INSPIRA MEDICAL CENTERS INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: INSPIRA MEDICAL CENTERS INC (EIN 21-0634484)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-17
IRS object ID: 201443219349302734
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-17T09:42:30-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	465 South St Ste 200	AddressLine1
City	Morristown	City
State	NJ	State
ZIP Code	079606497	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	210634484	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	INSPIRA MEDICAL CENTERS INC	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of	% THOMAS P BALDOSARO CPA	InCareOfNm
Business Name Control	INSP	BusinessNameControlTxt
Phone	8566418610	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	333 IRVING AVENUE	AddressLine1
Address Line2	Suite	AddressLine2
City	BRIDGETON	City
State	NJ	State
ZIP Code	08302	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	THOMAS BALDOSARO	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8566416605	PhoneNum
Signature	2014-11-10	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Anthony J Panico	PreparerPersonNm
PTIN	P00365556	PTIN
Phone	8566416605	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	333 IRVING AVENUE	AddressLine1
City	BRIDGETON	City
State	NJ	State
ZIP Code	08302	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$413,724,824	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.INSPIRAHEALTHNETWORK.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1913	FormationYr
Legal Domicile State	NJ	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF INSPIRA MEDICAL CENTERS, INC. IS TO PROVIDE QUALITY HEALTHCARE SERVICES THAT CONTRIBUTE TO THE IMPROVED HEALTH AND WELL-BEING OF ALL IT SERVES.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	3918	TotalEmployeeCnt
Total Volunteers	495	TotalVolunteersCnt
Total Gross UBI	$125,880	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$16,792	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,236,121	PYContributionsGrantsAmt
CY Contributions Grants	$5,476,002	CYContributionsGrantsAmt
PY Program Service Revenue	$395,221,913	PYProgramServiceRevenueAmt
CY Program Service Revenue	$397,091,945	CYProgramServiceRevenueAmt
PY Investment Income	$8,778,244	PYInvestmentIncomeAmt
CY Investment Income	$7,842,138	CYInvestmentIncomeAmt
PY Other Revenue	$1,860,160	PYOtherRevenueAmt
CY Other Revenue	$1,702,099	CYOtherRevenueAmt
PY Total Revenue	$411,096,438	PYTotalRevenueAmt
CY Total Revenue	$412,112,184	CYTotalRevenueAmt
PY Grants And Similar Paid	$268,992	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$220,502	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$215,835,377	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$220,751,022	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$163,705,402	PYOtherExpensesAmt
CY Other Expenses	$168,897,737	CYOtherExpensesAmt
PY Total Expenses	$379,809,771	PYTotalExpensesAmt
CY Total Expenses	$389,869,261	CYTotalExpensesAmt
PY Revenues Less Expenses	$31,286,667	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$22,242,923	CYRevenuesLessExpensesAmt
Total Assets BOY	$686,048,643	TotalAssetsBOYAmt
Total Assets EOY	$728,720,153	TotalAssetsEOYAmt
Total Liabilities BOY	$349,972,478	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$348,243,065	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$336,076,165	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$380,477,088	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF INSPIRA MEDICAL CENTERS, INC. IS TO PROVIDE QUALITY HEALTHCARE SERVICES THAT 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 Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$26,582,690	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$17,514,063	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY OPERATING ROOM SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION TREATED 12,805 OPERATING ROOM CASES DURING 2013. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$14,028,144	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$22,453,330	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY MEDICAL ACUTE CARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION TREATED 37,382 INPATIENT DAYS DURING 2013. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$12,803,489	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$33,814,885	RevenueAmt
Desc	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY EMERGENCY DEPARTMENT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION EXPERIENCED 106,732 EMERGENCY DEPARTMENT VISITS DURING 2013. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$297,489,215	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$220,502	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$323,309,667	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$350,903,538	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (true)	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	376	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	3918	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	333 IRVING AVENUE	AddressLine1
City	BRIDGETON	City
State	NJ	State
ZIP Code	08302	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID ROBBINS JR
CHAIRMAN - DIRECTOR	1.0	Yes (X)	Yes (X)	$0	$0	$0
HUGH MCCAFFREY
VICE CHAIRMAN - DIRECTOR	1.0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL M ROSSI III
SECRETARY - DIRECTOR	1.0	Yes (X)	Yes (X)	$0	$0	$0
GREGORY J FACEMYER CPA
TREASURER - DIRECTOR	1.0	Yes (X)	Yes (X)	$0	$0	$0
BRUNO A BASILE
DIRECTOR	1.0	Yes (X)		$0	$0	$0
EDWARD BETHEA
DIRECTOR	1.0	Yes (X)		$0	$0	$0
JOHN B CATALANO MD
DIRECTOR	1.0	Yes (X)		$12,761	$0	$0
JOHN H FISHER III
DIRECTOR	1.0	Yes (X)		$0	$0	$0
DAVID W GALETTO MD
DIRECTOR;EX-OFF-PRES MED STAFF	2.0	Yes (X)		$10,600	$0	$0
THOMAS A ISEKENEGBE PHD
DIRECTOR	1.0	Yes (X)		$0	$0	$0
CHESTER B KALETKOWSKI
DIRECTOR;EX-OFFICIO-PRES./CEO	55.0	Yes (X)	Yes (X)	$791,676	$0	$232,399
LAWRENCE A PEPPER JR ESQ
DIRECTOR	1.0	Yes (X)		$0	$0	$0
PAUL J RITTER III
DIRECTOR	1.0	Yes (X)		$0	$0	$0
JACK M SHIELDS MD
DIRECTOR	1.0	Yes (X)		$34,983	$0	$0
KIMBERLY E WOOD
DIRECTOR	1.0	Yes (X)		$0	$0	$0
EILEEN HALLISSEY 11 - 131
DIRECTOR	1.0	Yes (X)		$0	$0	$0
TACIE TRULL 11 - 430
DIRECTOR	1.0	Yes (X)		$0	$0	$0
WAYNE C SCHIFFNER Term 615
EVP/CHIEF STRATEGY OFFICER	55.0		Yes (X)	$603,107	$0	$61,142
JOHN A DIANGELO
EVP/CHIEF FINANCIAL OFFICER	55.0		Yes (X)	$655,356	$0	$127,831
ROBERT E FLORENTINE
SVP/CHIEF PEOPLE OFFICER	55.0		Yes (X)	$318,210	$0	$66,462
ELIZABETH A SHERIDAN
COO - INSPIRA MED CTR VINELAND	55.0		Yes (X)	$376,898	$0	$103,323
DAVID YHLEN
COO - ELMER	55.0		Yes (X)	$254,046	$0	$14,475
STEVEN C LINN MD
CHIEF MEDICAL OFFICER	55.0		Yes (X)	$434,891	$0	$55,248
ROBERT M DANGEL ESQ
GENERAL COUNSEL	55.0		Yes (X)	$337,891	$0	$117,994
ARTHUR BOOTE
VP AMBULATORY CARE	55.0		Yes (X)	$315,090	$0	$66,147
JOHN C BICKINGS
VP FACILITIES & CONSTRUCTION	55.0		Yes (X)	$307,719	$0	$76,715
THOMAS P BALDOSARO CPA
VP FINANCE	55.0		Yes (X)	$293,758	$0	$35,840
THOMAS PACEK
VP/CIO	55.0		Yes (X)	$278,880	$0	$40,869
CLARE SAPIENZA ECK
VP BUS DEV & PHYSICIAN REL.	55.0		Yes (X)	$243,045	$0	$60,079
CAROLYN S HECKMAN
VP GOVERNMENT RELATIONS	55.0		Yes (X)	$220,868	$0	$63,850
ANNE MCCARTNEY
VP PATIENT SERVICES - VINELAND	55.0		Yes (X)	$196,300	$0	$55,324
MIKOLE BURKE ANDERSON
VP CORPORATE COMPLIANCE/ETHICS	55.0		Yes (X)	$182,677	$0	$23,667
JANET DAVIES
VP PATIENT SERVICES - ELMER	55.0		Yes (X)	$151,882	$0	$30,980
EDWARD GRAY MD
PHYSICIAN	55.0			$297,796	$0	$18,369	Yes (X)
JOSEPH M ALESSANDRINI
AVP - CLINICAL SERVICES	55.0			$215,761	$0	$40,384	Yes (X)
ROBERT J SMICK MD
PHYSICIAN	55.0			$215,319	$0	$36,954	Yes (X)
DAVID MURRAY
CONTROLLER	55.0			$190,317	$0	$29,786	Yes (X)
CHRISTOPHER BALLAS MD
PHYSICIAN	55.0			$180,366	$0	$24,915	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,120,197	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,382,753	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	144	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
LF DRISCOLL COMPANY LLC
9 PRESIDENTIAL BOULEVARD	BALA CYNWYD	PA	19004	CONSTRUCTION MGMT.	$9,274,119
TRANSAMERICA
PO BOX 13029	NEWARK	NJ	07188	RETIREMENT MGMT	$8,827,385
REGIONAL DIAGNOSTIC IMAGING LLC
PO BOX 2089	VINELAND	NJ	08360	RADIOLOGY	$6,337,758
SIEMENS MEDICAL SOLUTIONS
51 VALLEY STREAM PARKWAY	MALVERN	PA	19355	IT	$5,498,654
REHABCARE GROUP INC
PO BOX 502096	ST LOUIS	MO	63150	REHABILITATION	$4,016,595

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	224	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$819,366	RelatedOrganizationsAmt
Government Grants	$4,643,752	GovernmentGrantsAmt
All Other Contributions	$12,884	AllOtherContributionsAmt
Total Contributions	$5,476,002	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	541900	$390,646,095	$390,646,095
OTHER HEALTHCARE RELATED REVENUE	812300	$6,445,850	$6,319,970	$125,880

Field	Value	IRS element (for citing)
Total Program Service Revenue	$397,091,945	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,832,193	TotalRevenueColumnAmt
Exclusion	$7,832,193	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,945	TotalRevenueColumnAmt
Exclusion	$9,945	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,294,176	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,612,640	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$318,464	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$318,464	TotalRevenueColumnAmt
Exclusion	-$318,464	ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA/DIETARY	900099	$1,562,697	$1,562,697
GIFT SHOP	453220	$457,866	$457,866

Field	Value	IRS element (for citing)
Other Revenue Total	$2,020,563	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$412,112,184	TotalRevenueColumnAmt
Related Or Exempt Func Income	$396,966,065	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$125,880	UnrelatedBusinessRevenueAmt
Exclusion	$9,544,237	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$191,333	TotalAmt
Program Services	$191,333	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$29,169	TotalAmt
Program Services	$29,169	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,252,986	TotalAmt
Program Services	$6,527,690	ProgramServicesAmt
Management And General	$725,296	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$160,713,988	TotalAmt
Program Services	$144,642,589	ProgramServicesAmt
Management And General	$16,071,399	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,438,101	TotalAmt
Program Services	$11,194,291	ProgramServicesAmt
Management And General	$1,243,810	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$25,081,521	TotalAmt
Program Services	$22,573,369	ProgramServicesAmt
Management And General	$2,508,152	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,264,426	TotalAmt
Program Services	$13,737,983	ProgramServicesAmt
Management And General	$1,526,443	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$594,458	TotalAmt
Program Services	$535,012	ProgramServicesAmt
Management And General	$59,446	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,660,769	TotalAmt
Program Services	$1,494,692	ProgramServicesAmt
Management And General	$166,077	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$99,566	TotalAmt
Program Services	$89,609	ProgramServicesAmt
Management And General	$9,957	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$277,251	TotalAmt
Program Services	$249,526	ProgramServicesAmt
Management And General	$27,725	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$22,489,358	TotalAmt
Program Services	$20,240,421	ProgramServicesAmt
Management And General	$2,248,937	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,103,339	TotalAmt
Program Services	$3,693,005	ProgramServicesAmt
Management And General	$410,334	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,667,487	TotalAmt
Program Services	$6,000,738	ProgramServicesAmt
Management And General	$666,749	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,073,114	TotalAmt
Program Services	$7,265,803	ProgramServicesAmt
Management And General	$807,311	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,940,934	TotalAmt
Program Services	$6,246,841	ProgramServicesAmt
Management And General	$694,093	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$785,784	TotalAmt
Program Services	$707,206	ProgramServicesAmt
Management And General	$78,578	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

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

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,366,697	TotalAmt
Program Services	$7,530,027	ProgramServicesAmt
Management And General	$836,670	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$25,657,933	TotalAmt
Program Services	$23,092,140	ProgramServicesAmt
Management And General	$2,565,793	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,512,952	TotalAmt
Program Services	$4,961,657	ProgramServicesAmt
Management And General	$551,295	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$43,447,933	$39,103,140	$4,344,793
OUTSIDE SERVICES	$10,522,490	$9,470,241	$1,052,249
REPAIRS AND MAINTENANCE	$5,624,793	$5,062,314	$562,479
DUES, LICENSES&SUBSCRIPTIONS	$1,169,859	$1,052,873	$116,986

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,903,020	TotalAmt
Program Services	$15,211,869	ProgramServicesAmt
Management And General	$1,691,151	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$389,869,261	TotalAmt
Program Services	$350,903,538	ProgramServicesAmt
Management And General	$38,965,723	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,607	BOYAmt
EOY	$12,934	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$150,803,194	BOYAmt
EOY	$109,022,241	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$760,193	BOYAmt
EOY	$461,562	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$44,022,239	BOYAmt
EOY	$43,061,087	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$17,172,378	BOYAmt
EOY	$24,318,362	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,102,716	BOYAmt
EOY	$4,209,184	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,505,354	BOYAmt
EOY	$4,647,412	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$491,531,417	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$253,972,699	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$233,387,884	BOYAmt
EOY	$237,558,718	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$209,985,506	BOYAmt
EOY	$281,309,732	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,389,820	BOYAmt
EOY	$1,431,411	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$18,912,752	BOYAmt
EOY	$22,687,510	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$686,048,643	BOYAmt
EOY	$728,720,153	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$70,346,870	BOYAmt
EOY	$75,030,537	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$160,666,021	BOYAmt
EOY	$158,517,048	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$35,970,075	BOYAmt
EOY	$30,752,570	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$82,989,512	BOYAmt
EOY	$83,942,910	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$349,972,478	BOYAmt
EOY	$348,243,065	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$329,752,165	BOYAmt
EOY	$374,092,088	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,827,000	BOYAmt
EOY	$3,767,000	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,497,000	BOYAmt
EOY	$2,618,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$336,076,165	BOYAmt
EOY	$380,477,088	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$686,048,643	BOYAmt
EOY	$728,720,153	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$22,242,923	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$23,878,000	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,720,000	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$241,279	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (true)	RalliesDemonstrationsInd
Rallies Demonstrations	$35,972	RalliesDemonstrationsAmt
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$277,251	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE C, PART II-B; LINES 1G AND 1H	FormAndLineReferenceDesc
Explanation	DURING 2013, THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM $44,090 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO ITS VP OF GOVERNMENT RELATIONS AND TO THE VP OF GOVERNMENT RELATIONS OF INSPIRA MEDICAL CENTER WOODBURY, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $197,189. IN ADDITION, THE ORGANIZATION IS A MEMBER OF NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. 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 $35,972 IN 2013.	ExplanationTxt

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,934,000	BeginningYearBalanceAmt
Contributions	$27,000	ContributionsAmt
Investment Earnings Or Losses	$227,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$306,000	OtherExpendituresAmt
End Year Balance	$6,882,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,490,000	BeginningYearBalanceAmt
Contributions	$625,000	ContributionsAmt
Investment Earnings Or Losses	$177,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$358,000	OtherExpendituresAmt
End Year Balance	$6,934,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.41000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.59000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,097,303	OtherCostOrOtherBasisAmt
Book Value	$9,097,303	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$223,368,377	OtherCostOrOtherBasisAmt
Depreciation	$67,545,211	DepreciationAmt
Book Value	$155,823,166	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,208,727	OtherCostOrOtherBasisAmt
Depreciation	$955,568	DepreciationAmt
Book Value	$253,159	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$235,124,026	OtherCostOrOtherBasisAmt
Depreciation	$183,154,608	DepreciationAmt
Book Value	$51,969,418	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$22,732,984	OtherCostOrOtherBasisAmt
Depreciation	$2,317,312	DepreciationAmt
Book Value	$20,415,672	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$237,558,718	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (11 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
PERPETUAL TRUSTS	$4,592,720	F
OREGANIZATION	$1,695,603	F
JOINT VENTURES	$237,692	F
LIMITED USE	$820,261	F
MUTUAL FUNDS; LIMITED USE	$140,202,180	F
COMMINGLED FUNDS	$69,702,394	F
CORPORATE BONDS	$30,002,992	F
GOVERNMENT SECURITIES	$2,447,068	F
MARKETABLE EQUITY SECURITIES	$17,678,024	F
EXTERNALLY DESIGNATED	$4,378,760	F
BOND INDENTURE AGREEMENTS	$9,552,038	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$281,309,732	TotalBookValueProgramRltdAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
THIRD-PARTY PAYORS	$24,560,760
OTHER LONG TERM LIABILITIES	$53,104,396
ORGANIZATIONS	$2,413,415
ACCRUED INTEREST PAYABLE	$3,864,339

Field	Value	IRS element (for citing)
Total Liability	$83,942,910	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, QUESTION 4

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

SCHEDULE D, PART X

AN INDEPENDENT CPA FIRM AUDITED THE FINANCIAL STATEMENTS OF INSPIRA MEDICAL CENTERS, INC. AND INSPIRA HEALTH NETWORK FOUNDATION CUMBERLAND/SALEM, 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): THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 OR 2012. IN ADDITION, THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("NETWORK"). THE NETWORK 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 NETWORK'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE NETWORK ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUReMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 OR 2012.

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	1	OfficesCnt
Employee	1	EmployeeCnt
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	FINANCIAL VEHICLE	SpecificServicesProvidedTxt
Region Total Expenditures	$3,214,523	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Subtotal Employees	1	SubtotalEmployeesCnt
Total Office	1	TotalOfficeCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$3,214,523	SubtotalSpentAmt
Total Spent	$3,214,523	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	24642	PersonsServedCnt
Total Community Benefit Expns	$19,034,829	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,529,415	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,505,414	NetCommunityBenefitExpnsAmt
Total Expense	0.04230	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	15814	PersonsServedCnt
Total Community Benefit Expns	$23,559,438	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,366,538	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,192,900	NetCommunityBenefitExpnsAmt
Total Expense	0.01840	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Persons Served	29576	PersonsServedCnt
Total Community Benefit Expns	$16,930,357	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$618,428	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,311,929	NetCommunityBenefitExpnsAmt
Total Expense	0.04180	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	70032	PersonsServedCnt
Total Community Benefit Expns	$59,524,624	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,514,381	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,010,243	NetCommunityBenefitExpnsAmt
Total Expense	0.10250	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	71	ActivitiesOrProgramsCnt
Persons Served	319999	PersonsServedCnt
Total Community Benefit Expns	$4,071,982	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,331,226	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,740,756	NetCommunityBenefitExpnsAmt
Total Expense	0.00700	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Persons Served	3499	PersonsServedCnt
Total Community Benefit Expns	$10,563,832	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$233,920	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,329,912	NetCommunityBenefitExpnsAmt
Total Expense	0.02650	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	336	PersonsServedCnt
Total Community Benefit Expns	$4,583,354	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,682,180	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,901,174	NetCommunityBenefitExpnsAmt
Total Expense	0.00740	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$145,486	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$145,486	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	17	ActivitiesOrProgramsCnt
Persons Served	3542	PersonsServedCnt
Total Community Benefit Expns	$297,874	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$160	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$297,714	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	116	ActivitiesOrProgramsCnt
Persons Served	327376	PersonsServedCnt
Total Community Benefit Expns	$19,662,528	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,247,486	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,415,042	NetCommunityBenefitExpnsAmt
Total Expense	0.04210	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	116	ActivitiesOrProgramsCnt
Persons Served	397408	PersonsServedCnt
Total Community Benefit Expns	$79,187,152	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,761,867	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$56,425,285	NetCommunityBenefitExpnsAmt
Total Expense	0.14460	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	12	PersonsServedCnt
Total Community Benefit Expns	$29,911	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$29,911	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	21401	PersonsServedCnt
Total Community Benefit Expns	$1,995,640	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,716,815	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$278,825	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	128	PersonsServedCnt
Total Community Benefit Expns	$868	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$868	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	2305	PersonsServedCnt
Total Community Benefit Expns	$42,522	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$42,522	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	525	PersonsServedCnt
Total Community Benefit Expns	$124,963	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$124,963	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	282	PersonsServedCnt
Total Community Benefit Expns	$768,155	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$768,155	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	30	ActivitiesOrProgramsCnt
Persons Served	24653	PersonsServedCnt
Total Community Benefit Expns	$2,962,059	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,716,815	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,245,244	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Reimbursed By Medicare	$103,249,851	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$127,086,422	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$23,836,571	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (6 entries)

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

VINELAND LLC
MEDICAL SERVICES	0.50000	0.50000
THE KIDNEY CENTER AT

MILLVILLE LLC
MEDICAL SERVICES	0.50000	0.50000
OAK & MAIN

SURGICENTER LLC
MEDICAL SERVICES	0.85000	0.15000

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

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
INSPIRA MEDICAL CENTER VINELAND
1	1505 WEST SHERMAN AVENUE	VINELAND	NJ	08360	WWW.INSPIRAHEALTHNETWORK.ORG	10603	Yes (X)	Yes (X)	Yes (X)	Yes (X)	1
INSPIRA MEDICAL CENTER ELMER
2	425/475 FRONT STREET	ELMER	NJ	08318	WWW.INSPIRAHEALTHNETWORK.ORG	11701	Yes (X)	Yes (X)		Yes (X)	1

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	INSPIRA MEDICAL CENTER VINELAND	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	12	FacilityNum
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.inspirahealthnetwork.org	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.healthycumberlandsalem.org	OtherWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	550.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
State Regulation	Yes (X)	StateRegulationInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, QUESTIONS 1J, 5D & 6I	Not applicable.
SCHEDULE H, PART V, SECTION B, QUESTION 3	INSPIRA MEDICAL CENTERS, INC. WORKED IN COLLABORATION WITH THE CUMBERLAND/SALEM HEALTH AND WELLNESS ALLIANCE ("THE ALLIANCE") TO UTILIZE SECONDARY DATA AND CONDUCT KEY INFORMANT INTERVIEWS, FOCUS GROUPS AND SURVEYS TO IDENTIFY THE NEEDS OF COMMUNITY. THE ALLIANCE PAID PARTICULAR ATTENTION TO UNDERSERVED AND PRIORITY POPULATIONS AND INCLUDED A RANGE OF PUBLIC HEALTH EXPERTS IN THE PROCESS TO ASSURE THE ASSESSMENT WAS REPRESENTATIVE OF THE POPULATION AT LARGE.
SCHEDULE H, PART V, SECTION B, QUESTION 4	INSPIRA MEDICAL CENTERS, INC. INCLUDES TWO HOSPITAL CAMPUSES, INSPIRA MEDICAL CENTER VINELAND & INPIRA MEDICAL CENTER ELMER. THESE TWO HOSPITAL CAMPUSES WORKED TOGETHER TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT.
SCHEDULE H, PART V, SECTION B, QUESTION 7	SOME COMMUNITY NEEDS WERE NOT DIRECTLY ADDRESSED IN THE ORGANIZATION'S IMPLEMENTATION STRATEGY, BUT WILL BE INDIRECTLY AFFECTED THROUGH THE INITIATIVES FOR PRIORITIZED NEEDS. UNEMPLOYMENT, POVERTY AND CRIME ARE COMMUNITY CONCERNS THAT ARE INTERWOVEN THROUGHOUT THE CHOSEN PRIORITIZED NEEDS. WHENEVER POSSIBLE, THE CUMBERLAND/SALEM HEALTH AND WELLNESS ALLIANCE ("THE ALLIANCE") SELECTED STRATEGIC PLANS THAT WOULD NOT ONLY ADDRESS THE PRIORITY AREAS, BUT ALSO IMPACT OTHER COMMUNITY ISSUES. CONCERNS OF RELATIONSHIP AND MENTAL HEALTH, TWO COMMUNITY ISSUES OF IMPORTANCE, MAY NOT BE ADDRESSED DIRECTLY THROUGH STRATEGIES BUT ARE CONSIDERED IN THE DEVELOPMENT OF TACTICS TO IMPROVE PRIORITY ISSUES.
SCH H, PART V, SECTION B, Q'S 10,11,12I,14G,16E,17E,19C,19D,20D,21&22	Not applicable.
SCHEDULE H, PART V, SECTION B, QUESTION 18E	In addition to those actions listed in Line 18, Inspira Medical Centers, Inc. also posts signs throughout the hospital which display the financial assistance policy.

Field	Value	IRS element (for citing)
Facility	15	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
INSPIRA HEALTH CENTER BRIDGETON
333 IRVING AVENUE	BRIDGETON	NJ	08302	HEALTH CENTER AMBULATORY CARE INPATIENT PSYCH
INSPIRA IMAGING CENTER OF MILLVILLE
1001 N HIGH STREET	MILLVILLE	NJ	08332	HOSPITAL OUTPATIENT DEPARTMENT
INSPIRA IMAGING CENTER OF DELSEA
352 S DELSEA DRIVE	VINELAND	NJ	08360	HOSPITAL OUTPATIENT DEPARTMENT
INSPIRA HEALTH CENTER VINELAND
1038 CHESTNUT STREET	VINELAND	NJ	08360	HOSPITAL OUTPATIENT DEPARTMENT INDUSTRIAL HEALTH & OUTPATIENT REHABILIATION
INSPIRA SPORTS REHABCARE
1430 SHERMAN AVENUE	VINELAND	NJ	08360	REHABILITATION CLINIC
INSPIRA IMAGING CENTER OF MILLVILLE
608 N HIGH STREET	MILLVILLE	NJ	08332	HOSPITAL OUTPATIENT DEPARTMENT
INSPIRA IMAGING CENTER WEST SHERMAN MRI
994 W SHERMAN AVENUE	VINELAND	NJ	08361	HOSPITAL OUTPATIENT DEPARTMENT
INSPIRA VINELAND SLEEP CARE CENTER
1650 E CHESTNUT AVENUE	VINELAND	NJ	08361	OUTPATIENT DIAGNOSTIC FACILITY
INSPIRA WOUND CARE CENTER ELMER
501 W FRONT STREET	ELMER	NJ	08318	HOSPITAL OUTPATIENT DEPARTMENT
INSPIRA TOMLIN STATION IMAGING
201 TOMLIN STATION ROAD	MULLICA HILL	NJ	08062	OUTPATIENT DIAGNOSTIC FACILITY
INSPIRA ELMER SLEEP CARE CENTER
445 WEST FRONT STREET	ELMER	NJ	08318	OUTPATIENT DIAGNOSTIC FACILITY
INSPIRA EGG HARBOR SLEEP CARE CENTER
6712 WASHINGTON AVENUE	EGG HARBOR TOWNSHIP	NJ	08234	OUTPATIENT DIAGNOSTIC FACILITY
INSPIRA SPORTS REHAB CARE TOMLIN STATION
201 TOMLIN STATION ROAD SUITE D	MULLICA HILL	NJ	08062	REHABILITATION CLINIC
INSPIRA CHILD DEVELOPMENT CENTER
1138 E CHESTNUT STREET	VINELAND	NJ	08360	HOSPITAL OUTPATIENT DEPARTMENT
INSPIRA IMPACT PROGRAM
240 S 6TH STREET	VINELAND	NJ	08360	HOSPITAL OUTPATIENT DEPARTMENT

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C	The income based criteria used to determine eligibility is per New Jersey Administrative Code 10:52 sub chapters 11, 12 and 13, and based upon the 2013 poverty guidelines (Department of Health and Human Services). FPG are included in the criteria for determining eligibility for charity and discounted care.
SCHEDULE H, PART I; QUESTION 6A	An annual report is prepared and published by Inspira MEDICAL CENTERS, INC. ("IMC"). The report describes the community benefit programs and services that promote the health of the communities served by the health system. The annual written report is distributed to legislators, business leaders, civic community leaders, organizations and community partners. A downloadable version of the report is available on the organization's website, www.inspirahealthnetwork.org.
SCHEDULE H, PART I; QUESTION 7	THE ORGANIZATION UTILIZED THE COST ACCOUNTING SYSTEM.
SCHEDULE H, PART I, QUESTION 7g	Subsidized health service costs include an operating deficit of $494,747 for the Wound Care Center and $908,866 for outpatient mental health.
SCHEDULE H, PART II	Community building activities undertaken by Inspira Medical Centers, Inc. ("IMC") improve the medical and socioeconomic well-being of our communities. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. IMC provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients, community and providers. Physicians, nurses and other healthcare professionals dedicate their knowledge and time to insuring the community is well educated on topics promoting healthy living.
SCHEDULE H, PART III, SECTION A; QUESTION 4	The organization issued audited 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 for which the Hospital receives payment under cost reimbursement, prospective payment formulae or negotiated rates, which cover the majority of patient services, are stated at the estimated net amounts receivable from payors, which are generally less than the established billing rates of the Hospital. Patient accounts receivable are reported net of provisions based on management's assessment of historical and expected collections, business economic conditions, trends in healthcare coverage, and other collection indicators. For receivables associated with services provided to patients who have third-party coverage (which includes patients with deductible and co-payment balances due for which third-party coverage exists for part of the bill), the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts, if necessary. The difference between the billed rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against net patient service revenue. The Hospital has not changed its financial assistance policy in 2013 or 2012. Charity Care ------------ IMC's patient acceptance policy is based on its mission statement and its charitable purposes. Accordingly, IMC accepts all patients regardless of their ability to pay. A patient is classified by IMC as a charity patient by reference to certain financial criteria established by the State of New Jersey and IMC's policy. IMC's charity care policy includes additional financial criteria which were established with the intent of expanding the availability of financial assistance. Because IMC does not believe that accounts which qualify for charity care are likely to be collected, they are not reported as net patient service revenue. The unreimbursed cost for services and supplies furnished to patients eligible for such charity care are determined through the use of cost to charge ratios in effect for IMC, and are as follows: 2013 2012 In accordance with the: State of New Jersey's criteria $ 16,930,000 $ 13,402,000 IMC's additional criteria $ 19,035,000 $ 19,326,000 ------------ ------------ Total $ 35,965,000 $ 32,728,000 IMC also sponsors certain other charitable programs, which provide substantial benefit to the broader community. Such programs include services to needy and elderly populations that require special support, as well as health promotion and education for the general community welfare. In addition, all other uncollectible amounts resulting from the patients' inability to pay, are recorded.
SCHEDULE H, PART III, SECTION B; QUESTION 8	Medicare costs were derived from the 2013 Medicare cost Report. Medicare underpayments and bad debt are community benefit and associated costs are includable on the form 990, Schedule H, Part I. The organization feels that Medicare underpayments (shortfall), bad debt and associated costs are community benefit and are includable on the form 990, Schedule H, Part I. As outlined more fully below, the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individuals in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay and consistent with the Community Benefit Standard promulgated by the IRS. The Community Benefit Standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code ("IRC") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the IRC. Although there is no definition in the tax code for the term "charitable" a regulation promulgated by the Department of the Treasury provides some guidance and states that "the term charitable is used in Section 501(c)(3) in its generally accepted legal sense," 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 must provide, to the extent of its financial ability, free or reduced-cost care to patients who cannot pay for such services. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community Benefit Standard In 1969, the IRS issued revenue ruling 69-545, which "removed" from revenue ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." Under the standard developed in revenue ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as Medicare), but operated a full-time emergency room that was open to everyone. The IRS ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The IRS reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by The Department of Treasury Reg. 1.501(c)(3)-1(d)(2). The IRS ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The IRS concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the IRS highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. Medicare underpayments and bad debt are community benefit and associated costs are includable on the form 990, Schedule H, Part I. The American Hospital Association ("AHA") feels that Medicare underpayments (shortfall) and bad debt are community benefit and thus includable on the form 990, Schedule H, Part I. This organization agrees with the AHA's position. As outlined in the AHA's letter to the IRS dated August 21, 2007 with respect to the first published draft of the new Form 990 and Schedule H, the AHA felt that the IRS should incorporate the full value of the community benefit that hospitals provide by counting Medicare underpayments (shortfall) as quantifiable community benefit for the following reasons: - Providing care for the elderly and serving Medicare patients is an essential part of the community benefit standard - Medicare, like Medicaid, does not pay the full cost of care. From the latest data provided by the American Hospital Association, as of 2012, Medicare reimburses hospitals only 86 cents for every dollar they spend to take care of Medicare patients. The Medicare Payment Advisory Commission ("MEDPAC"), in its March 2013 report to congress, states that beneficiaries will grow notably faster in the next 10 years than in the past decade as the baby-boom generation ages into the program. In addition, the population aging into the Medicare program will present a new set of challenges since rising obesity levels put this population at a greater risk than previous generations for chronic disease. - Many Medicare beneficiaries, like their Medicaid counterparts, are poor. More than 42 percent of Medicare spending is for beneficiaries whose income is below 200 percent of the federal poverty level. Many of those Medicare beneficiaries are also eligible for Medicaid -- so called "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 necessar
SCHEDULE H, PART III, SECTION B; QUESTION 9B	Accounts considered to be charity care are not included in the bad debt expense, but rather, accounted for as an allowance. It is the policy of the Inspira Health Network to treat all patients equally regardless of insurance and their ability to pay.
SCHEDULE H, PART VI; QUESTION 2	IN 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 healthcare utilization of its service area population by services (urology, cardiology, obstetrics, etc.) For determining increased or decreased health needs; healthcare services estimates and forecasts (both inpatient and outpatient); assessments of local demographic and socioeconomic information; and, a review of health status/needs assessments and studies conducted by external parties. IMC conducts an extensive service area physician needs study (by primary and specialty) every three to five years. Specific specialty needs are conducted for identified gaps in service. These reviews inform medical staff development at the medical center to assure responsiveness to identified community needs. IMC collaborates with community partners to plan and conduct health needs assessments to assess and address health needs of the community it serves. The wide-based collaborative partnership retains an outside consulting firm to assess community data and perception. Community data is collected from county health profiles, health statistics, demographics, socioeconomic data, phone surveys, paper surveys and focus groups. From those assessments, community health improvement plans are published identifying the specific health priorities. Through a planned and organized effort, the group works collectively to address the priorities by tapping the resources of the community and collaborating on initiatives. IMC actively contributes to this process and engages in the identified priorities that match its mission, expertise, resources and capacity. In addition to these organized needs assessment efforts, ongoing community meetings with local providers, local health departments, local politicians, organizations and community leaders are sponsored by the hospital to discuss the health needs of the population.
SCHEDULE H, PART VI; QUESTION 3	The hospital's financial assistance information is communicated in both English and Spanish in a variety of ways, which includes signage throughout the hospital, emergency departments and registration areas; distribution of admission booklets and brochures describing the policy and how to apply for assistance; posting of the charity care program and financial assistance information on the hospital's website; and a statement added to all publications indicating the availability of charity care. Patients are given a financial assistance handout at registration/admission with information to contact financial counselors if they may have difficulty paying their hospital bill. All patients deemed self-pay are screened for financial assistance by a financial counselor according to the federal poverty guidelines and referred to appropriate agencies or programs. Interpretation services are available for patients needing information in languages other than English and Spanish.
SCHEDULE H, PART VI; QUESTION 4	INSPIRA MEDICAL CENTERS, INC. ("IMC") is the only not-for-profit healthcare system located in the southwestern region of New Jersey along the Delaware Bay. It is situated in a rural and urbanized area comprised of small cities, suburbs, vast wetlands and agricultural areas. IMC is a healthcare safety net provider of general acute and ambulatory healthcare services in a regional service area that encompasses primarily Cumberland and Salem Counties and portions of Gloucester and Atlantic Counties, covering a patient base of 376,000. Cumberland County has a population of 157,745 and Salem County has a population of 66,342 according to us census 2010 estimates. The population is a multifaceted community of diverse ethnic groups and industry, predominately Caucasian with specific communities home to higher populations of Hispanic and African American residents. According to 2010 us census, Cumberland County demographics are 65% Caucasian, 20% African American, 19% Hispanic; Salem county is 85% Caucasian, 15% African American, 4% Hispanic. Cumberland County's rapidly growing Hispanic population provides much of the county's farm labor; in particular, Bridgeton experienced a 560% increase in Mexican population from 1990 to 2000. The region's economy consists of a strong agricultural base with targeted industry sectors that include healthcare, construction, hospitality/tourism, food processing, glass making, manufacturing, a nuclear generating complex, one federal penitentiary and three state correctional facilities which, combined, house over 8,000 inmates. Of 21 counties in NJ, Cumberland County has the largest percentage of residents living below the federal poverty level, the highest unemployment rate, the highest teen pregnancy rate, and the lowest percentage of population with a college degree. Major areas in Cumberland County and all of Salem County are designated medically underserved areas and health professional shortage areas. Both Salem and Cumberland County have the two highest obesity rates in the state. IMC is recognized as a center of excellence in cancer services, cardiology center of care and bariatric surgery center of excellence. Vineland and Elmer Medical Centers are state-designated primary stroke centers. IMC Behavioral Health Services is the major provider of inpatient and outpatient services for the entire southern New Jersey region spanning nine counties. Patients receiving behavioral health services are primarily insured under Medicaid and Medicare.
SCHEDULE H, PART VI; QUESTION 5	Community building activities undertaken by this organization improve the medical and socio-economic well-being of the communities in our care. This is accomplished through numerous activities which are not a part of Part I Charity Care and other community benefits, and are not included elsewhere on Schedule H. These activities include programs that address the root causes of health problems such as education, poverty, unemployment, access to care, health advocacy and economic development. Economic Development - To help address poverty and unemployment and to take an active role in the regional economy and business outlook, the hospital offers the expertise and resources of its healthcare employees as active board members and participants in community organizations such as the Bridgeton, Millville, Vineland and Salem Chambers of Commerce, Bridgeton, Elmer and Vineland Rotaries and Cumberland and Salem County Economic Forums. Community Support - IMC's efforts to enhance community support networks include both community-based and facility-based initiatives. IMPACT (Innovative Model for Preschool and Community Teaming), a collaboration between IMC and the Vineland Board of Education, provides health and social services, preschool programs and literacy programs, targeting the needs of the low income residents in Cumberland County. Impact Teen Parenting Program provides parenting classes, childcare services, prenatal care and life skills education to teen parents and second pregnancy prevention. IMPACT School Based Youth Services Program (SBYSP), offers health services, tutoring, counseling, recreation and life skills training. The IMPACT Family Outreach Program, through three Family Worker Coordinators, provide training, supervision and support to roughly 40 Family Workers in the Abbott Preschools in Vineland, Millville and Bridgeton. Family Workers serve as the liaison between the child care center, the home and community agencies. The IMPACT Child Care Program provides childcare for infants and toddlers. Inspira's Family Success Centers are a program offered by IMPACT in Commercial Township and Vineland. They are designed to enrich the lives of children by strengthening families and neighborhoods, providing integrated, locally-based services, reducing isolation and promote connections among family and community and providing services in a warm and welcoming environment. IMC plans for disaster readiness above and beyond licensure requirements, including a decontamination room, a dedicated decon team and coordination of mass casualty drills involving different disaster scenarios in the community in collaboration with all first responders to address the major security concern related to the significant prison inmate population of 8,000 during disasterS. Environmental Improvements - The organization's Going Green Recycling initiative at all facilities system-wide improves the environment and helps the community by reducing waste, increasing recycling, conserving materials and purchasing recycled products. Inspira participates in the State of NJ Safe Syringe Disposal program, a community sharps disposal program that provides community residents with a method to safely dispose of home generated sharps. IMC maintains a campus-wide smoking ban at all IMC buildings, grounds and parking lots to improve the air quality, health and well-being of everyone in the surrounding communities. Coalition Building - IMC actively partners in community coalitions aimed at addressing health and safety issues. To address Cumberland County's teen pregnancy rate, which is 3 times the NJ state average, the Teen Pregnancy Prevention Initiative was formed through a collaborative partnership with IMC, CompleteCare Health Network (CCHN) and the county freeholders. SAFE (Sexual Accountability For Everyone), is the educational component of CCHN's plan to bring nurse practitioners into county middle and high schools and expand school-based services to include comprehensive health and gynecological services, peer & adult self-esteem programs, encourage responsible sexual behavior and provide tier-based counseling to target at-risk students. To address the particularly high childhood obesity rate, STEPS for kids was initiated as a collaboration between IMC, The Cumberland Cape Atlantic YMCA and the Robert Wood Johnson Foundation targeting children 8 to 12 with a BMI level at or above the 85th percentile who are at risk for obesity. The 12-week interactive program for children and their parents focuses on balanced meal plans and simple exercise techniques that help families achieve healthier lifestyles. To improve health risks associated with heart disease in our growing population of African American and Latino residents, IMC was one of 10 hospitals in NJ chosen by the Robert Wood Johnson Foundation to participate in a two-year, statewide initiative to improve the quality of cardiac care, share and apply best practices for treating patients with heart failure and communicate strategies and lessons learned to policymakers and healthcare providers. IMC initiated an Extended Care Facilities Forum to build a positive relationship between the hospital, neighboring nursing care facilities and the community to assist each other in offering a seamless continuum of care in light of healthcare reform changes. IMC partnered with the Salem Health and Wellness Foundation to provide digital mammography to the uninsured and health underserved residents of Salem County, who would not otherwise utilize this preventive screening tool until their breast cancer was at a later stage. Community Health Improvement Advocacy - Various levels of IMC staff serve on government advisory committees and boards for national, state and local organizations to advocate for healthcare reform, bring about changes in regulatory requirements, advocate for improved access to healthcare and promote health status for both the broader community and vulnerable populations. IMC is represented at organizations such as the Advocates for Children of NJ, American Hospital Association, Cumberland Inter-Agency Council, Human Services Advisory Council, National Association for Home Care & Hospice, NJ Association of Mental Health Agencies, NJ Division of Mental Health Services, NJ Hospital Association, Salem Inter-Agency Council, Southern NJ Perinatal Cooperative and Voluntary Hospitals of America. Workforce Development - IMC is committed to recruiting experienced physicians and health professionals into our community, which is identified as a medically underserved area (MUA), to ensure that residents have access to the specialized care they need. Responding to a shortage of obstetricians, IMC recruited additional ob/gyns into a medically underserved area. New physician specialties added include urogynecology, oncologic urology, gynecologic oncology and oncologic breast surgery. To promote student exploration of healthcare careers in an area with a traditionally high jobless rate, IMC provides events promoting careers in healthcare and collaborates on healthcare career programs with Medical Explorers and Pinelands Learning Center. IMC developed an Employer Forum for employers throughout Cumberland County to address and discuss medical issues, employee health, safety and wellness of the workforce population.
SCHEDULE H, PART VI; QUESTION 6	Outlined below is a summary of the entities which comprise the Inspira Health Network: Not for profit Inspira Health Network entities ============================================== Inspira Health Network, Inc. ---------------------------- Inspira Health Network, Inc. ("Network") is the tax-exempt parent of the Inspira Health Network ("System"). This integrated healthcare delivery system consists of a group of affiliated healthcare organizations. The sole member or stockholder of each entity is either the network or another network affiliate controlled by the network. The network is an integrated network of healthcare providers throughout the State of New Jersey and is recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a supporting organization pursuant to Internal Revenue Code 509(a)(3). Inspira Medical Centers, Inc. ----------------------------- Inspira Medical Centers, Inc. ("IMC") is comprised of two acute care and two hospital-based ambulatory care centers. Inspira Medical Center Vineland, located in Vineland, Cumberland County, New Jersey, is a 276-bed acute care facility with 59 psychiatric beds located at Inspira Health Center Bridgeton. Inspira Medical Centers Elmer is a 96-bed acute care facility located in Elmer, Salem County, New Jersey. IMC is recognized by the internal revenue service as an internal revenue code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, IMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, 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 7	Not applicable.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	AMERICAN KIDNEY FUND INC	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11921 ROCKVILLE PIKE NO 300	AddressLine1
City	ROCKVILLE	City
State	MD	State
ZIP Code	20852	ZIPCode

Field	Value	IRS element (for citing)
Recipient EIN	237124261	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$19,956	CashGrantAmt
Purpose Of Grant	PROGRAM SUPPORT	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	EDUCATIONAL SCHOLARSHIPS	GrantTypeTxt
Recipient	3	RecipientCnt
Cash Grant	$29,169	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHESTER B KALETKOWSKI
DIRECTOR;EX-OFFICIO-PRES./CEO	$674,469	$0	$87,078	$0	$30,129	$0	$198,709	$0	$33,690	$0	$1,024,075	$0	$0	$0
WAYNE C SCHIFFNER Term 615
EVP/CHIEF STRATEGY OFFICER	$182,713	$0	$48,031	$0	$372,363	$0	$44,848	$0	$16,294	$0	$664,249	$0	$312,646	$0
JOHN A DIANGELO
EVP/CHIEF FINANCIAL OFFICER	$565,153	$0	$50,084	$0	$40,119	$0	$102,421	$0	$25,410	$0	$783,187	$0	$0	$0
ROBERT E FLORENTINE
SVP/CHIEF PEOPLE OFFICER	$249,096	$0	$34,035	$0	$35,079	$0	$44,191	$0	$22,271	$0	$384,672	$0	$0	$0
ELIZABETH A SHERIDAN
COO - INSPIRA MED CTR VINELAND	$309,877	$0	$25,769	$0	$41,252	$0	$78,748	$0	$24,575	$0	$480,221	$0	$0	$0
DAVID YHLEN
COO - ELMER	$235,868	$0	$0	$0	$18,178	$0	$0	$0	$14,475	$0	$268,521	$0	$0	$0
STEVEN C LINN MD
CHIEF MEDICAL OFFICER	$339,793	$0	$57,301	$0	$37,797	$0	$34,950	$0	$20,298	$0	$490,139	$0	$0	$0
ROBERT M DANGEL ESQ
GENERAL COUNSEL	$284,629	$0	$29,247	$0	$24,015	$0	$92,790	$0	$25,204	$0	$455,885	$0	$0	$0
ARTHUR BOOTE
VP AMBULATORY CARE	$244,849	$0	$32,020	$0	$38,221	$0	$45,662	$0	$20,485	$0	$381,237	$0	$0	$0
JOHN C BICKINGS
VP FACILITIES & CONSTRUCTION	$238,908	$0	$32,400	$0	$36,411	$0	$56,091	$0	$20,624	$0	$384,434	$0	$0	$0
THOMAS P BALDOSARO CPA
VP FINANCE	$241,196	$0	$34,880	$0	$17,682	$0	$16,107	$0	$19,733	$0	$329,598	$0	$0	$0
THOMAS PACEK
VP/CIO	$241,776	$0	$18,761	$0	$18,343	$0	$21,579	$0	$19,290	$0	$319,749	$0	$0	$0
CLARE SAPIENZA ECK
VP BUS DEV & PHYSICIAN REL.	$186,869	$0	$20,116	$0	$36,060	$0	$38,623	$0	$21,456	$0	$303,124	$0	$0	$0
CAROLYN S HECKMAN
VP GOVERNMENT RELATIONS	$179,051	$0	$20,339	$0	$21,478	$0	$50,609	$0	$13,241	$0	$284,718	$0	$0	$0
ANNE MCCARTNEY
VP PATIENT SERVICES - VINELAND	$176,194	$0	$17,885	$0	$2,221	$0	$41,852	$0	$13,472	$0	$251,624	$0	$0	$0
MIKOLE BURKE ANDERSON
VP CORPORATE COMPLIANCE/ETHICS	$168,960	$0	$13,395	$0	$322	$0	$8,669	$0	$14,998	$0	$206,344	$0	$0	$0
JANET DAVIES
VP PATIENT SERVICES - ELMER	$135,778	$0	$14,938	$0	$1,166	$0	$17,039	$0	$13,941	$0	$182,862	$0	$0	$0
EDWARD GRAY MD
PHYSICIAN	$297,346	$0	$0	$0	$450	$0	$0	$0	$18,369	$0	$316,165	$0	$0	$0
JOSEPH M ALESSANDRINI
AVP - CLINICAL SERVICES	$185,234	$0	$13,588	$0	$16,939	$0	$25,458	$0	$14,926	$0	$256,145	$0	$0	$0
ROBERT J SMICK MD
PHYSICIAN	$204,587	$0	$0	$0	$10,732	$0	$19,680	$0	$17,274	$0	$252,273	$0	$0	$0
DAVID MURRAY
CONTROLLER	$178,489	$0	$11,475	$0	$353	$0	$11,047	$0	$18,739	$0	$220,103	$0	$0	$0
CHRISTOPHER BALLAS MD
PHYSICIAN	$179,897	$0	$0	$0	$469	$0	$8,022	$0	$16,893	$0	$205,281	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I; QUESTION 4B	THE 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; ROBERT E. FLORENTINE, $21,322; ELIZABETH A. SHERIDAN, $28,748; STEVEN C. LINN, M.D., $20,801; ROBERT M. D'ANGEL, ESQ., $46,054; ARTHUR BOOTE, $18,166; JOHN C. BICKINGS, $24,200; CLARE SAPIENZA-ECK, $14,572 AND CAROLYN S. HECKMAN, $609.
SCHEDULE J, PART I; QUESTION 7	CERTAIN 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 F	THE 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 (2 entries)

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

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

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

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

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

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Exception To RebateExceptionToRebateInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	Yes (true)	false	Yes (true)	false	false	0	false	Yes (true)
0
B	Yes (true)	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	CUMBERLAND INT MED	PersonNm
Relationship With Org	COMPANY OF TRUSTEE	RelationshipWithOrgTxt
Loan Purpose	PRACTICE SUPPORT	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$41,554	OriginalPrincipalAmt
Balance Due	$285,997	BalanceDueAmt
Default	false	DefaultInd
Board Or Committee Approval	Yes (true)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (true)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$285,997	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
SOUTH JERSEY GAS COMPANY
COMPANY OF DIRECTOR	$760,067	UTILITIES	false
PERFORMANCE MARKETING
COMP OF DIR'S SPOUSE	$208,238	MARKETING SERVICES	false
LYNN M KENNY
FAMILY MEMBER OF DIRECTOR	$67,882	EMPLOYEE	false
CUMBERLAND INTERNAL MEDICINE
COMPANY OF DIRECTOR	$290,058	MEDICAL SERVICES	false
MARY GALETTO
FAMILY MEMBER OF DIRECTOR	$31,688	EMPLOYEE	false
DAVID SHIELDS MD
FAMILY MEMBER OF DIRECTOR	$53,027	PHYSICIAN SERVICES	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	CORE FORM, PART VI, SECTION A; QUESTION 1 AND SCHEDULE L; PART IV	FormAndLineReferenceDesc
Explanation	THE 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 HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $823,103 OF WHICH INSPIRA MEDICAL CENTERS, INC. PAID $760,067 TO SOUTH JERSEY GAS COMPANY FOR UTILITIES DURING 2013. DAVID ROBBINS, JR. IS AN OFFICER OF SOUTH JERSEY GAS COMPANY AND A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. PAYMENT BY INSPIRA HEALTH NETWORK, INC & AFFILIATES IN THE AMOUNT OF $418,129 OF WHICH INSPIRA MEDICAL CENTERS, INC. PAID $208,238 TO PERFORMANCE MARKETING FOR MARKETING SERVICES DURING 2013. MICHAEL M. ROSSI, III'S SPOUSE IS AN EMPLOYEE OF PERFORMANCE MARKETING. MICHAEL M. ROSSI, III IS A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. THE KIDNEY CENTER AT MILLVILLE, L.L.C.; AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK, INC. & AFFILIATES, HAS A DEPOSITORY ACCOUNT AND AN OUTSTANDING LOAN WITH COLONIAL BANK. INSPIRA MEDICAL CENTERS, INC. IS A 50% MEMBER OF THE KIDNEY CENTER AT MILLVILLE, L.L.C. AND GUARANTOR OF 50% OF THE LOAN. THE TOTAL BALANCE OF THE LOAN AS OF DECEMBER 31, 2013 WAS $1,403,234. GREGORY FACEMYER, CPA AND PAUL J. RITTER, III ARE BOTH MEMBERS OF THE BOARD OF DIRECTORS FOR COLONIAL BANK AND MEMBERS OF THE BOARD OF DIRECTORS FOR INSPIRA MEDICAL CENTERS, INC. BRUNO A. BASILE HAS A DAUGHTER THAT IS EMPLOYED BY INSPIRA MEDICAL CENTERS, INC. AS A PHARMACIST FOR WHICH SHE RECEIVED FORM W-2, BOX 5 MEDICARE WAGES IN THE AMOUNT OF $67,882 DURING 2013. BRUNO A. BASILE IS A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. PAYMENT BY INSPIRA MEDICAL CENTERS, INC. IN THE AMOUNT OF $44,177 TO GATEWAY COMMUNITY ACTION PARTNERSHIP DURING 2013. EDWARD BETHEA IS AN EMPLOYEE OF GATEWAY COMMUNITY ACTION PARTNERSHIP AND A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. PAYMENT BY INSPIRA MEDICAL CENTERS, INC. IN THE AMOUNT OF $2,870 TO PREMIER ORTHOPEDIC ASSOCIATES OF SOUTHERN NEW JERSEY FOR MEDICAL SERVICES DURING 2013. JOHN CATALANO, M.D. IS AN EMPLOYEE OF PREMIER ORTHOPEDIC ASSOCIATION AND A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $62,506 OF WHICH INSPIRA MEDICAL CENTERS, INC. PAID $48,911 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 CENTERS, INC. JOHN H. FISCHER, III'S DAUGHTER IN LAW IS EMPLOYED BY INSPIRA MEDICAL CENTERS, INC. 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 CENTERS, INC. DAVID W. GALETTO, M.D.'S SPOUSE IS EMPLOYED BY INSPIRA MEDICAL CENTERS, INC. AS A PER-DIEM NURSE FOR WHICH SHE RECEIVED FORM W-2, BOX 5 MEDICARE WAGES IN THE AMOUNT OF $31,688 DURING 2013. DAVID W. GALETTO, M.D. IS A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. LENDING OF MONEY PURSUANT TO A PRACTICE SUPPORT AGREEMENT BETWEEN INSPIRA MEDICAL CENTER, INC. AND CUMBERLAND INTERNAL MEDICINE. THE ORIGINAL AMOUNT OF THE LOAN WAS $ 41,554. THE LOAN WAS SET UP IN ORDER TO ASSIST THE PRACTICE IN THE OPERATION OF INTERNAL MEDICINE/INFECTIOUS DISEASE SERVICES. THE TOTAL AMOUNT DUE FROM THE PRACTICE AT DECEMBER 31, 2013 WAS $285,997. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $357,125 OF WHICH INSPIRA MEDICAL CENTERS, INC. PAID $290,058 TO CUMBERLAND INTERNAL MEDICINE FOR MEDICAL SERVICES DURING 2013. DAVID W. GALETTO, M.D. IS AN EMPLOYEE OF CUMBERLAND INTERNAL MEDICINE AND A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. SYSTEM ENTITIES HAVE BORROWED FUNDS FROM SUN NATIONAL BANK. INSPIRA MEDICAL CENTERS, INC. HAS AN OUTSTANDING UEZ LOAN WITH SUN NATIONAL BANK WITH A PRINCIPAL BALANCE OF $391,891 AT DECEMBER 31, 2013. PETER GALETTO, JR., COUSIN OF DAVID W. GALETTO, M.D., IS A BOARD MEMBER OF SUN NATIONAL BANK. IN ADDITION, BRANDON KALETKOWSKI, SON OF CHESTER B. KALETKOWSKI, IS AN EMPLOYEE OF SUN NATIONAL BANK. BOTH DAVID W. GALETTO, M.D. AND CHESTER B. KALETKOWSKI ARE BOARD MEMBERS OF INSPIRA MEDICAL CENTERS, INC. PAYMENT BY INSPIRA MEDICAL CENTERS, INC. IN THE AMOUNT OF $16,470 TO CUMBERLAND CAPE ATLANTIC YMCA FOR CERTAIN PUBLIC HEALTH INITIATIVES. PETER GALETTO, JR. IS A BOARD MEMBER OF CAPE ATLANTIC YMCA AND COUSIN OF DAVID W. GALETTO, M.D.; A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. PAYMENT BY INSPIRA MEDICAL CENTERS, INC. IN THE AMOUNT OF $171,391 TO STANKER AND GALETTO, INC. DURING 2013 FOR RENOVATIONS AND CONSTRUCTION SERVICES. PETER GALETTO, JR. IS AN OWNER OF STANKER AND GALETTO, INC. AND COUSIN OF DAVID W. GALETTO, M.D.; A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. INSPIRA MEDICAL CENTERS, INC. RENTS OFFICE SPACE AT THE ELMER MEDICAL OFFICE BUILDING FROM GALETTO REALTY COMPANY. TOTAL PAYMENTS TO GALETTO REALTY COMPANY AMOUNTED TO $9,241 DURING 2013. PETER GALETTO, JR. IS AN OWNER OF GALETTO REALTY COMPANY AND COUSIN OF DAVID W. GALETTO, M.D.; A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. PAYMENT BY INSPIRA HEALTH NETWORK & AFFILIATES, INC. IN THE AMOUNT OF $191,163 OF WHICH INSPIRA MEDICAL CENTER,S INC. PAID $190,943 TO CUMBERLAND COMMUNITY COLLEGE FOR VARIOUS SERVICES. THOMAS ISEKENEGBE, M.D. IS AN EMPLOYEE OF CUMBERLAND COUNTY COLLEGE AND A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. PAYMENT BY INSPIRA MEDICAL CENTERS, INC. IN THE AMOUNT OF $53,027 TO DAVID SHIELDS, M.D. FOR PHYSICIAN SERVICES. JACK M. SHIELDS, M.D. IS THE BROTHER OF DAVID SHIELDS, M.D. AND A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC. JACK M. SHIELDS, M.D. HAS A FAMILY MEMBER THAT IS EMPLOYED BY INSPIRA MEDICAL CENTERS, INC. AS A PER DIEM RECEPTIONIST FOR WHICH HE RECEIVED FORM W-2, BOX 5 MEDICARE WAGES IN THE AMOUNT OF $3,318 DURING 2013. JACK M. SHIELDS IS A BOARD MEMBER OF INSPIRA MEDICAL CENTERS, INC.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	BACKGROUND ========== Inspira Medical Centers, Inc. ("IMC") is a provider of general acute and ambulatory healthcare services based in Cumberland and Salem County, New Jersey. IMC is recognized by the IRS as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, IMC provides healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Moreover, IMC operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. Provides healthcare services to all individuals regardless of ability to pay, including Charity Care, Self-Pay, Medicare and Medicaid patients; 2. Operates 3 active emergency DEPARTMENTS for all persons; which are open 24 hours a day, 7 days a week, 365 days per year, including a specialized pediatric emergency department in the Vineland facility; 3. Maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of IMC rests with its board of directors and the board of directors of Inspira Health Network, Inc. Both boards are comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. The operations of IMC as shown through the factors outlined above and other information contained herein, clearly demonstrate that the use and control of IMC is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. IMC provides healthcare services to all individuals regardless of ability to pay. Moreover, IMC provides healthcare services to patients who meet certain criteria defined by the New Jersey Department of Health and Human Services without charge or at amounts less than established rates. IMC maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. As the sole provider of essential health services, IMC provides an essential safety net for our communities, assuring that patients receive both the care and financial help they need. IMC is the area's only non-profit health system and major provider of charity care for families without health insurance. IMC is an integrated healthcare delivery system comprised of medical centers, community health clinics, home health services, and specialty services that serve the healthcare needs of our community. PATIENT STATISTICAL INFORMATION =============================== IMC provides care to a patient base spread out over five southern New Jersey counties. With facilities in Cumberland and Salem Counties, IMC serves as the only not-for-profit acute care facility in both of those counties, accounting for over 376,000 persons, IMC is comprised of two acute care facilities and two hospital-based ambulatory care centers. Inspira Medical Center Vineland is located in Vineland, New Jersey, Cumberland County. It is a 276-bed acute care facility with 59 psychiatric beds located at the Inspira Health Center Bridgeton. Inspira Medical Center Elmer is a 96-bed acute care facility located in Elmer, New Jersey, Salem County. Additionally, IMC provides ambulatory services at two locations in Cumberland County, which are Inspira Health Center Bridgeton and the Inspira Medical Center Vineland. These ambulatory care centers provide a wide range of diagnostic and therapeutic services, including a 24/7 satellite emergency department and chronic dialysis services at Inspira Health Center Bridgeton, physical rehabilitation services, occupational medicine, laboratory and radiology services. In 2013, IMC performed 17,960 surgeries, 143,844 physical therapy treatments, 32,637 occupational health visits, 16,073 dialysis treatments, 243,844 diagnostic imaging procedures, 24,156 radiation therapy treatments and 106,732 emergency room visits. Also in 2013, inpatient admissions were 19,134 for adults and pediatrics, 204 for special care nursery, 183 for neonatal intensive care unit, 1,655 for mental health and 2,225 births. QUALITY AWARDS AND RECOGNITION ============================== In addition to providing a wide scope of services, IMC takes great pride in providing high quality, patient focused care to its communities. These efforts have been recognized at both a local and national level through a variety of awards, recognitions and accreditations, which include: Recognition for our commitment to excellence -------------------------------------------- We're proud at IMC to have received numerous accolades for excellence in healthcare. It is a reflection of our commitment to best practices and evidence-based care; supporting continuing education and staff recruitment; investing in leading edge technology; and recruiting primary care physicians, specialists and subspecialists to meet the needs of our communities. As one of the region's largest healthcare providers, we are pleased to share some of our most recent awards: - Accredited Chest Pain Center - At Inspira Medical Center Vineland, employees and physicians have met the requirements to become an Accredited Chest Pain Center, affirming that the proper staff, equipment, processes and expertise are available to provide rapid evidence-based care to patients exhibiting signs of a heart attack. - American College of Surgeons Commission on Cancer - Inspira's cancer program in Vineland is designated as a Community Hospital Comprehensive Cancer Program by the American College of Surgeons Commission on Cancer (CoC). Additionally, IMC Vineland has recently been awarded the Outstanding Achievement Award for the third consecutive year. - American Heart Association (AHA) Fit Friendly Company and Worksite Innovation Awards - Inspira Health Network promotes a culture of wellness in the workplace. In 2013, the AHA awarded Inspira with its seventh consecutive Platinum Award for Fit-Friendly Worksites at Inspira Medical Center Vineland, Inspira Medical Center Elmer and Inspira Health Center Bridgeton, making us one of only three organizations nationwide to achieve such an honor. - American Heart Association Community Innovation Award - The American Heart Association recognized Inspira Health Network with the 2013 Community Innovation Award for its "Starter Food Box" Initiative through its Discharge Coach Program and The Community Food Bank of New Jersey Southern Branch. The program works to extend nutritional care to patients beyond their hospital stay who are considered at risk for malnutrition and at a greater risk of readmission. The Community Innovation Award recognizes organizations for their innovative approaches to promoting healthy living throughout the community. Inspira is one of only 37 organizations from across the country to be presented with this award. - American Nurses Credentialing Center Magnet Facility - Inspira Health Network's medical centers in Elmer and Vineland and its health center in Bridgeton have been re-designated by the American Nurses Credentialing Center as Magnet facilities for quality patient care, nursing excellence and innovations in professional nursing practice. By receiving Magnet re-designation, Inspira maintains its status within an elite group of hospitals across the nation. Only 24 hospitals in New Jersey have been awarded Magnet recognition. - Baby Friendly Award - Inspira Medical Center Elmer is the first in New Jersey & Delaware Valley to earn international recognition as a Baby-Friendly birth facility. The designation is awarded by Baby-Friendly, USA, an accrediting body that implements the United Nations Children's Fund (UNICEF) and World Health Organization (WHO) Baby-Friendly Hospital Initiative to encourage and recognize hospitals and birthing centers that offer an optimal level of care for infant feeding. - Beacon Award for Excellence in Critical Care - Inspira Medical Centers, Inc. has received four Beacon Awards for Excellence in Critical Care as follows: - Inspira Medical Center Vineland Cardiac ICU (Gold) - Inspira Medical Center Elmer ICU (Gold) - Inspira Medical Center Vineland ICU (Gold) - Inspira Medical Center Vineland Surgical ICU (Silver) - National Accreditation Program for Breast Centers - Inspira Health Network's Breast Center Vineland was recently awarded a three-year accreditation from the National Accreditation Program for Breast Centers. The accreditation, administered by the American College of Surgeons, is presented to those organizations that have voluntarily committed to provide the highest level of breast care and that successfully undergo a rigorous evaluation and review of their performance.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- Spirit of Women Premier Hospital - Inspira was named a Spirit of Women Premier Hospital for its commitment to women's health and well-being. Last year, hundreds of women attended Spirit of Women events that blend fun and learning for a great time out. ROWAN SOM MAJOR CLINICAL AFFILIATION ==================================== The Rowan University School of Osteopathic Medicine has designated IMC as a major clinical affiliate of the medical school. This partnership supports Inspira Medical Center Vineland's residency programs that will help to address the anticipated physician shortage in our region by training new doctors' right here in our community. MEDICAL AND SPECIALTY SERVICES ============================== IMC is a nonprofit healthcare organization that provides a broad spectrum of inpatient care and ambulatory care. In addition to its general medical, surgical, obstetrical, gynecological, pediatric and psychiatric services, IMC offers a wide array of diagnostic and treatment modalities and various specialty services. Comprehensive acute care services are provided at Inspira Medical Center Vineland and Inspira Medical Center Elmer. Each medical center campus offers 24-hour services in radiology, laboratory, cardio-pulmonary and emergency medicine. Staff is on call after hours and on weekends for surgical services and certain diagnostic services such as nuclear medicine and ultrasound. The Inspira Health Center Bridgeton is home to a satellite emergency department that serves patients 24 hours a day, seven days a week, a 10-bed hospice inpatient center and a variety of behavioral health and outpatient services. SERVICES AND PROGRAMS ===================== Inspira offers a variety of significant services and programs, several of which are described below. Inspira Medical Center Elmer ---------------------------- Inspira Medical Center Elmer is a 96-bed primary healthcare provider in Southern New Jersey. In the last several years, Elmer has undergone some renovations including the opening of their intensive care unit; a modern surgical services department; a new child/adolescent intensive outpatient mental health unit; a new maternity care center; a new physician care center, a free-standing outpatient physical therapy site; a redesigned operating room, emergency room, lobby and registration area. Inspira Medical Center Vineland ------------------------------- Located on a 62.5-acre campus in Vineland, Inspira Medical Center Vineland is a 491,989 square-foot, 276-bed facility, which opened in August 2004. In addition to offering comprehensive medical technologies and services, the Inspira Medical Center Vineland's design also emphasizes patient comfort. Inpatient Care Centers of Excellence ------------------------------------ Inspira Medical Center Vineland operates four inpatient care centers: - Women's & Children's Center of Care - Home-like labor and delivery suites - Surgical Center of Care - 10 operating suites, a modern ICU/CCU and rehabilitation services - Medical Center of Care - Acute, ICU and post-ICU, dialysis, chemotherapy and medical infusion services - Cardiology Center of Care - 37 bed cardiac acute care unit, ICU and post-ICU and cardiopulmonary unit The inpatient care centers allow for the co-location of like acute and critical care units. The surgical intensive care unit is adjacent to the surgical step-down/post-intensive care unit. This step-down unit is likewise adjacent to the surgical acute care beds. As the patient's illness or injury becomes less acute, the patient can move down this continuum of care without ever physically leaving the inpatient care centers. This configuration also simplifies physicians' rounds. All patient rooms at the Inspira Medical Center Vineland are single patient rooms which increases patient privacy, confidentiality and comfort. The use of private rooms allows for more efficient care and reduces the risk of patients contracting a nosocomial infection during their stay. Also, given the increase in patient acuity and the corresponding increase in demand for more equipment, private rooms provide more space for specialized equipment and caregivers at the bedside. Rooms at Inspira Medical Center Vineland are designed with viewing windows along the hallway allowing patients to be observed by medical personnel without being disturbed. TECHNOLOGY ========== Inspira Medical Center Vineland offers a wide variety of technology which include: -Patient monitoring from one central location. - Picture Archiving and Communications Systems' (PACS) imaging equipment electronically stores x-rays, cat scans or other digital images. Physicians are able to view an image at any terminal at Inspira Medical Center Vineland or in their office. - Inspira Medical Center Vineland has incorporated wireless technology that includes handheld devices with instant messaging that allow nurses to monitor patients and allow physicians to review diagnostic test results more rapidly. - Sophisticated nurse call systems allow physicians, nurses and other staff to quickly find patient nurses. While this nurse call system improves inter-staff communications, it also improves patient care by reducing the time required to get the necessary staff and resources to the bedside. - A pneumatic tube system carries lab tests, pharmaceuticals and patient charts throughout Inspira Medical Center Vineland. This tube system, hidden behind the walls, greatly improves the turnaround time for lab tests and new drug orders. - The medication administration check system ensures patient safety by allowing nurses to scan barcodes at the bedside positively linking the prescribed drugs with the intended patients. - A teleneurology program gives Emergency Room patients quick access to board-certified neurologists, 24/7, and allows emergency room staff to provide rapid stroke diagnosis at a moment's notice. - Digital mammography is available and provides state-of-the art imaging technology for thousands of screenings for breast cancer. - Surgiboards, an innovative patient tracking system, brings a new level of efficiency to the surgical services department at Inspira Medical Center Vineland providing real-time monitoring and instant communications to staff in key locations throughout surgical services. - IMC initiated its own Health Information Exchange (HIE) bringing network physicians onto their own electronic health record. - Computerized Physician Order Entry (CPOE) provides an opportunity to standardize physician order sets and workflows, enhancing patient care and patient safety. CPOE is a major step toward the fully electronic health record. CANCER SERVICES =============== The Inspira Frank and Edith Scarpa Regional Cancer Pavilion, which originally opened at Inspira Medical Center Vineland in May 2005 and underwent a $12 million expansion in 2008-2009. The expansion nearly triples the size of the cancer treatment facility, creates a one-stop experience for cancer patients, expands clinical drug research, helps recruit physicians with cancer specialties, consolidates services and brings medical oncology and radiation oncology under one roof to provide the latest and highest quality cancer care in the region. Experienced radiation oncologists and staff provide state-of-the-art treatment including IMRT and IGRT, with the latest high-dose-rate treatments. Two linear accelerators in the facility perform advanced radiation therapy treatments, Intensity Modulated Radiation Therapy (IMRT), PET/CT imaging and High Dose Rate (HDR) radiation treatment. Staffing is provided by a multidisciplinary team including board-certified physicians, medical oncologists, palliative care specialists, radiation oncologists, OCN and AOCN nurses. Through a partnership with the Fox Chase Cancer Center, Philadelphia, PA, IMC also provides advanced cancer care through more than 30 national clinical trials. These studies test new treatments, diagnostic techniques and methods for preventing cancer. COMPREHENSIVE CARDIOVASCULAR SERVICES ===================================== Inspira offers comprehensive cardiac services, including diagnostic cardiac catheterization and emergency cardiac catheterization with angioplasty and stenting, also known as emergency PCI, at Inspira Medical Center Vineland. IMC Elmer provides enhanced external counter-pulsation (EECP), a non-invasive therapy to treat persistent angina. Inspira Medical Centers Elmer and Vineland also provide quality cardiac rehabilitation services and are designated by the state as primary stroke centers.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	A CENTER OF EXCELLENCE FOR BARIATRIC SURGERY ============================================ Inspira Medical Center Vineland has been named an American Society for Metabolic and Bariatric Surgery (ASMBS) Bariatric Surgery Center of Excellence. The ASMBS Center of Excellence designation recognizes surgical programs with a demonstrated track record of favorable outcomes in bariatric surgery. To earn a center of excellence designation, the Inspira Medical Center Vineland underwent a series of site inspections during which all aspects of the program's surgical processes were closely examined and data on health outcomes was collected. BREAST IMAGING CENTER OF EXCELLENCE =================================== Inspira Medical Center Vineland has been designated a Breast Imaging Center of Excellence by the American College of Radiology (ACR). The designation is awarded to breast imaging centers that have achieved excellence by seeking and earning accreditation in all of the ACR's voluntary, breast-imaging accreditation programs and modules, in addition to the mandatory Mammography Accreditation Program. MATERNAL AND CHILD HEALTH ========================= Hospital-based maternity services are offered at Inspira Medical Center Vineland and Inspira Medical Center Elmer, which both offer modern, private maternity suites where our physicians and nurses provide a safe and positive environment for labor and delivery. IMC also offers the services of midwives. The Women's and Children's Inpatient Care Center is located on the first floor of Inspira Medical Center Vineland and offers a LDRP (labor, delivery, recovery and post-partum) room configuration that permits a mother to choose whether she wishes to have her baby stay in the same room with her during her stay or have family members stay with her. IMC Vineland has 10 private labor/delivery/recovery rooms and 28 private post-partum rooms to encourage family bonding. The maternity care unit at Inspira Medical Center Elmer, which opened in 2003, offers comprehensive fetal testing and immunization services; c-section facilities and recovery rooms; breastfeeding and infant care education; and easy access to medical center departments for diagnostic screening. Each of the five LDRP suites at Elmer's maternity care unit is designed with a private bathroom. Four of the five rooms have whirlpool tubs and the fifth has a birthing tub. NEONATAL INTENSIVE CARE UNIT (NICU) =================================== Inspira Medical Center Vineland offers advanced care for premature, low birth-weight/critically ill infants at the Level IIIa Deborah F. Sager Neonatal Intensive Care Unit. NEUROSURGERY ============ IMC completed a market study which showed that 90 percent of patients in IMC's primary service area who needed neurosurgical services were leaving the area to receive them. IMC has recruited a board certified neurosurgeon which now allows IMC to offer a broad range of neurosurgical services, including care for inter-cranial bleeding, spinal surgery and care for stroke patients. UROLOGY ======= IMC's staff includes a board certified Urologist who is fellowship trained in prostate cancer care. A Urogynecologist who specializes in pelvic reconstruction surgery has also joined the Inspira team. ONCOLOGY ======== IMC has recruited physicians to their medical staff that specialize in gynecologic oncology and oncologic breast surgery. These specialized care services were never before available to the members of our community. IMC SPORTS REHABCARE VINELAND ============================= IMC Sports RehabCare is conveniently located within Inspira Fitness Connection Vineland. The dedicated staff works closely with orthopedic surgeons to assist patients with the rehabilitation and treatment of arthroscopic procedures, total joint replacements for hip and knee, intricate hand and foot surgery and specialized spine procedures. The rehab centers new AlterG Anti-Gravity Treadmill introduces technology that "unweights" a user, reducing the impact of walking or running on both muscles and joints. This enables patients to maintain their natural gait while rehabilitating and may even speed the process of therapy. BEHAVIORAL HEALTH SERVICES ========================== IMC Behavioral Health Services has 59 acute care psychiatric beds at the Inspira Health Center Bridgeton, providing inpatient services for both the adult and child/adolescent populations throughout the Southern New Jersey region. Child & Adolescent Services --------------------------- - Child and Adolescent Intermediate Inpatient Program (ages 5 to 17) - This program provides services to displaced patients previously receiving care at the Arthur Brisbane Child Treatment Center. Thorough evaluation and treatment options are available for children who require longer-term hospitalization. This 12-bed intermediate care unit is the area's only experienced long term psychiatric treatment center for inpatient care of this age group. - Child and Adolescent Partial Hospitalization Program (ages 5 to 17) - This year, Inspira completed renovations to expand the Child/Adolescent Partial Hospitalization Program in the Children's Behavioral Health Inpatient Unit at the Bridgeton Health Center. This inpatient unit provides evaluation, diagnosis and treatment for children from Cumberland, Atlantic and Cape May counties. The new 14-bed unit offers larger, private patient rooms, up-to-date security, a comfort room, a family room and an art room. There is also a school room in which patients attend learning sessions for two hours a day. - Inpatient Program for Children and Adolescents (ages 5 to 17) - This inpatient program provides the region with an advanced Children's Crisis Intervention Program for complete inpatient evaluation, diagnosis, and treatment for youth who are in need of immediate treatment. The newly renovated unit offers group and individual therapy as well as around-the-clock nursing care. - Intensive Outpatient Programs (ages 11 to 17) - Inspira Health Center Bridgeton offers an intensive outpatient program, which assists adolescents in Cumberland & Salem Counties find better pathways to healthy development. - Therapeutic Nursery (ages 3 to 5) - Inspira offers a Therapeutic Nursery Program (ages 3 to 5) to help children early on who struggle with behavioral disorders. We collaborate with all key stakeholders in the child's life to establish individualized treatment goals. Adult Services -------------- - Inpatient Program for Adults - Inspira's short-term care facility and voluntary inpatient programs offer complete inpatient evaluation, diagnosis, treatment and around-the-clock nursing care for adults who are in need of a higher level of treatment. The facility features a newly constructed 33-bed unit designed to promote healing. - Adult Partial Hospitalization Program - The Adult Partial Hospitalization Program provides services similar to the intensity and scope of inpatient treatment, but with significantly less disruption to the lives of patients and their families. The program is designed for people with symptoms that seriously impact their daily functioning, but who are hoping to avoid hospitalization or are in need of a transition from inpatient to outpatient care. This program follows an acute short-term model of intensive treatment with multiple sessions to span over a few weeks. - Adult Intensive Outpatient Program - The Adult Intensive Outpatient Program provides intensive, structured, clinical services to individuals experiencing significant emotional distress. The program offers the flexibility for clients to attend specialized day or afternoon group therapy. Typically, individuals attend for three hours per day, two or three times per week. The program's psychotherapy and psycho-educational groups provide a safe, caring environment in which individuals can address their mental health needs, gain a better understanding of their illness, improve coping skills and draw on mutual support. The IOP program also provides access to a 24/7 contact line that will connect people with IMC mental health staff. INSPIRA HEALTH NETWORK LIFE, INC. ================================= IMC began the LIFE (Living Independently for Elders) program in 2011. This program is part of the national PACE (Programs of All-inclusive Care for the Elderly) program. For our senior citizens, the ability to remain in their homes is often the most important factor in their quality of life. This program allows older adults, with ongoing health needs to live independently at home as long as possible.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	URGENT CARE CENTERS =================== IMC is proud to offer three Urgent Care Centers. The first of the three is Inspira Urgent Care Tomlin Station located in Mullica Hill, followed by Inspira Urgent Care Glassboro and Inspira Urgent Care Woolwich. Urgent care centers are a convenient way of seeking treatment of a minor injury or illness. The centers are equipped to treat a wide range of minor or non-life-threatening conditions that do not require the life-saving services of a hospital emergency room. COMMUNITY BENEFIT EFFORTS ========================= In its role as the sole not-for-profit acute care provider in Cumberland and Salem Counties, IMC and entities under its parent, provide and participate in a number of services and programs in our community. From community education to participation in community-focused groups, IMC provides a wide range of services. Improve Community Health ------------------------ Inspira Medical Centers provides its neighbors with many programs and services that help improve the health of the community. Examples of some of these programs and services are: - Cancer Services - Inspira Frank and Edith Scarpa Cancer Center offers a number of outreach services, which provide support and education in the community. IMC's Breast Cancer Bridge Program, Men's Cancer Support Group and Patient Navigators all serve as healthcare advocates, helping patients navigate through their cancer journey. As a Fox Chase Cancer Center partner, IMC provides leading-edge cancer care through national clinical trials, which focus on cancer treatment, diagnostic and prevention methods. IMC has the opportunity to recruit a large amount of patients for Fox Chase's newest clinical trials, providing local access to the latest strategies against cancer. - Health Information - Access to quality health information is important and IMC provides a variety of healthcare information to the community on its website and through publications to the general public. The community has monthly access to IMC medical experts through partnerships with the local newspapers featuring monthly sections like "Ask the Doctor" and "Healthline", which allow readers to submit questions and receive responses about important healthcare issues online or via fax. IMC also reaches out to the community through the newspapers monthly "Health Connection" publication, which contains news and information about local health issues, options, tips, resources, support groups and more. "Family & Friends" is a quarterly external publication that offers health information to promote healthy living, heighten awareness of health issues, recognize common symptoms of disease and encourage medical attention and treatment. IMC's website offers a wealth of health information to the community including free access to Look, Listen and Learn, an online library of educational videos covering a variety of medical conditions and procedures. In addition, IMC offers two e-newsletters, "Health E You", a healthy living newsletter, and the "Cancer E-newsletter". A free subscription to each is available through Inspira's website. - Garden AHEC Educational Programs - The Cumberland Empowerment Zone Corporation's 21st Century Community Learning Center program offers after school and summer courses in nutrition, fitness, healthy lifestyles, careers in healthcare and a positive youth development program focusing on psychosocial teen health topics. These programs are offered to underprivileged and minority middle & high school students. - Health Fairs and Screenings - IMC also reaches out to those in our community who do not regularly come through the doors of our medical centers. IMC reaches out to a variety of local employers by participating in on-site health fairs and events to offer valuable health information to our neighbors. In addition, IMC hosts senior luncheon classes and senior health education days, which include flu shots and educational sessions. In recognition of stroke awareness month, IMC hosts a stroke awareness education & screening day which includes free educational sessions, blood pressure checks and stroke screening tests. IMC's annual Spirit of Women Health Screening Day brings a myriad of health services and education together in one central location at Inspira Medical Center Vineland. At the event, attendees receive a range of free health screenings, including blood pressure and pulse oximetry, body mass index, heart disease risk assessment, skin cancer (face), foot and wound care, behavioral risk assessment, sleep apnea assessment, step test (resting heart rate), heel bone density and more. In addition, fun group activities are held, including yoga, line dancing and cooking demonstrations, as well as a relaxation room and meditation sessions. - NJCEED - IMC is Cumberland County's lead agency for the New Jersey Cancer Education and Early Detection Program (NJCEED), which provides comprehensive cancer outreach, education and free screenings to underserved and uninsured residents who might otherwise not have access to these important diagnostic screening services. In 2013, 401 breast, cervical, colorectal and prostate screenings were provided through the grant. - Support Groups - To help address social, psychological or emotional issues related to diseases and health issues, IMC offers a variety of free support groups that include, but are not limited to, women's cancer, diabetes, cardiopulmonary health, prostate cancer, smoking cessation, stroke and five levels of bariatric support. Additionally, IMC donates the use of space in its facilities for external nonprofit organizations to hold support group meetings for substance abuse such as Alcoholics Anonymous and Narcotics Anonymous. - Support Services - Staff members of IMC's Patient Business Services department, in addition to providing financial counseling to individuals, make frequent visits to various community groups and social service agencies, educating them on the charity care options and financial assistance programs available. In addition, a significant level of charity care, financial assistance, transportation assistance and language assistance services are provided for the underserved and vulnerable populations. - Training Classes - IMC offers a wealth of educational programs designed to promote a safe and healthy lifestyle. Training classes are regularly available on such topics as childbirth, breast-feeding, newborn care, understanding diabetes, CPR (Cardiopulmonary Resuscitation), ACLS (Advanced Cardiac Life Support), PALS (Pediatric Advanced Life Support), EMS (Emergency Medical Services), SafeSitter (Babysitter Training) and others. Educate Health Professionals ---------------------------- Inspira Medical Centers offers educational support to both its current health professionals and tomorrows physicians - Garden AHEC Educational Conferences - Garden AHEC (Area Health Education Center) is a program affiliated with the Rowan University School of Osteopathic Medicine which facilitates improved community health outcomes through collaborative initiatives linking needs to educational resources. Targeting the educational needs of primary care providers, nurses, social workers and other allied health professionals in the community, Garden AHEC offers accredited continuing education programs on topics such as autism, dermatology, diabetes, dialysis, infectious diseases, wound care, mental health, childhood obesity, social work, pediatric pharmacology, trauma patient care and treatment, immigration and many others. - Health Professionals Education - Education helps prepare the next generation of healthcare professionals, which is why we strongly support medical education at all academic levels and find innovative ways to inspire young people to pursue careers in a wide variety of medical fields. Community medicine rotations with the Rowan University School of Osteopathic Medicine (Rowan SOM), provides third year medical students a two-week rotation in community-based agencies and organizations to learn about underserved and culturally diverse populations, including barriers to accessing care. Responding to the nursing shortage, IMC offers nursing education programs, externships and internships. IMC also offers its facilities for graduate medical student rotations, social work and mental health internships, dietetic internships and clinical rotations for nursing, nurse practitioners, pharmacy, EMT, physical therapy, podiatry, radiology and ultrasound. IMC medical staff routinely hosts students for job shadowing and student observations.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- Residency Programs - IMC has partnered with Rowan School of Osteopathic Medicine to train the next generation of physicians. These medical school graduates work side-by-side with experienced members of the IMC Medical Staff, 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. In 2013, there were 98 residents on staff. - School Programs on Health Careers - IMC provides educational opportunities and hosts special events, job shadowing and programs to middle and high school students who are interested in pursuing careers in healthcare and medicine. To reach every age group in the community, IMC staff also extends hospitals tours to preschool and first graders, as their primary introduction to the healthcare environment and promotion of healthy lifestyles. - Symposia - IMC is preparing for the healthcare challenges of the future by supporting the continuing education needs of physicians and allied health personnel in the community. Programs are available on the latest advancements and leading-edge research on topics such as cancer, critical care, nephrology, pediatrics and obstetrics. These continuing education opportunities give health professionals and physicians in our community and across the region the ability to meet and discuss important issues within our industry. - Community Needs Assessment - In collaboration with various community and government organizations, IMC began conducting a Community Needs Assessment in 2011 to identify and address the health needs of the community. IMC partnered with over 15 local organizations to form the Cumberland/Salem/Gloucester Health & Wellness Alliance. The Alliance conducted survey assessments and focus groups to target the most prevalent needs in our community. Through a planned and organized effort, the group worked collectively to address these priorities by tapping into the resources of the community and collaborating on initiatives. IMC actively contributes to this process and engages in the identified priorities that match its mission, expertise, resources and capacity. Currently IMC is working to implement the identified strategies and will track their progress going forward. In addition to these organized needs assessment efforts, ongoing community meetings with local providers, local health departments, local politicians, organizations and community leaders are sponsored by the network to address the ongoing needs of the community. ACCESS TO AND IMPROVING THE QUALITY OF HEALTHCARE ================================================= IMC has both participated in and conducted a number of programs to improve access to healthcare services: - Efficient and Quality Patient Care - As the leading community provider in southern New Jersey, IMC is highly regarded for its quality of care and services in the region. Clinical quality and service excellence remain top strategic initiatives. To further increase the efficiency of patient care, IMC has transitioned to electronic medical records making significant investments in its clinical computer systems. The organization will expand its core quality measures by participating in several regional and national performance improvement programs that will provide benchmarking data and tools for measuring and reporting clinical quality. - Patient Satisfaction - IMC uses a patient satisfaction tool called the Hospital Consumer Assessment of Healthcare Providers Survey HCAHPS). This standardized survey measures our patients' perceptions about their hospital experience and provides feedback about how we are doing, both good and bad. This assists us to continually make improvements and provide even better care for the community. - National and Regional Initiatives - IMC has been an active participant in national and regional initiatives, including the following: Center for Medicare and Medicaid services: ------------------------------------------ - National "Hospital Compare" Initiative VHA, Inc. Patient Quality and Safety Initiatives: ------------------------------------------------- - Medication Reconciliation Collaborative (IMC - Vineland & Elmer) - Rapid Response Team collaborative (IMC - Vineland & Elmer) - Transformation of the ICU and TICU (IMC - Vineland & Elmer) Institute for Healthcare Improvement (IHI): ------------------------------------------- - Member of the Institute for Healthcare Improvement - 100,000 lives campaign (IMC - Vineland & Elmer) - Member of the Institute for Healthcare Improvement - 5 million lives from harm campaign (IMC - Vineland & Elmer) New Jersey Hospital Association initiatives: -------------------------------------------- - Participants in the NJHA pressure ulcer collaborative (IMC - Vineland & Elmer) - Participants in the NJHA rapid response teams collaborative (IMC - Vineland & Elmer) Community Service and Community Building Programs ================================================= IMC is much more than a healthcare network; it is a community partner dedicated to improving community health and collaborating with other community partners on health initiatives that address the health priorities of the communities it serves. Our partnerships leverage the strength of multiple community organizations while encouraging community-wide collaborative efforts to benefit the community. - Advocacy for Community Health Improvements & Safety - IMC 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: - Advocates for Children of NJ - American Hospital Association - Cumberland County Children's Youth Council - Cumberland County Homeland Security County Working Group Committee - Cumberland Inter Agency Coordinating Council - Medical Coordination Center Advisory Council - New Jersey Hospice & Palliative Care Organization - New Jersey Hospital Association - New Jersey Division of Mental Health Services - National Association for Home Care & Hospice - Tri-County Inter-Agency Coordinating Council - Salem County Homeland Security - Southeastern PA Regional Task Force - Southern New Jersey Perinatal Cooperative - Southern Region Children's Coordinating Council - Cumberland/Salem/Gloucester Health & Wellness Alliance - Community Advisory Committee - IMC hosts the Community Advisory Committee meeting once every quarter. The committee is comprised of local community leaders from various organizations who volunteer their time to come in and receive information on the latest happenings within Inspira Health Network. Towards the end of the meeting there is a question and answer session, during which each community representative is encouraged to bring forward questions from the community it represents. - Economic Development and Community Involvement - The impact our troubled economy has had on healthcare extends beyond the hospital to the well-being of our neighbors. To help address the root causes of health problems such as poverty, homelessness and unemployment the hospital offers the expertise and resources of its healthcare employees as active board members and participants with various community organizations. Additionally, IMC employees, from staff to CEO, participate on the boards of a variety of organizations whose focus is not only of the health needs of the community, but on the overall needs of the community. Some of these organizations include: - American Red Cross South Jersey Chapter - Bridgeton Chamber of Commerce - Bridgeton Rotary Club - CEZ 21st Century Community Learning Centers - Cumberland County Prosecutor's Office - Elmer Rotary Club - Food Bank of South Jersey - Gloucester County Chamber of Commerce - Mayor's Campaign for Healthier Bridgeton, Millville, Vineland - Millville Chamber of Commerce - Ministerial Fellowships of Bridgeton, Millville and Vineland - Salem Chamber of Commerce - Southern NJ Development Council - United Way of Cumberland County - Vineland Rotary Club
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- Emergency Preparedness - IMC readies itself for catastrophic disaster above and beyond licensure requirements. This includes an internal, formalized hospital emergency response/decon team of dedicated staff who conduct extensive quarterly decontamination training. IMC partners with Offices of Emergency Management, local police and other related agencies to coordinate community-wide mass casualty drills and participates in state sponsored disaster planning drills to rehearse healthcare preparedness for mass casualty disasters and public health emergencies. - Employer Forum - IMC Occupational Health developed this quarterly forum to address, target and discuss medical issues, employee health, safety and wellness of workforce populations with employers throughout Cumberland County. - Environmental Safety - Inspira Medical Centers participates in a Safe Syringe Program that helps the community to safely and responsibly dispose of syringes, needles and lancets generated in the home. This program helps assure a safe environment by providing the community an outlet to properly dispose of medical waste. Each year, community members are provided with sharps containers and are permitted to drop off to IMC where they are properly disposed of. - Extended Care Facility Consortium (ECF) - In 2009, a collaborative group was formed between IMC and the neighboring extended care facilities. The role of the ECF is to facilitate outreach and provide information, services, resources and a continuum of access to care for elderly populations within Cumberland County. - IMPACT - Innovative Model for Preschool and Community Teaming (IMPACT), was developed through collaboration between IMC and the Vineland Board of Education. It provides health and social services, childcare for infants and toddlers, preschool programs and literacy programs that target the needs of the low income residents in Cumberland County. It also addresses issues such as teen pregnancy, literacy, teen parenting, child care and early childhood education. Every year, the program makes a positive impact on the lives of thousands of kids and their families. IMPACT provides a number of educational opportunities for the community including: * IMPACT's Teen Parenting Program provides parenting classes, childcare services, prenatal care, and life skills education to teen parents in Vineland high schools only and promotes lifelong learning and second pregnancy prevention. In 2012, 46 teens were enrolled during the school year. * IMPACT's School Based Youth Services Program (SBYSP), offers health services, tutoring, counseling, recreation and life skills training at the Vineland High School, Vineland Wallace Middle School and Millville High School. * The IMPACT Family Outreach Program is an Abbott program which coordinates family outreach and support with social workers who service Abbott preschool providers in Bridgeton, Millville and Vineland. * The IMPACT Child Care program is accredited by the national association for the education of young children and is open to children from 6 weeks to 5 years old with health center services provided on site. In 2013, 60 children were enrolled in the Child Care Program and 39 were enrolled in the Wrap Around Program. * IMC's Family Success Centers in Vineland and Port Norris provide services and programs that connect families with community resources ranging from housing and legal assistance to help obtaining household items and food. The center focuses on 10 core services to strengthen families by providing assistance with obtaining health insurance, selecting physicians, providing workshops that increase positive interaction between parents and children, promoting family literacy, addressing health issues and legal issues such as immigration and other topics relevant to the community. - Improving access to healthcare for uninsured/underinsured - IMC has a proud history of helping uninsured residents get the coverage they need. IMC has worked in collaboration with NJHA (New Jersey Hospital Association) to provide certified application counselors assist community members in accessing the new federal healthcare exchange to apply for health insurance as mandated by the Patient Protection and Affordable Care Act. - Mayor's Campaigns for Healthier Vineland, Millville and Bridgeton - Various IMC staff are active committee members of the Bridgeton, Millville and Vineland Mayor's Campaigns for Healthier Communities. In collaboration with IMC, the local Federally Qualified Healthcare Center (FQHC), CompleteCare Health Network (CCHN) and other collaborative partners, co-host community health fairs, facilitate community outreach events and connect the medically disenfranchised to the appropriate healthcare and social service providers to encourage uninsured residents to enroll in affordable healthcare programs. The committees are dedicated to improving healthcare for Vineland, Millville and Bridgeton residents by making resources available through increased awareness and access. - Medical Explorers Program - In partnership with the Boy Scouts of America, Garden AHEC's Medical Explorers Program provides an opportunity for teens interested in medical careers to interact with physicians and nurses, learn various careers and experience realistic portrayals of specialty areas such as "A Night in the OR." - STEPS for Kids - STEPS for Kids was developed via collaboration between IMC, the Robert Wood Johnson Foundation and Cumberland/Cape/Atlantic YMCA, to reduce childhood obesity in Vineland and Bridgeton schools by educating boys and girls aged 8 to 12 identified by school nurses with an assessed BMI level at or above the 85th percentile who are at risk for obesity. Parents and children attend 12-week interactive bi-lingual program that focuses on balanced meal plans and simple exercise techniques that help families achieve healthier lifestyles. This program is completely funded and ran by IMC through its Garden AHEC department. - IMC Spirit of Women - Recognizing the uniqueness of women and the influence they hold over the health of their families, IMC is proud to be a participant of the Spirit of Women Program, part of a national movement for women's wellness to promote health and motivate women to make positive changes in their lives. Some of the groups 2013 events included Day of Dance, Rethink RA with Celebrity Chef Mullen and Girls Night Out. IMC Spirit of Women also holds a quarterly seminar series, each focusing on a specific issues concerning women's health. - Auxiliaries - The Inspira Health Network Auxiliary Cumberland County and the Inspira Health Network Auxiliary Elmer hold various events throughout the year like the Princess Party, Calendar Raffle and Yard Sale. In 2013 they donated $40,750 to Inspira Health Network. - Volunteers Program - Whether greeting visitors at the front desk or comforting patients at their bedside, volunteers play an important role in IMC's tradition of compassionate care. Our successful volunteer program consists of adults and teens with age ranges from 14 to 96 who provide assistance in a vast array of areas such as accounting, education, public relations, laundry, emergency room, surgical services, pediatrics, nursing and more. In 2013, 690 dedicated and generous volunteers donated more than 65,481 hours of service throughout the health network - Digital Mammography - Inspira Medical Center Elmer has made strides increasing Salem County residents' access to digital mammography, targeting younger women who have a family history of breast cancer and African American women over the age of 50. IMC created an educational DVD called 'two good reasons for a mammogram; a mother and son's story' to reinforce the notion that preventative care and a woman's health directly affect her family. affect her family.
CORE FORM, PART III; LINE 4D	EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7	INSPIRA HEALTH NETWORK, INC. ("network") IS THE SOLE MEMBER OF THIS ORGANIZATION. network HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
CORE FORM, PART VI, SECTION B; QUESTION 11b	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY, ITS BOARD OF DIRECTORS, 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 DIRECTORS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND NETWORK'S GENERAL COUNSEL FOR REVIEW. THEREAFTER, GENERAL COUNSEL PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS WHICH IS THEN PRESENTED TO THE NETWORK'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. NETWORK'S BOARD OF DIRECTORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
CORE FORM, PART VII AND SCHEDULE J	PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THIS ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS.
CORE FORM, PART VII, SECTION A, COLUMN B	THIS ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF DIRECTOR MEMBERS, 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 DIRECTORS 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 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - FORGIVENESS OF DEBT - INSPIRA HEALTH MANAGEMENT, INC.; A RELATED ORGANIZATION - ($2,000,000); - OTHER INCREASES IN UNRESTRICTED NET ASSETS - $1,000; - NET ASSETS RELEASED FROM RESTRICTION FOR PROPERTY AND EQUIPMENT - $235,000; - CHANGE IN BENEFICIAL INTEREST IN TEMPORARY TRUST; TEMPORARILY RESTRICTED $177,000; - NET ASSETS RELEASED FROM TEMPORARY RESTRICTION - ($241,000); - OTHER DECREASES IN TEMPORARILY RESTRICTED NET ASSETS - ($13,000); AND - INCREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUST; PERMANENTLY RESTRICTED - $121,000.
CORE FORM, PART XII; QUESTION 2	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS INSPIRA HEALTH NETWORK, INC. ("NETWORK"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE NETWORK AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 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 CENTERS, INC. AND INSPIRA HEALTH NETWORK FOUNDATION CUMBERLAND/SALEM, INC. 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.
CORE FORM, PART XI; QUESTION 3	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED 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/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
INSPIRA HOMECARE & HOSPICECARE INC
333 IRVING AVENUE	BRIDGETON	NJ	08302	226067549	HOSPICE SVCS.	NJ	501(C)(3)	509(A)(2)	NETWORK	false
INSPIRA HEALTH NETWORK INC
333 IRVING AVENUE	BRIDGETON	NJ	08302	222508425	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)		false	N/A
INSPIRA HLTH NTWK FDN CUMBERLANDSALEM
333 IRVING AVENUE	BRIDGETON	NJ	08302	223746758	SUPPORT NTWK	NJ	501(C)(3)	509(A)(3)	IMC	Yes (true)
INSPIRA HEALTH NETWORK LIFE INC
2950 COLLEGE DRIVE SUITE 1E	VINELAND	NJ	08360	264827936	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	NETWORK	false
INSPIRA MEDICAL CENTER WOODBURY INC
509 NORTH BROAD STREET	WOODBURY	NJ	08096	221820210	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	NETWORK	false
INSPIRA HLTH NTWRK FDN GLOUCESTER COUNTY
509 NORTH BROAD STREET	WOODBURY	NJ	08096	222333409	SUPPORT IMCW	NJ	501(C)(3)	509(A)(1)	IMCW	false
TRI-COUNTY CARDIOVASCULAR SERVICES PC
509 NORTH BROAD STREET	WOODBURY	NJ	08096	454199382	HEALTH SVCS.	NJ	501(C)(3)	509(A)(1)	NETWORK	false
INSPIRA HEALTH CONNECTIONS PC
509 NORTH BROAD STREET	WOODBURY	NJ	08096	454203973	HEALTH SVCS.	NJ	501(C)(3)	509(A)(1)	NETWORK	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
BPOC LP
333 IRVING AVENUE	BRIDGETON	NJ	08302	222956029	REAL ESTATE	NJ	N/A
OAK & MAIN SURGICTR
907 NORTH MAIN ROAD	VINELAND	NJ	08360	223532371	HEALTHCARE SVCS.	NJ		IMC	RELATED	$145,621	$345,659	false	$0	false	0.85000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	CountryForeignAddress/Country	Postal CodeForeignAddress/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
INSPIRA HELP SERVICES INC
PO BOX 126	SALEM	NJ	08079	222823028	HEALTHCARE SVCS.	NJ	N/A	C CORP.	false
INSPIRA HEALTH MANAGEMENT CORPORATION
333 IRVING AVENUE	BRIDGETON	NJ	08302	222502241	HEALTHCARE SVCS.	NJ	N/A	C CORP.	false
INSPIRA HEALTH NETWORK MEDICAL GROUP PC
2950 COLLEGE DRIVE SUITE 1E	VINELAND	NJ	08360	225745047	HEALTHCARE SVCS.	NJ	N/A	C CORP.	false
JUNO ASSURANCE LTD
					FINANCIAL VEHICLE		N/A	FOREIGN CORP.	false	AON HOUSE 4TH FLOOR	PEMBROKE	BD	HM 08	BD
INSPIRA HEALTH NETWORK URGENT CARE PC
201 TOMLIN STATION ROAD	MULLICA HILL	NJ	08062	452900402	HEALTHCARE SVCS.	NJ		C CORP.	Yes (true)						IMC	$2,061,117	$499,931	1.00000
RED BANK DEVELOPMENT CORPORATION
509 NORTH BROAD STREET	WOODBURY	NJ	08096	222814053	HEALTHCARE SVCS.	NJ	N/A	C CORP.	false
INSPIRA HOMECARE SERVICES INC
509 NORTH BROAD STREET	WOODBURY	NJ	08096	223479390	HEALTHCARE SVCS.	NJ	N/A	C CORP.	false

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

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM
D	$1,880,399	COST
INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM
E	$1,745,000	COST
INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM
C	$819,366	COST

Supplemental Information Detail SupplementalInformationDetail

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