TY 2022 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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) THOMAS STOESSEL...................................................................... DIRECTOR / PSH EVP	1.00 ................. 49.00	X			0	1,119,232	61,645
(2) PETER DILLON MD...................................................................... DIRECTOR / PSH EVP	1.00 ................. 49.00	X			0	1,018,570	55,758
(3) DEBORAH ADDO...................................................................... DIRECTOR / CHAIR / PSH COO	1.00 ................. 49.00	X	X		0	920,763	48,852
(4) DONALD MCKENNA...................................................................... PRESIDENT	1.00 ................. 49.00	X	X		0	521,848	104,444
(5) ANANYA DAGGUBATI MD...................................................................... DIR / PHYSICIAN / PRES OF MED STAFF	1.00 ................. 39.00	X			0	356,901	48,713
(6) SISTER JOANN MARIE AUMAND SCC...................................................................... DIRECTOR	1.00 ................. 3.00	X			0	0	0
(7) JAMES R HOEHN...................................................................... DIRECTOR	1.00 ................. 1.00	X			0	0	0
(8) JESSICA MEYERS...................................................................... DIRECTOR	1.00 ................. 1.00	X			0	0	0
(9) RICHARD E JORDAN II...................................................................... DIRECTOR	1.00 ................. 1.00	X			0	0	0
(10) SHANNON MOWERY...................................................................... DIRECTOR	1.00 ................. 1.00	X			0	0	0
(11) GREG GUNN...................................................................... DIRECTOR	1.00 ................. 1.00	X			0	0	0
(12) KYLE C SNYDER MHA...................................................................... REGIONAL COO	24.50 ................. 25.50		X		425,029	0	72,765
(13) RANDY B MORRIS...................................................................... TREASURER / PSH REG. VP FINANCE	1.00 ................. 49.00		X		0	344,594	55,762
(14) NICOLE LEHMAN...................................................................... INTERIM SEC. (PSU EMP)	1.00 ................. 49.00		X		0	276,742	97,256
(15) ROSS DARROW...................................................................... VICE PRESIDENT, TREASURER	1.00 ................. 49.00		X		0	301,878	61,619
(16) KATHLEEN MILLER...................................................................... ASSOC. SECRETARY	1.00 ................. 39.00		X		0	99,552	10,921
(17) GLORIA SANTOS...................................................................... VP, CNO	40.00 ................. 0.00			X	279,937	0	20,007

(A) Name and business address	(B) Description of services	(C) Compensation
GEISINGER HEALTH SYSTEM 100 NORTH ACADEMY DRIVE DANVILLE,PA17822	SERVICE LAB AND IT SERVICES	13,794,353
SODEXO INC 111 SOUTH FRONT STREET HARRISBURG,PA17101	DIETARY & ENVIRONMENTAL SVCS	8,704,024
RESTORIX HEALTH PO BOX 71849 CHICAGO,IL606941849	HYPERBARIC & WOUND CARE TREATMENT	1,340,334
RENAL TREATMENT CENTERS NORTHEAST INC PO BOX 781607 PHILADELPHIA,PA191781607	DIALYSIS SERVICES	1,069,556
HCSC LAUNDRY HCS COOPERATIVE INC PO BOX 25092 LEHIGH VALLEY,PA180025092	LAUNDRY SERVICES	814,719
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

- TIN:

SCHEDULE A
(Form 990)

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.
right arrow

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

PENN STATE HEALTH HOLY
SPIRIT MEDICAL CENTER

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 12, 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 (Form 990).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% 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 33 1/3% 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 on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2022

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 failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 5 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 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. 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—2021. 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—2022. 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—2021. 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) 2022

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 on 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 5 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 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. 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—2021. 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) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% 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 on line 7? If “Yes,” complete Part I 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 on line 9a) 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 on line 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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

Schedule A (Form 990) 2022

Page 5

Part IV

Supporting Organizations (continued)

Yes

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2022

Page 6

Part V

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

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). 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 0.015 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 0.035	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

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) 2022

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

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) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Name of the organization

PENN STATE HEALTH HOLY
SPIRIT MEDICAL CENTER

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 other 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. Don't 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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER

Part I Contributors	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) (2022)

Schedule B (Form 990) (2022)

Page 3

Name of organization PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER		Employer identification number 23-1512747

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) (2022)

Schedule B (Form 990) (2022)

Page 4


Name of organization PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER			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.) $ 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) (2022)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on 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

PENN STATE HEALTH HOLY
SPIRIT MEDICAL CENTER

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. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990) 2021

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) 2018	(b) 2019	(c) 2020	(d) 2021	(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) 2021

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 on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(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? ..........................................................

Yes

16,259

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

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

16,259

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
LINE 1F:	THE FILING ORGANIZATION PAYS DUES TO THE FOLLOWING ASSOCIATIONS WHO CONDUCT LOBBYING: -HEALTHSYSTEM ASSOCIATION OF PENNSYLVANIA -AMERICAN HOSPITAL ASSOCIATION -CATHOLIC HEALTH ASSOCIATION

Schedule C (Form 990) 2021

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," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

PENN STATE HEALTH HOLY
SPIRIT MEDICAL CENTER

Employer identification number

23-1512747

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB 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 FASB 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 on 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 FASB ASC 958 relating to these items:

Revenue included on 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) 2021

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	2,616,620	2,973,232	373,386,246	376,968,866	373,733,399
b	Contributions ...		1,000	196,220	290,000	2,213,000
c	Net investment earnings, gains, and losses	276,358	-357,612	132,619	241,380	4,955,467
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...			370,741,853	4,114,000	3,933,000
f	Administrative expenses ....
g	End of year balance ......	2,892,978	2,616,620	2,973,232	373,386,246	376,968,866

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 %

Term endowment SchDMd Bullet

The percentages on 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" on 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" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	280,000		280,000
b	Buildings ....	63,608,344	5,535,880	58,072,464
c	Leasehold improvements
d	Equipment ....	22,092,852	13,462,027	8,630,825
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				66,983,289

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on 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........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on 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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

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

(a) Description				(b) Book value
(1)DUE FROM AFFILIATES				30,898,510
(2)CAPITAL / OPERATING LEASES - ROU				12,597,157
(3)OTHER ASSETS				1,099,731
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				44,595,398

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	22,109,743
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) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on 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' on 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

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

PENN STATE HEALTH HOLY
SPIRIT MEDICAL CENTER

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 30000.0000000000 %

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		(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .		9,171,997	2,656,675	6,515,322	2.180 %
b	Medicaid (from Worksheet 3, column a) . . . . .		8,271,984	1,777,339	6,494,645	2.170 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .		17,443,981	4,434,014	13,009,967	4.350 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	54,112	1,002,022	1,500	1,000,522	0.330 %
f	Health professions education (from Worksheet 5) . . .	188	372,410	10,480	361,930	0.120 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	9,044	70,513		70,513	0.020 %
j	Total. Other Benefits . .	63,344	1,444,945	11,980	1,432,965	0.470 %
k	Total. Add lines 7d and 7j .	63,344	18,888,926	4,445,994	14,442,932	4.820 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

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 Healthcare 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. ......

5,296,584

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. ......

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).....

47,160,147

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

64,243,514

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

-17,083,367

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 %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2022

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?1Name, 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	PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER 503 NORTH 21ST STREET CAMP HILL,PA17011 WWW.PENNSTATEHEALTH.ORG/LOCATIONS 340801	X	X	X

Schedule H (Form 990) 2022

Page 4

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 MEDICAL
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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

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

6 a

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. ............................

Yes

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

Yes

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

Hospital facility’s website (list url): WWW.PENNSTATEHEALTH.ORG/COMMUNITY

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 22

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

Yes

If "Yes" (list url): WWW.PENNSTATEHEALTH.ORG/COMMUNITY

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

12b

If "Yes" on 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) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 300.000000000000%
and FPG family income limit for eligibility for discounted care of 300.000000000000%

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)

Was widely publicized 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):

SEE PART V NARRATIVE

The FAP application form was widely available on a website (list url):

SEE PART V NARRATIVE

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V NARRATIVE

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)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

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 nonpayment?..................................

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

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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

Did the hospital facility or other authorized 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

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

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 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

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

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

Yes

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 a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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) 2022

Page 8

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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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
PART V, SECTION B, LINE 5:	INPUT FOR COMMUNITY HEALTH NEEDS ASSESSMENT:PENN STATE HEALTH, THE OVERALL PARENT OF THE HEALTH SYSTEM IN WHICH PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER IS AFFILIATED, IS COMMITTED TO UNDERSTANDING AND ADDRESSING THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. IN ORDER TO BEST DO THAT, THE HEALTH SYSTEM COMPLETED ITS 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). CHNA PROCESS THE 2021 CHNA USED BOTH PRIMARY AND SECONDARY METHODS TO SOLICIT COMMUNITY INPUT AND COMPARE HEALTH TRENDS AND DISPARITIES ACROSS THE SIX-COUNTY SERVICE AREA. THE CHNA TIMELINE COMPLIED WITH IRS TAX CODE 501(R) REQUIREMENTS TO CONDUCT A CHNA EVERY THREE YEARS, AS SET FORTH BY THE AFFORDABLE CARE ACT. SPECIFIC CHNA STEPS INCLUDED:-KICKOFF MEETING TO ANNOUNCE THE START OF THE CHNA PROCESS AND HOST ALL INTERNAL COMMUNITY-MINDED STAFF MEMBERS. THEY PROVIDED INPUT ON COMMUNITY PARTNERS TO ENGAGE BASED ON HIGH-NEED AREAS, AS DEFINED BY COMMUNITY NEED INDEX (CNI) SCORES-MONTHLY LEADERSHIP MEETINGS, INCLUDING ALL HOSPITALS, TO REVIEW PROGRESS AND PROVIDE FEEDBACK-A KEY INFORMANT SURVEY WITH 317 COMMUNITY LEADERS AND STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS-A COMMUNITY MEMBER SURVEY (CMS) COMPLETED BY 2,778 INDIVIDUALS, WITH 2,532 RESPONSES ABLE TO BE USED BASED UPON COUNTY OF RESIDENCE AND AGE-AN ANALYSIS OF EXISTING SECONDARY DATA SOURCES, INCLUDING PUBLIC HEALTH STATISTICS, DEMOGRAPHIC AND SOCIAL MEASURES AND HEALTH CARE UTILIZATION-TWO PARTNER FORUMS, WITH REPRESENTATIVES FROM DIVERSE COMMUNITY-BASED AND PUBLIC HEALTH ORGANIZATIONS, TO GATHER INSIGHT ON COMMUNITY HEALTH NEEDS AND FOSTER COLLABORATION TOWARD COMMUNITY HEALTH IMPROVEMENT - THE FIRST FORUM HOSTED 112 PARTICIPANTS AND THE SECOND 103 PARTICIPANTS-REVIEW OF THE CURRENT CHNA IMPLEMENTATION PLAN AND AVAILABLE RESOURCES-PRIORITIZATION OF IDENTIFIED COMMUNITY HEALTH NEEDS TO DETERMINE THE MOST PRESSING ISSUES ON WHICH TO FOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTSKEY INFORMANT SURVEY A KEY INFORMANT SURVEY WAS CONDUCTED ELECTRONICALLY TO SOLICIT INFORMATION ABOUT COMMUNITY HEALTH NEEDS. A TOTAL OF 317 INDIVIDUALS RESPONDED TO THE SURVEY, INCLUDING HEALTH AND SOCIAL SERVICE PROVIDERS; COMMUNITY AND STATEWIDE PUBLIC HEALTH EXPERTS; CIVIC, RELIGIOUS AND SOCIAL LEADERS; COMMUNITY PLANNERS, POLICYMAKERS AND ELECTED OFFICIALS; AND OTHERS REPRESENTING DIVERSE POPULATIONS, INCLUDING MINORITY, LOW-INCOME, LGBTQ+ AND OTHER UNDERSERVED OR VULNERABLE POPULATIONS. THE SURVEY WAS AVAILABLE IN ENGLISH AND SPANISH AND INCLUDED A DISABILITY AND LANGUAGE ACCOMMODATION STATEMENT. IT WAS OPEN FOR A LONGER PERIOD OF TIME COMPARED TO PAST CHNA CYCLES, FROM NOVEMBER 2020 TO MARCH 2021, DUE TO THE COVID-19 PANDEMIC. QR CODES AND LINKS TO THE SURVEY WERE SHARED MULTIPLE TIMES VIA EMAIL, AS WELL AS AT VIRTUAL MEETINGS AND PROFESSIONAL EDUCATION SESSIONS. KEY INFORMANTS WERE ASKED A SERIES OF QUESTIONS ABOUT THEIR PERCEPTIONS OF COMMUNITY HEALTH, INCLUDING HEALTH DRIVERS, BARRIERS TO CARE, COMMUNITY INFRASTRUCTURE AND RECOMMENDATIONS FOR COMMUNITY HEALTH IMPROVEMENT. RESPONDENTS REPRESENTED EXCELLENT GEOGRAPHIC BALANCE ACROSS THE SIX COUNTY AREA, AS FOLLOWS: BERKS COUNTY (124, 39.1%), CUMBERLAND COUNTY (123, 38.8%), DAUPHIN COUNTY (167, 52.7%), LANCASTER COUNTY (97, 30.6%), LEBANON COUNTY (97, 30.6%), PERRY COUNTY (100, 31.6%) AND OTHER (67, 21.1%). RESPONDENTS WERE ABLE TO SELECT MULTIPLE COUNTIES, SO THE NUMBER OF INDIVIDUAL RESPONDENTS AND PERCENTAGES DO NOT ADD UP TO 317 AND 100%, RESPECTIVELY. ABOUT 40% OF RESPONDENTS PROVIDED SERVICES TO ALL RESIDENTS. OF THOSE ORGANIZATIONS THAT FOCUSED PRIMARILY ON A SPECIAL POPULATION, MOST SERVED LOW-INCOME/POOR (35%), FAMILIES (27%) OR CHILDREN/YOUTH (27%). "OTHER" POPULATIONS SERVED, AS INDICATED BY 5% OF RESPONDENTS, INCLUDED ARABIC, NEPALESE, VETERANS, PREGNANT WOMEN, SINGLE PARENTS, COLLEGE STUDENTS AND INDIVIDUALS AFFECTED BY SPECIFIC ISSUES, INCLUDING HIV/AIDS, MENTAL HEALTH, INTELLECTUAL DISABILITIES, EPILEPSY OR SUBSTANCE USE.COMMUNITY MEMBER SURVEYA COMMUNITY MEMBER SURVEY WAS CONDUCTED WITH RESIDENTS ACROSS THE SIX-COUNTY COMMUNITY TO GATHER INSIGHTS INTO HEALTH STATUS, RISK BEHAVIORS, BARRIERS TO ACCESSING HEALTH SERVICES AND THE HEALTH AND SOCIAL NEEDS OF VULNERABLE COMMUNITY MEMBERS. THE SURVEY WAS CONDUCTED WITH ADULTS AGE 18 OR OVER AND INCLUDED LOW-INCOME, UNDERSERVED OR MINORITY POPULATIONS. DUE TO THE COVID-19 PANDEMIC LIMITING IN-PERSON OPPORTUNITIES, THE SURVEY WAS CONDUCTED OVER A LONGER PERIOD, FROM SEPTEMBER 2020 TO APRIL 2021, THAN PAST CHNA CYCLES. ELECTRONIC AND PAPER VERSIONS OF THE SURVEY WERE AVAILABLE IN ENGLISH AND SPANISH, AND THEY INCLUDED A DISABILITY AND LANGUAGE ACCOMMODATION STATEMENT. PAPER SURVEYS WERE COLLECTED AT 29 COMMUNITY PARTNER PHYSICAL LOCATIONS, PRIMARILY FOCUSED ON UNDERSERVED COMMUNITIES. ADVERTISING CARDS, INCLUDING QR CODES AND LINKS, WERE SHARED AT COMMUNITY EVENTS WHERE IN-PERSON SURVEYING COULD NOT BE ACCOMMODATED DUE TO COVID-19. PAPER AND VIRTUAL ADVERTISING MATERIALS WERE SHARED EXTENSIVELY BY OUR COMMUNITY PARTNERS VIA THEIR VIRTUAL EVENTS AND EDUCATIONAL SESSIONS, WITH SUPPORT GROUPS, IN COMMUNITY AND PROFESSIONAL NEWSLETTERS, WITH FORMER PATIENT/CLIENT EMAIL LISTS, VIA PRESS RELEASE CYCLES, FROM SEPTEMBER 2020 TO APRIL 2021, AND THROUGH SOCIAL MEDIA ARTICLES. THE SURVEY WAS NOT INTENDED TO BE A REPRESENTATIVE SAMPLE OF THE GREATER COMMUNITY, BUT RATHER PROVIDE GENERAL INSIGHTS INTO RESPONDENTS' PERCEPTIONS AND HEALTH STATUS. THE SURVEY DATA WERE ANALYZED BY COUNTY AND RACE/ETHNICITY. (NOTE: RACIAL/ETHNIC DATA WAS NOT ANALYZED FOR GROUPS WITH FEWER THAN 10 RESPONDENTS.) A TOTAL OF 2,778 INDIVIDUALS COMPLETED THE SURVEY ACROSS THE SIX-COUNTY SERVICE AREA, AND 2,532 RESPONSES WERE ABLE TO BE USED BASED UPON COUNTY OF RESIDENCE AND AGE. THE LARGEST PERCENTAGES OF RESPONDENTS RESIDED IN DAUPHIN COUNTY (43%) AND BERKS COUNTY (19%), WHICH ARE THE HOME COUNTIES OF THE MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER, PENNSYLVANIA PSYCHIATRIC INSTITUTE AND PENN STATE HEALTH REHABILITATION HOSPITAL. THE LARGEST PERCENTAGES OF RESPONDENTS WERE FEMALE (67.5%) AND WHITE (87.4%). NINE PERCENT OF RESPONDENTS IDENTIFIED AS HISPANIC OR LATINO AND 5% OF RESPONDENTS IDENTIFIED AS BLACK OR AFRICAN AMERICAN. THE MOST REPRESENTED AGE GROUPS WERE 65 TO 74 (23.4%) AND 55 TO 64 (22.6%). APPROXIMATELY 19% OF RESPONDENTS REPORTED A HOUSEHOLD INCOME OF $34,999 OR LESS. ABOUT 2.8% DID NOT COMPLETE HIGH SCHOOL, WHILE 15.6% GRADUATED HIGH SCHOOL OR EARNED A GED. SEVENTY-SEVEN PERCENT OF RESPONDENTS HAVE SOME COLLEGE EXPERIENCE, INCLUDING EARNING AN ASSOCIATE, BACHELOR'S OR MASTER'S DEGREE. ABOUT HALF OF THE RESPONDENTS WERE EMPLOYED, WHILE THE OTHER HALF WAS NOT WORKING DUE TO BEING RETIRED (32.7%), UNEMPLOYED (4.4%), UNABLE TO WORK (4.1%) OR FOR OTHER REASONS. DEMOGRAPHIC DATA FOR ALL SURVEY RESPONDENTS CAN BE FOUND IN THE FULL REPORT AT HTTPS://WWW.PENNSTATEHEALTH.ORG/COMMUNITY.COMMUNITY MEMBERS WERE ASKED TO PROVIDE THEIR FEEDBACK ON PREVIOUS CHNAS CONDUCTED BY PENN STATE HEALTH AS PART OF THE KEY INFORMANT SURVEY, AS WELL AS DURING THE COMMUNITY PARTNER FORUMS. THE OPPORTUNITY TO PROVIDE FEEDBACK IS ALSO AVAILABLE TO THE GENERAL PUBLIC ON AN ONGOING BASIS VIA A LINK POSTED ON PENNSTATEHEALTH.ORG/COMMUNITY. OVERALL, THE FEEDBACK WAS POSITIVE, WITH MANY COMMENTS INDICATING THAT RESPONDENTS FELT PENN STATE HEALTH HAS BEEN DOING AN EXCELLENT JOB WITH FACILITATING COLLABORATION, FOSTERING PARTNERSHIPS AND DOCUMENTING AND SHARING FINDINGS. SOME RESPONDENTS EXPRESSED A DESIRE FOR PENN STATE HEALTH TO HAVE A STRONGER PRESENCE IN VARIOUS GEOGRAPHICAL LOCATIONS AND TO UTILIZE ITS INFLUENCE TO HAVE AN IMPACT ON SYSTEMIC FACTORS THAT INFLUENCE HEALTH. A FULL LIST OF COMMENTS RECEIVED IS INCLUDED IN APPENDIX C OF THE FULL REPORT.
PART V, SECTION B, LINE 6A / 6B:	OTHER HOSPITAL FACILITIES INCLUDED IN NEEDS ASSESSMENT:FOR THIS 2021, FOURTH ASSESSMENT CYCLE, PENN STATE HEALTH FORMED A COLLECTIVE WORKGROUP THAT INCLUDED THE FOLLOWING HOSPITALS: - PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER- PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER- PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER- PENN STATE HEALTH HAMPDEN MEDICAL CENTER- PENNSYLVANIA PSYCHIATRIC INSTITUTE- PENN STATE HEALTH REHABILITATION HOSPITAL- PENN STATE HEALTH LANCASTER MEDICAL CENTER**** SINCE PENN STATE HEALTH LANCASTER MEDICAL CENTER WAS UNDER CONSTRUCTION DURING THIS ASSESSMENT, THIS COMMUNITY WAS ALSO INCLUDED. THE DEPARTMENT OF PUBLIC HEALTH SCIENCES AT PENN STATE COLLEGE OF MEDICINE COORDINATED THE CHNA EFFORTS.IT ALSO INCLUDED KEY COMMUNITY STAKEHOLDERS TO IDENTIFY AND ADDRESS THE NEEDS OF RESIDENTS LIVING IN THE SIX-COUNTY COMMUNITY.APPENDIX B OF THE FULL REPORT AVAILABLE AT HTTPS://WWW.PENNSTATEHEALTH.ORG/COMMUNITY CONTAINS A LIST OF COMMUNITY PARTNER ORGANIZATIONS THAT PARTICIPATED IN ANY ASPECT OF THE ASSESSMENT PROCESS. PLEASE NOTE THIS LIST MAY NOT BE ALL-INCLUSIVE SINCE PARTICIPANTS COULD REMAIN ANONYMOUS.
PART V, SECTION B, LINE 11:	THREE PRIORITIZED COMMUNITY HEALTH NEEDS:THE 2021 CHNA GATHERED COMMUNITY INPUT AND COMPARED HEALTH TRENDS AND DISPARITIES ACROSS THE SIX-COUNTY SERVICE AREA. BASED ON THIS WORK, OUR HOSPITALS, IN COLLABORATION WITH OUR COMMUNITY PARTNERS, WILL FOCUS SYSTEM-WIDE HEALTH IMPROVEMENT EFFORTS OVER THE THREE-YEAR CYCLE FROM JULY 1, 2022, TO JUNE 30, 2025 ON THE IDENTIFIED PRIORITY AREAS OF 1) MENTAL HEALTH 2) HEALTH EQUITY AND 3) WELLNESS AND DISEASE PREVENTION. ALL PRIORITIES IDENTIFIED THROUGH THE CHNA WILL BE ADDRESSED.MENTAL HEALTH INCLUDES A FOCUS ON COMMUNITY GROUPS, SUCH AS THE LGBTQ+ COMMUNITY, PEOPLE OF COLOR AND YOUTH. SUBSTANCE USE DISORDER WILL ALSO BE ADDRESSED UNDER THIS PRIORITY. HEALTH EQUITY COVERS CONCERNS THAT INCLUDE ACCESS TO CARE, ELDER ISSUES WITH ACCESS, SOCIAL DETERMINANTS OF HEALTH, RACISM, DIVERSITY, TRANSPORTATION AND HOUSING. WELLNESS AND DISEASE PREVENTION ENCOMPASSES FOOD ACCESS AND NUTRITION, SUBSTANCE USE PREVENTION, CHRONIC DISEASE PREVENTION, HEALTH EDUCATION AND PHYSICAL ACTIVITY. THESE PRIORITIES ARE INTERRELATED, AND ONE CANNOT BE ADDRESSED WITHOUT THE OTHER.IMPLEMENTATION PLAN TO DEVELOP OUR IMPLEMENTATION PLAN, INTERNAL EMPLOYEES AND COMMUNITY PARTNERS ATTENDED A KICKOFF MEETING, WHERE CHNA FINDINGS AND PARTNER FORUM RECOMMENDATIONS WERE SHARED. PARTICIPANTS ORGANIZED INTO THE FOLLOWING TASK FORCES TO BEST DEVELOP OUR PLAN: 1) MENTAL HEALTH; 2) HEALTH EQUITY; 3) CHRONIC DISEASE AND RISK FACTOR PREVENTION; 4) NUTRITION AND FOOD ACCESS; AND 5) PHYSICAL ACTIVITY. THESE TASK FORCES MET FROM NOVEMBER 2021 TO FEBRUARY 2022 TO DISCUSS KEY FINDINGS FROM THE CHNA; EXPLORE UNDERSERVED COMMUNITIES THROUGH REVIEW OF COMMUNITY NEED INDEX (CNI) SCORES, LIFE EXPECTANCY MEASURES AND OTHER KEY SOCIAL DETERMINANTS OF HEALTH; FIND ADDITIONAL COMMUNITY PARTNER RESOURCES; AND DEVELOP A PLAN. THE PLAN INCLUDES KEY PROGRAM DESCRIPTIONS, GOALS AND OBJECTIVES TO BE MET OVER THE NEXT THREE YEARS. DUE TO THE OVERLAPPING NATURE OF OUR PRIORITIES, ALL FIVE TASK FORCES PROPOSED SIMILAR PROGRAMS TO EXPAND COMMUNICATION AND PROMOTE EXISTING RESOURCES. ALL HAVE AGREED TO CONTINUE TO MEET AND ENGAGE NEW PARTNERS OVER THE THREE YEARS OF THIS PLAN TO ENCOURAGE DIALOGUE AMONG THEMSELVES AND CONTINUE TO STREAMLINE AND STRENGTHEN EACH OTHER'S COMMUNITY EFFORTS. ADDITIONALLY, EACH TASK FORCE PLANS TO COMPILE AN INVENTORY OF COMMUNITY RESOURCES THAT ARE CURRENTLY AVAILABLE TO NOT ONLY INCREASE AWARENESS AMONG THE GROUP BUT ALSO TO ADVERTISE TO COMMUNITY MEMBERS. NOT KNOWING WHAT RESOURCES ARE AVAILABLE AND HOW TO ACCESS THEM WAS A CLEAR MESSAGE HEARD DURING OUR CHNA PROCESS. THROUGH KEY PARTNERSHIPS WITH ORGANIZATIONS LISTED AT THE END OF THIS IMPLEMENTATION PLAN DOCUMENT, THE PLAN IS TO MAKE THESE RESOURCES MORE WELL-KNOWN THROUGH THE PROGRAM PA 211: GET CONNECTED (PA 211), FOR EXAMPLE, A FREE AND CONFIDENTIAL SERVICE THAT HELPS PEOPLE FIND THE LOCAL RESOURCES THEY NEED 24/7. OUR PROJECTS FOCUS HEAVILY ON COMMUNITY EDUCATION, ANOTHER MESSAGE WE HEARD THROUGH OUR CHNA PROCESS. IN ADDITION, MANY OF OUR PROJECTS WILL SERVE MORE THAN ONE OF OUR IDENTIFIED COMMUNITY NEEDS. FOR EXAMPLE, INCREASING OUR OUTREACH AND PROGRAMMING TO MORE FOOD PANTRIES ACROSS OUR SERVICE AREA FURTHERS OUR WORK IN THE AREAS OF HEALTH EQUITY, WELLNESS AND DISEASE PREVENTION AND NUTRITION AND FOOD ACCESS. WITHIN EACH PRIORITY AREA, WE WILL BE FOCUSING OUR EFFORTS ON COMMUNITIES IDENTIFIED WITH THE HIGHEST NEED. THESE MIGHT BE AREAS WITH LARGER MINORITY POPULATIONS, LOWER LIFE EXPECTANCY AND OTHER HIGH-RISK GROUPS. THE FOLLOWING ACTIONS WILL ADDRESS OUR PRIORITIZED HEALTH NEEDS OVER THE NEXT THREE YEARS, AS WELL AS THE SPECIFIC HOSPITAL ADDRESSING EACH NEED. ALL NEEDS WILL BE ADDRESSED IN THIS PLAN. STRATEGIES INCLUDED ARE EVIDENCE-BASED, OR STRATEGIES THAT WILL BE EVALUATED, TO ENSURE THE MOST EFFECTIVE USE OF COMMUNITY AND HOSPITAL RESOURCES. ALL OUTCOMES WILL BE TRACKED AND ANY NECESSARY ADJUSTMENTS TO THIS PLAN WILL BE SHARED IN ANNUAL REPORTS THAT WILL BE COMMUNICATED PUBLICLY ON OUR WEBSITES.PRIORITY 1) MENTAL HEALTH RESPONSIBLE PARTY: PENNSYLVANIA PSYCHIATRIC INSTITUTE, PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER AND PENN STATE HEALTH HAMPDEN MEDICAL CENTERGOAL: IMPROVE MENTAL HEALTH THROUGH PREVENTION, INTERVENTION AND SUPPORT. OVERARCHING INDICATORS/MEASUREMENTS FOR SUCCESS:- REDUCE THE NUMBER OF POOR MENTAL HEALTH DAYS REPORTED BY ADULTS IN THE PAST 30 DAYS.- DECREASE THE PERCENTAGE OF CHILDREN REPORTING FEELING SAD OR DEPRESSED MOST DAYS IN THE PAST YEAR. - DECREASE THE NUMBER OF DRUG OVERDOSE DEATHS PER 100,000 POPULATION.PROGRAM 1. BEHAVIORAL HEALTH EDUCATION AND PREVENTION - EXPAND AND INCREASE BEHAVIORAL HEALTH TRAINING AND EDUCATION.SHORT TERM OBJECTIVES (YEAR 1)1. OFFER MENTAL HEALTH SIGNS/SYMPTOMS TRAININGS.-5 TO TEACHERS-3 TO LAW ENFORCEMENT-2 TO COMMUNITY HEALTH WORKERS (CHWS)-COLLABORATE WITH THE DAUPHIN COUNTY DISTRICT ATTORNEY'S OFFICE TO OFFER 3 CIT TRAININGS.2. PROVIDE SUBSTANCE USE EDUCATION VIA 15 LECTURES, TRAININGS, WEBINARS OR HEALTH FAIRS.3. DISTRIBUTE NALOXONE, LOCK BOXES AND SAFE DISPOSAL POUCHES AT 2 HEALTH FAIRS IN OUR SERVICE AREA.MEDIUM-TERM OBJECTIVES (YEAR 2)1. OFFER MENTAL HEALTH SIGNS/SYMPTOMS TRAININGS.-USE TRAIN-THE-TRAINER TO EDUCATE 3 CHWS ON OFFERING MENTAL HEALTH SIGNS/SYMPTOMS TRAINING.-OFFER 3 MENTAL HEALTH SIGNS/SYMPTOMS TRAININGS TO STUDENTS IN GRADES 7 AND HIGHER.2. EXPAND SUBSTANCE USE EDUCATION VIA LECTURES, TRAININGS, WEBINARS OR HEALTH FAIRS IN 2 ADDITIONAL COUNTIES AND WITHIN THE BUREAU OF PRISONS.3. DISTRIBUTE NALOXONE, LOCK BOXES AND SAFE DISPOSAL POUCHES AT 2 ADDITIONAL HEALTH FAIRS IN OUR SERVICE AREA.LONG-TERM OBJECTIVES (YEAR 3) 1. OFFER MENTAL HEALTH SIGNS/SYMPTOMS TRAININGS. BY THE END OF THE 3RD YEAR, OVER 800 INDIVIDUALS WILL HAVE RECEIVED MENTAL HEALTH SIGNS/SYMPTOMS TRAINING.2. PROVIDE SUBSTANCE USE EDUCATION VIA 15 LECTURES, TRAININGS, WEBINARS OR HEALTH FAIRS AMONG 2 ADDITIONAL POPULATIONS (LGBTQ+, RELIGIOUS, PEOPLE OF COLOR, ETC.).3. DISTRIBUTE NALOXONE, LOCK BOXES AND SAFE DISPOSAL POUCHES AT 2 ADDITIONAL HEALTH FAIRS IN OUR SERVICE AREA.PROGRAM 2. BEHAVIORAL HEALTH RESOURCES, SUPPORT AND COLLABORATION - COLLABORATE WITH OTHER ORGANIZATIONS TO DEVELOP AN INVENTORY OF BEHAVIORAL HEALTH RESOURCES AND SUPPORT SYSTEMS.SHORT TERM OBJECTIVES (YEAR 1)1. DEVELOP OPPORTUNITIES TO COLLABORATE-JOIN A COLLABORATIVE ALREADY IN PLACE, SUCH AS THE HEAL PA INITIATIVE.-APPLY FOR PSH COMMUNITY RELATIONS AND ASSOCIATION FOR FACULTY AND FRIENDS GRANTS.-GATHER AND CREATE AN INVENTORY OF MENTAL HEALTH AND SUBSTANCE USE RESOURCES.2. BUILD RELATIONSHIPS WITH 3 SUPERINTENDENTS TO DISCUSS MENTAL HEALTH RESOURCE PROMOTION.3. COLLABORATE WITH PA 211 TO INCREASE AWARENESS OF MENTAL HEALTH RESOURCES.-OBTAIN BASELINE STATISTICS ON PA 211 MENTAL HEALTH RESOURCE USAGE.4. PSH GOVERNMENT RELATIONS WILL MEET WITH PSH LEADERSHIP TO REVIEW AND ASSESS MENTAL HEALTH PRIORITIES AND NEEDS FOR THE NEXT 2 YEARS.5. RECRUIT ADDITIONAL PROVIDERS.-RECRUIT 5 PHYSICIANS FOCUSED ON ADDICTION TO THE AIR PROGRAM.-RECRUIT 2 FELLOWS TO THE ADDICTION MEDICINE FELLOWSHIP AND OBTAIN A BASELINE NUMBER OF PATIENTS SEEN IN CLINICS AT PPI.6. INITIATE 1 SMART RECOVERY SUPPORT GROUP.MEDIUM-TERM OBJECTIVES (YEAR 2)1. MAINTAIN AND EXPAND THE INVENTORY OF MENTAL HEALTH AND SUBSTANCE USE RESOURCES.2. COLLABORATE WITH 3 SCHOOL DISTRICTS TO ADD PA 211 AND 741741 AS RESOURCES IN STUDENTS' AGENDA BOOKS.3. DETERMINE INCREASE IN PA 211 MENTAL HEALTH RESOURCE USE DURING YEAR 1 AND INCREASE BY 10%.4. PSH GOVERNMENT RELATIONS WILL WORK ON ADDRESSING THE MENTAL HEALTH PRIORITY AREAS IDENTIFIED IN YEAR 1.5. INCREASE THE NUMBER OF PATIENTS RECEIVING METHADONE OR BUPRENORPHINE TREATMENT AT PPI CLINICS BY 45%.6. INITIATE 1 SMART RECOVERY FRIENDS AND FAMILY SUPPORT GROUP.LONG-TERM OBJECTIVES (YEAR 3) 1. MAINTAIN AND EXPAND THE INVENTORY OF MENTAL HEALTH AND SUBSTANCE USE RESOURCES.2. CONTINUE COLLABORATING WITH SCHOOL DISTRICTS TO PROMOTE MENTAL HEALTH RESOURCES.3. MEET OR EXCEED TARGET OF 10% INCREASE IN USE OF PA 211 MENTAL HEALTH RESOURCES.4. PSH GOVERNMENT RELATIONS WILL CONTINUE TO WORK ON ADDRESSING THE MENTAL HEALTH PRIORITY AREAS IDENTIFIED IN YEARS 1 AND 2.5. MAINTAIN THE NUMBER OF PATIENTS RECEIVING METHADONE OR BUPRENORPHINE TREATMENT AT PPI CLINICS.6. CONTINUE TO OFFER 2 SMART RECOVERY SUPPORT GROUPS.PRIORITY 2) HEALTH EQUITYRESPONSIBLE PARTY: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER, PENN STATE HEALTH LANCASTER MEDICAL CENTER, PENNSYLVANIA PSYCHIATRIC INSTITUTE AND PENN STATE HEALTH REHABILITATION HOSPITAL.
GOALS:	- BRIDGE SYSTEMIC GAPS IN CARE BY EXPANDING COMMUNITY ACCESS AND NAVIGATION POINTS IN COLLABORATION WITH COMMUNITY PARTNERS. - EXPAND LANGUAGE AND PRACTICES THAT ARE SENSITIVE TO ISSUES LIKE SOCIAL DETERMINANTS OF HEALTH, RACISM AND LGBTQ+ DISCRIMINATION BY PROMOTING TRAUMA-INFORMED CARE (TIC). OVERARCHING INDICATORS/MEASUREMENTS FOR SUCCESS: - REDUCE DISPARITIES IN LIFE EXPECTANCY WITHIN OUR SERVICE AREA. - INCREASE THE PERCENTAGE OF ADULTS WITH A ROUTINE CHECKUP IN THE PAST YEAR. - DECREASE THE AVERAGE SCORES OF THE COMMUNITY NEED INDEX, SOCIAL VULNERABILITY INDEX OR AREA DEPRIVATION INDEX.PROGRAM 1. COMMUNITY ACCESS POINTS COLLABORATE WITH FORMAL AND INFORMAL COMMUNITY LEADERS TO FIND COMMUNITY ACCESS AND NAVIGATION POINTS TO ENHANCE HEALTH OUTREACH. SHORT TERM OBJECTIVES (YEAR 1)1. COLLABORATE TO CREATE AND MAINTAIN AN INVENTORY OF COMMUNITY HEALTH CARE ACCESS POINTS IN HIGHEST NEED AREAS, FOCUSING ON HEALTH NEEDS SPECIFIC TO COMMUNITY.2. UPLIFT PARTNERSHIP WITH UNITED WAY:- SUPPORT PROMOTION OF PA 211 PROGRAM.- RUN PSH UNITED WAY CAMPAIGN.- HIRE CONTACT TO CARE CHW TO IMPLEMENT CHW PROGRAM FOR PSH IN CUMBERLAND, DAUPHIN AND PERRY COUNTIES.MEDIUM-TERM OBJECTIVES (YEAR 2)1. MAINTAIN AND UPDATE INVENTORY OF COMMUNITY HEALTH CARE ACCESS AND NAVIGATION POINTS AND INCREASE NUMBER OF COMMUNITY ACCESS POINTS BY 6 LOCATIONS/EVENTS.2. CONTINUE PARTNERSHIP WITH UNITED WAY:- CONTINUE SUPPORTING PROMOTION OF PA 211 PROGRAM.- RUN PSH UNITED WAY CAMPAIGN, INCREASING DONATIONS BY 3%.- DEVELOP PSH CONTACT TO CARE CHW PROGRAM FOR CUMBERLAND, PERRY AND DAUPHIN COUNTIES.LONG-TERM OBJECTIVES (YEAR 3) 1. MAINTAIN AND UPDATE INVENTORY OF COMMUNITY HEALTH CARE ACCESS AND NAVIGATION POINTS, INCREASE NUMBER OF COMMUNITY ACCESS POINTS BY 12 LOCATIONS/EVENTS AND ASSESS THE COMMUNITY IMPACT.2. CONTINUE PARTNERSHIP WITH UNITED WAY:- CONTINUE SUPPORTING PROMOTION OF PA 211.- RUN UNITED WAY CAMPAIGN, INCREASING EMPLOYEE CONTRIBUTIONS BY 3%.- ASSESS UNITED WAY CHW PROGRAM.PROGRAM 2. TRAUMA INFORMED COMMUNITIES EXPAND TRAUMA-INFORMED AND HEALING-CENTERED PRACTICES ACROSS THE SERVICE AREA. SHORT TERM OBJECTIVES (YEAR 1)1. COLLABORATE TO CREATE AND MAINTAIN AN INVENTORY OF COMMUNITY ORGANIZATIONS ALREADY PROMOTING TRAUMA INFORMED PRACTICES.2. PARTNER WITH COMMUNITY ORGANIZATIONS TO IDENTIFY EXISTING TIC TRAINING OPTIONS FOR PSH STAFF.MEDIUM-TERM OBJECTIVES (YEAR 2)1. INCREASE PSH INVOLVEMENT IN STATEWIDE TRAUMA-INFORMED CARE WORK BY:- SERVING ON THREE TASK FORCES- EXPANDING OCCUPATIONAL THERAPY EDUCATION ON SENSORY NEEDS OF CHILDREN TO 2 COUNTIES2. IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS, OFFER 2 TIC TRAININGS TO PSH STAFF THAT ARE ALSO OPEN TO THE COMMUNITY TO PARTICIPATE.LONG-TERM OBJECTIVES (YEAR 3) 1. BEGIN TO EDUCATE AT THE STATE LEVEL ON HOW TO IMPLEMENT TRAUMA-INFORMED PROCESSES. 2. IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS, OFFER 2 TIC TRAININGS TO PSH STAFF THAT ARE ALSO OPEN TO THE COMMUNITY TO PARTICIPATE.PRIORITY 3) WELLNESS AND DISEASE PREVENTIONELEMENT 1. CHRONIC DISEASE AND RISK FACTOR PREVENTIONRESPONSIBLE PARTY: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER AND PENN STATE HEALTH REHABILITATION HOSPITALGOAL: IMPROVE CHRONIC DISEASE PREVENTION BY PROVIDING SCREENINGS AND EDUCATIONAL SESSIONS IN IDENTIFIED HIGH-NEED COMMUNITIES. OVERARCHING INDICATORS/MEASUREMENTS FOR SUCCESS - INCREASE THE NUMBER OF HEALTH SCREENINGS PROVIDED IN HIGH-NEED COMMUNITY LOCATIONS THAT RESULT IN EDUCATION AND/OR REFERRALS FOR FOLLOW-UP CARE. - PARTICIPANTS SHOW IMPROVED KNOWLEDGE OF CHRONIC DISEASE RISK FACTOR PREVENTION AFTER EDUCATIONAL SESSIONS. - INCREASE THE PERCENTAGE OF FEMALE MEDICARE ENROLLEES AGES 65 TO 74 WHO RECEIVED AN ANNUAL MAMMOGRAPHY SCREENING.PROGRAM 1. COLLABORATE TO INCREASE OPPORTUNITIES FOR CHRONIC DISEASE EDUCATION AND SCREENINGS, WITH A FOCUS ON UNDERSERVED COMMUNITIES AS IDENTIFIED BY CHNA AND COMMITTEE INPUT.SHORT TERM OBJECTIVES (YEAR 1)1. COLLABORATE ON PROVIDING EDUCATION AND SCREENINGS AT 4 LARGE OPPORTUNITIES.- FORM AND HOLD REGULAR TASK FORCE MEETINGS TO ENHANCE COMMUNICATION BETWEEN PSH HOSPITALS AND COMMUNITY PARTNERS ACROSS THE 6-COUNTY REGION.- DEVELOP AND PROMOTE AN INVENTORY OF EVENTS, ACTIVITIES AND PROGRAMS ALREADY BEING OFFERED IN UNDERSERVED COMMUNITIES.- IDENTIFY GAPS AND DEVELOP ONE NEW OPPORTUNITY WHERE NEEDED.MEDIUM-TERM OBJECTIVES (YEAR 2)1. COLLABORATE ON PROVIDING EDUCATION AND SCREENINGS AT 6 LARGE OPPORTUNITIES.- SUMMARIZE AND EVALUATE COMMUNITY OPPORTUNITIES ATTENDED IN YEAR 1 TO DETERMINE BEST FIT FOR MEETING HIGH-NEED COMMUNITIES.LONG-TERM OBJECTIVES (YEAR 3) 1. COLLABORATE ON PROVIDING EDUCATION AND SCREENINGS AT 8 LARGE OPPORTUNITIES.- SUMMARIZE AND EVALUATE COMMUNITY OPPORTUNITIES ATTENDED IN YEAR 2 TO DETERMINE BEST FIT FOR MEETING HIGH-NEED COMMUNITIES.PROGRAM 2. EVALUATE EDUCATIONAL PROGRAMS TO DEMONSTRATE IMPROVED UNDERSTANDING OF CHRONIC DISEASE RISK FACTOR PREVENTION.SHORT TERM OBJECTIVES (YEAR 1)1. CREATE AN EVALUATION SURVEY TO IMPLEMENT AT EACH EDUCATIONAL PROGRAM.MEDIUM-TERM OBJECTIVES (YEAR 2)1. COLLABORATE WITH COMMUNITY PARTNERS TO OFFER 6 EDUCATIONAL SESSIONS, AND MEASURE IMPROVED UNDERSTANDING OF CHRONIC DISEASE RISK FACTOR PREVENTION.LONG-TERM OBJECTIVES (YEAR 3) 1. COLLABORATE WITH COMMUNITY PARTNERS TO OFFER 8 EDUCATIONAL SESSIONS AND MEASURE IMPROVED UNDERSTANDING OF CHRONIC DISEASE RISK FACTOR PREVENTION.ELEMENT 2. NUTRITION AND FOOD ACCESSRESPONSIBLE PARTY: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER AND PENN STATE HEALTH HAMPDEN MEDICAL CENTERGOAL: ADDRESS ISSUES RELATED TO OBESITY AND FOOD INSECURITY BY PROMOTING ACCESS TO AND CONSUMPTION OF HEALTHFUL DIETS AND DETERMINE THE IMPACT OF NUTRITION EDUCATION AND IMPROVED ACCESS. OVERARCHING INDICATORS/MEASUREMENTS FOR SUCCESS: - REDUCE OBESITY RATES IN BERKS, LEBANON AND DAUPHIN COUNTIES. - REDUCE THE PERCENTAGE OF RESIDENTS WITH LOW ACCESS TO FOOD IN BERKS, LEBANON AND DAUPHIN COUNTIES. - INCREASE THE REACH OF NUTRITION EDUCATION AND FOOD ACCESS TO RESIDENTS OF BERKS, CUMBERLAND, DAUPHIN, LANCASTER, LEBANON AND PERRY COUNTIES.PROGRAM 1. FOOD BUCKS / VEGGIE RX EXPANSION - EXPAND REACH OF NUTRITION AND FOOD ACCESS PROGRAMS.SHORT TERM OBJECTIVES (YEAR 1)1. BEGIN PROGRAM PLANNING AND DEVELOPMENT OF VEGGIE RX INTO LEBANON.- IDENTIFY KEY PARTNERS AND REQUIRED RESOURCES.- DETERMINE GOALS, OBJECTIVES AND MEASURABLE OUTCOMES.- DETERMINE REFERRAL PROCESS AND ELIGIBILITY.- CREATE NEEDS ASSESSMENT OF COMMUNITY PARTICIPANTS.2. ENGAGE AT LEAST 10,000 PARTICIPANTS ACROSS ALL NUTRITION AND FOOD ACCESS PROGRAMS (FOOD BOX INITIATIVE, COMMUNITY GARDEN, FARMERS MARKETS, WELLNESS ON WHEELS, FARM STAND, VEGGIE RX AND DOWNTOWN HEALTHY FOOD PANTRY).3. DEVELOP A PRE-/POST EVALUATION PLAN FOR NUTRITION EDUCATION FOR CURRENT VEGGIE RX PROGRAM.MEDIUM-TERM OBJECTIVES (YEAR 2)1. START NEW SITE LOCATION IN LEBANON.- ENROLLMENT OF 30 INDIVIDUALS AT NEW SITE LOCATION.- DETERMINE PROCESS-EVALUATION METHODS.- MONITOR PROGRESS TOWARD THE PROGRAM'S GOALS.2. ENGAGE AT LEAST 12,000 PARTICIPANTS ACROSS ALL NUTRITION AND FOOD ACCESS PROGRAMS (FOOD BOX INITIATIVE, COMMUNITY GARDEN, FARMERS MARKETS, WELLNESS ON WHEELS, FARM STAND, VEGGIE RX AND DOWNTOWN HEALTHY FOOD PANTRY).3. IMPLEMENT THE PRE-/POST-EVALUATION OF EDUCATIONAL OFFERINGS FOR PARTICIPANTS.LONG-TERM OBJECTIVES (YEAR 3) 1. ENROLL 40 INDIVIDUALS IN THE PROGRAM.- UTILIZE AN EVALUATION TOOL.- EXPAND THE NETWORK OF FOOD RETAIL PARTNERS.2. ENGAGE AT LEAST 14,000 PARTICIPANTS ACROSS ALL NUTRITION AND FOOD ACCESS PROGRAMS (FOOD BOX INITIATIVE, COMMUNITY GARDEN, FARMERS MARKETS, WELLNESS ON WHEELS, FARM STAND, VEGGIE RX AND DOWNTOWN HEALTHY FOOD PANTRY).3. EVALUATE THE PRE-/POST-DATA FOR NUTRITION EDUCATION.PROGRAM 2. REGIONAL COLLABORATIVE AND STANDARDIZED NUTRITION AND FOOD ACCESS RESOURCE GUIDE - DEVELOP A REGIONAL 6-COUNTY COLLABORATIVE TO INCREASE COMMUNICATION AND DEVELOP A NUTRITION/FOOD ACCESS RESOURCE GUIDE. SHORT TERM OBJECTIVES (YEAR 1)1. ESTABLISH A MEETING SCHEDULE FOR THE COLLABORATIVE AND IDENTIFY PARTNERS TO INCLUDE.2. IDENTIFY PROGRAMS THAT WILL BE INCLUDED IN THE RESOURCE GUIDE.- CATEGORIZE THE RESOURCE GUIDE BASED ON NEED AND COUNTY.- FINALIZE METHODS OF DISSEMINATION AND DISTRIBUTE THE RESOURCE GUIDE THROUGH AT LEAST 5 OUTLETS.MEDIUM-TERM OBJECTIVES (YEAR 2)1. MAINTAIN THE MEETING SCHEDULE FOR THE COLLABORATIVE.2. MAINTAIN AND DISTRIBUTE THE RESOURCE GUIDE THROUGH AT LEAST 10 COMMUNITY OPPORTUNITIES IN UNDERSERVED COMMUNITIES.
LONG-TERM OBJECTIVES (YEAR 3)	1. MAINTAIN THE MEETING SCHEDULE FOR THE COLLABORATIVE.- DEVELOP AND IMPLEMENT A POST-SURVEY TO ASSESS THE EFFECTIVENESS OF THE COLLABORATIVE.2. MAINTAIN AND DISTRIBUTE THE RESOURCE GUIDE THROUGH AT LEAST 15 COMMUNITY OPPORTUNITIES IN UNDERSERVED COMMUNITIES. PROGRAM 3. COMMUNITY GARDEN INITIATIVE - IMPROVE ACCESS TO FRUITS, VEGETABLES AND NUTRITION EDUCATION WITHIN THE SERVICE AREA. SHORT TERM OBJECTIVES (YEAR 1)1. PLANT AT LEAST 2 COMMUNITY/SENSORY GARDENS IN THE SERVICE AREA.- ENGAGE LOCAL PARTNERS AND COMMUNITY MEMBERS.- COMPLETE A FOOD INSECURITY SURVEY, IDENTIFYING BARRIERS TO ACCESSING FOOD. MEDIUM-TERM OBJECTIVES (YEAR 2)1. OFFER 3 NUTRITION AND GARDENING EDUCATION PROGRAMS AT COMMUNITY GARDENS. LONG-TERM OBJECTIVES (YEAR 3)1. OFFER 6 NUTRITION AND GARDENING EDUCATION PROGRAMS AT COMMUNITY GARDENS. ELEMENT 3. PHYSICAL ACTIVITY RESPONSIBLE PARTY: PENN STATE HEALTH MILTON S. HERSHEY MEDICAL CENTER, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER, PENN STATE HEALTH ST. JOSEPH MEDICAL CENTER, PENN STATE HEALTH HAMPDEN MEDICAL CENTER, PENN STATE HEALTH REHABILITATION HOSPITAL AND PENN STATE HEALTH LANCASTER MEDICAL CENTER. GOAL: IMPROVE HEALTH, FITNESS AND QUALITY OF LIFE THROUGH DAILY PHYSICAL ACTIVITY. OVERARCHING INDICATORS/MEASUREMENTS FOR SUCCESS: - INCREASE THE NUMBER OF FREE EXERCISE OPPORTUNITIES FOR ALL AGES IN ZIP CODES IDENTIFIED BY OUR CHNA AND COMMUNITY PARTNERS AS HAVING THE GREATEST RISK FACTORS FOR POOR HEALTH. - REDUCE THE PERCENTAGE OF ADULTS WHO DO NOT ENGAGE IN LEISURE-TIME PHYSICAL ACTIVITY. PROGRAM 1. COMMUNITY PHYSICAL ACTIVITY PROGRAMS AND INFRASTRUCTURE - 1. COLLABORATE TO SHARE OPPORTUNITIES FOR SAFE, COMMUNITY EXERCISE PROGRAMS.2. ENHANCE POLICIES AND INFRASTRUCTURE TO INCREASE OPPORTUNITIES FOR PHYSICAL ACTIVITY. SHORT TERM OBJECTIVES (YEAR 1)1. CREATE AN INVENTORY OF FREE COMMUNITY EXERCISE PROGRAMS.2. JOIN COMMUNITY COLLABORATIVES ALREADY IN PLACE TO INCREASE PHYSICAL ACTIVITY.3. INVESTIGATE OPPORTUNITIES WITH LOCAL, COUNTY AND STATEWIDE PARKS AND RECREATION SYSTEMS IN ALL 6 COUNTIES; ESTABLISH A PARTNERSHIP WITH 1.4. INVESTIGATE OPPORTUNITIES TO FOSTER PHYSICAL ACTIVITY AT ALL PSH HOSPITAL LOCATIONS AND EXTENDING INTO LOCAL COMMUNITIES.5. COLLABORATE WITH 1 SCHOOL DISTRICT OR COMMUNITY ORGANIZATION TO IDENTIFY WAYS TO ENHANCE THE BUILT ENVIRONMENT FOR YOUTH PHYSICAL ACTIVITY. MEDIUM-TERM OBJECTIVES (YEAR 2)1. PROMOTE AND SHARE THE INVENTORY OF FREE COMMUNITY PROGRAMS THROUGH 5 OPPORTUNITIES.2. COLLABORATE ON ENHANCING 1 EXISTING COMMUNITY PHYSICAL ACTIVITY OPPORTUNITY IN 3 OF OUR 6 COUNTIES.3. ESTABLISH 1 ADDITIONAL PARTNERSHIP WITH A LOCAL, COUNTY OR STATEWIDE PARKS AND RECREATION SYSTEM.4. INCREASE/ENHANCE 2 OPPORTUNITIES FOR PHYSICAL ACTIVITY AT PSH HOSPITAL LOCATIONS AND EXTENDED INTO LOCAL COMMUNITIES.5. COLLABORATE WITH 1 ADDITIONAL SCHOOL DISTRICT OR COMMUNITY ORGANIZATION TO IDENTIFY WAYS TO ENHANCE THE BUILT ENVIRONMENT FOR YOUTH PHYSICAL ACTIVITY LONG-TERM OBJECTIVES (YEAR 3)1. PROMOTE AND SHARE THE INVENTORY OF FREE COMMUNITY PROGRAMS THROUGH 5 NEW OPPORTUNITIES.2. COLLABORATE ON ENHANCING ONE EXISTING COMMUNITY PHYSICAL ACTIVITY OPPORTUNITY IN ALL 6 OF OUR COUNTIES.3. ESTABLISH 1 ADDITIONAL PARTNERSHIP WITH A LOCAL, COUNTY OR STATEWIDE PARKS AND RECREATION SYSTEM.4. INCREASE/ENHANCE 2 OPPORTUNITIES FOR PHYSICAL ACTIVITY AT PSH HOSPITAL LOCATIONS AND EXTENDED INTO LOCAL COMMUNITIES.5. COLLABORATE WITH 1 ADDITIONAL SCHOOL DISTRICT OR COMMUNITY ORGANIZATION TO IDENTIFY WAYS TO ENHANCE THE BUILT ENVIRONMENT FOR YOUTH PHYSICAL ACTIVITY.COMMUNITY GRANTS AND CHARITABLE PURPOSE SPONSORSHIPS:IN ORDER TO ALSO PARTNER WITH COMMUNITY ORGANIZATIONS TO ADDRESS PRIORITIZED HEALTH NEEDS, GRANTS AND SPONSORSHIPS ARE PROVIDED ON AN ANNUAL BASIS. CALENDAR YEAR 2023 IS THE EIGHTH YEAR OF THESE GRANTS AND, OVER THIS TIME FRAME, 105 PROJECT TEAMS WERE FUNDED BY $396,750. THIS SUCCESSFUL ENDEAVOR ENGAGES EMPLOYEES FROM ALL PSH HOSPITALS TO PARTNER WITH COMMUNITY ORGANIZATIONS TO START A PROGRAM ADDRESSING AT LEAST ONE OF THE HEALTH NEED PRIORITIES NAMED IN THE CHNA. PRIORITY IS GIVEN TO SUSTAINABLE START-UP PROJECTS THAT WILL HAVE A POSITIVE HEALTH IMPACT ON OUR COMMUNITY. APPLICATIONS MAY ALSO BE SUBMITTED TO SUPPORT PREEXISTING PROGRAMS AND CONTINUE THEIR EXCELLENT WORK. NOT ONLY DO THESE GRANTS PROVIDE LOCAL HEALTH PROGRAMMING, BUT THEY ALSO 1) ENGAGE EMPLOYEE TALENT IN COMMUNITY OUTREACH, 2) HELP DEVELOP AN ORGANIZATIONAL CULTURE OF COMMUNITY HEALTH IMPROVEMENT AND 3) PROVIDE OUR EMPLOYEES AND STUDENTS WITH THE OPPORTUNITY TO LEARN FROM COMMUNITY PARTNERS AND BETTER UNDERSTAND THE SOCIAL INFLUENCES ON HEALTH THAT EXIST OUTSIDE OF OUR HOSPITAL WALLS.
CHNA IMPLEMENTATION PLAN 2022-2025 YEAR ONE ACCOMPLISHMENTS:	DURING FISCAL YEAR 2023, PSH HOSPITALS CONTINUED FIVE TASK FORCES TO CARRY OUT THE FIRST YEAR OF THE CHNA IMPLEMENTATION PLAN. THESE TASK FORCES ARE COMPRISED OF PSH EMPLOYEES AND COMMUNITY PARTNERS AND MEMBERS WHO ALL FOCUS ON THE PRIORITIES IDENTIFIED IN THE CHNA: MENTAL HEALTH, HEALTH EQUITY AND CHRONIC DISEASE AND RISK FACTOR PREVENTION (SPLIT INTO THREE TASK FORCES: CHRONIC DISEASE AND RISK FACTOR PREVENTION, NUTRITION AND FOOD ACCESS, AND PHYSICAL ACTIVITY.) THE FOLLOWING SECTION WILL DESCRIBE KEY ACCOMPLISHMENTS PER PRIORITY AREA AND TASK FORCE. 100% OF THE OBJECTIVES SET IN YEAR ONE OF THE PLAN WERE MET. ALSO DURING THIS FISCAL YEAR, PSH CONTINUED TO EXPAND AND LANCASTER MEDICAL CENTER OPENED. ANTICIPATING THIS, LANCASTER COUNTY WAS INCLUDED IN THE 2021 CHNA, THEY JUMPED RIGHT ON BOARD THE COMMUNITY OUTREACH EFFORTS AND A LYON SOFTWARE CBISA CONTRACT WAS INITIATED TO TRACK THEIR COMMUNITY BENEFIT. ALL OTHER HOSPITALS CONTINUED TO EXPAND AND ACHIEVED INCREASES IN COMMUNITY HEALTH DOLLARS CONTRIBUTED AS WELL AS PERSONS SERVED IN THE COMMUNITY. NEW THIS YEAR, PSH DEVELOPED A MORE FORMAL ANNUAL COMMUNITY BENEFIT REPORT INSTEAD OF THE ANNUAL CHNA REPORT CARD. THE CHNA, IMPLEMENTATION PLAN AND COMMUNITY BENEFIT REPORT CAN BE FOUND AT: HTTPS://WWW.PENNSTATEHEALTH.ORG/COMMUNITY. MENTAL HEALTH:SEE YEAR 1 GOALS AND OBJECTIVES ABOVE. YEAR 1 ACCOMPLISHMENTS:OFFER MENTAL HEALTH SIGNS AND SYMPTOMS TRAININGS: - TRAINED 418 INDIVIDUALS ON MENTAL HEALTH SIGNS AND SYMPTOMS IN PARTNERSHIP WITH THE FOLLOWING ORGANIZATIONS: CIT DAUPHIN COUNTY LAW ENFORCEMENT, PA STATE POLICE ACADEMY CADETS, BEACON CLINIC, ERG GROUP AT PHS, DAUPHIN COUNTY DISTRICT ATTORNEY'S OFFICE CIT, INTERNATIONAL SERVICE CENTER, COMMUNITY HEALTH WORKERS. - PROVIDED SUBSTANCE USE EDUCATION VIA 18 LECTURES, TRAININGS, WEBINARS OR HEALTH FAIRS. - DISTRIBUTED NALOXONE, LOCK BOXES AND SAFE DISPOSAL POUCHES AT 4 HEALTH FAIRS. - COLLABORATED ON A COMMUNITY HEALTH VENDING MACHINE PROJECT TO DISPENSE NALOXONE, DRUG CHECKING KITS, AND OTHER HEALTH NECESSITIES. - OFFERED DRUG TAKE BACK DAY COLLECTING OVER 1000 POUNDS OF UNWANTED, UNNEEDED, OR EXPIRED MEDICATIONS, AS WELL AS 20 SHARPS CONTAINERS. DEVELOP OPPORTUNITIES TO COLLABORATE: - JOINED HEAL PA INITIATIVE. - RECEIVED A COMMUNITY RELATIONS GRANT TO BEGIN SENSORY REGULATION WORKSHOPS GEARED TOWARDS CHILDREN, TEENS AND YOUTH. - CREATED AND MAINTAIN THE COMMUNITY NETWORK DIRECTORY TO SERVE AS AN INVENTORY OF MENTAL HEALTH AND SUBSTANCE USE RESOURCES. - MADE CONNECTIONS WITH MULTIPLE SCHOOL DISTRICT SUPERINTENDENTS AND PARTNERED WITH STEELTON HIGHSPIRE SCHOOL DISTRICT. - PARTNERED WITH THE HEALTH EQUITY TASK FORCE, PA 211 AND THE UNITED WAY OF THE CAPITAL REGION ON A VIDEO TO PROMOTE 211 USAGE. - PSH GOVERNMENT RELATIONS MET WITH LEADERSHIP TO REVIEW AND ASSESS MENTAL HEALTH PRIORITIES AND NEEDS FOR THE NEXT 2 YEARS. - INITIATED UNITED WAY OF THE CAPITAL REGION CONTACT TO CARE AND ROAD TO SUCCESS INITIATIVES AND EMPLOY A COMMUNITY HEALTH WORKER (CHW) AT PPI. - RECRUITED 2 FELLOWS TO THE ADDICTION MEDICINE FELLOWSHIP AND MONITOR NUMBER OF PATIENTS SEEN AT PPI. - LEADER WAS TRAINED TO INITIATE THE SMART RECOVERY SUPPORT GROUP. - PPI INITIATED ADULT AND CHILD SUPPORT GROUPS. - THROUGH THE USE OF FUNDS FROM A COMMUNITY RELATIONS GRANT, THE LANCASTER HARM REDUCTION PROJECT WAS ABLE TO TEMPORARILY INCREASE HOURS AT THEIR HARRISBURG AND LANCASTER LOCATIONS FOR 6 MONTHS. - A COMMUNITY RELATIONS GRANT ALLOWED THE PARTNERSHIP WITH AN OUTREACH SPECIALIST IN THE COMMUNITY TO EXPAND OUR EDUCATIONAL OFFERINGS TO PROVIDE FREE HIGH QUALITY, EVIDENCE-BASED, TRAUMA-SENSITIVE TRAINING ON SUBSTANCE USE, HARM REDUCTION, AND MENTAL HEALTH TOPICS TO MEMBERS OF THE COMMUNITY. HEALTH EQUITY:SEE YEAR 1 GOALS AND OBJECTIVES ABOVE. YEAR 1 ACCOMPLISHMENTS:COLLABORATE TO CREATE AND MAINTAIN AN INVENTORY OF COMMUNITY HEALTH ACCESS POINTS AND ORGANIZATIONS PROMOTING TRAUMA INFORMED CARE PRACTICES: - CHNA NETWORKING DRIVE UPDATED WITH CURRENT COMMUNITY ACCESS POINTS AND TRAUMA INFORMED ORGANIZATIONS. UPLIFT PARTNERSHIP WITH THE UNITED WAY: - PA 211 CAMPAIGN VIDEO CREATED AND PROVIDED TO COMMUNITY PARTNERS AND JOINT SOCIAL MEDIA CAMPAIGN RAN IN JULY 2022. - PA 211 INFORMATION EMBEDDED IN PSH DISCHARGE INSTRUCTIONS JUNE 2023. - UNITED WAY 2022 CAMPAIGN SUCCESSFULLY RAN AND PLANNING FOR 2023 HAS STARTED. - UNITED WAY CONTACT TO CARE CHW HIRED DECEMBER 2022. PARTNER WITH COMMUNITY ORGANIZATION ON TRAUMA INFORMED CARE TRAININGS: - TRAUMA INFORMED CARE STAFF TRAINING OFFERED IN SEPTEMBER 2022. - FIFTEEN COMMUNITY PARTNER EDUCATION SESSIONS PROVIDED. - EVALUATION RESULTS: 486 PRE-SURVEYS AND 340 POST-SURVEYS HAVE BEEN COMPLETED TO EVALUATE THE TRAINING PROGRAM. PARTICIPANT RESPONSES HAVE SHOWN A STATISTICALLY SIGNIFICANT IMPROVEMENT IN THEIR 'KNOWLEDGE AND 'UNDERSTANDING' OF TRAUMA. NINETY-EIGHT PERCENT OF OPEN-ENDED RESPONSES HAVE BEEN POSITIVE, WITH MANY STATING THAT THE TRAINING IS "EYE-OPENING AND "INFORMATIVE." ADDITIONAL YEAR 1 HIGHLIGHTS: - EXPANDED WORK AT THE RACETRACK TO ASSIST OTHER POPULATIONS IN PARTNERSHIP WITH HOLY SPIRIT MEDICAL CENTER OUTREACH CLINIC. - PARTNERSHIP WITH CARDIOVASCULAR SERVICE LINE TO INCREASE ASCVD SCREENING IN THE COMMUNITY AND THE NUMBER OF SCREENINGS WAS DOUBLED WITHIN THE FIRST QUARTER. - PARTNERSHIP WITH LION CARE TO OFFER HEALTH FAIR WITH THE ISGH MOSQUE IN STEELTON. - IMPLEMENTED NURSE COMMUNITY PARTNERSHIP REFERRAL PROGRAM. - BEGAN HEALTHCARE SCREENINGS AT CORNER STORES IN READING. - BEGAN TRACKING COMMUNITY HEALTH NURSE AND CHW PARTICIPANT HEALTH DATA IN REDCAP SO WE CAN BEGIN EVALUATING EFFORTS. - THE PSH SYSTEM-WIDE HEALTH EQUITY STRATEGY WAS STARTED, AND THIS CHNA HEALTH EQUITY TASK FORCE CONTRIBUTES AS THE COMMUNITY PILLAR. - THE HEALTH EQUITY TASK FORCE PARTICIPATED IN A TEAM OUTREACH EVENT AND PACKED FOOD BOXES AT THE CENTRAL PENNSYLVANIA FOOD BANK. CHRONIC DISEASE AND RISK FACTOR PREVENTION:SEE YEAR 1 GOALS AND OBJECTIVES ABOVE. YEAR 1 ACCOMPLISHMENTS:COLLABORATE TO INCREASE OPPORTUNITIES FOR CHRONIC DISEASE EDUCATION AND TRAININGS WITH A FOCUS ON UNDERSERVED COMMUNITIES: - TASK FORCE MEETINGS HAVE FOSTERED COLLABORATION TO EXTEND OUR REACH, AND WE HAVE HEARD ABOUT EXCELLENT PROGRAMS FROM MANY PRESENTERS. - THE COMMUNITY NETWORK DIRECTORY WAS CREATED AND IS BEING USED BY ALL TASK FORCES FOR NETWORKING AND COLLABORATION. - COLLABORATED AT MANY LARGE COMMUNITY EVENTS ACROSS OUR SIX COUNTIES, EXAMPLES: NATIONAL NIGHT OUT, RECFEST, YMCA HEALTH EQUITY TOUR, BERKS GUTS AND GLORY EVENT, AMERICAN HEART WALK, CULTURAL DIVERSITY FESTIVAL IN DOWNTOWN READING, CANCER SURVIVORSHIP CONFERENCE, PENN STATE HEALTH BLUE WHITE GAME, DIABETES FAIRS, FLU SHOT EVENTS, REACH EVENTS, AND WALK WITH A DOC TO PROVIDE STROKE AND DIABETES EDUCATION. - COMMUNITY HEALTH NURSES PROVIDING EDUCATION AND SCREENINGS AT THE DOWNTOWN READING FARMSTAND AND IN COLLABORATION WITH THE READING CORNER STORE INITIATIVE; ALSO NEW THIS YEAR, A FAIR WAS HELD AT THE STEELTON MOSQUE. - STROKE PROGRAM COLLABORATED WITH THE PANTRIES AND WELLNESS SUPPORT (PAWS) PROGRAM, AND PROVIDED BRAIN AND STROKE EDUCATION AT PAXTONIA ELEMENTARY SCHOOL. THE STROKE TEAM ALSO IDENTIFIED A GAP AND PARTNERED WITH LEADER CENTER FOR ACTIVE LIFE TO PROVIDE LUNCH-AND-LEARN OPPORTUNITIES ON PREVENTION SCREENINGS AND MESSAGES.
CREATE AN EVALUATION SURVEY TO IMPLEMENT AT COMMUNITY EDUCATIONAL EVENTS TO	DEMONSTRATE IMPROVED UNDERSTANDING OF CHRONIC DISEASE RISK FACTOR PREVENTION: - EVALUATION FRAMEWORK AND SURVEYS CREATED. SHORT AND LONG (INCLUDES DEMOGRAPHIC QUESTIONS) VERSIONS AVAILABLE IN ENGLISH AND SPANISH VIA PDFS, REDCAP LINKS, AND A POWERPOINT SLIDE AND FLIER WITH QR CODES. - SURVEYS ARE BEING USED BY COMMUNITY HEALTH AND OTHER TASK FORCES TOO AND HAVE BEEN COMPLETED VIRTUALLY AND AT HERSHEY PLAZA, LHACC, SALVATION ARMY, MORNING STAR, CUMBERLAND COUNTY HOUSING AND THE INTERNATIONAL SERVICE CENTER. - EDUCATIONAL TOPICS EVALUATED INCLUDE: LET'S GET EDUCATED AGAINST CANCER, BREAST BINGO: CANCER EDUCATION, HELLO (END OF LIFE PLANNING), KNOW YOUR NUMBERS, MENTAL HEALTH SIGNS & SYMPTOMS, CAUTION (CANCER EDUCATION), PREVENTATIVE HEALTH, URINARY HEALTH, OSTEOPOROSIS, AND STROKE. - WORKING WITH THE STROKE TEAM TO DEVELOP A PRE-POST SURVEY SPECIFICALLY FOR THEM AS WELL AS A PRE-POST SURVEY FOR USE WITH THE SENSORY TRAINING GRANT. - EVALUATION RESULTS: 173 EVALUATION SURVEYS WERE COMPLETED, WITH THE SHORT, ENGLISH SURVEY BEING THE FORMAT MOST OFTEN USED. RESULTS SHOWED THAT THE MOST USEFUL METHOD OF LEARNING WAS THROUGH A PRESENTATION FORMAT AND THAT THE MAJORITY OF RESPONDENTS PREFERRED TO RECEIVE EDUCATIONAL INFORMATION IN PERSON. ABOUT ONE HUNDRED PERCENT OF ALL RESPONDENTS SAID THEY EITHER 'STRONGLY AGREE OR 'AGREE' THAT THEY HAD LEARNED SOMETHING NEW DURING THEIR EVENT THAT THEY CAN USE IN THEIR WORK / LIFE. THE EVALUATION ALSO SHOWED THAT THE MAJORITY OF PARTICIPANTS PLAN TO EITHER USE THE INFORMATION THEY LEARNED TO IMPROVE THEIR OWN HEALTH OR DISCUSS IT WITH A FRIEND/FAMILY MEMBER/COLLEAGUE/ PROVIDER, SHOWING HOW EDUCATIONAL EVENTS CAN IMPACT THE HEALTH OF EVEN THOSE IN THE COMMUNITY WHO DID NOT ATTEND THE EVENT THEMSELVES. NUTRITION AND FOOD ACCESS:SEE YEAR 1 GOALS AND OBJECTIVES ABOVE. YEAR 1 ACCOMPLISHMENTS:EXPAND REACH OF NUTRITION AND FOOD ACCESS PROGRAMS: - VEGGIE RX CONTINUES TO DEMONSTRATE GREAT SUCCESS IN BERKS COUNTY. 75 PATIENTS WERE ENROLLED SINCE JULY 1, 2022. THIS NUMBER DOES NOT REFLECT THE TOTAL NUMBER OF FAMILY MEMBERS POSITIVELY IMPACTED BY THE PATIENT'S PARTICIPATION IN THE PROGRAM. IN TOTAL, WE ENROLLED 154 PATIENTS IN VEGGIE RX 2.0; 81% HISPANIC, 70% FEMALE, 59.5% LESS THAN HIGH SCHOOL EDUCATION, 58.8% RECEIVING SNAP, AND 90.0% ON MEDICAID/MEDICARE. COMPARED TO BASELINE, AT 7 MONTHS POST-PROGRAM A1C DECREASED SIGNIFICANTLY (-0.4%, P = .04) AND THERE WAS NO PRE-POST CHANGE IN BMI (P=.78). THE OVERALL VOUCHER REDEMPTION RATE WAS 85% (13,848 REDEEMED/16,196 GIVEN). - VEGGIE RX EXPANDED TO LEBANON AND LANCASTER COUNTIES: > FOR LEBANON COUNTY VEGGIE RX, THERE WAS 39 PEOPLE ENROLLED AND 19 COMPLETED THE PROGRAM. 68% SHOWED A DECREASE IN THEIR A1C AFTER THE 6-WEEK PROGRAM. > FOR LANCASTER VEGGIE RX, 16 ENROLLED AND 13 COMPLETED THE PROGRAM. > CREATED PRE/POST ASSESSMENTS FOR THE PROGRAM AND EACH EDUCATIONAL SESSION. - OVERALL, NUTRITION AND FOOD ACCESS INITIATIVES REACHED OVER 30,000 PEOPLE IN YEAR ONE. DEVELOP A REGIONAL COLLABORATIVE TO INCREASE COMMUNICATION AND DEVELOP A NUTRITION / FOOD ACCESS RESOURCE: - DEVELOPED GEOCODING MAP TO SHOW ALL OF PENN STATE HEALTH FOOD ACCESS LOCATIONS AND FOOD DESSERTS. INCLUDES OVER 80 LOCATIONS THAT HIGHLIGHT DIFFERENT FOOD ACCESS WORK SUCH AS THE VEGGIE RX PROGRAMS, FARM STAND, COMMUNITY GARDENS, FOOD BOXES, COMMUNITY FRIDGES, PANTRIES AND WELLNESS SUPPORT (PAWS), ETC. - DEVELOPED COMMUNITY NETWORKING DIRECTORY TO HOUSE RECURRING NUTRITION RELATED PROGRAMS AND EVENTS. - CREATED FACT SHEETS HIGHLIGHTING MANY OF THESE SERVICES. IMPROVE ACCESS TO FRUITS AND VEGETABLES, AND NUTRITION EDUCATION WITH OUR SERVICE AREA: - PAWS PROGRAM PROVIDED HEALTH SCREENINGS AND EDUCATION AT 10 FOOD PANTRIES AND ALSO PROVIDED NURSING OUTREACH AT OTHER LOCATIONS SUCH AS THE RACETRACK, ANCHOR LANCASTER, LANCASTER LIBRARIES, AND WITH THE CORNER STORE INITIATIVE IN READING. - COMMUNITY GARDEN EXPANSION: IN ADDITION TO OUR CAMPUS GARDEN, RITE AID HEALTHY FUTURES HAS GRACIOUSLY PROVIDED FUNDING TO CONSTRUCT MULTIPLE COMMUNITY GARDENS ACROSS OUR SERVICE AREA. THE FIRST GARDEN WAS THE CHESTNUT STREET COMMUNITY CENTER GARDEN IN LEBANON. DURING THE FIRST YEAR OF OUR PLAN WE EXPANDED TO 14 GARDENS TOTAL IN BERKS, DAUPHIN, LANCASTER, LEBANON AND PERRY COUNTIES. - THIS YEAR THE GARDENS HAVE REACHED OVER 5,000 COMMUNITY MEMBERS. - THE GARDENS CREATE A SPACE FOR FAMILIES TO HARVEST VARIOUS VEGETABLES, BRING THE COMMUNITY TOGETHER, AND PROVIDE NUTRITION EDUCATION. - WE PROVIDED PROGRAMMING TO 150 PEOPLE ABOUT CONTAINER GARDENING AT EIGHT LOCATIONS AND SERVED 58 PEOPLE FOR THE COOKING CLASSES IN FOUR OF THE GARDENS. - TWELVE AEROGARDENS WERE PROVIDED TO THE LEBANON SCHOOL DISTRICT TO TEACH STUDENTS IN ALL GRADES GARDENING TECHNIQUES AND HOW TO GROW THEIR OWN HEALTHY FOODS WHILE INCREASING CONSUMPTION. EVALUATION PRE AND POST SURVEYS WERE DEVELOPED AND UTILIZED. ADDITIONAL SUPPLIES WERE USED TO CREATE AN AQUAPONICS PROGRAM FOR 5TH GRADERS. - PENN STATE REACH PARTNERED WITH BELL & EVENS ON A DIABETES PREVENTION PROGRAM INCENTIVIZE PARTICIPANTS WITH WEEKLY CSI VEGETABLE BOXES FOR PARTICIPATING IN AN ON-LINE EDUCATIONAL PROGRAM. PHYSICAL ACTIVITY: SEE YEAR 1 GOALS AND OBJECTIVES ABOVE. YEAR 1 ACCOMPLISHMENTS: - OUR CHNA COMMUNITY MEMBER SURVEY SHOWED THAT LESS THAN 30% OF THOSE SURVEYED MET THE NATIONAL PHYSICAL ACTIVITY GUIDELINE OF AT LEAST 150 MINUTES OF MODERATE-INTENSITY, AEROBIC PHYSICAL ACTIVITY EACH WEEK OR THE EQUIVALENT OF 30 MINUTES ON AT LEAST FIVE DAYS PER WEEK. 1/5 REPORTED NO DAYS OF PHYSICAL ACTIVITY IN THE PAST MONTH. GOOD NEWS: 2023 COUNTY HEALTH RANKINGS SHOWED A DECREASE IN THE PERCENTAGE OF ADULTS WHO REPORT NO LEISURE TIME PHYSICAL ACTIVITY IN ALL SIX COUNTIES! COLLABORATE MORE TO SHARE OPPORTUNITIES FOR COMMUNITY PHYSICAL ACTIVITY PROGRAMS: - CREATED AND MAINTAIN PHYSICAL ACTIVITY SECTION OF THE COMMUNITY NETWORK DIRECTORY BEING USED BY ALL TASK FORCES. - HOLD MEETINGS EVERY OTHER MONTH TO HIGHLIGHT UPCOMING EVENTS ACROSS OUR SIX COUNTIES. - INVITE PRESENTERS TO SHARE ABOUT PHYSICAL ACTIVITY PROGRAMS TO HELP PROMOTE AND POSSIBLY REPLICATE IN OTHER AREAS TO EXPAND PHYSICAL ACTIVITY OPPORTUNITIES AND INFRASTRUCTURE: THE COMMON WHEEL, COMMUNITY HEALTH COUNCIL OF LEBANON COUNTY LEBANON VALLEY CALENDAR, PENNSYLVANIA PARKS & FORESTS FOUNDATION, THE ASPEN INSTITUTE PROJECT PLAY, PENN STATE PRO WELLNESS, AHEC - HEALTH EQUITY TOOL KIT, BETTER TOGETHER LEBANON SUMMERFEST, GIRLS RUGBY, INC., GIRLS ON THE RUN, JCWK DANCE LAB, HARRISBURG BICYCLE CLUB SMART CYCLING CLASS, REACH PHYSICAL ACTIVITY PROJECTS, PENN STATE REHABILITATION RECFEST - CONTINUE TO PARTNER WITH DAUPHIN COUNTY PARKS AND RECREATION ON THEIR PARKS RX WALK WITH A DOC PROGRAM. PSH PHYSICIANS SHARE A KEY MESSAGE AND THEN WALK WITH PARTICIPANTS TO ANSWER QUESTIONS. DCPR ALSO OPENED A FIRST DISC GOLF COURSE IN NORTHERN DAUPHIN COUNTY. - SHARED AND PARTICIPATED IN HARRISBURG PARKS AND RECREATION DESIGN UPDATE MEETINGS. - TASK FORCE MEMBERS PARTICIPATE ON THE PA STATE HEALTH IMPROVEMENT PLAN DEVELOPMENT COMMITTEE FOR PHYSICAL ACTIVITY AND NUTRITION.
ENHANCE POLICIES AND INFRASTRUCTURE TO INCREASE OPPORTUNITIES FOR PHYSICAL	ACTIVITY: - WORKED WITH PHYSICAL ACTIVITY INFRASTRUCTURE AND INITIATIVES IN ALL 6 COUNTIES. BIKE SHARE PROGRAM ON REGIONAL BIKE SHARE PLANNING COMMITTEE AND NEW BIKE RACK PLACED IN HUMMELSTOWN. - PROVIDED COUNTING DEVICES TO THE SAMBA TRAILS AND WILL CONTINUE TO SUPPORT THESE TRAILS. - PROMOTED AND PARTICIPATED IN MEETINGS FOR THE TRI-COUNTY REGIONAL PLANNING COMMISSION (TCRPC) AND HARRISBURG AREA TRANSPORTATION STUDY (HATS) REGIONAL ACTIVE TRANSPORTATION PLAN FOR CUMBERLAND, DAUPHIN, AND PERRY COUNTIES. - PROVIDED COMMUNITY RELATIONS GRANTS TO THE JOY OF SPORTS FOUNDATION PLAY FIT PROGRAM IN DERRY TOWNSHIP, LEBANON BICYCLE RECYCLE, BRINGING BALANCE TO OLDER ADULTS THROUGH A MATTER OF BALANCE - PSH ST. JOSEPH'S DOWNTOWN CENTER IN READING AND REACH OFFERED AND EVALUATED A WALK WITH A DOC PROGRAM. - REACH WORKS TO INCREASE PHYSICAL ACTIVITY THROUGH THE BUILT ENVIRONMENT AND VARIOUS PHYSICAL ACTIVITY INITIATIVES IN LEBANON AND BERKS COUNTIES: LEBANON: TRAFFIC GARDEN, LIBERTY TRAIL IMPROVEMENTS, PUMPTRACK, SAMBA TRAILS AND BASKETBALL COURT IMPROVEMENTS AT COLEMAN PARK, LEBANON BICYCLE RECYCLE, RAIL TRAIL SPUR PROJECTS. READING: ACTIVE TRANSPORTATION PLAN IN DOWNTOWN READING AND BILINGUAL AND INCLUSIVE WALKING GUIDES AND TOURS, WALK WORKS IN BOTH LEBANON AND READING. SUPPORT LEBANON PHYSICAL ACTIVITY TASK FORCE AND COMMUNITY EVENTS LIKE HEALTHY KIDS DAY, SUMMERFEST, LEBANON VALLEY TENNIS EVENTS, LEBANON VALLEY MOUNTAIN BIKE TEAM, ETC. - PENN STATE PRO WELLNESS PROVIDES ONGOING SUPPORT TO SCHOOLS FOR WALK TO SCHOOL DAY AND MOVE IT OUTSIDE. - RECFEST 2023 HELD AT SPOOKY NOOK IN LANCASTER ADAPTIVE SPORTS RECREATION AND EXERCISE EXPO FOR ALL AGES AND ABILITIES TO INTRODUCE HOW TO USE AND ACCESS ADAPTIVE EQUIPMENT. - NATIONAL NIGHT OUT WAS HELD ON AUGUST 1ST AT 10 LOCATIONS ACROSS OUR SIX COUNTIES; IN PERRY COUNTY THE MESSAGE FOCUSED ON BACK TO SCHOOL SAFETY DEVELOPED BY PSH PEDIATRIC TRAUMA AND INJURY PREVENTION INCLUDING TRANSPORTATION SAFETY, AND REFLECTORS FOR USE ON BACKPACKS, KEYCHAINS, ETC. WERE DISTRIBUTED.PART V, SECTION B, LINE 16THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT THE FOLLOWING WEBSITE: WWW.PENNSTATEHEALTH.ORG/PATIENTS-VISITORS/BILLING-MEDICAL-RECORDS/FINANCIAL-ASSISTANCE

Schedule H (Form 990) 2022

Page 9

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?12
Name and address		Type of Facility (describe)
1	1 - PSH CAMP HILL OUTPATIENT CENTER 875 POPLAR CHURCH RD CAMP HILL,PA17011	CARDIO DIAGN SVCS,IMAGING,LAB,PHYSICAL THERAPY
2	2 - MEDICAL ARTS BUILDING 890 POPLAR CHURCH RD CAMP HILL,PA17011	DIABETES SVCS,MED INFUSION,PET SCAN/CT,BEHAV HLTH
3	3 - PSH PSYCHIATRY 20 ERFORD RD LEMOYNE,PA17043	PSYCHIATRY
4	4 - PSH CARLISLE OUTPATIENT CENTER 1211 FORGE RD BLDG A CARLISLE,PA17013	CARDIO DIAGN SVCS,IMAGING,LAB
5	5 - PSH DILLSBURG OUTPATIENT CENTER 126 WEST CHURCH ST DILLSBURG,PA17019	IMAGING,PHYSICAL THERAPY
6	6 - PSH DUNCANNON OUTPATIENT CENTER 51 BUSINESS CAMPUS WAYSTE 100 DUNCANNON,PA17020	IMAGING,LAB,PHYSICAL THERAPY,PULMONARY FUNCTION TESTS
7	7 - PSH CENTURY DRIVE OUTPATIENT CENTER 880 CENTURY DRIVE MECHANICSBURG,PA17055	RADIATION ONCOLOGY,IMAGING
8	8 - PSH TRINDLE ROAD OUTPATIENT CENTER 4665 TRINDLE ROAD MECHANICSBURG,PA17055	IMAGING
9	9 - PSH PROGRESS OUTPATIENT CENTER 20 CAPITAL DRIVE HARRISBURG,PA17110	CARDIO DIAGN SVCS,IMAGING
10	10 - PSH SILVER CREEK OUTPATIENT CENTER 335 LAMBS GAP ROAD MECHANICSBURG,PA17050	IMAGING,LAB,EKG
11	11 - PSH HOLY SPIRIT SLEEP CENTER 3 WALNUT STREETSTE 120 LEMOYNE,PA17043	SLEEP CENTER
12	12 - PSH MEDICAL GRP BEHAVIORAL HEALTH 3 FLOWERS DRIVE MECHANICSBURG,PA17050	BEHAVIORAL HEALTH

Schedule H (Form 990) 2022

Page 10

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 3C:	NOT APPLICABLE
PART I, LINE 6A:	COMMUNITY BENEFIT REPORT: PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER PREPARES A COMMUNITY BENEFIT REPORT AND MAKES IT AVAILABLE TO THE PUBLIC.
PART I, LINE 7:	COSTING METHODOLOGY USED TO CALCULATE FINANCIAL ASSISTANCE: A COST ACCOUNTING SYSTEM WAS NOT USED TO COMPUTE AMOUNTS IN THE TABLE; RATHER COSTS IN THE TABLE WERE COMPUTED USING THE ORGANIZATION'S COST-TO-CHARGE RATIO. THE COST-TO-CHARGE RATIO COVERS ALL PATIENT SEGMENTS. BASED ON THAT FORMULA, (253,343,758/1,219,823,604) RESULTS IN A 20.8% COST-TO-CHARGE RATIO.
PART I, LINE 7G:	SUBSIDIZED HEALTH SERVICES:THERE ARE NO PHYSICIAN PRACTICES INCLUDED IN SUBSIDIZED HEALTH SERVICES.
PART II, COMMUNITY BUILDING ACTIVITIES:	EACH HOSPITAL WITHIN THE PENN STATE HEALTH SYSTEM ENGAGED IN ACTIVITIES TO PROTECT AND IMPROVE EACH OF ITS COMMUNITY'S HEALTH AND SAFETY. OVERALL, FOR FY2023, THE PENN STATE HEALTH SYSTEM SERVED 972,301 COMMUNITY MEMBERS WITH 126,400 EMPLOYEE HOURS AND 43,337 VOLUNTEER HOURS, RESULTING IN $7,291,934 IN COMMUNITY HEALTH SERVICES PROVIDED TO THE COMMUNITIES. COMMUNITY HEALTH IMPROVEMENT SERVICES IS PRESENTED IN PART I, LINE 7.
PART III, LINE 2:	THE INITIAL IMPLICIT PRICE CONCESSIONS (BAD DEBT) RESERVE IS DETERMINED BASED ON THE DIFFERENCE BETWEEN THE 18 MONTH AND THE 6 MONTH ZERO BALANCE CLAIMS RATE. IF A NEGATIVE IMPLICIT RATE IS CALCULATED, NO IMPLICIT RATE IS APPLIED BASED ON THE RESULTS OF THE PRIOR YEAR LOOKBACK. ADDITIONAL IMPLICIT PRICE CONCESSION ESTIMATES ARE CONSIDERED TO ACCOUNT FOR (1) SELF-PAY AFTER INSURANCE BALANCES THAT HAVE NOT YET TRANSFERRED FROM AN INSURANCE BALANCE TO PATIENT BALANCE DUE TO TIMING OF THE REVENUE CYCLE PROCESS, AND (2) UNCOLLECTIBLE AMOUNTS THAT OCCUR ON A PATIENT ACCOUNT GREATER THAN 18 MONTHS.
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 THE HOSPITAL'S UNCOMPENSATED OR CHARITY CARE POLICY.
PART III, LINE 4:	PAGE 12, FOOTNOTE FOR NET PATIENT SERVICE REVENUE
PART III, LINE 8:	THE ORGANIZATION BELIEVES THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND THE COST OF BAD DEBT ARE COMMUNITY BENEFIT AND SHOULD BE INCLUDED ON FORM 990, SCHEDULE H, PART I. THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY AND IS CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER THE INTERNAL REVENUE CODE ("IRC") 501(C)(3). SATISFYING THE "COMMUNITY BENEFIT STANDARD," AS ARTICULATED BY THE INTERNAL REVENUE SERVICE (IRS) IN REVENUE RULING 69-545, IS CURRENTLY REQUIRED FOR A HOSPITAL TO BE RECOGNIZED AS A CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE (IRC) 501(C)(3). AS DEVELOPED IN REVENUE RULING 69-545, UNDER THE COMMUNITY BENEFIT STANDARD, HOSPITALS WERE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO THOSE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER FACTORS THAT DEMONSTRATED COMMUNITY BENEFIT INCLUDED: SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND FACILITIES AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; AND IT WAS CONTROLLED BY A BOARD OF DIRECTORS THAT CONSISTED OF INDEPENDENT CIVIC LEADERS.PENNSYLVANIA REQUIRES NON-PROFIT HOSPITALS TO PROVIDE A MINIMUM LEVEL OF COMMUNITY BENEFIT TO RETAIN EXEMPTION FROM STATE AND LOCAL TAXES. ACCORDING TO STATE GUIDANCE AND CASE LAW, THE UNREIMBURSED COST OF MEDICARE AND BAD DEBT IS CONSIDERED TO BE COMMUNITY BENEFIT FOR STATE TAX EXEMPTION PURPOSES.
PART III, LINE 9B:	THE MEDICAL CENTER'S DEBT COLLECTION POLICY PROVIDES THAT THE MEDICAL CENTER WILL PERFORM A REASONABLE REVIEW OF EACH INPATIENT ACCOUNT PRIOR TO TURNING AN ACCOUNT FOR TO A THIRD-PARTY COLLECTION AGENT AND PRIOR TO INSTITUTING ANY LEGAL ACTION FOR NON-PAYMENT, TO ASSURE THAT THE PATIENT AND PATIENT GUARANTOR ARE NOT ELIGIBLE FOR ANY ASSISTANCE PROGRAM (E.G. MEDICAID) AND DO NOT QUALIFY FOR COVERAGE THROUGH THE MEDICAL CENTER'S COMMUNITY ASSISTANCE POLICY. AFTER HAVING BEEN TURNED OVER TO A THIRD-PARTY COLLECTION AGENT, ANY PATIENT ACCOUNT THAT IS SUBSEQUENTLY DETERMINED TO MEET THE MEDICAL CENTER COMMUNITY ASSISTANCE POLICY IS REQUIRED TO BE RETURNED IMMEDIATELY BY THE THIRD-PARTY COLLECTION AGENT TO THE MEDICAL CENTER FOR APPROPRIATE FOLLOW-UP. THE MEDICAL CENTER REQUIRES ITS THIRD-PARTY COLLECTION AGENTS TO INCLUDE A MESSAGE ON ALL STATEMENTS INDICATING THAT IF A PATIENT OR PATIENT GUARANTOR MEETS CERTAIN STIPULATED INCOME REQUIREMENTS, THE PATIENT OR PATIENT GUARANTOR MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE.THE MEDICAL CENTER'S CONTRACTS WITH THIRD PARTY COLLECTION AGENCIES INCLUDE THE FOLLOWING STANDARDS: - NEITHER THE MEDICAL CENTER NOR THEIR COLLECTION AGENCIES WILL REQUEST BENCH OR ARREST WARRANTS AS A RESULT OF NON-PAYMENT; - NEITHER THE MEDICAL CENTER NOR THEIR COLLECTION AGENCIES WILL SEEK LIENS THAT WOULD REQUIRE THE SALE OR FORECLOSURE OF A PRIMARY RESIDENCE; - NO COLLECTION AGENCY MAY SEEK COURT ACTION WITHOUT HOSPITAL APPROVAL.FINALLY, COLLECTION AGENCIES ARE TRAINED ON THE MEDICAL CENTER'S MISSION, CORE VALUES AND STANDARD OF CONDUCT TO MAKE SURE ALL PATIENTS ARE TREATED WITH DIGNITY AND RESPECT.
PART VI, LINE 2:	COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA):SEE CHNA INFORMATION. OCCASIONALLY ADDITIONAL ASSESSMENTS ARE CONDUCTED BY DISEASE SPECIFIC DEPARTMENTS, INSTITUTES, AND PROGRAMS.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEWE BELIEVE THAT RECEIVING HEALTHCARE IS A BASIC HUMAN RIGHT. PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER PARTICIPATES IN THE WIDEST NUMBER OF INSURANCE PROGRAMS OF THE HOSPITALS IN THE REGION. WE REALIZE THAT MANY PEOPLE EITHER CANNOT AFFORD HEALTH INSURANCE OR DO NOT HAVE ENOUGH INSURANCE TO COVER THEIR BILLS. THOSE ARE THE REASONS FOR OUR PAYMENT OPTIONS AND FINANCIAL ASSISTANCE PROGRAM, WHICH IS PUBLICLY POSTED ON THE HOSPITAL WEBSITE: HTTPS://WWW.PENNSTATEHEALTH.ORG/PATIENTS-VISITORS/BILLING-MEDICAL-RECORDS/FINANCIAL-ASSISTANCE. A PRICE ESTIMATOR ALSO WAS ADDED IN ORDER TO FURTHER CREATE PRICE AND COST TRANSPARENCY.WE UNDERSTAND THAT THE NEED FOR HEALTH CARE AND HOSPITAL SERVICES IS OFTEN UNPLANNED, AND SOME PATIENTS MAY NOT HAVE SUFFICIENT INSURANCE, OR MAY BE UNABLE TO PAY THEIR ENTIRE BILL RIGHT AWAY. WE ASSURE PATIENTS THAT ADMISSION TO PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER IS A MEDICAL, NOT A FINANCIAL, DECISION. FOR THOSE WHO NEED TO TAKE ADVANTAGE OF OUR FINANCIAL ASSISTANCE PROGRAMS, WE PROVIDE THE NECESSARY ASSISTANCE IN COMPLETING APPLICATIONS THAT HELP TO DETERMINE ELIGIBILITY FOR FEDERAL, STATE OR COUNTY GOVERNMENT HEALTH CARE ASSISTANCE. WE ALSO OFFER PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER'S OWN ASSISTANCE PLAN THAT CAN PAY ALL OR A SIGNIFICANT PORTION OF HOSPITAL BILLS.
PART VI, LINE 4:	THE SERVICE AREA DEFINED FOR PURPOSES OF THE CHNA ENCOMPASSES 225 ZIP CODES IN SIX PENNSYLVANIA COUNTIES: BERKS, CUMBERLAND, DAUPHIN, LANCASTER, LEBANON AND PERRY. THESE SIX FOCUS COUNTIES REPRESENT THE COMMUNITY WHERE HEALTH CARE RESOURCES ARE AVAILABLE AND PROVIDED BY THE PARTNERING PENN STATE HEALTH ORGANIZATIONS. THE COUNTIES ARE ALSO HOME TO THE MAJORITY OF PENN STATE HEALTH'S PATIENT POPULATION. TOTAL POPULATION OF THESE SIX COUNTIES: 1,707,543. FOR ADDITIONAL DEMOGRAPHIC INFORMATION SEE FULL CHNA REPORT PAGE 2 AND STARTING ON PAGE 17.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHPENN STATE HEALTH HAS COMPLETED FIVE CYCLES OF COMMUNITY HEALTH NEEDS ASSESSMENTS AND HAS ESTABLISHED A LONG LEGACY OF COMMUNITY HEALTH PROGRAMMING. MANY PROGRAMS IDENTIFIED IN OUR PREVIOUS PLANS WILL CARRY FORWARD AND BE FURTHER DEVELOPED AND ENHANCED; INCLUDING THOSE COLLABORATED ON WITH MANY PROGRAMS AND PROJECTS WITHIN THE PENN STATE COLLEGE OF MEDICINE: - PENN STATE CANCER INSTITUTE CANCER NAVIGATION AND SURVIVORSHIP NETWORK - PENN STATE ADDICTION CENTER FOR TRANSLATION - PENN STATE CENTER FOR THE PROTECTION OF CHILDREN - PENN STATE REACH (RACIAL AND ETHNIC APPROACHES TO COMMUNITY HEALTH) PROGRAM - PENN STATE PRO WELLNESS - PENN STATE PROJECT ECHO (EXTENSION FOR COMMUNITY HEALTHCARE OUTCOMES) - MEDICAL STUDENT PROGRAMS, INCLUDING THE HEALTH SYSTEMS SCIENCE PATIENT NAVIGATION AND CULINARY MEDICINE COURSES AND THE STUDENT-RUN AND COLLABORATIVE OUTREACH PROGRAM FOR HEALTH EQUITY (SCOPE). - PENN STATE HEALTH OFFICE FOR DIVERSITY, EQUITY AND INCLUSION PIPELINE PROGRAMS - PENN STATE COLLEGE OF MEDICINE DEPARTMENT OF PUBLIC HEALTH SCIENCES - COMMUNITY HEALTH EQUITY & ENGAGEMENT IN RESEARCH (CHEER) PROGRAM - PENN STATE COLLEGE OF NURSING - ASERT COMMUNITY OUTREACH SPECIFIC COMMUNITY HEALTH PROGRAMMING EXECUTED ON BY PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER IS AS FOLLOWS:- THE PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER MISSION INTEGRATION MEDICAL OUTREACH CLINIC BRINGS FREE HEALTH SERVICES TO COMMUNITY MEMBERS IN THE ALLISON HILL NEIGHBORHOOD OF HARRISBURG, PA. NURSES ALSO TRAVEL TO COMMUNITY LOCATIONS TO PROVIDE HEALTH SCREENINGS AND FOOD OUTREACH; AND THE CLINIC WILL HOST A COMMUNITY FRIDGE TO BRING FRESH FRUITS AND VEGETABLES TO THIS NEIGHBORHOOD. ADDITIONAL COMMUNITY PROGRAMS: - ASCVD CARDIOVASCULAR SCREENINGS- BLOOD DONATIONS- COMMUNITY BEHAVIORAL HEALTH SERVICES AND COALITIONS.- CLINICAL NUTRITION AND DIABETES EDUCATION COMMUNITY PRESENTATION OF DIABETES BASICS, MARKET ON MARKET DIETICIAN BOOTH, FREDRICKSON LIBRARY STORY READING AND HEALTHY SNACK- INJURY PREVENTION AND SAFETY AWARENESS PROGRAMS SUCH AS BICYCLE SAFETY, STOP THE BLEED, SUMMER SAFETY, FALL PREVENTION, SHARE THE KEYS, WORKPLACE VIOLENCE, DISTRACTED DRIVING, SELF-INJURY, SUICIDE AWARENESS AND PREVENTION, OLDER ADULT CAR SAFETY, INTRO TO TRAUMA, DRINKING AND DRIVING, FIRE AND BURN SAFETY AND A MATTER OF BALANCE FOR SENIORS- STUDENT SHADOWING AND EDUCATION PHYSICAL THERAPY, OCCUPATIONAL THERAPY, RESPIRATORY THERAPY, NURSING, PHARMACY, RADIOLOGY AND IMAGING, MEDICAL, PHYSICIAN ASSISTANT, UNDERGRADUATE MEDICAL EDUCATION, ETC.- TRANSPORTATION, IV INFUSION AND MEDICATION SUPPORT TO UNDER-RESOURCED PATIENTS TO ALLOW THEM TO RECEIVE NECESSARY CARE - COMMUNITY EMERGENCY SERVICES OUTREACH AND CPR, EMS COVERAGE FOR MANY COMMUNITY EVENTS TO PREVENT BURDEN ON EMERGENCY ROOMS INCLUDING JUBILEE DAY STREET FAIR, MESSIAH UNIVERSITY AND LOCAL HIGH SCHOOL EVENTS, SPECIAL OLYMPICS, SCOUTING EVENTS, FIRE DEPARTMENTS, TRICK-OR-TREAT, NATIONAL NIGHT OUT, ETC.- NATIONAL DRUG TAKE BACK DAY- NURSING COMMUNITY OUTREACH COMMUNITY STROKE EDUCATION- TOURNIQUET EXCHANGE PROGRAM- UNITED WAY CAMPAIGN, UNITED WAY DAY OF CARING AND STUFF THE BUS EVENT- CHARITABLE PURPOSE SPONSORSHIPS- UNITED WAY CONTACT TO CARE COMMUNITY HEALTH WORKER- DISEASE-SPECIFIC SUPPORT GROUPS, HEALTH SCREENINGS AND OUTREACH, AND NAVIGATION PROGRAM - SCHOOL-BASED EDUCATIONAL PROGRAMS SUCH AS HAND HYGIENE EDUCATION, AND SCIENCE FAIRS- PARISH BASED EDUCATIONAL PROGRAMS SUCH AS END OF LIFE PLANNING- HEALTH EDUCATION PROGRAMS THROUGH LOCAL MEDIA OUTLETS
PART VI, LINE 6:	AFFILIATED HEALTH CARE SYSTEMPENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER IS A MEMBER OF THE PENN STATE HEALTH SYSTEM. EACH HOSPITAL IN THE SYSTEM HAS A ROLE IN ADDRESSING COMMUNITY HEALTH NEEDS; THESE ROLES ARE DISCUSSED IN THE CHNA AND THE IMPLEMENTATION PLAN. ADDITIONALLY, WE ENCOURAGE READING EACH HOSPITAL'S OWN FEDERAL FORM 990, SCHEDULE H TO HEAR MORE ABOUT PROGRAMS OFFERED IN ITS COMMUNITIES.
PART VI, LINE 7:	COMMUNITY BENEFIT REPORT STATE FILINGSNOT APPLICABLE IN THE STATE OF PENNSYLVANIA.

Schedule H (Form 990) 2022

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

PENN STATE HEALTH HOLY
SPIRIT MEDICAL CENTER

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 on 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 on 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 on 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 on 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 on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Yes

Were any amounts reported on 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" on 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) 2022

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 on 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, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on 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)
1STEPHEN MASSINI FORMER DIR (THRU 6/22) / PSH CEO	(i) (ii)	0 ------------- 1,319,391	0 ------------- 75,000	0 ------------- 205,466	0 ------------- 38,400	0 ------------- 23,245	0 ------------- 1,661,502	0 ------------- 0
2THOMAS STOESSEL DIRECTOR / PSH EVP	(i) (ii)	0 ------------- 604,667	0 ------------- 311,731	0 ------------- 202,834	0 ------------- 38,400	0 ------------- 23,245	0 ------------- 1,180,877	0 ------------- 102,171
3PETER DILLON MD DIRECTOR / PSH EVP	(i) (ii)	0 ------------- 694,569	0 ------------- 75,000	0 ------------- 249,001	0 ------------- 38,400	0 ------------- 17,358	0 ------------- 1,074,328	0 ------------- 0
4DEBORAH ADDO DIRECTOR / CHAIR / PSH COO	(i) (ii)	0 ------------- 788,301	0 ------------- 88,462	0 ------------- 44,000	0 ------------- 39,593	0 ------------- 9,259	0 ------------- 969,615	0 ------------- 0
5PAULA TINCH FORMER OFF. / PSH CFO & EVP	(i) (ii)	0 ------------- 740,070	0 ------------- 64,231	0 ------------- 4,181	0 ------------- 102,173	0 ------------- 17,690	0 ------------- 928,345	0 ------------- 0
6DONALD MCKENNA PRESIDENT	(i) (ii)	0 ------------- 465,481	0 ------------- 50,000	0 ------------- 6,367	0 ------------- 80,836	0 ------------- 23,608	0 ------------- 626,292	0 ------------- 0
7KYLE C SNYDER MHA REGIONAL COO	(i) (ii)	367,347 ------------- 0	40,000 ------------- 0	17,682 ------------- 0	49,342 ------------- 0	23,423 ------------- 0	497,794 ------------- 0	0 ------------- 0
8ANANYA DAGGUBATI MD DIR / PHYSICIAN / PRES OF MED STAFF	(i) (ii)	0 ------------- 346,556	0 ------------- 2,032	0 ------------- 8,313	0 ------------- 38,400	0 ------------- 10,313	0 ------------- 405,614	0 ------------- 0
9RANDY B MORRIS TREASURER / PSH REG. VP FINANCE	(i) (ii)	0 ------------- 302,233	0 ------------- 25,000	0 ------------- 17,361	0 ------------- 38,400	0 ------------- 17,362	0 ------------- 400,356	0 ------------- 0
10NICOLE LEHMAN INTERIM SEC. (PSU EMP)	(i) (ii)	0 ------------- 261,742	0 ------------- 15,000	0 ------------- 0	0 ------------- 70,490	0 ------------- 26,766	0 ------------- 373,998	0 ------------- 0
11ROSS DARROW VICE PRESIDENT, TREASURER	(i) (ii)	0 ------------- 262,516	0 ------------- 25,000	0 ------------- 14,362	0 ------------- 38,400	0 ------------- 23,219	0 ------------- 363,497	0 ------------- 0
12RICHARD SCHREIBER FORMER 5 HIGHEST	(i) (ii)	0 ------------- 258,447	0 ------------- 2,855	0 ------------- 13,525	0 ------------- 35,675	0 ------------- 16,549	0 ------------- 327,051	0 ------------- 0
13GLORIA SANTOS VP, CNO	(i) (ii)	116,037 ------------- 0	0 ------------- 0	163,900 ------------- 0	11,603 ------------- 0	8,404 ------------- 0	299,944 ------------- 0	0 ------------- 0
14JAMES WILKEMEYER ACUTE CARE CLINICAL PHARMACIST	(i) (ii)	142,939 ------------- 0	44,236 ------------- 0	9,231 ------------- 0	22,725 ------------- 0	8,683 ------------- 0	227,814 ------------- 0	0 ------------- 0
15BETH GREENE DIRECTOR, PHARMACY	(i) (ii)	169,254 ------------- 0	7,000 ------------- 0	13,072 ------------- 0	20,926 ------------- 0	7,982 ------------- 0	218,234 ------------- 0	0 ------------- 0
16JAMES TRACEY DIRECTOR, NURSING SERVICES	(i) (ii)	147,097 ------------- 0	17,000 ------------- 0	8,971 ------------- 0	20,251 ------------- 0	23,424 ------------- 0	216,743 ------------- 0	0 ------------- 0
17THOMAS YUN REGISTERED NURSE	(i) (ii)	136,611 ------------- 0	47,838 ------------- 0	2,234 ------------- 0	19,397 ------------- 0	9,266 ------------- 0	215,346 ------------- 0	0 ------------- 0
18MERLENE LAFLEUR RN INPATIENT	(i) (ii)	127,870 ------------- 0	22,891 ------------- 0	16,784 ------------- 0	17,403 ------------- 0	18,595 ------------- 0	203,543 ------------- 0	0 ------------- 0
19ANNEMARIE BOYAN FMR SEC/PSH GC (PSU EMP) (THRU 2/22)	(i) (ii)	0 ------------- 142,089	0 ------------- 0	0 ------------- 0	0 ------------- 7,383	0 ------------- 5,311	0 ------------- 154,783	0 ------------- 0

Schedule J (Form 990) 2022

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	ARRANGEMENT USED TO ESTABLISH THE CEO'S COMPENSATION: COMPENSATION FOR THE CEO (PRESIDENT) IS ESTABLISHED AND PAID BY A RELATED ORGANIZATION. THAT ORGANIZATION USED THE FOLLOWING TO ESTABLISH THE CEO'S COMPENSATION: (1) COMPENSATION COMMITTEE; (2) INDEPENDENT COMPENSATION CONSULTANT; (3) COMPENSATION SURVEY OR STUDY; (4) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4A:	THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2023: - GLORIA SANTOS - $135,694 PART I, LINE 4B: DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2023, CERTAIN DIRECTORS AND A FORMER OFFICER PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE BELOW LISTED INDIVIDUALS VESTED IN THE PLAN IN A PRIOR YEAR; THEREFORE, CURRENT YEAR CONTRIBUTIONS ARE TAXABLE AND REPORTED ON SCHEDULE J, PART II, COLUMN B(III), OTHER REPORTABLE COMPENSATION. - STEPHEN MASSINI - $165,523 - THOMAS STOESSEL - $155,778 - PETER DILLON - $89,133 DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2023, A FORMER OFFICER, DIRECTORS AND OFFICERS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. THE BELOW LISTED INDIVIDUALS' CONTRIBUTIONS HAVE NOT YET VESTED; UNVESTED CONTRIBUTIONS ARE REPORTED ON SCHEDULE J, PART II, COLUMN C, RETIREMENT AND OTHER DEFERRED COMPENSATION. - PAULA TINCH - $63,773 - DONALD MCKENNA - $42,436 - KYLE SNYDER - $10,942 - DEBORAH ADDO - $1,193
PART I, LINE 7:	BONUSES, PAID BY THE FILING ORGANIZATION OR BY A RELATED ORGANIZATION THAT EMPLOYS THE INDIVIDUALS, ARE BASED ON A NUMBER OF VARIABLES INCLUDING BUT NOT LIMITED TO INDIVIDUAL GOAL ACHIEVEMENTS AS WELL AS ORGANIZATION OPERATION ACHIEVEMENTS. THE FINAL DETERMINATION OF THE BONUS AMOUNT IS DETERMINED AND APPROVED BY THE APPLICABLE BOARD AS PART OF THE OVERALL COMPENSATION REVIEW OF THE OFFICERS, KEY EMPLOYEES AND HIGHEST COMPENSATED.

Schedule J (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

PENN STATE HEALTH HOLY
SPIRIT MEDICAL CENTER

Employer identification number

23-1512747

Return Reference	Explanation
FORM 990, PART III, LINE I:	THE MISSION OF PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER IS TO NURTURE THE HEALING MINISTRY OF THE CHURCH, SUPPORTED BY EDUCATION AND RESEARCH. FIDELITY TO THE GOSPEL URGES US TO EMPHASIZE HUMAN DIGNITY AND SOCIAL JUSTICE AS WE CREATE HEALTHIER COMMUNITIES. THE CORPORATION CALLS OTHER CATHOLIC SPONSORS AND SYSTEMS TO UNITE TO ENSURE THE FUTURE OF CATHOLIC HEALTH CARE. TO FULFILL THIS MISSION, THE CORPORATION, AS A VALUE BASED ORGANIZATION, WILL ASSURE THE INTEGRITY OF THE MINISTRY IN BOTH CURRENT AND DEVELOPING ORGANIZATIONS AND ACTIVITIES; RESEARCH AND DEVELOP NEW MINISTRIES THAT INTEGRATE HEALTH, EDUCATION, PASTORAL, AND SOCIAL SERVICES; PROMOTE LEADERSHIP DEVELOPMENT AND FORMATION FOR MINISTRY THROUGHOUT THE ENTIRE ORGANIZATION; ADVOCATE FOR SYSTEMIC CHANGES WITH SPECIFIC CONCERN FOR PERSONS WHO ARE POOR, ALIENATED, AND UNDESERVED; AND STEWARD RESOURCES BY GENERAL OVERSIGHT OF THE ENTIRE ORGANIZATION.
FORM 990, PART V, LINE 1A:	FORMS 1096: FORM 1096 FOR THE FILING ORGANIZATION IS PROCESSED AND REPORTED BY ITS RELATED ORGANIZATION PENN STATE HEALTH (EIN: 47-3769205).
FORM 990, PART VI, SECTION A, LINE 2	CERTAIN LISTED OFFICERS AND BOARD MEMBERS ALSO SERVE AS OFFICERS AND BOARD MEMBERS OF A TAXABLE ENTITY.
FORM 990, PART VI, SECTION A, LINE 6	THE FILING ORGANIZATION'S SOLE MEMBER IS PENN STATE HEALTH, A PENNSYLVANIA NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	ELECTION OF MEMBERS AND THEIR RIGHTS: DIRECTORS SHALL BE ELECTED BY THE CORPORATE MEMBER, PENN STATE HEALTH. THE CORPORATE MEMBER MAY AT ANY TIME REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS: PURSUANT TO SPECIFICATIONS DEFINED IN THE BYLAWS, THE SOLE MEMBER HAS RESERVED POWERS. NOTWITHSTANDING ANY OTHER PROVISIONS OF THESE BYLAWS, THE SOLE MEMBER MUST APPROVE THE FOLLOWING ITEMS, AS APPLICABLE, BEFORE THEY MAY BE IMPLEMENTED BY THIS CORPORATION. THE SOLE MEMBER SHALL HAVE THE AUTHORITY: (A) TO DETERMINE THE NUMBER OF AND TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE DIRECTORS OF THE CORPORATION; (B) TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, AND TO DETERMINE THE COMPENSATION OF, THE PRESIDENT; (C) TO ELECT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR AND VICE CHAIR OF THE BOARD, THE SECRETARY (INCLUDING ANY ASSISTANT OR ASSOCIATE SECRETARY), AND THE TREASURER (INCLUDING ANY ASSISTANT TREASURER); (D) TO APPROVE ANY AND ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; (E) TO ADOPT OR MODIFY THE MISSION, VISION, OR OBJECTIVES OF THE CORPORATION; (F) TO ADOPT ALL LONG-RANGE AND STRATEGIC PLANS; (G) TO APPROVE ALL OPERATING AND CAPITAL BUDGETS; (H) TO APPROVE ALL UNBUDGETED CAPITAL EXPENDITURES AND ALL UNBUDGETED OPERATING EXPENDITURES IN EXCESS OF SUCH AMOUNT AS IS DETERMINED BY OR PURSUANT TO THE POLICIES OF THE SOLE MEMBER; (I) TO APPROVE THE INCURRENCE OF DEBT OR GUARANTEE OF INDEBTEDNESS FOR BORROWED MONEY, OR THE PLEDGE OR MORTGAGE OF ASSETS TO SECURE THE SAME AND TO ESTABLISH AN OBLIGATED GROUP FOR FINANCING PURPOSES; (J) TO DETERMINE ANNUAL DISTRIBUTIONS TO BE MADE TO OR FOR THE BENEFIT OF THE PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE AS ACADEMIC SUPPORT PAYMENTS; (K) TO REQUIRE THE CORPORATION TO PARTICIPATE IN A CENTRALIZED FINANCIAL AND CASH MANAGEMENT SYSTEM FOR PENN STATE HEALTH AND ONE OR MORE OF ITS CONTROLLED AFFILIATES (THE "SYSTEM"); (L) TO APPROVE ANY DONATION OR TRANSFER OF THE CORPORATION'S ASSETS IN EXCESS OF SUCH AMOUNT AS IS DETERMINED BY OR PURSUANT TO THE POLICIES OF THE SOLE MEMBER, OTHER THAN DONATIONS OR TRANSFERS TO THE SOLE MEMBER OR ANOTHER ENTITY IN THE SYSTEM, UNLESS AUTHORIZED IN THE CORPORATION'S APPROVED BUDGET; (M) TO APPROVE AND AUTHORIZE ADDITIONS AND ELIMINATIONS OF CLINICAL SERVICES OF THE CORPORATION AND TO DETERMINE THE DISTRIBUTION OF CLINICAL AND SUPPORT SERVICES ACROSS THE SYSTEM; (N) TO APPROVE THE CREATION OR DISSOLUTION OF, INVESTMENT IN, OR DISPOSITION OF ANY SUBSIDIARY OR JOINT VENTURE AND TO APPROVE ANY OTHER STRATEGIC ALIGNMENT OR FUNDAMENTAL CHANGE TRANSACTION, INCLUDING (I) JOINT OPERATING AGREEMENTS OR MANAGEMENT AGREEMENTS, (II) ACQUISITIONS, DISPOSITIONS OR TRANSFERS OF MATERIAL OPERATIONS, (III) CLOSURE OF FACILITIES, (IV) MERGERS, CONSOLIDATIONS, AND DIVISIONS, (V) THE SALE, PLEDGING, LEASING OR TRANSFER OF ASSETS WITH A VALUE IN EXCESS OF SUCH AMOUNT AS IS DETERMINED BY OR PURSUANT TO THE POLICIES OF THE SOLE MEMBER, AND (VI) THE LIQUIDATION OR DISSOLUTION OF THE CORPORATION; (O) TO ADOPT EMPLOYEE BENEFIT PLANS; (P) TO ADOPT OR APPROVE THE INVESTMENT POLICIES OF THE CORPORATION; (Q) TO SELECT AND APPOINT AUDITORS FOR, AND TO DESIGNATE THE FISCAL YEAR OF, THE CORPORATION; (R) TO RETAIN COUNSEL ON BEHALF OF AND SETTLE ANY LITIGATION AGAINST THE CORPORATION; (S) TO ENTER INTO SYSTEM-WIDE AGREEMENTS ON BEHALF OF THE CORPORATION; (T) TO ELECT TO EXERCISE, IN ITS DISCRETION, THE POWERS RESERVED TO THE CORPORATION BY ITS SUBSIDIARIES OR HELD BY THE CORPORATION AND/OR ITS SUBSIDIARIES WITH RESPECT TO JOINT VENTURES, IN WHICH CASE THE ACTION OF THE SOLE MEMBER SHALL TAKE PRECEDENCE OVER ANY ACTION OF THE BOARD OF DIRECTORS OF THIS CORPORATION; AND (U) EXCEPT AS OTHERWISE PROVIDED IN THESE BYLAWS, TO GIVE SUCH APPROVALS AND TAKE SUCH OTHER ACTIONS AS ARE SPECIFICALLY RESERVED TO THE MEMBERS OF A PENNSYLVANIA NONPROFIT CORPORATION UNDER THE PENNSYLVANIA NONPROFIT CORPORATION LAW OF 1988, AS AMENDED (THE "PENNSYLVANIA NONPROFIT CORPORATION LAW").
FORM 990, PART VI, SECTION B, LINE 11B	ORGANIZATION'S PROCESS TO REVIEW FORM 990: THE FORM 990 IS PREPARED BY AN EXTERNAL ACCOUNTING FIRM; IT IS REVIEWED BY ACCOUNTING/FINANCE DEPARTMENT PERSONNEL AND THE CHIEF FINANCIAL OFFICER, AND THEN DISTRIBUTED TO ALL MEMBERS OF THE BOARD FOR REVIEW AND COMMENT BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY: THE FILING ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST (COI) POLICIES FOR OFFICERS, DIRECTORS, AND KEY EMPLOYEES (COVERED PERSONS). PER THE POLICY, NO COVERED PERSONS MAY ENGAGE IN ANY TRANSACTION OR ARRANGEMENT OR UNDERTAKE POSITIONS WITH OTHER ORGANIZATIONS THAT INVOLVE A CONFLICT OF INTEREST, EXCEPT IN COMPLIANCE WITH THE POLICY. EVERY COVERED PERSON SHALL DISCLOSE ALL ACTUAL AND POTENTIAL CONFLICTS THROUGH AN ANNUAL ONLINE DISCLOSURE STATEMENT AND AS MATTERS INVOLVING AN ACTUAL OR POTENTIAL CONFLICT ARISE. THE BOARD WILL EVALUATE THE DISCLOSURES AND THE MATERIAL FACTS RELATING TO THE TRANSACTION OR ARRANGEMENT GIVING RISE TO THE POTENTIAL CONFLICT TO DETERMINE WHETHER THEY INVOLVE ACTUAL CONFLICTS OF INTEREST AND MAY ATTEMPT TO DEVELOP ALTERNATIVES TO REMOVE THE CONFLICT FROM THE TRANSACTION OR ARRANGEMENT. A COVERED PERSON WHO HAS AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST SHALL NOT BE PRESENT FOR OR SHALL LEAVE ANY PORTION OF A MEETING AT WHICH THE BOARD OF DIRECTORS OR A COMMITTEE IS VOTING TO DETERMINE WHETHER A CONFLICT EXISTS, BUT MAY BE PRESENT PRIOR TO THE VOTE TO MAKE PRESENTATION TO THE BOARD OR COMMITTEE TO DISCLOSE ADDITIONAL FACTS, OR TO RESPOND TO QUESTIONS. THE FILING ORGANIZATION MAY ENTER INTO A TRANSACTION OR ARRANGEMENT IN WHICH A COVERED PERSON HAS AN ACTUAL CONFLICT OF INTEREST IF A MAJORITY OF DIRECTORS WHO HAVE NO INTEREST IN THE TRANSACTION OR ARRANGEMENT APPROVE THE TRANSACTION OR ARRANGEMENT AT A BOARD OR COMMITTEE MEETING AFTER DETERMINING THAT THE TRANSACTION OR ARRANGEMENT IS FAIR AND REASONABLE TO THE CORPORATION, ANY COVERED PERSON WHO HAS A CONFLICT WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT DOES NOT PARTICIPATE IN AND IS NOT PRESENT FOR THE VOTE REGARDING SUCH TRANSACTION OR ARRANGEMENT (EXCEPT THAT THE COVERED PERSON MAY APPEAR AT A MEETING TO ANSWER QUESTIONS), AND IF THE TRANSACTION OR ARRANGEMENT INVOLVES COMPENSATION OR OTHER FINANCIAL BENEFIT TO THE COVERED PERSON, THE BOARD RELIES ON APPROPRIATE COMPARABILITY DATA TO DETERMINE REASONABLENESS. THE FILING ORGANIZATION WILL DOCUMENT THE FOREGOING IN THE MINUTES OF BOARD AND COMMITTEE MEETINGS, AS APPLICABLE. EACH COVERED PERSON MUST SIGN A STATEMENT THAT AFFIRMS THAT HE OR SHE HAS RECEIVED A COPY OF THE COI POLICY, HAS READ AND UNDERSTANDS IT, AND HAS AGREED TO COMPLY WITH IT. IF THE BOARD OF DIRECTORS HAS REASONABLE CAUSE TO BELIEVE THAT A COVERED PERSON HAS FAILED TO COMPLY WITH THE POLICY, THE BOARD MAY COUNSEL THE COVERED PERSON REGARDING SUCH FAILURE AND, IF THE ISSUE IS NOT RESOLVED TO THE BOARD'S SATISFACTION, MAY CONSIDER ADDITIONAL CORRECTIVE ACTION, INCLUDING REMOVAL FROM THE BOARD OF DIRECTORS OR OTHER POSITION WITH THE FILING ORGANIZATION, AS APPROPRIATE. FORM 990, PART VI, SECTION B, LINES 13 & 14: WHISTLEBLOWER POLICY AND DOCUMENT RETENTION/DESTRUCTION POLICY: THE FILING ORGANIZATION FOLLOWS THE WHISTLEBLOWER POLICY AND DOCUMENT RETENTION AND DESTRUCTION POLICY OF A RELATED ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 15B	PROCESS USED TO ESTABLISH COMPENSATION OF CEO, OFFICERS, AND KEY EMPLOYEES: THE FILING ORGANIZATION IS PART OF A MULTI-ENTITY HEALTH SYSTEM AND MAY OR MAY NOT DESIGNATE ONE OR MORE OF ITS EMPLOYEES AS A CEO (OR PRESIDENT), OFFICER, OR KEY EMPLOYEE. IF THE FILING ORGANIZATION DOES NOT DESIGNATE INDIVIDUALS TO THESE ROLES, THE ROLE IS HANDLED BY AN INDIVIDUAL FROM THE PARENT ENTITY, PENN STATE HEALTH, OR AN AFFILITATE. PENN STATE HEALTH HAS ESTABLISHED A SYSTEM-WIDE PROCESS FOR ESTABLISHING COMPENSATION AS FOLLOWS: ANNUALLY, THE COMPENSATION COMMITTEE OF THE PARENT BOARD ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO CONDUCT A COMPENSATION ANALYSIS FOR THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER (CEO), OFFICERS, AND KEY EMPLOYEES. AS PART OF THE ANALYSIS, THE INDEPENDENT COMPENSATION CONSULTANT IDENTIFIES, GATHERS, AND ANALYZES APPROPRIATE COMPARABILITY DATA UPON WHICH THE COMMITTEE AND THE FULL BOARD WILL RELY TO ASSESS THE REASONABLENESS OF THE TOTAL PROPOSED COMPENSATION (INCLUDING BENEFITS) OF THE CEO, OFFICERS, AND KEY EMPLOYEES. ONCE THE COMPENSATION ANALYSIS IS COMPLETE AND DOCUMENTED IN REPORTS, THE REPORTS ARE PROVIDED TO THE BOARD FOR REVIEW AND CONSIDERATION, TOGETHER WITH WRITTEN OPINIONS FROM THE COMPENSATION CONSULTANT THAT THE PROPOSED COMPENSATION ARRANGEMENTS FOR THE CEO, OFFICERS, AND KEY EMPLOYEES ARE REASONABLE WITHIN THE MEANING OF TREASURY REGULATION 53.4958-4(B)(1)(II)(A). WITH INPUT FROM THE COMPENSATION COMMITTEE, THE FULL BOARD MAKES ANNUAL DECISIONS WITH RESPECT TO COMPENSATION FOR THE CEO, OFFICERS, AND KEY EMPLOYEES BASED UPON THE DATA IN THE REPORT AND THE OPINION OF THE COMPENSATION CONSULTANT THAT THE PROPOSED COMPENSATION IS REASONABLE. THESE DECISIONS, THE BASIS FOR THESE DECISIONS, THE BOARD MEMBERS' NAMES WHO VOTE ON COMPENSATION, AND THAT NONE OF THE BOARD MEMBERS HAVE A CONFLICT OF INTEREST WITH RESPECT TO THESE COMPENSATION ARRANGEMENTS IS ALL CONTEMPORANEOUSLY DOCUMENTED IN THE MINUTES.
FORM 990, PART VI, SECTION C, LINE 19	REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS OF THE PENNSYLVANIA STATE UNIVERSITY AND ITS SUBSIDIARIES (WHICH INCLUDES PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER) ARE AVAILABLE AT WWW.PSU.EDU.
FORM 990, PART VII:	PART VII AND SCHEDULE J REFLECT CERTAIN DIRECTORS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THAT REMUNERATION FOR DIRECTORS WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF A RELATED ORGANIZATION, NOT FOR SERVICES RENDERED AS DIRECTORS OF THE FILING ORGANIZATION.
FORM 990, PART IX, LINE 11G	OUTSIDE TESTS PURCHASED: PROGRAM SERVICE EXPENSES 998,672. MANAGEMENT AND GENERAL EXPENSES 249,668. TOTAL EXPENSES 1,248,340. CONTRACTED PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 2,593,068. MANAGEMENT AND GENERAL EXPENSES 648,267. TOTAL EXPENSES 3,241,335. CONSULTING FEES: PROGRAM SERVICE EXPENSES 253,066. MANAGEMENT AND GENERAL EXPENSES 63,267. TOTAL EXPENSES 316,333. OUTSIDE PURCHASED SERVICE: PROGRAM SERVICE EXPENSES 16,331,215. MANAGEMENT AND GENERAL EXPENSES 4,082,804. TOTAL EXPENSES 20,414,019. OUTSIDE PURCHASED SERVICES-CLINICAL: PROGRAM SERVICE EXPENSES 33,281. MANAGEMENT AND GENERAL EXPENSES 8,320. TOTAL EXPENSES 41,601. CONTRACTED STAFF: PROGRAM SERVICE EXPENSES 22,370,505. MANAGEMENT AND GENERAL EXPENSES 5,592,626. TOTAL EXPENSES 27,963,131. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 90,651. MANAGEMENT AND GENERAL EXPENSES 22,663. TOTAL EXPENSES 113,314. NON PROVIDER RECRUITING: PROGRAM SERVICE EXPENSES 623,600. MANAGEMENT AND GENERAL EXPENSES 155,900. TOTAL EXPENSES 779,500. CLINIC SUBSIDY SUPPORT: PROGRAM SERVICE EXPENSES 17,545,444. MANAGEMENT AND GENERAL EXPENSES 4,386,361. TOTAL EXPENSES 21,931,805.
FORM 990, PART XI, LINE 9:	NONCONTROLLING INTEREST 188,945.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

PENN STATE HEALTH HOLY
SPIRIT MEDICAL CENTER

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)ST JOSEPH MEDICAL CENTER FOUNDATION 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 23-2649362	FUNDRAISING	PA	501(C)(3)	LINE 10	SJRHN		No
(2)ST JOSEPH MEDICAL GROUP 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 20-8544021	HEALTHCARE	PA	501(C)(3)	LINE 10	PSH		No
(3)PENN STATE HEALTH 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 47-3769205	MGMT/SUPPORT	PA	501(C)(3)	LINE 12A, I	PSU		No
(4)THE PENNSYLVANIA STATE UNIVERSITY 201 OLD MAIN UNIVERSITY PARK,PA16802 24-6000376	EDUCATION	PA	115		N/A		No
(5)THE MILTON S HERSHEY MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 25-1854772	HEALTHCARE	PA	115		PSH		No
(6)PENN STATE HEALTH HAMPDEN MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 85-1608328	HEALTHCARE	PA	501(C)(3)	LINE 3	PSH		No
(7)PENN STATE HEALTH LANCASTER MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 85-1620990	HEALTHCARE	PA	501(C)(3)	LINE 3	PSH		No
(8)ST JOSEPH REGIONAL HEALTH NETWORK 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 23-1352211	HEALTHCARE	PA	501(C)(3)	LINE 3	PSH		No
(9)SPIRIT PHYSICIAN SERVICES INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 25-1766971	PHYSICIAN SERVICES	PA	501(C)(3)	LINE 10	PSH		No
(10)HOLY SPIRIT CORPORATION 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 23-2214540	REAL ESTATE	PA	501(C)(2)		PSHHSMC	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

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	(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	(k) Percentage ownership
(1) HERSHEY OUTPATIENT SURGERY CENTER LP 15305 DALLAS PKWY ADDISON,TX75001	HEALTHCARE	PA	NITTANY HLTH				No			No
(2) NITTANY HEALTH - VALUEHEALTH JOINT 11221 ROE AVE LEAWOOD,KS66211 85-1154159	HEALTHCARE	PA	NITTANY HLTH				No			No

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	(h) Percentage ownership	(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	(h) Percentage ownership	Yes	No
(1) NITTANY HEALTH INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 25-1769611	HOMECARE INTEGRTN	PA	PSH	C					No
(2) CGH REALTY CO INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 23-2326801	REAL ESTATE	PA	SJRHN	C					No
(3) HOLY SPIRIT VENTURES INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY,PA17033 23-2407709	REAL ESTATE	PA	PSHHSMC	C	339,871	4,149,672	100.000 %	Yes

Schedule R (Form 990) 2021

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 .....................

Yes

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

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

Yes

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

Yes

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

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

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

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

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

Yes

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

Yes

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

Yes

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

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

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) HOLY SPIRIT VENTURES INC	A	198,352	FMV
(2) HOLY SPIRIT CORPORATION	A	326,891	FMV

Schedule R (Form 990) 2021

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation
SUPPLEMENTAL INFORMATION	SCHEDULE R LISTS ONLY THOSE RELATED ORGANIZATIONS THAT RELATE TO THE HEALTH CARE OPERATIONS UNDER THE COMMON CONTROL OF THE PENNSYLVANIA STATE UNIVERSITY.

Schedule R (Form 990) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: PROVIDES HEALTH SERVICES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	11
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	6
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	1,800
6	Total number of volunteers (estimate if necessary) .............	6	84
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	2,553,965	2,126,943
9	Program service revenue (Part VIII, line 2g) .........	311,950,899	304,509,260
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	157,913	68,493
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,586,574	3,118,713
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	317,249,351	309,823,409
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	6,100	6,500
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)	114,670,197	118,917,552
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	196,249,713	180,479,688
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	310,926,010	299,403,740
19	Revenue less expenses. Subtract line 18 from line 12.......	6,323,341	10,419,669
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	200,374,222	204,548,900
21	Total liabilities (Part X, line 26).............	55,989,634	49,555,698
22	Net assets or fund balances. Subtract line 21 from line 20.....	144,384,588	154,993,202

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 229,435,031 including grants of $ 6,500 ) (Revenue $ 307,296,978 )
	A 307-BED ACUTE CARE HOSPITAL, PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER SERVES THE GREATER HARRISBURG REGION WITH OUTPATIENT AND INPATIENT DIAGNOSTIC, MEDICAL AND SURGICAL SERVICES ON ITS EAST PENNSBORO TOWNSHIP CAMPUS AND OUTPATIENT LOCATIONS IN CUMBERLAND, DAUPHIN, PERRY AND NORTHERN YORK COUNTIES. THE FOUR-STORY ORTENZIO HEART CENTER AT PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER IS DEVOTED TO THE CARE AND TREATMENT OF PATIENTS WITH HEART PROBLEMS. ITS LEVEL II TRAUMA CENTER PHYSICIANS AND STAFF PROVIDE AROUND-THE-CLOCK COMPLEX CRITICAL CARE FOR THOSE SUFFERING FROM LIFE-THREATENING INJURIES.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses229,435,031

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) JAMES WILKEMEYER........................................................................ ACUTE CARE CLINICAL PHARMACIST	40.00 .......................0.00	X		196,406	0	31,408
(19) BETH GREENE........................................................................ DIRECTOR, PHARMACY	40.00 .......................0.00	X		189,326	0	28,908
(20) JAMES TRACEY........................................................................ DIRECTOR, NURSING SERVICES	40.00 .......................0.00	X		173,068	0	43,675
(21) THOMAS YUN........................................................................ REGISTERED NURSE	40.00 .......................0.00	X		186,683	0	28,663
(22) MERLENE LAFLEUR........................................................................ RN INPATIENT	40.00 .......................0.00	X		167,545	0	35,998
(23) STEPHEN MASSINI........................................................................ FORMER DIR (THRU 6/22) / PSH CEO	0.00 .......................50.00		X	0	1,599,857	61,645
(24) PAULA TINCH........................................................................ FORMER OFF. / PSH CFO & EVP	0.00 .......................50.00		X	0	808,482	119,863
(25) ANNEMARIE BOYAN........................................................................ FMR SEC/PSH GC (PSU EMP) (THRU 2/22)	0.00 .......................0.00		X	0	142,089	12,694
(26) RICHARD SCHREIBER........................................................................ FORMER 5 HIGHEST	0.00 .......................40.00		X	0	274,827	52,224

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,617,994	7,785,335	1,052,820

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	1,934,167

f	All other contributions, gifts, grants, and similar amounts not included above		1f	192,776

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		2,126,943

		Business Code
2a	NET PATIENT SERVICES	621110	295,066,090	295,066,090
b	FEE FOR SERVICE - GOVT	621110	5,866,892	5,866,892
c	SERVICES RENDERED CONTRACT	621110	3,377,498	3,377,498
d	INTERCOMPANY REVENUE	621110	198,780	198,780
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		304,509,260

3 Investment income (including dividends, interest, and othersimilar amounts) ......			91,462			91,462
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		242,899	6a
b	Less: rental expenses		0	6b
c	Rental income or (loss)		242,899	6c
d	Net rental income or (loss).......			242,899			242,899
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	1,500		7a
b	Less: cost or other basis and sales expenses	24,469		7b
c	Gain or (loss)	-22,969		7c
d	Net gain or (loss).........			-22,969			-22,969
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	148,178
b	Less: cost of goods sold ..		10b	139,122
c	Net income or (loss) from sales of inventory..			9,056			9,056
Business Code			Miscellaneous Revenue
11a	DISCOUNTS AND REBATES		900099	1,525,543	1,525,543
b	FEDERAL INCENTIVE PROG		900099	1,262,175	1,262,175
c
d	All other revenue ....			79,040			79,040
e	Total. Add lines 11a–11d ......			2,866,758
12	Total revenue. See instructions.....			309,823,409	307,296,978	0	399,488

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	6,500	6,500
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
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 ...........	797,737	638,190	159,547
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	600,549	480,439	120,110
7	Other salaries and wages........	93,587,455	74,869,964	18,717,491
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,926,932	3,141,546	785,386
9	Other employee benefits .......	13,117,335	10,493,868	2,623,467
10	Payroll taxes ...........	6,887,544	5,510,035	1,377,509
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	4,104	4,104
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	76,049,378	60,839,502	15,209,876
12	Advertising and promotion ....	1,524	1,524
13	Office expenses .......	6,003,724	4,802,979	1,200,745
14	Information technology ......	1,197,982	958,386	239,596
15	Royalties ..
16	Occupancy ...........	7,774,989	6,219,991	1,554,998
17	Travel ............	31,372	25,098	6,274
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	34,496	27,597	6,899
20	Interest ...........	26,776	21,421	5,355
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	6,291,391	6,291,391
23	Insurance ...	1,250,470	1,250,470
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	52,793,142	52,793,142
b	ALLOC. CORP. SERVICES	27,696,736		27,696,736
c	FOOD & BEVERAGE	710,937	568,750	142,187
d	MEMBERSHIP DUES	231,751	185,401	46,350
e	All other expenses	380,916	304,733	76,183
25	Total functional expenses. Add lines 1 through 24e	299,403,740	229,435,031	69,968,709	0
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).

1	Cash–non-interest-bearing ........			12,950,924	1	1,332,468
2	Savings and temporary cash investments .........			3,140	2	3,090
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			74,265,018	4	80,480,212
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			671,250	7	1,139,303
8	Inventories for sale or use ............			5,511,907	8	6,063,944
9	Prepaid expenses and deferred charges ......			1,822,732	9	1,035,928
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	85,981,196
b	Less: accumulated depreciation	10b	18,997,907	70,645,902	10c	66,983,289
11	Investments—publicly traded securities .			2,726,321	11	2,915,268
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 ..			0	13	0
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			31,777,028	15	44,595,398
16	Total assets. Add lines 1 through 15 (must equal line 33)...			200,374,222	16	204,548,900

17	Accounts payable and accrued expenses .....	33,293,286	17	27,445,955
18	Grants payable ...		18
19	Deferred revenue .........	0	19	0
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		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	22,696,348	25	22,109,743
26	Total liabilities. Add lines 17 through 25..	55,989,634	26	49,555,698

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	141,658,267	27	152,077,934
28	Net assets with donor restrictions ...........	2,726,321	28	2,915,268
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	144,384,588	32	154,993,202
33	Total liabilities and net assets/fund balances ........	200,374,222	33	204,548,900