2025-05-15T10:39:31-05:00 2024-06-30 991856619 GRANT THORNTON ADVISORS LLC 2001 MARKET STREET SUITE 800 PHILADELPHIA PA 19103 990 2023-07-01 231512747 PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER PENN 7177632100 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 TRACY L MOYER SVP, FINANCIAL OPERATIONS 7177632100 2025-05-14 1 1 RUSSLEE ARMSTRONG P00288383 2155614200 2023 2025-03-06 01:10:19Z DEBORAH ADDO 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 328281463 0 X WWW.PENNSTATEHEALTH.ORG X 1963 PA PROVIDES HEALTH SERVICES IN THE GREATER HARRISBURG AREA AND SOUTH CENTRAL PENNSYLVANIA. 11 6 1724 87 0 0 2126943 1196635 304509260 321975414 68493 -112525 3118713 4096155 309823409 327155679 6500 2750 0 0 118917552 131449189 0 0 0 180479688 184154310 299403740 315606249 10419669 11549430 204548900 211191587 49555698 44411417 154993202 166780170 X SEE SCHEDULE OTHE 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. 0 0 230778700 2750 325682972 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. 230778700 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 0 0 1724 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 6 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 PA X TRACY L MOYER SVP FINANCIAL OPER 7177632100 100 CRYSTAL A DR MC CA210 HERSHEY PA 17033 DEBORAH ADDO DIR / CHAIR / PSH PRES & COO 1.00 49.00 X X 0 989928 112426 SAFWAT GASSIS MD DIRECTOR 1.00 39.00 X 0 755792 69110 THOMAS STOESSEL DIRECTOR / PSH EVP 1.00 49.00 X 0 741755 68408 DONALD MCKENNA DIRECTOR / MSHMC PRES 1.00 49.00 X 0 543952 86488 ANANYA DAGGUBATI MD DIR / PHYSICIAN / PRES OF MED STAFF 1.00 39.00 X 0 279642 52564 SISTER JOANN MARIE AUMAND SCC DIRECTOR 1.00 2.00 X 0 0 0 JAMES R HOEHN DIRECTOR 1.00 1.00 X 0 0 0 JESSICA MEYERS DIRECTOR 1.00 1.00 X 0 0 0 RICHARD E JORDAN II DIRECTOR 1.00 1.00 X 0 0 0 SHANNON MOWERY DIRECTOR 1.00 1.00 X 0 0 0 GREG GUNN DIRECTOR 1.00 1.00 X 0 0 0 KYLE C SNYDER MHA PRESIDENT 23.50 26.50 X 419690 0 68254 RANDY B MORRIS TREAS / PSH REG. VP FIN 1.00 49.00 X 0 321839 61492 NICOLE LEHMAN INTERIM SEC. (PSU EMP) 1.00 49.00 X 0 263736 103230 ROSS DARROW ASST. TREAS / PSH VP TREAS 1.00 49.00 X 0 297918 66026 KATHLEEN MILLER ASSOC. SECRETARY (THRU 5/24) 1.00 39.00 X 0 101559 11101 ANN ALLWEIN INTERIM ASSOC. SEC. (AS OF 5/24) 1.00 39.00 X 0 77372 14403 J BRET DELONE VICE PRESIDENT, MEDICAL AFFAIRS 40.00 0.00 X 510768 0 43645 KRISTEN SLINKARD TEACHING FACULTY 40.00 0.00 X 224678 0 28367 JAMES WILKEMEYER ACUTE CARE CLINICAL PHARMACIST 40.00 0.00 X 202772 0 33091 BETH GREENE DIRECTOR, PHARMACY 40.00 0.00 X 183549 0 29387 MICHELE AEBERLI REG. DIRECTOR, NURSING PROF DEV & ED 40.00 0.00 X 191427 0 5151 STEPHEN MASSINI FORMER DIR / PSH CEO 0.00 50.00 X 0 1600902 68408 PETER DILLON MD FMR DIR/PSH PHYS LEADER 0.00 50.00 X 0 497180 32393 PAULA TINCH FORMER OFF. / PSH CFO & EVP 0.00 50.00 X 0 770936 113925 GLORIA SANTOS FMR KE (THRU 6/22) - VP, CNO 0.00 0.00 X 126368 0 0 1859252 7242511 1067869 219 1 1 0 MEDEFIS CONSOLIDATED PO BOX 5068 NEWYORK NY 100875068 AGENCY NURSING 18285222 SODEXO INC 111 OUTH FRONT STREET HARRISBURG PA 17101 DIETARY & ENVIRONMENTAL SERVICES 8545479 AMN HEALTHCARE INC 12400 HIGH BLUFF DRIVE SANDIEGO CA 92130 AGENCY NURSING 4573823 WEST SHORE ANESTHESIA ASSOCIATES PO BOX 1050 CAMPHILL PA 17001 PHYSICIAN LOCUMS 1720564 RESTORIX HEALTH PO BOX 71849 CHICAGO IL 606941849 HYPERBARIC & WOUND CARE TREATMENT 1485243 24 18155 1178480 1196635 NET PATIENT SERVICES 621110 316636485 316636485 FEE FOR SERVICE - GOVT 621110 3253278 3253278 SERVICES RENDERED CONTRACT 621110 1843376 1843376 INTERCOMPANY REVENUE 621110 242275 242275 321975414 91423 91423 253296 0 253296 253296 253296 827568 1031516 -203948 -203948 -203948 156367 94268 62099 62099 FEDERAL INCENTIVE PROG 900099 2071131 2071131 DISCOUNTS AND REBATES 900099 1636427 1636427 73202 73202 3780760 327155679 325682972 0 276072 X 2750 2750 566456 113291 453165 674 539 135 103521582 83111518 20410064 3885560 3137318 748242 16103270 12899367 3203903 7371647 5897318 1474329 87570 87570 57784630 46227702 11556928 258 258 3619544 2895635 723909 995840 796672 199168 7930272 6344218 1586054 46169 36935 9234 36717 29374 7343 17527 14022 3505 5411185 5411185 1505229 1505229 MEDICAL SUPPLIES 61509650 61509650 ALLOC. CORP. SERVICES 44262032 44262032 FOOD & BEVERAGE 622214 497771 124443 MEMBERSHIP DUES 297173 237738 59435 28300 22640 5660 315606249 230778700 84827549 0 1332468 3367241 3090 3090 80480212 69648407 1139303 6063944 6382512 1035928 1078688 92820933 23668395 66983289 69152538 2915268 1919072 44595398 59640039 204548900 211191587 27445955 28619872 22109743 15791545 49555698 44411417 X 152077934 164861098 2915268 1919072 154993202 166780170 204548900 211191587 X 11549430 237538 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 18597 0 0 0 18597 0 LINE 1F: THE ORGANIZATION WAS A MEMBER OF CERTAIN INDUSTRY ORGANIZATIONS; ALL OF WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. THE PORTION OF THESE DUES ALLOCATED TO LOBBYING EXPENDITURES FOR THE YEAR IS THE FIGURE PROVIDED IN PART II-B, LINE 1F. 2892978 -996196 1896782 2616620 276358 2892978 2973232 1000 -357612 2616620 373386246 196220 132619 370741853 2973232 376968866 290000 241380 4114000 373386246 1.00000 0 1 1 1494425 1494425 64923456 7661188 57262268 26403052 16007207 10395845 69152538 DUE FROM AFFILIATES 50429079 CAPITAL / OPERATING LEASES - ROU 8326129 OTHER ASSETS 884831 59640039 OPERATING LEASE 8375450 PATIENT CREDIT BALANCE 3233337 OTHER LIABILITIES 2682211 MEDICAL/RX RESERVES 1270000 CAPITAL LEASE 230547 15791545 1 1 X 1 X 300.000000000000 1 X 1 1 1 0 1 1 9426308 3939897 5486411 0.01740 8639525 2641889 5997636 0.01900 18065833 6581786 11484047 0.03640 55022 1195318 1825 1193493 0.00380 155 10480 0 0.00000 9463 8982 105569 105569 0.00030 73622 1300887 12305 1299062 0.00410 73622 19366720 6594091 12783109 0.04050 1 6293867 46413826 66650027 -20236201 X 1 1 1 1 PENN STATE HEALTH HOLY SPIRIT MED CENTER 503 NORTH 21ST STREET CAMP HILL PA 17011 WWW.PENNSTATEHEALTH.ORG/LOCATIONS 340801 X X X HOLY SPIRIT MEDICAL 1 0 0 1 X X X X X X X X X 21 1 1 1 1 X WWW.PENNSTATEHEALTH.ORG/COMMUNITY X 1 22 1 WWW.PENNSTATEHEALTH.ORG/COMMUNITY 0 1 X 300.000000000000 300.000000000000 X X X X 1 1 X X X X 1 X SEE PART V NARRATIVE X SEE PART V NARRATIVE X SEE PART V NARRATIVE X X X X X X 1 X 0 X X X X 1 X 0 0 PART V, SECTION B, LINE 5: INPUT FOR COMMUNITY HEALTH NEEDS ASSESSMENT:PENN STATE HEALTH, THE OVERALL PARENT OF THE HEALTH SYSTEM IN WHICH PSH HSMC IS AFFILIATED, IS COMMITTED TO UNDERSTANDING AND ADDRESSING THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES. THIS FISCAL YEAR, WE CARRIED OUT YEAR TWO OF THE 2022-2025 IMPLEMENTATION PLAN THAT RESULTED FROM THE 2021 CHNA.CHNA PROCESSTHE 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 (ACA). SPECIFIC CHNA STEPS INCLUDED:-KICKOFF MEETING TO ANNOUNCE THE START OF THE CHNA PROCESS AND HOST ALLINTERNAL 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 THEMOST PRESSING ISSUES ON WHICH TO FOCUS COMMUNITY HEALTH IMPROVEMENT EFFORTS PART V, SECTION B, LINE 6A / 6B OTHER HOSPITAL FACILITIES INCLUDED IN NEEDS ASSESSMENT:FOR THE 2021 CHNA, PENN STATE HEALTH FORMED ACOLLECTIVE 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 CENTERIN 2024, PENN STATE HEALTH LANCASTER MEDICAL CENTER WAS ALSO FORMALLY ADDED TO THE ASSESSMENT PROCESS, EVEN THOUGH THEY WERE ALREADY CARRYING OUT THE CURRENT IMPLEMENTATION PLAN AND TRACKING COMMUNITY HEALTH. THE CHNA ALSO INCLUDED KEY COMMUNITY STAKEHOLDERS TO IDENTIFY AND ADDRESS THE NEEDS OF RESIDENTS LIVING IN THE SIX-COUNTY COMMUNITY, INCLUDING A PARTNERSHIP WITH WELLSPAN HEALTH AND PENN MEDICINE LANCASTER GENERAL HOSPITAL FOR OVERLAPPING COUNTIES OF LEBANON AND LANCASTER. THE DEPARTMENT OF PUBLIC HEALTH SCIENCES AT PENN STATE COLLEGE OF MEDICINE COORDINATED THE CHNA EFFORTS. THE APPENDIX OF THE FULL REPORTS 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 PLANTO DEVELOP OUR 2022-2025 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 HEALTHRESPONSIBLE 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 USERESOURCES.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, PENNSYLVANIA PSYCHIATRIC INSTITUTE PENN STATE HEALTH REHABILITATION HOSPITAL AND PENN STATE HEALTH LANCASTER MEDICAL CENTER.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 HOSPITAL.GOAL: 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 IMPROVEDUNDERSTANDING 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 ACCESS RESPONSIBLE 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 CENTER.GOAL: 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).-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 COMMUNITYGARDENS.ELEMENT 3. PHYSICAL ACTIVITYRESPONSIBLE 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 LANCASTERMEDICAL 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 2024 IS THE NINTH YEAR OF THESE GRANTS AND, OVER THIS TIME FRAME, 118 PROJECT TEAMS WERE FUNDED BY $443,754. 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 YEARS ONE-TWO ACCOMPLISHMENTS:DURING FISCAL YEAR 2024, PSH HOSPITALS CONTINUED FIVE TASK FORCES TO CARRY OUT THE SECOND 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: MENTALHEALTH, 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. ONE HAD TO BE ADJUSTED IN YEAR TWO BUT THEN ALL WERE MET.MENTAL HEALTH:SEE YEAR 2 GOALS AND OBJECTIVES ABOVE. KEY ACCOMPLISHMENTS:EXPAND AND INCREASE BEHAVIORAL HEALTH TRAINING AND EDUCATION:- TRAINED 618 INDIVIDUALS (80 OF WHICH WERE STUDENTS) ON MENTAL HEALTH SIGNS AND SYMPTOMS IN PARTNERSHIP WITH THE FOLLOWING ORGANIZATIONS: DAUPHIN COUNTY CRISIS INTERVENTION TEAM, PA STATE POLICE ACADEMY CADETS, BEACON CLINIC, PENN STATE HEALTH EMPLOYEE RESOURCE GROUPS, DAUPHIN COUNTY DISTRICT ATTORNEY'S OFFICE, INTERNATIONAL SERVICE CENTER AND COMMUNITY HEALTH WORKERS. - CLINICAL SIMULATION CENTER PARTNERED WITH PA STATE POLICE ACADEMY ON SEVEN INTERACTIVE AND INNOVATIVE TRAININGS TO HELP CADETS LEARN HOW TO BEST HANDLE MENTAL ILLNESS CASES. - PROVIDED SUBSTANCE USE EDUCATION VIA 18 LECTURES, TRAININGS, WEBINARS OR HEALTH FAIRS, INCLUDING THE PENN STATE ADDICTION CENTER FOR TRANSLATION TOPICS IN ADDICTION MONTHLY SEMINAR SERIES, ANNUAL ADDICTION SYMPOSIUM AND OPIOID OVERDOSE REVERSAL TRAINING. - DISTRIBUTED NALOXONE, LOCKBOXES AND SAFE DISPOSAL POUCHES AT NUMEROUS COMMUNITY HEALTH EVENTS, IN PARTNERSHIP WITH DAUPHIN COUNTY DRUG AND ALCOHOL AND AT SAVE A LIFE DAY. - COLLABORATED ON A COMMUNITY HEALTH VENDING MACHINE PROJECT TO DISPENSE NALOXONE, DRUG CHECKING KITS AND OTHER HEALTH NECESSITIES. - OFFERED DRUG TAKE-BACK DAY THREE TIMES IN TWO YEARS, COLLECTING 2,342 POUNDS OF UNWANTED, UNNEEDED OR EXPIRED MEDICATIONS, AS WELL AS 54 SHARPS CONTAINERS. COLLABORATE WITH ORGANIZATIONS TO DEVELOP AN INVENTORY OF BEHAVIORAL HEALTH RESOURCES AND SUPPORT SYSTEMS: I. RECEIVED THREE COMMUNITY RELATIONS GRANTS:- TAUGHT SIX SENSORY REGULATION WORKSHOPS GEARED TOWARD CHILDREN, TEENS AND YOUNG ADULTS.- PARTNERED WITH STEELTON-HIGHSPIRE SCHOOL DISTRICT TO OFFER EXPERIENTIAL EDUCATION TO ITS STUDENTS: 48 STUDENTS PARTICIPATED IN YOGA AND MINDFULNESS CLASSES, 18 IN DIALECTICAL BEHAVIORAL THERAPY, 20 ATTENDED A WORKSHOP AT THE BALTIMORE AQUARIUM, 18 PARTICIPATED IN A MENTAL HEALTH OVERVIEW AND 18 IN A SENSORY REGULATION AND MINDFULNESS WORKSHOP. - PARTNERED WITH AN OUTREACH SPECIALIST IN THE COMMUNITY TO PROVIDE FREE HIGH-QUALITY, EVIDENCE-BASED, TRAUMA-SENSITIVE TRAINING ON SUBSTANCE USE, HARM REDUCTION AND MENTAL HEALTH TOPICS TO MEMBERS OF THE COMMUNITY.II. JOINED HEAL PA INITIATIVE AND PARTNERED WITH THE HEALTH EQUITY TASK FORCE, PA 211 AND UNITED WAY OF THE CAPITAL REGION ON A VIDEO TO PROMOTE USAGE OF 211, A FREE NUMBER THAT PROVIDES ACCESS TO LOCAL COMMUNITY SERVICES AND RESOURCES IN THE UNITED STATES.III. PSH GOVERNMENT RELATIONS MET WITH LEADERSHIP TO REVIEW AND ASSESS MENTAL HEALTH PRIORITIES AND NEEDS FOR THE NEXT TWO YEARS. IV. INITIATED UNITED WAY OF THE CAPITAL REGION CONTACT TO CARE AND ROAD TO SUCCESS INITIATIVES AND EMPLOYED A COMMUNITY HEALTH WORKER AT PENNSYLVANIA PSYCHIATRIC INSTITUTE (PPI).V. DURING TWO YEARS, WE RECRUITED AND TRAINED SIX FELLOWS THROUGH THE ADDICTION MEDICINE FELLOWSHIP, PREPARING THESE PROVIDERS TO WORK IN COMMUNITY AND CLINICAL SETTINGS. VI. TRAINED A LEADER TO INITIATE THE SMART RECOVERY SUPPORT GROUP. PPI IS OFFERING ADULT AND CHILD SUPPORT GROUPS.VII. BEHAVIORAL HEALTH SERVICES AT PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER OPERATES TEENLINE TO PROVIDE COUNSELORS TO SERVE AS MENTAL HEALTH LIAISONS ON THE STUDENT ASSISTANCE PROGRAM TEAMS AT ALL PUBLIC SECONDARY SCHOOLS IN CUMBERLAND AND PERRY COUNTIES.HEALTH EQUITY:SEE YEAR 2 GOALS AND OBJECTIVES ABOVE. KEY ACCOMPLISHMENTS:COLLABORATE TO CREATE AND MAINTAIN AN INVENTORY OF COMMUNITY HEALTH ACCESS POINTS AND ORGANIZATIONS PROMOTING TRAUMA INFORMED CARE PRACTICES:- THE COMMUNITY IMPACT MODEL WAS CREATED IN FY 2024 AND IS A CONCEPTUAL FRAMEWORK THAT WE USE TO GUIDE OUR COMMUNITY HEALTH WORK. IT RECOGNIZES THAT ACHIEVING HEALTH EQUITY ISN'T A STRAIGHTFORWARD PATH FROM INTERVENTION TO OUTCOME. INSTEAD, OUTCOMES FOR THRIVING COMMUNITIES CAN ONLY BE REACHED BY HONORING THE COMMUNITY CONTEXT, COMMUNITY PARTNERSHIP DYNAMICS, AND COMMUNITY AND CLIENT INTERVENTIONS. THESE COMPONENTS FUNCTION WITHIN THE REALM OF INTENTIONAL RELATIONSHIPS, RECOGNIZING THAT PROGRESS OFTEN REQUIRES MOVING BACK AND FORTH THROUGH THE MODEL. THE ULTIMATE GOAL IS TO FOSTER HEALTH EQUITY, ACKNOWLEDGING THE COMPLEXITY AND DYNAMIC NATURE OF COMMUNITY HEALTH EFFORTS.UPLIFT PARTNERSHIP WITH THE UNITED WAY: - PA 211 CAMPAIGN VIDEO CREATED AND PROVIDED TO COMMUNITY PARTNERS. JOINT SOCIAL MEDIA CAMPAIGN RAN IN JULY 2022.- PA 211 INFORMATION EMBEDDED IN PSH DISCHARGE INSTRUCTIONS JUNE 2023.- UNITED WAY 2022 AND 2023 CAMPAIGNS SUCCESSFULLY RAN. - TWO UNITED WAY CONTACT TO CARE CHWS HIRED AND CERTIFIED. ONE POSITION SPECIFICALLY SUPPORTS PENNSYLVANIA PSYCHIATRIC INSTITUTE WITH MENTAL HEALTH AWARENESS ACTIVITIES. CHWS IMPROVE ACCESS TO HEALTH CARE BY CONNECTING INDIVIDUALS TO RESOURCES TO OVERCOME THEIR BARRIERS TO HEALTH CARE AND ADDRESS SOCIAL DETERMINANTS OF HEALTH. ADDITIONALLY, THEY ASSIST INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED WITH GAINING INSURANCE AND MAINTAINING ACCESS TO A MEDICAL HOME. IN FY 2023-2024, THE CHWS HAVE ACTIVELY WORKED WITH 214 INDIVIDUALS AND MADE 93 REFERRALS FOR HEALTH CARE/PRIMARY CARE AND 47 FOR HEALTH INSURANCE. PARTNER WITH COMMUNITY ORGANIZATIONS ON TRAUMA-INFORMED CARE TRAININGS: - WE PROVIDED 30 STAFF AND COMMUNITY PARTNER EDUCATION SESSIONS IN BERKS, CUMBERLAND, DAUPHIN AND LANCASTER COUNTIES AND PRESENTED RESULTS AT THE AMERICAN PUBLIC HEALTH ASSOCIATION CONFERENCE. - EVALUATION RESULTS: 829 PRE-SURVEYS AND 597 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-SEVEN PERCENT OF OPEN-ENDED RESPONSES HAVE BEEN POSITIVE, WITH MANY STATING THAT THE TRAINING IS "EYE-OPENING AND "INFORMATIVE." THE MOST SIGNIFICANT IMPROVEMENT WAS SEEN IN PARTICIPANTS' COMPREHENSIVE UNDERSTANDING OF TRAUMA-INFORMED SENSORY CARE.- IN 2024, WE STARTED THE EMPOWERED RELIEF PROGRAM, AN EVIDENCE-BASED PAIN MANAGEMENT COMMUNITY EDUCATION SERIES, AND OFFERED THREE SESSIONS. ADDITIONAL HIGHLIGHTS: - PROVIDED SERVICES AT 43 REGULAR COMMUNITY OUTREACH LOCATIONS; 22 PAWS AND HEALTH OUTREACH SITES, INCLUDING HEALTH SCREENINGS, BLOOD PRESSURE MONITORS AND EDUCATION. LOCATIONS ARE FOOD PANTRIES, THE RACETRACK, ANCHOR LANCASTER, LANCASTER LIBRARIES AND THE CORNER STORE INITIATIVE IN READING.- THE HOLY SPIRIT MEDICAL CENTER OUTREACH CLINIC PROVIDED 11,335 FREE NURSING CARE VISITS IN FY 2024. THE CENTER OFFERS REFERRAL ASSISTANCE VIA A CONTACT TO CARE COMMUNITY HEALTH WORKER AND FRESH PRODUCE BY HOSTING A COMMUNITY REFRIGERATOR. THE NURSES ALSO EXPANDED THEIR OUTREACH WORK TO ASSIST ADDITIONAL POPULATIONS AT THE RACETRACK. - PARTNERED WITH PSH HEART AND VASCULAR TO INCREASE ATHEROSCLEROTIC CARDIOVASCULAR DISEASE SCREENING IN THE COMMUNITY. THE NUMBER OF SCREENINGS DOUBLED WITHIN THE FIRST QUARTER. - COMMUNITY HEALTH NURSES PROVIDE ONGOING EDUCATION AND SCREENINGS AT THE DOWNTOWN READING FARMSTAND AND IN COLLABORATION WITH THE READING CORNER STORE INITIATIVE, AT THE ANCHOR LANCASTER SHELTER, LANCASTER PUBLIC LIBRARY AND THE STEELTON MOSQUE. INTERNAL MEDICINE RESIDENTS ARE NOW PARTNERING WITH NURSES AT ANCHOR LANCASTER. - TRACK COMMUNITY HEALTH NURSE AND CHW PARTICIPANT HEALTH DATA IN REDCAP SO WE CAN EVALUATE EFFORTS. SEE PATIENT DATA SECTION FOR ADDITIONAL INFORMATION.- A1C SCREENING IMPLEMENTED AT ALL COMMUNITY SITES WHERE THE NURSES PROVIDE HEALTH SCREENINGS.- LAUNCHED THE PSH SYSTEMWIDE HEALTH EQUITY STRATEGY AND THE CHNA HEALTH EQUITY TASK FORCE CONTRIBUTES AS THE COMMUNITY PILLAR. A PSH PROGRAM DIRECTOR FOR HEALTH EQUITY WAS HIRED.- OFFERED TASK FORCE TRAINING ON SYSTEMS WORK TO MAKE SYSTEMATIC CHANGES PROVIDED BY DR. MARCELLUS TAYLOR.- PENN STATE COLLEGE OF MEDICINE COMMUNITY HEALTH EQUITY & ENGAGEMENT IN RESEARCH (CHEER) TEAM DEVELOPED AND LAUNCHED COMMUNITY-ENGAGED RESEARCH TOOLKITS FOR BOTH RESEARCH TEAMS AND COMMUNITY PARTNERS.- THE CHW TRAINING PROGRAM WAS OFFERED AT THE PENN STATE HEALTH DOWNTOWN CAMPUS IN READING, AND THREE COHORTS TRAINED 24 CHWS, PREPARING THESE INDIVIDUALS TO HELP COMMUNITY MEMBERS NAVIGATE THEIR HEALTH AND SOCIAL NEEDS TO IMPROVE HEALTH OUTCOMES.CHRONIC DISEASE AND RISK FACTOR PREVENTIONSEE YEAR 2 GOALS AND OBJECTIVES ABOVE. KEY 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 MANY PRESENTERS HAVE COMMENTED ABOUT THE EXCELLENT PROGRAMS. COLLABORATED AT MANY ANNUAL, LARGE COMMUNITY EVENTS ACROSS OUR SIX COUNTIES. EXAMPLES INCLUDE: NATIONAL NIGHT OUT, PSH RECFEST, YMCA HEALTH EQUITY TOUR, GUTS& GLORY DIGESTIVE AND WELLNESS EXPO IN READING, AMERICAN HEART ASSOCIATION HEART AND STROKE WALK, BERKS CULTURAL DIVERSITY FESTIVAL IN DOWNTOWN READING, PSH CANCER SURVIVORSHIP CELEBRATION, PENN STATE BLUE-WHITE GAME, DIABETES HEALTH FAIRS, FLU SHOT EVENTS, RACIAL AND ETHNIC APPROACHES TO COMMUNITY HEALTH (REACH) EVENTS, NORTHERN DAUPHIN COUNTY LADIES' NIGHT OUT, AND PSH "WALK WITH A DOC" EVENTS IN READING TO PROVIDE EDUCATION ON PREVENTING STROKE, REDUCING DIABETES, HANDLING STRESS, SKIN CANCER PREVENTION AND MANAGING CANCER THROUGH PHYSICAL ACTIVITY. - UPON REVIEW, THE TASK FORCE IDENTIFIED A GAP IN EDUCATIONAL OFFERINGS IN PERRY COUNTY AND COLLABORATED WITH THE PERRY COUNTY ROTARY CLUB TO PROVIDE EDUCATIONAL SESSIONS ON STROKE AND LUNG CANCER PREVENTION. COMMUNITY GARDENS AND THE PAWS PROGRAM ALSO EXPANDED TO PERRY COUNTY. - APPROXIMATELY 134,000 COMMUNITY MEMBERS WERE REACHED IN TWO YEARS BY CANCER COMMUNITY EDUCATION AND SCREENINGS OFFERED BY INSTITUTES AND DEPARTMENTS ACROSS PSH AND PENN STATE COLLEGE OF MEDICINE. THESE INCLUDED LUNG CANCER PREVENTION, TOBACCO CESSATION, A COLORECTAL CANCER EDUCATION AND SCREENING INITIATIVE, NO-SHAVE NOVEMBER AND FREE PROSTATE SCREENINGS, BREAST CANCER SUPPORT SERVICES AND BERKS RELAY FOR LIFE LEADERSHIP, FREE MAMMOGRAMS, BREAST BINGO FOR LATINAS, LET'S GET EDUCATED AGAINST CANCER SPANISH WEBINAR SERIES, CANCER COMMUNITY HEALTH WORKERS AND ADVOCATES, CANCER NAVIGATION AND SURVIVORSHIP NETWORK, CANCER ADVISORY BOARDS, SUN SAFETY AND SKIN CANCER PREVENTION INITIATIVES, FIT KIT DISTRIBUTIONS, PRESCRIPTION ASSISTANCE PROGRAM AND NUMEROUS CANCER-RELATED SUPPORT GROUPS. - ABOUT 125,000 COMMUNITY MEMBERS WERE REACHED OVER TWO YEARS BY ADULT TRAUMA AND PEDIATRIC TRAUMA AND INJURY PREVENTION PROGRAMMING SUCH AS STOP THE BLEED, MATTER OF BALANCE, SENIOR AND TEEN DRIVING PROGRAMS, THE CENTER FOR THE PROTECTION OF CHILDREN, VIOLENCE PREVENTION, CHILD SAFETY SEAT INSPECTIONS, PEDESTRIAN AND BICYCLE SAFETY, WATER SAFETY, SAFE SITTER PROGRAM, HANDS-ONLY CPR, TOURNIQUET EXCHANGE PROGRAM AND TRAUMA-INFORMED CARE. CREATE AN EVALUATION SURVEY TO IMPLEMENT AT COMMUNITY EDUCATIONAL EVENTS THAT DEMONSTRATES IMPROVED UNDERSTANDING OF CHRONIC DISEASE RISK FACTOR PREVENTION:I. IN YEAR ONE, THE EVALUATION FRAMEWORK AND SURVEYS WERE CREATED. SHORT AND LONG (INCLUDES DEMOGRAPHIC QUESTIONS) VERSIONS ARE AVAILABLE IN ENGLISH AND SPANISH VIA PDFS, REDCAP LINKS AND A POWERPOINT SLIDE AND FLIER WITH QR CODES. II. THROUGH JUNE 2024, A TOTAL OF 352 EVALUATION SURVEYS WERE COMPLETED ON 19 TOPICS AT 10 DIFFERENT COMMUNITY LOCATIONS. THERE HAVE BEEN 264 SHORT, ENGLISH SURVEYS; 63 LONG, ENGLISH SURVEYS AND 25 SHORT, SPANISH SURVEYS COMPLETED. THEY WERE USED AT VARIOUS EVENTS, INCLUDING SIGNS AND SYMPTOMS OF MENTAL ILLNESS, STROKE PREVENTION, PREVENTATIVE HEALTH, URINARY HEALTH, CPR, FLU INFORMATION, HEARING, EMOTIONAL SELF-AWARENESS, OSTEOPOROSIS, SENIOR SAFETY AND WHAT TO EXPECT AT AN ED VISIT, "IT'S ALL IN YOUR HEAD AND AN A-FIB PRESENTATION. THESE WERE EITHER COMPLETED VIRTUALLY OR AT VARIOUS LOCATIONS SUCH AS THE SALVATION ARMY, MORNING STAR, CUMBERLAND COUNTY HOUSING, LEADER CENTER FOR ACTIVE LIFE, PRINCE OF PEACE CHURCH IN STEELTON AND THE INTERNATIONAL SERVICE CENTER. THESE ARE COMBINED RESULTS FROM ALL THREE TYPES OF SURVEYS:- WHEN ASKED WHAT PART OF THE EVENT WAS THE MOST USEFUL TO LEARNING, THE MAJORITY (83 %) SELECTED "PRESENTATION" IN A CHECK ALL THAT APPLY. THE NEXT MOST USEFUL PART OF THE EVENT WAS "GROUP DISCUSSION" (48%). - WHEN ASKED HOW THEY WOULD LIKE TO RECEIVE EDUCATIONAL INFORMATION IN THE FUTURE, 54% OF RESPONDENTS SELECTED "IN PERSON," WITH EMAIL BEING THE SECOND MOST SELECTED OPTION (33%). - ABOUT 92% OF RESPONDENTS SELECTED THAT THEY WERE "VERY MUCH" SATISFIED WITH THE ORGANIZATION OF THE EVENT, AND 91% OF INDIVIDUALS RESPONDED THAT THEY WERE "VERY MUCH" SATISFIED WITH THEIR INSTRUCTOR/PRESENTER. - NINETY-SEVEN PERCENT OF RESPONDENTS SAID THEY EITHER "STRONGLY AGREE OR "AGREE" THAT THEY "LEARNED SOMETHING NEW THAT THEY CAN USE IN WORK/LIFE." IN A SELECT ALL THAT APPLY" SECTION, MOST PARTICIPANTS RESPONDED THAT AFTER THE EVENT THEY PLANNED TO EITHER "USE THIS INFORMATION TO IMPROVE THEIR OWN HEALTH" (56%) OR "DISCUSS WITH A FRIEND/FAMILY MEMBER/COLLEAGUE/PROVIDER" (44%); SHOWING HOW EDUCATIONAL EVENTS CAN IMPACT THE HEALTH OF OTHERS IN THE COMMUNITY THAT DID NOT ATTEND THE EVENT. - ABOUT 86% OF RESPONDENTS ANSWERED THAT THEY WERE "VERY LIKELY" TO PARTICIPATE IN A SIMILAR EDUCATIONAL EVENT IN THE FUTURE.III. FOUR PROJECTS WERE CREATED SEPARATELY FOR ONGOING PROGRAMS USING THE EVALUATION FRAMEWORK: STROKE PREVENTION, SENSORY REGULATION, EMPOWERED RELIEF AND THE HELLO GAME.NUTRITION AND FOOD ACCESSSEE YEAR 2 GOALS AND OBJECTIVES ABOVE. KEY ACCOMPLISHMENTS: EXPAND REACH OF NUTRITION AND FOOD ACCESS PROGRAMS:SINCE 2014, PSH HAS BEEN DEDICATED TO ADDRESSING FOOD AND NUTRITION INSECURITY WITHIN OUR SIX COUNTIES AND, THANKS TO GENEROUS SUPPORT FROM THE RITE AID HEALTHY FUTURES GRANT, HAVE BEEN ABLE TO EXPAND THESE EFFORTS OVER THE PAST TWO YEARS. EIGHTY-FIVE NUTRITION AND FOOD ACCESS POINTS IN YEAR ONE, EXPANDING TO 94 LOCATIONS IN YEAR TWO OF THIS PLAN, REACHED JUST OVER 81,500 COMMUNITY MEMBERS, LEADING TO SUSTAINABILITY, GROWTH, EQUITY AND DATA-DRIVEN RESEARCH.- ABOUT 5,025 PEOPLE SERVED ANNUALLY IN THE GARDEN PROGRAMS, AND MORE THAN 10,000 POUNDS OR 16,000 SERVINGS OF FRUITS AND VEGETABLES DISTRIBUTED AT 14 COMMUNITY GARDENS AND FIVE DISTRIBUTION SITES. THE ORIGINAL COMMUNITY GARDEN LOCATED ON THE MILTON S. HERSHEY MEDICAL CENTER AND PENN STATE COLLEGE OF MEDICINE CAMPUS ALSO DONATES OVER 2,000 POUNDS OF PRODUCE AND HONEY AND 1,200 FLOWER ARRANGEMENTS ANNUALLY. THESE SITES NOT ONLY PROVIDE FRESH PRODUCE BUT ALSO OFFER ACCESS TO COMMUNITY RESOURCES, EDUCATION, SOCIAL SUPPORT AND PHYSICAL ACTIVITY. - THE VEGGIE RX PROGRAM IS A PRODUCE VOUCHER AND NUTRITION EDUCATION PROGRAM FOR COMMUNITIES FACING HEALTH DISPARITIES AND CHRONIC HEALTH CONDITIONS LIKE CARDIOVASCULAR DISEASE AND DIABETES. IT STARTED AND CONTINUES TO HAVE POSITIVE OUTCOMES IN BERKS COUNTY FOR BOTH INDIVIDUAL WELL-BEING, SUCH AS A SIGNIFICANT DECREASE IN A1C, AND FOR LOCAL ECONOMIC DEVELOPMENT BY SUPPORTING FARMERS MARKETS AND GROCERY STORES. VEGGIE RX EXPANDED, AND NEW COMMUNITY PARTNERS STARTED CLASSES IN FY 2024: TEC CENTRO IN LANCASTER, LEBANON COUNTY CHRISTIAN MINISTRIES IN LEBANON, NORTHERN DAUPHIN HUMAN SERVICES CENTER IN ELIZABETHVILLE AND FAMILY FIRST HEALTH IN COLUMBIA. ONE CLASS DEMONSTRATED THAT AVERAGE TOTAL CHOLESTEROL AND DIASTOLIC BLOOD PRESSURES IMPROVED. SURVEYS ALSO SHOWED THAT THE CLASSES ARE IMPROVING PARTICIPANTS' PERCEPTION OF THEIR HEALTH. DEVELOP A REGIONAL COLLABORATIVE TO INCREASE COMMUNICATION AND DEVELOP A NUTRITION/FOOD ACCESS RESOURCE: - VEGGIE RX AND COMMUNITY GARDEN TOOLKITS AND FACT SHEETS WERE CREATED TO HELP OTHER ORGANIZATIONS EXPAND THESE PROGRAMS IN THE COMMUNITY. - IN COLLABORATION WITH THE SALVATION ARMY HARRISBURG CAPITAL REGION AND PENN STATE MASTER GARDENER PROGRAM, 18 PEOPLE ATTENDED A SIX-WEEK "SEED TO SUPPER" PROGRAM HELD AT THE SALVATION ARMY. THIS INVOLVED GARDENING EDUCATION, HANDS-ON GARDENING AND COOKING CLASSES AS WELL AS A PRE- AND POST-BIOMETRIC SCREENING. - PSH, THE CHESTNUT STREET COMMUNITY CENTER IN LEBANON AND THE LEBANON COUNTY AREA AGENCY ON AGING PARTNERED TO PROVIDE A SHUTTLE FROM EIGHT SENIOR LIVING BUILDINGS TO THE CENTER'S WEEKLY FARMER'S MARKET. THE SENIORS ALSO RECEIVED NUTRITION VOUCHERS TO REDEEM AT THE MARKET, WITH THE GOAL OF INCREASING THEIR FRESH PRODUCE CONSUMPTION. - ESTABLISHED PARTNERSHIP WITH CENTRAL PENNSYLVANIA FOOD BANK FOR GEOCODING AND MAPPING OF FOOD ACCESS AREAS. AS A RESULT, WE KNOW THAT PSH FOOD ACCESS LOCATIONS ARE EXTREMELY WELL-TARGETED ACROSS OUR SIX-COUNTIES. THE MAP BELOW SHOWS THESE SERVICES ARE CONCENTRATED NEAR AREAS WITH THE HIGHEST FOOD INSECURITY RATES IN EACH COUNTY, INCLUDING HARRISBURG CITY, STEELTON AND NORTHERN DAUPHIN COUNTY; READING IN BERKS COUNTY; LEBANON CITY AND PALMYRA IN LEBANON COUNTY; AND COLUMBIA, ELIZABETHTOWN, MOUNT JOY, NEW HOLLAND AND LANCASTER CITY IN LANCASTER COUNTY.IMPROVE ACCESS TO FRUITS AND VEGETABLES AND NUTRITION EDUCATION WITHIN OUR SERVICE AREA:- PROVIDED PROGRAMMING ABOUT CONTAINER GARDENING TO 150 PEOPLE AT EIGHT LOCATIONS AND SERVED 58 PEOPLE WITH COOKING CLASSES IN FOUR OF THE GARDENS. - PROVIDED 12 AEROGARDENS TO THE LEBANON SCHOOL DISTRICT TO TEACH STUDENTS IN ALL GRADES GARDENING TECHNIQUES AND HOW TO GROW THEIR OWN HEALTHY FOODS, WHILE ALSO INCREASING CONSUMPTION. EVALUATION PRE- AND POST-SURVEYS WERE DEVELOPED AND UTILIZED. ADDITIONAL SUPPLIES WERE USED TO CREATE AN AQUAPONICS PROGRAM FOR FIFTH GRADERS.- REACH PARTNERED WITH BELL & EVANS ON A DIABETES PREVENTION PROGRAM TO INCENTIVIZE PARTICIPANTS TO PARTICIPATE IN AN ONLINE EDUCATIONAL PROGRAM BY PROVIDING VEGETABLE BOXES ONCE A WEEK.- FARM FRESH FRIDAYS AT PSH ST. JOSEPH MEDICAL CENTER DISTRIBUTED 215 HEALTHY RECIPE MEAL KITS IN 2024.- HELD FIVE ADDITIONAL COMMUNITY GARDEN PROGRAMS IN 2024 IN LANCASTER, DAUPHIN AND LEBANON COUNTIES SERVING OVER 200 PEOPLE WITH SMALL HOME GARDEN SUPPLIES AND EDUCATION.- ON THE PSH CAMPUSES, WE OFFER FOUR EMPLOYEE FOOD PANTRIES. FOOD BOXES ARE PROVIDED TO FOOD INSECURE PATIENTS IN EIGHT CLINICS. IN FY 2024, 434 FOOD BOXES, AS WELL AS FOOD AND CLOTHING COUPONS, SERVED 1,404 PEOPLE.PHYSICAL ACTIVITYSEE YEAR 2 GOALS AND OBJECTIVES ABOVE. KEY ACCOMPLISHMENTS: COLLABORATE MORE TO SHARE OPPORTUNITIES FOR COMMUNITY PHYSICAL ACTIVITY PROGRAMS:- HELD MEETINGS EVERY OTHER MONTH TO HIGHLIGHT UPCOMING EVENTS ACROSS OUR SIX COUNTIES.- INVITED PRESENTERS TO SHARE ABOUT PHYSICAL ACTIVITY PROGRAMS TO HELP PROMOTE AND POSSIBLY REPLICATE THEM IN OTHER AREAS TO EXPAND OPPORTUNITIES FOR PHYSICAL ACTIVITY AND INFRASTRUCTURE. LEARNED ABOUT 22 PROGRAMS IN TWO YEARS INCLUDING: 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 SUMMER FEST, GIRLS RUGBY INC., GIRLS ON THE RUN, JCWK DANCE LAB, HARRISBURG BICYCLE CLUB - SMART CYCLING CLASS, REACH PHYSICAL ACTIVITY PROJECTS, PENN STATE REHABILITATION RECFEST, SILVER SNEAKERS, PA MOVES, PSH ST. JOSEPH MEDICAL CENTER "WALK WITH A DOC," DAUPHIN COUNTY PARKS & RECREATION AND ADVENTURE EXPLORATIONS.- PARTNERED WITH DAUPHIN COUNTY PARKS AND RECREATION ON THEIR PARK RX "WALK WITH A DOC" PROGRAM. PSH PROVIDERS SHARE A MESSAGE AND WALK WITH PARTICIPANTS TO ANSWER QUESTIONS. TASK FORCE MEMBERS PARTICIPATE ON THE PA STATE HEALTH IMPROVEMENT PLAN DEVELOPMENT COMMITTEE FOR PHYSICAL ACTIVITY AND NUTRITION. - PA PARKS AND FORESTS FOUNDATION CREATED A VIDEO THAT FOCUSES ON QUIET AND ITS ROLE IN MENTAL HEALTH AND FEATURES TWO PENN STATE RESEARCHERS WHO HAVE STUDIED THE ROLE OF QUIET. ENHANCE POLICIES AND INFRASTRUCTURE TO INCREASE OPPORTUNITIES FOR PHYSICAL ACTIVITY:- WORKED WITH PHYSICAL ACTIVITY INFRASTRUCTURE AND INITIATIVES IN ALL SIX COUNTIES AND REACHED MORE THAN 61,000 PARTICIPANTS OVER TWO YEARS.- OPERATE A CONTINUOUS BIKE SHARE PROGRAM AND SIT ON THE REGIONAL BIKE SHARE PLANNING COMMITTEE. BIKE RACKS WERE PLACED IN DOWNTOWN HERSHEY AND HUMMELSTOWN AS AN EXTENSION OF OUR CAMPUS BIKE SHARE SYSTEM.- PROVIDED COUNTING DEVICES TO THE SUSQUEHANNA AREA MOUNTAIN BIKE ASSOCIATION (SAMBA), FOR THE MOUNTAIN BIKING TRAILS ON THE CAMPUS OF MILTON S. HERSHEY MEDICAL CENTER AND WILL CONTINUE TO SUPPORT THESE TRAILS.- PROMOTED AND PARTICIPATED IN MEETINGS FOR THE TRI-COUNTY REGIONAL PLANNING COMMISSION AND HARRISBURG AREA TRANSPORTATION STUDY AND THE HARRISBURG PARKS AND RECREATION DESIGN UPDATE MEETINGS.- PROVIDED 2023 COMMUNITY RELATIONS GRANTS TO THE JOY OF SPORTS FOUNDATION PLAY FIT PROGRAM IN DERRY TOWNSHIP, LEBANON BICYCLE RECYCLE AND BRINGING BALANCE TO OLDER ADULTS THROUGH A MATTER OF BALANCE; AND 2024 GRANTS TO STORYWALK IN DAUPHIN COUNTY, LEBANON BICYCLE RECYCLE GROWTH, SUSQUEHANNA TEAM RIVER RUNNER EXPANSION EQUIPMENT PURCHASE AND SPINAL CORD INJURY SEXUAL HEALTH WORKSHOP TO INCREASE OPPORTUNITIES FOR PHYSICAL ACTIVITY. - PSH DOWNTOWN CAMPUS IN READING AND THE REACH PROJECT RECEIVED THEIR OFFICIAL RECOGNITION WITH THE NATIONAL "WALK WITH A DOC" PROGRAM AND HELD FOUR SERIES OF WALKS OVER TWO YEARS, ENGAGING MORE THAN 200 PARTICIPANTS IN REGULAR EXERCISE, EDUCATION AND SOCIALIZATION. - REACH WORKS TO INCREASE PHYSICAL ACTIVITY THROUGH THE BUILT ENVIRONMENT. VARIOUS PHYSICAL ACTIVITY INITIATIVES IN LEBANON AND BERKS COUNTIES: LEBANON: TRAFFIC GARDEN, LIBERTY TRAIL IMPROVEMENTS, PUMPTRACK, SAMBA TRAILS, BASKETBALL COURT IMPROVEMENTS AT COLEMAN PARK, LEBANON BICYCLE RECYCLE AND 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 AND 2024 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. ADAPTIVE SKI DAY WAS ALSO HELD IN FEBRUARY 2024. - NATIONAL NIGHT OUT WAS HELD ON THE FIRST TUESDAY IN AUGUST 2023 AND PLANNED FOR 2024 AT 10 LOCATIONS ACROSS OUR SIX COUNTIES; MESSAGING BOTH YEARS INCLUDED SAFE PHYSICAL ACTIVITY. A PLANNING TOOLKIT WAS CREATED TO ALLOW OTHERS TO REPLICATE THIS WORK. - A STORYWALK WAS CREATED IN PARTNERSHIP WITH DAUPHIN COUNTY PARKS AND RECREATION AT DETWEILER PARK.- SINCE FUNDING IS OFTEN A BARRIER TO SUCCESS, THE TASK FORCE COMPILED AND SHARED A LIST OF 20 LOCAL GRANT OPPORTUNITIES AND BEST PRACTICES FOR PROMOTING AND INCREASING PARTICIPATION IN PHYSICAL ACTIVITY. PART V, SECTION B, LINE 16J: THE FINANCIAL ASSISTANCE POLICY, APPLICATION AND PLAIN LANGUAGE SUMMARY ARE AVAILABLE AT THE FOLLOWING WEBSITE:WWW.PENNSTATEHEALTH.ORG/PATIENTS-VISITORS/BILLING-MEDICAL-RECORDS/FINANCIAL-ASSISTANCE. 5 1 - PSH CAMP HILL OUTPATIENT CENTER 875 POPLAR CHURCH RD CAMP HILL PA 17011 CARDIO DIAGN SVCS,IMAGING,LAB,PHYSICAL THERAPY 2 - PSH CARLISLE OUTPATIENT CENTER 1211 FORGE RD BLDG A CARLISLE PA 17013 CARDIO DIAGN SVCS,IMAGING,LAB 3 - PSH DUNCANNON OUTPATIENT CENTER 51 BUSINESS CAMPUS WAYSTE 100 DUNCANNON PA 17020 IMAGING,LAB,PHYSICAL THERAPY,PULMONARY FUNCTION TESTS 4 - PSH CENTURY DRIVE OUTPATIENT CENTER 880 CENTURY DRIVE MECHANICSBURG PA 17055 RADIATION ONCOLOGY,IMAGING 5 - PSH VASCULAR SURGERY 800 POPLAR CHURCH RD CAMP HILL PA 17011 VASCULAR SURGERY 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, (281,255,364/1,486,149,150) RESULTS IN A 18.93% 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 FY2024, THE PENN STATE HEALTH SYSTEM SERVED 1,009,514 COMMUNITY MEMBERS WITH 143,584 EMPLOYEE HOURS AND 37,773 VOLUNTEER HOURS, RESULTING IN $9,167,051 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 8, FOOTNOTE FOR ACCOUNTS RECEIVABLE AND PAGE 10, FOOTNOTE FOR REVENUE RECOGNITION - 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 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 ISREQUIRED 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 FORFINANCIAL 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: COMMUNITY INFORMATIONTHE 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. IN FY 2024 THIS WAS 75%. FOR ADDITIONAL DEMOGRAPHIC INFORMATION SEE FULL CHNA REPORT. 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 CURRENT PLAN WILL CARRY FORWARD INTO THE NEW PLAN 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 - ASSERT COMMUNITY OUTREACH SPECIFIC COMMUNITY HEALTH PROGRAMMING EXECUTED ON BY PENN STATE HEALTHHOLY SPIRIT MEDICAL CENTER IS AS FOLLOWS:- ADMINISTRATION MISSION INTEGRATION MEDICAL OUTREACH CLINIC BRINGS FREE HEALTH SERVICES TO COMMUNITY MEMBERS IN THE ALLISON HILL NEIGHBORHOOD OF HARRISBURG, PA. THE CLINIC HOSTS A COMMUNITY FRIDGE TO BRING FRESH FRUITS AND VEGETABLES TO THIS NEIGHBORHOOD. NURSES ALSO TRAVEL TO COMMUNITY LOCATIONS TO PROVIDE HEALTH SCREENINGS AND FOOD OUTREACH.- ADMINISTRATION COMMUNITY OUTREACH - THANKSGIVING FOOD DRIVE WITH NEW HOPE MINISTRIES, MIDWEST FOOD BANK- ASCVD CARDIOVASCULAR SCREENINGS- BLOOD DONATIONS- CHARITABLE PURPOSE SPONSORSHIPS- CLINICAL NUTRITION AND DIABETES EDUCATION - SENIOR RESOURCE FAIR; FREDRICKSON LIBRARY: ASK A DIETITIAN PROGRAM, SUMMER PICNIC, COOKBOOK REVIEW; KINDERGARTEN NUTRITION CLASS; WEGMAN'S HEALTH AND SAFTEY FAIR- COMMUNITY BEHAVIORAL HEALTH SERVICES AND TEENLINE- COMMUNITY EMERGENCY SERVICES OUTREACH AND CPR, EMS COVERAGE FOR 33 COMMUNITY EVENTS TO PREVENT BURDEN ON EMERGENCY ROOMS INCLUDING JUBILEE DAY STREET FAIR, DILLISBUR PICKLE FESTIVAL, MESSIAH UNIVERSITY AND LOCAL HIGH SCHOOL EVENTS, SPECIAL OLYMPICS, SCOUTING EVENTS, CHURCHES, NON-PROFIT FUNDRAISERS AND WALKS, NATIONAL NIGHT OUT, ETC.- COMMUNITY MEDICAL GROUP - ECLIPSE PROJECT: COOKING AND SERVING MEALS TO HOMELESS- COMMUNITY RELATIONS DEPARTMENT OUTREACH - HIGI- 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- NATIONAL DRUG TAKE BACK DAY- NURSING COMMUNITY OUTREACH - COMMUNITY HEALTH FAIRS- PRAPARE TOOL AND SUPPORT TO ADDRESS SOCIAL DETERMINANTES OF HEALTH- SCHOOL HEALTH ASSESSMENTS DATA ENTRY- SLEEP APNEA OUTREACH PROGRAM - HIGH SCHOOL CAREER EXPLORATION PROGRAM- STROKE OUTREACH AT ENCOMPASS HEALTH AND SWATARA SENIOR RESOURCE FAIR- STUDENT SHADOWING AND EDUCATION PHYSICAL THERAPY, OCCUPATIONAL THERAPY, RESPIRATORY THERAPY, NURSING, PHARMACY, RADIOLOGY AND IMAGING, MEDICAL, PHYSICIAN ASSISTANT, UNDERGRADUATE MEDICAL EDUCATION, ETC.-TOURNIQUET EXCHANGE PROGRAM- TRANSPORTATION, IV INFUSION AND MEDICATION SUPPORT TO UNDER-RESOURCED PATIENTS TO ALLOW THEM TO RECEIVE NECESSARY CARE - UNITED WAY CAMPAIGN, UNITED WAY DAY OF CARING AND STUFF THE BUS EVENT- UNITED WAY CONTACT TO CARE COMMUNITY HEALTH WORKER- WALK WITH A DOC 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. 1 1 0 0 0 0 0 1 0 STEPHEN MASSINI FORMER DIR / PSH CEO 0 1376655 0 68538 0 155709 0 41490 0 26918 0 1669310 0 0 DEBORAH ADDO DIR / CHAIR / PSH PRES & COO 0 967988 0 0 0 21940 0 101915 0 10511 0 1102354 0 0 PAULA TINCH FORMER OFF. / PSH CFO & EVP 0 748740 0 0 0 22196 0 93624 0 20301 0 884861 0 0 SAFWAT GASSIS MD DIRECTOR 0 707262 0 45348 0 3182 0 41490 0 27620 0 824902 0 0 THOMAS STOESSEL DIRECTOR / PSH EVP 0 627730 0 0 0 114025 0 41490 0 26918 0 810163 0 0 DONALD MCKENNA DIRECTOR / MSHMC PRES 0 525545 0 0 0 18407 0 65483 0 21005 0 630440 0 0 J BRET DELONE VICE PRESIDENT, MEDICAL AFFAIRS 477498 0 15060 0 18210 0 41490 0 2155 0 554413 0 0 0 PETER DILLON MD FMR DIR/PSH PHYS LEADER 0 260420 0 0 0 236760 0 26908 0 5485 0 529573 0 0 KYLE C SNYDER MHA PRESIDENT 416923 0 0 0 2767 0 54349 0 13905 0 487944 0 0 0 RANDY B MORRIS TREAS / PSH REG. VP FIN 0 303132 0 0 0 18707 0 41490 0 20002 0 383331 0 0 NICOLE LEHMAN INTERIM SEC. (PSU EMP) 0 263736 0 0 0 0 0 73693 0 29537 0 366966 0 0 ROSS DARROW ASST. TREAS / PSH VP TREAS 0 287771 0 0 0 10147 0 38745 0 27281 0 363944 0 0 ANANYA DAGGUBATI MD DIR / PHYSICIAN / PRES OF MED STAFF 0 277131 0 0 0 2511 0 36818 0 15746 0 332206 0 0 KRISTEN SLINKARD TEACHING FACULTY 192359 0 30657 0 1662 0 16082 0 12285 0 253045 0 0 0 JAMES WILKEMEYER ACUTE CARE CLINICAL PHARMACIST 155514 0 42140 0 5118 0 23040 0 10051 0 235863 0 0 0 BETH GREENE DIRECTOR, PHARMACY 178782 0 0 0 4767 0 20016 0 9371 0 212936 0 0 0 MICHELE AEBERLI REG. DIRECTOR, NURSING PROF DEV & ED 169206 0 0 0 22221 0 4259 0 892 0 196578 0 0 0 GLORIA SANTOS FMR KE (THRU 6/22) - VP, CNO 0 0 0 0 126368 0 0 0 0 0 126368 0 0 0 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, 2024: - GLORIA SANTOS - $125,694 PART I, LINE 4B: DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30,2024, A DIRECTOR AND CERTAIN FORMER DIRECTORS 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 - $111,437 - THOMAS STOESSEL - $66,348 - PETER DILLON - $59,178 DURING THE CALENDAR YEAR ENDING WITHIN THIS FISCAL YEAR ENDED JUNE 30, 2024, A FORMER OFFICER AND CERTAIN 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. - KYLE C. SNYDER - $12,859 - DEBOARAH ADDO - $60,425 - PAULA TINCH - $52,134 - DONALD MCKENNA - $23,993 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 AND ITS AFFILIATES) ARE AVAILABLE AT WWW.PSU.EDU. FORM 990, PART IX, LINE 11G OUTSIDE TESTS PURCHASED: PROGRAM SERVICE EXPENSES 1,537,122. MANAGEMENT AND GENERAL EXPENSES 384,281. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,921,403. CONTRACTED PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 3,716,336. MANAGEMENT AND GENERAL EXPENSES 929,084. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,645,420. CONSULTING FEES: PROGRAM SERVICE EXPENSES 256,167. MANAGEMENT AND GENERAL EXPENSES 64,042. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 320,209. OUTSIDE PURCHASED SERVICE: PROGRAM SERVICE EXPENSES 13,655,854. MANAGEMENT AND GENERAL EXPENSES 3,413,964. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,069,818. OUTSIDE PURCHASED SERVICES-CLINICAL: PROGRAM SERVICE EXPENSES 59,154. MANAGEMENT AND GENERAL EXPENSES 14,789. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,943. CONTRACTED STAFF: PROGRAM SERVICE EXPENSES 12,391,478. MANAGEMENT AND GENERAL EXPENSES 3,097,870. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,489,348. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 70,485. MANAGEMENT AND GENERAL EXPENSES 17,621. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 88,106. NON PROVIDER RECRUITING: PROGRAM SERVICE EXPENSES 419,040. MANAGEMENT AND GENERAL EXPENSES 104,760. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 523,800. CLINIC SUBSIDY SUPPORT: PROGRAM SERVICE EXPENSES 14,122,066. MANAGEMENT AND GENERAL EXPENSES 3,530,517. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,652,583. FORM 990, PART XI, LINE 9: NONCONTROLLING INTEREST 203,804. OTHER CHANGE IN NET ASSETS 33,734. ST JOSEPH MEDICAL CENTER FOUNDATION 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 232649362 FUNDRAISING PA 501(C)(3) LINE 12A, I SJRHN 0 ST JOSEPH MEDICAL GROUP 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 208544021 HEALTHCARE PA 501(C)(3) LINE 10 PSH 0 PENN STATE HEALTH 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 473769205 MGMT/SUPPORT PA 501(C)(3) LINE 12A, I PSU 0 THE PENNSYLVANIA STATE UNIVERSITY 201 OLD MAIN UNIVERSITY PARK PA 16802 246000376 EDUCATION PA 115 N/A 0 THE MILTON S HERSHEY MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 251854772 HEALTHCARE PA 115 PSH 0 PENN STATE HEALTH HAMPDEN MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 851608328 HEALTHCARE PA 501(C)(3) LINE 3 PSH 0 PENN STATE HEALTH LANCASTER MEDICAL CENTER 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 851620990 HEALTHCARE PA 501(C)(3) LINE 3 PSH 0 ST JOSEPH REGIONAL HEALTH NETWORK 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 231352211 HEALTHCARE PA 501(C)(3) LINE 3 PSH 0 HOLY SPIRIT CORPORATION 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 232214540 REAL ESTATE PA 501(C)(2) PSHHSMC 1 PENNSYLVANIA PSYCHIATRIC INSTITUTE 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 261699000 HEALTHCARE PA 501(C)(3) LINE 10 PSH 0 PENNSYLVANIA PSYCHIATRIC MEDICAL SERVICES 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 822969322 HEALTHCARE PA 501(C)(3) LINE 3 PPI 0 HERSHEY OUTPATIENT SURGERY CENTER LP 15305 DALLAS PKWY ADDISON TX 75001 200469951 HEALTHCARE PA NITTANY HLTH 0 0 NITTANY HEALTH - VALUEHEALTH JOINT 11221 ROE AVE LEAWOOD KS 66211 851154159 HEALTHCARE PA NITTANY HLTH 0 0 SCOL HOLDINGS LLC 5000 COLLEGE BLVD STE 400 OVERLAND PARK KS 66211 871736200 HEALTHCARE KS NITTANY HLTH 0 0 NITTANY HEALTH INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 251769611 HEALTHCARE PA PSH C 0 CGH REALTY CO INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 232326801 REAL ESTATE PA SJRHN C 0 HOLY SPIRIT VENTURES INC 100 CRYSTAL A DRIVE MC CA210 HERSHEY PA 17033 232407709 REAL ESTATE PA PSHHSMC C 3606971 128561 1.00000 1 0 0 0 0 1 0 0 0 1 0 1 0 0 1 1 1 0 0 0 HOLY SPIRIT CORPORATION K 409118 FMV 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.