2016-11-14T13:55:37-06:00 2015-12-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2015-01-01 264827936 INSPIRA HEALTH NETWORK LIFE INC % THOMAS P BALDOSARO CPA INSP 8566416605 2950 COLLEGE DRIVE Suite 1E VINELAND NJ 08360 THOMAS P BALDOSARO CPA CFO 8566416605 2016-11-09 true Scott J Mariani P00642486 9738989494 2015 2017-02-10 21:41:12Z JOHN A DIANGELO 165 BRIDGETON PIKE MULLICA HILL NJ 08062 17236290 false X WWW.INSPIRAHEALTHNETWORK.ORG X 2009 NJ THE ORGANIZATION OPERATES EXCLUSIVELY FOR SCIENTIFIC PURPOSES NAMELY TO CREATE, ORGANIZE, AND OPERATE A PROGRAM TO PROVIDE ALL - INCLUSIVE HEALTHCARE FOR THE ELDERLY. 5 3 0 1 0 0 0 15614851 17236290 0 0 0 0 15614851 17236290 0 0 0 0 0 0 0 0 0 16315744 20150675 16315744 20150675 -700893 -2914385 2608080 3865093 7956564 12127962 -5348484 -8262869 THE ORGANIZATION OPERATES EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES NAMELY TO CREATE, ORGANIZE, AND OPERATE A PROGRAM TO PROVIDE ALL - INCLUSIVE HEALTHCARE FOR THE ELDERLY. false false 18135607 0 17236290 EXPENSES INCURRED IN OPERATING EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES NAMELY TO CREATE, ORGANIZE, AND OPERATE A PROGRAM TO PROVIDE ALL - INCLUSIVE HEALTHCARE FOR THE ELDERLY. 18135607 true false false true false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 19 0 true 0 false false false false false false false false false false X 5 3 false false false false true true true true true false false false true true true true true true true false X THOMAS P BALDOSARO CPA 8566416605 165 BRIDGETON PIKE MULLICA HILL NJ 08062 X GARY F SIMMERMAN CHAIRMAN - DIRECTOR 1.0 0.0 X X 0 0 0 SHELLY O SCHNEIDER EDD VICE CHAIR - DIRECTOR 1.0 0.0 X X 0 0 0 TACIE TRULL SECRETARY - DIRECTOR 1.0 0.0 X X 0 0 0 BRUNO A BASILE TREASURER - DIRECTOR 1.0 0.0 X X 0 0 0 JOHN A DIANGELO DIRECTOR - PRESIDENT/CEO 55.0 0.0 X X 0 1792781 474583 THOMAS P BALDOSARO CPA EVP/CHIEF FINANCIAL OFFICER 55.0 0.0 X 0 472785 115503 MATTHEW DOONAN ESQ GENERAL COUNSEL 55.0 0.0 X 0 275581 54352 CYNTHIA A HENNING-LYTLE EXEC. DIRECTOR(TERMED 5/29/15) 55.0 0.0 X 0 160703 5192 DEBORA HOCKENBURY EXEC. DIRECTOR (EFF 6/8/15) 55.0 0.0 X 0 67491 15358 CHESTER B KALETKOWSKI FORMER OFFICER 0.0 0.0 X 0 1910169 0 ROBERT M D'ANGEL ESQ FORMER OFFICER 0.0 0.0 X 0 652513 9967 0 5332023 674955 0 true true false FOX REHABILITATION SERVICES PC 7 CARNEGIE PLAZA CHERRY HILL NJ 08003 PHYSICAL THERAPY 237545 PEAK PACE SOLUTIONS LLC 345 MARSHALL AVENUE SUITE 101 WEBSTER GROVES MO 63119 BILLING 194653 STAFF CARE INC PO BOX 281923 ATLANTA GA 30384 MEDICAL STAFFING 144194 INTERIM HEALTHCARE OF NJ LLC 3252 QUAKERBRIDGE ROAD HAMILTON NJ 08619 MEDICAL STAFFING 112766 4 0 NET PATIENT SERVICE REVENUE 541900 17236290 17236290 17236290 0 0 0 0 0 0 0 0 0 0 0 17236290 17236290 X 0 0 0 0 0 0 0 0 0 0 852286 767058 85228 0 0 0 3920 3528 392 0 0 2868327 2581494 286833 32987 29688 3299 164673 148205 16468 23671 21304 2367 0 738721 664849 73872 111553 100397 11156 0 0 0 0 159477 143530 15947 157218 141496 15722 ALLOCATION OF PERSONNEL COSTS 6022593 5420334 602259 INPATIENT HOSPITALIZATION 5360651 4824586 536065 MEDICAL SUPPLIES 2835170 2551653 283517 OUTSIDE SERVICES 714118 642706 71412 105310 94779 10531 20150675 18135607 2015068 0 300 300 1405728 2241398 0 0 683050 1071319 0 0 0 0 0 0 0 0 23057 29314 1186364 663602 495945 522762 0 0 0 0 0 0 0 0 0 0 2608080 3865093 3385085 2884160 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4571479 9243802 7956564 12127962 X -5348484 -8262869 0 0 0 0 -5348484 -8262869 2608080 3865093 -2914385 X X false true X true false X 0 0 0 0 0 0 443861 4791669 10909065 15614851 17236290 48995736 0 0 0 443861 4791669 10909065 15614851 17236290 48995736 0 0 0 48995736 0 0 0 0 0 443861 4791669 10909065 15614851 17236290 48995736 1.00000 1.00000 0.00000 0.00000 X false false false false false false false true 3920 false 3920 false SCHEDULE C, PART II-B; LINE 1H THE ORGANIZATION IS A MEMBER OF THE NATIONAL PACE ASSOCIATION WHICH ENGAGES IN LOBBYING EFFORTS ON BEHALF OF ITS MEMBERS. A PORTION OF THE DUES PAID TO THIS ORGANIZATION HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $3,920 DURING 2015. 50286 8959 41327 1099207 654643 444564 36871 36871 522762 0 DUE TO AFFILIATED ORGANIZATIONS 8907239 THIRD-PARTY PAYORS 336563 9243802 X SCHEDULE D, PART X 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. X X X X X true true false false false false false true false JOHN A DIANGELO DIRECTOR - PRESIDENT/CEO 0 700671 0 180000 0 912110 0 433065 0 41518 0 2267364 0 720908 THOMAS P BALDOSARO CPA EVP/CHIEF FINANCIAL OFFICER 0 385025 0 63438 0 24322 0 88412 0 27091 0 588288 0 0 MATTHEW DOONAN ESQ GENERAL COUNSEL 0 251522 0 5625 0 18434 0 32870 0 21482 0 329933 0 0 CYNTHIA A HENNING-LYTLE EXEC. DIRECTOR(TERMED 5/29/15) 0 61942 0 5674 0 93087 0 4191 0 1001 0 165895 0 0 CHESTER B KALETKOWSKI FORMER OFFICER 0 0 0 0 0 1910169 0 0 0 0 0 1910169 0 0 ROBERT M D'ANGEL ESQ FORMER OFFICER 0 336607 0 29981 0 285925 0 1928 0 8039 0 662480 0 265092 SCHEDULE J, PART I; QUESTION 4A CYNTHIA A. HENNING-LYTLE RECEIVED SEVERANCE PAYMENTS IN THE AMOUNT OF $72,019 DURING CALENDAR YEAR 2015 WHICH WAS INCLUDED IN HER 2015 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES. 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; CHESTER B. KALETKOWSKI, $1,909,905 AND ROBERT M. D'ANGEL, ESQ., $265,092. 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 AND MATTHEW DOONAN, ESQ., $25,563. 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. 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 AND ROBERT M. D'ANGEL, ESQ., $265,092. 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 DIRECTORS 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, EXECUTIVE VICE PRESICENT/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 DIRECTORS, 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 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. THIS FILING ORGANIZATION ITSELF HAS NO PAID SENIOR MANAGEMENT PERSONNEL RECEIVING COMPENSATION DIRECTLY FROM THIS ORGANIZATION. RATHER, KEY SENIOR MANAGEMENT PERSONNEL, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER ARE EMPLOYED BY INSPIRA MEDICAL CENTERS, INC. HOWEVER, THE COMPENSATION AND BENEFITS OF THESE INDIVIDUALS ARE SHOWN ON THIS TAX RETURN BECAUSE THEY ARE BOTH OFFICERS OF THIS ORGANIZATION. ACCORDINGLY, 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 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 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 DIRECTORS 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 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 INSPIRA MEDICAL CENTERS, INC.'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 INSPIRA MEDICAL CENTERS, INC. 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'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 A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF DIRECTOR MEMBERS AND OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED ON 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 XII; QUESTION 2 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. 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 EACH YEAR. THE NETWORK'S FINANCE/AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES TOTAL FEES:2303070 FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN FEES TOTAL FEES:469578 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING TOTAL FEES:95679 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) N/A false INSPIRA HLTH NTWK FDN CUMBERLANDSALEM 333 IRVING AVENUE BRIDGETON NJ 08302 223746758 SUPPORT NTWK NJ 501(C)(3) 509(A)(3) IMC false INSPIRA MEDICAL CENTERS INC 333 IRVING AVENUE BRIDGETON NJ 08302 210634484 HEALTH SVCS. NJ 501(C)(3) HOSPITAL 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 NTWK 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 BPOC LP 333 IRVING AVENUE BRIDGETON NJ 08302 222956029 REAL ESTATE NJ OAK & MAIN SURGICTR 907 NORTH MAIN ROAD VINELAND NJ 08360 223532371 HEALTHCARE SVcs. NJ GLOUC CTY SURG CTR 163 BRIDGETON PIKE BLDG B MULLICA HILL NJ 08062 261157885 HEALTHCARE SVcs. NJ INSPIRA HLTH PTRS 2950 COLLEGE DRIVE VINELAND NJ 08360 465550615 HEALTHCARE SVCS. NJ INSPIRA HELP SERVICES INC PO BOX 126 SALEM NJ 08079 222823028 INACTIVE NJ C CORP. false INSPIRA HEALTH MANAGEMENT CORPORATION 2950 COLLEGE DRIVE SUITE 1E VINELAND NJ 08360 222502241 HEALTHCARE SVcs. NJ C CORP. false INSPIRA HEALTH NETWORK MEDICAL GROUP PC 2950 COLLEGE DRIVE SUITE 1E VINELAND NJ 08360 205745047 HEALTHCARE SVcs. NJ C CORP. false JUNO ASSURANCE LTD AON HOUSE 4TH FLOOR PEMBROKE BD HM 08 FINANCIAL VEHicle BD FOREIGN CORP. false INSPIRA HEALTH NETWORK URGENT CARE PC 201 TOMLIN STATION ROAD MULLICA HILL NJ 08062 452900402 HEALTHCARE SVcs. NJ C CORP. false RED BANK DEVELOPMENT CORPORATION 509 NORTH BROAD STREET WOODBURY NJ 08096 222814053 HEALTHCARE SVcs. NJ C CORP. false INSPIRA HOME CARE SVCS WOODBURY INC 509 NORTH BROAD STREET WOODBURY NJ 08096 223479390 HEALTHCARE SVcs. NJ C CORP. false INSPIRA-JEFFERSON PHYSICIANS PC 165 BRIDGETON PIKE MULLICA HILL NJ 08062 364821019 INACTIVE NJ C CORP. false false false false false true false false false false false false false false true true false false false false SCHEDULE R, PART V THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES INSPIRA MEDICAL CENTERS, INC. 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.