INSPIRA MEDICAL CENTERS INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: INSPIRA MEDICAL CENTERS INC (EIN 21-0634484)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-08-27
IRS object ID: 202042409349301469
Schema version: 2019v5.1
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	2020-08-27T16:40:41-05:00	ReturnTs
Tax Period End	2019-12-31	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	2019-01-01	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 CPA	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8566416605	PhoneNum
Signature	2020-08-27	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Scott J Mariani	PreparerPersonNm
PTIN	P00642486	PTIN
Phone	9738989494	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	65.124.179.67	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	22006220202405000256	FederalOriginalSubmissionId
Federal Original Submission Id	2020-08-27	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	AB3D14B9BFD2D107A1EE7F3563C6B7B81598F136	AtSubmissionCreationDeviceId
At Submission Filing Device Id	28131968D74BCEA433E306B5E7FB3C5959DCA57A	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2020-11-06 18:47:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOHN A DIANGELO	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	$537,063,971	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	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	7009	TotalEmployeeCnt
Total Volunteers	592	TotalVolunteersCnt
Total Gross UBI	$75,569	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$11,552	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,589,901	PYContributionsGrantsAmt
CY Contributions Grants	$4,196,189	CYContributionsGrantsAmt
PY Program Service Revenue	$475,565,471	PYProgramServiceRevenueAmt
CY Program Service Revenue	$512,654,273	CYProgramServiceRevenueAmt
PY Investment Income	$28,567,630	PYInvestmentIncomeAmt
CY Investment Income	$16,824,554	CYInvestmentIncomeAmt
PY Other Revenue	$1,603,242	PYOtherRevenueAmt
CY Other Revenue	$2,559,982	CYOtherRevenueAmt
PY Total Revenue	$511,326,244	PYTotalRevenueAmt
CY Total Revenue	$536,234,998	CYTotalRevenueAmt
PY Grants And Similar Paid	$146,261	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$164,468	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$246,759,472	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$266,753,192	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$181,886,774	PYOtherExpensesAmt
CY Other Expenses	$203,358,729	CYOtherExpensesAmt
PY Total Expenses	$428,792,507	PYTotalExpensesAmt
CY Total Expenses	$470,276,389	CYTotalExpensesAmt
PY Revenues Less Expenses	$82,533,737	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$65,958,609	CYRevenuesLessExpensesAmt
Total Assets BOY	$992,408,000	TotalAssetsBOYAmt
Total Assets EOY	$1,778,232,000	TotalAssetsEOYAmt
Total Liabilities BOY	$365,713,198	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$803,107,680	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$626,694,802	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$975,124,320	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	Yes (true)	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$423,265,196	ExpenseAmt
Grant	$164,468	GrantAmt
Revenue	$512,654,273	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	$423,265,196	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	561	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7009	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	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	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 (35 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOHN A DIANGELO
TRUSTEE; PRESIDENT/CEO - IHN	55.0	0.0	Yes (X)	Yes (X)	$1,872,686	$0	$268,519
ROBERT E FLORENTINE
SVP/CHIEF PEOPLE OFFICER	55.0	0.0			$804,432	$0	$62,665	Yes (X)
MARVIN T WAY
EVP OPERATIONS	55.0	0.0		Yes (X)	$649,717	$0	$152,067
ALKA KOHLI MD MBA
EVP/CHIEF POP HEALTH OFFICER	55.0	0.0			$607,330	$0	$134,433	Yes (X)
KURT W KAULBACK MD
TRUSTEE (TERMED 04/2019)	55.0	0.0	Yes (X)		$0	$708,765	$21,867
THOMAS P BALDOSARO C
EVP/CHIEF FINANCIAL OFFICER	55.0	0.0		Yes (X)	$543,113	$0	$127,795
ELIZABETH A SHERIDAN
COO - IMC ELMER & VINELAND	55.0	0.0			$521,603	$0	$68,725	Yes (X)
STEVEN C LINN MD
CMO - ELMER & VINELAND	55.0	0.0			$484,381	$0	$97,351	Yes (X)
CHRISTOPHER TROTZ MD
EXECUTIVE MEDICAL DIRECTOR	55.0	0.0			$456,526	$0	$72,062		Yes (X)
THOMAS PACEK
VP/CHIEF INFORMATION OFFICER	55.0	0.0			$390,295	$0	$81,525	Yes (X)
SCOTT WAGNER MD MB
CMO - WOODBURY/MULLICA HILL	55.0	0.0			$393,087	$0	$77,028	Yes (X)
MATTHEW DOONAN ESQ
GENERAL COUNSEL	55.0	0.0			$388,254	$0	$80,035	Yes (X)
DAVID YHLEN
COO-IMC BRIDGETON/VP AMB svcs.	55.0	0.0			$316,801	$0	$71,411	Yes (X)
PATRICK NOLAN
COO - WOODBURY/MULLICA HILL	55.0	0.0		Yes (X)	$320,763	$0	$66,770
GREGORY HERMAN
CHIEF MED INFORMATION OFFICER	55.0	0.0			$351,664	$0	$33,786		Yes (X)
CLARE SAPIENZA-ECK
VP BUSINESS DEV & PLANNING	55.0	0.0			$291,472	$0	$91,698		Yes (X)
KATHLEEN SCULLIN
VP MARKETING&PUBLIC RELATIONS	55.0	0.0		Yes (X)	$343,675	$0	$30,791
EILEEN CARDILE
FORMER OFFICER	0.0	0.0			$364,907	$0	$0			Yes (X)
BRANDON BARDOWSKY
VP FACILITIES & CONSTRUCTION	55.0	0.0			$291,169	$0	$34,911		Yes (X)
DAVID MURRAY
VP FINANCE	55.0	0.0			$284,930	$0	$39,171		Yes (X)
JACK M SHIELDS MD
TRUSTEE (TERMED 04/2019)	2.0	0.0	Yes (X)		$25,140	$0	$0
JOHN B CATALANO MD
TRUSTEE (TERMED 04/2019)	1.0	0.0	Yes (X)		$4,900	$0	$0
EDGAR G GALLOWAY III
CHAIRMAN - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
BENJAMIN T GRIFFITH
VICE CHAIRMAN - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
EDWARD BETHEA
SECRETARY/TREASURER - TRUSTEE	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
LAWRENCE M DIVIETRO
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
MATTHEW FISHER MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
ROBERTA S FREITAG
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JAMES E GEORGE MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
LAWRENCE A PEPPER JR
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JORGE A PRIETO MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
PAUL J RITTER III
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
ALBERT A RUNDIO JR
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
KIMBERLY E WOOD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JAMES M BONNER DO
TRUSTEE (TERMED 04/2019)	1.0	0.0	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,706,845	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$708,765	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,612,610	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	529	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	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	$8,658,519
REGIONAL DIAGNOSTIC IMAGING LLC
PO BOX 2089	VINELAND	NJ	08360	RADIOLOGY	$7,328,442
PHILIPS HEALTHCARE
PO Box 100355	ATLANTA	GA	303840355	IT	$6,615,668
REHABCARE GROUP INC
PO BOX 502096	ST LOUIS	MO	631502096	REHABILITATION	$5,874,917
COOPER UNIVERSITY PHYSICIANS
1 FEDERAL STREET SUITE NW-400A	PHILADELPHIA	PA	19182	MEDICAL	$5,860,166

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	145	CntrctRcvdGreaterThan100KCnt
Related Organizations	$904,103	RelatedOrganizationsAmt
Government Grants	$3,292,086	GovernmentGrantsAmt
Total Contributions	$4,196,189	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	$504,044,287	$504,044,287
OTHER HEALTHCARE RELATED REVENUE	622110	$8,068,236	$7,992,667	$75,569
RENTAL INCOME FROM TAX-EXEMPT AFFILIATES	531190	$541,750	$541,750

Field	Value	IRS element (for citing)
Total Program Service Revenue	$512,654,273	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,761,825	TotalRevenueColumnAmt
Exclusion	$15,761,825	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$370,585	TotalRevenueColumnAmt
Exclusion	$370,585	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	$1,018,351	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$560,483	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$457,868	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$457,868	TotalRevenueColumnAmt
Exclusion	$457,868	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$692,144	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$692,144	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$692,144	TotalRevenueColumnAmt
Exclusion	$692,144	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	$464,318	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$268,490	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$195,828	TotalRevenueColumnAmt
Exclusion	$195,828	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA/DIETARY	Desc
Business	900099	BusinessCd
Total Revenue Column	$1,906,286	TotalRevenueColumnAmt
Exclusion	$1,906,286	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,906,286	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$536,234,998	TotalRevenueColumnAmt
Related Or Exempt Func Income	$512,578,704	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$75,569	UnrelatedBusinessRevenueAmt
Exclusion	$19,384,536	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$156,468	TotalAmt
Program Services	$156,468	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$8,000	TotalAmt
Program Services	$8,000	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	$8,955,252	TotalAmt
Program Services	$8,059,727	ProgramServicesAmt
Management And General	$895,525	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	$194,659,339	TotalAmt
Program Services	$175,193,405	ProgramServicesAmt
Management And General	$19,465,934	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$16,985,779	TotalAmt
Program Services	$15,287,201	ProgramServicesAmt
Management And General	$1,698,578	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,509,142	TotalAmt
Program Services	$14,858,228	ProgramServicesAmt
Management And General	$1,650,914	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$29,643,680	TotalAmt
Program Services	$26,679,312	ProgramServicesAmt
Management And General	$2,964,368	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	$1,167,688	TotalAmt
Program Services	$1,050,919	ProgramServicesAmt
Management And General	$116,769	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$157,890	TotalAmt
Program Services	$142,101	ProgramServicesAmt
Management And General	$15,789	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	$1,171,442	TotalAmt
Program Services	$1,054,298	ProgramServicesAmt
Management And General	$117,144	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$35,658,087	TotalAmt
Program Services	$32,092,279	ProgramServicesAmt
Management And General	$3,565,808	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$33,842	TotalAmt
Program Services	$30,458	ProgramServicesAmt
Management And General	$3,384	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,650,160	TotalAmt
Program Services	$5,985,144	ProgramServicesAmt
Management And General	$665,016	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$257,622	TotalAmt
Program Services	$231,860	ProgramServicesAmt
Management And General	$25,762	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$11,414,359	TotalAmt
Program Services	$10,272,923	ProgramServicesAmt
Management And General	$1,141,436	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,219,758	TotalAmt
Program Services	$1,097,782	ProgramServicesAmt
Management And General	$121,976	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	$123,179	TotalAmt
Program Services	$110,861	ProgramServicesAmt
Management And General	$12,318	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$6,323,319	TotalAmt
Program Services	$5,690,987	ProgramServicesAmt
Management And General	$632,332	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$33,184,195	TotalAmt
Program Services	$29,865,775	ProgramServicesAmt
Management And General	$3,318,420	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,892,391	TotalAmt
Program Services	$1,703,152	ProgramServicesAmt
Management And General	$189,239	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$48,083,111	$43,274,800	$4,808,311
ALLOCATED CORPORATE SERVICES	$33,897,867	$30,508,080	$3,389,787
OUTSIDE SERVICES	$7,713,432	$6,942,088	$771,344
REHAB & SLEEP CARE EXPENSES	$7,213,346	$6,492,011	$721,335

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,197,041	TotalAmt
Program Services	$6,477,337	ProgramServicesAmt
Management And General	$719,704	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$470,276,389	TotalAmt
Program Services	$423,265,196	ProgramServicesAmt
Management And General	$47,011,193	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$12,934	BOYAmt
EOY	$19,309	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$81,317,670	BOYAmt
EOY	$74,953,791	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,179,296	BOYAmt
EOY	$3,652,619	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$48,577,480	BOYAmt
EOY	$74,360,469	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$55,293	BOYAmt
EOY	$56,145	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	$5,052,717	BOYAmt
EOY	$7,389,915	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,350,152	BOYAmt
EOY	$16,045,622	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,341,452,065	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$555,598,063	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$272,762,234	BOYAmt
EOY	$785,854,002	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	$466,380,811	BOYAmt
EOY	$709,062,406	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	$105,719,413	BOYAmt
EOY	$106,837,722	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$992,408,000	BOYAmt
EOY	$1,778,232,000	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$97,276,210	BOYAmt
EOY	$153,966,003	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	$3,965,815	BOYAmt
EOY	$4,840,216	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$179,705,264	BOYAmt
EOY	$510,257,016	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	$3,154,707	BOYAmt
EOY	$3,028,897	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	$81,611,202	BOYAmt
EOY	$131,015,548	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$365,713,198	BOYAmt
EOY	$803,107,680	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	$621,920,226	BOYAmt
EOY	$966,023,821	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,774,576	BOYAmt
EOY	$9,100,499	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$626,694,802	BOYAmt
EOY	$975,124,320	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$992,408,000	BOYAmt
EOY	$1,778,232,000	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$65,958,609	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$40,666,848	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$241,804,061	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	$52,500	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$105,390	OtherActivitiesAmt
Total Lobbying Expenditures	$157,890	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 $52,500 DURING 2019. IN ADDITION, DURING 2019 THE ORGANIZATION PAID AN INDEPENDENT OUTSIDE LOBBYING FIRM A TOTAL OF $63,000 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 $42,390 DURING 2019. THIS ORGANIZATION IS ALSO A MEMBER OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. TO WHICH IT PAID DUES IN THE AMOUNT OF $22,500 IN 2019. 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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,581,000	BeginningYearBalanceAmt
Contributions	-$103,045	ContributionsAmt
Investment Earnings Or Losses	-$100,514	InvestmentEarningsOrLossesAmt
Other Expenditures	$426,527	OtherExpendituresAmt
End Year Balance	$5,950,914	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	$627,259,233	OtherCostOrOtherBasisAmt
Depreciation	$138,689,534	DepreciationAmt
Book Value	$488,569,699	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,336,098	OtherCostOrOtherBasisAmt
Depreciation	$1,917,976	DepreciationAmt
Book Value	$418,122	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$588,602,038	OtherCostOrOtherBasisAmt
Depreciation	$411,265,667	DepreciationAmt
Book Value	$177,336,371	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$98,824,924	OtherCostOrOtherBasisAmt
Depreciation	$3,724,886	DepreciationAmt
Book Value	$95,100,038	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$785,854,002	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
PERPETUAL TRUSTS	$8,745,068	F
CAMPAIGN	$12,134,175	F
INVESTMENTS IN OTHER ENTITIES	$13,523,228	F
TRUSTEE HELD INVESTMENTS	$15,943,359	F
ASSETS LIMITED AS TO USE	$658,716,576	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$709,062,406	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
ORGANIZATIONS	$74,062,957
RECEIVABLE	$19,260,184
OTHER RECEIVABLES	$1,975,188
LEASING ARRANGEMENTS	$6,496,692
PENSION ASSET	$4,035,269
OTHER ASSETS	$1,007,432

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$106,837,722	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
ACCRUED INTEREST PAYBLE	$10,282,203
THIRD-PARTY PAYORS	$49,124,863
ACCRUED RETIREMENT BENEFITS	$10,702,574
OPERATING LEASE OBLIGATIONS	$6,715,898
INTEREST RATE SWAP	$8,007,018
OTHER LONG-TERM LIABILITIES	$46,182,992

Field	Value	IRS element (for citing)
Total Liability	$131,015,548	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, 2019 AND DECEMBER 31, 2018; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE SYSTEM'S 2019 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 2019 AND 2018.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	FINANCIAL VEHICLE	SpecificServicesProvidedTxt
Region Total Expenditures	$7,795,000	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$7,795,000	SubtotalSpentAmt
Total Spent	$7,795,000	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	DURING 2019, THIS ORGANIZATION REMITTED $4,983,911 TO JUNO ASSURANCE, LTD. ("JUNO"), A FINANCIAL VEHICLE, ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION. IN ADDITION, DURING 2019 THE ORGANIZATION REMITTED $2,811,089 TO JUNO ON BEHALF OF AND FOR THE BENEFIT OF THE FOLLOWING RELATED ORGANIZATIONS: INSPIRA HEALTH NETWORK LIFE, INC. - $21,796; INSPIRA HEALTH CONNECTIONS, P.C - $7,951; INSPIRA HEALTH NETWORK MEDICAL GROUP, P.C - $2,426,083; AND INSPIRA HEALTH NETWORK URGENT CARE, P.C - $355,259. THIS ORGANIZATION ALLOCATES THESE PAYMENTS TO EACH AFFILIATE VIA AN INTERCOMPANY ACCOUNT.	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	$5,937,157	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$839,290	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,097,867	NetCommunityBenefitExpnsAmt
Total Expense	0.01080	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,485,674	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,560,853	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,924,821	NetCommunityBenefitExpnsAmt
Total Expense	0.02320	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,420,912	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,609,519	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,811,393	NetCommunityBenefitExpnsAmt
Total Expense	0.01870	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,843,743	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,009,662	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,834,081	NetCommunityBenefitExpnsAmt
Total Expense	0.05270	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,346,911	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$977,256	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,369,655	NetCommunityBenefitExpnsAmt
Total Expense	0.00720	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,304,183	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,556,465	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,747,718	NetCommunityBenefitExpnsAmt
Total Expense	0.01010	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,241,876	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$902,059	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,339,817	NetCommunityBenefitExpnsAmt
Total Expense	0.03050	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$102,231	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$102,231	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$118,652	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$118,652	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,113,853	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,435,780	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,678,073	NetCommunityBenefitExpnsAmt
Total Expense	0.04830	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$92,957,596	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$45,445,442	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,512,154	NetCommunityBenefitExpnsAmt
Total Expense	0.10100	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,844	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$34,844	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,988,646	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,239,760	DirectOffsettingRevenueAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$80,108	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$80,108	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$234,207	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$234,207	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,337,805	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,239,760	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$349,159	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Reimbursed By Medicare	$116,991,587	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$113,336,131	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,655,456	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 (5 entries)

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

SURGICENTER LLC
MEDICAL SERVICES	0.85	0.15
ELLMAC DIALYSIS LLC
MEDICAL SERVICES	0.3	0.1
CLAYMOUNT

DIALYSIS LLC
MEDICAL SERVICES	0.3	0.15

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)	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)	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	14	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") THIS ORGANIZATION TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY ITS HOSPITAL FACILITIES. THIS ORGANIZATION 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). 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 RIGOROUS 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 CONSULTATION 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 THE NETWORKS 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 LAUNCHED ON JUNE 8, 2018 AND CLOSED ON NOVEMBER 24, 2018 (24 WEEKS) AND WAS DESIGNED 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	THE 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 FACILITIES. 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	THE NETWORK HAS CREATED ONE SET OF IMPLEMENTATION STRATEGIES WHICH INCLUDES ALL OF ITS HOSPITAL FACILITIES. THE ORGANIZATION'S JOINT IMPLEMENTATION STRATEGY DESCRIBES THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE ORGANIZATIONS CHNA. THROUGH THE ASSESSMENT OF ITS COMMUNITIES THE ORGANIZATION IDENTIFIED THE FOLLOWING KEY PRIORITIES: OBESITY, SUBSTANCE ABUSE, MENTAL HEALTH, ACCESS TO HEALTH CARE, AND TRANSPORTATION. THE ORGANIZATION INTENDS TO TAKE THE FOLLOWING ACTIONS WITH RESPECT TO EACH IDENTIFIED COMMUNITY HEALTH NEED. 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 OPIOID 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 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 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.
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: WWW.INSPIRAHEALTHNETWORK.ORG/FAP

Field	Value	IRS element (for citing)
Facility	19	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (19 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 EGG HARBOR SLEEP CARE CENTER
6712 WASHINGTON AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	OUTPATIENT SVCS - SLEEP CENTER
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

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: WWW.NJ.GOV/HEALTH/CANCER/NJCEED. 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 WWW.NJ.GOV/OAG/NJVICTIMS/INDEX.HTML 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 ENSURE THE COMMUNITY IS WELL EDUCATED ON TOPICS PROMOTING HEALTHY LIVING.
SCHEDULE H, PART III, SECTION A; QUESTION 4	THE FOOTNOTE BELOW EXPLAINS THE ORGANIZATIONS 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 2019 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 INSPIRAS 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 PATIENTS 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 NETWORK 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: WWW.INSPIRAHEALTHNETWORK.ORG/FAP (2) PAPER COPIES OF THE FAP, APPLICATION AND THE PLS ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL AND ARE AVAILABLE IN 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 ORGANIZATIONS 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. INSPIRA ALSO INFORMS AND NOTIFIES MEMBERS OF THE COMMUNITY SERVED ABOUT THE FAP. INSPIRA ACCOMPLISHES THIS THROUGH THE CUMBERLAND/SALEM/GLOUCESTER HEALTH & WELLNESS ALLIANCE ("ALLIANCE") WHICH IS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION FOR WHICH INSPIRA PLAYED AN INTEGRAL ROLE IN ORGANIZING. THE ALLIANCE HAS MORE THAN 40 MEMBERS COMPRISED OF SOCIAL SERVICE AGENCIES SCATTERED THROUGHOUT INSPIRAS PRIMARY SERVICE AREA OF CUMBERLAND, SALEM AND GLOUCESTER COUNTIES. THEY INCLUDE, BUT ARE NOT LIMITED TO, FEDERALLY QUALIFIED HEALTH CENTERS, YMCAS, UNITED WAYS, SCHOOL SYSTEMS, GATEWAY COMMUNITY ACTION PARTNERSHIP, THE LOCAL COUNTY COLLEGES, FAMCARE,INC., COUNTY PROSECUTORS OFFICE, SCRATCH COALITION (ADDICTION SERVICES), ROBINS NEST, LOCAL HEALTH DEPARTMENTS (MUNICIPAL AND COUNTY), CHAMBERS OF COMMERCE, FAMILY SUCCESS CENTERS, RUTGERS COOPERATIVE EXTENSION, NJ FAMILY PLANNING, THE SOUTHWEST COUNCIL, SOUTHERN NJ PERINATAL COOPERATIVE. THE ALLIANCE MEETS REGULARLY AND ASSISTS WITH DRAFTING AND IMPLEMENTATION OF OUR COMMUNITY HEALTH NEEDS ASSESSMENTS FOR ALL THREE COUNTIES WITHIN INSPIRAS PRIMARY MARKET.
SCHEDULE H, PART VI; QUESTION 4	INSPIRA HEALTH NETWORK IS A CHARITABLE, NOT-FOR-PROFIT HEALTH SYSTEM SERVING THE RESIDENTS OF SOUTHWEST NEW JERSEY. INSPIRA HEALTH NETWORK WAS ESTABLISHED IN NOVEMBER 2012 THROUGH THE MERGER OF SOUTH JERSEY HEALTHCARE AND UNDERWOOD-MEMORIAL HOSPITAL. THE NETWORK, 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. INSPIRA HEALTH NETWORK DEFINED THEIR CURRENT SERVICE AREA BASED ON AN ANALYSIS OF THE GEOGRAPHIC AREA WHERE INDIVIDUALS UTILIZING THEIR SERVICES RESIDE. INSPIRA HEALTH NETWORKS 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 2019. AS PART OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, ONE OF THE INITIAL UNDERTAKINGS OF 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 27.9%. - 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 8.8% - 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 8.5%. - 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 2.77 INDIVIDUALS. GLOUCESTER COUNTY: - THE MEDIAN HOME VALUE IN GLOUCESTER COUNTY IS $216,700. - THE AVERAGE FAMILY SIZE 2.74 INDIVIDUALS. SALEM COUNTY: - THE MEDIAN HOME VALUE IN SALEM COUNTY IS $185,300. - THE AVERAGE FAMILY SIZE 2.59 INDIVIDUALS. INCOME STATISTICS ----------------- CUMBERLAND COUNTY: - THE MEDIAN INCOME FOR HOUSEHOLDS IS $52,593 - THE PROPORTION OF PERSONS LIVING IN POVERTY IS 15.2% GLOUCESTER COUNTY: - THE MEDIAN INCOME FOR HOUSEHOLDS IS $85,160 - THE PROPORTION OF PERSONS LIVING IN POVERTY IS 7.5% SALEM COUNTY: - THE MEDIAN INCOME FOR HOUSEHOLDS IS $64,309 - THE PROPORTION OF PERSONS LIVING IN POVERTY IS 11.2%. EMPLOYMENT STATISTICS --------------------- CUMBERLAND COUNTY: UNEMPLOYMENT RATE IN APRIL 2018 WAS 6.6% GLOUCESTER COUNTY: UNEMPLOYMENT RATE IN APRIL 2018 WAS 4% SALEM COUNTY: UNEMPLOYMENT RATE IN APRIL WAS 5.3% EDUCATION STATISTICS -------------------- CUMBERLAND COUNTY: - 77.3% OF RESIDENTS HAVE GRADUATED FROM HIGH SCHOOL. - 14.3% OF RESIDENTS HAVE EARNED A BACHELORS DEGREE OR HIGHER. GLOUCESTER COUNTY: - 88.9% OF RESIDENTS HAVE GRADUATED FROM HIGH SCHOOL. - 30% OF RESIDENTS HAVE EARNED A BACHELORS DEGREE OR HIGHER. SALEM COUNTY: - 87.7% OF RESIDENTS HAVE GRADUATED FROM HIGH SCHOOL. - 20.9% OF RESIDENTS HAVE EARNED A BACHELORS DEGREE OR HIGHER. COUNTY HEALTH RANKINGS ---------------------- - CUMBERLAND COUNTY RECEIVED THE WORST RANKING FOR HEALTH OUTCOMES, MORTALITY, QUALITY OF LIFE, HEALTH FACTORS AND BEHAVIORS, AND SOCIAL AND ECONOMIC FACTORS (21 OF 21) IN NEW JERSEY. - GLOUCESTER COUNTY RECEIVED POOR RANKINGS FOR QUALITY OF LIFE, HEALTH BEHAVIORS, AND PHYSICAL ENVIRONMENT (18 OF 21, 18 OF 21, AND 20 OF 21 RESPECTIVELY). - SALEM COUNTY RECEIVED POOR RANKINGS FOR HEALTH OUTCOMES, MORTALITY, HEALTH FACTORS, HEALTH BEHAVIORS, AND PHYSICAL ENVIRONMENT (19 OF 21, 20 OF 21, 20 OF 21, 20 OF 21, AND 19 OF 21 RESPECTIVELY). - ALL COUNTIES RECEIVED A POOR RANKING FOR CLINICAL CARE.
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. IS COMPRISED OF THREE HOSPITAL FACILITIES, INSPIRA MEDICAL CENTER ELMER, INSPIRA MEDICAL CENTER VINELAND AND INSPIRA MEDICAL CENTER MULLICA HILL. IMC IS A GENERAL MEDICAL, SURGICAL AND TEACHING HOSPITAL THAT IS RECOGNIZED BY IRS AS AN IRC 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, IMC PROVIDES EMERGENCY AND 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 FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. INSPIRA MEDICAL CENTER WOODBURY, INC. ------------------------------------- INSPIRA MEDICAL CENTER WOODBURY, INC. ("IMCW") IS LOCATED IN WOODBURY, GLOUCESTER COUNTY, NEW JERSEY, IS A 305-BED ACUTE CARE FACILITY. IMCW IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, IMCW 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, IMCW OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. THIS ORGANIZATION WAS STATUTORILY MERGED INTO INSPIRA MEDICAL CENTERS, INC. DURING 2019. 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 NETWORK FOUNDATION CUMBERLAND/SALEM, INC. -------------------------------------------------------- INSPIRA HEALTH NETWORK FOUNDATION CUMBERLAND/SALEM, 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 INSPIRA HEALTH NETWORK, 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. THIS ORGANIZATION WAS STATUTORILY MERGED INTO INSPIRA HEALTH NETWORK FOUNDATION GLOUCESTER COUNTY, INC. DURING 2019. INSPIRA HEALTH NETWORK FOUNDATION GLOUCESTER COUNTY, INC. --------------------------------------------------------- INSPIRA HEALTH NETWORK FOUNDATION GLOUCESTER COUNTY, 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 INSPIRA HEALTH NETWORK, 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. INSPIRA HEALTH PARTNERS, LLC ---------------------------- INSPIRA HEALTH PARTNERS, LLC IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP. THE ORGANIZATION IS A CLINICALLY INTEGRATED PHYSICIAN-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 A LIMITED LIABILITY PARTNERSHIP. THE ORGANIZATION PROVIDES MEDICAL SERVICES IN SOUTHERN NEW JERSEY. DURING 2019, RED BANK DEVELOPMENT CORPORATION, INC. BECAME THE SOLE OWNER OF WOODBURY MEDICAL CENTER ASSOCIATES, LLP. COOPER BONE & JOINT, P.C. ------------------------- COOPER BONE & JOINT INSTITUTE (COOPER UNIVERSITY HEALTH CARE) 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 IS CURRENTLY INACTIVE. 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 M
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 (4 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)	$70,960	SPONSORSHIP
ROWAN COLLEGE OF SOUTH JERSEY
PO BOX 1500	VINELAND	NJ	08318	221779135	115	$20,500	SPONSORSHIP
COMMUNITY FOOD BANK OF NJ INC
31 EVANS TERMINAL ROAD	HILLSIDE	NJ	07205	222423882	501(C)(3)	$10,000	SPONSORSHIP
WASHINGTON TOWNSHIP EDUCATION FDN INC
206 EAST HOLLY AVENUE	SEWELL	NJ	080809931	223482414	501(C)(3)	$6,000	SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	EMPLOYEE CRISIS FUND	GrantTypeTxt
Recipient	16	RecipientCnt
Cash Grant	$8,000	CashGrantAmt

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
TRUSTEE; PRESIDENT/CEO - IHN	$859,734	$0	$190,080	$0	$822,872	$0	$217,500	$0	$51,019	$0	$2,141,205	$0	$502,246	$0
ROBERT E FLORENTINE
SVP/CHIEF PEOPLE OFFICER	$309,245	$0	$47,566	$0	$447,621	$0	$30,800	$0	$31,865	$0	$867,097	$0	$239,934	$0
MARVIN T WAY
EVP OPERATIONS	$530,162	$0	$82,846	$0	$36,709	$0	$107,707	$0	$44,360	$0	$801,784	$0	$0	$0
ALKA KOHLI MD MBA
EVP/CHIEF POP HEALTH OFFICER	$466,828	$0	$102,260	$0	$38,242	$0	$106,025	$0	$28,408	$0	$741,763	$0	$0	$0
KURT W KAULBACK MD
TRUSTEE (TERMED 04/2019)	$0	$415,651	$0	$293,114	$0	$0	$0	$0	$0	$21,867	$0	$730,632	$0	$0
THOMAS P BALDOSARO CPA
EVP/CHIEF FINANCIAL OFFICER	$436,549	$0	$61,029	$0	$45,535	$0	$95,720	$0	$32,075	$0	$670,908	$0	$0	$0
ELIZABETH A SHERIDAN
COO - IMC ELMER & VINELAND	$347,153	$0	$31,779	$0	$142,671	$0	$35,000	$0	$33,725	$0	$590,328	$0	$39,745	$0
STEVEN C LINN MD
CMO - ELMER & VINELAND	$360,935	$0	$37,961	$0	$85,485	$0	$63,414	$0	$33,937	$0	$581,732	$0	$0	$0
CHRISTOPHER TROTZ MD
EXECUTIVE MEDICAL DIRECTOR	$367,372	$0	$53,644	$0	$35,510	$0	$61,145	$0	$10,917	$0	$528,588	$0	$0	$0
THOMAS PACEK
VP/CHIEF INFORMATION OFFICER	$332,041	$0	$26,394	$0	$31,860	$0	$53,384	$0	$28,141	$0	$471,820	$0	$0	$0
SCOTT WAGNER MD MBA
CMO - WOODBURY/MULLICA HILL	$327,939	$0	$29,107	$0	$36,041	$0	$51,480	$0	$25,548	$0	$470,115	$0	$0	$0
MATTHEW DOONAN ESQ
GENERAL COUNSEL	$310,292	$0	$26,703	$0	$51,259	$0	$53,388	$0	$26,647	$0	$468,289	$0	$0	$0
DAVID YHLEN
COO-IMC BRIDGETON/VP AMB svcs.	$258,555	$0	$19,924	$0	$38,322	$0	$46,943	$0	$24,468	$0	$388,212	$0	$0	$0
PATRICK NOLAN
COO - WOODBURY/MULLICA HILL	$250,528	$0	$28,633	$0	$41,602	$0	$46,115	$0	$20,655	$0	$387,533	$0	$0	$0
GREGORY HERMAN
CHIEF MED INFORMATION OFFICER	$311,595	$0	$37,955	$0	$2,114	$0	$17,042	$0	$16,744	$0	$385,450	$0	$0	$0
CLARE SAPIENZA-ECK
VP BUSINESS DEV & PLANNING	$217,699	$0	$22,005	$0	$51,768	$0	$69,031	$0	$22,667	$0	$383,170	$0	$0	$0
KATHLEEN SCULLIN
VP MARKETING&PUBLIC RELATIONS	$292,993	$0	$30,918	$0	$19,764	$0	$12,261	$0	$18,530	$0	$374,466	$0	$0	$0
EILEEN CARDILE
FORMER OFFICER	$0	$0	$0	$0	$364,907	$0	$0	$0	$0	$0	$364,907	$0	$0	$0
BRANDON BARDOWSKY
VP FACILITIES & CONSTRUCTION	$220,736	$0	$53,794	$0	$16,639	$0	$13,692	$0	$21,219	$0	$326,080	$0	$0	$0
DAVID MURRAY
VP FINANCE	$241,295	$0	$32,974	$0	$10,661	$0	$14,997	$0	$24,174	$0	$324,101	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I; QUESTION 4B	THE AMOUNTS REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDE A CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED EACH INDIVIDUAL'S 2019 FORM W-2, BOX 5, AS TAXABLE WAGES: JOHN A. DIANGELO, $716,062; ROBERT E. FLORENTINE, $401,860 AND ELIZABETH A. SHERIDAN, $79,660. 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 2019 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: MARVIN T. WAY, $90,907; ALKA KOHLI, M.D., MBA, $89,225; THOMAS P. BALDOSARO, CPA, $78,920; STEVEN C. LINN, M.D., $42,414; CHRISTOPHER TROTZ, M.D., $44,345; THOMAS PACEK, $36,584; SCOTT WAGNER, M.D., MBA, $34,680; MATTHEW DOONAN, ESQ., $36,588; DAVID YHLEN, $30,143; PATRICK NOLAN, $29,684 AND CLARE SAPIENZA-ECK, $40,884. 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 2019 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN A. DIANGELO, $182,500.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2019 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2019 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 2019 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.
SCHEDULE J, PART II; COLUMN F	THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THESE AMOUNTS WERE REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. ADDITIONALLY, THESE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED IN EACH INDIVIDUAL'S 2019 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: JOHN A. DIANGELO, $502,246; ROBERT E. FLORENTINE, $239,934 AND ELIZABETH A. SHERIDAN, $39,745.

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	$0	$0	2017	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$287,424,492	$0	$0	$0	$2,114,547	$0	$0	$0	$0	$0	2018	false	false	false	Yes (true)
C	$0	$0	$60,000,000	$0	$0	$0	$131,375	$0	$0	$0	$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	0.13000	0.13000	false	false	0.00000	false	false
B	false	Yes (true)	Yes (true)	Yes (true)		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	$56,145	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	$56,145	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	$56,978	TransactionAmt
Transaction	EMPLOYEE	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (20 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 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 IRS 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 5 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 AND INSPIRA MEDICAL CENTER ELMER. 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 IS HOME TO A SATELLITE EMERGENCY DEPARTMENT THAT SERVES 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 NONPROFIT 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 MULLICA HILL IS LOCATED IN MULLICA HILL, NEW JERSEY. INSPIRA MEDICAL CENTER MULLICA HILL OFFERS 210 PRIVATE PATIENT ROOMS, ALL OF WHICH INCLUDE ULTRAMODERN SMART ROOM TECHNOLOGY DESIGNED TO ENHANCE SAFETY AND THE PATIENT EXPERIENCE. THE MATERNITY UNIT INCLUDES HOME-LIKE BIRTHING SUITES THAT PROVIDE A COMFORTING ENVIRONMENT FOR EXPECTING PARENTS TO WELCOME THEIR NEWBORNS. A PEDIATRIC EMERGENCY DEPARTMENT WITH AN ADJACENT INPATIENT UNIT IS AVAILABLE TO ACCOMMODATE CHILDREN AND FAMILIES. THE MULLICA HILL CAMPUS ALSO OFFERS COMPREHENSIVE ONCOLOGY SERVICES. 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. ADDITIONALLY, IMC PROVIDES AMBULATORY SERVICES AT TWO LOCATIONS IN CUMBERLAND COUNTY, WHICH ARE INSPIRA HEALTH CENTER BRIDGETON AND INSPIRA MEDICAL CENTER VINELAND. 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 2019, IMC PERFORMED 18,499 SURGERIES, 188,645 PHYSICAL THERAPY TREATMENTS, 3,338 DIALYSIS TREATMENTS, 266,849 DIAGNOSTIC IMAGING PROCEDURES, 14,834 RADIATION THERAPY TREATMENTS AND 113,461 EMERGENCY ROOM VISITS. ALSO, IN 2019, INPATIENT ADMISSIONS WERE 19,149 FOR ADULTS AND PEDIATRICS, 31 FOR SPECIAL CARE NURSERY, 206 FOR NEONATAL INTENSIVE CARE UNIT, 1,617 FOR MENTAL HEALTH AND 2,203 BIRTHS. 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.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	ACCREDITED BY DNV HEALTHCARE WHICH AIDS THE ORGANIZATIONS 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: - GREATER VINELAND CHAMBER OF COMMERCE 2019 LARGE BUSINESS OF THE YEAR - RATED 1 OF 11 HEALTH SYSTEMS WITH STRONG FINANCES BY BECKER'S HOSPITAL REVIEW - ACCREDITED CANCER CENTER BY THE COMMISSION ON CANCER - AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS (ASHP) ACCREDITATION (2018-2021) - INSPIRA MEDICAL CENTER ELMER RECEIVES BABY-FRIENDLY CERTIFICATION - BEACON AWARD FOR EXCELLENCE - SUBURBAN FAMILY'S 'THE BEST OF FAMILY 2019' INNOVATION AND TECHNOLOGY - INSPIRA MEDICAL CENTER VINELAND RECEIVES CHEST PAIN CENTER WITH PCI ACCREDITATION - NEW JERSEY HOSPITAL ASSOCIATION'S COMMUNITY OUTREACH AWARD - UPGRADED FITCH RATING TO AN AA - INSPIRA MEDICAL CENTER ELMER EARNED A 2019 HEALTHGRADES OUTSTANDING PATIENT EXPERIENCE AWARD - US NEWS & WORLD REPORT HIGH PERFORMING HOSPITALS (2018-2019) - NJ INFLUENZA HONOR ROLL AWARD FROM THE NJ DEPARTMENT OF HEALTH, VACCINE PREVENTABLE DISEASE PROGRAM - INSPIRA CANCER SERVICES AND THE CHRONIC DISEASE COALITION RECEIVED THE OUTSTANDING COMMUNITY PARTNER AWARD - INSPIRA HEALTH'S CEO, JOHN DIANGELO NAMED TO SOUTH JERSEY BUSINESS MAGAZINES POWER 50 LIST - INSPIRA EARNED A NATIONAL PRESS GANEY SUCCESS STORY AWARD - INSPIRA MEDICAL CENTER VINELAND'S SURGICAL ACUTE CARE UNIT AWARDED THE PRISM AWARD - INSPIRA HEALTH CEO, JOHN DIANGELO, PRESENTED THE NATIONAL STEVEN SCHRODER OUTSTANDING HEALTHCARE CEO AWARD - INSPIRA AMONG "TOP 150 PLACES TO WORK IN HEALTHCARE IN 2019" ACCORDING TO BECKERS HEALTHCARE - INSPIRA MEDICAL CENTER ELMER RECEIVES TWO WOMEN'S CHOICE AWARDS FOR OBSTETRICS AND ORTHOPEDICS - INSPIRA MEDICAL CENTER VINELAND'S EMERGENCY DEPARTMENT RECEIVES THE LANTERN AWARD ONE OF ONLY 80 RECOGNIZED IN THE COUNTRY 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 ARTIFICIAL 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. - 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.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- 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. - REVERSE PITCH STUDENT COMPETITION IN 2018 IMC HELD A REVERSE PITCH STUDENT COMPETITION WHERE LOCAL COLLEGE STUDENTS WERE OFFERED THE OPPORTUNITY TO COMPETE FOR $40,000 IN UNRESTRICTED FUNDS FOR THE DEVELOPMENT OF REPLACEMENT SOFTWARE AT INSPIRA. THE STUDENTS WERE INVITED TO AN INFORMATION SESSION, COACHED ON PREPARING A PROFESSIONAL WRITTEN AND ORAL PRESENTATION. THE WINNING STUDENTS WERE MENTORED AND COACHED ON DEVELOPING A PROFESSIONAL PLATFORM, PRESENTING TO LEADERSHIP ROLES, AND WORKING IN A PROFESSIONAL ENVIRONMENT TO DELIVER AN END PRODUCT. CANCER SERVICES =============== THE INSPIRA FRANK AND EDITH SCARPA REGIONAL CANCER PAVILION CREATES 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. 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. 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. 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. 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. 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. INSPIRA MEDICAL CENTERS ELMER AND VINELAND ALSO PROVIDE QUALITY CARDIAC REHABILITATION SERVICES AND ARE DESIGNATED BY THE STATE AS PRIMARY STROKE CENTERS. INSPIRA CARDIOVASCULAR SERVICES AND MEDICAL GROUP ARE AFFILIATED WITH COOPER UNIVERSITY MEDICAL CENTER AS A PART OF CARDIAC PARTNERS; WHICH PROVIDE A COMPLETE RANGE OF CARDIAC SERVICES TO SOUTH JERSEY. 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. 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. 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 REGIONS 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. NEONATAL INTENSIVE CARE UNIT (NICU) =================================== INSPIRA MEDICAL CENTER VINELAND OFFERS ADVANCED CARE FOR PREMATURE, LOW BIRTHWEIGHT/CRITICALLY ILL INFANTS OF ALL GESTATIONAL AGES IN THE 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. ORTHOPEDICS =========== HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY HAS RECOGNIZED IMC AT ELMER AS A "BLUE DISTINCTION" CENTER. THAT MEANS THAT INSPIRA'S PERFORMANCE 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.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	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 REHABILITATION. 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. 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. INSPIRAS 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 -------------- - DETOXIFICATION UNIT MANAGES ANY WITHDRAWAL PRESENTATION THAT MEET MEDICAL NECESSITY. THE MAIN ABUSED SUBSTANCES THAT CAUSE THAT LIFE-THREATENING WITHDRAWAL SYMPTOMS ARE ALCOHOL, OPIATES AND POLY-SUBSTANCE ABUSE PRESENTATIONS. TREATMENT PROTOCOLS SPECIFIC TO THE DEFINED ABUSED SUBSTANCE ARE INITIATED AND MANAGED TO ENSURE THE PATIENT'S SAFETY AND COMFORT. EVIDENCE BASED SCALES, FOR EXAMPLE CLINICAL INSTITUTE WITHDRAWAL ASSESSMENT FOR ALCOHOL (CIWA) OR CLINICAL OPIATE WITHDRAWAL SCALE (COWS) WILL GUIDE THE TREATMENT AND PROTOCOL APPLICATIONS. AS WITHDRAWALS ARE MANAGED BY OUR MEDICAL AND NURSING DIRECT CARE PROVIDERS, THE UNITES LICENSED DRUG AND ALCOHOL AND/OR LICENSED ADDITION CERTIFIED SOCIAL SERVICE STAFF WILL INITIATE INDIVIDUAL THERAPY, MOTIVATION ASSESSMENT, AND EDUCATION TO ASSIST THE PATIENT. - 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. - 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.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- 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: - AMERICAN FOUNDATION FOR SUICIDE PREVENTION - BOYS AND GIRLS CLUB - BRIDGETON CHAMBER OF COMMERCE - BRIDGETON ROTARY CLUB FOUNDATION - COLLEEN SORBELLO BREAST CANCER FOUNDATION - COMMUNITY FOOD BANK OF NJ - COMMUNITY FOUNDATION OF NEW JERSEY LEGACY OF GIVING - COMPLETECARE FAMILY HEALTH FOUNDATION - CUMBERLAND CAPE ATLANTIC YMCA - CUMBERLAND COUNTY COLLEGE FOUNDATION - CUMBERLAND COUNTY HABITAT FOR HUMANITY - CUMBERLAND COUNTY WOMENS HALL OF FAME - CUMBERLAND DEVELOPMENT CORPORATION - EAT CLEAN ORG - ELMER LIBRARY - FRIENDS OF INDIA SOCIETY - GARDEN STATE BSA - GATEWAY COMMUNITY ACTION PARTNERSHIP - GUIDANCE CENTER - HOPEWELL TOWNSHIP - ITALIAN CULTURAL FOUNDATION - JAWS YOUTH PLAYBOOK - M25 CODE BLUE INITIATIVE - MARCH OF DIMES - MILLVILLE CHAMBER OF COMMERCE - MILLVILLE CHILD FAMILY CENTER - MILLVILLE SCHOOLS - NEMOURS/ALFRED I. DUPONT HOSPITAL FOR CHILDREN - PUERTO RICAN ACTION COMMITTEE - QUALITY CONCEPTS - REVIVE SOUTH JERSEY - RUTGERS UNIVERSITY FOUNDATION - SALEM COMMUNITY COLLEGE - SALEM COUNTY CHAMBER OF COMMERCE - SALEM COUNTY VOTECHNICAL FOUNDATION - SHULTZ HILL FOUNDATION - SIR SPEEDY - STAR SPECIALTIES - STOCKTON UNIVERSITY FOUNDATION - UNITED WAY OF GREATER PHILADELPHIA & SOUTHERN NJ - VINELAND CHAMBER OF COMMERCE - VINELAND DOWNTOWN IMPROVEMENT DISTRICT COMMUNITY SERVICE AND COMMUNITY BUILDING PROGRAMS ================================================= INSPIRA 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 COUNTIESTHAT'S THE GOAL OF THE CUMBERLAND COUNTY HOUSING FIRST COLLABORATIVE. INSPIRA HEALTH NETWORK, A FOUNDING MEMBER OF THE COLLABORATIVE, CONTRIBUTED $57,000 TO HELP FUND THE EFFORT. IN 2018-2019, THE COLLABORATIVE HOUSED 60 CHRONICALLY HOMELESS INDIVIDUALS. INSPIRA HAS ALSO PROVIDED BEHAVIORAL HEALTH AND LOGISTICAL SUPPORT TO ENSURE THE COLLABORATIVE'S SUCCESS. FOOD PANTRIES IN 2019 A MONTHLY FOOD DISTRIBUTION WAS ESTABLISHED AT A LOCAL PRE-K SCHOOL PROVIDING FRESH PRODUCE AND SHELF STABLE FOOD ITEMS TO ABOUT 500 FAMILIES IN CUMBERLAND COUNTY. ADVOCACY - IMC 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, IMC 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. IMC 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 - IMC READIES ITSELF FOR CATASTROPHIC DISASTER ABOVE AND BEYOND LICENSURE REQUIREMENTS. THIS INCLUDES AN INTERNAL EMERGENCY RESPONSE TEAM THAT RECEIVES SPECIALIZED TRAINING. IMC 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. - IMPACT (INNOVATIVE MODEL FOR PRESCHOOL AND COMMUNITY TEAMING) WAS DEVELOPED THROUGH COLLABORATION BETWEEN IMC 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. IMPACT PROVIDES A NUMBER OF EDUCATIONAL OPPORTUNITIES FOR THE COMMUNITY INCLUDING: 1. IMPACT TEEN PARENTING PROGRAM PROVIDES PARENTING CLASSES, CHILDCARE SERVICES, PRENATAL CARE AND LIFE SKILLS EDUCATION TO TEEN PARENTS IN THE VINELAND HIGH SCHOOLS AND PROMOTES LIFELONG LEARNING AND SECOND PREGNANCY PREVENTION. 2. IMPACT SCHOOL-BASED YOUTH SERVICES PROGRAM (SBYSP) OFFERS HEALTH SERVICES, TUTORING, COUNSELING, RECREATION AND LIFE SKILLS TRAINING AT THE VINELAND HIGH SCHOOL, VINELAND WALLACE MIDDLE SCHOOL AND MILLVILLE HIGH SCHOOL. 3. IMPACT FAMILY OUTREACH PROGRAM IS AN ABBOTT PROGRAM WHICH COORDINATES FAMILY OUTREACH AND SUPPORT WITH SOCIAL WORKERS WHO SERVICE ABBOTT PRESCHOOL PROVIDERS IN BRIDGETON, MILLVILLE, AND VINELAND. 4. IMPACT CHILDCARE PROGRAM IS ACCREDITED BY THE NATIONAL ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN AND IS OPEN TO CHILDREN FROM 6 WEEKS TO 5 YEARS OLD WITH HEALTH CENTER SERVICES PROVIDED ON SITE. IN 2019, AN AVERAGE OF 47 CHILDREN WERE ENROLLED IN THE CHILDCARE PROGRAM AND 31 WERE ENROLLED IN THE WRAP AROUND PROGRAM. 5. IMC'S FAMILY SUCCESS CENTERS IN VINELAND AND PORT NORRIS PROVIDE SERVICES AND PROGRAMS THAT CONNECT FAMILIES WITH COMMUNITY RESOURCES RANGING FROM HOUSING AND LEGAL ASSISTANCE TO HELP OBTAINING HOUSEHOLD ITEMS AND FOOD. THE CENTER FOCUSES ON 10 CORE SERVICES TO STRENGTHEN FAMILIES BY PROVIDING ASSISTANCE WITH OBTAINING HEALTH INSURANCE, SELECTING PHYSICIANS, PROVIDING WORKSHOPS THAT INCREASE POSITIVE INTERACTION BETWEEN PARENTS AND CHILDREN, PROMOTING FAMILY LITERACY, ADDRESSING HEALTH ISSUES AND LEGAL ISSUES SUCH AS IMMIGRATION AND OTHER TOPICS RELEVANT TO THE COMMUNITY.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- MAYOR'S CAMPAIGNS FOR HEALTHIER VINELAND, MILLVILLE AND BRIDGETON - VARIOUS IMC STAFF ARE ACTIVE COMMITTEE MEMBERS OF THE VINELAND, MILLVILLE AND BRIDGETON MAYOR'S CAMPAIGNS FOR HEALTHIER COMMUNITIES. IN COLLABORATION WITH IMC, 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 IMC, 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. IMCW 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. IMC'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, IMC PROVIDES LEADING-EDGE CANCER CARE THROUGH NATIONAL CLINICAL TRIALS, WHICH FOCUS ON CANCER TREATMENT, DIAGNOSTIC AND PREVENTION METHODS. IMC HAS THE OPPORTUNITY TO RECRUIT A LARGE AMOUNT OF PATIENTS FOR NEWEST CLINICAL TRIALS, PROVIDING LOCAL ACCESS TO THE LATEST STRATEGIES AGAINST CANCER. - GARDEN AREA HEALTH EDUCATION CENTER ("AHEC") - 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 UNDER-SERVED 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 - IMC ALSO REACHES OUT TO THOSE IN OUR COMMUNITY WHO DO NOT REGULARLY COME THROUGH THE DOORS OF OUR MEDICAL CENTERS. IMC 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. IN ADDITION, IMC HOSTS SENIOR LUNCHEON CLASSES AND SENIOR HEALTH EDUCATION DAYS, WHICH INCLUDE FLU SHOTS AND EDUCATIONAL SESSIONS. IN RECOGNITION OF STROKE AWARENESS MONTH, IMC HOSTS A STROKE AWARENESS EDUCATION & SCREENING DAY WHICH INCLUDES FREE EDUCATIONAL SESSIONS, BLOOD PRESSURE CHECKS AND STROKE SCREENING TESTS. IMC'S ANNUAL SPIRIT OF WOMEN HEALTH SCREENING DAY BRINGS A MYRIAD OF HEALTH SERVICES AND EDUCATION TOGETHER IN ONE CENTRAL LOCATION AT INSPIRA MEDICAL CENTER VINELAND. AT THE EVENT, ATTENDEES RECEIVE A RANGE OF FREE HEALTH SCREENINGS, INCLUDING BLOOD PRESSURE AND PULSE OXIMETRY, BODY MASS INDEX, HEART DISEASE RISK ASSESSMENT, SKIN CANCER (FACE), FOOT AND WOUND CARE, BEHAVIORAL RISK ASSESSMENT, SLEEP APNEA ASSESSMENT, STEP TEST (RESTING HEART RATE), HEEL BONE DENSITY AND MORE. IN ADDITION, FUN GROUP ACTIVITIES ARE HELD, INCLUDING YOGA, LINE DANCING AND COOKING DEMONSTRATIONS, AS WELL AS A RELAXATION ROOM AND MEDITATION SESSIONS. - NJCEED - IMC IS CUMBERLAND COUNTY'S LEAD AGENCY 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 2019, 405 BREAST, 753 CERVICAL, 34 COLORECTAL AND 8 PROSTATE SCREENINGS WERE PROVIDED THROUGH THE GRANT. IMC ALSO HAS A DEDICATED STAFF THAT GOES OUT INTO THE COMMUNITY TO SPEAK ABOUT THE AVAILABILITY OF FREE SCREENINGS AND THE CEED PROGRAM. - SUPPORT GROUPS - TO HELP ADDRESS SOCIAL, PSYCHOLOGICAL OR EMOTIONAL ISSUES RELATED TO DISEASES AND HEALTH ISSUES, IMC 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, IMC 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 IMC'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 - IMC OFFERS A WEALTH OF EDUCATIONAL 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. - VOLUNTEER PROGRAM - WHETHER GREETING VISITORS AT THE FRONT DESK OR COMFORTING PATIENTS AT THEIR BEDSIDE, VOLUNTEERS PLAY AN IMPORTANT ROLE IN IMC'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 2019, 410 DEDICATED AND GENEROUS VOLUNTEERS DONATED MORE THAN 37,938 HOURS OF SERVICE. HEALTH PROFESSIONS EDUCATION ============================== INSPIRA MEDICAL CENTERS OFFERS EDUCATIONAL SUPPORT TO BOTH ITS CURRENT HEALTH PROFESSIONALS AND TOMORROWS 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, IMC OFFERS NURSING EDUCATION PROGRAMS, EXTERNSHIPS AND INTERNSHIPS. IMC MEDICAL STAFF ROUTINELY HOSTS STUDENTS FOR JOB SHADOWING AND STUDENT OBSERVATIONS.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	SCHOOL PROGRAMS ON HEALTH CAREERS - IMC 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, IMC STAFF ALSO EXTENDS HOSPITALS TOURS TO PRESCHOOL AND FIRST GRADERS, AS THEIR PRIMARY INTRODUCTION TO THE HEALTHCARE ENVIRONMENT AND PROMOTION OF HEALTHY LIFESTYLES. SYMPOSIA - IMC 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 AHEC EDUCATIONAL CONFERENCES - GARDEN AREA HEALTH EDUCATION CENTER ("AHEC") IS 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 IMC AS A MAJOR CLINICAL AFFILIATE OF THE MEDICAL SCHOOL. THIS PARTNERSHIP SUPPORTS INSPIRA MEDICAL CENTER VINELANDS 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. 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.
CORE FORM, PART III; QUESTION 2	EFFECTIVE DECEMBER 13, 2019, INSPIRA MEDICAL CENTER WOODBURY, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT AFFILIATE, WAS STATUTORILY MERGED INTO THIS ORGANIZATION. ACCORDINGLY THE ACTIVITIES AND OPERATIONS OF INSPIRA MEDICAL CENTER WOODBURY, INC. ARE NOW BEING CARRIED OUT BY THIS ORGANIZATION. IN ADDITION, EFFECTIVE DECEMBER 15, 2019, THE ORGANIZATION OFFICIALLY OPENED ITS INSPIRA MEDICAL CENTER MULLICA HILL CAMPUS. THE NEW HOSPITAL FACILITIES INCLUDES 210 PRIVATE PATIENT ROOMS; STATE-OF-THE-ART SURGICAL SUITES; A MODERN EMERGENCY DEPARTMENT WITH DEDICATED PEDIATRIC AND SENIOR ER; CARDIAC CATHETERIZATION LAB; THE LATEST IN MEDICAL AND COMMUNICATION TECHNOLOGY; AND SMART ROOM TECHNOLOGY TO ENHANCE PATIENT SAFETY AND THE PATIENT EXPERIENCE.
CORE FORM, PART VI, SECTION A; QUESTIONS 4	EFFECTIVE DECEMBER 13, 2019, INSPIRA MEDICAL CENTER WOODBURY, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION WAS STATUTORILY MERGED INTO THIS ORGANIZATION. THE ORGANIZATION'S GOVERNING DOCUMENTS HAVE BEEN UPDATED ACCORDINGLY.
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 AN AUDIT COMMITTEE MEETING. SUBSEQUENTLY, THE ORGANIZATIONS 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 ALSO MADE A PRESENTATION TO THE NETWORKS AUDIT COMMITTEE PRIOR TO APPROVAL OF THE FORMS 990 BY THE AUDIT COMMITTEE. 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 IS AN OFFICER OF THIS ORGANIZATION AND INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF THIS ORGANIZATION. MR. DIANGELO IS EMPLOYED BY THIS ORGANIZATION AND RECEIVES FORM W-2. ACCORDINGLY HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH INSPIRA MEDICAL CENTERS, INC. (EIN: 21-0634484). INSPIRA MEDICAL CENTERS, INC. FILED A 2019 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: - NET ASSETS RELEASED FROM RESTICTION FOR PROPERTY AND EQUIPMENT - $12,057,002; - - STATUTORY MERGER AND TRANSFER OF NET ASSETS OF ENTITY FROM INSPIRA MEDICAL CENTER WOODBURY, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $236,014,611; - NET TRANSFERS FROM AFFILIATES - ($5,756,541); - OTHER CHANGES IN NET ASSETS WITHOUT DONOR RESTRICTION - ($4,824,323); - CHANGE IN BENEFICIAL INTEREST IN TEMPORARY TRUST; DONOR RESTRICTED - $228,853; - NET ASSETS RELEASED FROM DONOR RESTRICTIONS - ($12,063,435); - CHANGE IN BENEFICIAL INTEREST IN CAPITAL CAMPAIGN; DONOR RESTRICTED - $5,615,518; AND - OTHER CHANGES IN NET ASSETS; DONOR RESTRICTED - $10,532,376.
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, 2019 AND DECEMBER 31, 2018; 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 FINANCE/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	$5,496,336	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

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

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 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 HLTH NTWK FDN CUMBERLANDSALEM
333 IRVING AVENUE	BRIDGETON	NJ	08302	223746758	FUNDRAISING	NJ	501(C)(3)	509(A)(3)	IMC	Yes (true)
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 MEDICAL CENTER WOODBURY INC
509 NORTH BROAD STREET	WOODBURY	NJ	08096	221820210	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	NETWORK	false
INSPIRA HLTH NTWRK FDN GLOUCESTER COUNTY
509 NORTH BROAD STREET	WOODBURY	NJ	08096	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
509 NORTH BROAD STREET	WOODBURY	NJ	08096	454203973	HEALTH SVCS.	NJ	501(C)(3)	509(A)(1)	NETWORK	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	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	N/A
OAK & MAIN SURGICTR
907 NORTH MAIN ROAD	VINELAND	NJ	08360	223532371	HEALTHCARE SVCS.	NJ		IMC	RELATED	$105,029	$354,898	false	Yes (true)	0.85000
GLOUC CTY SURG CTR
163 BRIDGETON PIKE BLDG B	MULLICA HILL	NJ	08062	261157885	HEALTHCARE SVCS.	NJ	N/A
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 (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
INSPIRA HEALTH MANAGEMENT CORPORATION
2950 COLLEGE DRIVE SUITE 1E	VINELAND	NJ	08360	222502241	HEALTHCARE SVCS.	NJ	N/A	C CORP.	false
INSPIRA HEALTH NETWORK MEDICAL GROUP PC
2950 COLLEGE DRIVE SUITE 1E	VINELAND	NJ	08360	225745047	HEALTHCARE SVCS.	NJ		C CORP.	Yes (true)	IMC	$50,016,105	$17,330,413	1.00000
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	$14,631,377	$14,463,283	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	$1,721,330	$1,446,224	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 (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
INSPIRA HEALTH NETWORK INC
E	$2,429,907	COST
INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM
E	$1,071,486	COST
INSPIRA HEALTH NETWORK URGENT CARE PC
E	$3,433,176	COST
Oak and Main Surgicenter LLC
D	$140,968	COST
INSPIRA HEALTH NETWORK INC
K	$667,788	COST
INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM
K	$93,693	COST
INSPIRA HEALTH NETWORK MEDICAL GROUP PC
J	$129,069	COST
Oak and Main Surgicenter LLC
J	$140,968	COST
INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM
C	$904,103	COST
INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM
O	$458,254	COST
INSPIRA HEALTH NETWORK INC
O	$406,675	COST
OAK & MAIN SURGICENTER LLC
O	$772,271	COST
INSPIRA HEALTH NETWORK FDN GLOUCESTER
O	$438,567	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. INSPIRA HEALTH NETWORK 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