTLY SCORE AN "A" RATING. IN NOVEMBER 2014, THE JOINT COMMISSION RECOGNIZED HOLY SPIRIT HOSPITAL AS A 2013 TOP PERFORMER ON KEY QUALITY MEASURES FOR ATTAINING AND SUSTAINING EXCELLENCE IN ACCOUNTABILITY MEASURE PERFORMANCE FOR HEART ATTACK, HEART FAILURE, PNEUMONIA, AND SURGICAL CARE. HOLY SPIRIT IS ONE OF 1.224 HOSPITALS IN THE UNITED STATES TO ACHIEVE THIS DISTINCTION AND ONE OF ONLY 314 HOSPITALS TO ACHIEVE THE TOP PERFORMER DISTINCTION FOR THE PAST THREE CONSECUTIVE YEARS. HOLY SPIRIT HOSPITAL EARNED THE 2015 GET WITH THE GUIDELINES STROKE GOLD PLUS AWARD, AS WELL AS THE 2015 GET WITH THE GUIDELINES A-FIB PARTICIPATING ACHIEVEMENT AWARD FROM THE AMERICAN HEART ASSOCIATION AND THE AMERICAN STROKE ASSOCIATION. THE HOSPITAL & HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA AWARDED HOLY SPIRIT WITH THE "SAFETY ACROSS THE BOARD" EXCELLENCE AWARD FOR THE HOSPITAL'S WORK ACROSS MULTIPLE TEAMS. HOLY SPIRIT ALSO EARNED THE READMISSIONS PROJECT EXCELLENCE AWARD FOR WORK ON THE PENNSYLVANIA HOSPITAL ENGAGEMENT NETWORK (PA-HEN) READMISSIONS PROJECT.REGISTERED NURSES IN PATIENT CARE SERVICES AND CLINICAL EDUCATION PROVIDED PRESENTATIONS (PODIUM AND POSTER) IN HOUSE, AT PROFESSIONAL CONFERENCES, AND IN VARIOUS OTHER VENUES. THE PRESENTATIONS INCLUDED: AUGUST 13, 2014 - PATIENT TEACHING STRATEGIES - LEA DAILEY, RN, CCRN, MSN/ED- SEPTEMBER 16, 2014: BLG, A HEALTHSTREAM COMPANY, NEW ORLEANS, LA. SPIRIT SERVICE EXCELLENCE - A SUSTAINABLE CULTURE TO OPTIMIZE SERVICE AND PERFORMANCE - SISTER ROMAINE NIEMEYER, SCC, CHIEF ADMINISTRATIVE OFFICER, RICK LAVANTURE, SENIOR VP/CHIEF STRATEGIC OFFICER, LISA LEWIS, MSN,RN, NEA-BC, VICE PRESIDENT OF PATIENT CARE SERVICES/CHIEF NURSING OFFICER- SEPTEMBER 16, 2014: LEADING CHANGE AND INNOVATION TO TRANSFORM HEALTHCARE, HARRISBURG, PA. HOW TO MAKE CHANGE DESIRABLE - KATHY SHEA, BSN, RN-BC- OCTOBER 7, 2014: ANCC RESEARCH SYMPOSIUM, DALLAS, TX. SEPSIS: A TEAM APPROACH TO CHANGING OUTCOMES - SARAH COLEMAN, RN, CCRN- OCTOBER 8, 2014 - INFECTION PREVENTION 101: "IT'S THE ONES YOU CAN'T SEE!" - JOANN ADKINS, RN, BSN, CIC- OCTOBER 24, 2014: EVIDENCE BASED PRACTICE: TRANSLATING RESEARCH INTO PRACTICE, GEISINGER MEDICAL CENTER, DANVILLE, PA. THE ART AND SCIENCE OF NURSING - SARAH COLEMAN, RN, CCRN, CINDY SWARTZ, MS, RN, ACNS-BC- NOVEMBER 11, 2014 - SUCCESSION PLANNING - JOANN ANN ADKINS, RN, BSN, CIC, RHETT BENNIE, RN, BSN, MSHA, CPI CERTIFIED TRAINER, PATRICIA A. CARNES, MHA, BSN, RN, NE-BC, SUSAN SWAILS, MED, BSN, RN-BC, DEBORAH THORNBERG, BSN, RN-BC- NOVEMBER 12, 2014 - GLYCEMIC CONTROL AND HEALTH OUTCOMES IN THE DIABETIC PATIENT - MARGARITA GARDNER, BSN, RN, CCRN- NOVEMBER 13, 2014: DICKINSON WELLNESS PROGRAM, DICKINSON COLLEGE, CARLISLE, PA. LIVING WELL WITH DIABETES - KATIE FLICKINGER, BSN, RN, CCP, CDE- NOVEMBER 14, 2014: SOUTH CENTRAL MAGNET CONSORTIUM, MAGNET CHAMPION CONFERENCE, HERSHEY MEDICAL CENTER, HERSHEY, PA. SEPSIS: A TEAM APPROACH TO CHANGING OUTCOMES - SARAH COLEMAN, RN, CCRN- JANUARY 30, 2015 RESEARCH DAY - PRESENTATIONS BY HOLY SPIRIT NURSES IN PARTNERSHIP WITH MESSIAH SENIOR NURSING STUDENTS- TO QUIT OR NOT TO QUIT, THAT IS THE QUESTION: CHALLENGES FACED IN THE DEVELOPMENT AND IMPLEMENTATION OF A SMOKING CESSATION PROGRAM - DEBORAH AUDETTE MS, RN, ACNS-BC, - CCRN-CSC, KATHY THUMMA BSN, RN, NE-BC- ARE WE DOING ENOUGH? EFFECTS OF EDUCATION ON NURSING ATTITUDES TOWARDS CHRONIC PAIN - JENNIFER KANE, BSN, RN, PCCN- EVIDENCE-BASED DISTRACTION TECHNIQUES TO DECREASED CHRONIC PAIN IN PEDIATRIC PATIENTS - ALISON NATTRESS, RN- EXERCISE INTERVENTIONS TO IMPROVE OUTCOMES IN HEART FAILURE PATIENTS - PEGGY TRAHAN, RN, PCCN- CARDIAC PRESCREENING IN YOUNG ADULT ATHLETES DECREASES RISK FOR SUDDEN CARDIAC EVENT - DEB THORNBERG, BSN, RN-BC- SHH LET THEM REST - KENDRA WILSON, BSN, RN-BC- CNS IN STROKE: PARTNERSHIP IN BUILDING EXCELLENCE - CYNTHIA SWARTZ MS, RN, ACNS-BC, MARYANN BROGDEN ND, MSN, RN, APN-C, CCNS, SCRN- IMPLEMENTATION OF HOURLY ROUNDING TO IMPROVE CLINICAL OUTCOMES" - JENNIFER HIXENBAUGH, BSN, RN- IV ACCESS - TINA SWARTZ CRNA, STEVE TODD BS, RN, JAMES KEVIN TRACEY, JR., RN, BSN, CNOR, ALLISON M. POLINSKI, RN, BSN, CPAN- EARLY IMPLEMENTATION OF PALLIATIVE CARE TO BETTER PATIENT OUTCOMES IN CONGESTIVE HEART FAILURE PATIENTS - PATRICIA A. CARNES, MHA, BSN, RN, NE-BC- KBMA NO SCANNER LEFT BEHIND - JODY HARCLERODE, RN-BC, MS, CPHQ- TRANSITIONING BETWEEN CARE SETTINGS - JUDITH HIMES, BSN, RN, CWON- PCEA: PATIENT CONTROLLED EPIDURAL ANALGESIA FOR INTRAPARTUM PATIENTS - ENID KREINER MSN, RNC-MNN, C-EFM- PAIN MANAGEMENT CARE MODEL - RHETT BENNIE, MSHA, BSN, RN- NURSING CERTIFICATION: LEADING THE WAY - MICHELLE DEFABIO, MS, RN, ACNS-BC- BEATING SEPSIS - IT'S A SPRINT, NOT A JOG - SARAH COLEMAN, AD, RN - THINK "INSIDE" THE BOX! TAKING AN IDEA FROM INCEPTION TO IMPLEMENTATION - JOANN ADKINS, RN, BSN, CIC, EDIE ASBURY, MLS, AHIP- CONNECTING THE DOTS: HOW DO WE PUT IT ALL TOGETHER? - JOANN ADKINS, RN, BSN, CIC, EDIE ASBURY, MLS, AHIP- MARCH 12, 2015 - ADVANCE DIRECTIVES: WHO, WHAT, WHEN, WHY, AND WHERE - MAUREEN ASPER, MS, RN, ACNS-BC- MARCH 20, 2015 - 2015 ADVANCED PRACTICE REGISTERED NURSE PANEL - PAMELA HARRIS-HAMAN MSN, CRNP,NPP-BC, MICHELLE DEFABIO, MS, RN, ACNS-BC, CCRN, ROBIN CROWLEY CRNA, MS- APRIL 30, 2015: HEALTHSTREAM SUMMIT, NASHVILLE, TN. "STANDARDS OF PERFORMANCE: BRINGING YOUR VALUES TO LIFE" - LISA LEWIS, MSN, RN, NEA-BC, AMI ZUMKHAWALA-COOK- MAY 21, 2015: CAREER DAY AT FINK ELEMENTARY SCHOOL, MIDDLETOWN, PA. "CAREERS IN NURSING" - MARTHA LEE, BSN, RNC-NIC, ENID KREINER, MSN, RNC-MNN/OB, C-EFM- JUNE 16, 2015 - OUR JOURNEY TO PATIENT AND FAMILY CENTERED CARE: CREATING A PATIENT AND FAMILY ADVISORY COUNCIL - CYNTHIA SWARTZ, MS, RN, ACNS-BC, SUSAN MCQUADE, RN, CPHQ, CNOR, BSN, MHA, ANN HENDRICKSON, MS, RN, ACNS-BCNURSES ALSO PARTICIPATED IN HOLY SPIRIT COMMUNITY EDUCATION PROGRAMS AND SCREENINGS. - SEPTEMBER 11, 2014: PROJECT HOMELESS CONNECT, FARM SHOW COMPLEX, HARRISBURG, PA. 61 FREE FLU VACCINES PROVIDED BY CHERYL SOLA, COMMUNITY HEALTH AND WELLNESS, LISA LEWIS, CNO, DIANA DAVIDSON, OR, MELISSA NATIVIDAD, OR, RENA EFENDIVA, OR, AND VANESSA GARCIA, MEDICAL OUTREACH- OCTOBER 3, 2014: ST. JOSEPH SCHOOL, MECHANICSBURG, PA. "WHAT TO EXPECT IN THE OR" - LORI BAURER, OR AND NATILIE HATTING, OR- OCTOBER 3, 2014: GIRLS' NIGHT OUT, HARRISBURG, PA. CARDIOVASCULAR RISK ASSESSMENTS AND BLOOD PRESSURE SCREENINGS PROVIDED BY JUDY HIMES, WOUND CARE, PEGGY TRAHAN, 8 MAIN, AND LEONA MLYNEK, WOUND CARE- FEBRUARY 7, 2015: HEARTCARING SYMPOSIUM, HOLY SPIRIT HOSPITAL. VARIOUS SCREENINGS TO DETERMINE CARDIOVASCULAR DISEASE RISK PROVIDED BY BRYNN STRINE, CVICU, AMANDA DONNANGELO, ED, REBECCA MILLER, CVU, MEGAN REEVES, CVU, JENNIFER HIXENBAUGH, CARDIAC DIAGNOSTICS, AMBER THOMAS, ED, WENDY SHOOK, CARDIAC REHAB, BARBARA MUMMERT, CARDIAC REHAB, VIRGINIA BAZAR, INVASIVE CARDIOLOGY, AND SHERRI HEFFNER, INVASIVE CARDIOLOGY- MAY 8, 2015: GIRLS' NIGHT OUT, HARRISBURG, PA. BLOOD PRESSURE SCREENINGS AND CARDIOVASCULAR RISK ASSESSMENTS PROVIDED BY JUDY HIMES, WOUND CARE, LESLY MILLER-JACOBS, MEDICAL INFUSION, JOHN LYONS, OR, PEGGY TRAHAN, 8 MAIN, LEONA MLYNEK, WOUND CARE, JENNIFER KANE, NURSING RESOURCES, AND

4b	(Code: ) (Expenses $ 22,194,327 including grants of $ ) (Revenue $ 30,743,473 )
	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 2015, HOLY SPIRIT HOSPITAL EARNED TWO PRESTIGIOUS QUALITY AWARDS FOR IMPROVING ORGANIZATIONAL PERFORMANCE AND PATIENT OUTCOMES. THE QUALITY IMPROVEMENT AWARDS CONSISTED OF GET WITH THE GUIDELINES - HEART FAILURE GOLD PLUS ACHIEVEMENT AWARD AND GET WITH THE GUIDELINES - ATRIAL FIBRILLATION-BRONZE ACHIEVEMENT AWARD FROM THE AMERICAN HEART ASSOCIATION. HOLY SPIRIT HOSPITAL WAS THE FIRST PENNSYLVANIA HOSPITAL TO RECEIVE A QUALITY AWARD FROM THE AMERICAN HEART ASSOCIATION FOR ATRIAL FIBRILLATION. THE QUALITY ACHIEVEMENT AWARDS NATIONALLY RECOGNIZE HOLY SPIRIT HOSPITAL FOR USING EVIDENCE-BASED PRACTICES AND CONSISTENTLY PROVIDING EXEMPLARY CARE OF PATIENTS HOSPITALIZED WITH HEART FAILURE AND ATRIAL FIBRILLATION. THE HOSPITAL IMPLEMENTED QUALITY IMPROVEMENT PROGRAMS THAT USE BENCHMARKING AND PATIENT OUTCOMES TO ADVANCE ORGANIZATIONAL PERFORMANCE AND ENHANCE PATIENT OUTCOMES AND QUALITY OF LIFE. IN FY 2015, THE ORTENZIO HEART CENTER (OHC) AT HOLY SPIRIT PERFORMED 1,314 DIAGNOSTIC CARDIAC CATHETERIZATIONS AND 637 INTERVENTIONAL CARDIAC CATHETERIZATIONS. OHC STAFF ALSO PERFORMED 48,745 CARDIOVASCULAR DIAGNOSTIC PROCEDURES, 911 ELECTROPHYSIOLOGY PROCEDURES, AND 178 CARDIOTHORACIC SURGERIES. THE OHC PROVIDED 10,574 CARDIAC REHABILITATION SESSIONS 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. IN EFFORTS TO ADDRESS COMMUNITY NEEDS, THE ORTENZIO HEART CENTER OFFERS SEVERAL SUPPORT GROUPS, INCLUDING THE SPIRITED HEARTS CARDIAC SUPPORT GROUP AND AN ATRIAL FIBRILLATION (A-FIB) SUPPORT GROUP WHERE MORE THAN MORE THAN 129 PEOPLE ATTENDED THE SUPPORT GROUPS IN 2015. THE ORTENZIO HEART CENTER ALSO OFFERS COMMUNITY EDUCATION ON CARDIOVASCULAR DISEASES THROUGH THE ANNUAL HEARTCARING SYMPOSIUM WHERE MORE THAN 132 PEOPLE ATTENDED IN 2015. THE OHC CARDIAC TEAM CONSISTENTLY EXCEEDS THE NATIONAL QUALITY BENCHMARKS 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 $ 14,467,544 including grants of $ ) (Revenue $ 50,601,075 )
	HOLY SPIRIT IMAGING SERVICES ASSISTS HEALTHCARE PROVIDERS IN THE DIAGNOSIS AND TREATMENT OF A WIDE VARIETY OF DISEASES. FROM ROUTINE X-RAYS TO HIGH-TECH 4D IMAGERY, HOLY SPIRIT IMAGING PROVIDES SERVICES AT THE HOSPITAL AND THROUGH ITS NETWORK OF OUTPATIENT IMAGING CENTERS, LOCATED WITHIN THE HOSPITAL AND IN SURROUNDING COMMUNITIES. THE IMAGING SERVICES STAFF PARTICIPATES IN HEALTH FAIRS THROUGHOUT THE YEAR. IN FY 2015, THEY ATTENDED 30 HEALTH FAIRS AND SPIRIT OF WOMEN EVENTS AND PROVIDED 721 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 1,462 FREE BONE DENSITY SCREENINGS.

	(Code: ) (Expenses $ 148,822,124 including grants of $ ) (Revenue $ 93,811,451 )
	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 FY2015, THE INSTITUTIONAL REVIEW BOARD APPROVED 16 NEW STUDIES (PROTOCOLS), 38 CONTINUING REVIEWS, AND 52 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 43 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 1,093 GLUCOSE TESTS, 1,152 CHOLESTEROL TESTS AND 70 LIPID PROFILES 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 YEARS 1 AND 2 OF MEANINGFUL USE STAGE 2. HIMSS HAS RECOGNIZED HOLY SPIRIT-A GEISINGER AFFILIATE AS A STAGE 6 HOSPITAL USING THIS FULL-FEATURED SYSTEM. IN SOME AREAS, USAGE QUALIFIES THE HOSPITAL FOR STAGE 7. ELECTRONIC PHYSICIAN PROGRESS NOTE DOCUMENTATION IS INCREASING IN USAGE. 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, 2014, AND 2015, MAKING IT ONE OF ONLY 289 ORGANIZATIONS NATIONWIDE TO MAKE THIS LIST.HOLY SPIRIT HOSPITAL LEVERAGES ITS CLINICAL INFORMATION SYSTEM FOR QUALITY AND PROCESS IMPROVEMENT INITIATIVES, PATIENT SAFETY, AND STATISTICAL RESEARCH. INFORMATICS RESEARCHERS AT HOLY SPIRIT-A GEISINGER AFFILIATE HAVE PUBLISHED PEER-REVIEWED MANUSCRIPTS, WHICH AID IN THE EVALUATION AND ENHANCEMENT OF OUR LOCAL EMR AND EMRS IN GENERAL. THIS VISIBILITY BENEFITS HOLY SPIRIT PATIENTS, OTHER INFORMATION TECHNOLOGY PROFESSIONALS IN THE HEALTHCARE INDUSTRY, AND, AS STANDARDS OF PRACTICE IMPROVE, ULTIMATELY BENEFITS 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. COUPLES ATTENDED THE FOLLOWING CLASSES OFFERED IN FY 2015:- BEAR ESSENTIALS CLASS - EDUCATION FOR EXPECTANT COUPLES (FREE)642 COUPLES (28 CLASSES)494 COUPLES PROVIDED TOURS OF THE BIRTHPLACE- CHILDBIRTH PREPARATION CLASSES132 COUPLES (11-4 WEEK SERIES CLASSES AND 7 WEEKEND CLASSES)- BREASTFEEDING BASICS CLASSES144 COUPLES (16 CLASSES)- BABY BOOT CAMP CLASSES (PARENTING CLASS)114 COUPLES (12-2 WEEK SERIES)- BIG BROTHER, BIG SISTER NIGHT (SIBLING PREPARATION CLASS)53 FAMILIES (8 CLASSES)- ONLINE CHILDBIRTH PREPARATION 26 COUPLESSCHOLARSHIPS:- 4 COMMUNITY SCHOLARSHIPS - THEY ARE GIVEN TO COUPLES WHO HAVE DIFFICULTY PAYING FOR THE ENTIRE SET OF CLASSES. THEY PAID $20, AND HOLY SPIRIT ABSORBED THE REMAINING $70.- 14 EMPLOYEE SCHOLARSHIPS - EMPLOYEES OF HOLY SPIRIT HOSPITAL AND SODEXO ARE OFFERED ALL CHILDBIRTH EDUCATION CLASSES FREE.NURSING STUDENTS FROM BOTH HACC AND MESSIAH COLLEGE OBSERVED OUR CHILDBIRTH PREPARATION CLASSES TO ENHANCE THEIR UNDERSTANDING OF MATERNAL CHILD EDUCATION.EDUCATORS PARTICIPATED IN HEALTH FAIRS, SPIRIT OF WOMEN EVENTS, AND CHILD SAFETY SEAT INSPECTION STATIONS.TWO (2) INSTRUCTORS RECEIVED THEIR CERTIFIED BREASTFEEDING COUNSELOR CERTIFICATION. THIS WILL BE HELPFUL AS THE BIRTHPLACE IS PART OF THE KEYSTONE TEN STEPS TOWARDS SUCCESSFUL BREASTFEEDING. 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 SUPPORT GROUP MEETINGS, 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.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 148,822,124 including grants of $ ) (Revenue $ 93,811,451 )
4e	Total program service expenses249,579,863

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	5,198,747	2,340,380	1,030,414

				(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		85,000
d	Related organizations...1d		287,139
e	Government grants (contributions)1e		1,581,125

f	All other contributions, gifts, grants, and similar amounts not included above1f		181,307

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			2,134,571
			Business Code
2a	OUTPATIENT SERVICES		621400	168,862,555	168,862,555
b	INPATIENT SERVICES		621400	123,234,325	123,234,325
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			292,096,880
3	Investment income (including dividends, interest, and other similar amounts).......			1,162,491			1,162,491
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents	434,387
b	Less: rental expenses	403,681
c	Rental income or (loss)	30,706
d	Net rental income or (loss).......			30,706			30,706
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	66,482,967	17,133
b	Less: cost or other basis and sales expenses	52,479,548	0
c	Gain or (loss)	14,003,419	17,133
d	Net gain or (loss)..........			14,020,552			14,020,552
8a	Gross income from fundraising events (not including $ 85,000 of contributions reported on line 1c). See Part IV, line 18 ..
	a		62,324
b	Less: direct expenses ...b		43,326
c	Net income or (loss) from fundraising events..			18,998			18,998
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		6,575
b	Less: direct expenses ...b		0
c	Net income or (loss) from gaming activities...			6,575			6,575
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	2,955,802		2,955,802
b	OTHER OPERATING REVENUE		900099	1,168,643			1,168,643
c	MEANINGFUL USE REVENUE		900099	817,367	817,367
d	All other revenue ....			2,338,678		665,377	1,673,301
e	Total. Add lines 11a–11d ......			7,280,490
12	Total revenue. See Instructions......			316,751,263	292,914,247	3,621,179	18,081,266


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			5,515	1	5,720
2	Savings and temporary cash investments .........			11,737,600	2	20,736,434
3	Pledges and grants receivable, net ...........			3,591,381	3	2,699,424
4	Accounts receivable, net .............			41,361,366	4	30,679,462
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	19,104
8	Inventories for sale or use ..............			737,933	8	723,397
9	Prepaid expenses and deferred charges ..........			2,400,917	9	1,518,074
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	121,921,170
b	Less: accumulated depreciation .....	10b	9,941,019	118,835,900	10c	111,980,151
11	Investments—publicly traded securities ..........			86,183,675	11	53,456,022
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 ...........			19,518,311	15	2,955,433
16	Total assets. Add lines 1 through 15 (must equal line 34)......			284,372,598	16	224,773,221
17	Accounts payable and accrued expenses .........			38,291,254	17	32,340,623
18	Grants payable .................				18
19	Deferred revenue ................				19
20	Tax-exempt bond liabilities .............			85,205,000	20	91,801,321
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..........			1,000,075	22	948,086
23	Secured mortgages and notes payable to unrelated third parties ..			2,951,396	23	0
24	Unsecured notes and loans payable to unrelated third parties ....			1,750,000	24
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....................			13,874,113	25	41,502,726
26	Total liabilities. Add lines 17 through 25.........			143,071,838	26	166,592,756
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			134,675,727	27	51,586,810
28	Temporarily restricted net assets ...........			3,776,072	28	3,771,734
29	Permanently restricted net assets ...........			2,848,961	29	2,821,921
	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 ...........			141,300,760	33	58,180,465
34	Total liabilities and net assets/fund balances ........			284,372,598	34	224,773,221