Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
A For the 2015 calendar year, or tax year beginning 01-01-2015 , and ending 12-31-2015
BCheck if applicable:
CName of organization
INSPIRA MEDICAL CENTERS INC
 
% THOMAS P BALDOSARO CPA
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
333 IRVING AVENUE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BRIDGETON, NJ08302
D Employer identification number

21-0634484
E Telephone number

G Gross receipts $ 456,331,800
F Name and address of principal officer:
JOHN A DIANGELO
165 BRIDGETON PIKE
MULLICA HILL,NJ08062
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.INSPIRAHEALTHNETWORK.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1913
M State of legal domicile: NJ
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: THE MISSION OF INSPIRA MEDICAL CENTERS, INC. IS TO PROVIDE QUALITY HEALTHCARE SERVICES THAT IMPROVE THE LIVES OF ALL WE SERVE.
2 Check this box MediumBullet
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 4,077
6 Total number of volunteers (estimate if necessary) ............. 6 580
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 92,217
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -9,931
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 5,981,365 5,491,150
9 Program service revenue (Part VIII, line 2g) ......... 423,296,563 437,499,038
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 12,575,186 9,980,281
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,462,787 1,207,557
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 443,315,901 454,178,026
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 95,241 95,842
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) 216,505,001 221,331,273
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 173,122,407 173,850,440
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 389,722,649 395,277,555
19 Revenue less expenses. Subtract line 18 from line 12....... 53,593,252 58,900,471
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 791,753,000 801,494,371
21 Total liabilities (Part X, line 26)............. 370,430,859 343,591,549
22 Net assets or fund balances. Subtract line 21 from line 20..... 421,322,141 457,902,822
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2015)
Form 990 (2015)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: THE MISSION OF INSPIRA MEDICAL CENTERS, INC. IS TO PROVIDE QUALITY HEALTHCARE SERVICES THAT IMPROVE THE LIVES OF ALL WE SERVE. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 29,173,788 including grants of $ 0 ) (Revenue $ 63,198,085 )
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. THE ORGANIZATION TREATED 13,749 OPERATING ROOM CASES DURING 2015. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4b (Code:   ) (Expenses $ 13,420,743 including grants of $ 0 ) (Revenue $ 75,383,560 )
EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY MEDICAL ACUTE CARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. THE ORGANIZATION TREATED 38,728 INPATIENT DAYS DURING 2015. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4c (Code:   ) (Expenses $ 12,583,145 including grants of $ 0 ) (Revenue $ 121,218,704 )
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 EXPERIENCED 109,394 EMERGENCY DEPARTMENT VISITS DURING 2015. PLEASE REFER TO SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
4d Other program services (Describe in Schedule O.)
(Expenses $ 300,581,707 including grants of $ 95,842 ) (Revenue $ 177,698,689 )
4e Total program service expensesMediumBullet355,759,383
Form 990 (2015)
Form 990 (2015)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment..............
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
Yes
 
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
Form 990 (2015)
Form 990 (2015)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I ...................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II ................Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV ........................Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II ...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I ........Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2015)
Form 990 (2015)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
439
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
4,077
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2015)
Form 990 (2015)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
22
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
18
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
NJ
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletTHOMAS P BALDOSARO CPA165 BRIDGETON PIKE   MULLICA HILL,NJ08062 (856) 641-6605
Form 990 (2015)
Form 990 (2015)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(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) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) MICHAEL A MCLAUGHLIN......................................................................
CHAIRMAN - TRUSTEE(EFF 8/3/15)
 1.0
.................
0.0 		X   X       0 0 0
(2) GREGORY J FACEMYER CPA......................................................................
SEC/TREAS-TRUST(TERMED 8/2/15)
 1.0
.................
0.0 		X   X       0 0 0
(3) EDWARD BETHEA......................................................................
SEC/TREAS-TRUSTEE(EFF 8/3/15)
 1.0
.................
0.0 		X   X       0 0 0
(4) JAMES M BONNER DO......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
(5) JOHN B CATALANO MD......................................................................
TRUSTEE
 2.0
.................
0.0 		X           2,800 0 0
(6) JOHN A DIANGELO......................................................................
TRUSTEE; PRESIDENT/CEO-NTWK
 55.0
.................
0.0 		X   X       1,792,781 0 474,583
(7) LAWRENCE M DIVIETRO JR......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
(8) ROBERTA S FREITAG......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
(9) EDGAR G GALLOWAY III......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
(10) JAMES E GEORGE MD JD......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
(11) BENJAMIN T GRIFFITH......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
(12) DAVID HEMPLE......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
(13) KURT W KAULBACK MD......................................................................
TRUSTEE
 55.0
.................
0.0 		X           0 567,884 37,219
(14) LAWRENCE A PEPPER JR ESQ......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
(15) JORGE A PRIETO MD......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
(16) PAUL J RITTER III......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
(17) ALBERT A RUNDIO JR......................................................................
TRUSTEE
 1.0
.................
0.0 		X           0 0 0
Form 990 (2015)
Form 990 (2015)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(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) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) ARMANDO P RUSSO MD........................................................................
TRUSTEE; PRESIDENT MED STAFF
 5.0
.......................0.0 		X           53,415 0 0
(19) JACK C SHEPPARD JR........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(20) JACK M SHIELDS MD........................................................................
TRUSTEE
 5.0
.......................0.0 		X           31,350 0 0
(21) PAUL J TULLY........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(22) KIMBERLY E WOOD........................................................................
TRUSTEE
 1.0
.......................0.0 		X           0 0 0
(23) DAVID ROBBINS JR........................................................................
CHAIR-TRUSTEE (TERMED 8/2/15)
 1.0
.......................0.0 		X           0 0 0
(24) BRUNO A BASILE........................................................................
VICE CHAIR-TRUS(TERMED 8/2/15)
 1.0
.......................0.0 		X           0 0 0
(25) JEFFREY GEORGE........................................................................
TRUSTEE (TERMED 8/2/15)
 1.0
.......................0.0 		X           0 0 0
(26) THOMAS ISEKENEGBE MD........................................................................
TRUSTEE (TERMED 8/2/15)
 1.0
.......................0.0 		X           0 0 0
(27) EILEEN K CARDILE MS RN CNA........................................................................
EVP/PRES OF IMCW
 55.0
.......................0.0 		    X       913,939 0 25,033
(28) THOMAS P BALDOSARO CPA........................................................................
EVP/CHIEF FINANCIAL OFFICER
 55.0
.......................0.0 		    X       472,785 0 115,503
(29) MARVIN T WAY........................................................................
EVP OPERATIONS
 55.0
.......................0.0 		    X       532,939 0 105,455
(30) ROBERT E FLORENTINE........................................................................
SVP/CHIEF PEOPLE OFFICER
 55.0
.......................0.0 		    X       733,970 0 76,038
(31) ELIZABETH A SHERIDAN........................................................................
COO - IMC ELMER & VINELAND
 55.0
.......................0.0 		    X       1,285,187 0 106,806
(32) STEVEN C LINN MD........................................................................
CMO/VP ACADEMIC AFFAIRS
 55.0
.......................0.0 		    X       744,614 0 84,570
(33) MATTHEW DOONAN ESQ........................................................................
GENERAL COUNSEL
 55.0
.......................0.0 		    X       275,581 0 54,352
(34) JOHN C BICKINGS........................................................................
VP FACILITIES & CONSTRUCTION
 55.0
.......................0.0 		    X       615,830 0 92,999
(35) ARTHUR BOOTE........................................................................
VP PROVIDER NTWK INTEGRATION
 55.0
.......................0.0 		    X       592,798 0 78,131
(36) CLARE SAPIENZA-ECK........................................................................
VP BUS. DEV./PHYS RECRUITMENT
 55.0
.......................0.0 		    X       438,625 0 87,485
(37) THOMAS PACEK........................................................................
VP/CHIEF INFORMATION OFFICER
 55.0
.......................0.0 		    X       328,613 0 75,889
(38) CAROLYN S HECKMAN........................................................................
VP COMMUNITY RELATIONS
 55.0
.......................0.0 		    X       324,454 0 54,528
(39) DAVID YHLEN........................................................................
VP AMBULATORY SERVICES
 55.0
.......................0.0 		    X       312,324 0 64,510
(40) DAVID MURRAY........................................................................
VP FINANCE
 55.0
.......................0.0 		    X       271,276 0 35,043
(41) JOSEPH M ALESSANDRINI........................................................................
VP CLINICAL SVS-ELMER&VINELAND
 55.0
.......................0.0 		    X       245,789 0 35,854
(42) PAUL M LAMBRECHT........................................................................
VP QUALITY & PATIENT SAFETY
 55.0
.......................0.0 		    X       220,398 0 29,129
(43) PETER A KAPRIELYAN........................................................................
VP GOV'T & EXTERNAL RELATIONS
 55.0
.......................0.0 		    X       220,117 0 15,304
(44) MARY BOLLWAGE........................................................................
VP RISK MANAGEMENT
 55.0
.......................0.0 		    X       195,965 0 21,063
(45) JANET DAVIES........................................................................
VP PAT CARE SVS-ELMER&VINELAND
 55.0
.......................0.0 		    X       175,125 0 34,061
(46) ANNE MCCARTNEY........................................................................
VP PAT SVS-VNLND(TERM 6/30/15)
 55.0
.......................0.0 		    X       163,769 0 21,918
(47) ROBERT L MANESTRINA........................................................................
VP HUMAN RES (TERMED 1/30/15)
 55.0
.......................0.0 		    X       134,215 0 18,594
(48) MIKOLE BURKE-ANDERSON........................................................................
VP COMP/ETHICS (TERMED 6/6/15)
 55.0
.......................0.0 		    X       104,292 0 19,742
(49) CAROL L THOMAS........................................................................
VP POP. HEALTH (EFF 10/26/15)
 55.0
.......................0.0 		    X       42,308 0 15,863
(50) JOSEPH A PICCOLO........................................................................
VP CORP COMP/CCO(EFF 11/16/15)
 55.0
.......................0.0 		    X       25,294 0 14,705
(51) FRANCIS T FERRY MD........................................................................
MEDICAL DIRECTOR (TERM 4/7/15)
 55.0
.......................0.0 		    X       145,912 0 24,739
(52) CHRISTOPHER TROTZ MD........................................................................
EXEC MED DIRECTOR (EFF 4/8/15)
 55.0
.......................0.0 		    X       258,449 0 35,171
(53) GREGORY HERMAN........................................................................
CHIEF MEDICAL INFO. OFFICER
 55.0
.......................0.0 		        X   345,685 0 19,532
(54) GINA PETRONE MUMOLIE........................................................................
VP CHIEF NURSING (TERM 1/3/15)
 55.0
.......................0.0 		        X   324,786 0 27,665
(55) JOHN W GRAHAM........................................................................
EXECUTIVE DIRECTOR IHP
 55.0
.......................0.0 		        X   320,001 0 19,304
(56) SUZANNE W VANDERWERKEN MD........................................................................
PHYSICIAN
 55.0
.......................0.0 		        X   215,599 0 4,820
(57) JAMES T O'CONNELL........................................................................
DIRECTOR
 55.0
.......................0.0 		        X   200,291 0 32,431
(58) CHESTER B KALETKOWSKI........................................................................
FORMER OFFICER
 0.0
.......................0.0 		          X 1,910,169 0 0
(59) ROBERT M D'ANGEL ESQ........................................................................
FORMER OFFICER
 0.0
.......................0.0 		          X 652,513 0 9,967
(60) WAYNE C SCHIFFNER........................................................................
FORMER OFFICER
 0.0
.......................0.0 		          X 316,377 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 15,940,335 567,884 1,968,006
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet195
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
REGIONAL DIAGNOSTIC IMAGING LLC,
PO BOX 2089
VINELAND,NJ08360 		RADIOLOGY 6,830,117
QUEST DIAGNOSTICS,
PO BOX 828669
PHILADELPHIA,PA191828669 		LABORATORY 5,051,778
REHABCARE GROUP INC,
PO BOX 502096
ST LOUIS,MO631502096 		REHABILITATION 4,510,052
PINNACLE MID-ATLANTIC NJ LLC,
100 WITMER ROAD SUITE 220
HORSHAM,PA19044 		ANESTHESIOLOGY 2,808,670
HARMELIN MEDIA,
525 RIGHTERS FERRY ROAD
BALA CYNWYD,PA19044 		ADVERTISING 2,403,899
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet193
Form 990 (2015)
Form 990 (2015)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 652,529
e Government grants (contributions)1e 3,318,364
f All other contributions, gifts, grants, and similar amounts not included above1f 1,520,257
g Noncash contributions included in lines 1a-1f:$  
h Total.Add lines 1a-1f.......MediumBullet 5,491,150
Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE REVENUE 541900 430,663,046 430,663,046    
b OTHER HEALTHCARE RELATED REVENUE 812300 6,835,992 6,743,775 92,217  
c
d
e
f All other program service revenue.        
g Total.Add lines 2a–2f.....MediumBullet 437,499,038
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ..........MediumBullet 7,722,229     7,722,229
4 Income from investment of tax-exempt bond proceedsMediumBullet 9,729     9,729
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents   1,301,627
b Less: rental expenses   1,831,630
c Rental income or (loss) 0 -530,003
d Net rental income or (loss)......MediumBullet -530,003     -530,003
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 963,922 1,284,401
b Less: cost or other basis and sales expenses    
c Gain or (loss) 963,922 1,284,401
d Net gain or (loss).....MediumBullet 2,248,323     2,248,323
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..MediumBullet 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..MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances ..
a 489,013
b Less: cost of goods sold ..b 322,144
c Net income or (loss) from sales of inventory..MediumBullet 166,869     166,869
Business Code Miscellaneous Revenue
11a CAFETERIA/DIETARY 900099 1,570,691     1,570,691
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 1,570,691
12 Total revenue. See Instructions......MediumBullet 454,178,026 437,406,821 92,217 11,187,838
Form 990 (2015)
Form 990 (2015)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 95,842 95,842
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 .... 13,471,983 12,124,785 1,347,198 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 154,248,183 138,823,365 15,424,818  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 10,435,779 9,392,201 1,043,578  
9 Other employee benefits ....... 21,021,490 18,919,341 2,102,149  
10 Payroll taxes ........... 22,153,838 19,938,454 2,215,384  
11 Fees for services (non-employees):        
a Management ...... 733,958 660,562 73,396  
b Legal ......... 789,108 710,197 78,911  
c Accounting ........... 0      
d Lobbying ........... 107,828 97,045 10,783  
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) 27,104,951 24,394,456 2,710,495  
12 Advertising and promotion .... 2,877,383 2,589,645 287,738  
13 Office expenses ....... 5,380,341 4,842,307 538,034  
14 Information technology ...... 9,482,051 8,533,846 948,205  
15 Royalties .. 0      
16 Occupancy ........... 6,759,776 6,083,798 675,978  
17 Travel ............ 990,032 891,029 99,003  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 0      
20 Interest ........... 7,662,679 6,896,411 766,268  
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 28,107,158 25,296,442 2,810,716  
23 Insurance ... 4,419,184 3,977,266 441,918  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 45,436,311 40,892,680 4,543,631  
b OUTSIDE SERVICES 14,811,577 13,330,419 1,481,158  
c REPAIRS & MAINTENANCE 4,906,769 4,416,092 490,677  
d DUES & SUBSCRIPTIONS 1,267,804 1,141,024 126,780  
e All other expenses 13,013,530 11,712,176 1,301,354  
25 Total functional expenses. Add lines 1 through 24e 395,277,555 355,759,383 39,518,172 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 MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2015)
Form 990 (2015)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 12,934 1 12,934
2 Savings and temporary cash investments ......... 110,114,167 2 144,644,975
3 Pledges and grants receivable, net ...... 1,145,545 3 1,236,096
4 Accounts receivable, net ............. 47,914,046 4 49,990,277
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 ........ 4,285,850 8 4,277,426
9 Prepaid expenses and deferred charges ...... 6,358,014 9 7,111,898
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 530,850,485
b Less: accumulated depreciation 10b 305,863,088 234,858,089 10c 224,987,397
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 .. 295,456,870 13 296,003,385
14 Intangible assets ............... 906,273 14 906,273
15 Other assets. See Part IV, line 11 ........... 90,701,212 15 72,323,710
16 Total assets. Add lines 1 through 15 (must equal line 34)... 791,753,000 16 801,494,371
Liabilities 17 Accounts payable and accrued expenses ..... 74,989,933 17 79,127,538
18 Grants payable ... 0 18 0
19 Deferred revenue ......... 4,874,067 19 5,739,169
20 Tax-exempt bond liabilities ......... 154,366,551 20 150,783,980
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 .. 24,925,234 23 20,985,728
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 111,275,074 25 86,955,134
26 Total liabilities. Add lines 17 through 25.. 370,430,859 26 343,591,549
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 414,741,141 27 451,951,908
28 Temporarily restricted net assets ........... 3,862,000 28 3,549,865
29 Permanently restricted net assets 2,719,000 29 2,401,049
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet 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 ........... 421,322,141 33 457,902,822
34 Total liabilities and net assets/fund balances ........ 791,753,000 34 801,494,371
Form 990 (2015)
Form 990 (2015)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
454,178,026
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
395,277,555
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
58,900,471
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
421,322,141
5
Net unrealized gains (losses) on investments ...............
5
-6,841,000
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-15,478,790
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
457,902,822
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2015)
Form 990 (2015)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
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.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow 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 CENTERS INC
 
Employer identification number

21-0634484
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.)
1
2
3
4


5
6
7
8
9
10
11
a
b
c
d
e
f
Enter the number of supported organizations ..............  

g
Provide the following information about the supported organization(s).
(i)Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
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

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) right arrow (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) right arrow (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.  
12
12
 
13
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
14
14
 
15
15
 
16a
b
17a
b
18
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

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) right arrow (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) right arrow (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.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2015

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
No
1
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.
1
 
 
2
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).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
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.
3b
 
 
c
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.
3c
 
 
4a
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.
4a
 
 
b
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.
4b
 
 
c
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.
4c
 
 
5a
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).
5a
 
 
b
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?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
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.
6
 
 
7
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) .
7
 
 
8
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).
8
 
 
9a
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.
9a
 
 
b
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.
9b
 
 
c
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.
9c
 
 
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
 
 
b
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

Schedule A (Form 990 or 990-EZ) 2015
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
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
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
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
No
1
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.
1
 
 
2
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.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
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).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
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?
1
 
 
2
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).
2
 
 
3
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.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
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.
2a
 
 
b
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.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
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.
3a
 
 
b
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.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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  
7
Schedule A (Form 990 or 990-EZ) 2015

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:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet 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 CENTERS INC
 
Employer identification number

21-0634484
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




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
Special Rules
......... 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 CENTERS INC
  		Employer identification number
21-0634484
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


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(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 CENTERS INC
  		Employer identification number

21-0634484
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 CENTERS INC
  		Employer identification number

21-0634484
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 $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No.from Part I		 (b) Purpose of gift (c) Use 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 (c) Use 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 (c) Use 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 (c) Use 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:  
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 BulletInformation 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 CENTERS INC
 
Employer identification number

21-0634484
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ......................................................................................................................SchCMd Bullet
$  
3
Volunteer hours .............................................................................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
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

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 Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(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? ..............................................................................................................

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


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)
No
Yes
(b)
Amount
1
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:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
Yes
 
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
Yes
 
65,500
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
Yes
 
42,328
i
Other activities? ...................................................................................................................
 
No
 
j
Total. Add lines 1c through 1i ....................................................................................................
107,828
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
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
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
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."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
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? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
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 & 1H DURING 2015, THE ORGANIZATION PAID AN OUTSIDE LOBBYING FIRM $48,000 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO THE VP OF GOVERNMENT & EXTERNAL RELATIONS TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $17,500. THE ORGANIZATION IS A MEMBER OF NEW JERSEY HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION WHICH BOTH ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS (INSPIRA MEDICAL CENTER VINELAND, INSPIRA MEDICAL CENTER ELMER AND INSPIRA MEDICAL CENTER WOODBURY). A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $42,328 IN 2015.
Schedule C (Form 990 or 990EZ) 2015


Additional Data


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SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet 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 CENTERS INC
 
Employer identification number

21-0634484
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 ....    
5
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? ...........
6
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? ............................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
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.
Held at the End of the 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  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
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)? .............................
9
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.
1a
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.
b
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 $  
2
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:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
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

Schedule D (Form 990) 2015
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
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):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
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?...
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.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
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  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
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 .... 6,581,000 6,385,000 6,324,000 6,533,000 6,882,000
b Contributions ... -103,045 16,000 17,000 168,000 23,000
c Net investment earnings, gains, and losses -100,514 190,000 298,000 430,000 -340,000
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		426,527 10,000 254,000 807,000 32,000
f Administrative expenses ....          
g End of year balance ...... 5,950,914 6,581,000 6,385,000 6,324,000 6,533,000
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet40.350 %
c
Temporarily restricted endowment SchDMd Bullet59.650 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
 
No
(ii) related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
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 ...   9,143,019 9,143,019
b Buildings   243,315,968 83,708,354 159,607,614
c Leasehold improvements   1,208,727 1,080,645 128,082
d Equipment ...   272,707,706 218,477,110 54,230,596
e Other ...   4,475,065 2,596,979 1,878,086
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 224,987,397
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 3
Part VII
Investments—Other 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.)Small Bullet  
Part VIII
Investments—Program 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)PERPETUAL TRUSTS 4,362,462 F
(2)OREGANIZATION 1,420,409 F
(3)JOINT VENTURES 735,426 F
(4)EXTERNALLY DESIGNATED 4,335,710 F
(5)BOND INDENTURE AGREEMENTS 9,552,038 F
(6)LIMITED USE 505,922 F
(7)LIMITED USE 208,684,528 F
(8)LIMITED USE 56,168,713 F
(9)COMMINGLED FUNDS; LIMITED USE 10,238,177 F
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet 296,003,385
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 46,848,337
(2) DEFERRED FINANCING COSTS 1,328,963
(3) RECEIVABLE 16,008,877
(4) OTHER RECEIVABLES 6,096,017
(5) OTHER ASSETS 2,041,516
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 72,323,710
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
ACCRUED INTEREST PAYBLE 3,981,266
THIRD-PARTY PAYORS 34,842,916
ORGANIZATIONS 141,104
ACCRUED RETIREMENT BENEFITS 5,117,463
OTHER LONG-TERM LIABILITIES 42,872,385
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 86,955,134
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

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 CENTERS, INC. FOR THE YEARS ENDED DECEMBER 31, 2015 AND DECEMBER 31, 2014; RESPECTIVELY. THIS AUDITED CONSOLIDATED FINANCIAL STATEMENT INCLUDES INSPIRA MEDICAL CENTERS, INC. AND ITS CONTROLLED AFFILIATIES. 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): THE HOSPITAL ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2015 OR 2014. IN ADDITION, THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("NETWORK"). THE NETWORK ISSUES AUDITED CONSOLIDATED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE AUDITED CONSOLIDATED 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 NETWORK'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE NETWORK ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUReMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2015 OR 2014.
Schedule D (Form 990) 2015


Additional Data


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SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image 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 CENTERS INC
 
Employer identification number

21-0634484
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
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? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
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 4,085,954
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 1 1 4,085,954
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 1 1 4,085,954
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 .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
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
Schedule F (Form 990) 2015
Page 4
Part IV
Foreign Forms
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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). . . . . . . . . . . . . . . . . . . . . . . . . . . .
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) .
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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2015
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 THIS ORGANIZATION PAID JUNO ASSURANCE, LTD., A FINANCIAL VEHICLE, MALPRACTICE PREMIUMS PAYMENTS IN THE AMOUNT OF $4,085,954 DURING 2015. ADDITIONALLY, THIS ORGANIZATION PAID JUNO ASSURANCE, LTD., MALPRACTICE PREMIUMS IN THE AMOUNT OF $8,828,036 FOR THE BENEFIT OF CERTAIN RELATED ORGANIZATIONS INCLUDED BELOW: INSPIRA HEALTH NETWORK, INC. - $6,000,000; INSPIRA MEDICAL CENTER WOODBURY, INC. - $1,472,363; TRI-COUNTY CARIOVASCULAR SERVICES, P.C. - $12,400; COOPER BONE & JOINT AT WOODBURY, P.C. - $27,012; INSPIRA HEALTH NETWORK MEDICAL GROUP, P.C - $1,216,108; AND INSPIRA HEALTH NETWORK URGENT CARE, P.C - $100,153. THE AMOUNTS INCLUDED ABOVE ARE REIMBURSED TO INSPIRA MEDICAL CENTERS, INC. IN ADDITION, THE TAX-EXEMPT AFFILIATES REPORT THIS AMOUNT ON SCHEDULE F OF THEIR FORM 990.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2015
Additional Data


Software ID:  
Software Version:  



SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet 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 CENTERS INC
 
Employer identification number

21-0634484
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
%
b
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: . . . . . . . .
3b
Yes
 
c
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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
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? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		  8,880 5,812,921 3,115,822 2,697,099 0.680 %
b Medicaid (from Worksheet 3, column a) . . . . .   22,494 30,799,533 21,395,055 9,404,478 2.380 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .   15,748 7,982,623 486,684 7,495,939 1.900 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .   47,122 44,595,077 24,997,561 19,597,516 4.960 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).   98,403 3,190,242 974,162 2,216,080 0.560 %
f Health professions education (from Worksheet 5) . . .   639 14,010,728 6,895,252 7,115,476 1.800 %
g Subsidized health services (from Worksheet 6) . . . .   10,237 2,989,248 970,112 2,019,136 0.510 %
h Research (from Worksheet 7) .   0 115,680   115,680 0.030 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .   1,664 130,650   130,650 0.030 %
j Total. Other Benefits . .   110,943 20,436,548 8,839,526 11,597,022 2.930 %
k Total. Add lines 7d and 7j .   158,065 65,031,625 33,837,087 31,194,538 7.890 %
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 (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development 74 1 14,016   14,016  
3 Community support 5,070 26,370 2,230,687 2,128,573 102,114 0.030 %
4 Environmental improvements 30 116 255   255  
5 Leadership development and
training for community members		            
6 Coalition building 33 2,393 36,910   36,910 0.010 %
7 Community health improvement advocacy 89 2,015 56,606   56,606 0.010 %
8 Workforce development 4 8 1,317,360   1,317,360 0.330 %
9 Other            
10 Total 5,300 30,903 3,655,834 2,128,573 1,527,261 0.380 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
 
3
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. ......
3
 
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
113,138,893
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
126,610,699
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-13,471,806
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

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 %
1THE KIDNEY CENTER AT
  		       
2VINELAND LLC
  		MEDICAL SERVICES 50 %   50 %
3THE KIDNEY CENTER AT
  		       
4MILLVILLE LLC
  		MEDICAL SERVICES 50 %   50 %
5OAK & MAIN
  		       
6SURGICENTER LLC
  		MEDICAL SERVICES 85 %   15 %
7INSPIRA HEALTH
  		       
8PARTNERS LLC
  		MEDICAL SERVICES 51.293 %   15.472 %
9
10
11
12
13
Schedule H (Form 990) 2015
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?2
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) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (Describe) Facility reporting group
1 INSPIRA MEDICAL CENTER VINELAND
1505 WEST SHERMAN AVENUE
VINELAND,NJ08360
WWW.INSPIRAHEALTHNETWORK.ORG
10603 		X X   X     X     1
2 INSPIRA MEDICAL CENTER ELMER
425/475 FRONT STREET
ELMER,NJ08318
WWW.INSPIRAHEALTHNETWORK.ORG
11701 		X X         X     1
Schedule H (Form 990) 2015
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 CENTERS
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): 		1
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 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 ................. 5 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.................................. 6a Yes  
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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
Schedule H (Form 990) 2015
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
INSPIRA MEDICAL CENTERS
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
 
b
 
c
d
e
f
g
h
i
Billing and Collections
17 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?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2015
Schedule H (Form 990) 2015
Page 6
Part VFacility Information (continued)

INSPIRA MEDICAL CENTERS
Name of hospital facility or letter of facility reporting group  
Yes No
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2015
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,20E,21C,21D,22D,23&24 Not applicable.
SCHEDULE H, PART V, SECTION B, QUESTION 5 INSPIRA MEDICAL CENTERS, INC. WORKED IN COLLABORTATION WITH THE CUMBERLAND/SALEM/GLOUCESTER HEALTH AND WELLNESS ALLIANCE ("THE ALLIANCE") TO UTILIZE SECONDARY DATA AND CONDUCT KEY INFORMANT INTERVIEWS, FOCUS GROUPS AND SURVEYS TO IDENTIFY THE NEEDS OF THE COMMUNITY. THE ALLIANCE PAID PARTICULAR ATTENTION TO UNDERSERVED AND PRIORITY POPULATIONS AND INCLUDED A RANGE OF PUBLIC HEALTH EXPERTS IN THE PROCESS TO ASSURE THE ASSESSMENT WAS REPRESENTATIVE OF THE POPULATION AT LARGE.
SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B INSPIRA MEDICAL CENTERS, INC. INCLUDES TWO HOSPITAL CAMPUSES, INSPIRA MEDICAL CENTER VINELAND & INSPIRA MEDICAL CENTER ELMER. THESE TWO HOSPITAL CAMPUSES WORKED TOGETHER TO CONDUCT THE COMMUNITY HEALTH NEEDS ASSESSMENT. ADDITIONALLY, Inspira Medical Centers, Inc. worked in collaboration with the Cumberland/Salem/Gloucester Health and Wellness Alliance ("The Alliance") TO COMPLETE THE CHNA. THE ALLIANCE INCLUDES THE FOLLOWING MEMBERS: - CITY OF VINELAND HEALTH DEPARTMENT; - COMPLETECARE HEALTH NETWORK; - COUNTY OF CUMBERLAND; - CUMBERLAND/CAPE/ATLANTIC YMCA; - CUMBERLAND COUNTY 4-H YOUTH DEVELOPMENT PROGRAM, RUTGERS; - CUMBERLAND COMMUNITY COLLEGE; - CUMBERLAND COUNTY GUIDANCE CENTER; - CUMBERLAND COUNTY TECHNICAL EDUCATION CENTER; - CUMBERLAND COUNTY UNITED WAY; - COUNTY OFFICES OF EDUCATION; - CUMBERLAND DEVELOPMENT CORPORATION; - CUMBERLAND COUNTY DEPARTMENT OF WORKFORCE DEVELOPMENT; - CUMBERLAND COUNTY DEPARTMENT OF HEALTH; - FAMCARE; - GATEWAY COMMUNITY ACTION PARTNERSHIP; - RUTGERS FOOD INNOVATION CENTER; - SALEM COUNTY DEPARTMENT OF HEALTH; AND - THE CEO GROUP.
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 Centers, Inc. ("Inspira") has chosen to address a majority of the needs identified. Below is a summary of the health needs addressed and actions taken to address these needs by the organization: 1. Health Resources focusing on Access To assist the uninsured and underinsured individuals and families with access to health resources, Inspira plans 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, Inspira 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. Inspira invited members of its health and wellness alliance and the community to attend a health insurance marketplace resource symposium with speakers from the Department of Health and Human Services and NJ Citizens Action. Inspira has also partnered with New Jersey Hospital Association and CompleteCare Health Network to have certified application counselors located within the facility. 2. Chronic Disease Management Diabetes & Cancer To assist patients with better management of their chronic diseases Inspira is expanding its Collaborating Options Across the Continuum of Healthcare ("COACH") program to include patients with a primary or secondary diagnosis of diabetes. This program identifies patients at risk for readmission using a modified LACE tool. The COACH program currently serves patients with primary or secondary diagnosis of COPD, heart failure, MI, and pneumonia. Inspira is currently in the process of expanding an existing inpatient, multi-disciplinary team ("MDT") diabetes self-management education program across all inpatient areas. The MDT Diabetes Class program is based on an IRB approved research study which documented the beneficial impact the class had on reducing 30-day diagnosis specific as well as all-cause readmissions. This MDT Diabetes class invites admitted diabetic patients and their families to attend a one-hour structured diabetes education course conducted by a multidisciplinary collaborative of healthcare professionals. The class is offered biweekly and focuses identifying and addressing barriers to effective diabetes self-management using evidence based strategies. Inspira is tackling cancer through our Frank and Edith Scarpa Regional Cancer Pavilion. The Frank and Edith Scarpa Regional Cancer Pavilion is a one-stop experience for cancer patients with consolidated services including medical and radiation oncology. Here patients can receive the latest and highest quality cancer care in the region. The center offers the latest technologies in cancer treatments. Through a partnership with the Fox Chase Cancer Center, Philadelphia, Inspira also provides advanced cancer care through more than 30 national clinical trials. These studies test new treatments, diagnostic techniques and methods for preventing cancer. Inspira is also the lead provider for the NJ Cancer Education and Early Detection ("NJ CEED") program in Cumberland County. This program provides free cancer screening tests for breast, cervical, colon and prostate cancer, for men and women that meet liberal eligibility requirements. This program also has a component for treatment of cancers diagnosed in NJCEED participants through a Medicaid waiver application. This program also offers free screenings to promote the early detection of cancer, when it is most treatable. Our screening programs also include an educational component designed to help people reduce their cancer risk and promote the early detection of cancer. 3. Substance Abuse Inspira is working on a three-pronged approach to tackle substance abuse, specifically prescription drug abuse. Being one of the largest healthcare providers in this area, IMC decided educating our physicians was the best first step. To educate our physicians about the prescription drug abuse problem in our network we are offering a continuing medical education ("CME") on the subject. The CME will also 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 prevent patients from getting excess prescriptions. The use of this database will prevent physicians from writing unnecessary prescriptions. 4. High Risk Behaviors To combat the high prevalence of teen pregnancy within our service area, Inspira 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 problems that can lead to teen pregnancy. Inspira is meeting with different school officials to help get this curriculum implemented in one pilot middle school in each county. If the program proves to be effective, Inspira will advocate that this curriculum be implemented in more schools within the counties. In addition to purchasing the curriculum, Inspira also has the Partnership for Healthy Teens Carrera Program. This program is an Adolescent Pregnancy Prevention Program that uses a long-term, holistic approach to empower youth, to help them develop personal goals, and the desire for a productive future. Through our School Based Youth Services Programs Inspira partners with Vineland and Millville High School to provide support services to reduce the teen pregnancy rate. At both high schools Inspira provides nurse practitioners who are able to provide pregnancy testing to students. In addition to the test, counseling and education are provided to students who are not pregnant to encourage them to practice safe sex, educating them on Sexually Transmitted Infections, helping students obtain methods of birth control and encourage them to no get pregnant. For students who are pregnant we assist them with obtaining pre-natal care, and counseling about birthing options. 5. Nutrition Related Illness Inspira is partnering with the Cumberland Cape Atlantic YMCA to forward the "Complete Streets Policy" for Cumberland County. Inspira is currently one of the few companies in the nation to have received multiple platinum Fit-Friendly Worksite awards by American Heart Association. As a top Fit-Friendly company, Inspira offers a range of initiatives that employees can participate in. Inspira also offers individual outpatient nutrition counseling services for a wide range of nutritional needs at convenient locations throughout Cumberland and Salem counties. Inspira is also promoting fitness programs available through our fitness connection. Inspira Health Network Fitness Connection offers several programs which positively impact the health needs of the community. The first program, which has served almost 2,000 individuals, is the Physician Referred Exercise Program. Some community needs were not directly addressed in the organization's implementation strategy, but will be indirectly affected through the initiatives for prioritized needs. Please see below for the needs that will not be directly addressed and why: Community Resources Inspira has chosen not to address community resources because it is beyond the hospitals mission. Through our Family Success Centers, the hospital provides services and programs that connect Vineland families with community resources ranging from housing and legal assistance to help obtaining household items and food. Innovative Model for Preschool and Community Teaming's ("IMPACT") Family Outreach Program also coordinates family outreach and support to social workers who service Abbott preschool providers in Bridgeton, Millville and Vineland. Poverty - Inspira has chosen not to address community resources because it is beyond the hospitals mission. Violence - Inspira has chosen not to address community resources because it is beyond the hospitals mission. Relationship Health - Inspira has chosen not to address community resources because it is beyond the hospitals mission. Yet, through the previously mentioned IMPACT program and Family Success Centers, INSPIRA focuses on 10 core services to strengthen families by providing assistance with obtaining health insurance, selecting physicians, providing workshops that increase positive interaction between parents and children, promoting family literacy, addressing health issues and legal issues such as immigration, and other topics relevant to the community. Inspira Medical Center Vineland offers its Emergency Department AS an examination site for the Sexual Assault Response Team ("SART") in Cumberland
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2015
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?15
Name and address Type of Facility (describe)
1 INSPIRA HEALTH CENTER BRIDGETON
333 IRVING AVENUE
BRIDGETON,NJ08302 		HEALTH CENTER AMBULATORY CARE INPATIENT PSYCH
2 INSPIRA TOMLIN STATION IMAGING
201 TOMLIN STATION ROAD
MULLICA HILL,NJ08062 		OUTPATIENT DIAGNOSTIC FACILITY
3 INSPIRA WOUND CARE CENTER ELMER
501 W FRONT STREET
ELMER,NJ08318 		HOSPITAL OUTPATIENT DEPARTMENT
4 INSPIRA IMAGING CENTER OF MILLVILLE
1001 N HIGH STREET
MILLVILLE,NJ08332 		HOSPITAL OUTPATIENT DEPARTMENT
5 INSPIRA IMAGING CENTER OF DELSEA
352 S DELSEA DRIVE
VINELAND,NJ08360 		HOSPITAL OUTPATIENT DEPARTMENT
6 INSPIRA VINELAND SLEEP CARE CENTER
1650 E CHESTNUT AVENUE
VINELAND,NJ08361 		OUTPATIENT DIAGNOSTIC FACILITY
7 INSPIRA ELMER SLEEP CARE CENTER
445 WEST FRONT STREET
ELMER,NJ08318 		OUTPATIENT DIAGNOSTIC FACILITY
8 INSPIRA CHILD DEVELOPMENT CENTER
1138 E CHESTNUT STREET
VINELAND,NJ08360 		HOSPITAL OUTPATIENT DEPARTMENT
9 INSPIRA IMAGING CENTER WEST SHERMAN MRI
994 W SHERMAN AVENUE
VINELAND,NJ08361 		HOSPITAL OUTPATIENT DEPARTMENT
10 Inspira Sports Rehab Care Woolwich
100 Lexington Road Suite 130
Swedesboro,NJ08085 		REHABILITATION CLINIC
11 INSPIRA EGG HARBOR SLEEP CARE CENTER
6712 WASHINGTON AVENUE
EGG HARBOR TOWNSHIP,NJ08234 		OUTPATIENT DIAGNOSTIC FACILITY
12 INSPIRA HEALTH CENTER VINELAND
1038 CHESTNUT STREET
VINELAND,NJ08360 		HOSPITAL OUTPATIENT DEPARTMENT
13 INSPIRA SPORTS REHABCARE
1430 SHERMAN AVENUE
VINELAND,NJ08360 		REHABILITATION CLINIC
14 INSPIRA IMAGING CENTER OF MILLVILLE mri
608 N HIGH STREET
MILLVILLE,NJ08332 		HOSPITAL OUTPATIENT DEPARTMENT
15 INSPIRA IMPACT PROGRAM
240 S 6TH STREET
VINELAND,NJ08360 		HOSPITAL OUTPATIENT DEPARTMENT
Schedule H (Form 990) 2015
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 CENTERS, INC. ("IMC"). The report describes the community benefit programs and services that promote the health of the communities served by the health system. The annual written report is distributed to legislators, business leaders, civic community leaders, organizations and community partners. A downloadable version of the report is available on the organization's website, www.inspirahealthnetwork.org.
SCHEDULE H, PART I; QUESTION 7 THE ORGANIZATION UTILIZED THE COST ACCOUNTING SYSTEM.
SCHEDULE H, PART I, QUESTION 7g Subsidized health service costs include an operating deficit of $123,609 for the Wound Care Center and $765,092 for outpatient mental health.
SCHEDULE H, PART II Community building activities undertaken by Inspira Medical Centers, Inc. ("IMC") improve the medical and socioeconomic well-being of our communities. This is accomplished through service on state and regional advocacy committees and boards, volunteerism with local community-based non-profit advocacy groups and participation in conferences and other educational activities to promote understanding of the root causes of health concerns. IMC provides educational materials, conducts community health fairs and holds health education seminars and outreach sessions for its patients, community and providers. Physicians, nurses and other healthcare professionals dedicate their knowledge and time to insuring the community is well educated on topics promoting healthy living.
SCHEDULE H, PART III, SECTION A; QUESTION 4 The organization issued audited consolidated financial statements. The organization's allowance for doubtful accounts methodology and charity care policies are consistently applied. Below please find detailed information: Receivables for Patient Care ---------------------------- Patient accounts receivable for which the Hospital receives payment under cost reimbursement, prospective payment formulae or negotiated rates, which cover the majority of patient services, are stated at the estimated net amounts receivable from payors, which are generally less than the established billing rates of the Hospital. Patient accounts receivable are reported net of provisions based on management's assessment of historical and expected collections, business economic conditions, trends in healthcare coverage, and other collection indicators. For receivables associated with services provided to patients who have third-party coverage (which includes patients with deductible and co-payment balances due for which third-party coverage exists for part of the bill), the Hospital analyzes contractually due amounts and provides an allowance for doubtful accounts, if necessary. The difference between the billed rates and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against net patient service revenue. Charity Care ------------ IMC's patient acceptance policy is based on its mission statement and its charitable purposes. Accordingly, IMC accepts all patients regardless of their ability to pay. A patient is classified by IMC as a charity patient by reference to certain financial criteria established by the State of New Jersey and IMC's policy. IMC's charity care policy includes additional financial criteria which were established with the intent of expanding the availability of financial assistance. Because IMC does not believe that accounts which qualify for charity care are likely to be collected, they are not reported as net patient service revenue. The unreimbursed cost for services and supplies furnished to patients eligible for such charity care are determined through the use of cost to charge ratios in effect for IMC, and are as follows: 2015 2014 In accordance with the State of New Jersey's criteria: $ 2,553,000 $ 4,395,000 IMC's additional criteria $ 8,272,000 $ 10,156,000 ------------ ------------- Total $ 10,825,000 $ 14,551,000 ============ ============== IMC also sponsors certain other charitable programs, which provide substantial benefit to the broader community. Such programs include services to needy and elderly populations that require special support, as well as health promotion and education for the general community welfare. In addition, all other uncollectible amounts resulting from the patients' inability to pay, are recorded as a reduction to net patient service revenue, consistent with IMC's charity care policy.
SCHEDULE H, PART III, SECTION B; QUESTION 8 Medicare costs were derived from the 2015 Medicare cost Report. Medicare underpayments and bad debt are community benefit and associated costs are includable on the form 990, Schedule H, Part I. The organization feels that Medicare underpayments (shortfall), bad debt and associated costs are community benefit and are includable on the form 990, Schedule H, Part I. As outlined more fully below, the organization believes that these services and related costs promote the health of the community as a whole and are rendered in conjunction with the organization's charitable tax-exempt purposes and mission in providing medically necessary healthcare services to all individuals in a non-discriminatory manner without regard to race, color, creed, sex, national origin, religion or ability to pay and consistent with the Community Benefit Standard promulgated by the IRS. The Community Benefit Standard is the current standard for a hospital for recognition as a tax-exempt and charitable organization under internal revenue code ("IRC") 501(c)(3). The organization is recognized as a tax-exempt entity and charitable organization under 501(c)(3) of the IRC. Although there is no definition in the tax code for the term "charitable" a regulation promulgated by the Department of the Treasury provides some guidance and states that "the term charitable is used in Section 501(c)(3) in its generally accepted legal sense,provides examples of charitable purposes, including the relief of the poor or unprivileged; the promotion of social welfare; and the advancement of education, religion, and science. Note it does not explicitly address the activities of hospitals. In the absence of explicit statutory or regulatory requirements applying the term "charitable" to hospitals, it has been left to the IRS to determine the criteria hospitals must meet to qualify as IRC 501(c)(3) charitable organizations. The original standard was known as the Charity Care Standard. This standard was replaced by the IRS with the Community Benefit Standard which is the current standard. Charity Care Standard In 1956, the IRS issued Revenue Ruling 56-185, which addressed the requirements hospitals needed to meet in order to qualify for IRC 501(c)(3) status. One of these requirements is known as the "Charity Care Standard." Under the standard, a hospital must provide, to the extent of its financial ability, free or reduced-cost care to patients who cannot pay for such services. A hospital that expected full payment did not, according to the ruling, provide charity care based on the fact that some patients ultimately failed to pay. The ruling emphasized that a low level of charity care did not necessarily mean that a hospital had failed to meet the requirement since that level could reflect its financial ability to provide such care. The ruling also noted that publicly supported community hospitals would normally qualify as charitable organizations because they serve the entire community and a low level of charity care would not affect a hospital's exempt status if it was due to the surrounding community's lack of charitable demands. Community Benefit Standard In 1969, the IRS issued revenue ruling 69-545, which "removed" from revenue ruling 56-185 "the requirements relating to caring for patients without charge or at rates below cost." Under the standard developed in revenue ruling 69-545, which is known as the "community benefit standard," hospitals are judged on whether they promote the health of a broad class of individuals in the community. The ruling involved a hospital that only admitted individuals who could pay for the services (by themselves, private insurance, or public programs such as Medicare), but operated a full-time emergency room that was open to everyone. The IRS ruled that the hospital qualified as a charitable organization because it promoted the health of people in its community. The IRS reasoned that because the promotion of health was a charitable purpose according to the general law of charity, it fell within the "generally accepted legal sense" of the term "charitable," as required by The Department of Treasury Reg. 1.501(c)(3)-1(d)(2). The IRS ruling stated that the promotion of health, like the relief of poverty and the advancement of education and religion, is one of the purposes in the general law of charity that is deemed beneficial to the community as a whole even though the class of beneficiaries eligible to receive a direct benefit from its activities does not include all members of the community, such as indigent members of the community, provided that the class is not so small that its relief is not of benefit to the community. The IRS concluded that the hospital was "promoting the health of a class of persons that is broad enough to benefit the community" because its emergency room was open to all and it provided care to everyone who could pay, whether directly or through third-party reimbursement. Other characteristics of the hospital that the IRS highlighted included the following: its surplus funds were used to improve patient care, expand hospital facilities, and advance medical training, education and research; it was controlled by a board of trustees that consisted of independent civic leaders; and hospital medical staff privileges were available to all qualified physicians. Medicare underpayments and bad debt are community benefit and associated costs are includable on the form 990, Schedule H, Part I. The American Hospital Association ("AHA") feels that Medicare underpayments (shortfall) and bad debt are community benefit and thus includable on the form 990, Schedule H, Part I. This organization agrees with the AHA's position. As outlined in the AHA's letter to the IRS dated August 21, 2007 with respect to the first published draft of the new Form 990 and Schedule H, the AHA felt that the IRS should incorporate the full value of the community benefit that hospitals provide by counting Medicare underpayments (shortfall) as quantifiable community benefit for the following reasons: - Providing care for the elderly and serving Medicare patients is an essential part of the community benefit standard - Medicare, like Medicaid, does not pay the full cost of care. From the latest data provided by the American Hospital Association, as of 2012, Medicare reimburses hospitals only 86 cents for every dollar they spend to take care of Medicare patients. The Medicare Payment Advisory Commission ("MEDPAC"), in its March 2013 report to congress, states that beneficiaries will grow notably faster in the next 10 years than in the past decade as the baby-boom generation ages into the program. In addition, the population aging into the Medicare program will present a new set of challenges since rising obesity levels put this population at a greater risk than previous generations for chronic disease. - Many Medicare beneficiaries, like their Medicaid counterparts, are poor. More than 42 percent of Medicare spending is for beneficiaries whose income is below 200 percent of the federal poverty level. Many of those Medicare beneficiaries are also eligible for Medicaid -- so called eligible." There is every compelling public policy reason to treat Medicare and Medicaid underpayments similarly for purposes of a hospital's community benefit and include these costs on form 990, Schedule H, Part I. Medicare underpayment must be shouldered by the hospital in order to continue treating the community's elderly and poor. These underpayments represent a real cost of serving the community and should count as a quantifiable community benefit. Both the AHA and this organization also feel that patient bad debt is a community benefit and thus includable on the form 990, Schedule H, Part I. Like Medicare underpayment (shortfalls), there also are compelling reasons that patient bad debt should be counted as quantifiable community benefit as follows: - A significant majority of bad debt is attributable to low-income patients, who, for many reasons, decline to complete the forms required to establish eligibility for hospitals' charity care or financial assistance programs. A 2006 congressional budget office ("CBO") report, nonprofit hospitals and the provision of community benefits, cited two studies indicating that "the great majority of bad debt was attributable to patients with incomes below 200% of the federal poverty line." - The report also noted that a substantial portion of bad debt is pending charity care. Unlike bad debt in other industries, hospital bad debt is complicated by the fact that hospitals follow their mission to the community and treat every patient that comes through their emergency department, regardless of ability to pay. Patients who have outstanding bills are not turned away, unlike other industries. Bad debt is further complicated by the auditing industry's standards on reporting charity care. Many patients cannot or do not provide the necessar
SCHEDULE H, PART III, SECTION B; QUESTION 9B Accounts considered to be charity care are not included in the bad debt expense but, rather, accounted for as an allowance. It is the policy of 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 Inspiras 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 healthcare utilization of its service area population by services (urology, cardiology, obstetrics, etc.) For determining increased or decreased health needs; healthcare services estimates and forecasts (both inpatient and outpatient); assessments of local demographic and socioeconomic information; and, a review of health status/needs assessments and studies conducted by external parties. IMC conducts an extensive service area physician needs study (by primary and specialty) every three to five years. Specific specialty needs are conducted for identified gaps in service. These reviews inform medical staff development at the medical center to assure responsiveness to identified community needs. IMC collaborates with community partners to plan and conduct health needs assessments to assess and address health needs of the community it serves. The wide-based collaborative partnership retains an outside consulting firm to assess community data and perception. Community data is collected from county health profiles, health statistics, demographics, socioeconomic data, phone surveys, paper surveys and focus groups. From those assessments, community health improvement plans are published identifying the specific health priorities. Through a planned and organized effort, the group works collectively to address the priorities by tapping the resources of the community and collaborating on initiatives. IMC actively contributes to this process and engages in the identified priorities that match its mission, expertise, resources and capacity. In addition to these organized needs assessment efforts, ongoing community meetings with local providers, local health departments, local politicians, organizations and community leaders are sponsored by the hospital to discuss the health needs of the population.
SCHEDULE H, PART VI; QUESTION 3 THE HOSPITAL'S FINANCIAL ASSISTANCE INFORMATION IS COMMUNICATED IN BOTH ENGLISH AND SPANISH IN A VARIETY OF WAYS, WHICH INCLUDES: - SIGNAGE THROUGHOUT THE HOSPITAL, EMERGENCY DEPARTMENTS AND REGISTRATION AREAS; - DISTRIBUTION OF ADMISSION BOOKLETS AND BROCHURES DESCRIBING THE POLICY AND HOW TO APPLY FOR ASSISTANCE; - POSTING OF THE CHARITY CARE PROGRAM AND FINANCIAL ASSISTANCE INFORMATION ON THE HOSPITAL'S WEBSITE; AND - A STATEMENT ADDED TO ALL PUBLICATIONS INDICATING THE AVAILABILITY OF CHARITY CARE. PATIENTS ARE GIVEN A FINANCIAL ASSISTANCE HANDOUT AT REGISTRATION 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.
SCHEDULE H, PART VI; QUESTION 4 Inspira Medical Centers, Inc. ("IMC") is the only not-for-profit healthcare system located in the southwestern region of New Jersey along the Delaware Bay. It is situated in a rural and urbanized area comprised of small cities, suburbs, vast wetlands and agricultural areas. IMC is a healthcare safety net provider of general acute and ambulatory healthcare services in a regional service area that encompasses primarily Cumberland and Salem counties and portions of Gloucester and Atlantic counties, covering a patient base of 376,000. Cumberland County has a population of 157,389 and Salem County has a population of 64,715 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, Cumberland County demographics are 49% Caucasian, 22% African American, 29% Hispanic; Salem County is 77% Caucasian, 15% African American and 8% Hispanic. Cumberland County's rapidly growing Hispanic population provides much of the counties farm labor; in particular, Bridgeton has experienced a 560% increase in Mexican population from 1990 to 2000. The region's economy consists of a strong agricultural base with targeted industry sectors that include health care, construction, hospitality/tourism, food processing, glass making, manufacturing, a nuclear generating complex, one federal penitentiary and three state correctional facilities which combined house over 8,000 inmates. Of 21 counties in NJ, Cumberland County has the largest percentage of residents living below the federal poverty level, the highest unemployment rate, the highest teen pregnancy rate, and the lowest percentage of population with a college degree. Major areas in Cumberland County and all of Salem County are designated Medically Underserved Areas and Health Professional Shortage Areas. Both Salem and Cumberland County have the two highest obesity rates in the state. IMC is recognized as a Center of Excellence in Cancer Services, Cardiology Center of Care and Bariatric Surgery Center of Excellence. The IMC Vineland Medical Center and IMC Elmer Hospital are state-designated Primary Stroke Centers. Inspira Medical Centers Behavioral Health Services is the major provider of inpatient and outpatient services for the entire southern New Jersey region spanning nine counties. Patients receiving behavioral health services are primarily insured under Medicaid and Medicare.
SCHEDULE H, PART VI; QUESTION 5 Community building activities undertaken by this organization improve the medical and socio-economic well-being of the communities in our care. This is accomplished through numerous activities which are not a part of Part I Charity Care and other community benefits, and are not included elsewhere on Schedule H. These activities include programs that address the root causes of health problems such as education, poverty, unemployment, access to care, health advocacy and economic development. This organization holds annual meetings open to the public for both hospital locations in Vineland and Elmer. The organizations governing boards are comprised of business professionals and community members all of whom reside in the hospital's primary service area who are not employees of the organization. These volunteers provide countless hours of service to the hospital system in their oversight role. All qualified physicians in the community are extended medical staff privileges by their respective departments. Under the directive of the organization's corporate finance office, surplus funds are utilized for capital projects to improve services, purchase equipment, maintain access to care to a historically underserved and low-income community and improve access to patient services, which in turn, benefit the community. These services include, but not limited to, the following: 1) educational programs that provide classes and information on healthy aging, childbirth, infant care, early pregnancy and more; 2) free blood pressure and diabetes screening, and mammograms to qualifying individuals, free or low-cost screenings for breast, prostate, skin and colorectal cancers; 3) preventative health education; 4) access to satellite emergency department and expansion of emergency departments at both hospitals to accommodate increase in emergency department patients; 5) improved efficiency and clinical quality; 6) investment in medical education and research; and 7) access to advanced technology and clinical trials for latest treatments. Please also refer to Form 990, Schedule O, which contains the organization's community benefit statement.
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:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
INSPIRA MEDICAL CENTERS INC
 
Employer identification number
21-0634484
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) AMERICAN KIDNEY FUND INC
11921 ROCKVILLE PIKE
ROCKVILLE,MD20852 		23-7124261 501(C)(3) 11,485       PROGRAM SUPPORT
(2) Winterland Ice Skating Rink LLC
201 Rowan Blvd
Glassboro,NJ08028 		46-3537191   10,000       SPONSORSHIP
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
1
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2015

Schedule I (Form 990) 2015
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
non-cash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of non-cash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
SCHEDULE I, PART I; QUESTION 2 GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.
Schedule I (Form 990) 2015



Additional Data


Software ID:  
Software Version:  


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 CENTERS INC
 
Employer identification number

21-0634484
Part I
Questions Regarding Compensation
Yes
No
1a
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.
b
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 .........
1b
 
 
2
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? ..
2
 
 
3
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.
4
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:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
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.
5
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:
a
The organization? ...........................
5a
 
No
b
Any related organization?
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
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:
a
The organization?
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
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 ............
7
Yes
 
8
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 .............................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2015

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
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1JOHN A DIANGELOTRUSTEE; PRESIDENT/CEO-NTWK (i)

(ii)		 700,671
-------------
0 		180,000
-------------
0 		912,110
-------------
0 		433,065
-------------
0 		41,518
-------------
0 		2,267,364
-------------
0 		720,908
-------------
0
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 CNAEVP/PRES OF IMCW (i)

(ii)		 447,269
-------------
0 		411,300
-------------
0 		55,370
-------------
0 		10,500
-------------
0 		14,533
-------------
0 		938,972
-------------
0 		0
-------------
0
4THOMAS P BALDOSARO CPAEVP/CHIEF FINANCIAL OFFICER (i)

(ii)		 385,025
-------------
0 		63,438
-------------
0 		24,322
-------------
0 		88,412
-------------
0 		27,091
-------------
0 		588,288
-------------
0 		0
-------------
0
5MARVIN T WAYEVP OPERATIONS (i)

(ii)		 487,213
-------------
0 		25,314
-------------
0 		20,412
-------------
0 		73,069
-------------
0 		32,386
-------------
0 		638,394
-------------
0 		0
-------------
0
6ROBERT E FLORENTINESVP/CHIEF PEOPLE OFFICER (i)

(ii)		 269,280
-------------
0 		205,175
-------------
0 		259,515
-------------
0 		48,060
-------------
0 		27,978
-------------
0 		810,008
-------------
0 		125,334
-------------
0
7ELIZABETH A SHERIDANCOO - IMC ELMER & VINELAND (i)

(ii)		 316,513
-------------
0 		138,416
-------------
0 		830,258
-------------
0 		75,618
-------------
0 		31,188
-------------
0 		1,391,993
-------------
0 		405,441
-------------
0
8STEVEN C LINN MDCMO/VP ACADEMIC AFFAIRS (i)

(ii)		 345,391
-------------
0 		59,769
-------------
0 		339,454
-------------
0 		56,989
-------------
0 		27,581
-------------
0 		829,184
-------------
0 		126,489
-------------
0
9MATTHEW DOONAN ESQGENERAL COUNSEL (i)

(ii)		 251,522
-------------
0 		5,625
-------------
0 		18,434
-------------
0 		32,870
-------------
0 		21,482
-------------
0 		329,933
-------------
0 		0
-------------
0
10JOHN C BICKINGSVP FACILITIES & CONSTRUCTION (i)

(ii)		 242,934
-------------
0 		96,663
-------------
0 		276,233
-------------
0 		66,332
-------------
0 		26,667
-------------
0 		708,829
-------------
0 		138,499
-------------
0
11ARTHUR BOOTEVP PROVIDER NTWK INTEGRATION (i)

(ii)		 267,147
-------------
0 		129,799
-------------
0 		195,852
-------------
0 		52,228
-------------
0 		25,903
-------------
0 		670,929
-------------
0 		125,021
-------------
0
12CLARE SAPIENZA-ECKVP BUS. DEV./PHYS RECRUITMENT (i)

(ii)		 214,575
-------------
0 		24,833
-------------
0 		199,217
-------------
0 		59,779
-------------
0 		27,706
-------------
0 		526,110
-------------
0 		81,314
-------------
0
13THOMAS PACEKVP/CHIEF INFORMATION OFFICER (i)

(ii)		 283,265
-------------
0 		26,904
-------------
0 		18,444
-------------
0 		50,459
-------------
0 		25,430
-------------
0 		404,502
-------------
0 		0
-------------
0
14CAROLYN S HECKMANVP COMMUNITY RELATIONS (i)

(ii)		 180,959
-------------
0 		16,742
-------------
0 		126,753
-------------
0 		35,557
-------------
0 		18,971
-------------
0 		378,982
-------------
0 		75,676
-------------
0
15DAVID YHLENVP AMBULATORY SERVICES (i)

(ii)		 253,995
-------------
0 		38,930
-------------
0 		19,399
-------------
0 		40,211
-------------
0 		24,299
-------------
0 		376,834
-------------
0 		0
-------------
0
16DAVID MURRAYVP FINANCE (i)

(ii)		 212,594
-------------
0 		36,750
-------------
0 		21,932
-------------
0 		13,167
-------------
0 		21,876
-------------
0 		306,319
-------------
0 		0
-------------
0
17JOSEPH M ALESSANDRINIVP CLINICAL SVS-ELMER&VINELAND (i)

(ii)		 196,358
-------------
0 		25,887
-------------
0 		23,544
-------------
0 		17,135
-------------
0 		18,719
-------------
0 		281,643
-------------
0 		0
-------------
0
18PAUL M LAMBRECHTVP QUALITY & PATIENT SAFETY (i)

(ii)		 191,526
-------------
0 		17,472
-------------
0 		11,400
-------------
0 		10,233
-------------
0 		18,896
-------------
0 		249,527
-------------
0 		0
-------------
0
19PETER A KAPRIELYANVP GOV'T & EXTERNAL RELATIONS (i)

(ii)		 214,233
-------------
0 		0
-------------
0 		5,884
-------------
0 		11,119
-------------
0 		4,185
-------------
0 		235,421
-------------
0 		0
-------------
0
20MARY BOLLWAGEVP RISK MANAGEMENT (i)

(ii)		 193,173
-------------
0 		0
-------------
0 		2,792
-------------
0 		2,948
-------------
0 		18,115
-------------
0 		217,028
-------------
0 		0
-------------
0
21JANET DAVIESVP PAT CARE SVS-ELMER&VINELAND (i)

(ii)		 154,796
-------------
0 		18,975
-------------
0 		1,354
-------------
0 		17,296
-------------
0 		16,765
-------------
0 		209,186
-------------
0 		0
-------------
0
22ANNE MCCARTNEYVP PAT SVS-VNLND(TERM 6/30/15) (i)

(ii)		 118,900
-------------
0 		22,716
-------------
0 		22,153
-------------
0 		6,527
-------------
0 		15,391
-------------
0 		185,687
-------------
0 		0
-------------
0
23ROBERT L MANESTRINAVP HUMAN RES (TERMED 1/30/15) (i)

(ii)		 16,628
-------------
0 		12,036
-------------
0 		105,551
-------------
0 		3,466
-------------
0 		15,128
-------------
0 		152,809
-------------
0 		0
-------------
0
24FRANCIS T FERRY MDMEDICAL DIRECTOR (TERM 4/7/15) (i)

(ii)		 86,409
-------------
0 		59,046
-------------
0 		457
-------------
0 		6,601
-------------
0 		18,138
-------------
0 		170,651
-------------
0 		0
-------------
0
25CHRISTOPHER TROTZ MDEXEC MED DIRECTOR (EFF 4/8/15) (i)

(ii)		 235,090
-------------
0 		0
-------------
0 		23,359
-------------
0 		34,631
-------------
0 		540
-------------
0 		293,620
-------------
0 		0
-------------
0
26GREGORY HERMANCHIEF MEDICAL INFO. OFFICER (i)

(ii)		 321,070
-------------
0 		23,925
-------------
0 		690
-------------
0 		2,008
-------------
0 		17,524
-------------
0 		365,217
-------------
0 		0
-------------
0
27GINA PETRONE MUMOLIEVP CHIEF NURSING (TERM 1/3/15) (i)

(ii)		 0
-------------
0 		15,269
-------------
0 		309,517
-------------
0 		5,200
-------------
0 		22,465
-------------
0 		352,451
-------------
0 		0
-------------
0
28JOHN W GRAHAMEXECUTIVE DIRECTOR IHP (i)

(ii)		 281,087
-------------
0 		29,598
-------------
0 		9,316
-------------
0 		14,936
-------------
0 		4,368
-------------
0 		339,305
-------------
0 		0
-------------
0
29SUZANNE W VANDERWERKEN MDPHYSICIAN (i)

(ii)		 210,000
-------------
0 		4,309
-------------
0 		1,290
-------------
0 		4,288
-------------
0 		532
-------------
0 		220,419
-------------
0 		0
-------------
0
30JAMES T O'CONNELLDIRECTOR (i)

(ii)		 173,346
-------------
0 		15,430
-------------
0 		11,515
-------------
0 		10,875
-------------
0 		21,556
-------------
0 		232,722
-------------
0 		0
-------------
0
31CHESTER B KALETKOWSKIFORMER OFFICER (i)

(ii)		 0
-------------
0 		0
-------------
0 		1,910,169
-------------
0 		0
-------------
0 		0
-------------
0 		1,910,169
-------------
0 		0
-------------
0
32ROBERT M D'ANGEL ESQFORMER OFFICER (i)

(ii)		 336,607
-------------
0 		29,981
-------------
0 		285,925
-------------
0 		1,928
-------------
0 		8,039
-------------
0 		662,480
-------------
0 		265,092
-------------
0
33WAYNE C SCHIFFNERFORMER OFFICER (i)

(ii)		 0
-------------
0 		0
-------------
0 		316,377
-------------
0 		0
-------------
0 		0
-------------
0 		316,377
-------------
0 		0
-------------
0
Schedule J (Form 990) 2015

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 WAS INCLUDED IN EACH INDIVIDUAL'S 2015 FORM W-2, BOX 5 AS TAXABLE MEDICARE WAGES: ROBERT L. MANESTRINA, $80,193 AND GINA PETRONE MUMOLIE, $276,457.
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; ELIZABETH A. SHERIDAN, $756,929; STEVEN C. LINN, M.D., $301,109; 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; ELIZABETH A. SHERIDAN, $46,161; STEVEN C. LINN, M.D., $42,785; 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; ELIZABETH A. SHERIDAN, $405,441; STEVEN C. LINN, M.D.. $126,489; 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:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet 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.
SchKMediumBulletInformation 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 CENTERS INC
 
Employer identification number
21-0634484
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
Yes No Yes No Yes No
A NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
  		21-0634484 64579FDB6 06-24-2004 15,075,000 TCU AND CTC CONSTRUCTION   X   X   X
B NJ HEALTH CARE FACILITIES FINANCING AUTHORITY
  		22-2845542 64579FJG9 11-08-2006 147,675,671 REFINANCE 2002 BONDS   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired .................. 0 0    
2 Amount of bonds legally defeased .............. 0 0    
3 Total proceeds of issue .................. 15,075,000 147,675,671    
4 Gross proceeds in reserve funds ............. 0 0    
5 Capitalized interest from proceeds ............. 0 0    
6 Proceeds in refunding escrows ............... 0 146,196,562    
7 Issuance costs from proceeds ............... 118,399 1,479,109    
8 Credit enhancement from proceeds ............. 0 0    
9 Working capital expenditures from proceeds ............. 13,500 0    
10 Capital expenditures from proceeds ............. 14,943,101 0    
11 Other spent proceeds ............. 0 0    
12 Other unspent proceeds ............. 0 0    
13 Year of substantial completion ............. 2004 2006
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? ....   X X          
15 Were the bonds issued as part of an advance refunding issue? .....   X   X        
16 Has the final allocation of proceeds been made? .......... X   X          
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   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

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 ....SchKMediumBullet 0 % 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 ......... SchKMediumBullet        
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   X          
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......                
b Exception to rebate? ........   X   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     X        
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X        
b Name of provider .......... 0
  		0
  		 
  		 
 
c Term of hedge .........        
d Was the hedge superintegrated? ......                
e Was the hedge terminated? ........                
Schedule K (Form 990) 2015

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   X        
b Name of provider .......... 0
  		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   X        
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   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   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:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletInformation about Schedule L (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 CENTERS INC
 
Employer identification number

21-0634484
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $ 0
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2015
Schedule L (Form 990 or 990-EZ) 2015
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) LYNN M KENNY FAMILY MEMBER OF TRUSTEE 68,816 EMPLOYEE   No
(2) THEODORA T ISEKENEGBE FAMILY MEMBER OF TRUSTEE 32,895 EMPLOYEE   No
(3) DAVID SHIELDS MD FAMILY MEMBER OF TRUSTEE 64,118 PHYSICIAN SERVICES   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2015


Additional Data


Software ID:  
Software Version:  




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 CENTERS INC
 
Employer identification number

21-0634484
Return Reference Explanation
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BACKGROUND ========== Inspira Medical Centers, Inc. ("IMC") is a provider of general acute and ambulatory healthcare services based in Cumberland and Salem County, New Jersey. IMC is recognized by the IRS as an Internal Revenue Code 501(c)(3) tax-exempt organization. Pursuant to its charitable purposes, IMC provides healthcare services to all individuals in a non-discriminatory manner regardless of race, color, creed, sex, national origin or ability to pay. Moreover, IMC operates consistently with the following criteria outlined in IRS revenue ruling 69-545: 1. Provides healthcare services to all individuals regardless of ability to pay, including Charity Care, Self-Pay, Medicare and Medicaid patients; 2. Operates 3 active emergency DEPARTMENTS for all persons; which are open 24 hours a day, 7 days a week, 365 days per year, including a specialized pediatric emergency department in the Vineland facility; 3. Maintains an open medical staff, with privileges available to all qualified physicians; 4. Control of IMC rests with its board of 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 IMC as shown through the factors outlined above and other information contained herein, clearly demonstrate that the use and control of IMC is for the benefit of the public and that no part of the income or net earnings of the organization inures to the benefit of any private individual nor is any private interest being served other than incidentally. IMC provides healthcare services to all individuals regardless of ability to pay. Moreover, IMC provides healthcare services to patients who meet certain criteria defined by the New Jersey Department of Health and Human Services without charge or at amounts less than established rates. IMC maintains records to identify and monitor the amount of charity care it provides. These records include the amount of charges foregone for services and supplies furnished under its charity care policy. As the sole provider of essential health services, IMC provides an essential safety net for our communities, assuring that patients receive both the care and financial help they need. IMC is the area's only non-profit health system and major provider of charity care for families without health insurance. IMC is an integrated healthcare delivery system comprised of medical centers, community health clinics, urgent care facilities, home health services, and specialty services that serve the healthcare needs of our community. PATIENT STATISTICAL INFORMATION =============================== IMC provides care to a patient base spread out over five southern New Jersey counties. With facilities in Cumberland and Salem Counties, IMC serves as the only not-for-profit acute care facility in both of those counties, accounting for over 376,000 persons, IMC is comprised of two acute care facilities and two hospital-based ambulatory care centers. Inspira Medical Center Vineland is located in Vineland, New Jersey, Cumberland County. It is a 276-bed acute care facility with 59 psychiatric beds located at the Inspira Health Center Bridgeton. Inspira Medical Center Elmer is a 96-bed acute care facility located in Elmer, New Jersey, Salem County. Additionally, IMC provides ambulatory services at two locations in Cumberland County, which are Inspira Health Center Bridgeton and the Inspira Medical Center Vineland. These ambulatory care centers provide a wide range of diagnostic and therapeutic services, including a 24/7 satellite emergency department and chronic dialysis services at Inspira Health Center Bridgeton, physical rehabilitation services, occupational medicine, laboratory and radiology services. In 2015, IMC performed 18,721 surgeries, 170,217 physical therapy treatments, 16,224 dialysis treatments, 245,539 diagnostic imaging procedures, 17,213 radiation therapy treatments and 109,394 emergency room visits. Also in 2015, inpatient admissions were 19,184 for adults and pediatrics, 114 for special care nursery, 242 for neonatal intensive care unit, 1,500 for mental health and 2,206 births. QUALITY AWARDS AND RECOGNITION ============================== In addition to providing a wide scope of services, IMC takes great pride in providing high quality, patient focused care to its communities. These efforts have been recognized at both a local and national level through a variety of awards, recognitions and accreditations, which include: Recognition for our commitment to excellence --------------------------------------------- We're proud at IMC to have received numerous accolades for excellence in healthcare. It is a reflection of our commitment to best practices and evidence-based care; supporting continuing education and staff recruitment; investing in leading edge technology; and recruiting primary care physicians, specialists and subspecialists to meet the needs of our communities. As one of the region's largest healthcare providers, we are pleased to share some of our most recent awards: 1. Inspira Medical Center Vineland was ranked among the top 10 hospitals in New Jersey in the annual Hospital Rankings published by U.S. News & World Report. Inspira Vineland was ranked ninth, tied with two other hospitals in Monmouth and Bergen counties. The hospital earned its place among the "Best Hospitals in New Jersey" on the strength of its performance in the treatment and care of patients with Heart Failure and Chronic Obstructive Pulmonary Disease. These common conditions are responsible for nearly 1.5 million hospital admissions in the United States each year. 2. Accredited Chest Pain Center - Inspira Medical Center Vineland recently received full Chest Pain Center with PCI Accreditation from the Society of Cardiovascular Patient Care (SCPC).Accredited by the SCPC since 2011, Inspira Vineland began performing life-saving emergency angioplasty with stenting, also known as emergency PCI (percutaneous coronary intervention), for area heart attack patients in late 2013. 3. American College of Surgeons Commission on Cancer Inspira Health Network's Frank & Edith Scarpa Regional Cancer in Vineland is designated as a Community Hospital Comprehensive Cancer Program by the American College of Surgeons Commission on Cancer (CoC). Additionally, Cancer Services at IMC Vineland has again been awarded the Outstanding Achievement Award. 4. American Heart Association (AHA) Fit Friendly Company and Worksite Innovation Awards - Inspira Health Network was recognized for the seventh year in a row as a Platinum-Level Fit-Friendly Worksite by the American Heart Association (AHA) for helping employees eat better and move more. 5. American Heart Association Community Innovation Award - The American Heart Association recognized Inspira Health Network with the 2015 Community Innovation Award again, the only organization from New Jersey to Maine to receive the award for two consecutive years, for its Performance Improvement Training (P.I.T.) program, which focuses on better performance and better living for children of all ages. The program, based at Inspira Fitness Connection Vineland, began in 2010 to enhance performance, strength and life skills in the youth of the community through sport specific training and formative fitness for both the competitive and non-competitive athlete. Over the past year, the program had more than 150 children in the community participate as well as 3 local teams. The program works to extend nutritional care and fitness to patients beyond their hospital stay who are considered at risk for malnutrition and at a greater risk of readmission. The Community Innovation Award recognizes organizations for their innovative approaches to promoting healthy living throughout the community. Inspira is one of only 37 organizations from across the country to be presented with this award. 6. Inspira Medical Center Elmer recently became the only hospital in New Jersey to receive the 2015 Womens Choice Award as one of Americas Best Hospitals for Orthopedics, providing exceptional patient care and treatment. By earning the Womens Choice Award seal, Inspira Medical Center Elmer has joined an elite network of hospitals committed to a global mission to empower women to make informed health care choices for them and their families. Based on the Womens Choice survey process, Inspira Medical Center Elmer ranked in the top 10% of hospitals nationwide for orthopedic care.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS 7. American Nurses Credentialing Center Magnet Facility - Inspira Health Network's medical centers in Elmer and Vineland and its health center in Bridgeton have been re-designated by the American Nurses Credentialing Center as Magnet facilities for quality patient care, nursing excellence and innovations in professional nursing practice. By receiving Magnet re-designation, Inspira maintains its status within an elite group of hospitals across the nation. Only 24 hospitals in New Jersey have been awarded Magnet recognition. 8. Beacon Award for Excellence in Critical Care - Inspira Medical Centers, Inc. has received four Beacon Awards for Excellence in Critical Care as follows: - Inspira Medical Center Vineland Cardiac ICU (Gold); - Inspira Medical Center Elmer ICU (Gold); - Inspira Medical Center Vineland ICU (Gold); AND - Inspira Medical Center Vineland Surgical ICU (Silver). 9. National Accreditation Program for Breast Centers - Inspira Health Network's Breast Center Vineland was recently awarded a three-year accreditation from the National Accreditation Program for Breast Centers. The accreditation, administered by the American College of Surgeons, is presented to those organizations that have voluntarily committed to provide the highest level of breast care and that successfully undergo a rigorous evaluation and review of their performance. 10. Accredited ISO 9001:2008 by DNV Healthcare - Inspira Health Network is the second health care system in New Jersey to receive ISO 9001:2008 certification for achieving quality objectives based on international standards at its Medical Centers in Elmer and Vineland and its Health Center in Bridgeton. Achieving ISO 9001:2008 certification is a requirement of the facilities DNV Healthcare accreditation which aids the organizations leadership and staff in continuously evaluating and improving the care provided to the region. DNV Healthcare is a hospital accreditation program approved by the U.S. Centers for Medicare and Medicaid Services (CMS) that integrates the ISO 9001 Quality Management System. The DNV program requires hospitals to evaluate the continuum of patient care throughout its facilities and take measured steps to improve when it is warranted. 11. Spirit of Women Premier Hospital - Inspira was named a Spirit of Women Premier Hospital for its commitment to women's health and well-being. Last year, hundreds of women attended Spirit of Women events that blend fun and learning for a great time out. 12. PRISM Award for Medical/Surgical Nursing - Inspira Medical Center Elmer has become the first hospital in New Jersey to receive the Academy of Medical-Surgical Nurses PRISM Award, recognizing exceptional nursing practice, leadership, and outcomes in hospital medical-surgical departments across the United States. 13. Inspira Medical Center Vineland received the Get with The Guidelines-Stroke Gold-Plus Quality Achievement Award for quality care in the treatment of stroke patients. The Cumberland County-based hospital earned the award by meeting specific quality achievement measures for the rapid diagnosis and treatment of stroke patients at a set level for a designated period. These measures include aggressive use of medications and risk-reduction therapies aimed at reducing death and disability and improving the lives of stroke patients. 14. Three Inspira Nurses recognized by the March of Dimes - Each year the March of Dimes recognizes nurses across the nation who demonstrate exceptional patient care, compassion and service. In 2015, addition to the three Nurse of the Year recipients, seven nurses from Inspira Health Network were named as finalists. 15. Inspira Earns ACR Lung Cancer Screening Center Designation -Inspira Medical Center Vineland was recently designated a Lung Cancer Screening Center by the American College of Radiology (ACR). The ACR Lung Cancer Screening Center designation is a voluntary program that recognizes facilities that have committed to practice safe, effective diagnostic care for individuals at the highest risk for lung cancer. In order to receive this elite distinction, facilities must be accredited by the ACR in computed tomography (CT) in the chest module, as well as undergo a rigorous assessment of its lung cancer screening protocol and infrastructure. Also required are procedures in place for follow-up patient care, such as counseling and smoking cessation programs. Inspira Health Networks lung cancer screening program in Vineland is recognized as a Lung Cancer Screening Center of Excellence by the Lung Cancer Alliance. ROWAN SOM MAJOR CLINICAL AFFILIATION ===================================== The Rowan University School of Osteopathic Medicine has designated IMC as a major clinical affiliate of the medical school. This partnership supports Inspira Medical Center Vineland's residency programs that will help to address the anticipated physician shortage in our region by training new doctors' right here in our community. This partnership recently expanded to include medical leadership for behavioral health programs in Cumberland, Gloucester and Salem counties. MEDICAL AND SPECIALTY SERVICES =============================== IMC is a nonprofit healthcare organization that provides a broad spectrum of inpatient care and ambulatory care. In addition to its general medical, surgical, obstetrical, gynecological, pediatric and psychiatric services, IMC offers a wide array of diagnostic and treatment modalities and various specialty services. Our healthcare system has expanded to over 120 access points for residents of Cumberland, Gloucester and Salem Counties. Comprehensive acute care services are provided at Inspira Medical Center Vineland and Inspira Medical Center Elmer. Each medical center campus offers 24-hour services in radiology, laboratory, cardio-pulmonary and emergency medicine. Staff is on call after hours and on weekends for surgical services and certain diagnostic services such as nuclear medicine and ultrasound. The Inspira Health Center Bridgeton is home to a satellite emergency department that serves patients 24 hours a day, seven days a week, and a variety of behavioral health and outpatient services. SERVICES AND PROGRAMS ===================== Inspira offers a variety of significant services and programs, several of which are described below. Inspira Medical Center Elmer ----------------------------- Inspira Medical Center Elmer is a 96-bed primary healthcare provider in Southern New Jersey. In addition to offering comprehensive medical technologies and services, the Inspira Medical Center Elmer offers Emergency Services, Maternity, modern surgical services, and outpatient physical therapy services. Inspira Medical Center Vineland -------------------------------- Located on a 62.5-acre campus in Vineland, Inspira Medical Center Vineland is a 491,989 square-foot, 276-bed facility, which opened in August 2004. In addition to offering comprehensive medical technologies and services, the Inspira Medical Center Vineland's design also emphasizes patient comfort. Inpatient Care Centers of Excellence ------------------------------------ Inspira Medical Center Vineland operates four inpatient care centers: - Women's & Children's Center of Care - Home-like labor and delivery suites; - Surgical Center of Care - 10 operating suites, a modern ICU/CCU and rehabilitation services; - Medical Center of Care - Acute, ICU and post-ICU, dialysis, chemotherapy and medical infusion services; AND - Cardiology Center of Care - 37 bed cardiac acute care unit, ICU and post-ICU and cardiopulmonary unit. The inpatient care centers allow for the co-location of like acute and critical care units. The surgical intensive care unit is adjacent to the surgical step-down/post-intensive care unit. This step-down unit is likewise adjacent to the surgical acute care beds. As the patient's illness or injury becomes less acute, the patient can move down this continuum of care without ever physically leaving the inpatient care centers. This configuration also simplifies physicians' rounds. All patient rooms at the Inspira Medical Center Vineland are single patient rooms which increases patient privacy, confidentiality and comfort. The use of private rooms allows for more efficient care and reduces the risk of patients contracting a nosocomial infection during their stay. Also, given the increase in patient acuity and the corresponding increase in demand for more equipment, private rooms provide more space for specialized equipment and caregivers at the bedside. Rooms at Inspira Medical Center Vineland are designed with viewing windows along the hallway allowing patients to be observed by medical personnel without being disturbed.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS TECHNOLOGY =========== A few of Inspira Health Networks IT initiatives include: - Patient monitoring from one central location. - Expanded surgical capabilities in 2014 and performed first single-site robotic hysterectomy using the DaVinci robotic surgery system. This advanced surgical option provides patients virtually scarless results. - Picture Archiving and Communications Systems' (PACS) imaging equipment electronically stores x-rays, cat scans or other digital images. Physicians are able to view an image at any terminal at Inspira Medical Center Vineland or in their office. - Inspira Medical Center Vineland has incorporated wireless technology that includes handheld devices with instant messaging that allow nurses to monitor patients and allow physicians to review diagnostic test results more rapidly. - Sophisticated nurse call systems allow physicians, nurses and other staff to quickly find a patients nurse. While this nurse call system improves inter-staff communications, it also improves patient care by reducing the time required to get the necessary staff and resources to the bedside. - A pneumatic tube system carries lab tests and pharmaceuticals throughout Inspira Medical Center Vineland. This tube system, hidden behind the walls, greatly improves the turnaround time for lab tests and new drug orders. - The medication administration check system ensures patient safety by allowing nurses to scan barcodes at the bedside positively linking the prescribed drugs with the intended patients. - A tele-neurology program gives Emergency Room patients quick access to board-certified neurologists, 24/7, and allows emergency room staff to provide rapid stroke diagnosis at a moment's notice. - Tomosynthesis or 3D Mammography is performed at 2 Inspira Medical Center locations, Vineland and Tomlin Station. This state-of-the-art breast imaging technique provides clearer images, greater accuracy, and earlier detection of small lesions in the breast. - Digital Mammography - Inspira Medical Center Elmer has made strides increasing Salem County residents' access to digital mammography, targeting younger women who have a family history of breast cancer and African American women over the age of 50. - A Health Information Exchange which allows providers, including hospitals, physician practices, long-term care facilities, rehabilitation centers and home health services, to access patient information from a secure electronic network in order to provide care faster. - Expanded computerized physician order entry system initiative to improve efficiency, reduce costs and, most importantly, enhance patient safety. - Development of a Patient Portal which provides patients with electronic access to their health records, including test results, treatment plans, medications and follow-up care instructions - A process for gathering and analyzing data from all of the networks information systems to develop customized programs of care that best meet the needs of patients. - Inspira added new ultraviolet rapidly disinfectant equipment to its routine of deep cleaning and disinfecting with bleach. Pulses of blue light stream from its circle of tall vertical light bulbs. Ultraviolet light kills most of bacteria and viruses in the room and is proven effective against Clostridium difficile, or C. diff. The bacteria secrete toxins that cause diarrhea or inflammation of the colon. When the robot has killed all the bacteria, sensors placed around the room shut off the machine. - Inspira has been working on the Quiet Hospital Initiative in partnership with both Practice Unite and Future Mobility to create both a mobile patient application and a mobile clinician application on one single platform. This new communications tool will be integrated with the hospitals existing clinical systems. This will allow staff to address communication with patients and physicians in a more efficient manner and will help reduce overhead noise. Overhead pages reduced from approximately 140 per day to under 10 per day. - Physicians and staff at Inspira Medical Center Vineland recently began performing studies and treatments for patients with cancer and vascular conditions using new low-dose radiologic technology. This advanced interventional radiology high resolution technology delivers enhanced imaging studies, reducing a persons exposure to radiation by up to 80%. Inspiras Vineland-based hospital is the only facility in Cumberland, Gloucester, Salem and Camden counties to offer this interventional radiologic technology which provides the lowest dose of radiation available. - The MyInspira smart-phone App has made it even easier to connect with excellent health care anywhere. The free app features mobile appointment scheduling, location and physician listings, ER wait times, a symptom-checker and access to you digital Inspira personal health record. CANCER SERVICES =============== The Inspira Frank and Edith Scarpa Regional Cancer Pavilion originally opened at Inspira Medical Center Vineland in May 2005 and underwent a $12 million expansion in 2008-2009. The expansion nearly triples the size of the cancer treatment facility, creates a one-stop experience for cancer patients, expands clinical drug research, helps recruit physicians with cancer specialties, consolidates services and brings medical oncology and radiation oncology under one roof to provide the latest and highest quality cancer care in the region. In 2014, physical space in Inspira Medical Center Vinelands Breast Imaging Center, as well as the Scarpa Cancer Pavilion, was renovated to expand services and to make the areas more inviting and private. Experienced radiation oncologists and staff provide state-of-the-art treatment including IMRT and IGRT, with the latest high-dose-rate treatments. Two linear accelerators in the facility perform advanced radiation therapy treatments, Intensity Modulated Radiation Therapy (IMRT). Staffing is provided by a multidisciplinary team including board-certified physicians, medical oncologists, palliative care specialists, radiation oncologists, behavioral health counselors, nurse navigators, a breast surgeon, OCN and AOCN nurses. In 2014, a new stereotactic breast biopsy unit, located in the Breast Imaging Center, was purchased for image-guided core needle breast biopsies. This purchase contributes to increased flexibility and capacity for breast biopsies for women with abnormal mammograms. Inspira replaced its superficial treatment unit with a brand new Xtrahl system, which provides increased flexibility to treat more types of skin cancers and other keloids. Patients with metastatic prostate cancer can now receive intravenous radiopharmaceutical therapy to help control painful bone metastases. In April 2014, Inspiras Frank and Edith Scarpa Regional Cancer Pavilion launched its Lung Cancer Screening Program for Early Detection. Inspiras lung screening program follows evidence-based guidelines established by the National Lung Cancer Screening Trial, which found that screening for lung cancer using low dose CT scans can lower the chance of dying from lung cancer by 20%. Inspira has since been designated a Screening Center of Excellence by the Lung Cancer Alliance for its ongoing commitment to responsible lung cancer screening. In 2015, Inspira was the first in the region to offer breast cancer patients SAVISCOUT, a new technology that targets breast lumps more effectively and eliminates the need for needle or wire tumor localization. COMPREHENSIVE CARDIOVASCULAR SERVICES ====================================== Inspira offers comprehensive cardiac services, including diagnostic cardiac catheterization and emergency cardiac catheterization with angioplasty and stenting, also known as emergency PCI, at Inspira Medical Center Vineland. IMC Elmer provides enhanced external counter-pulsation (EECP), a non-invasive therapy to treat persistent angina. Inspira Medical Centers Elmer and Vineland also provide quality cardiac rehabilitation services and are designated by the state as primary stroke centers. A CENTER OF EXCELLENCE FOR BARIATRIC SURGERY ============================================= Inspira Medical Center Vineland has been named a Bariatric Surgery Center of Excellence for the fourth consecutive time by the American Society for Metabolic and Bariatric Surgery (AMSBS). The ASMBS Center of Excellence designation recognizes surgical programs with a demonstrated track record of favorable outcomes in bariatric surgery. To earn a center of excellence designation, the Inspira Medical Center Vineland underwent a series of site inspections during which all aspects of the program's surgical processes were closely examined and data on health outcomes was collected.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS BREAST IMAGING CENTER OF EXCELLENCE ==================================== Inspira Medical Center Vineland has been designated a Breast Imaging Center of Excellence by the American College of Radiology (ACR). The designation is awarded to breast imaging centers that have achieved excellence by seeking and earning accreditation in all of the ACR's voluntary, breast-imaging accreditation programs and modules, in addition to the mandatory Mammography Accreditation Program. LUNG CANCER SCREENING CENTER OF EXCELLENCE ========================================== Inspira Medical Center Vineland was recently designated a Lung Cancer Screening Center by the American College of Radiology (ACR). The ACR Lung Cancer Screening Center designation is a voluntary program that recognizes facilities that have committed to practice safe, effective diagnostic care for individuals at the highest risk for lung cancer. In order to receive this elite distinction, facilities must be accredited by the ACR in computed tomography (CT) in the chest module, as well as undergo a rigorous assessment of its lung cancer screening protocol and infrastructure. Also required are procedures in place for follow-up patient care, such as counseling and smoking cessation programs. MATERNAL AND CHILD HEALTH ========================= Hospital-based maternity services are offered at Inspira Medical Center Vineland and Inspira Medical Center Elmer, which both offer modern, private maternity suites where our physicians and nurses provide a safe and positive environment for labor and delivery. Inspira Medical Centers also offer the services of midwives. The Women's and Children's Inpatient Care Center is located on the first floor of Inspira Medical Center Vineland and offers a LDRP (labor, delivery, recovery and post-partum) room configuration that permits a mother to choose whether she wishes to have her baby stay in the same room with her during her stay or have family members stay with her. IMC Vineland has 10 private labor/delivery/recovery rooms and 28 private post-partum rooms to encourage family bonding. The maternity care unit at Inspira Medical Center Elmer, which opened in 2003, has 5 private labor/delivery/recovery/postpartum rooms, each with a private bathroom. Four of the rooms offer whirlpools and the fifth room offers expectant mothers one of the regions only water birthing tubs. IMC Elmer also offers comprehensive fetal testing and immunization services; C-section facilities and recovery rooms; breastfeeding and infant care education; and easy access to medical center departments for diagnostic screening. Inspira Medical Center Vineland has 10 private labor/delivery/recovery rooms and 28 postpartum rooms. NEONATAL INTENSIVE CARE UNIT (NICU) =================================== Inspira Medical Center Vineland offers advanced care for premature, low birth-weight/critically ill infants as young as 28 weeks gestational age at the Level IIIa Deborah F. Sager Neonatal Intensive Care Unit. The unit is supported 24 hours a day, 7 days a week by neonatologists from Nemours Alfred I. DuPont Hospital for Children. NEUROSURGERY ============= At Inspira Medical Centers Elmer and Vineland, patients are offered the latest minimally invasive surgical treatments for a range of conditions like brain tumors, spine tumors, herniated discs, spinal stenosis, carpel tunnel syndrome, spinal compression fractures and chronic pain by a highly-skilled, fellowship trained neurosurgeon. UROLOGY ======== Our minimally invasive surgery team specializes in surgical procedures that are both the most effective and least invasive to treat a large range of conditions urologic cancers, benign prostate enlargement, bladder disorders, women's and children's urologic problems, urinary stone disease, reconstructive surgery, male and female sexual dysfunction, and male infertility. ONCOLOGY ======== IMC has recruited physicians to their medical staff that specialize in gynecologic oncology and oncologic breast surgery. These specialized Services were never before available locally to the members of our community. IMC SPORTS REHABCARE VINELAND ============================== IMC Sports RehabCare is conveniently located within Inspira Fitness Connection Vineland. The dedicated staff works closely with orthopedic surgeons to assist patients with the rehabilitation and treatment of arthroscopic procedures, total joint replacements for hip and knee, intricate hand and foot surgery and specialized spine procedures. The rehab centers new AlterG Anti-Gravity Treadmill introduces technology that "unweights" a user, reducing the impact of walking or running on both muscles and joints. This enables patients to maintain their natural gait while rehabilitating and may even speed the process of therapy. Additionally, Inspira RehabCare has introduced the Nintendo Wii as an adjunct to current and traditional therapies. It enhances the patient experience at the same time creating a fun atmosphere. BEHAVIORAL HEALTH SERVICES =========================== IMC Behavioral Health Services has 59 acute care psychiatric beds at the Inspira Health Center Bridgeton, providing inpatient services, a Behavior Wellness Center, and outpatient counseling for both the adult and child/adolescent populations throughout the Southern New Jersey region. Inspiras Behavioral Wellness Centers offer comprehensive therapeutic services, referrals, and on-site psychiatric services (excluding legal forensic assessments). Child & Adolescent Services ---------------------------- - Child and Adolescent Intermediate Inpatient Program (ages 5 to 17) This program offers a complete evaluation and treatment option for children who require longer-term hospitalization. Inspiras 12 bed intermediate care unit in Bridgeton is the areas only experienced long term psychiatric treatment center for inpatient care of this age group. The average length of stay is between 4 to 12 weeks. - Child and Adolescent Program (ages 5 to 17) - The partial hospitalization program provides full treatment including individual, group and family counseling as well as psychiatric assessment. - Inpatient Program for Children and Adolescents (ages 5 to 17) - This program provides the region with an advanced Children's Crisis Intervention Program for complete inpatient evaluation, diagnosis, and treatment for youth who are in need of immediate treatment. The new renovated 14 bed unit offers group and individual therapy as well as around-the-clock nursing care. - Intensive Outpatient Programs (ages 11 to 17) - Inspira Health Center Bridgeton offers an intensive outpatient program, which assists adolescents in Cumberland & Salem Counties find better pathways to healthy development. - Therapeutic Nursery (ages 3 to 5) - Inspira offers a Therapeutic Nursery Program (ages 3 to 5) to help children early on who struggle with behavioral disorders. We collaborate with all key stakeholders in the child's life to establish individualized treatment goals. Adult Services -------------- - Inpatient Program for Adults - Inspira's short-term care facility and voluntary inpatient programs offer complete inpatient evaluation, diagnosis, treatment and around-the-clock nursing care for adults who are in need of a higher level of treatment. The facility features a 33-bed unit designed to promote healing. - Adult Partial Hospitalization Program - The Adult Partial Hospitalization Program provides services similar to the intensity and scope of inpatient treatment, but with significantly less disruption to the lives of patients and their families. The program is designed for people with symptoms that seriously impact their daily functioning, but who are hoping to avoid hospitalization or are in need of a transition from inpatient to outpatient care. This program follows an acute short-term model of intensive treatment with multiple sessions to span over a few weeks. - Adult Intensive Outpatient Program - The Adult Intensive Outpatient Program provides intensive, structured, clinical services to individuals experiencing significant emotional distress. The program offers the flexibility for clients to attend specialized day or afternoon group therapy. Typically, individuals attend for three hours per day, two or three times per week. The program's psychotherapy and psycho-educational groups provide a safe, caring environment in which individuals can address their mental health needs, gain a better understanding of their illness, improve coping skills and draw on mutual support. The IOP program also provides access to a 24/7 contact line that will connect people with IMC mental health staff.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - Wellness and Recovery Outpatient Program - Inspiras Wellness and Recovery Outpatient Program provides treatment for patients with co-occurring disorders in mental and substance abuse. The program provides traditional outpatient services, which include weekly, hour-long individual, family and group sessions along with psychiatric evaluations and individualized medication management. - Inspira has partnered with four local health systems to form the South Jersey Behavioral Health Innovation Collaborative to help improve services across the region. INSPIRA HEALTH NETWORK LIFE, INC. ================================= Inspira LIFE is an innovative and comprehensive program now available to older adults and their families in our community. This program is part of the national PACE (Programs of All-inclusive Care for the Elderly) program. LIFE stands for (Living Independently For Elders) and currently serves all of Cumberland County and parts of Salem and Gloucester counties. Inspira LIFE is one of only four programs in the state of New Jersey. This program provides all-inclusive care to eligible participants 55 years and older that meet the requirements for nursing home level care. COMMUNITY BENEFIT EFFORTS ========================== In its role as the sole not-for-profit acute care provider in Cumberland and Salem Counties, IMC and entities under its parent, provide and participate in a number of services and programs in our community. From community education to participation in community-focused groups, IMC provides a wide range of services. Improve Community Health -------------------------- Inspira Medical Centers provides its neighbors with many programs and services that help improve the health of the community. Examples of some of these programs and services are: - Cancer Services - Inspira Frank and Edith Scarpa Cancer Center offers a number of outreach services, which provide support and education in the community. IMC's Breast Cancer Bridge Program, Men's Cancer Support Group and Patient Navigators all serve as healthcare advocates, helping patients navigate through their cancer journey. As a Fox Chase Cancer Center partner, IMC provides leading-edge cancer care through national clinical trials, which focus on cancer treatment, diagnostic and prevention methods. IMC has the opportunity to recruit a large amount of patients for Fox Chase's newest clinical trials, providing local access to the latest strategies against cancer. - Health Information - Access to quality health information is important and IMC provides a variety of healthcare information to the community on its website and through publications to the general public. The community has monthly access to IMC medical experts through partnerships with the local newspapers featuring monthly sections like "Ask the Doctor", which allow readers to submit questions and receive responses about important healthcare issues. "Family & Friends" is a quarterly external publication that offers health information to promote healthy living, heighten awareness of health issues, recognize common symptoms of disease and encourage medical attention and treatment. IMC's website offers a wealth of health information to the community including free access to Look, Listen and Learn, an online library of educational videos covering a variety of medical conditions and procedures. In addition, IMC offers a e-newsletter, "Health E You" with health tips and recipes. A free subscription is available through Inspira's website. - Garden AHEC Programs - Through academic and community partnerships, Garden AHEC provides health career recruitment programs and increases access to healthcare in medically underserved areas. Garden AHEC addresses healthcare workforce needs by introducing students and adults to healthcare career opportunities, establishing community-based training sites for medical students and providing continuing education programs for local healthcare professionals. Its fundamental purpose is to improve access to quality healthcare in medically underserved areas and to underserved populations in its service area. By working to recruit, train and maintain local healthcare workforce, Garden AHEC addresses deficiencies in access to primary and preventive care services in South Jersey. Partnering with local community health education and improvement initiatives, along with other programs at Inspira Health Network, are just some of the ways we are working with community partners to improve the health and well-being of our neighbors. - Health Fairs and Screenings - IMC also reaches out to those in our community who do not regularly come through the doors of our medical centers. IMC reaches out to a variety of local employers by participating in on-site health fairs and events to offer valuable health information to our neighbors. In addition, IMC hosts senior luncheon classes and senior health education days, which include flu shots and educational sessions. In recognition of stroke awareness month, IMC hosts a stroke awareness education & screening day which includes free educational sessions, blood pressure checks and stroke screening tests. IMC's annual Spirit of Women Health Screening Day brings a myriad of health services and education together in one central location at Inspira Medical Center Vineland. At the event, attendees receive a range of free health screenings, including blood pressure and pulse oximetry, body mass index, heart disease risk assessment, skin cancer (face), foot and wound care, behavioral risk assessment, sleep apnea assessment, step test (resting heart rate), heel bone density and more. In addition, fun group activities are held, including yoga, line dancing and cooking demonstrations, as well as a relaxation room and meditation sessions. - NJCEED - IMC is Cumberland County's lead agency for the New Jersey Cancer Education and Early Detection Program (NJCEED), which provides comprehensive cancer outreach, education and free screenings to underserved and uninsured residents who might otherwise not have access to these important diagnostic screening services. In 2015, 395 breast, 194 cervical, 88 colorectal and 33 prostate screenings were provided through the grant. IMC also has a dedicated staff that goes out into the community to speak about the availability of free screenings and the CEED program. - Support Groups - To help address social, psychological or emotional issues related to diseases and health issues, IMC offers a variety of free support groups that include, but are not limited to, women's cancer, diabetes, cardiopulmonary health, prostate cancer, smoking cessation, stroke and five levels of bariatric support. Additionally, IMC donates the use of space in its facilities for external nonprofit organizations to hold support group meetings for substance abuse such as Alcoholics Anonymous and Narcotics Anonymous. - Support Services - Staff members of IMC's Patient Business Services department, in addition to providing financial counseling to individuals, make frequent visits to various community groups and social service agencies, educating them on the charity care options and financial assistance programs available. In addition, a significant level of charity care, financial assistance, transportation assistance and language assistance services are provided for the underserved and vulnerable populations. - Training Classes - IMC offers a wealth of educational programs designed to promote a safe and healthy lifestyle. Training classes are regularly available on such topics as childbirth, breast-feeding, newborn care, understanding diabetes, CPR (Cardiopulmonary Resuscitation), ACLS (Advanced Cardiac Life Support), PALS (Pediatric Advanced Life Support), SafeSitter (Babysitter Training) and others. Educate Health Professionals ----------------------------- Inspira Medical Centers offers educational support to both its current health professionals and tomorrows physicians - Garden AHEC Educational Conferences - Garden Area Health Education Center ("AHEC") is a program affiliated with the Rowan University School of Osteopathic Medicine which facilitates improved community health outcomes through collaborative initiatives linking needs to educational resources. Targeting the educational needs of primary care providers, nurses, social workers and other allied health professionals in the community, Garden AHEC offers accredited continuing education programs on topics such as autism, dermatology, diabetes, dialysis, infectious diseases, wound care, mental health, childhood obesity, social work, pediatric pharmacology, trauma patient care and treatment, immigration and many others.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - Health Professionals Education - Education helps prepare the next generation of healthcare professionals, which is why we strongly support medical education at all academic levels and find innovative ways to inspire young people to pursue careers in a wide variety of medical fields. Community medicine rotations with the Rowan University School of Osteopathic Medicine (Rowan SOM), provides third year medical students a two-week rotation in community-based agencies and organizations to learn about underserved and culturally diverse populations, including barriers to accessing care. Responding to the nursing shortage, IMC offers nursing education programs, externships and internships. IMC medical staff routinely hosts students for job shadowing and student observations. - Residency Programs - IMC has partnered with Rowan School of Osteopathic Medicine to train the next generation of physicians. These medical school graduates work side-by-side with experienced members of the IMC Medical Staff in Podiatry, Sports Medicine, Urogynecology, Critical Care, Obstetrics and Gynecology, Family Medicine, Orthopedic Surgery, Internal Medicine, Traditional Rotating Internship, Emergency Medicine and General Surgery. At the same time, they enhance patient care with the knowledge of the latest treatments and philosophies medicine has to offer. They also bring a level of intellectual curiosity that strengthens our care teams and benefits our patients. In 2015, there were approximately 135 residents in training. - School Programs on Health Careers - IMC provides educational opportunities and hosts special events, job shadowing and programs to middle and high school students who are interested in pursuing careers in healthcare and medicine. To reach every age group in the community, IMC staff also extends hospitals tours to preschool and first graders, as their primary introduction to the healthcare environment and promotion of healthy lifestyles. - Symposia - IMC is preparing for the healthcare challenges of the future by supporting the continuing education needs of physicians and allied health personnel in the community. Programs are available on the latest advancements and leading-edge research on topics such as cancer, critical care, nephrology, pediatrics and obstetrics. These continuing education opportunities give health professionals and physicians in our community and across the region the ability to meet and discuss important issues within our industry. - Community Needs Assessment - In collaboration with the Cumberland/Salem/Gloucester Health and Wellness Alliance, Inspira Health Network completed its 2016-2018 community needs assessment. IMC partnered with over 15 local organizations to form the Cumberland/Salem/Gloucester Health & Wellness Alliance in 2011. Community surveys, focus groups and key informant surveys were conducted to idenitfy 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. IMC actively contributes to this process and engages in the identified priorities that match its mission, expertise, resources and capacity. Currently IMC is implementing the identified strategies and tracking their progress. In addition to these organized needs assessment efforts, ongoing community meetings with local providers, local health departments, local politicians, organizations and community leaders are sponsored by the network to address the ongoing needs of the community. ACCESS TO AND IMPROVING THE QUALITY OF HEALTHCARE ================================================== IMC has both participated in and conducted a number of programs to improve access to healthcare services: - Efficient and Quality Patient Care - As the leading community provider in southern New Jersey, IMC is highly regarded for its quality of care and services in the region. Clinical quality and service excellence remain top strategic initiatives. To further increase the efficiency of patient care, IMC has transitioned to electronic medical records making significant investments in its clinical computer systems. The organization will expand its core quality measures by participating in several regional and national performance improvement programs that will provide benchmarking data and tools for measuring and reporting clinical quality. - Patient Satisfaction - IMC uses a patient satisfaction tool called the Hospital Consumer Assessment of Healthcare Providers Survey (HCAHPS). This standardized survey measures our patients' perceptions about their hospital experience and provides feedback about how we are doing, both good and bad. This assists us to continually make improvements and provide even better care for the community. - Five major health systems in southern New Jersey (Inspira, Cooper, Kennedy, Virtua and OLOLs), the New Jersey Hospital Association (NJHA) and the Camden Coalition of Healthcare Providers have launched the South Jersey Behavioral Health Innovation Collaborative (SJBHIC) to evaluate the current behavioral health landscape and provide innovative recommendations on how to improve the system. To understand the challenges in the current system, the Collaborative is gathering data from the five participating hospitals on how patients flow through their network of providers, analyze the data and then apply evidence-based and best practices along with innovative system changes that will better serve individuals with behavioral health conditions. National and Regional Initiatives --------------------------------- IMC has been an active participant in national and regional initiatives, including the following: 1. Center for Medicare and Medicaid services: National "Hospital Compare" Initiative 2. VHA, Inc. Patient Quality and Safety Initiatives: Medication Reconciliation Collaborative (IMC - Vineland & Elmer); Rapid Response Team collaborative (IMC - Vineland & Elmer); AND Transformation of the ICU and TICU (IMC - Vineland & Elmer). 3. Institute for Healthcare Improvement (IHI): Member of the Institute for Healthcare Improvement - 100,000 lives campaign (IMC - Vineland & Elmer); AND Member of the Institute for Healthcare Improvement - 5 million lives from harm campaign (IMC - Vineland & Elmer). New Jersey Hospital Association initiatives: Participants in the NJHA pressure ulcer collaborative (IMC - Vineland & Elmer); AND Participants in the NJHA rapid response teams collaborative (IMC - Vineland & Elmer). Community Service and Community Building Programs ================================================= IMC is much more than a healthcare network; it is a community partner dedicated to improving community health and collaborating with other community partners on health initiatives that address the health priorities of the communities it serves. Our partnerships leverage the strength of multiple community organizations while encouraging community-wide collaborative efforts to benefit the community. Advocacy - IMC employees and leadership, serve on various government advisory committees and boards for national, state and local organizations to advocate for healthcare reform, bring about changes in regulatory requirements, improve access to healthcare and promote the health status for both the broader community and vulnerable populations through hospital representation to organizations. These include: - Advocates for Children of NJ; - American Hospital Association; - Cumberland County Children's Youth Council; - Cumberland County Healthcare Coalition; - Cumberland County Homeland Security County Working Group Committee; - Cumberland Inter Agency Coordinating Council; - Medical Coordination Center Advisory Council; - New Jersey Hospice & Palliative Care Organization; - New Jersey Hospital Association; - New Jersey Division of Mental Health Services; - National Association for Home Care & Hospice; - Tri-County Inter-Agency Coordinating Council; - Salem County Homeland Security; - Southeastern PA Regional Task Force; - Southern New Jersey Perinatal Cooperative; - Southern Region Children's Coordinating Council; AND - Cumberland/Salem/Gloucester Health & Wellness Alliance. - Community Advisory Committee - IMC hosts the Community Advisory Committee meeting once every quarter. The committee is comprised of local community leaders from various organizations who volunteer their time to come in and receive information on the latest happenings within Inspira Health Network. Towards the end of the meeting there is a question and answer session, during which each community representative is encouraged to bring forward questions from the community it represents.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS - Economic Development and Community Involvement - The impact our troubled economy has had on healthcare extends beyond the hospital to the well-being of our neighbors. To help address the root causes of health problems such as poverty, homelessness and unemployment the hospital offers the expertise and resources of its healthcare employees as active board members and participants with various community organizations. Additionally, IMC employees, from staff to CEO, participate on the boards of a variety of organizations whose focus is not only of the health needs of the community, but on the overall needs of the community. Some of these organizations include: - American Red Cross South Jersey Chapter; - Bridgeton Chamber of Commerce; - Bridgeton Rotary Club; - CEZ 21st Century Community Learning Centers; - Cumberland County Prosecutor's Office; - Elmer Rotary Club; - Food Bank of South Jersey; - Gloucester County Chamber of Commerce; - Mayor's Campaign for Healthier Bridgeton, Millville, Vineland; - Millville Chamber of Commerce; - Ministerial Fellowships of Bridgeton, Millville and Vineland; - Salem Chamber of Commerce; - Southern NJ Development Council; - United Way of Cumberland County; - Vineland Rotary Club; AND - The Walter Rand Institute. - Emergency Preparedness - IMC readies itself for catastrophic disaster above and beyond licensure requirements. This includes an internal, formalized hospital emergency response/decon team of dedicated staff who conduct extensive quarterly decontamination training. IMC partners with Offices of Emergency Management, local police and other related agencies to coordinate community-wide mass casualty drills and participates in state sponsored disaster planning drills to rehearse healthcare preparedness for mass casualty disasters and public health emergencies. - Employer Forum - IMC Occupational Health developed this quarterly forum to address, target and discuss medical issues, employee health, safety and wellness of workforce populations with employers throughout Cumberland County. - Environmental Safety - Inspira Medical Centers participates in a Safe Syringe Program that helps the community to safely and responsibly dispose of syringes, needles and lancets generated in the home. This program helps assure a safe environment by providing the community an outlet to properly dispose of medical waste. Each year, community members are provided with sharps containers and are permitted to drop them at IMC locations where they are properly disposed of. - Extended Care Facility Consortium (ECF) - In 2009, a collaborative group was formed between IMC and the neighboring extended care facilities. The role of the ECF is to facilitate outreach and provide information, services, resources and a continuum of access to care for elderly populations within Cumberland County. - IMPACT (Innovative Model for Preschool and Community Teaming) was developed through collaboration between IMC and the Vineland Board of Education. It provides health and social services, childcare for infants and toddlers, preschool programs and literacy programs that target the needs of the low income residents in Cumberland County. It also addresses issues such as teen pregnancy, teen parenting and early childhood education. Every year, the program makes a positive impact on the lives of thousands of children and their families. IMPACT provides a number of educational opportunities for the community including: 1. IMPACT Teen Parenting Program provides parenting classes, childcare services, prenatal care and life skills education to teen parents in the Vineland High Schools and promotes lifelong learning and second pregnancy prevention. 2. IMPACT School Based Youth Services Program (SBYSP) offers health services, tutoring, counseling, recreation and life skills training at the Vineland High School, Vineland Wallace Middle School and Millville High School. 3. IMPACT Family Outreach Program is an Abbott program which coordinates family outreach and support with social workers who service Abbott preschool providers in Bridgeton, Millville and Vineland. 4. IMPACT Child Care Program is accredited by the national association for the education of young children and is open to children from 6 weeks to 5 years old with health center services provided on site. In 2015, an average of 55 children were enrolled in the Child Care Program and 47 were enrolled in the Wrap Around Program. 5. IMC's Family Success Centers in Vineland and Port Norris provide services and programs that connect families with community resources ranging from housing and legal assistance to help obtaining household items and food. The center focuses on 10 core services to strengthen families by providing assistance with obtaining health insurance, selecting physicians, providing workshops that increase positive interaction between parents and children, promoting family literacy, addressing health issues and legal issues such as immigration and other topics relevant to the community. - Improving access to healthcare for uninsured/underinsured - IMC has a proud history of helping uninsured residents get the coverage they need. IMC has worked in collaboration with NJHA (New Jersey Hospital Association) to provide certified application counselors assist community members in accessing the new federal healthcare exchange to apply for health insurance as mandated by the Patient Protection and Affordable Care Act. - Mayor's Campaigns for Healthier Vineland, Millville and Bridgeton - Various IMC staff are active committee members of the Vineland, Millville and Bridgeton Mayor's Campaigns for Healthier Communities. In collaboration with IMC, the local Federally Qualified Healthcare Center (FQHC), CompleteCare Health Network (CCHN) and other collaborative partners, co-host community health fairs, facilitate community outreach events and connect the medically disenfranchised to the appropriate healthcare and social service providers to encourage uninsured residents to enroll in affordable healthcare programs. The committees are dedicated to improving healthcare for Vineland, Millville and Bridgeton residents by making resources available through increased awareness and access. - Medical Explorers Program - In partnership with the Boy Scouts of America, Garden AHEC's Medical Explorers Program provides an opportunity for teens interested in medical careers to interact with physicians and nurses, learn various careers and experience realistic portrayals of specialty areas such as "A Night in the OR." - STEPS for Kids - STEPS for Kids was developed through a collaboration between IMC, the Robert Wood Johnson Foundation and Cumberland/Cape/Atlantic YMCA, to reduce childhood obesity in Vineland and Bridgeton schools by educating boys and girls aged 8 to 12 identified by school nurses with an assessed BMI level at or above the 85th percentile who are at risk for obesity. Parents and children attend 12-week interactive bi-lingual program that focuses on balanced meal plans and simple exercise techniques that help families achieve healthier lifestyles. This program is completely funded and run by IMC through its Garden AHEC department. - IMC Spirit of Women - Recognizing the uniqueness of women and the influence they hold over the health of their families, IMC is proud to be a participant of the Spirit of Women Program, part of a national movement for women's wellness to promote health and motivate women to make positive changes in their lives. Some of the groups events included Day of Dance, Womens Health Screening Day and Girls Night Out. IMC Spirit of Women also holds a quarterly seminar series, each focusing on specific issues concerning women's health. - Auxiliaries - The Inspira Health Network Auxiliary Cumberland County and the Inspira Health Network Auxiliary Elmer hold various events throughout the year like the Princess Party, Calendar Raffle and Yard Sale. In 2015 they donated $57,000 to Inspira Health Network. - Volunteers Program - Whether greeting visitors at the front desk or comforting patients at their bedside, volunteers play an important role in IMC's tradition of compassionate care. Our successful volunteer program consists of adults and teens with age ranges from 14 to 96 who provide assistance in a vast array of areas such as accounting, education, public relations, laundry, emergency room, surgical services, pediatrics, nursing and more. In 2015, 1077 dedicated and generous volunteers donated more than 105,000 hours of service throughout the health network.
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 THE NETWORK'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION.
CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE 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 OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING, BUT NOT LIMITED TO, 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 BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF TRUSTEES EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THIS ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES.
CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN OFFICERS AND/OR BOARD OF TRUSTEE MEMBERS 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: - NET TRANSFER TO JUNO ASSURANCE, LTD; A REALTED ORGANIZATION - ($5,000,000); - FORGIVENESS OF DEBT (INSPIRA HEALTH MANAGEMENT, INC.); a related organization - ($10,000,000); - OTHER DECREASES IN UNRESTRICTED NET ASSETS - ($54,412); - NET ASSETS RELEASED FROM RESTRICTION FOR PROPERTY AND EQUIPMENT - $219,940; - CHANGE IN BENEFICIAL INTEREST IN TEMPORARY TRUST; TEMPORARILY RESTRICTED ($100,514); - NET ASSETS RELEASED FROM TEMPORARY RESTRICTION - ($223,891); AND - INCREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUST; PERMANENTLY RESTRICTED - ($319,913).
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 CENTERS, INC. AND ITS CONTROLLED AFFILIATIES 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:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Information about Schedule R (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 CENTERS INC
 
Employer identification number

21-0634484
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
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 HLTH NTWK FDN CUMBERLANDSALEM
333 IRVING AVENUE

BRIDGETON,NJ08302
22-3746758 		SUPPORT NTWK NJ 501(C)(3) 509(A)(3) IMC
 
Yes
 
(4)INSPIRA HEALTH NETWORK LIFE INC
2950 COLLEGE DRIVE SUITE 1E

VINELAND,NJ08360
26-4827936 		HEALTH SVCS. NJ 501(C)(3) 509(A)(2) NETWORK
 
 
No
(5)INSPIRA MEDICAL CENTER WOODBURY INC
509 NORTH BROAD STREET

WOODBURY,NJ08096
22-1820210 		HEALTH SVCS. NJ 501(C)(3) HOSPITAL 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
 
 
No
(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
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(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?



 		(k)
Percentage
ownership
Yes No Yes No
(1) BPOC LP

333 IRVING AVENUE
BRIDGETON,NJ08302
22-2956029 		REAL ESTATE NJ N/A
                  
(2) OAK & MAIN SURGICTR

907 NORTH MAIN ROAD
VINELAND,NJ08360
22-3532371 		HEALTHCARE SVCS. NJ IMC
  		RELATED -174,699 412,636   No       85.000 %
(3) GLOUC CTY SURG CTR

163 BRIDGETON PIKE BLDG B
MULLICA HILL,NJ08062
26-1157885 		HEALTHCARE SVCS. NJ N/A
                  
(4) INSPIRA HLTH PTRS

2950 COLLEGE DRIVE
VINELAND,NJ08360
46-5550615 		HEALTHCARE SVCS. NJ IMC
  		RELATED 625 90,651   No     No 51.290 %






Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) INSPIRA HELP SERVICES INC

PO BOX 126
SALEM,NJ08079
22-2823028 		INACTIVE NJ N/A
 C CORP.         No
(2) INSPIRA HEALTH MANAGEMENT CORPORATION

2950 COLLEGE DRIVE SUITE 1E
VINELAND,NJ08360
22-2502241 		HEALTHCARE SVcs. NJ N/A
 C CORP.         No
(3) INSPIRA HEALTH NETWORK MEDICAL GROUP PC

2950 COLLEGE DRIVE SUITE 1E
VINELAND,NJ08360
22-5745047 		HEALTHCARE SVcs. NJ IMC
  		C CORP. 26,328,369 3,679,474 100.000 % Yes  
(4) JUNO ASSURANCE LTD

AON HOUSE 4TH FLOOR
PEMBROKE   HM 08
BD
FINANCIAL VEHicle BD N/A
 FOREIGN CORP.         No
(5) INSPIRA HEALTH NETWORK URGENT CARE PC

201 TOMLIN STATION ROAD
MULLICA HILL,NJ08062
45-2900402 		HEALTHCARE SVcs. NJ IMC
  		C CORP. 6,120,291 6,274,697 100.000 % Yes  
(6) RED BANK DEVELOPMENT CORPORATION

509 NORTH BROAD STREET
WOODBURY,NJ08096
22-2814053 		HEALTHCARE SVcs. NJ N/A
 C CORP.         No
(7) INSPIRA HOME CARE SVCS WOODBURY INC

509 NORTH BROAD STREET
WOODBURY,NJ08096
22-3479390 		HEALTHCARE SVcs. NJ N/A
 C CORP.         No
(8) INSPIRA-JEFFERSON PHYSICIANS PC

165 BRIDGETON PIKE
MULLICA HILL,NJ08062
36-4821019 		INACTIVE NJ IMC
  		C CORP. 0 0 100.000 % Yes  
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
Yes
 
f Dividends from related organization(s) ............................
1f
 
 
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) INSPIRA HEALTH NETWORK INC

 E 36,448,391 COST
(2) INSPIRA HEALTH NETWORK INC

 D 35,530,886 COST
(3) INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM

 D 551,028 COST
(4) INSPIRA HEALTH NETWORK URGENT CARE PC

 D 4,105,100 COST
(5) INSPIRA HEALTH NETWORK URGENT CARE PC

 E 720,344 COST
(6) INSPIRA HEALTH NETWORK MEDICAL GROUP PC

 D 1,593,877 COST
(7) INSPIRA HEALTH NETWORK MEDICAL GROUP PC

 E 173,748 COST
(8) Oak and Main Surgicenter LLC

 E 355,788 COST
(9) Inspira Health Partners LLC

 D 547,264 COST
(10) INSPIRA HEALTH NETWORK INC

 K 675,445 COST
(11) INSPIRA HEALTH NETWORK MEDICAL GROUP PC

 J 208,677 COST
(12) Oak and Main Surgicenter LLC

 J 124,656 COST
(13) INSPIRA HEALTH NETWORK INC

 S 5,000,000 COST
(14) INSPIRA HEALTH NETWORK INC

 O 123,017 COST
(15) INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM

 C 652,529 COST
(16) INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM

 O 499,303 COST
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
SCHEDULE R, PART V THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. INSPIRA MEDICAL CENTERS, INC. ROUTINELY PAYS EXPENSES FOR VARIOUS RELATED AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.
Schedule R (Form 990) 2015

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