Attach to Form 990 or Form 990-EZ.
See separate instructions.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) | (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 | |||
|---|---|---|---|---|---|---|---|---|---|
| Yes | No | Yes | No | Yes | No | ||||
| (A)
INSPIRA MEDICAL CENTERS INC |
210634484 | 03 | No | Yes | Yes | 0 | |||
| (B)
INSPIRA MEDICAL CENTER WOODBURY INC |
221820210 | 03 | No | Yes | Yes | 0 | |||
| Total | 0 | ||||||||
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. | ||||||
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). | ||||||






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.) | ||||||
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.).. | ||||||




| Facts And Circumstances Test |
|---|
| Explanation |
|---|
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | INSPIRA HEALTH NETWORK, INC. IS A NOT FOR-PROFIT HOLDING COMPANY BASED IN BRIDGETON, NEW JERSEY. INSPIRA HEALTH NETWORK, INC. IS THE SOLE CORPORATE MEMBER OF VARIOUS NOT FOR-PROFIT AND FOR-PROFIT ENTITIES. THE INTERNAL REVENUE SERVICE ("IRS") HAS RECOGNIZED INSPIRA HEALTH NETWORK, INC. AS BEING A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). INSPIRA HEALTH NETWORK, INC. IS THE PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. Inspira Medical Centers, Inc. BACKGROUND ========== Inspira Medical Centers, Inc. ("IMC") is a provider of general acute and ambulatory healthcare services based in Cumberland and Salem County, New Jersey. IMC is recognized by the IRS as an Internal Revenue Code section 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, IMC provides healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin, religion or ability to pay. Moreover, IMC operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. Provides healthcare services to all individuals regardless of ability to pay, including Charity Care, Self-Pay, Medicare and Medicaid patients; 2. Operates 3 active emergency rooms for all persons; which are open 24 hours a day, 7 days a week, 365 days per year, including a specialized pediatric emergency department in the Vineland facility; 3. Maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of IMC rests with its board of directors and the board of directors of Inspira Health Network, Inc. Both boards are comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. The operations of IMC as shown through the factors outlined above and other information contained herein, clearly demonstrate that the use and control of IMC is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. IMC provides healthcare services to all individuals regardless of ability to pay. Moreover, IMC provides healthcare services to patients who meet certain criteria defined by the New Jersey Department of Health and Human Services without charge or at amounts less than established rates. IMC maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. As the sole provider of essential health services, IMC provides an essential safety net for our communities, assuring that patients receive both the care and financial help they need. IMC is the area's only non-profit health system and major provider of charity care for families without health insurance. IMC is an integrated healthcare delivery system comprised of medical centers, community health clinics, home health services, and specialty services that serve the healthcare needs of our community. PATIENT STATISTICAL INFORMATION =============================== IMC provides care to a patient base spread out over five southern New Jersey counties. With facilities in Cumberland and Salem Counties, IMC serves as the only not-for-profit acute care facility in both of those counties, accounting for over 376,000 persons, IMC is comprised of two acute care facilities and two hospital-based ambulatory care centers. Inspira Medical Center Vineland is located in Vineland, New Jersey, Cumberland County. It is a 276-bed acute care facility with 59 psychiatric beds located at the Inspira Health Center Bridgeton. Inspira Medical Center Elmer is a 96-bed acute care facility located in Elmer, New Jersey, Salem County. Additionally, IMC provides ambulatory services at two locations in Cumberland County, which are Inspira Health Center Bridgeton and the Inspira Medical Center Vineland. These ambulatory care centers provide a wide range of diagnostic and therapeutic services, including a 24/7 satellite emergency department and chronic dialysis services at Inspira Health Center Bridgeton, physical rehabilitation services, occupational medicine, laboratory and radiology services. In 2013, IMC performed 17,960 surgeries, 143,844 physical therapy treatments, 32,637 occupational health visits, 16,073 dialysis treatments, 243,844 diagnostic imaging procedures, 24,156 radiation therapy treatments and 106,732 emergency room visits. Also in 2013, inpatient admissions were 19,134 for adults and pediatrics, 204 for special care nursery, 183 for neonatal intensive care unit, 1,655 for mental health and 2,225 births. QUALITY AWARDS AND RECOGNITION ============================== In addition to providing a wide scope of services, IMC takes great pride in providing high quality, patient focused care to its communities. These efforts have been recognized at both a local and national level through a variety of awards, recognitions and accreditations, which include: Recognition for our commitment to excellence -------------------------------------------- We're proud at IMC to have received numerous accolades for excellence in healthcare. It is a reflection of our commitment to best practices and evidence-based care; supporting continuing education and staff recruitment; investing in leading edge technology; and recruiting primary care physicians, specialists and subspecialists to meet the needs of our communities. As one of the region's largest healthcare providers, we are pleased to share some of our most recent awards: - Accredited Chest Pain Center - At Inspira Medical Center Vineland, employees and physicians have met the requirements to become an Accredited Chest Pain Center, affirming that the proper staff, equipment, processes and expertise are available to provide rapid evidence-based care to patients exhibiting signs of a heart attack. - American College of Surgeons Commission on Cancer - Inspira's cancer program in Vineland is designated as a Community Hospital Comprehensive Cancer Program by the American College of Surgeons Commission on Cancer (CoC). Additionally, IMC Vineland has recently been awarded the Outstanding Achievement Award for the third consecutive year. - American Heart Association Fit Friendly Company and Worksite Innovation Awards - Inspira Health Network promotes a culture of wellness in the workplace. In 2013, the AHA awarded Inspira with its seventh consecutive Platinum Award for Fit-Friendly Worksites at Inspira Medical Center Vineland, Inspira Medical Center Elmer and Inspira Health Center Bridgeton, making us one of only three organizations nationwide to achieve such an honor. - American Heart Association Community Innovation Award - The American Heart Association recognized Inspira Health Network with the 2013 Community Innovation Award for its "Starter Food Box" Initiative through its Discharge Coach Program and The Community Food Bank of New Jersey Southern Branch. The program works to extend nutritional care to patients beyond their hospital stay who are considered at risk for malnutrition and at a greater risk of readmission. The Community Innovation Award recognizes organizations for their innovative approaches to promoting healthy living throughout the community. Inspira is one of only 37 organizations from across the country to be presented with this award. - American Nurses Credentialing Center Magnet Facility - Inspira Health Network's medical centers in Elmer and Vineland and its health center in Bridgeton have been re-designated by the American Nurses Credentialing Center as Magnet facilities for quality patient care, nursing excellence and innovations in professional nursing practice. By receiving Magnet re-designation, Inspira maintains its status within an elite group of hospitals across the nation. Only 24 hospitals in New Jersey have been awarded Magnet recognition. - Baby Friendly Award - Inspira Medical Center Elmer is the first in New Jersey & Delaware Valley to earn international recognition as a Baby-Friendly birth facility. The designation is awarded by Baby-Friendly, USA, an accrediting body that implements the United Nations Children's Fund (UNICEF) and World Health Organization (WHO) Baby-Friendly Hospital Initiative to encourage and recognize hospitals and birthing centers that offer an optimal level of care for infant feeding. - Beacon Award for Excellence in Critical Care - Inspira Medical Centers, Inc. has received four Beacon Awards for Excellence in Critical Care as follows: - Inspira Medical Center Vineland Cardiac ICU (Gold) - Inspira Medical Center Elmer ICU (Gold) - Inspira Medical Center Vineland ICU (Gold) - Inspira Medical Center Vineland Surgical ICU (Silver) - National Accreditation Pr |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | - National Accreditation Program for Breast Centers - Inspira Health Network's Breast Center Vineland was recently awarded a three-year accreditation from the National Accreditation Program for Breast Centers. The accreditation, administered by the American College of Surgeons, is presented to those organizations that have voluntarily committed to provide the highest level of breast care and that successfully undergo a rigorous evaluation and review of their performance. - Spirit of Women Premier Hospital - Inspira was named a Spirit of Women Premier Hospital for its commitment to women's health and well-being. Last year, hundreds of women attended Spirit of Women events that blend fun and learning for a great time out. SERVICES AND PROGRAMS ===================== Inspira offers a variety of significant services and programs, several of which are described below. Inspira Medical Center Elmer ---------------------------- Inspira Medical Center Elmer is a 96-bed primary healthcare provider in Southern New Jersey. In the last several years, Elmer has undergone some renovations including the opening of their intensive care unit; a modern surgical services department; a new child/adolescent intensive outpatient mental health unit; a new maternity care center; a new physician care center, a free-standing outpatient physical therapy site; a redesigned operating room, emergency room, lobby and registration area. Inspira Medical Center Vineland ------------------------------- Located on a 62.5-acre campus in Vineland, Inspira Medical Center Vineland is a 491,989 square-foot, 276-bed facility, which opened in August 2004. In addition to offering comprehensive medical technologies and services, the Inspira Medical Center Vineland's design also emphasizes patient comfort. Inpatient Care Centers of Excellence ------------------------------------ Inspira Medical Center Vineland operates four inpatient care centers: - Women's & Children's Center of Care - Home-like labor and delivery suites - Surgical Center of Care - 10 operating suites, a modern ICU/CCU and rehabilitation services - Medical Center of Care - Acute, ICU and post-ICU, dialysis, chemotherapy and medical infusion services - Cardiology Center of Care - 37 bed cardiac acute care unit, ICU and post-ICU and cardiopulmonary unit The inpatient care centers allow for the co-location of like acute and critical care units. The surgical intensive care unit is adjacent to the surgical step-down/post-intensive care unit. This step-down unit is likewise adjacent to the surgical acute care beds. As the patient's illness or injury becomes less acute, the patient can move down this continuum of care without ever physically leaving the inpatient care centers. This configuration also simplifies physicians' rounds. All patient rooms at the Inspira Medical Center Vineland are single patient rooms which increases patient privacy, confidentiality and comfort. The use of private rooms allows for more efficient care and reduces the risk of patients contracting a nosocomial infection during their stay. Also, given the increase in patient acuity and the corresponding increase in demand for more equipment, private rooms provide more space for specialized equipment and caregivers at the bedside. Rooms at Inspira Medical Center Vineland are designed with viewing windows along the hallway allowing patients to be observed by medical personnel without being disturbed. COMMUNITY BENEFIT EFFORTS ========================= In its role as the sole not-for-profit acute care provider in Cumberland and Salem Counties, IMC and entities under its parent, provides and participates in a number of services and programs in our community. From community education to participation in community-focused groups, IMC provides a wide range of services. Improve Community Health ------------------------ Inspira Medical Centers provides its neighbors with many programs and services that help improve the health of the community. Examples of some of these programs and services are: - Cancer Services - Inspira Frank and Edith Scarpa Cancer Center offers a number of outreach services, which provide support and education in the community. IMC's Breast Cancer Bridge Program, Men's Cancer Support Group and Patient Navigators all serve as healthcare advocates, helping patients navigate through their cancer journey. As a Fox Chase Cancer Center partner, IMC provides leading-edge cancer care through national clinical trials, which focus on cancer treatment, diagnostic and prevention methods. IMC has the opportunity to recruit a large amount of patients for Fox Chase's newest clinical trials, providing local access to the latest strategies against cancer. - Health Information - Access to quality health information is important and IMC provides a variety of healthcare information to the community on its website and through publications to the general public. The community has monthly access to IMC medical experts through partnerships with the local newspapers featuring monthly sections like "Ask the Doctor" and "Healthline", which allow readers to submit questions and receive responses about important healthcare issues online or via fax. IMC also reaches out to the community through the newspapers monthly "Health Connection" publication, which contains news and information about local health issues, options, tips, resources, support groups and more. "Family & Friends" is a quarterly external publication that offers health information to promote healthy living, heighten awareness of health issues, recognize common symptoms of disease and encourage medical attention and treatment. IMC's website offers a wealth of health information to the community including free access to Look, Listen and Learn, an online library of educational videos covering a variety of medical conditions and procedures. In addition, IMC offers two e-newsletters, "HealthEYou", a healthy living newsletter, and the "Cancer E-newsletter". A free subscription to each is available through Inspira's website. - Garden AHEC Educational Programs - The Cumberland Empowerment Zone Corporation's 21st Century Community Learning Center program offers after school and summer courses in nutrition, fitness, healthy lifestyles, careers in healthcare and a positive youth development program focusing on psychosocial teen health topics. These programs are offered to underprivileged and minority middle & high school students. - Health Fairs and Screenings - IMC also reaches out to those in our community who do not regularly come through the doors of our medical centers. IMC reaches out to a variety of local employers by participating in on-site health fairs and events to offer valuable health information to our neighbors. In addition, IMC hosts senior luncheon classes and senior health education days, which include flu shots and educational sessions. In recognition of stroke awareness month, IMC hosts a stroke awareness education & screening day which includes free educational sessions, blood pressure checks and stroke screening tests. IMC's annual Spirit of Women Health Screening Day brings a myriad of health services and education together in one central location at Inspira Medical Center Vineland. At the event, attendees receive a range of free health screenings, including blood pressure and pulse oximetry, body mass index, heart disease risk assessment, skin cancer (face), foot and wound care, behavioral risk assessment, sleep apnea assessment, step test (resting heart rate), heel bone density and more. In addition, fun group activities are held, including yoga, line dancing and cooking demonstrations, as well as a relaxation room and meditation sessions. - NJCEED - IMC is Cumberland County's lead agency for the New Jersey Cancer Education and Early Detection Program (NJCEED), which provides comprehensive cancer outreach, education and free screenings to underserved and uninsured residents who might otherwise not have access to these important diagnostic screening services. In 2013, 401 breast, cervical, colorectal and prostate screenings were provided through the grant. - Support Groups - To help address social, psychological or emotional issues related to diseases and health issues, IMC offers a variety of free support groups that include, but are not limited to, women's cancer, diabetes, cardiopulmonary health, prostate cancer, smoking cessation, stroke and five levels of bariatric support. Additionally, IMC donates the use of space in its facilities for external nonprofit organizations to hold support group meetings for substance abuse such as Alcoholics Anonymous and Narcotics Anonymous. |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | - Support Services - Staff members of IMC's Patient Business Services department, in addition to providing financial counseling to individuals, make frequent visits to various community groups and social service agencies, educating them on the charity care options and financial assistance programs available. In addition, a significant level of charity care, financial assistance, transportation assistance and language assistance services are provided for the underserved and vulnerable populations. - Training Classes - IMC offers a wealth of educational programs designed to promote a safe and healthy lifestyle. Training classes are regularly available on such topics as childbirth, breast-feeding, newborn care, understanding diabetes, CPR (Cardiopulmonary Resuscitation), ACLS (Advanced Cardiac Life Support), PALS (Pediatric Advanced Life Support), EMS (Emergency Medical Services), SafeSitter (Babysitter Training) and others. ACCESS TO AND IMPROVING THE QUALITY OF HEALTHCARE ================================================= IMC has both participated in and conducted a number of programs to improve access to healthcare services: - Efficient and Quality Patient Care - As the leading community provider in southern New Jersey, IMC is highly regarded for its quality of care and services in the region. Clinical quality and service excellence remain top strategic initiatives. To further increase the efficiency of patient care, IMC has transitioned to electronic medical records making significant investments in its clinical computer systems. The organization will expand its core quality measures by participating in several regional and national performance improvement programs that will provide benchmarking data and tools for measuring and reporting clinical quality. - Patient Satisfaction - IMC uses a patient satisfaction tool called the Hospital Consumer Assessment of Healthcare Providers Survey (HCAHPS). This standardized survey measures our patients' perceptions about their hospital experience and provides feedback about how we are doing, both good and bad. This assists us to continually make improvements and provide even better care for the community. INSPIRA MEDICAL CENTER WOODBURY, INC. 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. 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 health care 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 p |
| CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS | - 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. 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 VI, SECTION A; QUESTION 1 | THE ORGANIZATION IS THE TAX-EXEMPT PARENT OF INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("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: 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. PETER GALETTO, JR. IS A BOARD MEMBER OF SUN NATIONAL BANK AND A BOARD MEMBER OF INSPIRA HEALTH NETWORK, INC. ADDITIONALLY; RUSSELL GILLESPIE IS AN EMPLOYEE OF SUN NATIONAL BANK AND WAS A BOARD MEMBER OF INSPIRA HEALTH NETWORK, INC. FROM JANUARY 1, 2013 THROUGH SEPTEMBER 24, 2013. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $16,470 TO CUMBERLAND CAPE ATLANTIC YMCA FOR CERTAIN PUBLIC HEALTH INITIATIVES. PETER GALETTO, JR. IS A BOARD MEMBER OF CAPE ATLANTIC YMCA AND A BOARD MEMBER OF INSPIRA HEALTH NETWORK, INC. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $171,391 TO STANKER AND GALETTO, INC. DURING 2013 FOR RENOVATIONS AND CONSTRUCTION SERVICES. PETER GALETTO, JR. IS AN OWNER OF STANKER AND GALETTO, INC. AND A BOARD MEMBER OF INSPIRA HEALTH NETWORK, INC. PLEASE NOTE THAT THIS TRANSACTION IS DISCLOSED ON THE INSPIRA MEDICAL CENTERS, INC. FORM 990, SCHEDULE L, PART IV. INSPIRA MEDICAL CENTERS, INC.; AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK, INC. & AFFILIATES, RENTS OFFICE SPACE AT THE ELMER MEDICAL OFFICE BUILDING FROM GALETTO REALTY COMPANY. TOTAL PAYMENTS FROM INSPIRA MEDICAL CENTERS, INC. TO GALETTO REALTY COMPANY AMOUNTED TO $9,241 DURING 2013. PETER GALETTO, JR. IS AN OWNER OF GALETTO REALTY COMPANY AND A BOARD MEMBER OF INSPIRA HEALTH NETWORK, INC. PAYMENT BY INSPIRA MEDICAL CENTERS, INC.; AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK & AFFILIATES, IN THE AMOUNT OF $10,600 TO DAVID GALETTO, M.D. FOR PHYSICIAN SERVICES. DAVID W. GALETTO, M.D. IS THE COUSIN OF PETER GALETTO, JR; A BOARD MEMBER OF INSPIRA HEALTH NETWORK, INC. PLEASE NOTE THAT THIS TRANSACTION IS DISCLOSED ON THE INSPIRA MEDICAL CENTERS, INC. CORE FORM 990, PART VII. LENDING OF MONEY PURSUANT TO A PRACTICE SUPPORT AGREEMENT BETWEEN INSPIRA MEDICAL CENTERS, INC.; AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK, INC. & AFFILIATES, AND CUMBERLAND INTERNAL MEDICINE. THE ORIGINAL AMOUNT OF THE LOAN WAS $ 41,554. THE LOAN WAS SET UP IN ORDER TO ASSIST THE PRACTICE IN THE OPERATION OF INTERNAL MEDICINE/INFECTIOUS DISEASE SERVICES. THE TOTAL AMOUNT DUE FROM THE PRACTICE AT DECEMBER 31, 2013 WAS $285,997. DAVID GALETTO, M.D. IS AN OWNER OF CUMBERLAND INTERNAL MEDICINE AND COUSIN OF PETER GALETTO, JR.; A BOARD MEMBER OF INSPIRA HEALTH NETWORK, INC. PLEASE NOTE THAT THIS TRANSACTION IS DISCLOSED ON THE INSPIRA MEDICAL CENTERS, INC. FORM 990, SCHEDULE L, PART IV. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $357,125 TO CUMBERLAND INTERNAL MEDICINE FOR MEDICAL SERVICES DURING 2013. DAVID GALETTO, M.D. IS AN OWNER OF CUMBERLAND INTERNAL MEDICINE AND COUSIN OF PETER GALETTO, JR.; A BOARD MEMBER OF INSPIRA HEALTH NETWORK, INC. PLEASE NOTE THAT THIS TRANSACTION IS DISCLOSED ON THE INSPIRA MEDICAL CENTERS, INC. FORM 990, SCHEDULE L, PART IV. KEVIN C. BOWEN HAS A SON THAT IS EMPLOYED BY INSPIRA MEDICAL CENTER WOODBURY, INC.; AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK, INC. & AFFILIATES, FOR WHICH HE RECEIVED FORM W-2, BOX 5 MEDICARE WAGES IN THE AMOUNT OF $41,148 DURING 2013. KEVIN C. BOWEN IS A BOARD MEMBER OF INSPIRA HEALTH NETWORK, INC. PLEASE NOTE THAT THIS TRANSACTION IS DISCLOSED ON THE INSPIRA MEDICAL CENTER WOODBURY, INC. FORM 990, SCHEDULE L, PART IV. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES 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 HEALTH NETWORK, INC. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $62,506 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 HEALTH NETWORK, INC. IN ADDITION, CHRISTOPHER R. GIBSON, ESQ. IS AN EMPLOYEE OF ARCHER & GREINER, P.C. AND WAS A BOARD MEMBER OF INSPIRA HEALTH NETWORK, 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 HEALTH NETWORK, INC. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES 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 HEALTH NETWORK, INC. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $823,103 TO SOUTH JERSEY GAS COMPANY FOR UTILITIES DURING 2013. DAVID ROBBINS, JR. IS AN OFFICER OF SOUTH JERSEY GAS COMPANY AND A BOARD MEMBER OF INSPIRA HEALTH NETWORK, INC. PLEASE NOTE THAT THIS TRANSACTION IS DISCLOSED ON THE INSPIRA MEDICAL CENTERS, INC. FORM 990, SCHEDULE L, PART IV. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $16,356 TO ROSSI MOTOR CORP FOR A VEHICLE PURCHASED DURING 2013. RONALD ROSSI IS AN OFFICER OF ROSSI MOTOR CORP. AND A BOARD MEMBER OF INSPIRA HEALTH NETWORK, INC. |
| CORE FORM, PART VI, SECTION A; QUESTION 2 | RUSSELL GILLESPIE AND PETER GALETTO, JR. - BUSINESS RELATIONSHIP |
| CORE FORM, PART VI, SECTION B; QUESTION 11B | THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY, ITS BOARD OF DIRECTORS, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE NETWORK'S COMPENSATION COMMITTEE HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES OF THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE SYSTEM HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING GENERAL COUNSEL, CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF FINANCE AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS OUTLINED ABOVE FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION TO THE MEMBERS OF THE NETWORK'S COMPENSATION COMMITTEE AND THEREAFTER TO EACH VOTING MEMBER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. |
| CORE FORM, PART VI, SECTION B; QUESTION 12 | THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND NETWORK'S GENERAL COUNSEL FOR REVIEW. THEREAFTER, GENERAL COUNSEL PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS WHICH IS THEN PRESENTED TO THE NETWORK'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION. |
| CORE FORM, PART VI, SECTION B; QUESTION 15 | THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS FILING ORGANIZATION ITSELF HAS NO PAID SENIOR MANAGEMENT PERSONNEL RECEIVING COMPENSATION DIRECTLY FROM THIS ORGANIZATION. RATHER, KEY SENIOR MANAGEMENT PERSONNEL, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER ARE EMPLOYED BY THE TAX-EXEMPT HOSPITALS WITHIN THE HEALTHCARE SYSTEM. HOWEVER, THE COMPENSATION AND BENEFITS OF THESE INDIVIDUALS ARE SHOWN ON THIS TAX RETURN BECAUSE THEY ARE BOTH OFFICERS OF THIS ORGANIZATION. ACCORDINGLY, THE NETWORK'S BOARD OF DIRECTORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICE |
| CORE FORM, PART VI, SECTION C; QUESTION 19 | THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. |
| CORE FORM, PART VII AND SCHEDULE J | PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OF THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. |
| CORE FORM, PART VII, SECTION A, COLUMN B | THIS ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF DIRECTOR MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORSS 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 INCREASE IN UNRESTRICTED NET ASSETS OF INSPIRA HEALTH NETWORK, INC. - $4,413,000 AND - OTHER DECREASE IN UNRESTRICTED NET ASSETS OF INSPIRA MANAGEMENT SERVICES, L.L.C. - ($2,125,000). |
| CORE FORM, PART XII; QUESTION 2 | THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE NETWORK AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS EACH YEAR. THE ORGANIZATION'S AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THE SELECTION OF AN INDEPENDENT AUDITOR. |
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