INSPIRA MEDICAL CENTER WOODBURY INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: INSPIRA MEDICAL CENTER WOODBURY INC (EIN 22-1820210)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-15
IRS object ID: 201713199349301516
Schema version: 2016v3.1
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-15T07:29:35-06:00	ReturnTs
Tax Period End	2016-12-31	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	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	221820210	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	INSPIRA MEDICAL CENTER WOODBURY 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	509 NORTH BROAD STREET	AddressLine1Txt
City	WOODBURY	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08096	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS P BALDOSARO CPA	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8566416605	PhoneNum
Signature	2017-11-07	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
Preparation	2017-11-07	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	198.46.120.251	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	22006220173195000015	FederalOriginalSubmissionId
Federal Original Submission Id	2017-11-15	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	EFB3F90CD62757DA7B098748B029987CE34337C5	AtSubmissionCreationDeviceId
At Submission Filing Device Id	B8BA16CFEDA17302B35ECB0C007529BABF51136A	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	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	$201,370,709	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	1966	FormationYr
Legal Domicile State	NJ	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF INSPIRA MEDICAL CENTER WOODBURY, INC. IS TO PROVIDE QUALITY HEALTHCARE SERVICES THAT IMPROVE THE LIVES OF ALL WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	21	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	315	TotalVolunteersCnt
Total Gross UBI	$9,636	TotalGrossUBIAmt
PY Contributions Grants	$353,553	PYContributionsGrantsAmt
CY Contributions Grants	$596,881	CYContributionsGrantsAmt
PY Program Service Revenue	$176,636,422	PYProgramServiceRevenueAmt
CY Program Service Revenue	$195,622,535	CYProgramServiceRevenueAmt
PY Investment Income	$6,539,785	PYInvestmentIncomeAmt
CY Investment Income	$2,889,138	CYInvestmentIncomeAmt
PY Other Revenue	$1,088,545	PYOtherRevenueAmt
CY Other Revenue	$1,392,665	CYOtherRevenueAmt
PY Total Revenue	$184,618,305	PYTotalRevenueAmt
CY Total Revenue	$200,501,219	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$86,888	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$177,928,060	PYOtherExpensesAmt
CY Other Expenses	$183,537,644	CYOtherExpensesAmt
PY Total Expenses	$177,928,060	PYTotalExpensesAmt
CY Total Expenses	$183,624,532	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,690,245	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$16,876,687	CYRevenuesLessExpensesAmt
Total Assets BOY	$267,619,006	TotalAssetsBOYAmt
Total Assets EOY	$294,763,890	TotalAssetsEOYAmt
Total Liabilities BOY	$144,432,618	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$153,243,878	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$123,186,388	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$141,520,012	NetAssetsOrFundBalancesEOYAmt
Mission	THE MISSION OF INSPIRA MEDICAL CENTER WOODBURY, INC. IS TO PROVIDE QUALITY HEALTHCARE SERVICES THAT IMPROVE THE LIVES OF ALL WE SERVE. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$12,412,624	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$21,299,087	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OPERATING ROOM SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. OPERATING ROOM CASES TOTALED 5,465 DURING 2016. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$7,821,951	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$17,239,465	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY MOBILE INTENSIVE CARE UNIT ("MICU") SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MEDICAL INTENSIVE CARE UNIT CASES TOTALED 12,984 DURING 2016. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$6,356,372	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$26,642,085	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY EMERGENCY DEPARTMENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION TREATED 54,105 EMERGENCY DEPARTMENT PATIENTS DURING 2016. THE EMERGENCY DEPARTMENT OPERATES TWENTY-FOUR HOURS PER DAY, SEVEN DAYS PER WEEK. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$138,679,821	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$86,888	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$130,451,534	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$165,270,768	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
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
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	false	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	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
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
IRP Document	121	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	21	GoverningBodyVotingMembersCnt
Independent Voting Member	17	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	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	false	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	false	InvestmentInJointVentureInd
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 (32 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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
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
JAMES M BONNER DO
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JOHN B CATALANO MD
TRUSTEE	2.0	0.0	Yes (X)		$0	$5,200	$0
JOHN A DIANGELO
TRUSTEE; PRESIDENT/CEO-NETWORK	55.0	0.0	Yes (X)	Yes (X)	$0	$974,095	$762,280
LAWRENCE M DIVIETRO JR
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
ROBERTA S FREITAG
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
MARK D GELERNT MD
TRUSTEE; PRESIDENT MED STAFF	2.0	0.0	Yes (X)		$0	$0	$0
JAMES E GEORGE MD JD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
DAVID HEMPLE
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
KURT W KAULBACK MD
TRUSTEE	55.0	0.0	Yes (X)		$0	$628,304	$25,655
SUZANNE MERIGHI
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
LAWRENCE A PEPPER JR ESQ
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
JACK C SHEPPARD JR
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JACK M SHIELDS MD
TRUSTEE	2.0	0.0	Yes (X)		$0	$29,625	$0
PAUL J TULLY
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
KIMBERLY E WOOD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
MICHAEL A MCLAUGHLIN
TRUSTEE (TERMED 4/10/16)	1.0	0.0	Yes (X)		$0	$0	$0
ARMANDO P RUSSO MD
TRUSTEE (TERMED 3/31/16)	2.0	0.0	Yes (X)		$0	$20,333	$0
EILEEN K CARDILE MS RN CNA
EVP/PRES OF IMCW (TERM 1/2/16)	55.0	0.0		Yes (X)	$0	$180,818	$289
THOMAS P BALDOSARO CPA
EVP/CHIEF FINANCIAL OFFICER	55.0	0.0		Yes (X)	$0	$513,262	$119,429
MARVIN T WAY
EVP OPERATIONS	55.0	0.0		Yes (X)	$0	$628,098	$142,411
ALKA KOHLIMDMBAEFF 43016
EVP/CHIEF POPULATION HEALTH	55.0	0.0			$0	$317,700	$63,395	Yes (X)
PATRICK NOLAN
CHIEF OPERATING OFFICER - IMCW	55.0	0.0			$0	$279,014	$60,989	Yes (X)
ROBERT E FLORENTINE
SVP/CHIEF PEOPLE OFFICER	55.0	0.0			$0	$384,906	$128,269	Yes (X)
MATTHEW DOONAN ESQ
GENERAL COUNSEL	55.0	0.0			$0	$306,984	$62,289	Yes (X)
THOMAS PACEK
VP/CHIEF INFORMATION OFFICER	55.0	0.0			$0	$327,638	$72,019	Yes (X)
JOHN W GRAHAM
FORMER OFFICER	55.0	0.0			$0	$363,906	$16,616		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,959,883	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,453,641	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	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
ARRAY ARCHITECTS INC
1 WEST ELM STREET Suite 400	CONSHOCKEN	PA	19428	CONSULTING	$4,106,784
Quest Diagnostics
PO Box 828669	PHILADELPHIA	PA	19182	LABORATORY	$3,397,205
Philips Healthcare
PO Box 100355	ATLANTA	GA	30384	MAINTENANCE	$2,597,303
Cerner Corporation
2800 Rockcreek Parkway	KANSAS CITY	MO	64117	IT	$2,588,292
SOUTH JERSEY ANESTHESIA
509 NORTH BROAD STREET	WOODBURY	NJ	08096	MEDICAL	$1,700,823

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	57	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$130,338	RelatedOrganizationsAmt
Government Grants	$466,543	GovernmentGrantsAmt
Total Contributions	$596,881	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	541900	$193,326,768	$193,326,768
OTHER HEALTHCARE RELATED REVENUE	541990	$2,187,787	$2,187,787
RENTAL INCOME FROM TAX-EXEMPT AFFILIATES	531190	$107,980	$107,980

Field	Value	IRS element (for citing)
Total Program Service Revenue	$195,622,535	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,929,028	TotalRevenueColumnAmt
Unrelated Business Revenue	$9,636	UnrelatedBusinessRevenueAmt
Exclusion	$2,919,392	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,093	TotalRevenueColumnAmt
Exclusion	$1,093	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	$1,475,629	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$828,507	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$647,122	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$647,122	TotalRevenueColumnAmt
Exclusion	$647,122	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$40,983	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$40,983	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$40,983	TotalRevenueColumnAmt
Exclusion	-$40,983	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	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA INCOME	722514	$540,833	$540,833
PARKING INCOME	812930	$204,710	$204,710

Field	Value	IRS element (for citing)
Other Revenue Total	$745,543	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$200,501,219	TotalRevenueColumnAmt
Related Or Exempt Func Income	$195,622,535	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$9,636	UnrelatedBusinessRevenueAmt
Exclusion	$4,272,167	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$86,888	TotalAmt
Program Services	$86,888	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

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	$0	TotalAmt

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	$0	TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

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

Other Employee Benefits OtherEmployeeBenefitsGrp

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

Payroll Taxes PayrollTaxesGrp

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

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$134,509	TotalAmt
Program Services	$121,058	ProgramServicesAmt
Management And General	$13,451	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$398,565	TotalAmt
Program Services	$358,708	ProgramServicesAmt
Management And General	$39,857	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	$12,000	TotalAmt
Program Services	$10,800	ProgramServicesAmt
Management And General	$1,200	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	$289,798	TotalAmt
Program Services	$260,818	ProgramServicesAmt
Management And General	$28,980	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,796,160	TotalAmt
Program Services	$6,116,544	ProgramServicesAmt
Management And General	$679,616	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$293,395	TotalAmt
Program Services	$264,055	ProgramServicesAmt
Management And General	$29,340	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,506,322	TotalAmt
Program Services	$2,255,690	ProgramServicesAmt
Management And General	$250,632	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,523,772	TotalAmt
Program Services	$3,171,395	ProgramServicesAmt
Management And General	$352,377	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,682,523	TotalAmt
Program Services	$3,314,271	ProgramServicesAmt
Management And General	$368,252	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$219,766	TotalAmt
Program Services	$197,789	ProgramServicesAmt
Management And General	$21,977	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	$4,936	TotalAmt
Program Services	$4,443	ProgramServicesAmt
Management And General	$493	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,355,625	TotalAmt
Program Services	$2,120,063	ProgramServicesAmt
Management And General	$235,562	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,975,675	TotalAmt
Program Services	$10,778,107	ProgramServicesAmt
Management And General	$1,197,568	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,784,862	TotalAmt
Program Services	$1,606,376	ProgramServicesAmt
Management And General	$178,486	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
ALLOCATION OF PERSONNEL COSTS	$108,636,083	$97,772,475	$10,863,608	$0
MEDICAL SUPPLIES	$21,371,168	$19,234,051	$2,137,117	$0
OUTSIDE SERVICES	$13,493,612	$12,144,250	$1,349,362	$0
REPAIRS & MAINTENANCE	$2,605,436	$2,344,892	$260,544	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,453,437	TotalAmt
Program Services	$3,108,095	ProgramServicesAmt
Management And General	$345,342	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$183,624,532	TotalAmt
Program Services	$165,270,768	ProgramServicesAmt
Management And General	$18,353,764	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,829	BOYAmt
EOY	$5,829	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,630,649	BOYAmt
EOY	$4,290,361	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$56,617	BOYAmt
EOY	$82,509	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$20,051,081	BOYAmt
EOY	$21,010,275	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$1,146,818	BOYAmt
EOY	$1,246,207	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,277,621	BOYAmt
EOY	$3,323,963	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$273,481,737	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$148,594,182	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$101,933,948	BOYAmt
EOY	$124,887,555	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	$114,763,545	BOYAmt
EOY	$122,086,342	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$421,099	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$21,331,799	BOYAmt
EOY	$17,830,849	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$267,619,006	BOYAmt
EOY	$294,763,890	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,124,066	BOYAmt
EOY	$21,158,889	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	$860,646	BOYAmt
EOY	$983,271	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$48,825,000	BOYAmt
EOY	$46,436,778	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	$0	BOYAmt
EOY	$19,458	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	$77,622,906	BOYAmt
EOY	$84,645,482	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$144,432,618	BOYAmt
EOY	$153,243,878	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$119,305,276	BOYAmt
EOY	$137,671,853	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$90,630	BOYAmt
EOY	$3,742	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,790,482	BOYAmt
EOY	$3,844,417	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$123,186,388	BOYAmt
EOY	$141,520,012	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$267,619,006	BOYAmt
EOY	$294,763,890	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$16,876,687	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,106,000	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,649,063	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
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$12,000	OtherActivitiesAmt
Total Lobbying Expenditures	$12,000	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 1G AND 1i	FormAndLineReferenceDesc
Explanation	DURING 2016, THE ORGANIZATION PAID an INDEPENDENT OUTSIDE LOBBYING FIRM A TOTAL OF $4,500 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. in addition, THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO ITS VP OF GOVERNMENT RELATIONS WHICH REPRESENTS TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $7,500 IN 2016. THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. PLEASE NOTE, INSPIRA MEDICAL CENTERS, INC., A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION PAID THE MEMBERSHIP DUES ON BEHALF OF THIS ORGANIZATION. THE PORTION OF THOSE DUES ALLOCATED TO LOBBYING IS REPORTED ON THE INSPIRA MEDICAL CENTERS, INC. FORM 990, SCHEDULE C. THIS ORGANIZATION IS ALSO A MEMEBER OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. TO WHICH IT PAID DUES IN THE AMOUNT OF $45,000 IN 2016. 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	$3,881,112	BeginningYearBalanceAmt
Investment Earnings Or Losses	$54,095	InvestmentEarningsOrLossesAmt
Other Expenditures	$87,048	OtherExpendituresAmt
End Year Balance	$3,848,159	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,253,627	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$327,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$45,515	OtherExpendituresAmt
End Year Balance	$3,881,112	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,315,919	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$60,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,292	OtherExpendituresAmt
End Year Balance	$4,253,627	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,957,228	BeginningYearBalanceAmt
Contributions	$207,568	ContributionsAmt
Investment Earnings Or Losses	$64	InvestmentEarningsOrLossesAmt
Other Expenditures	$793,806	OtherExpendituresAmt
Administrative Expenses	$55,135	AdministrativeExpensesAmt
End Year Balance	$4,315,919	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,024,404	BeginningYearBalanceAmt
Contributions	$1,079,145	ContributionsAmt
Investment Earnings Or Losses	$344,174	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$9,420	GrantsOrScholarshipsAmt
Other Expenditures	$427,840	OtherExpendituresAmt
Administrative Expenses	$53,235	AdministrativeExpensesAmt
End Year Balance	$4,957,228	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.99900	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00100	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	$4,217,915	OtherCostOrOtherBasisAmt
Book Value	$4,217,915	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$221,441,100	OtherCostOrOtherBasisAmt
Depreciation	$142,045,802	DepreciationAmt
Book Value	$79,395,298	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$647,191	OtherCostOrOtherBasisAmt
Depreciation	$632,395	DepreciationAmt
Book Value	$14,796	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,959,366	OtherCostOrOtherBasisAmt
Depreciation	$5,762,859	DepreciationAmt
Book Value	$10,196,507	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,216,165	OtherCostOrOtherBasisAmt
Depreciation	$153,126	DepreciationAmt
Book Value	$31,063,039	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$124,887,555	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (12 entries)

DescDesc	Method ValuationMethodValuationCd	Book ValueBookValueAmt
CASH & CASH EQUIVALENTS;	F
LIMITED USE	F	$13,461,628
LIMITED PARTNERSHIPS AT COST;	F
LIMITED USE	F	$5,866,385
FIXED INCOME MUTUAL FUNDS;	F
LIMITED USE	F	$76,865,875
CORPORATE AND GOVERNMENT	F
BONDS; LIMITED USE	F	$21,669,396
BENEFICIAL INTEREST IN	F
PERPETUAL TRUSTS	F	$3,844,576
INVESTMENT IN UNCONSOLIDATED	F
JOINT VENTURES	F	$378,482

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$122,086,342	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
ORGANIZATIONS	$9,102,000
RECEIVABLE	$3,412,723
OTHER RECEIVABLES	$1,577,014
OTHER ASSETS	$3,739,112

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$17,830,849	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
DUE TO AFFILIATED ORGANIZATIONS	$39,241,926
THIRD PARTY PAYORS	$15,444,972
ACCRUED RETIREMENT BENEFITS	$3,649,904
ESTIMATED MALPRACTICE COSTS	$5,073,341
INTEREST RATE SWAP AGREEMENTS	$9,149,781
ACCRUED INTEREST PAYABLE	$1,365,237
OTHER LIABILITIES	$10,720,321

Field	Value	IRS element (for citing)
Total Liability	$84,645,482	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 FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES. THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOOTNOTES BELOW ARE INCLUDED IN THE 2016 AUDITED CONSOLIDATED FINANCIAL STATEMENTS AND REPORTS THE ORGANIZATION'S TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSETS, DONOR RESTRICTED GIFTS AND BENEFICIAL INTEREST IN PERPETUAL AND TEMPORARY TRUST: Classification of Net Assets ---------------------------- The Network separately accounts for and reports donor-restricted and unrestricted net assets. Unrestricted net assets are not externally restricted for identified purposes by donors or grantors. Unrestricted net assets include resources that the governing board may use for any designated purpose and resources whose use is limited by agreement between the Network and an outside party other than the donor or grantor. Temporarily restricted net assets are those whose use by the Network has been limited by donors to a specific time frame or purpose. When donor restrictions expire, that is, when a time restriction ends or a purpose restriction is accomplished, temporarily restricted net assets are reclassified to unrestricted net assets and reported as net assets released from restrictions. Permanently restricted net assets have been restricted by donors to be maintained in perpetuity. The Network follows the requirements of the Uniform Prudent Management of Institutional Funds Act as they relate to its permanently restricted contributions and net assets. Management of Institutional Funds Act as they relate to its permanently restricted contributions and net assets. Institutional Funds Act as they relate to its permanently restricted contributions and net assets. Donor-Restricted Gifts ---------------------- Unconditional promises to give cash and other assets are reported at fair value at the date the promise is received, which is then treated as cost. The gifts are reported as either temporarily or permanently restricted support if they are received with donor stipulations that limit the use of the donated assets. When a donor restriction expires, that is, when a stipulated time restriction ends or purpose restriction is accomplished, temporarily restricted net assets are reclassified as unrestricted net assets and reported in the consolidated statement of operations and changes in net assets as other revenue for operating activities and other changes in unrestricted net assets for property and equipment. Beneficial Interest in Perpetual and Temporary Trusts ----------------------------------------------------- The Network has recorded its portion of the fair value of these trusts. Certain trusts are perpetual in nature, and the original corpus cannot be expended. These trusts are reported as permanently restricted net assets. One trust is temporary in nature and can be released to the Network after a sequence of events takes place. This trust has been reported as a temporarily restricted net asset.

SCHEDULE D, PART X

THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE 2016 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE SYSTEM'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 2016 OR 2015.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	FINANCIAL VEHICLE	SpecificServicesProvidedTxt
Region Total Expenditures	$1,080,672	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Spent	$1,080,672	SubtotalSpentAmt
Total Spent	$1,080,672	TotalSpentAmt
Transfer To Foreign Corp	false	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 2016 INSPIRA MEDICAL CENTERS, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, PAID JUNO ASSURANCE, LTD., A FINANCIAL VEHICLE, MALPRACTICE PREMIUMS PAYMENTS IN THE AMOUNT OF $1,080,672 ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION.	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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,300,396	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$880,107	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$420,289	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,014,420	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,666,369	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,348,051	NetCommunityBenefitExpnsAmt
Total Expense	0.01820	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,768,797	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$239,320	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,529,477	NetCommunityBenefitExpnsAmt
Total Expense	0.01920	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,083,613	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,785,796	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,297,817	NetCommunityBenefitExpnsAmt
Total Expense	0.03970	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$962,152	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,980	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$917,172	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,545,161	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,703,404	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,134,510	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,520	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,118,990	NetCommunityBenefitExpnsAmt
Total Expense	0.01700	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,356	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,356	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$27,979	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,979	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,716,158	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,763,904	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,107,497	NetCommunityBenefitExpnsAmt
Total Expense	0.02240	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,799,771	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,549,700	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,405,314	NetCommunityBenefitExpnsAmt
Total Expense	0.06210	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	21	PersonsServedCnt
Total Community Benefit Expns	$312	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$312	NetCommunityBenefitExpnsAmt

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	21	PersonsServedCnt
Total Community Benefit Expns	$146	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$146	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	435	PersonsServedCnt
Total Community Benefit Expns	$5,484	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,484	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$71,749	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$71,749	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	477	PersonsServedCnt
Total Community Benefit Expns	$77,691	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$77,691	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Reimbursed By Medicare	$54,934,339	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$68,490,857	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$13,556,518	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
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	509 NORTH BROAD STREET	AddressLine1Txt
City	WOODBURY	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08096	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.INSPIRAHEALTHNETWORK.ORG	WebsiteAddressTxt
State License	10801	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	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	16	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	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	16	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. INSPIRA MEDICAL CENTER WOODBURY, INC. WORKED IN COLLABORTATION WITH HOLLERAN, AN INDEPENDENT RESEARCH AND CONSULTING FIRM TO CONDUCT RESEARCH IN SUPPORT OF THE CHNA. COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE CHNA PROCESS. THE ORGANIZATION SOUGHT COMMUNITY INPUT THROUGH KEY INFORMANT INTERVIEWS WITH COMMUNITY LEADERS AND PARTNERS, FOCUS GROUP RESEARCH, AN ONLINE COMMUNITY SURVEY AVAILABLE TO ALL RESIDENTS, AND INCLUSION OF COMMUNITY LEADERS IN THE PRIORITIZATION AND IMPLEMENTATION PLANNING PROCESS. PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS SHARED KNOWLEDGE AND EXPERTISE ABOUT HEALTH ISSUES, AND LEADERS AND REPRESENTATIVES OF NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS PROVIDED INSIGHT ON THE COMMUNITY, INCLUDING THE MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. IN AN EFFORT TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED, THE ORGANIZATION CONDUCTED KEY INFORMANT INTERVIEWS, FOCUS GROUPS AND DISTRIBUTED AND ONLINE COMMUNITY SURVEY. 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. A FULL LISTING OF KEY INFORMANTS AND THEIR AFFILIATED ORGANIZATION CAN BE FOUND IN APPENDIX B OF THE ORGANIZATIONS CHNA. HOLLERAN STAFF WORKED WITH INSPIRA HEALTH NETWORK TO IDENTIFY KEY INFORMANT PARTICIPANTS AND DEVELOP THE KEY INFORMANT SURVEY. A TOTAL OF 34 KEY INFORMANTS COMPLETED THE SURVEY BETWEEN JANUARY AND MARCH, 2015. THE SURVEY ASSESSED THE MOST PRESSING ISSUES IN THE COMMUNITY, BARRIERS TO ACCESSING HEALTH CARE, THE IMPACT OF SOCIAL DETERMINANTS OF HEALTH, HOW TO BEST ADDRESS WELLNESS IN THE COMMUNITY, RESOURCES AND WELLNESS PROGRAMS IN THE COMMUNITY, AND UNDERSERVED POPULATIONS. FOCUS GROUPS ------------ FOCUS GROUPS WERE CONDUCTED AMONG GLOUCESTER COUNTY RESIDENTS AND HEALTH AND SOCIAL SERVICE PROVIDERS TO GATHER QUALITATIVE FEEDBACK REGARDING ACCESS TO CARE, KEY HEALTH ISSUES, AND HEALTH EDUCATION AND COMMUNICATION. THE FOCUS GROUPS WERE CONDUCTED ON APRIL 21, 2015 AT TWO LOCATIONS. THE FIRST FOCUS GROUP WAS CONDUCTED AT FAMCARE IN GLASSBORO WITH 12 REPRESENTATIVES FROM THE COMMUNITY. THE SECOND FOCUS GROUP WAS CONDUCTED AT THE GLASSBORO FAMILY SUCCESS CENTER IN GLASSBORO WITH SEVEN REPRESENTATIVES FROM THE COMMUNITY. BOTH OF THE FOCUS GROUPS WERE CONDUCTED FOR APPROXIMATELY 90 MINUTES. HOLLERAN CREATED THE DISCUSSION GUIDE IN CONSULTATION WITH INSPIRA HEALTH NETWORK. THE DISCUSSION GUIDE CONSISTED OF 12 QUESTIONS DESIGNED TO ELICIT RESPONSES AND GROUP DISCUSSION AROUND THE CHOSEN HEALTH TOPICS. COMMUNITY SURVEY ---------------- THE ORGANIZATION IN CONJUNCTION WITH HOLLERAN, USED A CUSTOMIZED SURVEY TOOL CONSISTING OF APPROXIMATELY 50 QUESTIONS TO ASSESS ACCESS TO HEALTH CARE, HEALTH STATUS AND BEHAVIORS, AND HEALTH-RELATED COMMUNITY STRENGTHS AND OPPORTUNITIES. THE SURVEY TOOK APPROXIMATELY 15 TO 20 MINUTES TO COMPLETE. IN TOTAL, 340 RESIDENTS COMPLETED THE SURVEY.
SCHEDULE H, PART V, SECTION B, QUESTION 6B	THE ORGANIZATION CONTRACTED WITH HOLLERAN, AN INDEPENDENT RESEARCH AND CONSULTING FIRM LOCATED IN LANCASTER, PENNSYLVANIA, TO CONDUCT RESEARCH IN SUPPORT OF THE CHNA. HOLLERAN HAS 23 YEARS OF EXPERIENCE IN CONDUCTING PUBLIC HEALTH RESEARCH AND COMMUNITY HEALTH ASSESSMENTS. THE FIRM 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 FACILITYS. 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	SINCE THE RESULTS OF EACH INSPIRA HOSPITAL FACILITY CHNA WERE ALMOST IDENTICAL, INSPIRA HEALTH NETWORK HAS CREATED ONE SET OF IMPLEMENTATION STRATEGIES ACROSS ITS HEALTH NETWORK WHICH INCLUDES ALL THREE OF ITS ACUTE CARE HOSPITALS. THE ORGANIZATION'S JOINT IMPLEMENTATION STRATEGY DESCRIBES THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE ORGANIZATIONS CHNAS. THROUGH THE ASSESSMENT OF ITS COMMUNITIES THE ORGANIZATION IDENTIFIED FOUR KEY PRIORITIES: ACCESS TO HEALTHCARE, CHRONIC DISEASE, SUBSTANCE ABUSE AND SOCIAL DETERMINANTS. THE ORGANIZATION PLANS TO TAKE THE FOLLOWING ACTIONS WITH RESPECT TO EACH IDENTIFIED COMMUNITY HEALTH NEED. THE ORGANIZATION HAS CREATED SUB-COMMITTEES WHICH ARE WORKING TOGETHER TO ESTABLISH ACTION PLANS FOR EACH OF THE IDENTIFIED COMMUNITY HEALTH NEEDS. THE SUB-COMMITTEES WILL ALSO DEFINE STRATEGIES AND MEASURE OUTCOMES OF IMPLEMENTED PROGRAMS. ACCESS TO HEALTHCARE -------------------- THE ORGANIZATION WILL EDUCATE AND OFFER ENROLLMENT ASSISTANCE TO THE ELIGIBLE POPULATION FOR NJ FAMILY CARE/AFFORDABLE CARE. THE ORGANIZATION WILL CONTINUE TO EDUCATE PATIENTS REGUARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND PLANS TO CONTINUE TO TRACK ENROLLMENT FOR FINANCIAL ASSISTANCE ANNUALLY. THE ORGANIZATION WILL PROMOTE VARIOUS TRANSPORTATION PROGRAMS IN CUMBERLAND, SALEM AND GLOUCESTER COUNTY. THIS INCLUDES RESEARCHING ADDITIONAL TRANSPORTATION PROGRAMS TO SALEM COUNTY RESIDENTS VIA ALLIANCE MEMBER AGENCIES AND INFORMING PATIENTS ABOUT "PROMOTE PEOPLE FOR PEOPLE FOUNDATION OF GLOUCESTER COUNTY", A UNIQUE "HANDS ACROSS THE COUNTY" WEB SITE/DATA BASE PROGRAM THAT CONTAINS LINKS AND MATERIALS TO RESOURCES THROUGHOUT THE COUNTY, INCLUDING MANY TRANSPORTATION OPTIONS VIA ALLIANCE MEMBER AGENCIES. THE ORGANIZATION CURRENTLY PROMOTES THE "MY INSPIRA" APP WHICH OFFERS ONLINE APPOINTMENT SCHEDULING, ER WAIT TIMES, LOCATIONS MAP, SYMPTOM CHECKER, HEALTH LIBRARY AND MORE. THE ORGANIZATION PLANS TO CONTINUE TO INVESTIGATE FUTURE INNOVATIONS THAT WILL PROVIDE EASY ACCESS TO THE RESOURCES AVAILABLE IN ITS COMMUNITY. IN ADDITION, THE ORGANIZATION IS CURRENTLY IN DISCUSSION WITH THE NEW JERSEY QUALITY INSTITUTE FOR THEIR ASSISTANCE IN DEVELOPING A TECHNICAL RESOURCE GUIDE FOR PATIENTS TO USE. CHRONIC DISEASE --------------- THE ORGANIZATION IS TACKLING CANCER THROUGH ITS FRANK AND EDITH SCARPA REGIONAL CANCER PAVILION. THE FRANK AND EDITH SCARPA REGIONAL CANCER PAVILION IS A ONE-STOP EXPERIENCE FOR CANCER PATIENTS WITH CONSOLIDATED SERVICES INCLUDING MEDICAL AND RADIATION ONCOLOGY. HERE PATIENTS CAN RECEIVE THE LATEST AND HIGHEST QUALITY CANCER CARE IN THE REGION. THE CENTER OFFERS THE LATEST TECHNOLOGIES IN CANCER TREATMENTS. THROUGH A PARTNERSHIP WITH THE FOX CHASE CANCER CENTER, PHILADELPHIA, INSPIRA ALSO PROVIDES ADVANCED CANCER CARE THROUGH MORE THAN 30 NATIONAL CLINICAL TRIALS. THESE STUDIES TEST NEW TREATMENTS, DIAGNOSTIC TECHNIQUES AND METHODS FOR PREVENTING CANCER. THE ORGANIZATION IS ALSO THE LEAD PROVIDER FOR THE NJ CANCER EDUCATION AND EARLY DETECTION ("NJ CEED") PROGRAM IN CUMBERLAND COUNTY. THIS PROGRAM PROVIDES FREE CANCER SCREENING TESTS FOR BREAST, CERVICAL, COLON AND PROSTATE CANCER, FOR MEN AND WOMEN THAT MEET LIBERAL ELIGIBILITY REQUIREMENTS. THIS PROGRAM ALSO HAS A COMPONENT FOR TREATMENT OF CANCERS DIAGNOSED IN NJCEED PARTICIPANTS THROUGH A MEDICAID WAIVER APPLICATION. THIS PROGRAM ALSO OFFERS FREE SCREENINGS TO PROMOTE THE EARLY DETECTION OF CANCER, WHEN IT IS MOST TREATABLE. SCREENING PROGRAMS ALSO INCLUDE AN EDUCATIONAL COMPONENT DESIGNED TO HELP PEOPLE REDUCE THEIR CANCER RISK AND PROMOTE THE EARLY DETECTION OF CANCER. IN AN EFFORT TO ADDRESS DIABETES WITHIN THE COMMUNITY THE ORGANIZATION PLANS TO EXPAND ITS POST-DISCHARGE COACHING PROGRAM FOR CARDIAC AND DIABETIC PATIENTS. THE ORGANIZATION IS ALSO IN THE PROCESS OF DEVELOPING CONTINUED MEDICAL EDUCATION COURSES FOR PHYSICIANS ON DIABETES PREVENT AND SCREENINGS. FROM THESE INITATIVES THE ORGANIZATION HOPES TO IMPROVE HEALTH OUTCOMES, HEALTHY BEHAVIORS AND SELF-EFFICACY, DECREASE EMERGENCY ROOM VISITS AND HEALTHCARE COSTS ASSOCIATES WITH DIABETES AND IMPROVE A1C BLOOD GLUCOSE LEVELS OF ITS PATIENTS IN ITS PRIMARY SERVICE AREA. SUBSTANCE ABUSE --------------- THE ORGANIZATION IS WORKING TO TACKLE SUBSTANCE ABUSE, SPECIFICALLY PRESCRIPTION DRUG ABUSE. BEING ONE OF THE LARGEST HEALTHCARE PROVIDERS IN THIS AREA, THE ORGANIZATION IS EDUCATING ITS PRIMARY PHYSICIANS, HOSPICE CARE WORKERS, HOMECARE AGENCIES AND PALLIATIVE CARE EMPLOYEES ABOUT THE PRESCRIPTION DRUG ABUSE PROBLEM IN ITS PRIMARY SERVICE AREAS. THE ORGANIZATION IS OFFERING CONTINUING MEDICAL EDUCATION ON THE PRESCRIPTION MONITORING PROGRAM. THIS DATABASE COLLECTS PRESCRIPTION DATA ON CONTROLLED DANGEROUS SUBSTANCES AND ALLOWS PHYSICIANS TO PREVENT PATIENTS FROM GETTING EXCESS PRESCRIPTIONS. THE USE OF THIS DATABASE WILL PREVENT PHYSICIANS FROM WRITING UNNECESSARY PRESCRIPTIONS. THE ORGANIZATION ALSO PLANS TO PROMOTE THE PRESCRIPTION MONITORING PROGRAM AS A STEP FOR CREDENTIALING TO INSPIRA MEDICAL STAFF APPLICANTS. THE ORGANIZATION ALSO PLANS TO PROMOTE "SBIRT SCREENINGS" WHICH INCLUDES SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT. THE ORGANIZATION WILL EDUCATE PRACTITIONERS ABOUT THE REVENUE STREAM FOR USING THIS TOOL AND AIMS TO INCREASE THE USE OF SBIRT SCREENINGS AMONG ITS EMERGENCY ROOM STAFF, PRIMARY CARE PHYSICIANS, COMMUNITY CLINICAL SETTINGS (I.E. COMPLETECARE AND FAMCARE) AND URGENT CARE CENTERS. LASTLY, THE ORGANIZATION PLANS TO REDUCE ACCESS TO PRESCRIPTION DRUG ABUSE THROUGH PROPER DISPOSAL. THE ORGANIZATION WILL EDUCATE THE MEDICAL COMMUNITY ABOUT THE AVAILABILITY AND LOCATION OF PRESCRIPTION DROP BOXES VIA CONTINUED MEDICAL EDUCATION COURSES. THEY WILL ALSO PROMOTE AWARENESS OF DETERRA, A DRUG DEACTIVATION SYSTEM THAT PROVIDES A SAFE AND ENVIRONMENTALLY RESPONSIBLE WAY TO DISPOSE OF PHARMACEUTICALS, AMONG FAMILIES OF ITS HOSPICE CARE PATIENTS. SOCIAL DETERMINANTS ------------------- FIVE MAJOR HEALTH SYSTEMS IN SOUTHERN NEW JERSEY (INSPIRA, COOPER, KENNEDY, VIRTUA AND OUR LADY OF LOURDES), THE NEW JERSEY HOSPITAL ASSOCIATION 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. IN ORDER 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. THE COLLABORATIVE WILL THEN ANALYZE THE DATA AND APPLY EVIDENCE-BASED AND BEST PRACTICES ALONG WITH INNOVATIVE SYSTEM CHANGES THAT WILL BETTER SERVE INDIVIDUALS WITH BEHAVIORAL HEALTH CONDITIONS. THE ORGANIZATION IS WORKING IN COLLABORTATION WITH THE M25 "HOUSING FIRST" INITIATIVE. THE M25 INITIATIVE IS A NON-PROFIT IN CUMBERLAND COUNTY, NEW JERSEY CREATED FOR THE SOLE PURPOSE OF EQUIPPING AND EMPOWERING LOCAL CHURCH AND FAITH-BASED ORGANIZATIONS TO ENGAGE IN AN INNOVATIVE HOUSING FIRST PROGRAM TO END HOMELESSNESS IN THE COMMUNITY. HOUSING FIRST IS AN APPROACH TO QUICKLY AND SUCCESSFULLY CONNECT INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS TO PERMANENT HOUSING WITHOUT PRECONDITIONS AND BARRIERS TO ENTRY, SUCH AS SOBRIETY, TREATMENT OR SERVICE PARTICIPATION REQUIREMENTS. THE ORGANIZATION BELIEVES THAT THIS INITIATIVE HAS THE POTENTIAL TO REDUCE COSTS BY REVEALING MORE BENEFICIAL AND COST-EFFECTIVE WAYS FOR VULNERABLE INDIVIDUALS TO ENGAGE WITH PUBLIC SERVICES. IMPORTANTLY, THE BEHAVIORAL HEALTH COLLABORATIVE DATA WILL PROVIDE GUIDANCE CONCERNING WHAT INDIVIDUALS SHOULD BE CONSIDERED FOR HOUSING FIRST INTERVENTIONS AND WILL VALIDATE THE COMMUNITY SAVINGS ASSOCIATED WITH EACH HOUSING FIRST RECIPIENT. IN ADDITION, THE FOLLOWING INITIATIVES ARE AVAILABLE WITH THE COMMUNITY IN ORDER TO ADDRESS THE FOLLOWING SOCIAL DETERMINANTS: - THE CUMBERLAND COUNTY POSITIVE YOUTH DEVELOPMENT COALITION: THIS IS A RIDE ALONG PROGRAM WHICH PAIRS A MEMBER OF CLERGY WITH A PATROLMAN AND INTERFACES WITH FIRST-TIME JUVENILE OFFENDERS. - LIVE HEALTHY CUMBERLAND COUNTY: THE ORGANIZATION PLANS TO PROMOTE THE LIVE HEALTHY VINELAND SUMMER PARK PROGRAM WITH VARIOUS ACTIVITIES INCLUDING SUMMER PARK HOP, SCAVENGER HUNT, FAMILY VOLLEYBALL AND FAMILY YOGA. - SCHOOL WELLNESS & WORKSITE WELLNESS: THIS INITATIVE PLANS TO PROMOTE MORE PHYSICAL ACTIVITY AND NUTRICIAN, OFFER SCREENINGS IN SCHOOLS AND WORK-SITES AND PROVIDE INFORMATION ON HEALTHY FOOD PREPARATION. - HEALTHY CORNER STORE INITIATIVE: THE CORNER STORE INITIATIVE WILL PROMOTE HEALTHIER FOODS, WHOLE GRAINS AND LOW SODIUM ALTERNATIVES IN HIGH TRAFFIC AREAS OF THEIR STORES. THE ORGANIZATION WILL OFFER CARDIOVASCULAR SCREENINGS THREE TIMES PER YEAR TO PROMOTE AWARENESS AND CAMPAIGN TO CREATE CONSUMER CHANGE IN BEHAVIOR IN REGARDS TO PURCHASES. THE INITIATIVE AIMS TO PROVIDE MORE FRESH FRUITS AND VEGETABLES TO LOW INCOME RESIDENTS AND EDUCATE THEM ABOUT HEALTHY FOOD PREPARATION. THE ORGANI
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	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
INSPIRA CARDIOVASCULAR SERVICES
636 KINGS HIGHWAY SUITE C	WOODBURY	NJ	08096	HOSPITAL & OUTPATIENT SERVICES CARDIOLOGY
IMCW FAMILY MEDICINE CENTER
75 WEST RED BANK DRIVE	WOODBURY	NJ	08096	OUTPATIENT SERVICES - FAMILY MEDICINE
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
FAMILY HEALTH CENTER-MULLICA HILL NORTH
34 COLSON LANE	MULLICA HILL	NJ	08062	OUTPATIENT SERVICES - FAMILY MEDICINE

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	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN ANNUAL REPORT IS PREPARED AND PUBLISHED BY THE SYSTEM. THE REPORT DESCRIBES THE COMMUNITY BENEFIT PROGRAMS AND SERVICES THAT PROMOTE THE HEALTH OF THE COMMUNITIES SERVED BY THE HEALTH SYSTEM. THE ANNUAL WRITTEN REPORT IS DISTRIBUTED TO LEGISLATORS, BUSINESS LEADERS, CIVIC COMMUNITY LEADERS, ORGANIZATIONS AND COMMUNITY PARTNERS. A DOWNLOADABLE VERSION OF THE REPORT IS AVAILABLE ON THE ORGANIZATION'S WEBSITE: WWW.INSPIRAHEALTHNETWORK.ORG.
SCHEDULE H, PART I; QUESTION 7	THE ORGANIZATION UTILIZED THE COST ACCOUNTING SYSTEM.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY INSPIRA MEDICAL CENTER WOODBURY, INC. ("IMCW") 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. IMCW PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS, COMMUNITY AND PROVIDERS. PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS DEDICATE THEIR KNOWLEDGE AND TIME TO INSURING THE COMMUNITY IS WELL EDUCATED ON TOPICS PROMOTING HEALTHY LIVING.
SCHEDULE H, PART III, SECTION A; QUESTION 4	THE ORGANIZATION'S ALLOWANCE FOR DOUBTFUL ACCOUNTS METHODOLOGY AND CHARITY CARE POLICIES ARE CONSISTENTLY APPLIED. THE ATTACHED TEXT WAS OBTAINED FROM THE FOOTNOTES TO THE ORGANIZATION'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS. RECEIVABLES FOR PATIENT CARE ---------------------------- PATIENT ACCOUNTS RECEIVABLE FOR WHICH THE NETWORK RECEIVES PAYMENT UNDER COST REIMBURSEMENT, PROSPECTIVE PAYMENT FORMULAE OR NEGOTIATED RATES, WHICH COVER THE MAJORITY OF PATIENT SERVICES, ARE STATED AT THE ESTIMATED NET AMOUNTS RECEIVABLE FROM PAYORS, WHICH ARE GENERALLY LESS THAN THE ESTABLISHED BILLING RATES OF THE NETWORK. PATIENT ACCOUNTS RECEIVABLE ARE REPORTED NET OF PROVISIONS BASED ON MANAGEMENTS ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS, BUSINESS ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE (WHICH INCLUDES BOTH PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE NETWORK ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, IF NECESSARY. THE DIFFERENCE BETWEEN THE BILLED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST NET PATIENT SERVICE REVENUE. CHARITY CARE ------------ CERTAIN ENTITIES WITHIN THE NETWORK HAVE A PATIENT ACCEPTANCE POLICY, WHICH IS BASED ON ITS MISSION STATEMENT AND ITS CHARITABLE PURPOSES. ACCORDINGLY, THESE ENTITIES ACCEPT ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A CHARITY PATIENT BY REFERENCE TO CERTAIN FINANCIAL CRITERIA ESTABLISHED BY THE STATE OF NEW JERSEY AND THE NETWORKS POLICY. THE NETWORKS CHARITY CARE POLICY INCLUDES ADDITIONAL FINANCIAL CRITERIA WHICH WERE ESTABLISHED WITH THE INTENT OF EXPANDING THE AVAILABILITY OF FINANCIAL ASSISTANCE. BECAUSE THE NETWORK DOES NOT BELIEVE THAT ACCOUNTS WHICH QUALIFY FOR CHARITY CARE ARE LIKELY TO BE COLLECTED, THEY ARE NOT REPORTED AS NET PATIENT SERVICE REVENUE. THE UNREIMBURSED COSTS FOR SERVICES AND SUPPLIES FURNISHED TO PATIENTS ELIGIBLE FOR SUCH CHARITY CARE ARE BASED ON COST TO CHARGE RATIOS AND COSTS INCURRED AND ARE AS FOLLOWS: 2016 2015 IN ACCORDANCE WITH THE: STATE OF NEW JERSEYS CRITERIA $3,549,000 $1,799,000 NETWORKS ADDITIONAL CRITERIA $10,996,000 $13,371,000 ----------- ----------- TOTAL $14,545,000 $15,170,000 THE NETWORK ALSO SPONSORS CERTAIN OTHER CHARITABLE PROGRAMS WHICH PROVIDE SUBSTANTIAL BENEFIT TO THE BROADER COMMUNITY. SUCH PROGRAMS INCLUDE SERVICES TO NEEDY AND ELDERLY POPULATIONS THAT REQUIRE SPECIAL SUPPORT, AS WELL AS HEALTH PROMOTION AND EDUCATION FOR THE GENERAL COMMUNITY WELFARE. IN ADDITION, ALL OTHER UNCOLLECTIBLE AMOUNTS RESULTING FROM THE PATIENTS INABILITY TO PAY ARE RECORDED AS A REDUCTION TO NET PATIENT SERVICE REVENUE, CONSISTENT WITH THE NETWORKS CHARITY CARE POLICY.
SCHEDULE H, PART III, SECTION B; QUESTION 8	MEDICARE COSTS WERE DERIVED FROM THE 2016 MEDICARE COST REPORT. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. 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. MEDICARE UNDERPAYMENTS AND BAD DEBT ARE COMMUNITY BENEFIT AND ASSOCIATED COSTS ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. 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 AMERICAN HOSPITAL ASSOCIATION, AS OF 2012, MEDICARE REIMBURSES HOSPITALS ONLY 86 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. THE MEDICARE PAYMENT ADVISORY COMMISSION ("MEDPAC"), IN ITS MARCH 2013 REPORT TO CONGRESS, STATES THAT BENEFICIARIES WILL GROW NOTABLY FASTER IN THE NEXT 10 YEARS THAN IN THE PAST DECADE AS THE BABY-BOOM GENERATION AGES INTO THE PROGRAM. IN ADDITION, THE POPULATION AGING INTO THE MEDICARE PROGRAM WILL PRESENT A NEW SET OF CHALLENGES SINCE RISING OBESITY LEVELS PUT THIS POPULATION AT A GREATER RISK THAN PREVIOUS GENERATIONS FOR CHRONIC DISEASE. - 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 FINANCIAL ASSISTANCE PROGRAMS. 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, EXTENSI
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 KEY FACTOR INFORMATION ANNUALLY 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. IMCW CONDUCTS EXTENSIVE SERVICE AREA PHYSICIAN NEED STUDIES (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. IMCW 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. IMCW 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, ONGOING COMMUNITY MEETINGS WITH LOCAL PROVIDERS, LOCAL HEALTH DEPARTMENTS, LOCAL POLITICIANS, ORGANIZATIONS AND COMMUNITY LEADERS ARE SPONSORED BY THE HOSPITAL TO DISCUSS THE HEALTH NEEDS OF THE POPULATION. IMCW HAS A GOOD COMMUNICATION NETWORK IN PLACE WITH LOCAL EMERGENCY OFFICES (FIRE, AMBULANCE, ETC.) AND ALSO WITH THE MEDICAL STAFF TO RECEIVE FEEDBACK ABOUT THE HEALTHCARE NEEDS OF THE LOCAL COMMUNITY. AS A RESULT, THE HOSPITAL RESPONDED BY ADDING NEW SERVICES SUCH AS PCI, WOUND CARE CENTER, BALANCE CENTER, DIALYSIS SERVICE, WOMEN'S DIAGNOSTIC CENTER, AND A SIGNIFICANT EXPANSION OF THE EMERGENCY DEPARTMENT AND IT'S CAPABILITIES. THE ED EXPANSION INCLUDED CREATING A PHYSICALLY DISTINCT 6 BED PEDIATRIC EMERGENCY TREATMENT ROOM, AND A SECURED BEHAVIORAL HEALTH EMERGENCY TREATMENT AREA, BOTH WITHIN IMCW'S EMERGENCY DEPARTMENT.
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 DEPARATMENT, 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 513,000. 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 --------------------- - 13.6% OF RESIDENTS IN GLOUCESTER COUNTY LIVE WITH A DISABILITY. HOUSEHOLD STATISTICS -------------------- - THE MEDIAN HOME VALUE IN GLOUCESTER COUNTY IS $224,700. - 51.8% OF RESIDENTS AGED 15 YEARS AND OVER IN GLOUCESTER COUNTY ARE CURRENTLY MARRIED. - 26.4 % OF GLOUCESTER COUNTY HOMES ARE SINGLE PARENT HOUSEHOLDS. - 56.1% OF RESIDENTS IN GLOUCESTER COUNTY SPEND MORE THAN 30% OF THEIR INCOME ON RENT. INCOME STATISTICS ----------------- - THE MEDIAN INCOME FOR HOUSEHOLDS AND FAMILIES IN GLOUCESTER COUNTY IS $74,524 AND $87,913; RESPECTIVELY. - THE PROPORTION OF INDIVIDUALS AND FAMILIES LIVING IN POVERTY IN GLOUCESTER COUNTY IS 8.1% AND 5.8%; RESPECTIVELY. - 7.1% OF HOUSEHOLDS IN GLOUCESTER COUNTY RELY ON FOOD STAMP/SNAP BENEFITS. EDUCATION STATISTICS -------------------- - 90.9% OF RESIDENTS AGED 25 YEARS AND OVER IN GLOUCESTER COUNTY HAVE GRADUATED FROM HIGH SCHOOL. - THE PROPORTION OF STUDENTS WHO PASSED STATE ACHIEVEMENT TESTS IS HIGHER IN GLOUCESTER COUNTY WHEN COMPARED TO THE STATE AVERAGE. COUNTY HEALTH RANKINGS ---------------------- - GLOUCESTER COUNTY RECEIVED ONE OF ITS POOREST RANKINGS IN THE AREA OF CLINICAL CARE (17 OF 21). SEVERAL FACTORS CONTRIBUTED TO THE CLINICAL CARE RANK INCLUDING THE PROVIDER TO POPULATION RATIO FOR PRIMARY CARE PHYSICIANS, DENTISTS, AND MENTAL HEALTH PROVIDERS AND THE RATE OF PREVENTABLE HOSPITAL STAYS. - GLOUCESTER COUNTY ALSO RECEIVED A POOR RANKING IN THE AREA OF PHYSICAL ENVIRONMENT (19 OF 21). THE RANKING WAS PRIMARILY A RESULT OF THE PROPORTION OF THE POPULATION COMMUTING LONG DISTANCES, ALONE.
SCHEDULE H, PART VI; QUESTION 5	INSPIRA MEDICAL CENTER WOODBURY, INC. IS COMMITTED TO PROVIDING A BROAD RANGE OF QUALITY HEALTHCARE SERVICES THAT ARE CONTINUOUSLY IMPROVED TO MEET THE NEEDS AND EXPECTATIONS OF OUR PATIENTS, PHYSICIANS, EMPLOYEES AND THE COMMUNITY WE SERVE. WE ARE COMMITTED TO PROVIDING SERVICES IN A COMPASSIONATE AND FRIENDLY MANNER WHICH RESPECTS THE DIGNITY AND RIGHTS OF ALL. WE SHALL BE INNOVATIVE AND FISCALLY RESPONSIBLE WHILE CONTINUALLY EVALUATING THE NEEDS AND EXPECTATIONS OF OUR COMMUNITY AND THE DEMANDS OF THE ENVIRONMENT.
SCHEDULE H, PART VI; QUESTION 6	OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE INSPIRA HEALTH NETWORK: NOT FOR PROFIT INSPIRA HEALTH NETWORK ENTITIES ============================================== INSPIRA HEALTH NETWORK, INC. ---------------------------- INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT OF THE INSPIRA HEALTH NETWORK ("SYSTEM"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER THE NETWORK OR ANOTHER NETWORK AFFILIATE CONTROLLED BY THE NETWORK. THE NETWORK IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY AND IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). INSPIRA MEDICAL CENTERS, INC. ----------------------------- INSPIRA MEDICAL CENTERS, INC. ("IMC") IS COMPRISED OF TWO ACUTE CARE AND TWO HOSPITAL-BASED AMBULATORY CARE CENTERS. INSPIRA MEDICAL CENTER VINELAND, LOCATED IN VINELAND, CUMBERLAND COUNTY, NEW JERSEY, IS A 276-BED ACUTE CARE FACILITY WITH 59 PSYCHIATRIC BEDS LOCATED AT INSPIRA HEALTH CENTER BRIDGETON. INSPIRA MEDICAL CENTERS ELMER IS A 96-BED ACUTE CARE FACILITY LOCATED IN ELMER, SALEM COUNTY, NEW JERSEY. IMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, IMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, IMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. INSPIRA 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. 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 PROVIDES CARE AND SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. 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 SUPPORTS INSPIRA MEDICAL CENTER WOODBURY, 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. BY PRACTICING MEDICINE, ENGAGING IN MEDICAL EDUCATION AND WORKING TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY, THE ORGANIZATION COMPRISES A COMPONENT OF THE CLINICAL SERVICE PHYSICIAN PRACTICE PLANS OF INSPIRA MEDICAL CENTER WOODBURY, INC. AND IS AN INTEGRAL PART OF INSPIRA MEDICAL CENTER WOODBURY, INC. 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. DURING 2013, THE ORGANIZATION TRANSFERRED ITS PERSONNEL AND OPERATIONS TO INSPIRA HEALTH NETWORK MEDICAL GROUP, P.C. PRIOR TO 2014 THE ORGANIZATION PRACTICED MEDICINE, ENGAGED IN MEDICAL EDUCATION AND WORKED TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY. THE ORGANIZATION IS CURRENTLY INACTIVE. 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. 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 MANAGEMENT SERVICES, LLC --------------------------------- INSPIRA MANAGEMENT SERVICES, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY WHOSE SOLE MEMBER IS INSPIRA HEALTH NETWORK, INC. 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 CENTER WOODBURY, 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 PHYSICAN-HOSPITAL ENTERPRISE WHICH IS DESIGNED TO ACHIEVE IMPROVEMENT IN HEALTHCARE QUALITY, EFFICIENCY AND COST. INSPIRA HEALTH NETWORK, INC. OWNS 51% OF INSPIRA HEALTH PARTNERS, LLC. OAK & MAIN SURGICENTER, LLC --------------------------- OAK & MAIN SURGICENTER, LLC IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OWNED BY INSPIRA MEDICAL CENTERS, INC. THIS ORGANIZATION PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS. THE KIDNEY CENTER AT MILLVILLE, LLC ----------------------------------- THE KIDNEY CENTER AT MILLVILLE, LLC IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP. THIS ORGANIZATION PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS. INSPIRA MEDICAL CENTERS, INC. OWNS 50% OF THE KIDNEY CENTER AT MILLVILLE, LLC. THE KIDNEY CENTER AT VINELAND, LLC ---------------------------------- THE KIDNEY CENTER AT VINELAND, LLC IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP. THIS ORGANIZATION PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS. INSPIRA MEDICAL CENTERS, INC. OWNS 50% OF THE KIDNEY CENTER AT VINELAND, LLC. INSPIRA SJ URGENT CARE MANAGEMEN
SCHEDULE H, PART VI; QUESTION 7	NOT APPLICABLE. 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

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	INSPIRA HEALTH NTWK FDN GLOUCESTER COUNTY	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	509 NORTH BROAD STREET	AddressLine1Txt
City	WOODBURY	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	08096	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	222333409	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$86,888	CashGrantAmt
Valuation Method Used	FMV	ValuationMethodUsedDesc
Purpose Of Grant	PROGRAM SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, 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 (11 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-NETWORK	$0	$672,131	$0	$260,400	$0	$41,564	$0	$710,949	$0	$51,331	$0	$1,736,375	$0	$0
KURT W KAULBACK MD
TRUSTEE	$0	$415,483	$0	$193,531	$0	$19,290	$0	$4,769	$0	$20,886	$0	$653,959	$0	$0
EILEEN K CARDILE MS RN CNA
EVP/PRES OF IMCW (TERM 1/2/16)	$0	$0	$0	$124,200	$0	$56,618	$0	$0	$0	$289	$0	$181,107	$0	$0
THOMAS P BALDOSARO CPA
EVP/CHIEF FINANCIAL OFFICER	$0	$371,739	$0	$93,100	$0	$48,423	$0	$87,720	$0	$31,709	$0	$632,691	$0	$0
MARVIN T WAY
EVP OPERATIONS	$0	$479,850	$0	$127,926	$0	$20,322	$0	$105,657	$0	$36,754	$0	$770,509	$0	$0
ALKA KOHLIMDMBAEFF 43016
EVP/CHIEF POPULATION HEALTH	$0	$287,370	$0		$0	$30,330	$0	$47,158	$0	$16,237	$0	$381,095	$0	$0
PATRICK NOLAN
CHIEF OPERATING OFFICER - IMCW	$0	$246,468	$0	$15,104	$0	$17,442	$0	$36,335	$0	$24,654	$0	$340,003	$0	$0
ROBERT E FLORENTINE
SVP/CHIEF PEOPLE OFFICER	$0	$262,661	$0	$61,886	$0	$60,359	$0	$98,631	$0	$29,638	$0	$513,175	$0	$0
MATTHEW DOONAN ESQ
GENERAL COUNSEL	$0	$244,270	$0	$31,875	$0	$30,839	$0	$44,459	$0	$17,830	$0	$369,273	$0	$0
THOMAS PACEK
VP/CHIEF INFORMATION OFFICER	$0	$276,625	$0	$25,200	$0	$25,813	$0	$46,840	$0	$25,179	$0	$399,657	$0	$0
JOHN W GRAHAM
FORMER OFFICER	$0	$275,248	$0	$48,917	$0	$39,741	$0	$12,140	$0	$4,476	$0	$380,522	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I; QUESTION 4B	THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN SCEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES 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, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2016 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN A. DIANGELO, $677,824; THOMAS P. BALDOSARO, CPA, $71,820; MARVIN T. WAY, $89,757; ALKA KOHLI, M.D., MBA, $46,445; PATRICK NOLAN, $26,885; ROBERT E. FLORENTINE, $69,481; MATTHEW DOONAN, ESQ., $29,188 AND THOMAS PACEK, $30,940.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2016 WHICH AMOUNTS WERE INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2016 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 2016 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NJ HEALTH CARE FACILITIES FINANCING AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	221987084	BondIssuerEIN
CUSIP	645790aw6	CUSIPNum
Bond Issued	2016-06-30	BondIssuedDt
Issue Price	$41,177,073	IssuePriceAmt
Purpose	SEE SCHEDULE K, PART IV	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$47,177,073	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$1,989,808	RefundingEscrowAmt
Issuance Costs From Proceeds	$327,073	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2016	SubstantialCompletionYr
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	Yes (true)	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K	FormAndLineReferenceDesc
Explanation	SCHEDULE K; PART I THE TAX-EXEMPT BOND ISSUANCE REFLECTED IN SCHEDULE K, PART I WAS ISSUED ON BEHALF OF THE INSPIRA HEALTH NETWORK OBLIGATED GROUP WHICH INCLUDES THIS ORGANIZATION AND INSPIRA MEDICAL CENTERS, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATION. THE PROCEEDS OF 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.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Background ========== Inspira Medical Center Woodbury, Inc. ("IMCW"), located in Woodbury, New Jersey is a 322-bed licensed, acute-care, non-profit hospital serving Gloucester County and parts of Camden, Salem and Cumberland counties. IMCW is recognized by the IRS as an internal revenue code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, IMCW provides 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 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 an active emergency departments for all persons; which are open 24 hours a day, 7 days a week, 365 days per year. 3. Maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of IMCW rests with the boards 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 IMCW as shown through the factors outlined above and other information contained herein, clearly demonstrate that the use and control of IMCW 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. IMCW provides healthcare services to all individuals regardless of ability to pay. Moreover, IMCW 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. IMCW maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. Patient statistical information =============================== With more than 1,433 full and part-time employees and a medical staff of approximately 588, IMCW provides a diverse array of diagnostic, therapeutic and treatment services in the comfort, convenience and security of a community hospital setting. IMCW is Gloucester County's largest employer. IMCW has been caring for the community ever since two dedicated and visionary physicians graduated from Jefferson Medical College in Philadelphia and settled in Gloucester County in the early years of the last century. Doctors J. Harris underwood and William Brewer's vision evolved into what the hospital's mission is today. That mission is to deliver a superior standard of proficient, safe and compassionate care across a broad spectrum of medical specialties by offering advanced technology that supports effective diagnosis and treatment. IMCW deeply values the respect and trust of the community. Meeting the healthcare challenges of the twenty-first century in a way that exceeds the expectations of the community is the hospital's goal. Building and maintaining a healthy community starts with people, and those who act upon a shared vision for the future, knowing they are the foundation upon which commitments are made, promises kept and a better future built. IMCW celebrates its hospital family and the hundreds of employees, nurses, physicians, board members, volunteers and auxiliary members who selflessly share their skills, talent and time in meeting the healthcare needs of the community. They devote countless hours volunteering at health fairs and screenings, leading fund raising efforts, participating in community outreach, serving on civic committees and board and supporting many worthy causes. Our Inspira family believes that what we do makes a difference and that difference contributes to a stronger and healthier community. IMCW provides a diverse range of inpatient medical, surgical, psychiatric, obstetric, newborn and pediatric services, as well as emergency services, clinical services and same-day surgery on an outpatient basis. The hospital also provides a mobile intensive care unit ("MICU"), which is the designated regional provider of MICU services for Gloucester, Salem and Cumberland counties. In 2016, IMCW performed 5,465 surgeries, 44,214 physical therapy treatments, 740 dialysis treatments, 91,033 diagnostic imaging procedures, and 54,105 emergency room visits. Also in 2016, inpatient admissions were 8,444 for adults and pediatrics, 871 for mental health and 905 births. A more comprehensive directory of healthcare services offered by the hospital is provided below: - Anesthesia services; - Behavioral health services; - Balance center; - Cancer services; - Cardiac services; - Emergency department; - Employee services; - Family Medicine Center; - Laboratory; - Maternal Child Health; - Medical/surgical; - Medical/Surgical Intensive Care Unit; - Occupational therapy; - Patient/family services; - Pediatric emergency services; - Physical therapy; - Prenatal care; - Radiology services; - Respiratory care; - Sleep center; - Speech therapy; - Surgical services; - Womens health center; and - Wound and skin healing center. Quality awards and recognition ================================ In addition to providing a wide scope of services, IMCW takes great pride in providing 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, which include: Leapfrog awards IMCW earned an "A" on Leapfrogs fall 2016 hospital safety score. Leapfrog Top Hospital - Inspira Medical Center Woodbury was named one of seven top hospitals in New Jersey. The designation recognizes a commitment to patient safety and clinical quality. Healthgrades awards Inspira Woodbury received a Healthgrades 5-star rating for pacemaker procedures. Only 20 medical centers across the Philadelphia region were named top performers in common surgical procedures. American Hospital Association Most Wired Hospital Inspira Health Network was named a "Most Wired Hospital" for its use of technology to improve the efficiency of health care delivery and creating a new dynamic in patient interactions. 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. Community Health Information and Services ========================================= IMCW is committed to the community it serves by providing referral resources and various free or low cost health, wellness and educational programs for the general public on topics such as diabetes, nutrition and behavioral health. Health Concierge Service ======================== In April of 2016, Inspira Health Network introduced a 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. Community Lecture Series ======================== IMCW offers a community lecture series. This free program allows IMCW to partner with members of its medical and clinical staff to educate and inform the community on important issues related to improving or maintaining quality health and wellness. Some of the topics included sleep disorders, advance directives, stroke and diabetes. Language Assistance =================== Language assistance is 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 percent of the demographic population.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Community Needs Assessment ========================== In collaboration with the Cumberland/Salem/Gloucester Health and Wellness Alliance, IMCW completed its 2016-2018 Community Needs Assessment. Community surveys, focus groups and key informant surveys were conducted to target the most prevalent needs in our community. Through a planned and organized effort, the group is working collectively towards strategies to target these priorities by tapping into the resources of the community and collaborating on initiatives. IMCW actively contributes to this process and engages in the identified priorities that match its mission, expertise, resources and capacity. Currently IMCW is implementing the identified strategies and tracking their progress. Donations ========= Each year IMCW 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 Cancer Society - American Heart Association - Boys and Girls Club of Gloucester County - City of Woodbury - Gloucester County Chamber of Commerce - Habitat for Humanity Gloucester County - Lauren Rose Albert Foundation - New Jersey Healthcare Quality Institute - March of Dimes - Robins Nest - South Jersey Chamber Foundation - The Southwest Council - Tri-county Regional Ethics Committee - Greater Woodbury Chamber of Commerce - Rowan School of Medicine - YMCA of Gloucester County. Some of the organizations that were supported with an in-kind donation included: - American Red Cross - Main Street Woodbury - Alcoholics Anonymous Community Health Improvement Advocacy ===================================== IMCW employees, including our CHIEF EXECUTIVE OFFICER and senior management group, 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. These include: - Childrens Inter-Agency Coordinating Council; - Cumberland/Salem/Gloucester Health & Wellness Alliance; - Gloucester County Inter-agency Coordinating Council; - Gloucester County Task Force on Homelessness; - National Association for Home care & Hospice; - NJ Association of Healthcare Volunteer Resource - NJ Hospice & Palliative Care Organization; - NJ Hospital Association; - Professional Advisory Committee for Drug & Alcohol; - Gloucester County Prosecutors Office Mental Health Intervention Committee; - Tri-county Inter-Agency Coordinating Council; - Tri-county Regional Ethics Committee; AND - South Jersey Behavioral Health Innovation Collaborative. Health Professions Education ---------------------------- 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. IMCW offers nursing education programs, externships and internships. Residency Programs ------------------ Since 1983, IMCW has operated a family medicine residency program and hosts medical school graduates from Thomas Jefferson University who work side-by-side with experienced members of the IMCW medical staff, gaining valuable experience and insight. 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. Inspira hospitals also serve as clinical rotation sites for several area medical schools. Community Waste Reduction and Sharps Disposal --------------------------------------------- IMCW participates in a program that was developed by the New Jersey Hospital Association in conjunction with bio-systems and endorsed by the New Jersey Department of Environmental Protection for the disposal of home medical waste. Meeting facilities ------------------ IMCW offers the use of their meeting rooms and facilities, free of charge, to community based organizations, support groups, self-help groups and non-profit health and human service agencies. Some of the organizations that were offered space in 2016 included Alcoholics Anonymous, American Red Cross, diabetes support group, ostomy support group, OCD support group and Alzheimers support group. Community Outreach ================== As part of its mission, IMCW offers a broad array of community outreach and wellness activities such as educational material and counseling, free or low cost health screenings and patient/family support groups. The importance and value of emphasizing good health, fitness, safety, early detection and prevention are shown in our outreach efforts. This also reflects our strong desire to improve the quality of life for all who live and work in the communities we serve. Health Fairs & Screenings ------------------------- A number of health fairs and community focused health screening events were conducted throughout 2016. IMCW strives to teach health and wellness, answer questions about health-related issues, promote services and resources for people with various diseases and attempt to reach as many uninsured or underinsured as possible. Health screenings are also performed as a community service to detect undiagnosed disease and assist those in need in gaining access to care, working towards eliminating healthcare disparities. Some of the health screenings IMCW provides include blood pressure, blood glucose, skin cancer and cholesterol as well as counseling by specially trained nurses and follow-up with printed materials and telephone calls. Physicians who specialize in eye diseases provide glaucoma screenings and provide information and referrals as needed. American Red Cross Blood Drive ------------------------------ IMCW supports the mission of the American Red Cross ("arc") by hosting several blood drives each year. The Red Cross is the largest single supplier of blood and blood products in the United States, collecting and processing more than 40 percent of the blood supply and distributing it to some 3,000 hospitals and transfusion centers nationwide. Behavioral Health Collaboration ------------------------------- IMCW'S children's behavioral health program participated in both the Gloucester county CIACC and Tri-county CIACC throughout 2016. The CIACC group is made up of a variety of agencies in Gloucester, Salem and Cumberland counties, plus community members from those same counties, who meet regularly to coordinate services, communicate regarding changes in the behavioral health services in the counties and advocate for patient rights/services. Alzheimer's Caregivers Support Group ------------------------------------ This group is professionally facilitated and provides emotional and practical support to families and caregivers of patients with dementia. The format is flexible and includes education on the disease, treatment methods, and coping strategies for difficult behaviors, effective communication techniques and available community resources. Stroke Prevention Screening --------------------------- IMCW provides stroke prevention screening in cooperation with the American Heart Association and the American Stroke Association. Blood pressure, pulse and carotid artery screenings are performed by specially trained nurses and doctors. Education to detect the signs and symptoms of stroke is also provided. Registered nurses provide counseling in compliance with the American heart and stroke associations' guidelines. Printed material providing information on heart disease, atrial fibrillation and other risk factors is provided. Diabetes Support Group ---------------------- Monthly diabetes support and education groups are coordinated and facilitated by a registered nurse certified in diabetes education. Guest speakers may include registered dietitians, endocrinologists, internal medicine specialists, nephrologists, dentists, ophthalmologists and licensed counselors who discuss topics such as nutrition, foot care, dental hygiene, goal setting and prevention of complications from diabetes. Participants are encouraged to maintain blood glucose and blood lipid levels as recommended by the American Diabetes Association.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Emergency Department Sponsored Programs and Services ==================================================== IMCWs emergency department plays a key role in educating and promoting health and safety awareness through community bulletin boards and educational presentations at area schools, colleges, police academies and community programs. Some topics may include injury prevention, forensic nursing and domestic violence awareness. EMS Transitional Coach Program ------------------------------ This voluntary program offers patients follow-up care from a certified paramedic after discharge. Patients are given the option of having an EMS transition coach visit them at home to follow-up with their care. The visit consists of an assessment, medication reconciliation, home safety survey, social needs assessment and verification of primary care follow-up. While in the home, the paramedic has the opportunity to observe and assess any issues they feel they may be of assistance with to further secure a positive outcome for the patient. Sexual Assault Nurse Examiners ("SANE") --------------------------------------- IMCW's emergency department is an examination site for the sexual assault response team ("SART") in Gloucester County. The sexual assault response team consists of a sane, a representative from services empowering the rights of victims ("SERV") and members of law enforcement. SERV is the NJ state designated sexual trauma services provider for Camden and Gloucester counties. When a sexual assault patient arrives at the Emergency Department, Emergency Department staff activates the SANE. The Emergency Department physicians provide a medical screening examination at no charge to the patient. The Emergency Department has a dedicated SANE suite which provides security for the forensic equipment. IMCW does not charge for services provided to the sexual assault patient. The SANE goal is to provide a medical forensic exam to the patient while working collaboratively with team members to meet the patient's needs. Maternal-Child Health Programs ============================== Childbirth Preparation Classes for Expectant Parents ---------------------------------------------------- This three-week class is provided to expectant parents and support persons. The topics discussed by the certified childbirth educators include the discomforts of pregnancy, the labor and delivery process, fetal monitoring, anesthesia choices, C-sections, breathing and relaxation techniques and family adjustment. One-Day Childbirth Preparation Class ------------------------------------ This class is ideal for expectant parents who cannot commit to a full, three-week childbirth education series. This class covers the topics of labor and delivery, C-sections, anesthesia, breathing and relaxation techniques, post-delivery care and post-partum depression. A healthcare practitioner presents options for choosing follow-up pediatric care. Babycraft Newborn Care Class ---------------------------- This class is designed for first-time parents or for parents who want to brush up on newborn care. Topics include physical care of the newborn, signs and symptoms of illness, coping with a crying baby, time management and priority setting. Hands-on skills include holding, diapering, bathing and burping the newborn. Prenatal Breastfeeding Classes ------------------------------ Breast feeding is the most natural way to feed your baby. This class prepares the expectant mother for making the decision on whether to breast feed. Topics covered include initiating breast feeding, benefits of breast feeding for mom and baby, mechanics of breast feeding and what to expect while you are breast feeding. Sibling Classes --------------- IMCW's sibling class helps both parents and siblings to prepare for the birth of a new brother or sister. The class is designed for children ages 3 to 7 years. The birth of the baby, role of the big brother/sister and expectations of the new baby are brought to life through an audiovisual presentation, anatomical models, storytelling and doll play. Children also make a gift for the new baby with materials provided by Inspira. Birth, Baby & You ----------------- This six-hour class, conducted by certified childbirth educators, is offered to first-time moms and dads. The process of labor is discussed including epidurals, C-sections and other situations expectant parents may experience. Post-delivery care is also covered, as well as postpartum depression, infant care, feeding choices and infant behaviors. Mothers are given educational materials as well as the "Warmline" phone number. Lactation consultants return phone calls and provide continuing support to the breastfeeding mother after discharge. Topics frequently discussed are weaning, engorgement, mastitis and pumping. Breastfeeding support "Warmline" -------------------------------- While in the hospital, breastfeeding mothers are given educational materials as well as the "Warmline" phone number. Lactation consultants return phone calls and provide continuing support to the breastfeeding mother after discharge. Topics frequently discussed are weaning, engorgement, mastitis and pumping. Helping Other Parents In Normal Grief ("HOPING") Perinatal Loss Support Group ----------------------------------------------------------------------- This support group, which meets quarterly, targets families who have either lost a child during pregnancy or in the first year of life. Facilitators are IMCW nurses who are certified to resolve through sharing ("RTS") bereavement coordinators. Hoping offers parents the opportunity to verbalize their feelings in an accepting atmosphere so they can in turn reach out to the newly bereaved. In the fall, families are given a live tree to plant at their home in honor of their loved one. In the winter, families are encouraged to create a Christmas ornament in memory of their child. Early in the summer, families gather at a local park for a "Remembrance Walk" in honor of their lost loved one. Activities are available for the children while parents enjoy music, dessert and time to support each other. Safe Sitter ----------- Safe Sitter is a nationally recognized non-profit babysitter training program for children ages 11 years and older. Boys as well as girls attend this two day program. This class is taught by certified safe sitter instructors. Topics of discussion include: - Babysitting as a business; - Behavior management; - Child care essentials; - Infant and child CPR; - Injury prevention and injury management; and - Safety for the sitter. Infant Lifesaving Techniques ---------------------------- This class is designed for expectant and new parents and taught by IMCW maternity nurses who are certified in basic life support. Lifesaving techniques are viewed on DVD and hands-on practice is provided. Lifesaving techniques such as infant and child CPR, choking emergencies and child-proofing your baby's environment are discussed. Grandparents and caregivers are also welcome to attend. Emergency Medical Academy Programs ================================== EMT Emergency Medical Technician Class -------------------------------------- The emergency medical technician ("EMT") is the first skilled component of the emergency medical services chain to provide care to victims of emergencies. They also aid in minimizing discomfort and help to prevent further injury. EMT's are used to staff ambulances and provide both emergency care and transportation. This program is an intensive nine-month course that uses a series of presentations by physicians, nurses and other allied health professionals. Lectures are followed by skill development exercises and evaluation sessions. Throughout the program, teamwork, safety and patient care skills are stressed. EMT Transition Classes ---------------------- Emergency Medical Technicians are required to take a 24-hour basic skills refresher during each certification period. The class consists of both didactic and practical training and meets the requirements of the New Jersey state department of health and senior services and the national registry of emergency medical technicians. Pediatric Education for Pre-Hospital Professionals ("PEPP") ----------------------------------------------------------- Developed by the American Academy of Pediatrics, PEPP is a curriculum designed specifically to teach pre-hospital professionals how to better assess and manage ill or injured children. The basic life support ("BLS") course is geared toward the emergency medical responder ("EMR") and emergency medical technician ("EMT"). The advanced life support ("ALS") course is geared toward the advanced emergency medical technician ("AEMT") and paramedic. The PEPP course coordinator determines which course (BLS or ALS) is most appropriate for each individual.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	Advanced Cardiac Life Support ("ACLS") ------------------------------------- The ACLS course provides the knowledge and skills needed to evaluate and manage the first 10 minutes of cardiac arrest in an adult. The intended audience is emergency department staff, critical care departments and emergency medical providers such as physicians, nurses, emergency technicians, paramedics, respiratory therapists and other professionals who may respond to a cardiovascular emergency. ACLS provider certification is 16 hours and renewal certification is 8 hours. Pediatric Advanced Life Support ("PALS") --------------------------------------- The PALS course is designed to provide the learner with the following: - Information needed to recognize infants and children at risk for cardiopulmonary arrest; - Information and strategies needed to prevent cardiopulmonary arrest in infants and children; and - Cognitive and psychomotor skills needed to resuscitate and stabilize infants and children in respiratory failure, shock or cardiopulmonary arrest The length of this course is 16 hours and intended for pediatricians, house staff, emergency physicians, family physicians, nurses, paramedics, respiratory therapists and other healthcare providers who are responsible for the well-being of infants and children. Pre-Hospital Trauma Life Support ("PHTLS") ------------------------------------------ PHTLS is a 16-hour comprehensive course that provides EMTs, first responders and paramedics training in the skills needed for rapid assessment, resuscitation, stabilization and transportation of trauma patients. The course is designed for providers who are the first to evaluate and stabilize trauma patients. Hands-on skill stations include basic airway management, spine management, rapid extrication, short back board, helmet management, log roll and long back board, traction splints and patient assessment and management. The course includes the comprehensive PHTLS manual, often used as a textbook in paramedic, EMT and first responder training courses. Healthcare Provider CPR ----------------------- American Heart Association CPR courses are designed for people with a job-related duty to respond in an emergency, including nurses, law enforcement, ems personnel, fire fighters, business and industry response teams, lifeguards, flight attendants and others who must take action in emergency situations. This course combines participant's manual, lectures and video with hands-on skills training to cover the following areas: - Recognizing and responding to breathing and cardiac emergencies in adults, children and infants; - Two-rescuer CPR; - Use of body substance isolation precautions to prevent disease transmission; - Use of resuscitation and bag-valve masks; and - Use of an AED for victims of sudden cardiac arrest. CPR-basic life support instructor --------------------------------- This course prepares American Heart Association instructors to disseminate the science, skills and philosophy of CPR programs to participants enrolled in aha courses. The purpose of the course is to provide instructor candidates with the knowledge and skills necessary to reach and teach potential basic life support providers. Elective Continuing Education Classes ------------------------------------- IMCW hosts a number of continuing education training classes for emergency medical technicians consisting of various topics related to the care provided by emergency medical technicians. These classes assist emergency medical technicians in obtaining the required 24 to 48 hours of continuing education training required during each certification period. Community Emergency Response Team Training ------------------------------------------ This 24-hour program provides education to community members on disaster preparedness. It identifies hazards that may impact this geographic area and trains community members in basic disaster response skills. Specific components of the program are: - Disaster education and preparedness; - Disaster fire suppression; - Disaster medical operations; - Disaster psychology; and - Disaster simulation. Training is conducted in cooperation with the NJ office of emergency management, Gloucester county office of emergency management & FEMA, who provides the course materials. Automatic External Defibrillator ("AED") & Epinephrine Auto Injectors --------------------------------------------------------------------- The EMS Academy regularly provides physician-directed medical oversight and chart review for a number of south Jersey agencies such as, local fire departments, basic life support ("BLS") volunteer ambulance units and police to ensure proper use of the automatic external defibrillators and epinephrine auto injectors. Automatic external defibrillators are used to help resuscitate patients that experience sudden cardiac death. Epinephrine auto injectors are used to treat patients experiencing severe allergic reactions. Mobile Intensive Care Unit ("MICU") ----------------------------------- IMCW has provided MICU services in the southern New Jersey region since 1977. The IMCW program was one of the original MICU programs established in New Jersey. This program has grown and expanded over the years and now serves the communities of Gloucester, Salem and Cumberland counties. MICU Special Operations Team ---------------------------- Early in 2001, the MICU developed a special operations division. The concept was to create a team of specially trained paramedics to manage medical operations during large-scale incidents and events. The special operations team provides advanced life support and medical protection to law enforcement agencies, fire departments, hazardous materials teams, emergency medical services personnel and the community at large scale events. The IMCW bike team is a component of the special operations team and is comprised of specially trained paramedics who attend community events. Each event is supported by at least two members of the team who are available to cover a larger area on bikes to provide immediate care. The team assesses and stabilizes patients in preparation for local ambulance crews and mobile intensive care units to transport patients to local hospitals. The special operations team continually prepares to meet the ever-changing demands faced by emergency management organizations today. Tactical Medical Unit --------------------- The Tactical Medical Unit has evolved from being a supplement to the Gloucester County SWAT team into a multidisciplinary team who supports not only law enforcement efforts, but also those of rescue and emergency management agencies. The unit's focus is to provide services that are not routinely available on standard 911 responses due to high-risk confidential operations. The team provides medical protection to the various county swat teams, critical incident response units, New Jersey state police and specialty teams such as dignitary protection, DEA, FBI and the regional bomb squads. Volunteer Services ================== Volunteers ---------- IMCW has a long-standing and successful volunteer program consisting of both adults and teenagers who volunteer their time to offer support and compassion to the people they serve. Volunteers provide assistance with duties such as courier service, fundraising, patient transport, clerical tasks, as well as various customer service needs throughout the hospital. In 2016, there were 315 volunteers providing approximately 34,479 hours of service. Auxiliary --------- The Auxiliary Board and the separate auxiliaries hold various events throughout the year. Their mission is to continually strive to improve the quality of healthcare provided to their patients and community through advocacy, fundraising and service. Healthcare Lifeline Program =========================== Healthcare Lifeline is 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. Cancer Education & Early Detection Program of Gloucester County ("CEED") ======================================================================== The purpose of the CEED program is to educate and screen uninsured and underinsured residents of the county, particularly minorities, who earn less than 250% of the federal poverty level. In addition, minorities comprise approximately 20% of the residents of the county and statistics indicate that minority mortality rates are higher.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	The program is funded in part by grants from the state of NJ Department of Health and Senior Services, Center for Disease Control and the Susan G. Komen Breast Cancer Foundation. IMCW is the lead agency in Gloucester County and provides free breast, cervical, colorectal and prostate cancer screenings to residents of Gloucester County who meet eligibility criteria related to their age, income and insurance status. Interested applicants are interviewed over the phone and, if accepted into the program, are referred to a provider in the Gloucester County CEED Network for screening services. Research ======== The Institutional Review Committee ("IRC") functions as a special committee of the medical staff. The purpose of the IRC 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 IRC. Financial Contributions ======================= The Inspira Health Network Foundation Gloucester County and the Auxiliary Board welcome donations from employees, physicians, trustees, directors, volunteers, auxillians and the community for a variety of programs and services including Children's Behavioral Health Center, Community Health Education, nursing and clinical staff scholarships, education and retention and plant and equipment purchases and upgrading. In 2016, $125,904 in projects were funded by the Gloucester Foundation. $33,161 in scholarships were awarded and $7,483 was sent to the Hospital from the Auxiliary. New Jersey Hospital Care Assistance Program ("Charity Care") ============================================================ Integral with IMCW's mission to deliver high quality healthcare to the community it serves is its continued commitment to the medically underserved members of the community. Therefore, IMCW treats all patients without regard for their ability to pay. IMCW continues to deliver diagnostic and therapeutic services to an ever-increasing population that is entitled to receive these services under charity care.
CORE FORM, PART III; LINE 4D	EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
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 FINANCE/AUDIT COMMITTEE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE NETWORK'S FINANCE/AUDIT COMMITTEE HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE SYSTEM HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING GENERAL COUNSEL, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF FINANCE AND VARIOUS OTHER INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING IT TO THE NETWORK'S FINANCE/AUDIT COMMITTEE AND FILING WITH THE 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.
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. PLEASE NOTE THAT ALL OFFICERS REPORTED IN CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 ARE PAID BY INSPIRA MEDICAL CENTERS, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION AND AFFILIATE WITHIN THE NETWORK. 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 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 ORGANIZATION'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	CORE FORM, PART VII AND SCHEDULE J, PART II REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM RELATED ORGANIZATIONS. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE RELATED ORGANIZATIONS AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VII AND SCHEDULE J	JOHN W. GRAHAM SERVED AS THE CHIEF OPERATING OFFICER OF THIS ORGANIZATION UNTIL MAY 10, 2015. THEREAFTER, HE BECAME THE EXECUTIVE DIRECTOR OF INSPIRA HEALTH PARTNERS, LLC; A RELATED ACCOUNTABLE CARE ORGANIZATION WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM.
CORE FORM, PART VII AND SCHEDULE J	CERTAIN INDIVIDUALS WERE REPORTED AS OFFICERS ON THE ORGANIZATIONS 2015 FORM 990, CORE FORM, PART VII AND SCHEDULE J, PART II. UPON A REVIEW OF THEIR RESPECTIVE DUTIES, ROLES AND RESPONSIBILITIES IT WAS DETERMINED THAT THESE INDIVIDUALS DO NOT SATISFY THE CRITERIA TO BE AN OFFICER OR KEY EMPLOYEE UNDER (1) FORM 990 RULES, REGULATIONS AND INSTRUCTIONS; (2) STATE OF NEW JERSEY LAW; OR (3) THE ORGANIZATION'S BYLAWS. ACCORDINGLY, THESE INDIVIDUALS HAVE NOT BEEN INCLUDED ON THIS 2016 FORM 990 AS EITHER AN OFFICER, KEY EMPLOYEE OR A FORMER OFFICER NOR SHOULD HAVE BEEN REPORTED ON PREVIOUS YEARS FORMS 990. IN ADDITION, CERTAIN INDIVIDUALS WERE REPORTED AS OFFICERS ON THE 2015 FORM 990, CORE FORM, PART VII AND SCHEDULE J. UPON A REVIEW OF THEIR RESPECTIVE DUTIES, ROLES AND RESPONSIBILITIES IT WAS DETERMINED THAT THESE INDIVIDUALS DO NOT SATISFY THE CRITERIA TO BE AN OFFICER UNDER (1) FORM 990 RULES, REGULATIONS AND INSTRUCTIONS; (2) STATE OF NEW JERSEY LAW; OR (3) THE ORGANIZATION'S BYLAWS. HOWEVER, IT WAS DETERMINED THAT THESE INDIVIDUALS SATISFY THE CRITERIA TO BE CLASSIFIED AS A KEY EMPLOYEE FOR FORM 990 REPORTING PURPOSES. ACCORDINGLY, THESE INDIVIDUALS HAVE BEEN INCLUDED ON THIS 2016 FORM 990 AS A KEY EMPLOYEE. PLEASE NOTE THAT THE ORGANIZATION DID NOT AMEND ITS 2015 FORM 990 WITH RESPECT TO THE RECLASSIFICATIONS OUTLINED ABOVE.
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 OR 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: - FORGIVENESS OF DEBT (INSPIRA MANAGEMENT SERVICES, LLC), A SINGLE MEMBER LLC OWNED BY INSPIRA HEALTH NETWORK, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($3,253,245); - OTHER CHANGES IN UNRESTRICTED NET ASSETS - $26,907; - PENSION LIABILITY ADJUSTMENT - $586,288; - CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENTS - $936,892; AND - INCREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUST; PERMANENTLY RESTRICTED - $54,095.
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, 2016 AND DECEMBER 31, 2015; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED 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 XI; 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	INACTIVE	PrimaryActivitiesTxt
Legal Domicile State	NJ	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$4,078,270	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	IMCW	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	HOSPICE 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 MEDICAL CENTERS INC
333 IRVING AVENUE	BRIDGETON	NJ	08302	210634484	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	NETWORK	false
INSPIRA HLTH NTWK FDN CUMBERLANDSALEM
333 IRVING AVENUE	BRIDGETON	NJ	08302	223746758	SUPPORT ntwk	NJ	501(C)(3)	509(A)(3)	IMC	false
INSPIRA HEALTH NETWORK LIFE INC
2950 COLLEGE DRIVE SUITE 1E	VINELAND	NJ	08360	264827936	HEALTH SVCS.	NJ	501(c)(3)	509(A)(3)	NETWORK	false
INSPIRA HLTH NTWRK FDN GLOUCESTER COUNTY
509 NORTH BROAD STREET	WOODBURY	NJ	08096	222333409	SUPPORT IMCW	NJ	501(c)(3)	509(A)(1)	IMCW	Yes (true)
TRI-COUNTY CARDIOVASCULAR SERVICES PC
509 NORTH BROAD STREET	WOODBURY	NJ	08096	454199382	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)	NETWORK	false
INSPIRA HEALTH CONNECTIONS PC
509 NORTH BROAD STREET	WOODBURY	NJ	08096	454203973	INACTIVE	NJ	501(C)(3)	509(A)(1)	NETWORK	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
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	N/A
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	N/A
INSPIRA SJ UC MGT
165 BRIDGETON PIKE	MULLICA HILL	NJ	08062	813186749	URGENT CARE MGT	NJ		NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
INSPIRA HELP SERVICES INC
PO BOX 126	SALEM	NJ	08079	222823028	INACTIVE	NJ	N/A	C CORP.	false
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	205745047	HEALTHCARE SVCS.	NJ	N/A	C CORP.	false
JUNO ASSURANCE LTD
					FINANCIAL VEHICLE		N/A	FOREIGN CORP.	false	AON HOUSE 4TH FLOOR	PEMBROKE	BD	HM 08	BD
INSPIRA HEALTH NETWORK URGENT CARE PC
201 TOMLIN STATION ROAD	MULLICA HILL	NJ	08062	452900402	HEALTHCARE SVCS.	NJ	N/A	C CORP.	false
RED BANK DEVELOPMENT CORPORATION
509 NORTH BROAD STREET	WOODBURY	NJ	08096	222814053	HEALTHCARE SVCS.	NJ	N/A	C CORP.	false
INSPIRA HOME CARE SVCS WOODBURY INC
509 NORTH BROAD STREET	WOODBURY	NJ	08096	223479390	HEALTHCARE SVCS.	NJ	N/A	C CORP.	false
INSPIRA SJ URGENT CARE PC
165 BRIDGETON PIKE	MULLICA HILL	NJ	08062	813165654	INACTIVE	NJ		C CORP.	false						NA

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	false	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	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
INSPIRA HEALTH NETWORK FDN GLOUCESTER COUNTY
D	$113,612	COST
INSPIRA HEALTH NETWORK INC
E	$568,362	COST
INSPIRA HEALTH NETWORK FDN GLOUCESTER COUNTY
B	$86,888	COST
INSPIRA HEALTH NETWORK FDN GLOUCESTER COUNTY
c	$130,338	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 ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. INSPIRA MEDICAL CENTERS, INC. AND INSPIRA MEDICAL CENTER WOODBURY, INC. ROUTINELY PAY EXPENSES FOR VARIOUS RELATED AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.	ExplanationTxt