2014-11-17T09:42:30-06:00 2013-12-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2013-01-01 210634484 INSPIRA MEDICAL CENTERS INC % THOMAS P BALDOSARO CPA INSP 8566418610 333 IRVING AVENUE Suite BRIDGETON NJ 08302 THOMAS BALDOSARO CFO 8566416605 2014-11-10 true Anthony J Panico P00365556 8566416605 2013 2015-11-30 17:44:51Z JOHN A DIANGELO 333 IRVING AVENUE BRIDGETON NJ 08302 413724824 false X WWW.INSPIRAHEALTHNETWORK.ORG X 1913 NJ 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. 15 8 3918 495 125880 -16792 5236121 5476002 395221913 397091945 8778244 7842138 1860160 1702099 411096438 412112184 268992 220502 0 0 215835377 220751022 0 0 0 163705402 168897737 379809771 389869261 31286667 22242923 686048643 728720153 349972478 348243065 336076165 380477088 X 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. false false 26582690 0 17514063 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. 14028144 0 22453330 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. 12803489 0 33814885 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. 297489215 220502 323309667 350903538 true true false true false false false false false true true false true false true true false true false true true false false false false false true true true true true true false false false false false true false false true true false false false false false true true true false false true 376 0 true 3918 true true true false false false false false false false false false X 15 8 false false false false true true true true true false false true true true true true true true true true true NJ X THOMAS P BALDOSARO CPA 8566416605 333 IRVING AVENUE BRIDGETON NJ 08302 X DAVID ROBBINS JR CHAIRMAN - DIRECTOR 1.0 X X 0 0 0 HUGH MCCAFFREY VICE CHAIRMAN - DIRECTOR 1.0 X X 0 0 0 MICHAEL M ROSSI III SECRETARY - DIRECTOR 1.0 X X 0 0 0 GREGORY J FACEMYER CPA TREASURER - DIRECTOR 1.0 X X 0 0 0 BRUNO A BASILE DIRECTOR 1.0 X 0 0 0 EDWARD BETHEA DIRECTOR 1.0 X 0 0 0 JOHN B CATALANO MD DIRECTOR 1.0 X 12761 0 0 JOHN H FISHER III DIRECTOR 1.0 X 0 0 0 DAVID W GALETTO MD DIRECTOR;EX-OFF-PRES MED STAFF 2.0 X 10600 0 0 THOMAS A ISEKENEGBE PHD DIRECTOR 1.0 X 0 0 0 CHESTER B KALETKOWSKI DIRECTOR;EX-OFFICIO-PRES./CEO 55.0 X X 791676 0 232399 LAWRENCE A PEPPER JR ESQ DIRECTOR 1.0 X 0 0 0 PAUL J RITTER III DIRECTOR 1.0 X 0 0 0 JACK M SHIELDS MD DIRECTOR 1.0 X 34983 0 0 KIMBERLY E WOOD DIRECTOR 1.0 X 0 0 0 EILEEN HALLISSEY 11 - 131 DIRECTOR 1.0 X 0 0 0 TACIE TRULL 11 - 430 DIRECTOR 1.0 X 0 0 0 WAYNE C SCHIFFNER Term 615 EVP/CHIEF STRATEGY OFFICER 55.0 X 603107 0 61142 JOHN A DIANGELO EVP/CHIEF FINANCIAL OFFICER 55.0 X 655356 0 127831 ROBERT E FLORENTINE SVP/CHIEF PEOPLE OFFICER 55.0 X 318210 0 66462 ELIZABETH A SHERIDAN COO - INSPIRA MED CTR VINELAND 55.0 X 376898 0 103323 DAVID YHLEN COO - ELMER 55.0 X 254046 0 14475 STEVEN C LINN MD CHIEF MEDICAL OFFICER 55.0 X 434891 0 55248 ROBERT M DANGEL ESQ GENERAL COUNSEL 55.0 X 337891 0 117994 ARTHUR BOOTE VP AMBULATORY CARE 55.0 X 315090 0 66147 JOHN C BICKINGS VP FACILITIES & CONSTRUCTION 55.0 X 307719 0 76715 THOMAS P BALDOSARO CPA VP FINANCE 55.0 X 293758 0 35840 THOMAS PACEK VP/CIO 55.0 X 278880 0 40869 CLARE SAPIENZA ECK VP BUS DEV & PHYSICIAN REL. 55.0 X 243045 0 60079 CAROLYN S HECKMAN VP GOVERNMENT RELATIONS 55.0 X 220868 0 63850 ANNE MCCARTNEY VP PATIENT SERVICES - VINELAND 55.0 X 196300 0 55324 MIKOLE BURKE ANDERSON VP CORPORATE COMPLIANCE/ETHICS 55.0 X 182677 0 23667 JANET DAVIES VP PATIENT SERVICES - ELMER 55.0 X 151882 0 30980 EDWARD GRAY MD PHYSICIAN 55.0 X 297796 0 18369 JOSEPH M ALESSANDRINI AVP - CLINICAL SERVICES 55.0 X 215761 0 40384 ROBERT J SMICK MD PHYSICIAN 55.0 X 215319 0 36954 DAVID MURRAY CONTROLLER 55.0 X 190317 0 29786 CHRISTOPHER BALLAS MD PHYSICIAN 55.0 X 180366 0 24915 7120197 0 1382753 144 false true false LF DRISCOLL COMPANY LLC 9 PRESIDENTIAL BOULEVARD BALA CYNWYD PA 19004 CONSTRUCTION MGMT. 9274119 TRANSAMERICA PO BOX 13029 NEWARK NJ 07188 RETIREMENT MGMT 8827385 REGIONAL DIAGNOSTIC IMAGING LLC PO BOX 2089 VINELAND NJ 08360 RADIOLOGY 6337758 SIEMENS MEDICAL SOLUTIONS 51 VALLEY STREAM PARKWAY MALVERN PA 19355 IT 5498654 REHABCARE GROUP INC PO BOX 502096 ST LOUIS MO 63150 REHABILITATION 4016595 224 X 819366 4643752 12884 5476002 NET PATIENT SERVICE REVENUE 541900 390646095 390646095 OTHER HEALTHCARE RELATED REVENUE 812300 6445850 6319970 125880 397091945 7832193 7832193 9945 9945 0 1294176 1612640 -318464 0 -318464 -318464 0 0 0 0 CAFETERIA/DIETARY 900099 1562697 1562697 GIFT SHOP 453220 457866 457866 2020563 412112184 396966065 125880 9544237 191333 191333 29169 29169 0 0 7252986 6527690 725296 0 160713988 144642589 16071399 0 12438101 11194291 1243810 25081521 22573369 2508152 15264426 13737983 1526443 594458 535012 59446 1660769 1494692 166077 99566 89609 9957 277251 249526 27725 0 0 22489358 20240421 2248937 4103339 3693005 410334 6667487 6000738 666749 8073114 7265803 807311 0 6940934 6246841 694093 785784 707206 78578 0 0 8366697 7530027 836670 0 25657933 23092140 2565793 5512952 4961657 551295 MEDICAL SUPPLIES 43447933 39103140 4344793 OUTSIDE SERVICES 10522490 9470241 1052249 REPAIRS AND MAINTENANCE 5624793 5062314 562479 DUES, LICENSES&SUBSCRIPTIONS 1169859 1052873 116986 16903020 15211869 1691151 389869261 350903538 38965723 0 X 6607 12934 150803194 109022241 760193 461562 44022239 43061087 0 0 0 0 17172378 24318362 3102716 4209184 5505354 4647412 491531417 253972699 233387884 237558718 0 0 0 0 209985506 281309732 2389820 1431411 18912752 22687510 686048643 728720153 70346870 75030537 0 0 0 0 160666021 158517048 0 0 0 0 35970075 30752570 0 0 82989512 83942910 349972478 348243065 X 329752165 374092088 3827000 3767000 2497000 2618000 336076165 380477088 686048643 728720153 X 22242923 23878000 -1720000 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true 241279 true 35972 false 277251 false SCHEDULE C, PART II-B; LINES 1G AND 1H 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. 6324000 17000 298000 254000 6385000 6533000 168000 430000 807000 6324000 6882000 23000 -340000 32000 6533000 6934000 27000 227000 306000 6882000 6490000 625000 177000 358000 6934000 0.41000 0.59000 false false 9097303 9097303 223368377 67545211 155823166 1208727 955568 253159 235124026 183154608 51969418 22732984 2317312 20415672 237558718 PERPETUAL TRUSTS 4592720 F OREGANIZATION 1695603 F JOINT VENTURES 237692 F LIMITED USE 820261 F MUTUAL FUNDS; LIMITED USE 140202180 F COMMINGLED FUNDS 69702394 F CORPORATE BONDS 30002992 F GOVERNMENT SECURITIES 2447068 F MARKETABLE EQUITY SECURITIES 17678024 F EXTERNALLY DESIGNATED 4378760 F BOND INDENTURE AGREEMENTS 9552038 F 281309732 0 THIRD-PARTY PAYORS 24560760 OTHER LONG TERM LIABILITIES 53104396 ORGANIZATIONS 2413415 ACCRUED INTEREST PAYABLE 3864339 83942910 X 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. true Central America and the Caribbean 1 1 Program Services FINANCIAL VEHICLE 3214523 1 1 1 1 3214523 3214523 true false false false false false true true X true X true X 550. true true true false true true 24642 19034829 2529415 16505414 0.04230 15814 23559438 16366538 7192900 0.01840 29576 16930357 618428 16311929 0.04180 70032 59524624 19514381 40010243 0.10250 71 319999 4071982 1331226 2740756 0.00700 17 3499 10563832 233920 10329912 0.02650 10 336 4583354 1682180 2901174 0.00740 1 145486 145486 0.00040 17 3542 297874 160 297714 0.00080 116 327376 19662528 3247486 16415042 0.04210 116 397408 79187152 22761867 56425285 0.14460 8 12 29911 29911 0.00010 8 21401 1995640 1716815 278825 0.00070 1 128 868 868 7 2305 42522 42522 0.00010 2 525 124963 124963 0.00030 4 282 768155 768155 0.00200 30 24653 2962059 1716815 1245244 0.00320 false 103249851 127086422 -23836571 X true true 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 2 1 INSPIRA MEDICAL CENTER VINELAND 1505 WEST SHERMAN AVENUE VINELAND NJ 08360 WWW.INSPIRAHEALTHNETWORK.ORG 10603 X X X X 1 2 INSPIRA MEDICAL CENTER ELMER 425/475 FRONT STREET ELMER NJ 08318 WWW.INSPIRAHEALTHNETWORK.ORG 11701 X X X 1 INSPIRA MEDICAL CENTER VINELAND 12 true X X X X X X X X X 13 true true true X WWW.inspirahealthnetwork.org X WWW.healthycumberlandsalem.org X X X X X X X X X false false true true 200. true 550. true X X X X true true X X X true false X X X X X true X false false 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. 15 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 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. true AMERICAN KIDNEY FUND INC 11921 ROCKVILLE PIKE NO 300 ROCKVILLE MD 20852 237124261 501(c)(3) 19956 PROGRAM SUPPORT 1 EDUCATIONAL SCHOLARSHIPS 3 29169 SCHEDULE D, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS. X X X X X false true false false false false false true false CHESTER B KALETKOWSKI DIRECTOR;EX-OFFICIO-PRES./CEO 674469 0 87078 0 30129 0 198709 0 33690 0 1024075 0 0 0 WAYNE C SCHIFFNER Term 615 EVP/CHIEF STRATEGY OFFICER 182713 0 48031 0 372363 0 44848 0 16294 0 664249 0 312646 0 JOHN A DIANGELO EVP/CHIEF FINANCIAL OFFICER 565153 0 50084 0 40119 0 102421 0 25410 0 783187 0 0 0 ROBERT E FLORENTINE SVP/CHIEF PEOPLE OFFICER 249096 0 34035 0 35079 0 44191 0 22271 0 384672 0 0 0 ELIZABETH A SHERIDAN COO - INSPIRA MED CTR VINELAND 309877 0 25769 0 41252 0 78748 0 24575 0 480221 0 0 0 DAVID YHLEN COO - ELMER 235868 0 0 0 18178 0 0 0 14475 0 268521 0 0 0 STEVEN C LINN MD CHIEF MEDICAL OFFICER 339793 0 57301 0 37797 0 34950 0 20298 0 490139 0 0 0 ROBERT M DANGEL ESQ GENERAL COUNSEL 284629 0 29247 0 24015 0 92790 0 25204 0 455885 0 0 0 ARTHUR BOOTE VP AMBULATORY CARE 244849 0 32020 0 38221 0 45662 0 20485 0 381237 0 0 0 JOHN C BICKINGS VP FACILITIES & CONSTRUCTION 238908 0 32400 0 36411 0 56091 0 20624 0 384434 0 0 0 THOMAS P BALDOSARO CPA VP FINANCE 241196 0 34880 0 17682 0 16107 0 19733 0 329598 0 0 0 THOMAS PACEK VP/CIO 241776 0 18761 0 18343 0 21579 0 19290 0 319749 0 0 0 CLARE SAPIENZA ECK VP BUS DEV & PHYSICIAN REL. 186869 0 20116 0 36060 0 38623 0 21456 0 303124 0 0 0 CAROLYN S HECKMAN VP GOVERNMENT RELATIONS 179051 0 20339 0 21478 0 50609 0 13241 0 284718 0 0 0 ANNE MCCARTNEY VP PATIENT SERVICES - VINELAND 176194 0 17885 0 2221 0 41852 0 13472 0 251624 0 0 0 MIKOLE BURKE ANDERSON VP CORPORATE COMPLIANCE/ETHICS 168960 0 13395 0 322 0 8669 0 14998 0 206344 0 0 0 JANET DAVIES VP PATIENT SERVICES - ELMER 135778 0 14938 0 1166 0 17039 0 13941 0 182862 0 0 0 EDWARD GRAY MD PHYSICIAN 297346 0 0 0 450 0 0 0 18369 0 316165 0 0 0 JOSEPH M ALESSANDRINI AVP - CLINICAL SERVICES 185234 0 13588 0 16939 0 25458 0 14926 0 256145 0 0 0 ROBERT J SMICK MD PHYSICIAN 204587 0 0 0 10732 0 19680 0 17274 0 252273 0 0 0 DAVID MURRAY CONTROLLER 178489 0 11475 0 353 0 11047 0 18739 0 220103 0 0 0 CHRISTOPHER BALLAS MD PHYSICIAN 179897 0 0 0 469 0 8022 0 16893 0 205281 0 0 0 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. A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 210634484 64579FDB6 2004-06-24 15075000 TCU AND CTC CONSTRUCTION false false false B NJ HEALTH CARE FACILITIES FINANCING AUTHORITY 222845542 64579FJG9 2006-11-08 147675671 REFINANCE 2002 BONDS false false false A 0 0 15075000 0 0 0 118399 0 13500 14943101 0 0 2004 false false true true B 0 0 147675671 0 0 146196562 1479109 0 0 0 0 0 2006 true false true true A false false true true false 0.00000 0.00000 true false false true B 0 A true false true false 0 false 0 false true B true false false false 0 false 0 false true A true B true CUMBERLAND INT MED COMPANY OF TRUSTEE PRACTICE SUPPORT X 41554 285997 false true true 285997 SOUTH JERSEY GAS COMPANY COMPANY OF DIRECTOR 760067 UTILITIES false PERFORMANCE MARKETING COMP OF DIR'S SPOUSE 208238 MARKETING SERVICES false LYNN M KENNY FAMILY MEMBER OF DIRECTOR 67882 EMPLOYEE false CUMBERLAND INTERNAL MEDICINE COMPANY OF DIRECTOR 290058 MEDICAL SERVICES false MARY GALETTO FAMILY MEMBER OF DIRECTOR 31688 EMPLOYEE false DAVID SHIELDS MD FAMILY MEMBER OF DIRECTOR 53027 PHYSICIAN SERVICES false CORE FORM, PART VI, SECTION A; QUESTION 1 AND SCHEDULE L; PART IV 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. 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. INSPIRA HOMECARE & HOSPICECARE INC 333 IRVING AVENUE BRIDGETON NJ 08302 226067549 HOSPICE SVCS. NJ 501(C)(3) 509(A)(2) NETWORK false INSPIRA HEALTH NETWORK INC 333 IRVING AVENUE BRIDGETON NJ 08302 222508425 HEALTH SVCS. NJ 501(C)(3) 509(A)(3) N/A false INSPIRA HLTH NTWK FDN CUMBERLANDSALEM 333 IRVING AVENUE BRIDGETON NJ 08302 223746758 SUPPORT NTWK NJ 501(C)(3) 509(A)(3) IMC 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 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 145621 345659 false 0 false 0.85000 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 AON HOUSE 4TH FLOOR PEMBROKE BD HM 08 FINANCIAL VEHICLE BD N/A FOREIGN CORP. false INSPIRA HEALTH NETWORK URGENT CARE PC 201 TOMLIN STATION ROAD MULLICA HILL NJ 08062 452900402 HEALTHCARE SVCS. NJ IMC C CORP. 2061117 499931 1.00000 true 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 false false true true true false false false false false false false false false true false false true true INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM D 1880399 COST INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM E 1745000 COST INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM C 819366 COST SCHEDULE R, PART V 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.