Reports on a research project that describes the unique activities in which chaplains engage as they provide pastoral care and counseling and spiritual direction to patients in a large, acute tertiary referral medical center in Melbourne, Australia. Analyzes 57,704 entries which described what hospital chaplains do when interacting with patients over a period of five and one-half years. Identifies as the core activities “promoting spiritual transcending” (57.6% of all entries), “promoting spiritual intactness” (36.1% of all entries) and “enacting ministry” (6.2% of all entries).