INSPIRA MEDICAL CENTERS INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: INSPIRA MEDICAL CENTERS INC (EIN 21-0634484)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-14
IRS object ID: 201633199349306493
Schema version: 2015v2.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-14T13:55:37-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	465 South St Ste 200	AddressLine1Txt
City	Morristown	CityNm
State Abbreviation	NJ	StateAbbreviationCd
ZIP	079606497	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	210634484	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS P BALDOSARO CPA	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8566416605	PhoneNum
Signature	2016-11-09	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

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

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JOHN A DIANGELO	PrincipalOfficerNm

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$456,331,800	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.INSPIRAHEALTHNETWORK.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1913	FormationYr
Legal Domicile State	NJ	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF INSPIRA MEDICAL CENTERS, INC. IS TO PROVIDE QUALITY HEALTHCARE SERVICES THAT IMPROVE THE LIVES OF ALL WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	22	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	4077	TotalEmployeeCnt
Total Volunteers	580	TotalVolunteersCnt
Total Gross UBI	$92,217	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$9,931	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,981,365	PYContributionsGrantsAmt
CY Contributions Grants	$5,491,150	CYContributionsGrantsAmt
PY Program Service Revenue	$423,296,563	PYProgramServiceRevenueAmt
CY Program Service Revenue	$437,499,038	CYProgramServiceRevenueAmt
PY Investment Income	$12,575,186	PYInvestmentIncomeAmt
CY Investment Income	$9,980,281	CYInvestmentIncomeAmt
PY Other Revenue	$1,462,787	PYOtherRevenueAmt
CY Other Revenue	$1,207,557	CYOtherRevenueAmt
PY Total Revenue	$443,315,901	PYTotalRevenueAmt
CY Total Revenue	$454,178,026	CYTotalRevenueAmt
PY Grants And Similar Paid	$95,241	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$95,842	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$216,505,001	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$221,331,273	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$173,122,407	PYOtherExpensesAmt
CY Other Expenses	$173,850,440	CYOtherExpensesAmt
PY Total Expenses	$389,722,649	PYTotalExpensesAmt
CY Total Expenses	$395,277,555	CYTotalExpensesAmt
PY Revenues Less Expenses	$53,593,252	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$58,900,471	CYRevenuesLessExpensesAmt
Total Assets BOY	$791,753,000	TotalAssetsBOYAmt
Total Assets EOY	$801,494,371	TotalAssetsEOYAmt
Total Liabilities BOY	$370,430,859	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$343,591,549	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$421,322,141	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$457,902,822	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF INSPIRA MEDICAL CENTERS, INC. IS TO PROVIDE QUALITY HEALTHCARE SERVICES THAT IMPROVE THE LIVES OF ALL WE SERVE. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$29,173,788	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$63,198,085	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OPERATING ROOM SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION TREATED 13,749 OPERATING ROOM CASES DURING 2015. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$13,420,743	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$75,383,560	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY MEDICAL ACUTE CARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION TREATED 38,728 INPATIENT DAYS DURING 2015. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$12,583,145	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$121,218,704	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY EMERGENCY DEPARTMENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION EXPERIENCED 109,394 EMERGENCY DEPARTMENT VISITS DURING 2015. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$300,581,707	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$95,842	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$177,698,689	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$355,759,383	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	439	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4077	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	22	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

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

Form990 Part VII Section A Form990PartVIISectionAGrp (60 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHAEL A MCLAUGHLIN
CHAIRMAN - TRUSTEE(EFF 8/3/15)	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
GREGORY J FACEMYER CPA
SEC/TREAS-TRUST(TERMED 8/2/15)	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
EDWARD BETHEA
SEC/TREAS-TRUSTEE(EFF 8/3/15)	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
JAMES M BONNER DO
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JOHN B CATALANO MD
TRUSTEE	2.0	0.0	Yes (X)		$2,800	$0	$0
JOHN A DIANGELO
TRUSTEE; PRESIDENT/CEO-NTWK	55.0	0.0	Yes (X)	Yes (X)	$1,792,781	$0	$474,583
LAWRENCE M DIVIETRO JR
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
ROBERTA S FREITAG
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
EDGAR G GALLOWAY III
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JAMES E GEORGE MD JD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
BENJAMIN T GRIFFITH
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
DAVID HEMPLE
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
KURT W KAULBACK MD
TRUSTEE	55.0	0.0	Yes (X)		$0	$567,884	$37,219
LAWRENCE A PEPPER JR ESQ
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JORGE A PRIETO MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
PAUL J RITTER III
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
ALBERT A RUNDIO JR
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
ARMANDO P RUSSO MD
TRUSTEE; PRESIDENT MED STAFF	5.0	0.0	Yes (X)		$53,415	$0	$0
JACK C SHEPPARD JR
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JACK M SHIELDS MD
TRUSTEE	5.0	0.0	Yes (X)		$31,350	$0	$0
PAUL J TULLY
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
KIMBERLY E WOOD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
DAVID ROBBINS JR
CHAIR-TRUSTEE (TERMED 8/2/15)	1.0	0.0	Yes (X)		$0	$0	$0
BRUNO A BASILE
VICE CHAIR-TRUS(TERMED 8/2/15)	1.0	0.0	Yes (X)		$0	$0	$0
JEFFREY GEORGE
TRUSTEE (TERMED 8/2/15)	1.0	0.0	Yes (X)		$0	$0	$0
THOMAS ISEKENEGBE MD
TRUSTEE (TERMED 8/2/15)	1.0	0.0	Yes (X)		$0	$0	$0
EILEEN K CARDILE MS RN CNA
EVP/PRES OF IMCW	55.0	0.0		Yes (X)	$913,939	$0	$25,033
THOMAS P BALDOSARO CPA
EVP/CHIEF FINANCIAL OFFICER	55.0	0.0		Yes (X)	$472,785	$0	$115,503
MARVIN T WAY
EVP OPERATIONS	55.0	0.0		Yes (X)	$532,939	$0	$105,455
ROBERT E FLORENTINE
SVP/CHIEF PEOPLE OFFICER	55.0	0.0		Yes (X)	$733,970	$0	$76,038
ELIZABETH A SHERIDAN
COO - IMC ELMER & VINELAND	55.0	0.0		Yes (X)	$1,285,187	$0	$106,806
STEVEN C LINN MD
CMO/VP ACADEMIC AFFAIRS	55.0	0.0		Yes (X)	$744,614	$0	$84,570
MATTHEW DOONAN ESQ
GENERAL COUNSEL	55.0	0.0		Yes (X)	$275,581	$0	$54,352
JOHN C BICKINGS
VP FACILITIES & CONSTRUCTION	55.0	0.0		Yes (X)	$615,830	$0	$92,999
ARTHUR BOOTE
VP PROVIDER NTWK INTEGRATION	55.0	0.0		Yes (X)	$592,798	$0	$78,131
CLARE SAPIENZA-ECK
VP BUS. DEV./PHYS RECRUITMENT	55.0	0.0		Yes (X)	$438,625	$0	$87,485
THOMAS PACEK
VP/CHIEF INFORMATION OFFICER	55.0	0.0		Yes (X)	$328,613	$0	$75,889
CAROLYN S HECKMAN
VP COMMUNITY RELATIONS	55.0	0.0		Yes (X)	$324,454	$0	$54,528
DAVID YHLEN
VP AMBULATORY SERVICES	55.0	0.0		Yes (X)	$312,324	$0	$64,510
DAVID MURRAY
VP FINANCE	55.0	0.0		Yes (X)	$271,276	$0	$35,043
JOSEPH M ALESSANDRINI
VP CLINICAL SVS-ELMER&VINELAND	55.0	0.0		Yes (X)	$245,789	$0	$35,854
PAUL M LAMBRECHT
VP QUALITY & PATIENT SAFETY	55.0	0.0		Yes (X)	$220,398	$0	$29,129
PETER A KAPRIELYAN
VP GOV'T & EXTERNAL RELATIONS	55.0	0.0		Yes (X)	$220,117	$0	$15,304
MARY BOLLWAGE
VP RISK MANAGEMENT	55.0	0.0		Yes (X)	$195,965	$0	$21,063
JANET DAVIES
VP PAT CARE SVS-ELMER&VINELAND	55.0	0.0		Yes (X)	$175,125	$0	$34,061
ANNE MCCARTNEY
VP PAT SVS-VNLND(TERM 6/30/15)	55.0	0.0		Yes (X)	$163,769	$0	$21,918
ROBERT L MANESTRINA
VP HUMAN RES (TERMED 1/30/15)	55.0	0.0		Yes (X)	$134,215	$0	$18,594
MIKOLE BURKE-ANDERSON
VP COMP/ETHICS (TERMED 6/6/15)	55.0	0.0		Yes (X)	$104,292	$0	$19,742
CAROL L THOMAS
VP POP. HEALTH (EFF 10/26/15)	55.0	0.0		Yes (X)	$42,308	$0	$15,863
JOSEPH A PICCOLO
VP CORP COMP/CCO(EFF 11/16/15)	55.0	0.0		Yes (X)	$25,294	$0	$14,705
FRANCIS T FERRY MD
MEDICAL DIRECTOR (TERM 4/7/15)	55.0	0.0		Yes (X)	$145,912	$0	$24,739
CHRISTOPHER TROTZ MD
EXEC MED DIRECTOR (EFF 4/8/15)	55.0	0.0		Yes (X)	$258,449	$0	$35,171
GREGORY HERMAN
CHIEF MEDICAL INFO. OFFICER	55.0	0.0			$345,685	$0	$19,532	Yes (X)
GINA PETRONE MUMOLIE
VP CHIEF NURSING (TERM 1/3/15)	55.0	0.0			$324,786	$0	$27,665	Yes (X)
JOHN W GRAHAM
EXECUTIVE DIRECTOR IHP	55.0	0.0			$320,001	$0	$19,304	Yes (X)
SUZANNE W VANDERWERKEN MD
PHYSICIAN	55.0	0.0			$215,599	$0	$4,820	Yes (X)
JAMES T O'CONNELL
DIRECTOR	55.0	0.0			$200,291	$0	$32,431	Yes (X)
CHESTER B KALETKOWSKI
FORMER OFFICER	0.0	0.0			$1,910,169	$0	$0		Yes (X)
ROBERT M D'ANGEL ESQ
FORMER OFFICER	0.0	0.0			$652,513	$0	$9,967		Yes (X)
WAYNE C SCHIFFNER
FORMER OFFICER	0.0	0.0			$316,377	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$15,940,335	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$567,884	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,968,006	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	195	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
REGIONAL DIAGNOSTIC IMAGING LLC
PO BOX 2089	VINELAND	NJ	08360	RADIOLOGY	$6,830,117
QUEST DIAGNOSTICS
PO BOX 828669	PHILADELPHIA	PA	191828669	LABORATORY	$5,051,778
REHABCARE GROUP INC
PO BOX 502096	ST LOUIS	MO	631502096	REHABILITATION	$4,510,052
PINNACLE MID-ATLANTIC NJ LLC
100 WITMER ROAD SUITE 220	HORSHAM	PA	19044	ANESTHESIOLOGY	$2,808,670
HARMELIN MEDIA
525 RIGHTERS FERRY ROAD	BALA CYNWYD	PA	19044	ADVERTISING	$2,403,899

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	193	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$652,529	RelatedOrganizationsAmt
Government Grants	$3,318,364	GovernmentGrantsAmt
All Other Contributions	$1,520,257	AllOtherContributionsAmt
Total Contributions	$5,491,150	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	541900	$430,663,046	$430,663,046
OTHER HEALTHCARE RELATED REVENUE	812300	$6,835,992	$6,743,775	$92,217

Field	Value	IRS element (for citing)
Total Program Service Revenue	$437,499,038	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,722,229	TotalRevenueColumnAmt
Exclusion	$7,722,229	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,729	TotalRevenueColumnAmt
Exclusion	$9,729	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,301,627	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,831,630	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$530,003	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$530,003	TotalRevenueColumnAmt
Exclusion	-$530,003	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,284,401	SecuritiesAmt
Other	$963,922	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,284,401	SecuritiesAmt
Other	$963,922	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,248,323	TotalRevenueColumnAmt
Exclusion	$2,248,323	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$489,013	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$322,144	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$166,869	TotalRevenueColumnAmt
Exclusion	$166,869	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA/DIETARY	Desc
Business	900099	BusinessCd
Total Revenue Column	$1,570,691	TotalRevenueColumnAmt
Exclusion	$1,570,691	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,570,691	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$454,178,026	TotalRevenueColumnAmt
Related Or Exempt Func Income	$437,406,821	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$92,217	UnrelatedBusinessRevenueAmt
Exclusion	$11,187,838	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$95,842	TotalAmt
Program Services	$95,842	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$13,471,983	TotalAmt
Program Services	$12,124,785	ProgramServicesAmt
Management And General	$1,347,198	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$154,248,183	TotalAmt
Program Services	$138,823,365	ProgramServicesAmt
Management And General	$15,424,818	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$10,435,779	TotalAmt
Program Services	$9,392,201	ProgramServicesAmt
Management And General	$1,043,578	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$21,021,490	TotalAmt
Program Services	$18,919,341	ProgramServicesAmt
Management And General	$2,102,149	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$22,153,838	TotalAmt
Program Services	$19,938,454	ProgramServicesAmt
Management And General	$2,215,384	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$733,958	TotalAmt
Program Services	$660,562	ProgramServicesAmt
Management And General	$73,396	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$789,108	TotalAmt
Program Services	$710,197	ProgramServicesAmt
Management And General	$78,911	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$107,828	TotalAmt
Program Services	$97,045	ProgramServicesAmt
Management And General	$10,783	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$27,104,951	TotalAmt
Program Services	$24,394,456	ProgramServicesAmt
Management And General	$2,710,495	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,877,383	TotalAmt
Program Services	$2,589,645	ProgramServicesAmt
Management And General	$287,738	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,380,341	TotalAmt
Program Services	$4,842,307	ProgramServicesAmt
Management And General	$538,034	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$9,482,051	TotalAmt
Program Services	$8,533,846	ProgramServicesAmt
Management And General	$948,205	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,759,776	TotalAmt
Program Services	$6,083,798	ProgramServicesAmt
Management And General	$675,978	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$990,032	TotalAmt
Program Services	$891,029	ProgramServicesAmt
Management And General	$99,003	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

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

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,662,679	TotalAmt
Program Services	$6,896,411	ProgramServicesAmt
Management And General	$766,268	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$28,107,158	TotalAmt
Program Services	$25,296,442	ProgramServicesAmt
Management And General	$2,810,716	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,419,184	TotalAmt
Program Services	$3,977,266	ProgramServicesAmt
Management And General	$441,918	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$45,436,311	$40,892,680	$4,543,631
OUTSIDE SERVICES	$14,811,577	$13,330,419	$1,481,158
REPAIRS & MAINTENANCE	$4,906,769	$4,416,092	$490,677
DUES & SUBSCRIPTIONS	$1,267,804	$1,141,024	$126,780

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,013,530	TotalAmt
Program Services	$11,712,176	ProgramServicesAmt
Management And General	$1,301,354	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$395,277,555	TotalAmt
Program Services	$355,759,383	ProgramServicesAmt
Management And General	$39,518,172	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$110,114,167	BOYAmt
EOY	$144,644,975	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,145,545	BOYAmt
EOY	$1,236,096	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$47,914,046	BOYAmt
EOY	$49,990,277	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,285,850	BOYAmt
EOY	$4,277,426	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,358,014	BOYAmt
EOY	$7,111,898	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$530,850,485	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$305,863,088	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$234,858,089	BOYAmt
EOY	$224,987,397	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$295,456,870	BOYAmt
EOY	$296,003,385	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$906,273	BOYAmt
EOY	$906,273	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$90,701,212	BOYAmt
EOY	$72,323,710	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$791,753,000	BOYAmt
EOY	$801,494,371	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$74,989,933	BOYAmt
EOY	$79,127,538	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,874,067	BOYAmt
EOY	$5,739,169	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$154,366,551	BOYAmt
EOY	$150,783,980	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$24,925,234	BOYAmt
EOY	$20,985,728	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$111,275,074	BOYAmt
EOY	$86,955,134	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$370,430,859	BOYAmt
EOY	$343,591,549	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$414,741,141	BOYAmt
EOY	$451,951,908	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,862,000	BOYAmt
EOY	$3,549,865	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,719,000	BOYAmt
EOY	$2,401,049	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$421,322,141	BOYAmt
EOY	$457,902,822	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$791,753,000	BOYAmt
EOY	$801,494,371	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$58,900,471	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$6,841,000	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$15,478,790	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$65,500	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$42,328	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$107,828	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B; LINES 1G & 1H	FormAndLineReferenceDesc
Explanation	DURING 2015, THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM $48,000 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO THE VP OF GOVERNMENT & EXTERNAL RELATIONS TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $17,500. THE ORGANIZATION IS A MEMBER OF NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS (INSPIRA MEDICAL CENTER VINELAND, INSPIRA MEDICAL CENTER ELMER AND INSPIRA MEDICAL CENTER WOODBURY). A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $42,328 IN 2015.	ExplanationTxt

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,581,000	BeginningYearBalanceAmt
Contributions	-$103,045	ContributionsAmt
Investment Earnings Or Losses	-$100,514	InvestmentEarningsOrLossesAmt
Other Expenditures	$426,527	OtherExpendituresAmt
End Year Balance	$5,950,914	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,385,000	BeginningYearBalanceAmt
Contributions	$16,000	ContributionsAmt
Investment Earnings Or Losses	$190,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$10,000	OtherExpendituresAmt
End Year Balance	$6,581,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,324,000	BeginningYearBalanceAmt
Contributions	$17,000	ContributionsAmt
Investment Earnings Or Losses	$298,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$254,000	OtherExpendituresAmt
End Year Balance	$6,385,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,533,000	BeginningYearBalanceAmt
Contributions	$168,000	ContributionsAmt
Investment Earnings Or Losses	$430,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$807,000	OtherExpendituresAmt
End Year Balance	$6,324,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,882,000	BeginningYearBalanceAmt
Contributions	$23,000	ContributionsAmt
Investment Earnings Or Losses	-$340,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$32,000	OtherExpendituresAmt
End Year Balance	$6,533,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.40350	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.59650	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,143,019	OtherCostOrOtherBasisAmt
Book Value	$9,143,019	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$243,315,968	OtherCostOrOtherBasisAmt
Depreciation	$83,708,354	DepreciationAmt
Book Value	$159,607,614	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,208,727	OtherCostOrOtherBasisAmt
Depreciation	$1,080,645	DepreciationAmt
Book Value	$128,082	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$272,707,706	OtherCostOrOtherBasisAmt
Depreciation	$218,477,110	DepreciationAmt
Book Value	$54,230,596	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,475,065	OtherCostOrOtherBasisAmt
Depreciation	$2,596,979	DepreciationAmt
Book Value	$1,878,086	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$224,987,397	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (9 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
PERPETUAL TRUSTS	$4,362,462	F
OREGANIZATION	$1,420,409	F
JOINT VENTURES	$735,426	F
EXTERNALLY DESIGNATED	$4,335,710	F
BOND INDENTURE AGREEMENTS	$9,552,038	F
LIMITED USE	$505,922	F
LIMITED USE	$208,684,528	F
LIMITED USE	$56,168,713	F
COMMINGLED FUNDS; LIMITED USE	$10,238,177	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$296,003,385	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
ORGANIZATIONS	$46,848,337
DEFERRED FINANCING COSTS	$1,328,963
RECEIVABLE	$16,008,877
OTHER RECEIVABLES	$6,096,017
OTHER ASSETS	$2,041,516

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$72,323,710	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
ACCRUED INTEREST PAYBLE	$3,981,266
THIRD-PARTY PAYORS	$34,842,916
ORGANIZATIONS	$141,104
ACCRUED RETIREMENT BENEFITS	$5,117,463
OTHER LONG-TERM LIABILITIES	$42,872,385

Field	Value	IRS element (for citing)
Total Liability	$86,955,134	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V; QUESTION 4

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

SCHEDULE D, PART X

AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF INSPIRA MEDICAL CENTERS, INC. FOR THE YEARS ENDED DECEMBER 31, 2015 AND DECEMBER 31, 2014; RESPECTIVELY. THIS AUDITED CONSOLIDATED FINANCIAL STATEMENT INCLUDES INSPIRA MEDICAL CENTERS, INC. AND ITS CONTROLLED AFFILIATIES. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S 2015 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE HOSPITAL 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 2015 OR 2014. IN ADDITION, THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("NETWORK"). THE NETWORK ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE 2015 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE NETWORK'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 2015 OR 2014.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	1	OfficesCnt
Employee	1	EmployeeCnt
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	FINANCIAL VEHICLE	SpecificServicesProvidedTxt
Region Total Expenditures	$4,085,954	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Subtotal Employees	1	SubtotalEmployeesCnt
Total Office	1	TotalOfficeCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$4,085,954	SubtotalSpentAmt
Total Spent	$4,085,954	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PART I	FormAndLineReferenceDesc
Explanation	THIS ORGANIZATION PAID JUNO ASSURANCE, LTD., A FINANCIAL VEHICLE, MALPRACTICE PREMIUMS PAYMENTS IN THE AMOUNT OF $4,085,954 DURING 2015. ADDITIONALLY, THIS ORGANIZATION PAID JUNO ASSURANCE, LTD., MALPRACTICE PREMIUMS IN THE AMOUNT OF $8,828,036 FOR THE BENEFIT OF CERTAIN RELATED ORGANIZATIONS INCLUDED BELOW: INSPIRA HEALTH NETWORK, INC. - $6,000,000; INSPIRA MEDICAL CENTER WOODBURY, INC. - $1,472,363; TRI-COUNTY CARIOVASCULAR SERVICES, P.C. - $12,400; COOPER BONE & JOINT AT WOODBURY, P.C. - $27,012; INSPIRA HEALTH NETWORK MEDICAL GROUP, P.C - $1,216,108; AND INSPIRA HEALTH NETWORK URGENT CARE, P.C - $100,153. THE AMOUNTS INCLUDED ABOVE ARE REIMBURSED TO INSPIRA MEDICAL CENTERS, INC. IN ADDITION, THE TAX-EXEMPT AFFILIATES REPORT THIS AMOUNT ON SCHEDULE F OF THEIR FORM 990.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	8880	PersonsServedCnt
Total Community Benefit Expns	$5,812,921	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,115,822	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,697,099	NetCommunityBenefitExpnsAmt
Total Expense	0.00680	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	22494	PersonsServedCnt
Total Community Benefit Expns	$30,799,533	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,395,055	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,404,478	NetCommunityBenefitExpnsAmt
Total Expense	0.02380	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Persons Served	15748	PersonsServedCnt
Total Community Benefit Expns	$7,982,623	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$486,684	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,495,939	NetCommunityBenefitExpnsAmt
Total Expense	0.01900	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	47122	PersonsServedCnt
Total Community Benefit Expns	$44,595,077	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,997,561	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,597,516	NetCommunityBenefitExpnsAmt
Total Expense	0.04960	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	98403	PersonsServedCnt
Total Community Benefit Expns	$3,190,242	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$974,162	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,216,080	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	639	PersonsServedCnt
Total Community Benefit Expns	$14,010,728	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,895,252	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,115,476	NetCommunityBenefitExpnsAmt
Total Expense	0.01800	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	10237	PersonsServedCnt
Total Community Benefit Expns	$2,989,248	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$970,112	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,019,136	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$115,680	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$115,680	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	1664	PersonsServedCnt
Total Community Benefit Expns	$130,650	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$130,650	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	110943	PersonsServedCnt
Total Community Benefit Expns	$20,436,548	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,839,526	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,597,022	NetCommunityBenefitExpnsAmt
Total Expense	0.02930	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	158065	PersonsServedCnt
Total Community Benefit Expns	$65,031,625	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$33,837,087	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,194,538	NetCommunityBenefitExpnsAmt
Total Expense	0.07890	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	74	ActivitiesOrProgramsCnt
Persons Served	1	PersonsServedCnt
Total Community Benefit Expns	$14,016	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$14,016	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5070	ActivitiesOrProgramsCnt
Persons Served	26370	PersonsServedCnt
Total Community Benefit Expns	$2,230,687	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,128,573	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$102,114	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	30	ActivitiesOrProgramsCnt
Persons Served	116	PersonsServedCnt
Total Community Benefit Expns	$255	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$255	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	33	ActivitiesOrProgramsCnt
Persons Served	2393	PersonsServedCnt
Total Community Benefit Expns	$36,910	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$36,910	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	89	ActivitiesOrProgramsCnt
Persons Served	2015	PersonsServedCnt
Total Community Benefit Expns	$56,606	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$56,606	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	8	PersonsServedCnt
Total Community Benefit Expns	$1,317,360	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,317,360	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5300	ActivitiesOrProgramsCnt
Persons Served	30903	PersonsServedCnt
Total Community Benefit Expns	$3,655,834	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,128,573	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,527,261	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Reimbursed By Medicare	$113,138,893	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$126,610,699	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$13,471,806	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (8 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
THE KIDNEY CENTER AT

VINELAND LLC
MEDICAL SERVICES	0.5	0.5
THE KIDNEY CENTER AT

MILLVILLE LLC
MEDICAL SERVICES	0.5	0.5
OAK & MAIN

SURGICENTER LLC
MEDICAL SERVICES	0.85	0.15
INSPIRA HEALTH

PARTNERS LLC
MEDICAL SERVICES	0.51293	0.15472

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
INSPIRA MEDICAL CENTER VINELAND
1	1505 WEST SHERMAN AVENUE	VINELAND	NJ	08360	WWW.INSPIRAHEALTHNETWORK.ORG	10603	Yes (X)	Yes (X)	Yes (X)	Yes (X)	1
INSPIRA MEDICAL CENTER ELMER
2	425/475 FRONT STREET	ELMER	NJ	08318	WWW.INSPIRAHEALTHNETWORK.ORG	11701	Yes (X)	Yes (X)		Yes (X)	1

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.inspirahealthnetwork.org	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	gethealthYcumberlandANDsalem.org	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	550.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCH H,PART V,SEC B,Q'S 3J,7D,13C,13H,15E,16I,18D,19D,20E,21C,21D,22D,23&24	Not applicable.
SCHEDULE H, PART V, SECTION B, QUESTION 5	INSPIRA MEDICAL CENTERS, INC. WORKED IN COLLABORTATION WITH THE CUMBERLAND/SALEM/GLOUCESTER HEALTH AND WELLNESS ALLIANCE ("THE ALLIANCE") TO UTILIZE SECONDARY DATA AND CONDUCT KEY INFORMANT INTERVIEWS, FOCUS GROUPS AND SURVEYS TO IDENTIFY THE NEEDS OF THE COMMUNITY. THE ALLIANCE PAID PARTICULAR ATTENTION TO UNDERSERVED AND PRIORITY POPULATIONS AND INCLUDED A RANGE OF PUBLIC HEALTH EXPERTS IN THE PROCESS TO ASSURE THE ASSESSMENT WAS REPRESENTATIVE OF THE POPULATION AT LARGE.
SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B	INSPIRA MEDICAL CENTERS, INC. INCLUDES TWO HOSPITAL CAMPUSES, INSPIRA MEDICAL CENTER VINELAND & INSPIRA MEDICAL CENTER ELMER. THESE TWO HOSPITAL CAMPUSES WORKED TOGETHER TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT. ADDITIONALLY, Inspira Medical Centers, Inc. worked in collaboration with the Cumberland/Salem/Gloucester Health and Wellness Alliance ("The Alliance") TO COMPLETE THE CHNA. THE ALLIANCE INCLUDES THE FOLLOWING MEMBERS: - CITY OF VINELAND HEALTH DEPARTMENT; - COMPLETECARE HEALTH NETWORK; - COUNTY OF CUMBERLAND; - CUMBERLAND/CAPE/ATLANTIC YMCA; - CUMBERLAND COUNTY 4-H YOUTH DEVELOPMENT PROGRAM, RUTGERS; - CUMBERLAND COMMUNITY COLLEGE; - CUMBERLAND COUNTY GUIDANCE CENTER; - CUMBERLAND COUNTY TECHNICAL EDUCATION CENTER; - CUMBERLAND COUNTY UNITED WAY; - COUNTY OFFICES OF EDUCATION; - CUMBERLAND DEVELOPMENT CORPORATION; - CUMBERLAND COUNTY DEPARTMENT OF WORKFORCE DEVELOPMENT; - CUMBERLAND COUNTY DEPARTMENT OF HEALTH; - FAMCARE; - GATEWAY COMMUNITY ACTION PARTNERSHIP; - RUTGERS FOOD INNOVATION CENTER; - SALEM COUNTY DEPARTMENT OF HEALTH; AND - THE CEO GROUP.
SCHEDULE H, PART V, SECTION B, QUESTION 11	The organizations Implementation Strategy, attached to this Federal Form 990, describes the community health needs identified through the Community Health Needs Assessment ("CHNA"). Inspira Medical Centers, Inc. ("Inspira") has chosen to address a majority of the needs identified. Below is a summary of the health needs addressed and actions taken to address these needs by the organization: 1. Health Resources focusing on Access To assist the uninsured and underinsured individuals and families with access to health resources, Inspira plans to help educate and enroll this population in the sources of insurance such as Medicaid and the new Health Insurance Marketplace options made available by the Affordable Care Act. Additionally, Inspira is helping to educate uninsured individuals and families through a dedicated webpage on its website and a flyer at all of its patient access points. Both address the frequently ask questions associated with the Affordable Care Act and the contact information for enrollment assistance. Inspira invited members of its health and wellness alliance and the community to attend a health insurance marketplace resource symposium with speakers from the Department of Health and Human Services and NJ Citizens Action. Inspira has also partnered with New Jersey Hospital Association and CompleteCare Health Network to have certified application counselors located within the facility. 2. Chronic Disease Management Diabetes & Cancer To assist patients with better management of their chronic diseases Inspira is expanding its Collaborating Options Across the Continuum of Healthcare ("COACH") program to include patients with a primary or secondary diagnosis of diabetes. This program identifies patients at risk for readmission using a modified LACE tool. The COACH program currently serves patients with primary or secondary diagnosis of COPD, heart failure, MI, and pneumonia. Inspira is currently in the process of expanding an existing inpatient, multi-disciplinary team ("MDT") diabetes self-management education program across all inpatient areas. The MDT Diabetes Class program is based on an IRB approved research study which documented the beneficial impact the class had on reducing 30-day diagnosis specific as well as all-cause readmissions. This MDT Diabetes class invites admitted diabetic patients and their families to attend a one-hour structured diabetes education course conducted by a multidisciplinary collaborative of healthcare professionals. The class is offered biweekly and focuses identifying and addressing barriers to effective diabetes self-management using evidence based strategies. Inspira is tackling cancer through our Frank and Edith Scarpa Regional Cancer Pavilion. The Frank and Edith Scarpa Regional Cancer Pavilion is a one-stop experience for cancer patients with consolidated services including medical and radiation oncology. Here patients can receive the latest and highest quality cancer care in the region. The center offers the latest technologies in cancer treatments. Through a partnership with the Fox Chase Cancer Center, Philadelphia, Inspira also provides advanced cancer care through more than 30 national clinical trials. These studies test new treatments, diagnostic techniques and methods for preventing cancer. Inspira is also the lead provider for the NJ Cancer Education and Early Detection ("NJ CEED") program in Cumberland County. This program provides free cancer screening tests for breast, cervical, colon and prostate cancer, for men and women that meet liberal eligibility requirements. This program also has a component for treatment of cancers diagnosed in NJCEED participants through a Medicaid waiver application. This program also offers free screenings to promote the early detection of cancer, when it is most treatable. Our screening programs also include an educational component designed to help people reduce their cancer risk and promote the early detection of cancer. 3. Substance Abuse Inspira is working on a three-pronged approach to tackle substance abuse, specifically prescription drug abuse. Being one of the largest healthcare providers in this area, IMC decided educating our physicians was the best first step. To educate our physicians about the prescription drug abuse problem in our network we are offering a continuing medical education ("CME") on the subject. The CME will also include information about the state run database called the Prescription Monitoring Program. This database collects prescription data on controlled dangerous substances and allows physicians to prevent patients from getting excess prescriptions. The use of this database will prevent physicians from writing unnecessary prescriptions. 4. High Risk Behaviors To combat the high prevalence of teen pregnancy within our service area, Inspira has purchased a health education curriculum that has been shown to lower teen pregnancy rates. This curriculum called 'Draw the Line, Respect the Line' starts in middle school and addresses some of the underlying problems that can lead to teen pregnancy. Inspira is meeting with different school officials to help get this curriculum implemented in one pilot middle school in each county. If the program proves to be effective, Inspira will advocate that this curriculum be implemented in more schools within the counties. In addition to purchasing the curriculum, Inspira also has the Partnership for Healthy Teens Carrera Program. This program is an Adolescent Pregnancy Prevention Program that uses a long-term, holistic approach to empower youth, to help them develop personal goals, and the desire for a productive future. Through our School Based Youth Services Programs Inspira partners with Vineland and Millville High School to provide support services to reduce the teen pregnancy rate. At both high schools Inspira provides nurse practitioners who are able to provide pregnancy testing to students. In addition to the test, counseling and education are provided to students who are not pregnant to encourage them to practice safe sex, educating them on Sexually Transmitted Infections, helping students obtain methods of birth control and encourage them to no get pregnant. For students who are pregnant we assist them with obtaining pre-natal care, and counseling about birthing options. 5. Nutrition Related Illness Inspira is partnering with the Cumberland Cape Atlantic YMCA to forward the "Complete Streets Policy" for Cumberland County. Inspira is currently one of the few companies in the nation to have received multiple platinum Fit-Friendly Worksite awards by American Heart Association. As a top Fit-Friendly company, Inspira offers a range of initiatives that employees can participate in. Inspira also offers individual outpatient nutrition counseling services for a wide range of nutritional needs at convenient locations throughout Cumberland and Salem counties. Inspira is also promoting fitness programs available through our fitness connection. Inspira Health Network Fitness Connection offers several programs which positively impact the health needs of the community. The first program, which has served almost 2,000 individuals, is the Physician Referred Exercise Program. Some community needs were not directly addressed in the organization's implementation strategy, but will be indirectly affected through the initiatives for prioritized needs. Please see below for the needs that will not be directly addressed and why: Community Resources Inspira has chosen not to address community resources because it is beyond the hospitals mission. Through our Family Success Centers, the hospital provides services and programs that connect Vineland families with community resources ranging from housing and legal assistance to help obtaining household items and food. Innovative Model for Preschool and Community Teaming's ("IMPACT") Family Outreach Program also coordinates family outreach and support to social workers who service Abbott preschool providers in Bridgeton, Millville and Vineland. Poverty - Inspira has chosen not to address community resources because it is beyond the hospitals mission. Violence - Inspira has chosen not to address community resources because it is beyond the hospitals mission. Relationship Health - Inspira has chosen not to address community resources because it is beyond the hospitals mission. Yet, through the previously mentioned IMPACT program and Family Success Centers, INSPIRA focuses on 10 core services to strengthen families by providing assistance with obtaining health insurance, selecting physicians, providing workshops that increase positive interaction between parents and children, promoting family literacy, addressing health issues and legal issues such as immigration, and other topics relevant to the community. Inspira Medical Center Vineland offers its Emergency Department AS an examination site for the Sexual Assault Response Team ("SART") in Cumberland

Field	Value	IRS element (for citing)
Facility	15	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
INSPIRA HEALTH CENTER BRIDGETON
333 IRVING AVENUE	BRIDGETON	NJ	08302	HEALTH CENTER AMBULATORY CARE INPATIENT PSYCH
INSPIRA TOMLIN STATION IMAGING
201 TOMLIN STATION ROAD	MULLICA HILL	NJ	08062	OUTPATIENT DIAGNOSTIC FACILITY
INSPIRA WOUND CARE CENTER ELMER
501 W FRONT STREET	ELMER	NJ	08318	HOSPITAL OUTPATIENT DEPARTMENT
INSPIRA IMAGING CENTER OF MILLVILLE
1001 N HIGH STREET	MILLVILLE	NJ	08332	HOSPITAL OUTPATIENT DEPARTMENT
INSPIRA IMAGING CENTER OF DELSEA
352 S DELSEA DRIVE	VINELAND	NJ	08360	HOSPITAL OUTPATIENT DEPARTMENT
INSPIRA VINELAND SLEEP CARE CENTER
1650 E CHESTNUT AVENUE	VINELAND	NJ	08361	OUTPATIENT DIAGNOSTIC FACILITY
INSPIRA ELMER SLEEP CARE CENTER
445 WEST FRONT STREET	ELMER	NJ	08318	OUTPATIENT DIAGNOSTIC FACILITY
INSPIRA CHILD DEVELOPMENT CENTER
1138 E CHESTNUT STREET	VINELAND	NJ	08360	HOSPITAL OUTPATIENT DEPARTMENT
INSPIRA IMAGING CENTER WEST SHERMAN MRI
994 W SHERMAN AVENUE	VINELAND	NJ	08361	HOSPITAL OUTPATIENT DEPARTMENT
Inspira Sports Rehab Care Woolwich
100 Lexington Road Suite 130	Swedesboro	NJ	08085	REHABILITATION CLINIC
INSPIRA EGG HARBOR SLEEP CARE CENTER
6712 WASHINGTON AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	OUTPATIENT DIAGNOSTIC FACILITY
INSPIRA HEALTH CENTER VINELAND
1038 CHESTNUT STREET	VINELAND	NJ	08360	HOSPITAL OUTPATIENT DEPARTMENT
INSPIRA SPORTS REHABCARE
1430 SHERMAN AVENUE	VINELAND	NJ	08360	REHABILITATION CLINIC
INSPIRA IMAGING CENTER OF MILLVILLE mri
608 N HIGH STREET	MILLVILLE	NJ	08332	HOSPITAL OUTPATIENT DEPARTMENT
INSPIRA IMPACT PROGRAM
240 S 6TH STREET	VINELAND	NJ	08360	HOSPITAL OUTPATIENT DEPARTMENT

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C	INCOME-BASED CRITERIA USED TO DETERMINE ELIGIBILITY ARE IN ACCORDANCE WITH THE NJ ADMINISTRATIVE CODE 10:52 SUB-CHAPTERS 11, 12 AND 13. FEDERAL POVERTY GUIDELINES ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. In addition to the federal poverty guidelines, the following criteria are used in determining eligibility for free or discounted care: - Asset level; - Insurance status; - Underinsurance status; and - Residency.
SCHEDULE H, PART I; QUESTION 6A	An annual report is prepared and published by Inspira MEDICAL CENTERS, INC. ("IMC"). The report describes the community benefit programs and services that promote the health of the communities served by the health system. The annual written report is distributed to legislators, business leaders, civic community leaders, organizations and community partners. A downloadable version of the report is available on the organization's website, www.inspirahealthnetwork.org.
SCHEDULE H, PART I; QUESTION 7	THE ORGANIZATION UTILIZED THE COST ACCOUNTING SYSTEM.
SCHEDULE H, PART I, QUESTION 7g	Subsidized health service costs include an operating deficit of $123,609 for the Wound Care Center and $765,092 for outpatient mental health.
SCHEDULE H, PART II	Community building activities undertaken by Inspira Medical Centers, Inc. ("IMC") 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 organization issued audited consolidated financial statements. The organization's allowance for doubtful accounts methodology and charity care policies are consistently applied. Below please find detailed information: Receivables for Patient Care ---------------------------- Patient accounts receivable for which the Hospital receives payment under cost reimbursement, prospective payment formulae or negotiated rates, which cover the majority of patient services, are stated at the estimated net amounts receivable from payors, which are generally less than the established billing rates of the Hospital. Patient accounts receivable are reported net of provisions based on management's assessment of historical and expected collections, business economic conditions, trends in healthcare coverage, and other collection indicators. For receivables associated with services provided to patients who have third-party coverage (which includes patients with deductible and co-payment balances due for which third-party coverage exists for part of the bill), the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts, if necessary. The difference between the billed rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against net patient service revenue. Charity Care ------------ IMC's patient acceptance policy is based on its mission statement and its charitable purposes. Accordingly, IMC accepts all patients regardless of their ability to pay. A patient is classified by IMC as a charity patient by reference to certain financial criteria established by the State of New Jersey and IMC's policy. IMC's charity care policy includes additional financial criteria which were established with the intent of expanding the availability of financial assistance. Because IMC does not believe that accounts which qualify for charity care are likely to be collected, they are not reported as net patient service revenue. The unreimbursed cost for services and supplies furnished to patients eligible for such charity care are determined through the use of cost to charge ratios in effect for IMC, and are as follows: 2015 2014 In accordance with the State of New Jersey's criteria: $ 2,553,000 $ 4,395,000 IMC's additional criteria $ 8,272,000 $ 10,156,000 ------------ ------------- Total $ 10,825,000 $ 14,551,000 ============ ============== IMC also sponsors certain other charitable programs, which provide substantial benefit to the broader community. Such programs include services to needy and elderly populations that require special support, as well as health promotion and education for the general community welfare. In addition, all other uncollectible amounts resulting from the patients' inability to pay, are recorded as a reduction to net patient service revenue, consistent with IMC's charity care policy.
SCHEDULE H, PART III, SECTION B; QUESTION 8	Medicare costs were derived from the 2015 Medicare cost Report. Medicare underpayments and bad debt are community benefit and associated costs are includable on the form 990, Schedule H, Part I. The organization feels that Medicare underpayments (shortfall), bad debt and associated costs are community benefit and are includable on the form 990, Schedule H, Part I. As outlined more fully below, the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individuals in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay and consistent with the Community Benefit Standard promulgated by the IRS. The Community Benefit Standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code ("IRC") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the IRC. Although there is no definition in the tax code for the term "charitable" a regulation promulgated by the Department of the Treasury provides some guidance and states that "the term charitable is used in Section 501(c)(3) in its generally accepted legal sense,provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the IRS to determine the criteria hospitals must meet to qualify as IRC 501(c)(3) charitable organizations. The original standard was known as the Charity Care Standard. This standard was replaced by the IRS with the Community Benefit Standard which is the current standard. Charity Care Standard In 1956, the IRS issued Revenue Ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for IRC 501(c)(3) status. One of these requirements is known as the "Charity Care Standard." Under the standard, a hospital must provide, to the extent of its financial ability, free or reduced-cost care to patients who cannot pay for such services. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community Benefit Standard In 1969, the IRS issued revenue ruling 69-545, which "removed" from revenue ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." Under the standard developed in revenue ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as Medicare), but operated a full-time emergency room that was open to everyone. The IRS ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The IRS reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by The Department of Treasury Reg. 1.501(c)(3)-1(d)(2). The IRS ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The IRS concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the IRS highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. Medicare underpayments and bad debt are community benefit and associated costs are includable on the form 990, Schedule H, Part I. The American Hospital Association ("AHA") feels that Medicare underpayments (shortfall) and bad debt are community benefit and thus includable on the form 990, Schedule H, Part I. This organization agrees with the AHA's position. As outlined in the AHA's letter to the IRS dated August 21, 2007 with respect to the first published draft of the new Form 990 and Schedule H, the AHA felt that the IRS should incorporate the full value of the community benefit that hospitals provide by counting Medicare underpayments (shortfall) as quantifiable community benefit for the following reasons: - Providing care for the elderly and serving Medicare patients is an essential part of the community benefit standard - Medicare, like Medicaid, does not pay the full cost of care. From the latest data provided by the American Hospital Association, as of 2012, Medicare reimburses hospitals only 86 cents for every dollar they spend to take care of Medicare patients. The Medicare Payment Advisory Commission ("MEDPAC"), in its March 2013 report to congress, states that beneficiaries will grow notably faster in the next 10 years than in the past decade as the baby-boom generation ages into the program. In addition, the population aging into the Medicare program will present a new set of challenges since rising obesity levels put this population at a greater risk than previous generations for chronic disease. - Many Medicare beneficiaries, like their Medicaid counterparts, are poor. More than 42 percent of Medicare spending is for beneficiaries whose income is below 200 percent of the federal poverty level. Many of those Medicare beneficiaries are also eligible for Medicaid -- so called eligible." There is every compelling public policy reason to treat Medicare and Medicaid underpayments similarly for purposes of a hospital's community benefit and include these costs on form 990, Schedule H, Part I. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community and should count as a quantifiable community benefit. Both the AHA and this organization also feel that patient bad debt is a community benefit and thus includable on the form 990, Schedule H, Part I. Like Medicare underpayment (shortfalls), there also are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - A significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office ("CBO") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - The report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessar
SCHEDULE H, PART III, SECTION B; QUESTION 9B	Accounts considered to be charity care 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. According to Inspiras Billing and Collection Policy Inspira abides by the following procedures when pursuing billing and collection actions: (1) For all insured patients, Inspira will bill 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. (2) After claims are processed by payers, Inspira will bill patients on a timely basis for their respective liability amounts as determined by their insurers. (3) All uninsured patients will be 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. 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. Inspira 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 will 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. Inspira will 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. IMC 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. IMC 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. IMC actively contributes to this process and engages in the identified priorities that match its mission, expertise, resources and capacity. In addition to these organized needs assessment efforts, ongoing community meetings with local providers, local health departments, local politicians, organizations and community leaders are sponsored by the hospital to discuss the health needs of the population.
SCHEDULE H, PART VI; QUESTION 3	THE HOSPITAL'S FINANCIAL ASSISTANCE INFORMATION IS COMMUNICATED IN BOTH ENGLISH AND SPANISH IN A VARIETY OF WAYS, WHICH INCLUDES: - SIGNAGE THROUGHOUT THE HOSPITAL, EMERGENCY DEPARTMENTS AND REGISTRATION AREAS; - DISTRIBUTION OF ADMISSION BOOKLETS AND BROCHURES DESCRIBING THE POLICY AND HOW TO APPLY FOR ASSISTANCE; - POSTING OF THE CHARITY CARE PROGRAM AND FINANCIAL ASSISTANCE INFORMATION ON THE HOSPITAL'S WEBSITE; AND - A STATEMENT ADDED TO ALL PUBLICATIONS INDICATING THE AVAILABILITY OF CHARITY CARE. PATIENTS ARE GIVEN A FINANCIAL ASSISTANCE HANDOUT AT REGISTRATION OR ADMISSION WITH INFORMATION TO CONTACT FINANCIAL COUNSELORS IF THEY MAY HAVE DIFFICULTY PAYING THEIR HOSPITAL BILL. ALL PATIENTS DEEMED SELF-PAY ARE SCREENED FOR FINANCIAL ASSISTANCE BY A FINANCIAL COUNSELOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS. INTERPRETATION SERVICES ARE AVAILABLE FOR PATIENTS NEEDING INFORMATION IN LANGUAGES OTHER THAN ENGLISH AND SPANISH.
SCHEDULE H, PART VI; QUESTION 4	Inspira Medical Centers, Inc. ("IMC") is the only not-for-profit healthcare system located in the southwestern region of New Jersey along the Delaware Bay. It is situated in a rural and urbanized area comprised of small cities, suburbs, vast wetlands and agricultural areas. IMC is a healthcare safety net provider of general acute and ambulatory healthcare services in a regional service area that encompasses primarily Cumberland and Salem counties and portions of Gloucester and Atlantic counties, covering a patient base of 376,000. Cumberland County has a population of 157,389 and Salem County has a population of 64,715 according to US Census 2014 Estimates. The population is a multifaceted community of diverse ethnic groups and industry, predominately Caucasian with specific communities home to higher populations of Hispanic and African American residents. According to 2014 US Census, Cumberland County demographics are 49% Caucasian, 22% African American, 29% Hispanic; Salem County is 77% Caucasian, 15% African American and 8% Hispanic. Cumberland County's rapidly growing Hispanic population provides much of the counties farm labor; in particular, Bridgeton has experienced a 560% increase in Mexican population from 1990 to 2000. The region's economy consists of a strong agricultural base with targeted industry sectors that include health care, construction, hospitality/tourism, food processing, glass making, manufacturing, a nuclear generating complex, one federal penitentiary and three state correctional facilities which combined house over 8,000 inmates. Of 21 counties in NJ, Cumberland County has the largest percentage of residents living below the federal poverty level, the highest unemployment rate, the highest teen pregnancy rate, and the lowest percentage of population with a college degree. Major areas in Cumberland County and all of Salem County are designated Medically Underserved Areas and Health Professional Shortage Areas. Both Salem and Cumberland County have the two highest obesity rates in the state. IMC is recognized as a Center of Excellence in Cancer Services, Cardiology Center of Care and Bariatric Surgery Center of Excellence. The IMC Vineland Medical Center and IMC Elmer Hospital are state-designated Primary Stroke Centers. Inspira Medical Centers Behavioral Health Services is the major provider of inpatient and outpatient services for the entire southern New Jersey region spanning nine counties. Patients receiving behavioral health services are primarily insured under Medicaid and Medicare.
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 both hospital locations in Vineland and Elmer. The organizations governing boards are comprised of business professionals and community members all of whom reside in the hospital's primary service area who are not employees of the organization. These volunteers provide countless hours of service to the hospital system in their oversight role. All qualified physicians in the community are extended medical staff privileges by their respective departments. Under the directive of the organization's corporate finance office, surplus funds are utilized for capital projects to improve services, purchase equipment, maintain access to care to a historically underserved and low-income community and improve access to patient services, which in turn, benefit the community. These services include, but not limited to, the following: 1) educational programs that provide classes and information on healthy aging, childbirth, infant care, early pregnancy and more; 2) free blood pressure and diabetes screening, and mammograms to qualifying individuals, free or low-cost screenings for breast, prostate, skin and colorectal cancers; 3) preventative health education; 4) access to satellite emergency department and expansion of emergency departments at both hospitals to accommodate increase in emergency department patients; 5) improved efficiency and clinical quality; 6) investment in medical education and research; and 7) access to advanced technology and clinical trials for latest treatments. Please also refer to Form 990, Schedule O, which contains the organization's community benefit statement.
SCHEDULE H, PART VI; QUESTION 6	Outlined below is a summary of the entities which comprise the Inspira Health Network: Not for profit Inspira Health Network entities ============================================== Inspira Health Network, Inc. ---------------------------- Inspira Health Network, Inc. ("Network") is the tax-exempt parent of the Inspira Health Network ("System"). This integrated healthcare delivery system consists of a group of affiliated healthcare organizations. The sole member or stockholder of each entity is either the network or another network affiliate controlled by the network. The network is an integrated network of healthcare providers throughout the State of New Jersey and is recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a supporting organization pursuant to Internal Revenue Code 509(a)(3). Inspira Medical Centers, Inc. ----------------------------- Inspira Medical Centers, Inc. ("IMC") is comprised of two acute care and two hospital-based ambulatory care centers. Inspira Medical Center Vineland, located in Vineland, Cumberland County, New Jersey, is a 276-bed acute care facility with 59 psychiatric beds located at Inspira Health Center Bridgeton. Inspira Medical Centers Elmer is a 96-bed acute care facility located in Elmer, Salem County, New Jersey. IMC is recognized by the internal revenue service as an internal revenue code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, IMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, IMC operates consistently with the criteria outlined in IRS revenue ruling 69-545. Inspira Medical Center Woodbury, Inc. ------------------------------------- Inspira Medical Center Woodbury, Inc. ("IMCW") is located in Woodbury, Gloucester County, New Jersey, is a 305-bed acute care facility. IMCW is recognized by the internal revenue service as an internal revenue code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, IMCW provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, IMCW operates consistently with the criteria outlined in IRS revenue ruling 69-545. Inspira Homecare & Hospicecare, Inc. ------------------------------------ Inspira Homecare & Hospicecare, Inc. is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(2). The organization provides care and support for terminally ill patients and their families in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Inspira Health Network Life, Inc. --------------------------------- Inspira Health Network Life, Inc. is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(2). The organization provides healthcare services in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Tri-county Cardiovascular Services, P.C. ---------------------------------------- Tri-county Cardiovascular Services, P.C. is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a(1). The organization supports Inspira Medical Center Woodbury, Inc., a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. By practicing medicine, engaging in medical education and working to improve the welfare of individuals in New Jersey, the organization comprises a component of the clinical service physician practice plans of Inspira Medical Center Woodbury, Inc. and is an integral part of Inspira Medical Center Woodbury, Inc. Inspira Health Connections, P.C. -------------------------------- Inspira Health Connections, P.C. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a(1). During 2013, the organization transferred its personnel and operations to Inspira Health Network Medical Group, P.C. Prior to 2014 the organization practiced medicine, engaged in medical education and worked to improve the welfare of individuals in New Jersey. The organization is currently inactive. Inspira Health Network Foundation Cumberland/Salem, Inc. -------------------------------------------------------- Inspira Health Network Foundation Cumberland/Salem, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). Through fundraising activities the organization supports the charitable purposes, programs and services of Inspira Health Network, Inc., a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Inspira Health Network Foundation Gloucester County, Inc. --------------------------------------------------------- Inspira Health Network Foundation Gloucester County, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). Through fundraising activities the organization supports the charitable purposes, programs and services of Inspira Health Network, Inc., a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Inspira Management Services, LLC --------------------------------- Inspira Management Services, LLC is a limited liability company formed in the State of New Jersey whose sole member is Inspira Health Network, Inc. Inspira Care Connect, LLC -------------------------- Inspira Care Connect, LLC is a limited liability company formed in the State of New Jersey whose sole member is Inspira Health Network, Inc. The mission of this organization is to establish a group of coordinated healthcare providers which agree to be accountable for the quality, cost and overall care for an assigned group of Medicare beneficiaries. For profit Inspira Health Network entities ========================================== Bridgeton Physicians Office Center, L.P. ---------------------------------------- Bridgeton Physicians Office Center, L.P. is a partnership owned by Inspira Health Network affiliates. This organization engages in real estate activity. Gloucester County Surgery Center, LLC ------------------------------------- Gloucester County Surgery Center, LLC is a limited liability company taxed as a partnership controlled by Red Bank Development Corporation. Gloucester County Surgery Center, LLC provides healthcare services to individuals. Inspira Health Partners, LLC ---------------------------- Inspira Health Partners, LLC is a limited liability company taxed as a partnership owned by Inspira Medical Centers, Inc. The organization is a clinically integrated physican-hospital enterprise which is designed to achieve improvement in healthcare quality, efficiency and cost. Oak & Main Surgicenter, LLC --------------------------- Oak & Main Surgicenter, LLC is a limited liability company taxed as a partnership owned by Inspira Medical Centers, Inc. This organization provides healthcare services to individuals. The Kidney Center at Millville, LLC ----------------------------------- The Kidney Center at Millville, LLC is a limited liability company taxed as a partnership owned by Inspira Medical Centers, Inc. This organization provides healthcare services to individuals. The Kidney Center at Vineland, LLC ---------------------------------- The Kidney Center at Vineland, LLC is a limited liability company taxed as a partnership owned by Inspira Medical Centers, Inc. This organization provides healthcare services to individuals. Cooper Bone & Joint, P.C. ------------------------- Cooper Bone & Joint Institute partnered with Inspira Medical Center Woodbury, Inc. to offer patients access to the latest orthopaedic advancements. Inspira Medical Center Woodbury, Inc. is a 50% shareholder in Cooper Bone & Joint,
SCHEDULE H, PART VI; QUESTION 7	Not applicable.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN KIDNEY FUND INC
11921 ROCKVILLE PIKE	ROCKVILLE	MD	20852	237124261	501(C)(3)	$11,485	PROGRAM SUPPORT
Winterland Ice Skating Rink LLC
201 Rowan Blvd	Glassboro	NJ	08028	463537191		$10,000	SPONSORSHIP

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

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (33 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOHN A DIANGELO
TRUSTEE; PRESIDENT/CEO-NTWK	$700,671	$0	$180,000	$0	$912,110	$0	$433,065	$0	$41,518	$0	$2,267,364	$0	$720,908	$0
KURT W KAULBACK MD
TRUSTEE	$0	$319,358	$0	$233,266	$0	$15,260	$0	$16,547	$0	$20,672	$0	$605,103	$0	$0
EILEEN K CARDILE MS RN CNA
EVP/PRES OF IMCW	$447,269	$0	$411,300	$0	$55,370	$0	$10,500	$0	$14,533	$0	$938,972	$0	$0	$0
THOMAS P BALDOSARO CPA
EVP/CHIEF FINANCIAL OFFICER	$385,025	$0	$63,438	$0	$24,322	$0	$88,412	$0	$27,091	$0	$588,288	$0	$0	$0
MARVIN T WAY
EVP OPERATIONS	$487,213	$0	$25,314	$0	$20,412	$0	$73,069	$0	$32,386	$0	$638,394	$0	$0	$0
ROBERT E FLORENTINE
SVP/CHIEF PEOPLE OFFICER	$269,280	$0	$205,175	$0	$259,515	$0	$48,060	$0	$27,978	$0	$810,008	$0	$125,334	$0
ELIZABETH A SHERIDAN
COO - IMC ELMER & VINELAND	$316,513	$0	$138,416	$0	$830,258	$0	$75,618	$0	$31,188	$0	$1,391,993	$0	$405,441	$0
STEVEN C LINN MD
CMO/VP ACADEMIC AFFAIRS	$345,391	$0	$59,769	$0	$339,454	$0	$56,989	$0	$27,581	$0	$829,184	$0	$126,489	$0
MATTHEW DOONAN ESQ
GENERAL COUNSEL	$251,522	$0	$5,625	$0	$18,434	$0	$32,870	$0	$21,482	$0	$329,933	$0	$0	$0
JOHN C BICKINGS
VP FACILITIES & CONSTRUCTION	$242,934	$0	$96,663	$0	$276,233	$0	$66,332	$0	$26,667	$0	$708,829	$0	$138,499	$0
ARTHUR BOOTE
VP PROVIDER NTWK INTEGRATION	$267,147	$0	$129,799	$0	$195,852	$0	$52,228	$0	$25,903	$0	$670,929	$0	$125,021	$0
CLARE SAPIENZA-ECK
VP BUS. DEV./PHYS RECRUITMENT	$214,575	$0	$24,833	$0	$199,217	$0	$59,779	$0	$27,706	$0	$526,110	$0	$81,314	$0
THOMAS PACEK
VP/CHIEF INFORMATION OFFICER	$283,265	$0	$26,904	$0	$18,444	$0	$50,459	$0	$25,430	$0	$404,502	$0	$0	$0
CAROLYN S HECKMAN
VP COMMUNITY RELATIONS	$180,959	$0	$16,742	$0	$126,753	$0	$35,557	$0	$18,971	$0	$378,982	$0	$75,676	$0
DAVID YHLEN
VP AMBULATORY SERVICES	$253,995	$0	$38,930	$0	$19,399	$0	$40,211	$0	$24,299	$0	$376,834	$0	$0	$0
DAVID MURRAY
VP FINANCE	$212,594	$0	$36,750	$0	$21,932	$0	$13,167	$0	$21,876	$0	$306,319	$0	$0	$0
JOSEPH M ALESSANDRINI
VP CLINICAL SVS-ELMER&VINELAND	$196,358	$0	$25,887	$0	$23,544	$0	$17,135	$0	$18,719	$0	$281,643	$0	$0	$0
PAUL M LAMBRECHT
VP QUALITY & PATIENT SAFETY	$191,526	$0	$17,472	$0	$11,400	$0	$10,233	$0	$18,896	$0	$249,527	$0	$0	$0
PETER A KAPRIELYAN
VP GOV'T & EXTERNAL RELATIONS	$214,233	$0	$0	$0	$5,884	$0	$11,119	$0	$4,185	$0	$235,421	$0	$0	$0
MARY BOLLWAGE
VP RISK MANAGEMENT	$193,173	$0	$0	$0	$2,792	$0	$2,948	$0	$18,115	$0	$217,028	$0	$0	$0
JANET DAVIES
VP PAT CARE SVS-ELMER&VINELAND	$154,796	$0	$18,975	$0	$1,354	$0	$17,296	$0	$16,765	$0	$209,186	$0	$0	$0
ANNE MCCARTNEY
VP PAT SVS-VNLND(TERM 6/30/15)	$118,900	$0	$22,716	$0	$22,153	$0	$6,527	$0	$15,391	$0	$185,687	$0	$0	$0
ROBERT L MANESTRINA
VP HUMAN RES (TERMED 1/30/15)	$16,628	$0	$12,036	$0	$105,551	$0	$3,466	$0	$15,128	$0	$152,809	$0	$0	$0
FRANCIS T FERRY MD
MEDICAL DIRECTOR (TERM 4/7/15)	$86,409	$0	$59,046	$0	$457	$0	$6,601	$0	$18,138	$0	$170,651	$0	$0	$0
CHRISTOPHER TROTZ MD
EXEC MED DIRECTOR (EFF 4/8/15)	$235,090	$0	$0	$0	$23,359	$0	$34,631	$0	$540	$0	$293,620	$0	$0	$0
GREGORY HERMAN
CHIEF MEDICAL INFO. OFFICER	$321,070	$0	$23,925	$0	$690	$0	$2,008	$0	$17,524	$0	$365,217	$0	$0	$0
GINA PETRONE MUMOLIE
VP CHIEF NURSING (TERM 1/3/15)	$0	$0	$15,269	$0	$309,517	$0	$5,200	$0	$22,465	$0	$352,451	$0	$0	$0
JOHN W GRAHAM
EXECUTIVE DIRECTOR IHP	$281,087	$0	$29,598	$0	$9,316	$0	$14,936	$0	$4,368	$0	$339,305	$0	$0	$0
SUZANNE W VANDERWERKEN MD
PHYSICIAN	$210,000	$0	$4,309	$0	$1,290	$0	$4,288	$0	$532	$0	$220,419	$0	$0	$0
JAMES T O'CONNELL
DIRECTOR	$173,346	$0	$15,430	$0	$11,515	$0	$10,875	$0	$21,556	$0	$232,722	$0	$0	$0
CHESTER B KALETKOWSKI
FORMER OFFICER	$0	$0	$0	$0	$1,910,169	$0	$0	$0	$0	$0	$1,910,169	$0	$0	$0
ROBERT M D'ANGEL ESQ
FORMER OFFICER	$336,607	$0	$29,981	$0	$285,925	$0	$1,928	$0	$8,039	$0	$662,480	$0	$265,092	$0
WAYNE C SCHIFFNER
FORMER OFFICER	$0	$0	$0	$0	$316,377	$0	$0	$0	$0	$0	$316,377	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I; QUESTION 4A	THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2015 WHICH WAS INCLUDED IN EACH INDIVIDUAL'S 2015 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: ROBERT L. MANESTRINA, $80,193 AND GINA PETRONE MUMOLIE, $276,457.
SCHEDULE J, PART I; QUESTION 4B	DURING 2015 THE NETWORK TERMINATED ITS CURRENT INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN). AS A RESULT OF THIS TERMINATION BENEFIT AMOUNTS FOR PLAN PARTICIPANTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE AND ACCORDINGLY ARE REFLECTED IN COLUMN B(III) HEREIN. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN A. DIANGELO, $819,928; ROBERT E. FLORENTINE, $196,990; ELIZABETH A. SHERIDAN, $756,929; STEVEN C. LINN, M.D., $301,109; JOHN C. BICKINGS, $227,583; ARTHUR BOOTE, $156,994; CLARE SAPIENZA-ECK, $144,230; CAROLYN S. HECKMAN, $90,034; CHESTER B. KALETKOWSKI, $1,909,905; ROBERT M. D'ANGEL, ESQ., $265,092 and WAYNE C. SCHIFFNER, $316,377. AFTER THE TERMINATION OF ITS FORMER PLAN, THE NETWORK IMPLEMENTED A NEW INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN). THE DEFERRED COMPENSATION AMOUNTS IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDE UNVESTED BENEFITS WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN A. DIANGELO, $409,215; THOMAS P. BALDOSARO, CPA, $71,053; MARVIN T. WAY, $68,078; ROBERT E. FLORENTINE, $22,743; ELIZABETH A. SHERIDAN, $46,161; STEVEN C. LINN, M.D., $42,785; MATTHEW DOONAN, ESQ., $25,563; JOHN C. BICKINGS, $43,409; ARTHUR BOOTE, $40,956; CLARE SAPIENZA-ECK, $39,079; THOMAS PACEK, $31,140; CAROLYN S. HECKMAN, $19,780; DAVID YHLEN, $29,794 AND CHRISTOPHER TROTZ, M.D., $24,655.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2015 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2015 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. PLEASE NOTE THAT ROBERT M. D'ANGEL, ESQ., FORMER OFFICER, RECEIVED A BONUS DURING 2015. THIS BONUS REPORTED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN, $29,981, REPRESENTS A BONUS THAT WAS EARNED DURING 2014 BUT PAID OUT AND REPORTED ON HIS FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES IN 2015.
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 2015 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 FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN). THESE AMOUNTS WERE REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. THE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED IN EACH INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN A. DIANGELO, $720,908; ROBERT E. FLORENTINE, $125,334; ELIZABETH A. SHERIDAN, $405,441; STEVEN C. LINN, M.D.. $126,489; JOHN C. BICKINGS, $138,499; ARTHUR BOOTE, $125,021; CLARE SAPIENZA-ECK, $81,314; CAROLYN S. HECKMAN, $75,676 AND ROBERT M. D'ANGEL, ESQ., $265,092.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
A	210634484	64579FDB6	2004-06-24	$15,075,000	TCU AND CTC CONSTRUCTION	false	false	false
NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
B	222845542	64579FJG9	2006-11-08	$147,675,671	REFINANCE 2002 BONDS	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$0	$0	$15,075,000	$0	$0	$0	$118,399	$0	$13,500	$14,943,101	$0	$0	2004	false	false	Yes (true)	Yes (true)
B	$0	$0	$147,675,671	$0	$0	$146,196,562	$1,479,109	$0	$0	$0	$0	$0	2006	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	Yes (true)	0.00000	0.00000	Yes (true)	false	false	Yes (true)
B						0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	Yes (true)	false	Yes (true)	false	false	0	false	Yes (true)
0
B	Yes (true)	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Field	Value	IRS element (for citing)
Total Balance Due	$0	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
LYNN M KENNY
FAMILY MEMBER OF TRUSTEE	$68,816	EMPLOYEE	false
THEODORA T ISEKENEGBE
FAMILY MEMBER OF TRUSTEE	$32,895	EMPLOYEE	false
DAVID SHIELDS MD
FAMILY MEMBER OF TRUSTEE	$64,118	PHYSICIAN SERVICES	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	BACKGROUND ========== Inspira Medical Centers, Inc. ("IMC") is a provider of general acute and ambulatory healthcare services based in Cumberland and Salem County, New Jersey. IMC is recognized by the IRS as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, IMC provides healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, IMC operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. Provides healthcare services to all individuals regardless of ability to pay, including Charity Care, Self-Pay, Medicare and Medicaid patients; 2. Operates 3 active emergency DEPARTMENTS for all persons; which are open 24 hours a day, 7 days a week, 365 days per year, including a specialized pediatric emergency department 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 charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care 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 charity care 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. PATIENT STATISTICAL INFORMATION =============================== IMC provides care to a patient base spread out over five southern New Jersey counties. With facilities in Cumberland and Salem Counties, IMC serves as the only not-for-profit acute care facility in both of those counties, accounting for over 376,000 persons, IMC is comprised of two acute care facilities and two hospital-based ambulatory care centers. Inspira Medical Center Vineland is located in Vineland, New Jersey, Cumberland County. It is a 276-bed acute care facility with 59 psychiatric beds located at the Inspira Health Center Bridgeton. Inspira Medical Center Elmer is a 96-bed acute care facility located in Elmer, New Jersey, Salem County. Additionally, IMC provides ambulatory services at two locations in Cumberland County, which are Inspira Health Center Bridgeton and the Inspira Medical Center Vineland. These ambulatory care centers provide a wide range of diagnostic and therapeutic services, including a 24/7 satellite emergency department and chronic dialysis services at Inspira Health Center Bridgeton, physical rehabilitation services, occupational medicine, laboratory and radiology services. In 2015, IMC performed 18,721 surgeries, 170,217 physical therapy treatments, 16,224 dialysis treatments, 245,539 diagnostic imaging procedures, 17,213 radiation therapy treatments and 109,394 emergency room visits. Also in 2015, inpatient admissions were 19,184 for adults and pediatrics, 114 for special care nursery, 242 for neonatal intensive care unit, 1,500 for mental health and 2,206 births. QUALITY AWARDS AND RECOGNITION ============================== In addition to providing a wide scope of services, IMC takes great pride in providing high quality, patient focused care to its communities. These efforts have been recognized at both a local and national level through a variety of awards, recognitions and accreditations, which include: Recognition for our commitment to excellence --------------------------------------------- We're proud at IMC to have received numerous accolades for excellence in healthcare. It is a reflection of our commitment to best practices and evidence-based care; supporting continuing education and staff recruitment; investing in leading edge technology; and recruiting primary care physicians, specialists and subspecialists to meet the needs of our communities. As one of the region's largest healthcare providers, we are pleased to share some of our most recent awards: 1. Inspira Medical Center Vineland was ranked among the top 10 hospitals in New Jersey in the annual Hospital Rankings published by U.S. News & World Report. Inspira Vineland was ranked ninth, tied with two other hospitals in Monmouth and Bergen counties. The hospital earned its place among the "Best Hospitals in New Jersey" on the strength of its performance in the treatment and care of patients with Heart Failure and Chronic Obstructive Pulmonary Disease. These common conditions are responsible for nearly 1.5 million hospital admissions in the United States each year. 2. Accredited Chest Pain Center - Inspira Medical Center Vineland recently received full Chest Pain Center with PCI Accreditation from the Society of Cardiovascular Patient Care (SCPC).Accredited by the SCPC since 2011, Inspira Vineland began performing life-saving emergency angioplasty with stenting, also known as emergency PCI (percutaneous coronary intervention), for area heart attack patients in late 2013. 3. American College of Surgeons Commission on Cancer Inspira Health Network's Frank & Edith Scarpa Regional Cancer in Vineland is designated as a Community Hospital Comprehensive Cancer Program by the American College of Surgeons Commission on Cancer (CoC). Additionally, Cancer Services at IMC Vineland has again been awarded the Outstanding Achievement Award. 4. American Heart Association (AHA) Fit Friendly Company and Worksite Innovation Awards - Inspira Health Network was recognized for the seventh year in a row as a Platinum-Level Fit-Friendly Worksite by the American Heart Association (AHA) for helping employees eat better and move more. 5. American Heart Association Community Innovation Award - The American Heart Association recognized Inspira Health Network with the 2015 Community Innovation Award again, the only organization from New Jersey to Maine to receive the award for two consecutive years, for its Performance Improvement Training (P.I.T.) program, which focuses on better performance and better living for children of all ages. The program, based at Inspira Fitness Connection Vineland, began in 2010 to enhance performance, strength and life skills in the youth of the community through sport specific training and formative fitness for both the competitive and non-competitive athlete. Over the past year, the program had more than 150 children in the community participate as well as 3 local teams. The program works to extend nutritional care and fitness to patients beyond their hospital stay who are considered at risk for malnutrition and at a greater risk of readmission. The Community Innovation Award recognizes organizations for their innovative approaches to promoting healthy living throughout the community. Inspira is one of only 37 organizations from across the country to be presented with this award. 6. Inspira Medical Center Elmer recently became the only hospital in New Jersey to receive the 2015 Womens Choice Award as one of Americas Best Hospitals for Orthopedics, providing exceptional patient care and treatment. By earning the Womens Choice Award seal, Inspira Medical Center Elmer has joined an elite network of hospitals committed to a global mission to empower women to make informed health care choices for them and their families. Based on the Womens Choice survey process, Inspira Medical Center Elmer ranked in the top 10% of hospitals nationwide for orthopedic care.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	7. American Nurses Credentialing Center Magnet Facility - Inspira Health Network's medical centers in Elmer and Vineland and its health center in Bridgeton have been re-designated by the American Nurses Credentialing Center as Magnet facilities for quality patient care, nursing excellence and innovations in professional nursing practice. By receiving Magnet re-designation, Inspira maintains its status within an elite group of hospitals across the nation. Only 24 hospitals in New Jersey have been awarded Magnet recognition. 8. Beacon Award for Excellence in Critical Care - Inspira Medical Centers, Inc. has received four Beacon Awards for Excellence in Critical Care as follows: - Inspira Medical Center Vineland Cardiac ICU (Gold); - Inspira Medical Center Elmer ICU (Gold); - Inspira Medical Center Vineland ICU (Gold); AND - Inspira Medical Center Vineland Surgical ICU (Silver). 9. National Accreditation Program for Breast Centers - Inspira Health Network's Breast Center Vineland was recently awarded a three-year accreditation from the National Accreditation Program for Breast Centers. The accreditation, administered by the American College of Surgeons, is presented to those organizations that have voluntarily committed to provide the highest level of breast care and that successfully undergo a rigorous evaluation and review of their performance. 10. Accredited ISO 9001:2008 by DNV Healthcare - Inspira Health Network is the second health care system in New Jersey to receive ISO 9001:2008 certification for achieving quality objectives based on international standards at its Medical Centers in Elmer and Vineland and its Health Center in Bridgeton. Achieving ISO 9001:2008 certification is a requirement of the facilities DNV Healthcare accreditation which aids the organizations leadership and staff in continuously evaluating and improving the care provided to the region. DNV Healthcare is a hospital accreditation program approved by the U.S. Centers for Medicare and Medicaid Services (CMS) that integrates the ISO 9001 Quality Management System. The DNV program requires hospitals to evaluate the continuum of patient care throughout its facilities and take measured steps to improve when it is warranted. 11. Spirit of Women Premier Hospital - Inspira was named a Spirit of Women Premier Hospital for its commitment to women's health and well-being. Last year, hundreds of women attended Spirit of Women events that blend fun and learning for a great time out. 12. PRISM Award for Medical/Surgical Nursing - Inspira Medical Center Elmer has become the first hospital in New Jersey to receive the Academy of Medical-Surgical Nurses PRISM Award, recognizing exceptional nursing practice, leadership, and outcomes in hospital medical-surgical departments across the United States. 13. Inspira Medical Center Vineland received the Get with The Guidelines-Stroke Gold-Plus Quality Achievement Award for quality care in the treatment of stroke patients. The Cumberland County-based hospital earned the award by meeting specific quality achievement measures for the rapid diagnosis and treatment of stroke patients at a set level for a designated period. These measures include aggressive use of medications and risk-reduction therapies aimed at reducing death and disability and improving the lives of stroke patients. 14. Three Inspira Nurses recognized by the March of Dimes - Each year the March of Dimes recognizes nurses across the nation who demonstrate exceptional patient care, compassion and service. In 2015, addition to the three Nurse of the Year recipients, seven nurses from Inspira Health Network were named as finalists. 15. Inspira Earns ACR Lung Cancer Screening Center Designation -Inspira Medical Center Vineland was recently designated a Lung Cancer Screening Center by the American College of Radiology (ACR). The ACR Lung Cancer Screening Center designation is a voluntary program that recognizes facilities that have committed to practice safe, effective diagnostic care for individuals at the highest risk for lung cancer. In order to receive this elite distinction, facilities must be accredited by the ACR in computed tomography (CT) in the chest module, as well as undergo a rigorous assessment of its lung cancer screening protocol and infrastructure. Also required are procedures in place for follow-up patient care, such as counseling and smoking cessation programs. Inspira Health Networks lung cancer screening program in Vineland is recognized as a Lung Cancer Screening Center of Excellence by the Lung Cancer Alliance. ROWAN SOM MAJOR CLINICAL AFFILIATION ===================================== The Rowan University School of Osteopathic Medicine has designated IMC as a major clinical affiliate of the medical school. This partnership supports Inspira Medical Center Vineland's residency programs that will help to address the anticipated physician shortage in our region by training new doctors' right here in our community. This partnership recently expanded to include medical leadership for behavioral health programs in Cumberland, Gloucester and Salem counties. MEDICAL AND SPECIALTY SERVICES =============================== IMC is a nonprofit healthcare organization that provides a broad spectrum of inpatient care and ambulatory care. In addition to its general medical, surgical, obstetrical, gynecological, pediatric and psychiatric services, IMC offers a wide array of diagnostic and treatment modalities and various specialty services. Our healthcare system has expanded to over 120 access points for residents of Cumberland, Gloucester and Salem Counties. Comprehensive acute care services are provided at Inspira Medical Center Vineland and Inspira Medical Center Elmer. Each medical center campus offers 24-hour services in radiology, laboratory, cardio-pulmonary and emergency medicine. Staff is on call after hours and on weekends for surgical services and certain diagnostic services such as nuclear medicine and ultrasound. The Inspira Health Center Bridgeton is home to a satellite emergency department that serves patients 24 hours a day, seven days a week, and a variety of behavioral health and outpatient services. SERVICES AND PROGRAMS ===================== Inspira offers a variety of significant services and programs, several of which are described below. Inspira Medical Center Elmer ----------------------------- Inspira Medical Center Elmer is a 96-bed primary healthcare provider in Southern New Jersey. In addition to offering comprehensive medical technologies and services, the Inspira Medical Center Elmer offers Emergency Services, Maternity, modern surgical services, and outpatient physical therapy services. Inspira Medical Center Vineland -------------------------------- Located on a 62.5-acre campus in Vineland, Inspira Medical Center Vineland is a 491,989 square-foot, 276-bed facility, which opened in August 2004. In addition to offering comprehensive medical technologies and services, the Inspira Medical Center Vineland's design also emphasizes patient comfort. Inpatient Care Centers of Excellence ------------------------------------ Inspira Medical Center Vineland operates four inpatient care centers: - Women's & Children's Center of Care - Home-like labor and delivery suites; - Surgical Center of Care - 10 operating suites, a modern ICU/CCU and rehabilitation services; - Medical Center of Care - Acute, ICU and post-ICU, dialysis, chemotherapy and medical infusion services; AND - Cardiology Center of Care - 37 bed cardiac acute care unit, ICU and post-ICU and cardiopulmonary unit. The inpatient care centers allow for the co-location of like acute and critical care units. The surgical intensive care unit is adjacent to the surgical step-down/post-intensive care unit. This step-down unit is likewise adjacent to the surgical acute care beds. As the patient's illness or injury becomes less acute, the patient can move down this continuum of care without ever physically leaving the inpatient care centers. This configuration also simplifies physicians' rounds. All patient rooms at the Inspira Medical Center Vineland are single patient rooms which increases patient privacy, confidentiality and comfort. The use of private rooms allows for more efficient care and reduces the risk of patients contracting a nosocomial infection during their stay. Also, given the increase in patient acuity and the corresponding increase in demand for more equipment, private rooms provide more space for specialized equipment and caregivers at the bedside. Rooms at Inspira Medical Center Vineland are designed with viewing windows along the hallway allowing patients to be observed by medical personnel without being disturbed.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	TECHNOLOGY =========== A few of Inspira Health Networks IT initiatives include: - Patient monitoring from one central location. - Expanded surgical capabilities in 2014 and performed first single-site robotic hysterectomy using the DaVinci robotic surgery system. This advanced surgical option provides patients virtually scarless results. - Picture Archiving and Communications Systems' (PACS) imaging equipment electronically stores x-rays, cat scans or other digital images. Physicians are able to view an image at any terminal at Inspira Medical Center Vineland or in their office. - Inspira Medical Center Vineland has incorporated wireless technology that includes handheld devices with instant messaging that allow nurses to monitor patients and allow physicians to review diagnostic test results more rapidly. - Sophisticated nurse call systems allow physicians, nurses and other staff to quickly find a patients nurse. While this nurse call system improves inter-staff communications, it also improves patient care by reducing the time required to get the necessary staff and resources to the bedside. - A pneumatic tube system carries lab tests and pharmaceuticals throughout Inspira Medical Center Vineland. This tube system, hidden behind the walls, greatly improves the turnaround time for lab tests and new drug orders. - The medication administration check system ensures patient safety by allowing nurses to scan barcodes at the bedside positively linking the prescribed drugs with the intended patients. - A tele-neurology program gives Emergency Room patients quick access to board-certified neurologists, 24/7, and allows emergency room staff to provide rapid stroke diagnosis at a moment's notice. - Tomosynthesis or 3D Mammography is performed at 2 Inspira Medical Center locations, Vineland and Tomlin Station. This state-of-the-art breast imaging technique provides clearer images, greater accuracy, and earlier detection of small lesions in the breast. - Digital Mammography - Inspira Medical Center Elmer has made strides increasing Salem County residents' access to digital mammography, targeting younger women who have a family history of breast cancer and African American women over the age of 50. - A Health Information Exchange which allows providers, including hospitals, physician practices, long-term care facilities, rehabilitation centers and home health services, to access patient information from a secure electronic network in order to provide care faster. - Expanded computerized physician order entry system initiative to improve efficiency, reduce costs and, most importantly, enhance patient safety. - Development of a Patient Portal which provides patients with electronic access to their health records, including test results, treatment plans, medications and follow-up care instructions - A process for gathering and analyzing data from all of the networks information systems to develop customized programs of care that best meet the needs of patients. - Inspira added new ultraviolet rapidly disinfectant equipment to its routine of deep cleaning and disinfecting with bleach. Pulses of blue light stream from its circle of tall vertical light bulbs. Ultraviolet light kills most of bacteria and viruses in the room and is proven effective against Clostridium difficile, or C. diff. The bacteria secrete toxins that cause diarrhea or inflammation of the colon. When the robot has killed all the bacteria, sensors placed around the room shut off the machine. - Inspira has been working on the Quiet Hospital Initiative in partnership with both Practice Unite and Future Mobility to create both a mobile patient application and a mobile clinician application on one single platform. This new communications tool will be integrated with the hospitals existing clinical systems. This will allow staff to address communication with patients and physicians in a more efficient manner and will help reduce overhead noise. Overhead pages reduced from approximately 140 per day to under 10 per day. - Physicians and staff at Inspira Medical Center Vineland recently began performing studies and treatments for patients with cancer and vascular conditions using new low-dose radiologic technology. This advanced interventional radiology high resolution technology delivers enhanced imaging studies, reducing a persons exposure to radiation by up to 80%. Inspiras Vineland-based hospital is the only facility in Cumberland, Gloucester, Salem and Camden counties to offer this interventional radiologic technology which provides the lowest dose of radiation available. - The MyInspira smart-phone App has made it even easier to connect with excellent health care anywhere. The free app features mobile appointment scheduling, location and physician listings, ER wait times, a symptom-checker and access to you digital Inspira personal health record. CANCER SERVICES =============== The Inspira Frank and Edith Scarpa Regional Cancer Pavilion originally opened at Inspira Medical Center Vineland in May 2005 and underwent a $12 million expansion in 2008-2009. The expansion nearly triples the size of the cancer treatment facility, creates a one-stop experience for cancer patients, expands clinical drug research, helps recruit physicians with cancer specialties, consolidates services and brings medical oncology and radiation oncology under one roof to provide the latest and highest quality cancer care in the region. In 2014, physical space in Inspira Medical Center Vinelands Breast Imaging Center, as well as the Scarpa Cancer Pavilion, was renovated to expand services and to make the areas more inviting and private. Experienced radiation oncologists and staff provide state-of-the-art treatment including IMRT and IGRT, with the latest high-dose-rate treatments. Two linear accelerators in the facility perform advanced radiation therapy treatments, Intensity Modulated Radiation Therapy (IMRT). Staffing is provided by a multidisciplinary team including board-certified physicians, medical oncologists, palliative care specialists, radiation oncologists, behavioral health counselors, nurse navigators, a breast surgeon, OCN and AOCN nurses. In 2014, a new stereotactic breast biopsy unit, located in the Breast Imaging Center, was purchased for image-guided core needle breast biopsies. This purchase contributes to increased flexibility and capacity for breast biopsies for women with abnormal mammograms. Inspira replaced its superficial treatment unit with a brand new Xtrahl system, which provides increased flexibility to treat more types of skin cancers and other keloids. Patients with metastatic prostate cancer can now receive intravenous radiopharmaceutical therapy to help control painful bone metastases. In April 2014, Inspiras Frank and Edith Scarpa Regional Cancer Pavilion launched its Lung Cancer Screening Program for Early Detection. Inspiras lung screening program follows evidence-based guidelines established by the National Lung Cancer Screening Trial, which found that screening for lung cancer using low dose CT scans can lower the chance of dying from lung cancer by 20%. Inspira has since been designated a Screening Center of Excellence by the Lung Cancer Alliance for its ongoing commitment to responsible lung cancer screening. In 2015, Inspira was the first in the region to offer breast cancer patients SAVISCOUT, a new technology that targets breast lumps more effectively and eliminates the need for needle or wire tumor localization. COMPREHENSIVE CARDIOVASCULAR SERVICES ====================================== Inspira offers comprehensive cardiac services, including diagnostic cardiac catheterization and emergency cardiac catheterization with angioplasty and stenting, also known as emergency PCI, at Inspira Medical Center Vineland. IMC Elmer provides enhanced external counter-pulsation (EECP), a non-invasive therapy to treat persistent angina. Inspira Medical Centers Elmer and Vineland also provide quality cardiac rehabilitation services and are designated by the state as primary stroke centers. A CENTER OF EXCELLENCE FOR BARIATRIC SURGERY ============================================= Inspira Medical Center Vineland has been named a Bariatric Surgery Center of Excellence for the fourth consecutive time by the American Society for Metabolic and Bariatric Surgery (AMSBS). 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.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	BREAST IMAGING CENTER OF EXCELLENCE ==================================== Inspira Medical Center Vineland has been designated a Breast Imaging Center of Excellence by the American College of Radiology (ACR). The designation is awarded to breast imaging centers that have achieved excellence by seeking and earning accreditation in all of the ACR's voluntary, breast-imaging accreditation programs and modules, in addition to the mandatory Mammography Accreditation Program. LUNG CANCER SCREENING CENTER OF EXCELLENCE ========================================== Inspira Medical Center Vineland was recently designated a Lung Cancer Screening Center by the American College of Radiology (ACR). The ACR Lung Cancer Screening Center designation is a voluntary program that recognizes facilities that have committed to practice safe, effective diagnostic care for individuals at the highest risk for lung cancer. In order to receive this elite distinction, facilities must be accredited by the ACR in computed tomography (CT) in the chest module, as well as undergo a rigorous assessment of its lung cancer screening protocol and infrastructure. Also required are procedures in place for follow-up patient care, such as counseling and smoking cessation programs. MATERNAL AND CHILD HEALTH ========================= Hospital-based maternity services are offered at Inspira Medical Center Vineland and Inspira Medical Center Elmer, which both offer modern, private maternity suites where our physicians and nurses provide a safe and positive environment for labor and delivery. Inspira Medical Centers also offer the services of midwives. The Women's and Children's Inpatient Care Center is located on the first floor of Inspira Medical Center Vineland and offers a LDRP (labor, delivery, recovery and post-partum) room configuration that permits a mother to choose whether she wishes to have her baby stay in the same room with her during her stay or have family members stay with her. IMC Vineland has 10 private labor/delivery/recovery rooms and 28 private post-partum rooms to encourage family bonding. The maternity care unit at Inspira Medical Center Elmer, which opened in 2003, has 5 private labor/delivery/recovery/postpartum rooms, each with a private bathroom. Four of the rooms offer whirlpools and the fifth room offers expectant mothers one of the regions only water birthing tubs. IMC Elmer also offers comprehensive fetal testing and immunization services; C-section facilities and recovery rooms; breastfeeding and infant care education; and easy access to medical center departments for diagnostic screening. Inspira Medical Center Vineland has 10 private labor/delivery/recovery rooms and 28 postpartum rooms. NEONATAL INTENSIVE CARE UNIT (NICU) =================================== Inspira Medical Center Vineland offers advanced care for premature, low birth-weight/critically ill infants as young as 28 weeks gestational age at the Level IIIa Deborah F. Sager Neonatal Intensive Care Unit. The unit is supported 24 hours a day, 7 days a week by neonatologists from Nemours Alfred I. DuPont Hospital for Children. NEUROSURGERY ============= At Inspira Medical Centers Elmer and Vineland, patients are offered the latest minimally invasive surgical treatments for a range of conditions like brain tumors, spine tumors, herniated discs, spinal stenosis, carpel tunnel syndrome, spinal compression fractures and chronic pain by a highly-skilled, fellowship trained neurosurgeon. UROLOGY ======== Our minimally invasive surgery team specializes in surgical procedures that are both the most effective and least invasive to treat a large range of conditions urologic cancers, benign prostate enlargement, bladder disorders, women's and children's urologic problems, urinary stone disease, reconstructive surgery, male and female sexual dysfunction, and male infertility. ONCOLOGY ======== IMC has recruited physicians to their medical staff that specialize in gynecologic oncology and oncologic breast surgery. These specialized Services were never before available locally to the members of our community. IMC SPORTS REHABCARE VINELAND ============================== IMC Sports RehabCare is conveniently located within Inspira Fitness Connection Vineland. The dedicated staff works closely with orthopedic surgeons to assist patients with the rehabilitation and treatment of arthroscopic procedures, total joint replacements for hip and knee, intricate hand and foot surgery and specialized spine procedures. The rehab centers new AlterG Anti-Gravity Treadmill introduces technology that "unweights" a user, reducing the impact of walking or running on both muscles and joints. This enables patients to maintain their natural gait while rehabilitating and may even speed the process of therapy. Additionally, Inspira RehabCare has introduced the Nintendo Wii as an adjunct to current and traditional therapies. It enhances the patient experience at the same time creating a fun atmosphere. BEHAVIORAL HEALTH SERVICES =========================== IMC Behavioral Health Services has 59 acute care psychiatric beds at the Inspira Health Center Bridgeton, providing inpatient services, a Behavior Wellness Center, and outpatient counseling for both the adult and child/adolescent populations throughout the Southern New Jersey region. Inspiras Behavioral Wellness Centers offer comprehensive therapeutic services, referrals, and on-site psychiatric services (excluding legal forensic assessments). Child & Adolescent Services ---------------------------- - Child and Adolescent Intermediate Inpatient Program (ages 5 to 17) This program offers a complete evaluation and treatment option for children who require longer-term hospitalization. Inspiras 12 bed intermediate care unit in Bridgeton is the areas only experienced long term psychiatric treatment center for inpatient care of this age group. The average length of stay is between 4 to 12 weeks. - Child and Adolescent Program (ages 5 to 17) - The partial hospitalization program provides full treatment including individual, group and family counseling as well as psychiatric assessment. - Inpatient Program for Children and Adolescents (ages 5 to 17) - This program provides the region with an advanced Children's Crisis Intervention Program for complete inpatient evaluation, diagnosis, and treatment for youth who are in need of immediate treatment. The new renovated 14 bed unit offers group and individual therapy as well as around-the-clock nursing care. - Intensive Outpatient Programs (ages 11 to 17) - Inspira Health Center Bridgeton offers an intensive outpatient program, which assists adolescents in Cumberland & Salem Counties find better pathways to healthy development. - Therapeutic Nursery (ages 3 to 5) - Inspira offers a Therapeutic Nursery Program (ages 3 to 5) to help children early on who struggle with behavioral disorders. We collaborate with all key stakeholders in the child's life to establish individualized treatment goals. Adult Services -------------- - Inpatient Program for Adults - Inspira's short-term care facility and voluntary inpatient programs offer complete inpatient evaluation, diagnosis, treatment and around-the-clock nursing care for adults who are in need of a higher level of treatment. The facility features a 33-bed unit designed to promote healing. - Adult Partial Hospitalization Program - The Adult Partial Hospitalization Program provides services similar to the intensity and scope of inpatient treatment, but with significantly less disruption to the lives of patients and their families. The program is designed for people with symptoms that seriously impact their daily functioning, but who are hoping to avoid hospitalization or are in need of a transition from inpatient to outpatient care. This program follows an acute short-term model of intensive treatment with multiple sessions to span over a few weeks. - Adult Intensive Outpatient Program - The Adult Intensive Outpatient Program provides intensive, structured, clinical services to individuals experiencing significant emotional distress. The program offers the flexibility for clients to attend specialized day or afternoon group therapy. Typically, individuals attend for three hours per day, two or three times per week. The program's psychotherapy and psycho-educational groups provide a safe, caring environment in which individuals can address their mental health needs, gain a better understanding of their illness, improve coping skills and draw on mutual support. The IOP program also provides access to a 24/7 contact line that will connect people with IMC mental health staff.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- Wellness and Recovery Outpatient Program - Inspiras 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. INSPIRA HEALTH NETWORK LIFE, INC. ================================= Inspira LIFE is an innovative and comprehensive program now 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 ========================== In its role as the sole not-for-profit acute care provider in Cumberland and Salem Counties, IMC and entities under its parent, provide and participate in a number of services and programs in our community. From community education to participation in community-focused groups, IMC provides a wide range of services. Improve Community Health -------------------------- Inspira Medical Centers provides its neighbors with many programs and services that help improve the health of the community. Examples of some of these programs and services are: - Cancer Services - Inspira Frank and Edith Scarpa Cancer Center offers a number of outreach services, which provide support and education in the community. IMC's Breast Cancer Bridge Program, Men's Cancer Support Group and Patient Navigators all serve as healthcare advocates, helping patients navigate through their cancer journey. As a Fox Chase Cancer Center partner, IMC provides leading-edge cancer care through national clinical trials, which focus on cancer treatment, diagnostic and prevention methods. IMC has the opportunity to recruit a large amount of patients for Fox Chase's newest clinical trials, providing local access to the latest strategies against cancer. - 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. "Family & Friends" is a quarterly external publication that offers health information to promote healthy living, heighten awareness of health issues, recognize common symptoms of disease and encourage medical attention and treatment. IMC'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. In addition, IMC offers a e-newsletter, "Health E You" with health tips and recipes. A free subscription is available through Inspira's website. - 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, along with other programs at Inspira Health Network, are just some of the ways we are working with community partners to improve the health and well-being of our neighbors. - Health Fairs and Screenings - IMC also reaches out to those in our community who do not regularly come through the doors of our medical centers. IMC reaches out to a variety of local employers by participating in on-site health fairs and events to offer valuable health information to our neighbors. In addition, IMC hosts senior luncheon classes and senior health education days, which include flu shots and educational sessions. In recognition of stroke awareness month, IMC hosts a stroke awareness education & screening day which includes free educational sessions, blood pressure checks and stroke screening tests. IMC's annual Spirit of Women Health Screening Day brings a myriad of health services and education together in one central location at Inspira Medical Center Vineland. At the event, attendees receive a range of free health screenings, including blood pressure and pulse oximetry, body mass index, heart disease risk assessment, skin cancer (face), foot and wound care, behavioral risk assessment, sleep apnea assessment, step test (resting heart rate), heel bone density and more. In addition, fun group activities are held, including yoga, line dancing and cooking demonstrations, as well as a relaxation room and meditation sessions. - NJCEED - IMC is Cumberland County's lead agency for the New Jersey Cancer Education and Early Detection Program (NJCEED), which provides comprehensive cancer outreach, education and free screenings to underserved and uninsured residents who might otherwise not have access to these important diagnostic screening services. In 2015, 395 breast, 194 cervical, 88 colorectal and 33 prostate screenings were provided through the grant. IMC also has a dedicated staff that goes out into the community to speak about the availability of free screenings and the CEED program. - Support Groups - To help address social, psychological or emotional issues related to diseases and health issues, IMC offers a variety of free support groups that include, but are not limited to, women's cancer, diabetes, cardiopulmonary health, prostate cancer, smoking cessation, stroke and five levels of bariatric support. Additionally, IMC donates the use of space in its facilities for external nonprofit organizations to hold support group meetings for substance abuse such as Alcoholics Anonymous and Narcotics Anonymous. - Support Services - Staff members of IMC's Patient Business Services department, in addition to providing financial counseling to individuals, make frequent visits to various community groups and social service agencies, educating them on the charity care options and financial assistance programs available. In addition, a significant level of charity care, financial assistance, transportation assistance and language assistance services are provided for the underserved and vulnerable populations. - Training Classes - IMC offers a wealth of educational programs designed to promote a safe and healthy lifestyle. Training classes are regularly available on such topics as childbirth, breast-feeding, newborn care, understanding diabetes, CPR (Cardiopulmonary Resuscitation), ACLS (Advanced Cardiac Life Support), PALS (Pediatric Advanced Life Support), SafeSitter (Babysitter Training) and others. Educate Health Professionals ----------------------------- Inspira Medical Centers offers educational support to both its current health professionals and tomorrows physicians - Garden AHEC Educational Conferences - Garden Area Health Education Center ("AHEC") is a program affiliated with the Rowan University School of Osteopathic Medicine which facilitates improved community health outcomes through collaborative initiatives linking needs to educational resources. Targeting the educational needs of primary care providers, nurses, social workers and other allied health professionals in the community, Garden AHEC offers accredited continuing education programs on topics such as autism, dermatology, diabetes, dialysis, infectious diseases, wound care, mental health, childhood obesity, social work, pediatric pharmacology, trauma patient care and treatment, immigration and many others.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- Health Professionals Education - Education helps prepare the next generation of healthcare professionals, which is why we strongly support medical education at all academic levels and find innovative ways to inspire young people to pursue careers in a wide variety of medical fields. 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. - Residency Programs - IMC has partnered with Rowan School of Osteopathic Medicine to train the next generation of physicians. These medical school graduates work side-by-side with experienced members of the IMC Medical Staff in Podiatry, Sports Medicine, Urogynecology, 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 2015, there were approximately 135 residents in training. - School Programs on Health Careers - IMC provides educational opportunities and hosts special events, job shadowing and programs to middle and high school students who are interested in pursuing careers in healthcare and medicine. To reach every age group in the community, IMC staff also extends hospitals tours to preschool and first graders, as their primary introduction to the healthcare environment and promotion of healthy lifestyles. - Symposia - IMC is preparing for the healthcare challenges of the future by supporting the continuing education needs of physicians and allied health personnel in the community. Programs are available on the latest advancements and leading-edge research on topics such as cancer, critical care, nephrology, pediatrics and obstetrics. These continuing education opportunities give health professionals and physicians in our community and across the region the ability to meet and discuss important issues within our industry. - Community Needs Assessment - In collaboration with the Cumberland/Salem/Gloucester Health and Wellness Alliance, Inspira Health Network completed its 2016-2018 community needs assessment. IMC partnered with over 15 local organizations to form the Cumberland/Salem/Gloucester Health & Wellness Alliance in 2011. Community surveys, focus groups and key informant surveys were conducted to idenitfy the most prevalent needs in our community. Through a planned and organized effort, the group is working collectively towards strategies to target these priorities by tapping into the resources of the community and collaborating on initiatives. IMC actively contributes to this process and engages in the identified priorities that match its mission, expertise, resources and capacity. Currently IMC is implementing the identified strategies and tracking their progress. In addition to these organized needs assessment efforts, ongoing community meetings with local providers, local health departments, local politicians, organizations and community leaders are sponsored by the network to address the ongoing needs of the community. ACCESS TO AND IMPROVING THE QUALITY OF HEALTHCARE ================================================== IMC has both participated in and conducted a number of programs to improve access to healthcare services: - Efficient and Quality Patient Care - As the leading community provider in southern New Jersey, IMC is highly regarded for its quality of care and services in the region. Clinical quality and service excellence remain top strategic initiatives. To further increase the efficiency of patient care, IMC has transitioned to electronic medical records making significant investments in its clinical computer systems. The organization will expand its core quality measures by participating in several regional and national performance improvement programs that will provide benchmarking data and tools for measuring and reporting clinical quality. - Patient Satisfaction - IMC uses a patient satisfaction tool called the Hospital Consumer Assessment of Healthcare Providers Survey (HCAHPS). This standardized survey measures our patients' perceptions about their hospital experience and provides feedback about how we are doing, both good and bad. This assists us to continually make improvements and provide even better care for the community. - Five major health systems in southern New Jersey (Inspira, Cooper, Kennedy, Virtua and OLOLs), the New Jersey Hospital Association (NJHA) and the Camden Coalition of Healthcare Providers have launched the South Jersey Behavioral Health Innovation Collaborative (SJBHIC) to evaluate the current behavioral health landscape and provide innovative recommendations on how to improve the system. To understand the challenges in the current system, the Collaborative is gathering data from the five participating hospitals on how patients flow through their network of providers, analyze the data and then apply evidence-based and best practices along with innovative system changes that will better serve individuals with behavioral health conditions. National and Regional Initiatives --------------------------------- IMC has been an active participant in national and regional initiatives, including the following: 1. Center for Medicare and Medicaid services: National "Hospital Compare" Initiative 2. VHA, Inc. Patient Quality and Safety Initiatives: Medication Reconciliation Collaborative (IMC - Vineland & Elmer); Rapid Response Team collaborative (IMC - Vineland & Elmer); AND Transformation of the ICU and TICU (IMC - Vineland & Elmer). 3. Institute for Healthcare Improvement (IHI): Member of the Institute for Healthcare Improvement - 100,000 lives campaign (IMC - Vineland & Elmer); AND Member of the Institute for Healthcare Improvement - 5 million lives from harm campaign (IMC - Vineland & Elmer). 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). 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. 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. These include: - Advocates for Children of NJ; - American Hospital Association; - Cumberland County Children's Youth Council; - Cumberland County Healthcare Coalition; - Cumberland County Homeland Security County Working Group Committee; - Cumberland Inter Agency Coordinating Council; - Medical Coordination Center Advisory Council; - New Jersey Hospice & Palliative Care Organization; - New Jersey Hospital Association; - New Jersey Division of Mental Health Services; - National Association for Home Care & Hospice; - Tri-County Inter-Agency Coordinating Council; - Salem County Homeland Security; - Southeastern PA Regional Task Force; - Southern New Jersey Perinatal Cooperative; - Southern Region Children's Coordinating Council; AND - Cumberland/Salem/Gloucester Health & Wellness Alliance. - Community Advisory Committee - IMC hosts the Community Advisory Committee meeting once every quarter. The committee is comprised of local community leaders from various organizations who volunteer their time to come in and receive information on the latest happenings within Inspira Health Network. Towards the end of the meeting there is a question and answer session, during which each community representative is encouraged to bring forward questions from the community it represents.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- Economic Development and Community Involvement - The impact our troubled economy has had on healthcare extends beyond the hospital to the well-being of our neighbors. To help address the root causes of health problems such as poverty, homelessness and unemployment the hospital offers the expertise and resources of its healthcare employees as active board members and participants with various community 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: - American Red Cross South Jersey Chapter; - Bridgeton Chamber of Commerce; - Bridgeton Rotary Club; - CEZ 21st Century Community Learning Centers; - Cumberland County Prosecutor's Office; - Elmer Rotary Club; - Food Bank of South Jersey; - Gloucester County Chamber of Commerce; - Mayor's Campaign for Healthier Bridgeton, Millville, Vineland; - Millville Chamber of Commerce; - Ministerial Fellowships of Bridgeton, Millville and Vineland; - Salem Chamber of Commerce; - Southern NJ Development Council; - United Way of Cumberland County; - Vineland Rotary Club; AND - The Walter Rand Institute. - Emergency Preparedness - IMC readies itself for catastrophic disaster above and beyond licensure requirements. This includes an internal, formalized hospital emergency response/decon team of dedicated staff who conduct extensive quarterly decontamination 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. - Employer Forum - IMC Occupational Health developed this quarterly forum to address, target and discuss medical issues, employee health, safety and wellness of workforce populations with employers throughout Cumberland County. - Environmental Safety - Inspira Medical Centers participates in a Safe Syringe Program that helps the community to safely and responsibly dispose of syringes, needles and lancets generated in the home. This program helps assure a safe environment by providing the community an outlet to properly dispose of medical waste. Each year, community members are provided with sharps containers and are permitted to drop them at IMC locations where they are properly disposed of. - Extended Care Facility Consortium (ECF) - In 2009, a collaborative group was formed between IMC and the neighboring extended care facilities. The role of the ECF is to facilitate outreach and provide information, services, resources and a continuum of access to care for elderly populations within Cumberland County. - IMPACT (Innovative Model for Preschool and Community Teaming) was developed through collaboration between IMC and the Vineland Board of Education. It provides health and social services, childcare for infants and toddlers, preschool programs and literacy programs that target the needs of the low income residents in Cumberland County. It also addresses issues such as teen pregnancy, teen parenting and early childhood education. Every year, the program makes a positive impact on the lives of thousands of children and their families. IMPACT provides a number of educational opportunities for the community including: 1. IMPACT Teen Parenting Program provides parenting classes, childcare services, prenatal care and life skills education to teen parents in the Vineland High Schools and promotes lifelong learning and second pregnancy prevention. 2. IMPACT School Based Youth Services Program (SBYSP) offers health services, tutoring, counseling, recreation and life skills training at the Vineland High School, Vineland Wallace Middle School and Millville High School. 3. IMPACT Family Outreach Program is an Abbott program which coordinates family outreach and support with social workers who service Abbott preschool providers in Bridgeton, Millville and Vineland. 4. IMPACT Child Care Program is accredited by the national association for the education of young children and is open to children from 6 weeks to 5 years old with health center services provided on site. In 2015, an average of 55 children were enrolled in the Child Care Program and 47 were enrolled in the Wrap Around Program. 5. IMC's Family Success Centers in Vineland and Port Norris provide services and programs that connect families with community resources ranging from housing and legal assistance to help obtaining household items and food. The center focuses on 10 core services to strengthen families by providing assistance with obtaining health insurance, selecting physicians, providing workshops that increase positive interaction between parents and children, promoting family literacy, addressing health issues and legal issues such as immigration and other topics relevant to the community. - Improving access to healthcare for uninsured/underinsured - IMC has a proud history of helping uninsured residents get the coverage they need. IMC has worked in collaboration with NJHA (New Jersey Hospital Association) to provide certified application counselors assist community members in accessing the new federal healthcare exchange to apply for health insurance as mandated by the Patient Protection and Affordable Care Act. - 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. - Medical Explorers Program - In partnership with the Boy Scouts of America, Garden AHEC's Medical Explorers Program provides an opportunity for teens interested in medical careers to interact with physicians and nurses, learn various careers and experience realistic portrayals of specialty areas such as "A Night in the OR." - STEPS for Kids - STEPS for Kids was developed through a collaboration between IMC, the Robert Wood Johnson Foundation and Cumberland/Cape/Atlantic YMCA, to reduce childhood obesity in Vineland and Bridgeton schools by educating boys and girls aged 8 to 12 identified by school nurses with an assessed BMI level at or above the 85th percentile who are at risk for obesity. Parents and children attend 12-week interactive bi-lingual program that focuses on balanced meal plans and simple exercise techniques that help families achieve healthier lifestyles. This program is completely funded and run by IMC through its Garden AHEC department. - IMC Spirit of Women - Recognizing the uniqueness of women and the influence they hold over the health of their families, IMC 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 groups events included Day of Dance, Womens Health Screening Day and Girls Night Out. IMC Spirit of Women also holds a quarterly seminar series, each focusing on specific issues concerning women's health. - Auxiliaries - The Inspira Health Network Auxiliary Cumberland County and the Inspira Health Network Auxiliary Elmer hold various events throughout the year like the Princess Party, Calendar Raffle and Yard Sale. In 2015 they donated $57,000 to Inspira Health Network. - Volunteers Program - Whether greeting visitors at the front desk or comforting patients at their bedside, volunteers play an important role in IMC's tradition of compassionate care. Our successful volunteer program consists of adults and teens with age ranges from 14 to 96 who provide assistance in a vast array of areas such as accounting, education, public relations, laundry, emergency room, surgical services, pediatrics, nursing and more. In 2015, 1077 dedicated and generous volunteers donated more than 105,000 hours of service throughout the health network.
CORE FORM, PART III; LINE 4D	EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7	INSPIRA HEALTH NETWORK, INC. ("network") IS THE SOLE MEMBER OF THIS ORGANIZATION. network HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
CORE FORM, PART VI, SECTION B; QUESTION 11b	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. THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED FOR REVIEW TO EACH MEMBER OF THE NETWORK'S FINANCE/AUDIT COMMITTEE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE NETWORK'S FINANCE/AUDIT COMMITTEE HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES OF THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE SYSTEM HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING GENERAL COUNSEL, CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF FINANCE AND VARIOUS OTHER INDIVIDUALS ("INTERNAL WORKING GROUP") TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING IT TO EACH MEMBER OF THE NETWORK'S FINANCE/AUDIT COMMITTEE AND FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND NETWORK'S GENERAL COUNSEL FOR REVIEW. THEREAFTER, GENERAL COUNSEL PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS WHICH IS THEN PRESENTED 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 EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS 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 CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. 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 CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
CORE FORM, PART VII AND SCHEDULE J	PART VII AND SCHEDULE J 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 AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VII, SECTION A, COLUMN B	THIS ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN OFFICERS AND/OR BOARD OF TRUSTEE MEMBERS 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 PART VII OF THIS FORM 990. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART X; BALANCE SHEET RESTATEMENT	CERTAIN RECLASSIFICATIONS HAVE BEEN MADE TO THE PRIOR YEAR BALANCES PREVIOUSLY REPORTED TO CONFORM TO THE CURRENT YEAR PRESENTATION IN THE ORGANIZATION'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THIS RESTATEMENT HAD NO EFFECT ON THE ORGANIZATION'S NET ASSETS.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - NET TRANSFER TO JUNO ASSURANCE, LTD; A REALTED ORGANIZATION - ($5,000,000); - FORGIVENESS OF DEBT (INSPIRA HEALTH MANAGEMENT, INC.); a related organization - ($10,000,000); - OTHER DECREASES IN UNRESTRICTED NET ASSETS - ($54,412); - NET ASSETS RELEASED FROM RESTRICTION FOR PROPERTY AND EQUIPMENT - $219,940; - CHANGE IN BENEFICIAL INTEREST IN TEMPORARY TRUST; TEMPORARILY RESTRICTED ($100,514); - NET ASSETS RELEASED FROM TEMPORARY RESTRICTION - ($223,891); AND - INCREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUST; PERMANENTLY RESTRICTED - ($319,913).
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, 2015 AND DECEMBER 31, 2014; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF INSPIRA MEDICAL CENTERS, INC. AND ITS CONTROLLED AFFILIATIES FOR THE YEARS ENDED DECEMBER 31, 2015 AND DECEMBER 31, 2014; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE NETWORK'S FINANCE/AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR.
CORE FORM, PART XI; QUESTION 3	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
INSPIRA HOMECARE & HOSPICECARE INC
333 IRVING AVENUE	BRIDGETON	NJ	08302	226067549	HOSPICE SVCS.	NJ	501(C)(3)	509(A)(2)	NETWORK	false
INSPIRA HEALTH NETWORK INC
333 IRVING AVENUE	BRIDGETON	NJ	08302	222508425	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)		false	N/A
INSPIRA HLTH NTWK FDN CUMBERLANDSALEM
333 IRVING AVENUE	BRIDGETON	NJ	08302	223746758	SUPPORT NTWK	NJ	501(C)(3)	509(A)(3)	IMC	Yes (true)
INSPIRA HEALTH NETWORK LIFE INC
2950 COLLEGE DRIVE SUITE 1E	VINELAND	NJ	08360	264827936	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	NETWORK	false
INSPIRA MEDICAL CENTER WOODBURY INC
509 NORTH BROAD STREET	WOODBURY	NJ	08096	221820210	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	NETWORK	false
INSPIRA HLTH NTWRK FDN GLOUCESTER COUNTY
509 NORTH BROAD STREET	WOODBURY	NJ	08096	222333409	SUPPORT IMCW	NJ	501(C)(3)	509(A)(1)	IMCW	false
TRI-COUNTY CARDIOVASCULAR SERVICES PC
509 NORTH BROAD STREET	WOODBURY	NJ	08096	454199382	HEALTH SVCS.	NJ	501(C)(3)	509(A)(1)	NETWORK	false
INSPIRA HEALTH CONNECTIONS PC
509 NORTH BROAD STREET	WOODBURY	NJ	08096	454203973	INACTIVE	NJ	501(C)(3)	509(A)(1)	NETWORK	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	OwnershipOwnershipPct	General Or Managing PartnerGeneralOrManagingPartnerInd
BPOC LP
333 IRVING AVENUE	BRIDGETON	NJ	08302	222956029	REAL ESTATE	NJ	N/A
OAK & MAIN SURGICTR
907 NORTH MAIN ROAD	VINELAND	NJ	08360	223532371	HEALTHCARE SVCS.	NJ		IMC	RELATED	-$174,699	$412,636	false	0.85000
GLOUC CTY SURG CTR
163 BRIDGETON PIKE BLDG B	MULLICA HILL	NJ	08062	261157885	HEALTHCARE SVCS.	NJ	N/A
INSPIRA HLTH PTRS
2950 COLLEGE DRIVE	VINELAND	NJ	08360	465550615	HEALTHCARE SVCS.	NJ		IMC	RELATED	$625	$90,651	false	0.51290	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
INSPIRA HELP SERVICES INC
PO BOX 126	SALEM	NJ	08079	222823028	INACTIVE	NJ	N/A	C CORP.	false
INSPIRA HEALTH MANAGEMENT CORPORATION
2950 COLLEGE DRIVE SUITE 1E	VINELAND	NJ	08360	222502241	HEALTHCARE SVcs.	NJ	N/A	C CORP.	false
INSPIRA HEALTH NETWORK MEDICAL GROUP PC
2950 COLLEGE DRIVE SUITE 1E	VINELAND	NJ	08360	225745047	HEALTHCARE SVcs.	NJ		C CORP.	Yes (true)	IMC	$26,328,369	$3,679,474	1.00000
JUNO ASSURANCE LTD
					FINANCIAL VEHicle		N/A	FOREIGN CORP.	false					AON HOUSE 4TH FLOOR	PEMBROKE	BD	HM 08	BD
INSPIRA HEALTH NETWORK URGENT CARE PC
201 TOMLIN STATION ROAD	MULLICA HILL	NJ	08062	452900402	HEALTHCARE SVcs.	NJ		C CORP.	Yes (true)	IMC	$6,120,291	$6,274,697	1.00000
RED BANK DEVELOPMENT CORPORATION
509 NORTH BROAD STREET	WOODBURY	NJ	08096	222814053	HEALTHCARE SVcs.	NJ	N/A	C CORP.	false
INSPIRA HOME CARE SVCS WOODBURY INC
509 NORTH BROAD STREET	WOODBURY	NJ	08096	223479390	HEALTHCARE SVcs.	NJ	N/A	C CORP.	false
INSPIRA-JEFFERSON PHYSICIANS PC
165 BRIDGETON PIKE	MULLICA HILL	NJ	08062	364821019	INACTIVE	NJ		C CORP.	Yes (true)	IMC	$0	$0	1.00000

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

Transactions Related Org TransactionsRelatedOrgGrp (16 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
INSPIRA HEALTH NETWORK INC
E	$36,448,391	COST
INSPIRA HEALTH NETWORK INC
D	$35,530,886	COST
INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM
D	$551,028	COST
INSPIRA HEALTH NETWORK URGENT CARE PC
D	$4,105,100	COST
INSPIRA HEALTH NETWORK URGENT CARE PC
E	$720,344	COST
INSPIRA HEALTH NETWORK MEDICAL GROUP PC
D	$1,593,877	COST
INSPIRA HEALTH NETWORK MEDICAL GROUP PC
E	$173,748	COST
Oak and Main Surgicenter LLC
E	$355,788	COST
Inspira Health Partners LLC
D	$547,264	COST
INSPIRA HEALTH NETWORK INC
K	$675,445	COST
INSPIRA HEALTH NETWORK MEDICAL GROUP PC
J	$208,677	COST
Oak and Main Surgicenter LLC
J	$124,656	COST
INSPIRA HEALTH NETWORK INC
S	$5,000,000	COST
INSPIRA HEALTH NETWORK INC
O	$123,017	COST
INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM
C	$652,529	COST
INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM
O	$499,303	COST

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. INSPIRA MEDICAL CENTERS, INC. ROUTINELY PAYS EXPENSES FOR VARIOUS RELATED AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.	ExplanationTxt