TY 2013 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) MICHAEL A MCLAUGHLIN........................................................................ CHAIRMAN - TRUSTEE	1.0 .......................	X	X	0	0	0
(2) PAMELA S CLARK........................................................................ VICE CHAIR - TRUSTEE	1.0 .......................	X	X	0	0	0
(3) BETH N BARRY........................................................................ SECRETARY - TRUSTEE	1.0 .......................	X	X	0	0	0
(4) DANIEL J BALL III........................................................................ TREASURER - TRUSTEE	1.0 .......................	X	X	0	0	0
(5) RAYMOND J ANGELINI........................................................................ TRUSTEE	1.0 .......................	X		0	0	0
(6) SHIRLEY BIERBRUNNER........................................................................ TRUSTEE	1.0 .......................	X		0	0	0
(7) JAMES M BONNER DO........................................................................ TRUSTEE	1.0 .......................	X		0	0	0
(8) EILEEN K CARDILE MS RN CNA........................................................................ TRUSTEE; EX-OFFICIO - PRES/CEO	55.0 .......................	X	X	465,792	0	20,792
(9) LAWRENCE M DIVIETRO JR........................................................................ TRUSTEE	1.0 .......................	X		0	0	0
(10) JOHN H FISHER III........................................................................ TRUSTEE	1.0 .......................	X		0	0	0
(11) JAMES E GEORGE MD JD FACEP........................................................................ TRUSTEE	1.0 .......................	X		0	0	0
(12) DANTE G GERMANO........................................................................ TRUSTEE	1.0 .......................	X		0	0	0
(13) CHESTER B KALETKOWSKI........................................................................ TRUSTEE;EX-OFF;PRES/CEO-NETWRK	55.0 .......................	X	X	0	791,676	232,399
(14) KURT W KAULBACK MD........................................................................ TRUSTEE	55.0 .......................	X		0	550,816	31,240
(15) HERBERT J KONRAD........................................................................ TRUSTEE	1.0 .......................	X		0	0	0
(16) JAMES J LAVENDER ED D........................................................................ TRUSTEE	1.0 .......................	X		0	0	0
(17) SARAH D LOVE........................................................................ TRUSTEE	1.0 .......................	X		0	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) JORGE A PRIETO MD........................................................................ TRUSTEE	1.0 .......................	X			0	0	0
(19) KATHLEEN A SCHULTES........................................................................ TRUSTEE	1.0 .......................	X			0	0	0
(20) CHRISTOPHER R GIBSON ESQ........................................................................ TRUSTEE (1/1 - 4/2)	1.0 .......................	X			0	0	0
(21) RUSSEL GILLESPIE........................................................................ TRUSTEE (1/1 - 9/24)	1.0 .......................	X			0	0	0
(22) WARNER A KNOBE........................................................................ TRUSTEE (1/1 - 5/22)	1.0 .......................	X			0	0	0
(23) JAMES R BRANT TERMED 430........................................................................ SVP/CFO	55.0 .......................		X		288,498	0	18,792
(24) JOHN W GRAHAM........................................................................ CHIEF OPERATING OFFICER	55.0 .......................		X		272,583	0	18,389
(25) GINA PETRONE MUMOLIE........................................................................ VP; CHIEF NURSE EXECUTIVE	55.0 .......................		X		254,830	0	24,407
(26) ROBERT L MANESTRINA........................................................................ VP HUMAN RESOURCES	55.0 .......................		X		153,819	0	20,060
(27) PAUL M LAMBRECHT........................................................................ VP CLINICAL/SUPPORT SERVICES	55.0 .......................		X		150,991	0	16,689
(28) PETER A KAPRIELYAN........................................................................ VP GOVERNMENT RELATIONS	55.0 .......................		X		147,085	0	20,928
(29) JOHN A DIANGELO........................................................................ EVP/CFO - NETWORK	55.0 .......................		X		0	655,356	127,831
(30) ROBERT M DANGEL ESQ........................................................................ GENERAL COUNSEL - NETWORK	55.0 .......................		X		0	337,891	117,994
(31) WAYNE C SCHIFFNER Term 630........................................................................ EXECUTIVE VICE PRESIDENT	55.0 .......................		X		0	603,107	61,142
(32) FRANCIS T FERRY MD........................................................................ MEDICAL DIRECTOR	55.0 .......................			X	352,808	0	18,100
(33) GREGORY HERMAN EFF 69........................................................................ CHIEF MEDICAL INFO OFFICER	55.0 .......................			X	321,602	0	21,977
(34) BHAVIKABEN B BABARIA MD........................................................................ PHYSICIAN	55.0 .......................			X	234,430	0	550
(35) HUY S LE........................................................................ PHARMACIST	55.0 .......................			X	133,192	0	17,072
(36) MICHAEL F FEENEY........................................................................ PHARMACIST	55.0 .......................			X	130,474	0	16,577

(A) Name and business address	(B) Description of services	(C) Compensation
SEI TRUST COMPANY, 1 FREEDOM VALLEY DRIVEOAKSPA19456	INVESTMENT MGMT	1,877,211
CERNER CORPORATION, 2800 ROCKCREEK PARKWAYKANSAS CITYMO64117	IT	1,863,963
SOUTH JERSEY ANESTHESIA, PO BOX 766WOODBURYNJ08096	MEDICAL	1,850,924
ARAMARK CORPORATION, 24863 NETWORK PLACECHICAGOIL60673	FOOD SERVICES	1,825,830
EMERGENCY CARE SERVICES OF NJ PA, PO BOX 298WOODBURYNJ08096	MEDICAL	1,343,982
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 109

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the United States. See Part IV, line 21	44,131	44,131
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	17,210	17,210
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	1,873,654	1,686,289	187,365
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	77,404,993	69,664,494	7,740,499	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	221,506	199,355	22,151
9	Other employee benefits .......	11,910,558	10,719,503	1,191,055
10	Payroll taxes ...........	6,481,867	5,833,680	648,187
11	Fees for services (non-employees):
a	Management ......	12,191	10,972	1,219
b	Legal .........	170,393	153,354	17,039
c	Accounting ...........	77,500	69,750	7,750
d	Lobbying ...........	52,317	47,086	5,231
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	1,877,211	1,689,490	187,721
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........	10,539,789	9,485,810	1,053,979
12	Advertising and promotion ....	876,744	789,070	87,674
13	Office expenses .......	2,349,098	2,114,188	234,910
14	Information technology ......	1,072,636	965,372	107,264
15	Royalties ..	0
16	Occupancy ...........	5,213,576	4,692,218	521,358
17	Travel ............	582,773	524,496	58,277
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	2,090,359	1,881,323	209,036
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization .....	9,380,062	8,442,056	938,006
23	Insurance ..............	3,578,131	3,220,318	357,813
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	21,289,081	19,160,173	2,128,908	0
b	REPAIRS & MAINTENANCE	10,945,641	9,851,077	1,094,564	0
c	OUTSIDE SERVICES	6,135,391	5,521,852	613,539	0
d	DUES LICENSES & SUBSCRIPTIONS	1,038,433	934,590	103,843	0
e	All other expenses	497,449	447,582	49,867
25	Total functional expenses. Add lines 1 through 24e	175,732,694	158,165,439	17,567,255	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............	4,829	1	5,829
2	Savings and temporary cash investments .........	5,925,138	2	5,519,566
3	Pledges and grants receivable, net ...........	74,752	3	101,833
4	Accounts receivable, net .............	18,516,599	4	16,199,290
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
		0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
		0	6	0
7	Notes and loans receivable, net .............	956,612	7	0
8	Inventories for sale or use ..............	682,413	8	724,299
9	Prepaid expenses and deferred charges ..........	2,345,283	9	2,216,001
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	222,189,063
b	Less: accumulated depreciation .....	10b	122,133,360	107,211,988	10c	100,055,703
11	Investments—publicly traded securities ..........	0	11	0
12	Investments—other securities. See Part IV, line 11 .....	0	12	0
13	Investments—program-related. See Part IV, line 11 .....	98,059,374	13	107,931,527
14	Intangible assets ...............	529,295	14	480,253
15	Other assets. See Part IV, line 11 ...........	8,901,124	15	9,660,209
16	Total assets. Add lines 1 through 15 (must equal line 34)......	243,207,407	16	242,894,510
	17	Accounts payable and accrued expenses .........	18,033,147	17	25,620,308
18	Grants payable .................	0	18	0
19	Deferred revenue ................	0	19	0
20	Tax-exempt bond liabilities .............	54,350,000	20	52,575,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..	0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........	0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..	385,537	23	192,802
24	Unsecured notes and loans payable to unrelated third parties ....	0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	39,600,831	25	26,877,707
26	Total liabilities. Add lines 17 through 25.........	112,369,515	26	105,265,817
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	125,880,664	27	133,312,774
28	Temporarily restricted net assets ...........	987,802	28	138,925
29	Permanently restricted net assets ...........	3,969,426	29	4,176,994
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	130,837,892	33	137,628,693
34	Total liabilities and net assets/fund balances ........	243,207,407	34	242,894,510

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.
right arrow

Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

INSPIRA MEDICAL CENTER WOODBURY INC

Employer identification number

22-1820210

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Non-functionally integrated

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the supported organization? ................

11g(i)

(ii) A family member of a person described in (i) above? ......................

11g(ii)

(iii) A 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of monetary support
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of monetary support


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2013

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2012 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2009	(b) 2010	(c) 2011	(d) 2012	(e) 2013	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2012 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2012 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ........ right arrow

33 1/3% support tests—2012. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2013

Page 4

Part IV

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

INSPIRA MEDICAL CENTER WOODBURY INC

Employer identification number

22-1820210

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization INSPIRA MEDICAL CENTER WOODBURY INC

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTEDRESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization INSPIRA MEDICAL CENTER WOODBURY INC

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
INSPIRA MEDICAL CENTER WOODBURY INC

Employer identification number

22-1820210

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

See separate instructions. SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35c (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

INSPIRA MEDICAL CENTER WOODBURY INC

Employer identification number

22-1820210

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2013

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2013

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Yes

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

42,003

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Yes

10,314

Other activities? ..........................

Total. Add lines 1c through 1i ...............................

52,317

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, line 2; and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B; LINES 1G AND 1H	THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO ITS VP OF GOVERNMENT RELATIONS WHICH REPRESENTS TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $42,003 IN 2013. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $10,314 IN 2013.

Return Reference

Explanation

SCHEDULE C, PART II-B; LINES 1G AND 1H

THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO ITS VP OF GOVERNMENT RELATIONS WHICH REPRESENTS TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $42,003 IN 2013. IN ADDITION, THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $10,314 IN 2013.

Schedule C (Form 990 or 990EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions. SchDMd Bullet

Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

INSPIRA MEDICAL CENTER WOODBURY INC

Employer identification number

22-1820210

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) .....
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2013

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	4,957,228	4,024,404	4,539,187	4,032,278	3,912,086
b	Contributions ........	207,568	1,079,145	266,563	210,418	175,030
c	Net investment earnings, gains, and losses	64	344,174	-240,184	502,689	921,588
d	Grants or scholarships .....		9,420	20,399	20,361	20,520
e	Other expenditures for facilities and programs ........	793,806	427,840	464,024	143,972	894,825
f	Administrative expenses ....	55,135	53,235	56,739	41,865	61,081
g	End of year balance ......	4,315,919	4,957,228	4,024,404	4,539,187	4,032,278

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

96.780 %

Temporarily restricted endowment SchDMd Bullet

3.220 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	4,217,915		4,217,915
b	Buildings ................	152,975,691	69,649,803	83,325,888
c	Leasehold improvements ............	647,191	628,406	18,785
d	Equipment ................	58,414,727	49,073,549	9,341,178
e	Other .................	5,933,539	2,781,602	3,151,937
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				100,055,703

Schedule D (Form 990) 2013

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) CASH & CASH EQUIVALENTS;		F
(2) LIMITED USE	13,367,533	F
(3) LIMITED PARTNERSHIPS AT COST;		F
(4) LIMITED USE	10,620,000	F
(5) COMMINGLED FUNDS;		F
(6) LIMITED USE	23,247,000	F
(7) EQUITY MUTUAL FUNDS;		F
(8) LIMITED USE	25,884,000	F
(9) FIXED INCOME MUTUAL FUNDS;		F
(10) LIMITED USE	16,162,000	F
(11) CORPORATE AND GOVERNMENT		F
(12) BONDS; LIMITED USE	5,358,000	F
(13) DEBT SERVICE PRINCIPAL FUNDS;		F
(14) LIMITED USE	0	F
(15) MARKETABLE EQUITY SECURITIES;		F
(16) LIMITED USE	9,116,000	F
(17) BENEFICIAL INTEREST IN		F
(18) PERPETUAL TRUST	4,176,994	F
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	107,931,527

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes		0
DUE TO AFFILIATES		2,100,219
THIRD PARTY PAYORS		7,579,899
ACCRUED PENSION COSTS		5,874,544
ESTIMATED MALPRACTICE COSTS		4,827,053
INTEREST RATE SWAP AGREEMENTS		6,089,755
ACCRUED INTEREST PAYABLE		406,237



Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)		26,877,707
2. Liability for uncertain tax positions In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII ..................................................

Schedule D (Form 990) 2013

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
SCHEDULE D, PART V, QUESTION 4	ENDOWMENT FUNDS ARE TO BE USED CONSISTENT WITH INTENT AND IN FURTHERANCE OF THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES.
SCHEDULE D, PART X	AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF INSPIRA MEDICAL CENTER WOODBURY, INC. AND INSPIRA HEALTH NETWORK FOUNDATION GLOUCESTER COUNTY, INC. FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S CONSOLIDATED 2013 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): INSPIRA MEDICAL CENTER WOODBURY, INC. AND INSPIRA HEALTH NETWORK FOUNDATION GLOUCESTER COUNTY, INC. ACCOUNT FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 OR 2012. IN ADDITION, THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE 2013 CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUReMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 OR 2012.

Return Reference

Explanation

SCHEDULE D, PART V, QUESTION 4

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

SCHEDULE D, PART X

AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF INSPIRA MEDICAL CENTER WOODBURY, INC. AND INSPIRA HEALTH NETWORK FOUNDATION GLOUCESTER COUNTY, INC. FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S CONSOLIDATED 2013 AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): INSPIRA MEDICAL CENTER WOODBURY, INC. AND INSPIRA HEALTH NETWORK FOUNDATION GLOUCESTER COUNTY, INC. ACCOUNT FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 OR 2012. IN ADDITION, THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE 2013 CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUReMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 OR 2012.

Schedule D (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

INSPIRA MEDICAL CENTER WOODBURY INC

Employer identification number

22-1820210

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..		4,242	8,972,167	1,719,587	7,252,580	4.130 %
b	Medicaid (from Worksheet 3, column a) ....		2,542	5,269,246	3,981,575	1,287,671	0.730 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .		10,490	7,459,203	336,972	7,122,231	4.050 %
d	Total Financial Assistance and Means-Tested Government Programs .		17,274	21,700,616	6,038,134	15,662,482	8.910 %
Other Benefits		39	16,928	817,008	377,655	439,353	0.250 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	39	16,928	817,008	377,655	439,353	0.250 %
f	Health professions education (from Worksheet 5) ..	16	397	358,675	4,700	353,975	0.200 %
g	Subsidized health services (from Worksheet 6) ..	6	186	147,567	24,570	122,997	0.070 %
h	Research (from Worksheet 7)	1		33,873		33,873	0.020 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	3	26	48,623		48,623	0.030 %
j	Total. Other Benefits ..	65	17,537	1,405,746	406,925	998,821	0.570 %
k	Total. Add lines 7d and 7j .	65	34,811	23,106,362	6,445,059	16,661,303	9.480 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2013

Schedule H (Form 990) 2013

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	1	2	470	470
3	Community support	3	188	3,239	3,239
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	1	183	28,000	28,000	0.020 %
8	Workforce development	2	14	168,083	168,083	0.100 %
9	Other
10	Total	7	387	199,792	199,792	0.120 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

52,406,225

Enter Medicare allowable costs of care relating to payments on line 5.....

74,369,117

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-21,962,892

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2013

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number					Facility reporting group
1	INSPIRA MEDICAL CENTER WOODBURY INC 509 NORTH BROAD STREET WOODBURY,NJ08096 WWW.INSPIRAHEALTHNETWORK.ORG 10801	X	X	X	1

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	INSPIRA MEDICAL CENTER WOODBURY INC
Name of hospital facility or facility reporting group

If reporting on Part V, Section B for a single hospital facility only: line number of
hospital facility (from Schedule H, Part V, Section A)

Yes

Community Health Needs Assessment (Lines 1 through 8c are optional for tax years begining on or before March 23, 2012)

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 9....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Part VI)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ....................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Part VI................................

Yes

Did the hospital facility make its CHNA report widely available to the public? .............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.INSPIRAHEALTHNETWORK.ORG

Other website (list url):

Available upon request from the hospital facility

Other (describe in Part VI)

If the hospital facility addressed needs identified in its most recently conducted CHNA, indicate how (check all that apply as of the end of the tax year):

Adoption of an implementation strategy that addresses each of the community health needs identified through the CHNA

Execution of the implementation strategy

Participation in the development of a community-wide plan

Participation in the execution of a community-wide plan

Inclusion of a community benefit section in operational plans

Adoption of a budget for provision of services that address the needs identified in the CHNA

Prioritization of health needs in its community

Prioritization of services that the hospital facility will undertake to meet health needs in its community

Other (describe in Part VI)

Did the hospital facility address all of the needs identified in its most recently conducted CHNA? If "No," explain in Part VI which needs it has not addressed and the reasons why it has not addressed such needs ........

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

If "Yes" to line 8a, did the organization file Form 4720 to report the section 4959 excise tax? ......

If "Yes" to line 8b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Financial Assistance Policy			Yes	No
9	Did the hospital facility have in place during the tax year a written financial assistance policy that:
	Explained eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?	9	Yes
10	Used federal poverty guidelines (FPG) to determine eligibility for providing free care?...........	10	Yes
	If "Yes," indicate the FPG family income limit for eligibility for free care: 200.% If "No," explain in Part VI the criteria the hospital facility used.
11	Used FPG to determine eligibility for providing discounted care?.................	11	Yes
	If "Yes," indicate the FPG family income limit for eligibility for discounted care: 200.% If "No," explain in Part VI the criteria the hospital facility used.
12	Explained the basis for calculating amounts charged to patients?.................	12	Yes
	If "Yes," indicate the factors used in determining such amounts (check all that apply):
a	Income level
b	Asset level
c	Medical indigency
d	Insurance status
e	Uninsured discount
f	Medicaid/Medicare
g	State regulation
h	Residency
i	Other (describe in Part VI)
13	Explained the method for applying for financial assistance?...................	13	Yes
14	Included measures to publicize the policy within the community served by the hospital facility?.......	14	Yes
	If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a	The policy was posted on the hospital facility’s website
b	The policy was attached to billing invoices
c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d	The policy was posted in the hospital facility’s admissions offices
e	The policy was provided, in writing, to patients on admission to the hospital facility
f	The policy was available upon request
g	Other (describe in Part VI)
Billing and Collections
15	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained actions the hospital facility may take upon non-payment?.......	15	Yes
16	Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)
17	Did the hospital facility or an authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?..........	17		No
	If "Yes," check all actions in which the hospital facility or a third party engaged:
a	Reporting to credit agency
b	Lawsuits
c	Liens on residences
d	Body attachments
e	Other similar actions (describe in Section C)

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Indicate which efforts the hospital facility made before initiating any of the actions listed in line 17 (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

Policy Relating to Emergency Medical Care

Yes

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..........

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)

Other (describe in Part VI)

Charges to Individuals Eligible for Assistance under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Part VI)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................

If "Yes," explain in Part VI.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? .........................

If "Yes," explain in Part VI.

Schedule H (Form 990) 2013

Page

Part V

Facility Information (continued)

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

Schedule H (Form 990) 2013

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?6
Name and address		Type of Facility (describe)
1	IMCW FAMILY MEDICINE CENTER 75 WEST RED BANK DRIVE WOODBURY,NJ08096	RESIDENCY PROGRAM PRIMARY CARE
2	FAMILY HEALTH CTR OF MULLICA HILL SOUTH 155 BRIDGETON PIKE MULLICA HILL,NJ08062	PRIMARY CARE
3	FAMILY HEALTH CENTER OF WOOLWICH 100 LEXINGTON ROAD BUILDING 1 WOOLWICH TOWNSHIP,NJ08085	PRIMARY CARE
4	FAMILY HEALTH CENTER OF GLASSBORO 1120 NORTH DELSEA DRIVE GLASSBORO,NJ08038	PRIMARY CARE
5	FAMILY HEALTH CTR OF MULLICA HILL NORTH 34 COLSON LANE MULLICA HILL,NJ08062	PRIMARY CARE
6	FAMILY HEALTH CENTER OF PAULSBORO 1 WEST BROAD STREET PAULSBORO,NJ08066	PRIMARY CARE
7
8
9
10

Schedule H (Form 990) 2013

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

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

Schedule H (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
INSPIRA MEDICAL CENTER WOODBURY INC

Employer identification number
22-1820210

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC Code section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2013

Page 2

Part III

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a)Type of grant or assistance	(b)Number of recipients	(c)Amount of cash grant	(e)Method of valuation (book, FMV, appraisal, other)
(1) EDUCATIONAL SCHOLARSHIPS	4	17,210	FMV

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
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.

Schedule I (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

INSPIRA MEDICAL CENTER WOODBURY INC

Employer identification number

22-1820210

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2013

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported as deferred in prior Form 990
(1)EILEEN K CARDILE MS RN CNATRUSTEE; EX-OFFICIO - PRES/CEO	(i) (ii)	403,263 0	0 0	62,529 0	5,000 0	15,792 0	486,584 0	0 0
(2)CHESTER B KALETKOWSKITRUSTEE;EX-OFF;PRES/CEO-NETWRK	(i) (ii)	0 674,469	0 87,078	0 30,129	0 198,709	0 33,690	0 1,024,075	0 0
(3)KURT W KAULBACK MDTRUSTEE	(i) (ii)	0 549,747	0 0	0 1,069	0 16,500	0 14,740	0 582,056	0 0
(4)JAMES R BRANT TERMED 430SVP/CFO	(i) (ii)	99,088 0	0 0	189,410 0	5,000 0	13,792 0	307,290 0	0 0
(5)JOHN W GRAHAMCHIEF OPERATING OFFICER	(i) (ii)	263,614 0	0 0	8,969 0	5,000 0	13,389 0	290,972 0	0 0
(6)GINA PETRONE MUMOLIEVP; CHIEF NURSE EXECUTIVE	(i) (ii)	246,241 0	0 0	8,589 0	5,000 0	19,407 0	279,237 0	0 0
(7)ROBERT L MANESTRINAVP HUMAN RESOURCES	(i) (ii)	152,970 0	0 0	849 0	3,417 0	16,643 0	173,879 0	0 0
(8)PAUL M LAMBRECHTVP CLINICAL/SUPPORT SERVICES	(i) (ii)	145,286 0	0 0	5,705 0	2,970 0	13,719 0	167,680 0	0 0
(9)PETER A KAPRIELYANVP GOVERNMENT RELATIONS	(i) (ii)	145,175 0	0 0	1,910 0	2,992 0	17,936 0	168,013 0	0 0
(10)JOHN A DIANGELOEVP/CFO - NETWORK	(i) (ii)	0 565,153	0 50,084	0 40,119	0 102,421	0 25,410	0 783,187	0 0
(11)ROBERT M DANGEL ESQGENERAL COUNSEL - NETWORK	(i) (ii)	0 284,629	0 29,247	0 24,015	0 92,790	0 25,204	0 455,885	0 0
(12)WAYNE C SCHIFFNER Term 630EXECUTIVE VICE PRESIDENT	(i) (ii)	0 182,713	0 48,031	0 372,363	0 44,848	0 16,294	0 664,249	0 312,646
(13)FRANCIS T FERRY MDMEDICAL DIRECTOR	(i) (ii)	318,549 0	32,000 0	2,259 0	0 0	18,100 0	370,908 0	0 0
(14)GREGORY HERMAN EFF 69CHIEF MEDICAL INFO OFFICER	(i) (ii)	320,305 0	0 0	1,297 0	5,000 0	16,977 0	343,579 0	0 0
(15)BHAVIKABEN B BABARIA MDPHYSICIAN	(i) (ii)	142,175 0	37,046 0	55,209 0	0 0	550 0	234,980 0	0 0
(16)HUY S LEPHARMACIST	(i) (ii)	122,100 0	0 0	11,092 0	2,673 0	14,399 0	150,264 0	0 0

Schedule J (Form 990) 2013

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE J, PART I; QUESTION 4a	THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT DURING 2013. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN HIS 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JAMES R. BRANT, $121,508.
SCHEDULE J, PART I; QUESTION 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 AND ROBERT M. D'ANGEL, ESQ., $46,054.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2013 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
SCHEDULE J, PART II; COLUMN B(III)	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J OF THIS FEDERAL FORM 990 RECEIVED COMPENSATION WITH RESPECT TO PAID TIME OFF, WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) HEREIN AND IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.
SCHEDULE J, PART II, COLUMN F	THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUAL INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) BECAUSE THE AMOUNT WAS REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. THE AMOUNT WAS TREATED AS TAXABLE INCOME AND REPORTED ON THE INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: WAYNE C. SCHIFFNER, $312,646.

Schedule J (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990. SchKMediumBullet

See separate instructions.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization
INSPIRA MEDICAL CENTER WOODBURY INC

Employer identification number
22-1820210

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	NJ HEALTH CARE FACILITIES FINANCING AUTHORITY	22-1987084	64579FWR0	05-22-2008	62,000,000	REFUNDING OF 2004 ISSUE		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	0
2 Amount of bonds legally defeased . . . . . . . . . . .	0
3 Total proceeds of issue . . . . . . . . . . . . . .	0
4 Gross proceeds in reserve funds . . . . . . . . . . . .	62,000,000
5 Capitalized interest from proceeds . . . . . . . . . . .	0
6 Proceeds in refunding escrows . . . . . . . . . . . .	0
7 Issuance costs from proceeds . . . . . . . . . . . .	586,876
8 Credit enhancement from proceeds . . . . . . . . . . .	0
9 Working capital expenditures from proceeds . . . . . . . . .	0
10 Capital expenditures from proceeds . . . . . . . . . . .	0
11 Other spent proceeds . . . . . . . . . . . . . .	61,413,124
12 Other unspent proceeds . . . . . . . . . . . . . .	0
13 Year of substantial completion . . . . . . . . . . . .	2009
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X
16 Has the final allocation of proceeds been made? . . . . . . . .	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2013

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .	X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .	0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .	0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . .	0 %
7 Does the bond issue meet the private security or payment test? . . . . .	X
8a Has there been a sale or disposition of any of the bond financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .	X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T? . . . . .		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .
b Exception to rebate? . . . . . . . .		X
c No rebate due? . . . . . . . .
If you checked "No rebate due" in line 2c, provide in Part VI the date the rebate computation was performed
3 Is the bond issue a variable rate issue? . . . .	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?	X
b Name of provider . . . . . . . . .	MORGAN STANLEY
c Term of hedge . . . . . . . . . .	30.
d Was the hedge superintegrated? . . . .		X
e Was the hedge terminated? . . . . . .		X

Schedule K (Form 990) 2013

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .		X
b Name of provider . . . . . . . . .	0
c Term of GIC . . . . . . . . . .
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .	X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation

Schedule K (Form 990) 2013

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

INSPIRA MEDICAL CENTER WOODBURY INC

Employer identification number

22-1820210

Part I

Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ...... $

Part III

Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2013

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) BETH A RAMBO	FAM MEM OF TRUSTEE/OFF.	80,613	EMPLOYEE		No
(2) MORGAN E KUHN	FAMILY MEMBER OF OFFICER	40,124	EMPLOYEE		No
(3) AMELIA P KAPRIELYAN	FAMILY MEMBER OF OFFICER	53,051	EMPLOYEE		No
(4) EMERGENCY CARE SERVICES OF NJPA	COMPANY OF TRUSTEE	1,343,981	EMERGENCY DEPARTMENT SERVICES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

CORE FORM, PART VI, SECTION A; QUESTION 1 AND SCHEDULE L; PART IV

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

Schedule L (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public
Inspection

Name of the organization

INSPIRA MEDICAL CENTER WOODBURY INC

Employer identification number

22-1820210

Return Reference	Explanation
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	BACKGROUND ========== Part of the Inspira Health Network System, Inspira Medical Center Woodbury, Inc. ("IMCW"), located in Woodbury, New Jersey is a 305-bed licensed, acute-care, non-profit hospital serving Gloucester County and parts of Camden, Salem and Cumberland counties. With more than 1,750 full and part-time employees and a medical staff of approximately 486, IMCW provides a diverse array of diagnostic, therapeutic and treatment services in the comfort, convenience and security of a community hospital setting. IMCW is Gloucester County's largest employer. IMCW has been caring for the community ever since two dedicated and visionary physicians graduated from Jefferson Medical College in Philadelphia and settled in Gloucester County in the early years of the last century. Doctors J. Harris Underwood and William Brewer's vision evolved into what the hospital's mission is today. That mission is to deliver a superior standard of proficient, safe and compassionate care across a broad spectrum of medical specialties by offering advanced technology that supports effective diagnosis and treatment. IMCW deeply values the respect and trust of the community. Meeting the healthcare challenges of the twenty-first century in a way that exceeds the expectations of the community is the hospital's goal. Building and maintaining a healthy community starts with people. People who act upon a shared vision for the future, knowing they are the foundation upon which commitments are made, promises kept and a better future built. IMCW celebrates its hospital family and the hundreds of employees, nurses, physicians, board members, volunteers and auxilians who selflessly share their skills, talent and time in meeting the healthcare needs of the community. They devote countless hours volunteering at health fairs and screenings, lead fund raising efforts, participate in community outreach, serve on civic committees and boards, wheel patients through the hospital and walk and run in support of many worthy causes. Our Inspira family believes that what we do makes a difference and that difference contributes to a stronger and healthier community. IMCW provides a diverse range of inpatient medical, surgical, psychiatric, obstetric, newborn and pediatric services, as well as emergency services, clinical services and same-day surgery on an outpatient basis. The hospital also provides a Mobile Intensive Care Unit (MICU), which is the designated regional provider of MICU services for Gloucester, Salem and Cumberland Counties. A more comprehensive directory of healthcare services offered by the hospital is provided below: - Anesthesia Services - Behavioral Health Services - Balance Center - Cardiac Services - Emergency Department - Employee Services - Inspira Medical Group - Laboratory - Maternal Child Health - Medical/Surgical - Medical Surgical ICU - Occupational Therapy - Patient/Family Services - Pediatric Services - Physical Therapy - Radiology Services - Respiratory Care - Sleep Center - Speech Therapy - Surgical Services - Transitional Care Unit - Women's Health Center - Wound and Skin Healing Center COMMUNITY HEALTH INFORMATION AND SERVICES ========================================= IMCW is committed to the community it serves by providing referral resources and various free or low cost health, wellness and educational programs for the general public. PHYSICIAN INFORMATION AND REFERRAL LINE ======================================= With a medical staff of approximately 486 physicians, IMCW provides a comprehensive array of high-quality diagnostic, therapeutic and rehabilitative services. Our 24-hour, toll free Physician Referral and Health Wellness Line provides information to callers who may be looking for a specialist or primary care physician. Information is also offered about upcoming or on-going community health outreach events, hospital support groups, seminars, classes and maternal child health programs. COMMUNITY LECTURE SERIES ======================== IMCW offers a community lecture series. This free program allows IMCW to partner with members of its medical and clinical staff to educate and inform the community on important issues related to improving or maintaining quality health and wellness. Some of the topics included sleep disorders, advance directives, stroke and diabetes. LANGUAGE ASSISTANCE =================== Language assistance is provided to those whose language is other than English. To be considered community benefit, the ethnicity of the language spoken must be less than 5% of the demographic population. COMMUNITY NEEDS ASSESSMENT ========================== IMCW (formerly Underwood-Memorial Hospital), participated in The Tri-County Health Assessment Collaborative, consisting of Cooper University Hospital, Kennedy Health System, Lourdes Health System, Inspira Medical Center Woodbury, Virtua Health and the Health Departments of Burlington, Camden and Gloucester Counties. This collaborative group came together to undertake a comprehensive regional community health needs assessment (CHNA). The purpose of the assessment is to gather information about local health needs and health behaviors. DONATIONS ========= Each year, IMCW sponsors many not-for-profit organizations whose mission is in alignment with that of its own. Donations, both cash and in-kind, are provided to charity organizations & special events in response to community needs. - Some of the organizations that were supported with a cash donation included: * American Heart Association * Boys & Girls Clubs of America * NJ Association of Paramedic Programs * South Jersey Chamber Foundation * YMCA of Gloucester County - Some of the organizations that were supported with an in-kind donation included: * American Red Cross * Main Street Woodbury * Alcoholics Anonymous * Overeaters Anonymous COMMUNITY HEALTH IMPROVEMENT ADVOCACY ===================================== - Advocacy for Community Health Improvements & Safety - IMCW employees, including our President & CEO and Senior Management Group, serve on various government advisory committees and boards for national, state and local organizations to advocate for healthcare reform, bring about changes in regulatory requirements, improve access to healthcare and promote the health status for both the broader community and vulnerable populations through hospital representation to organizations. These include: * Children's Inter-Agency Coordinating Council * Cumberland/Salem/Gloucester Health & Wellness Alliance * Gloucester County Inter-Agency Coordinating Council * Gloucester County Task Force on Homelessness * National Association for Home Care & Hospice * NJ Association of Healthcare Volunteer Resource Professionals * NJ Hospice & Palliative Care Organization * NJ Hospital Association * Tri-County Inter-Agency Coordinating Council - Health Professions Education - Education helps prepare the next generation of healthcare professionals, which is why we strongly support medical education at all academic levels and find innovative ways to inspire young people to pursue careers in a wide variety of medical fields. IMCW offers nursing education programs, externships and internships. IMCW offers its facilities for graduate medical student rotations, social work and mental health internships, dietetic internships and clinical rotations for nursing, pharmacy, EMT, physical therapy, podiatry, radiology and ultrasound. Inspira Medical Center Woodbury medical staff routinely hosts students for job shadowing and observations. - Residency Programs - Since 1982, Inspira Woodbury has operated a Family Medicine Residency program and hosts medical school graduates from Thomas Jefferson University who work side-by-side with experienced members of the IMCW Medical Staff, gaining valuable experience and insight. At the same time, they enhance patient care with the knowledge of the latest treatments and philosophies medicine has to offer. They also bring a level of intellectual curiosity that strengthens our care teams and benefits our patients. - Transitional Care Program - This program is designed for individuals age 65 and over. Registered nurses follow up with patients after being discharged with no less than two phone calls. The goal of this program is to assist patients with any needs or concerns with the goal to prevent readmission within 30 days of their discharge. - Community Waste Reduction and Sharps Disposal - IMCW participates in a program that was developed by the New Jersey Hospital Association in conjunction with Bio Systems and endorsed by the New Jersey Department of Environmental Protection for the disposal of home medical waste.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- Meeting Facilities - IMCW offers the use of their meeting rooms and facilities, free of charge, to community based organizations, support groups, self-help groups and non-profit health and human service agencies. Some of the organizations that were offered space in 2013 included Alcoholics Anonymous, American Red Cross, Diabetes Support, Ostomy Support, Overeaters Anonymous, Alzheimer's Support and Co-Dependency Support Groups. COMMUNITY OUTREACH ================== As part of its mission, IMCW offers a broad array of community outreach and wellness activities such as educational material and counseling, free or low cost health screenings and patient/family support groups. The importance and value of emphasizing good health, fitness, safety, early detection and prevention are shown in our outreach efforts. This also reflects our strong desire to improve the quality of life for all who live and work in the communities we serve. - Health Fairs & Screenings - A number of health fairs and community focused health screening events were conducted throughout 2013. IMCW strives to teach health and wellness, answer questions about health related issues, promote services and resources for people with various diseases and attempt to reach as many uninsured or underinsured as possible. Health screenings are also performed as a community service to detect undiagnosed disease and assist those in need in gaining access to care and to work toward eliminating healthcare disparities. Some of the health screenings IMCW provides include blood pressure, blood glucose and cholesterol as well as counseling by specially trained nurses and follow-up with printed materials and telephone calls. Physicians who specialize in eye diseases provide glaucoma screenings and provide information and referrals as needed. - American Red Cross Blood Drive - IMCW supports the mission of the American Red Cross (ARC) by hosting several blood drives each year. The ARC plays a critical role in our nation's healthcare system. It is the largest single supplier of blood and blood products in the United States, collecting and processing more than 40 percent of the blood supply and distributing it to some 3,000 hospitals and transfusion centers nationwide. - Behavioral Health Collaboration - IMCW's Children's Behavioral Health Program participated in both the Gloucester County CIACC and Tri-County CIACC throughout 2013. The CIACC group is made up of a variety of agencies in Gloucester, Salem and Cumberland counties, plus community members from those same counties, who meet regularly to coordinate services, communicate regarding changes in the behavioral health services in the counties and advocate for patient rights/services. - Alzheimer's Caregivers' Support Group - This group is professionally facilitated and provides emotional and practical support to families and caregivers of patients with dementia. The format is flexible and includes education on the disease, treatment methods, coping strategies for difficult behaviors, effective communication techniques and available community resources. - Obsessive Compulsive Disorder Support Group - This group meets monthly to provide free support to community members dealing with Obsessive Compulsive Disorder. - Stroke Prevention Screening - IMCW provides stroke prevention screening in cooperation with the American Heart Association and the American Stroke Association. Blood pressure, pulse and carotid artery screenings are performed by specially trained nurses and doctors. Education to detect the signs and symptoms of stroke is also provided. Registered nurses provide counseling in compliance with the American Heart and Stroke Associations' guidelines. Printed material providing information on heart disease, atrial fibrillation and other risk factors is provided. - Diabetes Support Group - Monthly diabetes support and education groups are coordinated and facilitated by a registered nurse certified in diabetes education. Guest speakers may include registered dietitians, endocrinologists, internal medicine specialists, nephrologists, dentists, ophthalmologists and licensed counselors who discuss topics such as nutrition, foot care, dental hygiene, goal setting and prevention of complications from diabetes. Participants are encouraged to maintain blood glucose and blood lipid levels as recommended by the American Diabetes Association. EMERGENCY DEPARTMENT SPONSORED PROGRAMS AND SERVICES ==================================================== IMCW's Emergency Department plays a key role in educating and promoting health and safety awareness through community bulletin boards and educational presentations at area schools, colleges, police academies and community programs. Some topics may include injury prevention, forensic nursing and domestic violence awareness. - EMS Transitional Coach Program - This voluntary program offers patients follow-up care from a certified EMS after discharge. Patients are given the option of having an EMS Transition Coach visit them at home to follow-up with their care. The visit consists of an assessment, medication reconciliation, home safety survey, social needs assessment and verification of primary care follow-up. While in the home, the EMT has the opportunity to observe and assess any issues they feel they may be of assistance with to further secure a positive outcome for the patient. - SANE (Sexual Assault Nurse Examiners) - IMCW's Emergency Department is an examination site for the Sexual Assault Response Team (SART) in Gloucester County. The Sexual Assault Response Team consists of a Sexual Assault Nurse Examiner (SANE), a representative from Services Empowering the Rights of Victims (SERV) and members of law enforcement. SERV is the NJ State Designated Sexual Trauma Services provider for Camden and Gloucester counties. When a sexual assault patient arrives at the emergency department, emergency department staff activates the SANE. The emergency department physicians provide a medical screening examination (MSE) at no charge to the patient. The emergency department has a dedicated SANE suite which provides security for the forensic equipment. IMCW does not charge for services provided to the sexual assault patient. The SANE goal is to provide a medical forensic exam to the patient while working collaboratively with team members to meet the patient's needs. MATERNAL-CHILD HEALTH PROGRAMS ============================== - Childbirth Preparation Classes for Expectant Parents - This three-week class is provided to expectant parents and support persons. The topics discussed by the certified childbirth educators include the discomforts of pregnancy, the labor and delivery process, fetal monitoring, anesthesia choices, C-sections, breathing and relaxation techniques and family adjustment. - One-Day Childbirth Preparation Class - This class is ideal for expectant parents who cannot commit to a full, three-week childbirth education series. This class covers the topics of labor and delivery, C-sections, anesthesia, breathing and relaxation techniques, post-delivery care and post-partum depression. A healthcare practitioner presents options for choosing follow-up pediatric care. - Babycraft Newborn Care Class - This class is designed for first-time parents or for parents who want to brush up on newborn care. Topics include physical care of the newborn, signs and symptoms of illness, coping with a crying baby, time management and priority setting. Hands-on skills include holding, diapering, bathing and burping the newborn. - Prenatal Breastfeeding Classes - Breast feeding is the most natural way to feed your baby. This class prepares the expectant mother for making the decision on whether to breast feed. Topics covered include initiating breast feeding, benefits of breast feeding for Mom and baby, mechanics of breast feeding and what to expect while you are breast feeding. - Sibling Classes - IMCW's sibling class helps both parents and siblings to prepare for the birth of a new brother or sister. The class is designed for children ages 3 to 7 years. The birth of the baby, role of the big brother/sister and expectations of the new baby are brought to life through an audiovisual presentation, anatomical models, storytelling and doll play. Children also make a gift for the new baby with materials provided by Inspira. - Birth, Baby & You - This six-hour class, conducted by certified childbirth educators, is offered to first-time moms and dads. The process of labor is discussed including epidurals, C-sections and other situations expectant parents may experience. Post-delivery care is also covered, as well as postpartum depression, infant care, feeding choices and infant behaviors. Mothers are given educational materials as well as the "Warmline" phone number. Lactation consultants return phone calls and provide continuing support to the breastfeeding mother after discharge. Topics frequently discussed are weaning, engor
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- Breastfeeding Support "Warmline" - While in the hospital, breastfeeding mothers are given educational materials as well as the "Warmline" phone number. Lactation consultants return phone calls and provide continuing support to the breastfeeding mother after discharge. Topics frequently discussed are weaning, engorgement, mastitis and pumping. - HOPING (Helping Other Parents in Normal Grief) Perinatal Loss Support Group - This support group, which meets quarterly, targets families who have either lost a child during pregnancy or in the first year of life. Facilitators are IMCW nurses who are certified RTS (Resolve Through Sharing) Bereavement Coordinators. HOPING offers parents the opportunity to verbalize their feelings in an accepting atmosphere so they can in turn reach out to the newly bereaved. * In the fall, families are given a live tree to plant at their home in honor of their loved one. * In the winter, families are encouraged to create a Christmas ornament in memory of their child. * The spring season meeting is a scrap booking activity. * Early in the summer, families gather at a local park for a "remembrance walk" in honor of their lost loved one. Activities are available for the children while parents enjoy music, dessert and time to support each other. - Safe Sitter - Safe sitter is a nationally recognized non-profit babysitter training program for children ages 11 years and older. Boys as well as girls attend this two day program. This class is taught by Certified Safe Sitter instructors. Topics of discussion include: * Babysitting as a Business * Behavior Management * Child Care Essentials * Infant and Child CPR * Injury Prevention and Injury Management * Safety for the Sitter - Infant Lifesaving Techniques - This class is designed for expectant and new parents and taught by IMCW maternity nurses who are certified in basic life support. Lifesaving techniques are viewed on DVD and hands-on practice is provided. Lifesaving techniques such as infant and child CPR, choking emergencies and child-proofing your baby's environment are discussed. Grandparents and caregivers are also welcome to attend. EMERGENCY MEDICAL ACADEMY PROGRAMS ================================== - EMT Emergency Medical Technician Class - The Emergency Medical Technician (EMT) is the first skilled component of the Emergency Medical Services chain to provide care to victims of emergencies. They also aid in minimizing discomfort and help to prevent further injury. EMT's are used to staff ambulances and provide both emergency care and transportation. This program is an intensive nine-month course that uses a series of presentations by physicians, nurses and other allied health professionals. Lectures are followed by skill development exercises and evaluation sessions. Throughout the program, teamwork, safety and patient care skills are stressed. - EMT Transition Classes - Emergency Medical Technicians are required to take a 24-hour basic skills refresher during each certification period. The class consists of both didactic and practical training and meets the requirements of the New Jersey State Department of Health and Senior Services and the National Registry of Emergency Medical Technicians. - PEPP (Pediatric Education for Pre-Hospital Professionals) - Developed by the American Academy of Pediatrics, PEPP is a curriculum designed specifically to teach pre-hospital professionals how to better assess and manage ill or injured children. The Basic Life Support (BLS) course is geared toward the Emergency Medical Responder (EMR) and Emergency Medical Technician (EMT). The Advanced Life Support (ALS) course is geared toward the Advanced Emergency Medical Technician (AEMT) and Paramedic. The PEPP Course Coordinator determines which course (BLS or ALS) is most appropriate for each individual. - ACLS (Advanced Cardiac Life Support) - The ACLS course provides the knowledge and skills needed to evaluate and manage the first 10 minutes of cardiac arrest in an adult. The intended audience is emergency department staff, critical care departments and emergency medical providers such as physicians, nurses, emergency technicians, paramedics, respiratory therapists and other professionals who may respond to a cardiovascular emergency. ACLS provider certification is 16 hours and renewal certification is 8 hours. - PALS (Pediatric Advanced Life Support) - The PALS course is designed to provide the learner with the following: * Information needed to recognize infants and children at risk for cardiopulmonary arrest * Information and strategies needed to prevent cardiopulmonary arrest in infants and children * Cognitive and psychomotor skills needed to resuscitate and stabilize infants and children in respiratory failure, shock or cardiopulmonary arrest The length of this course is 16 hours and intended for pediatricians, house staff, emergency physicians, family physicians, nurses, paramedics, respiratory therapists and other healthcare providers who are responsible for the well-being of infants and children. - PHTLS (Pre-Hospital Trauma Life Support) - PHTLS is a 16-hour comprehensive course that provides EMTs, First Responders and Paramedics training in the skills needed for rapid assessment, resuscitation, stabilization and transportation of trauma patients. The course is designed for providers who are the first to evaluate and stabilize trauma patients. Hands-on skill stations include basic airway management, spine management, rapid extrication, short back board, helmet management, log roll and long back board, traction splints and patient assessment and management. The course includes the comprehensive PHTLS manual, often used as a textbook in paramedic, EMT and first responder training courses. - HealthCare Provider CPR - American Heart Association CPR courses are designed for people with a job-related duty to respond in an emergency, including nurses, law enforcement, EMS personnel, fire fighters, business and industry response teams, lifeguards, flight attendants and others who must take action in emergency situations. This course combines participant's manual, lectures and video with hands-on skills training to cover the following areas: * Recognizing and responding to breathing and cardiac emergencies in adults, children and infants * Two-rescuer CPR * Use of body substance isolation precautions to prevent disease transmission * Use of resuscitation and bag-valve masks * Use of an AED for victims of sudden cardiac arrest - CPR-Basic Life Support Instructor - This course prepares American Heart Association instructors to disseminate the science, skills and philosophy of Cardiopulmonary Resuscitation (CPR) programs to participants enrolled in AHA courses. The purpose of the course is to provide instructor candidates with the knowledge and skills necessary to reach and teach potential Basic Life Support providers. - Elective Continuing Education Classes - IMCW hosts a number of continuing education training classes for Emergency Medical Technicians consisting of various topics related to the care provided by Emergency Medical Technicians. These classes assist Emergency Medical Technicians in obtaining the required twenty-four to forty-eight hours of continuing education training required during each certification period. - Community Emergency Response Team Training - This 24-hour program provides education to community members on disaster preparedness. It identifies hazards that may impact this geographic area and trains community members in basic disaster response skills. Specific components of the program are: * Disaster Education and Preparedness * Disaster Fire Suppression * Disaster Medical Operations * Disaster Psychology * Disaster Simulation Training is conducted in cooperation with the NJ Office of Emergency Management, Gloucester County Office of Emergency Management & FEMA, who provides the course materials. - AED (Automatic External Defibrillator) and Epinephrine Auto Injectors - The EMS Academy regularly provides physician-directed medical oversight and chart review for a number of South Jersey agencies such as, local fire departments, basic life support (BLS) volunteer ambulance units and police to ensure proper use of the Automatic External Defibrillators and Epinephrine Auto injectors. Automatic External Defibrillators are used to help resuscitate patients that experience sudden cardiac death. Epinephrine auto injectors are used to treat patients experiencing severe allergic reactions. - Mobile Intensive Care Unit (MICU) - IMCW has provided Mobile Intensive Care Services in the Southern New Jersey region since 1977. The IMCW program was one of the original MICU programs established in New Jersey. This program has grown and expanded over the years and now serves the communities of Gloucester, Salem and Cumberland Counties.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- MICU Special Operations Team - Early in 2001, the Mobile Intensive Care Unit developed a Special Operations Division. The concept was to create a team of specially trained paramedics to manage medical operations during large-scale incidents and events. The Special Operations Team provides advanced life support and medical protection to law enforcement agencies, fire departments, hazardous materials teams, emergency medical services personnel and the community at large scale events. The IMCW Bike Team is a component of the Special Operations Team and is comprised of specially trained paramedics who attend community events. Each event is supported by at least two members of the team who are available to cover a larger area on bikes to provide immediate care. The team assesses and stabilizes patients in preparation for local ambulance crews and mobile intensive care units to transport patients to local hospitals. The Special Operations Team continually prepares to meet the ever-changing demands faced by emergency management organizations today. - Tactical Medical Unit -The Tactical Medical Unit has evolved from being a supplement to the Gloucester County SWAT team into a multidisciplinary team who supports not only law enforcement efforts, but also those of rescue and emergency management agencies. The Unit's focus is to provide services that are not routinely available on standard 911 responses due to high-risk confidential operations. The team provides medical protection to the various County SWAT teams, critical incident response units, New Jersey State Police and specialty teams such as dignitary protection, DEA, FBI and the regional bomb squads. VOLUNTEER SERVICES ================== - Volunteers - IMCW has a long-standing and successful volunteer program consisting of both adults and teenagers who volunteer their time to offer support and compassion to the people they serve. Volunteers provide assistance with duties such as courier service, fundraising, patient transport, clerical tasks, as well as various customer service needs throughout the hospital. In 2013, there were 284 volunteers providing approximately 44,911 hours of service. - Auxiliary - The Auxiliary Board and the separate Auxiliaries represented, hold various events throughout the year. Their mission is to continually strive to improve the quality of healthcare provided to their patients and community through advocacy, fundraising and service. In 2013 they donated a total of $164,804. HEALTHCARE LIFELINE PROGRAM =========================== Healthcare Lifeline is an in-home personal response system which allows its subscribers to get help immediately at the push of a button, 24 hours per day, 7 days per week, 365 days per year. IMCW staff conducts presentations throughout the county explaining the benefits of Lifeline to prospective subscribers and/or their caregivers and health providers. Although the Lifeline program is a paid service, discounted and free installations occur for eligible persons. CANCER EDUCATION & EARLY DETECTION PROGRAM OF GLOUCESTER COUNTY (CEED) ====================================================================== The purpose of the Cancer Education and Early Detection (CEED) Program is to educate and screen uninsured and underinsured residents of the county, particularly minorities, who earn less than 250% of the federal poverty level. In addition, minorities comprise approximately 20% of the residents of the county and statistics indicate that minority mortality rates are higher. The program is funded in part by grants from the State of NJ Department of Health and Senior Services, Center for Disease Control and the Susan G. Komen Breast Cancer Foundation. IMCW is the lead agency in Gloucester County and provides free breast, cervical, colorectal and prostate cancer screenings to residents of Gloucester County who meet eligibility criteria related to their age, income and insurance status. Interested applicants are interviewed over the phone and, if accepted into the program, are referred to a provider in the Gloucester County CEED network for screening services. RESEARCH ======== The Institutional Review Committee (IRC) functions as a special committee of the medical/dental staff. The purpose of the IRC is to review and monitor all clinical investigations that involve hospitalized patients or those who may subsequently receive care at Inspira. No clinical investigation is permitted in the institution unless prior and continuing approval is granted by the IRC. FINANCIAL CONTRIBUTIONS ======================= The Inspira Health Network Foundation Gloucester County and the Auxiliary Board welcomes donations from employees, physicians, trustees, directors, volunteers, auxilians and the community for a variety of programs and services including Children's Behavioral Health Center, community health education, nursing and clinical staff scholarships, education and retention and plant and equipment purchases and upgrading. CHARITY CARE ============ Integral with IMCW's mission to deliver high quality healthcare to the community it serves is its continued commitment to the medically underserved members of the community. Therefore, IMCW treats all patients without regard for their ability to pay. IMCW continues to deliver diagnostic and therapeutic services to an ever-increasing population that is entitled to receive these services under the New Jersey Hospital Care Assistance Program (Charity Care).
CORE FORM, PART III; LINE 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; QUESTION 4	DURING 2013, INSPIRA MEDICAL CENTER WOODBURY, INC. AMENDED ITS BYLAWS AND BECAME THE CONTROLLING ENTITY OF INSIRA HEALTH NETWORK FOUNDATION GLOUCESTER COUNTY, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7	INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE SOLE MEMBER OF THIS ORGANIZATION. NETWORK HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
CORE FORM, PART VI, SECTION B; QUESTION 11b	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY, ITS BOARD OF TRUSTEES, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE NETWORK'S COMPENSATION COMMITTEE HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES OF THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE SYSTEM HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING GENERAL COUNSEL, CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF FINANCE AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS OUTLINED ABOVE FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION TO THE MEMBERS OF THE NETWORK'S COMPENSATION COMMITTEE AND THEREAFTER TO EACH VOTING MEMBER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND NETWORK'S GENERAL COUNSEL FOR REVIEW. THEREAFTER, GENERAL COUNSEL PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS WHICH IS THEN PRESENTED TO 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 TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
CORE FORM, PART VI, SECTION C; QUESTION 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 OR RELATED ORGANIZATIONS. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THIS ORGANIZATION OR THE RELATED ORGANIZATIONS AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VII, SECTION A, COLUMN 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 TRUSTEE MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - OTHER DECREASES IN UNRESTRICTED NET ASSETS - ($4,522,000); - CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENT - $6,368,896; - PENSION LIABILITY ADJUSTMENT - $6,697,840; - NET ASSETS RELEASED FROM RESTRICTION FOR PROPERTY AND EQUIPMENT - $242,000; - NET ASSETS RELEASED FROM TEMPORARY RESTRICTION - ($402,000); - OTHER DECREASES IN TEMPORARILY RESTRICTED NET ASSETS - ($447,000); AND - INCREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUST; PERMANENTLY RESTRICTED - $208,000.
CORE FORM, PART XII; QUESTION 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 CENTER WOODBURY, INC. AND INSPIRA HEALTH NETWORK FOUNDATION GLOUCESTER COUNTY, INC. FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS.
CORE FORM, PART XI; QUESTION 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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2013

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Open to Public Inspection

Name of the organization

INSPIRA MEDICAL CENTER WOODBURY INC

Employer identification number

22-1820210

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) INSPIRA HOMECARE & HOSPICECARE INC 333 IRVING AVENUE BRIDGETON,NJ08302 22-6067549	HOSPICE SVCS.	NJ	501(C)(3)	509(A)(2)	NETWORK		No
(2) INSPIRA HEALTH NETWORK INC 333 IRVING AVENUE BRIDGETON,NJ08302 22-2508425	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)	N/A		No
(3) INSPIRA MEDICAL CENTERS INC 333 IRVING AVENUE BRIDGETON,NJ08302 21-0634484	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	NETWORK		No
(4) INSPIRA HLTH NTWK FDN CUMBERLANDSALEM 333 IRVING AVENUE BRIDGETON,NJ08302 22-3746758	SUPPORT ntwk	NJ	501(C)(3)	509(A)(3)	IMC		No
(5) INSPIRA HEALTH NETWORK LIFE INC 2950 COLLEGE DRIVE SUITE 1E VINELAND,NJ08360 26-4827936	HEALTH SVCS.	NJ	501(c)(3)	509(A)(3)	NETWORK		No
(6) INSPIRA HLTH NTWRK FDN GLOUCESTER COUNTY 509 NORTH BROAD STREET WOODBURY,NJ08096 22-2333409	SUPPORT IMCW	NJ	501(c)(3)	509(A)(1)	IMCW	Yes
(7) TRI-COUNTY CARDIOVASCULAR SERVICES PC 509 NORTH BROAD STREET WOODBURY,NJ08096 45-4199382	HEALTH SVCS.	NJ	501(C)(3)	509(A)(1)	NETWORK		No
(8) INSPIRA HEALTH CONNECTIONS PC 509 NORTH BROAD STREET WOODBURY,NJ08096 45-4203973	HEALTH SVCS.	NJ	501(C)(3)	509(A)(1)	NETWORK		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2013

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) BPOC LP 333 IRVING AVENUE BRIDGETON,NJ08302 22-2956029	REAL ESTATE	NJ
(2) OAK & MAIN SURGICTR 907 NORTH MAIN ROAD VINELAND,NJ08360 22-3532371	HEALTHCARE SVCS.	NJ

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) INSPIRA HELP SERVICES INC PO BOX 126 SALEM,NJ08079 22-2823028	HEALTHCARE SVCS.	NJ		C CORP.				No
(2) INSPIRA HEALTH MANAGEMENT CORPORATION 333 IRVING AVENUE BRIDGETON,NJ08302 22-2502241	HEALTHCARE SVCS.	NJ		C CORP.				No
(3) INSPIRA HEALTH NETWORK MEDICAL GROUP PC 2950 COLLEGE DRIVE SUITE 1E VINELAND,NJ08360 20-5745047	HEALTHCARE SVCS.	NJ		C CORP.				No
(4) JUNO ASSURANCE LTD AON HOUSE 4TH FLOOR PEMBROKE HM 08 BD	FINANCIAL VEHICLE	BD		FOREIGN CORP.				No
(5) INSPIRA HEALTH NETWORK URGENT CARE PC 201 TOMLIN STATION ROAD MULLICA HILL,NJ08062 45-2900402	HEALTHCARE SVCS.	NJ		C CORP.				No
(6) RED BANK DEVELOPMENT CORPORATION 509 NORTH BROAD STREET WOODBURY,NJ08096 22-2814053	HEALTHCARE SVCS.	NJ		C CORP.				No
(7) INSPIRA HOME CARE SVCS WOODBURY INC 509 NORTH BROAD STREET WOODBURY,NJ08096 22-3479390	HEALTHCARE SVCS.	NJ		C CORP.				No

Schedule R (Form 990) 2013

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) INSPIRA HEALTH NETWORK INC	D	111,946	COST
(2) INSPIRA HEALTH NETWORK INC	E	551,733	COST
(3) INSPIRA HEALTH NETWORK FDN GLOUCESTER COUNTY	E	130,022	COST

Schedule R (Form 990) 2013

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V?UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2013

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference

Explanation

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 CENTER WOODBURY, INC. ROUTINELY PAYS EXPENSES FOR VARIOUS RELATED AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.

Schedule R (Form 990) 2013

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE QUALITY HEALTHCARE SERVICES THAT CONTRIBUTE TO THE IMPROVED HEALTH AND WELL-BEING OF ALL IT SERVES.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	19
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2013 (Part V, line 2a) ......	5	1,901
6	Total number of volunteers (estimate if necessary) .............	6	284
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	49,515
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	-22,573

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	665,556	207,254
9	Program service revenue (Part VIII, line 2g) .........	162,058,250	161,226,685
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,015,286	7,598,965
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,848,814	1,259,855
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	167,587,906	170,292,759
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	34,000	61,341
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	92,645,517	97,892,578
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	79,066,397	77,778,775
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	171,745,914	175,732,694
19	Revenue less expenses. Subtract line 18 from line 12.......	-4,158,008	-5,439,935
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	243,207,407	242,894,510
21	Total liabilities (Part X, line 26).............	112,369,515	105,265,817
22	Net assets or fund balances. Subtract line 21 from line 20.....	130,837,892	137,628,693

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 13,028,314 including grants of $ 0 ) (Revenue $ 26,141,204 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY MEDICAL SURGICAL SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILIty TO PAY. PATIENT DAYS TOTALED 38,620 DAYS OF SERVICE DURING 2013. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4b	(Code: ) (Expenses $ 11,226,929 including grants of $ 0 ) (Revenue $ 8,362,333 )
	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. OPERATING ROOM CASES TOTALED 5,067 DURING 2013. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4c	(Code: ) (Expenses $ 6,206,573 including grants of $ 0 ) (Revenue $ 8,412,046 )
	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 TREATED 55,363 EMERGENCY DEPARTMENT PATIENTS DURING 2013. THE EMERGENCY DEPARTMENT OPERATES TWENTY-FOUR HOURS PER DAY, SEVEN DAYS PER WEEK. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 127,703,623 including grants of $ 61,341 ) (Revenue $ 118,314,992 )
4e	Total program service expenses158,165,439

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	2,906,104	2,938,846	784,939

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f		207,254

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			207,254
			Business Code
2a	NET PATIENT SERVICE REVENUE		541900	154,691,728	154,691,728
b	OTHER HEALTHCARE RELATED REVENUE		541990	6,534,957	6,489,332	45,625
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			161,226,685
3	Investment income (including dividends, interest, and other similar amounts).......			1,641,976		3,890	1,638,086
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties...........			0
		(i) Real	(ii) Personal
6a	Gross rents	1,054,615
b	Less: rental expenses	609,997
c	Rental income or (loss)	444,618	0
d	Net rental income or (loss).......			444,618			444,618
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	5,956,989
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	5,956,989
d	Net gain or (loss)..........			5,956,989			5,956,989
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	CAFETERIA INCOME		722514	545,133			545,133
b	PARKING INCOME		812930	270,104			270,104
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			815,237
12	Total revenue. See Instructions......			170,292,759	161,181,060	49,515	8,854,930


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............			4,829	1	5,829
2	Savings and temporary cash investments .........			5,925,138	2	5,519,566
3	Pledges and grants receivable, net ...........			74,752	3	101,833
4	Accounts receivable, net .............			18,516,599	4	16,199,290
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
				0	6	0
7	Notes and loans receivable, net .............			956,612	7	0
8	Inventories for sale or use ..............			682,413	8	724,299
9	Prepaid expenses and deferred charges ..........			2,345,283	9	2,216,001
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	222,189,063
b	Less: accumulated depreciation .....	10b	122,133,360	107,211,988	10c	100,055,703
11	Investments—publicly traded securities ..........			0	11	0
12	Investments—other securities. See Part IV, line 11 .....			0	12	0
13	Investments—program-related. See Part IV, line 11 .....			98,059,374	13	107,931,527
14	Intangible assets ...............			529,295	14	480,253
15	Other assets. See Part IV, line 11 ...........			8,901,124	15	9,660,209
16	Total assets. Add lines 1 through 15 (must equal line 34)......			243,207,407	16	242,894,510
17	Accounts payable and accrued expenses .........			18,033,147	17	25,620,308
18	Grants payable .................			0	18	0
19	Deferred revenue ................			0	19	0
20	Tax-exempt bond liabilities .............			54,350,000	20	52,575,000
21	Escrow or custodial account liability. Complete Part IV of Schedule D..			0	21	0
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........			0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..			385,537	23	192,802
24	Unsecured notes and loans payable to unrelated third parties ....			0	24	0
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			39,600,831	25	26,877,707
26	Total liabilities. Add lines 17 through 25.........			112,369,515	26	105,265,817
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			125,880,664	27	133,312,774
28	Temporarily restricted net assets ...........			987,802	28	138,925
29	Permanently restricted net assets ...........			3,969,426	29	4,176,994
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			130,837,892	33	137,628,693
34	Total liabilities and net assets/fund balances ........			243,207,407	34	242,894,510