TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) MICHAEL A MCLAUGHLIN...................................................................... CHAIRMAN - TRUSTEE	1.0 ................. 0.0	X	X	0	0
(2) RONALD ROSSI...................................................................... VICE CHAIRMAN - TRUSTEE	1.0 ................. 0.0	X	X	0	0
(3) SHELLY O SCHNEIDER EDD...................................................................... SECRETARY - TRUSTEE	1.0 ................. 0.0	X	X	0	0
(4) DANTE G GERMANO...................................................................... TREASURER - TRUSTEE	1.0 ................. 0.0	X	X	0	0
(5) DANIEL J BALL III...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(6) PAMELA S CLARK...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(7) JOHN A DIANGELO...................................................................... TRUSTEE; PRESIDENT/CEO - IHN	55.0 ................. 0.0	X	X	1,155,507	723,733
(8) JOHN H FISHER III...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(9) PETER GALETTO JR...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(10) EDGAR G GALLOWAY III...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(11) EDGAR HATHAWAY JR ESQ...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(12) HARRY E HEARING...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(13) HERBERT J KONRAD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(14) HUGH MCCAFFREY...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(15) DAVID ROBBINS JR...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(16) BETSY RYAN...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0
(17) MARVIN T WAY...................................................................... EVP OPERATIONS	55.0 ................. 0.0		X	686,973	136,513

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

INSPIRA HEALTH NETWORK INC

Employer identification number

22-2508425

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 12, check only one box.)

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

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

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

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

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

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

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

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

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

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

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

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

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

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

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

Enter the number of supported organizations ...............................2

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

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 10 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)
(i) Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) INSPIRA MEDICAL CENTERS INC	210634484	3		No	0	0
(B) INSPIRA MEDICAL CENTER WOODBURY INC	221820210	3		No	0	0
Total 2					0	0

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

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

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

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

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

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

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

Yes

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

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

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

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

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

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

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

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

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

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

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

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

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

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

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

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

10a

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

10a

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

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

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

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

11a

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

11b

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

11c

Section B. Type I Supporting Organizations

Yes

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

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

Section C. Type II Supporting Organizations

Yes

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

Section D. All Type III Supporting Organizations

Yes

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

Yes

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).

Yes

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

Section E. Type III Functionally-Integrated Supporting Organizations

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

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

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

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

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

Yes

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

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

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

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

Yes

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.

Yes

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

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

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

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

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

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

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

Schedule A (Form 990 or 990-EZ) 2018

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 2018 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-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

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, PART IV, SECTION E; QUESTIONS 3A & 3B	THIS ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY AND SOLE MEMBER OF ITS SUPPORTED ORGANIZATIONS, INSPIRA MEDICAL CENTERS, INC. AND INSPIRA MEDICAL CENTER WOODBURY, INC. ("HOSPITALS"). OUTLINED BELOW AND INCLUDED IN ARTICLE IV, SECTION 2 OF EACH HOSPITAL'S AMENDED AND RESTATED BYLAWS ARE THE POWERS RESERVED TO THIS ORGANIZATION, AS EACH ENTITIES SOLE MEMBER: (A) AMENDING THE CERTIFICATE OF INCORPORATION, BYLAWS OR ANY OTHER DOCUMENTS RELATING TO GOVERNANCE (COLLECTIVELY, "GOVERNANCE DOCUMENTS") OF THE HOSPITAL; (B) AMENDING THE GOVERNANCE DOCUMENTS OF ANY OF THE HOSPITALS SUBSIDIARIES OR ANY OTHER ORGANIZATION WHOSE GOVERNANCE DOCUMENTS CANNOT BE AMENDED WITHOUT THE APPROVAL OF THE HOSPITAL; (C) CLOSING ANY HEALTH CARE FACILITY OF THE HOSPITAL OR ANY OF ITS SUBSIDIARIES OR CONVERTING ANY HEALTH CARE FACILITY OF THE HOSPITAL OR ANY OF ITS SUBSIDIARIES TO ANOTHER PURPOSE; (D) AUTHORIZING THE HOSPITAL OR ANY OF ITS SUBSIDIARIES TO AFFILIATE, MERGE WITH OR ACQUIRE ANOTHER ENTITY; (E) AUTHORIZING THE HOSPITAL OR ANY OF ITS SUBSIDIARIES TO SELL OR OTHERWISE TRANSFER ALL OR SUBSTANTIALLY ALL OF ITS ASSETS; (F) DISCONTINUING ANY SIGNIFICANT PROGRAM OR SERVICE LINE AT THE HOSPITAL OR ANY OF ITS SUBSIDIARIES; (G) ELECTING AND REMOVING HOSPITAL TRUSTEES OR THE BOARD OF TRUSTEES OR EQUIVALENT GOVERNING BODY OF ANY OF THE HOSPITALS SUBSIDIARIES, OR FILLING ANY VACANCIES ON THE HOSPITAL BOARD OR THE BOARD OF TRUSTEES OR EQUIVALENT GOVERNING BODY OF ANY OF THE HOSPITALS SUBSIDIARIES; (H) APPOINTING AND REMOVING THE CHAIR OF THE HOSPITALS BOARD OF TRUSTEES; (I) APPOINTING AND REMOVING THE CHIEF EXECUTIVE OFFICER OF THE HOSPITAL; (J) APPROVING THE ANNUAL CAPITAL AND OPERATING BUDGETS OF THE HOSPITAL; (K) APPROVING THE EXPENDITURE BY THE HOSPITAL IN ANY GIVEN FISCAL YEAR OF ANY FUNDS IN EXCESS OF ANY LINE ITEM IN THE HOSPITALS CAPITAL AND OPERATING BUDGETS APPROVED BY THE SOLE MEMBER; (L) APPROVING THE EXPENDITURE OF ANY FUNDS ON ANY NONBUDGETED ITEM NOT INCLUDED IN THE HOSPITALS CAPITAL AND OPERATING BUDGETS APPROVED BY THE SOLE MEMBER FOR SUCH FISCAL YEAR; (M) APPROVING THE STRATEGIC PLAN OF THE HOSPITAL, WHICH SHALL BE CONSISTENT WITH THE STRATEGIC PLAN OF THE SOLE MEMBER; (N) SELECTING, REMOVING, AND REPLACING THE INDEPENDENT AUDITORS FOR THE HOSPITAL; (O) APPROVING ANY DISSOLUTION, WINDING UP OR ABANDONMENT OF OPERATIONS, LIQUIDATION, FILING OF ACTION IN BANKRUPTCY, RECEIVERSHIP OR SIMILAR ACTION AFFECTING THE HOSPITAL; (P) APPROVING ANY FORMATION OR DISSOLUTION OF AFFILIATES, PARTNERSHIPS AND OTHER JOINT VENTURES INVOLVING THE HOSPITAL OR ITS SUBSIDIARIES; (Q) APPROVING ANY PLEDGE OR ENCUMBRANCE OF ASSETS WHETHER PURSUANT TO A SALE, CAPITAL LEASE, MORTGAGE, DISPOSITION, HYPOTHECATION, OR OTHER TRANSACTION IN EXCESS OF LIMITS ESTABLISHED BY THE SOLE MEMBER; (R) APPROVING ANY INDEBTEDNESS OF THE HOSPITAL; (S) APPROVING ANY CHANGE TO THE STRUCTURE OR OPERATION OF THE HOSPITAL WHICH WOULD AFFECT ITS STATUS AS A NONPROFIT ENTITY, EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; (T) ENTERING INTO CONTRACTS AND AGREEMENTS IN THE NAME OF AND ON BEHALF OF THE HOSPITAL; (U) IN RECOGNITION OF THE BENEFITS ACCRUING TO THE HOSPITAL FROM THE SOLE MEMBER, AND IN ADDITION TO ANY OTHER RIGHTS RESERVED TO THE SOLE MEMBER UNDER APPLICABLE LAW OR THE GOVERNANCE DOCUMENTS OF THE HOSPITAL, THE SOLE MEMBER SHALL HAVE THE POWER TO TRANSFER ASSETS OF THE HOSPITAL, OR TO REQUIRE THE HOSPITAL TO TRANSFER ASSETS, TO THE SOLE MEMBER OR AN ENTITY CONTROLLED BY, CONTROLLING OR UNDER COMMON CONTROL WITH THE SOLE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE SOLE MEMBERS GOALS AND OBJECTIVES. THE HOSPITAL SHALL NOT BE REQUIRED TO VIOLATE ITS CHARITABLE PURPOSES, THE TERMS OF ANY RESTRICTED GIFTS, THE COVENANTS OF ITS DEBT INSTRUMENTS, OR THE LAW OF THE STATE OF NEW JERSEY AS A RESULT OF ANY ASSET TRANSFERS TO BE MADE TO OR DIRECTED BY THE SOLE MEMBER PURSUANT TO THIS PROVISION; (V) NEITHER THE HOSPITAL, NOR ANY OF ITS AFFILIATES, SHALL TRANSFER ASSETS TO ENTITIES OTHER THAN THE SOLE MEMBER WITHOUT THE APPROVAL OF THE SOLE MEMBER, EXCEPT FOR (I) TRANSFERS PREVIOUSLY APPROVED BY THE SOLE MEMBER, EITHER INDIVIDUALLY OR AS PART OF THE HOSPITALS BUDGET PROCESS, (II) TRANSFERS TO ANY ENTITY WHICH IS A DIRECT OR INDIRECT SUBSIDIARY OF SOLE MEMBER AND THAT IS SUBJECT TO THE RESERVED POWERS SET FORTH IN THIS ARTICLE IV SECTION 2(V), OR (III) TRANSFERS IN THE ORDINARY COURSE OF BUSINESS; AND (W) APPROVE ALL OTHER MATTERS AND TAKE ALL OTHER ACTIONS RESERVED TO TRUSTEES OF NONPROFIT CORPORATIONS (OR SHAREHOLDERS OF FOR-PROFIT CORPORATIONS, AS THE CASE MAY BE) BY THE LAWS OF THE STATE OF NEW JERSEY OR AS RESERVED IN THE GOVERNANCE DOCUMENTS OF THE HOSPITAL.

Return Reference

Explanation

SCHEDULE A, PART IV, SECTION E; QUESTIONS 3A & 3B

THIS ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY AND SOLE MEMBER OF ITS SUPPORTED ORGANIZATIONS, INSPIRA MEDICAL CENTERS, INC. AND INSPIRA MEDICAL CENTER WOODBURY, INC. ("HOSPITALS"). OUTLINED BELOW AND INCLUDED IN ARTICLE IV, SECTION 2 OF EACH HOSPITAL'S AMENDED AND RESTATED BYLAWS ARE THE POWERS RESERVED TO THIS ORGANIZATION, AS EACH ENTITIES SOLE MEMBER: (A) AMENDING THE CERTIFICATE OF INCORPORATION, BYLAWS OR ANY OTHER DOCUMENTS RELATING TO GOVERNANCE (COLLECTIVELY, "GOVERNANCE DOCUMENTS") OF THE HOSPITAL; (B) AMENDING THE GOVERNANCE DOCUMENTS OF ANY OF THE HOSPITALS SUBSIDIARIES OR ANY OTHER ORGANIZATION WHOSE GOVERNANCE DOCUMENTS CANNOT BE AMENDED WITHOUT THE APPROVAL OF THE HOSPITAL; (C) CLOSING ANY HEALTH CARE FACILITY OF THE HOSPITAL OR ANY OF ITS SUBSIDIARIES OR CONVERTING ANY HEALTH CARE FACILITY OF THE HOSPITAL OR ANY OF ITS SUBSIDIARIES TO ANOTHER PURPOSE; (D) AUTHORIZING THE HOSPITAL OR ANY OF ITS SUBSIDIARIES TO AFFILIATE, MERGE WITH OR ACQUIRE ANOTHER ENTITY; (E) AUTHORIZING THE HOSPITAL OR ANY OF ITS SUBSIDIARIES TO SELL OR OTHERWISE TRANSFER ALL OR SUBSTANTIALLY ALL OF ITS ASSETS; (F) DISCONTINUING ANY SIGNIFICANT PROGRAM OR SERVICE LINE AT THE HOSPITAL OR ANY OF ITS SUBSIDIARIES; (G) ELECTING AND REMOVING HOSPITAL TRUSTEES OR THE BOARD OF TRUSTEES OR EQUIVALENT GOVERNING BODY OF ANY OF THE HOSPITALS SUBSIDIARIES, OR FILLING ANY VACANCIES ON THE HOSPITAL BOARD OR THE BOARD OF TRUSTEES OR EQUIVALENT GOVERNING BODY OF ANY OF THE HOSPITALS SUBSIDIARIES; (H) APPOINTING AND REMOVING THE CHAIR OF THE HOSPITALS BOARD OF TRUSTEES; (I) APPOINTING AND REMOVING THE CHIEF EXECUTIVE OFFICER OF THE HOSPITAL; (J) APPROVING THE ANNUAL CAPITAL AND OPERATING BUDGETS OF THE HOSPITAL; (K) APPROVING THE EXPENDITURE BY THE HOSPITAL IN ANY GIVEN FISCAL YEAR OF ANY FUNDS IN EXCESS OF ANY LINE ITEM IN THE HOSPITALS CAPITAL AND OPERATING BUDGETS APPROVED BY THE SOLE MEMBER; (L) APPROVING THE EXPENDITURE OF ANY FUNDS ON ANY NONBUDGETED ITEM NOT INCLUDED IN THE HOSPITALS CAPITAL AND OPERATING BUDGETS APPROVED BY THE SOLE MEMBER FOR SUCH FISCAL YEAR; (M) APPROVING THE STRATEGIC PLAN OF THE HOSPITAL, WHICH SHALL BE CONSISTENT WITH THE STRATEGIC PLAN OF THE SOLE MEMBER; (N) SELECTING, REMOVING, AND REPLACING THE INDEPENDENT AUDITORS FOR THE HOSPITAL; (O) APPROVING ANY DISSOLUTION, WINDING UP OR ABANDONMENT OF OPERATIONS, LIQUIDATION, FILING OF ACTION IN BANKRUPTCY, RECEIVERSHIP OR SIMILAR ACTION AFFECTING THE HOSPITAL; (P) APPROVING ANY FORMATION OR DISSOLUTION OF AFFILIATES, PARTNERSHIPS AND OTHER JOINT VENTURES INVOLVING THE HOSPITAL OR ITS SUBSIDIARIES; (Q) APPROVING ANY PLEDGE OR ENCUMBRANCE OF ASSETS WHETHER PURSUANT TO A SALE, CAPITAL LEASE, MORTGAGE, DISPOSITION, HYPOTHECATION, OR OTHER TRANSACTION IN EXCESS OF LIMITS ESTABLISHED BY THE SOLE MEMBER; (R) APPROVING ANY INDEBTEDNESS OF THE HOSPITAL; (S) APPROVING ANY CHANGE TO THE STRUCTURE OR OPERATION OF THE HOSPITAL WHICH WOULD AFFECT ITS STATUS AS A NONPROFIT ENTITY, EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE; (T) ENTERING INTO CONTRACTS AND AGREEMENTS IN THE NAME OF AND ON BEHALF OF THE HOSPITAL; (U) IN RECOGNITION OF THE BENEFITS ACCRUING TO THE HOSPITAL FROM THE SOLE MEMBER, AND IN ADDITION TO ANY OTHER RIGHTS RESERVED TO THE SOLE MEMBER UNDER APPLICABLE LAW OR THE GOVERNANCE DOCUMENTS OF THE HOSPITAL, THE SOLE MEMBER SHALL HAVE THE POWER TO TRANSFER ASSETS OF THE HOSPITAL, OR TO REQUIRE THE HOSPITAL TO TRANSFER ASSETS, TO THE SOLE MEMBER OR AN ENTITY CONTROLLED BY, CONTROLLING OR UNDER COMMON CONTROL WITH THE SOLE MEMBER, TO THE EXTENT NECESSARY TO ACCOMPLISH THE SOLE MEMBERS GOALS AND OBJECTIVES. THE HOSPITAL SHALL NOT BE REQUIRED TO VIOLATE ITS CHARITABLE PURPOSES, THE TERMS OF ANY RESTRICTED GIFTS, THE COVENANTS OF ITS DEBT INSTRUMENTS, OR THE LAW OF THE STATE OF NEW JERSEY AS A RESULT OF ANY ASSET TRANSFERS TO BE MADE TO OR DIRECTED BY THE SOLE MEMBER PURSUANT TO THIS PROVISION; (V) NEITHER THE HOSPITAL, NOR ANY OF ITS AFFILIATES, SHALL TRANSFER ASSETS TO ENTITIES OTHER THAN THE SOLE MEMBER WITHOUT THE APPROVAL OF THE SOLE MEMBER, EXCEPT FOR (I) TRANSFERS PREVIOUSLY APPROVED BY THE SOLE MEMBER, EITHER INDIVIDUALLY OR AS PART OF THE HOSPITALS BUDGET PROCESS, (II) TRANSFERS TO ANY ENTITY WHICH IS A DIRECT OR INDIRECT SUBSIDIARY OF SOLE MEMBER AND THAT IS SUBJECT TO THE RESERVED POWERS SET FORTH IN THIS ARTICLE IV SECTION 2(V), OR (III) TRANSFERS IN THE ORDINARY COURSE OF BUSINESS; AND (W) APPROVE ALL OTHER MATTERS AND TAKE ALL OTHER ACTIONS RESERVED TO TRUSTEES OF NONPROFIT CORPORATIONS (OR SHAREHOLDERS OF FOR-PROFIT CORPORATIONS, AS THE CASE MAY BE) BY THE LAWS OF THE STATE OF NEW JERSEY OR AS RESERVED IN THE GOVERNANCE DOCUMENTS OF THE HOSPITAL.

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

INSPIRA HEALTH NETWORK INC

Employer identification number

22-2508425

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

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

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

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

Yes No

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

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

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

Yes No

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

Part III

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

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

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

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

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

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

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

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

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

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

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

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

Yes No

Part IV

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

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

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

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

Part V

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

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

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

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

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

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

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

Yes

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

3a(i)

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

3a(ii)

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

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

Part VI

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

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

1a	Land .....	0	4,120,683		4,120,683
b	Buildings ....	0	98,973	87,673	11,300
c	Leasehold improvements	0	154,802	135,101	19,701
d	Equipment ....	0	57,609	24,936	32,673
e	Other .....	0		0	0
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					4,184,357

Schedule D (Form 990) 2018

Page 3

Part VII

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

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

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

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)LIMITED USE	21,436,108	F
(2)LIMITED USE	251,838	F
(3)LIMITED USE	15,847,085	F
(4)LIMITED USE	2,234,449	F
(5)INVESTMENTS IN SUBSIDIARIES	36,897,636	F
(6)INVESTMENTS IN PARTNERSHIPS	14,787	F
(7)INVESTMENT IN COASTAL CO-OP JV	503,989	F
(8)OTHER INVESTMENTS	2,284,226	F
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	79,470,118

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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
DUE TO AFFILIATED ORGANIZATIONS	5,143,027
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	5,143,027
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) 2018

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 (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
INSPIRA HEALTH NETWORK INC

Employer identification number

22-2508425

Part I

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

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

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

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

Yes

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

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

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	Central America and the Caribbean	1	1	Program Services	FINANCIAL VEHICLE	4,428,413
	Central America and the Caribbean	0	0	Investments		35,500,000















3a	Sub-total .....	1	1			39,928,413
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	1	1			39,928,413

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

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)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

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

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 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) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

Page 5

Part V

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

ReturnReference	Explanation
SCHEDULE F, PART I	DURING 2018 INSPIRA MEDICAL CENTERS, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION, PAID JUNO ASSURANCE, LTD., A FINANCIAL VEHICLE, $4,428,413 ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION. THERE WERE NO ADDITIONAL CAPITAL CONTRIBUTIONS MADE TO JUNO ASSURANCE, LTD DURING 2018.

Schedule F (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

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

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

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

INSPIRA HEALTH NETWORK INC

Employer identification number

22-2508425

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

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

Yes

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

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

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

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

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

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

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

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

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

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

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

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

Yes

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

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

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

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JOHN A DIANGELO TRUSTEE; PRESIDENT/CEO - IHN	(i) (ii)	0 ------------- 769,032	0 ------------- 291,840	0 ------------- 94,635	0 ------------- 694,621	0 ------------- 29,112	0 ------------- 1,879,240	0 ------------- 0
2MARVIN T WAY EVP OPERATIONS	(i) (ii)	0 ------------- 495,529	0 ------------- 141,617	0 ------------- 49,827	0 ------------- 113,317	0 ------------- 23,196	0 ------------- 823,486	0 ------------- 0
3THOMAS P BALDOSARO CPA EVP/CHIEF FINANCIAL OFFICER	(i) (ii)	0 ------------- 405,370	0 ------------- 98,633	0 ------------- 45,995	0 ------------- 96,734	0 ------------- 31,013	0 ------------- 677,745	0 ------------- 0
4ALKA KOHLI MD MBA EVP/CHIEF POP HEALTH OFFICER	(i) (ii)	0 ------------- 455,460	0 ------------- 94,526	0 ------------- 37,242	0 ------------- 103,171	0 ------------- 39,320	0 ------------- 729,719	0 ------------- 0
5ROBERT E FLORENTINE SVP/CHIEF PEOPLE OFFICER	(i) (ii)	0 ------------- 291,781	0 ------------- 64,496	0 ------------- 54,859	0 ------------- 106,464	0 ------------- 27,835	0 ------------- 545,435	0 ------------- 0
6MATTHEW DOONAN ESQ GENERAL COUNSEL	(i) (ii)	0 ------------- 289,021	0 ------------- 43,157	0 ------------- 49,216	0 ------------- 52,630	0 ------------- 26,585	0 ------------- 460,609	0 ------------- 0
7THOMAS PACEK VP/CHIEF INFORMATION OFFICER	(i) (ii)	0 ------------- 307,404	0 ------------- 41,991	0 ------------- 20,322	0 ------------- 52,538	0 ------------- 24,278	0 ------------- 446,533	0 ------------- 0

Schedule J (Form 990) 2018

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 4B	THE DEFERRED COMPENSATION AMOUNTS REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDE UNVESTED BENEFITS IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH ARE SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THESE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN A. DIANGELO, $502,246; MARVIN T. WAY, $96,817; THOMAS P. BALDOSARO, CPA, $80,234; ALKA KOHLI, M.D., MBA, $86,671; ROBERT E. FLORENTINE, $76,214; MATTHEW DOONAN, ESQ., $36,130 AND THOMAS PACEK, $36,038. THE DEFERRED COMPENSATION AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN C FOR THE FOLLOWING INDIVIDUAL INCLUDES UNVESTED BENEFITS IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) WHICH IS SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. ACCORDINGLY, THE INDIVIDUAL MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNT OUTLINED HEREIN WAS NOT INCLUDED IN HIS 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: JOHN A. DIANGELO, $158,000.
SCHEDULE J, PART I; QUESTION 7	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2018 WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT.
SCHEDULE J, PART II; COLUMN B(III)	CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J OF THIS FEDERAL FORM 990 RECEIVED COMPENSATION WITH RESPECT TO PAID TIME OFF, WHICH WAS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) HEREIN AND IN EACH INDIVIDUAL'S 2018 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES.

Schedule J (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

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

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

INSPIRA HEALTH NETWORK INC

Employer identification number

22-2508425

Return Reference	Explanation
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	BACKGROUND ========== INSPIRA HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ORGANIZATION OF INSPIRA HEALTH NETWORK. INSPIRA HEALTH NETWORK, INC. IS THE SOLE CORPORATE MEMBER OR STOCKHOLDER OF VARIOUS NOT FOR-PROFIT AND FOR-PROFIT ENTITIES. THE INTERNAL REVENUE SERVICE ("IRS") HAS RECOGNIZED INSPIRA HEALTH NETWORK, INC. AS A TAX-EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). INSPIRA HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES INSPIRA MEDICAL CENTERS, INC. ("IMC") AND INSPIRA MEDICAL CENTER WOODBURY, INC. ("IMCW"). MISSION: TO PROVIDE HIGH QUALITY HEALTH SERVICES THAT IMPROVE THE LIVES OF ALL WE SERVE. VISION: INSPIRA HEALTH NETWORK IS THE REGION'S LEADING NETWORK OF HEALTHCARE PROVIDERS, DELIVERING THE FULL CONTINUUM OF PRIMARY, ACUTE AND ADVANCED CARE SERVICES. INSPIRA MEDICAL CENTERS & INSPIRA MEDICAL CENTER WOODBURY ========================================================= IMC AND IMCW ARE BOTH RECOGNIZED BY THE IRS AS INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATIONS. PURSUANT TO THEIR CHARITABLE PURPOSES, IMC AND IMCW PROVIDE HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, THEY OPERATE CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRS REVENUE RULING 69-545: 1) PROVIDE HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2) OPERATE 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) MAINTAIN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4) CONTROL OF IMC AND IMCW RESTS WITH THEIR RESPECTIVE 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 BOTH IMC AND IMCW AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF IMC AND IMCW IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THESE ORGANIZATIONS ARE FOR THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. THESE HOSPITAL FACILITIES PROVIDE HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. MOREOVER, THEY PROVIDE 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 AND IMCW MAINTAIN RECORDS TO IDENTIFY AND MONITOR THE AMOUNT OF FINANCIAL ASSISTANCE THEY PROVIDE. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THEIR FINANCIAL ASSISTANCE POLICIES. AS A LEADING PROVIDER OF HEALTH SERVICES, INSPIRA HEALTH NETWORK MUST PLAY A KEY ROLE IN FOSTERING GOOD HEALTH IN SOUTHERN NEW JERSEY. TO BE HIGHLY EFFECTIVE IN THIS ROLE, THE ENTIRE INSPIRA TEAM MUST SHARE A CORE SET OF VALUES AND BELIEFS - A CULTURE. INSPIRING MEDICINE ================== INSPIRA HEALTH NETWORK IS A CHARITABLE NONPROFIT HEALTH CARE ORGANIZATION SERVING COMMUNITIES ACROSS SOUTHERN NEW JERSEY. THE NETWORK, WHICH TRACES ITS ROOTS TO 1899, COMPRISES THREE HOSPITALS, A COMPREHENSIVE CANCER CENTER, SEVERAL MULTI-SPECIALTY HEALTH CENTERS AND A TOTAL OF MORE THAN 150 ACCESS POINTS. THESE INCLUDE URGENT CARE; OUTPATIENT IMAGING AND REHABILITATION; NUMEROUS SPECIALTY CENTERS, INCLUDING SLEEP MEDICINE, CARDIAC TESTING, DIGESTIVE HEALTH AND WOUND CARE; HOME CARE AND HOSPICE; AND MORE THAN 35 PRIMARY AND SPECIALTY PHYSICIAN PRACTICES IN GLOUCESTER, CUMBERLAND, SALEM AND CAMDEN COUNTIES. TOGETHER WITH OUR MEDICAL STAFF OF MORE THAN 1,100 PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, WE PROVIDE EVIDENCE-BASED CARE TO HELP EACH PATIENT ACHIEVE THE BEST POSSIBLE OUTCOME. OUR CLINICAL AND SUPPORT STAFFS ARE FOCUSED ON PROVIDING QUALITY CARE IN A SAFE ENVIRONMENT FOR EVERY PATIENT. AND WE UNDERSTAND THAT TO PROVIDE EXCELLENT CARE TO OUR PATIENTS, WE MUST ALSO BE SENSITIVE TO THE NEEDS OF THEIR FAMILIES. THE LOVE AND SUPPORT OF FAMILY CAN COMFORT AND STRENGTHEN PATIENTS, WHILE AIDING THE HEALING PROCESS. IN SUPPORT OF OUR MISSION TO IMPROVE THE LIVES OF ALL WE SERVE, THE LEADERSHIP AND STAFF OF INSPIRA HEALTH NETWORK ARE DEDICATED TO CLINICAL AND SERVICE EXCELLENCE. HOWEVER, AS A LEADING REGIONAL HEALTH NETWORK, WE ARE COMMITTED TO DOING MORE THAN JUST THAT. WE BELIEVE OUR ORGANIZATION MUST BECOME A SOURCE OF INSPIRATION, ENCOURAGING EVERYONE TO LEAD HEALTHIER LIVES. THIS CAN ONLY BE ACHIEVED BY WORKING TOGETHER WITH OUR COMMUNITIES; BY BRINGING VITAL SERVICES TO THE TOWNS AND NEIGHBORHOODS WE SERVE; AND PARTNERING WITH LIKE-MINDED ORGANIZATIONS TO CREATE A CULTURE THROUGHOUT OUR REGION THAT FOSTERS GOOD HEALTH FOR EVERYONE. INNOVATION AT INSPIRA ===================== IN 2018, IHN CONTINUED ITS COMMITMENT TO SUPPORT INNOVATION BY HOSTING A HEALTH HACK TO GENERATE INNOVATIVE SOLUTIONS TO HEALTH CARE CHALLENGES. MORE THAN 50 DOCTORS AND PROFESSIONALS FROM IHN AND ROWAN ATTENDED THE TWO-DAY EVENT. THREE TEAMS WERE AWARDED $20,000 OF SEED MONEY TO FULLY DEVELOP THEIR PROOF OF CONCEPT. - THE ESTABLISHMENT OF "INSPIRA HEALTH +", DEDICATED TECHNOLOGY STATIONS AT INSPIRA MEDICAL CENTER VINELAND AND INSPIRA URGENT CARE GLASSBORO ON ROWAN BOULEVARD. EACH INSPIRA HEALTH LOCATION IS SUPPORTED BY EXPERT TECHNICIANS AND OFFERS WEARABLE AND SMART TECHNOLOGY PRODUCTS DESIGNED TO HELP PATIENTS IMPROVE THEIR OVERALL HEALTH MANAGEMENT. A TEAM OF TECHNOLOGY EXPERTS ON SITE TO EDUCATE PATIENTS, VISITORS, PHYSICIANS AND STAFF ABOUT HOW TO BETTER MANAGE THEIR HEALTH THROUGH TOOLS LIKE THE MY INSPIRA, ACCESSING INSPIRA SERVICES AND ECARE, VIRTUAL VISITS. - 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. MACHINE LEARNING AND ARTIFICAL INTELLIGENCE IS BEING APPLIED TO THE DATA SO WE CAN BETTER PREDICT CARE TRENDS AND OUTCOMES. - 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, ACCESS TO YOUR DIGITAL INSPIRA PERSONAL HEALTH RECORD AND COMMUNICATIONS WITH YOUR CARE TEAM FOR PATIENTS BEING MONITORED FOR THEIR CHRONIC DISEASE. -REVERSE PITCH STUDENT COMPETION HELD A REVERSE PITCH STUDENT COMPETITION. LOCAL COLLEGE STUDENTS WERE OFFERED THE OPPORTUNITY TO COMPETE FOR $40,000 IN UNRESTRICTED FUNDS FOR THE DEVELOPMENT OF REPLACEMENT SOFTWARE AT INSPIRA. THE STUDENTS WERE INVITED TO AN INFORMATION SESSION, COACHED ON PREPARING A PROFESSIONAL WRITTEN AND ORAL PRESENTATION. THE WINNING STUDENTS WERE MENTORED AND COACHED ON DEVELOPING A PROFESSIONAL PLATFORM, PRESENTING TO LEADERSHIP ROLES, AND WORKING IN A PROFESSIONAL ENVIRONMENT TO DELIVER AN END PRODUCT. AWARDS AND RECOGNITION ====================== ACCREDITED ISO 9001:2015 BY DNV GL HEALTHCARE - INSPIRA HEALTH NETWORK IS THE SECOND HEALTH CARE SYSTEM IN NEW JERSEY TO RECEIVE ISO 9001:2015 CERTIFICATION FOR ACHIEVING QUALITY OBJECTIVES BASED ON INTERNATIONAL STANDARDS AT ITS MEDICAL CENTERS IN ELMER, VINELAND AND WOODBURY, AND ITS HEALTH CENTER IN BRIDGETON. ACHIEVING ISO 9001:2015 CERTIFICATION IS A REQUIREMENT OF THE FACILITIES' DNV GL HEALTHCARE ACCREDITATION WHICH AIDS THE ORGANIZATIONS LEADERSHIP AND STAFF IN CONTINUOUSLY EVALUATING AND IMPROVING THE CARE PROVIDED TO THE REGION. DNV GL 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 INTO THEIR SURVEY PROCESS. THE DNV GL PROGRAM REQUIRES HOSPITALS TO EVALUATE THE CONTINUUM OF PATIENT CARE THROUGHOUT ITS FACILITIES AND TAKE MEASURED STEPS TO IMPROVE WHEN IT IS WARRANTED. LEAPFROG HOSPITAL SAFETY GRADE INSPIRA MEDICAL CENTER ELMER AND INSPIRA MEDICAL CENTER WOODBURY EARNED AN "A" ON THE LEAPFROG HOSPITAL SAFETY GRADE IN 2018. MORE THAN 2,600 HOSPITALS ARE INCLUDED IN THE LEAPFROG HOSPITAL SAFETY GRADE; LESS THAN ONE THIRD EARN AN "A".
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	LEAPFROG TOP HOSPITAL AWARD INSPIRA MEDICAL CENTER WOODBURY WAS RECOGNIZED IN 2018 AS ONE OF 35 TOP GENERAL HOSPITALS IN THE UNITED STATES, AND ONE OF 12 IN NEW JERSEY, BY THE LEAPFROG GROUP. LEAPFROG TOP HOSPITALS MUST HAVE EARNED AN A HOSPITAL SAFETY GRADE, HAVE A VALUE SCORE IN THE TOP 10% OF GENERAL HOSPITALS, FULLY MEET SELECT LEAPFROG PERFORMANCE STANDARDS, AND MUST SATISFY THE TOP HOSPITAL SELECTION COMMITTEE THAT THE HOSPITAL EMBODIES THE HIGHEST STANDARDS OF EXCELLENCE WORTHY OF THE TOP HOSPITAL DESIGNATION. THIS IS THE SECOND TIME IN TWO YEARS THAT INSPIRA MEDICAL CENTER WOODBURY RECEIVED THIS DESIGNATION. HEALTHGRADES AWARDS ARE PUBLISHED ANNUALLY FOR PATIENT EXPERIENCE TO HOPSITALS WHO ARE IN THE TOP 80% FOR CLINICAL QUALITY AS MEASURED BY THE HEALTHGRADES METHODOLOGY. IN 2018, INSPIRA MEDICAL CENTER ELMER WAS ONE OF 439 HOSPITALS TO RECEIVE THE OUTSTANDING PATIENT EXPERIENCE AWARD. STAR RANKINGS ARE ALSO PUBLISHED ANNUALLY FOR SELECT CLINICAL CATEGORIES AS MEASURED BY THE HEALTHGRADES METHODOLOGY. IN 2018, INSPIRA MEDICAL CENTER WOODBURY RECEIVED FIVE-STAR DESIGNATION FOR PERIPHERAL VASCULAR BYPASS SERVICES. U.S. NEWS RANKINGS BEST HOSPITAL RANKINGS ARE PUBLISHED ANNUALLY TO IDENTIFY HOSPITALS THAT ARE BEST EQUIPPED TO TREAT PATIENTS WHO NEED SPECIALIZED CARE. INSPIRA MEDICAL CENTER WOODBURY HAS BEEN RANKED AS HIGH PERFORMING IN HEART FAILURE. INSPIRA MEDICAL CENTER VINELAND HAS BEEN RANKED AS HIGH PERFORMING IN HEART FAILURE AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE. AMERICAN HEART ASSOCIATION INSPIRA MEDICAL CENTER WOODBURY WAS AWARDED THE GET WITH THE GUIDELINES GOLD DESIGNATION FOR THE RESUSCITATION OF CRITICALLY ILL PATIENTS. INSPIRA MEDICAL CENTERS ELMER AND VINELAND WERE ALSO AWARDED THE GET WITH THE GUIDELINES GOLD PLUS DESIGNATION FOR THE MANAGEMENT OF STROKE PATIENTS. INSPIRA HEALTH NETWORK IS FEATURED ON BECKERS HEALTHCARE "150 TOP PLACES TO WORK IN HEALTHCARE \| 2018" LIST, WHICH HIGHLIGHTS HOSPITALS, HEALTH SYSTEMS AND HEALTHCARE COMPANIES THAT PROMOTE DIVERSITY WITHIN THE WORKFORCE, EMPLOYEE ENGAGEMENT AND PROFESSIONAL GROWTH. INSPIRA MEDICAL CENTER ELMER HAS BEEN RECOGNIZED BY HEALTHGRADES FOR OUTSTANDING PATIENT EXPERIENCE. BEACON AWARD FOR EXCELLENCE - THE AMERICAN ASSOCIATION OF CRITICAL-CARE NURSES (AACN) HAS HONORED OUR CRITICAL CARE UNITS AND STEP DOWN UNITS AT VINELAND AND ELMER WITH BEACON AWARDS FOR EXCELLENCE. THE MEDICAL/SURGICAL INTENSIVE CARE UNIT AT IMCW WAS ALSO RECOGNIZED BY THE ASSOCIATION OF CRITICAL CARE NURSES WITH ITS SILVER BEACON AWARD FOR EXCELLENCE IN CRITICAL CARE INSPIRA MEDICAL CENTER ELMER RECEIVES NATIONAL THE WOMENS CHOICE AWARD FOR ORTHOPEDICS AND OBSTETRICS (JULY 2018) - 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. INSPIRA HEALTH NETWORKS PRESIDENT AND CEO, JOHN DIANGELO WAS RECOGNIZED ON A MOST-ADMIRED CEO (DECEMBER 2018) BY THE PHILADELPHIA BUSINESS JOURNAL. HE WAS ALSO RECOGNIZED BY SOUTH JERSEY BIZ AS A TOP BUSINESS FIGURE IN THE 2018 POWER 50 LIST. INSPIRA HEALTH NETWORK WAS NAMED ONE OF THE TOP HEALTH CARE INNOVATORS FOR 2018 BY THE PHILADELPHIA BUSINESS JOURNAL. INSPIRA MEDICAL CENTERS, INC. 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. DONATIONS ========= EACH YEAR IMC SUPPORTS MANY NON-PROFIT ORGANIZATIONS WHOSE MISSION IS IN ALIGNMENT WITH THAT OF ITS OWN BY PROVIDING DONATIONS OF BOTH CASH AND IN-KIND IN RESPONSE TO THE COMMUNITY'S NEEDS. SOME OF THE ORGANIZATIONS SUPPORTED WITH A CASH DONATION INCLUDED: - AMERICAN CANCER SOCIETY - AMERICAN FOUNDATION FOR SUICIDE PREVENTION - AMERICAN HEART ASSOCIATION - BOYS AND GIRLS CLUB OF CUMBERLAND COUNTY - BOYS AND GIRLS CLUB OF GLOUCESTER COUNTY - BRIDGETON CHAMBER OF COMMERCE - CITY OF WOODBURY - COMMUNITY FOOD BANK OF NJ - COMMUNITY FOUNDATION OF NEW JERSEY LEGACY OF GIVING - COMPLETECARE FOUNDATION - EMMANUEL CANCER FOUNDATION - GARDEN STATE COUCIL - GATEWAY COMMUNITY ACTION PARTNERSHIP - GLOUCESTER COUNTY CHAMBER OF COMMERCE - GREATER WOODBURY CHAMBER OF COMMERCE - LAUREN ROSE ALBERT FOUNDATION - M25 CODE BLUE INITIATIVE - MARCH OF DIMES - MARYVILLE, INC. - NAMI - NEMOURS - NJ ALLIANCE FOR ACTION CONFERENCE - NJHA - ROBINS NEST - ROWAN COLLEGE AT GLOUCESTER COUNTY - SEABROOK HOUSE - SOUTHERN NEW JERSEY DEVELOPMENT COUNCIL - THE SOUTHWEST COUNCIL - TRI-COUNTY REGIONAL ETHICS COMMITTEE - YMCA OF CUMBERLAND COUNTY - YMCA OF GLOUCESTER COUNTY IMPROVING 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: 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. GARDEN AHEC PROGRAMS - THROUGH ACADEMIC AND COMMUNITY PARTNERSHIPS, GARDEN AHEC PROVIDES HEALTH CAREER RECRUITMENT PROGRAMS AND INCREASES ACCESS TO HEALTHCARE IN MEDICALLY UNDERSERVED AREAS. 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. NJCEED IMC IS CUMBERLAND COUNTYS 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. 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. TRAINING CLASSES - IMC OFFERS A WEALTH OF EDUCATIONAL PROGRAMS DESIGNED TO PROMOTE A SAFE AND HEALTHY LIFESTYLE. TRAINING CLASSES ARE REGULARLY AVAILABLE. EDUCATE HEALTH PROFESSIONALS ---------------------------- INSPIRA MEDICAL CENTERS OFFERS EDUCATIONAL SUPPORT TO BOTH ITS CURRENT HEALTH PROFESSIONALS AND TOMORROWS PHYSICIANS. 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. RESIDENCY PROGRAMS - IMC HAS PARTNERED WITH ROWAN SCHOOL OF OSTEOPATHIC MEDICINE TO TRAIN THE NEXT GENERATION OF PHYSICIANS. 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. 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. 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. ENDING HOMELESSNESS BY 2020 IN ONE OF NEW JERSEYS MOST POVERTY STRICKEN COUNTIESTHATS THE GOAL OF THE CUMBERLAND COUNTY HOUSING FIRST COLLABORATIVE. INSPIRA HEALTH NETWORK, A FOUNDING MEMBER OF THE COLLABORATIVE, HAS CONTRIBUTED $100,000 TO HELP FUND THE EFFORT. THE COLLABORATIVE CONTNUES ITS SUCCESS IN HOUSING CHRONICALLY HOMELESS INDIVIDUALS. INSPIRA HAS ALSO PROVIDED BEHAVIORAL HEALTH AND LOGISTICAL SUPPORT TO ENSURE THE COLLABORATIVES SUCCESS.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	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. 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. EMERGENCY PREPAREDNESS - IMC READIES ITSELF FOR CATASTROPHIC DISASTER ABOVE AND BEYOND LICENSURE REQUIREMENTS. THIS INCLUDES AN INTERNAL, FORMALIZED HOSPITAL EMERGENCY RESPONSE/DECONS TEAM OF DEDICATED STAFF WHO CONDUCT EXTENSIVE QUARTERLY DECONTAMINATION TRAINING. 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. EXTENDED CARE FACILITY CONSORTIUM (ECF). 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. 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. OUR GARDEN STATE AHEC PROGRAM OFFERS "FUTURE HEALTH PROFESSIONALS", A FREE ONLINE PROGRAM 2-3 TIMES A YEAR TO TEENS IN LOCAL SCHOOLS; OFFER IT ONSITE AT A LOCAL HIGH SCHOOL, ADDING A HOSPITAL TOUR FOR THE STUDENTS. 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. CHECKING IN 2018, IHN ESTABLISHED A RELATIONSHIP WITH THE STUDENTS AND FACULTY OF THE VINELAND PUBLIC SCHOOLS APPLIED MATH AND SCIENCE ACADEMY. IHN WILL SUPPORTS THE PROGRAM WITH MENTORSHIP, EDUCATION AND FUNDING. INSPIRA HEALTH NETWORK SPIRIT OF WOMEN - RECOGNIZING THE UNIQUENESS OF WOMEN AND THE INFLUENCE THEY HOLD OVER THE HEALTH OF THEIR FAMILIES, INSPIRA 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. INSPIRA MEDICAL CENTER WOODBURY, INC. COMMUNITY BENEFIT EFFORTS ================================================================ EACH YEAR IMCW SUPPORTS MANY NON-PROFIT ORGANIZATIONS WHOSE MISSION IS IN ALIGNMENT WITH THAT OF ITS OWN BY PROVIDING DONATIONS OF BOTH CASH AND IN-KIND IN RESPONSE TO THE COMMUNITY'S NEEDS. SOME OF THE ORGANIZATIONS SUPPORTED WITH A CASH DONATION INCLUDED: AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, BOYS AND GIRLS CLUB OF GLOUCESTER COUNTY, CITY OF WOODBURY, GLOUCESTER COUNTY CHAMBER OF COMMERCE, GREATER WOODBURY CHAMBER OF COMMERCE, HABITAT FOR HUMANITY GLOUCESTER COUNTY, LAUREN ROSE ALBERT FOUNDATION, NAMI, MARCH OF DIMES, MARYVILLE, INC., PEOPLE FOR PEOPLE, ROBINS NEST, SOUTH JERSEY CHAMBER FOUNDATION, TRI-COUNTY REGIONAL ETHICS COMMITTEE, ROWAN COLLEGE AT GLOUCESTER COUNTY, ROWAN SCHOOL OF MEDICINE, ROWAN UNIVERSITY, UNITED WAY OF GLOUCESTER COUNTY AND YMCA OF GLOUCESTER COUNTY. COMMUNITY HEALTH IMPROVEMENT ADVOCACY ------------------------------------- IMCW EMPLOYEES, INCLUDING OUR COO AND SENIOR MANAGEMENT GROUP, SERVE ON VARIOUS GOVERNMENT ADVISORY COMMITTEES AND BOARDS FOR NATIONAL, STATE AND LOCAL ORGANIZATIONS TO ADVOCATE FOR HEALTHCARE REFORM, BRING ABOUT CHANGES IN REGULATORY REQUIREMENTS, IMPROVE ACCESS TO HEALTHCARE AND PROMOTE THE HEALTH STATUS FOR BOTH THE BROADER COMMUNITY AND VULNERABLE POPULATIONS THROUGH HOSPITAL REPRESENTATION TO ORGANIZATIONS. HEALTH PROFESSIONS EDUCATION ---------------------------- EDUCATION HELPS PREPARE THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS WHICH IS WHY WE STRONGLY SUPPORT MEDICAL EDUCATION AT ALL ACADEMIC LEVELS AND FIND INNOVATIVE WAYS TO INSPIRE YOUNG PEOPLE TO PURSUE CAREERS IN A WIDE VARIETY OF MEDICAL FIELDS. IMCW OFFERS NURSING EDUCATION PROGRAMS, EXTERNSHIPS AND INTERNSHIPS. RESIDENCY PROGRAMS ------------------ SINCE 1983, IMCW HAS OPERATED A FAMILY MEDICINE RESIDENCY PROGRAM WHO WORK SIDE-BY-SIDE WITH EXPERIENCED MEMBERS OF THE IMCW MEDICAL STAFF, GAINING VALUABLE EXPERIENCE AND INSIGHT. AT THE SAME TIME, THEY ENHANCE PATIENT CARE WITH THE KNOWLEDGE OF THE LATEST TREATMENTS AND PHILOSOPHIES MEDICINE HAS TO OFFER. THEY ALSO BRING A LEVEL OF INTELLECTUAL CURIOSITY THAT STRENGTHENS OUR CARE TEAMS AND BENEFITS OUR PATIENTS. INSPIRA HOSPITALS ALSO SERVE AS CLINICAL ROTATION SITES FOR SEVERAL AREA MEDICAL SCHOOLS. COMMUNITY OUTREACH ================== AS PART OF ITS MISSION, IMCW OFFERS A BROAD ARRAY OF COMMUNITY OUTREACH AND WELLNESS ACTIVITIES SUCH AS EDUCATIONAL MATERIAL AND COUNSELING, FREE OR LOW-COST HEALTH SCREENINGS AND PATIENT/FAMILY SUPPORT GROUPS. THE IMPORTANCE AND VALUE OF EMPHASIZING GOOD HEALTH, FITNESS, SAFETY, EARLY DETECTION AND PREVENTION ARE SHOWN IN OUR OUTREACH EFFORTS. THIS ALSO REFLECTS OUR STRONG DESIRE TO IMPROVE THE QUALITY OF LIFE FOR ALL WHO LIVE AND WORK IN THE COMMUNITIES WE SERVE. HEALTH FAIRS & SCREENINGS: A NUMBER OF HEALTH FAIRS AND COMMUNITY FOCUSED HEALTH SCREENING EVENTS WERE CONDUCTED THROUGHOUT 2018. IMCW STRIVES TO TEACH HEALTH AND WELLNESS, ANSWER QUESTIONS ABOUT HEALTH-RELATED ISSUES, PROMOTE SERVICES AND RESOURCES FOR PEOPLE WITH VARIOUS DISEASES AND ATTEMPT TO REACH AS MANY UNINSURED OR UNDERINSURED AS POSSIBLE. AMERICAN RED CROSS BLOOD DRIVE: IMCW SUPPORTS THE MISSION OF THE AMERICAN RED CROSS ("ARC") BY HOSTING FOUR BLOOD DRIVES EACH YEAR. BEHAVIORAL HEALTH COLLABORATION: IMCW'S CHILDREN'S BEHAVIORAL HEALTH PROGRAM PARTICIPATED IN BOTH THE GLOUCESTER COUNTY CIACC AND TRI-COUNTY CIACC THROUGHOUT 2018. ALZHEIMER'S CAREGIVERS SUPPORT GROUP: THIS GROUP IS PROFESSIONALLY FACILITATED AND PROVIDES EMOTIONAL AND PRACTICAL SUPPORT TO FAMILIES AND CAREGIVERS OF PATIENTS WITH DEMENTIA. DIABETES SUPPORT GROUP: MONTHLY DIABETES SUPPORT AND EDUCATION GROUPS ARE COORDINATED AND FACILITATED BY A REGISTERED NURSE CERTIFIED IN DIABETES EDUCATION. EMERGENCY DEPARTMENT SPONSORED PROGRAMS AND SERVICES ==================================================== IMCWS EMERGENCY DEPARTMENT PLAYS A KEY ROLE IN EDUCATING AND PROMOTING HEALTH AND SAFETY AWARENESS THROUGH COMMUNITY BULLETIN BOARDS AND EDUCATIONAL PRESENTATIONS AT AREA SCHOOLS, COLLEGES, POLICE ACADEMIES AND COMMUNITY PROGRAMS. SOME TOPICS MAY INCLUDE INJURY PREVENTION, FORENSIC NURSING AND DOMESTIC VIOLENCE AWARENESS. STOPPED IN JANUARY 2018 SEXUAL ASSAULT NURSE EXAMINERS ("SANE"): IMCW'S EMERGENCY DEPARTMENT IS AN EXAMINATION SITE FOR THE SEXUAL ASSAULT RESPONSE TEAM ("SART") IN GLOUCESTER COUNTY. MATERNAL-CHILD HEALTH PROGRAMS ============================== - CHILDBIRTH PREPARATION CLASSES FOR EXPECTANT PARENTS - ONE-DAY CHILDBIRTH PREPARATION CLASS - BABYCRAFT NEWBORN CARE CLASS - PRENATAL BREASTFEEDING CLASSES - BREASTFEEDING SUPPORT "WARMLINE" - SAFE SITTER - INFANT LIFESAVING TECHNIQUES EMERGENCY MEDICAL ACADEMY PROGRAMS ================================== - EMT EMERGENCY MEDICAL TECHNICIAN CLASS - PEDIATRIC EDUCATION FOR PRE-HOSPITAL PROFESSIONALS ("PEPP") - PEDIATRIC ADVANCED LIFE SUPPORT ("PALS") - PRE-HOSPITAL TRAUMA LIFE SUPPORT ("PHTLS") - HEALTHCARE PROVIDER CPR - CPR-BASIC LIFE SUPPORT INSTRUCTOR - ELECTIVE CONTINUING EDUCATION CLASSES - COMMUNITY EMERGENCY RESPONSE TEAM TRAINING - AUTOMATIC EXTERNAL DEFIBRILLATOR ("AED") & EPINEPHRINE AUTO INJECTORS - MOBILE INTENSIVE CARE UNIT ("MICU") - MICU SPECIAL OPERATIONS TEAM - TACTICAL MEDICAL UNIT
CORE FORM, PART VI, SECTION B; QUESTION 11B	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED FOR REVIEW TO EACH MEMBER OF THE ORGANIZATION'S GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). IN ADDITION, THE ORGANIZATION'S FEDERAL FORM 990 WAS ALSO PROVIDED TO THE ORGANIZATION'S FINANCE/AUDIT COMMITTEE PRIOR TO FILING WITH THE IRS. THE ORGANIZATION'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 WITHIN THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE SYSTEM HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTANT ("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, EXECUTIVE VICE PRESIDENT/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 ORGANIZATION'S GOVERNING BODY, FINANCE/AUDIT COMMITTEE AND FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM HAS A WRITTEN CONFLICT OF INTEREST POLICY WITH WHICH ALL AFFILIATES REGULARLY MONITOR AND ENFORCE COMPLIANCE. THE CONFLICT OF INTEREST POLICY REQUIRES THAT A CONFLICT OF INTEREST DISCLOSURE STATEMENT, CONSISTENT WITH BEST GOVERNANCE PRACTICES AND INTERNAL REVENUE SERVICE GUIDELINES, BE CIRCULATED ANNUALLY TO ALL TRUSTEES/DIRECTORS, OFFICERS, KEY EMPLOYEES AND COMMITTEE MEMBERS (COLLECTIVELY, "INSPIRA MANAGEMENT") WITHIN THE SYSTEM. ALL MEMBERS OF INSPIRA MANAGEMENT ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY ANNUALLY AND SIGN A DISCLOSURE STATEMENT WHICH AFFIRMS THAT THEY: (A) HAVE RECEIVED A COPY OF THIS CONFLICT OF INTEREST POLICY; (B) HAVE READ AND UNDERSTOOD THE POLICY; (C) HAVE AGREED TO COMPLY WITH THE POLICY, AND (D) UNDERSTAND THAT THE ORGANIZATION IS A CHARITABLE, TAX-EXEMPT ORGANIZATION AND THAT, IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. PER THE SYSTEM'S CONFLICT OF INTEREST POLICY, ANY MEMBER OF INSPIRA MANAGEMENT HAVING A POTENTIAL OR ACTUAL SIGNIFICANT FINANCIAL OR PERSONAL INTEREST IN ANY TRANSACTION OR ARRANGEMENT, SHALL MAKE A PROMPT, FULL AND FRANK DISCLOSURE OF HIS OR HER INTEREST TO THE APPLICABLE GOVERNING BOARD OR A COMMITTEE THEREOF WHICH IS CONSIDERING THE AUTHORIZATION, APPROVAL, RATIFICATION, OR SIMILAR ACTION OF SUCH TRANSACTION OR ARRANGEMENT PRIOR TO THE ORGANIZATION ACTING ON SUCH TRANSACTION OR ARRANGEMENT. THE COMPLETED CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE RETURNED TO THE SYSTEM'S GENERAL COUNSEL FOR REVIEW. THEREAFTER, GENERAL COUNSEL PRESENTS ANY CONFLICTS OF INTEREST TO THE NETWORK'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION.
CORE FORM, PART VI, SECTION B; QUESTION 15	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THIS FILING ORGANIZATION ITSELF HAS NO PAID SENIOR MANAGEMENT PERSONNEL RECEIVING COMPENSATION DIRECTLY FROM THIS ORGANIZATION. RATHER, KEY SENIOR MANAGEMENT PERSONNEL ARE EMPLOYED INSPIRA MEDICAL CENTERS, INC. HOWEVER, THE COMPENSATION AND BENEFITS OF THESE INDIVIDUALS ARE SHOWN ON THIS TAX RETURN BECAUSE THEY ARE OFFICERS OR KEY EMPLOYEES OF THIS ORGANIZATION. ACCORDINGLY, THIS ORGANIZATION'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 ALL EXECUTIVE VICE PRESIDENTS AND SENIOR VICE PRESIDENTS THAT REPORT DIRECTLY TO THE PRESIDENT/CHIEF EXECUTIVE OFFICER ("SENIOR MANAGEMENT"). 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. 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. 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 INSPIRA MEDICAL CENTERS HUMAN RESOURCES DEPARTMENT. IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR, COMPENSATION IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY INSPIRA MEDICAL CENTERS, INC. 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'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	CORE FORM, PART VII AND SCHEDULE J, PART II REFLECTS A BOARD MEMBER/OFFICER OF THIS ORGANIZATION WHO RECEIVED COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATIONS. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEE OF THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER/OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. PLEASE NOTE THIS ORGANIZATION'S FORM 990 REFLECTS NO COMPENSATED INDIVIDUALS FROM THIS ENTITY. INSPIRA MEDICAL CENTERS, INC. ("IMC"), A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION EMPLOYS THESE INDIVIDUALS. IMC ISSUES FORMS W-2 TO INDIVIDUALS WHO PROVIDE SERVICES AT INSPIRA HEALTH NETWORK, INC., AND FILES THE APPLICABLE FORMS WITH THE INTERNAL REVENUE SERVICE. IMC ALLOCATES THESE PAYMENTS TO THIS ORGANIZATION VIA AN INTERCOMPANY ACCOUNT.
CORE FORM, PART VII, SECTION A, COLUMN B	THIS ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS AND OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN CORE FORM, PART VII OF THIS FORM 990. THE HOURS REFLECTED ON CORE FORM, PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS OR KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART XII; QUESTION 2	THE ORGANIZATION IS THE TAX-EXEMPT PARENT ENTITY OF INSPIRA HEALTH NETWORK ("NETWORK"); A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE NETWORK AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2018 AND DECEMBER 31, 2017; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNMODIFIED OPINION WITH RESPECT TO THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS EACH YEAR. THE ORGANIZATION'S FINANCE/AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THE SELECTION OF AN INDEPENDENT AUDITOR.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

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

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

INSPIRA HEALTH NETWORK INC

Employer identification number

22-2508425

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
(1) INSPIRA CARE CONNECT LLC 165 BRIDGETON PIKE MULLICA HILL,NJ08062 46-5745887	MSSP ACO	NJ	0	75	NETWORK

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)INSPIRA HOMECARE & HOSPICECARE INC 333 IRVING AVENUE BRIDGETON,NJ08302 22-6067549	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	NETWORK	Yes
(2)INSPIRA HLTH NTWK FDN CUMBERLANDSALEM 333 IRVING AVENUE BRIDGETON,NJ08302 22-3746758	SUPPORT NTWK	NJ	501(C)(3)	509(A)(3)	IMC		No
(3)INSPIRA MEDICAL CENTERS INC 333 IRVING AVENUE BRIDGETON,NJ08302 21-0634484	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	NETWORK	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	Yes
(5)INSPIRA MEDICAL CENTER WOODBURY INC 509 NORTH BROAD STREET WOODBURY,NJ08096 22-1820210	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	NETWORK	Yes
(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	INACTIVE	NJ	501(C)(3)	509(A)(3)	NETWORK	Yes
(8)INSPIRA HEALTH CONNECTIONS PC 509 NORTH BROAD STREET WOODBURY,NJ08096 45-4203973	INACTIVE	NJ	501(C)(3)	509(A)(1)	NETWORK	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) BPOC LP 333 IRVING AVENUE BRIDGETON,NJ08302 22-2956029	REAL ESTATE	NJ	N/A
(2) OAK & MAIN SURGICTR 907 NORTH MAIN ROAD VINELAND,NJ08360 22-3532371	HEALTHCARE SVCS.	NJ	N/A
(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 ACO	NJ	NETWORK	RELATED	-21,500	54,357		No			No	51.000 %
(5) INSPIRA SJ UC MGT 165 BRIDGETON PIKE MULLICA HILL,NJ08062 81-3186749	URGENT CARE MGT	NJ	NA
(6) WMCA LLP 1060 N KINGS HWY CHERRY HILL,NJ08034 22-3006705	HEALTHCARE SVCS.	NJ	NA

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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) INSPIRA HELP SERVICES INC PO BOX 126 SALEM,NJ08079 22-2823028	INACTIVE	NJ	NA	C CORP.					No
(2) INSPIRA HEALTH MANAGEMENT CORPORATION 2950 COLLEGE DRIVE SUITE 1E VINELAND,NJ08360 22-2502241	HEALTHCARE SVCS.	NJ	network	C CORP.	6,908,455	18,626,123	100.000 %	Yes
(3) INSPIRA HEALTH NETWORK MEDICAL GROUP PC 2950 COLLEGE DRIVE SUITE 1E VINELAND,NJ08360 20-5745047	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(4) JUNO ASSURANCE LTD AON HOUSE 4TH FLOOR PEMBROKE HM 08 BD	FINANCIAL VEHICLE	BD	network	FOREIGN CORP.	8,163,171	64,640,486	100.000 %	Yes
(5) INSPIRA HEALTH NETWORK URGENT CARE PC 201 TOMLIN STATION ROAD MULLICA HILL,NJ08062 45-2900402	HEALTHCARE SVCS.	NJ	NA	C CORP.					No
(6) RED BANK DEVELOPMENT CORPORATION 509 NORTH BROAD STREET WOODBURY,NJ08096 22-2814053	HEALTHCARE SVCS.	NJ	network	C CORP.	474,386	362,117	100.000 %	Yes
(7) INSPIRA HOME CARE SVCS WOODBURY INC 509 NORTH BROAD STREET WOODBURY,NJ08096 22-3479390	INACTIVE	NJ	NA	C CORP.					No
(8) INSPIRA SJ URGENT CARE PC 165 BRIDGETON PIKE MULLICA HILL,NJ08062 81-3165654	HEALTHCARE SVCS.	NJ	NA	C CORP.					No

Schedule R (Form 990) 2018

Page 3

Part V

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

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

Yes

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

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

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

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

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

Yes

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

Yes

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

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

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

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

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

Yes

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

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

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

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

Yes

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

Yes

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

Yes

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

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

Yes

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

Yes

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 MEDICAL CENTERS INC	D	1,176,986	COST
(2) INSPIRA MEDICAL CENTERS WOODBURY INC	D	806,989	COST
(3) INSPIRA MEDICAL CENTERS INC	J	800,121	COST
(4) INSPIRA MEDICAL CENTERS INC	O	2,670,178	COST

Schedule R (Form 990) 2018

Page 4

Part VI

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

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

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

Schedule R (Form 990) 2018

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 THE TAX-EXEMPT PARENT OF INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES INSPIRA MEDICAL CENTERS, INC. AND INSPIRA MEDICAL CENTER WOODBURY, INC.; BOTH RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATIONS. 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) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: TO PROVIDE HIGH-QUALITY HEALTH SERVICES THAT IMPROVE THE LIVES OF ALL WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	1,415,764	6,114,763
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	3,079,813	3,349,950
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	0
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	4,495,577	9,464,713
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	3,967,166	4,623,042
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	3,967,166	4,623,042
19	Revenue less expenses. Subtract line 18 from line 12.......	528,411	4,841,671
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	87,040,511	85,739,667
21	Total liabilities (Part X, line 26).............	21,251,051	19,875,742
22	Net assets or fund balances. Subtract line 21 from line 20.....	65,789,460	65,863,925

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 4,160,738 including grants of $ 0 ) (Revenue $ 6,114,763 )
	EXPENSES INCURRED IN FUNCTIONING AS THE TAX-EXEMPT PARENT ORGANIZATION OF A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM WHICH INCLUDES INSPIRA MEDICAL CENTERS, INC. AND INSPIRA MEDICAL CENTER WOODBURY, INC.; BOTH RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT HOSPITAL ORGANIZATIONS THAT PROVIDE 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 SCHEDULE O FOR THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses4,160,738

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)			(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
(A) Name and Title
(18) THOMAS P BALDOSARO CPA........................................................................ EVP/CHIEF FINANCIAL OFFICER	55.0 .......................0.0	X		0	549,998	127,747
(19) ALKA KOHLI MD MBA........................................................................ EVP/CHIEF POP HEALTH OFFICER	55.0 .......................0.0		X	0	587,228	142,491
(20) ROBERT E FLORENTINE........................................................................ SVP/CHIEF PEOPLE OFFICER	55.0 .......................0.0		X	0	411,136	134,299
(21) MATTHEW DOONAN ESQ........................................................................ GENERAL COUNSEL	55.0 .......................0.0		X	0	381,394	79,215
(22) THOMAS PACEK........................................................................ VP/CHIEF INFORMATION OFFICER	55.0 .......................0.0		X	0	369,717	76,816

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	4,141,953	1,420,814

(A) Name and business address	(B) Description of services	(C) Compensation
GHIORSI SORRENTI INC, 255 MADISON AVENUE WYCKOFF,NJ07481	CONSULTING	323,319




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 1

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

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

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		0

		Business Code
2a	RENTAL INCOME FROM TAX-EXEMPT AFFILIATES	531190	800,121	800,121
b	OTHER PROGRAM REVENUE	622110	5,314,642	5,314,642
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		6,114,763

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,253,657			1,253,657
4 Income from investment of tax-exempt bond proceeds			0
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)	0	0
d	Net rental income or (loss)......			0
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		2,096,293
b	Less: cost or other basis and sales expenses
c	Gain or (loss)		2,096,293
d	Net gain or (loss).....			2,096,293			2,096,293
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a		0
b	Less: direct expenses ...b		0
c	Net income or (loss) from gaming activities..			0
10a	Gross sales of inventory, less returns and allowances ..
	a		0
b	Less: cost of goods sold ..b		0
c	Net income or (loss) from sales of inventory..			0
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			0
12	Total revenue. See Instructions......			9,464,713	6,114,763		3,349,950

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	0
2	Grants and other assistance to domestic individuals. See Part IV, line 22	0
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	0
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	0
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	0
9	Other employee benefits .......	0
10	Payroll taxes ...........	0
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	30,024	27,022	3,002	0
c	Accounting ...........	0
d	Lobbying ...........	0
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	70,697	63,627	7,070
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	310,322	279,290	31,032
12	Advertising and promotion ....	0
13	Office expenses .......	41,477	37,329	4,148
14	Information technology ......	0
15	Royalties ..	0
16	Occupancy ...........	712,573	641,316	71,257
17	Travel ............	241,873	217,686	24,187
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	0
20	Interest ...........	307,323	276,591	30,732
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	23,649	21,284	2,365
23	Insurance ...	0
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	ALLOCATION OF PERSONNEL COSTS	2,670,178	2,403,160	267,018
b	REPAIRS & MAINTENANCE	28,207	25,387	2,820
c	DUES & SUBSCRIPTIONS	1,732	1,559	173
d	OTHER EXPENSES	184,987	166,487	18,500
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	4,623,042	4,160,738	462,304	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			0	1	0
2	Savings and temporary cash investments .........			738,161	2	1,158,291
3	Pledges and grants receivable, net ......			0	3	0
4	Accounts receivable, net .............			0	4	0
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 ........			0	8	0
9	Prepaid expenses and deferred charges ......			130,624	9	53,855
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	4,432,067
b	Less: accumulated depreciation	10b	247,710	4,187,740	10c	4,184,357
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 ..			81,178,928	13	79,470,118
14	Intangible assets ...............			0	14	0
15	Other assets. See Part IV, line 11 ...........			805,058	15	873,046
16	Total assets. Add lines 1 through 15 (must equal line 34)...			87,040,511	16	85,739,667

17	Accounts payable and accrued expenses .....	192,351	17	224,219
18	Grants payable ...	0	18	0
19	Deferred revenue .........	437,450	19	230,212
20	Tax-exempt bond liabilities .........	0	20	0
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 ..	14,278,284	23	14,278,284
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	6,342,966	25	5,143,027
26	Total liabilities. Add lines 17 through 25..	21,251,051	26	19,875,742

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	65,789,460	27	65,863,925
28	Temporarily restricted net assets ...........	0	28	0
29	Permanently restricted net assets	0	29	0
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	65,789,460	33	65,863,925
34	Total liabilities and net assets/fund balances ........	87,040,511	34	85,739,667

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No