INSPIRA MEDICAL CENTERS INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: INSPIRA MEDICAL CENTERS INC (EIN 21-0634484)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-12
IRS object ID: 202103169349302000
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-12T07:36:53-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WithumSmithBrown PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 Jefferson Park Suite 400	AddressLine1Txt
City	Whippany	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	079811070	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	210634484	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	INSPIRA MEDICAL CENTERS INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% THOMAS P BALDOSARO CPA	InCareOfNm
Business Name Control	INSP	BusinessNameControlTxt
Phone	8566416605	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	333 IRVING AVENUE	AddressLine1Txt
City	BRIDGETON	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08302	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS P BALDOSARO	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8566416605	PhoneNum
Signature	2021-11-05	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	THOMAS P	PersonFirstNm
Person Last	BALDOSARO	PersonLastNm

Field	Value	IRS element (for citing)
SSN	000000000	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Scott J Mariani	PreparerPersonNm
PTIN	P00642486	PTIN
Phone	9738989494	PhoneNum
Preparation	2021-11-05	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	AMY MANSUE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	165 BRIDGETON PIKE	AddressLine1Txt
City	MULLICA HILL	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08062	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$832,501,754	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.INSPIRAHEALTHNETWORK.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1913	FormationYr
Legal Domicile State	NJ	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF INSPIRA MEDICAL CENTERS, INC. IS TO PROVIDE QUALITY HEALTHCARE SERVICES THAT IMPROVE THE LIVES OF ALL WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	9717	TotalEmployeeCnt
Total Volunteers	509	TotalVolunteersCnt
Total Gross UBI	$64,524	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,196,189	PYContributionsGrantsAmt
CY Contributions Grants	$61,242,065	CYContributionsGrantsAmt
PY Program Service Revenue	$512,654,273	PYProgramServiceRevenueAmt
CY Program Service Revenue	$734,799,574	CYProgramServiceRevenueAmt
PY Investment Income	$16,824,554	PYInvestmentIncomeAmt
CY Investment Income	$32,099,135	CYInvestmentIncomeAmt
PY Other Revenue	$2,559,982	PYOtherRevenueAmt
CY Other Revenue	$2,773,913	CYOtherRevenueAmt
PY Total Revenue	$536,234,998	PYTotalRevenueAmt
CY Total Revenue	$830,914,687	CYTotalRevenueAmt
PY Grants And Similar Paid	$164,468	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$356,020	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$266,753,192	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$411,613,991	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$203,358,729	PYOtherExpensesAmt
CY Other Expenses	$350,859,006	CYOtherExpensesAmt
PY Total Expenses	$470,276,389	PYTotalExpensesAmt
CY Total Expenses	$762,829,017	CYTotalExpensesAmt
PY Revenues Less Expenses	$65,958,609	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$68,085,670	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,778,232,000	TotalAssetsBOYAmt
Total Assets EOY	$1,892,378,308	TotalAssetsEOYAmt
Total Liabilities BOY	$803,107,680	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$846,707,321	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$975,124,320	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,045,670,987	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE QUALITY HEALTHCARE SERVICES THAT IMPROVE THE LIVES OF ALL WE SERVE. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$686,581,721	ExpenseAmt
Grant	$356,020	GrantAmt
Revenue	$734,735,050	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY MEDICALLY NECESSARY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT (STATEMENT OF PROGRAM SERVICES) WHICH INCLUDES DETAILED INFORMATION REGARDING THE VARIOUS SERVICES PROVIDED BY THIS ORGANIZATION.	Desc
Total Program Service Expenses	$686,581,721	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	597	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	9717	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	THOMAS P BALDOSARO CPA	PersonNm
Phone	8566416605	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	165 BRIDGETON PIKE	AddressLine1Txt
City	MULLICA HILL	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08062	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN A DIANGELO
TRUST(1/1-9/1)PRES(TRM 1/2021)	55.0	0.0	Yes (X)	Yes (X)	$1,563,523	$0	$289,289
THOMAS P BALDOSARO CPA
EVP/CHIEF FINANCIAL OFFICER	55.0	0.0		Yes (X)	$700,878	$0	$139,936
ALKA KOHLI MD MBA
EVP/CHIEF POP HEALTH OFFICER	55.0	0.0			$676,068	$0	$142,899	Yes (X)
CLARE SAPIENZA-ECK
CHIEF STRAT. OFF (EFF 11/2020)	55.0	0.0			$566,532	$0	$92,461	Yes (X)
STEVEN C LINN MD
CMO - ELMER & VINELAND	55.0	0.0			$530,857	$0	$98,399	Yes (X)
ELIZABETH A SHERIDAN
COO - ELMER & VINELAND	55.0	0.0			$535,537	$0	$59,955	Yes (X)
ROBERT E FLORENTINE
SVP/CHIEF PEOPLE OFFICER	55.0	0.0			$520,329	$0	$58,858	Yes (X)
CHRISTOPHER TROTZ MD
EXECUTIVE MEDICAL DIRECTOR	55.0	0.0			$479,126	$0	$77,181		Yes (X)
MATTHEW DOONAN ESQ
GENERAL COUNSEL	55.0	0.0			$432,206	$0	$85,190	Yes (X)
SCOTT WAGNER MD MBA
CMO - WOODBURY & MULLICA HILL	55.0	0.0			$433,278	$0	$80,271	Yes (X)
THOMAS PACEK
VP/CHIEF INFORMATION OFFICER	55.0	0.0			$427,033	$0	$83,903	Yes (X)
KATHLEEN SCULLIN
VP MARKETING&PUBLIC RELATIONS	55.0	0.0			$385,038	$0	$72,414	Yes (X)
GREGORY HERMAN
CHIEF MED INFORMATION OFFICER	55.0	0.0			$386,820	$0	$41,351		Yes (X)
DAVID YHLEN
COO & VP AMBULATORY SERVICES	55.0	0.0			$352,442	$0	$75,071	Yes (X)
PATRICK NOLAN
COO - MULLICA HILL	55.0	0.0			$356,685	$0	$69,777	Yes (X)
AMY MANSUE
TRUSTEE-PRES/CEO (EFF 09/2020)	55.0	0.0	Yes (X)	Yes (X)	$335,866	$0	$79,833
DAVID MURRAY
VP FINANCE (TERM 11/2020)	55.0	0.0			$352,828	$0	$37,960		Yes (X)
BRANDON BARDOWSKY
VP FACILITIES & CONSTRUCTION	55.0	0.0			$280,430	$0	$34,991		Yes (X)
PETER A KAPRIELYAN
VP GOV'T AFFAIRS&EXT RELATIONS	55.0	0.0			$286,697	$0	$17,787		Yes (X)
MARVIN T WAY
EVP OPERATIONS (TERM 01/2020)	55.0	0.0		Yes (X)	$226,040	$0	$16,509
FIORE COPARE MD
TRUSTEE; EX-OFFICIO	5.0	0.0	Yes (X)		$26,667	$0	$0
JAMES M BONNER DO
CHAIRMAN - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
SHELLY O SCHNEIDER EDD
VICE CHAIR - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
HERBERT J KONRAD
SECRETARY/TREASURER - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
PAMELA S CLARK
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
HUGH J MCCAFFREY
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
RONALD ROSSI
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
EDWARD BETHEA
TRUSTEE (TERMED 06/2020)	1.0	0.0	Yes (X)		$0	$0	$0
LAWRENCE M DIVIETRO JR
TRUSTEE (TERMED 06/2020)	1.0	0.0	Yes (X)		$0	$0	$0
MATTHEW FISHER MD
TRUSTEE (TERMED 06/2020)	1.0	0.0	Yes (X)		$0	$0	$0
ROBERTA S FREITAG
TRUSTEE (TERMED 06/2020)	1.0	0.0	Yes (X)		$0	$0	$0
EDGAR G GALLOWAY III
TRUSTEE (TERMED 06/2020)	1.0	0.0	Yes (X)		$0	$0	$0
JAMES E GEORGE MD JD
TRUSTEE (TERMED 06/2020)	1.0	0.0	Yes (X)		$0	$0	$0
BENJAMIN T GRIFFITH
TRUSTEE (TERMED 06/2020)	1.0	0.0	Yes (X)		$0	$0	$0
LAWRENCE A PEPPER JR ESQ
TRUSTEE (TERMED 06/2020)	1.0	0.0	Yes (X)		$0	$0	$0
JORGE A PRIETO MD
TRUSTEE (TERMED 06/2020)	1.0	0.0	Yes (X)		$0	$0	$0
PAUL J RITTER III
TRUSTEE (TERMED 06/2020)	1.0	0.0	Yes (X)		$0	$0	$0
ALBERT A RUNDIO JR
TRUSTEE (TERMED 06/2020)	1.0	0.0	Yes (X)		$0	$0	$0
KIMBERLY E WOOD
TRUSTEE (TERMED 06/2020)	1.0	0.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,854,880	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,654,035	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	776	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
QUEST DIAGNOSTICS
PO BOX 828669	PHILADELPHIA	PA	19182	LABORATORY	$12,210,257
SHANSKA USA BUILDING INC
518 TOWNSHIP LINE ROAD SUITE 200	BLUE BELL	PA	194222172	CONSTRUCTION	$10,693,479
COOPER UNIVERSITY PHYSICIANS
1 FEDERAL STREET SUITE NW-400A	CAMDEN	NJ	081031161	MEDICAL	$9,143,646
REGIONAL DIAGNOSTIC IMAGING LLC
PO BOX 2089	VINELAND	NJ	08360	RADIOLOGY	$6,916,649
HARMELIN MEDIA
525 RIGHTERS FERRY ROAD	BALA CYNWYD	PA	19004	ADVERTISING	$6,571,682

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	189	CntrctRcvdGreaterThan100KCnt
Related Organizations	$6,392,179	RelatedOrganizationsAmt
Government Grants	$54,849,886	GovernmentGrantsAmt
Total Contributions	$61,242,065	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622110	$720,028,938	$720,028,938
OTHER HEALTHCARE RELATED REVENUE	622110	$13,126,208	$13,061,684	$64,524
RENTAL INCOME FROM TAX-EXEMPT AFFILIATES	531190	$1,644,428	$1,644,428

Field	Value	IRS element (for citing)
Total Program Service Revenue	$734,799,574	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,103,243	TotalRevenueColumnAmt
Exclusion	$18,103,243	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$141,731	TotalRevenueColumnAmt
Exclusion	$141,731	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,857,154	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,482,027	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$375,127	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$375,127	TotalRevenueColumnAmt
Exclusion	$375,127	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$13,778,610	SecuritiesAmt
Other	$75,551	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$13,778,610	SecuritiesAmt
Other	$75,551	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,854,161	TotalRevenueColumnAmt
Exclusion	$13,854,161	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$194,908	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$105,040	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$89,868	TotalRevenueColumnAmt
Exclusion	$89,868	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA/DIETARY	Desc
Business	900099	BusinessCd
Total Revenue Column	$2,308,918	TotalRevenueColumnAmt
Exclusion	$2,308,918	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,308,918	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$830,914,687	TotalRevenueColumnAmt
Related Or Exempt Func Income	$734,735,050	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$64,524	UnrelatedBusinessRevenueAmt
Exclusion	$34,873,048	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$286,275	TotalAmt
Program Services	$286,275	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$69,745	TotalAmt
Program Services	$69,745	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$9,513,744	TotalAmt
Program Services	$8,562,370	ProgramServicesAmt
Management And General	$951,374	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$317,638,290	TotalAmt
Program Services	$285,874,461	ProgramServicesAmt
Management And General	$31,763,829	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$17,415,199	TotalAmt
Program Services	$15,673,679	ProgramServicesAmt
Management And General	$1,741,520	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$36,094,628	TotalAmt
Program Services	$32,485,165	ProgramServicesAmt
Management And General	$3,609,463	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$30,952,130	TotalAmt
Program Services	$27,856,917	ProgramServicesAmt
Management And General	$3,095,213	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,411,538	TotalAmt
Program Services	$1,270,384	ProgramServicesAmt
Management And General	$141,154	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$177,025	TotalAmt
Program Services	$159,323	ProgramServicesAmt
Management And General	$17,702	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$209,137	TotalAmt
Program Services	$188,223	ProgramServicesAmt
Management And General	$20,914	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,604,550	TotalAmt
Program Services	$1,444,095	ProgramServicesAmt
Management And General	$160,455	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$54,875,328	TotalAmt
Program Services	$49,387,796	ProgramServicesAmt
Management And General	$5,487,532	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,398,717	TotalAmt
Program Services	$4,858,845	ProgramServicesAmt
Management And General	$539,872	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,094,430	TotalAmt
Program Services	$9,084,987	ProgramServicesAmt
Management And General	$1,009,443	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$19,440,914	TotalAmt
Program Services	$17,496,823	ProgramServicesAmt
Management And General	$1,944,091	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$18,873,573	TotalAmt
Program Services	$16,986,216	ProgramServicesAmt
Management And General	$1,887,357	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,054,003	TotalAmt
Program Services	$948,603	ProgramServicesAmt
Management And General	$105,400	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$167,047	TotalAmt
Program Services	$150,342	ProgramServicesAmt
Management And General	$16,705	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$16,585,482	TotalAmt
Program Services	$14,926,934	ProgramServicesAmt
Management And General	$1,658,548	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$74,875,747	TotalAmt
Program Services	$67,388,173	ProgramServicesAmt
Management And General	$7,487,574	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,463,108	TotalAmt
Program Services	$6,716,797	ProgramServicesAmt
Management And General	$746,311	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$77,852,904	$70,067,614	$7,785,290
OUTSIDE SERVICES	$22,710,427	$20,439,385	$2,271,042
REPAIRS & MAINTENANCE	$8,670,064	$7,803,058	$867,006
REHAB & SLEEP CARE EXPENSES	$6,645,612	$5,981,051	$664,561

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$22,749,400	TotalAmt
Program Services	$20,474,460	ProgramServicesAmt
Management And General	$2,274,940	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$762,829,017	TotalAmt
Program Services	$686,581,721	ProgramServicesAmt
Management And General	$76,247,296	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$19,309	BOYAmt
EOY	$19,309	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$74,953,791	BOYAmt
EOY	$154,146,055	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,652,619	BOYAmt
EOY	$2,221,216	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$74,360,469	BOYAmt
EOY	$88,884,849	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$56,145	BOYAmt
EOY	$43,789	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,389,915	BOYAmt
EOY	$16,196,253	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$16,045,622	BOYAmt
EOY	$15,208,706	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,412,367,279	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$630,287,101	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$785,854,002	BOYAmt
EOY	$782,080,178	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$709,062,406	BOYAmt
EOY	$717,979,146	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$106,837,722	BOYAmt
EOY	$115,598,807	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,778,232,000	BOYAmt
EOY	$1,892,378,308	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$153,966,003	BOYAmt
EOY	$132,891,128	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,840,216	BOYAmt
EOY	$72,947,580	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$510,257,016	BOYAmt
EOY	$498,072,417	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,028,897	BOYAmt
EOY	$2,732,414	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$131,015,548	BOYAmt
EOY	$140,063,782	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$803,107,680	BOYAmt
EOY	$846,707,321	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$966,023,821	BOYAmt
EOY	$1,036,086,273	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,100,499	BOYAmt
EOY	$9,584,714	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$975,124,320	BOYAmt
EOY	$1,045,670,987	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,778,232,000	BOYAmt
EOY	$1,892,378,308	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$68,085,670	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$32,940,641	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$30,479,644	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$75,000	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$134,137	OtherActivitiesAmt
Total Lobbying Expenditures	$209,137	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B; LINES 1I	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO THE VP OF GOVERNMENT & EXTERNAL RELATIONS TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $75,000 DURING 2020. IN ADDITION, DURING 2020 THE ORGANIZATION PAID AN INDEPENDENT OUTSIDE LOBBYING FIRM A TOTAL OF $90,000 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION, AND THE NEW JERSEY BUSINESS & INDUSTRY ASSOCIATION WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS (INSPIRA MEDICAL CENTER VINELAND, INSPIRA MEDICAL CENTER ELMER, INSPIRA MEDICAL CENTER WOODBURY AND INSPIRA MEDICAL CENTER MULLICA HILL). A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $44,137 DURING 2020. THIS ORGANIZATION IS ALSO A MEMBER OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. TO WHICH IT PAID DUES IN THE AMOUNT OF $22,500 IN 2020. ONE OF THE FUNCTIONS OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. IS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ITS MEMBER HOSPITALS.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,100,499	BeginningYearBalanceAmt
Contributions	$347,459	ContributionsAmt
Investment Earnings Or Losses	$484,058	InvestmentEarningsOrLossesAmt
Other Expenditures	$347,302	OtherExpendituresAmt
End Year Balance	$9,584,714	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,774,576	BeginningYearBalanceAmt
Contributions	$5,628,129	ContributionsAmt
Investment Earnings Or Losses	$228,853	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,531,059	OtherExpendituresAmt
End Year Balance	$9,100,499	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,145,527	BeginningYearBalanceAmt
Contributions	$687,578	ContributionsAmt
Investment Earnings Or Losses	-$407,441	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,651,088	OtherExpendituresAmt
End Year Balance	$4,774,576	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,899,000	BeginningYearBalanceAmt
Contributions	$2,154,773	ContributionsAmt
Investment Earnings Or Losses	$325,454	InvestmentEarningsOrLossesAmt
Other Expenditures	$233,700	OtherExpendituresAmt
End Year Balance	$8,145,527	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,950,914	BeginningYearBalanceAmt
Contributions	$10,597	ContributionsAmt
Investment Earnings Or Losses	$66,707	InvestmentEarningsOrLossesAmt
Other Expenditures	$129,218	OtherExpendituresAmt
End Year Balance	$5,899,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,429,772	OtherCostOrOtherBasisAmt
Book Value	$24,429,772	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$666,788,052	OtherCostOrOtherBasisAmt
Depreciation	$241,928,447	DepreciationAmt
Book Value	$424,859,605	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,196,850	OtherCostOrOtherBasisAmt
Depreciation	$2,034,618	DepreciationAmt
Book Value	$3,162,232	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$678,507,486	OtherCostOrOtherBasisAmt
Depreciation	$378,509,930	DepreciationAmt
Book Value	$299,997,556	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,445,119	OtherCostOrOtherBasisAmt
Depreciation	$7,814,106	DepreciationAmt
Book Value	$29,631,013	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$782,080,178	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
PERPETUAL TRUSTS	$9,229,125	F
CAMPAIGN	$7,599,413	F
INVESTMENTS IN OTHER ENTITIES	$11,678,059	F
TRUSTEE HELD INVESTMENTS	$8,915,018	F
ASSETS LIMITED AS TO USE	$680,557,531	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$717,979,146	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
ORGANIZATIONS	$71,786,239
RECEIVABLE	$23,279,588
OTHER RECEIVABLES	$6,758,544
LEASING ARRANGEMENTS	$5,199,808
PENSION ASSET	$8,220,715
OTHER ASSETS	$353,913

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$115,598,807	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ACCRUED INTEREST PAYBLE	$9,985,989
THIRD-PARTY PAYORS	$74,048,062
ACCRUED RETIREMENT BENEFITS	$11,975,539
OPERATING LEASE OBLIGATIONS	$5,413,494
INTEREST RATE SWAP	$8,915,018
OTHER LONG-TERM LIABILITIES	$29,725,680

Field	Value	IRS element (for citing)
Total Liability	$140,063,782	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V; QUESTION 4

ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FUTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES.

SCHEDULE D, PART X, LINE 2

THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF INSPIRA HEALTH NETWORK AND RELATED ENTITIES FOR THE YEARS ENDED DECEMBER 31, 2020 AND DECEMBER 31, 2019; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE SYSTEM'S 2020 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE NETWORK ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2020 AND 2019.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	FINANCIAL VEHICLE	SpecificServicesProvidedTxt
Region Total Expenditures	$11,120,918	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$11,120,918	SubtotalSpentAmt
Total Spent	$11,120,918	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PART I	FormAndLineReferenceDesc
Explanation	THIS ORGANIZATION ACCRUED FOR ACCOUNTING PURPOSES EXPENSES TO JUNO ASSURANCE, LTD., A FINANCIAL VEHICLE, $11,120,918 FOR THE BENEFIT OF INSPIRA MEDICAL CENTERS, INC. AND CERTAIN RELATED ORGANIZATIONS INCLUDED BELOW. - INSPIRA MEDICAL CENTERS, INC. - $8,183,417; - INSPIRA HEALTH NETWORK MEDICAL GROUP, P.C - $2,178,590; - INSPIRA HEALTH CONNECTIONS, P.C - $185,087; - INSPIRA HEALTH NETWORK LIFE, INC. - $56,941; AND - INSPIRA HEALTH NETWORK URGENT CARE, P.C - $516,883. THE NETWORK'S TAX-EXEMPT AFFILIATES INCLUDED ABOVE REPORT THESE AMOUNTS ON SCHEDULE F OF THEIR SEPARATE FORM 990. A FORM 5471 IS ATTACHED TO THE FORM 990 OF INSPIRA HEALTH NETWORK, INC. (FEID: 22-2508425); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, AS THIS ENTITY IS THE OWNER OF JUNO ASSURANCE, LTD.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	550.	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,051,892	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$816,013	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,235,879	NetCommunityBenefitExpnsAmt
Total Expense	0.00690	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,769,842	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,399,398	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,370,444	NetCommunityBenefitExpnsAmt
Total Expense	0.01880	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,171,911	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,664,942	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,506,969	NetCommunityBenefitExpnsAmt
Total Expense	0.01380	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$58,993,645	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,880,353	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,113,292	NetCommunityBenefitExpnsAmt
Total Expense	0.03950	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,031,058	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$907,489	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,123,569	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,835,897	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,830,087	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,005,810	NetCommunityBenefitExpnsAmt
Total Expense	0.00920	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,962,043	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,586,152	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$37,375,891	NetCommunityBenefitExpnsAmt
Total Expense	0.04900	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,284	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,284	NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$124,560	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$124,560	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68,954,842	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,323,728	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,631,114	NetCommunityBenefitExpnsAmt
Total Expense	0.06110	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$127,948,487	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$51,204,081	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$76,744,406	NetCommunityBenefitExpnsAmt
Total Expense	0.10060	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,143	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$15,143	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,519,817	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,438,211	DirectOffsettingRevenueAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$78,142	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$78,142	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,367	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,367	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,617,469	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,438,211	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$97,652	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$169,787,790	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$193,207,908	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$23,420,118	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (7 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
OAK & MAIN

SURGICENTER LLC
MEDICAL SERVICES	0.925	0.075
ELLMAC DIALYSIS LLC
MEDICAL SERVICES	0.3	0.1
CLAYMOUNT

DIALYSIS LLC
MEDICAL SERVICES	0.3	0.15
SURGICAL STUDIOS

LLC
MEDICAL SERVICES	0.25	0.75

Field	Value	IRS element (for citing)
Hospital Facilities	3	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (3 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
INSPIRA MEDICAL CENTER VINELAND
1	1505 WEST SHERMAN AVENUE	VINELAND	NJ	08360	WWW.INSPIRAHEALTHNETWORK.ORG	10603	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
INSPIRA MEDICAL CENTER ELMER
2	501 WEST FRONT STREET	ELMER	NJ	08318	WWW.INSPIRAHEALTHNETWORK.ORG	11701	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A
INSPIRA MEDICAL CENTER MULLICA HILL
3	700 MULLICA HILL ROAD	MULLICA HILL	NJ	08062	WWW.INSPIRAHEALTHNETWORK.ORG	10803	Yes (X)	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	13	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.inspirahealthnetwork.org	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	www.inspirahealthnetwork.org	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	550.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	www.inspirahealthnetwork.org	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	www.inspirahealthnetwork.org	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	www.inspirahealthnetwork.org	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, QUESTION 5	IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") FOR 2019-2021 THIS ORGANIZATION TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY ITS HOSPITAL FACILITIES. INSPIRA HEALTH NETWORK WORKED IN COLLABORATION WITH THE WALTER RAND INSTITUTE FOR PUBLIC AFFAIRS (WRI) AT RUTGERS UNIVERSITY-CAMDEN, AN INDEPENDENT RESEARCH AND CONSULTING FIRM TO CONDUCT THE CHNA. FOR THE PURPOSE OF THIS ASSESSMENT, COMMUNITY IS DEFINED AS THE THREE COUNTIES IN THE INSPIRA HEALTH NETWORK SERVICE AREA (GLOUCESTER, CUMBERLAND, AND SALEM COUNTIES). INSPIRA HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES INSPIRA MEDICAL CENTERS, INC. ("IMC"). TO ACHIEVE THE GOAL OF OBTAINING LOCALLY ACTIONABLE INFORMATION FOR IMPROVING HEALTH, THIS CHNA EMPLOYED A MIXED-METHODS ITERATIVE STRATEGY OF DATA COLLECTION THAT COMBINED QUANTITATIVE AND QUALITATIVE ANALYSIS OF PRIMARY DATA COLLECTED FROM COMMUNITY MEMBERS WITH QUANTITATIVE ANALYSIS OF SECONDARY DATA. THE TWO FUNDAMENTALS OF OUR APPROACH ARE RIGOUROUS DATA ANALYSIS AND COMMUNITY VOICE; TO THAT END, WE USED A VARIETY OF METHODS AND TOOLS TO ANALYZE THE DATA WE COLLECTED FROM PARTICIPANTS AND SOURCES IDENTIFIED THROUGH CONSULATION WITH TRUSTED COMMUNITY PARTNERS IN EACH COUNTY. KEY INFORMANT INTERVIEWS ------------------------ KEY INFORMANTS WERE INTERVIEWED TO GATHER A COMBINATION OF QUANTITATIVE AND QUALITATIVE FEEDBACK THROUGH OPEN-ENDED QUESTIONS. KEY INFORMANTS WERE DEFINED AS COMMUNITY STAKEHOLDERS WITH EXPERT KNOWLEDGE AND INCLUDED PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS, SOCIAL SERVICE PROVIDERS, NON-PROFIT LEADERS, BUSINESS LEADERS, FAITH-BASED ORGANIZATIONS, COUNTY GOVERNMENT, AND OTHER COMMUNITY LEADERS. 10 INTERVIEWS WERE CONDUCTED WITH KEY REPRESENTATIVES IN THE COUNTIES AND DESIGNATED INSPIRA HEALTH NETWORK STAFF. THE INTERVIEWS WERE COMPLETED USING A SEMI-STRUCTURED RESEARCH INSTRUMENT. THE PURPOSE OF THE RESEARCH PROJECT WAS EXPLAINED TO POTENTIAL PARTICIPANTS AND INFORMED CONSENT WAS OBTAINED PRIOR TO THE DATA COLLECTION PROCESS, FOLLOWING THE APPROVED IRB PROTOCOL. INTERVIEW PARTICIPANTS WERE ASKED TO THINK ABOUT AND SHARE THEIR PERSPECTIVES ON ACCESS TO CARE, HEALTH EDUCATION AND COMMUNICATION, AS WELL AS THE BARRIERS RESIDENTS FACE IN OBTAINING HEALTH CARE. OTHER AREAS OF INQUIRY INCLUDED THE STRENGTHS OF THE HEALTH CARE SERVICE DELIVERY SYSTEM AS WELL AS ITS WEAKNESSES AND POTENTIAL IMPROVEMENTS. BOTH THE RESEARCH INSTRUMENT AND THE PROTOCOL FOR THE INTERVIEW WERE DEVELOPED BASED ON THE GROUNDED THEORY APPROACH WITHIN THE QUALITATIVE RESEARCH FRAMEWORK. FOCUS GROUPS ------------ FOCUS GROUPS WERE CONDUCTED AMONG CUMBERLAND COUNTY RESIDENTS TO GATHER QUALITATIVE FEEDBACK REGARDING ACCESS TO CARE, KEY HEALTH ISSUES, AND HEALTH EDUCATION AND COMMUNICATION. WE CONDUCTED 13 DIFFERENT FOCUS GROUPS WITH COMMUNITY MEMBERS (N=10) AND STAKEHOLDERS (N=3) ACROSS THE THREE COUNTIES. OUR MAIN OBJECTIVE WAS TO GATHER THE COMMUNITY MEMBERS' THOUGHTS ON HEALTH ISSUES (SUCH AS ACCESS TO CARE, HEALTH EDUCATION, AND COMMUNICATION) AND ANY BARRIERS RESIDENTS MAY CONFRONT IN OBTAINING CARE. ADDITIONAL AREAS OF INQUIRY INCLUDED THE STRENGTHS OF THE HEALTH CARE SERVICE DELIVERY SYSTEM AS WELL AS ITS WEAKNESSES AND POSSIBLE IMPROVEMENTS. THE FOCUS GROUP FORMAT ALLOWED COMMUNITY MEMBERS TO EXPRESS THEIR OPINIONS, SUGGESTIONS, AND RECOMMENDATIONS IN A CONFIDENTIAL FORMAT. BECAUSE THEY LIVE AND WORK WITHIN INSPIRA HEALTH NETWORK'S SERVICE AREAS, COMMUNITY MEMBERS' INPUT IS CRUCIAL TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. FOCUS GROUPS PRODUCE A LARGE AMOUNT OF INFORMATION IN A SHORT TIME PERIOD. IN ADDITION, FOCUS GROUPS ELICIT WIDE-RANGING VIEWS ON DESIGNATED TOPICS. OUR FOCUS GROUPS CONSISTED OF A SEMI-STRUCTURED GROUP INTERVIEW. FOCUS GROUPS RANGED IN SIZE FROM 4-20 PARTICIPANTS. INFORMED CONSENT WAS OBTAINED AFTER THE PURPOSE OF THE FOCUS GROUP WAS EXPLAINED AND PRIOR TO THE DATA COLLECTION PROCESS, FOLLOWING THE APPROVED IRB PROTOCOL. ONE RESEARCH TEAM MEMBER FACILITATED THE FOCUS GROUP AND ONE TO TWO ADDITIONAL RESEARCH TEAM MEMBERS TOOK DETAILED NOTES. FOLLOWING EACH FOCUS GROUP, THE RESEARCH TEAM COMPILED A REPORT. COMMUNITY SURVEY ---------------- WE ALSO SOUGHT COMMUNITY ENGAGEMENT THROUGH THE WIDESPREAD DISSEMINATION OF A COMMUNITY SURVEY (N=891). THE SURVEY WAS COMPRISED OF 66 ITEMS, FORMATTED FOR ELECTRONIC AND PAPER DISTRIBUTION BOTH IN ENGLISH AND SPANISH. THE SPANISH SURVEYS WERE TRANSLATED FROM ENGLISH AND THEN BACK-TRANSLATED BY CERTIFIED TRANSLATORS ON THE RESEARCH TEAM. THE PARTICIPANT RESPONSE TIME WAS APPROXIMATELY 15 MINUTES FOR THE ELECTRONIC VERSION AND 30 MINUTES FOR THE PAPER VERSION. THE RESEARCH TEAM UTILIZED QUALTRICS, A WEB-BASED SURVEY PLATFORM, FOR THE DEVELOPMENT AND DISTRIBUTION OF THE ELECTRONIC FORMAT OF THE COMMUNITY SURVEY. SURVEY ITEM FORMATS INCLUDE MULTIPLE CHOICE; FILL IN, LIKERT SCALE, AND RANKING, THE SURVEY WAS LAUNGED ON JUNE 8, 2018 AND CLOSED ON NOVEMBER 24, 2018 (24 WEEKS) AND WAS DESIGEND TO COMPLEMENT THE QUALITATIVE FOCUS GROUP AND INTERVIEW DATA TO PROVIDE A COMPREHENSIVE PICTURE OF THE HEALTH STATUS, NEEDS, AND RESOURCES AS IDENTIFIED BY RESIDENTS OF CUMBERLAND, GLOUCESTER, AND SALEM COUNTIES.
SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B	INSPIRA HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ORGANIZATION OF INSPIRA HEALTH NETWORK. INSPIRA HEALTH NETWORK, INC. IS THE SOLE CORPORATE MEMBER OR STOCKHOLDER OF VARIOUS NOT FOR-PROFIT AND FOR-PROFIT ENTITIES. THE INTERNAL REVENUE SERVICE ("IRS") HAS RECOGNIZED INSPIRA HEALTH NETWORK, INC. AS A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). INSPIRA HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES INSPIRA MEDICAL CENTERS, INC. ("IMC") IN ADDITION, INSPIRA HEALTH NETWORK WORKED IN COLLABORATION WITH THE WALTER RAND INSTITUTE FOR PUBLIC AFFAIRS (WRI) AT RUTGERS UNIVERSITY-CAMDEN, AN INDEPENDENT RESEARCH AND CONSULTING FIRM TO CONDUCT THE CHNA. WRI PROVIDED THE FOLLOWING ASSISTANCE: - COLLECTED AND INTERPRETED DATA FROM SECONDARY DATA SOURCES; - ANALYZED AND INTERPRETED DATA FROM KEY INFORMANT INTERVIEWS; - COLLECTED, ANALYZED, AND INTERPRETED DATA FROM FOCUS GROUPS; - CONDUCTED, ANALYZED, AND INTERPRETED DATA FROM THE ONLINE COMMUNITY SURVEY; AND - PREPARED THE CHNA REPORT
SCHEDULE H, PART V, SECTION B, QUESTION 7A	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: WWW.INSPIRAHEALTHNETWORK.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
SCHEDULE H, PART V, SECTION B, QUESTION 10A	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 10A, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION ISSUED A JOINT IMPLEMENTATION STRATEGY FOR EACH OF THE INSPIRA HEALTH NETWORK HOSPITAL FACILITY'S. THIS JOINT IMPLEMENTATION STRATEGY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: WWW.INSPIRAHEALTHNETWORK.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
SCHEDULE H, PART V, SECTION B, QUESTION 11	INSPIRA HEALTH CREATED ONE SET OF IMPLEMENTATION STRATEGIES ACROSS ITS HEALTH NETWORK WHICH INCLUDES ALL THREE OF ITS ACUTE CARE HOSPITALS. THE ORGANIZATION'S JOINT IMPLEMENTATION STRATEGY DESCRIBES THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE ORGANIZATION'S CHNA. THROUGH THE ASSESSMENT OF ITS COMMUNITIES THE ORGANIZATION IDENTIFIED FOUR KEY PRIORITIES: OBESITY, SUBSTANCE ABUSE, MENTAL HEALTH, ACCESS TO HEALTH CARE, AND TRANSPORTATION. THE ORGANIZATION PLANS TO TAKE THE FOLLOWING ACTIONS WITH RESPECT TO EACH IDENTIFIED COMMUNITY HEALTH NEED. INSPIRA HEALTH WILL NOT TAKE ACTION ON THE FOLLOWING HEALTH NEED: ACCESS TO HEALTH CARE LACK OF FACILITIES OR PROVIDERS - GENERALLY, LACK OF FACILITIES OR PROVIDERS WAS A STRONG CONCERN FOR COMMUNITY MEMBERS IN SALEM COUNTY, AND MUCH LESS OF A CONCERN FOR COMMUNITY MEMBERS IN GLOUCESTER AND CUMBERLAND COUNTIES. INSPIRA HEALTH WILL CONTINUE TO ACKNOWLEDGE THE IMPACT OF THIS HEALTH NEED AND REMAIN COMMITTED TO THE ISSUES THEY REPRESENT. THE HOSPITAL ALSO STAYS COMMITTED TO ADDRESSING ALL THE NEEDS OF THE COMMUNITY WHEN POSSIBLE. DUE TO FINANCIAL RESTRICTIONS AND THE ABILITY OF OTHER INSTITUTIONS TO ADDRESS THE SAME ISSUES. INSPIRA HEALTH WILL FOCUS ON OBESITY, SUBSTANCE ABUSE, MENTAL HEALTH, AND TRANSPORTATION. OBESITY ------- COMMUNITY MEMBERS RANKED OBESITY AS THE TOP HEALTH ISSUE IN THEIR COMMUNITIES. NATIONALLY, OBESITY IS ALSO A CONCERN, WITH HEALTH CARE COSTS AND MORTALITY RELATED TO OBESITY RAPIDLY OVERCOMING TOBACCO-RELATED COSTS/MORTALITY. SINCE 2000, THE ADULT OBESITY RATE IN NEW JERSEY HAS INCREASED BY OVER 60%. THIS PERIOD HAS ALSO SEEN AN INCREASE IN THE BURDEN OF OBESITY-RELATED DISEASES SUCH AS DIABETES, HYPERTENSION, AND HEART DISEASE. PROJECTIONS FOR THE CHRONIC DISEASE BURDEN RELATED TO OBESITY ARE DIRE, WITH AN EXPECTED FOUR-FOLD INCREASE IN THE NUMBER OF HEART DISEASE CASES WITHIN THE NEXT 20 YEARS. EVEN MORE TROUBLING IS THAT OBESITY AND RELATED CHRONIC HEALTH CONDITIONS OCCUR AT HIGHER RATES IN SOUTHERN NEW JERSEY THAN THEY DO IN THE REST OF THE STATE AND NATIONALLY. INSPIRA HEALTH COMMITS TO DEVELOPING AND/OR SUPPORTING INITIATIVES WITH THE FOLLOWING OBJECTIVES IN MIND: - IMPLEMENT COMMUNITY EDUCATION PROGRAMS RELATED TO NUTRITION AND PHYSICAL ACTIVITY - IMPROVE ACCESS TO HEALTHY FOOD THROUGH CHARITABLE CONTRIBUTIONS, EMPLOYEE VOLUNTEER OPPORTUNITIES, AND INNOVATIVE COMMUNITY PARTNERSHIPS - IDENTIFY RISK FACTORS FOR CHRONIC DISEASE THROUGH EARLY DETECTION AND SCREENINGS - INCREASE RESIDENTS' AWARENESS OF RISK FACTORS FOR CHRONIC DISEASE SUBSTANCE ABUSE --------------- IN 2017, THE GOVERNOR OF NEW JERSEY DECLARED OPIOD ABUSE A PUBLIC HEALTH CRISIS IN THE STATE. COMMUNITY MEMBERS ALSO EXPRESSED INTENSE CONCERN ABOUT SUBSTANCE ABUSE, THE LACK OF RESOURCES TO COMBAT SUBSTANCES ABUSE, AND THE IMPACT OF SUBSTANCE ABUSE ON FRIENDS AND FAMILY MEMBERS. INSPIRA HEALTH COMMITS TO DEVELOPING AND/OR SUPPORTING INITIATIVES WITH THE FOLLOWING OBJECTIVES IN MIND: - PREVENT PATIENTS FROM BECOMING ADDICTED TO PAIN MEDICATIONS - IDENTIFY PATIENTS WHO ARE ADDICTED TO MEDICATIONS - DECREASE OVERDOSES AND DRUG-INDUCED DEATHS - INCREASE TOBACCO SCREENING IN HEALTH CARE SETTINGS - REDUCE ED UTILIZATION FOR SUBSTANCE ABUSE-RELATED ISSUES MENTAL HEALTH ------------- THE RATES OF SUICIDE ARE INCREASING IN GLOUCESTER, SALEM, AND CUMBERLAND COUNTIES. RATE OF SUICIDE IS HIGHER THAN STATE RATE IN GLOUCESTER, SALEM, AND CUMBERLAND COUNTIES. RESIDENTS REPORT A HIGH NUMBER OF POOR MENTAL HEALTH DAYS. COMMUNITY MEMBERS SAID THAT MENTAL AND BEHAVIORAL HEALTH WERE IMPORTANT ISSUES FACING THEIR COMMUNITIES IN GENERAL, AND THEMSELVES SPECIFICALLY. INCREASE ACCESS TO MENTAL HEALTH TREATMENT IS INCLUDED AMONG THE HEALTHY PEOPLE 2020 OBJECTIVES. INSPIRA HEALTH COMMITS TO DEVELOPING AND/OR SUPPORTING INITIATIVES WITH THE FOLLOWING OBJECTIVES IN MIND: - PARTICIPATE IN COMMUNITY PLANNING PROCESS TO ADDRESS BEHAVIORAL HEALTH AND ACCESS TO SERVICES - INCREASE AWARENESS AND IDENTIFICATION OF MENTAL HEALTH DISORDERS - INCREASE SCREENING FOR BEHAVIORAL HEALTH NEEDS IN PRIMARY CARE AND SPECIALTY CARE SETTINGS - WORK WITH AREA HOSPITALS TO DEVELOP A RANGE OF COLLABORATIVE APPROACHES TO IMPROVE THE CARE OF THE PATIENTS WITH BEHAVIORAL HEALTH CONDITIONS - INCREASE THE PROPORTION OF ADULTS WHO RECEIVE MENTAL HEALTH TREATMENT - INCREASE THE PROPORTION OF HOMELESS ADULTS WHO RECEIVE MENTAL HEALTH SERVICES - REDUCE ED UTILIZATION FOR MENTAL HEALTH RELATED ISSUES - PROVIDE EDUCATION ABOUT WARNING SIGNS OF MENTAL/BEHAVIORAL HEALTH CONDITIONS TRANSPORTATION --------------- COMMUNITY MEMBERS REPORTED THAT PUBLIC TRANSPORTATION WAS AN IMPORTANT MISSING RESOURCE AND THAT TRANSPORTATION WAS AN IMPORTANT BARRIER TO CARE. ACCESS TO RELIABLE TRANSPORTATION WAS AN IMPORTANT BARRIER TO CARE. ACCESS TO RELIABLE TRANSPORTATION IS IMPORTANT FOR PEOPLE WITH CHRONIC DISEASES. RESEARCH SUGGESTS THAT FOR INDIVIDUALS WITH LIMITED ECONOMIC RESOURCES, TRANSPORTATION TO PROVIDER VISITS AND PHARMACIES MAY BE A SIGNIFICANT BARRIER TO CARE THAT CAN ALTER HEALTH OUTCOMES. INSPIRA HEALTH COMMITS TO DEVELOPING AND/OR SUPPORTING INITIATIVES WITH THE FOLLOWING OBJECTIVES IN MIND: - DEFINE GAPS IN PROCESS, PROCEDURE, AND INFRASTRUCTURE - IMPLEMENT FREE-OF-CHARGE NON-EMERGENT TRANSPORTATION TO PATIENTS WITH ACCESS PROBLEMS TO MEDICAL CARE - COMPLETE SOFTWARE INTEGRATION WITH PROVIDERS FOR COORDINATION OF TRANSPORTATION
SCHEDULE H, PART V, SECTION B, QUESTION 16	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 16, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. THESE DOCUMENTS CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: HTTPS://WWW.INSPIRAHEALTHNETWORK.ORG/PATIENTS-VISITORS/BILLING-ONLINE PAYMENTS/PAYMENT-ASSISTANCE

Field	Value	IRS element (for citing)
Facility	22	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
INSPIRA HEALTH CENTER BRIDGETON
333 IRVING AVENUE	BRIDGETON	NJ	08302	SATELLITE ER & VARIOUS OUTPATIENT SVCS
INSPIRA TOMLIN STATION IMAGING
201 TOMLIN STATION ROAD	MULLICA HILL	NJ	08062	OUTPATIENT SVCS - IMAGING
INSPIRA HEALTH CENTER WOODBURY
509 NORTH BROAD STREET	WOODBURY	NJ	08096	SATELLITE ER & VARIOUS OUTPATIENT SVCS
INSPIRA ELMER CHILD PARTIAL CARE
501 WEST FRONT STREET	ELMER	NJ	08318	OUTPATIENT SVCS - CHILD DEV OUTPATIENT SVCS
INSPIRA IMAGING CENTER OF SOUTH DELSEA
2848 SOUTH DELSEA DRIVE	VINELAND	NJ	08360	OUTPATIENT SVCS - IMAGING
INSPIRA WOUND CARE CENTER ELMER
501 WEST FRONT STREET	ELMER	NJ	08318	OUTPATIENT SVCS - WOUND CARE
INSPIRA IMAGING CENTER OF DELSEA
352 SOUTH DELSEA DRIVE	VINELAND	NJ	08360	OUTPATIENT SVCS - IMAGING
INSPIRA CHILD DEVELOPMENT CENTER
1138 EAST CHESTNUT STREET	VINELAND	NJ	08360	OUTPATIENT SVCS - CHILD DEV
INSPIRA VINELAND SLEEP CARE CENTER
1650 EAST CHESTNUT AVENUE	VINELAND	NJ	08361	OUTPATIENT SVCS - SLEEP CENTER
INSPIRA ELMER SLEEP CARE CENTER
445 WEST FRONT STREET	ELMER	NJ	08318	OUTPATIENT SVCS - SLEEP CENTER
INSPIRA SPORTS REHABCARE WOOLWICH
100 LEXINGTON ROAD SUITE 130	SWEDESBORO	NJ	08085	OUTPATIENT SVCS - PT
INSPIRA IMAGING CENTER WEST SHERMAN MRI
994 WEST SHERMAN AVENUE	VINELAND	NJ	08361	OUTPATIENT SVCS - IMAGING
INSPIRA CARDIOVASCULAR SERVICES
636 KINGS HIGHWAY SUITE C	WOODBURY	NJ	08096	OUTPATIENT SVCS - CARDIOLOGY
INSPIRA WOMEN'S IMAGING CTR-MULLICA HILL
155 BRIDGETON PIKE	MULLICA HILL	NJ	08062	OUTPATIENT SERVICES - IMAGING
INSPIRA IMAGING CENTER GLASSBORO
200 ROWAN BOULEVARD	GLASSBORO	NJ	08332	OUTPATIENT SERVICES - IMAGING
INSPIRA FAMILY MEDICINE CENTER
75 WEST RED BANK DRIVE	WOODBURY	NJ	08096	OUTPATIENT SVCS - FAMILY MED
INSPIRA REHAB SVCS AT WEST DEPTFORD
800 JESSUP ROAD	WEST DEPTFORD	NJ	08086	OUTPATIENT SERVICES - PT
INSPIRA IMAGING CENTER HADDON
400 WEST CUTHBERT BOULEVARD	HADDON TOWNSHIP	NJ	08108	OUTPATIENT SERVICES - IMAGING
INSPIRA HEALTH CTR SICKLERVILLE IMAGING
485 WILLIAMSTOWN ROAD	SICKLERVILLE	NJ	08081	OUTPATIENT SVCS - IMAGING
INSPIRA HEALTH CTR SICKLERVILLE PT
485 WILLIAMSTOWN ROAD	SICKLERVILLE	NJ	08081	OUTPATIENT SVCS - PT
INSPIRA HLTH CTR SICKLERVILLE SLEEP CTR
485 WILLIAMSTOWN ROAD	SICKLERVILLE	NJ	08081	OUTPATIENT SVCS - SLEEP CENTER
INSPIRA HEALTH CTR SICKLERVILLE BAL CTR
485 WILLIAMSTOWN ROAD	SICKLERVILLE	NJ	08081	OUTPATIENT SVCS - BALANCE CTR

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I; LINE 3C	IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE ORGANIZATION USES OTHER FACTORS IN DETERMINING ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTED CARE. AS OUTLINED IN PART V, SECTION B, QUESTION 13, OTHER FACTORS TO DETERMINE ELIGIBILITY INCLUDE: - ASSET LEVEL; - MEDICAL INDIGENCY; - INSURANCE STATUS; - UNDERINSURANCE STATUS; AND - RESIDENCY. ADDITIONAL INFORMATION WITH RESPECT TO THE ORGANIZATION'S ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IS OUTLINED BELOW. NEW JERSEY HOSPITAL CHARITY CARE PAYMENT ASSISTANCE PROGRAM ("CHARITY CARE") ------------------------------------------------------------------------- CHARITY CARE IS A NEW JERSEY PROGRAM IN WHICH FREE OR DISCOUNTED CARE IS AVAILABLE TO PATIENTS WHO RECEIVE INPATIENT AND OUTPATIENT SERVICES AT ACUTE CARE HOSPITALS THROUGHOUT THE STATE OF NEW JERSEY. HOSPITAL ASSISTANCE AND REDUCED CHARGE CARE ARE ONLY AVAILABLE FOR NECESSARY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. PATIENTS MAY BE ELIGIBLE FOR CHARITY CARE IF THEY ARE NEW JERSEY RESIDENTS WHO: 1) HAVE NO HEALTH COVERAGE OR HAVE COVERAGE THAT PAYS ONLY PART OF THE HOSPITAL BILL (UNINSURED OR UNDERINSURED); 2) ARE INELIGIBLE FOR ANY PRIVATE OR GOVERNMENTAL SPONSORED COVERAGE (SUCH AS MEDICAID); AND 3) MEET THE FOLLOWING INCOME AND ASSET ELIGIBILITY CRITERIA DESCRIBED BELOW. INCOME CRITERIA: PATIENTS WITH FAMILY GROSS INCOME LESS THAN OR EQUAL TO 200% OF FEDERAL POVERTY GUIDELINES ("FPG") ARE ELIGIBLE FOR 100% CHARITY CARE COVERAGE. PATIENTS WITH FAMILY GROSS INCOME GREATER THAN 200% AND LESS THAN OR EQUAL TO 300% OF FPG ARE ELIGIBLE FOR DISCOUNTED CARE. FREE CARE OR PARTIALLY COVERED CHARGES WILL BE DETERMINED BY USE OF THE NEW JERSEY DEPARTMENT OF HEALTH FEE SCHEDULE. IF PATIENTS ON THE 20% TO 80% SLIDING FEE SCALE ARE RESPONSIBLE FOR QUALIFIED OUT-OF-POCKET PAID MEDICAL EXPENSES IN EXCESS OF 30% OF THEIR GROSS ANNUAL INCOME (I.E. BILLS UNPAID BY OTHER PARTIES), THEN THE AMOUNT IN EXCESS OF 30% IS CONSIDERED HOSPITAL CARE PAYMENT ASSISTANCE. ASSET CRITERIA: CHARITY CARE INCLUDES ASSET ELIGIBILITY THRESHOLDS WHICH STATES THAT INDIVIDUAL ASSETS CANNOT EXCEED $7,500 AND FAMILY ASSETS CANNOT EXCEED $15,000 AS OF THE DATE OF SERVICE. CHARITY CARE MAY BE AVAILABLE TO NON-NEW JERSEY RESIDENTS, REQUIRING IMMEDIATE MEDICAL ATTENTION FOR AN EMERGENCY MEDICAL CONDITION. NEW JERSEY UNINSURED DISCOUNT (PUBLIC LAW 2008, C. 60) ------------------------------------------------------ UNINSURED PATIENTS WITH FAMILY GROSS INCOME LESS THAN 500% OF FPG MAY BE ELIGIBLE FOR DISCOUNTED CARE UNDER THIS PROGRAM. ELIGIBLE INDIVIDUALS MUST BE NEW JERSEY RESIDENTS. NJ FAMILYCARE ------------- NJ FAMILYCARE IS NEW JERSEY'S PUBLICLY FUNDED HEALTH INSURANCE PROGRAM WHICH INCLUDES CHIP, MEDICAID AND MEDICAID EXPANSION POPULATIONS. NJ FAMILYCARE IS A FEDERAL AND STATE FUNDED HEALTH INSURANCE PROGRAM CREATED TO HELP QUALIFIED NEW JERSEY RESIDENTS OF ANY AGE ACCESS TO AFFORDABLE HEALTH INSURANCE. NJ FAMILYCARE IS FOR PEOPLE WHO DO NOT HAVE EMPLOYER INSURANCE. FINANCIAL ELIGIBILITY FOR INDIVIDUALS SEEKING ELIGIBILITY FOR NJ FAMILYCARE WILL BE BASED ON THEIR MODIFIED ADJUSTED GROSS INCOME ("MAGI"). NJFAMILYCARE ELIGIBILITY GUIDELINES ARE ESTABLISHED BY THE STATE OF NEW JERSEY AND CAN BE FOUND AT WWW.NJFAMILYCARE.ORG. NEW JERSEY CANCER EDUCATION AND EARLY DETECTION ("NJCEED") ---------------------------------------------------------- THE NJCEED PROGRAM PROVIDES COMPREHENSIVE OUTREACH, EDUCATION AND SCREENING SERVICES FOR BREAST, CERVICAL, COLORECTAL AND PROSTATE CANCERS. A PATIENT MUST BE UNINSURED OR UNDERINSURED AND MUST HAVE FAMILY GROSS INCOME AT OR BELOW 250% OF FPG TO BE ELIGIBLE. ADDITIONAL INFORMATION CAN BE FOUND AT THE FOLLOWING WEBSITE: HTTPS://NJ.GOV/HEALTH/CES/PUBLIC/RESOURCES/NJCEED.SHTML. CATASTROPHIC ILLNESS IN CHILDREN RELIEF FUND -------------------------------------------- THE CATASTROPHIC ILLNESS IN CHILDREN RELIEF FUND PROVIDES FINANCIAL ASSISTANCE TO FAMILIES OF CHILDREN WITH A CATASTROPHIC ILLNESS. IN ORDER TO BE ELIGIBLE, HOSPITAL EXPENSES MUST EXCEED 10% OF THE FAMILY'S GROSS INCOME, PLUS 15% OF ANY EXCESS INCOME OVER $100,000, THE CHILD MUST HAVE BEEN 21 YEARS OR YOUNGER WHEN THE MEDICAL EXPENSES WERE INCURRED AND THE FAMILY MUST HAVE LIVED IN NEW JERSEY FOR THREE MONTHS IMMEDIATELY PRIOR TO THE DATE OF APPLICATION. ADDITIONAL INFORMATION CAN BE FOUND AT THE FOLLOWING WEBSITE: WWW.STATE.NJ.US/HUMANSERVICES/CICRF/HOME. NEW JERSEY VICTIMS OF CRIME COMPENSATION OFFICE ----------------------------------------------- THE STATE OF NEW JERSEY HAS ESTABLISHED THE NEW JERSEY VICTIMS OF CRIME COMPENSATION OFFICE TO COMPENSATE VICTIMS OF CRIME FOR LOSSES AND EXPENSES, INCLUDING CERTAIN MEDICAL EXPENSES, RESULTING FROM CERTAIN CRIMINAL ACTS. IN ORDER TO BE ELIGIBLE FOR NEW JERSEY VICTIMS OF CRIME COMPENSATION OFFICE THE CRIME MUST HAVE OCCURRED IN NEW JERSEY OR MUST RELATE TO A NEW JERSEY RESIDENT VICTIMIZED OUTSIDE OF THE STATE, THE VICTIM MUST HAVE REPORTED THE CRIME TO POLICE WITHIN NINE MONTHS AND VICTIM MUST COOPERATE WITH THE INVESTIGATION AND PROSECUTION OF THE CRIME. THE CLAIM MUST BE FILED WITHIN THREE YEARS OF THE DATE OF THE CRIME AND THE PATIENT MUST BE AN INNOCENT VICTIM OF THE CRIME. ADDITIONAL INFORMATION CAN BE FOUND AT HTTPS://WWW.NJOAG.GOV/RESOURCES/VICTIM-WITNESS-SERVICES/. HOSPITAL FINANCIAL ASSISTANCE PROGRAM/SUBSIDY PROGRAM ----------------------------------------------------- PATIENTS THAT DO NOT QUALIFY FOR ANY OF THE GOVERNMENT FUNDED PROGRAMS OR NEW JERSEY CHARITY CARE MAY ELECT TO BE SCREENED BY FINANCIAL COUNSELING FOR THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM/SUBSIDY PROGRAM. PATIENTS MAY BE ELIGIBLE FOR DISCOUNTS UNDER THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM/SUBSIDY PROGRAM IF THEIR FAMILY GROSS INCOME IS BETWEEN 225% AND 550% OF FPL. ADDITIONALLY, IF THESE PATIENTS HAVE ASSETS IN EXCESS OF $50,000 THEY MAY BE REQUIRED TO PROVIDE PROOF OF ASSETS. PURSUANT TO INTERNAL REVENUE CODE SECTION 501(R)(5), IN THE CASE OF EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, FAP-ELIGIBLE PATIENTS WILL NOT BE CHARGED MORE THAN AN INDIVIDUAL WHO HAS INSURANCE COVERING SUCH CARE. PATIENTS MAY BE ELIGIBLE FOR THIS DISCOUNT IF THEY ARE UNINSURED AND HAVE FAMILY GROSS INCOME LESS THAN 550% OF FPG. ADDITIONALLY, UNDERINSURED PATIENTS MAY BE ELIGIBLE IF THEIR FAMILY GROSS INCOME IS GREATER THAN 200% BUT LESS THAN OR EQUAL TO 300% OF FPG.
SCHEDULE H, PART I; QUESTION 6A	NOT APPLICABLE.
SCHEDULE H, PART I; QUESTION 7	THE ORGANIZATION UTILIZED THE COST ACCOUNTING SYSTEM.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY INSPIRA HEALTH NETWORK IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF OUR COMMUNITIES. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. IMC PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS, COMMUNITY AND PROVIDERS. PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS DEDICATE THEIR KNOWLEDGE AND TIME TO INSURING THE COMMUNITY IS WELL EDUCATED ON TOPICS PROMOTING HEALTHY LIVING.
SCHEDULE H, PART III, SECTION A; QUESTION 4	THE FOOTNOTE BELOW EXPLAINS THE ORGANIZATION'S METHODOLOGY WITH RESPECT TO PATIENT ACCOUNTS RECEIVABLE. THE NETWORK ASSESSES COLLECTABILITY ON PATIENT CONTRACTS PRIOR TO THE RECOGNITION OF NET PATIENT SERVICE REVENUE. PATIENT ACCOUNTS RECEIVABLE, NET, ARE RECORDED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THE NETWORK HAS EXHAUSTED ALL COLLECTION EFFORTS AND DETERMINES ACCOUNTS ARE IMPAIRED BASED ON CHANGES IN CREDIT WORTHINESS.
SCHEDULE H, PART III, SECTION B; QUESTION 8	MEDICARE COSTS WERE DERIVED FROM THE 2020 MEDICARE COST REPORT. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL), BAD DEBT AND ASSOCIATED COSTS ARE COMMUNITY BENEFIT AND ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW, 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 OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "THE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL MUST PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS WHO CANNOT PAY FOR SUCH SERVICES. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVED" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY THE DEPARTMENT OF TREASURY REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO 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 EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA'S POSITION. AS OUTLINED IN THE AHA'S LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. FROM THE LATEST DATA PROVIDED BY THE AHA, AS OF 2017, MEDICARE REIMBURSES HOSPITALS ONLY 87 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 42 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLE." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR THOSE WHO DO NOT PAY ALL, OR A PORTION OF THE ALREADY DISCOUNTED BILLED AMOUNTS UNDER OUR FINANCIAL ASSISTANCE POLICY. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFIT" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITAL'S BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS SHOULDER IN SERVING ALL
SCHEDULE H, PART III, SECTION B; QUESTION 9B	ACCOUNTS CONSIDERED TO BE FINANCIAL ASSISTANCE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF INSPIRA HEALTH NETWORK ("INSPIRA") TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. ADDITIONALLY, INSPIRA IS COMMITTED TO BILLING PATIENTS AND INSURANCE CARRIERS IN A MANNER THAT IS IN COMPLIANCE WITH ALL STATE, LOCAL AND FEDERAL REGULATIONS. THE ORGANIZATION'S BILLING AND COLLECTION POLICIES AND PROCEDURES ARE OUTLINED WITHIN THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY ("FAP"). THIS POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. ACCORDING TO INSPIRA'S BILLING AND COLLECTION POLICY INSPIRA ABIDES BY THE FOLLOWING PROCEDURES WHEN PURSUING BILLING AND COLLECTION ACTIONS: BILLING PROCEDURES ------------------ UNTIL PATIENTS ARE DEEMED ELIGIBLE AND APPROVED FOR FINANCIAL ASSISTANCE UNDER THIS POLICY, INSPIRA WILL CONTINUE ITS NORMAL BILLING AND COLLECTION ACTIVITIES AS FOLLOWS: (1) INSPIRA WILL PROVIDE SUFFICIENT ACCOUNT FOLLOW-UP SERVICE TO ENSURE THAT INSURERS AND PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION. (2) PATIENTS WILL HAVE THE OPPORTUNITY TO MAKE PAYMENT AND/OR APPLY FOR FINANCIAL ASSISTANCE FOR ALL OUTSTANDING BALANCES. THE BILLING PROCESS IS PERFORMED IN ACCORDANCE WITH THE FOLLOWING GUIDELINES: - FOR ALL INSURED PATIENTS, INSPIRA BILLS ALL THIRD PARTY PAYER INFORMATION (AS PROVIDED BY OR VERIFIED BY THE PATIENT) ON A TIMELY BASIS. - IF A CLAIM IS DENIED (OR NOT PROCESSED) BY A PAYER DUE TO A HOSPITAL ERROR, INSPIRA WILL NOT BILL THE PATIENT FOR ANY AMOUNT IN EXCESS OF THAT FOR WHICH THE PATIENT WOULD HAVE BEEN LIABLE HAD THE PAYER PAID THE CLAIM. - AFTER CLAIMS ARE PROCESSED BY PAYERS, INSPIRA BILLS PATIENTS ON A TIMELY BASIS FOR THEIR RESPECTIVE LIABILITY AMOUNTS AS DETERMINED BY THEIR INSURERS. - ALL UNINSURED PATIENTS ARE BILLED DIRECTLY ON A TIMELY BASIS. - ACCOUNTS MAY BE REFERRED FOR COLLECTION IF THERE IS REASONABLE BASIS TO BELIEVE THAT THE PATIENT OWES THE DEBT. HOWEVER, ACCOUNTS MAY BE PLACED WITH A COLLECTION AGENCY NO SOONER THAN 120 DAYS FROM THE DATE OF FIRST POST-DISCHARGE BILLING STATEMENT ("NOTIFICATION PERIOD"). ACCOUNTS MAY BE REFERRED FOR COLLECTION IF ALL THIRD PARTY PAYERS HAVE BEEN PROPERLY BILLED BY INSPIRA AND THE REMAINING DEBT IS THE FINANCIAL RESPONSIBILITY OF THE PATIENT. THE ORGANIZATION SHALL NOT BILL A PATIENT FOR ANY AMOUNT THAT AN INSURANCE COMPANY IS OBLIGATED TO PAY UNLESS THE INSURANCE COMPANY IS REFUSING TO PAY THE AMOUNT PENDING ADDITIONAL INFORMATION OR COMMUNICATION FROM THE PATIENT. INSPIRA DOES NOT REFER ACCOUNTS FOR COLLECTION WHILE A CLAIM ON THE ACCOUNT IS STILL PENDING PAYER PAYMENT UNLESS THE PAYER IS REFUSING TO PAY THE AMOUNT PENDING ADDITIONAL INFORMATION OR COMMUNICATION FROM THE PATIENT. CUSTOMER SERVICE ---------------- DURING THE BILLING AND COLLECTION PROCESS, INSPIRA PROVIDES QUALITY CUSTOMER SERVICE BY COMPLYING WITH THE FOLLOWING GUIDELINES: (1) INSPIRA DOES NOT TOLERATE ABUSIVE, HARASSING, OFFENSIVE, DECEPTIVE, OR MISLEADING LANGUAGE OR CONDUCT BY ITS EMPLOYEES. (2) INSPIRA MAINTAINS A STREAMLINED PROCESS FOR PATIENT QUESTIONS AND DISPUTES, WHICH INCLUDES A PHONE NUMBER PATIENTS MAY CALL, EMAIL ADDRESS, AND A BUSINESS OFFICE ADDRESS TO WHICH THEY MAY WRITE. THIS INFORMATION WILL BE LISTED ON ALL PATIENT STATEMENTS. (3) AFTER RECEIVING A COMMUNICATION FROM THE PATIENT (BY PHONE, EMAIL, OR IN WRITING), INSPIRA STAFF WILL RETURN CALLS TO PATIENTS AS PROMPTLY AS POSSIBLE (BUT NO MORE THAN ONE BUSINESS DAY AFTER THE CALL, EMAIL OR LETTER WAS RECEIVED). (4) INSPIRA MAINTAINS A DAILY COMPLAINT AND ISSUE LOG OF PATIENT'S COMPLAINTS. THE COMPLAINT AND ISSUE LOG WILL BE REVIEWED PERIODICALLY BY THE PATIENT ACCOUNTS MANAGER AND CASH SUPERVISOR AND THE INFORMATION PROVIDED WILL BE USED TO ENHANCE AND IMPROVE THE BILLING AND COLLECTIONS PROCESS. ALL PATIENTS MAY REQUEST AN ITEMIZED STATEMENT FOR THEIR ACCOUNTS AT ANY TIME. ALL PATIENTS WILL HAVE THE OPPORTUNITY TO CONTACT HOSPITAL REGARDING FINANCIAL ASSISTANCE FOR THEIR ACCOUNTS. COMPLIANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(6) ------------------------------------------------------- INSPIRA DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIVITIES ("ECAS") AS DEFINED BY INTERNAL REVENUE CODE SECTION 501(R) PRIOR TO THE END OF THE NOTIFICATION PERIOD. ONCE A COMPLETED FAP APPLICATION IS RECEIVED, HOSPITAL, OR ANY COLLECTION AGENCIES WORKING ON THEIR BEHALF, WILL: 1) SUSPENDED ANY ECAS AGAINST THE INDIVIDUAL; 2) MAKE AND DOCUMENT AN ELIGIBILITY DETERMINATION IN A TIMELY MANNER; 3) NOTIFY THE RESPONSIBLE PARTY OR INDIVIDUAL IN WRITING OF THE DETERMINATION AND BASIS FOR DETERMINATION; AND 4) IF DEEMED FAP-ELIGIBLE INSPIRA WILL: - PROVIDE A BILLING STATEMENT INDICATING THE AMOUNT THE FAP-ELIGIBLE INDIVIDUAL OWES, HOW THAT AMOUNT WAS DETERMINED AND HOW INFORMATION PERTAINING TO AMOUNTS GENERALLY BILLED MAY BE OBTAINED; AND - REFUND ANY EXCESS PAYMENTS MADE BY THE INDIVIDUAL. INSPIRA DOES NOT ENGAGE IN ANY ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE, SUCH AS BY DEMANDING THE EMERGENCY DEPARTMENT PATIENTS PAY BEFORE RECEIVING TREATMENT FOR EMERGENCY MEDICAL CONDITIONS OR BY PERMITTING DEBT COLLECTION ACTIVITIES IN THE EMERGENCY DEPARTMENT OR OTHER AREAS WHERE SUCH ACTIVITIES COULD INTERFERE WITH THE PROVISION OF EMERGENCY CARE ON A NON-DISCRIMINATORY BASIS.
SCHEDULE H, PART VI; QUESTION 2	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OUTLINED IN SCHEDULE H, SECTION B, QUESTIONS 1-12 AND SECTION C, THIS ORGANIZATION CONDUCTS A REVIEW OF KEY FACTOR INFORMATION ANNUAL WHICH INCLUDES: A REVIEW OF HEALTHCARE UTILIZATION OF ITS SERVICE AREA POPULATION BY SERVICES (UROLOGY, CARDIOLOGY, OBSTETRICS, ETC.) FOR DETERMINING INCREASED OR DECREASED HEALTH NEEDS; HEALTHCARE SERVICES ESTIMATES AND FORECASTS (BOTH INPATIENT AND OUTPATIENT); ASSESSMENTS OF LOCAL DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION; AND, A REVIEW OF HEALTH STATUS/NEEDS ASSESSMENTS AND STUDIES CONDUCTED BY EXTERNAL PARTIES. THE ORGANIZATION CONDUCTS AN EXTENSIVE SERVICE AREA PHYSICIAN NEEDS STUDY (BY PRIMARY AND SPECIALTY) EVERY THREE TO FIVE YEARS. SPECIFIC SPECIALTY NEEDS ARE CONDUCTED FOR IDENTIFIED GAPS IN SERVICE. THESE REVIEWS INFORM MEDICAL STAFF DEVELOPMENT AT THE MEDICAL CENTER TO ASSURE RESPONSIVENESS TO IDENTIFIED COMMUNITY NEEDS. THE ORGANIZATION COLLABORATES WITH COMMUNITY PARTNERS TO PLAN AND CONDUCT HEALTH NEEDS ASSESSMENTS TO ASSESS AND ADDRESS HEALTH NEEDS OF THE COMMUNITY IT SERVES. THE WIDE-BASED COLLABORATIVE PARTNERSHIP RETAINS AN OUTSIDE CONSULTING FIRM TO ASSESS COMMUNITY DATA AND PERCEPTION. COMMUNITY DATA IS COLLECTED FROM COUNTY HEALTH PROFILES, HEALTH STATISTICS, DEMOGRAPHICS, SOCIOECONOMIC DATA, PHONE SURVEYS, PAPER SURVEYS AND FOCUS GROUPS. FROM THOSE ASSESSMENTS, COMMUNITY HEALTH IMPROVEMENT PLANS ARE PUBLISHED IDENTIFYING THE SPECIFIC HEALTH PRIORITIES. THROUGH A PLANNED AND ORGANIZED EFFORT, THE GROUP WORKS COLLECTIVELY TO ADDRESS THE PRIORITIES BY TAPPING THE RESOURCES OF THE COMMUNITY AND COLLABORATING ON INITIATIVES. INSPIRA HEALTH NEWTORK ACTIVELY CONTRIBUTES TO THIS PROCESS AND ENGAGES IN THE IDENTIFIED PRIORITIES THAT MATCH ITS MISSION, EXPERTISE, RESOURCES AND CAPACITY. IN ADDITION TO THESE ORGANIZED NEEDS ASSESSMENT EFFORTS, VARIOUS INSPIRA LEADERSHIP ATTEND COMMUNITY MEETINGS WITH LOCAL PROVIDERS, LOCAL HEALTH DEPARTMENTS, LOCAL POLITICIANS, ORGANIZATIONS AND COMMUNITY LEADERS TO DISCUSS THE HEALTH NEEDS OF THE POPULATION.
SCHEDULE H, PART VI; QUESTION 3	IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(4) THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY WIDELY PUBLICIZING VARIOUS DOCUMENTS. THESE DOCUMENTS ARE WIDELY PUBLICIZED IN THE FOLLOWING WAYS: (1) THE FINANCIAL ASSISTANCE POLICY ("FAP"), FINANCIAL ASSISTANCE APPLICATION ("APPLICATION") AND PLAIN LANGUAGE SUMMERY ("PLS") ARE ALL AVAILABLE ON-LINE AT THE FOLLOWING WEBSITE: HTTPS://WWW.INSPIRAHEALTHNETWORK.ORG/SITES/DEFAULT/FILES/ACCESSMEDFORM/01_ 16_FINANCIAL_ASSISTANCE%20POLICY_PLAIN_LANGUAGE_SUMMARY_PLS.PDF (2) PAPER COPIES OF THE FAP, APPLICATION AND THE PLS ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL AND ARE AVAILABLE AT VARIOUS AREAS THROUGHOUT THE HOSPITAL FACILITY WHICH INCLUDE THE HOSPITAL ADMISSIONS DEPARTMENT AND THE OUTPATIENT AND EMERGENCY ROOM REGISTRATION AREAS. (3) THE FAP, APPLICATION AND PLS ARE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH ("LEP") THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY SERVED BY THE ORGANIZATION'S PRIMARY SERVICE AREA. (4) ALL PATIENTS ARE OFFERED A COPY OF THE PLS AS PART OF THE INTAKE PROCESS. ADDITIONALLY, SIGNS OR DISPLAYS ARE CONSPICUOUSLY POSTED IN PUBLIC MEDICAL CENTER LOCATIONS INCLUDING ALL ADMISSIONS/REGISTRATION AREAS AND THE EMERGENCY DEPARTMENT THAT NOTIFY AND INFORM PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. ALL BILLING STATEMENTS INCLUDE CONSPICUOUS WRITTEN NOTICE WHICH INFORMS PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE.
SCHEDULE H, PART VI; QUESTION 4	IHN IS A CHARITABLE, NOT-FOR-PROFIT HEALTH SYSTEM SERVING THE RESIDENTS OF SOUTHWEST NEW JERSEY. IHN WAS ESTABLISHED IN NOVEMBER 2012 THROUGH THE MERGER OF SOUTH JERSEY HEALTHCARE AND UNDERWOOD-MEMORIAL HOSPITAL. IHN, WHICH TRACES ITS ROOTS TO 1899, NOW COMPRISES THREE HOSPITALS, FOUR MULTI-SPECIALTY HEALTH CENTERS, AND A TOTAL OF MORE THAN 60 LOCATIONS. THESE INCLUDE OUTPATIENT IMAGING AND REHABILITATION CENTERS; NUMEROUS SPECIALTY CENTERS, INCLUDING SLEEP MEDICINE, CARDIAC TESTING AND WOUND CARE; AND MORE THAN TWO DOZEN PRIMARY AND SPECIALTY PHYSICIAN PRACTICES IN CUMBERLAND, GLOUCESTER AND SALEM COUNTIES. WITH A MEDICAL STAFF OF MORE THAN 1,100 PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, INSPIRA HEALTH NETWORK PROVIDES EVIDENCE BASED CARE TO HELP EACH PATIENT ACHIEVE THE BEST POSSIBLE OUTCOME. IHN DEFINED THEIR CURRENT SERVICE AREA BASED ON AN ANALYSIS OF THE GEOGRAPHIC AREA WHERE INDIVIDUALS UTILIZING THEIR SERVICES RESIDE. IHN's SERVICE AREA IS CONSIDERED TO BE THE CUMBERLAND, GLOUCESTER, AND SALEM COUNTY COMMUNITIES. THE COUNTIES ARE SITUATED IN THE SOUTHWESTERN PART OF NEW JERSEY AND ENCOMPASS A TOTAL POPULATION OF APPROXIMATELY 504,000 IN 2020. AS PART OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, ONE OF THE INITIAL UNDERTAKINGS OF IHN WAS TO CREATE A SECONDARY DATA PROFILE. THE SECONDARY DATA IS COMPRISED OF DATA OBTAINED FROM EXISTING RESOURCES AND INCLUDES DEMOGRAPHIC AND HOUSEHOLD STATISTICS, EDUCATION AND INCOME MEASURES, MORBIDITY AND MORTALITY RATES, AND HEALTH INDICATORS, AMONG OTHER DATA POINTS. THE DATA WAS GATHERED AND INTEGRATED INTO A GRAPHICAL REPORT TO PORTRAY THE CURRENT HEALTH AND SOCIO-ECONOMIC STATUS OF RESIDENTS IN ITS PRIMARY SERVICE AREAS. SECONDARY DATA WAS COLLECTED FROM REPUTABLE SOURCES INCLUDING THE U.S. CENSUS BUREAU, CENTERS FOR DISEASE CONTROL AND PREVENTION AND NEW JERSEY DEPARTMENT OF HEALTH. THE PROFILE DETAILS DATA COVERING THE FOLLOWING AREAS: POPULATION STATISTICS --------------------- CUMBERLAND COUNTY: - THE PROPORTION OF HISPANICS/LATINOS AND BLACK/AFRICAN AMERICANS IS 31.8% AND 21.9%; RESPECTIVELY. - THE PERCENTAGE OF PEOPLE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME IS 27.8%. - 15.6% OF RESIDENTS ARE AGE 65 YEARS AND OLDER. GLOUCESTER COUNTY: - THE PROPORTION OF HISPANICS/LATINOS AND BLACK/AFRICAN AMERICANS IS 6.7% AND 11.2%; RESPECTIVELY. - THE PERCENTAGE OF PEOPLE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME IS 9%. - 16.3% OF RESIDENTS ARE AGE 65 YEARS AND OLDER. SALEM COUNTY: - THE PROPORTION OF HISPANICS/LATINOS AND BLACK/AFRICAN AMERICANS IS 9.8% AND 14.8%; RESPECTIVELY. - THE PERCENTAGE OF PEOPLE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME IS 7.9%. - 19.0% OF RESIDENTS ARE AGE 65 YEARS AND OLDER. HOUSEHOLD STATISTICS -------------------- CUMBERLAND COUNTY: - THE MEDIAN HOME VALUE IN CUMBERLAND COUNTY IS $162,500. - THE AVERAGE FAMILY SIZE 2.74 INDIVIDUALS. GLOUCESTER COUNTY: - THE MEDIAN HOME VALUE IN GLOUCESTER COUNTY IS $219,700. - THE AVERAGE FAMILY SIZE 2.73 INDIVIDUALS. SALEM COUNTY: - THE MEDIAN HOME VALUE IN SALEM COUNTY IS $184,600. - THE AVERAGE FAMILY SIZE 2.57 INDIVIDUALS. INCOME STATISTICS ----------------- CUMBERLAND COUNTY: - THE MEDIAN INCOME FOR HOUSEHOLDS IS $54,149 - THE PROPORTION OF PERSONS LIVING IN POVERTY IS 13.8% GLOUCESTER COUNTY: - THE MEDIAN INCOME FOR HOUSEHOLDS IS $87,283 - THE PROPORTION OF PERSONS LIVING IN POVERTY IS 7.5% SALEM COUNTY: - THE MEDIAN INCOME FOR HOUSEHOLDS IS $66,842 - THE PROPORTION OF PERSONS LIVING IN POVERTY IS 11.4%. EMPLOYMENT STATISTICS --------------------- - CUMBERLAND COUNTY: UNEMPLOYMENT RATE IN 2019 WAS 5.5% - GLOUCESTER COUNTY: UNEMPLOYMENT RATE IN 2019 WAS 3.7% - SALEM COUNTY: UNEMPLOYMENT RATE IN 2019 WAS 4.8% EDUCATION STATISTICS -------------------- CUMBERLAND COUNTY: - 79.4% OF RESIDENTS HAVE GRADUATED FROM HIGH SCHOOL. - 15.6% OF RESIDENTS HAVE EARNED A BACHELORS DEGREE OR HIGHER. GLOUCESTER COUNTY: - 92.9% OF RESIDENTS HAVE GRADUATED FROM HIGH SCHOOL. - 33% OF RESIDENTS HAVE EARNED A BACHELORS DEGREE OR HIGHER. SALEM COUNTY: - 88.8% OF RESIDENTS HAVE GRADUATED FROM HIGH SCHOOL. - 21% OF RESIDENTS HAVE EARNED A BACHELORS DEGREE OR HIGHER. COUNTY HEALTH RANKINGS ---------------------- - CUMBERLAND COUNTY RECEIVED THE WORST RANKING FOR HEALTH OUTCOMES INCLUDING LENGTH OF LIFE AND QUALITY OF LIFE (21 OF 21) IN NEW JERSEY. - GLOUCESTER COUNTY RECEIVED POOR RANKINGS FOR LENGTH OF LIFE, RANKING 16 OF 21, AND 15 OF 21 IN QUALITY OF LIFE. - SALEM COUNTY RECEIVED POOR RANKINGS FOR HEALTH OUTCOMES INLUDING LENGTH OF LIFE AND QUALITY OF LIFE (20 OF 21) IN NEW JERSEY.
SCHEDULE H, PART VI; QUESTION 5	COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIO-ECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH NUMEROUS ACTIVITIES WHICH ARE NOT A PART OF PART I CHARITY CARE AND OTHER COMMUNITY BENEFITS, AND ARE NOT INCLUDED ELSEWHERE ON SCHEDULE H. THESE ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS SUCH AS EDUCATION, POVERTY, UNEMPLOYMENT, ACCESS TO CARE, HEALTH ADVOCACY AND ECONOMIC DEVELOPMENT. THIS ORGANIZATION HOLDS ANNUAL MEETINGS OPEN TO THE PUBLIC FOR ALL HOSPITAL LOCATIONS. THE ORGANIZATIONS GOVERNING BOARDS ARE COMPRISED OF BUSINESS PROFESSIONALS AND COMMUNITY MEMBERS ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA WHO ARE NOT EMPLOYEES OF THE ORGANIZATION. THESE VOLUNTEERS PROVIDE COUNTLESS HOURS OF SERVICE TO THE HOSPITAL SYSTEM IN THEIR OVERSIGHT ROLE. ALL QUALIFIED PHYSICIANS IN THE COMMUNITY ARE EXTENDED MEDICAL STAFF PRIVILEGES BY THEIR RESPECTIVE DEPARTMENTS. UNDER THE DIRECTIVE OF THE ORGANIZATION'S CORPORATE FINANCE OFFICE, SURPLUS FUNDS ARE UTILIZED FOR CAPITAL PROJECTS TO IMPROVE SERVICES, PURCHASE EQUIPMENT, MAINTAIN ACCESS TO CARE TO A HISTORICALLY UNDERSERVED AND LOW-INCOME COMMUNITY AND IMPROVE ACCESS TO PATIENT SERVICES, WHICH IN TURN, BENEFIT THE COMMUNITY. THESE SERVICES INCLUDE, BUT NOT LIMITED TO, THE FOLLOWING: 1) EDUCATIONAL PROGRAMS THAT PROVIDE CLASSES AND INFORMATION ON HEALTHY AGING, CHILDBIRTH, INFANT CARE, EARLY PREGNANCY AND MORE; 2) FREE BLOOD PRESSURE AND DIABETES SCREENING, AND MAMMOGRAMS TO QUALIFYING INDIVIDUALS, FREE OR LOW-COST SCREENINGS FOR BREAST, PROSTATE, SKIN AND COLORECTAL CANCERS; 3) PREVENTATIVE HEALTH EDUCATION; 4) ACCESS TO SATELLITE EMERGENCY DEPARTMENT AND EXPANSION OF EMERGENCY DEPARTMENTS AT BOTH HOSPITALS TO ACCOMMODATE INCREASE IN EMERGENCY DEPARTMENT PATIENTS; 5) IMPROVED EFFICIENCY AND CLINICAL QUALITY; 6) INVESTMENT IN MEDICAL EDUCATION AND RESEARCH; AND 7) ACCESS TO ADVANCED TECHNOLOGY AND CLINICAL TRIALS FOR LATEST TREATMENTS. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
SCHEDULE H, PART VI; QUESTION 6	OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE INSPIRA HEALTH NETWORK: NOT-FOR-PROFIT INSPIRA HEALTH NETWORK ENTITIES ============================================== INSPIRA HEALTH NETWORK, INC. ---------------------------- INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT OF THE INSPIRA HEALTH NETWORK ("SYSTEM"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER THE NETWORK OR ANOTHER NETWORK AFFILIATE CONTROLLED BY THE NETWORK. THE NETWORK IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY AND IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). INSPIRA MEDICAL CENTERS, INC. ----------------------------- INSPIRA MEDICAL CENTERS, INC. ("IMC") IS COMPRISED OF THREE ACUTE CARE AND THREE HOSPITAL-BASED AMBULATORY CARE CENTERS. INSPIRA MEDICAL CENTER VINELAND, LOCATED IN VINELAND, CUMBERLAND COUNTY, NEW JERSEY, IS A 276-BED ACUTE CARE FACILITY WITH 59 PSYCHIATRIC BEDS LOCATED AT INSPIRA HEALTH CENTER BRIDGETON. INSPIRA MEDICAL CENTERS ELMER IS A 96-BED ACUTE CARE FACILITY LOCATED IN ELMER, SALEM COUNTY, NEW JERSEY. INSPIRA MEDICAL CENTER MULLICA HILL, LOCATED IN MULLICA HILL, GLOUCESTER COUNTY, IS A 210 BED ACUTE CARE FACILITY. IMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, IMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, IMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. INSPIRA HEALTH NETWORK MEDICAL GROUP, P.C. ------------------------------------------ INSPIRA HEALTH NETWORK MEDICAL GROUP, P.C. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE NETWORK; PRIMARILY ITS TAX-EXEMPT ACUTE CARE HOSPITALS, WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. INSPIRA HOMECARE & HOSPICECARE, INC. ------------------------------------ INSPIRA HOMECARE & HOSPICECARE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION HAS AN OWNERSHIP INTEREST IN TRI-COUNTY HOME AND HOSPICE CARE LLC; AN ENTITY ORGANIZED TO OWN AND OPERATE HOME HEALTHCARE AND HOSPICE AGENCIES IN GLOUCESTER, SALEM AND CUMBERLAND COUNTIES. THIS ORGANIZATION PROVIDES QUALITY HOME CARE AND HOSPICE CARE SERVICES IN THE REGION IN FURTHERANCE OF ITS TAX-EXEMPT AND CHARITABLE PURPOSES. INSPIRA HEALTH NETWORK LIFE, INC. --------------------------------- INSPIRA HEALTH NETWORK LIFE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION PROVIDES HEALTHCARE SERVICES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. TRI-COUNTY CARDIOVASCULAR SERVICES, P.C. ---------------------------------------- TRI-COUNTY CARDIOVASCULAR SERVICES, P.C. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION. THE ORGANIZATION PROVIDED PHYSICIAN SERVICES IN SOUTHERN NEW JERSEY. THE ORGANIZATION IS CURRENTLY INACTIVE. INSPIRA HEALTH CONNECTIONS, P.C. -------------------------------- INSPIRA HEALTH CONNECTIONS, P.C. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION. THIS ORGANIZATION PROVIDES PHYSICIAN SERVICES IN SOUTHERN NEW JERSEY. INSPIRA HEALTH FOUNDATION, INC. ------------------------------- INSPIRA HEALTH FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE NETWORK AND SPECIFICALLY INSPIRA MEDICAL CENTERS, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. INSPIRA DEPTFORD HEALTHPARK, LLC -------------------------------- INSPIRA DEPTFORD HEALTHPARK, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY WHOSE SOLE MEMBER IS INSPIRA MEDICAL CENTERS, INC. INSPIRA CARE CONNECT, LLC ------------------------- INSPIRA CARE CONNECT, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY WHOSE SOLE MEMBER IS INSPIRA HEALTH NETWORK, INC. THE MISSION OF THIS ORGANIZATION IS TO ESTABLISH A GROUP OF COORDINATED HEALTHCARE PROVIDERS WHICH AGREE TO BE ACCOUNTABLE FOR THE QUALITY, COST AND OVERALL CARE FOR AN ASSIGNED GROUP OF MEDICARE BENEFICIARIES. FOR-PROFIT INSPIRA HEALTH NETWORK ENTITIES ========================================== BRIDGETON PHYSICIANS OFFICE CENTER, L.P. ---------------------------------------- BRIDGETON PHYSICIANS OFFICE CENTER, L.P. IS A PARTNERSHIP OWNED BY INSPIRA HEALTH NETWORK AFFILIATES. THIS ORGANIZATION ENGAGES IN REAL ESTATE ACTIVITY. GLOUCESTER COUNTY SURGERY CENTER, LLC ------------------------------------- GLOUCESTER COUNTY SURGERY CENTER, LLC IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP CONTROLLED BY RED BANK DEVELOPMENT CORPORATION. GLOUCESTER COUNTY SURGERY CENTER, LLC PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS. THIS ORGANIZATION WAS DISSOLVED IN 2020. INSPIRA HEALTH PARTNERS, LLC ---------------------------- INSPIRA HEALTH PARTNERS, LLC IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP. THE ORGANIZATION IS A CLINICALLY INTEGRATED PHYSICAN-HOSPITAL ENTERPRISE WHICH IS DESIGNED TO ACHIEVE IMPROVEMENT IN HEALTHCARE QUALITY, EFFICIENCY AND COST. INSPIRA HEALTH NETWORK, INC. OWNS 51% OF INSPIRA HEALTH PARTNERS, LLC. OAK & MAIN SURGICENTER, LLC --------------------------- OAK & MAIN SURGICENTER, LLC IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OWNED BY INSPIRA MEDICAL CENTERS, INC. THIS ORGANIZATION PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS. INSPIRA SJ URGENT CARE MANAGEMENT COMPANY, LLC ---------------------------------------------- INSPIRA SJ URGENT CARE MANAGEMENT COMPANY, LLC IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP. THIS ORGANIZATION MANAGES AND OPERATES URGENT CARE SERVICE CENTERS IN SOUTHERN NEW JERSEY. INSPIRA HEALTH MANAGEMENT CORPORATION, INC. OWNS 60.5% OF INSPIRA SJ URGENT CARE MANAGEMENT COMPANY, LLC. WOODBURY MEDICAL CENTER ASSOCIATES, LLP --------------------------------------- WOODBURY MEDICAL CENTER ASSOCIATES, LLP IS IS A PARTNERSHIP OWNED BY INSPIRA HEALTH NETWORK AFFILIATES. THIS ORGANIZATION ENGAGES IN REAL ESTATE ACTIVITY. COOPER BONE & JOINT, P.C. ------------------------- COOPER BONE & JOINT INSTITUTE PARTNERED WITH INSPIRA MEDICAL CENTER WOODBURY, INC. TO OFFER PATIENTS ACCESS TO THE LATEST ORTHOPAEDIC ADVANCEMENTS. INSPIRA MEDICAL CENTER WOODBURY, INC. IS A 50% SHAREHOLDER IN COOPER BONE & JOINT, P.C. THIS ORGANIZATION WAS DISSOLVED DURING 2020. INSPIRA HEALTH MANAGEMENT CORPORATION, INC. ------------------------------------------- INSPIRA HEALTH MANAGEMENT CORPORATION IS AN ENTITY WHOSE SOLE SHAREHOLDER IS INSPIRA HEALTH NETWORK, INC. THE ORGANIZATION IS LOCATED IN BRIDGETON, CUMBERLAND COUNTY, NEW JERSEY AND PROVIDES HEALTH, WELLNESS AND MANAGEMENT SERVICES. INSPIRA HEALTH NETWORK URGENT CARE, P.C. ---------------------------------------- INSPIRA HEALTH NETWORK URGENT CARE, P.C. IS AN ENTITY WHOSE NOMINEE OWNER IS INSPIRA MEDICAL CENTERS, INC. THE ORGANIZATION PROVIDES PROFESSIONAL PHYSICIAN MEDICAL SERVICES TO INDIVIDUALS AND THE COMMUNITY. INSPIRA SJ URGENT CARE, P.C. ---------------------------- INSPIRA SJ URGENT CARE, P.C. IS AN ENTITY WHOSE NOMINEE OWNER IS INSPIRA MEDICAL CENTERS, INC. THE ORGANIZATION PROVIDES URGENT CARE SERVICES TO INDIVIDUALS WITHIN SOUTHERN NEW JERSEY. RED BANK DEVELOPMENT CORPORATION -------------------------------- RED BANK DEVELOPMENT CORPORATION IS AN ENTITY WHOSE SOLE SHAREHOLDER IS INSPIRA HEALTH NETWORK, INC. THE ORGANIZATION IS LOCATED IN WOODBURY, GLOUCESTER COUNTY, NEW JERSEY AND PROVIDES HEALTH, WE
SCHEDULE H, PART VI; QUESTION 7	THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
THE M25 INITIATIVE
31 N PEARL STREET	BRIDGETON	NJ	08302	474644945	501(C)(3)	$110,000	SPONSORSHIP
COMMUNITY FOOD BANK OF NJ INC
31 EVANS TERMINAL ROAD	HILLSIDE	NJ	07205	222423882	501(C)(3)	$18,500	SPONSORSHIP
WASHINGTON TOWNSHIP EDUCATION FDN INC
206 EAST HOLLY AVENUE	SEWELL	NJ	080809931	223482414	501(C)(3)	$6,000	SPONSORSHIP
THE COOPER FOUNDATION INC
1 FEDERAL STREET CAMDEN	CAMDEN	NJ	08103	222213715	501(C)(3)	$15,000	SPONSORSHIP
GLOUCESTER CITY CHAMBER OF COMMERCE
205 ROWAN BOULEVARD	GLASSBORO	NJ	08028	223786798	501(C)(6)	$10,400	SPONSORSHIP
CITY OF WOODBURY
33 DELAWARE STREET	WOODBURY	NJ	08096	216001369	GOVT ORG	$10,000	SPONSORSHIP
SPECIAL OLYMPICS NEW JERSEY INC
1 EUNICE KENNEDY SHRIVER WAY	LAWRENCEVILLE	NJ	08648	237448729	501(C)(3)	$10,000	SPONSORSHIP
NEW JERSEY HOSPITAL ASSOCIATION
760 ALEXANDER ROAD	PRINCETON	NJ	08543	210618622	501(C)(6)	$8,500	SPONSORSHIP
INSTITUTE FOR INTEGRATIVE HEALTH INC
1407 FLEET STREET	BALTIMORE	MD	21231	201799284	501(C)(3)	$8,200	SPONSORSHIP
ROWAN UNIVERSITY
201 MULLICA HILL ROAD	GLASSBORO	NJ	08028	222764819	GOVT ORG	$7,828	SPONSORSHIP
BURLINGTON CTY CHAMBER OF COMMERCE
520 FELLOWSHIP ROAD	MOUNT LAUREL	NJ	08054	237356054		$7,500	SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
EMPLOYEE CRISIS FUND	13	$6,050
NURSING SCHOLARSHIPS	26	$63,695

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I; QUESTION 2	FormAndLineReferenceDesc
Explanation	GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN A DIANGELO
TRUST(1/1-9/1)PRES(TRM 1/2021)	$918,525	$0	$357,200	$0	$287,798	$0	$233,125	$0	$56,164	$0	$1,852,812	$0	$0	$0
THOMAS P BALDOSARO CPA
EVP/CHIEF FINANCIAL OFFICER	$448,442	$0	$133,857	$0	$118,579	$0	$108,379	$0	$31,557	$0	$840,814	$0	$28,269	$0
ALKA KOHLI MD MBA
EVP/CHIEF POP HEALTH OFFICER	$474,284	$0	$147,518	$0	$54,266	$0	$113,732	$0	$29,167	$0	$818,967	$0	$0	$0
CLARE SAPIENZA-ECK
CHIEF STRAT. OFF (EFF 11/2020)	$246,356	$0	$22,465	$0	$297,711	$0	$74,841	$0	$17,620	$0	$658,993	$0	$161,241	$0
STEVEN C LINN MD
CMO - ELMER & VINELAND	$367,666	$0	$80,155	$0	$83,036	$0	$68,491	$0	$29,908	$0	$629,256	$0	$0	$0
ELIZABETH A SHERIDAN
COO - ELMER & VINELAND	$353,453	$0	$69,928	$0	$112,156	$0	$35,625	$0	$24,330	$0	$595,492	$0	$0	$0
ROBERT E FLORENTINE
SVP/CHIEF PEOPLE OFFICER	$317,539	$0	$79,572	$0	$123,218	$0	$31,350	$0	$27,508	$0	$579,187	$0	$0	$0
CHRISTOPHER TROTZ MD
EXECUTIVE MEDICAL DIRECTOR	$367,629	$0	$74,987	$0	$36,510	$0	$64,065	$0	$13,116	$0	$556,307	$0	$0	$0
MATTHEW DOONAN ESQ
GENERAL COUNSEL	$317,582	$0	$65,077	$0	$49,547	$0	$58,223	$0	$26,967	$0	$517,396	$0	$0	$0
SCOTT WAGNER MD MBA
CMO - WOODBURY & MULLICA HILL	$333,878	$0	$48,354	$0	$51,046	$0	$54,607	$0	$25,664	$0	$513,549	$0	$0	$0
THOMAS PACEK
VP/CHIEF INFORMATION OFFICER	$340,721	$0	$40,185	$0	$46,127	$0	$55,761	$0	$28,142	$0	$510,936	$0	$0	$0
KATHLEEN SCULLIN
VP MARKETING&PUBLIC RELATIONS	$298,897	$0	$54,186	$0	$31,955	$0	$52,291	$0	$20,123	$0	$457,452	$0	$0	$0
GREGORY HERMAN
CHIEF MED INFORMATION OFFICER	$328,701	$0	$54,881	$0	$3,238	$0	$17,100	$0	$24,251	$0	$428,171	$0	$0	$0
DAVID YHLEN
COO & VP AMBULATORY SERVICES	$262,785	$0	$49,593	$0	$40,064	$0	$50,561	$0	$24,510	$0	$427,513	$0	$0	$0
PATRICK NOLAN
COO - MULLICA HILL	$254,889	$0	$48,685	$0	$53,111	$0	$49,190	$0	$20,587	$0	$426,462	$0	$0	$0
AMY MANSUE
TRUSTEE-PRES/CEO (EFF 09/2020)	$331,985	$0	$0	$0	$3,881	$0	$62,115	$0	$17,718	$0	$415,699	$0	$0	$0
DAVID MURRAY
VP FINANCE (TERM 11/2020)	$217,350	$0	$55,916	$0	$79,562	$0	$14,045	$0	$23,915	$0	$390,788	$0	$0	$0
BRANDON BARDOWSKY
VP FACILITIES & CONSTRUCTION	$222,676	$0	$41,042	$0	$16,712	$0	$13,834	$0	$21,157	$0	$315,421	$0	$0	$0
PETER A KAPRIELYAN
VP GOV'T AFFAIRS&EXT RELATIONS	$258,925	$0	$500	$0	$27,272	$0	$15,486	$0	$2,301	$0	$304,484	$0	$0	$0
MARVIN T WAY
EVP OPERATIONS (TERM 01/2020)	$41,010	$0	$144,214	$0	$40,816	$0	$2,973	$0	$13,536	$0	$242,549	$0	$22,327	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I; QUESTION 4B	THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2020 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN A. DIANGELO, $261,440; THOMAS P. BALDOSARO, CPA, $48,810; CLARE SAPIENZA-ECK, $236,334; ELIZABETH A. SHERIDAN, $44,188; ROBERT E. FLORENTINE, $62,726 AND MARVIN T. WAY, $25,342. THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDE UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THESE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2020 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: THOMAS P. BALDOSARO, CPA, $91,279; ALKA KOHLI, M.D., MBA, $96,632; CLARE SAPIENZA-ECK, $45,682; STEVEN C. LINN, M.D., $47,116; CHRISTOPHER TROTZ, M.D., $46,965; MATTHEW DOONAN, ESQ., $41,123; SCOTT WAGNER, M.D., MBA, $37,507; THOMAS PACEK, $38,661; KATHLEEN SCULLIN, $35,191; DAVID YHLEN, $33,461; PATRICK NOLAN, $32,530 AND AMY MANSUE, $62,115. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN HIS 2020 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN A. DIANGELO, $197,500.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2020 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2020 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
SCHEDULE J, PART II; COLUMN B(III)	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J OF THIS FEDERAL FORM 990 RECEIVED COMPENSATION WITH RESPECT TO PAID TIME OFF, WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) HEREIN AND IN EACH INDIVIDUAL'S 2020 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.
SCHEDULE J, PART II; COLUMN F	THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE VESTED BENEFITS IN A DEFERRED COMPENSATION PLAN AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR YEARS' FORMS 990 AND ARE NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. THESE AMOUNTS HAVE BEEN TREATED AS TAXABLE INCOME AND WERE REPORTED ON EACH INDIVIDUAL'S FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
A	221987084	645790AW6	2016-06-30	$201,351,988	SEE SCHEDULE K, PART IV	false	false	false
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
B	221987084	645790LQ7	2017-08-17	$287,424,492	SEE SCHEDULE K, PART IV	false	false	false
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
C	221987084	645790LQ7	2017-08-17	$60,000,000	SEE SCHEDULE K, PART IV	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$201,351,988	$0	$0	$16,814,852	$1,500,371	$0	$0	$0	$183,036,765	$0	2017	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$287,424,492	$0	$9,232,514	$0	$2,114,547	$0	$0	$291,913,934	$2,628,525	$0	2019	false	false	false	Yes (true)
C	$0	$0	$60,000,000	$0	$131,375	$0	$131,375	$0	$0	$60,000,000	$0	$0	2019	false	false	false	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	Yes (true)	Yes (true)	Yes (true)	false	0.10000	0.10000	Yes (true)	false	0.00000	false	Yes (true)
B	false	Yes (true)	Yes (true)	Yes (true)	false	0.00000	0.00000	Yes (true)	false	0.00000	false	Yes (true)
C	false	Yes (true)	Yes (true)	Yes (true)	false	0.00000	0.00000	Yes (true)	false		false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
C	false	Yes (true)	false	false	Yes (true)	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K	FormAndLineReferenceDesc
Explanation	SCHEDULE K; PART I, LINE A, COLUMN F ------------------------------------ THE PROCEEDS OF THE SERIES 2016A TAX-EXEMPT BONDS WERE USED TO: - REFINANCE ALL OF THE OUTSTANDING NJHCFFA SERIES 2004 BONDS, SERIES 2006 BONDS, AND SERIES 2008 BONDS ("REFUNDED BONDS"); - REFINANCE THE 2011 NOTE PAYABLE; AND - PAY FOR THE COSTS OF ISSUANCE OF THE SERIES 2016A BONDS. SCHEDULE K; PART I, LINES B & C, COLUMN F ----------------------------------------- THE PROCEEDS OF THE SERIES 2017 TAX-EXEMPT BONDS WERE TO: - FINANCE THE CONSTRUCTION OF A NEW ACUTE-CARE HOSPITAL AND MEDICAL CENTER FACILITY IN MULLICA HILL, NEW JERSEY, WHICH WILL SERVE AS A REPLACEMENT FOR WOODBURY'S ACUTE-CARE FACILITIES; - ESTABLISH A RADIATION ONCOLOGY PROGRAM AT WOODBURY, INCLUDING THE CONSTRUCTION OF A LINEAR ACCELERATOR VAULT; - FINANCE THE EXPANSION OF THE VINELAND EMERGENCY DEPARTMENT; - CONSTRUCTION OF TWO ADDITIONAL FLOORS TO THE EXISTING FACILITY TO HOUSE 36 NEW INPATIENT BEDS; AND - PAY FOR THE COSTS OF ISSUANCE OF THE 2017 BONDS.	ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	JACK M SHIELDS MD PA	PersonNm
Relationship With Org	PHYSICIAN PRACTICE OWNED BY TRUSTEE	RelationshipWithOrgTxt
Loan Purpose	PHYS. RECRUITMENT	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$70,350	OriginalPrincipalAmt
Balance Due	$43,789	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	Yes (true)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$43,789	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	MARY K VOIT	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$61,695	TransactionAmt
Transaction	EMPLOYEE	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	BACKGROUND ========== INSPIRA MEDICAL CENTERS, INC. ("IMC") IS A PROVIDER OF GENERAL ACUTE AND AMBULATORY HEALTHCARE SERVICES BASED IN CUMBERLAND, GLOUCESTER AND SALEM COUNTY, NEW JERSEY. IMC IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, IMC PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, IMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRSS REVENUE RULING 69-545: 1. PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. OPERATES 3 ACTIVE EMERGENCY DEPARTMENTS FOR ALL PERSONS; WHICH ARE OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR, INCLUDING SPECIALIZED PEDIATRIC AND SENIOR EMERGENCY DEPARTMENTS IN THE VINELAND FACILITY; 3. MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF IMC RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF INSPIRA HEALTH NETWORK, INC. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. THE OPERATIONS OF IMC AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF IMC IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. IMC PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. MOREOVER, IMC PROVIDES HEALTHCARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND HUMAN SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. IMC MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE AMOUNT OF FINANCIAL ASSISTANCE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS FINANCIAL ASSISTANCE POLICY. AS THE SOLE PROVIDER OF ESSENTIAL HEALTH SERVICES, IMC PROVIDES AN ESSENTIAL SAFETY NET FOR OUR COMMUNITIES, ASSURING THAT PATIENTS RECEIVE BOTH THE CARE AND FINANCIAL HELP THEY NEED. IMC IS THE AREA'S ONLY NON-PROFIT HEALTH SYSTEM AND MAJOR PROVIDER OF FINANCIAL ASSISTANCE FOR FAMILIES WITHOUT HEALTH INSURANCE. IMC IS AN INTEGRATED HEALTHCARE DELIVERY SYSTEM COMPRISED OF MEDICAL CENTERS, COMMUNITY HEALTH CLINICS, URGENT CARE FACILITIES, HOME HEALTH SERVICES, AND SPECIALTY SERVICES THAT SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY. MEDICAL AND SPECIALTY SERVICES ============================== IMC IS A NON-PROFIT HEALTHCARE ORGANIZATION THAT PROVIDES A BROAD SPECTRUM OF INPATIENT CARE AND AMBULATORY CARE. IN ADDITION TO ITS GENERAL MEDICAL, SURGICAL, OBSTETRICAL, GYNECOLOGICAL, PEDIATRIC AND PSYCHIATRIC SERVICES, IMC OFFERS A WIDE ARRAY OF DIAGNOSTIC AND TREATMENT MODALITIES AND VARIOUS SPECIALTY SERVICES. OUR HEALTHCARE SYSTEM HAS EXPANDED TO OVER 150 ACCESS POINTS FOR RESIDENTS OF CUMBERLAND, GLOUCESTER, AND SALEM COUNTIES. COMPREHENSIVE ACUTE CARE SERVICES ARE PROVIDED AT INSPIRA MEDICAL CENTER VINELAND, INSPIRA MEDICAL CENTER ELMER, AND INSPIRA MEDICAL CENTER MULLICA HILL. EACH MEDICAL CENTER CAMPUS OFFERS 24-HOUR SERVICES IN RADIOLOGY, LABORATORY, CARDIO-PULMONARY AND EMERGENCY MEDICINE. STAFF IS ON CALL AFTER HOURS AND ON WEEKENDS FOR SURGICAL SERVICES AND CERTAIN DIAGNOSTIC SERVICES SUCH AS NUCLEAR MEDICINE AND ULTRASOUND. INSPIRA HEALTH CENTER BRIDGETON AND INSPIRA HEALTH CENTER WOODBURY ARE BOTH HOME TO SATELLITE EMERGENCY DEPARTMENTS THAT SERVE PATIENTS 24 HOURS A DAY, SEVEN DAYS A WEEK, AND A VARIETY OF BEHAVIORAL HEALTH AND OUTPATIENT SERVICES. INPATIENT CARE CENTERS ---------------------- INSPIRA MEDICAL CENTER VINELAND OPERATES FOUR INPATIENT CARE CENTERS: - WOMEN'S & CHILDREN'S CENTER OF CARE - HOME-LIKE LABOR AND DELIVERY SUITES; - SURGICAL CENTER OF CARE - 10 OPERATING SUITES, A MODERN ICU/CCU AND REHABILITATION SERVICES; - MEDICAL CENTER OF CARE - ACUTE, ICU AND POST-ICU, DIALYSIS, CHEMOTHERAPY AND MEDICAL INFUSION SERVICES; AND - CARDIOLOGY CENTER OF CARE - 37 BED CARDIAC ACUTE CARE UNIT, ICU AND POST-ICU, AND CARDIOPULMONARY UNIT. THE INPATIENT CARE CENTERS ALLOW FOR THE CO-LOCATION OF LIKE ACUTE AND CRITICAL CARE UNITS. THE SURGICAL INTENSIVE CARE UNIT IS ADJACENT TO THE SURGICAL STEP-DOWN/POST-INTENSIVE CARE UNIT. THIS STEP-DOWN UNIT IS LIKEWISE ADJACENT TO THE SURGICAL ACUTE CARE BEDS. AS THE PATIENT'S ILLNESS OR INJURY BECOMES LESS ACUTE, THE PATIENT CAN MOVE DOWN THIS CONTINUUM OF CARE WITHOUT EVER PHYSICALLY LEAVING THE INPATIENT CARE CENTERS. THIS CONFIGURATION ALSO SIMPLIFIES PHYSICIANS' ROUNDS. ALL PATIENT ROOMS AT INSPIRA MEDICAL CENTER VINELAND ARE SINGLE PATIENT ROOMS WHICH INCREASES PATIENT PRIVACY, CONFIDENTIALITY, AND COMFORT. THE USE OF PRIVATE ROOMS ALLOWS FOR MORE EFFICIENT CARE AND REDUCES THE RISK OF PATIENTS CONTRACTING A NOSOCOMIAL INFECTION DURING THEIR STAY. ALSO, GIVEN THE INCREASE IN PATIENT ACUITY AND THE CORRESPONDING INCREASE IN DEMAND FOR MORE EQUIPMENT, PRIVATE ROOMS PROVIDE MORE SPACE FOR SPECIALIZED EQUIPMENT AND CAREGIVERS AT THE BEDSIDE. ROOMS AT INSPIRA MEDICAL CENTER VINELAND ARE DESIGNED WITH VIEWING WINDOWS ALONG THE HALLWAY ALLOWING PATIENTS TO BE OBSERVED BY MEDICAL PERSONNEL WITHOUT BEING DISTURBED. A LEADER IN PATIENT SAFETY, CLINICAL EXCELLENCE AND SERVICE, INSPIRA OPENED A SENIOR EMERGENCY DEPARTMENT AT INSPIRA MEDICAL CENTER VINELAND IN 2017. ONLY THE SECOND OF ITS KIND IN NEW JERSEY AND THE FIRST IN THE DELAWARE VALLEY, THE SENIOR EMERGENCY DEPARTMENT WILL TAILOR CARE SPECIFICALLY FOR PATIENTS IN THEIR SENIOR YEARS. THE $6 MILLION EXPANSION PROJECT BEGAN IN 2016 AND SPANS 7,000 SQUARE FEET. ACCESSIBLE THROUGH A SEPARATE ENTRANCE AND LOBBY, THE SENIOR EMERGENCY DEPARTMENT HOUSES 11 PATIENT BAYS. IMC PROVIDES CARE TO A PATIENT BASE SPREAD OUT OVER FIVE SOUTHERN NEW JERSEY COUNTIES. WITH FACILITIES IN CUMBERLAND AND SALEM COUNTIES, IMC SERVES AS THE ONLY NON PROFIT ACUTE CARE FACILITY IN BOTH OF THOSE COUNTIES, ACCOUNTING FOR OVER 376,000 PERSONS, IMC IS COMPRISED OF TWO ACUTE CARE FACILITIES AND TWO HOSPITAL-BASED AMBULATORY CARE CENTERS. INSPIRA MEDICAL CENTER VINELAND IS LOCATED IN VINELAND, NEW JERSEY, CUMBERLAND COUNTY. LOCATED ON A 62.5-ACRE CAMPUS IN VINELAND, INSPIRA MEDICAL CENTER VINELAND IS A 491,989 SQUARE-FOOT, 323-BED FACILITY, WITH 59 PSYCHIATRIC BEDS LOCATED AT THE INSPIRA HEALTH CENTER BRIDGETON WHICH OPENED IN AUGUST 2004. IN ADDITION TO OFFERING COMPREHENSIVE MEDICAL TECHNOLOGIES AND SERVICES, THE INSPIRA MEDICAL CENTER VINELAND'S DESIGN ALSO EMPHASIZES PATIENT COMFORT. INSPIRA MEDICAL CENTER ELMER IS A 96-BED ACUTE CARE FACILITY LOCATED IN ELMER, NEW JERSEY, SALEM COUNTY. IN ADDITION TO OFFERING COMPREHENSIVE MEDICAL TECHNOLOGIES AND SERVICES, THE INSPIRA MEDICAL CENTER ELMER OFFERS EMERGENCY SERVICES, MATERNITY, MODERN SURGICAL SERVICES, AND OUTPATIENT PHYSICAL THERAPY SERVICES. INSPIRA MEDICAL CENTER MULLICA HILL IS A 210 BED ACUTE CARE FACILITY LOCATED IN MULLICA HILL, GLOUCESTER COUNTY, NEW JERSEY. IN ADDITION TO OFFERING COMPREHENSIVE MEDICAL TECHNOLOGIES AND SERVICES, THE INSPIRA MEDICAL CENTER MULLICA HILL OFFERS EMERGENCY SERVICES INCLUDING EMERGENCY ANGIOPLASTY FOR HEART ATTACK PATIENTS, 18 HOME-LIKE MATERNITY SUITES, SPECIALTY CARE NURSERY FOR INFANTS WHO REQUIRE A HIGHER LEVEL OF CARE, A PEDIATRIC EMERGENY ROOM WITH ADJACENT INPATIENT PEDIATRIC UNIT, SENIOR EMERGENCY ROOMS, LEADING EDGE CANCER CENTER, AND SMART ROOM TECHNOLOGY TO ENHANCE PATIENT CARE AND PATIENT EXPERIENCE. ADDITIONALLY, IMC PROVIDES AMBULATORY SERVICES AT THREE LOCATIONS; INSPIRA HEALTH CENTER BRIDGETON AND INSPIRA MEDICAL CENTER VINELAND IN CUMBERLAND COUNTY AND INSPIRA HEALTH CENTR WOODBURY IN GLOUCESTER COUNTY. THESE AMBULATORY CARE CENTERS PROVIDE A WIDE RANGE OF DIAGNOSTIC AND THERAPEUTIC SERVICES, INCLUDING A 24/7 SATELLITE EMERGENCY DEPARTMENT AND CHRONIC DIALYSIS SERVICES AT INSPIRA HEALTH CENTER BRIDGETON, PHYSICAL REHABILITATION SERVICES, OCCUPATIONAL MEDICINE, LABORATORY, AND RADIOLOGY SERVICES. IN 2020, IMC PERFORMED 15,378 SURGERIES, 137,391 PHYSICAL THERAPY TREATMENTS, 4,558 DIALYSIS TREATMENTS, 238,590 DIAGNOSTIC IMAGING PROCEDURES, 16,270 RADIATION THERAPY TREATMENTS AND 140,543 EMERGENCY ROOM VISITS. ALSO, IN 2020, INPATIENT ADMISSIONS WERE 26,591 FOR ADULTS AND PEDIATRICS, 111 FOR SPECIAL CARE NURSERY, 169 FOR NEONATAL INTENSIVE CARE UNIT, 1,757 FOR MENTAL HEALTH AND 3,002 BIRTHS.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	AWARDS AND RECOGNITION ====================== IN ADDITION TO PROVIDING A WIDE SCOPE OF SERVICES, IMC TAKES GREAT PRIDE IN PROVIDING SAFE, HIGH QUALITY, PATIENT FOCUSED CARE TO ITS COMMUNITIES. THESE EFFORTS HAVE BEEN RECOGNIZED AT BOTH A LOCAL AND NATIONAL LEVEL THROUGH A VARIETY OF AWARDS, RECOGNITIONS, AND ACCREDITATIONS. ACCREDITED BY DNV HEALTHCARE WHICH AIDS THE ORGANIZATION'S LEADERSHIP AND STAFF IN CONTINUOUSLY EVALUATING AND IMPROVING THE CARE PROVIDED TO THE REGION. DNV HEALTHCARE IS A HOSPITAL ACCREDITATION PROGRAM APPROVED BY THE U.S. CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) THAT INTEGRATES THE ISO 9001 QUALITY MANAGEMENT SYSTEM. THE DNV PROGRAM REQUIRES HOSPITALS TO EVALUATE THE CONTINUUM OF PATIENT CARE THROUGHOUT ITS FACILITIES AND TAKE MEASURED STEPS TO IMPROVE WHEN IT IS WARRANTED. ACCREDITED ISO 9001:2015 BY DNV GL HEALTHCARE - INSPIRA HEALTH NETWORK IS THE SECOND HEALTH CARE SYSTEM IN NEW JERSEY TO RECEIVE ISO 9001:2015 CERTIFICATION FOR ACHIEVING QUALITY OBJECTIVES BASED ON INTERNATIONAL STANDARDS AT ITS MEDICAL CENTERS IN ELMER AND VINELAND AND ITS HEALTH CENTER IN BRIDGETON. ACHIEVING ISO 9001:2015 CERTIFICATION IS A REQUIREMENT OF THE FACILITIES' DNV GL HEALTHCARE ACCREDITATION WHICH AIDS THE ORGANIZATION'S LEADERSHIP AND STAFF IN CONTINUOUSLY EVALUATING AND IMPROVING THE CARE PROVIDED TO THE REGION. DNV GL HEALTHCARE IS A HOSPITAL ACCREDITATION PROGRAM APPROVED BY THE U.S. CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) THAT INTEGRATES THE ISO 9001 QUALITY MANAGEMENT SYSTEM INTO THEIR SURVEY PROCESS. THE DNV GL PROGRAM REQUIRES HOSPITALS TO EVALUATE THE CONTINUUM OF PATIENT CARE THROUGHOUT ITS FACILITIES AND TAKE MEASURED STEPS TO IMPROVE WHEN IT IS WARRANTED. WE ARE PROUD AT IMC TO HAVE RECEIVED NUMEROUS ACCOLADES FOR EXCELLENCE IN HEALTHCARE. IT IS A REFLECTION OF OUR COMMITMENT TO PATIENT SAFETY, BEST PRACTICES, AND EVIDENCE-BASED CARE; SUPPORTING CONTINUING EDUCATION AND STAFF RECRUITMENT; INVESTING IN LEADING EDGE TECHNOLOGY; AND RECRUITING PRIMARY CARE PHYSICIANS, SPECIALISTS, AND SUBSPECIALISTS TO MEET THE NEEDS OF OUR COMMUNITIES. AS ONE OF THE REGION'S LARGEST HEALTHCARE PROVIDERS, WE ARE PLEASED TO SHARE SOME OF OUR MOST RECENT AWARDS: INSPIRA MEDICAL CENTER ELMER WAS NAMED ON NEWSWEEK'S BEST MATERNITY CARE HOSPITALS OF 2020. INSPIRA HEALTH'S TOMLIN STATION URGENT CARE NAMED THE BEST HEALTH SERVICES IN THE 2020 "BEST OF GLOUCESTER COUNTY." DAILY JOURNAL BEST OF THE BEST AWARD: INSPIRA MEDICAL CENTER VINELAND, INSPIRA MEDICAL GROUP PRIMARY CARE BUENA VISTA, AND INSPIRA REHAB CARE VINELAND. INSPIRA HEALTH CEO JOHN DIANGELO NAMED BUSINESS PERSON OF THE YEAR BY THE GLOUCESTER COUNTY CHAMBER OF COMMERCE. INSPIRA HEALTH CFO TOM BALDOSARO WAS HONORED AS ACFO OF THE YEAR BY THE PHILADELPHIA BUSINESS JOURNAL. INSPIRA HEALTH CEO JOHN DIANGELO RECEIVED THE NEW JERSEY HOSPITAL ASSOCIATION'S DISTINGUISHED SERVICE AWARD. INSPIRA MEDICAL CENTER VINELAND AND MULLICA HILL GERIATRIC EMERGENCY DEPARTMENT ACCREDITATION THROUGH THE ACEP GERIATRIC EMERGENCY DEPARTMENT ACCREDITATION PROGRAM (GEDA). INSPIRA HEALTH CENTER WOODBURY OUTPATIENT ONCOLOGY RECEIVED PRESS GANEY'S GUARDIAN OF EXCELLENCE AWARD. INSPIRA MEDICAL CENTER ELMER AND VINELAND RECEIVED AN "A" HOSPITAL SAFETY GRADE FROM LEAPFROG. INSPIRA LIFE RECOGNIZED WITH A LEADING INNOVATORS AWARD FROM PRESS GANEY. NJ INFLUENZA HONOR ROLL AWARD FROM THE NJ DEPARTMENT OF HEALTH, VACCINE-PREVENTABLE DISEASE PROGRAM. INSPIRA HEALTH CEO, JOHN DIANGELO AWARDED THE SOUTH JERSEY BIZ, BEST OF HEALTHCARE'S LIFETIME ACHIEVEMENT AWARD. INSPIRA HEALTH RECEIVED THE 2020 CHIME DIGITAL HEALTH MOST WIRED DESIGNATION. DAILY JOURNAL ONE OF THE BEST AWARD: INSPIRA MEDICAL CENTER ELMER, INSPIRA MEDICAL CENTER MULLICA HILL, INSPIRA REHAB CARE BRIDGETON, INSPIRA MEDICAL CENTER VINELAND RADIOLOGY AND IMAGING, INSPIRA IMAGING CENTER SOUTH DELSEA, INSPIRA OUTPATIENT THERAPY RECEIVED PRESS GANEY'S PINNACLE OF EXCELLENCE AWARD, INSPIRA HEALTH RECEIVED PRESS GANEY'S SUCCESS STORY AWARD. INSPIRA MEDICAL CENTER ELMER RECEIVES TWO WOMEN'S CHOICE AWARDS FOR OBSTETRICS AND ORTHOPEDICS. TECHNOLOGY ========== A FEW OF INSPIRA HEALTH NETWORK'S IT INITIATIVES INCLUDE: - THE ESTABLISHMENT OF "INSPIRA HEALTH", DEDICATED TECHNOLOGY STATIONS AT INSPIRA MEDICAL CENTER VINELAND AND INSPIRA URGENT CARE GLASSBORO ON ROWAN BOULEVARD. EACH INSPIRA HEALTH LOCATION IS SUPPORTED BY EXPERT TECHNICIANS AND OFFERS WEARABLE AND SMART TECHNOLOGY PRODUCTS DESIGNED TO HELP PATIENTS IMPROVE THEIR OVERALL HEALTH MANAGEMENT. A TEAM OF TECHNOLOGY EXPERTS ON SITE TO EDUCATE PATIENTS, VISITORS, PHYSICIANS AND STAFF ABOUT HOW TO BETTER MANAGE THEIR HEALTH THROUGH TOOLS LIKE THE MY INSPIRA APP, INSPIRA ACCESS, AND ECARE. - PATIENT MONITORING FROM ONE CENTRAL LOCATION. - PICTURE ARCHIVING AND COMMUNICATIONS SYSTEMS' (PACS) IMAGING EQUIPMENT ELECTRONICALLY STORES X-RAYS, CAT SCANS OR OTHER DIGITAL IMAGES. PHYSICIANS ARE ABLE TO VIEW AN IMAGE AT ANY TERMINAL AT INSPIRA MEDICAL CENTER VINELAND OR IN THEIR OFFICE. - INSPIRA MEDICAL CENTER VINELAND HAS INCORPORATED WIRELESS TECHNOLOGY THAT INCLUDES HANDHELD DEVICES WITH INSTANT MESSAGING THAT ALLOW NURSES TO MONITOR PATIENTS AND ALLOW PHYSICIANS TO REVIEW DIAGNOSTIC TEST RESULTS MORE RAPIDLY. - SOPHISTICATED NURSE CALL SYSTEMS ALLOW PHYSICIANS, NURSES, AND OTHER STAFF TO QUICKLY FIND A PATIENT'S NURSE. WHILE THIS NURSE CALL SYSTEM IMPROVES INTER-STAFF COMMUNICATIONS, IT ALSO IMPROVES PATIENT CARE BY REDUCING THE TIME REQUIRED TO GET THE NECESSARY STAFF AND RESOURCES TO THE BEDSIDE. - A PNEUMATIC TUBE SYSTEM CARRIES LAB TESTS AND PHARMACEUTICALS THROUGHOUT INSPIRA MEDICAL CENTER VINELAND. THIS TUBE SYSTEM, HIDDEN BEHIND THE WALLS, GREATLY IMPROVES THE TURNAROUND TIME FOR LAB TESTS AND NEW DRUG ORDERS. - THE MEDICATION ADMINISTRATION CHECK SYSTEM ENSURES PATIENT SAFETY BY ALLOWING NURSES TO SCAN BARCODES AT THE BEDSIDE POSITIVELY LINKING THE PRESCRIBED DRUGS WITH THE INTENDED PATIENTS. - A TELE-NEUROLOGY PROGRAM GIVES EMERGENCY ROOM PATIENTS QUICK ACCESS TO BOARD-CERTIFIED NEUROLOGISTS, 24/7, AND ALLOWS EMERGENCY ROOM STAFF TO PROVIDE RAPID STROKE DIAGNOSIS AT A MOMENT'S NOTICE. - TOMOSYNTHESIS OR 3D MAMMOGRAPHY IS PERFORMED AT 2 INSPIRA MEDICAL CENTER LOCATIONS, VINELAND AND TOMLIN STATION. THIS STATE-OF-THE-ART BREAST IMAGING TECHNIQUE PROVIDES CLEARER IMAGES, GREATER ACCURACY, AND EARLIER DETECTION OF SMALL LESIONS IN THE BREAST. - DIGITAL MAMMOGRAPHY - INSPIRA MEDICAL CENTER ELMER HAS MADE STRIDES INCREASING SALEM COUNTY RESIDENTS' ACCESS TO DIGITAL MAMMOGRAPHY, TARGETING YOUNGER WOMEN WHO HAVE A FAMILY HISTORY OF BREAST CANCER AND AFRICAN-AMERICAN WOMEN OVER THE AGE OF 50. - A HEALTH INFORMATION EXCHANGE WHICH ALLOWS PROVIDERS, INCLUDING HOSPITALS, PHYSICIAN PRACTICES, LONG-TERM CARE FACILITIES, REHABILITATION CENTERS AND HOME HEALTH SERVICES, TO ACCESS PATIENT INFORMATION FROM A SECURE ELECTRONIC NETWORK IN ORDER TO PROVIDE CARE FASTER. - EXPANDED COMPUTERIZED PHYSICIAN ORDER ENTRY SYSTEM INITIATIVE TO IMPROVE EFFICIENCY, REDUCE COSTS AND, MOST IMPORTANTLY, ENHANCE PATIENT SAFETY. - DEVELOPMENT OF A PATIENT PORTAL WHICH PROVIDES PATIENTS WITH ELECTRONIC ACCESS TO THEIR HEALTH RECORDS, INCLUDING TEST RESULTS, TREATMENT PLANS, MEDICATIONS AND FOLLOW-UP CARE INSTRUCTIONS. - A PROCESS FOR GATHERING AND ANALYZING DATA FROM ALL OF THE NETWORK'S INFORMATION SYSTEMS TO DEVELOP CUSTOMIZED PROGRAMS OF CARE THAT BEST MEET THE NEEDS OF PATIENTS. MACHINE LEARNING AND ARTIFICAL INTELLIGENCE IS BEING APPLIED TO THE DATA SO WE CAN BETTER PREDICT CARE TRENDS AND OUTCOMES. - INSPIRA ADDED NEW ULTRAVIOLET RAPID DISINFECTANT EQUIPMENT TO ITS ROUTINE OF DEEP CLEANING AND DISINFECTING WITH BLEACH. PULSES OF BLUE LIGHT STREAM FROM ITS CIRCLE OF TALL VERTICAL LIGHT BULBS. ULTRAVIOLET LIGHT KILLS MOST OF BACTERIA AND VIRUSES IN THE ROOM AND IS PROVEN EFFECTIVE AGAINST CLOSTRIDIUM DIFFICILE, OR C. DIFF. THE BACTERIA SECRETE TOXINS THAT CAUSE DIARRHEA OR INFLAMMATION OF THE COLON. WHEN THE ROBOT HAS KILLED ALL THE BACTERIA, SENSORS PLACED AROUND THE ROOM SHUT OFF THE MACHINE. - PHYSICIANS AND STAFF AT INSPIRA MEDICAL CENTER VINELAND ARE PERFORMING STUDIES AND TREATMENTS FOR PATIENTS WITH CANCER AND VASCULAR CONDITIONS USING NEW LOW-DOSE RADIOLOGIC TECHNOLOGY. THIS ADVANCED INTERVENTIONAL RADIOLOGY HIGH RESOLUTION TECHNOLOGY DELIVERS ENHANCED IMAGING STUDIES, REDUCING A PERSON'S EXPOSURE TO RADIATION BY UP TO 80%. INSPIRA'S VINELAND-BASED HOSPITAL IS THE ONLY FACILITY IN CUMBERLAND, GLOUCESTER, SALEM AND CAMDEN COUNTIES TO OFFER THIS INTERVENTIONAL RADIOLOGIC TECHNOLOGY WHICH PROVIDES THE LOWEST DOSE OF RADIATION AVAILABLE.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- THE MY INSPIRA SMART-PHONE APP HAS MADE IT EVEN EASIER TO CONNECT WITH EXCELLENT HEALTH CARE ANYWHERE. THE FREE APP FEATURES MOBILE APPOINTMENT SCHEDULING, LOCATION AND PHYSICIAN LISTINGS, ER WAIT TIMES, ACCESS TO YOU DIGITAL INSPIRA PERSONAL HEALTH RECORD AND COMMUNICATIONS WITH YOUR CARE TEAM FOR PATIENTS BEING MONITORED FOR THEIR CHRONIC DISEASE. - HIGH RELIABILITY ORGANIZATION (HRO) - DAILY SAFETY BRIEFINGS HAVE TRANSFORMED HOW OUR HOSPITALS COMMUNICATE ABOUT AND RESPOND TO SAFETY CONCERNS. EACH MORNING, LEADERS FROM DOZENS OF DEPARTMENTS JOIN TOGETHER TO ADDRESS PATIENT SAFETY CONCERNS FROM THE PAST 24 HOURS AND LOOKING AHEAD TO THE NEW DAY. THIS POWERFUL TOOL HAS BEEN EMBRACED BY OUR ENTIRE LEADERSHIP TEAM, AND WE ARE A SAFER NETWORK FOR IT. - AMSA (APPLIED MATH AND SCIENCE ACADEMY) MENTORING PROGRAM FOR VINELAND SCHOOL DISTRICT. THE PROGRAM INCLUDED OPPORTUNITIES TO EXPOSE ENROLLED STUDENTS TO NON-CLINICAL ROLES IN INFORMATION SYSTEMS RELATED TO THEIR FIELD OF EDUCATION. IN ADDITION, PROVIDED 100 LICENSES TO "CODE COMBAT" TO EXTEND THEIR KNOWLEDGE BASE AND EXPAND THE CODING ASPECTS OF THEIR EXISTING PROGRAM. IN ADDITION, AWARDED A $10,000 GRANT TO APPLY TO THE "MISSION CONTROL CENTER", OR INNOVATION SPACE. CANCER SERVICES =============== THE INSPIRA FRANK AND EDITH SCARPA REGIONAL CANCER PAVILION IS A ONE-STOP EXPERIENCE FOR CANCER PATIENTS, EXPANDS ACCESS TO CLINICAL TRIALS, CONSOLIDATES SERVICES AND BRINGS TOGETHER A MULTIDISCIPLINARY CARE TEAM, INCLUDING MEDICAL ONCOLOGY, RADIATION ONCOLOGY AND SURGICAL ONCOLOGY TO PROVIDE THE LATEST AND HIGHEST QUALITY CANCER CARE IN THE REGION. INSPIRA MEDICAL CENTER VINELAND IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER AS A COMPREHENSIVE COMMUNITY CANCER PROGRAM AND THE BREAST PROGRAM IS ALSO ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS. THE CENTER HOUSES A 6-CHAIR INFUSION CENTER WHICH PROVIDES CHEMOTHERAPY AND SUPPORTIVE DRUG THERAPIES, AS WELL AS BLOOD TRANSFUSIONS, NON-ONCOLOGIC INFUSIONS, AND MEDICATION INJECTIONS. THE RADIATION ONCOLOGY DEPARTMENT FEATURES (2) LINEAR ACCELERATORS AND PROVIDES A FULL RANGE OF RADIATION SERVICES INCLUDING EXTERNAL BEAM RADIATION, IMRT & IGRT (IMAGE GUIDED RADIATION), STEREOTACTIC BODY THERAPY AND STEREOTACTIC RADIOSURGERY, AS WELL AS BRACHYTHERAPY SERVICES. THE CENTER ALSO INCLUDES OFFICES FOR BOARD CERTIFIED, FELLOWSHIP TRAINED SURGICAL SUB-SPECIALISTS, AS WELL A PRIVATE MEDICAL ONCOLOGY GROUP, MAKING ACCESS TO MULTIPLE PHYSICIANS AVAILABLE WITH A SINGLE APPOINTMENT. THE LEADING EDGE CANCER CENTER AT INSPIRA MEDICAL CENTER MULLICA HILL OPENED IN MARCH 2020. THIS COMPREHENSIVE CENTER MIMICS THE CORE ELEMENTS OF CONVENIENCE HIGHLIGHTED AT THE VINELAND CAMPUS, BRINGING ALL OF THE CORE ONCOLOGY PATIENT SERVICES UNDER ONE ROOF. THE CENTER, DESIGNED WITH PATIENT INPUT, PUTS THE PATIENT EXPERIENCE AT THE FOREFRONT OF CARE DELIVERY. THE CENTER HOUSES A RADIATION ONCOLOGY DEPARTMENT CONSISTING OF 2 LINEAR ACCELLERATORS, PROVIDING THE SERVICES NOTED ABOVE. HOUSED ON THE SECOND FLOOR OF THE CANCER CENTER, THE INFUSION SUITE INCLUDES 22 CHAIRS AND PROVIDES A COMPREHENSIVE OFFERING OF BOTH ONCOLOGIC AND NON-ONCOLOGIC INFUSION THERAPIES. THE THIRD FLOOR FEATURES MULTIDISCIPLINARY CLINIC SPACE FOR A RANGE OF ONCOLOGY-RELATED SPECIALISTS. THE CANCER PROGRAM IS ALSO ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISION ON CANCER AS A COMMUNITY CANCER PROGRAM. BOTH PROGRAMS ARE FOUNDED ON A MULTIDISCIPLINARY APPROACH TO CARE AND MAKES FULL USE OF A CARE TEAM APPROACH. IN ADDITION TO MEDICAL ONCOLOGISTS, RADIATION ONCOLOGISTS, AND SURGICAL ONCOLOGISTS, THE TEAM INCLUDES ONCOLOGY-CERTIFIED NURSES, SOCIAL WORKER, DIETICIAN, CARE COORDINATORS, NAVIGATORS, AND RESEARCH NURSES AS WELL AS RADIOLOGISTS AND PATHOLOGISTS. THE TEAM MEETS REGULARLY TO COLLABORATE ON INDIVIDUALIZED PATIENT PLANS OF CARE. INSPIRA OFFERS INNOVATIVE SERVICES RELATED TO THE DIAGNOSIS AND TREATMENT OF CANCER. MOST RECENTLY, INSPIRA INTRODUCED SOZO TECHNOLOGY, A BIOIMPEDENCE DEVICE THAT ALLOWS FOR THE DETECTION OF PRE-CLINICAL LYMPHEDEMA (OFTEN A SIDE EFFECT OF BREAST CANCER SURGERY) AND ENABLES CLINICIANS TO INTERVENE EARLY, LEADING TO BETTER PATIENT OUTCOMES. ADDITIONALLY, INSPIRA IS UTILIZING ARTIFICIAL INTELLIGENCE TO SUPPORT THE CANCER PROGRAM. AI IS USED TO CONNECT NEWLY DIAGNOSED PATIENTS WTH NAVIGATION SERVICES. IT IS ALSO USED TO IDENTIFY INCIDENTAL LUNG NODULES AND ENABLE INSPIRA TO CONNECT THESE PATIENTS TO FOLLOW UP CARE. INSPIRA WAS THE FIRST IN THE REGION TO OFFER BREAST CANCER PATIENTS SAVI SCOUT, A NEW TECHNOLOGY THAT TARGETS BREAST LUMPS MORE EFFECTIVELY AND ELIMINATES THE NEED FOR NEEDLE OR WIRE TUMOR LOCALIZATION. INSPIRA ALSO OFFERS THE LATEST TECHNOLOGY IN DIAGNOSTICS FOR LUNG CANCER AND FEATURES A MINIMALLY INVASIVE SURGICAL SUITE, INCLUDING ROBOTIC TECHNOLOGY, ALLOWING OUR SURGICAL CANCER PATIENTS MANY OPTIONS FOR CARE AND TREATMENT. COMPREHENSIVE CARDIOVASCULAR SERVICES ===================================== INSPIRA OFFERS COMPREHENSIVE CARDIAC SERVICES, INCLUDING DIAGNOSTIC CARDIAC CATHETERIZATION AND EMERGENCY CARDIAC CATHETERIZATION WITH ANGIOPLASTY AND STENTING, ALSO KNOWN AS EMERGENCY PCI, AT INSPIRA MEDICAL CENTER VINELAND. IMC ELMER PROVIDES ENHANCED EXTERNAL COUNTER-PULSATION (EECP), A NON-INVASIVE THERAPY TO TREAT PERSISTENT ANGINA. INSPIRA MEDICAL CENTERS ELMER AND VINELAND ALSO PROVIDE QUALITY CARDIAC REHABILITATION SERVICES AND ARE DESIGNATED BY THE STATE AS PRIMARY STROKE CENTERS. A CENTER OF EXCELLENCE FOR BARIATRIC SURGERY ============================================ INSPIRA MEDICAL CENTER VINELAND HAS BEEN NAMED A BARIATRIC SURGERY CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY (ASMBS). THE ASMBS CENTER OF EXCELLENCE DESIGNATION RECOGNIZES SURGICAL PROGRAMS WITH A DEMONSTRATED TRACK RECORD OF FAVORABLE OUTCOMES IN BARIATRIC SURGERY. TO EARN A CENTER OF EXCELLENCE DESIGNATION, THE INSPIRA MEDICAL CENTER VINELAND UNDERWENT A SERIES OF SITE INSPECTIONS DURING WHICH ALL ASPECTS OF THE PROGRAM'S SURGICAL PROCESSES WERE CLOSELY EXAMINED AND DATA ON HEALTH OUTCOMES WAS COLLECTED. BREAST IMAGING CENTER OF EXCELLENCE =================================== INSPIRA MEDICAL CENTER VINELAND HAS BEEN DESIGNATED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THE DESIGNATION IS AWARDED TO BREAST IMAGING CENTERS THAT HAVE ACHIEVED EXCELLENCE BY SEEKING AND EARNING ACCREDITATION IN ALL OF THE ACR'S VOLUNTARY, BREAST-IMAGING ACCREDITATION PROGRAMS AND MODULES, IN ADDITION TO THE MANDATORY MAMMOGRAPHY ACCREDITATION PROGRAM. LUNG CANCER SCREENING CENTER OF EXCELLENCE ========================================== INSPIRA MEDICAL CENTER VINELAND WAS RECENTLY DESIGNATED A LUNG CANCER SCREENING CENTER BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THE ACR LUNG CANCER SCREENING CENTER DESIGNATION IS A VOLUNTARY PROGRAM THAT RECOGNIZES FACILITIES THAT HAVE COMMITTED TO PRACTICE SAFE, EFFECTIVE DIAGNOSTIC CARE FOR INDIVIDUALS AT THE HIGHEST RISK FOR LUNG CANCER. IN ORDER TO RECEIVE THIS ELITE DISTINCTION, FACILITIES MUST BE ACCREDITED BY THE ACR IN COMPUTED TOMOGRAPHY (CT) IN THE CHEST MODULE, AS WELL AS UNDERGO A RIGOROUS ASSESSMENT OF ITS LUNG CANCER SCREENING PROTOCOL AND INFRASTRUCTURE. ALSO REQUIRED ARE PROCEDURES IN PLACE FOR FOLLOW-UP PATIENT CARE, SUCH AS COUNSELING AND SMOKING CESSATION PROGRAMS. MATERNAL AND CHILD HEALTH ========================= HOSPITAL-BASED MATERNITY SERVICES ARE OFFERED AT INSPIRA MEDICAL CENTER VINELAND AND INSPIRA MEDICAL CENTER ELMER, WHICH BOTH OFFER MODERN, PRIVATE MATERNITY SUITES WHERE OUR PHYSICIANS AND NURSES PROVIDE A SAFE AND POSITIVE ENVIRONMENT FOR LABOR AND DELIVERY. INSPIRA MEDICAL CENTERS ALSO OFFER THE SERVICES OF MIDWIVES. THE WOMEN'S AND CHILDREN'S INPATIENT CARE CENTER IS LOCATED ON THE FIRST FLOOR OF INSPIRA MEDICAL CENTER VINELAND AND OFFERS A LDRP (LABOR, DELIVERY, RECOVERY AND POST-PARTUM) ROOM CONFIGURATION THAT PERMITS A MOTHER TO CHOOSE WHETHER SHE WISHES TO HAVE HER BABY STAY IN THE SAME ROOM WITH HER DURING HER STAY OR HAVE FAMILY MEMBERS STAY WITH HER. IMC VINELAND HAS 10 PRIVATE LABOR/DELIVERY/RECOVERY ROOMS AND 28 PRIVATE POST-PARTUM ROOMS TO ENCOURAGE FAMILY BONDING.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	THE MATERNITY CARE UNIT AT INSPIRA MEDICAL CENTER ELMER, WHICH OPENED IN 2003, HAS 5 PRIVATE LABOR/DELIVERY/RECOVERY/POSTPARTUM ROOMS, EACH WITH A PRIVATE BATHROOM. FOUR OF THE ROOMS OFFER WHIRLPOOLS AND THE FIFTH ROOM OFFERS EXPECTANT MOTHERS ONE OF THE REGION'S ONLY WATER BIRTHING TUBS. IMC ELMER ALSO OFFERS COMPREHENSIVE FETAL TESTING AND IMMUNIZATION SERVICES; C-SECTION FACILITIES AND RECOVERY ROOMS; BREASTFEEDING AND INFANT CARE EDUCATION; AND EASY ACCESS TO MEDICAL CENTER DEPARTMENTS FOR DIAGNOSTIC SCREENING. INSPIRA MEDICAL CENTER VINELAND HAS 10 PRIVATE LABOR/DELIVERY/RECOVERY ROOMS AND 28 POSTPARTUM ROOMS. NEONATAL INTENSIVE CARE UNIT (NICU) =================================== INSPIRA MEDICAL CENTER VINELAND OFFERS ADVANCED CARE FOR PREMATURE, LOW BIRTH-WEIGHT/CRITICALLY ILL INFANTS AS YOUNG AS 28 WEEKS GESTATIONAL AGE AT THE LEVEL IIIA DEBORAH F. SAGER NEONATAL INTENSIVE CARE UNIT. THE UNIT IS SUPPORTED 24 HOURS A DAY, 7 DAYS A WEEK BY NEONATOLOGISTS FROM NEMOURS ALFRED I. DUPONT HOSPITAL FOR CHILDREN. NEUROSURGERY ============ AT INSPIRA MEDICAL CENTERS ELMER AND VINELAND, PATIENTS ARE OFFERED THE LATEST MINIMALLY INVASIVE SURGICAL TREATMENTS FOR A RANGE OF CONDITIONS LIKE BRAIN TUMORS, SPINE TUMORS, HERNIATED DISCS, SPINAL STENOSIS, CARPEL TUNNEL SYNDROME, SPINAL COMPRESSION FRACTURES AND CHRONIC PAIN BY A HIGHLY-SKILLED, FELLOWSHIP TRAINED NEUROSURGEON. UROLOGY ======= OUR MINIMALLY INVASIVE SURGERY TEAM SPECIALIZES IN SURGICAL PROCEDURES THAT ARE BOTH THE MOST EFFECTIVE AND LEAST INVASIVE TO TREAT A LARGE RANGE OF CONDITIONS - UROLOGIC CANCERS, BENIGN PROSTATE ENLARGEMENT, BLADDER DISORDERS, WOMEN'S AND CHILDREN'S UROLOGIC PROBLEMS, URINARY STONE DISEASE, RECONSTRUCTIVE SURGERY, MALE AND FEMALE SEXUAL DYSFUNCTION, AND MALE INFERTILITY. IMC SPORTS REHABCARE VINELAND ============================= IMC SPORTS REHABCARE IS CONVENIENTLY LOCATED WITHIN INSPIRA FITNESS CONNECTION VINELAND. THE DEDICATED STAFF WORKS CLOSELY WITH ORTHOPEDIC SURGEONS TO ASSIST PATIENTS WITH THE REHABILITATION AND TREATMENT OF ARTHROSCOPIC PROCEDURES, TOTAL JOINT REPLACEMENTS FOR HIP AND KNEE, INTRICATE HAND AND FOOT SURGERY AND SPECIALIZED SPINE PROCEDURES. THE REHAB CENTERS NEW ALTERG ANTI-GRAVITY TREADMILL INTRODUCES TECHNOLOGY THAT "UNWEIGHTS" A USER, REDUCING THE IMPACT OF WALKING OR RUNNING ON BOTH MUSCLES AND JOINTS. THIS ENABLES PATIENTS TO MAINTAIN THEIR NATURAL GAIT WHILE REHABILITATING AND MAY EVEN SPEED THE PROCESS OF THERAPY. ADDITIONALLY, INSPIRA REHABCARE HAS INTRODUCED THE NINTENDO WII AS AN ADJUNCT TO CURRENT AND TRADITIONAL THERAPIES. IT ENHANCES THE PATIENT EXPERIENCE AT THE SAME TIME CREATING A FUN ATMOSPHERE. ORTHOPEDICS =========== HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY HAS RECOGNIZED IMC AT ELMER AS A "BLUE DISTINCTION" CENTER. THAT MEANS THAT INSPIRA'S PERFOMANCE IN QUALITY AND COST ARE ABOVE THE AVERAGE OF OTHER HOSPITALS IN THE STATE. THIS DESIGNATION IS SPECIFIC TO TOTAL JOINT REPLACEMENT IN HIPS AND KNEES. ROBOTIC SURGERY =============== IMC VINELAND UTILIZES THE STATE OF THE ART DAVINCI FOR ROBOTIC SURGERY IN THE FOLLOWING SPECIALTIES: GENERAL SURGERY, UROLOGY, THORACIC SURGERY, GYNECOLOGY, GYNECOLOGY ONCOLOGY AND UROGYNECOLOGY. ROBOTIC SURGERY IS MINIMALLY INVASIVE, RESULTING IN SHORTER LENGTH OF STAY, REDUCED COMPLICATIONS, LESS POST-OPERATIVE PAIN AND DECREASED NEED FOR POST-OPERATIVE REHABILITIATION. BEHAVIORAL HEALTH SERVICES ========================== IMC BEHAVIORAL HEALTH SERVICES HAS 59 ACUTE CARE PSYCHIATRIC BEDS AT THE INSPIRA HEALTH CENTER BRIDGETON, PROVIDING INPATIENT SERVICES, A BEHAVIOR WELLNESS CENTER, AND OUTPATIENT COUNSELING FOR BOTH THE ADULT AND CHILD/ADOLESCENT POPULATIONS THROUGHOUT THE SOUTHERN NEW JERSEY REGION. INSPIRA'S BEHAVIORAL WELLNESS CENTERS OFFER COMPREHENSIVE THERAPEUTIC SERVICES, REFERRALS, AND ON-SITE PSYCHIATRIC SERVICES (EXCLUDING LEGAL FORENSIC ASSESSMENTS). CHILD & ADOLESCENT SERVICES --------------------------- - CHILD AND ADOLESCENT INTERMEDIATE INPATIENT PROGRAM (AGES 5 TO 17) - THIS PROGRAM OFFERS A COMPLETE EVALUATION AND TREATMENT OPTION FOR CHILDREN WHO REQUIRE LONGER-TERM HOSPITALIZATION. INSPIRA'S 12 BED INTERMEDIATE CARE UNIT IN BRIDGETON IS THE AREA'S ONLY EXPERIENCED LONG TERM PSYCHIATRIC TREATMENT CENTER FOR INPATIENT CARE OF THIS AGE GROUP. THE AVERAGE LENGTH OF STAY IS BETWEEN 4 TO 12 WEEKS. - CHILD AND ADOLESCENT PROGRAM (AGES 5 TO 17) - THE PARTIAL HOSPITALIZATION PROGRAM PROVIDES FULL TREATMENT INCLUDING INDIVIDUAL, GROUP AND FAMILY COUNSELING AS WELL AS PSYCHIATRIC ASSESSMENT. - INPATIENT PROGRAM FOR CHILDREN AND ADOLESCENTS (AGES 5 TO 17) - THIS PROGRAM PROVIDES THE REGION WITH AN ADVANCED CHILDREN'S CRISIS INTERVENTION PROGRAM FOR COMPLETE INPATIENT EVALUATION, DIAGNOSIS, AND TREATMENT FOR YOUTH WHO ARE IN NEED OF IMMEDIATE TREATMENT. THE NEW RENOVATED 14 BED UNIT OFFERS GROUP AND INDIVIDUAL THERAPY AS WELL AS AROUND-THE-CLOCK NURSING CARE. - INTENSIVE OUTPATIENT PROGRAMS (AGES 11 TO 17) - INSPIRA HEALTH CENTER BRIDGETON OFFERS AN INTENSIVE OUTPATIENT PROGRAM, WHICH ASSISTS ADOLESCENTS IN CUMBERLAND & SALEM COUNTIES FIND BETTER PATHWAYS TO HEALTHY DEVELOPMENT. - THERAPEUTIC NURSERY (AGES 3 TO 5) - INSPIRA OFFERS A THERAPEUTIC NURSERY PROGRAM (AGES 3 TO 5) TO HELP CHILDREN EARLY ON WHO STRUGGLE WITH BEHAVIORAL DISORDERS. WE COLLABORATE WITH ALL KEY STAKEHOLDERS IN THE CHILD'S LIFE TO ESTABLISH INDIVIDUALIZED TREATMENT GOALS. ADULT SERVICES -------------- - INPATIENT PROGRAM FOR ADULTS - INSPIRA'S SHORT-TERM CARE FACILITY AND VOLUNTARY INPATIENT PROGRAMS OFFER COMPLETE INPATIENT EVALUATION, DIAGNOSIS, TREATMENT AND AROUND-THE-CLOCK NURSING CARE FOR ADULTS WHO ARE IN NEED OF A HIGHER LEVEL OF TREATMENT. THE FACILITY FEATURES A 33-BED UNIT DESIGNED TO PROMOTE HEALING. - ADULT PARTIAL HOSPITALIZATION PROGRAM - THE ADULT PARTIAL-HOSPITALIZATION PROGRAM PROVIDES SERVICES SIMILAR TO THE INTENSITY AND SCOPE OF INPATIENT TREATMENT, BUT WITH SIGNIFICANTLY LESS DISRUPTION TO THE LIVES OF PATIENTS AND THEIR FAMILIES. THE PROGRAM IS DESIGNED FOR PEOPLE WITH SYMPTOMS THAT SERIOUSLY IMPACT THEIR DAILY FUNCTIONING, BUT WHO ARE HOPING TO AVOID HOSPITALIZATION OR ARE IN NEED OF A TRANSITION FROM INPATIENT TO OUTPATIENT CARE. THIS PROGRAM FOLLOWS AN ACUTE SHORT-TERM MODEL OF INTENSIVE TREATMENT WITH MULTIPLE SESSIONS TO SPAN OVER A FEW WEEKS. - ADULT INTENSIVE OUTPATIENT PROGRAM - THE ADULT INTENSIVE OUTPATIENT PROGRAM PROVIDES INTENSIVE, STRUCTURED, CLINICAL SERVICES TO INDIVIDUALS EXPERIENCING SIGNIFICANT EMOTIONAL DISTRESS. THE PROGRAM OFFERS THE FLEXIBILITY FOR CLIENTS TO ATTEND SPECIALIZED DAY OR AFTERNOON GROUP THERAPY. TYPICALLY, INDIVIDUALS ATTEND FOR THREE HOURS PER DAY, TWO OR THREE TIMES PER WEEK. THE PROGRAM'S PSYCHOTHERAPY AND PSYCHO-EDUCATIONAL GROUPS PROVIDE A SAFE, CARING ENVIRONMENT IN WHICH INDIVIDUALS CAN ADDRESS THEIR MENTAL HEALTH NEEDS, GAIN A BETTER UNDERSTANDING OF THEIR ILLNESS, IMPROVE COPING SKILLS AND DRAW ON MUTUAL SUPPORT. THE IOP PROGRAM ALSO PROVIDES ACCESS TO A 24/7 CONTACT LINE THAT WILL CONNECT PEOPLE WITH IMC MENTAL HEALTH STAFF. - WELLNESS AND RECOVERY OUTPATIENT PROGRAM - INSPIRA'S WELLNESS AND RECOVERY OUTPATIENT PROGRAM PROVIDES TREATMENT FOR PATIENTS WITH CO-OCCURRING DISORDERS IN MENTAL AND SUBSTANCE ABUSE. THE PROGRAM PROVIDES TRADITIONAL OUTPATIENT SERVICES, WHICH INCLUDE WEEKLY, HOUR-LONG INDIVIDUAL, FAMILY AND GROUP SESSIONS ALONG WITH PSYCHIATRIC EVALUATIONS AND INDIVIDUALIZED MEDICATION MANAGEMENT. - INSPIRA HAS PARTNERED WITH FOUR LOCAL HEALTH SYSTEMS TO FORM THE SOUTH JERSEY BEHAVIORAL HEALTH INNOVATION COLLABORATIVE TO HELP IMPROVE SERVICES ACROSS THE REGION. ACCESS TO AND IMPROVING THE QUALITY OF HEALTHCARE ================================================= IMC HAS A PROUD HISTORY OF HELPING UNINSURED RESIDENTS GET THE COVERAGE THEY NEED. IMC HAS WORKED IN COLLABORATION WITH NJHA (NEW JERSEY HOSPITAL ASSOCIATION) TO PROVIDE CERTIFIED APPLICATION COUNSELORS ASSIST COMMUNITY MEMBERS IN ACCESSING THE NEW FEDERAL HEALTHCARE EXCHANGE TO APPLY FOR HEALTH INSURANCE AS MANDATED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. ADDITIONAL ASSISTANCE LISTED BELOW IS ALSO PROVIDED: - HEALTH CONCIERGE SERVICE - IMC CONTINUED TO ENHANCE THE HEALTHCARE CONCIERGE SERVICE. WITH ONE PHONE CALL, AREA RESIDENTS CAN NOW SCHEDULE APPOINTMENTS, REGISTER FOR CLASSES, FIND A PHYSICIAN, OR EVEN TALK WITH A REGISTERED NURSE ABOUT AN UPCOMING MEDICAL TEST.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- HEALTH INFORMATION - ACCESS TO QUALITY HEALTH INFORMATION IS IMPORTANT AND IMC PROVIDES A VARIETY OF HEALTHCARE INFORMATION TO THE COMMUNITY ON ITS WEBSITE AND THROUGH PUBLICATIONS TO THE GENERAL PUBLIC. THE COMMUNITY HAS MONTHLY ACCESS TO IMC MEDICAL EXPERTS THROUGH PARTNERSHIPS WITH THE LOCAL NEWSPAPERS FEATURING MONTHLY SECTIONS LIKE "ASK THE DOCTOR", WHICH ALLOW READERS TO SUBMIT QUESTIONS AND RECEIVE RESPONSES ABOUT IMPORTANT HEALTHCARE ISSUES. INSPIRA'S WEBSITE OFFERS A WEALTH OF HEALTH INFORMATION TO THE COMMUNITY INCLUDING FREE ACCESS TO LOOK, LISTEN AND LEARN, AN ONLINE LIBRARY OF EDUCATIONAL VIDEOS COVERING A VARIETY OF MEDICAL CONDITIONS AND PROCEDURES. - LANGUAGE ASSISTANCE - PROVIDED TO THOSE WHOSE LANGUAGE IS OTHER THAN ENGLISH. TO BE CONSIDERED COMMUNITY BENEFIT, THE ETHNICITY OF THE LANGUAGE SPOKEN MUST BE LESS THAN 5% OF THE DEMOGRAPHIC POPULATION. IMC HAS BOTH PARTICIPATED IN AND CONDUCTED A NUMBER OF PROGRAMS TO IMPROVE QUALITY OF HEALTHCARE SERVICES: - EFFICIENT AND QUALITY PATIENT CARE - AS THE LEADING COMMUNITY PROVIDER IN SOUTHERN NEW JERSEY, IMC IS HIGHLY REGARDED FOR ITS QUALITY OF CARE AND SERVICES IN THE REGION. CLINICAL QUALITY AND SERVICE EXCELLENCE REMAIN TOP STRATEGIC INITIATIVES. TO FURTHER INCREASE THE EFFICIENCY OF PATIENT CARE, IMC HAS TRANSITIONED TO ELECTRONIC MEDICAL RECORDS MAKING SIGNIFICANT INVESTMENTS IN ITS CLINICAL COMPUTER SYSTEMS. THE ORGANIZATION WILL EXPAND ITS CORE QUALITY MEASURES BY PARTICIPATING IN SEVERAL REGIONAL AND NATIONAL PERFORMANCE IMPROVEMENT PROGRAMS THAT WILL PROVIDE BENCHMARKING DATA AND TOOLS FOR MEASURING AND REPORTING CLINICAL QUALITY. - PATIENT SATISFACTION - IMC USES A PATIENT SATISFACTION TOOL CALLED PRESS GANEY. THIS STANDARDIZED SURVEY MEASURES OUR PATIENTS' PERCEPTIONS ABOUT THEIR HOSPITAL EXPERIENCE AND PROVIDES FEEDBACK ABOUT HOW WE ARE DOING, BOTH GOOD AND BAD. THIS ASSISTS US TO CONTINUALLY MAKE IMPROVEMENTS AND PROVIDE EVEN BETTER CARE FOR THE COMMUNITY. - FIVE MAJOR HEALTH SYSTEMS IN SOUTHERN NEW JERSEY (INSPIRA, COOPER, KENNEDY, VIRTUA AND OUR LADY OF LOURDES), THE NEW JERSEY HOSPITAL ASSOCIATION (NJHA) AND THE CAMDEN COALITION OF HEALTHCARE PROVIDERS HAVE LAUNCHED THE SOUTH JERSEY BEHAVIORAL HEALTH INNOVATION COLLABORATIVE (SJBHIC) TO EVALUATE THE CURRENT BEHAVIORAL HEALTH LANDSCAPE AND PROVIDE INNOVATIVE RECOMMENDATIONS ON HOW TO IMPROVE THE SYSTEM. TO UNDERSTAND THE CHALLENGES IN THE CURRENT SYSTEM, THE COLLABORATIVE IS GATHERING DATA FROM THE FIVE PARTICIPATING HOSPITALS ON HOW PATIENTS FLOW THROUGH THEIR NETWORK OF PROVIDERS, ANALYZE THE DATA AND THEN APPLY EVIDENCE-BASED AND BEST PRACTICES ALONG WITH INNOVATIVE SYSTEM CHANGES THAT WILL BETTER SERVE INDIVIDUALS WITH BEHAVIORAL HEALTH CONDITIONS. - LIFE - INSPIRA LIFE IS AN INNOVATIVE AND COMPREHENSIVE PROGRAM AVAILABLE TO OLDER ADULTS AND THEIR FAMILIES IN OUR COMMUNITY. THIS PROGRAM IS PART OF THE NATIONAL PACE (PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY) PROGRAM. LIFE STANDS FOR (LIVING INDEPENDENTLY FOR ELDERS) AND CURRENTLY SERVES ALL OF CUMBERLAND COUNTY AND PARTS OF SALEM AND GLOUCESTER COUNTIES. INSPIRA LIFE IS ONE OF ONLY FOUR PROGRAMS IN THE STATE OF NEW JERSEY. THIS PROGRAM PROVIDES ALL-INCLUSIVE CARE TO ELIGIBLE PARTICIPANTS 55 YEARS AND OLDER THAT MEET THE REQUIREMENTS FOR NURSING HOME LEVEL CARE. DONATIONS/CASH CONTRIBUTIONS ============================ EACH YEAR IMC SUPPORTS MANY NON-PROFIT ORGANIZATIONS WHOSE MISSION IS IN ALIGNMENT WITH THAT OF ITS OWN BY PROVIDING DONATIONS OF BOTH CASH AND IN-KIND IN RESPONSE TO THE COMMUNITY'S NEEDS. SOME OF THE ORGANIZATIONS SUPPORTED WITH A CASH DONATION INCLUDED: - BIG BROTHERS BIG SISTERS CUMBERLAND SALEM - BRIDGETON AREA CHAMBER OF COMMERCE - BRIDGETON ROTARY CLUB FOUNDATION - COLLEEN SORBELLO BREAST CANCER FOUNDATION - COMPLETECARE FAMILY HEALTH FOUNDATION - EAT CLEAN ORG - ELMER LIBRARY - GATEWAY COMMUNITY ACTION PARTNERSHIP - GUIDANCE CENTER - THE INSTITUTE FOR INTEGRATIVE HEALTH - JAWS YOUTH PLAYBOOK - LAKESIDE MIDDLE SCHOOL - LAUREN ROSE ALBERT FOUNDATION - M25 INITIATIVE - MILLVILLE CHAMBER OF COMMERCE - NEMOURS/ALFRED I. DUPONT HOSPITAL FOR CHILDREN - REVIVE SOUTH JERSEY - ROWAN COLLEGE OF SOUTH JERSEY - SALEM COMMUNITY COLLEGE FOUNDATION - SALEM COUNTY CHAMBER OF COMMERCE - SALEM COUNTY VOTECHNICAL FOUNDATION - STAR SPECIALTIES - VINELAND CHAMBER OF COMMERCE - VINELAND ROTARY FOUNDATION COMMUNITY SERVICE AND COMMUNITY BUILDING PROGRAMS ================================================= IHN IS MUCH MORE THAN A HEALTHCARE NETWORK; IT IS A COMMUNITY PARTNER DEDICATED TO IMPROVING COMMUNITY HEALTH AND COLLABORATING WITH OTHER COMMUNITY PARTNERS ON HEALTH INITIATIVES THAT ADDRESS THE HEALTH PRIORITIES OF THE COMMUNITIES IT SERVES. OUR PARTNERSHIPS LEVERAGE THE STRENGTH OF MULTIPLE COMMUNITY ORGANIZATIONS WHILE ENCOURAGING COMMUNITY-WIDE COLLABORATIVE EFFORTS TO BENEFIT THE COMMUNITY. ENDING HOMELESSNESS BY 2020 IN ONE OF NEW JERSEY'S MOST POVERTY STRICKEN COUNTIES-THAT'S THE GOAL OF THE CUMBERLAND COUNTY HOUSING FIRST COLLABORATIVE. INSPIRA HEALTH NETWORK, A FOUNDING MEMBER OF THE COLLABORATIVE, HAS CONTRIBUTED $56,000 TO HELP FUND THE EFFORT. THE COLLABORATIVE CONTINUES ITS SUCCESS IN HOUSING CHRONICALLY HOMELESS INDIVIDUALS. INSPIRA HAS ALSO PROVIDED BEHAVIORAL HEALTH AND LOGISTICAL SUPPORT TO ENSURE THE COLLABORATIVE'S SUCCESS. FOOD PANTRIES: IN THE 2019-2020 SCHOOL YEAR INSPIRA SPONSORED MONTHLY FOOD DISTRIBUTIONS AT THREE SCHOOLS THAT PROVIDED FRESH PRODUCE AND SHELF STABLE FOOD ITEMS TO ABOUT 4,000 FAMILIES. ADVOCACY - IHN EMPLOYEES AND LEADERSHIP, SERVE ON VARIOUS GOVERNMENT ADVISORY COMMITTEES AND BOARDS FOR NATIONAL, STATE, AND LOCAL ORGANIZATIONS TO ADVOCATE FOR HEALTHCARE REFORM, BRING ABOUT CHANGES IN REGULATORY REQUIREMENTS, IMPROVE ACCESS TO HEALTHCARE AND PROMOTE THE HEALTH STATUS FOR BOTH THE BROADER COMMUNITY AND VULNERABLE POPULATIONS THROUGH HOSPITAL REPRESENTATION TO ORGANIZATIONS. ADDITIONALLY, IHN EMPLOYEES, FROM STAFF TO CEO, PARTICIPATE ON THE BOARDS OF A VARIETY OF ORGANIZATIONS WHOSE FOCUS IS NOT ONLY OF THE HEALTH NEEDS OF THE COMMUNITY, BUT ON THE OVERALL NEEDS OF THE COMMUNITY. SOME OF THESE ORGANIZATIONS INCLUDE THE COMMUNITY FOOD BANK OF SOUTH JERSEY, GLOUCESTER COUNTY CHAMBER OF COMMERCE, SALEM COUNTY CHAMBER OF COMMERCE, AND THE WALTER RAND INSTITUTE. AMERICAN RED CROSS BLOOD DRIVE - IHN SUPPORTS THE MISSION OF THE AMERICAN RED CROSS BY HOSTING FOUR BLOOD DRIVES EACH YEAR. THE RED CROSS IS THE LARGEST SINGLE SUPPLIER OF BLOOD AND BLOOD PRODUCTS IN THE UNITED STATES, COLLECTING AND PROCESSING MORE THAN 40 PERCENT OF THE BLOOD SUPPLY AND DISTRIBUTING IT TO SOME 3,000 HOSPITALS AND TRANSFUSION CENTERS NATIONWIDE. BEHAVIORAL HEALTH COLLABORATION - IHN'S CHILDREN'S BEHAVIORAL HEALTH PROGRAM PARTICIPATED IN BOTH THE GLOUCESTER COUNTY CIACC AND TRI-COUNTY CIACC THROUGHOUT 2019. THE CIACC GROUP IS MADE UP OF A VARIETY OF AGENCIES IN GLOUCESTER, SALEM AND CUMBERLAND COUNTIES, PLUS COMMUNITY MEMBERS FROM THOSE SAME COUNTIES, WHO MEET REGULARLY TO COORDINATE SERVICES, COMMUNICATE REGARDING CHANGES IN THE BEHAVIORAL HEALTH SERVICES IN THE COUNTIES AND ADVOCATE FOR PATIENT RIGHTS/SERVICES. IHN HAS BEEN AN ACTIVE PARTICIPANT IN NATIONAL AND REGIONAL INITIATIVES, INCLUDING THE FOLLOWING: 1. CENTER FOR MEDICARE AND MEDICAID SERVICES: NATIONAL "HOSPITAL COMPARE" INITIATIVE. 2. VHA, INC. PATIENT QUALITY AND SAFETY INITIATIVES: MEDICATION RECONCILIATION COLLABORATIVE (IMC - VINELAND & ELMER); RAPID RESPONSE TEAM COLLABORATIVE (IMC - VINELAND & ELMER); AND TRANSFORMATION OF THE ICU AND TICU (IMC - VINELAND & ELMER). 3. INSTITUTE FOR HEALTHCARE IMPROVEMENT (IHI): MEMBER OF THE INSTITUTE FOR HEALTHCARE IMPROVEMENT - 100,000 LIVES CAMPAIGN (IMC - VINELAND & ELMER); AND MEMBER OF THE INSTITUTE FOR HEALTHCARE IMPROVEMENT - 5 MILLION LIVES FROM HARM CAMPAIGN (IMC - VINELAND & ELMER). 4. NEW JERSEY HOSPITAL ASSOCIATION INITIATIVES: PARTICIPANTS IN THE NJHA PRESSURE ULCER COLLABORATIVE (IMC - VINELAND & ELMER); AND PARTICIPANTS IN THE NJHA RAPID RESPONSE TEAMS COLLABORATIVE (IMC - VINELAND & ELMER). EMERGENCY PREPAREDNESS - IHN READIES ITSELF FOR CATASTROPHIC DISASTER ABOVE AND BEYOND LICENSURE REQUIREMENTS. THIS INCLUDES AN INTERNAL EMERGENCY RESPONSE TEAM THAT RECIEVES SPECIALIZED TRAINING. IHN PARTNERS WITH OFFICES OF EMERGENCY MANAGEMENT, LOCAL POLICE, AND OTHER RELATED AGENCIES TO COORDINATE COMMUNITY-WIDE MASS CASUALTY DRILLS AND PARTICIPATES IN STATE SPONSORED DISASTER PLANNING DRILLS TO REHEARSE HEALTHCARE PREPAREDNESS FOR MASS CASUALTY DISASTERS AND PUBLIC HEALTH EMERGENCIES. EMERGENCY MEDICAL ACADEMY PROGRAMS ==================================
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- EMT EMERGENCY MEDICAL TECHNICIAN CLASS - PEDIATRIC EDUCATION FOR PRE-HOSPITAL PROFESSIONALS ("PEPP") - PEDIATRIC ADVANCED LIFE SUPPORT ("PALS") - PRE-HOSPITAL TRAUMA LIFE SUPPORT ("PHTLS") - HEALTHCARE PROVIDER CPR - CPR-BASIC LIFE SUPPORT INSTRUCTOR - ELECTIVE CONTINUING EDUCATION CLASSES - COMMUNITY EMERGENCY RESPONSE TEAM TRAINING - AUTOMATIC EXTERNAL DEFIBRILLATOR ("AED") & EPINEPHRINE AUTO INJECTORS - MOBILE INTENSIVE CARE UNIT ("MICU") - MICU SPECIAL OPERATIONS TEAM - TACTICAL MEDICAL UNIT - IMPACT (INNOVATIVE MODEL FOR PRESCHOOL AND COMMUNITY TEAMING) WAS DEVELOPED THROUGH COLLABORATION BETWEEN IHN AND THE VINELAND BOARD OF EDUCATION. IT PROVIDES HEALTH AND SOCIAL SERVICES, CHILDCARE FOR INFANTS AND TODDLERS, PRESCHOOL PROGRAMS, AND LITERACY PROGRAMS THAT TARGET THE NEEDS OF THE LOW INCOME RESIDENTS IN CUMBERLAND COUNTY. IT ALSO ADDRESSES ISSUES SUCH AS TEEN PREGNANCY, TEEN PARENTING AND EARLY CHILDHOOD EDUCATION. EVERY YEAR, THE PROGRAM MAKES A POSITIVE IMPACT ON THE LIVES OF THOUSANDS OF CHILDREN AND THEIR FAMILIES. - MAYOR'S CAMPAIGNS FOR HEALTHIER VINELAND, MILLVILLE AND BRIDGETON - VARIOUS IHN STAFF ARE ACTIVE COMMITTEE MEMBERS OF THE VINELAND, MILLVILLE AND BRIDGETON MAYOR'S CAMPAIGNS FOR HEALTHIER COMMUNITIES. IN COLLABORATION WITH IHN, THE LOCAL FEDERALLY QUALIFIED HEALTHCARE CENTER (FQHC), COMPLETECARE HEALTH NETWORK (CCHN) AND OTHER COLLABORATIVE PARTNERS, CO-HOST COMMUNITY HEALTH FAIRS, FACILITATE COMMUNITY OUTREACH EVENTS AND CONNECT THE MEDICALLY DISENFRANCHISED TO THE APPROPRIATE HEALTHCARE AND SOCIAL SERVICE PROVIDERS TO ENCOURAGE UNINSURED RESIDENTS TO ENROLL IN AFFORDABLE HEALTHCARE PROGRAMS. THE COMMITTEES ARE DEDICATED TO IMPROVING HEALTHCARE FOR VINELAND, MILLVILLE AND BRIDGETON RESIDENTS BY MAKING RESOURCES AVAILABLE THROUGH INCREASED AWARENESS AND ACCESS. - STEPS FOR KIDS - STEPS FOR KIDS WAS DEVELOPED THROUGH A COLLABORATION BETWEEN IHN, THE ROBERT WOOD JOHNSON FOUNDATION AND CUMBERLAND/CAPE/ATLANTIC YMCA, TO REDUCE CHILDHOOD OBESITY IN VINELAND AND BRIDGETON SCHOOLS BY EDUCATING BOYS AND GIRLS AGED 8 TO 12 IDENTIFIED BY SCHOOL NURSES WITH AN ASSESSED BMI LEVEL AT OR ABOVE THE 85TH PERCENTILE WHO ARE AT RISK FOR OBESITY. PARENTS AND CHILDREN ATTEND 12-WEEK INTERACTIVE BI-LINGUAL PROGRAM THAT FOCUSES ON BALANCED MEAL PLANS AND SIMPLE EXERCISE TECHNIQUES THAT HELP FAMILIES ACHIEVE HEALTHIER LIFESTYLES. THIS PROGRAM IS COMPLETELY FUNDED AND RUN BY IMC THROUGH ITS GARDEN AHEC DEPARTMENT. - HEALTHCARE LIFELINE PROGRAM - AN IN-HOME PERSONAL RESPONSE SYSTEM WHICH ALLOWS ITS SUBSCRIBERS TO GET HELP IMMEDIATELY AT THE PUSH OF A BUTTON, 24 HOURS PER DAY, 7 DAYS PER WEEK, 365 DAYS PER YEAR. IHN STAFF CONDUCTS PRESENTATIONS THROUGHOUT THE COUNTY EXPLAINING THE BENEFITS OF LIFELINE TO PROSPECTIVE SUBSCRIBERS AND/OR THEIR CAREGIVERS AND HEALTH PROVIDERS. ALTHOUGH THE LIFELINE PROGRAM IS A PAID SERVICE, DISCOUNTED AND FREE INSTALLATIONS OCCUR FOR ELIGIBLE PERSONS. - SPIRIT OF WOMEN - RECOGNIZING THE UNIQUENESS OF WOMEN AND THE INFLUENCE THEY HOLD OVER THE HEALTH OF THEIR FAMILIES, INSPIRA IS PROUD TO BE A PARTICIPANT OF THE SPIRIT OF WOMEN PROGRAM, PART OF A NATIONAL MOVEMENT FOR WOMEN'S WELLNESS TO PROMOTE HEALTH AND MOTIVATE WOMEN TO MAKE POSITIVE CHANGES IN THEIR LIVES. SOME OF THE GROUP'S EVENTS INCLUDED DAY OF DANCE, WOMEN'S HEALTH SCREENING DAY AND GIRLS NIGHT OUT. SPIRIT OF WOMEN ALSO HOLDS A QUARTERLY SEMINAR SERIES, EACH FOCUSING ON SPECIFIC ISSUES CONCERNING WOMEN'S HEALTH. - CANCER SERVICES - INSPIRA FRANK AND EDITH SCARPA CANCER CENTER OFFERS A NUMBER OF OUTREACH SERVICES, WHICH PROVIDE SUPPORT AND EDUCATION IN THE COMMUNITY. IHN'S BREAST CANCER BRIDGE PROGRAM, MEN'S CANCER SUPPORT GROUP AND PATIENT NAVIGATORS ALL SERVE AS HEALTHCARE ADVOCATES, HELPING PATIENTS NAVIGATE THROUGH THEIR CANCER JOURNEY. AS A FOX CHASE CANCER CENTER PARTNER, IHN PROVIDES LEADING-EDGE CANCER CARE THROUGH NATIONAL CLINICAL TRIALS, WHICH FOCUS ON CANCER TREATMENT, DIAGNOSTIC AND PREVENTION METHODS. IHN HAS THE OPPORTUNITY TO RECRUIT A LARGE AMOUNT OF PATIENTS FOR NEWEST CLINICAL TRIALS, PROVIDING LOCAL ACCESS TO THE LATEST STRATEGIES AGAINST CANCER. - GARDEN AHEC PROGRAMS - THROUGH ACADEMIC AND COMMUNITY PARTNERSHIPS, GARDEN AHEC PROVIDES HEALTH CAREER RECRUITMENT PROGRAMS AND INCREASES ACCESS TO HEALTHCARE IN MEDICALLY UNDERSERVED AREAS. GARDEN AHEC ADDRESSES HEALTHCARE WORKFORCE NEEDS BY INTRODUCING STUDENTS AND ADULTS TO HEALTHCARE CAREER OPPORTUNITIES, ESTABLISHING COMMUNITY-BASED TRAINING SITES FOR MEDICAL STUDENTS AND PROVIDING CONTINUING EDUCATION PROGRAMS FOR LOCAL HEALTHCARE PROFESSIONALS. ITS FUNDAMENTAL PURPOSE IS TO IMPROVE ACCESS TO QUALITY HEALTHCARE IN MEDICALLY UNDERSERVED AREAS AND TO UNDERSERVED POPULATIONS IN ITS SERVICE AREA. BY WORKING TO RECRUIT, TRAIN AND MAINTAIN LOCAL HEALTHCARE WORKFORCE, GARDEN AHEC ADDRESSES DEFICIENCIES IN ACCESS TO PRIMARY AND PREVENTIVE CARE SERVICES IN SOUTH JERSEY. PARTNERING WITH LOCAL COMMUNITY HEALTH EDUCATION AND IMPROVEMENT INITIATIVES ARE JUST SOME OF THE WAYS WE ARE WORKING WITH COMMUNITY PARTNERS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR NEIGHBORS. - HEALTH FAIRS AND SCREENINGS - A NUMBER OF HEALTH FAIRS AND COMMUNITY FOCUSED HEALTH SCREENING EVENTS WERE CONDUCTED THROUGHOUT 2020. IHN STRIVES TO TEACH HEALTH AND WELLNESS, ANSWER QUESTIONS ABOUT HEALTH-RELATED ISSUES, PROMOTE SERVICES AND RESOURCES FOR PEOPLE WITH VARIOUS DISEASES, AND ATTEMPT TO REACH AS MANY UNINSURED OR UNDERINSURED AS POSSIBLE. IHN ALSO REACHES OUT TO THOSE IN OUR COMMUNITY WHO DO NOT REGULARLY COME THROUGH THE DOORS OF OUR MEDICAL CENTERS. IHN REACHES OUT TO A VARIETY OF LOCAL EMPLOYERS BY PARTICIPATING IN ON-SITE HEALTH FAIRS AND EVENTS TO OFFER VALUABLE HEALTH INFORMATION TO OUR NEIGHBORS. - NJCEED - FOR THE NEW JERSEY CANCER EDUCATION AND EARLY DETECTION PROGRAM (NJCEED), WHICH PROVIDES COMPREHENSIVE CANCER OUTREACH, EDUCATION AND FREE SCREENINGS TO UNDERSERVED AND UNINSURED RESIDENTS WHO MIGHT OTHERWISE NOT HAVE ACCESS TO THESE IMPORTANT DIAGNOSTIC SCREENING SERVICES. IN 2020, 312 BREAST, 490 CERVICAL, 25 COLORECTAL, AND 3 PROSTATE SCREENINGS WERE PROVIDED THROUGH THIS GRANT ACROSS THE REGION. IHN ALSO HAS A DEDICATED STAFF THAT GOES OUT INTO THE COMMUNITY TO SPEAK ABOUT THE AVAILABILITY OF FREE SCREENINGS AND THE CEED PROGRAM. THE PURPOSE OF THE CEED PROGRAM IS TO EDUCATE AND SCREEN UNINSURED AND UNDERINSURED RESIDENTS OF THE COUNTY, PARTICULARLY MINORITIES, WHO EARN LESS THAN 250% OF THE FEDERAL POVERTY LEVEL. THE PROGRAM IS FUNDED IN PART BY GRANTS FROM THE STATE OF NJ DEPARTMENT OF HEALTH AND SENIOR SERVICES, CENTER FOR DISEASE CONTROL AND THE SUSAN G. KOMEN BREAST CANCER FOUNDATION. - SUPPORT GROUPS - TO HELP ADDRESS SOCIAL, PSYCHOLOGICAL OR EMOTIONAL ISSUES RELATED TO DISEASES AND HEALTH ISSUES, IHN OFFERS A VARIETY OF FREE SUPPORT GROUPS THAT INCLUDE, BUT ARE NOT LIMITED TO, WOMEN'S CANCER, DIABETES, CARDIOPULMONARY HEALTH, PROSTATE CANCER, SMOKING CESSATION, STROKE AND FIVE LEVELS OF BARIATRIC SUPPORT. ADDITIONALLY, IHN DONATES THE USE OF SPACE IN ITS FACILITIES FOR EXTERNAL NONPROFIT ORGANIZATIONS TO HOLD SUPPORT GROUP MEETINGS FOR SUBSTANCE ABUSE SUCH AS ALCOHOLICS ANONYMOUS AND NARCOTICS ANONYMOUS. - SUPPORT SERVICES - STAFF MEMBERS OF IHN'S PATIENT BUSINESS SERVICES DEPARTMENT, IN ADDITION TO PROVIDING FINANCIAL COUNSELING TO INDIVIDUALS, MAKE FREQUENT VISITS TO VARIOUS COMMUNITY GROUPS AND SOCIAL SERVICE AGENCIES, EDUCATING THEM ON THE CHARITY CARE OPTIONS AND FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. IN ADDITION, A SIGNIFICANT LEVEL OF CHARITY CARE, FINANCIAL ASSISTANCE, TRANSPORTATION ASSISTANCE AND LANGUAGE ASSISTANCE SERVICES ARE PROVIDED FOR THE UNDERSERVED AND VULNERABLE POPULATIONS. - COMMUNITY EDUCATION CLASSES - IHN OFFERS FREE EDUCATION PROGRAMS DESIGNED TO PROMOTE A SAFE AND HEALTHY LIFESTYLE. TRAINING CLASSES ARE REGULARLY AVAILABLE ON SUCH TOPICS AS CHILDBIRTH, BREAST-FEEDING, NEWBORN CARE, UNDERSTANDING DIABETES, CPR (CARDIOPULMONARY RESUSCITATION), ACLS (ADVANCED CARDIAC LIFE SUPPORT), PALS (PEDIATRIC ADVANCED LIFE SUPPORT), SAFESITTER (BABYSITTER TRAINING) AND OTHERS. WOODBURY'S EMERGENCY DEPARTMENT PLAYS A KEY ROLE IN EDUCATING AND PROMOTING HEALTH AND SAFETY AWARENESS THROUGH COMMUNITY BULLETIN BOARDS AND EDUCATIONAL PRESENTATIONS AT AREA SCHOOLS, COLLEGES, POLICE ACADEMIES AND COMMUNITY PROGRAMS. SOME TOPICS MAY INCLUDE INJURY PREVENTION, FORENSIC NURSING AND DOMESTIC VIOLENCE AWARENESS. - VOLUNTEER PROGRAM - WHETHER GREETING VISITORS AT THE FRONT DESK OR COMFORTING PATIENTS AT THEIR BEDSIDE, VOLUNTEERS PLAY AN IMPORTANT ROLE IN IHN'S TRADITION OF COMPASSIONATE CARE. OUR SUCCESSFUL VOLUNTEER PROGRAM CONSISTS OF ADULTS AND TEENS WITH AGE RANGES FROM 14 TO 96 WHO PROVIDE ASSISTANCE IN A VAST ARRAY OF AREAS SUCH AS ACCOUNTING, EDUCATION, PUBLIC RELATIONS, LAUNDRY, EMERGENCY ROOM, SURGICAL SERVICES, PEDIATRICS, NURSING AND MORE. IN 2020, OVER 600 DEDICATED AND GENEROUS VOLUNTEERS DONATED MORE THAN 18,873 HOURS OF SERVICE.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	HEALTH PROFESSIONALS EDUCATION ============================== IHN OFFERS EDUCATIONAL SUPPORT TO BOTH ITS CURRENT HEALTH PROFESSIONALS AND TOMORROW'S PHYSICIANS. EDUCATION HELPS PREPARE THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS, WHICH IS WHY WE STRONGLY SUPPORT MEDICAL EDUCATION AT ALL ACADEMIC LEVELS AND FIND INNOVATIVE WAYS TO INSPIRE YOUNG PEOPLE TO PURSUE CAREERS IN A WIDE VARIETY OF MEDICAL FIELDS. COMMUNITY MEDICINE ROTATIONS WITH THE ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE (ROWAN SOM), PROVIDES THIRD YEAR MEDICAL STUDENTS A TWO-WEEK ROTATION IN COMMUNITY-BASED AGENCIES AND ORGANIZATIONS TO LEARN ABOUT UNDERSERVED AND CULTURALLY DIVERSE POPULATIONS, INCLUDING BARRIERS TO ACCESSING CARE. RESPONDING TO THE NURSING SHORTAGE, IHN OFFERS NURSING EDUCATION PROGRAMS, EXTERNSHIPS AND INTERNSHIPS. IHN MEDICAL STAFF ROUTINELY HOSTS STUDENTS FOR JOB SHADOWING AND STUDENT OBSERVATIONS. SCHOOL PROGRAMS ON HEALTH CAREERS - IHN PROVIDES EDUCATIONAL OPPORTUNITIES AND HOSTS SPECIAL EVENTS, JOB SHADOWING AND PROGRAMS TO MIDDLE AND HIGH SCHOOL STUDENTS WHO ARE INTERESTED IN PURSUING CAREERS IN HEALTHCARE AND MEDICINE. TO REACH EVERY AGE GROUP IN THE COMMUNITY, IHN STAFF ALSO EXTENDS HOSPITALS TOURS TO PRESCHOOL AND FIRST GRADERS, AS THEIR PRIMARY INTRODUCTION TO THE HEALTHCARE ENVIRONMENT AND PROMOTION OF HEALTHY LIFESTYLES. SYMPOSIA - IHN IS PREPARING FOR THE HEALTHCARE CHALLENGES OF THE FUTURE BY SUPPORTING THE CONTINUING EDUCATION NEEDS OF PHYSICIANS AND ALLIED HEALTH PERSONNEL IN THE COMMUNITY. PROGRAMS ARE AVAILABLE ON THE LATEST ADVANCEMENTS AND LEADING-EDGE RESEARCH ON TOPICS SUCH AS CANCER, CRITICAL CARE, NEPHROLOGY, PEDIATRICS AND OBSTETRICS. THESE CONTINUING EDUCATION OPPORTUNITIES GIVE HEALTH PROFESSIONALS AND PHYSICIANS IN OUR COMMUNITY AND ACROSS THE REGION THE ABILITY TO MEET AND DISCUSS IMPORTANT ISSUES WITHIN OUR INDUSTRY. PROGRAM TOPICS PROVIDED ARE BASED ON ANNUAL STAFF SURVEYS AND ARE MANDATORY EDUCATION FOR STAFF. GARDEN AREA HEALTH EDUCATION CENTER ("AHEC") - A PROGRAM AFFILIATED WITH THE ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE WHICH FACILITATES IMPROVED COMMUNITY HEALTH OUTCOMES THROUGH COLLABORATIVE INITIATIVES LINKING NEEDS TO EDUCATIONAL RESOURCES. TARGETING THE EDUCATIONAL NEEDS OF PRIMARY CARE PROVIDERS, NURSES, SOCIAL WORKERS AND OTHER ALLIED HEALTH PROFESSIONALS IN THE COMMUNITY, GARDEN AHEC OFFERS ACCREDITED CONTINUING EDUCATION PROGRAMS ON TOPICS SUCH AS AUTISM, DERMATOLOGY, DIABETES, DIALYSIS, INFECTIOUS DISEASES, WOUND CARE, MENTAL HEALTH, CHILDHOOD OBESITY, SOCIAL WORK, PEDIATRIC PHARMACOLOGY, TRAUMA PATIENT CARE AND TREATMENT, IMMIGRATION AND MANY OTHERS. RESIDENCY PROGRAMS - THE ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE HAS DESIGNATED IHN AS A MAJOR CLINICAL AFFILIATE OF THE MEDICAL SCHOOL. THIS PARTNERSHIP SUPPORTS INSPIRA MEDICAL CENTER VINELAND'S RESIDENCY PROGRAMS THAT WILL HELP TO ADDRESS THE ANTICIPATED PHYSICIAN SHORTAGE IN OUR REGION BY TRAINING THE NEXT GENERATION OF PHYSICIANS RIGHT HERE IN OUR COMMUNITY. THESE MEDICAL SCHOOL GRADUATES WORK SIDE-BY-SIDE WITH EXPERIENCED MEMBERS OF THE IMC MEDICAL STAFF IN PODIATRY, SPORTS MEDICINE, URO-GYNECOLOGY, CRITICAL CARE, OBSTETRICS AND GYNECOLOGY, FAMILY MEDICINE, ORTHOPEDIC SURGERY, INTERNAL MEDICINE, TRADITIONAL ROTATING INTERNSHIP, EMERGENCY MEDICINE AND GENERAL SURGERY. AT THE SAME TIME, THEY ENHANCE PATIENT CARE WITH THE KNOWLEDGE OF THE LATEST TREATMENTS AND PHILOSOPHIES MEDICINE HAS TO OFFER. THEY ALSO BRING A LEVEL OF INTELLECTUAL CURIOSITY THAT STRENGTHENS OUR CARE TEAMS AND BENEFITS OUR PATIENTS. IN 2020 IHN HAD APPROXIMATELY 160 RESIDENTS. RESEARCH ======== THE INSPIRA INSTITUTIONAL REVIEW BOARD ("IRB") FUNCTIONS AS A SPECIAL COMMITTEE OF THE MEDICAL STAFF WHICH FOLLOWS THE GUIDELINES OF AND IS REGISTERED WITH HHS. THE PURPOSE OF THE IRB IS TO REVIEW AND MONITOR ALL CLINICAL INVESTIGATIONS THAT INVOLVE HOSPITALIZED PATIENTS OR THOSE WHO MAY SUBSEQUENTLY RECEIVE CARE AT INSPIRA. NO CLINICAL INVESTIGATION IS PERMITTED IN THE INSTITUTION UNLESS PRIOR AND CONTINUING APPROVAL IS GRANTED BY THE IRB. COVID-19 PANDEMIC ================= WE AT INSPIRA HEALTH CAN'T HELP BUT LOOK BACK AT ALL THAT TOOK PLACE IN THE WORLD AND IN OUR OWN COMMUNITY. WITHIN OUR WALLS, IT TESTED RESILIENCE AND STRENGTH; IT SPURRED INNOVATION AND CAMARADERIE; BUT IT WAS ALSO THE YEAR OF PAINFUL LOSS. THIS YEAR TESTED EVERYTHING INSPIRA STANDS FOR AS AN ORGANIZATION: QUALITY CARE, PATIENT AND STAFF SAFETY, GROWTH, INNOVATION, AND COMMUNITY SUPPORT. THERE WASN'T A PLAYBOOK FOR HEALTH CARE'S RESPONSE TO COVID-19. IN SPITE OF ITS CHALLENGES, THIS EXPERIENCE ALSO BROUGHT ALL OF US AT INSPIRA TOGETHER AS WE FOUGHT THIS VIRUS WITH EVERYTHING WE HAD-AT THE BEDSIDE AND IN OUR COMMUNITY. WE QUICKLY PURSUED EVERY PROSPECT TO GET THE SUPPLIES WE NEEDED, TO IDENTIFY THE ADVANCED TREATMENTS AND CLINICAL TRIALS TO PROVIDE THE BEST CARE TO OUR PATIENTS, AND TO ADAPT PRACTICE AND PROCESS TO ESTABLISH A SAFE ENVIRONMENT AT ALL OF OUR 150+ ACCESS POINTS. OUR CLINICAL TEAM WORKED TIRELESSLY TO CARE FOR OUR PATIENTS-TRULY A HEROIC RESPONSE. THIS FOCUS WAS SHARED BY ALL OF THE STAFF WHO EXPANDED THEIR ROLES TO SUPPORT THE CARE GIVEN BY OUR FRONT-LINE WORKERS. OUR COVID-19 RESPONSE --------------------- AS A HIGH RELIABILITY ORGANIZATION (HRO), OUR GOAL IS TO MAKE SURE WHAT IS SUPPOSED TO HAPPEN, HAPPENS 100% OF THE TIME. IN OUR RESPONSE TO COVID-19, IT PROVED IMPERATIVE THAT WE PRACTICED OUR HRO TOOLS TO BRING CLARITY TO EVERY NEW SITUATION, TO KEEP EVERYONE SAFE. ENSURING THAT WE WERE FULLY PREPARED AND ABLE TO RESPOND TO OUR PATIENTS' NEEDS, OUR SENIOR LEADERS DEDICATED THEIR FULL-TIME ATTENTION TO PLAN, PREPARE, AND RESPOND TO THE EVER-CHANGING CHALLENGES THAT EVERY DAY PRESENTED. ADDING NEGATIVE PRESSURE CAPABILITY TO ALL OF OUR PATIENT CARE AREAS KEPT EVERYONE SAFE. THE AIR INSIDE THE ROOM OF A COVID-19 PATIENT DOESN'T HAVE THE CHANCE TO CONTAMINATE OTHER SPACES; IT LEAVES THROUGH A SPECIAL EXHAUST SYSTEM. BEFORE THE END OF MARCH, INSPIRA'S COVID-19 TESTING CAPABILITY EXPANDED TO A DRIVE-THROUGH SITE IN WILLIAMSTOWN. IN THE MONTHS AHEAD, ADDITIONAL SITES WERE ADDED IN WOODBURY AND MILLVILLE. WHEN THE NATIONAL SHORTAGE OF ALCOHOL-BASED HAND SANITIZER OCCURRED, INSPIRA PHARMACY LEADERS RESPONDED BY ACQUIRING FDA'S TEMPORARY APPROVAL FOR COMPOUNDING PHARMACIES TO PRODUCE WHAT INSPIRA NEEDED. THE TEAM PRODUCED OVER 438 GALLONS, AS WELL AS THE PRODUCTION OF OVER 250 ALCOHOL SANITIZER WIPE CONTAINERS. OUR ATTENTION TO PROVIDE SAFE ENVIRONMENTS FOR ALL INSPIRA STAFF AND PATIENTS REQUIRED INSTALLATIONS OF PLEXIGLASS, SOCIAL DISTANCING FLOOR DECALS, AND TEMPERATURE SCAN STATIONS. COMMUNITY NEEDS THROUGHOUT THE PANDEMIC --------------------------------------- THROUGHOUT 2020 THERE WERE SEVERAL INSTANCES THAT REQUIRED US TO ADJUST TO SHIFT RESOURCES TO ADDRESS THE NEEDS OF THE COMMUNITY. THOUGH FACE TO FACE ENCOUNTERS DECLINED, INSPIRA WAS STILL ABLE TO PROVIDE THE FOLLOWING RESOURCES: - SCHOOL BASED FOOD PANTRIES PROVIDED FOOD TO FAMILIES THROUGHOUT 2020 - FOOD FROM INSPIRA'S FOOD FARMACY WAS DISTRIBUTED TO HOMEBOUND PARTICIPANTS IN OUR LIFE PROGRAM - VACCINE DISTRIBUTION TENTS WERE OPENED AT BOTH VINELAND AND MULLICA HILL HOSPITALS - VIRTUAL TOWN HALLS WERE OFFERED FOR FAMILIES AS THEY PREPARED TO BEGIN SCHOOL IN FALL 2020 - INSPIRA LEADERSHIP OFFERED GUIDANCE TO SUPERINTENDENTS AND SCHOOLS - BEHAVIORAL HEALTH SERVICES WERE PROVIDED VIA TELEHEALTH - IN KIND DONATIONS WERE PROVIDED INCLUDING PERSONAL PROTECTIVE EQUIPMENT TO LOCAL SCHOOLS AND FREE TEA AND COFFEE TO DEPARTMENT OF CORRECTIONS OFFICERS
CORE FORM, PART VI, SECTION A; QUESTIONS 4	THE ORGANIZATION'S BYLAWS WERE AMENDED AND RESTATED EFFECTIVE APRIL 6, 2020.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7	INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE SOLE MEMBER OF THIS ORGANIZATION. NETWORK HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
CORE FORM, PART VI, SECTION B; QUESTION 11B	INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE NETWORK'S AUDIT COMMITTEE FOR REVIEW AND THEREAFTER APPROVAL BY THE MEMBERS AT THE AUDIT COMMITTEE MEETING. SUBSEQUENTLY, THE ORGANIZATION'S 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S BOARD OF TRUSTEES, PRIOR TO FILING WITH THE IRS. THE NETWORK'S AUDIT COMMITTEE HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE SYSTEM HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING GENERAL COUNSEL, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF FINANCE AND VARIOUS OTHER INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL. THEREAFTER, THE FORM 990 WAS PROVIDED TO THE NETWORK'S AUDIT COMMITTEE AND THE ORGANIZATION'S BOARD OF TRUSTEES, PRIOR TO FILING WITH IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE SYSTEM HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH ALL AFFILIATES REGULARLY MONITOR AND ENFORCE COMPLIANCE. THE CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST DISCLOSURE STATEMENT, CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES, BE CIRCULATED ANNUALLY TO ALL TRUSTEES/DIRECTORS, OFFICERS, KEY EMPLOYEES AND COMMITTEE MEMBERS (COLLECTIVELY, "INSPIRA MANAGEMENT") WITHIN THE SYSTEM. ALL MEMBERS OF INSPIRA MANAGEMENT ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY ANNUALLY AND SIGN A DISCLOSURE STATEMENT WHICH AFFIRMS THAT THEY: (A) HAVE RECEIVED A COPY OF THIS CONFLICT OF INTEREST POLICY; (B) HAVE READ AND UNDERSTOOD THE POLICY; (C) HAVE AGREED TO COMPLY WITH THE POLICY, AND (D) UNDERSTAND THAT THE ORGANIZATION IS A CHARITABLE, TAX-EXEMPT ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. PER THE SYSTEM'S CONFLICT OF INTEREST POLICY, ANY MEMBER OF INSPIRA MANAGEMENT HAVING A POTENTIAL OR ACTUAL SIGNIFICANT FINANCIAL OR PERSONAL INTEREST IN ANY TRANSACTION OR ARRANGEMENT, SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE OF HIS OR HER INTEREST TO THE APPLICABLE GOVERNING BOARD OR A COMMITTEE THEREOF WHICH IS CONSIDERING THE AUTHORIZATION, APPROVAL, RATIFICATION, OR SIMILAR ACTION OF SUCH TRANSACTION OR ARRANGEMENT PRIOR TO THE ORGANIZATION ACTING ON SUCH TRANSACTION OR ARRANGEMENT. THE COMPLETED CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE RETURNED TO THE SYSTEM'S GENERAL COUNSEL FOR REVIEW. THEREAFTER, GENERAL COUNSEL presents any conflicts of interest to THE NETWORK'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION. MANAGEMENT HAVING A POTENTIAL OR ACTUAL SIGNIFICANT FINANCIAL OR PERSONAL INTEREST IN ANY TRANSACTION OR ARRANGEMENT, SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE OF HIS OR HER INTEREST TO THE APPLICABLE GOVERNING BOARD OR A COMMITTEE THEREOF WHICH IS CONSIDERING THE AUTHORIZATION, APPROVAL, RATIFICATION, OR SIMILAR ACTION OF SUCH TRANSACTION OR ARRANGEMENT PRIOR TO THE ORGANIZATION ACTING ON SUCH TRANSACTION OR ARRANGEMENT. THE COMPLETED CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE RETURNED TO THE SYSTEM'S GENERAL COUNSEL FOR REVIEW. THEREAFTER, GENERAL COUNSEL presents any conflicts of interest to THE NETWORK'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE NETWORK'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND all executive vice presidents and senior vice presidents that report directly to the president/chief executive officer ("senior management"). THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" of senior management WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF SENIOR MANAGEMENT. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO SENIOR MANAGEMENT. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE SYSTEM'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
CORE FORM, PART VII AND SCHEDULE J	JOHN A. DIANGELO WAS AN OFFICER OF THIS ORGANIZATION AND INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF THIS ORGANIZATION THROUGH JANUARY 2, 2021. MR. DIANGELO WAS EMPLOYED BY THIS ORGANIZATION AND RECEIVED FORM W-2. ACCORDINGLY HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP WAS WITH INSPIRA MEDICAL CENTERS, INC. (EIN: 21-0634484). INSPIRA MEDICAL CENTERS, INC. FILED A 2020 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. DIANGELO'S COMPENSATION IN EXCESS OF $1M.
CORE FORM, PART VII AND SCHEDULE J	CORE FORM, PART VII AND SCHEDULE J, PART II REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THIS ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. PLEASE NOTE, THIS ORGANIZATION'S FORM 990 REFLECTS INDIVIDUALS WHO PROVIDE SERVICES TO OTHER ORGANIZATIONS. THIS ORGANIZATION ISSUES W-2'S TO THOSE INDIVIDUALS AND FILES THE APPLICABLE FORMS WITH THE INTERNAL REVENUE SERVICE. THIS ORGANIZATION ALLOCATES THESE PAYMENTS TO OTHER AFFILIATES VIA AN INTERCOMPANY ACCOUNT.
CORE FORM, PART VII, SECTION A, COLUMN B	THIS ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS AND OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - GAIN OR LOSS ON INTEREST RATE SWAP - ($908,000); - NET ASSETS RELEASED FROM RESTRICTION FOR PROPERTY AND EQUIPMENT - $349,000; - NET TRANSFERS TO AFFILIATES - ($32,046,179); - CHANGE IN BENEFICIAL INTEREST IN TEMPORARY TRUST; DONOR RESTRICTED - $205,000; - NET ASSETS RELEASED FROM DONOR RESTRICTIONS - ($483,000); - CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS; DONOR RESTRICTED - $393,000; - NET PERIODIC PENSION ADJUSTMENT - $875,156; - PENSION LIABILITY ADJUSTMENT - $1,002,000; AND - OTHER CHANGES IN NET ASSETS; DONOR RESTRICTED - $133,379.
CORE FORM, PART XII; QUESTION 2	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS INSPIRA HEALTH NETWORK, INC. ("NETWORK"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE NETWORK AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2020 AND DECEMBER 31, 2019; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS EACH YEAR. THE NETWORK'S AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR.
CORE FORM, PART XII; QUESTION 3	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	INSPIRA DEPTFORD HEALTHPARK LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	165 BRIDGETON PIKE	AddressLine1Txt
City	MULLICA HILL	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08062	ZIPCd

Field	Value	IRS element (for citing)
EIN	320483850	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	NJ	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$6,328,171	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	IMC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
INSPIRA HOMECARE & HOSPICECARE INC
333 IRVING AVENUE	BRIDGETON	NJ	08302	226067549	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	NETWORK	false
INSPIRA HEALTH NETWORK INC
333 IRVING AVENUE	BRIDGETON	NJ	08302	222508425	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)		false	N/A
INSPIRA HEALTH NETWORK LIFE INC
2950 COLLEGE DRIVE SUITE 1E	VINELAND	NJ	08360	264827936	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	NETWORK	false
INSPIRA HEALTH FOUNDATION INC
165 BRIDGETON PIKE	MULLICA HILL	NJ	08062	222333409	FUNDRAISING	NJ	501(C)(3)	509(A)(1)	IMC	Yes (true)
TRI-COUNTY CARDIOVASCULAR SERVICES PC
509 NORTH BROAD STREET	WOODBURY	NJ	08096	454199382	INACTIVE	NJ	501(C)(3)	509(A)(3)	NETWORK	false
INSPIRA HEALTH CONNECTIONS PC
333 IRVING AVENUE	BRIDGETON	NJ	08302	454203973	HEALTH SVCS.	NJ	501(C)(3)	170B1AIII	NETWORK	false
INSPIRA HEALTH NETWORK MEDICAL GROUP PC
2950 COLLEGE DRIVE SUITE 1E	VINELAND	NJ	08360	225745047	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)	IMC	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
BPOC LP
333 IRVING AVENUE	BRIDGETON	NJ	08302	222956029	REAL ESTATE	NJ	NA
OAK & MAIN SURGICTR
907 NORTH MAIN ROAD	VINELAND	NJ	08360	223532371	HEALTHCARE SVCS.	NJ	IMC	RELATED	$93,930	$611,426	false	Yes (true)	0.92500
GLOUC CTY SURG CTR
163 BRIDGETON PIKE BLDG B	MULLICA HILL	NJ	08062	261157885	HEALTHCARE SVCS.	NJ	NA
INSPIRA HLTH PTRS
2950 COLLEGE DRIVE	VINELAND	NJ	08360	465550615	HEALTHCARE ACO	NJ	NA
INSPIRA SJ UC MGT
165 BRIDGETON PIKE	MULLICA HILL	NJ	08062	813186749	URGENT CARE MGT	NJ	NA
WMCA LLP
1060 N KINGS HWY	CHERRY HILL	NJ	08034	223006705	HEALTHCARE SVCS.	NJ	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
INSPIRA HEALTH MANAGEMENT CORPORATION
2950 COLLEGE DRIVE SUITE 1E	VINELAND	NJ	08360	222502241	HEALTHCARE SVCS.	NJ	N/A	C CORP.	false
JUNO ASSURANCE LTD
					FINANCIAL VEHICLE		N/A	FOREIGN CORP.	false	AON HOUSE 4TH FLOOR	PEMBROKE	BD	HM 08	BD
INSPIRA HEALTH NETWORK URGENT CARE PC
201 TOMLIN STATION ROAD	MULLICA HILL	NJ	08062	452900402	HEALTHCARE SVCS.	NJ		C CORP.	Yes (true)						IMC	$18,009,589	$16,498,101	1.00000
RED BANK DEVELOPMENT CORPORATION
509 NORTH BROAD STREET	WOODBURY	NJ	08096	222814053	HEALTHCARE SVCS.	NJ	N/A	C CORP.	false
INSPIRA SJ URGENT CARE PC
165 BRIDGETON PIKE	MULLICA HILL	NJ	08062	813165654	HEALTHCARE SVCS.	NJ		C CORP.	Yes (true)						IMC	$2,211,437	$1,624,489	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
INSPIRA HEALTH NETWORK INC
E	$2,746,688	COST
INSPIRA HEALTH FOUNDATION INC
D	$789,223	COST
INSPIRA HEALTH NETWORK URGENT CARE PC
E	$3,212,654	COST
Oak and Main Surgicenter LLC
D	$295,794	COST
INSPIRA HEALTH NETWORK INC
K	$637,456	COST
INSPIRA HEALTH FOUNDATION INC
K	$50,776	COST
INSPIRA HEALTH NETWORK MEDICAL GROUP PC
J	$907,508	COST
Oak and Main Surgicenter LLC
J	$124,650	COST
INSPIRA HEALTH FOUNDATION INC
O	$1,063,778	COST
INSPIRA HEALTH NETWORK INC
O	$253,237	COST
OAK & MAIN SURGICENTER LLC
O	$457,045	COST
INSPIRA HEALTH FOUNDATION INC
C	$6,392,179	COST

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.	ExplanationTxt