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INSPIRA MEDICAL CENTER WOODBURY INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
INSPIRA MEDICAL CENTER WOODBURY INC (EIN 22-1820210)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201413219349303591
Schema version
2013v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-17T10:37:35-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WithumSmithBrown PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1465 South St Ste 200AddressLine1
CityMorristownCity
StateNJState
ZIP Code079606497ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN221820210EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INSPIRA MEDICAL CENTER WOODBURY INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% THOMAS P BALDOSARO CPAInCareOfNm
Business Name ControlINSPBusinessNameControlTxt
Phone8566418610PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1509 NORTH BROAD STREETAddressLine1
Address Line2SuiteAddressLine2
CityWOODBURYCity
StateNJState
ZIP Code08096ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS BALDOSAROPersonNm
Person TitleCFOPersonTitleTxt
Phone8566416605PhoneNum
Signature2014-11-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonScott MarianiPreparerPersonNm
PTINP00642486PTIN
Phone8566416605PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN A DIANGELOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1333 IRVING AVENUEAddressLine1
CityBRIDGETONCity
StateNJState
ZIP Code08302ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$170,902,756GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.INSPIRAHEALTHNETWORK.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1966FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionTO PROVIDE QUALITY HEALTHCARE SERVICES THAT CONTRIBUTE TO THE IMPROVED HEALTH AND WELL-BEING OF ALL IT SERVES.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee1901TotalEmployeeCnt
Total Volunteers284TotalVolunteersCnt
Total Gross UBI$49,515TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$22,573NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$665,556PYContributionsGrantsAmt
CY Contributions Grants$207,254CYContributionsGrantsAmt
PY Program Service Revenue$162,058,250PYProgramServiceRevenueAmt
CY Program Service Revenue$161,226,685CYProgramServiceRevenueAmt
PY Investment Income$3,015,286PYInvestmentIncomeAmt
CY Investment Income$7,598,965CYInvestmentIncomeAmt
PY Other Revenue$1,848,814PYOtherRevenueAmt
CY Other Revenue$1,259,855CYOtherRevenueAmt
PY Total Revenue$167,587,906PYTotalRevenueAmt
CY Total Revenue$170,292,759CYTotalRevenueAmt
PY Grants And Similar Paid$34,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$61,341CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$92,645,517PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$97,892,578CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$79,066,397PYOtherExpensesAmt
CY Other Expenses$77,778,775CYOtherExpensesAmt
PY Total Expenses$171,745,914PYTotalExpensesAmt
CY Total Expenses$175,732,694CYTotalExpensesAmt
PY Revenues Less Expenses-$4,158,008PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,439,935CYRevenuesLessExpensesAmt
Total Assets BOY$243,207,407TotalAssetsBOYAmt
Total Assets EOY$242,894,510TotalAssetsEOYAmt
Total Liabilities BOY$112,369,515TotalLiabilitiesBOYAmt
Total Liabilities EOY$105,265,817TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$130,837,892NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$137,628,693NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF INSPIRA MEDICAL CENTER WOODBURY, INC. IS TO PROVIDE QUALITY HEALTHCARE SERVICES THAT CONTRIBUTE TO THE IMPROVED HEALTH AND WELL-BEING OF ALL IT SERVES. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$13,028,314ExpenseAmt
Grant$0GrantAmt
Revenue$26,141,204RevenueAmt
DescEXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY MEDICAL SURGICAL SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILIty TO PAY. PATIENT DAYS TOTALED 38,620 DAYS OF SERVICE DURING 2013. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$11,226,929ExpenseAmt
Grant$0GrantAmt
Revenue$8,362,333RevenueAmt
DescEXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OPERATING ROOM SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. OPERATING ROOM CASES TOTALED 5,067 DURING 2013. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$6,206,573ExpenseAmt
Grant$0GrantAmt
Revenue$8,412,046RevenueAmt
DescEXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY EMERGENCY DEPARTMENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION TREATED 55,363 EMERGENCY DEPARTMENT PATIENTS DURING 2013. THE EMERGENCY DEPARTMENT OPERATES TWENTY-FOUR HOURS PER DAY, SEVEN DAYS PER WEEK. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$127,703,623TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$61,341TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$118,314,992TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$158,165,439TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstYes (true)ReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document191IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1901EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTHOMAS P BALDOSARO CPAPersonNm
Phone8566416605PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1333 IRVING AVENUEAddressLine1
CityBRIDGETONCity
StateNJState
ZIP Code08302ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL A MCLAUGHLIN
CHAIRMAN - TRUSTEE1.0Yes (X)Yes (X)$0$0$0
PAMELA S CLARK
VICE CHAIR - TRUSTEE1.0Yes (X)Yes (X)$0$0$0
BETH N BARRY
SECRETARY - TRUSTEE1.0Yes (X)Yes (X)$0$0$0
DANIEL J BALL III
TREASURER - TRUSTEE1.0Yes (X)Yes (X)$0$0$0
RAYMOND J ANGELINI
TRUSTEE1.0Yes (X)$0$0$0
SHIRLEY BIERBRUNNER
TRUSTEE1.0Yes (X)$0$0$0
JAMES M BONNER DO
TRUSTEE1.0Yes (X)$0$0$0
EILEEN K CARDILE MS RN CNA
TRUSTEE; EX-OFFICIO - PRES/CEO55.0Yes (X)Yes (X)$465,792$0$20,792
LAWRENCE M DIVIETRO JR
TRUSTEE1.0Yes (X)$0$0$0
JOHN H FISHER III
TRUSTEE1.0Yes (X)$0$0$0
JAMES E GEORGE MD JD FACEP
TRUSTEE1.0Yes (X)$0$0$0
DANTE G GERMANO
TRUSTEE1.0Yes (X)$0$0$0
CHESTER B KALETKOWSKI
TRUSTEE;EX-OFF;PRES/CEO-NETWRK55.0Yes (X)Yes (X)$0$791,676$232,399
KURT W KAULBACK MD
TRUSTEE55.0Yes (X)$0$550,816$31,240
HERBERT J KONRAD
TRUSTEE1.0Yes (X)$0$0$0
JAMES J LAVENDER ED D
TRUSTEE1.0Yes (X)$0$0$0
SARAH D LOVE
TRUSTEE1.0Yes (X)$0$0$0
JORGE A PRIETO MD
TRUSTEE1.0Yes (X)$0$0$0
KATHLEEN A SCHULTES
TRUSTEE1.0Yes (X)$0$0$0
CHRISTOPHER R GIBSON ESQ
TRUSTEE (1/1 - 4/2)1.0Yes (X)$0$0$0
RUSSEL GILLESPIE
TRUSTEE (1/1 - 9/24)1.0Yes (X)$0$0$0
WARNER A KNOBE
TRUSTEE (1/1 - 5/22)1.0Yes (X)$0$0$0
JAMES R BRANT TERMED 430
SVP/CFO55.0Yes (X)$288,498$0$18,792
JOHN W GRAHAM
CHIEF OPERATING OFFICER55.0Yes (X)$272,583$0$18,389
GINA PETRONE MUMOLIE
VP; CHIEF NURSE EXECUTIVE55.0Yes (X)$254,830$0$24,407
ROBERT L MANESTRINA
VP HUMAN RESOURCES55.0Yes (X)$153,819$0$20,060
PAUL M LAMBRECHT
VP CLINICAL/SUPPORT SERVICES55.0Yes (X)$150,991$0$16,689
PETER A KAPRIELYAN
VP GOVERNMENT RELATIONS55.0Yes (X)$147,085$0$20,928
JOHN A DIANGELO
EVP/CFO - NETWORK55.0Yes (X)$0$655,356$127,831
ROBERT M DANGEL ESQ
GENERAL COUNSEL - NETWORK55.0Yes (X)$0$337,891$117,994
WAYNE C SCHIFFNER Term 630
EXECUTIVE VICE PRESIDENT55.0Yes (X)$0$603,107$61,142
FRANCIS T FERRY MD
MEDICAL DIRECTOR55.0$352,808$0$18,100Yes (X)
GREGORY HERMAN EFF 69
CHIEF MEDICAL INFO OFFICER55.0$321,602$0$21,977Yes (X)
BHAVIKABEN B BABARIA MD
PHYSICIAN55.0$234,430$0$550Yes (X)
HUY S LE
PHARMACIST55.0$133,192$0$17,072Yes (X)
MICHAEL F FEENEY
PHARMACIST55.0$130,474$0$16,577Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,906,104TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,938,846TotReportableCompRltdOrgAmt
Total Other Compensation$784,939TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K52IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
SEI TRUST COMPANY
1 FREEDOM VALLEY DRIVEOAKSPA19456INVESTMENT MGMT$1,877,211
CERNER CORPORATION
2800 ROCKCREEK PARKWAYKANSAS CITYMO64117IT$1,863,963
SOUTH JERSEY ANESTHESIA
PO BOX 766WOODBURYNJ08096MEDICAL$1,850,924
ARAMARK CORPORATION
24863 NETWORK PLACECHICAGOIL60673FOOD SERVICES$1,825,830
EMERGENCY CARE SERVICES OF NJ PA
PO BOX 298WOODBURYNJ08096MEDICAL$1,343,982
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K109CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
All Other Contributions$207,254AllOtherContributionsAmt
Total Contributions$207,254TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE541900$154,691,728$154,691,728
OTHER HEALTHCARE RELATED REVENUE541990$6,534,957$6,489,332$45,625
FieldValueIRS element (for citing)
Total Program Service Revenue$161,226,685TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,641,976TotalRevenueColumnAmt
Unrelated Business Revenue$3,890UnrelatedBusinessRevenueAmt
Exclusion$1,638,086ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,054,615RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$609,997RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$444,618RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$444,618TotalRevenueColumnAmt
Exclusion$444,618ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,956,989SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$5,956,989SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,956,989TotalRevenueColumnAmt
Exclusion$5,956,989ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA INCOME722514$545,133$545,133
PARKING INCOME812930$270,104$270,104
FieldValueIRS element (for citing)
Other Revenue Total$815,237OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$170,292,759TotalRevenueColumnAmt
Related Or Exempt Func Income$161,181,060RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$49,515UnrelatedBusinessRevenueAmt
Exclusion$8,854,930ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$44,131TotalAmt
Program Services$44,131ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$17,210TotalAmt
Program Services$17,210ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,873,654TotalAmt
Program Services$1,686,289ProgramServicesAmt
Management And General$187,365ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$77,404,993TotalAmt
Program Services$69,664,494ProgramServicesAmt
Management And General$7,740,499ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$221,506TotalAmt
Program Services$199,355ProgramServicesAmt
Management And General$22,151ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,910,558TotalAmt
Program Services$10,719,503ProgramServicesAmt
Management And General$1,191,055ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,481,867TotalAmt
Program Services$5,833,680ProgramServicesAmt
Management And General$648,187ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$12,191TotalAmt
Program Services$10,972ProgramServicesAmt
Management And General$1,219ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$170,393TotalAmt
Program Services$153,354ProgramServicesAmt
Management And General$17,039ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$77,500TotalAmt
Program Services$69,750ProgramServicesAmt
Management And General$7,750ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$52,317TotalAmt
Program Services$47,086ProgramServicesAmt
Management And General$5,231ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,877,211TotalAmt
Program Services$1,689,490ProgramServicesAmt
Management And General$187,721ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,539,789TotalAmt
Program Services$9,485,810ProgramServicesAmt
Management And General$1,053,979ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$876,744TotalAmt
Program Services$789,070ProgramServicesAmt
Management And General$87,674ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,349,098TotalAmt
Program Services$2,114,188ProgramServicesAmt
Management And General$234,910ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,072,636TotalAmt
Program Services$965,372ProgramServicesAmt
Management And General$107,264ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,213,576TotalAmt
Program Services$4,692,218ProgramServicesAmt
Management And General$521,358ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$582,773TotalAmt
Program Services$524,496ProgramServicesAmt
Management And General$58,277ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,090,359TotalAmt
Program Services$1,881,323ProgramServicesAmt
Management And General$209,036ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,380,062TotalAmt
Program Services$8,442,056ProgramServicesAmt
Management And General$938,006ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,578,131TotalAmt
Program Services$3,220,318ProgramServicesAmt
Management And General$357,813ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$21,289,081$19,160,173$2,128,908$0
REPAIRS & MAINTENANCE$10,945,641$9,851,077$1,094,564$0
OUTSIDE SERVICES$6,135,391$5,521,852$613,539$0
DUES LICENSES & SUBSCRIPTIONS$1,038,433$934,590$103,843$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$497,449TotalAmt
Program Services$447,582ProgramServicesAmt
Management And General$49,867ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$175,732,694TotalAmt
Program Services$158,165,439ProgramServicesAmt
Management And General$17,567,255ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,829BOYAmt
EOY$5,829EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$5,925,138BOYAmt
EOY$5,519,566EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$74,752BOYAmt
EOY$101,833EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,516,599BOYAmt
EOY$16,199,290EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$956,612BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$682,413BOYAmt
EOY$724,299EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,345,283BOYAmt
EOY$2,216,001EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$222,189,063LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$122,133,360LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$107,211,988BOYAmt
EOY$100,055,703EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$98,059,374BOYAmt
EOY$107,931,527EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$529,295BOYAmt
EOY$480,253EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,901,124BOYAmt
EOY$9,660,209EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$243,207,407BOYAmt
EOY$242,894,510EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$18,033,147BOYAmt
EOY$25,620,308EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$54,350,000BOYAmt
EOY$52,575,000EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$385,537BOYAmt
EOY$192,802EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,600,831BOYAmt
EOY$26,877,707EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$112,369,515BOYAmt
EOY$105,265,817EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$125,880,664BOYAmt
EOY$133,312,774EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$987,802BOYAmt
EOY$138,925EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,969,426BOYAmt
EOY$4,176,994EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$130,837,892BOYAmt
EOY$137,628,693EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$243,207,407BOYAmt
EOY$242,894,510EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$5,439,935ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,085,000NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$8,145,736OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$42,003DirectContactLegislatorsAmt
Rallies DemonstrationsYes (true)RalliesDemonstrationsInd
Rallies Demonstrations$10,314RalliesDemonstrationsAmt
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$52,317TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B; LINES 1G AND 1HFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO ITS VP OF GOVERNMENT RELATIONS WHICH REPRESENTS TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $42,003 IN 2013. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $10,314 IN 2013.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,539,187BeginningYearBalanceAmt
Contributions$266,563ContributionsAmt
Investment Earnings Or Losses-$240,184InvestmentEarningsOrLossesAmt
Grants Or Scholarships$20,399GrantsOrScholarshipsAmt
Other Expenditures$464,024OtherExpendituresAmt
Administrative Expenses$56,739AdministrativeExpensesAmt
End Year Balance$4,024,404EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,032,278BeginningYearBalanceAmt
Contributions$210,418ContributionsAmt
Investment Earnings Or Losses$502,689InvestmentEarningsOrLossesAmt
Grants Or Scholarships$20,361GrantsOrScholarshipsAmt
Other Expenditures$143,972OtherExpendituresAmt
Administrative Expenses$41,865AdministrativeExpensesAmt
End Year Balance$4,539,187EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,912,086BeginningYearBalanceAmt
Contributions$175,030ContributionsAmt
Investment Earnings Or Losses$921,588InvestmentEarningsOrLossesAmt
Grants Or Scholarships$20,520GrantsOrScholarshipsAmt
Other Expenditures$894,825OtherExpendituresAmt
Administrative Expenses$61,081AdministrativeExpensesAmt
End Year Balance$4,032,278EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.96780PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.03220TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,217,915OtherCostOrOtherBasisAmt
Book Value$4,217,915BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$152,975,691OtherCostOrOtherBasisAmt
Depreciation$69,649,803DepreciationAmt
Book Value$83,325,888BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$647,191OtherCostOrOtherBasisAmt
Depreciation$628,406DepreciationAmt
Book Value$18,785BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,414,727OtherCostOrOtherBasisAmt
Depreciation$49,073,549DepreciationAmt
Book Value$9,341,178BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,933,539OtherCostOrOtherBasisAmt
Depreciation$2,781,602DepreciationAmt
Book Value$3,151,937BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$100,055,703TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (18 entries)

DescDescMethod ValuationMethodValuationCdBook ValueBookValueAmt
CASH & CASH EQUIVALENTS;F
LIMITED USEF$13,367,533
LIMITED PARTNERSHIPS AT COST;F
LIMITED USEF$10,620,000
COMMINGLED FUNDS;F
LIMITED USEF$23,247,000
EQUITY MUTUAL FUNDS;F
LIMITED USEF$25,884,000
FIXED INCOME MUTUAL FUNDS;F
LIMITED USEF$16,162,000
CORPORATE AND GOVERNMENTF
BONDS; LIMITED USEF$5,358,000
DEBT SERVICE PRINCIPAL FUNDS;F
LIMITED USEF$0
MARKETABLE EQUITY SECURITIES;F
LIMITED USEF$9,116,000
BENEFICIAL INTEREST INF
PERPETUAL TRUSTF$4,176,994
FieldValueIRS element (for citing)
Total Book Value Program Rltd$107,931,527TotalBookValueProgramRltdAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
DUE TO AFFILIATES$2,100,219
THIRD PARTY PAYORS$7,579,899
ACCRUED PENSION COSTS$5,874,544
ESTIMATED MALPRACTICE COSTS$4,827,053
INTEREST RATE SWAP AGREEMENTS$6,089,755
ACCRUED INTEREST PAYABLE$406,237
FieldValueIRS element (for citing)
Total Liability$26,877,707TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, QUESTION 4ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES.
SCHEDULE D, PART XAN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF INSPIRA MEDICAL CENTER WOODBURY, INC. AND INSPIRA HEALTH NETWORK FOUNDATION GLOUCESTER COUNTY, INC. FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S CONSOLIDATED 2013 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): INSPIRA MEDICAL CENTER WOODBURY, INC. AND INSPIRA HEALTH NETWORK FOUNDATION GLOUCESTER COUNTY, INC. ACCOUNT 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 2013 OR 2012. IN ADDITION, THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE 2013 CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE SYSTEM 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 2013 OR 2012.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served4242PersonsServedCnt
Total Community Benefit Expns$8,972,167TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,719,587DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,252,580NetCommunityBenefitExpnsAmt
Total Expense0.04130TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served2542PersonsServedCnt
Total Community Benefit Expns$5,269,246TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,981,575DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,287,671NetCommunityBenefitExpnsAmt
Total Expense0.00730TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Persons Served10490PersonsServedCnt
Total Community Benefit Expns$7,459,203TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$336,972DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,122,231NetCommunityBenefitExpnsAmt
Total Expense0.04050TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served17274PersonsServedCnt
Total Community Benefit Expns$21,700,616TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,038,134DirectOffsettingRevenueAmt
Net Community Benefit Expns$15,662,482NetCommunityBenefitExpnsAmt
Total Expense0.08910TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs39ActivitiesOrProgramsCnt
Persons Served16928PersonsServedCnt
Total Community Benefit Expns$817,008TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$377,655DirectOffsettingRevenueAmt
Net Community Benefit Expns$439,353NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs16ActivitiesOrProgramsCnt
Persons Served397PersonsServedCnt
Total Community Benefit Expns$358,675TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,700DirectOffsettingRevenueAmt
Net Community Benefit Expns$353,975NetCommunityBenefitExpnsAmt
Total Expense0.00200TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served186PersonsServedCnt
Total Community Benefit Expns$147,567TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,570DirectOffsettingRevenueAmt
Net Community Benefit Expns$122,997NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$33,873TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$33,873NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served26PersonsServedCnt
Total Community Benefit Expns$48,623TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$48,623NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs65ActivitiesOrProgramsCnt
Persons Served17537PersonsServedCnt
Total Community Benefit Expns$1,405,746TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$406,925DirectOffsettingRevenueAmt
Net Community Benefit Expns$998,821NetCommunityBenefitExpnsAmt
Total Expense0.00570TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs65ActivitiesOrProgramsCnt
Persons Served34811PersonsServedCnt
Total Community Benefit Expns$23,106,362TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,445,059DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,661,303NetCommunityBenefitExpnsAmt
Total Expense0.09480TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served2PersonsServedCnt
Total Community Benefit Expns$470TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$470NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served188PersonsServedCnt
Total Community Benefit Expns$3,239TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,239NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served183PersonsServedCnt
Total Community Benefit Expns$28,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$28,000NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served14PersonsServedCnt
Total Community Benefit Expns$168,083TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$168,083NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Persons Served387PersonsServedCnt
Total Community Benefit Expns$199,792TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$199,792NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Reimbursed By Medicare$52,406,225ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$74,369,117CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$21,962,892MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INSPIRA MEDICAL CENTER WOODBURY INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1509 NORTH BROAD STREETAddressLine1
CityWOODBURYCity
StateNJState
ZIP Code08096ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.INSPIRAHEALTHNETWORK.ORGWebsiteAddressTxt
State License10801StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
Facility Reporting Group1FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1INSPIRA MEDICAL CENTER WOODBURY INCBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.INSPIRAHEALTHNETWORK.ORGOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Exec Community Wide PlanYes (X)ExecCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedfalseAllNeedsAddressedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (true)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (true)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care200.FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
Medical IndigencyYes (X)MedicalIndigencyInd
Insurance StatusYes (X)InsuranceStatusInd
Uninsured DiscountYes (X)UninsuredDiscountInd
Medicaid MedicareYes (X)MedicaidMedicareInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
Provided On AdmissionYes (X)ProvidedOnAdmissionInd
Available On RequestYes (X)AvailableOnRequestInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 5D & 6INot applicable.
SCHEDULE H, PART V, SECTION B, QUESTION 3Inspira contracted with Holleran, an independent research and consulting firm located in Lancaster, Pennsylvania, to conduct research in support of the COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA"). Holleran has over 20 years of experience in conducting public health research and community health assessments. The firm provided the following assistance: 1) Collected and interpreted Secondary Data 2) Conducted, analyzed, and interpreted data from Household Telephone Survey with 575 community residents. 3) Conducted, analyzed and interpreted data from Key Informant Interviews with 37 community stakeholders. 4) Conducted focus groups with 23 community residents and community members. Community engagement and feedback were an integral part of the CHNA process. In additon, Inspira sought community input through focus groups with community members, Key Informant Interviews with community stakeholders and inclusion of community partners in the prioritization and implementation planning process. Public health and healthcare professionals shared knowledge and expertise about health issues, and leaders and representatives of nonprofit and community-based organizations provided insight on the community served by Inspira including medically underserved, low income, and minority populations.
SCHEDULE H, PART V, SECTION B, QUESTION 4Inspira Medical Center Woodbury, Inc. became part of the The Tri-County Health Assessment Collaborative ("The Collaborative"). The collaborative consisted of hospitals, health systems, and health departments within Burlington, Camden, and Gloucester Counties who came together to undertake a comprehensive regional community health needs assessment (CHNA). The Tri-County Collaborative also included the following hospital facilities: - Cooper University Health Care. - Kennedy Health System. - Lourdes Health System. - Virtua Health.
SCHEDULE H, PART V, SECTION B, QUESTION 7Currently, Inspira Medical Center Woodbury is choosing not to address crime/domestic violence because it is beyond the hospital's mission. However, Inspira Medical Center Woodbury offers its Emergency Department AS an examination site for the Sexual Assault Response Team ("SART") in Gloucester County. The SART consists of an Forensic Nurse Examiner, a rape care advocate, and law enforcement. When a sexual assault patient arrives at the emergency department, emergency department staff activates the SART. The emergency department physicians provide a medical screening exam at no charge to the patient. The emergency department has a designated SART room which provides a private and confidential waiting and exam room for the patient. The dedicated room also provides security for the forensic equipment. Inspira Medical Center Woodbury does not charge for services provided to the sexual assault patient. The SART goal is to provide a medical forensic exam to the patient while working collaboratively with team members to meet the patient's healthcare needs. Patients who disclose that they are a victim of domestic violence are offered the services of Serves Empowering the Rights of Victims ("SERV") domestic violence advocate. During business hours the Emergency Department staff may assist a patient in the request for an electronic restraining order from the Gloucester County Family Court. Although Inspira Medical Center Woodbury is not tackling this issue in this strategy, it is our hope that others in the community can use the information provided by our CHNA to push for change within the community.
SCH H, PART V, SECTION B, Q'S 10,11,12I,14G,16E,17E,19C,19D,20D,21&22not applicable.
SCHEDULE H, PART V, SECTION B, QUESTION 18EIn addition to those actions listed in Line 18, Inspira Medical Center Woodbury, Inc. also posts signs throughout the hospital which display the financial assistance policy.
FieldValueIRS element (for citing)
Facility6FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
IMCW FAMILY MEDICINE CENTER
75 WEST RED BANK DRIVEWOODBURYNJ08096RESIDENCY PROGRAM PRIMARY CARE
FAMILY HEALTH CTR OF MULLICA HILL SOUTH
155 BRIDGETON PIKEMULLICA HILLNJ08062PRIMARY CARE
FAMILY HEALTH CENTER OF WOOLWICH
100 LEXINGTON ROAD BUILDING 1WOOLWICH TOWNSHIPNJ08085PRIMARY CARE
FAMILY HEALTH CENTER OF GLASSBORO
1120 NORTH DELSEA DRIVEGLASSBORONJ08038PRIMARY CARE
FAMILY HEALTH CTR OF MULLICA HILL NORTH
34 COLSON LANEMULLICA HILLNJ08062PRIMARY CARE
FAMILY HEALTH CENTER OF PAULSBORO
1 WEST BROAD STREETPAULSBORONJ08066PRIMARY CARE

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3CThe income based criteria used to determine eligibility is per New Jersey Administrative Code 10:52 Sub Chapters 11, 12 and 13 and the 2013 poverty guidelines (Department of Health and Senior Services). FPG are included in the criteria for determining eligibility for charity and discounted care.
SCHEDULE H, PART I; QUESTION 6AAn annual report is prepared and published by Inspira MEDICAL CENTER WOODBURY, INC. ("IMCW"). 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 7No costs relating to subsidized healthcare services are attributable to any physician clinics.
SCHEDULE H, PART I, QUESTION 7THE ORGANIZATION UTILIZED THE COST ACCOUNTING SYSTEM.
SCHEDULE H, PART IICommunity building activities undertaken by Inspira Medical Center Woodbury, Inc. ("IMCW") improve the medical and socioeconomic well-being of the communities in our care. 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. This organization provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals.
SCHEDULE H, PART III, SECTION A; QUESTION 4The organization issued audited financial statements. The organization's allowance for doubtful accounts (bad debt expense) methodology and charity care policies are consistently applied. Below, please find detailed information: Receivables for Patient Care ---------------------------- Patient accounts receivable are reported at net realizable value. Accounts are written off when they are determined to be uncollectible based upon management's assessment of individual accounts. In evaluating the collectability of patient accounts receivable, Woodbury analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. 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), Woodbury 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. Woodbury has not changed their financial assistance policy in 2013 or 2012. Charity Care ------------ The hospital maintains records to identify and monitor the level of charity care it provides. The costs associated with the charity care services provided are estimated by applying a cost to charge ratio to the amount of gross uncompensated charges for the patients receiving charity care.
SCHEDULE H, PART III, SECTION B; QUESTION 8Medicare costs were derived from the 2013 Medicare cost report. Medicare underpayments and bad debt are community benefit and associated costs are includable on Form 990, Schedule H, Part I. This organization feels that Medicare underpayments (shortfall) and bad debt are community benefit and associated costs are includable on 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 individual's 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" and 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 had to provide, to the extent of its financial ability, free or reduced-cost care to patients unable to pay for it. 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 treas. 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 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 "dual eligible." There is every compelling public policy reason to treat Medicare and Medicaid underpayments similarly for purposes of a hospital's community benefit and include these costs on Form 990, Schedule H, Part I. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community and should count as a quantifiable community benefit. Both the AHA and this organization also feel that patient bad debt is a community benefit and thus includable on the Form 990, Schedule H, Part I. Like Medicare underpayment (shortfalls), there also are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - A significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 Congressional Budget Office ("CBO") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - The report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessary, extensive documentation required to b
SCHEDULE H, PART III, SECTION B; QUESTION 9BAccounts 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 the Inspira Health Network to treat all patients equally regardless of insurance and their ability to pay.
SCHEDULE H, PART VI; QUESTION 2IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OUTLINED IN SCHEDULE H, SECTION B, QUESTIONS 1-8 AND SECTION C, THIS ORGANIZATION CONDUCTS A REVIEW OF KEY FACTOR INFORMATION ANNUAL WHICH INCLUDES: a review of key factor information annually which includes a review of healthcare utilization of its service area population by services (urology, cardiology, obstetrics, etc.). For determining increased or decreased health needs; healthcare services estimates and forecasts (both inpatient and outpatient); assessments of local demographic and socioeconomic information; and, a review of health status/needs assessments and studies conducted by external parties. Inspira Medical Center Woodbury, Inc. ("IMCW") conducts extensive service area physician need studies (by primary and specialty) every three to five years. Specific specialty needs are conducted for identified gaps in service. These reviews inform medical staff development at the medical center to assure responsiveness to identified community needs. IMCW collaborates with community partners to plan and conduct health needs assessments to assess and address health needs of the community it serves. The wide-based collaborative partnership retains an outside consulting firm to assess community data and perception. Community data is collected from county health profiles, health statistics, demographics, socioeconomic data, phone surveys, paper surveys and focus groups. From those assessments, community health improvement plans are published identifying the specific health priorities. Through a planned and organized effort, the group works collectively to address the priorities by tapping the resources of the community and collaborating on initiatives. IMCW actively contributes to this process and engages in the identified priorities that match its mission, expertise, resources and capacity. In addition to these organized needs assessment efforts, ongoing community meetings with local providers, local health departments, local politicians, organizations and community leaders are sponsored by the hospital to discuss the health needs of the population.
SCHEDULE H, PART VI; QUESTION 3The 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/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 4Inspira Medical Center Woodbury, Inc. realizes its role as the hub of healthcare services and education for the community. The hospital sponsors multiple community oriented programs to educate and complement the various healthcare needs to the community.
SCHEDULE H, PART VI; QUESTION 5Inspira Medical Center Woodbury, Inc. Is committed to providing a broad range of quality healthcare services that are continuously improved to meet the needs and expectations of our patients, physicians, employees and the community we serve. We are committed to providing services in a compassionate and friendly manner which respects the dignity and rights of all. We shall be innovative and fiscally responsible while continually evaluating the needs and expectations of our community and the demands of the environment.
SCHEDULE H, PART VI; QUESTION 6Outlined 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, religion 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 has over 1,750 full time and part time employees and a medical staff over 450. 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, religion 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, religion 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, religion 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, religion 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). 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, religion 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 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, religion 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, religion or ability to pay. Inspira Management Services, L.L.C. ----------------------------------- Inspira Management Services, L.L.C. is a limited liability company formed in the State of New Jersey whose sole memeber is Inspira Health Network, Inc. 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. Inspira Help Services, Inc. --------------------------- Inspira Help Services, Inc. is an entity whose sole shareholder is Inspira Homecare & Hospicecare, Inc. The organization is located in Salem, Salem County, New Jersey and provides individual family healthcare services. Inspira Health Management Corporation -------------------------------------- Inspira Health Management Corporation is an entity whose sole shareholder is Inspira Health Network, Inc. The organization is located in Bridgeton, Cumberland County, New Jersey and provides health, wellness and management services. Inspira Health Network Medical Group, P.C. ------------------------------------------ Inspira Health Network Medical Group, P.C. is an entity whose nominee owner is Inspira Health Network, Inc. The organization is located in Bridgeton, Cumberland County, New Jersey and provides professional physician medical services to individuals and the community. Inspira Health Network Urgent Care, P.C. ---------------------------------------- Inspira Health Network Urgent Care, P.C. is an entity whose nominee owner is Inspira Health Network, Inc. The organization is located in Vineland, Cumberland County, New Jersey and provides professional physician medical services to individuals and the community. Juno Assurance, Ltd. --------------------- Juno Assurance, Ltd. is a foreign corporation controlled by Inspira Health Network, Inc. The organization was formed and operates solely in Bermuda. Oak & Main Surgicenter, LLC --------------------------- Oak & Main Surgicenter, LLC is a limited liability company tax
SCHEDULE H, PART VI; QUESTION 7Not applicable.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeEDUCATIONAL SCHOLARSHIPSGrantTypeTxt
Recipient4RecipientCnt
Cash Grant$17,210CashGrantAmt
Valuation Method UsedFMVValuationMethodUsedDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART I; QUESTION 2FormAndLineReferenceDesc
ExplanationGRANTS 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

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
EILEEN K CARDILE MS RN CNA
TRUSTEE; EX-OFFICIO - PRES/CEO$403,263$0$0$0$62,529$0$5,000$0$15,792$0$486,584$0$0$0
CHESTER B KALETKOWSKI
TRUSTEE;EX-OFF;PRES/CEO-NETWRK$0$674,469$0$87,078$0$30,129$0$198,709$0$33,690$0$1,024,075$0$0
KURT W KAULBACK MD
TRUSTEE$0$549,747$0$0$0$1,069$0$16,500$0$14,740$0$582,056$0$0
JAMES R BRANT TERMED 430
SVP/CFO$99,088$0$0$0$189,410$0$5,000$0$13,792$0$307,290$0$0$0
JOHN W GRAHAM
CHIEF OPERATING OFFICER$263,614$0$0$0$8,969$0$5,000$0$13,389$0$290,972$0$0$0
GINA PETRONE MUMOLIE
VP; CHIEF NURSE EXECUTIVE$246,241$0$0$0$8,589$0$5,000$0$19,407$0$279,237$0$0$0
ROBERT L MANESTRINA
VP HUMAN RESOURCES$152,970$0$0$0$849$0$3,417$0$16,643$0$173,879$0$0$0
PAUL M LAMBRECHT
VP CLINICAL/SUPPORT SERVICES$145,286$0$0$0$5,705$0$2,970$0$13,719$0$167,680$0$0$0
PETER A KAPRIELYAN
VP GOVERNMENT RELATIONS$145,175$0$0$0$1,910$0$2,992$0$17,936$0$168,013$0$0$0
JOHN A DIANGELO
EVP/CFO - NETWORK$0$565,153$0$50,084$0$40,119$0$102,421$0$25,410$0$783,187$0$0
ROBERT M DANGEL ESQ
GENERAL COUNSEL - NETWORK$0$284,629$0$29,247$0$24,015$0$92,790$0$25,204$0$455,885$0$0
WAYNE C SCHIFFNER Term 630
EXECUTIVE VICE PRESIDENT$0$182,713$0$48,031$0$372,363$0$44,848$0$16,294$0$664,249$0$312,646
FRANCIS T FERRY MD
MEDICAL DIRECTOR$318,549$0$32,000$0$2,259$0$0$0$18,100$0$370,908$0$0$0
GREGORY HERMAN EFF 69
CHIEF MEDICAL INFO OFFICER$320,305$0$0$0$1,297$0$5,000$0$16,977$0$343,579$0$0$0
BHAVIKABEN B BABARIA MD
PHYSICIAN$142,175$0$37,046$0$55,209$0$0$0$550$0$234,980$0$0$0
HUY S LE
PHARMACIST$122,100$0$0$0$11,092$0$2,673$0$14,399$0$150,264$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I; QUESTION 4aTHE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING 2013. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JAMES R. BRANT, $121,508.
SCHEDULE J, PART I; QUESTION 4BTHE AMOUNT REFLECTED IN COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES PARTICIPATION IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN THE INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: WAYNE C. SCHIFFNER, $312,646. THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: CHESTER B. KALETKOWSKI, $152,436; JOHN A. DIANGELO, $78,148 AND ROBERT M. D'ANGEL, ESQ., $46,054.
SCHEDULE J, PART I; QUESTION 7CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2013 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2013 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 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.
SCHEDULE J, PART II, COLUMN FTHE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUAL INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) BECAUSE THE AMOUNT WAS REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. THE AMOUNT WAS TREATED AS TAXABLE INCOME AND REPORTED ON THE INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: WAYNE C. SCHIFFNER, $312,646.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NJ HEALTH CARE FACILITIES FINANCING AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN221987084BondIssuerEIN
CUSIP64579FWR0CUSIPNum
Bond Issued2008-05-22BondIssuedDt
Issue Price$62,000,000IssuePriceAmt
PurposeREFUNDING OF 2004 ISSUEPurposeDesc
DefeasedfalseDefeasedInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Pool FinancingfalsePoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$0RetiredAmt
Bond Defeased$0BondDefeasedAmt
Total Proceeds$0TotalProceedsAmt
In Reserve Fund$62,000,000InReserveFundAmt
Capitalized Interest$0CapitalizedInterestAmt
Refunding Escrow$0RefundingEscrowAmt
Issuance Costs From Proceeds$586,876IssuanceCostsFromProceedsAmt
Credit Enhancement$0CreditEnhancementAmt
Working Capital Expenditures$0WorkingCapitalExpendituresAmt
Capital Expenditures$0CapitalExpendituresAmt
Other Spent Proceeds$61,413,124OtherSpentProceedsAmt
Unspent$0UnspentAmt
Substantial Completion2009SubstantialCompletionYr
Current RefundingYes (true)CurrentRefundingInd
Advance RefundingfalseAdvanceRefundingInd
Final Allocation MadeYes (true)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (true)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedPropertyInd
Any Lease ArrangementsfalseAnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (true)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (true)EngageBondCounselContractsInd
Any Research AgreementsfalseAnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestYes (true)BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed PropfalseChangeInUseBondFinancedPropInd
Remedial Action TakenfalseRemedialActionTakenInd
Procs Nonqualified Bond RemdtdYes (true)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiledInd
Exception To RebatefalseExceptionToRebateInd
Variable Rate IssueYes (true)VariableRateIssueInd
Hedge Identified In Bks And RecYes (true)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1MORGAN STANLEYBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge30.TermOfHedgePct
Superintegrated HedgefalseSuperintegratedHedgeInd
Hedge TerminatedfalseHedgeTerminatedInd
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds InvestedfalseGrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (true)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (true)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
BETH A RAMBO
FAM MEM OF TRUSTEE/OFF.$80,613EMPLOYEEfalse
MORGAN E KUHN
FAMILY MEMBER OF OFFICER$40,124EMPLOYEEfalse
AMELIA P KAPRIELYAN
FAMILY MEMBER OF OFFICER$53,051EMPLOYEEfalse
EMERGENCY CARE SERVICES OF NJPA
COMPANY OF TRUSTEE$1,343,981EMERGENCY DEPARTMENT SERVICESfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceCORE FORM, PART VI, SECTION A; QUESTION 1 AND SCHEDULE L; PART IVFormAndLineReferenceDesc
ExplanationTHE ORGANIZATHE ORGANIZATION IS AN AFFILIATE WITHIN THE 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. FOR THE PERIOD JANUARY 1, 2013 THROUGH DECEMBER 31, 2013 AND DURING THE ORDINARY COURSE OF BUSINESS, THE ORGANIZATION MAY ENGAGE IN ONE OR MORE TRANSACTIONS WITH COMPANIES THAT: (1) ARE OWNED BY AN INDIVIDUAL WHO IS A MEMBER OF THE BOARD OF DIRECTORS OF THIS ORGANIZATION OR A RELATED NOT-FOR-PROFIT ORGANIZATION, (2) ARE OWNED BY A FAMILY MEMBER OF AN INDIVIDUAL WHO IS A MEMBER OF THE BOARD OF DIRECTORS OF THIS ORGANIZATION OR A RELATED NOT-FOR-PROFIT ORGANIZATION, OR (3) WHEREIN A BOARD MEMBER OF THIS ORGANIZATION OR A FAMILY MEMBER OF A BOARD MEMBER OF THIS ORGANIZATION IS EITHER AN OFFICER, DIRECTOR, TRUSTEE OR KEY EMPLOYEE OF A COMPANY WITH WHICH THIS ORGANIZATION OR A RELATED NOT-FOR-PROFIT ORGANIZATION TRANSACTS BUSINESS. IN THESE SITUATIONS, ANY GOODS PURCHASED OR SERVICES PERFORMED ARE DONE SO AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. ANY SUCH TRANSACTIONS ARE DISCLOSED TO, REVIEWED AND APPROVED BY THE NETWORK'S GOVERNANCE COMMITTEE. THE ORGANIZATION MAINTAINS A WRITTEN CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE AND USES REASONABLE EFFORTS TO OBTAIN THIS INFORMATION FROM THE MEMBERS OF ITS BOARD OF DIRECTORS. THE ORGANIZATION FOLLOWS A FORMALIZED BID PROCESS WHEREIN ALL TRANSACTIONS OF THIS NATURE ARE SENT OUT TO BID. IF IT IS DETERMINED THAT THE ORGANIZATION WILL ENTER INTO A TRANSACTION IDENTIFIED ABOVE, IT IS SENT TO THE NETWORK'S GOVERNANCE COMMITTEE FOR REVIEW AND APPROVAL. THE INTERESTED PERSON IN THESE CASES RECUSES THEMSELVES FROM THE VOTING PROCESS. THIS RECUSAL PROCESS IS OUTLINED IN THE ORGANIZATION'S WRITTEN CONFLICT OF INTEREST POLICY WHICH ALL BOARD MEMBERS AND SENIOR MANAGEMENT REVIEW ANNUALLY. DURING 2013 THE ORGANIZATION OR A RELATED NOT-FOR-PROFIT ORGANIZATION ENGAGED IN THE FOLLOWING TRANSACTIONS WITH INTERESTED PERSONS: PAYMENT BY INSPIRA MEDICAL CENTER WOODBURY, INC. IN THE AMOUNT OF $5,412 TO TAVISTOCK COUNTY CLUB FOR VARIOUS GOODS AND SERVICES DURING 2013. MICHAEL A. MCLAUGHLIN IS A BOARD MEMBER OF TAVISTOCK COUNTRY CLUB AND A BOARD MEMBER OF INSPIRA MEDICAL CENTER WOODBURY, INC. PAYMENT BY INSPIRA MEDICAL CENTER WOODBURY, INC. IN THE AMOUNT OF $373 TO J&D DISCOUNT LIQUOR FOR ITEMS PURCHASED DURING 2013. PAMELA S. CLARK'S SPOUSE AND SON ARE OWNERS OF J&D DISCOUNT LIQUOR. PAMELA S. CLARK IS A BOARD MEMBER OF INSPIRA MEDICAL CENTER WOODBURY, INC. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $31,352 TO RAY ANGELINI, INC. FOR ELECTRICAL TESTING SERVICES DURING 2013. RAYMOND ANGELINI IS AN OWNER OF RAY ANGELINI, INC. AND A BOARD MEMBER OF INSPIRA MEDICAL CENTER WOODBURY, INC. EILEEN K. CARDILE HAS A DAUGHTER THAT IS EMPLOYED BY INSPIRA MEDICAL CENTER WOODBURY, INC. FOR WHICH SHE RECEIVED FORM W-2, BOX 5 MEDICARE WAGES IN THE AMOUNT OF $80,613 DURING 2013. EILEEN K. CARDILE IS A BOARD MEMBER/OFFICER OF INSPIRA MEDICAL CENTER WOODBURY, INC. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $45,770 TO ROWAN UNIVERSITY DURING 2013. LAWRENCE M. DIVIETRO, JR. IS A BOARD MEMBER OF ROWAN UNIVERSITY AND A BOARD MEMBER OF INSPIRA MEDICAL CENTER WOODBURY, INC PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $62,506 OF WHICH INSPIRA MEDICAL CENTER WOODBURY, INC. PAID $13,594 TO ARCHER & GREINER, P.C. FOR LEGAL SERVICES DURING 2013. JOHN H. FISCHER, III IS AN EMPLOYEE OF ARCHER & GREINER, P.C. AND A BOARD MEMBER OF INSPIRA MEDICAL CENTER WOODBURY, INC. IN ADDITION, CHRISTOPHER R. GIBSON, ESQ. IS AN EMPLOYEE OF ARCHER & GREINER, P.C. AND WAS A BOARD MEMBER OF INSPIRA MEDICAL CENTER WOODBURY, INC FROM JANUARY 1, 2013 THROUGH APRIL 2, 2013. JOHN H. FISCHER, III'S DAUGHTER IN LAW IS EMPLOYED BY INSPIRA MEDICAL CENTERS, INC.; AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK, INC. & AFFILIATES FOR WHICH SHE RECEIVED FORM W-2, BOX 5 MEDICARE WAGES IN THE AMOUNT OF $391 DURING 2013. JOHN H. FISCHER, III IS A BOARD MEMBER OF INSPIRA MEDICAL CENTER WOODBURY, INC. PAYMENT BY INSPIRA MEDICAL CENTER WOODBURY, INC. IN THE AMOUNT OF $1,343,981 TO EMERGENCY CARE SERVICES OF NJ/PA FOR EMERGENCY DEPARTMENT PHYSICIAN SERVICES DURING 2013. JAMES E. GEORGE, M.D. IS THE PRESIDENT OF EMERGENCY CARE SERVICES OF NJ/PA. ADDITIONALLY, THOMAS LOVE, SARAH D. LOVE'S SON, IS AN EMPLOYEE OF EMERGENCY CARE SERVICES OF NJ/PA. JAMES E. GEORGE AND SARAH D. LOVE ARE BOARD MEMBERS OF INSPIRA MEDICAL CENTER WOODBURY, INC. PAYMENT BY INSPIRA MEDICAL CENTER WOODBURY, INC. IN THE AMOUNT OF $45,890 TO TWO THIRTY EIGHT REALTY COMPANY, L.L.C. FOR RENT PAYMENTS PAID DURING 2013. JAMES E. GEORGE, M.D. IS AN OWNER OF TWO THIRTY EIGHT REALTY COMPANY, L.L.C. AND A BOARD MEMBER OF INSPIRA MEDICAL CENTER WOODBURY, INC. PAYMENT BY INSPIRA MEDICAL CENTER WOODBURY, INC. IN THE AMOUNT OF $73,539 TO NEXUS PROPERTIES, INC. FOR REAL ESTATE DEVELOPMENT AND PROPERTY MANAGEMENT SERVICES DURING 2013. DANTE G. GERMANO IS AN EMPLOYEE OF NEXUS PROPERTIES, INC. AND A BOARD MEMBER OF INSPIRA MEDICAL CENTER WOODBURY, INC. SYSTEM ENTITIES HAVE BORROWED FUNDS FROM SUN NATIONAL BANK. INSPIRA MEDICAL CENTERS, INC.; AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK, INC. & AFFILIATES HAS AN OUTSTANDING UEZ LOAN WITH SUN NATIONAL BANK WITH A PRINCIPAL BALANCE OF $391,891 AT DECEMBER 31, 2013. RUSSEL GILLESPIE AND BRANDON KALETKOWSKI, SON OF CHESTER B. KALETKOWSKI, ARE EMPLOYEES OF SUN NATIONAL BANK. CHESTER B. KALETKOWSKI IS A BOARD MEMBER/OFFICER OF INSPIRA MEDICAL CENTER WOODBURY, INC. ADDITIONALLY; RUSESEL GILLESPIE WAS A BOARD MEMBER OF INSPIRA MEDICAL CENTER WOODBURY, INC. FROM JANUARY 1, 2013 THROUGH SEPTEMBER 9, 2013. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $7,303 OF WHICH INSPIRA MEDICAL CENTER WOODBURY, INC. PAID $2,552 TO GLOUCESTER COUNTY COLLEGE FOUNDATION DURING 2013. HERBERT J. KONRAD IS A BOARD MEMBER OF GLOUCESTER COUNTY COLLEGE FOUNDATION AND A BOARD MEMBER OF INSPIRA MEDICAL CENTER WOODBURY, INC. PAYMENT BY INSPIRA MEDICAL CENTER WOODBURY, INC. IN THE AMOUNT OF $14,974 TO DIMARINO, KROOP, PRIETO GI ASSOCIATES FOR PHYSICIAN SERVICES DURING 2013. JORGE A. PRIETO M.D. IS A PARTNER IN DIMARINO, KROOP, PRIETO GI ASSOCIATES AND A BOARD MEMBER OF INSPIRA MEDICAL CENTER WOODBURY, INC. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $680,494 OF WHICH INSPIRA MEDICAL CENTER WOODBURY, INC. PAID $659,938 TO THOMAS JEFFERSON UNIVERSITY HOSPITAL FOR PHYSICIAN SERVICES DURING 2013. JORGE A. PRIETO M.D. IS A PART TIME EMPLOYEE OF THOMAS JEFFERSON UNIVERSITY HOSPITAL AND A BOARD MEMBER OF INSPIRA MEDICAL CENTER WOODBURY, INC. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $15,431 OF WHICH INSPIRA MEDICAL CENTER WOODBURY, INC. PAID $3,362 TO AC SCHULTES, INC. FOR SERVICES PERFORMED DURING 2013. KATHLEEN A. SCHULTES' SPOUSE IS THE OWNER OF AC SCHULTES, INC. KATHLEEN A. SCHULTES IS A BOARD MEMBER OF INSPIRA MEDICAL CENTER WOODBURY, INC. JOHN W. GRAHAM's DAUGHTER IS EMPLOYED BY INSPIRA MEDICAL CENTER WOODBURY, INC. FOR WHICH SHE RECEIVED FORM W-2, BOX 5 MEDICAREWAGES IN THE AMOUNT OF $40,124 DURING 2013. JOHN W. GRAHAM IS AN OFFICER OF INSPIRA MEDICAL CENTER WOODBURY, INC. PETER A. KAPRIELYAN's SPOUSE IS EMPLOYED BY INSPIRA MEDICAL CENTER WOODBURY, INC. FOR WHICH SHE RECEIVED FORM W-2, BOX 5 MEDICARE WAGES IN THE AMOUNT OF $53,051 DURING 2013. PETER A, KAPRIELYAN IS AN OFFICER OF INSPIRA MEDICAL CENTER WOODBURY, INC.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSBACKGROUND ========== Part of the Inspira Health Network System, Inspira Medical Center Woodbury, Inc. ("IMCW"), located in Woodbury, New Jersey is a 305-bed licensed, acute-care, non-profit hospital serving Gloucester County and parts of Camden, Salem and Cumberland counties. With more than 1,750 full and part-time employees and a medical staff of approximately 486, IMCW provides a diverse array of diagnostic, therapeutic and treatment services in the comfort, convenience and security of a community hospital setting. IMCW is Gloucester County's largest employer. IMCW has been caring for the community ever since two dedicated and visionary physicians graduated from Jefferson Medical College in Philadelphia and settled in Gloucester County in the early years of the last century. Doctors J. Harris Underwood and William Brewer's vision evolved into what the hospital's mission is today. That mission is to deliver a superior standard of proficient, safe and compassionate care across a broad spectrum of medical specialties by offering advanced technology that supports effective diagnosis and treatment. IMCW deeply values the respect and trust of the community. Meeting the healthcare challenges of the twenty-first century in a way that exceeds the expectations of the community is the hospital's goal. Building and maintaining a healthy community starts with people. People who act upon a shared vision for the future, knowing they are the foundation upon which commitments are made, promises kept and a better future built. IMCW celebrates its hospital family and the hundreds of employees, nurses, physicians, board members, volunteers and auxilians who selflessly share their skills, talent and time in meeting the healthcare needs of the community. They devote countless hours volunteering at health fairs and screenings, lead fund raising efforts, participate in community outreach, serve on civic committees and boards, wheel patients through the hospital and walk and run in support of many worthy causes. Our Inspira family believes that what we do makes a difference and that difference contributes to a stronger and healthier community. IMCW provides a diverse range of inpatient medical, surgical, psychiatric, obstetric, newborn and pediatric services, as well as emergency services, clinical services and same-day surgery on an outpatient basis. The hospital also provides a Mobile Intensive Care Unit (MICU), which is the designated regional provider of MICU services for Gloucester, Salem and Cumberland Counties. A more comprehensive directory of healthcare services offered by the hospital is provided below: - Anesthesia Services - Behavioral Health Services - Balance Center - Cardiac Services - Emergency Department - Employee Services - Inspira Medical Group - Laboratory - Maternal Child Health - Medical/Surgical - Medical Surgical ICU - Occupational Therapy - Patient/Family Services - Pediatric Services - Physical Therapy - Radiology Services - Respiratory Care - Sleep Center - Speech Therapy - Surgical Services - Transitional Care Unit - Women's Health Center - Wound and Skin Healing Center COMMUNITY HEALTH INFORMATION AND SERVICES ========================================= IMCW is committed to the community it serves by providing referral resources and various free or low cost health, wellness and educational programs for the general public. PHYSICIAN INFORMATION AND REFERRAL LINE ======================================= With a medical staff of approximately 486 physicians, IMCW provides a comprehensive array of high-quality diagnostic, therapeutic and rehabilitative services. Our 24-hour, toll free Physician Referral and Health Wellness Line provides information to callers who may be looking for a specialist or primary care physician. Information is also offered about upcoming or on-going community health outreach events, hospital support groups, seminars, classes and maternal child health programs. COMMUNITY LECTURE SERIES ======================== IMCW offers a community lecture series. This free program allows IMCW to partner with members of its medical and clinical staff to educate and inform the community on important issues related to improving or maintaining quality health and wellness. Some of the topics included sleep disorders, advance directives, stroke and diabetes. LANGUAGE ASSISTANCE =================== Language assistance is provided to those whose language is other than English. To be considered community benefit, the ethnicity of the language spoken must be less than 5% of the demographic population. COMMUNITY NEEDS ASSESSMENT ========================== IMCW (formerly Underwood-Memorial Hospital), participated in The Tri-County Health Assessment Collaborative, consisting of Cooper University Hospital, Kennedy Health System, Lourdes Health System, Inspira Medical Center Woodbury, Virtua Health and the Health Departments of Burlington, Camden and Gloucester Counties. This collaborative group came together to undertake a comprehensive regional community health needs assessment (CHNA). The purpose of the assessment is to gather information about local health needs and health behaviors. DONATIONS ========= Each year, IMCW sponsors many not-for-profit organizations whose mission is in alignment with that of its own. Donations, both cash and in-kind, are provided to charity organizations & special events in response to community needs. - Some of the organizations that were supported with a cash donation included: * American Heart Association * Boys & Girls Clubs of America * NJ Association of Paramedic Programs * South Jersey Chamber Foundation * YMCA of Gloucester County - Some of the organizations that were supported with an in-kind donation included: * American Red Cross * Main Street Woodbury * Alcoholics Anonymous * Overeaters Anonymous COMMUNITY HEALTH IMPROVEMENT ADVOCACY ===================================== - Advocacy for Community Health Improvements & Safety - IMCW employees, including our President & CEO and Senior Management Group, serve on various government advisory committees and boards for national, state and local organizations to advocate for healthcare reform, bring about changes in regulatory requirements, improve access to healthcare and promote the health status for both the broader community and vulnerable populations through hospital representation to organizations. These include: * Children's Inter-Agency Coordinating Council * Cumberland/Salem/Gloucester Health & Wellness Alliance * Gloucester County Inter-Agency Coordinating Council * Gloucester County Task Force on Homelessness * National Association for Home Care & Hospice * NJ Association of Healthcare Volunteer Resource Professionals * NJ Hospice & Palliative Care Organization * NJ Hospital Association * Tri-County Inter-Agency Coordinating Council - Health Professions Education - Education helps prepare the next generation of healthcare professionals, which is why we strongly support medical education at all academic levels and find innovative ways to inspire young people to pursue careers in a wide variety of medical fields. IMCW offers nursing education programs, externships and internships. IMCW offers its facilities for graduate medical student rotations, social work and mental health internships, dietetic internships and clinical rotations for nursing, pharmacy, EMT, physical therapy, podiatry, radiology and ultrasound. Inspira Medical Center Woodbury medical staff routinely hosts students for job shadowing and observations. - Residency Programs - Since 1982, Inspira Woodbury has operated a Family Medicine Residency program and hosts medical school graduates from Thomas Jefferson University who work side-by-side with experienced members of the IMCW Medical Staff, gaining valuable experience and insight. At the same time, they enhance patient care with the knowledge of the latest treatments and philosophies medicine has to offer. They also bring a level of intellectual curiosity that strengthens our care teams and benefits our patients. - Transitional Care Program - This program is designed for individuals age 65 and over. Registered nurses follow up with patients after being discharged with no less than two phone calls. The goal of this program is to assist patients with any needs or concerns with the goal to prevent readmission within 30 days of their discharge. - Community Waste Reduction and Sharps Disposal - IMCW participates in a program that was developed by the New Jersey Hospital Association in conjunction with Bio Systems and endorsed by the New Jersey Department of Environmental Protection for the disposal of home medical waste.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS- Meeting Facilities - IMCW offers the use of their meeting rooms and facilities, free of charge, to community based organizations, support groups, self-help groups and non-profit health and human service agencies. Some of the organizations that were offered space in 2013 included Alcoholics Anonymous, American Red Cross, Diabetes Support, Ostomy Support, Overeaters Anonymous, Alzheimer's Support and Co-Dependency Support Groups. COMMUNITY OUTREACH ================== As part of its mission, IMCW offers a broad array of community outreach and wellness activities such as educational material and counseling, free or low cost health screenings and patient/family support groups. The importance and value of emphasizing good health, fitness, safety, early detection and prevention are shown in our outreach efforts. This also reflects our strong desire to improve the quality of life for all who live and work in the communities we serve. - Health Fairs & Screenings - A number of health fairs and community focused health screening events were conducted throughout 2013. IMCW strives to teach health and wellness, answer questions about health related issues, promote services and resources for people with various diseases and attempt to reach as many uninsured or underinsured as possible. Health screenings are also performed as a community service to detect undiagnosed disease and assist those in need in gaining access to care and to work toward eliminating healthcare disparities. Some of the health screenings IMCW provides include blood pressure, blood glucose and cholesterol as well as counseling by specially trained nurses and follow-up with printed materials and telephone calls. Physicians who specialize in eye diseases provide glaucoma screenings and provide information and referrals as needed. - American Red Cross Blood Drive - IMCW supports the mission of the American Red Cross (ARC) by hosting several blood drives each year. The ARC plays a critical role in our nation's healthcare system. It is the largest single supplier of blood and blood products in the United States, collecting and processing more than 40 percent of the blood supply and distributing it to some 3,000 hospitals and transfusion centers nationwide. - Behavioral Health Collaboration - IMCW's Children's Behavioral Health Program participated in both the Gloucester County CIACC and Tri-County CIACC throughout 2013. The CIACC group is made up of a variety of agencies in Gloucester, Salem and Cumberland counties, plus community members from those same counties, who meet regularly to coordinate services, communicate regarding changes in the behavioral health services in the counties and advocate for patient rights/services. - Alzheimer's Caregivers' Support Group - This group is professionally facilitated and provides emotional and practical support to families and caregivers of patients with dementia. The format is flexible and includes education on the disease, treatment methods, coping strategies for difficult behaviors, effective communication techniques and available community resources. - Obsessive Compulsive Disorder Support Group - This group meets monthly to provide free support to community members dealing with Obsessive Compulsive Disorder. - Stroke Prevention Screening - IMCW provides stroke prevention screening in cooperation with the American Heart Association and the American Stroke Association. Blood pressure, pulse and carotid artery screenings are performed by specially trained nurses and doctors. Education to detect the signs and symptoms of stroke is also provided. Registered nurses provide counseling in compliance with the American Heart and Stroke Associations' guidelines. Printed material providing information on heart disease, atrial fibrillation and other risk factors is provided. - Diabetes Support Group - Monthly diabetes support and education groups are coordinated and facilitated by a registered nurse certified in diabetes education. Guest speakers may include registered dietitians, endocrinologists, internal medicine specialists, nephrologists, dentists, ophthalmologists and licensed counselors who discuss topics such as nutrition, foot care, dental hygiene, goal setting and prevention of complications from diabetes. Participants are encouraged to maintain blood glucose and blood lipid levels as recommended by the American Diabetes Association. EMERGENCY DEPARTMENT SPONSORED PROGRAMS AND SERVICES ==================================================== IMCW's Emergency Department plays a key role in educating and promoting health and safety awareness through community bulletin boards and educational presentations at area schools, colleges, police academies and community programs. Some topics may include injury prevention, forensic nursing and domestic violence awareness. - EMS Transitional Coach Program - This voluntary program offers patients follow-up care from a certified EMS after discharge. Patients are given the option of having an EMS Transition Coach visit them at home to follow-up with their care. The visit consists of an assessment, medication reconciliation, home safety survey, social needs assessment and verification of primary care follow-up. While in the home, the EMT has the opportunity to observe and assess any issues they feel they may be of assistance with to further secure a positive outcome for the patient. - SANE (Sexual Assault Nurse Examiners) - IMCW's Emergency Department is an examination site for the Sexual Assault Response Team (SART) in Gloucester County. The Sexual Assault Response Team consists of a Sexual Assault Nurse Examiner (SANE), a representative from Services Empowering the Rights of Victims (SERV) and members of law enforcement. SERV is the NJ State Designated Sexual Trauma Services provider for Camden and Gloucester counties. When a sexual assault patient arrives at the emergency department, emergency department staff activates the SANE. The emergency department physicians provide a medical screening examination (MSE) at no charge to the patient. The emergency department has a dedicated SANE suite which provides security for the forensic equipment. IMCW does not charge for services provided to the sexual assault patient. The SANE goal is to provide a medical forensic exam to the patient while working collaboratively with team members to meet the patient's needs. MATERNAL-CHILD HEALTH PROGRAMS ============================== - Childbirth Preparation Classes for Expectant Parents - This three-week class is provided to expectant parents and support persons. The topics discussed by the certified childbirth educators include the discomforts of pregnancy, the labor and delivery process, fetal monitoring, anesthesia choices, C-sections, breathing and relaxation techniques and family adjustment. - One-Day Childbirth Preparation Class - This class is ideal for expectant parents who cannot commit to a full, three-week childbirth education series. This class covers the topics of labor and delivery, C-sections, anesthesia, breathing and relaxation techniques, post-delivery care and post-partum depression. A healthcare practitioner presents options for choosing follow-up pediatric care. - Babycraft Newborn Care Class - This class is designed for first-time parents or for parents who want to brush up on newborn care. Topics include physical care of the newborn, signs and symptoms of illness, coping with a crying baby, time management and priority setting. Hands-on skills include holding, diapering, bathing and burping the newborn. - Prenatal Breastfeeding Classes - Breast feeding is the most natural way to feed your baby. This class prepares the expectant mother for making the decision on whether to breast feed. Topics covered include initiating breast feeding, benefits of breast feeding for Mom and baby, mechanics of breast feeding and what to expect while you are breast feeding. - Sibling Classes - IMCW's sibling class helps both parents and siblings to prepare for the birth of a new brother or sister. The class is designed for children ages 3 to 7 years. The birth of the baby, role of the big brother/sister and expectations of the new baby are brought to life through an audiovisual presentation, anatomical models, storytelling and doll play. Children also make a gift for the new baby with materials provided by Inspira. - Birth, Baby & You - This six-hour class, conducted by certified childbirth educators, is offered to first-time moms and dads. The process of labor is discussed including epidurals, C-sections and other situations expectant parents may experience. Post-delivery care is also covered, as well as postpartum depression, infant care, feeding choices and infant behaviors. Mothers are given educational materials as well as the "Warmline" phone number. Lactation consultants return phone calls and provide continuing support to the breastfeeding mother after discharge. Topics frequently discussed are weaning, engor
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS- Breastfeeding Support "Warmline" - While in the hospital, breastfeeding mothers are given educational materials as well as the "Warmline" phone number. Lactation consultants return phone calls and provide continuing support to the breastfeeding mother after discharge. Topics frequently discussed are weaning, engorgement, mastitis and pumping. - HOPING (Helping Other Parents in Normal Grief) Perinatal Loss Support Group - This support group, which meets quarterly, targets families who have either lost a child during pregnancy or in the first year of life. Facilitators are IMCW nurses who are certified RTS (Resolve Through Sharing) Bereavement Coordinators. HOPING offers parents the opportunity to verbalize their feelings in an accepting atmosphere so they can in turn reach out to the newly bereaved. * In the fall, families are given a live tree to plant at their home in honor of their loved one. * In the winter, families are encouraged to create a Christmas ornament in memory of their child. * The spring season meeting is a scrap booking activity. * Early in the summer, families gather at a local park for a "remembrance walk" in honor of their lost loved one. Activities are available for the children while parents enjoy music, dessert and time to support each other. - Safe Sitter - Safe sitter is a nationally recognized non-profit babysitter training program for children ages 11 years and older. Boys as well as girls attend this two day program. This class is taught by Certified Safe Sitter instructors. Topics of discussion include: * Babysitting as a Business * Behavior Management * Child Care Essentials * Infant and Child CPR * Injury Prevention and Injury Management * Safety for the Sitter - Infant Lifesaving Techniques - This class is designed for expectant and new parents and taught by IMCW maternity nurses who are certified in basic life support. Lifesaving techniques are viewed on DVD and hands-on practice is provided. Lifesaving techniques such as infant and child CPR, choking emergencies and child-proofing your baby's environment are discussed. Grandparents and caregivers are also welcome to attend. EMERGENCY MEDICAL ACADEMY PROGRAMS ================================== - EMT Emergency Medical Technician Class - The Emergency Medical Technician (EMT) is the first skilled component of the Emergency Medical Services chain to provide care to victims of emergencies. They also aid in minimizing discomfort and help to prevent further injury. EMT's are used to staff ambulances and provide both emergency care and transportation. This program is an intensive nine-month course that uses a series of presentations by physicians, nurses and other allied health professionals. Lectures are followed by skill development exercises and evaluation sessions. Throughout the program, teamwork, safety and patient care skills are stressed. - EMT Transition Classes - Emergency Medical Technicians are required to take a 24-hour basic skills refresher during each certification period. The class consists of both didactic and practical training and meets the requirements of the New Jersey State Department of Health and Senior Services and the National Registry of Emergency Medical Technicians. - PEPP (Pediatric Education for Pre-Hospital Professionals) - Developed by the American Academy of Pediatrics, PEPP is a curriculum designed specifically to teach pre-hospital professionals how to better assess and manage ill or injured children. The Basic Life Support (BLS) course is geared toward the Emergency Medical Responder (EMR) and Emergency Medical Technician (EMT). The Advanced Life Support (ALS) course is geared toward the Advanced Emergency Medical Technician (AEMT) and Paramedic. The PEPP Course Coordinator determines which course (BLS or ALS) is most appropriate for each individual. - ACLS (Advanced Cardiac Life Support) - The ACLS course provides the knowledge and skills needed to evaluate and manage the first 10 minutes of cardiac arrest in an adult. The intended audience is emergency department staff, critical care departments and emergency medical providers such as physicians, nurses, emergency technicians, paramedics, respiratory therapists and other professionals who may respond to a cardiovascular emergency. ACLS provider certification is 16 hours and renewal certification is 8 hours. - PALS (Pediatric Advanced Life Support) - The PALS course is designed to provide the learner with the following: * Information needed to recognize infants and children at risk for cardiopulmonary arrest * Information and strategies needed to prevent cardiopulmonary arrest in infants and children * Cognitive and psychomotor skills needed to resuscitate and stabilize infants and children in respiratory failure, shock or cardiopulmonary arrest The length of this course is 16 hours and intended for pediatricians, house staff, emergency physicians, family physicians, nurses, paramedics, respiratory therapists and other healthcare providers who are responsible for the well-being of infants and children. - PHTLS (Pre-Hospital Trauma Life Support) - PHTLS is a 16-hour comprehensive course that provides EMTs, First Responders and Paramedics training in the skills needed for rapid assessment, resuscitation, stabilization and transportation of trauma patients. The course is designed for providers who are the first to evaluate and stabilize trauma patients. Hands-on skill stations include basic airway management, spine management, rapid extrication, short back board, helmet management, log roll and long back board, traction splints and patient assessment and management. The course includes the comprehensive PHTLS manual, often used as a textbook in paramedic, EMT and first responder training courses. - HealthCare Provider CPR - American Heart Association CPR courses are designed for people with a job-related duty to respond in an emergency, including nurses, law enforcement, EMS personnel, fire fighters, business and industry response teams, lifeguards, flight attendants and others who must take action in emergency situations. This course combines participant's manual, lectures and video with hands-on skills training to cover the following areas: * Recognizing and responding to breathing and cardiac emergencies in adults, children and infants * Two-rescuer CPR * Use of body substance isolation precautions to prevent disease transmission * Use of resuscitation and bag-valve masks * Use of an AED for victims of sudden cardiac arrest - CPR-Basic Life Support Instructor - This course prepares American Heart Association instructors to disseminate the science, skills and philosophy of Cardiopulmonary Resuscitation (CPR) programs to participants enrolled in AHA courses. The purpose of the course is to provide instructor candidates with the knowledge and skills necessary to reach and teach potential Basic Life Support providers. - Elective Continuing Education Classes - IMCW hosts a number of continuing education training classes for Emergency Medical Technicians consisting of various topics related to the care provided by Emergency Medical Technicians. These classes assist Emergency Medical Technicians in obtaining the required twenty-four to forty-eight hours of continuing education training required during each certification period. - Community Emergency Response Team Training - This 24-hour program provides education to community members on disaster preparedness. It identifies hazards that may impact this geographic area and trains community members in basic disaster response skills. Specific components of the program are: * Disaster Education and Preparedness * Disaster Fire Suppression * Disaster Medical Operations * Disaster Psychology * Disaster Simulation Training is conducted in cooperation with the NJ Office of Emergency Management, Gloucester County Office of Emergency Management & FEMA, who provides the course materials. - AED (Automatic External Defibrillator) and Epinephrine Auto Injectors - The EMS Academy regularly provides physician-directed medical oversight and chart review for a number of South Jersey agencies such as, local fire departments, basic life support (BLS) volunteer ambulance units and police to ensure proper use of the Automatic External Defibrillators and Epinephrine Auto injectors. Automatic External Defibrillators are used to help resuscitate patients that experience sudden cardiac death. Epinephrine auto injectors are used to treat patients experiencing severe allergic reactions. - Mobile Intensive Care Unit (MICU) - IMCW has provided Mobile Intensive Care Services in the Southern New Jersey region since 1977. The IMCW program was one of the original MICU programs established in New Jersey. This program has grown and expanded over the years and now serves the communities of Gloucester, Salem and Cumberland Counties.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS- MICU Special Operations Team - Early in 2001, the Mobile Intensive Care Unit developed a Special Operations Division. The concept was to create a team of specially trained paramedics to manage medical operations during large-scale incidents and events. The Special Operations Team provides advanced life support and medical protection to law enforcement agencies, fire departments, hazardous materials teams, emergency medical services personnel and the community at large scale events. The IMCW Bike Team is a component of the Special Operations Team and is comprised of specially trained paramedics who attend community events. Each event is supported by at least two members of the team who are available to cover a larger area on bikes to provide immediate care. The team assesses and stabilizes patients in preparation for local ambulance crews and mobile intensive care units to transport patients to local hospitals. The Special Operations Team continually prepares to meet the ever-changing demands faced by emergency management organizations today. - Tactical Medical Unit -The Tactical Medical Unit has evolved from being a supplement to the Gloucester County SWAT team into a multidisciplinary team who supports not only law enforcement efforts, but also those of rescue and emergency management agencies. The Unit's focus is to provide services that are not routinely available on standard 911 responses due to high-risk confidential operations. The team provides medical protection to the various County SWAT teams, critical incident response units, New Jersey State Police and specialty teams such as dignitary protection, DEA, FBI and the regional bomb squads. VOLUNTEER SERVICES ================== - Volunteers - IMCW has a long-standing and successful volunteer program consisting of both adults and teenagers who volunteer their time to offer support and compassion to the people they serve. Volunteers provide assistance with duties such as courier service, fundraising, patient transport, clerical tasks, as well as various customer service needs throughout the hospital. In 2013, there were 284 volunteers providing approximately 44,911 hours of service. - Auxiliary - The Auxiliary Board and the separate Auxiliaries represented, hold various events throughout the year. Their mission is to continually strive to improve the quality of healthcare provided to their patients and community through advocacy, fundraising and service. In 2013 they donated a total of $164,804. HEALTHCARE LIFELINE PROGRAM =========================== Healthcare Lifeline is an in-home personal response system which allows its subscribers to get help immediately at the push of a button, 24 hours per day, 7 days per week, 365 days per year. IMCW staff conducts presentations throughout the county explaining the benefits of Lifeline to prospective subscribers and/or their caregivers and health providers. Although the Lifeline program is a paid service, discounted and free installations occur for eligible persons. CANCER EDUCATION & EARLY DETECTION PROGRAM OF GLOUCESTER COUNTY (CEED) ====================================================================== The purpose of the Cancer Education and Early Detection (CEED) Program is to educate and screen uninsured and underinsured residents of the county, particularly minorities, who earn less than 250% of the federal poverty level. In addition, minorities comprise approximately 20% of the residents of the county and statistics indicate that minority mortality rates are higher. The program is funded in part by grants from the State of NJ Department of Health and Senior Services, Center for Disease Control and the Susan G. Komen Breast Cancer Foundation. IMCW is the lead agency in Gloucester County and provides free breast, cervical, colorectal and prostate cancer screenings to residents of Gloucester County who meet eligibility criteria related to their age, income and insurance status. Interested applicants are interviewed over the phone and, if accepted into the program, are referred to a provider in the Gloucester County CEED network for screening services. RESEARCH ======== The Institutional Review Committee (IRC) functions as a special committee of the medical/dental staff. The purpose of the IRC is to review and monitor all clinical investigations that involve hospitalized patients or those who may subsequently receive care at Inspira. No clinical investigation is permitted in the institution unless prior and continuing approval is granted by the IRC. FINANCIAL CONTRIBUTIONS ======================= The Inspira Health Network Foundation Gloucester County and the Auxiliary Board welcomes donations from employees, physicians, trustees, directors, volunteers, auxilians and the community for a variety of programs and services including Children's Behavioral Health Center, community health education, nursing and clinical staff scholarships, education and retention and plant and equipment purchases and upgrading. CHARITY CARE ============ Integral with IMCW's mission to deliver high quality healthcare to the community it serves is its continued commitment to the medically underserved members of the community. Therefore, IMCW treats all patients without regard for their ability to pay. IMCW continues to deliver diagnostic and therapeutic services to an ever-increasing population that is entitled to receive these services under the New Jersey Hospital Care Assistance Program (Charity Care).
CORE FORM, PART III; LINE 4DEXPENSES 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, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
CORE FORM, PART VI, SECTION A; QUESTION 4DURING 2013, INSPIRA MEDICAL CENTER WOODBURY, INC. AMENDED ITS BYLAWS AND BECAME THE CONTROLLING ENTITY OF INSIRA HEALTH NETWORK FOUNDATION GLOUCESTER COUNTY, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7INSPIRA 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 11bTHE 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 TO EACH VOTING MEMBER OF ITS GOVERNING BODY, ITS BOARD OF TRUSTEES, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE NETWORK'S COMPENSATION 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 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 FINANCE PERSONNEL AND OTHER INDIVIDUALS OUTLINED ABOVE FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS 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 FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION TO THE MEMBERS OF THE NETWORK'S COMPENSATION COMMITTEE AND THEREAFTER TO EACH VOTING MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VI, SECTION B; QUESTION 12THE 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 NETWORK'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION.
CORE FORM, PART VI, SECTION B; QUESTION 15THE 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. 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 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 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 19THE 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 JPART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR RELATED ORGANIZATIONS. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THIS ORGANIZATION OR THE RELATED ORGANIZATIONS AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VII, SECTION A, COLUMN BTHIS ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS 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 ONE HOUR. 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 AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XI; QUESTION 9OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - OTHER DECREASES IN UNRESTRICTED NET ASSETS - ($4,522,000); - CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT - $6,368,896; - PENSION LIABILITY ADJUSTMENT - $6,697,840; - NET ASSETS RELEASED FROM RESTRICTION FOR PROPERTY AND EQUIPMENT - $242,000; - NET ASSETS RELEASED FROM TEMPORARY RESTRICTION - ($402,000); - OTHER DECREASES IN TEMPORARILY RESTRICTED NET ASSETS - ($447,000); AND - INCREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUST; PERMANENTLY RESTRICTED - $208,000.
CORE FORM, PART XII; QUESTION 2THE 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, 2013 AND DECEMBER 31, 2012; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAINED CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS. THE NETWORK'S AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR. IN ADDITION, AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF INSPIRA MEDICAL CENTER WOODBURY, INC. AND INSPIRA HEALTH NETWORK FOUNDATION GLOUCESTER COUNTY, INC. FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
CORE FORM, PART XI; QUESTION 3THE 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 A-133 AUDIT. THIS ORGANIZATION WAS INCLUDED IN THE SYSTEM WIDE A-133 AUDIT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
INSPIRA HOMECARE & HOSPICECARE INC
333 IRVING AVENUEBRIDGETONNJ08302226067549HOSPICE SVCS.NJ501(C)(3)509(A)(2)NETWORKfalse
INSPIRA HEALTH NETWORK INC
333 IRVING AVENUEBRIDGETONNJ08302222508425HEALTH SVCS.NJ501(C)(3)509(A)(3)falseN/A
INSPIRA MEDICAL CENTERS INC
333 IRVING AVENUEBRIDGETONNJ08302210634484HEALTH SVCS.NJ501(C)(3)HOSPITALNETWORKfalse
INSPIRA HLTH NTWK FDN CUMBERLANDSALEM
333 IRVING AVENUEBRIDGETONNJ08302223746758SUPPORT ntwkNJ501(C)(3)509(A)(3)IMCfalse
INSPIRA HEALTH NETWORK LIFE INC
2950 COLLEGE DRIVE SUITE 1EVINELANDNJ08360264827936HEALTH SVCS.NJ501(c)(3)509(A)(3)NETWORKfalse
INSPIRA HLTH NTWRK FDN GLOUCESTER COUNTY
509 NORTH BROAD STREETWOODBURYNJ08096222333409SUPPORT IMCWNJ501(c)(3)509(A)(1)IMCWYes (true)
TRI-COUNTY CARDIOVASCULAR SERVICES PC
509 NORTH BROAD STREETWOODBURYNJ08096454199382HEALTH SVCS.NJ501(C)(3)509(A)(1)NETWORKfalse
INSPIRA HEALTH CONNECTIONS PC
509 NORTH BROAD STREETWOODBURYNJ08096454203973HEALTH SVCS.NJ501(C)(3)509(A)(1)NETWORKfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCd
BPOC LP
333 IRVING AVENUEBRIDGETONNJ08302222956029REAL ESTATENJ
OAK & MAIN SURGICTR
907 NORTH MAIN ROADVINELANDNJ08360223532371HEALTHCARE SVCS.NJ

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1CityForeignAddress/CityCountryForeignAddress/CountryPostal CodeForeignAddress/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
INSPIRA HELP SERVICES INC
PO BOX 126SALEMNJ08079222823028HEALTHCARE SVCS.NJC CORP.false
INSPIRA HEALTH MANAGEMENT CORPORATION
333 IRVING AVENUEBRIDGETONNJ08302222502241HEALTHCARE SVCS.NJC CORP.false
INSPIRA HEALTH NETWORK MEDICAL GROUP PC
2950 COLLEGE DRIVE SUITE 1EVINELANDNJ08360205745047HEALTHCARE SVCS.NJC CORP.false
JUNO ASSURANCE LTD
FINANCIAL VEHICLEFOREIGN CORP.falseAON HOUSE 4TH FLOORPEMBROKEBDHM 08BD
INSPIRA HEALTH NETWORK URGENT CARE PC
201 TOMLIN STATION ROADMULLICA HILLNJ08062452900402HEALTHCARE SVCS.NJC CORP.false
RED BANK DEVELOPMENT CORPORATION
509 NORTH BROAD STREETWOODBURYNJ08096222814053HEALTHCARE SVCS.NJC CORP.false
INSPIRA HOME CARE SVCS WOODBURY INC
509 NORTH BROAD STREETWOODBURYNJ08096223479390HEALTHCARE SVCS.NJC CORP.false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
INSPIRA HEALTH NETWORK INC
D$111,946COST
INSPIRA HEALTH NETWORK INC
E$551,733COST
INSPIRA HEALTH NETWORK FDN GLOUCESTER COUNTY
E$130,022COST

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART VFormAndLineReferenceDesc
ExplanationTHE 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 CENTER WOODBURY, 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