2025-11-14T10:51:46-06:00 2024-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 07981 990 2024-01-01 210634484 INSPIRA MEDICAL CENTERS INC % WILLIAM D PELINO CPA MBA INSP 8565754733 333 IRVING AVENUE BRIDGETON NJ 08302 WILLIAM PELINO SVP/CFO 8565754733 2025-05-15 true true Scott J Mariani P00642486 9738989494 2024 2025-03-06 01:10:19Z AMY MANSUE 165 BRIDGETON PIKE MULLICA HILL NJ 08062 1294725489 false X WWW.INSPIRAHEALTHNETWORK.ORG X 1913 NJ TO PROVIDE A SAFE AND COMPASSIONATE EXPERIENCE THAT IMPROVES THE HEALTH AND WELL-BEING OF OUR COMMUNITY. 12 11 8984 490 0 0 29417483 6895920 1067115713 1189151094 33063462 91253832 2725911 3484595 1132322569 1290785441 653671 803917 0 0 609920990 644748059 0 0 0 472972603 597711433 1083547264 1243263409 48775305 47522032 1905620128 2097429531 807083870 1006449281 1098536258 1090980250 X TO PROVIDE A SAFE AND COMPASSIONATE EXPERIENCE THAT IMPROVES THE HEALTH AND WELL-BEING OF OUR COMMUNITY BY PLACING THE SAFETY OF OUR PATIENTS AND SUPPORT OF OUR EMPLOYEES AT THE CENTER OF ALL WE DO. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O. false false 1119017462 803917 1189151094 EXPENSES INCURRED IN PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY MEDICALLY NECESSARY SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT (STATEMENT OF PROGRAM SERVICES) WHICH INCLUDES DETAILED INFORMATION REGARDING THE VARIOUS SERVICES PROVIDED BY THIS ORGANIZATION. 1119017462 true true false true false false false false false true true false true true true true false true false false true false false false false false true true true true true true false false false false false false false false true false false false false false true true true true false false true X 581 0 true 8984 true false false false false false false false false false false true false X 12 11 false false false false true true true true true false false true true true true true true true true true true NJ X X WILLIAM D PELINO CPA MBA 8566416605 165 BRIDGETON PIKE MULLICA HILL NJ 08062 X AMY MANSUE TRUSTEE - PRESIDENT & CEO 55.0 0.0 X X 2304897 0 501069 WARREN E MOORE FACHE EVP & COO 55.0 0.0 X 1716979 0 67036 William D Pelino CPA MBA SVP & Chief Financial Officer 55.0 0.0 X 855151 0 176204 ANNELIESE K MCMENAMIN SPHR SVP & CHIEF HR OFF(Term 12/24) 55.0 0.0 X 900335 0 31696 TONY S REED MDPHDMBA SVP CHIEF QUALITY&EXP OFFICER 55.0 0.0 X 753569 0 169361 MATTHEW K DOONAN ESQ SVP & CHIEF LEGAL OFFICER 55.0 0.0 X 683283 0 146100 SCOTT E WAGNER MD MBA PRESIDENT - INSPIRA MED GROUP 55.0 0.0 X 695810 0 113317 LYDIA STOCKMAN RN MHA SVP & CAO 55.0 0.0 X 632122 0 148505 ROBIN A WALTON SVP EXTernal AFFAIRS & CPO 55.0 0.0 X 562732 0 123059 DAVID JOHNSON SVP & CHIEF INNOV & INFO OFF 55.0 0.0 X 563295 0 119010 STEVEN C LINN MD FORMER KEY EMPLOYEE 0.0 0.0 X 637183 0 21110 KATHLEEN SCULLIN SVP MARKETING & COMMUNICATIONS 55.0 0.0 X 556606 0 45287 JAYMICA PATEL MD CMO - WOODBURY/MH 55.0 0.0 X 517378 0 79155 April M Venable MBA FACHE SVP Ops. StratEGY & TRANSFORM 55.0 0.0 X 391794 0 111321 Ruth Bash VP Strategic Partnerships 55.0 0.0 X 430272 0 68719 Matthew Warner MD MBA CMO - Elmer & Vineland 55.0 0.0 X 403706 0 72621 TERESA VENEZIANO MSN RN Chief Nursing Off (Eff 2/24) 55.0 0.0 X 357719 0 69594 DAVID YHLEN FORMER KEY EMPLOYEE 0.0 0.0 X 407652 0 18778 Julie H Ellis MBA SHRM-SCP SVP & Chief HR Off (Eff 12/24) 55.0 0.0 X 320273 0 76116 MIA DEMPSEY-STAHL EXECUTIVE DIRECTOR - LIFE 55.0 0.0 X 254973 0 33721 THOMAS P BALDOSARO CPA FORMER OFFICER 0.0 0.0 X 270052 0 9849 David Marini Pharmacist 55.0 0.0 X 182668 0 33739 Peter A Kaprielyan SVP FOUNDATION (Term 4/24) 55.0 0.0 X 170245 0 18607 ELIZABETH A SHERIDAN FORMER KEY EMPLOYEE 0.0 0.0 X 100275 0 3079 DAWN E FLITCRAFT CHAIR - TRUSTEE 3.0 0.0 X X 0 0 0 HERBERT J KONRAD VICE CHAIR - TRUSTEE 1.0 0.0 X X 0 0 0 PAMELA S CLARK SECRETARY/TREASURER - TRUSTEE 1.0 0.0 X X 0 0 0 JAMES M BONNER DO TRUSTEE 1.0 0.0 X 0 0 0 Zenaida Cobian EdD TRUSTEE 1.0 0.0 X 0 0 0 Michael DiMarino MD TRUSTEE; EX-OFFICIO 1.0 0.0 X 0 0 0 Jeffrey George TRUSTEE 1.0 0.0 X 0 0 0 RONALD ROSSI TRUSTEE 1.0 0.0 X 0 0 0 ELIZABETH A RYAN ESQ TRUSTEE 1.0 0.0 X 0 0 0 SHELLY O SCHNEIDER EDD TRUSTEE 1.0 0.0 X 0 0 0 ANDREW P ZINN MD TRUSTEE; EX-OFFICIO 1.0 0.0 X 0 0 0 14668969 0 2257053 1390 true true false SYMMETRY WORKFORCE SOLUTIONS PO BOX 392800 PITTSBURGH PA 152519800 STAFFING 31656384 COOPER UNIVERSITY PHYSICIANS 1 FEDERAL ST SUITE NV-400A CAMDEN NJ 081031161 MEDICAL 22590340 QUEST DIAGNOSTICS PO BOX 828669 PHILADELPHIA PA 191828669 Laboratory 22236058 PHILIPS HEALTHCARE PO BOX 100355 ATLANTA GA 303840355 EQUIP MAINTENANCE 18031110 HUNTER ROBERTS CONSTRUCTION GROUP 1717 ARCH STREET SUITE 3410 PHILADELPHIA PA 19103 CONSTRUCTION 15179299 154 4637069 2258851 6895920 NET PATIENT SERVICE REVENUE 622110 1122506912 1122506912 OTHER HEALTHCARE RELATED REVENUE 622110 64491936 64491936 RENTAL INCOME FROM TAX-EXEMPT AFFILIATES 531190 2152246 2152246 1189151094 20782092 20782092 58 58 0 3080080 3940048 -859968 0 -859968 -859968 70471682 70471682 70471682 70471682 0 0 0 0 0 0 393785 0 393785 393785 CAFETERIA/DIETARY 900099 3950778 0 3950778 3950778 1290785441 1189151094 0 94738427 706265 706265 97652 97652 0 0 13455973 12110376 1345597 0 499189597 449270637 49918960 27256921 24531229 2725692 55992365 50393129 5599236 48853203 43967883 4885320 0 2247195 2022475 224720 211523 190371 21152 234356 210920 23436 0 1835510 1651959 183551 94059595 84653636 9405959 4353782 3918404 435378 17524923 15772431 1752492 28883423 25995081 2888342 0 24265620 21839058 2426562 1286276 1157648 128628 0 620934 558841 62093 17614640 15853176 1761464 0 135285322 121756790 13528532 11337543 10203789 1133754 MEDICAL SUPPLIES 141120059 127008053 14112006 OUTSIDE SERVICES 57309440 51578496 5730944 REPAIRS & MAINTENANCE 15568343 14011509 1556834 REHAB & SLEEP CARE EXPENSES 11112440 10001196 1111244 32840509 29556458 3284051 1243263409 1119017462 124245947 0 21263 21263 16474724 21813217 3560652 1282593 133390101 137096947 0 0 0 0 0 0 22550666 20376153 17677188 25847807 1534497560 824493345 753206074 710004215 0 0 0 0 754198356 930553566 18935231 18935231 185605873 231498539 1905620128 2097429531 177582630 152357491 0 0 6012830 6407840 460201665 668447811 0 0 0 0 1876405 1622165 0 0 161410340 177613974 807083870 1006449281 X 1089726685 1081749115 8809573 9231135 1098536258 1090980250 1905620128 2097429531 X 47522032 -35109492 -19968548 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 91750 false true 142606 234356 false 0 SCHEDULE C, PART II-B; LINES 1I THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO THE SVP OF EXTERNAL AFFAIRS AND CHIEF PHILANTHROPY OFFICER TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $91,750 DURING 2024. IN ADDITION, DURING 2024 THE ORGANIZATION PAID AN INDEPENDENT OUTSIDE LOBBYING FIRM A TOTAL OF $90,000 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION, AND THE NEW JERSEY BUSINESS & INDUSTRY ASSOCIATION WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS (INSPIRA MEDICAL CENTER VINELAND, INSPIRA MEDICAL CENTER ELMER AND INSPIRA MEDICAL CENTER MULLICA HILL). A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $22,268 DURING 2024. THIS ORGANIZATION IS A MEMBER OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. TO WHICH IT PAID DUES IN THE AMOUNT OF $30,000 IN 2024. ONE OF THE FUNCTIONS OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. IS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ITS MEMBER HOSPITALS. THIS ORGANIZATION IS A MEMBER OF THE CHAMBER OF COMMERCE OF SOUTHERN NEW JERSEY TO WHICH IT PAID DUES IN THE AMOUNT OF $388 IN 2024. ONE OF THE FUNCTIONS OF THE CHAMBER OF COMMERCE OF SOUTHERN NEW JERSEY IS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ITS MEMBERS. 8809573 421562 9231135 8208084 601489 8809573 9799232 120782 -1711930 8208084 9584714 100433 602083 487998 9799232 9100499 347459 484058 347302 9584714 1.00000 false false 26061046 26061046 629015803 230165793 398850010 11101228 2264639 8836589 804221701 579351126 224870575 64097782 12711787 51385995 710004215 BENEFICIAL INTEREST IN TRUSTS 8974141 F BENEFICIAL INT IN CAPITAL CAMP 4879623 F INVESTMENTS IN OTHER ENTITIES 56360299 F ASSETS LIMITED AS TO USE 860339503 F 930553566 DUE FROM AFFILIATES 131852947 INS. RECOVERIES RECEIVABLE 46555466 OTHER RECEIVABLES 27147180 LEASING ARRANGEMENTS 25925246 OTHER ASSETS 17700 231498539 0 ACCRUED INTEREST PAYBLE 13111307 EST. SETTLEMENTS DUE TO 3RD PARTY 55159717 ACCRUED RETIREMENT BENEFITS 10793757 OPERATING LEASE OBLIGATIONS 26787929 OTHER LONG-TERM LIABILITIES 55242866 DUE TO AFFILIATED ORGANIZATIONS 16518398 177613974 X SCHEDULE D, PART V; QUESTION 4 ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FUTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES. SCHEDULE D, PART X, LINE 2 THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF INSPIRA HEALTH NETWORK AND RELATED ENTITIES FOR THE YEARS ENDED DECEMBER 31, 2024 AND DECEMBER 31, 2023; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE SYSTEM'S 2024 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE NETWORK ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2024 AND 2023. Central America and the Caribbean 0 0 Program Services FINANCIAL VEHICLE 17747791 0 0 0 0 17747791 17747791 true false false false false false SCHEDULE F, PART I THIS ORGANIZATION ACCRUED FOR ACCOUNTING PURPOSES EXPENSES TO JUNO ASSURANCE, LTD., A FINANCIAL VEHICLE, $17,747,791 FOR THE BENEFIT OF INSPIRA MEDICAL CENTERS, INC. AND CERTAIN RELATED ORGANIZATIONS. A FORM 5471 IS ATTACHED TO THE FORM 990 OF INSPIRA HEALTH NETWORK, INC. (FEID: 22-2508425); A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, AS THIS ENTITY IS THE OWNER OF JUNO ASSURANCE, LTD. true true X true X true X 550. true true false true true 10544196 1476759 9067437 0.00730 281232068 216447045 64785023 0.05210 291776264 217923804 73852460 0.05940 7246945 635645 6611300 0.00530 49421247 32284433 17136814 0.01380 204390272 126276465 78113807 0.06280 4920 2242 2678 0.00000 394923 394923 0.00030 261458307 159198785 102259522 0.08220 553234571 377122589 176111982 0.14160 57199 57199 23059 23059 1722435 928524 793911 0.00060 1802693 928524 874169 0.00060 true 193290041 229496405 -36206364 X true true ELLMAC DIALYSIS LLC MEDICAL SERVICES 0.3 0.1 CLAYMOUNT DIALYSIS LLC MEDICAL SERVICES 0.3 0.15 SURGICAL STUDIOS LLC MEDICAL SERVICES 0.25 0.75 4 1 INSPIRA MEDICAL CENTER VINELAND 1505 WEST SHERMAN AVENUE VINELAND NJ 08360 WWW.INSPIRAHEALTHNETWORK.ORG 10603 X X X X A 2 INSPIRA MEDICAL CENTER ELMER 501 WEST FRONT STREET ELMER NJ 08318 WWW.INSPIRAHEALTHNETWORK.ORG 11701 X X X X A 3 INSPIRA MEDICAL CENTER MULLICA HILL 700 MULLICA HILL ROAD MULLICA HILL NJ 08062 WWW.INSPIRAHEALTHNETWORK.ORG 10803 X X X X A 4 INSPIRA MEDICAL CENTER MANNINGTON 310 WOODSTOWN ROAD SALEM NJ 08079 WWW.INSPIRAHEALTHNETWORK.ORG 71702 X X X A A 14 false false true X X X X X X X X X 22 true true true true X www.inspirahealthnetwork.org X true 22 true www.inspirahealthnetwork.org false true X 200. 550. X X X X true true X X X true X www.inspirahealthnetwork.org X www.inspirahealthnetwork.org X www.inspirahealthnetwork.org X X X X X X true X false X X X true X false false SCHEDULE H, PART V, SECTION B, QUESTION 5 IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") FOR 2025-2027, CONDUCTED IN 2024, THIS ORGANIZATION TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY ITS HOSPITAL FACILITIES. RESULTS FROM INSPIRA'S 2025-2027 CHNA WILL BE INCLUDED IN OUR ORGANIZATIONS 2025 990 REPORT. IN THE 2022-2024 CHNA, CONDUCTED IN 2021, THIS ORGANIZATION TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY ITS HOSPITAL FACILITIES FOR THE 2022-2024 CHNA INSPIRA HEALTH NETWORK WORKED IN COLLABORATION WITH THE WALTER RAND INSTITUTE FOR PUBLIC AFFAIRS (WRI) AT RUTGERS UNIVERSITY-CAMDEN, AN INDEPENDENT RESEARCH AND CONSULTING FIRM TO CONDUCT THE CHNA. FOR THE PURPOSE OF THIS ASSESSMENT, COMMUNITY IS DEFINED AS THE THREE COUNTIES IN THE INSPIRA HEALTH NETWORK SERVICE AREA (GLOUCESTER, CUMBERLAND, AND SALEM COUNTIES). INSPIRA HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES INSPIRA MEDICAL CENTERS, INC. ("IMC"). TO ACHIEVE THE GOAL OF OBTAINING LOCALLY ACTIONABLE INFORMATION FOR IMPROVING HEALTH, THIS CHNA EMPLOYED A MIXED-METHODS ITERATIVE STRATEGY OF DATA COLLECTION THAT COMBINED QUANTITATIVE AND QUALITATIVE ANALYSIS OF PRIMARY DATA COLLECTED FROM COMMUNITY MEMBERS WITH QUANTITATIVE ANALYSIS OF SECONDARY DATA. THE TWO FUNDAMENTALS OF OUR APPROACH ARE RIGOUROUS DATA ANALYSIS AND COMMUNITY VOICE; TO THAT END, WE USED A VARIETY OF METHODS AND TOOLS TO ANALYZE THE DATA WE COLLECTED FROM PARTICIPANTS AND SOURCES IDENTIFIED THROUGH CONSULATION WITH TRUSTED COMMUNITY PARTNERS IN EACH COUNTY. KEY INFORMANT INTERVIEWS ------------------------ WRI CONDUCTED 15 INTERVIEWS WITH KEY REPRESENTATIVES IN EACH OF THREE COUNTIES AND DESIGNATED INSPIRA HEALTH STAFF. THE INTERVIEWS WERE COMPLETED USING A SEMI-STRUCTURED RESEARCH INSTRUMENT, AND THE GOALS OF THE INTERVIEW WERE SIMILAR TO GOALS OF THE FOCUS GROUPS. THE PURPOSE OF THE RESEARCH PROJECT WAS EXPLAINED TO POTENTIAL PARTICIPANTS AND INFORMED CONSENT WAS OBTAINED PRIOR TO THE DATA COLLECTION PROCESS, FOLLOWING THE APPROVED IRB PROTOCOL. INTERVIEWS WERE CONDUCTED VIRTUALLY. RESEARCH TEAM MEMBERS TOOK COMPREHENSIVE NOTES. INTERVIEW PARTICIPANTS WERE ASKED TO THINK ABOUT AND SHARE THEIR PERSPECTIVES ON ACCESS TO CARE, HEALTH EDUCATION AND COMMUNICATION, AS WELL AS THE BARRIERS RESIDENTS FACE IN OBTAINING CARE. OTHER AREAS OF INQUIRY INCLUDED THE STRENGTHS OF THE HEALTH CARE SERVICE DELIVERY SYSTEM AS WELL AS ITS WEAKNESSES AND POTENTIAL IMPROVEMENTS. FOCUS GROUPS ------------ ALL FOCUS GROUP AND INTERVIEW REPORTS WERE CODED BY TWO RESEARCH TEAM MEMBERS TO ESTABLISH INTERRATER RELIABILITY. THEMATIC AND ANALYTIC CODING STRATEGIES WERE EMPLOYED (CLARKE AND BRAUN, 2013). THE DATA FROM THE FOCUS GROUP NOTES WERE GROUPED INTO UNITS (E.G., COUNTY RESOURCES, CHALLENGES FACING THE COUNTY, AND RECOMMENDATIONS). LINE-BY-LINE CODING WAS DONE BY TEAM MEMBERS AND THEN OPEN CODING WAS COMPLETED TO IDENTIFY THE ADDITIONAL SUB-THEMES WITHIN THE AFOREMENTIONED AREAS (GLASER AND STRAUSS, 1967). TO ENSURE INTER-RATER RELIABILITY, TWO RESEARCH TEAM MEMBERS INDEPENDENTLY COMPLETED THIS CODING (MARSHALL AND ROSSMAN, 1989). DISCREPANCIES IN THE CODING WERE RESOLVED BY A MEETING BETWEEN THE CODERS AND THE PRINCIPAL INVESTIGATOR. THE INTERVIEW AND FOCUS GROUP DATA WERE EXAMINED USING THE NVIVO 12 DATA MANAGEMENT AND ANALYSIS SOFTWARE. RESEARCHERS HAVE ARGUED THAT NVIVO CAN BE HELPFUL WITH ANALYSIS WHEN USING THE GROUNDED THEORY APPROACH TO QUALITATIVE RESEARCH (HUTCHINSON, JOHNSTON, AND BRECKON, 2010). TO ILLUSTRATE, THE CODING PROCESS ALLOWED THE RESEARCHER(S) TO TRACK WHAT IS OCCURRING IN THESE DATA AND TO DETERMINE WHEN THE POINT OF SATURATION WAS REACHED (I.E., NO NEW THEMES ARE EMERGING) (GLASER AND STRAUSS, 1967). IN NVIVO, ONCE THE THEMES WERE IDENTIFIED, A NODE WAS CREATED AND THE DATA STORED AT THAT NODE (BAZELEY, 2007). THE DATA STORED AT THE NODES ALLOWED RESEARCHERS TO PULL QUOTES AND CASE STUDIES TO FURTHER EXPLAIN THE THEMES IN THE 2022-2024 CHNA. COMMUNITY SURVEY ---------------- WE ALSO SOUGHT COMMUNITY ENGAGEMENT THROUGH THE WIDESPREAD DISSEMINATION OF A COMMUNITY SURVEY (N=872). THE SURVEY CONSISTED OF 95 ITEMS, FORMATTED FOR ELECTRONIC AND PAPER DISTRIBUTION IN BOTH ENGLISH AND SPANISH. THE SPANISH SURVEYS WERE TRANSLATED FROM ENGLISH AND THEN BACK-TRANSLATED BY CERTIFIED TRANSLATORS ON THE RESEARCH TEAM. THE PARTICIPANT RESPONSE TIME WAS APPROXIMATELY 15 MINUTES FOR THE ELECTRONIC VERSION AND 30 MINUTES FOR THE PAPER VERSION. THE RESEARCH TEAM UTILIZED QUALTRICS, A WEB-BASED SURVEY PLATFORM, FOR THE DEVELOPMENT AND DISTRIBUTION OF THE ELECTRONIC FORMAT OF THE COMMUNITY SURVEY. SURVEY ITEM FORMATS INCLUDE MULTIPLE CHOICE, FILL-IN, LIKERT SCALE, AND RANKING. THE SURVEY WAS LAUNCHED ON OCTOBER 18, 2021 AND CLOSED ON MARCH 4, 2022 (19 WEEKS AND 4 DAYS) AND WAS DESIGNED TO COMPLEMENT THE QUALITATIVE FOCUS GROUP AND INTERVIEW DATA TO PROVIDE A COMPREHENSIVE PICTURE OF THE HEALTH STATUS, NEEDS, AND RESOURCES AS IDENTIFIED BY RESIDENTS OF CUMBERLAND, GLOUCESTER, AND SALEM COUNTIES. QUESTIONS COVERED 10 AREAS: HEALTH AND HEALTHCARE ACCESS; COVID-19; DEMOGRAPHICS; ADDITIONAL HEALTH AND HEALTHCARE ACCESS; ADDITIONAL HEALTH KNOWLEDGE/BEHAVIORS; FOOD ACCESS/SECURITY; NEIGHBORHOOD QUALITY; ADVERSE CHILDHOOD EXPERIENCES; ADDITIONAL DEMOGRAPHICS; AND CHILD HEALTH. SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B INSPIRA HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ORGANIZATION OF INSPIRA HEALTH NETWORK. INSPIRA HEALTH NETWORK, INC. IS THE SOLE CORPORATE MEMBER OR STOCKHOLDER OF VARIOUS NOT FOR-PROFIT AND FOR-PROFIT ENTITIES. THE INTERNAL REVENUE SERVICE ("IRS") HAS RECOGNIZED INSPIRA HEALTH NETWORK, INC. AS A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). INSPIRA HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES INSPIRA MEDICAL CENTERS, INC. ("IMC") IN ADDITION, INSPIRA HEALTH NETWORK WORKED IN COLLABORATION WITH THE WALTER RAND INSTITUTE FOR PUBLIC AFFAIRS (WRI) AT RUTGERS UNIVERSITY-CAMDEN, AN INDEPENDENT RESEARCH AND CONSULTING FIRM TO CONDUCT THE CHNA. WRI PROVIDED THE FOLLOWING ASSISTANCE: - COLLECTED AND INTERPRETED DATA FROM SECONDARY DATA SOURCES; - ANALYZED AND INTERPRETED DATA FROM KEY INFORMANT INTERVIEWS; - COLLECTED, ANALYZED, AND INTERPRETED DATA FROM FOCUS GROUPS; - CONDUCTED, ANALYZED, AND INTERPRETED DATA FROM THE ONLINE COMMUNITY SURVEY; - PREPARED THE CHNA REPORT; and - PREPARED POWER POINT SLIDE DECK FOR DISSEMINATION SCHEDULE H, PART V, SECTION B, QUESTION 7A THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: WWW.INSPIRAHEALTHNETWORK.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS SCHEDULE H, PART V, SECTION B, QUESTION 10A THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 10A, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION ISSUED A JOINT IMPLEMENTATION STRATEGY FOR EACH OF THE INSPIRA HEALTH NETWORK HOSPITAL FACILITY'S. THIS JOINT IMPLEMENTATION STRATEGY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: WWW.INSPIRAHEALTHNETWORK.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS SCHEDULE H, PART V, SECTION B, QUESTION 11 2022-2024 CHNA TOP REGIONAL BARRIERS THE TOP REGIONAL BARRIERS IDENTIFIED IN THE 2022-2024 CHNA ARE: COVID-19 -------- COVID-19 DEEPLY AFFECTED ALL AVENUES OF DAILY LIFE OVER THE PAST TWO YEARS. BOTH QUANTITATIVE AND QUALITATIVE DATA COLLECTED THROUGH THE CHNA AND THROUGH OTHER RECENT PROJECTS (RELATED TO WORKFORCE, SOCIAL SERVICE DELIVERY AND RESIDENT EXPERIENCES DURING COVID-19 IN SOUTHERN NEW JERSEY) HIGHLIGHT THE WAYS THE PANDEMIC EXACERBATED INEQUITIES, DISRUPTED PATTERNS AND ROUTINES, AND CHANGED HOW WE WORK, PLAY AND LIVE IN OUR COMMUNITIES. MENTAL HEALTH ------------- RESOURCES AND SERVICES FOR MENTAL HEALTH CARE REMAIN A PRIORITY FOR RESIDENTS IN THE THREE-COUNTY REGION. THE UNCERTAINTY, ISOLATION AND COLLECTIVE TRAUMA EXPERIENCED DURING THE PANDEMIC NOT ONLY INCREASED MENTAL HEALTH CHALLENGES DURING THIS TIME, BUT ALSO CRYSTALLIZED THE IMPORTANCE OF AVAILABILITY OF MENTAL HEALTH TREATMENT AND SERVICES. WHEN ASKED ABOUT HEALTH ISSUES IN THEIR COMMUNITY, RESIDENTS REPORT MENTAL HEALTH WAS THE TOP ISSUE, WITH 66 PERCENT SAYING MENTAL HEALTH WAS AN ISSUE IN THEIR COMMUNITY.1 SURVEY RESULTS DEMONSTRATED SUBSTANCE MISUSE WAS ALSO A CONCERN AMONG RESIDENTS IN THIS THREE-COUNTY REGION, WITH ILLEGAL DRUG USE RANKING THIRD (53%), ALCOHOL USE RANKING EIGHTH (39%) AND PRESCRIPTION DRUG USE RANKING NO.13 (35%). ACCESSIBLITY, AVAILABILITY, AND AFFORDABLITY OF HEALTHCARE ---------------------------------------------------------- DATA EXAMINATION REVEALED ANOTHER IMPORTANT THEME OF ACCESS, AVAILABILITY AND AFFORDABILITY OF SERVICES IN THE THREE-COUNTY REGION. THE TOPIC OF ACCESS TO CARE REMAINS AN ESSENTIAL CONCERN FOR PEOPLE AROUND THE COUNTRY AS COVID-19 BROUGHT PEOPLE'S LIVES AND THEIR DAILY ROUTINES TO A SUDDEN HALT. MOREOVER, IN RURAL AREAS IN OUR REGION, ADDITIONAL CHALLENGES EXISTED AROUND TRANSPORTATION, AVAILABILITY OF PROVIDERS AND AFFORDABILITY OF CARE THROUGHOUT THE PANDEMIC. ACCESS TO CHILDREN'S HEALTHCARE ------------------------------- THERE ARE SEVERAL BARRIERS RELATED TO CHILDREN AND THEIR HEALTH, WELL-BEING AND CARE THAT EXIST IN CUMBERLAND, GLOUCESTER AND SALEM COUNTIES. THESE REGIONS ARE UNDERSERVED IN TERMS OF MEDICAL PROVIDERS, MENTAL HEALTH EXPERTS, SPECIALIZED CARE, COMMUNITY RESOURCES, EDUCATIONAL INSTITUTIONS AND CHILDCARE. PARENTS, CAREGIVERS, COMMUNITY MEMBERS, SERVICE PROVIDERS AND KEY STAKEHOLDERS ALL REPORTED THE ONGOING STRUGGLES WITH ACCESSING THE NECESSARY SERVICES FOR CHILDREN DUE TO TRANSPORTATION CHALLENGES, NOT ENOUGH PROVIDERS FOR PEDIATRIC AND MENTAL HEALTH CARE, AND OBSTACLES TO ACCESSING CARE AND SERVICES. THE COMMUNITY SURVEY DATA HIGHLIGHTED THAT NEARLY 20% OF RESIDENTS ACROSS THE THREE COUNTIES REPORTED THAT CHILDREN/YOUTH WERE UNDERSERVED MEMBERS OF THEIR COMMUNITY, AND NEARLY 33% SAID THAT PEDIATRIC SERVICE PROVIDERS WERE A RESOURCE MISSING IN THEIR COMMUNITIES. FOOD AND DIET ------------- FOOD DESERTS ARE INCREASINGLY COMMON ACROSS THE U.S. IN 2020, AS MANY AS 13.8 MILLION HOUSEHOLDS IN THE U.S. EXPERIENCED FOOD INSECURITY (10.5 PERCENT OF THE POPULATION), WITH APPROXIMATELY 1.5 MILLION HOUSEHOLDS IN NEW JERSEY ALONE.4,5 DESPITE SOUTHERN NEW JERSEY BEING HOME TO AN ABUNDANCE OF FARMLAND AND AGRICULTURAL HUBS, RESIDENTS OF SALEM, CUMBERLAND AND GLOUCESTER COUNTIES ARE CONTINUOUSLY FACING DEEP-ROOTED FOOD INSTABILITY. STUDIES DATING BACK TO 2011 SUGGEST THAT LITTLE PROGRESS HAS BEEN MADE OVER THE COURSE OF OVER A DECADE AND THAT HARDSHIPS IN FOOD SECURITY CONTINUE. 2022-2024 COMMUNITY HEALTH IMPLEMENTATION PLAN OUTCOMES: THE 2022-2024 COMMUNITY HEALTH IMPLEMENTATION PLAN SOUGHT TO ADDRESS THESE TOP REGIONAL BARRIERS. COVID-19 -------- THE COVID-19 PANDEMIC HAD A PROFOUND IMPACT ON CUMBERLAND, GLOUCESTER, AND SALEM COUNTIES. INSPIRA HEALTH ACTED SWIFTLY TO ADDRESS THE COMMUNITY'S NEEDS, OFFERING CRITICAL CARE, VACCINATIONS, AND SPECIALIZED RECOVERY PROGRAMMING. BETWEEN 2022 AND 2024, WE ADMINISTERED 10,593 COVID-19 VACCINATIONS AND PROVIDED COMPREHENSIVE SUPPORT FOR OVER 200 PATIENTS THROUGH THE COVID-19 RECOVERY PROGRAM. THIS MULTIDISCIPLINARY PROGRAM, WHICH STARTED IN 2020, COMBINES EXPERTISE FROM CARDIOLOGY, PULMONOLOGY, PHYSICAL MEDICINE AND REHABILITATION, AND NEUROLOGY TO HELP PATIENTS OVERCOME LONG-HAULER SYMPTOMS. THE SERVICES, WHICH INCLUDE BREATHING EXERCISES, COGNITIVE THERAPY, AND PHYSICAL THERAPY, HAVE SEEN DECREASED ADMISSIONS AS THE PANDEMIC HAS SUBSIDED, BUT CONTINUE TO BE AVAILABLE FOR THOSE STILL STRUGGLING WITH LINGERING EFFECTS OF THE VIRUS. MENTAL HEALTH ------------- INSPIRA HEALTH MADE SIGNIFICANT ADVANCEMENTS IN EXPANDING MENTAL AND BEHAVIORAL HEALTH SERVICES BETWEEN 2022 AND 2024. WE LAUNCHED SEVERAL NEW INPATIENT AND OUTPATIENT PROGRAMS TO MEET THE GROWING DEMAND FOR MENTAL HEALTH AND SUBSTANCE USE SUPPORT. A MAJOR ACCOMPLISHMENT WAS THE REDESIGNATION OF INSPIRA MANNINGTON BEDS TO OFFER INVOLUNTARY AND VOLUNTARY CONSENSUAL AVAILABILITY TO PATIENTS, A SERVICE PREVIOUSLY UNAVAILABLE IN THE COUNTY. BETWEEN 2023 AND 2024, THIS UNIT SUPPORTED 490 ADMISSIONS, WITH PATIENT CARE DAYS INCREASING FROM 604 IN 2023 TO 2,826 IN 2024. ADDITIONALLY, THE INSPIRA BRIDGETON VOLUNTARY INPATIENT UNIT OPENED IN 2024, PROVIDING A 19-BED FACILITY THAT HAS SINCE SUPPORTED 434 ADMISSIONS AND 300 PATIENT CARE DAYS. WE ALSO OPENED THE INSPIRA HEALTH CENTER WOODBURY PAVILION, AN 18,500-SQUARE-FOOT FACILITY FEATURING 20 PRIVATE ROOMS AND DESIGNED TO FOSTER THERAPEUTIC RECOVERY. THE CENTER INCLUDES AMENITIES LIKE SENSORY/QUIET ROOMS, AN EXERCISE ROOM, AND AN OPEN-AIR BASKETBALL COURT. IN ADDITION, OUR OUTPATIENT SERVICES CONTINUED TO EXPAND, PROVIDING OVER 121,000 BEHAVIORAL HEALTH ENCOUNTERS IN 2024 ALONE. THE GROWTH OF OUR OUTPATIENT SERVICES HAS BEEN GREATLY SUPPORTED BY THE INTRODUCTION OF VIRTUAL THERAPY, A DEVELOPMENT SPURRED BY COVID, WHICH HAS NOTABLY REDUCED NO-SHOW RATES. BETWEEN 2023 AND 2024 INSPIRA OPENED AUTISM DIAGNOSTIC CENTERS IN WOODBURY AND BRIDGETON, PROVIDING EARLY TESTING, DIAGNOSIS, AND RESOURCES FOR CHILDREN AND ADULTS WITH AUTISM SPECTRUM DISORDER (ASD). OUR PROGRAMS, DESIGNED TO SUPPORT MENTAL HEALTH, RECOVERY, AND PREVENTION, HAVE MADE A SIGNIFICANT IMPACT ON THE COMMUNITY. BETWEEN 2022 AND 2024, WE LAUNCHED SEVERAL IMPACTFUL PROGRAMS, INCLUDING THE LAW ENFORCEMENT-ASSISTED DIVERSION (LEAD) PROGRAM, WHICH SERVED 71 INDIVIDUALS; THE EFFECTIVE MENTAL AND BEHAVIORAL HEALTH EMERGENCY DIVERSION (EMBHED) PROGRAM, WHICH ASSISTED 119 INDIVIDUALS; THE BEHAVIORAL AND ADDICTIONS RESPONSE TEAM (BART), WHICH REACHED OVER 20,000 INDIVIDUALS; AND THE NEW JERSEY HOSPITAL-BASED VIOLENCE INTERVENTION PROGRAM, IMPLEMENTED IN VINELAND AND MULLICA HILL, WHICH PROVIDED RESOURCES TO 107 VICTIMS OF VIOLENCE IN 2024 ALONE. ADDITIONALLY, WE CONTINUED OUR WORK TO ADDRESS THE OPIOID CRISIS BY DISTRIBUTING 11,302 DETERRA POUCHES AND 2,123 NARCAN KITS, HELPING TO SAVE LIVES AND PREVENT FURTHER HARM. ACCESSIBLITY, AVAILABILITY, AND AFFORDABLITY OF HEALTHCARE ---------------------------------------------------------- INSPIRA HEALTH HAS REMAINED STEADFAST IN IMPROVING ACCESS TO CARE ACROSS OUR REGION, WORKING TO ADDRESS BARRIERS TO AVAILABILITY, AFFORDABILITY, AND ACCESS. IN 2022-2024, WE CONDUCTED 1,283 MOBILE HEALTH SCREENINGS, OFFERING CRITICAL SERVICES SUCH AS BLOOD PRESSURE, GLUCOSE, CARDIAC SCREENINGS, AND BREAST CANCER SCREENINGS. THROUGH A PARTNERSHIP WITH THE AMI FOUNDATION'S MOBILE MAMMOGRAPHY UNIT, WE HOSTED 13 EVENTS, PROVIDING 91 MOBILE BREAST SCREENINGS. OUR COMMUNITY HEALTH WORKER (CHW) PROGRAM, WHICH BEGAN IN MILLVILLE IN 2021, EXPANDED TO GLOUCESTER COUNTY BY 2023. CLOSE TO 500 PATIENTS GRADUATED FROM OUR CHW PROGRAM BETWEEN 2022-2024. CHWS HAVE BEEN INSTRUMENTAL IN COORDINATING CARE, ASSISTING PATIENTS WITH TRANSPORTATION, AND CONNECTING THEM WITH RESOURCES LIKE HEALTHY FOOD, CHILDCARE, AND HOUSING. THESE EFFORTS HAVE LED TO SIGNIFICANT IMPROVEMENTS IN HEALTH OUTCOMES BY BRIDGING GAPS IN CARE AND ENSURING THAT INDIVIDUALS RECEIVE THE SERVICES THEY NEED. THE INSPIRA CANCER GRANT TRANSPORTATION PROGRAM ADDRESSED TRANSPORTATION BARRIERS FOR CANCER PATIENTS BY PROVIDING OVER 4,000 RIDES BETWEEN 2022 AND 2024, HELPING PATIENTS ACCESS LIFE-SAVING TREATMENTS. ADDITIONALLY, THE NEW JERSEY CANCER EDUCATION AND EARLY DETECTION (NJCEED) PROGRAM CONDUCTED 3,881 CANCER SCREENINGS ACROSS CUMBERLAND, SALEM, AND GLOUCESTER COUNTIES FOR UNINSURED AND UNDERINSURED INDIVIDUALS, OFFERING CRITICAL EARLY DETECTION SERVICES IN THAT TIME. OUR DISPENSARY OF HOPE, LAUNCHED IN LATE 2022, HAS PROVIDED OVER 250 PATIENTS WITH NEARLY 800 PRESCRIPTIONS AT NO COST, ENSURING THAT INDIVIDUALS WITHOUT INSURANCE OR THE MEANS TO PAY FOR MEDICATIONS STILL HAVE ACCESS TO ESSENTIAL TREATMENTS. ACCESS TO CHILDREN'S HEALTHCARE ------------------------------- INSPIRA HEALTH HAS WORKED TO EXPAND ACCESS TO HEALTHCARE FOR CHILDREN, PARTICULARLY IN EARLY INTERVENTION AND SPECIALIZED CARE. IN 2023, WE OPENED OUR FIRST AUTISM DIAGNOSTIC CENTER (ADC) IN WOODBURY, FOLLOWED BY A SECOND LOCATION IN BRIDGETON IN 2024. IN 2023, THE WOODB SCHEDULE H, PART V, SECTION B, QUESTION 16 THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 16, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. THESE DOCUMENTS CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: https://www.inspirahealthnetwork.org/patients-visitors/billing-online-paym ents/payment-assistance 20 INSPIRA HEALTH CENTER WOODBURY 509 NORTH BROAD STREET WOODBURY NJ 08096 SATELLITE ER & VARIOUS OUTPATIENT SVCS INSPIRA HEALTH CENTER BRIDGETON 333 IRVING AVENUE BRIDGETON NJ 08302 SATELLITE ER & VARIOUS OUTPATIENT SVCS INSPIRA CHILD DEVELOPMENT CENTER 1138 EAST CHESTNUT STREET VINELAND NJ 08360 OUTPATIENT SVCS - CHILD DEV INSPIRA HLTH CTR GLASSBORO - BEH HEALTH 200 ROWAN BOULEVARD GLASSBORO NJ 08332 OUTPATIENT SVCS - BEHAVIORAL HEALTH INSPIRA ELMER CHILD PARTIAL CARE 501 WEST FRONT STREET ELMER NJ 08318 OUTPATIENT SVCS - CHILD DEV INSPIRA WOUND CARE CENTER ELMER 501 WEST FRONT STREET ELMER NJ 08318 OUTPATIENT SVCS - WOUND CARE INSPIRA VINELAND SLEEP CARE CENTER 1650 EAST CHESTNUT AVENUE VINELAND NJ 08361 OUTPATIENT SVCS - SLEEP CENTER INSPIRA REHAB SVCS AT WEST DEPTFORD 800 JESSUP ROAD WEST DEPTFORD NJ 08086 OUTPATIENT SERVICES - PT INSPIRA HEALTH CENTER SICKLERVILLE 485 WILLIAMSTOWN ROAD SICKLERVILLE NJ 08081 OUTPATIENT SVCS - PT, IMAGING, SLEEP CENTER INSPIRA ELMER SLEEP CARE CENTER 445 WEST FRONT STREET ELMER NJ 08318 OUTPATIENT SVCS - SLEEP CENTER INSPIRA WOOLWICH HEALTH CENTER 40 VILLAGE GREEN DRIVE WOOLWICH TWNSP NJ 08085 OUTPATIENT SVCS - PT, IMAGING & SLEEP CENTER INSPIRA ENDOSCOPY SUITE - VINELAND 2950 COLLEGE DRIVE SUITE 1E VINELAND NJ 08360 OUTPATIENT SVCS - ENDOSCOPY SALEM PHYSICAL THERAPY 499 BECKETT ROAD LOGAN TOWNSHIP NJ 08085 OUTPATIENT - PT Inspira Adult PaRTiaL Hosp Prgm woodbury 17 WEST RED BANK AVE SUITE 106 WOODBURY NJ 080961630 OUTPATIENT SVCS - BEHAVIORAL HEALTH Inspira Sleep Center Woodbury 75 WEST RED BANK AVENUE WOODBURY NJ 080961694 OUTPATIENT SVCS - SLEEP CENTER Inspira Children's Beh Hlth CTR WOODBURY 104 WEST RED BANK AVENUE WEST DEPTFORD NJ 080963407 OUTPATIENT SVCS - BEHAVIORAL HEALTH Inspira Behavioral Wellness Woodbury 537 NORTH BROAD STREET WOODBURY NJ 080961603 OUTPATIENT SVCS - BEHAVIORAL HEALTH Inspira Autism Diag & Treatment CeNTER 17 WEST RED BANK AVENUE SUITE 308 WOOODBURY NJ 080961630 OUTPATIENT SVCS - AUTISM DIAGNOSTIC & TREATMENT INSPIRA DEPTFORD HEALTH CENTER - CARDIO 1450 ALMONESSON ROAD DEPTFORD NJ 08096 OUTPATIENT SVCS - CARDIOLOGY INSPIRA DEPTFORD HEALTH CENTER - REHAB 1450 ALMONESSON ROAD DEPTFORD NJ 08096 OUTPATIENT SVCS - PT SCHEDULE H, PART I; LINE 3C IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE ORGANIZATION USES OTHER FACTORS IN DETERMINING ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTED CARE. AS OUTLINED IN PART V, SECTION B, QUESTION 13, OTHER FACTORS TO DETERMINE ELIGIBILITY INCLUDE: - ASSET LEVEL; - MEDICAL INDIGENCY; - INSURANCE STATUS; - UNDERINSURANCE STATUS; AND - RESIDENCY. ADDITIONAL INFORMATION WITH RESPECT TO THE ORGANIZATION'S ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IS OUTLINED BELOW. NEW JERSEY HOSPITAL CHARITY CARE PAYMENT ASSISTANCE PROGRAM ("CHARITY CARE") ----------------------------------------------------------------------- CHARITY CARE IS A NEW JERSEY PROGRAM IN WHICH FREE OR DISCOUNTED CARE IS AVAILABLE TO PATIENTS WHO RECEIVE INPATIENT AND OUTPATIENT SERVICES AT ACUTE CARE HOSPITALS THROUGHOUT THE STATE OF NEW JERSEY. HOSPITAL ASSISTANCE AND REDUCED CHARGE CARE ARE ONLY AVAILABLE FOR NECESSARY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. PATIENTS MAY BE ELIGIBLE FOR CHARITY CARE IF THEY ARE NEW JERSEY RESIDENTS WHO: 1) HAVE NO HEALTH COVERAGE OR HAVE COVERAGE THAT PAYS ONLY PART OF THE HOSPITAL BILL (UNINSURED OR UNDERINSURED); 2) ARE INELIGIBLE FOR ANY PRIVATE OR GOVERNMENTAL SPONSORED COVERAGE (SUCH AS MEDICAID); AND 3) MEET THE FOLLOWING INCOME AND ASSET ELIGIBILITY CRITERIA DESCRIBED BELOW. INCOME CRITERIA: PATIENTS WITH FAMILY GROSS INCOME LESS THAN OR EQUAL TO 200% OF FEDERAL POVERTY GUIDELINES ("FPG") ARE ELIGIBLE FOR 100% CHARITY CARE COVERAGE. PATIENTS WITH FAMILY GROSS INCOME GREATER THAN 200% AND LESS THAN OR EQUAL TO 300% OF FPG ARE ELIGIBLE FOR DISCOUNTED CARE. FREE CARE OR PARTIALLY COVERED CHARGES WILL BE DETERMINED BY USE OF THE NEW JERSEY DEPARTMENT OF HEALTH FEE SCHEDULE. IF PATIENTS ON THE 20% TO 80% SLIDING FEE SCALE ARE RESPONSIBLE FOR QUALIFIED OUT-OF-POCKET PAID MEDICAL EXPENSES IN EXCESS OF 30% OF THEIR GROSS ANNUAL INCOME (I.E. BILLS UNPAID BY OTHER PARTIES), THEN THE AMOUNT IN EXCESS OF 30% IS CONSIDERED HOSPITAL CARE PAYMENT ASSISTANCE. ASSET CRITERIA: CHARITY CARE INCLUDES ASSET ELIGIBILITY THRESHOLDS WHICH STATES THAT INDIVIDUAL ASSETS CANNOT EXCEED $7,500 AND FAMILY ASSETS CANNOT EXCEED $15,000 AS OF THE DATE OF SERVICE. CHARITY CARE MAY BE AVAILABLE TO NON-NEW JERSEY RESIDENTS, REQUIRING IMMEDIATE MEDICAL ATTENTION FOR AN EMERGENCY MEDICAL CONDITION. NEW JERSEY UNINSURED DISCOUNT (PUBLIC LAW 2008, C. 60) ------------------------------------------------------ UNINSURED PATIENTS WITH FAMILY GROSS INCOME LESS THAN 500% OF FPG MAY BE ELIGIBLE FOR DISCOUNTED CARE UNDER THIS PROGRAM. ELIGIBLE INDIVIDUALS MUST BE NEW JERSEY RESIDENTS. NJ FAMILYCARE ------------- NJ FAMILYCARE IS NEW JERSEY'S PUBLICLY FUNDED HEALTH INSURANCE PROGRAM WHICH INCLUDES CHIP, MEDICAID AND MEDICAID EXPANSION POPULATIONS. NJ FAMILYCARE IS A FEDERAL AND STATE FUNDED HEALTH INSURANCE PROGRAM CREATED TO HELP QUALIFIED NEW JERSEY RESIDENTS OF ANY AGE ACCESS TO AFFORDABLE HEALTH INSURANCE. NJ FAMILYCARE IS FOR PEOPLE WHO DO NOT HAVE EMPLOYER INSURANCE. FINANCIAL ELIGIBILITY FOR INDIVIDUALS SEEKING ELIGIBILITY FOR NJ FAMILYCARE WILL BE BASED ON THEIR MODIFIED ADJUSTED GROSS INCOME ("MAGI"). NJFAMILYCARE ELIGIBILITY GUIDELINES ARE ESTABLISHED BY THE STATE OF NEW JERSEY AND CAN BE FOUND AT WWW.NJFAMILYCARE.ORG. NEW JERSEY CANCER EDUCATION AND EARLY DETECTION ("NJCEED") ---------------------------------------------------------- THE NJCEED PROGRAM PROVIDES COMPREHENSIVE OUTREACH, EDUCATION AND SCREENING SERVICES FOR BREAST, CERVICAL, COLORECTAL AND PROSTATE CANCERS. A PATIENT MUST BE UNINSURED OR UNDERINSURED AND MUST HAVE FAMILY GROSS INCOME AT OR BELOW 250% OF FPG TO BE ELIGIBLE. ADDITIONAL INFORMATION CAN BE FOUND AT THE FOLLOWING WEBSITE: https://www.nj.gov/health/ces/public/resources/njceed.shtml CATASTROPHIC ILLNESS IN CHILDREN RELIEF FUND -------------------------------------------- THE CATASTROPHIC ILLNESS IN CHILDREN RELIEF FUND PROVIDES FINANCIAL ASSISTANCE TO FAMILIES OF CHILDREN WITH A CATASTROPHIC ILLNESS. IN ORDER TO BE ELIGIBLE, HOSPITAL EXPENSES MUST EXCEED 10% OF THE FAMILY'S GROSS INCOME, PLUS 15% OF ANY EXCESS INCOME OVER $100,000, THE CHILD MUST HAVE BEEN 21 YEARS OR YOUNGER WHEN THE MEDICAL EXPENSES WERE INCURRED AND THE FAMILY MUST HAVE LIVED IN NEW JERSEY FOR THREE MONTHS IMMEDIATELY PRIOR TO THE DATE OF APPLICATION. ADDITIONAL INFORMATION CAN BE FOUND AT THE FOLLOWING WEBSITE: https://www.nj.gov/humanservices/cicrf/ 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 the following website: https://www.nj.gov/oag/njvictims/home.html HOSPITAL FINANCIAL ASSISTANCE PROGRAM/SUBSIDY PROGRAM ----------------------------------------------------- PATIENTS THAT DO NOT QUALIFY FOR ANY OF THE GOVERNMENT FUNDED PROGRAMS OR NEW JERSEY CHARITY CARE MAY ELECT TO BE SCREENED BY FINANCIAL COUNSELING FOR THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM/SUBSIDY PROGRAM. PATIENTS MAY BE ELIGIBLE FOR DISCOUNTS UNDER THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM/SUBSIDY PROGRAM IF THEIR FAMILY GROSS INCOME IS BETWEEN 225% AND 550% OF FPL. ADDITIONALLY, IF THESE PATIENTS HAVE ASSETS IN EXCESS OF $50,000 THEY MAY BE REQUIRED TO PROVIDE PROOF OF ASSETS. PURSUANT TO INTERNAL REVENUE CODE SECTION 501(R)(5), IN THE CASE OF EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, FAP-ELIGIBLE PATIENTS WILL NOT BE CHARGED MORE THAN AN INDIVIDUAL WHO HAS INSURANCE COVERING SUCH CARE. PATIENTS MAY BE ELIGIBLE FOR THIS DISCOUNT IF THEY ARE UNINSURED AND HAVE FAMILY GROSS INCOME LESS THAN 550% OF FPG. ADDITIONALLY, UNDERINSURED PATIENTS MAY BE ELIGIBLE IF THEIR FAMILY GROSS INCOME IS GREATER THAN 200% BUT LESS THAN OR EQUAL TO 300% OF FPG. SCHEDULE H, PART I; QUESTION 6A NOT APPLICABLE. SCHEDULE H, PART I; QUESTION 7 THE ORGANIZATION UTILIZED THE COST ACCOUNTING SYSTEM. SCHEDULE H, PART I, QUESTION 7B INSPIRA MEDICAL CENTERS, INC. PARTNERED WITH CUMBERLAND COUNTY AND THE STATE OF NEW JERSEY THROUGH A PROVIDER ASSESSMENT MECHANISM TO MAKE THE STATE OF NEW JERSEY MEDICAID PROGRAM HEALTHIER FOR ALL. THE PROGRAM INCREASES FINANCIAL RESOURCES PROVIDED TO CERTAIN HOSPITALS USING THE STATE OF NEW JERSEY'S MEDICAID PROGRAM AND CERTAIN FEDERAL MATCHING FUNDS IN ORDER TO BETTER SERVE THE NEEDS IN THE COMMUNITY. THE ADDITIONAL FUNDS RECEIVED FROM THE PROGRAM DURING 2024 TOTALED APPROXIMATELY $30.4M AND ARE INCLUDED IN SCHEDULE H, PART I; LINE 7B; DIRECT OFFSETTING MEDICAID REVENUE. THE ASSOCIATED COUNTY OPTION EXPENSES ASSOCIATED WITH THE PROGRAM DURING 2024 TOTALED APPROXIMATELY $13.2M AND ARE INCLUDED IN SCHEDULE H, PART I; LINE 7B; MEDICAID TOTAL COMMUNITY BENEFIT EXPENSE. IN ADDITION, INSPIRA MEDICAL CENTERS, INC. RECEIVED Medicaid Add-on payments and QUALITY IMPROVEMENT PROGRAM - NEW JERSEY ("QIP-NJ") FUNDING TO SUPPORT CONTINUED POPULATION HEALTH IMPROVEMENT ACROSS NEW JERSEY. THE ADDITIONAL FUNDS RECEIVED FROM Medicaid Add-on payments and QIP-NJ PROGRAM DURING 2024 TOTALED APPROXIMATELY $26.6M AND ARE INCLUDED IN SCHEDULE H, PART I; LINE 7B; DIRECT OFFSETTING MEDICAID REVENUE. IF INSPIRA MEDICAL CENTERS, INC. DID NOT RECEIVE THESE ADDITIONAL FUNDS, THE NET COMMUNITY BENEFIT EXPENSE REPORTED ON SCHEDULE H, PART I; LINE 7K WOULD BE $219,840,072 AND THE NET COMMUNITY BENEFIT PERCENTAGE REPORTED ON SCHEDULE H, PART I; LINE K WOULD BE 17.68%. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY INSPIRA HEALTH NETWORK IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF OUR COMMUNITIES. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. IMC PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS, COMMUNITY AND PROVIDERS. PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS DEDICATE THEIR KNOWLEDGE AND TIME TO INSURING THE COMMUNITY IS WELL EDUCATED ON TOPICS PROMOTING HEALTHY LIVING. SCHEDULE H, PART III, SECTION A; QUESTION 4 THE FOOTNOTE BELOW EXPLAINS THE ORGANIZATIONS METHODOLOGY WITH RESPECT TO PATIENT ACCOUNTS RECEIVABLE. THE NETWORK ASSESSES COLLECTABILITY ON PATIENT CONTRACTS PRIOR TO THE RECOGNITION OF NET PATIENT SERVICE REVENUE. PATIENT ACCOUNTS RECEIVABLE, NET, ARE RECORDED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THE NETWORK HAS EXHAUSTED ALL COLLECTION EFFORTS AND DETERMINES ACCOUNTS ARE IMPAIRED BASED ON CHANGES IN CREDIT WORTHINESS. SCHEDULE H, PART III, SECTION B; QUESTION 8 MEDICARE COSTS WERE DERIVED FROM THE 2024 MEDICARE COST REPORT USING 2024 COST ACCOUNTING DATA. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL), BAD DEBT AND ASSOCIATED COSTS ARE COMMUNITY BENEFIT AND ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW, THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "THE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL MUST PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS WHO CANNOT PAY FOR SUCH SERVICES. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVED" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY THE DEPARTMENT OF TREASURY REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA'S POSITION. AS OUTLINED IN THE AHA'S LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. FROM THE LATEST DATA PROVIDED BY THE AHA, AS OF 2017, MEDICARE REIMBURSES HOSPITALS ONLY 87 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 42 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLE." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR THOSE WHO DO NOT PAY ALL, OR A PORTION OF THE ALREADY DISCOUNTED BILLED AMOUNTS UNDER OUR FINANCIAL ASSISTANCE POLICY. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFIT" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITAL'S BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN H SCHEDULE H, PART III, SECTION B; QUESTION 9B ACCOUNTS CONSIDERED TO BE FINANCIAL ASSISTANCE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF INSPIRA HEALTH NETWORK ("INSPIRA") TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. ADDITIONALLY, INSPIRA IS COMMITTED TO BILLING PATIENTS AND INSURANCE CARRIERS IN A MANNER THAT IS IN COMPLIANCE WITH ALL STATE, LOCAL AND FEDERAL REGULATIONS. THE ORGANIZATION'S BILLING AND COLLECTION POLICIES AND PROCEDURES ARE OUTLINED WITHIN THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY ("FAP"). THIS POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. ACCORDING TO INSPIRA'S BILLING AND COLLECTION POLICY INSPIRA ABIDES BY THE FOLLOWING PROCEDURES WHEN PURSUING BILLING AND COLLECTION ACTIONS: BILLING PROCEDURES ------------------ UNTIL PATIENTS ARE DEEMED ELIGIBLE AND APPROVED FOR FINANCIAL ASSISTANCE UNDER THIS POLICY, INSPIRA WILL CONTINUE ITS NORMAL BILLING AND COLLECTION ACTIVITIES AS FOLLOWS: (1) INSPIRA WILL PROVIDE SUFFICIENT ACCOUNT FOLLOW-UP SERVICE TO ENSURE THAT INSURERS AND PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION. (2) PATIENTS WILL HAVE THE OPPORTUNITY TO MAKE PAYMENT AND/OR APPLY FOR FINANCIAL ASSISTANCE FOR ALL OUTSTANDING BALANCES. THE BILLING PROCESS IS PERFORMED IN ACCORDANCE WITH THE FOLLOWING GUIDELINES: - FOR ALL INSURED PATIENTS, INSPIRA BILLS ALL THIRD PARTY PAYER INFORMATION (AS PROVIDED BY OR VERIFIED BY THE PATIENT) ON A TIMELY BASIS. - IF A CLAIM IS DENIED (OR NOT PROCESSED) BY A PAYER DUE TO A HOSPITAL ERROR, INSPIRA WILL NOT BILL THE PATIENT FOR ANY AMOUNT IN EXCESS OF THAT FOR WHICH THE PATIENT WOULD HAVE BEEN LIABLE HAD THE PAYER PAID THE CLAIM. - AFTER CLAIMS ARE PROCESSED BY PAYERS, INSPIRA BILLS PATIENTS ON A TIMELY BASIS FOR THEIR RESPECTIVE LIABILITY AMOUNTS AS DETERMINED BY THEIR INSURERS. - ALL UNINSURED PATIENTS ARE BILLED DIRECTLY ON A TIMELY BASIS. - ACCOUNTS MAY BE REFERRED FOR COLLECTION IF THERE IS REASONABLE BASIS TO BELIEVE THAT THE PATIENT OWES THE DEBT. HOWEVER, ACCOUNTS MAY BE PLACED WITH A COLLECTION AGENCY NO SOONER THAN 120 DAYS FROM THE DATE OF FIRST POST-DISCHARGE BILLING STATEMENT ("NOTIFICATION PERIOD"). ACCOUNTS MAY BE REFERRED FOR COLLECTION IF ALL THIRD PARTY PAYERS HAVE BEEN PROPERLY BILLED BY INSPIRA AND THE REMAINING DEBT IS THE FINANCIAL RESPONSIBILITY OF THE PATIENT. THE ORGANIZATION SHALL NOT BILL A PATIENT FOR ANY AMOUNT THAT AN INSURANCE COMPANY IS OBLIGATED TO PAY UNLESS THE INSURANCE COMPANY IS REFUSING TO PAY THE AMOUNT PENDING ADDITIONAL INFORMATION OR COMMUNICATION FROM THE PATIENT. INSPIRA DOES NOT REFER ACCOUNTS FOR COLLECTION WHILE A CLAIM ON THE ACCOUNT IS STILL PENDING PAYER PAYMENT UNLESS THE PAYER IS REFUSING TO PAY THE AMOUNT PENDING ADDITIONAL INFORMATION OR COMMUNICATION FROM THE PATIENT. CUSTOMER SERVICE ---------------- DURING THE BILLING AND COLLECTION PROCESS, INSPIRA PROVIDES QUALITY CUSTOMER SERVICE BY COMPLYING WITH THE FOLLOWING GUIDELINES: (1) INSPIRA DOES NOT TOLERATE ABUSIVE, HARASSING, OFFENSIVE, DECEPTIVE, OR MISLEADING LANGUAGE OR CONDUCT BY ITS EMPLOYEES. (2) INSPIRA MAINTAINS A STREAMLINED PROCESS FOR PATIENT QUESTIONS AND DISPUTES, WHICH INCLUDES A PHONE NUMBER PATIENTS MAY CALL, EMAIL ADDRESS, AND A BUSINESS OFFICE ADDRESS TO WHICH THEY MAY WRITE. THIS INFORMATION WILL BE LISTED ON ALL PATIENT STATEMENTS. (3) AFTER RECEIVING A COMMUNICATION FROM THE PATIENT (BY PHONE, EMAIL, OR IN WRITING), INSPIRA STAFF WILL RETURN CALLS TO PATIENTS AS PROMPTLY AS POSSIBLE (BUT NO MORE THAN ONE BUSINESS DAY AFTER THE CALL, EMAIL OR LETTER WAS RECEIVED). (4) INSPIRA MAINTAINS A DAILY COMPLAINT AND ISSUE LOG OF PATIENT'S COMPLAINTS. THE COMPLAINT AND ISSUE LOG WILL BE REVIEWED PERIODICALLY BY THE PATIENT ACCOUNTS MANAGER AND CASH SUPERVISOR AND THE INFORMATION PROVIDED WILL BE USED TO ENHANCE AND IMPROVE THE BILLING AND COLLECTIONS PROCESS. ALL PATIENTS MAY REQUEST AN ITEMIZED STATEMENT FOR THEIR ACCOUNTS AT ANY TIME. ALL PATIENTS WILL HAVE THE OPPORTUNITY TO CONTACT HOSPITAL REGARDING FINANCIAL ASSISTANCE FOR THEIR ACCOUNTS. COMPLIANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(6) ------------------------------------------------------- INSPIRA DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIVITIES ("ECAS") AS DEFINED BY INTERNAL REVENUE CODE SECTION 501(R) PRIOR TO THE END OF THE NOTIFICATION PERIOD. ONCE A COMPLETED FAP APPLICATION IS RECEIVED, HOSPITAL, OR ANY COLLECTION AGENCIES WORKING ON THEIR BEHALF, WILL: 1) SUSPENDED ANY ECAS AGAINST THE INDIVIDUAL; 2) MAKE AND DOCUMENT AN ELIGIBILITY DETERMINATION IN A TIMELY MANNER; 3) NOTIFY THE RESPONSIBLE PARTY OR INDIVIDUAL IN WRITING OF THE DETERMINATION AND BASIS FOR DETERMINATION; AND 4) IF DEEMED FAP-ELIGIBLE INSPIRA WILL: - PROVIDE A BILLING STATEMENT INDICATING THE AMOUNT THE FAP-ELIGIBLE INDIVIDUAL OWES, HOW THAT AMOUNT WAS DETERMINED AND HOW INFORMATION PERTAINING TO AMOUNTS GENERALLY BILLED MAY BE OBTAINED; AND - REFUND ANY EXCESS PAYMENTS MADE BY THE INDIVIDUAL. INSPIRA DOES NOT ENGAGE IN ANY ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE, SUCH AS BY DEMANDING THE EMERGENCY DEPARTMENT PATIENTS PAY BEFORE RECEIVING TREATMENT FOR EMERGENCY MEDICAL CONDITIONS OR BY PERMITTING DEBT COLLECTION ACTIVITIES IN THE EMERGENCY DEPARTMENT OR OTHER AREAS WHERE SUCH ACTIVITIES COULD INTERFERE WITH THE PROVISION OF EMERGENCY CARE ON A NON-DISCRIMINATORY BASIS. SCHEDULE H, PART VI; QUESTION 2 IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OUTLINED IN SCHEDULE H, SECTION B, QUESTIONS 1-12 AND SECTION C, THIS ORGANIZATION CONDUCTS A REVIEW OF KEY FACTOR INFORMATION ANNUAL WHICH INCLUDES: A REVIEW OF HEALTHCARE UTILIZATION OF ITS SERVICE AREA POPULATION BY SERVICES (UROLOGY, CARDIOLOGY, OBSTETRICS, ETC.) FOR DETERMINING INCREASED OR DECREASED HEALTH NEEDS; HEALTHCARE SERVICES ESTIMATES AND FORECASTS (BOTH INPATIENT AND OUTPATIENT); ASSESSMENTS OF LOCAL DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION; AND, A REVIEW OF HEALTH STATUS/NEEDS ASSESSMENTS AND STUDIES CONDUCTED BY EXTERNAL PARTIES. THE ORGANIZATION CONDUCTS AN EXTENSIVE SERVICE AREA PHYSICIAN NEEDS STUDY (BY PRIMARY AND SPECIALTY) EVERY THREE TO FIVE YEARS. SPECIFIC SPECIALTY NEEDS ARE CONDUCTED FOR IDENTIFIED GAPS IN SERVICE. THESE REVIEWS INFORM MEDICAL STAFF DEVELOPMENT AT THE MEDICAL CENTER TO ASSURE RESPONSIVENESS TO IDENTIFIED COMMUNITY NEEDS. THE ORGANIZATION COLLABORATES WITH COMMUNITY PARTNERS TO PLAN AND CONDUCT HEALTH NEEDS ASSESSMENTS TO ASSESS AND ADDRESS HEALTH NEEDS OF THE COMMUNITY IT SERVES. THE WIDE-BASED COLLABORATIVE PARTNERSHIP RETAINS AN OUTSIDE CONSULTING FIRM TO ASSESS COMMUNITY DATA AND PERCEPTION. COMMUNITY DATA IS COLLECTED FROM COUNTY HEALTH PROFILES, HEALTH STATISTICS, DEMOGRAPHICS, SOCIOECONOMIC DATA, PHONE SURVEYS, PAPER SURVEYS AND FOCUS GROUPS. FROM THOSE ASSESSMENTS, COMMUNITY HEALTH IMPROVEMENT PLANS ARE PUBLISHED IDENTIFYING THE SPECIFIC HEALTH PRIORITIES. THROUGH A PLANNED AND ORGANIZED EFFORT, THE GROUP WORKS COLLECTIVELY TO ADDRESS THE PRIORITIES BY TAPPING THE RESOURCES OF THE COMMUNITY AND COLLABORATING ON INITIATIVES. INSPIRA HEALTH NEWTORK ACTIVELY CONTRIBUTES TO THIS PROCESS AND ENGAGES IN THE IDENTIFIED PRIORITIES THAT MATCH ITS MISSION, EXPERTISE, RESOURCES AND CAPACITY. IN ADDITION TO THESE ORGANIZED NEEDS ASSESSMENT EFFORTS, VARIOUS INSPIRA LEADERSHIP ATTEND COMMUNITY MEETINGS WITH LOCAL PROVIDERS, LOCAL HEALTH DEPARTMENTS, LOCAL POLITICIANS, ORGANIZATIONS AND COMMUNITY LEADERS TO DISCUSS THE HEALTH NEEDS OF THE POPULATION. SCHEDULE H, PART VI; QUESTION 3 IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(4) THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY WIDELY PUBLICIZING VARIOUS DOCUMENTS. THESE DOCUMENTS ARE WIDELY PUBLICIZED IN THE FOLLOWING WAYS: (1) THE FINANCIAL ASSISTANCE POLICY ("FAP"), FINANCIAL ASSISTANCE APPLICATION ("APPLICATION") AND PLAIN LANGUAGE SUMMERY ("PLS") ARE ALL AVAILABLE ON-LINE AT THE FOLLOWING WEBSITE: https://www.inspirahealthnetwork.org/patients-visitors/billing-online-paym ents/payment-assistance (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 ORGANIZATION'S PRIMARY SERVICE AREA. (4) ALL PATIENTS ARE OFFERED A COPY OF THE PLS AS PART OF THE INTAKE PROCESS. ADDITIONALLY, SIGNS OR DISPLAYS ARE CONSPICUOUSLY POSTED IN PUBLIC MEDICAL CENTER LOCATIONS INCLUDING ALL ADMISSIONS/REGISTRATION AREAS AND THE EMERGENCY 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. SCHEDULE H, PART VI; QUESTION 4 INSPIRA HEALTH IS A CHARITABLE NONPROFIT HEALTH CARE ORGANIZATION COMMITTED TO PROVIDING AN EXCEPTIONAL EXPERIENCE FOR PATIENTS AND THEIR LOVED ONES. TRACING ITS ROOTS TO 1899, THE SYSTEM COMPRISES FOUR HOSPITALS, TWO COMPREHENSIVE CANCER CENTERS, NINE MULTI-SPECIALTY HEALTH CENTERS AND LOCATIONS THROUGHOUT SOUTH JERSEY. INSPIRA'S SURGICAL TEAMS PROVIDE NATIONALLY ACCREDITED BARIATRIC PROCEDURES AND A WIDE ARRAY OF ROBOTIC AND MINIMALLY INVASIVE SURGERIES. IN PARTNERSHIP WITH COOPER UNIVERSITY HEALTHCARE, INSPIRA PROVIDES COMPREHENSIVE NEUROSCIENCE AND CARDIOLOGY SERVICES THROUGHOUT THE REGION. INSPIRA'S EXTENSIVE AMBULATORY SERVICES INCLUDE URGENT CARE; AMBULATORY SURGERY CENTERS; PHYSICAL AND OCCUPATIONAL THERAPY; COMPREHENSIVE BEHAVIORAL HEALTH; PRIMARY AND SPECIALTY PHYSICIAN PRACTICES IN GLOUCESTER, CUMBERLAND, SALEM, CAMDEN AND ATLANTIC COUNTIES; AND EXTENSIVE OUTPATIENT IMAGING IN PARTNERSHIP WITH ATLANTIC MEDICAL IMAGING (AMI). ADDITIONALLY, INSPIRA EMS COVERS COMMUNITIES THROUGHOUT SOUTH JERSEY. INSPIRA'S POPULATION HEALTH AND COMMUNITY IMPACT DEPARTMENTS PROACTIVELY REACH OUT TO ALL COMMUNITIES AND ADDRESS SOCIAL DRIVERS OF HEALTH THAT IMPACT INDIVIDUALS AND FAMILIES IN OUR REGION. TOGETHER WITH ITS MEDICAL STAFF OF MORE THAN 1,400 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS, AS WELL AS MORE THAN 7,800 EMPLOYEES, INSPIRA HEALTH PROVIDES EVIDENCE-BASED CARE TO HELP EACH PATIENT ACHIEVE THE BEST POSSIBLE OUTCOME. AND AS A REGIONAL LEADER IN PHYSICIAN TRAINING, INSPIRA HEALTH MENTORS AND PROVIDES EXTENSIVE CLINICAL OPPORTUNITIES FOR MORE THAN 280 MEDICAL RESIDENTS AND FELLOWS IN 16 NATIONALLY ACCREDITED PROGRAMS. THE CURRENT SERVICE AREA BASED ON AN ANALYSIS OF THE GEOGRAPHIC AREA WHERE INDIVIDUALS UTILIZING THEIR SERVICES RESIDE 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 526,087 ACCORDING TO CENSUS DATA IN 2023. AS PART OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, ONE OF THE INITIAL UNDERTAKINGS OF WAS TO CREATE A SECONDARY DATA PROFILE. THE SECONDARY DATA IS COMPRISED OF DATA OBTAINED FROM EXISTING RESOURCES AND INCLUDES DEMOGRAPHIC AND HOUSEHOLD STATISTICS, EDUCATION AND INCOME MEASURES, MORBIDITY AND MORTALITY RATES, AND HEALTH INDICATORS, AMONG OTHER DATA POINTS. THE DATA WAS GATHERED AND INTEGRATED INTO A GRAPHICAL REPORT TO PORTRAY THE CURRENT HEALTH AND SOCIO-ECONOMIC STATUS OF RESIDENTS IN ITS PRIMARY SERVICE AREAS. SECONDARY DATA WAS COLLECTED FROM REPUTABLE SOURCES INCLUDING THE U.S. CENSUS BUREAU, CENTERS FOR DISEASE CONTROL AND PREVENTION AND NEW JERSEY DEPARTMENT OF HEALTH. THE PROFILE DETAILS DATA COVERING THE FOLLOWING AREAS: POPULATION STATISTICS --------------------- - CUMBERLAND COUNTY: THE PROPORTION OF HISPANICS/LATINOS AND BLACK/AFRICAN AMERICANS IS 36.1% AND 22.3%; RESPECTIVELY. - GLOUCESTER COUNTY: THE PROPORTION OF HISPANICS/LATINOS AND BLACK/AFRICAN AMERICANS IS 9.2% AND 12.7%; RESPECTIVELY. - SALEM COUNTY: THE PROPORTION OF HISPANICS/LATINOS AND BLACK/AFRICAN AMERICANS IS 11.9% AND 15.6%; RESPECTIVELY. - CUMBERLAND COUNTY: THE PERCENTAGE OF PEOPLE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME IS 29.9%. - GLOUCESTER COUNTY: THE PERCENTAGE OF PEOPLE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME IS 9.9%. - SALEM COUNTY: THE PERCENTAGE OF PEOPLE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME IS 8.1%. - CUMBERLAND COUNTY: 16.2% OF RESIDENTS ARE AGE 65 YEARS AND OLDER. - GLOUCESTER COUNTY: 17.9% OF RESIDENTS ARE AGE 65 YEARS AND OLDER. - SALEM COUNTY: 19.5% OF RESIDENTS ARE AGE 65 YEARS AND OLDER. HOUSEHOLD STATISTICS -------------------- - CUMBERLAND COUNTY: THE MEDIAN HOME VALUE IN CUMBERLAND COUNTY IS $205,600. - GLOUCESTER COUNTY: THE MEDIAN HOME VALUE IN GLOUCESTER COUNTY IS $283,500. - SALEM COUNTY: THE MEDIAN HOME VALUE IN SALEM COUNTY IS $223,000. - CUMBERLAND COUNTY: THE AVERAGE FAMILY SIZE 2.68 INDIVIDUALS. - GLOUCESTER COUNTY: THE AVERAGE FAMILY SIZE 2.67 INDIVIDUALS. - SALEM COUNTY: THE AVERAGE FAMILY SIZE 2.55 INDIVIDUALS. COMPUTER AND INTERNET USE ------------------------- - CUMBERLAND COUNTY HOUSEHOLDS WITH A BROADBAND INTERNET SUBSCRIPTION IS 87.5% - GLOUCESTER COUNTY HOUSEHOLDS WITH A BROADBAND INTERNET SUBSCRIPTION IS 91.9% - SALEM COUNTY HOUSEHOLDS WITH A BROADBAND INTERNET SUBSCRIPTION IS 88.7% INCOME STATISTICS ----------------- - CUMBERLAND COUNTY: THE MEDIAN INCOME FOR HOUSEHOLDS IS $64,499 - CUMBERLAND COUNTY: THE PROPORTION OF PERSONS LIVING IN POVERTY IS 17.0% - GLOUCESTER COUNTY: THE MEDIAN INCOME FOR HOUSEHOLDS IS $102,807. - GLOUCESTER COUNTY: THE PROPORTION OF PERSONS LIVING IN POVERTY IS 8.4% - SALEM COUNTY: THE MEDIAN INCOME FOR HOUSEHOLDS IS $78,412. - SALEM COUNTY: THE PROPORTION OF PERSONS LIVING IN POVERTY IS 10.6%. EDUCATION STATISTICS -------------------- - CUMBERLAND COUNTY: 81.3% OF RESIDENTS HAVE GRADUATED FROM HIGH SCHOOL. - GLOUCESTER COUNTY: 94.0% OF RESIDENTS HAVE GRADUATED FROM HIGH SCHOOL. - SALEM COUNTY: 90.1% OF RESIDENTS HAVE GRADUATED FROM HIGH SCHOOL. - CUMBERLAND COUNTY: 17.9% OF RESIDENTS HAVE EARNED A BACHELOR'S DEGREE OR HIGHER. - GLOUCESTER COUNTY: 35.8% OF RESIDENTS HAVE EARNED A BACHELOR'S DEGREE OR HIGHER. - SALEM COUNTY: 24.0% OF RESIDENTS HAVE EARNED A BACHELOR'S DEGREE OR HIGHER. COUNTY HEALTH RANKINGS ---------------------- THE 2024 COUNTY HEALTH RANKINGS NO LONGER PROVIDE A SINGLE OVERALL RANKING FOR COUNTIES. INSTEAD, THEY EMPHASIZE KEY HEALTH OUTCOME INDICATORS AND COMMUNITY CONDITIONS THAT INFLUENCE HEALTH. BELOW IS A SUMMARY OF THE MOST RELEVANT FINDINGS FOR CUMBERLAND, GLOUCESTER, AND SALEM COUNTIES IN NEW JERSEY. CUMBERLAND COUNTY - LIFE EXPECTANCY: LOWER THAN THE STATE AVERAGE. - PREMATURE DEATH: AMONG THE HIGHEST IN NEW JERSEY. - CHILD POVERTY: SIGNIFICANTLY ABOVE THE STATE AVERAGE. - ACCESS TO CARE: LIMITED ACCESS TO PRIMARY CARE AND MENTAL HEALTH PROVIDERS. - COMMUNITY CONDITIONS: HIGH RATES OF HOUSING COST BURDEN AND FOOD INSECURITY. GLOUCESTER COUNTY - LIFE EXPECTANCY: CLOSE TO THE STATE AVERAGE. - PREMATURE DEATH: MODERATE COMPARED TO OTHER NJ COUNTIES. - CHILD POVERTY: SLIGHTLY ABOVE THE STATE AVERAGE. - ACCESS TO CARE: BETTER THAN AVERAGE ACCESS TO PRIMARY CARE. - COMMUNITY CONDITIONS: MODERATE HOUSING COST BURDEN AND GOOD ACCESS TO EXERCISE OPPORTUNITIES. SALEM COUNTY - LIFE EXPECTANCY: AMONG THE LOWEST IN THE STATE. - PREMATURE DEATH: HIGHEST IN NEW JERSEY. - CHILD POVERTY: HIGH RELATIVE TO STATE BENCHMARKS. - ACCESS TO CARE: LIMITED, ESPECIALLY FOR MENTAL HEALTH SERVICES. - COMMUNITY CONDITIONS: HIGH HOUSING COST BURDEN AND LIMITED ACCESS TO HEALTHY FOOD OPTIONS. SCHEDULE H, PART VI; QUESTION 5 COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIO-ECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH NUMEROUS ACTIVITIES WHICH ARE NOT A PART OF PART I CHARITY CARE AND OTHER COMMUNITY BENEFITS, AND ARE NOT INCLUDED ELSEWHERE ON SCHEDULE H. THESE ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS SUCH AS EDUCATION, POVERTY, UNEMPLOYMENT, ACCESS TO CARE, HEALTH ADVOCACY AND ECONOMIC DEVELOPMENT. THIS ORGANIZATION HOLDS ANNUAL MEETINGS OPEN TO THE PUBLIC FOR ALL HOSPITAL LOCATIONS. THE ORGANIZATIONS GOVERNING BOARDS ARE COMPRISED OF BUSINESS PROFESSIONALS AND COMMUNITY MEMBERS ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA WHO ARE NOT EMPLOYEES OF THE ORGANIZATION. THESE VOLUNTEERS PROVIDE COUNTLESS HOURS OF SERVICE TO THE HOSPITAL SYSTEM IN THEIR OVERSIGHT ROLE. ALL QUALIFIED PHYSICIANS IN THE COMMUNITY ARE EXTENDED MEDICAL STAFF PRIVILEGES BY THEIR RESPECTIVE DEPARTMENTS. UNDER THE DIRECTIVE OF THE ORGANIZATION'S CORPORATE FINANCE OFFICE, SURPLUS FUNDS ARE UTILIZED FOR CAPITAL PROJECTS TO IMPROVE SERVICES, PURCHASE EQUIPMENT, MAINTAIN ACCESS TO CARE TO A HISTORICALLY UNDERSERVED AND LOW-INCOME COMMUNITY AND IMPROVE ACCESS TO PATIENT SERVICES, WHICH IN TURN, BENEFIT THE COMMUNITY. THESE SERVICES INCLUDE, BUT NOT LIMITED TO, THE FOLLOWING: 1) EDUCATIONAL PROGRAMS THAT PROVIDE CLASSES AND INFORMATION ON HEALTHY AGING, CHILDBIRTH, INFANT CARE, EARLY PREGNANCY AND MORE; 2) FREE BLOOD PRESSURE AND DIABETES SCREENING, AND MAMMOGRAMS TO QUALIFYING INDIVIDUALS, FREE OR LOW-COST SCREENINGS FOR BREAST, PROSTATE, SKIN AND COLORECTAL CANCERS; 3) PREVENTATIVE HEALTH EDUCATION; 4) ACCESS TO SATELLITE EMERGENCY DEPARTMENT AND EXPANSION OF EMERGENCY DEPARTMENTS AT BOTH HOSPITALS TO ACCOMMODATE INCREASE IN EMERGENCY DEPARTMENT PATIENTS; 5) IMPROVED EFFICIENCY AND CLINICAL QUALITY; 6) INVESTMENT IN MEDICAL EDUCATION AND RESEARCH; AND 7) ACCESS TO ADVANCED TECHNOLOGY AND CLINICAL TRIALS FOR LATEST TREATMENTS. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT. SCHEDULE H, PART VI; QUESTION 6 OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE INSPIRA HEALTH NETWORK: 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 HEALTH NETWORK MEDICAL GROUP, P.C. ------------------------------------------ INSPIRA HEALTH NETWORK MEDICAL GROUP, P.C. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE NETWORK; PRIMARILY ITS TAX-EXEMPT ACUTE CARE HOSPITALS, WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. INSPIRA HOMECARE & HOSPICECARE, INC. ------------------------------------ INSPIRA HOMECARE & HOSPICECARE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION HAS AN OWNERSHIP INTEREST IN TRI-COUNTY HOME AND HOSPICE CARE LLC; AN ENTITY ORGANIZED TO OWN AND OPERATE HOME HEALTHCARE AND HOSPICE AGENCIES IN GLOUCESTER, SALEM AND CUMBERLAND COUNTIES. THIS ORGANIZATION PROVIDES QUALITY HOME CARE AND HOSPICE CARE SERVICES IN THE REGION IN FURTHERANCE OF ITS TAX-EXEMPT AND CHARITABLE PURPOSES. INSPIRA HEALTH NETWORK LIFE, INC. --------------------------------- INSPIRA HEALTH NETWORK LIFE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION PROVIDES HEALTHCARE SERVICES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. TRI-COUNTY CARDIOVASCULAR SERVICES, P.C. ---------------------------------------- TRI-COUNTY CARDIOVASCULAR SERVICES, P.C. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION. THE ORGANIZATION SUPPORTED THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE NETWORK; PRIMARILY ITS TAX-EXEMPT ACUTE CARE HOSPITALS, WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. INSPIRA 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. THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE NETWORK; PRIMARILY INSPIRA MEDICAL CENTERS, INC., WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. INSPIRA HEALTH FOUNDATION, INC. ------------------------------- INSPIRA HEALTH FOUNDATION, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE NETWORK AND SPECIFICALLY INSPIRA MEDICAL CENTERS, INC.; A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. SALEM PHYSICIAN PRACTICES, P.C. ------------------------------- Salem Physician Practices, P.C. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code 509(a)(3). The organization supports the charitable purposes, programs and services of Inspira Medical CenterS, Inc. which provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. INSPIRA DEPTFORD HEALTHPARK, LLC -------------------------------- INSPIRA DEPTFORD HEALTHPARK, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY WHOSE SOLE MEMBER IS INSPIRA MEDICAL CENTERS, INC. 1450 NORTH ALMONESSON ROAD, LLC ------------------------------- 1450 NORTH ALMONESSON ROAD, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY WHOSE SOLE MEMBER IS INSPIRA MEDICAL CENTERS, INC. OAK & MAIN SURGICENTER, LLC --------------------------- Oak & Main Surgicenter, LLC is a limited liability company formed in the State of New Jersey whose sole member is Inspira Medical Centers, Inc. INSPIRA CARE CONNECT, LLC ------------------------- INSPIRA CARE CONNECT, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY WHOSE SOLE MEMBER IS INSPIRA HEALTH NETWORK, INC. THE MISSION OF THIS ORGANIZATION IS TO ESTABLISH A GROUP OF COORDINATED HEALTHCARE PROVIDERS WHICH AGREE TO BE ACCOUNTABLE FOR THE QUALITY, COST AND OVERALL CARE FOR AN ASSIGNED GROUP OF MEDICARE BENEFICIARIES. SALEM MEDICAL CENTER PROPERTIES, LLC ------------------------------------ Salem Medical Center Properties, LLC is a limited liability company formed in the State of New Jersey whose sole member became inspira medical center, inc. on october 1, 2023. 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. 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. THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE NETWORK; PRIMARILY INSPIRA MEDICAL CENTERS, INC. WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. TRICARE AT INSPIRA, LLC ----------------------- TRICARE AT INSPITA, IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP. THIS ORGANIZATION MANAGES AND OPERATES AMBULANCE SERVICE IN SOUTHERN NEW JERSEY. INSPIRA MEDICAL CENTER OWNS 75% TRICARE AT INSPITA, LLC. THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF THE NETWORK; PRIMARILY INSPIRA MEDICAL CENTERS, INC. WHICH PROVIDE MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. INSPIRA SJ URGENT CARE MANAGEMENT COMPANY, LLC ---------------------------------------------- INSPIRA SJ URGENT CARE MANAGEMENT COMPANY, LLC IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP. THIS ORGANIZATION MANAGES AND OPERATES URGENT CARE SERVICE CENTERS IN SOUTHERN NEW JERSEY. INSPIRA HEALTH MANAGEMENT CORPORATION, INC. OWNS 60.5% OF INSPIRA SJ URGENT CARE MANAGEMENT COMPANY, LLC. WOODBURY MEDICAL CENTER ASSOCIATES, LLP --------------------------------------- WOODBURY MEDICAL CENTER ASSOCIATES, LLP IS IS A PARTNERSHIP OWNED BY INSPIRA HEALTH NETWORK AFFILIATES. THIS ORGANIZATION ENGAGES IN REAL ESTATE ACTIVITY. INSPIRA HEALTH MANAGEMENT CORPORATION, INC. ------------------------------------------- INSPIRA HEALTH MANAGEMENT CORPORATION IS AN ENTITY WHOSE SOLE SHAREHOLDER IS RED BANK DEVELOPMENT CORPORATION. THE ORGANIZATION IS LOCATED IN BRIDGETON, CUMBERLAND COUNTY, NEW JERSEY AND PROVIDES HEALTH, WELLNESS AND MANAGEMENT SERVICES. INSPIRA HEALTH NETWORK URGENT CARE, P.C. ---------------------------------------- INSPIRA HEALTH NETWORK URGENT CARE, P.C. IS AN ENTITY WHOSE NOMINEE OWNER IS INSPIRA MEDICAL CENTERS, INC. THE ORGANIZATION PROVIDES PROFESSIONAL PHYSICIAN MEDICAL SERVICES TO INDIVIDUALS AND THE COM 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. true RURAL DEVELOPMENT CORPORATON 6140 Mays Landing Rd Vineland NJ 08361 510188108 501(C)(3) 76500 PROGRAM SUPPORT CHAMBER OF COMMERCE OF SOUTH JERSEY 220 Laurel Road Voorhees NJ 08043 210418780 501(C)(6) 38000 PROGRAM SUPPORT NJHA 760 Alexander Rd PO Box 1 Princeton NJ 08543 210618622 501(C)(6) 35000 PROGRAM SUPPORT THE COOPER FOUNDATION 101 HADDON AVE SUITE 302 CAMDEN NJ 08103 222213715 501(C)(3) 30000 PROGRAM SUPPORT GATEWAY COMMUNITY ACTION PARTNERSHIP 110 COHANSEY ST BRIDGETON NJ 08302 221942357 501(C)(3) 25000 PROGRAM SUPPORT AMERICAN RED CROSS 431 18th Street NW Washington DC 20006 530196605 501(C)(3) 20000 PROGRAM SUPPORT CITY OF WOODBURY 33 Delaware St Woodbury NJ 08096 216001369 GOVT ORG 20000 PROGRAM SUPPORT FOOD BANK OF SOUTH JERSEY 1501 John Tipton Blvd Pennsauken NJ 08110 222623089 501(C)(3) 16250 PROGRAM SUPPORT WPCNJ EDUCATION & TRAINING FUND PO Box 3642 Union NJ 07083 341996852 501(C)(3) 15000 PROGRAM SUPPORT ROWAN UNIVERSITY FOUNDATION 40 N Academy Street GLASSBORO NJ 08028 222764819 501(C)(3) 13500 PROGRAM SUPPORT CUMBERLAND COUNTY IMPROVEMENT 745 Lebanon Road Millville NJ 08332 12500 PROGRAM SUPPORT RUTGERS UNIVERSITY FOUNDATION PO Box 193 New Brunswick NJ 08903 237318742 501(C)(3) 10000 PROGRAM SUPPORT NEMOURS 2200 Concord Pike Wilmington DE 19803 590634433 501(C)(3) 10000 PROGRAM SUPPORT SPECIAL OLYMPICS NEW JERSEY 1 Eunice Kennedy Shriver Way Lawrenceville NJ 08648 237448729 501(C)(3) 10000 PROGRAM SUPPORT VIRTUA HEALTH FOUNDATION 303 Lippincott Drive 4th Floor Marlton NJ 08053 043722352 501(C)(3) 10000 PROGRAM SUPPORT COMPLETE CARE FAMILY HEALTH 14 North Pearl Street Bridgeton NJ 08302 810884971 501(C)(3) 9500 PROGRAM SUPPORT ACENDA INC 42 South Delsea Drive GLASSBORO NJ 08028 237001477 501(C)(3) 8000 PROGRAM SUPPORT GREATER WOODBURY CHAMBER OF COMMERCE PO Box 363 Woodbury NJ 08096 222003510 501(C)(6) 7750 PROGRAM SUPPORT COALITION FOR FOOD AND HEALTH EQUITY 400 Claremont Avenue Unit 6069 Jersey City NJ 07304 854380781 501(C)(3) 5804 PROGRAM SUPPORT SALEM COUNTY INTER AGENCY COUNCIL OF HS 98 Market Street Salem NJ 08079 222403087 501(C)(3) 5500 PROGRAM SUPPORT Chamber of Commerce of Greater Vineland 2115 S Delsea Drive Vineland NJ 08360 210587365 501(C)(6) 5456 PROGRAM SUPPORT 16 5 Nursing Scholarship 62 84294 SCHEDULE I, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X X X X X true true false false false false false true false AMY MANSUE TRUSTEE - PRESIDENT & CEO 1210601 0 900000 0 194296 0 446069 0 55000 0 2805966 0 183461 0 WARREN E MOORE FACHE EVP & COO 802263 0 680006 0 234710 0 23211 0 43825 0 1784015 0 0 0 William D Pelino CPA MBA SVP & Chief Financial Officer 629355 0 213436 0 12360 0 143230 0 32974 0 1031355 0 0 0 ANNELIESE K MCMENAMIN SPHR SVP & CHIEF HR OFF(Term 12/24) 397389 0 247451 0 255495 0 20700 0 10996 0 932031 0 155705 0 TONY S REED MDPHDMBA SVP CHIEF QUALITY&EXP OFFICER 556439 0 191250 0 5880 0 134507 0 34854 0 922930 0 0 0 MATTHEW K DOONAN ESQ SVP & CHIEF LEGAL OFFICER 427689 0 169463 0 86131 0 115859 0 30241 0 829383 0 55819 0 SCOTT E WAGNER MD MBA PRESIDENT - INSPIRA MED GROUP 469028 0 149398 0 77384 0 86014 0 27303 0 809127 0 47299 0 LYDIA STOCKMAN RN MHA SVP & CAO 456449 0 169315 0 6358 0 115776 0 32729 0 780627 0 0 0 ROBIN A WALTON SVP EXTernal AFFAIRS & CPO 343934 0 214824 0 3974 0 91662 0 31397 0 685791 0 0 0 DAVID JOHNSON SVP & CHIEF INNOV & INFO OFF 408053 0 152061 0 3181 0 86769 0 32241 0 682305 0 0 0 STEVEN C LINN MD FORMER KEY EMPLOYEE 0 0 0 0 637183 0 0 0 21110 0 658293 0 230983 0 KATHLEEN SCULLIN SVP MARKETING & COMMUNICATIONS 338269 0 128848 0 89489 0 20700 0 24587 0 601893 0 0 0 JAYMICA PATEL MD CMO - WOODBURY/MH 397739 0 117961 0 1678 0 72270 0 6885 0 596533 0 0 0 April M Venable MBA FACHE SVP Ops. StratEGY & TRANSFORM 301234 0 89661 0 899 0 79301 0 32020 0 503115 0 0 0 Ruth Bash VP Strategic Partnerships 330162 0 97918 0 2192 0 62618 0 6101 0 498991 0 0 0 Matthew Warner MD MBA CMO - Elmer & Vineland 367411 0 35000 0 1295 0 43619 0 29002 0 476327 0 0 0 TERESA VENEZIANO MSN RN Chief Nursing Off (Eff 2/24) 302871 0 51955 0 2893 0 47304 0 22290 0 427313 0 0 0 DAVID YHLEN FORMER KEY EMPLOYEE 0 0 80278 0 327374 0 0 0 18778 0 426430 0 0 0 Julie H Ellis MBA SHRM-SCP SVP & Chief HR Off (Eff 12/24) 224602 0 71192 0 24479 0 48909 0 27207 0 396389 0 0 0 MIA DEMPSEY-STAHL EXECUTIVE DIRECTOR - LIFE 210255 0 42996 0 1722 0 12960 0 20761 0 288694 0 0 0 THOMAS P BALDOSARO CPA FORMER OFFICER 0 0 0 0 270052 0 0 0 9849 0 279901 0 0 0 David Marini Pharmacist 178506 0 500 0 3662 0 10820 0 22919 0 216407 0 0 0 Peter A Kaprielyan SVP FOUNDATION (Term 4/24) 55368 0 109091 0 5786 0 3357 0 15250 0 188852 0 0 0 ELIZABETH A SHERIDAN FORMER KEY EMPLOYEE 0 0 0 0 100275 0 0 0 3079 0 103354 0 0 0 SCHEDULE J, PART 1; QUESTION 4A THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2024 WHICH WERE INCLUDED IN EACH INDIVIDUAL'S 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: STEVEN C. LINN, M.D., $243,159; DAVID YHLEN, $321,110; THOMAS P. BALDOSARO, CPA, $266,728 and ELIZABETH A. SHERIDAN, $74,880. SCHEDULE J, PART I; QUESTION 4B THE AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUALS INCLUDES CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: AMY MANSUE, $183,461; WARREN E. MOORE, $225,618; Anneliese k. McMenamin, SPHR, $247,245; MATTHEW K. DOONAN, ESQ., $55,819; SCOTT E. WAGNER, M.D., MBA, $47,299; STEVEN C. LINN, M.D., $396,532; KATHLEEN SCULLIN, $71,461 and ELIZABETH A. SHERIDAN, $24,584. THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDE UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THESE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: Amy Mansue, $422,768; William D. Pelino, CPA, MBA, $127,970; Tony S. Reed, M.D., Ph.D., MBA, $113,807; Matthew k. Doonan, Esq., $95,159; Scott e. Wagner, M.D., MBA, $65,314; Lydia Stockman, RN, MHA, $95,076; Robin A. Walton, $71,226; David Johnson, $85,389; JAYMICA PATEL, M.D., $51,570; april m. Venable, mba, fache, $60,486; Ruth Bash, $42,808; matthew warner, m.d., mba, $37,709; TERESA VENEZIANO, MSN, RN, $29,274 AND Julie H. Ellis, MBA, SHRM-SCP, $33,508. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2024 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2024 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 2024 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. SCHEDULE J, PART II; COLUMN F THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN (F) INCLUDE VESTED BENEFITS IN A DEFERRED COMPENSATION PLAN AS THESE AMOUNTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE. THESE AMOUNTS WERE REPORTED AS DEFERRED COMPENSATION ON PRIOR YEARS' FORMS 990 AND ARE NOW BEING REPORTED AGAIN ON THIS YEAR'S FORM 990. THESE AMOUNTS HAVE BEEN TREATED AS TAXABLE INCOME AND WERE REPORTED ON EACH INDIVIDUAL'S FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 645790AW6 2016-06-30 201351988 SEE SCHEDULE K, PART IV false false false B NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 645790LQ7 2017-08-17 287424492 SEE SCHEDULE K, PART IV false false false C NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 221987084 31846V203 2024-08-29 266209474 SEE SCHEDULE K, PART IV false false false A 0 0 201351988 0 0 16814852 1500371 0 0 0 183036765 0 2017 true false true true B 0 0 287424492 0 0 0 2114547 0 0 285309945 0 0 false false true true C 0 0 266209474 0 0 374 2058462 0 0 0 0 264150638 true false true true A false true true true true 0.00000 0.00000 0.00000 false false 0.00000 false true B false true true true true true 0.00000 0.00000 0.00000 true false 0.00000 false true C false true true true true true 0.00000 0.00000 0.00000 true false 0.00000 false true A false false false true false false 0 false 0 false true B false false false true false false 0 false 0 false true C false false false true false false 0 false 0 false true A true B true C true SCHEDULE K SCHEDULE K; PART I, LINE A, COLUMN F ------------------------------------ THE PROCEEDS OF THE SERIES 2016A TAX-EXEMPT BONDS WERE USED TO: - REFINANCE ALL OF THE OUTSTANDING NJHCFFA SERIES 2004 BONDS, SERIES 2006 BONDS, AND SERIES 2008 BONDS ("REFUNDED BONDS"); - REFINANCE THE 2011 NOTE PAYABLE; AND - PAY FOR THE COSTS OF ISSUANCE OF THE SERIES 2016A BONDS. SCHEDULE K; PART I, LINES B, COLUMN F ----------------------------------------- THE PROCEEDS OF THE SERIES 2017 TAX-EXEMPT BONDS WERE TO: - FINANCE THE CONSTRUCTION OF A NEW ACUTE-CARE HOSPITAL AND MEDICAL CENTER FACILITY IN MULLICA HILL, NEW JERSEY, WHICH WILL SERVE AS A REPLACEMENT FOR WOODBURY'S ACUTE-CARE FACILITIES; - ESTABLISH A RADIATION ONCOLOGY PROGRAM AT WOODBURY, INCLUDING THE CONSTRUCTION OF A LINEAR ACCELERATOR VAULT; - FINANCE THE EXPANSION OF THE VINELAND EMERGENCY DEPARTMENT; - CONSTRUCTION OF TWO ADDITIONAL FLOORS TO THE EXISTING FACILITY TO HOUSE 36 NEW INPATIENT BEDS; AND - PAY FOR THE COSTS OF ISSUANCE OF THE 2017 BONDS. SCHEDULE K; PART I, LINE C, COLUMN F ------------------------------------- THE PROCEEDS OF THE SERIES 2024A TAX-EXEMPT BONDS WERE USED TO: -REFINANCE THE 2017B VARIABLE BOND. -FINANCE THE CONSTRUCTION OF A NEW TOWER AT INSPIRA'S MULLICA HILL, NEW JERSEY ACUTE-CARE HOSPITAL AND MEDICAL CENTER. -OTHER HOSPITAL UPGRADES ACROSS CAMPUSES. SCHEDULE K, PART IV; QUESTION 2 ------------------------------- THE REBATE COMPUTATION FOR THE 2016A TAX-EXEMPT BOND ISSUANCE WAS LAST PERFORMED JULY 21, 2021. THE REBATE COMPUTATION FOR THE 2017 TAX-EXEMPT BOND ISSUANCES WAS LAST PERFORMED SEPTEMBER 22, 2022. A REBATE COMPUTATION FOR THE 2024A TAX-EXEMPT BOND ISSUANCE HAS NOT BEEN PERFORMED BECAUSE THE BOND IS LESS THAN ONE YEAR OLD. MADISON PARKER FAMILY MEMBER OF OFFICER 29184 EMPLOYEE false CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BACKGROUND ========== INSPIRA MEDICAL CENTERS, INC. ("IMC") IS A PROVIDER OF GENERAL ACUTE AND AMBULATORY HEALTHCARE SERVICES BASED IN GLOUCESTER, CUMBERLAND AND SALEM COUNTIES, NEW JERSEY. IMC IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, IMC PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, IMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1. PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. OPERATES ACTIVE EMERGENCY DEPARTMENTS FOR ALL PERSONS; WHICH ARE OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR, INCLUDING SPECIALIZED PEDIATRIC AND SENIOR EMERGENCY DEPARTMENTS IN THE VINELAND FACILITY; 3. MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF IMC RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF INSPIRA HEALTH NETWORK, INC. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. THE OPERATIONS OF IMC AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF IMC IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. IMC PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. MOREOVER, IMC PROVIDES HEALTHCARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND HUMAN SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. IMC MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE AMOUNT OF FINANCIAL ASSISTANCE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS FINANCIAL ASSISTANCE POLICY. AS THE SOLE PROVIDER OF ESSENTIAL HEALTH SERVICES, IMC PROVIDES AN ESSENTIAL SAFETY NET FOR OUR COMMUNITIES, ASSURING THAT PATIENTS RECEIVE BOTH THE CARE AND FINANCIAL HELP THEY NEED. IMC IS THE AREA'S ONLY NON-PROFIT HEALTH SYSTEM AND MAJOR PROVIDER OF FINANCIAL ASSISTANCE FOR FAMILIES WITHOUT HEALTH INSURANCE. IMC IS AN INTEGRATED HEALTHCARE DELIVERY SYSTEM COMPRISED OF MEDICAL CENTERS, COMMUNITY HEALTH CLINICS, URGENT CARE FACILITIES, HOME HEALTH SERVICES, AND SPECIALTY SERVICES THAT SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY. MEDICAL AND SPECIALTY SERVICES ============================== IMC IS A NON-PROFIT HEALTHCARE ORGANIZATION THAT PROVIDES A BROAD SPECTRUM OF INPATIENT CARE AND AMBULATORY CARE. IN ADDITION TO ITS GENERAL MEDICAL, SURGICAL, OBSTETRICAL, GYNECOLOGICAL, PEDIATRIC AND PSYCHIATRIC SERVICES, IMC OFFERS A WIDE ARRAY OF DIAGNOSTIC AND TREATMENT MODALITIES AND VARIOUS SPECIALTY SERVICES. INSPIRA MEDICAL CENTERS, INC. (IMC) IS COMPRISED OF FOUR ACUTE CARE HOSPITALS AND THREE HOSPITAL-BASED AMBULATORY CARE CENTERS. INSPIRA MEDICAL CENTER VINELAND, LOCATED IN VINELAND, CUMBERLAND COUNTY, NEW JERSEY, IS A 441,000 SQUARE-FOOT, 276-BED ACUTE CARE FACILITY LOCATED ON A 62.5-ACRE CAMPUS. INSPIRA MEDICAL CENTER VINELAND OPERATES THE FOLLOWING SERVICE: NEONATAL INTENSIVE CARE; INPATIENT PEDIATRICS; MATERNAL-FETAL MEDICINE; MATERNITY; OBSTETRICS AND GYNECOLOGY; PULMONARY REHAB and UROGYNECOLOGY. INSPIRA HEALTH CENTER BRIDGETON, LOCATED IN BRIDGETON, CUMBERLAND COUNTY, NEW JERSEY, IS A 78-BED FACILITY. INSPIRA HEALTH CENTER BRIDGETON OPERATES THE FOLLOWING SERVICES: DIALYSIS CENTER; AUTISM DIAGNOSTIC CENTER; BEHAVIORAL HEALTH; IMAGING; LABORATORY SERVICES; REHAB CARE; SATELLITE EMERGENCY DEPARTMENT and SLEEP CENTER. INSPIRA MEDICAL CENTER ELMER IS A 56-BED ACUTE CARE FACILITY LOCATED IN ELMER, SALEM COUNTY, NEW JERSEY. INSPIRA MEDICAL CENTER ELMER OFFERS THE FOLLOWING SERVICES: PULMONARY REHAB and WOUND CARE. INSPIRA MEDICAL CENTER MANNINGTON, LOCATED IN MANNINGTON, SALEM COUNTY, IS A 68-BED ACUTE CARE FACILITY INSPIRA MEDICAL CENTER MANNINGTON OPERATES THE FOLLOWING SERVICES: EMERGENCY DEPARTMENT; WOUND CARE and SURGICAL ASSOCIATES. INSPIRA MEDICAL CENTER MULLICA HILL, LOCATED IN MULLICA HILL, GLOUCESTER COUNTY, IS A 220 BED ACUTE CARE FACILITY. INSPIRA MEDICAL CENTER MULLICA HILL OPERATES THE FOLLOWING SERVICES: MATERNITY; NEONATAL INTERMEDIATE CARE; PULMONARY REHAB and WOUND CARE. INSPIRA HEALTH CENTER WOODBURY LOCATED IN WOODBURY, GLOUCESTER COUNTY, NEW JERSEY, IS A 20-BED FACILITY. INSPIRA HEALTH CENTER WOODBURY OPERATES THE FOLLOWING SERVICES: INPATIENT BEHAVIORAL HEALTH and SATELLITE EMERGENCY DEPARTMENT. EACH MEDICAL CENTER CAMPUS OFFERS 24-HOUR SERVICES IN RADIOLOGY, LABORATORY, CARDIO-PULMONARY AND EMERGENCY MEDICINE. STAFF IS ON CALL AFTER HOURS AND ON WEEKENDS FOR SURGICAL SERVICES AND CERTAIN DIAGNOSTIC SERVICES SUCH AS NUCLEAR MEDICINE AND ULTRASOUND. INSPIRA HEALTH CENTER BRIDGETON AND INSPIRA HEALTH CENTER WOODBURY ARE BOTH HOME TO SATELLITE EMERGENCY DEPARTMENTS THAT SERVE PATIENTS 24 HOURS A DAY, SEVEN DAYS A WEEK, AND A VARIETY OF BEHAVIORAL HEALTH AND OUTPATIENT SERVICES. INPATIENT CARE CENTERS ---------------------- IMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A 501(C)(3) TAX-EXEMPT ORGANIZATION. IN ALIGNMENT WITH ITS CHARITABLE MISSION, 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. IMC OPERATES IN ACCORDANCE WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. AWARDS AND RECOGNITION ====================== 1.) AMERICAN ASSOCIATION OF CRITICAL-CARE NURSES (AACN) GOLD-LEVEL BEACON AWARD FOR EXCELLENCE -DEBORAH F. SAGER NEONATAL INTENSIVE CARE UNIT VINELAND 2.) AMERICAN HEART ASSOCIATION GET WITH THE GUIDELINES - INSPIRA MEDICAL CENTER ELMER - STROKE GOLD PLUS - INSPIRA MEDICAL CENTERS MULLICA HILL AND VINELAND - STROKE GOLD PLUS WITH TARGET: STROKE HONOR ROLL AND TARGET: TYPE 2 DIABETES HONOR ROLL 3.) AMERICAN HEART ASSOCIATION MISSION LIFELINE GOLD AWARD - EMS 4.) BEACON AWARD FOR EXCELLENCE - INSPIRA MEDICAL CENTER VINELAND'S CARDIAC INTENSIVE CARE UNIT - INSPIRA MEDICAL CENTER VINELAND'S PROGRESSIVE CARE UNIT - INSPIRA MEDICAL CENTER ELMER'S INTENSIVE CARE UNIT 5.) BLUE CROSS BLUE SHIELD (BCBS) BLUE DISTINCTION - INSPIRA BARIATRICS MULLICA HILL 6.) DNV CERTIFIED ACUTE STROKE READY -INSPIRA MEDICAL CENTER ELMER 7.) DNV CERTIFIED PRIMARY STROKE CENTERS - INSPIRA MEDICAL CENTER MULLICA HILL - INSPIRA MEDICAL CENTER VINELAND 8.) GREATER PHILADELPHIA BUSINESS COALITION ON HEALTH (GPBCH) REGIONAL QUALITY AND SAFETY HOSPITAL AWARD - INSPIRA MEDICAL CENTER MULLICA HILL (GENERAL) - INSPIRA MEDICAL CENTER VINELAND (GENERAL) - INSPIRA MEDICAL CENTER ELMER (MATERNITY) 9.) LEAPFROG SPRING AND FALL 2024 - INSPIRA MEDICAL CENTER VINELAND RECEIVED AN "A" HOSPITAL SAFETY GRADE - INSPIRA MEDICAL CENTER ELMER RECEIVED AN "A" HOSPITAL SAFETY GRADE - INSPIRA MEDICAL CENTER MULLICA HILL RECEIVED AN "A" HOSPITAL SAFETY GRADE 10.) PATHWAY TO EXCELLENCE DESIGNATION - INSPIRA HEALTH CENTER WOODBURY - INSPIRA HEALTH CENTER MULLICA HILL 11.) TOP DOCTOR AWARDS - JERSEY'S BEST CANCER CARE TOP DOCS - NEW JERSEY MONTHLY TOP DOCS - PHILADELPHIA MAGAZINE 2024 TOP DOCTORS - SJ MAGAZINE TOP DOCS - SJ MAGAZINE TOP DOCS FOR KIDS - SJ MAGAZINE TOP FEMALE DOCTORS - SOUTH JERSEY MAGAZINE TOP DOCS - SOUTH JERSEY MAGAZINE TOP PHYSICIANS FOR WOMEN - SUBURBAN FAMILY MAGAZINE 5 STAR PHYSICIANS 12.) TOP WORKPLACE AWARDS - NJ.COM 2024 NEW JERSEY TOP WORKPLACE - PHILADELPHIA INQUIRER 2024 PHILADELPHIA TOP WORKPLACE CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS INSPIRING MEDICINE ================== INSPIRA HEALTH IS THE REGION'S LEADING NETWORK OF HEALTH CARE PROVIDERS, DELIVERING THE FULL CONTINUUM OF PRIMARY, ACUTE AND ADVANCED CARE SERVICES. INSPIRA HEALTH IS A CHARITABLE NONPROFIT HEALTH CARE ORGANIZATION COMMITTED TO PROVIDING AN EXCEPTIONAL EXPERIENCE FOR PATIENTS AND THEIR LOVED ONES. TRACING ITS ROOTS TO 1899, THE SYSTEM COMPRISES FOUR HOSPITALS, TWO COMPREHENSIVE CANCER CENTERS, NINE MULTI-SPECIALTY HEALTH CENTERS AND LOCATIONS THROUGHOUT SOUTH JERSEY. INSPIRA'S SURGICAL TEAMS PROVIDE NATIONALLY ACCREDITED BARIATRIC PROCEDURES AND A WIDE ARRAY OF ROBOTIC AND MINIMALLY INVASIVE SURGERIES. IN PARTNERSHIP WITH COOPER UNIVERSITY HEALTHCARE, INSPIRA PROVIDES COMPREHENSIVE NEUROSCIENCE AND CARDIOLOGY SERVICES THROUGHOUT THE REGION. INSPIRA'S EXTENSIVE AMBULATORY SERVICES INCLUDE URGENT CARE; AMBULATORY SURGERY CENTERS; PHYSICAL AND OCCUPATIONAL THERAPY; COMPREHENSIVE BEHAVIORAL HEALTH; PRIMARY AND SPECIALTY PHYSICIAN PRACTICES IN GLOUCESTER, CUMBERLAND, SALEM, CAMDEN AND ATLANTIC COUNTIES; AND EXTENSIVE OUTPATIENT IMAGING IN PARTNERSHIP WITH ATLANTIC MEDICAL IMAGING (AMI). ADDITIONALLY, INSPIRA EMS COVERS COMMUNITIES THROUGHOUT SOUTH JERSEY. INSPIRA'S POPULATION HEALTH AND COMMUNITY IMPACT DEPARTMENTS PROACTIVELY REACH OUT TO ALL COMMUNITIES AND ADDRESS SOCIAL DRIVERS OF HEALTH THAT IMPACT INDIVIDUALS AND FAMILIES IN OUR REGION. TOGETHER WITH ITS MEDICAL STAFF OF MORE THAN 1,400 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS, AS WELL AS MORE THAN 7,800 EMPLOYEES, INSPIRA HEALTH PROVIDES EVIDENCE-BASED CARE TO HELP EACH PATIENT ACHIEVE THE BEST POSSIBLE OUTCOME. AND AS A REGIONAL LEADER IN PHYSICIAN TRAINING, INSPIRA HEALTH MENTORS AND PROVIDES EXTENSIVE CLINICAL OPPORTUNITIES FOR MORE THAN 280 MEDICAL RESIDENTS AND FELLOWS IN 16 NATIONALLY ACCREDITED PROGRAMS. ACCREDITED BY DNV HEALTHCARE, THE SYSTEM'S CLINICAL AND SUPPORT STAFF ARE FOCUSED ON PROVIDING QUALITY CARE AS A HIGH RELIABILITY ORGANIZATION. TO LEARN MORE ABOUT INSPIRA HEALTH, VISIT INSPIRAHEALTHNETWORK.ORG OR CALL 1-800-INSPIRA. OUR MISSION, VISION AND VALUES GUIDE US --------------------------------------- OUR MISSION: TO PROVIDE A SAFE AND COMPASSIONATE EXPERIENCE THAT IMPROVES THE HEALTH AND WELL-BEING OF OUR COMMUNITY BY PLACING THE SAFETY OF OUR PATIENTS AND SUPPORT OF OUR EMPLOYEES AT THE CENTER OF ALL WE DO. OUR VISION: INSPIRA HEALTH INSPIRES AND EMPOWERS HEALTHIER COMMUNITIES BY CREATING THE HIGHEST QUALITY AND MOST DESIRABLE PATIENT EXPERIENCE IN THE REGION. OUR VALUES: INNOVATION, COMPASSION, RELIABILITY, EMPATHY, ACCESS, TEAMWORK, EMPOWERMENT: - INNOVATION WE STRIVE TO EMPLOY INGENUITY AND NEW STANDARDS OF CARE TO IMPROVE OUR WORK EVERY DAY. - COMPASSION WE TREAT EVERYONE EQUALLY WITH KINDNESS AND RESPECT. - RELIABILITY WE PUT THE SAFETY OF OUR PATIENTS, COMPLIANCE AND BEST PRACTICE AT THE FOREFRONT OF ALL WE DO. - EMPATHY WE LISTEN AND GENUINELY RELATE TO OTHERS IN ORDER TO MAKE THEM FEEL SEEN AND APPRECIATED. - ACCESS WE PROVIDE A HIGH-QUALITY PATIENT EXPERIENCE TO ALL PEOPLE. - TEAMWORK WE COLLABORATE AND UTILIZE THE FULL BREADTH OF THE INSPIRA NETWORK TO IMPROVE THE EXPERIENCE OF OUR PATIENTS. - EMPOWERMENT WE EDUCATE AND INSPIRE POSITIVE CHANGE AND HEALTHIER LONG-TERM OUTCOMES. CANCER SERVICES =============== THE INSPIRA FRANK AND EDITH SCARPA REGIONAL CANCER PAVILION IS A ONE-STOP EXPERIENCE FOR CANCER PATIENTS, EXPANDS ACCESS TO CLINICAL TRIALS, CONSOLIDATES SERVICES AND BRINGS TOGETHER A MULTIDISCIPLINARY CARE TEAM, INCLUDING MEDICAL ONCOLOGY, RADIATION ONCOLOGY AND SURGICAL ONCOLOGY TO PROVIDE THE LATEST AND HIGHEST QUALITY CANCER CARE IN THE REGION. INSPIRA MEDICAL CENTER VINELAND IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER AS A COMPREHENSIVE COMMUNITY CANCER PROGRAM AND THE BREAST PROGRAM IS ALSO ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS. THE CENTER HOUSES A 6-CHAIR INFUSION CENTER WHICH PROVIDES CHEMOTHERAPY AND SUPPORTIVE DRUG THERAPIES, AS WELL AS BLOOD TRANSFUSIONS, NON-ONCOLOGIC INFUSIONS, AND MEDICATION INJECTIONS. THE RADIATION ONCOLOGY DEPARTMENT FEATURES (2) LINEAR ACCELERATORS AND PROVIDES A FULL RANGE OF RADIATION SERVICES INCLUDING EXTERNAL BEAM RADIATION, IMRT & IGRT (IMAGE GUIDED RADIATION), STEREOTACTIC BODY THERAPY AND STEREOTACTIC RADIOSURGERY, AS WELL AS BRACHYTHERAPY SERVICES. THE CENTER ALSO INCLUDES OFFICES FOR BOARD CERTIFIED, FELLOWSHIP TRAINED SURGICAL SUB-SPECIALISTS, AS WELL AS A PRIVATE MEDICAL ONCOLOGY GROUP, MAKING ACCESS TO MULTIPLE PHYSICIANS AVAILABLE WITH A SINGLE APPOINTMENT. THE LEADING EDGE CANCER CENTER AT INSPIRA MEDICAL CENTER MULLICA HILL OPENED IN MARCH 2020. THIS COMPREHENSIVE CENTER MIMICS THE CORE ELEMENTS OF CONVENIENCE HIGHLIGHTED AT THE VINELAND CAMPUS, BRINGING ALL OF THE CORE ONCOLOGY PATIENT SERVICES UNDER ONE ROOF. THE CENTER, DESIGNED WITH PATIENT INPUT, PUTS THE PATIENT EXPERIENCE AT THE FOREFRONT OF CARE DELIVERY. THE CENTER HOUSES A RADIATION ONCOLOGY DEPARTMENT CONSISTING OF (2) LINEAR ACCELLERATORS, PROVIDING THE SERVICES NOTED ABOVE. HOUSED ON THE SECOND FLOOR OF THE CANCER CENTER, THE INFUSION SUITE INCLUDES 22 CHAIRS AND PROVIDES A COMPREHENSIVE OFFERING OF BOTH ONCOLOGIC AND NON-ONCOLOGIC INFUSION THERAPIES. THE THIRD FLOOR FEATURES MULTIDISCIPLINARY CLINIC SPACE FOR A RANGE OF ONCOLOGY-RELATED SPECIALISTS. THE CANCER PROGRAM IS ALSO ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISION ON CANCER AS A COMMUNITY CANCER PROGRAM. BOTH PROGRAMS ARE FOUNDED ON A MULTIDISCIPLNARY APPROACH TO CARE AND MAKES FULL USE OF A CARE TEAM APPROACH. IN ADDITION TO MEDICAL ONCOLOGISTS, RADIATION ONCOLOGISTS, AND SURGICAL ONCOLOGISTS, THE TEAM INCLUDES ONCOLOGY-CERTIFIED NURSES, SOCIAL WORKER, DIETICIAN, CARE COORDINATORS, NAVIGATORS, AND RESEARCH NURSES AS WELL AS RADIOLOGISTS AND PATHOLOGISTS. THE TEAM MEETS REGULARLY TO COLLABORATE ON INDIVIDUALIZED PATIENT PLANS OF CARE. INSPIRA OFFERS INNOVATIVE SERVICES RELATED TO THE DIAGNOSIS AND TREATMENT OF CANCER. MOST RECENTLY, INSPIRA INTRODUCED SOZO TECHNOLOGY, A BIOIMPEDENCE DEVICE THAT ALLOWS FOR THE DETECTION OF PRE-CLINICAL LYMPHEDEMA (OFTEN A SIDE EFFECT OF BREAST CANCER SURGERY) AND ENABLES CLINICIANS TO INTERVENE EARLY, LEADING TO BETTER PATIENT OUTCOMES. ADDITIONALLY, INSPIRA IS UTILIZING ARTIFICIAL INTELLIGENCE (AI) TO SUPPORT THE CANCER PROGRAM. AI IS USED TO CONNECT NEWLY DIAGNOSED PATIENTS WTH NAVIGATION SERVICES. IT IS ALSO USED TO IDENTIFY INCIDENTAL LUNG NODULES AND ENABLE INSPIRA TO CONNECT THESE PATIENTS TO FOLLOW UP CARE. INSPIRA WAS THE FIRST IN THE REGION TO OFFER BREAST CANCER PATIENTS SAVI SCOUT, A NEW TECHNOLOGY THAT TARGETS BREAST LUMPS MORE EFFECTIVELY AND ELIMINATES THE NEED FOR NEEDLE OR WIRE TUMOR LOCALIZATION. INSPIRA ALSO OFFERS THE LATEST TECHNOLOGY IN DIAGNOSTICS FOR LUNG CANCER AND FEATURES A MINIMALLY INVASIVE SURGICAL SUITE, INCLUDING ROBOTIC TECHNOLOGY, ALLOWING OUR SURGICAL CANCER PATIENTS MANY OPTIONS FOR CARE AND TREATMENT. COMPREHENSIVE CARDIOVASCULAR SERVICES ===================================== INSPIRA AND COOPER UNIVERSITY HEALTH CARE HAVE FORMED AN AFFILIATION TO COMPLETELY INTEGRATE CARDIAC SERVICES. THIS AFFILIATION, CALLED COOPER AND INSPIRA CARDIAC CARE, PROVIDES PATIENTS IN THE SOUTH JERSEY REGION WITH ACCESS TO MORE COORDINATED AND COMPREHENSIVE CARDIAC SERVICES ACROSS THE CONTINUUM OF CARE. THE COMBINATION OF THE TWO SYSTEMS' COMPLEMENTARY HEART SERVICES MAKE COOPER AND INSPIRA CARDIAC CARE THE LARGEST CARDIAC PROGRAM IN SOUTH JERSEY. - COOPER AND INSPIRA CARDIAC CARE IS THE MOST COMPREHENSIVE HEART CARE CENTER IN SOUTHERN NEW JERSEY, PROVIDING THE MOST ADVANCED CARDIAC CARE - IN YOUR NEIGHBORHOOD. - NATIONALLY AND INTERNATIONALLY RENOWNED CLINICAL AND INTERVENTIONAL CARDIOLOGISTS. - THE MOST ADVANCED MINIMALLY INVASIVE TECHNIQUES. - LARGEST VOLUME OF CARDIOTHORACIC SURGERY IN THE REGION. - RECOGNIZED BY THE SOCIETY OF THORACIC SURGEONS FOR SUPERIOR SURGICAL OUTCOMES. - WOMEN'S HEART PROGRAM WITH THE LARGEST FEMALE CARDIOLOGY GROUP IN SOUTH JERSEY. - STATE-OF-THE-ART DIAGNOSTIC CAPABILITIES. - INDIVIDUALIZED CARE DESIGNED TO MEET YOUR NEEDS. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS COMPREHENSIVE NEUROSCIENCE SERVICES =================================== COOPER AND INSPIRA NEUROSCIENCE IS AN AFFILIATION BETWEEN TWO LEADING HEALTH SYSTEMS TO FULLY INTEGRATE NEUROLOGICAL SERVICES. THIS AFFILIATION PROVIDES PATIENTS ACROSS SOUTHERN NEW JERSEY AND GREATER PHILADELPHIA WITH ACCESS TO COORDINATED, COMPREHENSIVE NEUROSCIENCE CARE ACROSS THE CONTINUUM OF CARE. COMBINING THE TWO SYSTEMS' COMPLEMENTARY STRENGTHS MAKES COOPER AND INSPIRA NEUROSCIENCE THE MOST COMPREHENSIVE NEUROSCIENCE PROGRAM IN THE REGION. PATIENTS BENEFIT FROM WORLD-RENOWNED NEUROLOGISTS AND NEUROSURGEONS, INNOVATIVE MINIMALLY INVASIVE AND ROBOTIC PROCEDURES, AND STATE-OF-THE-ART DIAGNOSTIC AND INTERVENTIONAL TECHNOLOGIES. SPECIALIZED PROGRAMS INCLUDE STROKE CARE, NEURO ONCOLOGY, PARKINSON'S DISEASE, ALZHEIMER'S DISEASE, EPILEPSY, AND MORE. BOTH HEALTH SYSTEMS HAVE RECEIVED NATIONAL RECOGNITION FOR STROKE CARE, AND THIS PARTNERSHIP ADVANCES THEIR SHARED MISSION TO IMPROVE ACCESS AND ELEVATE THE PATIENT EXPERIENCE THROUGH INTEGRATED, CUTTING-EDGE NEUROLOGICAL CARE. A CENTER OF EXCELLENCE FOR BARIATRIC SURGERY ============================================ INSPIRA MEDICAL CENTER VINELAND HAS BEEN NAMED A BARIATRIC SURGERY CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY (ASMBS). THE ASMBS CENTER OF EXCELLENCE DESIGNATION RECOGNIZES SURGICAL PROGRAMS WITH A DEMONSTRATED TRACK RECORD OF FAVORABLE OUTCOMES IN BARIATRIC SURGERY. TO EARN A CENTER OF EXCELLENCE DESIGNATION, THE INSPIRA MEDICAL CENTER VINELAND UNDERWENT A SERIES OF SITE INSPECTIONS DURING WHICH ALL ASPECTS OF THE PROGRAM'S SURGICAL PROCESSES WERE CLOSELY EXAMINED AND DATA ON HEALTH OUTCOMES WAS COLLECTED. BREAST IMAGING CENTER OF EXCELLENCE =================================== INSPIRA MEDICAL CENTER VINELAND HAS BEEN DESIGNATED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THE DESIGNATION IS AWARDED TO BREAST IMAGING CENTERS THAT HAVE ACHIEVED EXCELLENCE BY SEEKING AND EARNING ACCREDITATION IN ALL OF THE ACR'S VOLUNTARY, BREAST-IMAGING ACCREDITATION PROGRAMS AND MODULES, IN ADDITION TO THE MANDATORY MAMMOGRAPHY ACCREDITATION PROGRAM. LUNG CANCER SCREENING CENTER OF EXCELLENCE ========================================== INSPIRA MEDICAL CENTER VINELAND HAS BEEN DESIGNATED A LUNG CANCER SCREENING CENTER BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THE ACR LUNG CANCER SCREENING CENTER DESIGNATION IS A VOLUNTARY PROGRAM THAT RECOGNIZES FACILITIES THAT HAVE COMMITTED TO PRACTICE SAFE, EFFECTIVE DIAGNOSTIC CARE FOR INDIVIDUALS AT THE HIGHEST RISK FOR LUNG CANCER. IN ORDER TO RECEIVE THIS ELITE DISTINCTION, FACILITIES MUST BE ACCREDITED BY THE ACR IN COMPUTED TOMOGRAPHY (CT) IN THE CHEST MODULE, AS WELL AS UNDERGO A RIGOROUS ASSESSMENT OF ITS LUNG CANCER SCREENING PROTOCOL AND INFRASTRUCTURE. ALSO REQUIRED ARE PROCEDURES IN PLACE FOR FOLLOW-UP PATIENT CARE, SUCH AS COUNSELING AND SMOKING CESSATION PROGRAMS. MATERNAL AND CHILD HEALTH ========================= HOSPITAL-BASED MATERNITY SERVICES ARE OFFERED AT INSPIRA MEDICAL CENTER VINELAND AND INSPIRA MEDICAL CENTER MULLICA HILL, WHICH BOTH OFFER MODERN, PRIVATE MATERNITY SUITES WHERE OUR PHYSICIANS AND NURSES PROVIDE A SAFE AND POSITIVE ENVIRONMENT FOR LABOR AND DELIVERY. INSPIRA MEDICAL CENTERS ALSO OFFER THE SERVICES OF MIDWIVES. THE WOMEN'S AND CHILDREN'S INPATIENT CARE CENTER IS LOCATED ON THE FIRST FLOOR OF INSPIRA MEDICAL CENTER VINELAND AND OFFERS A LDRP (LABOR, DELIVERY, RECOVERY AND POST-PARTUM) ROOM CONFIGURATION THAT PERMITS A MOTHER TO CHOOSE WHETHER SHE WISHES TO HAVE HER BABY STAY IN THE SAME ROOM WITH HER DURING HER STAY OR HAVE FAMILY MEMBERS STAY WITH HER. IMC VINELAND HAS 10 PRIVATE LABOR/DELIVERY/RECOVERY ROOMS AND 28 PRIVATE POST-PARTUM ROOMS TO ENCOURAGE FAMILY BONDING. NEONATAL INTENSIVE CARE UNIT (NICU) =================================== INSPIRA MEDICAL CENTER VINELAND OFFERS ADVANCED CARE FOR PREMATURE, LOW BIRTH-WEIGHT/CRITICALLY ILL INFANTS AT THE LEVEL III DEBORAH F. SAGER NEONATAL INTENSIVE CARE UNIT. THE UNIT IS SUPPORTED 24 HOURS A DAY, 7 DAYS A WEEK BY NEONATOLOGISTS FROM NEMOURS CHILDREN'S HOSPITAL. NEUROSURGERY ============ AT INSPIRA MEDICAL CENTERS MULLICA HILL AND VINELAND, PATIENTS ARE OFFERED THE LATEST MINIMALLY INVASIVE SURGICAL TREATMENTS FOR A RANGE OF CONDITIONS LIKE BRAIN TUMORS, SPINE TUMORS, HERNIATED DISCS, SPINAL STENOSIS, CARPEL TUNNEL SYNDROME, SPINAL COMPRESSION FRACTURES AND CHRONIC PAIN BY A HIGHLY-SKILLED, FELLOWSHIP TRAINED NEUROSURGEON. UROLOGY ======= OUR MINIMALLY INVASIVE SURGERY TEAM SPECIALIZES IN SURGICAL PROCEDURES THAT ARE BOTH THE MOST EFFECTIVE AND LEAST INVASIVE TO TREAT A LARGE RANGE OF CONDITIONS - UROLOGIC CANCERS, BENIGN PROSTATE ENLARGEMENT, BLADDER DISORDERS, WOMEN'S AND CHILDREN'S UROLOGIC PROBLEMS, URINARY STONE DISEASE, RECONSTRUCTIVE SURGERY, MALE AND FEMALE SEXUAL DYSFUNCTION, AND MALE INFERTILITY. IMC SPORTS REHABCARE VINELAND ============================= THE DEDICATED STAFF OF IMC SPORTS REHABCARE WORK CLOSELY. WITH ORTHOPEDIC SURGEONS TO ASSIST PATIENTS WITH THE REHABILITATION AND TREATMENT OF ARTHROSCOPIC PROCEDURES, TOTAL JOINT REPLACEMENTS FOR HIP AND KNEE, INTRICATE HAND AND FOOT SURGERY AND SPECIALIZED SPINE PROCEDURES. THE REHAB CENTERS NEW ALTERG ANTI-GRAVITY TREADMILL INTRODUCES TECHNOLOGY THAT "UNWEIGHTS" A USER, REDUCING THE IMPACT OF WALKING OR RUNNING ON BOTH MUSCLES AND JOINTS. THIS ENABLES PATIENTS TO MAINTAIN THEIR NATURAL GAIT WHILE REHABILITATING AND MAY EVEN SPEED THE PROCESS OF THERAPY. ADDITIONALLY, INSPIRA REHABCARE HAS INTRODUCED THE NINTENDO WII AS AN ADJUNCT TO CURRENT AND TRADITIONAL THERAPIES. IT ENHANCES THE PATIENT EXPERIENCE AT THE SAME TIME CREATING A FUN ATMOSPHERE. ORTHOPEDICS =========== HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY HAS RECOGNIZED IMC AT ELMER AS A "BLUE DISTINCTION" CENTER. THAT MEANS THAT INSPIRA'S PERFOMANCE IN QUALITY AND COST ARE ABOVE THE AVERAGE OF OTHER HOSPITALS IN THE STATE. THIS DESIGNATION IS SPECIFIC TO TOTAL JOINT REPLACEMENT IN HIPS AND KNEES. ROBOTIC SURGERY =============== IMC VINELAND UTILIZES THE STATE OF THE ART DAVINCI FOR ROBOTIC SURGERY IN THE FOLLOWING SPECIALTIES: GENERAL SURGERY, UROLOGY, THORACIC SURGERY, GYNECOLOGY, GYNECOLOGY ONCOLOGY AND UROGYNECOLOGY. ROBOTIC SURGERY IS MINIMALLY INVASIVE, RESULTING IN SHORTER LENGTH OF STAY, REDUCED COMPLICATIONS, LESS POST-OPERATIVE PAIN AND A DECREASED NEED FOR POST-OPERATIVE REHABILITIATION. BEHAVIORAL HEALTH SERVICES ========================== BEHAVIORAL HEALTH SERVICES EXPANDED BETWEEN 2022-2024: - REDESIGNATING INVOLUNTARY INPATIENT MENTAL HEALTH BEDS IN MANNINGTON, ALLOWING MORE SALEM COUNTY RESIDENTS TO RECEIVE CARE LOCALLY. FROM 2023 TO 2024, PATIENT CARE DAYS INCREASED FROM 604 TO 2,868. - OPENING OF 19-BED VOLUNTARY INPATIENT MENTAL HEALTH UNIT IN BRIDGETON, EXPANDING CAPACITY AND PROVIDING A MORE SPECIALIZED ENVIRONMENT FOR HEALING. - OPENING THE INSPIRA HEALTH CENTER WOODBURY PAVILION, WHICH ALLOWED OUR EXISTING INPATIENT BEHAVIORAL HEALTH PROGRAM TO MOVE INTO A NEW INPATIENT BEHAVIORAL HEALTH CENTER OFFERING 20, FIRST-OF-ITS-KIND IN THE REGION, PRIVATE ROOMS; ENHANCING PRIVACY AND SAFETY. - BEHAVIORAL HEALTH OUTPATIENT VISITS CONTINUE TO GROW, WITH 121,000 IN 2024- MAKING UP ABOUT 20% OF OUR OUTPATIENT VISITS. - BEHAVIORAL ASSISTANCE RECOVERY TEAM (BART) COACHES CONNECT ER PATIENTS TO THE APPROPRIATE LEVEL OF CARE - BEFORE THEY ARE DISCHARGED, ALWAYS WORKING TO FIND CARE THAT IS CLOSE THE PATIENT'S HOME. - BART COACHES HAVE HAD MORE THAN 45,400 ENCOUNTERS WITH ER PATIENTS FROM 2022 TO 2024. - OPENED AUTISM DIAGNOSTIC CENTERS IN WOODBURY AND BRIDGETON, NJ IN 2024. CHILD & ADOLESCENT SERVICES --------------------------- CHILD AND ADOLESCENT INTERMEDIATE INPATIENT PROGRAM (AGES 5 TO 17) - THIS PROGRAM OFFERS A COMPLETE EVALUATION AND TREATMENT OPTION FOR CHILDREN WHO REQUIRE LONGER-TERM HOSPITALIZATION. INSPIRA'S 12 BED INTERMEDIATE CARE UNIT IN BRIDGETON IS THE AREA'S ONLY EXPERIENCED LONG TERM PSYCHIATRIC TREATMENT CENTER FOR INPATIENT CARE OF THIS AGE GROUP. THE AVERAGE LENGTH OF STAY IS BETWEEN 4 TO 12 WEEKS. CHILD AND ADOLESCENT PROGRAM (AGES 5 TO 17) - THE PARTIAL HOSPITALIZATION PROGRAM PROVIDES FULL TREATMENT INCLUDING INDIVIDUAL, GROUP AND FAMILY COUNSELING AS WELL AS PSYCHIATRIC ASSESSMENT. INPATIENT PROGRAM FOR CHILDREN AND ADOLESCENTS (AGES 5 TO 17) - THIS PROGRAM PROVIDES THE REGION WITH AN ADVANCED CHILDREN'S CRISIS INTERVENTION PROGRAM FOR COMPLETE INPATIENT EVALUATION, DIAGNOSIS, AND TREATMENT FOR YOUTH WHO ARE IN NEED OF IMMEDIATE TREATMENT. THE NEWLY RENOVATED 14 BED UNIT OFFERS GROUP AND INDIVIDUAL THERAPY AS WELL AS AROUND-THE-CLOCK NURSING CARE. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS INTENSIVE OUTPATIENT PROGRAMS (AGES 11 TO 17) - INSPIRA HEALTH CENTER BRIDGETON OFFERS AN INTENSIVE OUTPATIENT PROGRAM, WHICH ASSISTS ADOLESCENTS IN CUMBERLAND & SALEM COUNTIES FIND BETTER PATHWAYS TO HEALTHY DEVELOPMENT. THERAPEUTIC NURSERY (AGES 3 TO 5) - INSPIRA OFFERS A THERAPEUTIC NURSERY PROGRAM TO HELP CHILDREN EARLY ON WHO STRUGGLE WITH BEHAVIORAL DISORDERS. WE COLLABORATE WITH ALL KEY STAKEHOLDERS IN THE CHILD'S LIFE TO ESTABLISH INDIVIDUALIZED TREATMENT GOALS. ADULT SERVICES -------------- INPATIENT PROGRAM FOR ADULTS - INSPIRA'S SHORT-TERM CARE FACILITY AND VOLUNTARY INPATIENT PROGRAMS OFFER COMPLETE INPATIENT EVALUATION, DIAGNOSIS, TREATMENT AND AROUND-THE-CLOCK NURSING CARE FOR ADULTS WHO ARE IN NEED OF A HIGHER LEVEL OF TREATMENT. THE FACILITY FEATURES A 33-BED UNIT DESIGNED TO PROMOTE HEALING ADULT PARTIAL HOSPITALIZATION PROGRAM - THE ADULT PARTIAL-HOSPITALIZATION PROGRAM PROVIDES SERVICES SIMILAR TO THE INTENSITY AND SCOPE OF INPATIENT TREATMENT, BUT WITH SIGNIFICANTLY LESS DISRUPTION TO THE LIVES OF PATIENTS AND THEIR FAMILIES. THE PROGRAM IS DESIGNED FOR PEOPLE WITH SYMPTOMS THAT SERIOUSLY IMPACT THEIR DAILY FUNCTIONING, BUT WHO ARE HOPING TO AVOID HOSPITALIZATION OR ARE IN NEED OF A TRANSITION FROM INPATIENT TO OUTPATIENT CARE. THIS PROGRAM FOLLOWS AN ACUTE SHORT-TERM MODEL OF INTENSIVE TREATMENT WITH MULTIPLE SESSIONS TO SPAN OVER A FEW WEEKS. ADULT INTENSIVE OUTPATIENT PROGRAM - THE ADULT INTENSIVE OUTPATIENT PROGRAM PROVIDES INTENSIVE, STRUCTURED, CLINICAL SERVICES TO INDIVIDUALS EXPERIENCING SIGNIFICANT EMOTIONAL DISTRESS. THE PROGRAM OFFERS THE FLEXIBILITY FOR CLIENTS TO ATTEND SPECIALIZED DAY OR AFTERNOON GROUP THERAPY. TYPICALLY, INDIVIDUALS ATTEND FOR THREE HOURS PER DAY, TWO OR THREE TIMES PER WEEK. THE PROGRAM'S PSYCHOTHERAPY AND PSYCHO-EDUCATIONAL GROUPS PROVIDE A SAFE, CARING ENVIRONMENT IN WHICH INDIVIDUALS CAN ADDRESS THEIR MENTAL HEALTH NEEDS, GAIN A BETTER UNDERSTANDING OF THEIR ILLNESS, IMPROVE COPING SKILLS AND DRAW ON MUTUAL SUPPORT. THE IOP PROGRAM ALSO PROVIDES ACCESS TO A 24/7 CONTACT LINE THAT WILL CONNECT PEOPLE WITH IMC MENTAL HEALTH STAFF. WELLNESS AND RECOVERY OUTPATIENT PROGRAM - INSPIRA'S WELLNESS AND RECOVERY OUTPATIENT PROGRAM PROVIDES TREATMENT FOR PATIENTS WITH CO-OCCURRING DISORDERS IN MENTAL AND SUBSTANCE ABUSE. THE PROGRAM PROVIDES TRADITIONAL OUTPATIENT SERVICES, WHICH INCLUDE WEEKLY, HOUR-LONG INDIVIDUAL, FAMILY AND GROUP SESSIONS ALONG WITH PSYCHIATRIC EVALUATIONS AND INDIVIDUALIZED MEDICATION MANAGEMENT. INSPIRA HAS PARTNERED WITH FOUR LOCAL HEALTH SYSTEMS TO FORM THE SOUTH JERSEY BEHAVIORAL HEALTH INNOVATION COLLABORATIVE TO HELP IMPROVE SERVICES ACROSS THE REGION. ACCESS TO AND IMPROVING THE QUALITY OF HEALTHCARE ================================================= IMC HAS A PROUD HISTORY OF HELPING UNINSURED RESIDENTS GET THE COVERAGE THEY NEED. IMC HAS WORKED IN COLLABORATION WITH NJHA (NEW JERSEY HOSPITAL ASSOCIATION) TO PROVIDE CERTIFIED APPLICATION COUNSELORS TO ASSIST COMMUNITY MEMBERS IN ACCESSING THE NEW FEDERAL HEALTHCARE EXCHANGE AND TO APPLY FOR HEALTH INSURANCE AS MANDATED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. ADDITIONAL ASSISTANCE LISTED BELOW IS ALSO PROVIDED: - HEALTH CONCIERGE SERVICE - IMC CONTINUED TO ENHANCE THE HEALTHCARE CONCIERGE SERVICE. WITH ONE PHONE CALL, AREA RESIDENTS CAN NOW SCHEDULE APPOINTMENTS, REGISTER FOR CLASSES, FIND A PHYSICIAN, OR EVEN TALK WITH A REGISTERED NURSE ABOUT AN UPCOMING MEDICAL TEST. - HEALTH INFORMATION - ACCESS TO QUALITY HEALTH INFORMATION IS IMPORTANT AND IMC PROVIDES A VARIETY OF HEALTHCARE INFORMATION TO THE COMMUNITY ON ITS WEBSITE AND THROUGH PUBLICATIONS TO THE GENERAL PUBLIC. THE COMMUNITY HAS MONTHLY ACCESS TO IMC MEDICAL EXPERTS THROUGH PARTNERSHIPS WITH THE LOCAL NEWSPAPERS FEATURING MONTHLY SECTIONS LIKE "ASK THE DOCTOR", WHICH ALLOW READERS TO SUBMIT QUESTIONS AND RECEIVE RESPONSES ABOUT IMPORTANT HEALTHCARE ISSUES. INSPIRA'S WEBSITE OFFERS A WEALTH OF HEALTH INFORMATION TO THE COMMUNITY INCLUDING FREE ACCESS TO LOOK, LISTEN AND LEARN, AN ONLINE LIBRARY OF EDUCATIONAL VIDEOS COVERING A VARIETY OF MEDICAL CONDITIONS AND PROCEDURES. - LANGUAGE ASSISTANCE - PROVIDED TO THOSE WHOSE LANGUAGE IS OTHER THAN ENGLISH. TO BE CONSIDERED COMMUNITY BENEFIT, THE ETHNICITY OF THE LANGUAGE SPOKEN MUST BE LESS THAN 5% OF THE DEMOGRAPHIC POPULATION. IMC HAS BOTH PARTICIPATED IN AND CONDUCTED A NUMBER OF PROGRAMS TO IMPROVE QUALITY OF HEALTHCARE SERVICES: - EFFICIENT AND QUALITY PATIENT CARE - AS THE LEADING HEALTHCARE PROVIDER IN SOUTHERN NEW JERSEY, IMC IS HIGHLY REGARDED FOR ITS QUALITY OF CARE AND SERVICES IN THE REGION. CLINICAL QUALITY AND SERVICE EXCELLENCE REMAIN TOP STRATEGIC INITIATIVES. TO FURTHER INCREASE THE EFFICIENCY OF PATIENT CARE, IMC HAS TRANSITIONED TO ELECTRONIC MEDICAL RECORDS MAKING SIGNIFICANT INVESTMENTS IN ITS CLINICAL COMPUTER SYSTEMS. THE ORGANIZATION WILL EXPAND ITS CORE QUALITY MEASURES BY PARTICIPATING IN SEVERAL REGIONAL AND NATIONAL PERFORMANCE IMPROVEMENT PROGRAMS THAT WILL PROVIDE BENCHMARKING DATA AND TOOLS FOR MEASURING AND REPORTING CLINICAL QUALITY. - PATIENT SATISFACTION - IMC USES A PATIENT SATISFACTION TOOL CALLED PRESS GANEY. THIS STANDARDIZED SURVEY MEASURES OUR PATIENTS' PERCEPTIONS ABOUT THEIR HOSPITAL EXPERIENCE AND PROVIDES FEEDBACK ABOUT HOW WE ARE DOING, BOTH GOOD AND BAD. THIS ASSISTS US TO CONTINUALLY MAKE IMPROVEMENTS AND PROVIDE EVEN BETTER CARE FOR THE COMMUNITY. - LIFE - INSPIRA LIFE IS AN INNOVATIVE AND COMPREHENSIVE PROGRAM AVAILABLE TO OLDER ADULTS AND THEIR FAMILIES IN OUR COMMUNITY. THIS PROGRAM IS PART OF THE NATIONAL PACE (PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY) PROGRAM. LIFE STANDS FOR (LIVING INDEPENDENTLY FOR ELDERS) AND CURRENTLY SERVES ALL OF CUMBERLAND COUNTY AND PARTS OF SALEM AND GLOUCESTER COUNTIES. INSPIRA LIFE IS ONE OF ONLY FOUR PROGRAMS IN THE STATE OF NEW JERSEY. THIS PROGRAM PROVIDES ALL-INCLUSIVE CARE TO ELIGIBLE PARTICIPANTS 55 YEARS AND OLDER THAT MEET THE REQUIREMENTS FOR NURSING HOME LEVEL CARE. COMMUNITY BENEFIT EFFORTS ========================= DONATIONS/CASH CONTRIBUTIONS ---------------------------- EACH YEAR IMC SUPPORTS MANY NON-PROFIT ORGANIZATIONS WHOSE MISSION IS IN ALIGNMENT WITH THAT OF ITS OWN BY PROVIDING DONATIONS OF BOTH CASH AND IN-KIND IN RESPONSE TO THE COMMUNITY'S NEEDS. SOME OF THE ORGANIZATIONS SUPPORTED WITH A CASH DONATION INCLUDED: AC JOSEPH MEDIA, AMI, ACENDA, ADVOCATES FOR CHILDREN OF NJ, ALICIA ROSE VICTORIOUS FOUNDATION, ALZHEIMER'S ASSOCIATION, AMERICAN CANCER SOCIETY, AMERICAN CANCER SOCIETY / RK CHEVROLET, AMERICAN RED CROSS, APPEL FARM, BANCROFT, BIG BROTHERS BIG SISTERS CUMBERLAND SALEM, BILL BOTTINO CANCER FOUNDATION, BOYS & GIRLS CLUB OF GLOUCESTER COUNTY, BOYS & GIRLS CLUBS OF CUMB. CO., BRIDGETON AREA CHAMBER OF COMMERCE, BRIDGETON AREA CHAMBER OF COMMERCE / ROTARY, BRIDGETON REDEVELOPMENT ASSOC., CEO GROUP, THE, CALVARY COMMUNITY DEVELOPMENT CORP, CAMDEN COALITION OF HEALTHCARE PROVIDERS, CANCER SUPPORT COMMUNITY NJ (GILDA'S CLUB), CHAMBER OF COMMERCE SOUTHERN NEW JERSEY, COALITION FOR FOOD AND HEALTH EQUITY, COLLEEN SORBELLO BREAST CANCER FOUNDATION, COMMUNITY FOOD BANK OF NJ, COMMUNITY PLANNING & ADVOCACY COUNCIL, COMPLETE CARE, COOPER FOUNDATION, COOPER UNIV. HEALTH SECTION OF MILITARY, CUMBERLAND CO. IMPROVEMENT AUTHORITY, CUMBERLAND CO. SHERIFF'S DEPT., CUMBERLAND CO. WOMEN'S HALL OF FAME, CYSTIC FIBROSIS FOUNDATION, DEERFIELD TWP., DOOR DASH, EMMANUEL CANCER FOUNDATION, FAMILY PROMISE OF SOUTHWEST NJ, FEDERATION OF NEIGHBORHOOD CNTRS./THREE LITTLE BIRDS, FOOD BANK OF SOUTH JERSEY, FRANCHESHINI FARMS, FRIENDS OF INDIA, FRONT RUNNER NJ, GARDEN STATE BOY SCOUTS OF AMERICA, GATEWAY COMMUNITY ACTION PARTNERSHIP, GLASSBORO, GLOUCESTER COUNTY CHAMBER, GLOUCESTER COUNTY HERO SCHOLARSHIP, GLOUCESTER COUNTY PRAYER COMMITTEE, GREATER MILLVILLE CHAMBER OF COMMERCE, GREATER VINELAND CHAMBER OF COMMERCE, GREATER WOODBURY CHAMBER OF COMMERCE, GUIDANCE CENTER, THE, HEADSTRONG FOUNDATION, HABITAT FOR HUMANITY, GLOUC. CO., HABITAT FOR HUMANITY, SALEM CO., HARRISON TWP., IBEW LOCAL 351, ITALIAN CULTURAL FOUNDATION, KNIGHTS OF COLUMBUS, LEUKEMIA / LYMPHOMA SOCIETY, LOCAL 322, MAIN STREET WOODBURY, MARYVILLE, INC., MILLVILLE PBA, NAACP (GLOUC. CO.), NJ CHAMBER OF COMMERCE, NJBIZ, NATIONAL COALITION OF 100 BLACK WOMEN, NEMOURS, NEW JERSEY HEALTHCARE QUALITY INSTITUTE, NEW JERSEY HOSPITAL ASSOC., NEW JERSEY STATE NURSES ASSOC./INST. OF NURSING, NOR'EASTER NICK'S RAINY DAY PROJECT, OUTTA BOUNDZ MENTORING GROUP, PRAC OF SOUTHERN NJ, PAUL A VANHOUTEN - PINE STREET FAMILY PRACTICE, PAUL M DONAHUE MEMORIAL FOUNDATION, PITTSGROVE TWP., RANCH HOPE, REVIVE SOUTH JERSEY, RON JAWORSKI FND.- JAWS YPB, ROWAN - VIRTUA SOM, ROWAN COLLEGE FOUNDATION, ROWAN COLLEGE FOUNDATON, ROWAN RIPPAC, ROWAN UNIVERSITY EMS, RURAL DEVELOPMENT CORP., RUTGERS UNIV. FOUNDATION, SALEM CO. MEALS ON WHEELS, SALEM CO. COMMISSION ON WOMEN, SALEM CO. FAIR COOPERATIVE ASSOC., CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS SALEM CO. INTER AGENCY COUNCIL OF HUMAN SERVICES, SALEM COMMUNITY COLLEGE, SALEM COMMUNITY COLLEGE FOUNDATION, SALEM COUNTY CHAMBER OF COMMERCE, SALEM COUNTY VOCATIONAL TECHNICAL FOUNDATION, SALVATION ARMY, SOUND MIND SOUND BODY NJ, SOUTH JERSEY DREAM CENTER, SOUTHERN JERSEY HOUSING ASSISTANCE, SOUTHERN NJ DEVELOPMENT COUNCIL, SPECIAL OLYMPICS NEW JERSEY, SPIRIT & TRUTH MINISTRIES / VINELAND SOUP KITCHEN, STAND UP FOR SALEM, SWEDESBORO BUS. ASSOC., SWEDESBORO WOOLWICH DAY COMMITTEE, TEAM MB HUNT FOR THE CURE, VINELAND ROTARY, VIRTUA HEALTH, WHEATON ARTS, CITY OF WOODBURY and YOUR PLACE AT THE TABLE. COMMUNITY SERVICE AND COMMUNITY BUILDING PROGRAMS ------------------------------------------------- IMC IS MUCH MORE THAN A HEALTHCARE NETWORK; IT IS A COMMUNITY PARTNER DEDICATED TO IMPROVING COMMUNITY HEALTH AND COLLABORATING WITH OTHER COMMUNITY PARTNERS ON HEALTH INITIATIVES THAT ADDRESS THE HEALTH PRIORITIES OF THE COMMUNITIES IT SERVES. OUR PARTNERSHIPS LEVERAGE THE STRENGTH OF MULTIPLE COMMUNITY ORGANIZATIONS WHILE ENCOURAGING COMMUNITY-WIDE COLLABORATIVE EFFORTS TO BENEFIT THE COMMUNITY. FOOD PANTRIES: IN THE 2024-2025 SCHOOL YEAR INSPIRA SPONSORED MONTHLY FOOD DISTRIBUTIONS AT WOODBURY SCHOOL THAT PROVIDED OVER 75,000 POUNDS OF FRESH PRODUCE AND SHELF STABLE FOOD ITEMS TO ABOUT 937 FAMILIES (MORE THAN 4,000 INDIVIDUALS). FOOD FARMACY+ PROGRAMS: INSPIRA'S FOOD FARMACY+ PROGRAM IS A RESOURCE FOR PATIENTS WHO FACE FOOD INSECURITY, MEANING THEIR FOOD INTAKE IS NEGATIVELY IMPACTED BY A LACK OF MONEY OR OTHER RESOURCES. THE PROGRAM USES FOOD AS MEDICINE, CONNECTING PATIENTS WITH A REGISTERED DIETITIAN TO RECEIVE NUTRITIOUS FOOD TAILORED TO THEIR MEDICAL NEEDS, AT NO CHARGE. ADVOCACY - IMC EMPLOYEES AND LEADERSHIP, SERVE ON VARIOUS GOVERNMENT ADVISORY COMMITTEES AND BOARDS FOR NATIONAL, STATE, AND LOCAL ORGANIZATIONS TO ADVOCATE FOR HEALTHCARE REFORM, BRING ABOUT CHANGES IN REGULATORY REQUIREMENTS, IMPROVE ACCESS TO HEALTHCARE AND PROMOTE THE HEALTH STATUS FOR BOTH THE BROADER COMMUNITY AND VULNERABLE POPULATIONS THROUGH HOSPITAL REPRESENTATION TO ORGANIZATIONS. ADDITIONALLY, IMC EMPLOYEES, FROM STAFF TO CEO, PARTICIPATE ON THE BOARDS OF A VARIETY OF ORGANIZATIONS WHOSE FOCUS IS NOT ONLY OF THE HEALTH NEEDS OF THE COMMUNITY, BUT ON THE OVERALL NEEDS OF THE COMMUNITY. SOME OF THESE ORGANIZATIONS INCLUDE THE COMMUNITY FOOD BANK OF SOUTH JERSEY, GLOUCESTER COUNTY CHAMBER OF COMMERCE, AND THE SALEM COUNTY CHAMBER OF COMMERCE. AMERICAN RED CROSS BLOOD DRIVE - IMC SUPPORTS THE MISSION OF THE AMERICAN RED CROSS BY HOSTING FOUR BLOOD DRIVES EACH YEAR. THE RED CROSS IS THE LARGEST SINGLE SUPPLIER OF BLOOD AND BLOOD PRODUCTS IN THE UNITED STATES, COLLECTING AND PROCESSING MORE THAN 40 PERCENT OF THE BLOOD SUPPLY AND DISTRIBUTING IT TO SOME 3,000 HOSPITALS AND TRANSFUSION CENTERS NATIONWIDE. BEHAVIORAL HEALTH COLLABORATION - IMC'S CHILDREN'S BEHAVIORAL HEALTH PROGRAM PARTICIPATED IN BOTH THE GLOUCESTER COUNTY CIACC AND TRI-COUNTY CIACC THROUGHOUT 2024. 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. IMC HAS BEEN AN ACTIVE PARTICIPANT IN NATIONAL AND REGIONAL INITIATIVES, INCLUDING THE FOLLOWING: 1. VHA, INC. PATIENT QUALITY AND SAFETY INITIATIVES: MEDICATION RECONCILIATION COLLABORATIVE (IMC - VINELAND & ELMER); RAPID RESPONSE TEAM COLLABORATIVE (IMC - VINELAND & ELMER); AND TRANSFORMATION OF THE ICU AND TICU (IMC - VINELAND & ELMER). 2. INSTITUTE FOR HEALTHCARE IMPROVEMENT (IHI): MEMBER OF THE INSTITUTE FOR HEALTHCARE IMPROVEMENT - 100,000 LIVES CAMPAIGN (IMC - VINELAND & ELMER); AND MEMBER OF THE INSTITUTE FOR HEALTHCARE IMPROVEMENT - 5 MILLION LIVES FROM HARM CAMPAIGN (IMC - VINELAND & ELMER). 3. NEW JERSEY HOSPITAL ASSOCIATION INITIATIVES: PARTICIPANTS IN THE NJHA PRESSURE ULCER COLLABORATIVE (IMC - VINELAND & ELMER); AND PARTICIPANTS IN THE NJHA RAPID RESPONSE TEAMS COLLABORATIVE (IMC - VINELAND & ELMER). EMERGENCY PREPAREDNESS - IMC READIES ITSELF FOR CATASTROPHIC DISASTER ABOVE AND BEYOND LICENSURE REQUIREMENTS. THIS INCLUDES AN INTERNAL EMERGENCY RESPONSE TEAM THAT RECIEVES SPECIALIZED TRAINING. IMC PARTNERS WITH OFFICES OF EMERGENCY MANAGEMENT, LOCAL POLICE, AND OTHER RELATED AGENCIES TO COORDINATE COMMUNITY-WIDE MASS CASUALTY DRILLS AND PARTICIPATES IN STATE SPONSORED DISASTER PLANNING DRILLS TO REHEARSE HEALTHCARE PREPAREDNESS FOR MASS CASUALTY DISASTERS AND PUBLIC HEALTH EMERGENCIES. EMERGENCY MEDICAL ACADEMY PROGRAMS ================================== - EMT EMERGENCY MEDICAL TECHNICIAN CLASS - PEDIATRIC EDUCATION FOR PRE-HOSPITAL PROFESSIONALS ("PEPP") - PEDIATRIC ADVANCED LIFE SUPPORT ("PALS") - PRE-HOSPITAL TRAUMA LIFE SUPPORT ("PHTLS") - HEALTHCARE PROVIDER CPR - CPR-BASIC LIFE SUPPORT INSTRUCTOR - COMMUNITY EMERGENCY RESPONSE TEAM TRAINING - AUTOMATIC EXTERNAL DEFIBRILLATOR ("AED") & EPINEPHRINE AUTO INJECTORS - MICU GROUND SUPPORT - TACTICAL EMS EDUCATION - INCIDENT COMMAND SYSTEMS/STRUCTURE LEVEL 300 - INCIDENT COMMAND SYSTEMS/STRUCTURE LEVEL 400 - EMS SYMPOSIUM - GERIATRIC EDUCATION FOR EMS - IMPACT (INNOVATIVE MODEL FOR PRESCHOOL AND COMMUNITY TEAMING) WAS DEVELOPED THROUGH COLLABORATION BETWEEN IMC AND THE VINELAND BOARD OF EDUCATION. IT PROVIDES HEALTH AND SOCIAL SERVICES, CHILDCARE FOR INFANTS AND TODDLERS, PRESCHOOL PROGRAMS, AND LITERACY PROGRAMS THAT TARGET THE NEEDS OF THE LOW INCOME RESIDENTS IN CUMBERLAND COUNTY. IT ALSO ADDRESSES ISSUES SUCH AS TEEN PREGNANCY, TEEN PARENTING AND EARLY CHILDHOOD EDUCATION. EVERY YEAR, THE PROGRAM MAKES A POSITIVE IMPACT ON THE LIVES OF THOUSANDS OF CHILDREN AND THEIR FAMILIES. - MAYOR'S CAMPAIGNS FOR HEALTHIER VINELAND, MILLVILLE AND BRIDGETON - VARIOUS IMC STAFF ARE ACTIVE COMMITTEE MEMBERS OF THE VINELAND, MILLVILLE AND BRIDGETON MAYOR'S CAMPAIGNS FOR HEALTHIER COMMUNITIES. IN COLLABORATION WITH IMC, THE LOCAL FEDERALLY QUALIFIED HEALTHCARE CENTER (FQHC), COMPLETECARE HEALTH NETWORK (CCHN) AND OTHER COLLABORATIVE PARTNERS, CO-HOST COMMUNITY HEALTH FAIRS, FACILITATE COMMUNITY OUTREACH EVENTS AND CONNECT THE MEDICALLY DISENFRANCHISED TO THE APPROPRIATE HEALTHCARE AND SOCIAL SERVICE PROVIDERS TO ENCOURAGE UNINSURED RESIDENTS TO ENROLL IN AFFORDABLE HEALTHCARE PROGRAMS. THE COMMITTEES ARE DEDICATED TO IMPROVING HEALTHCARE FOR VINELAND, MILLVILLE AND BRIDGETON RESIDENTS BY MAKING RESOURCES AVAILABLE THROUGH INCREASED AWARENESS AND ACCESS. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - HEALTHCARE LIFELINE PROGRAM - AN IN-HOME PERSONAL RESPONSE SYSTEM WHICH ALLOWS ITS SUBSCRIBERS TO GET HELP IMMEDIATELY AT THE PUSH OF A BUTTON, 24 HOURS PER DAY, 7 DAYS PER WEEK, 365 DAYS PER YEAR. IMC STAFF CONDUCTS PRESENTATIONS THROUGHOUT THE COUNTY EXPLAINING THE BENEFITS OF LIFELINE TO PROSPECTIVE SUBSCRIBERS AND/OR THEIR CAREGIVERS AND HEALTH PROVIDERS. ALTHOUGH THE LIFELINE PROGRAM IS A PAID SERVICE, DISCOUNTED AND FREE INSTALLATIONS OCCUR FOR ELIGIBLE PERSONS. - SPIRIT OF WOMEN - RECOGNIZING THE UNIQUENESS OF WOMEN AND THE INFLUENCE THEY HOLD OVER THE HEALTH OF THEIR FAMILIES, INSPIRA IS PROUD TO BE A PARTICIPANT OF THE SPIRIT OF WOMEN PROGRAM, PART OF A NATIONAL MOVEMENT FOR WOMEN'S WELLNESS TO PROMOTE HEALTH AND MOTIVATE WOMEN TO MAKE POSITIVE CHANGES IN THEIR LIVES. SOME OF THE GROUP'S EVENTS INCLUDED DAY OF DANCE, WOMEN'S HEALTH SCREENING DAY AND GIRLS NIGHT OUT. SPIRIT OF WOMEN ALSO HOLDS A QUARTERLY SEMINAR SERIES, EACH FOCUSING ON SPECIFIC ISSUES CONCERNING WOMEN'S HEALTH. - THE INSPIRA FRANK AND EDITH SCARPA REGIONAL CANCER PAVILION IS A ONE-STOP EXPERIENCE FOR CANCER PATIENTS, EXPANDS ACCESS TO CLINICAL TRIALS, CONSOLIDATES SERVICES AND BRINGS TOGETHER A MULTIDISCIPLINARY CARE TEAM, INCLUDING MEDICAL ONCOLOGY, RADIATION ONCOLOGY AND SURGICAL ONCOLOGY TO PROVIDE THE LATEST AND HIGHEST QUALITY CANCER CARE IN THE REGION. INSPIRA MEDICAL CENTER VINELAND IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER AS A COMPREHENSIVE COMMUNITY CANCER PROGRAM AND THE BREAST PROGRAM IS ALSO ACCREDITED BY THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS. THE CENTER HOUSES A 6-CHAIR INFUSION CENTER WHICH PROVIDES CHEMOTHERAPY AND SUPPORTIVE DRUG THERAPIES, AS WELL AS BLOOD TRANSFUSIONS, NON-ONCOLOGIC INFUSIONS, AND MEDICATION INJECTIONS. THE RADIATION ONCOLOGY DEPARTMENT FEATURES (2) LINEAR ACCELERATORS AND PROVIDES A FULL RANGE OF RADIATION SERVICES INCLUDING EXTERNAL BEAM RADIATION, IMRT & IGRT (IMAGE GUIDED RADIATION), STEREOTACTIC BODY THERAPY AND STEREOTACTIC RADIOSURGERY, AS WELL AS BRACHYTHERAPY SERVICES. THE CENTER ALSO INCLUDES OFFICES FOR BOARD CERTIFIED, FELLOWSHIP TRAINED SURGICAL SUB-SPECIALISTS, AS WELL A PRIVATE MEDICAL ONCOLOGY GROUP, MAKING ACCESS TO MULTIPLE PHYSICIANS AVAILABLE WITH A SINGLE APPOINTMENT. THE LEADING EDGE CANCER CENTER AT INSPIRA MEDICAL CENTER MULLICA HILL OPENED IN MARCH 2020. THIS COMPREHENSIVE CENTER MIMICS THE CORE ELEMENTS OF CONVENIENCE HIGHLIGHTED AT THE VINELAND CAMPUS, BRINGING ALL OF THE CORE ONCOLOGY PATIENT SERVICES UNDER ONE ROOF. THE CENTER, DESIGNED WITH PATIENT INPUT, PUTS THE PATIENT EXPERIENCE AT THE FOREFRONT OF CARE DELIVERY. THE CENTER HOUSES A RADIATION ONCOLOGY DEPARTMENT CONSISTING OF 2 LINEAR ACCELLERATORS, PROVIDING THE SERVICES NOTED ABOVE. HOUSED ON THE SECOND FLOOR OF THE CANCER CENTER, THE INFUSION SUITE INCLUDES 22 CHAIRS AND PROVIDES A COMPREHENSIVE OFFERING OF BOTH ONCOLOGIC AND NON-ONCOLOGIC INFUSION THERAPIES. THE THIRD FLOOR FEATURES MULTIDISCIPLINARY CLINIC SPACE FOR A RANGE OF ONCOLOGY-RELATED SPECIALISTS. THE CANCER PROGRAM IS ALSO ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS COMMISION ON CANCER AS A COMMUNITY CANCER PROGRAM. BOTH PROGRAMS ARE FOUNDED ON A MULTIDISCIPLNARY APPROACH TO CARE AND MAKES FULL USE OF A CARE TEAM APPROACH. IN ADDITION TO MEDICAL ONCOLOGISTS, RADIATION ONCOLOGISTS, AND SURGICAL ONCOLOGISTS, THE TEAM INCLUDES ONCOLOGY-CERTIFIED NURSES, SOCIAL WORKER, DIETICIAN, CARE COORDINATORS, NAVIGATORS, AND RESEARCH NURSES AS WELL AS RADIOLOGISTS AND PATHOLOGISTS. THE TEAM MEETS REGULARLY TO COLLABORATE ON INDIVIDUALIZED PATIENT PLANS OF CARE. INSPIRA OFFERS INNOVATIVE SERVICES RELATED TO THE DIAGNOSIS AND TREATMENT OF CANCER. MOST RECENTLY, INSPIRA INTRODUCED SOZO TECHNOLOGY, A BIOIMPEDENCE DEVICE THAT ALLOWS FOR THE DETECTION OF PRE-CLINICAL LYMPHEDEMA (OFTEN A SIDE EFFECT OF BREAST CANCER SURGERY) AND ENABLES CLINICIANS TO INTERVENE EARLY, LEADING TO BETTER PATIENT OUTCOMES. ADDITIONALLY, INSPIRA IS UTILIZING ARTIFICIAL INTELLIGENCE TO SUPPORT THE CANCER PROGRAM. AI IS USED TO CONNECT NEWLY DIAGNOSED PATIENTS WTH NAVIGATION SERVICES. IT IS ALSO USED TO IDENTIFY INCIDENTAL LUNG NODULES AND ENABLE INSPIRA TO CONNECT THESE PATIENTS TO FOLLOW UP CARE. INSPIRA WAS THE FIRST IN THE REGION TO OFFER BREAST CANCER PATIENTS SAVI SCOUT, A NEW TECHNOLOGY THAT TARGETS BREAST LUMPS MORE EFFECTIVELY AND ELIMINATES THE NEED FOR NEEDLE OR WIRE TUMOR LOCALIZATION. INSPIRA ALSO OFFERS THE LATEST TECHNOLOGY IN DIAGNOSTICS FOR LUNG CANCER AND FEATURES A MINIMALLY INVASIVE SURGICAL SUITE, INCLUIDNG ROBOTIC TECHNOLOGY, ALLOWING OUR SURGICAL CANCER PATIENTS MANY OPTIONS FOR CARE AND TREATMENT. - GARDEN AHEC PROGRAMS - THROUGH ACADEMIC AND COMMUNITY PARTNERSHIPS, GARDEN AHEC PROVIDES HEALTH CAREER RECRUITMENT PROGRAMS AND INCREASES ACCESS TO HEALTHCARE IN MEDICALLY UNDERSERVED AREAS. GARDEN AHEC ADDRESSES HEALTHCARE WORKFORCE NEEDS BY INTRODUCING STUDENTS AND ADULTS TO HEALTHCARE CAREER OPPORTUNITIES, ESTABLISHING COMMUNITY-BASED TRAINING SITES FOR MEDICAL STUDENTS AND PROVIDING CONTINUING EDUCATION PROGRAMS FOR LOCAL HEALTHCARE PROFESSIONALS. ITS FUNDAMENTAL PURPOSE IS TO IMPROVE ACCESS TO QUALITY HEALTHCARE IN MEDICALLY UNDERSERVED AREAS AND TO UNDERSERVED POPULATIONS IN ITS SERVICE AREA. BY WORKING TO RECRUIT, TRAIN AND MAINTAIN LOCAL HEALTHCARE WORKFORCE, GARDEN AHEC ADDRESSES DEFICIENCIES IN ACCESS TO PRIMARY AND PREVENTIVE CARE SERVICES IN SOUTH JERSEY. PARTNERING WITH LOCAL COMMUNITY HEALTH EDUCATION AND IMPROVEMENT INITIATIVES ARE JUST SOME OF THE WAYS GARDEN AHEC IS WORKING WITH COMMUNITY PARTNERS TO IMPROVE THE HEALTH AND WELL-BEING OF THE SOUTH JERSEY AREA. - FOOD FOR THOUGHT IS A GARDEN AHEC HEALTHY EATING EDUCATION PROGRAM FOR HIGH SCHOOL STUDENTS THAT RECENTLY REPLACED STEPS FOR KIDS. FOOD FOR THOUGHT INVOLVES LIVE IN-PERSON EDUCATION TO STUDENTS FROM A LICENSED DIETICIAN, AS WELL AS ONLINE EDUCATION (ENTITLED HEALTHY HABITS) THROUGH ONLINE TEACHING PLATFORMS. HEALTHY HABITS ONLINE FOCUSES ON HOW TO EAT HEALTHY FOODS ON A BUDGET, HOW TO CREATE LOW-CALORIE MEALS, HYDRATION, HOW TO MAKE PHYSICAL ACTIVITY PART OF EVERYDAY LIFE AND MORE. THIS EDUCATION WAS DEVELOPED BY A LICENSED DIETICIAN. FOOD FOR THOUGHT IS COMPLETLEY FUNDED AND RUN BY IMC THROUGH ITS GARDEN AHEC DEPARTMENT. - HEALTH FAIRS AND SCREENINGS - A NUMBER OF HEALTH FAIRS AND COMMUNITY FOCUSED HEALTH SCREENING EVENTS WERE CONDUCTED THROUGHOUT 2024. IMC 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. IMC ALSO REACHES OUT TO THOSE IN OUR COMMUNITY WHO DO NOT REGULARLY COME THROUGH THE DOORS OF OUR MEDICAL CENTERS. IMC REACHES OUT TO A VARIETY OF LOCAL EMPLOYERS BY PARTICIPATING IN ON-SITE HEALTH FAIRS AND EVENTS TO OFFER VALUABLE HEALTH INFORMATION TO OUR NEIGHBORS. - MOBILE OUTREACH - INSPIRA EXPANDED MOBILE OUTREACH TO BRING CLINICAL STAFF TO THE COMMUNITY THROUGH USE OF OUR MOBILE UNIT AND PARTICIPATION AT COMMUNITY EVENTS. COMMUNITY IMPACT 2024 OUTCOMES: - TOTAL MOBILE SCREENINGS - 703 - TOTAL SCREENING/OUTREACH/EDUCATIONAL EVENTS - 120 - HEALTH LITERACY (INDIVIDUALS REACHED WITH EDUCATIONAL MATERIALS ABOUT PREVENTATIVE HEALTH AND INSPIRA SERVICES) - 25,026 - INSPIRA CANCER GRANT TRANSPORTATION PROGRAM - BETWEEN 2022-2024 BELOW. WE HAVE FACILITATED OVER 4,000 TRANSPORTS FOR INSPIRA CANCER PATIENTS THROUGH THE INSPIRA CANCER GRANT TRANSPORTATION PROGRAM. - NJCEED - FOR THE NEW JERSEY CANCER EDUCATION AND EARLY DETECTION PROGRAM (NJCEED), WHICH PROVIDES COMPREHENSIVE CANCER OUTREACH, EDUCATION AND FREE SCREENINGS TO UNDERSERVED AND UNINSURED RESIDENTS WHO MIGHT OTHERWISE NOT HAVE ACCESS TO THESE IMPORTANT DIAGNOSTIC SCREENING SERVICES. IHN ALSO HAS A DEDICATED STAFF THAT GOES OUT INTO THE COMMUNITY TO SPEAK ABOUT THE AVAILABILITY OF FREE SCREENINGS AND THE CEED PROGRAM. THE PURPOSE OF THE CEED PROGRAM IS TO EDUCATE AND SCREEN UNINSURED AND UNDERINSURED RESIDENTS OF THE COUNTY, PARTICULARLY MINORITIES, WHO EARN LESS THAN 250% OF THE FEDERAL POVERTY LEVEL. THE PROGRAM IS FUNDED IN PART BY GRANTS FROM THE STATE OF NJ DEPARTMENT OF HEALTH AND SENIOR SERVICES, CENTER FOR DISEASE CONTROL AND THE SUSAN G. KOMEN BREAST CANCER FOUNDATION. INSPIRA NJCEED PROGRAM OUTCOMES: - 1,396 TOTAL CANCER SCREENINGS COMPLETED AMONG UNINSURED/UNDERINSURED COMMUNITY MEMBERS ACROSS CUMBERLAND, SALEM, AND GLOUCESTER COUNTIES DURING FY24. INSPIRA QUIT CENTER PROGRAM OUTCOMES: - 199 TOTAL NEW PATIENT ASSESSMENTS WERE COMPLETED DURING FY24. - 179 PATIENTS WERE ELIGIBLE FOR A LUNG CANCER SCREENING. CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - SUPPORT GROUPS - TO HELP ADDRESS SOCIAL, PSYCHOLOGICAL OR EMOTIONAL ISSUES RELATED TO DISEASES AND HEALTH ISSUES, IMC OFFERS A VARIETY OF FREE SUPPORT GROUPS THAT INCLUDE, BUT ARE NOT LIMITED TO, WOMEN'S CANCER, DIABETES, CARDIOPULMONARY HEALTH, PROSTATE CANCER, SMOKING CESSATION, STROKE AND FIVE LEVELS OF BARIATRIC SUPPORT. ADDITIONALLY, IMC DONATES THE USE OF SPACE IN ITS FACILITIES FOR EXTERNAL NONPROFIT ORGANIZATIONS TO HOLD SUPPORT GROUP MEETINGS FOR SUBSTANCE ABUSE SUCH AS ALCOHOLICS ANONYMOUS AND NARCOTICS ANONYMOUS. - COMMUNITY EDUCATION CLASSES - IMC OFFERS FREE EDUCATION PROGRAMS DESIGNED TO PROMOTE A SAFE AND HEALTHY LIFESTYLE. TRAINING CLASSES ARE REGULARLY AVAILABLE ON SUCH TOPICS AS CHILDBIRTH, BREAST-FEEDING, NEWBORN CARE, UNDERSTANDING DIABETES, CPR (CARDIOPULMONARY RESUSCITATION), ACLS (ADVANCED CARDIAC LIFE SUPPORT), PALS (PEDIATRIC ADVANCED LIFE SUPPORT), SAFESITTER (BABYSITTER TRAINING) AND OTHERS. WOODBURY'S EMERGENCY DEPARTMENT PLAYS A KEY ROLE IN EDUCATING AND PROMOTING HEALTH AND SAFETY AWARENESS THROUGH COMMUNITY BULLETIN BOARDS AND EDUCATIONAL PRESENTATIONS AT AREA SCHOOLS, COLLEGES, POLICE ACADEMIES AND COMMUNITY PROGRAMS. SOME TOPICS MAY INCLUDE INJURY PREVENTION, FORENSIC NURSING AND DOMESTIC VIOLENCE AWARENESS. - VOLUNTEER PROGRAM - WHETHER GREETING VISITORS AT THE FRONT DESK OR COMFORTING PATIENTS AT THEIR BEDSIDE, VOLUNTEERS PLAY AN IMPORTANT ROLE IN IHN'S TRADITION OF COMPASSIONATE CARE. OUR SUCCESSFUL VOLUNTEER PROGRAM CONSISTS OF ADULTS AND TEENS WITH AGE RANGES FROM 14 TO 96 WHO PROVIDE ASSISTANCE IN A VAST ARRAY OF AREAS SUCH AS ACCOUNTING, EDUCATION, PUBLIC RELATIONS, LAUNDRY, EMERGENCY ROOM, SURGICAL SERVICES, PEDIATRICS, NURSING AND MORE. IN 2024 A TOTAL OF 490 VOLUNTEERS PROVIDED OVER 42,084 HOURS OF SERVICE FOR INSPIRA. HEALTH PROFESSIONALS EDUCATION =============================== IMC OFFERS EDUCATIONAL SUPPORT TO BOTH ITS CURRENT HEALTH PROFESSIONALS AND TOMORROW'S PHYSICIANS. EDUCATION HELPS PREPARE THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS, WHICH IS WHY WE STRONGLY SUPPORT MEDICAL EDUCATION AT ALL ACADEMIC LEVELS AND FIND INNOVATIVE WAYS TO INSPIRE YOUNG PEOPLE TO PURSUE CAREERS IN A WIDE VARIETY OF MEDICAL FIELDS. COMMUNITY MEDICINE ROTATIONS WITH THE ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE (ROWAN SOM), PROVIDES THIRD YEAR MEDICAL STUDENTS A TWO-WEEK ROTATION IN COMMUNITY-BASED AGENCIES AND ORGANIZATIONS TO LEARN ABOUT UNDERSERVED AND CULTURALLY DIVERSE POPULATIONS, INCLUDING BARRIERS TO ACCESSING CARE. RESPONDING TO THE NURSING SHORTAGE, IMC OFFERS NURSING EDUCATION PROGRAMS, EXTERNSHIPS AND INTERNSHIPS. IMC MEDICAL STAFF ROUTINELY HOSTS STUDENTS FOR JOB SHADOWING AND STUDENT OBSERVATIONS. SCHOOL PROGRAMS ON HEALTH CAREERS - IMC PROVIDES EDUCATIONAL OPPORTUNITIES AND HOSTS SPECIAL EVENTS, JOB SHADOWING AND PROGRAMS TO MIDDLE AND HIGH SCHOOL STUDENTS WHO ARE INTERESTED IN PURSUING CAREERS IN HEALTHCARE AND MEDICINE. GARDEN AHEC OFFERS A SEVEN-WEEK ONLINE PROGRAM TO HIGH SCHOOL STUDENTS ENTITLED FUTURE HEALTH PROFESSIONALS. THIS PROGRAM TEACHES STUDENTS ABOUT VARIOUS HEALTHCARE CAREER OPTIONS. TO REACH EVERY AGE GROUP IN THE COMMUNITY, IMC STAFF ALSO EXTENDS HOSPITALS TOURS TO PRESCHOOL AND FIRST GRADERS, AS THEIR PRIMARY INTRODUCTION TO THE HEALTHCARE ENVIRONMENT AND PROMOTION OF HEALTHY LIFESTYLES. SYMPOSIA - IMC IS PREPARING FOR THE HEALTHCARE CHALLENGES OF THE FUTURE BY SUPPORTING THE CONTINUING EDUCATION NEEDS OF PHYSICIANS AND ALLIED HEALTH PERSONNEL IN THE COMMUNITY. PROGRAMS ARE AVAILABLE ON THE LATEST ADVANCEMENTS AND LEADING-EDGE RESEARCH ON TOPICS SUCH AS CANCER, CRITICAL CARE, NEPHROLOGY, PEDIATRICS AND OBSTETRICS. THESE CONTINUING EDUCATION OPPORTUNITIES GIVE HEALTH PROFESSIONALS AND PHYSICIANS IN OUR COMMUNITY AND ACROSS THE REGION THE ABILITY TO MEET AND DISCUSS IMPORTANT ISSUES WITHIN OUR INDUSTRY. PROGRAM TOPICS PROVIDED ARE BASED ON PERIODIC CME IN-TAKE FORMS AND EVALUATIONS. HOWEVER, DUE TO THE PANDEMIC THE SYMPOSIA OFFERINGS HAVE BEEN LIMITED IN SINCE 2022 BUT OUR ONGOING CME ACTIVITIES (APPROX. 216 ANNUALLY) ARE OPEN TO INSPIRA MEDICAL STAFF AND COMMUNITY HEALTH PROVIDERS. GARDEN AREA HEALTH EDUCATION CENTER ("AHEC") - A PROGRAM AFFILIATED WITH THE ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE WHICH FACILITATES IMPROVED COMMUNITY HEALTH OUTCOMES THROUGH COLLABORATIVE INITIATIVES LINKING NEEDS TO EDUCATIONAL RESOURCES. TARGETING THE EDUCATIONAL NEEDS OF NURSES AND OTHER ALLIED HEALTH PROFESSIONALS IN THE COMMUNITY, GARDEN AHEC OFFERS ACCREDITED CONTINUING EDUCATION PROGRAMS ON TOPICS SUCH AS AUTISM, DERMATOLOGY, DIABETES, DIALYSIS, INFECTIOUS DISEASES, LEGAL DOCUMENTATION, DE-ESCALATION TECHNIQUES, CARE FOR THE DETERIORATING PATIENT, SEIZURE DISORDERS, WOUND CARE, MENTAL HEALTH, CHILDHOOD OBESITY, AND MANY OTHERS. RESIDENCY PROGRAMS - THE ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE HAS DESIGNATED IHN AS A MAJOR CLINICAL AFFILIATE OF THE MEDICAL SCHOOL. THIS PARTNERSHIP SUPPORTS INSPIRA MEDICAL CENTER VINELAND & MULLICA HILL RESIDENCY PROGRAMS THAT WILL HELP TO ADDRESS THE ANTICIPATED PHYSICIAN SHORTAGE IN OUR REGION BY TRAINING THE NEXT GENERATION OF PHYSICIANS RIGHT HERE IN OUR COMMUNITY. THESE MEDICAL SCHOOL GRADUATES WORK SIDE-BY-SIDE WITH EXPERIENCED MEMBERS OF THE IMC MEDICAL STAFF IN PODIATRY, SPORTS MEDICINE, URO-GYNECOLOGY, CRITICAL CARE, OBSTETRICS AND GYNECOLOGY, FAMILY MEDICINE, ORTHOPEDIC SURGERY, INTERNAL MEDICINE, TRADITIONAL ROTATING INTERNSHIP, EMERGENCY MEDICINE AND GENERAL SURGERY. AT THE SAME TIME, THEY ENHANCE PATIENT CARE WITH THE KNOWLEDGE OF THE LATEST TREATMENTS AND PHILOSOPHIES MEDICINE HAS TO OFFER. THEY ALSO BRING A LEVEL OF INTELLECTUAL CURIOSITY THAT STRENGTHENS OUR CARE TEAMS AND BENEFITS OUR PATIENTS. IN 2024, INSPIRA TRAINED 283 MEDICAL RESIDENTS AND FELLOWS IN 16 NATIONALLY ACCREDITED PROGRAMS. 94 MEDICAL RESIDENTS GRADUATED IN JULY AND ALL 106 RESIDENT SLOTS WERE FILLED DURING THE MATCH AND POST-MATCH PROCESSES. RESEARCH ======== INSPIRA HEALTH ROUTINELY CONDUCTS A VARIETY OF COOPERATIVE GROUP (NATIONAL CANCER INSTITUTE), INDUSTRY SPONSORED, AND ORIGINAL (ACADEMIC) RESEARCH STUDIES. INSPIRA CHOOSES INDUSTRY AND COOPERATIVE GROUP TRIALS THAT WILL BE OF THE MOST BENEFIT TO THE HEALTH AND WELLBEING OF OUR COMMUNITY. FOR EXAMPLE, DURING THE COVID-19 PANDEMIC, INSPIRA PARTICIPATED IN A TOTAL OF FIVE COVID-19 TREATMENT STUDIES. CURRENTLY INSPIRA IS OFFERING STUDIES WHICH RELATE TO COMMON COMMUNITY HEALTH NEEDS SUCH AS CARDIAC DISEASE, OBESITY, AND DIABETIC COMPLICATIONS. WHEN EXAMINING POTENTIAL ONCOLOGY STUDIES, INSPIRA IS ALWAYS SURE TO PLACE AN EMPHASIS ON CANCER CARE DELIVERY AND QUALITY OF LIFE STUDIES, IN ADDITION TO TREATMENT STUDIES, THAT WILL AID IN ADDRESSING THE CONCOMITANT HEALTH NEEDS OF OUR COMMUNITY. FOR EXAMPLE, INSPIRA RECENTLY PARTICIPATED IN STUDIES THAT SOUGHT TO ASSIST PATIENTS IN MAINTAINING ADHERENCE WITH THEIR PRESCRIBED MEDICATION REGIMEN AND THAT HELPED FACILITATE SMOKING CESSATION AND RECENTLY CONCLUDED A DEVICE TRIAL WHICH SEEKS TO MITIGATE THE RISK OF ORAL MUCOSITIS SECONDARY TO STOMATOTOXIC CHEMOTHERAPIES. INSPIRA'S ACADEMIC AND ORIGINAL RESEARCH STUDIES ARE UNFUNDED STUDIES THAT ARE DEVELOPED INTERNALLY TO ADDRESS UNIQUE PRACTICE PROBLEMS FOR WHICH EVIDENCE-BASED SOLUTIONS ARE NOT IN EXISTENCE OR TO INCREASE THE BODY OF EXISTING KNOWLEDGE IN HOT-TOPIC AREAS. THESE STUDIES ARE DRAFTED AND CONDUCTED WITH THE SUPPORT OF VOLUNTEER RESEARCH MENTORS FROM AMONG THE NURSING AND MEDICAL STAFF. EXAMPLES OF ORIGINAL RESEARCH STUDIES RECENTLY CONDUCTED INCLUDE EXAMINING THE IMPACT OF COVID-19 HEALTHCARE WORKER STRESS, ASSESSING THE RELIABILITY AND VALIDITY OF A FALL-RISK ASSESSMENT TOOL SPECIFIC TO PERI-PARTUM WOMEN, AND IMPROVING THE THERAPEUTIC MILIEU IN OUR INPATIENT BEHAVIORAL HEALTH UNIT. INSPIRA ALSO ASSISTS MEDICAL RESIDENTS, PHARMACY RESIDENTS, AND NURSING DOCTORAL CANDIDATES IN COMPLETING ACADEMIC STUDIES AS PART OF FULFILLING THEIR DEGREE REQUIREMENTS. EXAMPLES OF THESE TYPES OF PROJECTS THE CAUSES OF LOW HPV UPTAKE IN OUR COMMUNITIES AND DETERMINING BEST PRACTICES FOR TRIGGER FINGER INJECTION TECHNIQUES. EACH OF THESE ORIGINAL STUDIES IS REVIEWED BY THE INSPIRA INSTITUTIONAL REVIEW BOARD (IRB) WHOSE PURPOSE IS TO REVIEW ALL PROPOSED RESEARCH PROJECTS TO ENSURE THE RIGHTS, WELLBEING, AND WELFARE OF HUMAN RESEARCH SUBJECTS IS PROTECTED. NO RESEARCH ACTIVITIES CAN OCCUR WITHOUT REVIEW BY AN ACCREDITED IRB AND PROJECTS (WHICH MEET CRITERIA) ARE RE-REVIEWED ON AN ONGOING BASIS AS REQUIRED BY REGULATORY GUIDANCE. MEMBERS OF THE IRB VOLUNTEER FOR THE ROLE AND RECEIVE SPECIAL TRAINING ON HUMAN SUBJECTS PROTECTION. THE IRB INCLUDES BOTH EMPLOYEES AND COMMUNITY MEMBERS. IN THE CASES OF INDUSTRY SPONSORED TRIALS, WHEN A CENTRAL IRB MAY BE USED, INSPIRA COMPLETES A RELIANCE AGREEMENT WITH THE CENTRAL IRB ONLY AFTER THE POTENTIAL PRINCIPAL INVESTIGATOR, THE AVP FOR CLINICAL RESEARCH, AND THE IRB CHAIR HAVE AGREED THAT THE BENEFITS OF THE STUDY OUTWEIGH THE RISKS. CORE FORM, PART V; QUESTION 15 AMY MANSUE IS INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF THIS ORGANIZATION ON A FULL-TIME BASIS. SHE IS EMPLOYED AND RECEIVES A FEDERAL FORM W-2 FROM THIS ORGANIZATION. ACCORDINGLY, HER COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH INSPIRA MEDICAL CENTERS, INC. (EIN: 21-0634484). INSPIRA MEDICAL CENTERS, INC. FILED A 2024 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MS. MANSUE'S COMPENSATION IN EXCESS OF $1M. WARREN E. MOORE, FACHE IS INVOLVED IN THE LEADERSHIP AND MANAGEMENT OF THIS ORGANIZATION ON A FULL-TIME BASIS. HE IS EMPLOYED AND RECEIVES A FEDERAL FORM W-2 FROM THIS ORGANIZATION. ACCORDINGLY, HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH INSPIRA MEDICAL CENTERS, INC. (EIN: 21-0634484). INSPIRA MEDICAL CENTERS, INC. FILED A 2024 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. MOORE'S COMPENSATION IN EXCESS OF $1M. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE SOLE MEMBER OF THIS ORGANIZATION. NETWORK HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE NETWORK'S AUDIT COMMITTEE FOR REVIEW AND THEREAFTER APPROVAL BY THE MEMBERS AT THE AUDIT COMMITTEE MEETING. SUBSEQUENTLY, THE ORGANIZATION'S 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S BOARD OF TRUSTEES, PRIOR TO FILING WITH THE IRS. THE NETWORK'S AUDIT COMMITTEE HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE SYSTEM HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("CPA") FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING SENIOR VICE PRESIDENT AND CHIEF LEGAL OFFICER, SENIOR 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. FOLLOWING THIS REVIEW, THE FORM 990 WAS THEN PRESENTED TO THE NETWORK'S AUDIT COMMITTEE AND PROVIDED TO THE ORGANIZATION'S GOVERNING BODY PRIOR TO 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 senior vice president and chief legal officer FOR REVIEW. THEREAFTER, the senior vice president and chief legal officer presents any conflicts of interest to THE NETWORK'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION. MANAGEMENT HAVING A POTENTIAL OR ACTUAL SIGNIFICANT FINANCIAL OR PERSONAL INTEREST IN ANY TRANSACTION OR ARRANGEMENT, SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE OF HIS OR HER INTEREST TO THE APPLICABLE GOVERNING BOARD OR A COMMITTEE THEREOF WHICH IS CONSIDERING THE AUTHORIZATION, APPROVAL, RATIFICATION, OR SIMILAR ACTION OF SUCH TRANSACTION OR ARRANGEMENT PRIOR TO THE ORGANIZATION ACTING ON SUCH TRANSACTION OR ARRANGEMENT. THE COMPLETED CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE RETURNED TO THE SYSTEM'S senior vice president and chief legal officer FOR REVIEW. THEREAFTER, THE SENIOR VICE PRESIDENT AND CHIEF LEGAL OFFICER presents any conflicts of interest to THE NETWORK'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE NETWORK'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND all executive vice presidents and senior vice presidents that report directly to the president/chief executive officer ("senior management"). THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" of senior management WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF SENIOR MANAGEMENT. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO SENIOR MANAGEMENT. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE SYSTEM'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS. CORE FORM, PART VI, SECTION C; QUESTION 18 Pursuant to state of New Jersey P.L. 2019, chapter 513, (which was effective on July 21, 2020), and amended P.L. 2008, chapter 58 (C.26: 2H-5.1b), this organization has posted on its internet website a copy of this Internal Revenue Service (IRS) Form 990 and all schedules and supporting documentation required to be submitted to the IRS in conjunction with the Form 990 with the exception of those schedules not open for public inspection. Said Form 990 was posted by the organization after filing its Form 990 with the IRS. 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. THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. CORE FORM, PART VII AND SCHEDULE J CORE FORM, PART VII AND SCHEDULE J, PART II REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THIS ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. PLEASE NOTE, THIS ORGANIZATION'S FORM 990 REFLECTS INDIVIDUALS WHO PROVIDE SERVICES TO OTHER ORGANIZATIONS. THIS ORGANIZATION ISSUES W-2'S TO THOSE INDIVIDUALS AND FILES THE APPLICABLE FORMS WITH THE INTERNAL REVENUE SERVICE. THIS ORGANIZATION ALLOCATES THESE PAYMENTS TO OTHER AFFILIATES VIA AN INTERCOMPANY ACCOUNT. CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). CERTAIN BOARD OF TRUSTEE MEMBERS AND OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART IX THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). Certain expenses included within Core Form, Part IX represent the portion of expenses allocated to, not necessarily paid by, Inspira Medical Centers, Inc. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - GAIN ON INTEREST RATE SWAP - $400,899; - NET TRANSFERS TO AFFILIATES - ($30,499,715); - CHANGE IN BENEFICIAL INTEREST IN TEMPORARY TRUSTS; DONOR RESTRICTED - $188,783; - CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUSTS; DONOR RESTRICTED - $231,133; - Net assets released from restrictions; Donor Restricted - $27,774,037; - Net assets released from restrictions - ($322,907); - NET PERIODIC PENSION ADJUSTMENT - ($22,517,197); - PENSION LIABILITY ADJUSTMENT - $25,490,000; - PENSION SETTLEMENT LOSS - ($20,790,473); AND - OTHER CHANGES IN NET ASSETS - $76,892. 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, 2024 AND DECEMBER 31, 2023; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS EACH YEAR. THE NETWORK'S AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. CORE FORM, PART XII; QUESTION 3 THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT AS SET FORTH IN THE UNIFORM GUIDANCE, 2 C.F.R., PART 200, SUBPART F. THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE THE UNIFORM GUIDANCE AUDIT. INSPIRA DEPTFORD HEALTHPARK LLC 165 BRIDGETON PIKE MULLICA HILL NJ 08062 320483850 HEALTHCARE NJ 0 6690427 IMC 1450 NORTH ALMONESSON ROAD LLC 208 S PRINCETON AVENUE WENONAH NJ 08090 871421657 REAL ESTATE NJ 273415 5474181 IMC OAK & MAIN SURGICENTER LLC 907 NORTH MAIN ROAD VINELAND NJ 08360 223532371 HEALTHCARE NJ 1687924 1379414 IMC SALEM MEDICAL CENTER PROPERTIES LLC 165 BRIDGETON PIKE MULLICA HILL NJ 08062 920398689 REAL ESTATE NJ 0 0 IMC INSPIRA HOMECARE & HOSPICECARE INC 333 IRVING AVENUE BRIDGETON NJ 08302 226067549 HEALTH SVCS. NJ 501(C)(3) 10 NETWORK false INSPIRA HEALTH NETWORK INC 333 IRVING AVENUE BRIDGETON NJ 08302 222508425 HEALTH SVCS. NJ 501(C)(3) 12C NA false INSPIRA HEALTH NETWORK LIFE INC 2950 COLLEGE DRIVE SUITE 1E VINELAND NJ 08360 264827936 HEALTH SVCS. 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NJ IMC C CORP. 3373262 1352006 1.00000 true false false true true true false false false false true true false false false true false false true true INSPIRA HEALTH NETWORK URGENT CARE PC E 281147 COST INSPIRA HEALTH NETWORK MEDICAL GROUP PC J 1073685 COST INSPIRA HEALTH FOUNDATION INC C 2137069 COST INSPIRA HEALTH FOUNDATION INC K 641165 COST INSPIRA HEALTH FOUNDATION INC O 754361 COST SCHEDULE R, PART V THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. FUNDS ARE ROUTINELY TRANSFERRED BETWEEN AFFILIATES AND BUSINESS ACTIVITIES ARE COMMON ON BEHALF OF THE SYSTEM'S AFFILIATES, INCLUDING THIS ORGANIZATION. THESE TRANSACTIONS MAY BE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND OTHER AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY COST EFFECTIVE HEALTHCARE AND WELLNESS SERVICES TO THEIR COMMUNITIES REGARDLESS OF ABILITY TO PAY AND IN FURTHERANCE OF CHARITABLE TAX-EXEMPT PURPOSES.