TY 2015 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 ................. 0.0	X	X	0	0
(2) EDWARD BETHEA...................................................................... SEC/TREAS-TRUSTEE(EFF 8/3/15)	1.0 ................. 0.0	X	X	0	0
(3) JAMES M BONNER DO...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(4) JOHN B CATALANO MD...................................................................... TRUSTEE	2.0 ................. 0.0	X		2,800	0
(5) JOHN A DIANGELO...................................................................... TRUSTEE; PRESIDENT/CEO-NTWK	55.0 ................. 0.0	X	X	1,792,781	474,583
(6) LAWRENCE M DIVIETRO JR...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(7) GREGORY J FACEMYER CPA...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(8) ROBERTA S FREITAG...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(9) EDGAR G GALLOWAY III...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(10) JAMES E GEORGE MD JD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(11) BENJAMIN T GRIFFITH...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(12) DAVID HEMPLE...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(13) KURT W KAULBACK MD...................................................................... TRUSTEE	55.0 ................. 0.0	X		567,884	37,219
(14) LAWRENCE A PEPPER JR ESQ...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(15) JORGE A PRIETO MD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(16) PAUL J RITTER III...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(17) ALBERT A RUNDIO JR...................................................................... TRUSTEE	1.0 ................. 0.0	X		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) ARMANDO P RUSSO MD........................................................................ TRUSTEE; PRESIDENT MED STAFF	5.0 .......................0.0	X			53,415	0
(19) JACK C SHEPPARD JR........................................................................ TRUSTEE	1.0 .......................0.0	X			0	0
(20) JACK M SHIELDS MD........................................................................ TRUSTEE	5.0 .......................0.0	X			31,350	0
(21) PAUL J TULLY........................................................................ TRUSTEE	1.0 .......................0.0	X			0	0
(22) KIMBERLY E WOOD........................................................................ TRUSTEE	1.0 .......................0.0	X			0	0
(23) DANIEL J BALL III........................................................................ TREAS-TRUSTEE (TERMED 8/2/15)	1.0 .......................0.0	X			0	0
(24) BETH N BARRY........................................................................ SEC - TRUSTEE (TERMED 8/2/15)	1.0 .......................0.0	X			0	0
(25) SHIRLEY BIERBRUNNER........................................................................ TRUSTEE (TERMED 8/2/15)	1.0 .......................0.0	X			0	0
(26) EILEEN K CARDILE MS RN CNA........................................................................ TRUSTEE(TERM 8/2)EVP/PRES IMCW	55.0 .......................0.0	X	X		913,939	25,033
(27) PAMELA S CLARK........................................................................ VICE CHAIR-TRUS(TERMED 8/2/15)	1.0 .......................0.0	X			0	0
(28) JOHN H FISHER III........................................................................ TRUSTEE (TERMED 8/2/15)	1.0 .......................0.0	X			0	0
(29) DANTE G GERMANO........................................................................ TRUSTEE (TERMED 8/2/15)	1.0 .......................0.0	X			0	0
(30) SARAH D LOVE........................................................................ TRUSTEE (TERMED 8/2/15)	1.0 .......................0.0	X			0	0
(31) THOMAS P BALDOSARO CPA........................................................................ EVP/CHIEF FINANCIAL OFFICER	55.0 .......................0.0		X		472,785	115,503
(32) MARVIN T WAY........................................................................ EVP OPERATIONS	55.0 .......................0.0		X		532,939	105,455
(33) ROBERT E FLORENTINE........................................................................ SVP/Chief People Officer	55.0 .......................0.0		X		733,970	76,038
(34) JOHN W GRAHAM........................................................................ COO - IMCW (1/1/15 - 5/10/15)	55.0 .......................0.0		X		320,001	19,304
(35) PATRICK NOLAN........................................................................ COO - IMCW (EFFECTIVE 8/10/15)	55.0 .......................0.0		X		136,708	26,762
(36) MATTHEW DOONAN ESQ........................................................................ GENERAL COUNSEL	55.0 .......................0.0		X		275,581	54,352
(37) JOHN C BICKINGS........................................................................ VP FACILITIES & CONSTRUCTION	55.0 .......................0.0		X		615,830	92,999
(38) ARTHUR BOOTE........................................................................ VP PROVIDER NTWK INTEGRATION	55.0 .......................0.0		X		592,798	78,131
(39) CLARE SAPIENZA-ECK........................................................................ VP BUS. DEV./PHYS RECRUITMENT	55.0 .......................0.0		X		438,625	87,485
(40) THOMAS PACEK........................................................................ VP/CHIEF INFORMATION OFFICER	55.0 .......................0.0		X		328,613	75,889
(41) GINA PETRONE MUMOLIE........................................................................ VP CHIEF NURSING (TERM 1/3/15)	55.0 .......................0.0		X		324,786	27,665
(42) CAROLYN S HECKMAN........................................................................ VP COMMUNITY RELATIONS	55.0 .......................0.0		X		324,454	54,528
(43) DAVID YHLEN........................................................................ VP AMBULATORY SERVICES	55.0 .......................0.0		X		312,324	64,510
(44) DAVID MURRAY........................................................................ VP FINANCE	55.0 .......................0.0		X		271,276	35,043
(45) PAUL M LAMBRECHT........................................................................ VP QUALITY & PATIENT SAFETY	55.0 .......................0.0		X		220,398	29,129
(46) PETER A KAPRIELYAN........................................................................ VP GOV'T & EXTERNAL RELATIONS	55.0 .......................0.0		X		220,117	15,304
(47) MARY BOLLWAGE........................................................................ VP RISK MANAGEMENT	55.0 .......................0.0		X		195,965	21,063
(48) MAUREEN SACCHETTI........................................................................ VP CLINICAL SVS (EFF 1/18/15)	55.0 .......................0.0		X		158,134	18,119
(49) ROBERT L MANESTRINA........................................................................ VP HUMAN RES (TERMED 1/30/15)	55.0 .......................0.0		X		134,215	18,594
(50) TERRI SPOLTORE........................................................................ VP PAT CARE SVS (EFF 4/12/15)	55.0 .......................0.0		X		124,550	29,255
(51) MIKOLE BURKE-ANDERSON........................................................................ VP COMP/ETHICS (TERMED 6/6/15)	55.0 .......................0.0		X		104,292	19,742
(52) CAROL L THOMAS........................................................................ VP POP. HEALTH (EFF 10/26/15)	55.0 .......................0.0		X		42,308	15,863
(53) JOSEPH A PICCOLO........................................................................ VP CORP COMP/CCO(EFF 11/16/15)	55.0 .......................0.0		X		25,294	14,705
(54) FRANCIS T FERRY MD........................................................................ MEDICAL DIRECTOR (TERM 4/7/15)	55.0 .......................0.0		X		145,912	24,739
(55) CHRISTOPHER TROTZ MD........................................................................ EXEC MED DIRECTOR (EFF 4/8/15)	55.0 .......................0.0		X		258,449	35,171
(56) CHESTER B KALETKOWSKI........................................................................ FORMER OFFICER	0.0 .......................0.0			X	1,910,169	0
(57) ROBERT M D'ANGEL ESQ........................................................................ FORMER OFFICER	0.0 .......................0.0			X	652,513	9,967
(58) WAYNE C SCHIFFNER........................................................................ FORMER OFFICER	0.0 .......................0.0			X	316,377	0

(A) Name and business address	(B) Description of services	(C) Compensation
QUEST DIAGNOSTICS, PO BOX 828669 PHILADEPHIA,PA19182	LABORATORY	2,872,712
ARAMARK CORPORATION, 24863 Network Place CHICAGO,IL60673	FOOD SERVICES	1,739,499
SOUTH JERSEY ANESTHESIA, PO BOX 766 WOODBURY,NJ08096	MEDICAL	1,639,943
JOHN S MCMANUS INC, 9 SMITHBRIDGE ROAD CHAPEL HEIGHTS,PA19017	CONSTRUCTION	1,102,260
EMERGENCY CARE SERVICES OF NJ PA, 509 NORTH BROAD STREET WOODBURY,NJ08096	MEDICAL	1,083,855
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 82

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

OMB No. 1545-0047

2015

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 (Form 990 or 990-EZ))

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 in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

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

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. 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—2014. 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—2015. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. 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 VI 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) 2015

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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(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 VI.) ..
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 section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. 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—2014. 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) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

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

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

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

2015

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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 totaling $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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) 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	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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization INSPIRA MEDICAL CENTER WOODBURY INC		Employer identification number 22-1820210

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) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization INSPIRA MEDICAL CENTER WOODBURY INC			Employer identification number 22-1820210
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ 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) (2015)

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

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

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(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) 2015

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 on 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

7,500

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

Yes

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

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

7,500

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, lines 1 and 2 (see instructions), 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 $7,500 IN 2015. 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. PLEASE NOTE, INSPIRA MEDICAL CENTERS, INC., A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION PAID THE MEMBERSHIP DUES ON BEHALF OF THIS ORGANIZATION. THE PORTION OF THOSE DUES ALLOCATED TO LOBBYING IS REPORTED ON THE INSPIRA MEDICAL CENTERS, INC. FORM 990, SCHEDULE C. THIS ORGANIZATION IS ALSO A MEMEBER OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. TO WHICH IT PAID DUES IN THE AMOUNT OF $45,000 IN 2015. ONE OF THE FUNCTIONS OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. IS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ITS MEMBER HOSPITALS.

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 $7,500 IN 2015. 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. PLEASE NOTE, INSPIRA MEDICAL CENTERS, INC., A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION PAID THE MEMBERSHIP DUES ON BEHALF OF THIS ORGANIZATION. THE PORTION OF THOSE DUES ALLOCATED TO LOBBYING IS REPORTED ON THE INSPIRA MEDICAL CENTERS, INC. FORM 990, SCHEDULE C. THIS ORGANIZATION IS ALSO A MEMEBER OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. TO WHICH IT PAID DUES IN THE AMOUNT OF $45,000 IN 2015. ONE OF THE FUNCTIONS OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. IS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ITS MEMBER HOSPITALS.

Schedule C (Form 990 or 990EZ) 2015

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

OMB No. 1545-0047

2015

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" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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" on 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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)

Revenue included on 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:

Revenue included on 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) 2015

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability?

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" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	4,253,627	4,315,919	4,957,228	4,024,404	4,539,187
b	Contributions ...			207,568	1,079,145	266,563
c	Net investment earnings, gains, and losses	-327,000	-60,000	64	344,174	-240,184
d	Grants or scholarships ...				9,420	20,399
e	Other expenditures for facilities and programs ...	45,515	2,292	793,806	427,840	464,024
f	Administrative expenses ....			55,135	53,235	56,739
g	End of year balance ......	3,881,112	4,253,627	4,315,919	4,957,228	4,024,404

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

97.660 %

Temporarily restricted endowment SchDMd Bullet

2.340 %

The percentages on 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" on 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' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	4,217,915		4,217,915
b	Buildings	156,147,195	91,906,385	64,240,810
c	Leasehold improvements	647,191	630,401	16,790
d	Equipment ...	73,005,021	44,606,725	28,398,296
e	Other ...	5,137,391	77,254	5,060,137
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				101,933,948

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on 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
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on 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	14,766,734	F
(3)LIMITED PARTNERSHIPS AT COST;		F
(4)LIMITED USE	5,198,000	F
(5)COMMINGLED FUNDS;		F
(6)LIMITED USE	20,926,000	F
(7)EQUITY MUTUAL FUNDS;		F
(8)LIMITED USE	17,371,000	F
(9)FIXED INCOME MUTUAL FUNDS;		F
(10)LIMITED USE	30,769,000	F
(11)CORPORATE AND GOVERNMENT		F
(12)BONDS; LIMITED USE	21,331,000	F
(13)BENEFICIAL INTEREST IN		F
(14)PERPETUAL TRUSTS	3,790,482	F
(15)INVESTMENT IN UNCONSOLIDATED		F
(16)JOINT VENTURES	611,329	F
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	114,763,545

Part IX

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

(a) Description				(b) Book value
(1) ORGANIZATIONS, NET				10,990,818
(2) RECEIVABLE				5,016,524
(3) OTHER RECEIVABLES				1,106,210
(4) OTHER ASSETS				4,218,247
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				21,331,799

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
DUE TO AFFILIATED ORGANIZATIONS	33,304,204
THIRD PARTY PAYORS	12,382,808
ACCRUED RETIREMENT BENEFITS	6,846,039
ESTIMATED MALPRACTICE COSTS	6,730,671
INTEREST RATE SWAP AGREEMENTS	10,086,673
ACCRUED INTEREST PAYABLE	392,171
OTHER LIABILITIES	7,880,340
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	77,622,906
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) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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 (losses) 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' on 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, 2015 AND DECEMBER 31, 2014; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE ORGANIZATION'S 2015 AUDITED CONSOLIDATED 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 2015 OR 2014. IN ADDITION, THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ISSUES AUDITED CONSOLIDATED 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 2015 AUDITED CONSOLIDATED 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 2015 OR 2014.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

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

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
INSPIRA MEDICAL CENTER WOODBURY INC

Employer identification number

22-1820210

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	Central America and the Caribbean	1	1	Program Services	FINANCIAL VEHICLE	1,472,363
















3a	Sub-total .....	1	1			1,472,363
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	1	1			1,472,363

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
SCHEDULE F, PART I	DURING 2015 INSPIRA MEDICAL CENTERS, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, PAID JUNO ASSURANCE, LTD., A FINANCIAL VEHICLE, MALPRACTICE PREMIUMS PAYMENTS IN THE AMOUNT OF $1,472,363 ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION.

Schedule F (Form 990) 2015

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2015

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 500 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used 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? . . . . . .

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		(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) . . .	623	1,213,419	1,880,461		0 %
b	Medicaid (from Worksheet 3, column a) . . . . .	10,879	9,699,201	6,674,735	3,024,466	1.700 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	6,636	4,408,107	137,081	4,271,026	2.400 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	18,138	15,320,727	8,692,277	7,295,492	4.100 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	21,826	653,668	41,359	612,309	0.340 %
f	Health professions education (from Worksheet 5) . . .	261	1,332,485	1,560,032
g	Subsidized health services (from Worksheet 6) . . . .	4,390	2,903,785	258,489	2,645,296	1.480 %
h	Research (from Worksheet 7) .	0	36,175		36,175	0.020 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	147	18,560		18,560	0.010 %
j	Total. Other Benefits . .	26,624	4,944,673	1,859,880	3,312,340	1.850 %
k	Total. Add lines 7d and 7j .	44,762	20,265,400	10,552,157	10,607,832	5.950 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

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
1	Physical improvements and housing
2	Economic development	4		1,587	1,587
3	Community support	24	11	6,508	6,508
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	11	550	4,675	4,675
8	Workforce development
9	Other
10	Total	39	561	12,770	12,770

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).....

52,211,095

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

67,879,952

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

-15,668,857

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) 2015

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 (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					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) 2015

Page 4

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 letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

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 12......................

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 significant 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 Section C)

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 Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

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

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Yes

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

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)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, 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) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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 included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 500.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

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 all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

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

Yes

Did the hospital facility or other authorized 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?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (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)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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 Section C)

Other (describe in Section C)

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 Section C)

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 Section C.

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 Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCH H, PART V, SEC B, Q'S 3J,7D,13C,13H,15E,16I,18D,19D,21C,21D,22D,23&24	Not applicable.
SCHEDULE H, PART V, SECTION B, QUESTION 5	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; and 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, QUESTIONS 6A & 6B	Inspira Medical Center WOODBURY, Inc. worked in collaboration with the TRI-COUNTY HEALTH ASSESSMENT COLLABORATIVE WHICH CONSISTS OF VARIOUS HOSPITALS, HEALTH SYSTEMS, AND HEALTH DEPARTMENTS WITHIN BURLINGTON, CAMDEN AND GLOUCESTER COUNTIES. THE TRI-COUNTY HEALTH ASSESSMENT COLLABORATIVE INCLUDES THE FOLLOWING PARTNERS: - COOPER UNIVERSITY HEALTH CARE; - KENNEDY HEALTH SYSTEM; - LOURDES HEALTH SYSTEM; - VIRTUA HEALTH; - BURLINGTON HEALTH DEPARTMENT; - CAMDEN COUNTY BOARD OF FREEHOLDERS; - BURLINGTON COUNTY BOARD OF CHOSEN FREEHOLDERS; and - GLOUCESTER COUNTY BOARD OF CHOSEN FREEHOLDERS.
SCHEDULE H, PART V, SECTION B, QUESTION 11	The organizations Implementation Strategy, attached to this Federal Form 990, describes the community health needs identified through the Community Health Needs Assessment ("CHNA"). Inspira Medical Center WOODBURY, Inc. ("IMCW") has chosen to address a majority of the needs identified. Below is a summary of the health needs addressed and actions to be taken to address these needs by the organization as outlined in the organization's Implementation Strategy: 1. Health Resources focusing on Access To assist the uninsured and underinsured individuals and families with access to health resources, IMCW is going to help educate and enroll this population in the sources of insurance such as Medicaid and the new Health Insurance Marketplace options made available by the Affordable Care Act. Additionally, IMCW is helping to educate uninsured individuals and families through a dedicated webpage on its website and a flyer at all of its patient access points. Both address the frequently ask questions associated with the Affordable Care Act and the contact information for enrollment assistance. Internally IMCW also made ITS employees aware of the changes in health resources so IT can better assist and direct consumers to the resources made available. 2. Chronic Disease Management IMCW recognizes the crippling effect that chronic diseases have on people's lives. To assist patients with better management of their chronic diseases IMCW is expanding its Clinical Transitions Program to include patients with a primary or secondary diagnosis of diabetes as well as myocardial infarction and heart failure. IMCW will continue to support the community through its diabetes education program which is conducted in individual and group settingS. This program helps patients meet their health goals. Our outpatient program includes nutrition counseling for various disease states including pre-diabetes and weight management. These services help decrease the risk of diabetes through lifestyle changes including diet, exercise and weight loss. The Region 10 Cancer and Chronic Disease Coalition is a health service grant held by Inspira HEALTH Network. The grant is funded through the Office of Cancer Control and Prevention and the State of New Jersey Department of Health, Division of Family Health Services. The core intervention for Gloucester County Region 10 is to collaborate with Tobacco-Free for a Healthy NJ Southern Region through the IMAC initiative, Integrating Municipal Advisory Council. The goal of the IMAC is to work with community partners to effect social and policy change in regard to tobacco. In Gloucester County, we conducted smoke free outdoor air educational activities in Parkview Elementary School and most recently National Park Elementary School. Smoke-free ordinances and resolutions have been passed during 2012-2013 in multiple townships throughout Gloucester County. We also provide free metal "Breathe Easy" smoke free signs to every town that passes a 100% smoke free ordinance. IMCW has been the lead agency of the New Jersey Cancer Education and Early Detection (NJCEED) program of Gloucester County since 1997. Breast, cervical, colorectal, and prostate cancer screenings along with education, outreach, and case management are offered to qualified individuals whom reside within Gloucester County. The primary focus of the program is to increase cancer education and screenings and decrease morbidity and mortality rates. 3. Mental Health & Substance Abuse Through the CHNA IMCW became aware of the substance abuse problem that affects ITS community. IMCW is working on a three prong approach to tackle substance abuse, specifically prescription drug abuse. Being one of the largest healthcare providers in this area, IMCW decided educating our physicians was the best first step. To educate our physicians about the prescription drug abuse problem in our area of service we are offering physician education on the subject. The education will include information about the state run database called the Prescription Monitoring Program. This database collects prescription data on controlled dangerous substances and allows physicians to make sure patients are not abusing them to get excess prescriptions. The use of this database will prevent physicians from writing unnecessary prescriptions. To better educate those who live in our network about the prescription drug abuse problem, IMCW will collaborate with Southwest Council and their Gloucester county coalition, Gloucester Regional Addictive Substances Prevention (GRASP), Kennedy Health System and other community players to create a public awareness campaign. IMCW will work with THESE organizationS to create awareness campaign using billboards. A social media campaign will also be created and pushed to relevant media and to all of our partnering social service agencies within the Cumberland/Salem/Gloucester Health and Wellness Alliance. Mental health services were identified as a need with the Gloucester County. IMCW is opening an adolescent partial hospital outpatient service program. It will serve the adolescent population from 13-18 years old that need acute partial hospital level of behavioral health treatment. The services will be provided in accordance with physician order. Services such as clinical assessment, psycho-educational groups, information and referral services, and discharge/aftercare planning will be offered as part of this program. Acknowledging that a crossover exists between mental health and substance abuse, IMCW created the Wellness and Recovery Outpatient Program at our Wellness and Recovery Outpatient Treatment Center. This treatment center will provide services for individuals with co-occurring mental health and substance abuse issues. This service will enhance care and access to our community including patients being discharged from Inspira Medical Center WOODBURY. Treatment will include individual therapy, group therapy, self-help groups, family therapy, psychiatric evaluation and medication management. 4. Nutrition Related Illness (Obesity) The ability to eat healthy and develop healthy habits is an issue not only within our community but nationwide. IMCW offers weight management and nutrition counseling for children and adults. Our pediatric weight management program focuses on children ages six to eleven, a registered dietitian provides individual counseling to help achieve a healthy weight. Counseling sessions include both parent and child in a private setting. Our adult weight management program focuses on changing lifestyle patterns that can promote weight loss and weight management. The goal is to help people lose weight and change lifestyle to maintain a healthy weight. Success is measured not only in weight lost, but the changing of lifestyle to promote overall health and wellness. In addition, as of July of 2014 IMCW will have a pilot Employee Accountable Care Organization ("eACO") that focuses on the improvement of our employees' health. This program involves higher benefits contributions if AN employee does not follow the requirements. These requirements include a yearly primary care physician visit, and engagement with health coach if deemed necessary. Our eACO promotes positive health behaviors and empowers our employees to live a healthier lifestyle. 5. Maternal and Infant Health IMCW has a plethora of health education and support classes that support maternal and infant health. IMCW's Childbirth Preparation Classes for Expectant Parents is a three-week class provided to expectant parents and support persons. IMCW also offers a Babycraft Newborn Care Class designed for first-time parents or for parents who want to brush up on newborn care. Birth, Baby & You is a six-hour class offered to first-time Moms and Dads. The process of labor is discussed including epidurals, C-sections and what expectant parents may experience. Post-delivery care is covered as well as postpartum depression, infant care, feeding choices and infant behaviors. This program is conducted by certified IMCW childbirth educators. Expectant mothers can explore the decision on whether to breast feed in our Prenatal Breastfeeding Class. IMCW is invested in making sure that siblings and parents are prepared for the birth of a new brother or sister through our sibling class. The class is designed for children ages 3 to 7 years. IMCW's support of health continues with the tragic loss of a baby. HOPING Perinatal Loss Support Group meets quarterly, and helps families who have either lost a child during pregnancy or in the first year of life. Therapeutic activities are planned throughout the year. Even though teen pregnancy is not a top health problem in Gloucester County, IMCW has purchased a health education curriculum that has been shown to lower teen pregnancy rates. This curriculum called "Draw the Line, Respect the Line" starts in middle school and addresses some of the underlying issues that can lead to t

Schedule H (Form 990) 2015

Page 8

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?5
Name and address		Type of Facility (describe)
1	INSPIRA CARDIOVASCULAR SERVICES 636 KINGS HIGHWAY SUITE C WOODBURY,NJ08096	CARDIOVASCULAR CARE
2	IMCW FAMILY MEDICINE CENTER 75 WEST RED BANK DRIVE WOODBURY,NJ08096	RESIDENCY PROGRAM,PRIMARY CARE
3	INSPIRA WOMEN'S IMAGING CTR-MULLICA HILL 155 BRIDGETON PIKE MULLICA HILL,NJ08062	IMAGING
4	INSPIRA IMAGING CENTER GLASSBORO 200 ROWAN BOULEVARD GLASSBORO,NJ08332	IMAGING
5	FAMILY HEALTH CENTER-MULLICA HILL NORTH 34 COLSON LANE MULLICA HILL,NJ08062	PRIMARY CARE
6
7
8
9
10

Schedule H (Form 990) 2015

Page 9

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
PART I, LINE 3C	INCOME-BASED CRITERIA USED TO DETERMINE ELIGIBILITY ARE IN ACCORDANCE WITH THE NJ ADMINISTRATIVE CODE 10:52 SUB-CHAPTERS 11, 12 AND 13. FEDERAL POVERTY GUIDELINES ARE INCLUDED IN THE CRITERIA FOR DETERMINING ELIGIBILITY FOR CHARITY AND DISCOUNTED CARE. In addition to the federal poverty guidelines, the following criteria are used in determining eligibility for free or discounted care: - Asset level; - Insurance status; - Underinsurance status; and - Residency.
SCHEDULE H, PART I; QUESTION 6A	An annual report is prepared and published by Inspira MEDICAL CENTER WOODBURY, INC. ("IMCW"). The report describes the community benefit programs and services that promote the health of the communities served by the health system. The annual written report is distributed to legislators, business leaders, civic community leaders, organizations and community partners. A downloadable version of the report is available on the organization's website, www.inspirahealthnetwork.org.
SCHEDULE H, PART I; QUESTION 7	THE ORGANIZATION UTILIZED THE COST ACCOUNTING SYSTEM.
SCHEDULE H, PART I, QUESTION 7g	No costs relating to subsidized healthcare services are attributable to any physician clinics.
SCHEDULE H, PART II	Community building activities undertaken by IMCW improve the medical and socioeconomic well-being of the communities in our care. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups, and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. This organization provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients and for community providers. Presentations are provided by physicians, nurses and other healthcare professionals. IMCW completed a major expansion of the Emergency Room, renovations in patient care areas, and opened an off-campus diagnostic center during 2009. During 2010, the Inpatient and Outpatient Behavioral Health Units were renovated and updated. During 2014, the Medical made a significant investment in it's Information Technology Systems. It opened a new GI suite to expand surgical services. Opened a new imaging location in Glassboro on Rowan Boulevard, totaling a $1.5 million capital investment during 2015. Total capital investment for 2015 exceeded $11.9 million dollars.
SCHEDULE H, PART III, SECTION A; QUESTION 4	IMCW ("The Hospital") patient acceptance policy is based upon its mission statement and its charitable purpose. Accordingly, the hospital accepts all patients regardless of their ability to pay. This policy results in the Hospital's assumption of higher-than-normal patient receivable credit risk. To the extent that the Hospital realized additional losses resulting from such higher credit risks and patients are not identified or do not meet the Hospital's defined charity care policy, such additional losses are included in the provision for bad debts. The organization issued audited financial statements. The organization's allowance for doubtful accounts (bad debt expense) methodology and charity care policies are consistently applied. Below, please find detailed information: Receivables for Patient Care ---------------------------- Patient accounts receivable are reported at net realizable value. Accounts are written off when they are determined to be uncollectible based upon management's assessment of individual accounts. In evaluating the collectability of patient accounts receivable, inspira medical center woodbury ("imcw") analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. For receivables associated with services provided to patients who have third-party coverage (which includes patients with deductible and co-payment balances due for which third-party coverage exists for part of the bill), imcw analyzes contractually due amounts and provides an allowance for doubtful accounts, if necessary. The difference between the billed rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against net patient service revenue. Charity Care ------------ IMCW's patient acceptance policy is based on its mission statement and its charitable purposes. Accordingly, IMCW accepts all patients regardless of their ability to pay. A patient is classified by IMCW as a charity patient by reference to certain financial criteria established by the State of New Jersey and IMCW's policy. IMCW's charity care policy includes additional financial criteria which were established with the intent of expanding the availability of financial assistance. Because IMCW does not believe that accounts which qualify for charity care are likely to be collected, they are not reported as net patient service revenue. The unreimbursed cost for services and supplies furnished to patients eligible for such charity care are determined through the use of cost to charge ratios in effect for IMCW, and totaled $4,345,000 and $7,647,000 for the years ended December 31, 2015 and 2014, respectively. IMCW also sponsors certain other charitable programs, which provide substantial benefit to the broader community. Such programs include services to needy and elderly populations that require special support, as well as health promotion and education for the general community welfare. In addition, all other uncollectible amounts resulting from the patients inability to pay, are recorded as a reduction to net patient service revenue, consistent with IMCWs charity care policy.
SCHEDULE H, PART III, SECTION B; QUESTION 8	Part of the mission of IMCW is to provide service to all patients, without direct consideration of their ability to pay, and regardless of which type of insurance coverage they may utilize for payment, even if that insurance plan does not cover the complete costs of the service provided. Any "shortfall" of payment supports the surrounding community. The amounts reported as Medicare allowable costs are calculated in the annual Medicare cost report submitted by the Hospital to the Medicare program. Medicare underpayments and bad debt are community benefit and associated costs are includable on Form 990, Schedule H, Part I. This organization feels that Medicare underpayments (shortfall) and bad debt are community benefit and associated costs are includable on Form 990, Schedule H, Part I. As outlined more fully below the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individual's in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay and consistent with the community benefit standard promulgated by the IRS. The community benefit standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under Internal Revenue Code ("IRC") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the IRC. Although there is no definition in the tax code for the term "charitable" a regulation promulgated by the department of the treasury provides some guidance and states that "the term charitable is used in section 501(c)(3) in its generally accepted legal senseprovides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the IRS to determine the criteria hospitals must meet to qualify as IRC 501(c)(3) charitable organizations. The original standard was known as the charity care standard. This standard was replaced by the IRS with the community benefit standard which is the current standard. Charity Care Standard In 1956, the IRS issued revenue ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for IRC 501(c)(3) status. One of these requirements is known as the "Charity Care Standard." Under the standard, a hospital had to provide, to the extent of its financial ability, free or reduced-cost care to patients unable to pay for it. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community Benefit Standard In 1969, the IRS issued revenue ruling 69-545, which "removed" from revenue ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." under the standard developed in revenue ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as Medicare), but operated a full-time emergency room that was open to everyone. The IRS ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The IRS reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by treas. Reg. 1.501(c)(3)-1(d)(2). The IRS ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The IRS concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the IRS highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education, and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. Medicare underpayments and bad debt are community benefit and associated costs are includable on the Form 990, Schedule H, Part I. The American Hospital Association ("AHA") feels that Medicare underpayments (shortfall) and bad debt are community benefit and thus includable on the Form 990, Schedule H, Part I. This organization agrees with the AHA's position. As outlined in the AHA letter to the IRS dated August 21, 2007 with respect to the first published draft of the new Form 990 and Schedule H, the AHA felt that the IRS should incorporate the full value of the community benefit that hospitals provide by counting Medicare underpayments (shortfall) as quantifiable community benefit for the following reasons: - Providing care for the elderly and serving Medicare patients is an essential part of the community benefit standard - Medicare, like Medicaid, does not pay the full cost of care. From the latest data provided by the American Hospital Association, as of 2012, Medicare reimburses hospitals only 86 cents for every dollar they spend to take care of Medicare patients. The Medicare Payment Advisory Commission ("MEDPAC"), in its March 2013 report to congress, states that beneficiaries will grow notably faster in the next 10 years than in the past decade as the baby-boom generation ages into the program. In addition, the population aging into the Medicare program will present a new set of challenges since rising obesity levels put this population at a greater risk than previous generations for chronic disease. - Many Medicare beneficiaries, like their Medicaid counterparts, are poor. More than 42 percent of Medicare spending is for beneficiaries whose income is below 200 percent of the federal poverty level. Many of those Medicare beneficiaries are also eligible for Medicaid -- so called eligible." There is every compelling public policy reason to treat Medicare and Medicaid underpayments similarly for purposes of a hospital's community benefit and include these costs on Form 990, Schedule H, Part I. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community and should count as a quantifiable community benefit. Both the AHA and this organization also feel that patient bad debt is a community benefit and thus includable on the Form 990, Schedule H, Part I. Like Medicare underpayment (shortfalls), there also are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - A significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 Congressional Budget Office ("CBO") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - The report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicat
SCHEDULE H, PART III, SECTION B; QUESTION 9B	Accounts considered to be charity care are not included in the bad debt expense but, rather, accounted for as an allowance. It is the policy of Inspira Health Network ("Inspira"), to treat all patients equally regardless of insurance and their ability to pay. Additionally, Inspira is committed to billing patients and insurance carriers in a manner that is in compliance with all State, Local and Federal regulations. According to Inspira's Billing and Collection Policy Inspira abides by the following procedures when pursuing billing and collection actions: (1) For all insured patients, Inspira will bill all third party payer information (as provided by or verified by the patient) on a timely basis. If a claim is denied (or not processed) by a payer due to a Hospital error, Inspira will not bill the patient for any amount in excess of that for which the patient would have been liable had the payer paid the claim. (2) After claims are processed by payers, Inspira will bill patients on a timely basis for their respective liability amounts as determined by their insurers. (3) All uninsured patients will be billed directly on a timely basis. Accounts may be referred for collection if there is reasonable basis to believe that the patient owes the debt. However, accounts may be placed with a collection agency. Accounts may be referred for collection if all third party payers have been properly billed by Inspira and the remaining debt is the financial responsibility of the patient. Inspira shall not bill a patient for any amount that an insurance company is obligated to pay unless the insurance company is refusing to pay the amount pending additional information or communication from the patient. Inspira will not refer accounts for collection while a claim on the account is still pending payer payment unless the payer is refusing to pay the amount pending additional information or communication from the patient. Inspira will not engage in any actions that discourage individuals from seeking emergency medical care, such as by demanding the emergency department patients pay before receiving treatment for emergency medical conditions or by permitting debt collection activities in the emergency department or other areas where such activities could interfere with the provision of emergency care on a non-discriminatory basis.
SCHEDULE H, PART VI; QUESTION 2	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OUTLINED IN SCHEDULE H, SECTION B, QUESTIONS 1-12 AND SECTION C, THIS ORGANIZATION CONDUCTS A REVIEW OF KEY FACTOR INFORMATION ANNUAL WHICH INCLUDES: a review of key factor information annually which includes a review of healthcare utilization of its service area population by services (urology, cardiology, obstetrics, etc.). For determining increased or decreased health needs; healthcare services estimates and forecasts (both inpatient and outpatient); assessments of local demographic and socioeconomic information; and, a review of health status/needs assessments and studies conducted by external parties. IMCW conducts extensive service area physician need studies (by primary and specialty) every three to five years. Specific specialty needs are conducted for identified gaps in service. These reviews inform medical staff development at the medical center to assure responsiveness to identified community needs. IMCW collaborates with community partners to plan and conduct health needs assessments to assess and address health needs of the community it serves. The wide-based collaborative partnership retains an outside consulting firm to assess community data and perception. Community data is collected from county health profiles, health statistics, demographics, socioeconomic data, phone surveys, paper surveys and focus groups. From those assessments, community health improvement plans are published identifying the specific health priorities. Through a planned and organized effort, the group works collectively to address the priorities by tapping the resources of the community and collaborating on initiatives. IMCW actively contributes to this process and engages in the identified priorities that match its mission, expertise, resources and capacity. In addition to these organized needs assessment efforts, ongoing community meetings with local providers, local health departments, local politicians, organizations and community leaders are sponsored by the hospital to discuss the health needs of the population. IMCW has a good communication network in place with local emergency offices (fire, ambulance, etc.) and also with the medical staff to receive feedback about the healthcare needs of the local community. As a result, the hospital responded by adding new services such as PCI, Wound Care Center, Balance Center, Dialysis service, Women's Diagnostic Center, and a significant expansion of the Emergency Department and it's capabilities. The ED expansion included creating a physically distinct 6 bed Pediatric Emergency treatment room, and a secured Behavioral Health emergency treatment area, both within IMCW's Emergency Department.
SCHEDULE H, PART VI; QUESTION 3	THE HOSPITAL'S FINANCIAL ASSISTANCE INFORMATION IS COMMUNICATED IN BOTH ENGLISH AND SPANISH IN A VARIETY OF WAYS, WHICH INCLUDES: - SIGNAGE THROUGHOUT THE HOSPITAL, EMERGENCY DEPARTMENTS AND REGISTRATION AREAS; - DISTRIBUTION OF ADMISSION BOOKLETS AND BROCHURES DESCRIBING THE POLICY AND HOW TO APPLY FOR ASSISTANCE; - POSTING OF THE CHARITY CARE PROGRAM AND FINANCIAL ASSISTANCE INFORMATION ON THE HOSPITAL'S WEBSITE; AND - A STATEMENT ADDED TO ALL PUBLICATIONS INDICATING THE AVAILABILITY OF CHARITY CARE. PATIENTS ARE GIVEN A FINANCIAL ASSISTANCE HANDOUT AT REGISTRATION OR ADMISSION WITH INFORMATION TO CONTACT FINANCIAL COUNSELORS IF THEY MAY HAVE DIFFICULTY PAYING THEIR HOSPITAL BILL. ALL PATIENTS DEEMED SELF-PAY ARE SCREENED FOR FINANCIAL ASSISTANCE BY A FINANCIAL COUNSELOR ACCORDING TO THE FEDERAL POVERTY GUIDELINES AND REFERRED TO APPROPRIATE AGENCIES OR PROGRAMS. INTERPRETATION SERVICES ARE AVAILABLE FOR PATIENTS NEEDING INFORMATION IN LANGUAGES OTHER THAN ENGLISH AND SPANISH. The Hospital Business Office staff will assist patients and their families to understand what services are available to help pay for the patient's healthcare services. This includes educating the patient about various public programs which aide in the healthcare reimbursement.
SCHEDULE H, PART VI; QUESTION 4	IMCW realizes its role as the hub of healthcare services and education for the community. To that end, the Hospital sponsors multiple community oriented programs to educate and complement the various health care needs of the community. IMCW is a healthcare safety net provider of general acute and ambulatory healthcare services in a regional service area that encompasses primarily Gloucester county and portions of Camden and Salem counties, covering a patient base of 291,000 according to US Census 2014 Estimates. The population is a multifaceted community of diverse ethnic groups and industry, predominately Caucasian with specific communities home to higher populations of Hispanic and African American residents. According to 2014 US Census, Gloucester County demographics are 79% Caucasian, 11% African American, 6% Hispanic and 4% Other. African American, 6% Hispanic, and 4% Other.
SCHEDULE H, PART VI; QUESTION 5	Inspira Medical Center Woodbury, Inc. Is committed to providing a broad range of quality healthcare services that are continuously improved to meet the needs and expectations of our patients, physicians, employees and the community we serve. We are committed to providing services in a compassionate and friendly manner which respects the dignity and rights of all. We shall be innovative and fiscally responsible while continually evaluating the needs and expectations of our community and the demands of the environment.
SCHEDULE H, PART VI; QUESTION 6	Outlined below is a summary of the entities which comprise the Inspira Health Network: Not for profit Inspira Health Network entities ============================================== Inspira Health Network, Inc. ---------------------------- Inspira Health Network, Inc. ("Network") is the tax-exempt parent of the Inspira Health Network ("System"). This integrated healthcare delivery system consists of a group of affiliated healthcare organizations. The sole member or stockholder of each entity is either the network or another network affiliate controlled by the network. The network is an integrated network of healthcare providers throughout the State of New Jersey and is recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code 501(c)(3) and as a supporting organization pursuant to Internal Revenue Code 509(a)(3). Inspira Medical Centers, Inc. ----------------------------- Inspira Medical Centers, Inc. ("IMC") is comprised of two acute care and two hospital-based ambulatory care centers. Inspira Medical Center Vineland, located in Vineland, Cumberland County, New Jersey, is a 276-bed acute care facility with 59 psychiatric beds located at Inspira Health Center Bridgeton. Inspira Medical Centers Elmer is a 96-bed acute care facility located in Elmer, Salem County, New Jersey. IMC is recognized by the internal revenue service as an internal revenue code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, IMC provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, IMC operates consistently with the criteria outlined in IRS revenue ruling 69-545. Inspira Medical Center Woodbury, Inc. ------------------------------------- Inspira Medical Center Woodbury, Inc. ("IMCW") is located in Woodbury, Gloucester County, New Jersey, is a 305-bed acute care facility. IMCW is recognized by the internal revenue service as an internal revenue code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, IMCW provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, IMCW operates consistently with the criteria outlined in IRS revenue ruling 69-545. Inspira Homecare & Hospicecare, Inc. ------------------------------------ Inspira Homecare & Hospicecare, Inc. is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(2). The organization provides care and support for terminally ill patients and their families in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Inspira Health Network Life, Inc. --------------------------------- Inspira Health Network Life, Inc. is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(2). The organization provides healthcare services in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Tri-county Cardiovascular Services, P.C. ---------------------------------------- Tri-county Cardiovascular Services, P.C. is an organization recognized by the internal revenue service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a(1). The organization supports Inspira Medical Center Woodbury, Inc., a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. By practicing medicine, engaging in medical education and working to improve the welfare of individuals in New Jersey, the organization comprises a component of the clinical service physician practice plans of Inspira Medical Center Woodbury, Inc. and is an integral part of Inspira Medical Center Woodbury, Inc. Inspira Health Connections, P.C. -------------------------------- Inspira Health Connections, P.C. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a(1). During 2013, the organization transferred its personnel and operations to Inspira Health Network Medical Group, P.C. Prior to 2014 the organization practiced medicine, engaged in medical education and worked to improve the welfare of individuals in New Jersey. The organization is currently inactive. Inspira Health Network Foundation Cumberland/Salem, Inc. -------------------------------------------------------- Inspira Health Network Foundation Cumberland/Salem, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). Through fundraising activities the organization supports the charitable purposes, programs and services of Inspira Health Network, Inc., a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Inspira Health Network Foundation Gloucester County, Inc. --------------------------------------------------------- Inspira Health Network Foundation Gloucester County, Inc. is an organization recognized by the Internal Revenue Service as tax-exempt pursuant to internal revenue code 501(c)(3) and as a non-private foundation pursuant to internal revenue code 509(a)(1). Through fundraising activities the organization supports the charitable purposes, programs and services of Inspira Health Network, Inc., a related internal revenue code 501(c)(3) tax-exempt organization, that provides medically necessary healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Inspira Management Services, LLC --------------------------------- Inspira Management Services, LLC is a limited liability company formed in the State of New Jersey whose sole member is Inspira Health Network, Inc. Inspira Care Connect, LLC -------------------------- Inspira Care Connect, LLC is a limited liability company formed in the State of New Jersey whose sole member is Inspira Health Network, Inc. The mission of this organization is to establish a group of coordinated healthcare providers which agree to be accountable for the quality, cost and overall care for an assigned group of Medicare beneficiaries. For profit Inspira Health Network entities ========================================== Bridgeton Physicians Office Center, L.P. ---------------------------------------- Bridgeton Physicians Office Center, L.P. is a partnership owned by Inspira Health Network affiliates. This organization engages in real estate activity. Gloucester County Surgery Center, LLC ------------------------------------- Gloucester County Surgery Center, LLC is a limited liability company taxed as a partnership controlled by Red Bank Development Corporation. Gloucester County Surgery Center, LLC provides healthcare services to individuals. Inspira Health Partners, LLC ---------------------------- Inspira Health Partners, LLC is a limited liability company taxed as a partnership owned by Inspira Medical Centers, Inc. The organization is a clinically integrated physican-hospital enterprise which is designed to achieve improvement in healthcare quality, efficiency and cost. Oak & Main Surgicenter, LLC --------------------------- Oak & Main Surgicenter, LLC is a limited liability company taxed as a partnership owned by Inspira Medical Centers, Inc. This organization provides healthcare services to individuals. The Kidney Center at Millville, LLC ----------------------------------- The Kidney Center at Millville, LLC is a limited liability company taxed as a partnership owned by Inspira Medical Centers, Inc. This organization provides healthcare services to individuals. The Kidney Center at Vineland, LLC ---------------------------------- The Kidney Center at Vineland, LLC is a limited liability company taxed as a partnership owned by Inspira Medical Centers, Inc. This organization provides healthcare services to individuals. Cooper Bone & Joint, P.C. ------------------------- Cooper Bone & Joint Institute partnered with Inspira Medical Center Woodbury, Inc. to offer patients access to the latest orthopaedic advancements. Inspira Medical Center Woodbury, Inc. is a 50% shareholder in Cooper Bone & Joint,
SCHEDULE H, PART VI; QUESTION 7	Not applicable.

Schedule H (Form 990) 2015

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

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

OMB No. 1545-0047

2015

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 on 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 on 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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

For persons listed on 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 on 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" on 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) 2015

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 on 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 in column(B) reported as deferred on 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)
1JOHN A DIANGELOTRUSTEE; PRESIDENT/CEO-NTWK	(i) (ii)	0 ------------- 700,671	0 ------------- 180,000	0 ------------- 912,110	0 ------------- 433,065	0 ------------- 41,518	0 ------------- 2,267,364	0 ------------- 720,908
2KURT W KAULBACK MDTRUSTEE	(i) (ii)	0 ------------- 319,358	0 ------------- 233,266	0 ------------- 15,260	0 ------------- 16,547	0 ------------- 20,672	0 ------------- 605,103	0 ------------- 0
3EILEEN K CARDILE MS RN CNATRUSTEE(TERM 8/2)EVP/PRES IMCW	(i) (ii)	0 ------------- 447,269	0 ------------- 411,300	0 ------------- 55,370	0 ------------- 10,500	0 ------------- 14,533	0 ------------- 938,972	0 ------------- 0
4THOMAS P BALDOSARO CPAEVP/CHIEF FINANCIAL OFFICER	(i) (ii)	0 ------------- 385,025	0 ------------- 63,438	0 ------------- 24,322	0 ------------- 88,412	0 ------------- 27,091	0 ------------- 588,288	0 ------------- 0
5MARVIN T WAYEVP OPERATIONS	(i) (ii)	0 ------------- 487,213	0 ------------- 25,314	0 ------------- 20,412	0 ------------- 73,069	0 ------------- 32,386	0 ------------- 638,394	0 ------------- 0
6ROBERT E FLORENTINESVP/Chief People Officer	(i) (ii)	0 ------------- 269,280	0 ------------- 205,175	0 ------------- 259,515	0 ------------- 48,060	0 ------------- 27,978	0 ------------- 810,008	0 ------------- 125,334
7JOHN W GRAHAMCOO - IMCW (1/1/15 - 5/10/15)	(i) (ii)	0 ------------- 281,087	0 ------------- 29,598	0 ------------- 9,316	0 ------------- 14,936	0 ------------- 4,368	0 ------------- 339,305	0 ------------- 0
8PATRICK NOLANCOO - IMCW (EFFECTIVE 8/10/15)	(i) (ii)	0 ------------- 105,263	0 ------------- 25,000	0 ------------- 6,445	0 ------------- 10,096	0 ------------- 16,666	0 ------------- 163,470	0 ------------- 0
9MATTHEW DOONAN ESQGENERAL COUNSEL	(i) (ii)	0 ------------- 251,522	0 ------------- 5,625	0 ------------- 18,434	0 ------------- 32,870	0 ------------- 21,482	0 ------------- 329,933	0 ------------- 0
10JOHN C BICKINGSVP FACILITIES & CONSTRUCTION	(i) (ii)	0 ------------- 242,934	0 ------------- 96,663	0 ------------- 276,233	0 ------------- 66,332	0 ------------- 26,667	0 ------------- 708,829	0 ------------- 138,499
11ARTHUR BOOTEVP PROVIDER NTWK INTEGRATION	(i) (ii)	0 ------------- 267,147	0 ------------- 129,799	0 ------------- 195,852	0 ------------- 52,228	0 ------------- 25,903	0 ------------- 670,929	0 ------------- 125,021
12CLARE SAPIENZA-ECKVP BUS. DEV./PHYS RECRUITMENT	(i) (ii)	0 ------------- 214,575	0 ------------- 24,833	0 ------------- 199,217	0 ------------- 59,779	0 ------------- 27,706	0 ------------- 526,110	0 ------------- 81,314
13THOMAS PACEKVP/CHIEF INFORMATION OFFICER	(i) (ii)	0 ------------- 283,265	0 ------------- 26,904	0 ------------- 18,444	0 ------------- 50,459	0 ------------- 25,430	0 ------------- 404,502	0 ------------- 0
14GINA PETRONE MUMOLIEVP CHIEF NURSING (TERM 1/3/15)	(i) (ii)	0 ------------- 0	0 ------------- 15,269	0 ------------- 309,517	0 ------------- 5,200	0 ------------- 22,465	0 ------------- 352,451	0 ------------- 0
15CAROLYN S HECKMANVP COMMUNITY RELATIONS	(i) (ii)	0 ------------- 180,959	0 ------------- 16,742	0 ------------- 126,753	0 ------------- 35,557	0 ------------- 18,971	0 ------------- 378,982	0 ------------- 75,676
16DAVID YHLENVP AMBULATORY SERVICES	(i) (ii)	0 ------------- 253,995	0 ------------- 38,930	0 ------------- 19,399	0 ------------- 40,211	0 ------------- 24,299	0 ------------- 376,834	0 ------------- 0
17DAVID MURRAYVP FINANCE	(i) (ii)	0 ------------- 212,594	0 ------------- 36,750	0 ------------- 21,932	0 ------------- 13,167	0 ------------- 21,876	0 ------------- 306,319	0 ------------- 0
18PAUL M LAMBRECHTVP QUALITY & PATIENT SAFETY	(i) (ii)	0 ------------- 191,526	0 ------------- 17,472	0 ------------- 11,400	0 ------------- 10,233	0 ------------- 18,896	0 ------------- 249,527	0 ------------- 0
19PETER A KAPRIELYANVP GOV'T & EXTERNAL RELATIONS	(i) (ii)	0 ------------- 214,233	0 ------------- 0	0 ------------- 5,884	0 ------------- 11,119	0 ------------- 4,185	0 ------------- 235,421	0 ------------- 0
20MARY BOLLWAGEVP RISK MANAGEMENT	(i) (ii)	0 ------------- 193,173	0 ------------- 0	0 ------------- 2,792	0 ------------- 2,948	0 ------------- 18,115	0 ------------- 217,028	0 ------------- 0
21MAUREEN SACCHETTIVP CLINICAL SVS (EFF 1/18/15)	(i) (ii)	0 ------------- 140,302	0 ------------- 6,104	0 ------------- 11,728	0 ------------- 2,517	0 ------------- 15,602	0 ------------- 176,253	0 ------------- 0
22ROBERT L MANESTRINAVP HUMAN RES (TERMED 1/30/15)	(i) (ii)	0 ------------- 16,628	0 ------------- 12,036	0 ------------- 105,551	0 ------------- 3,466	0 ------------- 15,128	0 ------------- 152,809	0 ------------- 0
23TERRI SPOLTOREVP PAT CARE SVS (EFF 4/12/15)	(i) (ii)	0 ------------- 98,679	0 ------------- 7,590	0 ------------- 18,281	0 ------------- 9,096	0 ------------- 20,159	0 ------------- 153,805	0 ------------- 0
24FRANCIS T FERRY MDMEDICAL DIRECTOR (TERM 4/7/15)	(i) (ii)	0 ------------- 86,409	0 ------------- 59,046	0 ------------- 457	0 ------------- 6,601	0 ------------- 18,138	0 ------------- 170,651	0 ------------- 0
25CHRISTOPHER TROTZ MDEXEC MED DIRECTOR (EFF 4/8/15)	(i) (ii)	0 ------------- 235,090	0 ------------- 0	0 ------------- 23,359	0 ------------- 34,631	0 ------------- 540	0 ------------- 293,620	0 ------------- 0
26CHESTER B KALETKOWSKIFORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 1,910,169	0 ------------- 0	0 ------------- 0	0 ------------- 1,910,169	0 ------------- 0
27ROBERT M D'ANGEL ESQFORMER OFFICER	(i) (ii)	0 ------------- 336,607	0 ------------- 29,981	0 ------------- 285,925	0 ------------- 1,928	0 ------------- 8,039	0 ------------- 662,480	0 ------------- 265,092
28WAYNE C SCHIFFNERFORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 316,377	0 ------------- 0	0 ------------- 0	0 ------------- 316,377	0 ------------- 0

Schedule J (Form 990) 2015

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 INDIVIDUALS RECEIVED SEVERANCE PAYMENTS DURING CALENDAR YEAR 2015 WHICH WERE INCLUDED IN EACH INDIVIDUAL'S 2015 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: GINA PETRONE MUMOLIE, $276,457 AND ROBERT L. MANESTRINA, $80,193.
SCHEDULE J, PART I; QUESTION 4B	DURING 2015 THE NETWORK TERMINATED ITS CURRENT INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN). AS A RESULT OF THIS TERMINATION BENEFIT AMOUNTS FOR PLAN PARTICIPANTS WERE NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE AND ACCORDINGLY ARE REFLECTED IN COLUMN B(III) HEREIN. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN A. DIANGELO, $819,928; ROBERT E. FLORENTINE, $196,990; JOHN C. BICKINGS, $227,583; ARTHUR BOOTE, $156,994; CLARE SAPIENZA-ECK, $144,230; CAROLYN S. HECKMAN, $90,034; CHESTER B. KALETKOWSKI, $1,909,905; ROBERT M. D'ANGEL, ESQ., $265,092 and WAYNE C. SCHIFFNER, $316,377. AFTER THE TERMINATION OF ITS FORMER PLAN, THE NETWORK IMPLEMENTED A NEW INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN). THE DEFERRED COMPENSATION AMOUNTS IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDE UNVESTED BENEFITS 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 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN A. DIANGELO, $409,215; THOMAS P. BALDOSARO, CPA, $71,053; MARVIN T. WAY, $68,078; ROBERT E. FLORENTINE, $22,743; PATRICK NOLAN, $10,096; MATTHEW DOONAN, ESQ., $25,563; JOHN C. BICKINGS, $43,409; ARTHUR BOOTE, $40,956; CLARE SAPIENZA-ECK, $39,079; THOMAS PACEK, $31,140; CAROLYN S. HECKMAN, $19,780; DAVID YHLEN, $29,794 AND CHRISTOPHER TROTZ, M.D., $24,655.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2015 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2015 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. PLEASE NOTE THAT ROBERT M. D'ANGEL, ESQ., FORMER OFFICER, RECEIVED A BONUS DURING 2015. THIS BONUS REPORTED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN, $29,981, REPRESENTS A BONUS THAT WAS EARNED DURING 2014 BUT PAID OUT AND REPORTED ON HIS FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES IN 2015.
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 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.
SCHEDULE J, PART II; COLUMN F	THE AMOUNTS REPORTED IN SCHEDULE J, PART II, COLUMN F FOR THE FOLLOWING INDIVIDUALS INCLUDES VESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN). THESE AMOUNTS WERE REPORTED IN SCHEDULE J, PART II, COLUMN C AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON PRIOR YEAR'S FORMS 990. THE AMOUNTS WERE TREATED AS TAXABLE INCOME AND REPORTED IN EACH INDIVIDUAL'S 2015 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN A. DIANGELO, $720,908; ROBERT E. FLORENTINE, $125,334; JOHN C. BICKINGS, $138,499; ARTHUR BOOTE, $125,021; CLARE SAPIENZA-ECK, $81,314; CAROLYN S. HECKMAN, $75,676 AND ROBERT M. D'ANGEL, ESQ., $265,092.

Schedule J (Form 990) 2015

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

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

OMB No. 1545-0047

2015

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	64579FWRO	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) 2015

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, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		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 "Yes" to 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) 2015

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) 2015

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 990-EZ 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

2015

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 Inc. and affiliates, Inspira Medical Center Woodbury, Inc. ("IMCW"), located in Woodbury, New Jersey is a 322-bed licensed, acute-care, non-profit hospital serving Gloucester County and parts of Camden, Salem and Cumberland counties. IMCW is recognized by the IRS as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, IMCW provides healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, IMCW operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. Provides healthcare services to all individuals regardless of ability to pay, including Charity Care, Self-Pay, Medicare and Medicaid patients; 2. Operates 3 active emergency DEPARTMENTS for all persons; which are open 24 hours a day, 7 days a week, 365 days per year, including a specialized pediatric emergency department in the Vineland facility; 3. Maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of IMCW rests with its board of trustees and the board of trustees 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 IMCW as shown through the factors outlined above and other information contained herein, clearly demonstrate that the use and control of IMCW 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. IMCW provides healthcare services to all individuals regardless of ability to pay. Moreover, IMCW 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. IMCW 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. STATISTICAL INFORMATION ======================= With more than 1,640 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. In 2015, IMCW performed 5,869 surgeries, 49,090 physical therapy treatments, 619 dialysis treatments, 91,522 diagnostic imaging procedures, and 54,469 emergency room visits. Also in 2015, inpatient admissions were 8,509 for adults and pediatrics, 176 for special care nursery, 829 for mental health and 999 births. A more comprehensive directory of healthcare services offered by the hospital is provided below: - Anesthesia Services; - Behavioral Health Services; - Balance Center; - Cancer Services; - Cardiac Services; - Emergency Department; - Employee Services; - Family Medicine Center; - Inspira Medical Group; - Laboratory; - Maternal Child Health; - Medical/Surgical; - Medical Surgical ICU; - Occupational Therapy; - Patient/Family Services; - Pediatric Emergency Services; - Physical Therapy; - Prenatal Care; - Radiology Services; - Respiratory Care; - Sleep Center; - Speech Therapy; - Surgical Services; - Women's Health Center; and - 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 on topics such as diabetes, nutrition and behavioral health. PHYSICIAN INFORMATION AND REFERRAL LINE ======================================= Inspira Health Network's 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. This service has now transitioned into a Health Concierge Service with Nurse Navigators designed to improve and assist callers with their medical needs, including follow-up calls to doctors offices and answers to clinical questions. 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 ========================== In collaboration with the Cumberland/Salem/Gloucester Health and Wellness Alliance, IMCW completed its 2016-2018 community needs assessment. Community surveys, focus groups and key informant surveys were conducted to target the most prevalent needs in our community. Through a planned and organized effort, the group is working collectively towards strategies to target these priorities by tapping into the resources of the community and collaborating on initiatives. IMCW actively contributes to this process and engages in the identified priorities that match its mission, expertise, resources and capacity. Currently IMCW is implementing the identified strategies and tracking their progress. DONATIONS ========= Each year IMCW supports many non-profit organizations whose mission is in alignment with that of its own by providing donations of both cash and in-kind in response to the community's needs. Some of the organizations supported with a cash donation included: - American Cancer Society; - American Heart Association; - Boys and Girls Club of Gloucester County; - City of Woodbury; - Gloucester County Chamber of Commerce; - March of Dimes; - Robin's Nest; - South Jersey Chamber Foundation; - Greater Woodbury Chamber of Commerce; and - YMCA of Gloucester County. Some of the organizations that were supported with an in-kind donation included: - American Red Cross; - Main Street Woodbury; and - Alcoholics Anonymous.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	COMMUNITY HEALTH IMPROVEMENT ADVOCACY ===================================== 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; - Professional Advisory Committee for Drug & Alcohol; - Gloucester County Prosecutors Office Mental Health Intervention Committee; - Tri-County Inter-Agency Coordinating Council; and - South Jersey Behavioral Health Innovation Collaborative. 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. Residency Programs ------------------ Since 1983, IMCW 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. 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. 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 2015 included Alcoholics Anonymous, American Red Cross, Diabetes Support Group, Ostomy Support Group, OCD Support Group, Alzheimer's Support Group. 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 2015. 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, working towards eliminating healthcare disparities. Some of the health screenings IMCW provides include blood pressure, blood glucose, skin cancer 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 2015. 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. 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. Sexual Assault Nurse Examiners ("SANE") --------------------------------------- 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 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 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.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	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, engorgement, mastitis and pumping. 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. Helping Other Parents in Normal Grief ("HOPING") 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 Resolve Through Sharing ("RTS") 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 and 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; and - 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. Pediatric Education for Pre-Hospital Professionals ("PEPP") ----------------------------------------------------------- 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. Advanced Cardiac Life Support ("ACLS") -------------------------------------- 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. Pediatric Advanced Life Support ("PALS") ---------------------------------------- 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; and - 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. Pre-Hospital Trauma Life Support ("PHTLS") ------------------------------------------ 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.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	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; and - 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 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; and - 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. Automatic External Defibrillator ("AED") & 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 MICU 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. MICU Special Operations Team ---------------------------- Early in 2001, the MICU 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 2015, there were 280 volunteers providing approximately 39,391 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 its 22nd year, the golf event raised close to $92,000, nearly half of the $200,000 raised by the auxiliary in 2015. 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 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. New Jersey Hospital Care Assistance Program ("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 Charity 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 OR ABILITY TO PAY. PLEASE REFER TO THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT INCLUDED IN SCHEDULE O.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7	INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE SOLE MEMBER OF THIS ORGANIZATION. NETWORK HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF 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 FOR REVIEW TO EACH MEMBER OF THE NETWORK'S FINANCE/AUDIT COMMITTEE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE NETWORK'S FINANCE/AUDIT 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 ("INTERNAL WORKING GROUP") 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 INTERNAL WORKING GROUP FOR REVIEW. THE ORGANIZATION'S INTERNAL WORKING GROUP 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 INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING IT TO EACH MEMBER OF THE NETWORK'S FINANCE/AUDIT COMMITTEE AND FILING WITH THE IRS.
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. PLEASE NOTE THAT ALL OFFICERS REPORTED IN CORE FORM PART VII AND SCHEDULE J OF THIS FORM 990 ARE PAID BY INSPIRA MEDICAL CENTERS, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION AND AFFILIATE WITHIN THE NETWORK. 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	JOHN W. GRAHAM SERVED AS THE CHIEF OPERATING OFFICER OF THIS ORGANIZATION UNTIL MAY 10, 2015. THEREAFTER, HE BECAME THE EXECUTIVE DIRECTOR OF INSPIRA HEALTH PARTNERS, LLC; A RELATED ORGANIZATION WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM.
CORE FORM, PART VII AND SCHEDULE J	PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM RELATED ORGANIZATIONS. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE RELATED ORGANIZATIONS AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. ALL EMPLOYEES OF THIS ORGANIZATION WERE TRANSFERED AND BECAME EMPLOYEES OF INSPIRA MEDICAL CENTERS, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. INSPIRA MEDICAL CENTERS ALLOCATES PERSONNEL COSTS AND ALL ASSOCIATED BENEFITS TO THIS ORGANIZATION ON AN ANNUAL BASIS AT COSTS INCURRED BY INSPIRA MEDICAL CENTERS.
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 AND OFFICERS 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 THE SAME AS REFLECTED IN PART VII OF THIS FORM 990. 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, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART X; BALANCE SHEET RESTATEMENT	CERTAIN RECLASSIFICATIONS HAVE BEEN MADE TO THE PRIOR YEAR BALANCES PREVIOUSLY REPORTED TO CONFORM TO THE CURRENT YEAR PRESENTATION IN THE ORGANIZATION'S AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THIS RESTATEMENT HAD NO EFFECT ON THE ORGANIZATION'S NET ASSETS.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - CHANGE IN VALUE OF INTEREST RATE SWAP AGREEMENTS - $217,528; - FORGIVENESS OF DEBT (INSPIRA MANAGEMENT SERVICES, LLC), A SINGLE MEMBER LLC OWNED BY INSPIRA HEALTH NETWORK, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($3,670,891); - NET TRANSFER TO RED BANK DEVELOPMENT CORPORATION; A REALTED ORGANIZATION - ($154,096); - PENSION LIABILITY ADJUSTMENT - ($357,000); AND - DECREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUST; PERMANENTLY RESTRICTED - ($327,000).
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, 2015 AND DECEMBER 31, 2014; 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 AUDITED CONSOLIDATED FINANCIAL STATEMENTS. 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, 2015 AND DECEMBER 31, 2014; 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 AUDITED CONSOLIDATED FINANCIAL STATEMENTS. THE NETWORK'S FINANCE/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.
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 AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR 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) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: THE MISSION OF INSPIRA MEDICAL CENTER WOODBURY, INC. IS TO PROVIDE QUALITY HEALTHCARE SERVICES THAT IMPROVE THE LIVES OF ALL WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	22
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	18
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	280
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	5,080
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	669,635	353,553
9	Program service revenue (Part VIII, line 2g) .........	166,703,774	176,636,422
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	6,017,327	6,539,785
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,097,500	1,088,545
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	174,488,236	184,618,305
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	39,064	0
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)	0	0
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)....	174,716,649	177,928,060
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	174,755,713	177,928,060
19	Revenue less expenses. Subtract line 18 from line 12.......	-267,477	6,690,245
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	264,774,800	267,619,006
21	Total liabilities (Part X, line 26).............	138,398,198	144,432,618
22	Net assets or fund balances. Subtract line 21 from line 20.....	126,376,602	123,186,388

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 11,791,478 including grants of $ 0 ) (Revenue $ 21,549,403 )
	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 OR ABILITY TO PAY. OPERATING ROOM CASES TOTALED 5,689 DURING 2015. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4b	(Code: ) (Expenses $ 6,815,352 including grants of $ 0 ) (Revenue $ 12,577,416 )
	EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INTENSIVE CARE UNIT SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MEDICAL INTENSIVE CARE UNIT CASES TOTALED 11,396 DURING 2015. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4c	(Code: ) (Expenses $ 6,181,004 including grants of $ 0 ) (Revenue $ 24,927,710 )
	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 OR ABILITY TO PAY. THE ORGANIZATION TREATED 54,469 EMERGENCY DEPARTMENT PATIENTS DURING 2015. 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 $ 135,347,421 including grants of $ 0 ) (Revenue $ 117,586,973 )
4e	Total program service expenses160,135,255

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	13,551,552	1,702,150

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	353,553

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		353,553

			Business Code
2a	NET PATIENT SERVICE REVENUE	541900	174,305,738	174,305,738
b	OTHER HEALTHCARE RELATED REVENUE	541990	2,330,684	2,330,684
c
d
e
f	All other program service revenue.
g Total.Add lines 2a–2f.....			176,636,422

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			2,233,382		5,080	2,228,302
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		1,279,522
b	Less: rental expenses		947,506
c	Rental income or (loss)	0	332,016
d	Net rental income or (loss)......			332,016			332,016
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	308,989	3,997,414
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	308,989	3,997,414
d	Net gain or (loss).....			4,306,403			4,306,403
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
Business Code			Miscellaneous Revenue
11a	CAFETERIA INCOME		722514	512,160			512,160
b	PARKING INCOME		812930	244,369			244,369
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			756,529
12	Total revenue. See Instructions......			184,618,305	176,636,422	5,080	7,623,250

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	0
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	0
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 ....	0
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	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	0
9	Other employee benefits .......	0
10	Payroll taxes ...........	0
11	Fees for services (non-employees):
a	Management ......	405,847	365,262	40,585	0
b	Legal .........	942,130	847,917	94,213
c	Accounting ...........	0
d	Lobbying ...........	7,500	6,750	750
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	0
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	7,209,569	6,488,613	720,956
12	Advertising and promotion ....	330,884	297,796	33,088
13	Office expenses .......	2,604,156	2,343,740	260,416
14	Information technology ......	4,388,032	3,949,229	438,803
15	Royalties ..	0
16	Occupancy ...........	4,420,754	3,978,679	442,075
17	Travel ............	236,504	212,854	23,650
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	1,789,649	1,610,684	178,965
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	10,673,400	9,606,060	1,067,340
23	Insurance ...	2,327,756	2,094,980	232,776
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	ALLOCATION OF PERSONNEL COSTS	103,363,069	93,026,762	10,336,307
b	MEDICAL SUPPLIES	20,334,644	18,301,180	2,033,464
c	OUTSIDE SERVICES	12,132,844	10,919,560	1,213,284
d	REPAIRS & MAINTENANCE	3,530,840	3,177,756	353,084
e	All other expenses	3,230,482	2,907,433	323,049
25	Total functional expenses. Add lines 1 through 24e	177,928,060	160,135,255	17,792,805	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).

1	Cash–non-interest-bearing ........			5,829	1	5,829
2	Savings and temporary cash investments .........			6,589,091	2	4,630,649
3	Pledges and grants receivable, net ......			44,282	3	56,617
4	Accounts receivable, net .............			24,456,731	4	20,051,081
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 ....			0	7	0
8	Inventories for sale or use ........			1,036,398	8	1,146,818
9	Prepaid expenses and deferred charges ......			2,801,239	9	3,277,621
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	239,154,713
b	Less: accumulated depreciation	10b	137,220,765	102,332,455	10c	101,933,948
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 ..			114,293,822	13	114,763,545
14	Intangible assets ...............			446,059	14	421,099
15	Other assets. See Part IV, line 11 ...........			12,768,894	15	21,331,799
16	Total assets. Add lines 1 through 15 (must equal line 34)...			264,774,800	16	267,619,006

17	Accounts payable and accrued expenses .....	19,111,764	17	17,124,066
18	Grants payable ...	0	18	0
19	Deferred revenue .........	603,999	19	860,646
20	Tax-exempt bond liabilities .........	50,725,000	20	48,825,000
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 ..	72,840	23	0
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	67,884,595	25	77,622,906
26	Total liabilities. Add lines 17 through 25..	138,398,198	26	144,432,618

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	122,122,975	27	119,305,276
28	Temporarily restricted net assets ...........	136,780	28	90,630
29	Permanently restricted net assets	4,116,847	29	3,790,482
	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 ...........	126,376,602	33	123,186,388
34	Total liabilities and net assets/fund balances ........	264,774,800	34	267,619,006

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No

(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
(1) INSPIRA DEPTFORD HEALTHPARK LLC 165 BRIDGETON PIKE MULLICA HILL,NJ08062 32-0483850	INACTIVE	NJ	0	0	IMCW

(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	INACTIVE	NJ	501(C)(3)	509(A)(1)	NETWORK		No

(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
(3) GLOUC CTY SURG CTR 163 BRIDGETON PIKE BLDG B MULLICA HILL,NJ08062 26-1157885	HEALTHCARE SVCS.	NJ
(4) INSPIRA HLTH PTRS 2950 COLLEGE DRIVE VINELAND,NJ08360 46-5550615	HEALTHCARE SVCS.	NJ

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) INSPIRA HEALTH NETWORK FDN GLOUCESTER COUNTY	E	207,739	COST

(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