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) EDGAR G GALLOWAY III...................................................................... CHAIRMAN - TRUSTEE	1.0 ................. 0.0	X	X	0	0	0
(2) BENJAMIN T GRIFFITH...................................................................... VICE CHAIRMAN - TRUSTEE	1.0 ................. 0.0	X	X	0	0	0
(3) EDWARD BETHEA...................................................................... SECRETARY/TREASURER - TRUSTEE	1.0 ................. 0.0	X	X	0	0	0
(4) JAMES M BONNER DO...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(5) JOHN B CATALANO MD...................................................................... TRUSTEE	2.0 ................. 0.0	X		5,500	0	0
(6) JOHN A DIANGELO...................................................................... TRUSTEE; PRESIDENT/CEO - IHN	55.0 ................. 0.0	X	X	1,155,507	0	723,733
(7) LAWRENCE M DIVIETRO JR...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(8) ROBERTA S FREITAG...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(9) DAVID GALETTO MD...................................................................... TRUSTEE	2.0 ................. 0.0	X		12,583	0	0
(10) JAMES E GEORGE MD JD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(11) KURT W KAULBACK MD...................................................................... TRUSTEE	55.0 ................. 0.0	X		0	698,539	27,954
(12) ROBIN LOVE VMD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(13) LAWRENCE A PEPPER JR ESQ...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(14) JORGE A PRIETO MD...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(15) PAUL J RITTER III...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(16) ALBERT A RUNDIO JR...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0
(17) PENNY SAGER-ROSSI...................................................................... TRUSTEE	1.0 ................. 0.0	X		0	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) JACK M SHIELDS MD........................................................................ TRUSTEE	2.0 .......................0.0	X				28,744	0
(19) KIMBERLY E WOOD........................................................................ TRUSTEE	1.0 .......................0.0	X				0	0
(20) MARK D GELERNT MD........................................................................ TRUSTEE (TERMED 4/1/18)	1.0 .......................0.0	X				0	0
(21) JACK C SHEPPARD JR........................................................................ TRUSTEE (TERMED 4/1/18)	1.0 .......................0.0	X				0	0
(22) MARVIN T WAY........................................................................ EVP OPERATIONS	55.0 .......................0.0		X			686,973	136,513
(23) THOMAS P BALDOSARO CPA........................................................................ EVP/CHIEF FINANCIAL OFFICER	55.0 .......................0.0		X			549,998	127,747
(24) ALKA KOHLI MD MBA........................................................................ EVP/CHIEF POP HEALTH OFFICER	55.0 .......................0.0			X		587,228	142,491
(25) ELIZABETH A SHERIDAN........................................................................ COO - IMC ELMER & VINELAND	55.0 .......................0.0			X		493,605	103,313
(26) STEVEN C LINN MD........................................................................ CHIEF MEDICAL OFFICER	55.0 .......................0.0			X		467,227	91,417
(27) ROBERT E FLORENTINE........................................................................ SVP/CHIEF PEOPLE OFFICER	55.0 .......................0.0			X		411,136	134,299
(28) MATTHEW DOONAN ESQ........................................................................ GENERAL COUNSEL	55.0 .......................0.0			X		381,394	79,215
(29) THOMAS PACEK........................................................................ VP/CHIEF INFORMATION OFFICER	55.0 .......................0.0			X		369,717	76,816
(30) DAVID YHLEN........................................................................ COO-IMC BRIDGETON/VP AMB svcs.	55.0 .......................0.0			X		336,516	70,977
(31) CHRISTOPHER TROTZ MD........................................................................ EXECUTIVE MEDICAL DIRECTOR	55.0 .......................0.0				X	466,149	62,207
(32) SCOTT WAGNER MD MBA........................................................................ CHIEF MED OFFICER - WOODBURY	55.0 .......................0.0				X	359,480	65,226
(33) GREGORY HERMAN........................................................................ CHIEF MED INFORMATION OFFICER	55.0 .......................0.0				X	356,643	31,171
(34) PATRICK NOLAN........................................................................ CHIEF OPERATING OFFICER - IMCW	55.0 .......................0.0				X	309,993	64,838
(35) CLARE SAPIENZA-ECK........................................................................ VP BUSINESS DEV & PLANNING	55.0 .......................0.0				X	309,081	91,995

(A) Name and business address	(B) Description of services	(C) Compensation
REGIONAL DIAGNOSTIC IMAGING LLC, PO BOX 2089 VINELAND,NJ08360	RADIOLOGY	6,885,394
REHABCARE GROUP INC, PO BOX 502096 ST LOUIS,MO631502096	REHABILITATION	4,960,782
ATOS DIGITAL HEALTH SOLUTIONS INC, PO Box 78000 DETROIT,MI48278	IT	4,906,563
Center For Family Guidance, PO Box 306 MARLTON,NJ08053	MEDICAL	4,368,261
QUEST DIAGNOSTICS, PO BOX 828669 PHILADELPHIA,PA19182	LABORATORY	4,240,965
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 127

- 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.
right arrow

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 MEDICAL CENTERS INC

Employer identification number

21-0634484

Part I

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

The organization is not a private foundation because it is: (For lines 1 through 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 ...............................

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

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


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 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.

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?

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

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

Section E. Type III Functionally-Integrated Supporting Organizations

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

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

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

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

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

Yes

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

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

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

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

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

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

Additional Data

Software ID:
Software Version:

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

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

OMB No. 1545-0047

2018

Name of the organization

INSPIRA MEDICAL CENTERS INC

Employer identification number

21-0634484

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

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

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

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

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

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization INSPIRA MEDICAL CENTERS INC

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization INSPIRA MEDICAL CENTERS INC		Employer identification number 21-0634484

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization INSPIRA MEDICAL CENTERS INC			Employer identification number 21-0634484
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

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

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

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

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

OMB No. 1545-0047

2018

Open to Public
Inspection

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

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

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

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

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

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

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

Name of the organization

INSPIRA MEDICAL CENTERS INC

Employer identification number

21-0634484

Part I-A

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

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

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

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

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

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

Yes No

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

Yes No

If "Yes," describe in Part IV.

Part I-C

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

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

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

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

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

Yes No

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

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

Page 2

Part II-A

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

A Check SchCMd Bullet

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

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

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

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

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

Page 3

Part II-B

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

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

(a)

Yes

(b)

Amount

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

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

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

Yes

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

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

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

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

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

Yes

106,786

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

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

Yes

52,500

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

159,286

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

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

Part IV

Supplemental Information

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

Return Reference	Explanation
SCHEDULE C, PART II-B; LINES 1G & 1I	DURING 2018, THE ORGANIZATION PAID AN INDEPENDENT OUTSIDE LOBBYING FIRM A TOTAL OF $63,000 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. IN ADDITION, THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO THE VP OF GOVERNMENT & EXTERNAL RELATIONS TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $52,500 DURING 2018. THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION, AND THE NEW JERSEY BUSINESS & INDUSTRY ASSOCIATION WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS (INSPIRA MEDICAL CENTER VINELAND, INSPIRA MEDICAL CENTER ELMER AND INSPIRA MEDICAL CENTER WOODBURY). A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $43,786 DURING 2018. THIS ORGANIZATION IS ALSO A MEMBER OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. TO WHICH IT PAID DUES IN THE AMOUNT OF $31,500 IN 2018. ONE OF THE FUNCTIONS OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. IS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ITS MEMBER HOSPITALS.

Return Reference

Explanation

SCHEDULE C, PART II-B; LINES 1G & 1I

DURING 2018, THE ORGANIZATION PAID AN INDEPENDENT OUTSIDE LOBBYING FIRM A TOTAL OF $63,000 FOR LOBBYING ON A FEDERAL AND STATE LEVEL RELATED TO MEDICARE, MEDICAID AND OTHER HEALTHCARE LEGISLATIVE MATTERS. IN ADDITION, THE ORGANIZATION HAS ALLOCATED TOWARD LOBBYING ACTIVITY A PERCENTAGE OF COMPENSATION PAID TO THE VP OF GOVERNMENT & EXTERNAL RELATIONS TO REPRESENT TIME SPENT ADDRESSING FEDERAL AND STATE HEALTHCARE MATTERS. THIS ALLOCATION AMOUNTED TO $52,500 DURING 2018. THE ORGANIZATION IS A MEMBER OF THE NEW JERSEY HOSPITAL ASSOCIATION, THE AMERICAN HOSPITAL ASSOCIATION, AND THE NEW JERSEY BUSINESS & INDUSTRY ASSOCIATION WHICH ALL ENGAGE IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBER HOSPITALS (INSPIRA MEDICAL CENTER VINELAND, INSPIRA MEDICAL CENTER ELMER AND INSPIRA MEDICAL CENTER WOODBURY). A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $43,786 DURING 2018. THIS ORGANIZATION IS ALSO A MEMBER OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. TO WHICH IT PAID DUES IN THE AMOUNT OF $31,500 IN 2018. ONE OF THE FUNCTIONS OF FAIR SHARE HOSPITALS COLLABORATIVE, INC. IS TO ENGAGE IN LOBBYING ACTIVITIES PERFORMED ON BEHALF OF ITS MEMBER HOSPITALS.

Schedule C (Form 990 or 990EZ) 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 MEDICAL CENTERS INC

Employer identification number

21-0634484

Part I

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

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

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 ....	8,145,527	5,899,000	5,950,914	6,581,000	6,385,000
b	Contributions ...	687,578	2,154,773	10,597	-103,045	16,000
c	Net investment earnings, gains, and losses	-407,441	325,454	66,707	-100,514	190,000
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	3,651,088	233,700	129,218	426,527	10,000
f	Administrative expenses ....
g	End of year balance ......	4,774,576	8,145,527	5,899,000	5,950,914	6,581,000

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

100.000 %

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 .....	8,241,350		8,241,350
b	Buildings ....	288,943,799	109,716,925	179,226,874
c	Leasehold improvements	1,208,727	1,162,207	46,520
d	Equipment ....	354,781,669	273,657,516	81,124,153
e	Other .....	7,292,841	3,169,504	4,123,337
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				272,762,234

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)PERPETUAL TRUSTS	4,428,916	F
(2)OREGANIZATION	3,583,808	F
(3)JOINT VENTURES	8,539,094	F
(4)EXTERNALLY DESIGNATED	9,070,866	F
(5)LIMITED USE	10,689,104	F
(6)LIMITED USE	280,841,578	F
(7)LIMITED USE	138,898,136	F
(8)COMINGLED FUNDS; LIMITED USE	7,132,579	F
(9)INVESTMENT IN SUBSIDIARIES	-393,880	F
(10)BOND INDENTURE AGREEMENTS	2,684,337	F
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	465,474,538

Part IX

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

(a) Description				(b) Book value
(1) ORGANIZATIONS				90,934,923
(2) RECEIVABLE				11,668,830
(3) OTHER RECEIVABLES				2,962,623
(4) OTHER ASSETS				153,037
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				105,719,413

Part X

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

1.(a) Description of liability	(b) Book value
(1) Federal income taxes	0
ACCRUED INTEREST PAYBLE	4,025,109
THIRD-PARTY PAYORS	35,720,392
ACCRUED RETIREMENT BENEFITS	8,394,687
OTHER LONG-TERM LIABILITIES	33,471,014
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	81,611,202
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, PART V; QUESTION 4

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

SCHEDULE D, PART X, LINE 2

THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF INSPIRA HEALTH NETWORK AND RELATED ENTITIES FOR THE YEARS ENDED DECEMBER 31, 2018 AND DECEMBER 31, 2017; RESPECTIVELY. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE SYSTEM'S 2018 AUDITED CONSOLIDATED FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE NETWORK ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2018 AND 2017.

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 MEDICAL CENTERS INC

Employer identification number

21-0634484

Part I

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

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	0	0	Program Services	FINANCIAL VEHICLE	1,128,458
















3a	Sub-total .....	0	0			1,128,458
b	Total from continuation sheets to Part I ...
c	Totals (add lines 3a and 3b)	0	0			1,128,458

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	THIS ORGANIZATION PAID JUNO ASSURANCE, LTD. ("JUNO"), A FINANCIAL VEHICLE, $1,128,458 ON BEHALF OF AND FOR THE BENEFIT OF THIS ORGANIZATION. ADDITIONALLY, THIS ORGANIZATION PAID JUNO $6,625,075 FOR THE BENEFIT OF CERTAIN RELATED ORGANIZATIONS INCLUDED BELOW: INSPIRA HEALTH NETWORK, INC. - $4,428,413; INSPIRA MEDICAL CENTER WOODBURY, INC. - $41,646; INSPIRA HEALTH NETWORK LIFE, INC. - $27,744; INSPIRA HEALTH NETWORK MEDICAL GROUP, P.C - $1,741,272; AND INSPIRA HEALTH NETWORK URGENT CARE, P.C - $386,000. THIS ORGANIZATION ALLOCATES THESE PAYMENTS TO EACH AFFILIATE VIA AN INTERCOMPANY ACCOUNT. IN ADDITION, THE TAX-EXEMPT AFFILIATES INCLUDED ABOVE REPORT THEIR ALLOCATED PORTION WITHIN SCHEDULE F OF THEIR FEDERAL FORM 990.

Schedule F (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

INSPIRA MEDICAL CENTERS INC

Employer identification number

21-0634484

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other %

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

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

Yes

200% 250% 300% 350% 400% Other 550 %

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

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

Yes

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

Yes

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

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

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

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

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

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	5,470,923	884,239	4,586,684	1.070 %
b	Medicaid (from Worksheet 3, column a) . . . . .	30,944,727	21,083,074	9,861,653	2.300 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	12,325,311	3,450,119	8,875,192	2.070 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	48,740,961	25,417,432	23,323,529	5.440 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	4,493,853	877,959	3,615,894	0.840 %
f	Health professions education (from Worksheet 5) . . .	675,715	34,199	641,516	0.150 %
g	Subsidized health services (from Worksheet 6) . . . .	13,224,076	902,059	12,322,017	2.870 %
h	Research (from Worksheet 7) .	223,424	0	223,424	0.050 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	127,866	0	127,866	0.030 %
j	Total. Other Benefits . .	18,744,934	1,814,217	16,930,717	3.940 %
k	Total. Add lines 7d and 7j .	67,485,895	27,231,649	40,254,246	9.380 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

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

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	77,031		77,031	0.020 %
3	Community support	753,902	455,100	298,802	0.070 %
4	Environmental improvements	140		140
5	Leadership development and training for community members
6	Coalition building	59,913		59,913	0.020 %
7	Community health improvement advocacy	18,234		18,234
8	Workforce development
9	Other
10	Total	909,220	455,100	454,120	0.110 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

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

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

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

Section B. Medicare

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

112,669,625

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

122,751,000

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

-10,081,375

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

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

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1OAK & MAIN
2SURGICENTER LLC	MEDICAL SERVICES	85 %	15 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)						Facility reporting group
1	INSPIRA MEDICAL CENTER VINELAND 1505 WEST SHERMAN AVENUE VINELAND,NJ08360 WWW.INSPIRAHEALTHNETWORK.ORG 10603	X	X	X	X	1
2	INSPIRA MEDICAL CENTER ELMER 425/475 FRONT STREET ELMER,NJ08318 WWW.INSPIRAHEALTHNETWORK.ORG 11701	X	X		X	1

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	INSPIRA MEDICAL CENTERS
Name of hospital facility or letter of facility reporting group

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

Yes

Community Health Needs Assessment

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

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

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

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

Yes

6 a

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

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

Yes

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

Yes

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

Hospital facility’s website (list url): www.inspirahealthnetwork.org

Other website (list url):

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

Other (describe in Section C)

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

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

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

Yes

If "Yes" (list url): www.inspirahealthnetwork.org

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

10b

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

12a

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

12a

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

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	INSPIRA MEDICAL CENTERS
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

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

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.% and FPG family income limit for eligibility for discounted care of 550.%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

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

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

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

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

www.inspirahealthnetwork.org

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

www.inspirahealthnetwork.org

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

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

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

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

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

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

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	INSPIRA MEDICAL CENTERS
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

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

	INSPIRA MEDICAL CENTERS
Name of hospital facility or letter of facility reporting group

Yes

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

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCHEDULE H, PART V, SECTION B, QUESTION 5	IN ITS MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT ("CHNA") THIS ORGANIZATION TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY ITS HOSPITAL FACILITIES. INSPIRA MEDICAL CENTERS, INC. WORKED IN COLLABORTATION WITH HOLLERAN, AN INDEPENDENT RESEARCH AND CONSULTING FIRM TO CONDUCT RESEARCH IN SUPPORT OF THE CHNA. COMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE CHNA PROCESS. THE ORGANIZATION SOUGHT COMMUNITY INPUT THROUGH KEY INFORMANT INTERVIEWS WITH COMMUNITY LEADERS AND PARTNERS, FOCUS GROUP RESEARCH, AN ONLINE COMMUNITY SURVEY AVAILABLE TO ALL RESIDENTS, AND INCLUSION OF COMMUNITY LEADERS IN THE PRIORITIZATION AND IMPLEMENTATION PLANNING PROCESS. PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS SHARED KNOWLEDGE AND EXPERTISE ABOUT HEALTH ISSUES, AND LEADERS AND REPRESENTATIVES OF NON-PROFIT AND COMMUNITY-BASED ORGANIZATIONS PROVIDED INSIGHT ON THE COMMUNITY, INCLUDING THE MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. THE ORGANIZATION ISSUED TWO SEPARATE CHNAS FOR ITS TWO HOSPITAL FACILITIES, INSPIRA MEDICAL CENTER VINELAND AND INSPIRA MEDICAL CENTER - ELMER. IN AN EFFORT TO TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED, EACH HOSPITAL FACILITY CONDUCTED KEY INFORMANT INTERVIEWS, FOCUS GROUPS AND DISTRIBUTED AND ONLINE COMMUNITY SURVEY. INSPIRA MEDICAL CENTER VINELAND ================================= KEY INFORMANT INTERVIEWS ------------------------ KEY INFORMANTS WERE INTERVIEWED TO GATHER A COMBINATION OF QUANTITATIVE AND QUALITATIVE FEEDBACK THROUGH OPEN-ENDED QUESTIONS. KEY INFORMANTS WERE DEFINED AS COMMUNITY STAKEHOLDERS WITH EXPERT KNOWLEDGE AND INCLUDED PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS, SOCIAL SERVICE PROVIDERS, NON-PROFIT LEADERS, BUSINESS LEADERS, FAITH-BASED ORGANIZATIONS, COUNTY GOVERNMENT, AND OTHER COMMUNITY LEADERS. A FULL LISTING OF ALL KEY INFORMANTS AND THEIR AFFILIATED ORGANIZATIONS CAN BE FOUND IN APPENDIX B OF THE HOSPITAL FACILITYS CHNA. HOLLERAN STAFF WORKED WITH INSPIRA HEALTH NETWORK TO IDENTIFY KEY INFORMANT PARTICIPANTS AND DEVELOP THE KEY INFORMANT SURVEY. A TOTAL OF 41 KEY INFORMANTS COMPLETED THE SURVEY BETWEEN JANUARY AND MARCH, 2015. THE SURVEY ASSESSED THE MOST PRESSING ISSUES IN THE COMMUNITY, BARRIERS TO ACCESSING HEALTH CARE, THE IMPACT OF SOCIAL DETERMINANTS OF HEALTH, HOW TO BEST ADDRESS WELLNESS IN THE COMMUNITY, RESOURCES AND WELLNESS PROGRAMS IN THE COMMUNITY, AND UNDERSERVED POPULATIONS. FOCUS GROUPS ------------ FOCUS GROUPS WERE CONDUCTED AMONG CUMBERLAND COUNTY RESIDENTS TO GATHER QUALITATIVE FEEDBACK REGARDING ACCESS TO CARE, KEY HEALTH ISSUES, AND HEALTH EDUCATION AND COMMUNICATION. THE FOCUS GROUPS WERE CONDUCTED ON MARCH 25, 2015 AT TWO LOCATIONS. THE FIRST FOCUS GROUP WAS CONDUCTED AT THE CUMBERLAND COUNTY YMCA IN VINELAND WITH 17 REPRESENTATIVES FROM THE COMMUNITY. THE SECOND FOCUS GROUP WAS CONDUCTED AT THE CUMBERLAND COUNTY FAMILY SUCCESS CENTER IN PORT NORRIS WITH 20 REPRESENTATIVES FROM THE COMMUNITY. BOTH OF THE FOCUS GROUPS WERE CONDUCTED FOR APPROXIMATELY 90 MINUTES. THE RESULTS FOR THE FOCUS GROUPS ARE OFTEN PRESENTED BY LOCATION TO ACCURATELY REPRESENT THE COMMUNITY. PORT NORRIS IS AN ISOLATED SECTION OF THE COUNTY AND AS A RESULT, HAS SPECIFIC HEALTH ISSUES AND BARRIERS. HOLLERAN CREATED THE DISCUSSION GUIDE IN CONSULTATION WITH INSPIRA HEALTH NETWORK. THE DISCUSSION GUIDE CONSISTED OF 12 QUESTIONS DESIGNED TO ELICIT RESPONSES AND GROUP DISCUSSION AROUND THE CHOSEN HEALTH TOPICS. COMMUNITY SURVEY ---------------- THE HOSPITAL FACILITY, IN CONJUNCTION WITH HOLLERAN, USED A CUSTOMIZED SURVEY TOOL CONSISTING OF APPROXIMATELY 50 QUESTIONS TO ASSESS ACCESS TO HEALTH CARE, HEALTH STATUS AND BEHAVIORS AND HEALTH-RELATED COMMUNITY STRENGTHS AND OPPORTUNITIES. THE SURVEY TOOK APPROXIMATELY 15 TO 20 MINUTES TO COMPLETE. IN TOTAL, 461 RESIDENTS COMPLETED THE SURVEY. INSPIRA MEDICAL CENTER ELMER ============================== KEY INFORMANT INTERVIEWS ------------------------ KEY INFORMANTS WERE INTERVIEWED TO GATHER A COMBINATION OF QUANTITATIVE AND QUALITATIVE FEEDBACK THROUGH OPEN-ENDED QUESTIONS. KEY INFORMANTS WERE DEFINED AS COMMUNITY STAKEHOLDERS WITH EXPERT KNOWLEDGE AND INCLUDED PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS, SOCIAL SERVICE PROVIDERS, NON-PROFIT LEADERS, BUSINESS LEADERS, FAITH-BASED ORGANIZATIONS, COUNTY GOVERNMENT, AND OTHER COMMUNITY LEADERS. A FULL LISTING OF ALL KEY INFORMANTS AND THEIR AFFILIATED ORGANIZATIONS CAN BE FOUND IN APPENDIX B OF THE HOSPITAL FACILITYS CHNA. HOLLERAN STAFF WORKED WITH INSPIRA HEALTH NETWORK TO IDENTIFY KEY INFORMANT PARTICIPANTS AND DEVELOP THE KEY INFORMANT SURVEY. A TOTAL OF 28 KEY INFORMANTS COMPLETED THE SURVEY BETWEEN JANUARY AND MARCH, 2015. THE SURVEY ASSESSED THE MOST PRESSING ISSUES IN THE COMMUNITY, BARRIERS TO ACCESSING HEALTH CARE, THE IMPACT OF SOCIAL DETERMINANTS OF HEALTH, HOW TO BEST ADDRESS WELLNESS IN THE COMMUNITY, RESOURCES AND WELLNESS PROGRAMS IN THE COMMUNITY, AND UNDERSERVED POPULATIONS. FOCUS GROUPS ------------ FOCUS GROUPS WERE CONDUCTED AMONG SALEM COUNTY HEALTH AND SOCIAL SERVICE PROVIDERS TO GATHER QUALITATIVE FEEDBACK REGARDING ACCESS TO CARE, KEY HEALTH ISSUES, AND HEALTH EDUCATION AND COMMUNICATION. THE FOCUS GROUPS WERE CONDUCTED ON APRIL 13, 2015 AT TWO LOCATIONS. THE FIRST FOCUS GROUP WAS CONDUCTED AT THE SALEM HEALTH & WELLNESS FOUNDATION IN PENNS GROVE WITH 10 REPRESENTATIVES FROM THE COMMUNITY. THE SECOND FOCUS GROUP WAS CONDUCTED AT THE SALEM COUNTY FAMILY SUCCESS CENTER IN SALEM WITH FOUR REPRESENTATIVES FROM THE COMMUNITY. BOTH OF THE FOCUS GROUPS WERE CONDUCTED FOR APPROXIMATELY 90 MINUTES. HOLLERAN CREATED THE DISCUSSION GUIDE IN CONSULTATION WITH INSPIRA HEALTH NETWORK. THE DISCUSSION GUIDE CONSISTED OF 12 QUESTIONS DESIGNED TO ELICIT RESPONSES AND GROUP DISCUSSION AROUND THE CHOSEN HEALTH TOPICS. COMMUNITY SURVEY ---------------- THE HOSPITAL FACILITY, IN CONJUNCTION WITH HOLLERAN, USED A CUSTOMIZED SURVEY TOOL CONSISTING OF APPROXIMATELY 50 QUESTIONS TO ASSESS ACCESS TO HEALTH CARE, HEALTH STATUS AND BEHAVIORS AND HEALTH-RELATED COMMUNITY STRENGTHS AND OPPORTUNITIES. THE SURVEY TOOK APPROXIMATELY 15 TO 20 MINUTES TO COMPLETE. IN TOTAL, 176 RESIDENTS COMPLETED THE SURVEY.
SCHEDULE H, PART V, SECTION B, QUESTIONS 6A & 6B	INSPIRA MEDICAL CENTERS, INC. INCLUDES TWO HOSPITAL CAMPUSES, INSPIRA MEDICAL CENTER VINELAND & INSPIRA MEDICAL CENTER ELMER. THE ORGANIZATION ISSUED TWO SEPARATE CHNAS FOR ITS TWO HOSPITAL FACILITIES. IN ADDITION, THE ORGANIZATION CONTRACTED WITH HOLLERAN, AN INDEPENDENT RESEARCH AND CONSULTING FIRM LOCATED IN LANCASTER, PENNSYLVANIA, TO CONDUCT RESEARCH IN SUPPORT OF THE CHNA. HOLLERAN HAS 23 YEARS OF EXPERIENCE IN CONDUCTING PUBLIC HEALTH RESEARCH AND COMMUNITY HEALTH ASSESSMENTS. THE FIRM PROVIDED THE FOLLOWING ASSISTANCE: - COLLECTED AND INTERPRETED DATA FROM SECONDARY DATA SOURCES; - ANALYZED AND INTERPRETED DATA FROM KEY INFORMANT INTERVIEWS; - COLLECTED, ANALYZED, AND INTERPRETED DATA FROM FOCUS GROUPS; - CONDUCTED, ANALYZED, AND INTERPRETED DATA FROM THE ONLINE COMMUNITY SURVEY; AND - PREPARED EACH CHNA REPORT.
SCHEDULE H, PART V, SECTION B, QUESTION 7A	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 7A, IS THE HOME PAGE FOR THE SYSTEM. THE CHNA CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: WWW.INSPIRAHEALTHNETWORK.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
SCHEDULE H, PART V, SECTION B, QUESTION 10A	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 10A, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION ISSUED A JOINT IMPLEMENTATION STRATEGY FOR EACH OF THE INSPIRA HEALTH NETWORK HOSPITAL FACILITYS. THIS JOINT IMPLEMENTATION STRATEGY CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: WWW.INSPIRAHEALTHNETWORK.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENTS
SCHEDULE H, PART V, SECTION B, QUESTION 11	SINCE THE RESULTS OF EACH INSPIRA HOSPITAL FACILITY CHNA WERE ALMOST IDENTICAL, INSPIRA HEALTH NETWORK HAS CREATED ONE SET OF IMPLEMENTATION STRATEGIES ACROSS ITS HEALTH NETWORK WHICH INCLUDES ALL THREE OF ITS ACUTE CARE HOSPITALS. THE ORGANIZATION'S JOINT IMPLEMENTATION STRATEGY DESCRIBES THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE ORGANIZATIONS CHNAS. THROUGH THE ASSESSMENT OF ITS COMMUNITIES THE ORGANIZATION IDENTIFIED FOUR KEY PRIORITIES: ACCESS TO HEALTHCARE, CHRONIC DISEASE, SUBSTANCE ABUSE AND SOCIAL DETERMINANTS. THE ORGANIZATION PLANS TO TAKE THE FOLLOWING ACTIONS WITH RESPECT TO EACH IDENTIFIED COMMUNITY HEALTH NEED. THE ORGANIZATION HAS CREATED SUB-COMMITTEES WHICH ARE WORKING TOGETHER TO ESTABLISH ACTION PLANS FOR EACH OF THE IDENTIFIED COMMUNITY HEALTH NEEDS. THE SUB-COMMITTEES WILL ALSO DEFINE STRATEGIES AND MEASURE OUTCOMES OF IMPLEMENTED PROGRAMS. ACCESS TO HEALTHCARE -------------------- THE ORGANIZATION WILL EDUCATE AND OFFER ENROLLMENT ASSISTANCE TO THE ELIGIBLE POPULATION FOR NJ FAMILY CARE/AFFORDABLE CARE. THE ORGANIZATION WILL CONTINUE TO EDUCATE PATIENTS REGUARDING THE AVAILABILITY OF FINANCIAL ASSISTANCE AND PLANS TO CONTINUE TO TRACK ENROLLMENT FOR FINANCIAL ASSISTANCE ANNUALLY. THE ORGANIZATION WILL PROMOTE VARIOUS TRANSPORTATION PROGRAMS IN CUMBERLAND, SALEM AND GLOUCESTER COUNTY. THIS INCLUDES RESEARCHING ADDITIONAL TRANSPORTATION PROGRAMS TO SALEM COUNTY RESIDENTS VIA ALLIANCE MEMBER AGENCIES AND INFORMING PATIENTS ABOUT "PROMOTE PEOPLE FOR PEOPLE FOUNDATION OF GLOUCESTER COUNTY", A UNIQUE "HANDS ACROSS THE COUNTY" WEB SITE/DATA BASE PROGRAM THAT CONTAINS LINKS AND MATERIALS TO RESOURCES THROUGHOUT THE COUNTY, INCLUDING MANY TRANSPORTATION OPTIONS VIA ALLIANCE MEMBER AGENCIES. THE ORGANIZATION CURRENTLY PROMOTES THE "MY INSPIRA" APP WHICH OFFERS ONLINE APPOINTMENT SCHEDULING, ER WAIT TIMES, LOCATIONS MAP, SYMPTOM CHECKER, HEALTH LIBRARY AND MORE. THE ORGANIZATION PLANS TO CONTINUE TO INVESTIGATE FUTURE INNOVATIONS THAT WILL PROVIDE EASY ACCESS TO THE RESOURCES AVAILABLE IN ITS COMMUNITY. IN ADDITION, THE ORGANIZATION IS CURRENTLY IN DISCUSSION WITH THE NEW JERSEY QUALITY INSTITUTE FOR THEIR ASSISTANCE IN DEVELOPING A TECHNICAL RESOURCE GUIDE FOR PATIENTS TO USE. CHRONIC DISEASE --------------- THE ORGANIZATION IS TACKLING CANCER THROUGH ITS FRANK AND EDITH SCARPA REGIONAL CANCER PAVILION. THE FRANK AND EDITH SCARPA REGIONAL CANCER PAVILION IS A ONE-STOP EXPERIENCE FOR CANCER PATIENTS WITH CONSOLIDATED SERVICES INCLUDING MEDICAL AND RADIATION ONCOLOGY. HERE PATIENTS CAN RECEIVE THE LATEST AND HIGHEST QUALITY CANCER CARE IN THE REGION. THE CENTER OFFERS THE LATEST TECHNOLOGIES IN CANCER TREATMENTS. THROUGH A PARTNERSHIP WITH THE FOX CHASE CANCER CENTER, PHILADELPHIA, INSPIRA ALSO PROVIDES ADVANCED CANCER CARE THROUGH MORE THAN 30 NATIONAL CLINICAL TRIALS. THESE STUDIES TEST NEW TREATMENTS, DIAGNOSTIC TECHNIQUES AND METHODS FOR PREVENTING CANCER. THE ORGANIZATION IS ALSO THE LEAD PROVIDER FOR THE NJ CANCER EDUCATION AND EARLY DETECTION ("NJ CEED") PROGRAM IN CUMBERLAND COUNTY. THIS PROGRAM PROVIDES FREE CANCER SCREENING TESTS FOR BREAST, CERVICAL, COLON AND PROSTATE CANCER, FOR MEN AND WOMEN THAT MEET LIBERAL ELIGIBILITY REQUIREMENTS. THIS PROGRAM ALSO HAS A COMPONENT FOR TREATMENT OF CANCERS DIAGNOSED IN NJCEED PARTICIPANTS THROUGH A MEDICAID WAIVER APPLICATION. THIS PROGRAM ALSO OFFERS FREE SCREENINGS TO PROMOTE THE EARLY DETECTION OF CANCER, WHEN IT IS MOST TREATABLE. SCREENING PROGRAMS ALSO INCLUDE AN EDUCATIONAL COMPONENT DESIGNED TO HELP PEOPLE REDUCE THEIR CANCER RISK AND PROMOTE THE EARLY DETECTION OF CANCER. IN AN EFFORT TO ADDRESS DIABETES WITHIN THE COMMUNITY THE ORGANIZATION PLANS TO EXPAND ITS POST-DISCHARGE COACHING PROGRAM FOR CARDIAC AND DIABETIC PATIENTS. THE ORGANIZATION IS ALSO IN THE PROCESS OF DEVELOPING CONTINUED MEDICAL EDUCATION COURSES FOR PHYSICIANS ON DIABETES PREVENT AND SCREENINGS. FROM THESE INITATIVES THE ORGANIZATION HOPES TO IMPROVE HEALTH OUTCOMES, HEALTHY BEHAVIORS AND SELF-EFFICACY, DECREASE EMERGENCY ROOM VISITS AND HEALTHCARE COSTS ASSOCIATES WITH DIABETES AND IMPROVE A1C BLOOD GLUCOSE LEVELS OF ITS PATIENTS IN ITS PRIMARY SERVICE AREA. SUBSTANCE ABUSE --------------- THE ORGANIZATION IS WORKING TO TACKLE SUBSTANCE ABUSE, SPECIFICALLY PRESCRIPTION DRUG ABUSE. BEING ONE OF THE LARGEST HEALTHCARE PROVIDERS IN THIS AREA, THE ORGANIZATION IS EDUCATING ITS PRIMARY PHYSICIANS, HOSPICE CARE WORKERS, HOMECARE AGENCIES AND PALLIATIVE CARE EMPLOYEES ABOUT THE PRESCRIPTION DRUG ABUSE PROBLEM IN ITS PRIMARY SERVICE AREAS. THE ORGANIZATION IS OFFERING CONTINUING MEDICAL EDUCATION ON THE PRESCRIPTION MONITORING PROGRAM. THIS DATABASE COLLECTS PRESCRIPTION DATA ON CONTROLLED DANGEROUS SUBSTANCES AND ALLOWS PHYSICIANS TO PREVENT PATIENTS FROM GETTING EXCESS PRESCRIPTIONS. THE USE OF THIS DATABASE WILL PREVENT PHYSICIANS FROM WRITING UNNECESSARY PRESCRIPTIONS. THE ORGANIZATION ALSO PLANS TO PROMOTE THE PRESCRIPTION MONITORING PROGRAM AS A STEP FOR CREDENTIALING TO INSPIRA MEDICAL STAFF APPLICANTS. THE ORGANIZATION ALSO PLANS TO PROMOTE "SBIRT SCREENINGS" WHICH INCLUDES SCREENING, BRIEF INTERVENTION AND REFERRAL TO TREATMENT. THE ORGANIZATION WILL EDUCATE PRACTITIONERS ABOUT THE REVENUE STREAM FOR USING THIS TOOL AND AIMS TO INCREASE THE USE OF SBIRT SCREENINGS AMONG ITS EMERGENCY ROOM STAFF, PRIMARY CARE PHYSICIANS, COMMUNITY CLINICAL SETTINGS (I.E. COMPLETECARE AND FAMCARE) AND URGENT CARE CENTERS. LASTLY, THE ORGANIZATION PLANS TO REDUCE ACCESS TO PRESCRIPTION DRUG ABUSE THROUGH PROPER DISPOSAL. THE ORGANIZATION WILL EDUCATE THE MEDICAL COMMUNITY ABOUT THE AVAILABILITY AND LOCATION OF PRESCRIPTION DROP BOXES VIA CONTINUED MEDICAL EDUCATION COURSES. THEY WILL ALSO PROMOTE AWARENESS OF DETERRA, A DRUG DEACTIVATION SYSTEM THAT PROVIDES A SAFE AND ENVIRONMENTALLY RESPONSIBLE WAY TO DISPOSE OF PHARMACEUTICALS, AMONG FAMILIES OF ITS HOSPICE CARE PATIENTS. SOCIAL DETERMINANTS ------------------- FIVE MAJOR HEALTH SYSTEMS IN SOUTHERN NEW JERSEY (INSPIRA, COOPER, KENNEDY, VIRTUA AND OUR LADY OF LOURDES), THE NEW JERSEY HOSPITAL ASSOCIATION AND THE CAMDEN COALITION OF HEALTHCARE PROVIDERS HAVE LAUNCHED THE SOUTH JERSEY BEHAVIORAL HEALTH INNOVATION COLLABORATIVE ("SJBHIC") TO EVALUATE THE CURRENT BEHAVIORAL HEALTH LANDSCAPE AND PROVIDE INNOVATIVE RECOMMENDATIONS ON HOW TO IMPROVE THE SYSTEM. IN ORDER TO UNDERSTAND THE CHALLENGES IN THE CURRENT SYSTEM, THE COLLABORATIVE IS GATHERING DATA FROM THE FIVE PARTICIPATING HOSPITALS ON HOW PATIENTS FLOW THROUGH THEIR NETWORK OF PROVIDERS. THE COLLABORATIVE WILL THEN ANALYZE THE DATA AND APPLY EVIDENCE-BASED AND BEST PRACTICES ALONG WITH INNOVATIVE SYSTEM CHANGES THAT WILL BETTER SERVE INDIVIDUALS WITH BEHAVIORAL HEALTH CONDITIONS. THE ORGANIZATION IS WORKING IN COLLABORTATION WITH THE M25 "HOUSING FIRST" INITIATIVE. THE M25 INITIATIVE IS A NON-PROFIT IN CUMBERLAND COUNTY, NEW JERSEY CREATED FOR THE SOLE PURPOSE OF EQUIPPING AND EMPOWERING LOCAL CHURCH AND FAITH-BASED ORGANIZATIONS TO ENGAGE IN AN INNOVATIVE HOUSING FIRST PROGRAM TO END HOMELESSNESS IN THE COMMUNITY. HOUSING FIRST IS AN APPROACH TO QUICKLY AND SUCCESSFULLY CONNECT INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS TO PERMANENT HOUSING WITHOUT PRECONDITIONS AND BARRIERS TO ENTRY, SUCH AS SOBRIETY, TREATMENT OR SERVICE PARTICIPATION REQUIREMENTS. THE ORGANIZATION BELIEVES THAT THIS INITIATIVE HAS THE POTENTIAL TO REDUCE COSTS BY REVEALING MORE BENEFICIAL AND COST-EFFECTIVE WAYS FOR VULNERABLE INDIVIDUALS TO ENGAGE WITH PUBLIC SERVICES. IMPORTANTLY, THE BEHAVIORAL HEALTH COLLABORATIVE DATA WILL PROVIDE GUIDANCE CONCERNING WHAT INDIVIDUALS SHOULD BE CONSIDERED FOR HOUSING FIRST INTERVENTIONS AND WILL VALIDATE THE COMMUNITY SAVINGS ASSOCIATED WITH EACH HOUSING FIRST RECIPIENT. IN ADDITION, THE FOLLOWING INITIATIVES ARE AVAILABLE WITH THE COMMUNITY IN ORDER TO ADDRESS THE FOLLOWING SOCIAL DETERMINANTS: - THE CUMBERLAND COUNTY POSITIVE YOUTH DEVELOPMENT COALITION: THIS IS A RIDE ALONG PROGRAM WHICH PAIRS A MEMBER OF CLERGY WITH A PATROLMAN AND INTERFACES WITH FIRST-TIME JUVENILE OFFENDERS. - LIVE HEALTHY CUMBERLAND COUNTY: THE ORGANIZATION PLANS TO PROMOTE THE LIVE HEALTHY VINELAND SUMMER PARK PROGRAM WITH VARIOUS ACTIVITIES INCLUDING SUMMER PARK HOP, SCAVENGER HUNT, FAMILY VOLLEYBALL AND FAMILY YOGA. - SCHOOL WELLNESS & WORKSITE WELLNESS: THIS INITATIVE PLANS TO PROMOTE MORE PHYSICAL ACTIVITY AND NUTRICIAN, OFFER SCREENINGS IN SCHOOLS AND WORK-SITES AND PROVIDE INFORMATION ON HEALTHY FOOD PREPARATION. - HEALTHY CORNER STORE INITIATIVE: THE CORNER STORE INITIATIVE WILL PROMOTE HEALTHIER FOODS, WHOLE GRAINS AND LOW SODIUM ALTERNATIVES IN HIGH TRAFFIC AREAS OF THEIR STORES. THE ORGANIZATION WILL OFFER CARDIOVASCULAR SCREENINGS THREE TIMES PER YEAR TO PROMOTE AWARENESS AND CAMPAIGN TO CREATE CONSUMER CHANGE IN BEHAVIOR IN REGARDS TO PURCHASES. THE INITIATIVE AIMS TO PROVIDE MORE FRESH FRUITS AND VEGETABLES TO LOW INCOME RESIDENTS AND EDUCATE THEM ABOUT HEALTHY FOOD PREPARATION. THE ORGANI
SCHEDULE H, PART V, SECTION B, QUESTION 16	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). DUE TO CHARACTER LIMITATIONS, THE WEBSITE LISTED IN SCHEDULE H, PART V, SECTION B, QUESTION 16, IS THE HOME PAGE FOR THE SYSTEM. THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, FINANCIAL ASSISTANCE APPLICATION AND PLAIN LANGUAGE SUMMARY ARE MADE WIDELY AVAILABLE ON THE ORGANIZATION'S WEBSITE. THESE DOCUMENTS CAN BE ACCESSED AT THE FOLLOWING PAGE INCLUDED IN THE SYSTEM'S WEBSITE: WWW.INSPIRAHEALTHNETWORK.ORG/FAP

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?17
Name and address		Type of Facility (describe)
1	INSPIRA HEALTH CENTER BRIDGETON 333 IRVING AVENUE BRIDGETON,NJ08302	HEALTH CENTER, AMBULATORY CARE AND INPATIENT PSYCH
2	INSPIRA TOMLIN STATION IMAGING 201 TOMLIN STATION ROAD MULLICA HILL,NJ08062	OUTPATIENT SVCS - IMAGING
3	INSPIRA ELMER CHILD PARTIAL CARE 501 WEST FRONT STREET ELMER,NJ08318	OUTPATIENT SVCS - CHILD DEVELOPMENT
4	INSPIRA IMAGING CENTER OF DELSEA 352 SOUTH DELSEA DRIVE VINELAND,NJ08360	OUTPATIENT SVCS - IMAGING
5	INSPIRA WOUND CARE CENTER ELMER 501 WEST FRONT STREET ELMER,NJ08318	OUTPATIENT SVCS - WOUND CARE
6	INSPIRA IMAGING CENTER OF SOUTH DELSEA 2848 SOUTH DELSEA DRIVE VINELAND,NJ08360	OUTPATIENT SVCS - IMAGING
7	INSPIRA CHILD DEVELOPMENT CENTER 1138 EAST CHESTNUT STREET VINELAND,NJ08360	HOSPITAL & OUTPATIENT SVCS - CHILD DEVELOPMENT
8	INSPIRA VINELAND SLEEP CARE CENTER 1650 EAST CHESTNUT AVENUE VINELAND,NJ08361	OUTPATIENT SVCS - SLEEP CENTER
9	INSPIRA ELMER SLEEP CARE CENTER 445 WEST FRONT STREET ELMER,NJ08318	OUTPATIENT SVCS - SLEEP CENTER
10	INSPIRA IMAGING CENTER WEST SHERMAN MRI 994 WEST SHERMAN AVENUE VINELAND,NJ08361	HOSPITAL & OUTPATIENT SVCS - IMAGING
11	INSPIRA SPORTS REHABCARE WOOLWICH 100 LEXINGTON ROAD SUITE 130 SWEDESBORO,NJ08085	OUTPATIENT SVCS - REHABILITATION
12	INSPIRA EGG HARBOR SLEEP CARE CENTER 6712 WASHINGTON AVENUE EGG HARBOR TOWNSHIP,NJ08234	OUTPATIENT SVCS - SLEEP CENTER
13	INSPIRA IMAGING CENTER OF MILLVILLE 1001 NORTH HIGH STREET MILLVILLE,NJ08332	HOSPITAL & OUTPATIENT SVCS - IMAGING
14	INSPIRA HEALTH CENTER VINELAND 1038 CHESTNUT STREET VINELAND,NJ08360	OUTPATIENT SVCS - VARIOUS
15	INSPIRA SPORTS REHABCARE 1430 SHERMAN AVENUE VINELAND,NJ08360	OUTPATIENT SVCS - REHABILITATION
16	INSPIRA IMAGING CENTER OF MILLVILLE MRI 608 NORTH HIGH STREET MILLVILLE,NJ08332	OUTPATIENT SVCS - IMAGING
17	INSPIRA IMPACT PROGRAM 240 SOUTH 6TH STREET VINELAND,NJ08360	OUTPATIENT SVCS - VARIOUS

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

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

Form and Line Reference	Explanation
SCHEDULE H, PART I; LINE 3C	IN ADDITION TO THE FEDERAL POVERTY GUIDELINES, THE ORGANIZATION USES OTHER FACTORS IN DETERMINING ELIGIBILITY CRITERIA FOR FREE AND DISCOUNTED CARE. AS OUTLINED IN PART V, SECTION B, QUESTION 13, OTHER FACTORS TO DETERMINE ELIGIBILITY INCLUDE: - ASSET LEVEL; - MEDICAL INDIGENCY; - INSURANCE STATUS; - UNDERINSURANCE STATUS; AND - RESIDENCY. ADDITIONAL INFORMATION WITH RESPECT TO THE ORGANIZATION'S ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE IS OUTLINED BELOW. NEW JERSEY HOSPITAL CHARITY CARE PAYMENT ASSISTANCE PROGRAM ("CHARITY CARE") ------------------------------------------------------------------------- CHARITY CARE IS A NEW JERSEY PROGRAM IN WHICH FREE OR DISCOUNTED CARE IS AVAILABLE TO PATIENTS WHO RECEIVE INPATIENT AND OUTPATIENT SERVICES AT ACUTE CARE HOSPITALS THROUGHOUT THE STATE OF NEW JERSEY. HOSPITAL ASSISTANCE AND REDUCED CHARGE CARE ARE ONLY AVAILABLE FOR NECESSARY EMERGENCY OR OTHER MEDICALLY NECESSARY CARE. PATIENTS MAY BE ELIGIBLE FOR CHARITY CARE IF THEY ARE NEW JERSEY RESIDENTS WHO: 1) HAVE NO HEALTH COVERAGE OR HAVE COVERAGE THAT PAYS ONLY PART OF THE HOSPITAL BILL (UNINSURED OR UNDERINSURED); 2) ARE INELIGIBLE FOR ANY PRIVATE OR GOVERNMENTAL SPONSORED COVERAGE (SUCH AS MEDICAID); AND 3) MEET THE FOLLOWING INCOME AND ASSET ELIGIBILITY CRITERIA DESCRIBED BELOW. INCOME CRITERIA: PATIENTS WITH FAMILY GROSS INCOME LESS THAN OR EQUAL TO 200% OF FEDERAL POVERTY GUIDELINES ("FPG") ARE ELIGIBLE FOR 100% CHARITY CARE COVERAGE. PATIENTS WITH FAMILY GROSS INCOME GREATER THAN 200% AND LESS THAN OR EQUAL TO 300% OF FPG ARE ELIGIBLE FOR DISCOUNTED CARE. FREE CARE OR PARTIALLY COVERED CHARGES WILL BE DETERMINED BY USE OF THE NEW JERSEY DEPARTMENT OF HEALTH FEE SCHEDULE. IF PATIENTS ON THE 20% TO 80% SLIDING FEE SCALE ARE RESPONSIBLE FOR QUALIFIED OUT-OF-POCKET PAID MEDICAL EXPENSES IN EXCESS OF 30% OF THEIR GROSS ANNUAL INCOME (I.E. BILLS UNPAID BY OTHER PARTIES), THEN THE AMOUNT IN EXCESS OF 30% IS CONSIDERED HOSPITAL CARE PAYMENT ASSISTANCE. ASSET CRITERIA: CHARITY CARE INCLUDES ASSET ELIGIBILITY THRESHOLDS WHICH STATES THAT INDIVIDUAL ASSETS CANNOT EXCEED $7,500 AND FAMILY ASSETS CANNOT EXCEED $15,000 AS OF THE DATE OF SERVICE. CHARITY CARE MAY BE AVAILABLE TO NON-NEW JERSEY RESIDENTS, REQUIRING IMMEDIATE MEDICAL ATTENTION FOR AN EMERGENCY MEDICAL CONDITION. NEW JERSEY UNINSURED DISCOUNT (PUBLIC LAW 2008, C. 60) ------------------------------------------------------ UNINSURED PATIENTS WITH FAMILY GROSS INCOME LESS THAN 500% OF FPG MAY BE ELIGIBLE FOR DISCOUNTED CARE UNDER THIS PROGRAM. ELIGIBLE INDIVIDUALS MUST BE NEW JERSEY RESIDENTS. NJ FAMILYCARE ------------- NJ FAMILYCARE IS NEW JERSEY'S PUBLICLY FUNDED HEALTH INSURANCE PROGRAM WHICH INCLUDES CHIP, MEDICAID AND MEDICAID EXPANSION POPULATIONS. NJ FAMILYCARE IS A FEDERAL AND STATE FUNDED HEALTH INSURANCE PROGRAM CREATED TO HELP QUALIFIED NEW JERSEY RESIDENTS OF ANY AGE ACCESS TO AFFORDABLE HEALTH INSURANCE. NJ FAMILYCARE IS FOR PEOPLE WHO DO NOT HAVE EMPLOYER INSURANCE. FINANCIAL ELIGIBILITY FOR INDIVIDUALS SEEKING ELIGIBILITY FOR NJ FAMILYCARE WILL BE BASED ON THEIR MODIFIED ADJUSTED GROSS INCOME ("MAGI"). NJFAMILYCARE ELIGIBILITY GUIDELINES ARE ESTABLISHED BY THE STATE OF NEW JERSEY AND CAN BE FOUND AT WWW.NJFAMILYCARE.ORG. NEW JERSEY CANCER EDUCATION AND EARLY DETECTION ("NJCEED") ---------------------------------------------------------- THE NJCEED PROGRAM PROVIDES COMPREHENSIVE OUTREACH, EDUCATION AND SCREENING SERVICES FOR BREAST, CERVICAL, COLORECTAL AND PROSTATE CANCERS. A PATIENT MUST BE UNINSURED OR UNDERINSURED AND MUST HAVE FAMILY GROSS INCOME AT OR BELOW 250% OF FPG TO BE ELIGIBLE. ADDITIONAL INFORMATION CAN BE FOUND AT THE FOLLOWING WEBSITE: WWW.NJ.GOV/HEALTH/CANCER/NJCEED. CATASTROPHIC ILLNESS IN CHILDREN RELIEF FUND -------------------------------------------- THE CATASTROPHIC ILLNESS IN CHILDREN RELIEF FUND PROVIDES FINANCIAL ASSISTANCE TO FAMILIES OF CHILDREN WITH A CATASTROPHIC ILLNESS. IN ORDER TO BE ELIGIBLE, HOSPITAL EXPENSES MUST EXCEED 10% OF THE FAMILY'S GROSS INCOME, PLUS 15% OF ANY EXCESS INCOME OVER $100,000, THE CHILD MUST HAVE BEEN 21 YEARS OR YOUNGER WHEN THE MEDICAL EXPENSES WERE INCURRED AND THE FAMILY MUST HAVE LIVED IN NEW JERSEY FOR THREE MONTHS IMMEDIATELY PRIOR TO THE DATE OF APPLICATION. ADDITIONAL INFORMATION CAN BE FOUND AT THE FOLLOWING WEBSITE: WWW.STATE.NJ.US/HUMANSERVICES/CICRF/HOME. NEW JERSEY VICTIMS OF CRIME COMPENSATION OFFICE ----------------------------------------------- THE STATE OF NEW JERSEY HAS ESTABLISHED THE NEW JERSEY VICTIMS OF CRIME COMPENSATION OFFICE TO COMPENSATE VICTIMS OF CRIME FOR LOSSES AND EXPENSES, INCLUDING CERTAIN MEDICAL EXPENSES, RESULTING FROM CERTAIN CRIMINAL ACTS. IN ORDER TO BE ELIGIBLE FOR NEW JERSEY VICTIMS OF CRIME COMPENSATION OFFICE THE CRIME MUST HAVE OCCURRED IN NEW JERSEY OR MUST RELATE TO A NEW JERSEY RESIDENT VICTIMIZED OUTSIDE OF THE STATE, THE VICTIM MUST HAVE REPORTED THE CRIME TO POLICE WITHIN NINE MONTHS AND VICTIM MUST COOPERATE WITH THE INVESTIGATION AND PROSECUTION OF THE CRIME. THE CLAIM MUST BE FILED WITHIN THREE YEARS OF THE DATE OF THE CRIME AND THE PATIENT MUST BE AN INNOCENT VICTIM OF THE CRIME. ADDITIONAL INFORMATION CAN BE FOUND AT WWW.NJ.GOV/OAG/NJVICTIMS/INDEX.HTML HOSPITAL FINANCIAL ASSISTANCE PROGRAM/SUBSIDY PROGRAM ----------------------------------------------------- PATIENTS THAT DO NOT QUALIFY FOR ANY OF THE GOVERNMENT FUNDED PROGRAMS OR NEW JERSEY CHARITY CARE MAY ELECT TO BE SCREENED BY FINANCIAL COUNSELING FOR THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM/SUBSIDY PROGRAM. PATIENTS MAY BE ELIGIBLE FOR DISCOUNTS UNDER THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM/SUBSIDY PROGRAM IF THEIR FAMILY GROSS INCOME IS BETWEEN 225% AND 550% OF FPL. ADDITIONALLY, IF THESE PATIENTS HAVE ASSETS IN EXCESS OF $50,000 THEY MAY BE REQUIRED TO PROVIDE PROOF OF ASSETS. PURSUANT TO INTERNAL REVENUE CODE SECTION 501(R)(5), IN THE CASE OF EMERGENCY OR OTHER MEDICALLY NECESSARY CARE, FAP-ELIGIBLE PATIENTS WILL NOT BE CHARGED MORE THAN AN INDIVIDUAL WHO HAS INSURANCE COVERING SUCH CARE. PATIENTS MAY BE ELIGIBLE FOR THIS DISCOUNT IF THEY ARE UNINSURED AND HAVE FAMILY GROSS INCOME LESS THAN 550% OF FPG. ADDITIONALLY, UNDERINSURED PATIENTS MAY BE ELIGIBLE IF THEIR FAMILY GROSS INCOME IS GREATER THAN 200% BUT LESS THAN OR EQUAL TO 300% OF FPG.
SCHEDULE H, PART I; QUESTION 6A	NOT APPLICABLE.
SCHEDULE H, PART I; QUESTION 7	THE ORGANIZATION UTILIZED THE COST ACCOUNTING SYSTEM.
SCHEDULE H, PART II	COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY INSPIRA MEDICAL CENTERS, INC. ("IMC") IMPROVE THE MEDICAL AND SOCIOECONOMIC WELL-BEING OF OUR COMMUNITIES. THIS IS ACCOMPLISHED THROUGH SERVICE ON STATE AND REGIONAL ADVOCACY COMMITTEES AND BOARDS, VOLUNTEERISM WITH LOCAL COMMUNITY-BASED NON-PROFIT ADVOCACY GROUPS AND PARTICIPATION IN CONFERENCES AND OTHER EDUCATIONAL ACTIVITIES TO PROMOTE UNDERSTANDING OF THE ROOT CAUSES OF HEALTH CONCERNS. IMC PROVIDES EDUCATIONAL MATERIALS, CONDUCTS COMMUNITY HEALTH FAIRS AND HOLDS HEALTH EDUCATION SEMINARS AND OUTREACH SESSIONS FOR ITS PATIENTS, COMMUNITY AND PROVIDERS. PHYSICIANS, NURSES AND OTHER HEALTHCARE PROFESSIONALS DEDICATE THEIR KNOWLEDGE AND TIME TO INSURING THE COMMUNITY IS WELL EDUCATED ON TOPICS PROMOTING HEALTHY LIVING.
SCHEDULE H, PART III, SECTION A; QUESTION 4	THE FOOTNOTE BELOW EXPLAINS THE ORGANIZATIONS METHODOLOGY WITH RESPECT TO PATIENT ACCOUNTS RECEIVABLE. THE NETWORK ASSESSES COLLECTABILITY ON PATIENT CONTRACTS PRIOR TO THE RECOGNITION OF NET PATIENT SERVICE REVENUE. PATIENT ACCOUNTS RECEIVABLE, NET, ARE RECORDED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THE NETWORK HAS EXHAUSTED ALL COLLECTION EFFORTS AND DETERMINES ACCOUNTS ARE IMPAIRED BASED ON CHANGES IN CREDIT WORTHINESS.
SCHEDULE H, PART III, SECTION B; QUESTION 8	MEDICARE COSTS WERE DERIVED FROM THE 2018 MEDICARE COST REPORT. THE ORGANIZATION FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL), BAD DEBT AND ASSOCIATED COSTS ARE COMMUNITY BENEFIT AND ARE INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. AS OUTLINED MORE FULLY BELOW, THE ORGANIZATION BELIEVES THAT THESE SERVICES AND RELATED COSTS PROMOTE THE HEALTH OF THE COMMUNITY AS A WHOLE AND ARE RENDERED IN CONJUNCTION WITH THE ORGANIZATION'S CHARITABLE TAX-EXEMPT PURPOSES AND MISSION IN PROVIDING MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER WITHOUT REGARD TO RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY AND CONSISTENT WITH THE COMMUNITY BENEFIT STANDARD PROMULGATED BY THE IRS. THE COMMUNITY BENEFIT STANDARD IS THE CURRENT STANDARD FOR A HOSPITAL FOR RECOGNITION AS A TAX-EXEMPT AND CHARITABLE ORGANIZATION UNDER INTERNAL REVENUE CODE ("IRC") 501(C)(3). THE ORGANIZATION IS RECOGNIZED AS A TAX-EXEMPT ENTITY AND CHARITABLE ORGANIZATION UNDER 501(C)(3) OF THE IRC. ALTHOUGH THERE IS NO DEFINITION IN THE TAX CODE FOR THE TERM "CHARITABLE" A REGULATION PROMULGATED BY THE DEPARTMENT OF THE TREASURY PROVIDES SOME GUIDANCE AND STATES THAT "THE TERM CHARITABLE IS USED IN SECTION 501(C)(3) IN ITS GENERALLY ACCEPTED LEGAL SENSE,PROVIDES EXAMPLES OF CHARITABLE PURPOSES, INCLUDING THE RELIEF OF THE POOR OR UNPRIVILEGED; THE PROMOTION OF SOCIAL WELFARE; AND THE ADVANCEMENT OF EDUCATION, RELIGION, AND SCIENCE. NOTE IT DOES NOT EXPLICITLY ADDRESS THE ACTIVITIES OF HOSPITALS. IN THE ABSENCE OF EXPLICIT STATUTORY OR REGULATORY REQUIREMENTS APPLYING THE TERM "CHARITABLE" TO HOSPITALS, IT HAS BEEN LEFT TO THE IRS TO DETERMINE THE CRITERIA HOSPITALS MUST MEET TO QUALIFY AS IRC 501(C)(3) CHARITABLE ORGANIZATIONS. THE ORIGINAL STANDARD WAS KNOWN AS THE CHARITY CARE STANDARD. THIS STANDARD WAS REPLACED BY THE IRS WITH THE COMMUNITY BENEFIT STANDARD WHICH IS THE CURRENT STANDARD. CHARITY CARE STANDARD IN 1956, THE IRS ISSUED REVENUE RULING 56-185, WHICH ADDRESSED THE REQUIREMENTS HOSPITALS NEEDED TO MEET IN ORDER TO QUALIFY FOR IRC 501(C)(3) STATUS. ONE OF THESE REQUIREMENTS IS KNOWN AS THE "CHARITY CARE STANDARD." UNDER THE STANDARD, A HOSPITAL MUST PROVIDE, TO THE EXTENT OF ITS FINANCIAL ABILITY, FREE OR REDUCED-COST CARE TO PATIENTS WHO CANNOT PAY FOR SUCH SERVICES. A HOSPITAL THAT EXPECTED FULL PAYMENT DID NOT, ACCORDING TO THE RULING, PROVIDE CHARITY CARE BASED ON THE FACT THAT SOME PATIENTS ULTIMATELY FAILED TO PAY. THE RULING EMPHASIZED THAT A LOW LEVEL OF CHARITY CARE DID NOT NECESSARILY MEAN THAT A HOSPITAL HAD FAILED TO MEET THE REQUIREMENT SINCE THAT LEVEL COULD REFLECT ITS FINANCIAL ABILITY TO PROVIDE SUCH CARE. THE RULING ALSO NOTED THAT PUBLICLY SUPPORTED COMMUNITY HOSPITALS WOULD NORMALLY QUALIFY AS CHARITABLE ORGANIZATIONS BECAUSE THEY SERVE THE ENTIRE COMMUNITY AND A LOW LEVEL OF CHARITY CARE WOULD NOT AFFECT A HOSPITAL'S EXEMPT STATUS IF IT WAS DUE TO THE SURROUNDING COMMUNITY'S LACK OF CHARITABLE DEMANDS. COMMUNITY BENEFIT STANDARD IN 1969, THE IRS ISSUED REVENUE RULING 69-545, WHICH "REMOVED" FROM REVENUE RULING 56-185 "THE REQUIREMENTS RELATING TO CARING FOR PATIENTS WITHOUT CHARGE OR AT RATES BELOW COST." UNDER THE STANDARD DEVELOPED IN REVENUE RULING 69-545, WHICH IS KNOWN AS THE "COMMUNITY BENEFIT STANDARD," HOSPITALS ARE JUDGED ON WHETHER THEY PROMOTE THE HEALTH OF A BROAD CLASS OF INDIVIDUALS IN THE COMMUNITY. THE RULING INVOLVED A HOSPITAL THAT ONLY ADMITTED INDIVIDUALS WHO COULD PAY FOR THE SERVICES (BY THEMSELVES, PRIVATE INSURANCE, OR PUBLIC PROGRAMS SUCH AS MEDICARE), BUT OPERATED A FULL-TIME EMERGENCY ROOM THAT WAS OPEN TO EVERYONE. THE IRS RULED THAT THE HOSPITAL QUALIFIED AS A CHARITABLE ORGANIZATION BECAUSE IT PROMOTED THE HEALTH OF PEOPLE IN ITS COMMUNITY. THE IRS REASONED THAT BECAUSE THE PROMOTION OF HEALTH WAS A CHARITABLE PURPOSE ACCORDING TO THE GENERAL LAW OF CHARITY, IT FELL WITHIN THE "GENERALLY ACCEPTED LEGAL SENSE" OF THE TERM "CHARITABLE," AS REQUIRED BY THE DEPARTMENT OF TREASURY REG. 1.501(C)(3)-1(D)(2). THE IRS RULING STATED THAT THE PROMOTION OF HEALTH, LIKE THE RELIEF OF POVERTY AND THE ADVANCEMENT OF EDUCATION AND RELIGION, IS ONE OF THE PURPOSES IN THE GENERAL LAW OF CHARITY THAT IS DEEMED BENEFICIAL TO THE COMMUNITY AS A WHOLE EVEN THOUGH THE CLASS OF BENEFICIARIES ELIGIBLE TO RECEIVE A DIRECT BENEFIT FROM ITS ACTIVITIES DOES NOT INCLUDE ALL MEMBERS OF THE COMMUNITY, SUCH AS INDIGENT MEMBERS OF THE COMMUNITY, PROVIDED THAT THE CLASS IS NOT SO SMALL THAT ITS RELIEF IS NOT OF BENEFIT TO THE COMMUNITY. THE IRS CONCLUDED THAT THE HOSPITAL WAS "PROMOTING THE HEALTH OF A CLASS OF PERSONS THAT IS BROAD ENOUGH TO BENEFIT THE COMMUNITY" BECAUSE ITS EMERGENCY ROOM WAS OPEN TO ALL AND IT PROVIDED CARE TO EVERYONE WHO COULD PAY, WHETHER DIRECTLY OR THROUGH THIRD-PARTY REIMBURSEMENT. OTHER CHARACTERISTICS OF THE HOSPITAL THAT THE IRS HIGHLIGHTED INCLUDED THE FOLLOWING: ITS SURPLUS FUNDS WERE USED TO IMPROVE PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION AND RESEARCH; IT WAS CONTROLLED BY A BOARD OF TRUSTEES THAT CONSISTED OF INDEPENDENT CIVIC LEADERS; AND HOSPITAL MEDICAL STAFF PRIVILEGES WERE AVAILABLE TO ALL QUALIFIED PHYSICIANS. THE AMERICAN HOSPITAL ASSOCIATION ("AHA") FEELS THAT MEDICARE UNDERPAYMENTS (SHORTFALL) AND BAD DEBT ARE COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. THIS ORGANIZATION AGREES WITH THE AHA'S POSITION. AS OUTLINED IN THE AHA'S LETTER TO THE IRS DATED AUGUST 21, 2007 WITH RESPECT TO THE FIRST PUBLISHED DRAFT OF THE NEW FORM 990 AND SCHEDULE H, THE AHA FELT THAT THE IRS SHOULD INCORPORATE THE FULL VALUE OF THE COMMUNITY BENEFIT THAT HOSPITALS PROVIDE BY COUNTING MEDICARE UNDERPAYMENTS (SHORTFALL) AS QUANTIFIABLE COMMUNITY BENEFIT FOR THE FOLLOWING REASONS: - PROVIDING CARE FOR THE ELDERLY AND SERVING MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD - MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. FROM THE LATEST DATA PROVIDED BY THE AHA, AS OF 2017, MEDICARE REIMBURSES HOSPITALS ONLY 87 CENTS FOR EVERY DOLLAR THEY SPEND TO TAKE CARE OF MEDICARE PATIENTS. - MANY MEDICARE BENEFICIARIES, LIKE THEIR MEDICAID COUNTERPARTS, ARE POOR. MORE THAN 42 PERCENT OF MEDICARE SPENDING IS FOR BENEFICIARIES WHOSE INCOME IS BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL. MANY OF THOSE MEDICARE BENEFICIARIES ARE ALSO ELIGIBLE FOR MEDICAID -- SO CALLED ELIGIBLE." THERE IS EVERY COMPELLING PUBLIC POLICY REASON TO TREAT MEDICARE AND MEDICAID UNDERPAYMENTS SIMILARLY FOR PURPOSES OF A HOSPITAL'S COMMUNITY BENEFIT AND INCLUDE THESE COSTS ON FORM 990, SCHEDULE H, PART I. MEDICARE UNDERPAYMENT MUST BE SHOULDERED BY THE HOSPITAL IN ORDER TO CONTINUE TREATING THE COMMUNITY'S ELDERLY AND POOR. THESE UNDERPAYMENTS REPRESENT A REAL COST OF SERVING THE COMMUNITY AND SHOULD COUNT AS A QUANTIFIABLE COMMUNITY BENEFIT. BOTH THE AHA AND THIS ORGANIZATION ALSO FEEL THAT PATIENT BAD DEBT IS A COMMUNITY BENEFIT AND THUS INCLUDABLE ON THE FORM 990, SCHEDULE H, PART I. LIKE MEDICARE UNDERPAYMENT (SHORTFALLS), THERE ALSO ARE COMPELLING REASONS THAT PATIENT BAD DEBT SHOULD BE COUNTED AS QUANTIFIABLE COMMUNITY BENEFIT AS FOLLOWS: - A SIGNIFICANT MAJORITY OF BAD DEBT IS ATTRIBUTABLE TO LOW-INCOME PATIENTS, WHO, FOR MANY REASONS, DECLINE TO COMPLETE THE FORMS REQUIRED TO ESTABLISH ELIGIBILITY FOR HOSPITALS' CHARITY CARE OR THOSE WHO DO NOT PAY ALL, OR A PORTION OF THE ALREADY DISCOUNTED BILLED AMOUNTS UNDER OUR FINANCIAL ASSISTANCE POLICY. A 2006 CONGRESSIONAL BUDGET OFFICE ("CBO") REPORT, NONPROFIT HOSPITALS AND THE PROVISION OF COMMUNITY BENEFITS, CITED TWO STUDIES INDICATING THAT "THE GREAT MAJORITY OF BAD DEBT WAS ATTRIBUTABLE TO PATIENTS WITH INCOMES BELOW 200% OF THE FEDERAL POVERTY LINE." - THE REPORT ALSO NOTED THAT A SUBSTANTIAL PORTION OF BAD DEBT IS PENDING CHARITY CARE. UNLIKE BAD DEBT IN OTHER INDUSTRIES, HOSPITAL BAD DEBT IS COMPLICATED BY THE FACT THAT HOSPITALS FOLLOW THEIR MISSION TO THE COMMUNITY AND TREAT EVERY PATIENT THAT COMES THROUGH THEIR EMERGENCY DEPARTMENT, REGARDLESS OF ABILITY TO PAY. PATIENTS WHO HAVE OUTSTANDING BILLS ARE NOT TURNED AWAY, UNLIKE OTHER INDUSTRIES. BAD DEBT IS FURTHER COMPLICATED BY THE AUDITING INDUSTRY'S STANDARDS ON REPORTING CHARITY CARE. MANY PATIENTS CANNOT OR DO NOT PROVIDE THE NECESSARY, EXTENSIVE DOCUMENTATION REQUIRED TO BE DEEMED CHARITY CARE BY AUDITORS. AS A RESULT, ROUGHLY 40% OF BAD DEBT IS PENDING CHARITY CARE. THE CBO CONCLUDED THAT ITS FINDINGS "SUPPORT THE VALIDITY OF THE USE OF UNCOMPENSATED CARE [BAD DEBT AND CHARITY CARE] AS A MEASURE OF COMMUNITY BENEFIT" ASSUMING THE FINDINGS ARE GENERALIZABLE NATIONWIDE; THE EXPERIENCE OF HOSPITALS AROUND THE NATION REINFORCES THAT THEY ARE GENERALIZABLE. AS OUTLINED BY THE AHA, DESPITE THE HOSPITAL'S BEST EFFORTS AND DUE DILIGENCE, PATIENT BAD DEBT IS A PART OF THE HOSPITAL'S MISSION AND CHARITABLE PURPOSES. BAD DEBT REPRESENTS PART OF THE BURDEN HOSPITALS SHOULDER IN SERVING ALL
SCHEDULE H, PART III, SECTION B; QUESTION 9B	ACCOUNTS CONSIDERED TO BE FINANCIAL ASSISTANCE ARE NOT INCLUDED IN THE BAD DEBT EXPENSE, BUT RATHER, ACCOUNTED FOR AS AN ALLOWANCE. IT IS THE POLICY OF INSPIRA HEALTH NETWORK ("INSPIRA") TO TREAT ALL PATIENTS EQUALLY REGARDLESS OF INSURANCE AND THEIR ABILITY TO PAY. ADDITIONALLY, INSPIRA IS COMMITTED TO BILLING PATIENTS AND INSURANCE CARRIERS IN A MANNER THAT IS IN COMPLIANCE WITH ALL STATE, LOCAL AND FEDERAL REGULATIONS. THE ORGANIZATION'S BILLING AND COLLECTION POLICIES AND PROCEDURES ARE OUTLINED WITHIN THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY ("FAP"). THIS POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. ACCORDING TO INSPIRAS BILLING AND COLLECTION POLICY INSPIRA ABIDES BY THE FOLLOWING PROCEDURES WHEN PURSUING BILLING AND COLLECTION ACTIONS: BILLING PROCEDURES ------------------ UNTIL PATIENTS ARE DEEMED ELIGIBLE AND APPROVED FOR FINANCIAL ASSISTANCE UNDER THIS POLICY, INSPIRA WILL CONTINUE ITS NORMAL BILLING AND COLLECTION ACTIVITIES AS FOLLOWS: (1) INSPIRA WILL PROVIDE SUFFICIENT ACCOUNT FOLLOW-UP SERVICE TO ENSURE THAT INSURERS AND PATIENTS RECEIVE ACCURATE ACCOUNT AND BILLING INFORMATION. (2) PATIENTS WILL HAVE THE OPPORTUNITY TO MAKE PAYMENT AND/OR APPLY FOR FINANCIAL ASSISTANCE FOR ALL OUTSTANDING BALANCES. THE BILLING PROCESS IS PERFORMED IN ACCORDANCE WITH THE FOLLOWING GUIDELINES: - FOR ALL INSURED PATIENTS, INSPIRA BILLS ALL THIRD PARTY PAYER INFORMATION (AS PROVIDED BY OR VERIFIED BY THE PATIENT) ON A TIMELY BASIS. - IF A CLAIM IS DENIED (OR NOT PROCESSED) BY A PAYER DUE TO A HOSPITAL ERROR, INSPIRA WILL NOT BILL THE PATIENT FOR ANY AMOUNT IN EXCESS OF THAT FOR WHICH THE PATIENT WOULD HAVE BEEN LIABLE HAD THE PAYER PAID THE CLAIM. - AFTER CLAIMS ARE PROCESSED BY PAYERS, INSPIRA BILLS PATIENTS ON A TIMELY BASIS FOR THEIR RESPECTIVE LIABILITY AMOUNTS AS DETERMINED BY THEIR INSURERS. - ALL UNINSURED PATIENTS ARE BILLED DIRECTLY ON A TIMELY BASIS. - ACCOUNTS MAY BE REFERRED FOR COLLECTION IF THERE IS REASONABLE BASIS TO BELIEVE THAT THE PATIENT OWES THE DEBT. HOWEVER, ACCOUNTS MAY BE PLACED WITH A COLLECTION AGENCY NO SOONER THAN 120 DAYS FROM THE DATE OF FIRST POST-DISCHARGE BILLING STATEMENT ("NOTIFICATION PERIOD"). ACCOUNTS MAY BE REFERRED FOR COLLECTION IF ALL THIRD PARTY PAYERS HAVE BEEN PROPERLY BILLED BY INSPIRA AND THE REMAINING DEBT IS THE FINANCIAL RESPONSIBILITY OF THE PATIENT. THE ORGANIZATION SHALL NOT BILL A PATIENT FOR ANY AMOUNT THAT AN INSURANCE COMPANY IS OBLIGATED TO PAY UNLESS THE INSURANCE COMPANY IS REFUSING TO PAY THE AMOUNT PENDING ADDITIONAL INFORMATION OR COMMUNICATION FROM THE PATIENT. INSPIRA DOES NOT REFER ACCOUNTS FOR COLLECTION WHILE A CLAIM ON THE ACCOUNT IS STILL PENDING PAYER PAYMENT UNLESS THE PAYER IS REFUSING TO PAY THE AMOUNT PENDING ADDITIONAL INFORMATION OR COMMUNICATION FROM THE PATIENT. CUSTOMER SERVICE ---------------- DURING THE BILLING AND COLLECTION PROCESS, INSPIRA PROVIDES QUALITY CUSTOMER SERVICE BY COMPLYING WITH THE FOLLOWING GUIDELINES: (1) INSPIRA DOES NOT TOLERATE ABUSIVE, HARASSING, OFFENSIVE, DECEPTIVE, OR MISLEADING LANGUAGE OR CONDUCT BY ITS EMPLOYEES. (2) INSPIRA MAINTAINS A STREAMLINED PROCESS FOR PATIENT QUESTIONS AND DISPUTES, WHICH INCLUDES A PHONE NUMBER PATIENTS MAY CALL, EMAIL ADDRESS, AND A BUSINESS OFFICE ADDRESS TO WHICH THEY MAY WRITE. THIS INFORMATION WILL BE LISTED ON ALL PATIENT STATEMENTS. (3) AFTER RECEIVING A COMMUNICATION FROM THE PATIENT (BY PHONE, EMAIL, OR IN WRITING), INSPIRA STAFF WILL RETURN CALLS TO PATIENTS AS PROMPTLY AS POSSIBLE (BUT NO MORE THAN ONE BUSINESS DAY AFTER THE CALL, EMAIL OR LETTER WAS RECEIVED). (4) INSPIRA MAINTAINS A DAILY COMPLAINT AND ISSUE LOG OF PATIENTS COMPLAINTS. THE COMPLAINT AND ISSUE LOG WILL BE REVIEWED PERIODICALLY BY THE PATIENT ACCOUNTS MANAGER AND CASH SUPERVISOR AND THE INFORMATION PROVIDED WILL BE USED TO ENHANCE AND IMPROVE THE BILLING AND COLLECTIONS PROCESS. ALL PATIENTS MAY REQUEST AN ITEMIZED STATEMENT FOR THEIR ACCOUNTS AT ANY TIME. ALL PATIENTS WILL HAVE THE OPPORTUNITY TO CONTACT HOSPITAL REGARDING FINANCIAL ASSISTANCE FOR THEIR ACCOUNTS. COMPLIANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(6) ------------------------------------------------------- INSPIRA DOES NOT ENGAGE IN ANY EXTRAORDINARY COLLECTION ACTIVITIES ("ECAS") AS DEFINED BY INTERNAL REVENUE CODE SECTION 501(R) PRIOR TO THE END OF THE NOTIFICATION PERIOD. ONCE A COMPLETED FAP APPLICATION IS RECEIVED, HOSPITAL, OR ANY COLLECTION AGENCIES WORKING ON THEIR BEHALF, WILL: 1) SUSPENDED ANY ECAS AGAINST THE INDIVIDUAL; 2) MAKE AND DOCUMENT AN ELIGIBILITY DETERMINATION IN A TIMELY MANNER; 3) NOTIFY THE RESPONSIBLE PARTY OR INDIVIDUAL IN WRITING OF THE DETERMINATION AND BASIS FOR DETERMINATION; AND 4) IF DEEMED FAP-ELIGIBLE INSPIRA WILL: - PROVIDE A BILLING STATEMENT INDICATING THE AMOUNT THE FAP-ELIGIBLE INDIVIDUAL OWES, HOW THAT AMOUNT WAS DETERMINED AND HOW INFORMATION PERTAINING TO AMOUNTS GENERALLY BILLED MAY BE OBTAINED; AND - REFUND ANY EXCESS PAYMENTS MADE BY THE INDIVIDUAL. INSPIRA DOES NOT ENGAGE IN ANY ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE, SUCH AS BY DEMANDING THE EMERGENCY DEPARTMENT PATIENTS PAY BEFORE RECEIVING TREATMENT FOR EMERGENCY MEDICAL CONDITIONS OR BY PERMITTING DEBT COLLECTION ACTIVITIES IN THE EMERGENCY DEPARTMENT OR OTHER AREAS WHERE SUCH ACTIVITIES COULD INTERFERE WITH THE PROVISION OF EMERGENCY CARE ON A NON-DISCRIMINATORY BASIS.
SCHEDULE H, PART VI; QUESTION 2	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS OUTLINED IN SCHEDULE H, SECTION B, QUESTIONS 1-12 AND SECTION C, THIS ORGANIZATION CONDUCTS A REVIEW OF KEY FACTOR INFORMATION ANNUAL WHICH INCLUDES: A REVIEW OF HEALTHCARE UTILIZATION OF ITS SERVICE AREA POPULATION BY SERVICES (UROLOGY, CARDIOLOGY, OBSTETRICS, ETC.) FOR DETERMINING INCREASED OR DECREASED HEALTH NEEDS; HEALTHCARE SERVICES ESTIMATES AND FORECASTS (BOTH INPATIENT AND OUTPATIENT); ASSESSMENTS OF LOCAL DEMOGRAPHIC AND SOCIOECONOMIC INFORMATION; AND, A REVIEW OF HEALTH STATUS/NEEDS ASSESSMENTS AND STUDIES CONDUCTED BY EXTERNAL PARTIES. THE ORGANIZATION CONDUCTS AN EXTENSIVE SERVICE AREA PHYSICIAN NEEDS STUDY (BY PRIMARY AND SPECIALTY) EVERY THREE TO FIVE YEARS. SPECIFIC SPECIALTY NEEDS ARE CONDUCTED FOR IDENTIFIED GAPS IN SERVICE. THESE REVIEWS INFORM MEDICAL STAFF DEVELOPMENT AT THE MEDICAL CENTER TO ASSURE RESPONSIVENESS TO IDENTIFIED COMMUNITY NEEDS. THE ORGANIZATION COLLABORATES WITH COMMUNITY PARTNERS TO PLAN AND CONDUCT HEALTH NEEDS ASSESSMENTS TO ASSESS AND ADDRESS HEALTH NEEDS OF THE COMMUNITY IT SERVES. THE WIDE-BASED COLLABORATIVE PARTNERSHIP RETAINS AN OUTSIDE CONSULTING FIRM TO ASSESS COMMUNITY DATA AND PERCEPTION. COMMUNITY DATA IS COLLECTED FROM COUNTY HEALTH PROFILES, HEALTH STATISTICS, DEMOGRAPHICS, SOCIOECONOMIC DATA, PHONE SURVEYS, PAPER SURVEYS AND FOCUS GROUPS. FROM THOSE ASSESSMENTS, COMMUNITY HEALTH IMPROVEMENT PLANS ARE PUBLISHED IDENTIFYING THE SPECIFIC HEALTH PRIORITIES. THROUGH A PLANNED AND ORGANIZED EFFORT, THE GROUP WORKS COLLECTIVELY TO ADDRESS THE PRIORITIES BY TAPPING THE RESOURCES OF THE COMMUNITY AND COLLABORATING ON INITIATIVES. IMC ACTIVELY CONTRIBUTES TO THIS PROCESS AND ENGAGES IN THE IDENTIFIED PRIORITIES THAT MATCH ITS MISSION, EXPERTISE, RESOURCES AND CAPACITY. IN ADDITION TO THESE ORGANIZED NEEDS ASSESSMENT EFFORTS, ONGOING COMMUNITY MEETINGS WITH LOCAL PROVIDERS, LOCAL HEALTH DEPARTMENTS, LOCAL POLITICIANS, ORGANIZATIONS AND COMMUNITY LEADERS ARE SPONSORED BY THE HOSPITAL TO DISCUSS THE HEALTH NEEDS OF THE POPULATION.
SCHEDULE H, PART VI; QUESTION 3	IN ACCORDANCE WITH INTERNAL REVENUE CODE SECTION 501(R)(4) THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE BY WIDELY PUBLICIZING VARIOUS DOCUMENTS. THESE DOCUMENTS ARE WIDELY PUBLICIZED IN THE FOLLOWING WAYS: (1) THE FINANCIAL ASSISTANCE POLICY ("FAP"), FINANCIAL ASSISTANCE APPLICATION ("APPLICATION") AND PLAIN LANGUAGE SUMMERY ("PLS") ARE ALL AVAILABLE ON-LINE AT THE FOLLOWING WEBSITE: WWW.INSPIRAHEALTHNETWORK.ORG/FAP (2) PAPER COPIES OF THE FAP, APPLICATION AND THE PLS ARE AVAILABLE UPON REQUEST WITHOUT CHARGE BY MAIL AND ARE AVAILABLE IN AT VARIOUS AREAS THROUGHOUT THE HOSPITAL FACILITY WHICH INCLUDE THE HOSPITAL ADMISSIONS DEPARTMENT AND THE OUTPATIENT AND EMERGENCY ROOM REGISTRATION AREAS. (3) THE FAP, APPLICATION AND PLS ARE AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH ("LEP") THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY SERVED BY THE ORGANIZATIONS PRIMARY SERVICE AREA. (4) ALL PATIENTS ARE OFFERED A COPY OF THE PLS AS PART OF THE INTAKE PROCESS. ADDITIONALLY, SIGNS OR DISPLAYS ARE CONSPICUOUSLY POSTED IN PUBLIC MEDICAL CENTER LOCATIONS INCLUDING ALL ADMISSIONS/REGISTRATION AREAS AND THE EMERGENCY DEPARATMENT, THAT NOTIFY AND INFORM PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. ALL BILLING STATEMENTS INCLUDE CONSPICUOUS WRITTEN NOTICE WHICH INFORMS PATIENTS ABOUT THE AVAILABILITY OF FINANCIAL ASSISTANCE. INSPIRA ALSO INFORMS AND NOTIFIES MEMBERS OF THE COMMUNITY SERVED ABOUT THE FAP. INSPIRA ACCOMPLISHES THIS THROUGH THE CUMBERLAND/SALEM/GLOUCESTER HEALTH & WELLNESS ALLIANCE ("ALLIANCE") WHICH IS AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION FOR WHICH INSPIRA PLAYED AN INTEGRAL ROLE IN ORGANIZING. THE ALLIANCE HAS MORE THAN 40 MEMBERS COMPRISED OF SOCIAL SERVICE AGENCIES SCATTERED THROUGHOUT INSPIRAS PRIMARY SERVICE AREA OF CUMBERLAND, SALEM AND GLOUCESTER COUNTIES. THEY INCLUDE, BUT ARE NOT LIMITED TO, FEDERALLY QUALIFIED HEALTH CENTERS, YMCAS, UNITED WAYS, SCHOOL SYSTEMS, GATEWAY COMMUNITY ACTION PARTNERSHIP, THE LOCAL COUNTY COLLEGES, FAMCARE,INC., COUNTY PROSECUTORS OFFICE, SCRATCH COALITION (ADDICTION SERVICES), ROBINS NEST, LOCAL HEALTH DEPARTMENTS (MUNICIPAL AND COUNTY), CHAMBERS OF COMMERCE, FAMILY SUCCESS CENTERS, RUTGERS COOPERATIVE EXTENSION, NJ FAMILY PLANNING, THE SOUTHWEST COUNCIL, SOUTHERN NJ PERINATAL COOPERATIVE. THE ALLIANCE MEETS REGULARLY AND ASSISTS WITH DRAFTING AND IMPLEMENTATION OF OUR COMMUNITY HEALTH NEEDS ASSESSMENTS FOR ALL THREE COUNTIES WITHIN INSPIRAS PRIMARY MARKET.
SCHEDULE H, PART VI; QUESTION 4	INSPIRA HEALTH NETWORK IS A CHARITABLE, NOT-FOR-PROFIT HEALTH SYSTEM SERVING THE RESIDENTS OF SOUTHWEST NEW JERSEY. INSPIRA HEALTH NETWORK WAS ESTABLISHED IN NOVEMBER 2012 THROUGH THE MERGER OF SOUTH JERSEY HEALTHCARE AND UNDERWOOD-MEMORIAL HOSPITAL. THE NETWORK, WHICH TRACES ITS ROOTS TO 1899, NOW COMPRISES THREE HOSPITALS, FOUR MULTI-SPECIALTY HEALTH CENTERS, AND A TOTAL OF MORE THAN 60 LOCATIONS. THESE INCLUDE OUTPATIENT IMAGING AND REHABILITATION CENTERS; NUMEROUS SPECIALTY CENTERS, INCLUDING SLEEP MEDICINE, CARDIAC TESTING AND WOUND CARE; AND MORE THAN TWO DOZEN PRIMARY AND SPECIALTY PHYSICIAN PRACTICES IN CUMBERLAND, GLOUCESTER AND SALEM COUNTIES. WITH A MEDICAL STAFF OF MORE THAN 1,100 PHYSICIANS AND OTHER HEALTH CARE PROVIDERS, INSPIRA HEALTH NETWORK PROVIDES EVIDENCE BASED CARE TO HELP EACH PATIENT ACHIEVE THE BEST POSSIBLE OUTCOME. INSPIRA HEALTH NETWORK DEFINED THEIR CURRENT SERVICE AREA BASED ON AN ANALYSIS OF THE GEOGRAPHIC AREA WHERE INDIVIDUALS UTILIZING THEIR SERVICES RESIDE. INSPIRA HEALTH NETWORKS SERVICE AREA IS CONSIDERED TO BE THE CUMBERLAND, GLOUCESTER, AND SALEM COUNTY COMMUNITIES. THE COUNTIES ARE SITUATED IN THE SOUTHWESTERN PART OF NEW JERSEY AND ENCOMPASS A TOTAL POPULATION OF APPROXIMATELY 513,000. AS PART OF ITS COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, ONE OF THE INITIAL UNDERTAKINGS OF WAS TO CREATE A SECONDARY DATA PROFILE. THE SECONDARY DATA IS COMPRISED OF DATA OBTAINED FROM EXISTING RESOURCES AND INCLUDES DEMOGRAPHIC AND HOUSEHOLD STATISTICS, EDUCATION AND INCOME MEASURES, MORBIDITY AND MORTALITY RATES, AND HEALTH INDICATORS, AMONG OTHER DATA POINTS. THE DATA WAS GATHERED AND INTEGRATED INTO A GRAPHICAL REPORT TO PORTRAY THE CURRENT HEALTH AND SOCIO-ECONOMIC STATUS OF RESIDENTS IN ITS PRIMARY SERVICE AREAS. SECONDARY DATA WAS COLLECTED FROM REPUTABLE SOURCES INCLUDING THE U.S. CENSUS BUREAU, CENTERS FOR DISEASE CONTROL AND PREVENTION AND NEW JERSEY DEPARTMENT OF HEALTH. THE PROFILE DETAILS DATA COVERING THE FOLLOWING AREAS: POPULATION STATISTICS --------------------- - CUMBERLAND COUNTY: THE PROPORTION OF HISPANICS/LATINOS AND BLACK/AFRICAN AMERICANS IS 27.6% AND 22.8%; RESPECTIVELY. - SALEM COUNTY: THE PROPORTION OF HISPANICS/LATINOS AND BLACK/AFRICAN AMERICANS IS 7.2%; 15.4%; RESPECTIVELY. - CUMBERLAND COUNTY: THE PERCENTAGE OF PEOPLE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME IS 25.3%. - SALEM COUNTY: THE PERCENTAGE OF PEOPLE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME IS 7.2%. - SALEM COUNTY: THE MEDIAN AGE OF SALEM COUNTY RESIDENTS IS 41.1 YEARS OLD. 15.6% OF RESIDENTS ARE AGE 65 YEARS AND OLDER. HOUSEHOLD STATISTICS -------------------- - CUMBERLAND COUNTY: THE MEDIAN HOME VALUE IN CUMBERLAND COUNTY IS $168,900. - SALEM COUNTY: THE MEDIAN HOME VALUE IN SALEM COUNTY IS $190,200. - CUMBERLAND COUNTY: THE AVERAGE FAMILY SIZE 3.41 INDIVIDUALS. - SALEM COUNTY: THE AVERAGE FAMILY SIZE 3.15 INDIVIDUALS. - CUMBERLAND COUNTY: 41.1% OF RESIDENTS AGED 15 YEARS AND OVER ARE CURRENTLY MARRIED. - SALEM COUNTY: 48.8% OF RESIDENTS AGED 15 YEARS AND OVER ARE CURRENTLY MARRIED. - CUMBERLAND COUNTY: 62.7% OF RESIDENTS IN CUMBERLAND COUNTY SPEND MORE THAN 30% OF THEIR INCOME ON RENT. - SALEM COUNTY: 57.6% OF RESIDENTS IN SALEM COUNTY SPEND MORE THAN 30% OF THEIR INCOME ON RENT. HOUSEHOLDS THAT SPEND MORE THAN 30% OF THEIR INCOME ON HOUSING ARE AT RISK FOR FINANCIAL HARDSHIP. - CUMBERLAND COUNTY: 44% OF CUMBERLAND COUNTY HOUSEHOLDS ARE SINGLE-PARENT HOUSEHOLDS. - SALEM COUNTY: 38.7% OF SALEM COUNTY HOUSEHOLDS ARE SINGLE-PARENT HOUSEHOLDS. INCOME STATISTICS ----------------- - CUMBERLAND COUNTY: THE MEDIAN INCOME FOR HOUSEHOLDS AND FAMILIES IS $50,750 AND $60,338; RESPECTIVELY. - CUMBERLAND COUNTY: THE PROPORTION OF INDIVIDUALS AND FAMILIES LIVING IN POVERTY IS 17.5% AND 14.2%; RESPECTIVELY. - SALEM COUNTY: THE PROPORTION OF INDIVIDUALS AND FAMILIES LIVING IN POVERTY IS 12.4% AND 10.0%; RESPECTIVELY. - A HIGHER PROPORTION OF RESIDENTS IN CUMBERLAND COUNTY RECEIVE CASH PUBLIC ASSISTANCE (6%) AND FOOD STAMP/SNAP BENEFITS (15.9%) WHEN COMPARED TO SALEM (3.8% AND 11.0% RESPECTIVELY) COUNTIES AND NEW JERSEY (2.8% AND 7.8% RESPECTIVELY). - CUMBERLAND COUNTY HAS A NOTABLY POORER FOOD ENVIRONMENT WHEN COMPARED TO GLOUCESTER AND SALEM COUNTIES AND THE STATE. HOWEVER, SALEM COUNTY ALSO HAS A HIGH PERCENTAGE OF LOW-INCOME PRESCHOOL OBESITY AND CHILD FOOD INSECURITY. - CUMBERLAND COUNTY: 48% OF CUMBERLAND COUNTY STUDENTS ARE ELIGIBLE FOR THE FREE LUNCH PROGRAM. - SALEM COUNTY: 35.5% OF SALEM COUNTY STUDENTS ARE ELIGIBLE FOR THE FREE LUNCH PROGRAM. EMPLOYMENT STATISTICS --------------------- - CUMBERLAND COUNTY: UNEMPLOYMENT RATE = 9.2% IN 2014. - SALEM COUNTY: UNEMPLOYMENT RATE = 6.1% IN 2014. EDUCATION STATISTICS -------------------- - CUMBERLAND COUNTY: 77% OF RESIDENTS AGED 25 YEARS AND OVER IN CUMBERLAND COUNTY HAVE GRADUATED FROM HIGH SCHOOL. - SALEM COUNTY: 86% OF RESIDENTS AGED 25 YEARS AND OVER IN SALEM COUNTY HAVE GRADUATED FROM HIGH SCHOOL. - CUMBERLAND COUNTY: 14.3% OF RESIDENTS AGED 25 YEARS AND OVER IN CUMBERLAND COUNTY HAVE GRADUATED FROM COLLEGE. - SALEM COUNTY: 20.4% OF RESIDENTS AGED 25 YEARS AND OVER IN SALEM COUNTY HAVE GRADUATED FROM COLLEGE. COUNTY HEALTH RANKINGS ---------------------- - CUMBERLAND COUNTY RECEIVED THE WORST RANKING FOR HEALTH OUTCOMES, MORTALITY, QUALITY OF LIFE, HEALTH FACTORS AND BEHAVIORS, AND SOCIAL AND ECONOMIC FACTORS (21 OF 21) IN NEW JERSEY. - SALEM COUNTY RECEIVED POOR RANKINGS FOR HEALTH OUTCOMES AND MORTALITY (18 OF 21 AND 20 OF 21 RESPECTIVELY). THE RANKINGS ARE A RESULT OF HIGHER RATES OF PREMATURE DEATH AND CHILD MORTALITY. - ADULTS IN CUMBERLAND COUNTY ARE MORE LIKELY TO REPORT HAVING POOR OR FAIR HEALTH AND HAVE A HIGHER AVERAGE NUMBER OF POOR PHYSICAL AND MENTAL HEALTH DAYS. - DATA RELATED TO HEALTH BEHAVIORS IS POORER IN BOTH CUMBERLAND AND SALEM COUNTIES. ADULTS IN BOTH COUNTIES ARE MORE LIKELY TO SMOKE, BE PHYSICALLY INACTIVE, AND BE OBESE. - BOTH COUNTIES RECEIVED A POOR RANKING FOR CLINICAL CARE.
SCHEDULE H, PART VI; QUESTION 5	COMMUNITY BUILDING ACTIVITIES UNDERTAKEN BY THIS ORGANIZATION IMPROVE THE MEDICAL AND SOCIO-ECONOMIC WELL-BEING OF THE COMMUNITIES IN OUR CARE. THIS IS ACCOMPLISHED THROUGH NUMEROUS ACTIVITIES WHICH ARE NOT A PART OF PART I CHARITY CARE AND OTHER COMMUNITY BENEFITS, AND ARE NOT INCLUDED ELSEWHERE ON SCHEDULE H. THESE ACTIVITIES INCLUDE PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS SUCH AS EDUCATION, POVERTY, UNEMPLOYMENT, ACCESS TO CARE, HEALTH ADVOCACY AND ECONOMIC DEVELOPMENT. THIS ORGANIZATION HOLDS ANNUAL MEETINGS OPEN TO THE PUBLIC FOR BOTH HOSPITAL LOCATIONS IN VINELAND AND ELMER. THE ORGANIZATIONS GOVERNING BOARDS ARE COMPRISED OF BUSINESS PROFESSIONALS AND COMMUNITY MEMBERS ALL OF WHOM RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA WHO ARE NOT EMPLOYEES OF THE ORGANIZATION. THESE VOLUNTEERS PROVIDE COUNTLESS HOURS OF SERVICE TO THE HOSPITAL SYSTEM IN THEIR OVERSIGHT ROLE. ALL QUALIFIED PHYSICIANS IN THE COMMUNITY ARE EXTENDED MEDICAL STAFF PRIVILEGES BY THEIR RESPECTIVE DEPARTMENTS. UNDER THE DIRECTIVE OF THE ORGANIZATION'S CORPORATE FINANCE OFFICE, SURPLUS FUNDS ARE UTILIZED FOR CAPITAL PROJECTS TO IMPROVE SERVICES, PURCHASE EQUIPMENT, MAINTAIN ACCESS TO CARE TO A HISTORICALLY UNDERSERVED AND LOW-INCOME COMMUNITY AND IMPROVE ACCESS TO PATIENT SERVICES, WHICH IN TURN, BENEFIT THE COMMUNITY. THESE SERVICES INCLUDE, BUT NOT LIMITED TO, THE FOLLOWING: 1) EDUCATIONAL PROGRAMS THAT PROVIDE CLASSES AND INFORMATION ON HEALTHY AGING, CHILDBIRTH, INFANT CARE, EARLY PREGNANCY AND MORE; 2) FREE BLOOD PRESSURE AND DIABETES SCREENING, AND MAMMOGRAMS TO QUALIFYING INDIVIDUALS, FREE OR LOW-COST SCREENINGS FOR BREAST, PROSTATE, SKIN AND COLORECTAL CANCERS; 3) PREVENTATIVE HEALTH EDUCATION; 4) ACCESS TO SATELLITE EMERGENCY DEPARTMENT AND EXPANSION OF EMERGENCY DEPARTMENTS AT BOTH HOSPITALS TO ACCOMMODATE INCREASE IN EMERGENCY DEPARTMENT PATIENTS; 5) IMPROVED EFFICIENCY AND CLINICAL QUALITY; 6) INVESTMENT IN MEDICAL EDUCATION AND RESEARCH; AND 7) ACCESS TO ADVANCED TECHNOLOGY AND CLINICAL TRIALS FOR LATEST TREATMENTS. PLEASE ALSO REFER TO FORM 990, SCHEDULE O, WHICH CONTAINS THE ORGANIZATION'S COMMUNITY BENEFIT STATEMENT.
SCHEDULE H, PART VI; QUESTION 6	OUTLINED BELOW IS A SUMMARY OF THE ENTITIES WHICH COMPRISE THE INSPIRA HEALTH NETWORK: NOT-FOR-PROFIT INSPIRA HEALTH NETWORK ENTITIES ============================================== INSPIRA HEALTH NETWORK, INC. ---------------------------- INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT OF THE INSPIRA HEALTH NETWORK ("SYSTEM"). THIS INTEGRATED HEALTHCARE DELIVERY SYSTEM CONSISTS OF A GROUP OF AFFILIATED HEALTHCARE ORGANIZATIONS. THE SOLE MEMBER OR STOCKHOLDER OF EACH ENTITY IS EITHER THE NETWORK OR ANOTHER NETWORK AFFILIATE CONTROLLED BY THE NETWORK. THE NETWORK IS AN INTEGRATED NETWORK OF HEALTHCARE PROVIDERS THROUGHOUT THE STATE OF NEW JERSEY AND IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A SUPPORTING ORGANIZATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(3). INSPIRA MEDICAL CENTERS, INC. ----------------------------- INSPIRA MEDICAL CENTERS, INC. ("IMC") IS COMPRISED OF TWO ACUTE CARE AND TWO HOSPITAL-BASED AMBULATORY CARE CENTERS. INSPIRA MEDICAL CENTER VINELAND, LOCATED IN VINELAND, CUMBERLAND COUNTY, NEW JERSEY, IS A 276-BED ACUTE CARE FACILITY WITH 59 PSYCHIATRIC BEDS LOCATED AT INSPIRA HEALTH CENTER BRIDGETON. INSPIRA MEDICAL CENTERS ELMER IS A 96-BED ACUTE CARE FACILITY LOCATED IN ELMER, SALEM COUNTY, NEW JERSEY. IMC IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, IMC PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, IMC OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. INSPIRA MEDICAL CENTER WOODBURY, INC. ------------------------------------- INSPIRA MEDICAL CENTER WOODBURY, INC. ("IMCW") IS LOCATED IN WOODBURY, GLOUCESTER COUNTY, NEW JERSEY, IS A 305-BED ACUTE CARE FACILITY. IMCW IS RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, IMCW PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, IMCW OPERATES CONSISTENTLY WITH THE CRITERIA OUTLINED IN IRS REVENUE RULING 69-545. INSPIRA HOMECARE & HOSPICECARE, INC. ------------------------------------ INSPIRA HOMECARE & HOSPICECARE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION PROVIDES CARE AND SUPPORT FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. INSPIRA HEALTH NETWORK LIFE, INC. --------------------------------- INSPIRA HEALTH NETWORK LIFE, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(2). THE ORGANIZATION PROVIDES HEALTHCARE SERVICES IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. TRI-COUNTY CARDIOVASCULAR SERVICES, P.C. ---------------------------------------- TRI-COUNTY CARDIOVASCULAR SERVICES, P.C. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION. DURING 2016, THE ORGANIZATION TRANSFERRED ITS PERSONNEL AND OPERATIONS TO INSPIRA HEALTH NETWORK MEDICAL GROUP, P.C. PRIOR TO 2017, THE ORGANIZATION PROVIDED PHYSICIAN SERVICES IN SOUTHERN NEW JERSEY. THE ORGANIZATION IS CURRENTLY INACTIVE. INSPIRA HEALTH CONNECTIONS, P.C. -------------------------------- INSPIRA HEALTH CONNECTIONS, P.C. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION. DURING 2013, THE ORGANIZATION TRANSFERRED ITS PERSONNEL AND OPERATIONS TO INSPIRA HEALTH NETWORK MEDICAL GROUP, P.C. PRIOR TO 2014, THE ORGANIZATION PRACTICED MEDICINE, ENGAGED IN MEDICAL EDUCATION AND WORKED TO IMPROVE THE WELFARE OF INDIVIDUALS IN NEW JERSEY. THE ORGANIZATION IS CURRENTLY INACTIVE. INSPIRA HEALTH NETWORK FOUNDATION CUMBERLAND/SALEM, INC. -------------------------------------------------------- INSPIRA HEALTH NETWORK FOUNDATION CUMBERLAND/SALEM, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF INSPIRA HEALTH NETWORK, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. INSPIRA HEALTH NETWORK FOUNDATION GLOUCESTER COUNTY, INC. --------------------------------------------------------- INSPIRA HEALTH NETWORK FOUNDATION GLOUCESTER COUNTY, INC. IS AN ORGANIZATION RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS TAX-EXEMPT PURSUANT TO INTERNAL REVENUE CODE 501(C)(3) AND AS A NON-PRIVATE FOUNDATION PURSUANT TO INTERNAL REVENUE CODE 509(A)(1). THROUGH FUNDRAISING ACTIVITIES THE ORGANIZATION SUPPORTS THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES OF INSPIRA HEALTH NETWORK, INC., A RELATED INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION, THAT PROVIDES MEDICALLY NECESSARY HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. INSPIRA DEPTFORD HEALTHPARK, LLC -------------------------------- INSPIRA DEPTFORD HEALTHPARK, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY WHOSE SOLE MEMBER IS INSPIRA MEDICAL CENTER WOODBURY, INC. INSPIRA CARE CONNECT, LLC ------------------------- INSPIRA CARE CONNECT, LLC IS A LIMITED LIABILITY COMPANY FORMED IN THE STATE OF NEW JERSEY WHOSE SOLE MEMBER IS INSPIRA HEALTH NETWORK, INC. THE MISSION OF THIS ORGANIZATION IS TO ESTABLISH A GROUP OF COORDINATED HEALTHCARE PROVIDERS WHICH AGREE TO BE ACCOUNTABLE FOR THE QUALITY, COST AND OVERALL CARE FOR AN ASSIGNED GROUP OF MEDICARE BENEFICIARIES. FOR-PROFIT INSPIRA HEALTH NETWORK ENTITIES ========================================== BRIDGETON PHYSICIANS OFFICE CENTER, L.P. ---------------------------------------- BRIDGETON PHYSICIANS OFFICE CENTER, L.P. IS A PARTNERSHIP OWNED BY INSPIRA HEALTH NETWORK AFFILIATES. THIS ORGANIZATION ENGAGES IN REAL ESTATE ACTIVITY. GLOUCESTER COUNTY SURGERY CENTER, LLC ------------------------------------- GLOUCESTER COUNTY SURGERY CENTER, LLC IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP CONTROLLED BY RED BANK DEVELOPMENT CORPORATION. GLOUCESTER COUNTY SURGERY CENTER, LLC PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS. INSPIRA HEALTH PARTNERS, LLC ---------------------------- INSPIRA HEALTH PARTNERS, LLC IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP. THE ORGANIZATION IS A CLINICALLY INTEGRATED PHYSICAN-HOSPITAL ENTERPRISE WHICH IS DESIGNED TO ACHIEVE IMPROVEMENT IN HEALTHCARE QUALITY, EFFICIENCY AND COST. INSPIRA HEALTH NETWORK, INC. OWNS 51% OF INSPIRA HEALTH PARTNERS, LLC. OAK & MAIN SURGICENTER, LLC --------------------------- OAK & MAIN SURGICENTER, LLC IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP OWNED BY INSPIRA MEDICAL CENTERS, INC. THIS ORGANIZATION PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS. THE KIDNEY CENTER AT MILLVILLE, LLC ----------------------------------- THE KIDNEY CENTER AT MILLVILLE, LLC IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP. THIS ORGANIZATION PROVIDED HEALTHCARE SERVICES TO INDIVIDUALS. INSPIRA MEDICAL CENTERS, INC. OWNED 50% OF THE KIDNEY CENTER AT MILLVILLE, LLC. THIS ORGANIZATION WAS DISSOLVED IN 2018. THE KIDNEY CENTER AT VINELAND, LLC ---------------------------------- THE KIDNEY CENTER AT VINELAND, LLC IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP. THIS ORGANIZATION PROVIDED HEALTHCARE SERVICES TO INDIVIDUALS. INSPIRA MEDICAL CENTERS, INC. OWNED 50% OF THE KIDNEY CENTER AT VINELAND, LLC. THIS ORGANIZATION WAS DISSOLVED IN 2018. INSPIRA SJ URGENT CARE MANAGEMENT COMPANY, LLC ---------------------------------------------- INSPIRA SJ URGENT CARE MANAGEMENT COMPANY, LLC IS A LIMITED LIABILITY COMPANY TAXED AS A PARTNERSHIP. THIS ORGANIZATION MANAGES AND OPERATES URGENT CARE SERVICE CENTERS IN SOUTHERN NEW JERSEY. INSPIRA HEALTH MANAGEMENT CORPORATION, INC. OWNS 60.5% OF INSPIRA SJ URGENT CARE MANAGEMENT COMPANY, LLC. WOODBURY MEDICAL CENTER ASSOCIATES, LLP --------------------------------------- WOODBURY MEDICAL CENTER ASSOCIATES, LLP IS A LIMITED LIABILITY PARTNERS
SCHEDULE H, PART VI; QUESTION 7	NOT APPLICABLE. THE ENTITY AND RELATED PROVIDER ORGANIZATIONS ARE LOCATED IN NEW JERSEY. THE STATE OF NEW JERSEY DOES NOT REQUIRE HOSPITALS TO ANNUALLY FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW JERSEY.

Schedule H (Form 990) 2018

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

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

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

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
INSPIRA MEDICAL CENTERS INC

Employer identification number
21-0634484

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) THE M25 INITIATIVE 31 N PEARL STREET BRIDGETON,NJ08302	47-4644945	501(C)(3)	56,750	SPONSORSHIP
(2) COMMUNITY FOUNDATION OF NEW JERSEY 35 KNOX HILL ROAD MORRISTOWN,NJ07963	22-2281783	501(C)(3)	10,000	SPONSORSHIP
(3) VINELAND BOARD OF EDUCATION 61 WEST LANDIS AVENUE VINELAND,NJ08360			10,000	SPONSORSHIP

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2018

Page 2

Part III

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

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

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

Return Reference	Explanation
SCHEDULE I, PART I; QUESTION 2	GRANTS ARE MONITORED BY THE ORGANIZATION'S FINANCE PERSONNEL THROUGH THE UTILIZATION OF COST CENTERS AND OTHER INFORMATION; INCLUDING WRITTEN DOCUMENTATION AND RECEIPTS.

Schedule I (Form 990) 2018

Additional Data

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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 MEDICAL CENTERS INC

Employer identification number

21-0634484

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)	769,032 ------------- 0	291,840 ------------- 0	94,635 ------------- 0	694,621 ------------- 0	29,112 ------------- 0	1,879,240 ------------- 0	0 ------------- 0
2KURT W KAULBACK MD TRUSTEE	(i) (ii)	0 ------------- 439,326	0 ------------- 259,213	0 ------------- 0	0 ------------- 8,250	0 ------------- 19,704	0 ------------- 726,493	0 ------------- 0
3MARVIN T WAY EVP OPERATIONS	(i) (ii)	495,529 ------------- 0	141,617 ------------- 0	49,827 ------------- 0	113,317 ------------- 0	23,196 ------------- 0	823,486 ------------- 0	0 ------------- 0
4THOMAS P BALDOSARO CPA EVP/CHIEF FINANCIAL OFFICER	(i) (ii)	405,370 ------------- 0	98,633 ------------- 0	45,995 ------------- 0	96,734 ------------- 0	31,013 ------------- 0	677,745 ------------- 0	0 ------------- 0
5ALKA KOHLI MD MBA EVP/CHIEF POP HEALTH OFFICER	(i) (ii)	455,460 ------------- 0	94,526 ------------- 0	37,242 ------------- 0	103,171 ------------- 0	39,320 ------------- 0	729,719 ------------- 0	0 ------------- 0
6ELIZABETH A SHERIDAN COO - IMC ELMER & VINELAND	(i) (ii)	332,386 ------------- 0	41,668 ------------- 0	119,551 ------------- 0	74,120 ------------- 0	29,193 ------------- 0	596,918 ------------- 0	0 ------------- 0
7STEVEN C LINN MD CHIEF MEDICAL OFFICER	(i) (ii)	348,568 ------------- 0	51,048 ------------- 0	67,611 ------------- 0	63,370 ------------- 0	28,047 ------------- 0	558,644 ------------- 0	0 ------------- 0
8ROBERT E FLORENTINE SVP/CHIEF PEOPLE OFFICER	(i) (ii)	291,781 ------------- 0	64,496 ------------- 0	54,859 ------------- 0	106,464 ------------- 0	27,835 ------------- 0	545,435 ------------- 0	0 ------------- 0
9MATTHEW DOONAN ESQ GENERAL COUNSEL	(i) (ii)	289,021 ------------- 0	43,157 ------------- 0	49,216 ------------- 0	52,630 ------------- 0	26,585 ------------- 0	460,609 ------------- 0	0 ------------- 0
10THOMAS PACEK VP/CHIEF INFORMATION OFFICER	(i) (ii)	307,404 ------------- 0	41,991 ------------- 0	20,322 ------------- 0	52,538 ------------- 0	24,278 ------------- 0	446,533 ------------- 0	0 ------------- 0
11DAVID YHLEN COO-IMC BRIDGETON/VP AMB svcs.	(i) (ii)	247,608 ------------- 0	51,086 ------------- 0	37,822 ------------- 0	48,728 ------------- 0	22,249 ------------- 0	407,493 ------------- 0	0 ------------- 0
12CHRISTOPHER TROTZ MD EXECUTIVE MEDICAL DIRECTOR	(i) (ii)	357,654 ------------- 0	72,985 ------------- 0	35,510 ------------- 0	61,414 ------------- 0	793 ------------- 0	528,356 ------------- 0	0 ------------- 0
13SCOTT WAGNER MD MBA CHIEF MED OFFICER - WOODBURY	(i) (ii)	323,970 ------------- 0	0 ------------- 0	35,510 ------------- 0	40,655 ------------- 0	24,571 ------------- 0	424,706 ------------- 0	0 ------------- 0
14GREGORY HERMAN CHIEF MED INFORMATION OFFICER	(i) (ii)	308,085 ------------- 0	47,268 ------------- 0	1,290 ------------- 0	11,534 ------------- 0	19,637 ------------- 0	387,814 ------------- 0	0 ------------- 0
15PATRICK NOLAN CHIEF OPERATING OFFICER - IMCW	(i) (ii)	242,456 ------------- 0	31,595 ------------- 0	35,942 ------------- 0	45,805 ------------- 0	19,033 ------------- 0	374,831 ------------- 0	0 ------------- 0
16CLARE SAPIENZA-ECK VP BUSINESS DEV & PLANNING	(i) (ii)	225,467 ------------- 0	30,884 ------------- 0	52,730 ------------- 0	69,163 ------------- 0	22,832 ------------- 0	401,076 ------------- 0	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 AMOUNT REFLECTED IN SCHEDULE J, PART II, COLUMN B(III) FOR THE FOLLOWING INDIVIDUAL INCLUDES A CURRENT YEAR VESTING IN AN INTERNAL REVENUE CODE SECTION 457(F) PLAN (NON-QUALIFIED DEFERRED COMPENSATION PLAN) AS THE AMOUNT WAS NO LONGER SUBJECT TO A SUBSTANTIAL RISK OF COMPLETE FORFEITURE. THE AMOUNT OUTLINED HEREIN WAS INCLUDED IN THE INDIVIDUAL'S 2018 FORM W-2 AS TAXABLE WAGES: ELIZABETH A. SHERIDAN, $47,775. 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; ELIZABETH A. SHERIDAN, $39,745; STEVEN C. LINN, M.D., $42,745; ROBERT E. FLORENTINE, $76,214; MATTHEW DOONAN, ESQ., $36,130; THOMAS PACEK, $36,038; DAVID YHLEN, $32,371; CHRISTOPHER TROTZ, M.D., $44,914; SCOTT WAGNER, M.D., MBA, $31,251; PATRICK NOLAN, $29,813 AND CLARE SAPIENZA-ECK, $41,862. 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

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

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

Attach to Form 990.
SchKMediumBullet

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

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
INSPIRA MEDICAL CENTERS INC

Employer identification number
21-0634484

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	NJ HEALTH CARE FACILITIES FINANCING AUTHORITY	22-1987084	645790aw6	06-30-2016	154,174,915	SEE SCHEDULE K, PART IV		X		X		X
B	NJ HEALTH CARE FACILITIES FINANCING AUTHORITY	22-1987084	645790LQ7	08-17-2017	287,424,492	SEE SCHEDULE K, PART IV		X		X		X
C	NJ HEALTH CARE FACILITIES FINANCING AUTHORITY	22-1987084	645790LQ7	08-17-2017	60,000,000	SEE SCHEDULE K, PART IV		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	0		0		0
2 Amount of bonds legally defeased ..............	0		0		0
3 Total proceeds of issue ..................	154,174,915		287,424,492		60,000,000
4 Gross proceeds in reserve funds .............	0		0		0
5 Capitalized interest from proceeds .............	0		0		0
6 Proceeds in refunding escrows ...............	14,825,044		0		0
7 Issuance costs from proceeds ...............	1,173,298		2,114,547		131,375
8 Credit enhancement from proceeds .............	0		0		0
9 Working capital expenditures from proceeds .............	0		0		0
10 Capital expenditures from proceeds .............	0		0		0
11 Other spent proceeds .............	0		0		0
12 Other unspent proceeds .............	0		0		0
13 Year of substantial completion .............
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X			X		X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X
16 Has the final allocation of proceeds been made? ..........	X			X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X

Part Ⅲ

Private Business Use

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

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

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	13.000 %		0 %		0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........	0 %		0 %		0 %
6 Total of lines 4 and 5 .............	13.000 %		0 %		0 %
7 Does the bond issue meet the private security or payment test? ...		X	X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..	0 %		0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............		X		X		X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........		X	X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......	X		X		X
b Exception to rebate? ........		X		X		X
c No rebate due? .........		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X
b Name of provider ..........	0		0		0
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

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

Part Ⅴ

Procedures To Undertake Corrective Action

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

Part Ⅵ

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

Return Reference	Explanation

Schedule K (Form 990) 2018

Additional Data

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Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

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

Attach to Form 990 or Form 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

INSPIRA MEDICAL CENTERS INC

Employer identification number

21-0634484

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

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

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

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

Part II

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

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No
(1) JACK M SHIELDS MD PA	PHYSICIAN PRACTICE OWNED BY TRUSTEE	PHYS. RECRUITMENT		X	70,350	55,293		No	Yes		Yes





Total ............... $						55,293

Part III

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

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

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2018

Page 2

Part IV

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

(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person	(c) Amount of transaction	(d) Description of transaction	Yes	No

Part V

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

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

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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 MEDICAL CENTERS INC

Employer identification number

21-0634484

Return Reference	Explanation
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	BACKGROUND ========== INSPIRA MEDICAL CENTERS, INC. ("IMC") IS A PROVIDER OF GENERAL ACUTE AND AMBULATORY HEALTHCARE SERVICES BASED IN CUMBERLAND AND SALEM COUNTY, NEW JERSEY. IMC IS RECOGNIZED BY THE IRS AS AN INTERNAL REVENUE CODE 501(C)(3) TAX-EXEMPT ORGANIZATION. PURSUANT TO ITS CHARITABLE PURPOSES, IMC PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN OR ABILITY TO PAY. MOREOVER, IMC OPERATES CONSISTENTLY WITH THE FOLLOWING CRITERIA OUTLINED IN IRSS REVENUE RULING 69-545: 1. PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY, INCLUDING CHARITY CARE, SELF-PAY, MEDICARE AND MEDICAID PATIENTS; 2. OPERATES 3 ACTIVE EMERGENCY DEPARTMENTS FOR ALL PERSONS; WHICH ARE OPEN 24 HOURS A DAY, 7 DAYS A WEEK, 365 DAYS PER YEAR, INCLUDING A SPECIALIZED PEDIATRIC EMERGENCY DEPARTMENT IN THE VINELAND FACILITY; 3. MAINTAINS AN OPEN MEDICAL STAFF, WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS; 4. CONTROL OF IMC RESTS WITH ITS BOARD OF TRUSTEES AND THE BOARD OF TRUSTEES OF INSPIRA HEALTH NETWORK, INC. BOTH BOARDS ARE COMPRISED OF INDEPENDENT CIVIC LEADERS AND OTHER PROMINENT MEMBERS OF THE COMMUNITY; AND 5. SURPLUS FUNDS ARE USED TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND AND RENOVATE FACILITIES AND ADVANCE MEDICAL CARE, PROGRAMS AND ACTIVITIES. THE OPERATIONS OF IMC AS SHOWN THROUGH THE FACTORS OUTLINED ABOVE AND OTHER INFORMATION CONTAINED HEREIN, CLEARLY DEMONSTRATE THAT THE USE AND CONTROL OF IMC IS FOR THE BENEFIT OF THE PUBLIC AND THAT NO PART OF THE INCOME OR NET EARNINGS OF THE ORGANIZATION INURES TO THE BENEFIT OF ANY PRIVATE INDIVIDUAL NOR IS ANY PRIVATE INTEREST BEING SERVED OTHER THAN INCIDENTALLY. IMC PROVIDES HEALTHCARE SERVICES TO ALL INDIVIDUALS REGARDLESS OF ABILITY TO PAY. MOREOVER, IMC PROVIDES HEALTHCARE SERVICES TO PATIENTS WHO MEET CERTAIN CRITERIA DEFINED BY THE NEW JERSEY DEPARTMENT OF HEALTH AND HUMAN SERVICES WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. IMC MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE AMOUNT OF FINANCIAL ASSISTANCE IT PROVIDES. THESE RECORDS INCLUDE THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER ITS FINANCIAL ASSISTANCE POLICY. AS THE SOLE PROVIDER OF ESSENTIAL HEALTH SERVICES, IMC PROVIDES AN ESSENTIAL SAFETY NET FOR OUR COMMUNITIES, ASSURING THAT PATIENTS RECEIVE BOTH THE CARE AND FINANCIAL HELP THEY NEED. IMC IS THE AREA'S ONLY NON-PROFIT HEALTH SYSTEM AND MAJOR PROVIDER OF FINANCIAL ASSISTANCE FOR FAMILIES WITHOUT HEALTH INSURANCE. IMC IS AN INTEGRATED HEALTHCARE DELIVERY SYSTEM COMPRISED OF MEDICAL CENTERS, COMMUNITY HEALTH CLINICS, URGENT CARE FACILITIES, HOME HEALTH SERVICES, AND SPECIALTY SERVICES THAT SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITY. PATIENT STATISTICAL INFORMATION =============================== IMC PROVIDES CARE TO A PATIENT BASE SPREAD OUT OVER FIVE SOUTHERN NEW JERSEY COUNTIES. WITH FACILITIES IN CUMBERLAND AND SALEM COUNTIES, IMC SERVES AS THE ONLY NOT-FOR-PROFIT ACUTE CARE FACILITY IN BOTH OF THOSE COUNTIES, ACCOUNTING FOR OVER 376,000 PERSONS, IMC IS COMPRISED OF TWO ACUTE CARE FACILITIES AND TWO HOSPITAL-BASED AMBULATORY CARE CENTERS. INSPIRA MEDICAL CENTER VINELAND IS LOCATED IN VINELAND, NEW JERSEY, CUMBERLAND COUNTY. IT IS A 323-BED ACUTE CARE FACILITY WITH 59 PSYCHIATRIC BEDS LOCATED AT THE INSPIRA HEALTH CENTER BRIDGETON. INSPIRA MEDICAL CENTER ELMER IS A 96-BED ACUTE CARE FACILITY LOCATED IN ELMER, NEW JERSEY, SALEM COUNTY. ADDITIONALLY, IMC PROVIDES AMBULATORY SERVICES AT TWO LOCATIONS IN CUMBERLAND COUNTY, WHICH ARE INSPIRA HEALTH CENTER BRIDGETON AND THE INSPIRA MEDICAL CENTER VINELAND. THESE AMBULATORY CARE CENTERS PROVIDE A WIDE RANGE OF DIAGNOSTIC AND THERAPEUTIC SERVICES, INCLUDING A 24/7 SATELLITE EMERGENCY DEPARTMENT AND CHRONIC DIALYSIS SERVICES AT INSPIRA HEALTH CENTER BRIDGETON, PHYSICAL REHABILITATION SERVICES, OCCUPATIONAL MEDICINE, LABORATORY AND RADIOLOGY SERVICES. IN 2018, IMC PERFORMED 17,021 SURGERIES, 176,873 PHYSICAL THERAPY TREATMENTS, 3,080 DIALYSIS TREATMENTS, 249,921 DIAGNOSTIC IMAGING PROCEDURES, 16,255 RADIATION THERAPY TREATMENTS AND 108,028 EMERGENCY ROOM VISITS. ALSO, IN 2018, INPATIENT ADMISSIONS WERE 18,389 FOR ADULTS AND PEDIATRICS, 41 FOR SPECIAL CARE NURSERY, 250 FOR NEONATAL INTENSIVE CARE UNIT, 1,677 FOR MENTAL HEALTH AND 2,165 BIRTHS. QUALITY AWARDS AND RECOGNITION ============================== IN ADDITION TO PROVIDING A WIDE SCOPE OF SERVICES, IMC TAKES GREAT PRIDE IN PROVIDING SAFE, HIGH QUALITY, PATIENT FOCUSED CARE TO ITS COMMUNITIES. THESE EFFORTS HAVE BEEN RECOGNIZED AT BOTH A LOCAL AND NATIONAL LEVEL THROUGH A VARIETY OF AWARDS, RECOGNITIONS AND ACCREDITATIONS. WE'RE PROUD AT IMC TO HAVE RECEIVED NUMEROUS ACCOLADES FOR EXCELLENCE IN HEALTHCARE. IT IS A REFLECTION OF OUR COMMITMENT TO PATIENT SAFETY, BEST PRACTICES AND EVIDENCE-BASED CARE; SUPPORTING CONTINUING EDUCATION AND STAFF RECRUITMENT; INVESTING IN LEADING EDGE TECHNOLOGY; AND RECRUITING PRIMARY CARE PHYSICIANS, SPECIALISTS AND SUBSPECIALISTS TO MEET THE NEEDS OF OUR COMMUNITIES. AS ONE OF THE REGION'S LARGEST HEALTHCARE PROVIDERS, WE ARE PLEASED TO SHARE SOME OF OUR MOST RECENT AWARDS: LEAPFROG HOSPITAL SAFETY GRADE NATIONAL RECOGNITION FOR PATIENT SAFETY HAS ONCE AGAIN BEEN AWARDED TO THE INSPIRA MEDICAL CENTER ELMER, EARNING AN "A" ON THE LEAPFROG HOSPITAL SAFETY GRADE. MORE THAN 2,600 HOSPITALS ARE INCLUDED IN THE LEAPFROG HOSPITAL SAFETY GRADE; LESS THAN ONE THIRD EARN AN A. CMS QUALITY STAR RATINGS CMS PUBLISHES HOSPTIAL QUALITY STAR RATINGS ON HOSPITAL COMPARE TO HELP PATIENTS CHOOSE A HOSPITAL BASED ON QUALITY PERFORMANCE. CMS USES METRICS FROM THE HOSPITAL INPATIENT AND OUTPATIENT QUALITY REPORTING PROGRAMS TO DETERMINE THE STAR RATINGS. INSPIRA MEDICAL CENTER ELMER HAS BEEN RECOGNIZED AS A FOUR-STAR FACILITY BY CMS. 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. 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 VINELAND HAS BEEN RANKED AS HIGH PERFORMING IN HEART FAILURE AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE. INSPIRA MEDICAL CENTER ELMER RECEIVED THE WOMENS CHOICE AWARD RECOGNIZING THAT IT IS ONE OF "AMERICANS BEST HOSPITALS IN 2018 FOR OBSTETRICS." 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. AMERICAN HEART ASSOCIATION INSPIRA MEDICAL CENTERS ELMER AND VINELAND WERE AWARDED THE GET WITH THE GUIDELINES GOLD PLUS DESIGNATION FOR THE MANAGEMENT OF STROKE PATIENTS. INSPIRA VINELAND RECEIVED A THREE-YEAR RE-ACCREDITATION BY THE NATIONAL ACCREDITATION FOR BREAST CENTERS. INSPIRA ELMER 2 SOUTH RECEIVED THE PRISM AWARD BY THE ACADEMY OF MEDICAL SURGICAL NURSES. INSPIRA VINELAND ICU AND DIALYSIS RECEIVED THE 2018 ZENITH AWARD IN RECOGNITION OF THE LOW MORTALITY AWARD SINCE IMPLEMENTATION AND NUMBER OF ACUTE KIDNEY INJURY PATIENTS BEING TREATED. AMERICAN NURSES CREDENTIALING CENTER MAGNET FACILITY - INSPIRA HEALTH NETWORK'S MEDICAL CENTERS IN ELMER AND VINELAND AND ITS HEALTH CENTER IN BRIDGETON HAVE BEEN RE-DESIGNATED BY THE AMERICAN NURSES CREDENTIALING CENTER AS MAGNET FACILITIES FOR QUALITY PATIENT CARE, NURSING EXCELLENCE AND INNOVATIONS IN PROFESSIONAL NURSING PRACTICE FOR THE THIRD TIME IN A ROW BY RECEIVING MAGNET RE-DESIGNATION, INSPIRA MAINTAINS ITS STATUS WITHIN AN ELITE GROUP OF HOSPITALS. ACCREDITED BY DNV HEALTHCARE WHICH AIDS THE ORGANIZATIONS LEADERSHIP AND STAFF IN CONTINUOUSLY EVALUATING AND IMPROVING THE CARE PROVIDED TO THE REGION. DNV HEALTHCARE IS A HOSPITAL ACCREDITATION PROGRAM APPROVED BY THE U.S. CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) THAT INTEGRATES THE ISO 9001 QUALITY MANAGEMENT SYSTEM. THE DNV PROGRAM REQUIRES HOSPITALS TO EVALUATE THE CONTINUUM OF PATIENT CARE THROUGHOUT ITS FACILITIES AND TAKE MEASURED STEPS TO IMPROVE WHEN IT IS WARRANTED.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	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 AND VINELAND 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. ROWAN SOM MAJOR CLINICAL AFFILIATION ===================================== THE ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE HAS DESIGNATED IMC AS A MAJOR CLINICAL AFFILIATE OF THE MEDICAL SCHOOL. THIS PARTNERSHIP SUPPORTS INSPIRA MEDICAL CENTER VINELANDS RESIDENCY PROGRAMS THAT WILL HELP TO ADDRESS THE ANTICIPATED PHYSICIAN SHORTAGE IN OUR REGION BY TRAINING NEW DOCTORS' RIGHT HERE IN OUR COMMUNITY. MEDICAL AND SPECIALTY SERVICES ============================== IMC IS A NON-PROFIT HEALTHCARE ORGANIZATION THAT PROVIDES A BROAD SPECTRUM OF INPATIENT CARE AND AMBULATORY CARE. IN ADDITION TO ITS GENERAL MEDICAL, SURGICAL, OBSTETRICAL, GYNECOLOGICAL, PEDIATRIC AND PSYCHIATRIC SERVICES, IMC OFFERS A WIDE ARRAY OF DIAGNOSTIC AND TREATMENT MODALITIES AND VARIOUS SPECIALTY SERVICES. OUR HEALTHCARE SYSTEM HAS EXPANDED TO OVER 150 ACCESS POINTS FOR RESIDENTS OF CUMBERLAND, GLOUCESTER AND SALEM COUNTIES. COMPREHENSIVE ACUTE CARE SERVICES ARE PROVIDED AT INSPIRA MEDICAL CENTER VINELAND AND INSPIRA MEDICAL CENTER ELMER. EACH MEDICAL CENTER CAMPUS OFFERS 24-HOUR SERVICES IN RADIOLOGY, LABORATORY, CARDIO-PULMONARY AND EMERGENCY MEDICINE. STAFF IS ON CALL AFTER HOURS AND ON WEEKENDS FOR SURGICAL SERVICES AND CERTAIN DIAGNOSTIC SERVICES SUCH AS NUCLEAR MEDICINE AND ULTRASOUND. THE INSPIRA HEALTH CENTER BRIDGETON IS HOME TO A SATELLITE EMERGENCY DEPARTMENT THAT SERVES PATIENTS 24 HOURS A DAY, SEVEN DAYS A WEEK, AND A VARIETY OF BEHAVIORAL HEALTH AND OUTPATIENT SERVICES. SERVICES AND PROGRAMS ===================== INSPIRA OFFERS A VARIETY OF SIGNIFICANT SERVICES AND PROGRAMS, SEVERAL OF WHICH ARE DESCRIBED BELOW. LANGUAGE ASSISTANCE =================== LANGUAGE ASSISTANCE IS PROVIDED TO THOSE WHOSE LANGUAGE IS OTHER THAN ENGLISH. TO BE CONSIDERED COMMUNITY BENEFIT, THE ETHNICITY OF THE LANGUAGE SPOKEN MUST BE LESS THAN 5% OF THE DEMOGRAPHIC POPULATION. INSPIRA MEDICAL CENTER ELMER ---------------------------- INSPIRA MEDICAL CENTER ELMER IS A 96-BED PRIMARY HEALTHCARE PROVIDER IN SOUTHERN NEW JERSEY. IN ADDITION TO OFFERING COMPREHENSIVE MEDICAL TECHNOLOGIES AND SERVICES, THE INSPIRA MEDICAL CENTER ELMER OFFERS EMERGENCY SERVICES, MATERNITY, MODERN SURGICAL SERVICES, AND OUTPATIENT PHYSICAL THERAPY SERVICES. INSPIRA MEDICAL CENTER VINELAND ------------------------------- LOCATED ON A 62.5-ACRE CAMPUS IN VINELAND, INSPIRA MEDICAL CENTER VINELAND IS A 491,989 SQUARE-FOOT, 323-BED FACILITY, WHICH OPENED IN AUGUST 2004. IN ADDITION TO OFFERING COMPREHENSIVE MEDICAL TECHNOLOGIES AND SERVICES, THE INSPIRA MEDICAL CENTER VINELANDS DESIGN ALSO EMPHASIZES PATIENT COMFORT. INPATIENT CARE CENTERS OF EXCELLENCE ------------------------------------ INSPIRA MEDICAL CENTER VINELAND OPERATES FOUR INPATIENT CARE CENTERS: - WOMENS & CHILDREN'S CENTER OF CARE - HOME-LIKE LABOR AND DELIVERY SUITES; - SURGICAL CENTER OF CARE - 10 OPERATING SUITES, A MODERN ICU/CCU AND REHABILITATION SERVICES; - MEDICAL CENTER OF CARE - ACUTE, ICU AND POST-ICU, DIALYSIS, CHEMOTHERAPY AND MEDICAL INFUSION SERVICES; AND - CARDIOLOGY CENTER OF CARE - 37 BED CARDIAC ACUTE CARE UNIT, ICU AND POST-ICU AND CARDIOPULMONARY UNIT. THE INPATIENT CARE CENTERS ALLOW FOR THE CO-LOCATION OF LIKE ACUTE AND CRITICAL CARE UNITS. THE SURGICAL INTENSIVE CARE UNIT IS ADJACENT TO THE SURGICAL STEP-DOWN/POST-INTENSIVE CARE UNIT. THIS STEP-DOWN UNIT IS LIKEWISE ADJACENT TO THE SURGICAL ACUTE CARE BEDS. AS THE PATIENT'S ILLNESS OR INJURY BECOMES LESS ACUTE, THE PATIENT CAN MOVE DOWN THIS CONTINUUM OF CARE WITHOUT EVER PHYSICALLY LEAVING THE INPATIENT CARE CENTERS. THIS CONFIGURATION ALSO SIMPLIFIES PHYSICIANS' ROUNDS. ALL PATIENT ROOMS AT THE INSPIRA MEDICAL CENTER VINELAND ARE SINGLE PATIENT ROOMS WHICH INCREASES PATIENT PRIVACY, CONFIDENTIALITY AND COMFORT. THE USE OF PRIVATE ROOMS ALLOWS FOR MORE EFFICIENT CARE AND REDUCES THE RISK OF PATIENTS CONTRACTING A NOSOCOMIAL INFECTION DURING THEIR STAY. ALSO, GIVEN THE INCREASE IN PATIENT ACUITY AND THE CORRESPONDING INCREASE IN DEMAND FOR MORE EQUIPMENT, PRIVATE ROOMS PROVIDE MORE SPACE FOR SPECIALIZED EQUIPMENT AND CAREGIVERS AT THE BEDSIDE. ROOMS AT INSPIRA MEDICAL CENTER VINELAND ARE DESIGNED WITH VIEWING WINDOWS ALONG THE HALLWAY ALLOWING PATIENTS TO BE OBSERVED BY MEDICAL PERSONNEL WITHOUT BEING DISTURBED. SENIOR EMERGENCY DEPARTMENT =========================== A LEADER IN PATIENT SAFETY, CLINICAL EXCELLENCE AND SERVICE, INSPIRA OPENED A SENIOR EMERGENCY DEPARTMENT AT INSPIRA MEDICAL CENTER VINELAND IN 2017.. ONLY THE SECOND OF ITS KIND IN NEW JERSEY AND THE FIRST IN THE DELAWARE VALLEY, THE SENIOR EMERGENCY DEPARTMENT WILL TAILOR CARE SPECIFICALLY FOR PATIENTS IN THEIR SENIOR YEARS. THE $6 MILLION EXPANSION PROJECT BEGAN IN 2016 AND SPANS 7,000 SQUARE FEET. ACCESSIBLE THROUGH A SEPARATE ENTRANCE AND LOBBY, THE SENIOR EMERGENCY DEPARTMENT HOUSES 11 PATIENT BAYS. TECHNOLOGY ========== A FEW OF INSPIRA HEALTH NETWORKS IT INITIATIVES INCLUDE: - 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, INSPIRA ACCESS AND ECARE. - PATIENT MONITORING FROM ONE CENTRAL LOCATION. - PICTURE ARCHIVING AND COMMUNICATIONS SYSTEMS' (PACS) IMAGING EQUIPMENT ELECTRONICALLY STORES X-RAYS, CAT SCANS OR OTHER DIGITAL IMAGES. PHYSICIANS ARE ABLE TO VIEW AN IMAGE AT ANY TERMINAL AT INSPIRA MEDICAL CENTER VINELAND OR IN THEIR OFFICE. - INSPIRA MEDICAL CENTER VINELAND HAS INCORPORATED WIRELESS TECHNOLOGY THAT INCLUDES HANDHELD DEVICES WITH INSTANT MESSAGING THAT ALLOW NURSES TO MONITOR PATIENTS AND ALLOW PHYSICIANS TO REVIEW DIAGNOSTIC TEST RESULTS MORE RAPIDLY. - SOPHISTICATED NURSE CALL SYSTEMS ALLOW PHYSICIANS, NURSES AND OTHER STAFF TO QUICKLY FIND A PATIENTS NURSE. WHILE THIS NURSE CALL SYSTEM IMPROVES INTER-STAFF COMMUNICATIONS, IT ALSO IMPROVES PATIENT CARE BY REDUCING THE TIME REQUIRED TO GET THE NECESSARY STAFF AND RESOURCES TO THE BEDSIDE. - A PNEUMATIC TUBE SYSTEM CARRIES LAB TESTS AND PHARMACEUTICALS THROUGHOUT INSPIRA MEDICAL CENTER VINELAND. THIS TUBE SYSTEM, HIDDEN BEHIND THE WALLS, GREATLY IMPROVES THE TURNAROUND TIME FOR LAB TESTS AND NEW DRUG ORDERS. - THE MEDICATION ADMINISTRATION CHECK SYSTEM ENSURES PATIENT SAFETY BY ALLOWING NURSES TO SCAN BARCODES AT THE BEDSIDE POSITIVELY LINKING THE PRESCRIBED DRUGS WITH THE INTENDED PATIENTS. - A TELE-NEUROLOGY PROGRAM GIVES EMERGENCY ROOM PATIENTS QUICK ACCESS TO BOARD-CERTIFIED NEUROLOGISTS, 24/7, AND ALLOWS EMERGENCY ROOM STAFF TO PROVIDE RAPID STROKE DIAGNOSIS AT A MOMENT'S NOTICE. - TOMOSYNTHESIS OR 3D MAMMOGRAPHY IS PERFORMED AT 2 INSPIRA MEDICAL CENTER LOCATIONS, VINELAND AND TOMLIN STATION. THIS STATE-OF-THE-ART BREAST IMAGING TECHNIQUE PROVIDES CLEARER IMAGES, GREATER ACCURACY, AND EARLIER DETECTION OF SMALL LESIONS IN THE BREAST. - DIGITAL MAMMOGRAPHY - INSPIRA MEDICAL CENTER ELMER HAS MADE STRIDES INCREASING SALEM COUNTY RESIDENTS' ACCESS TO DIGITAL MAMMOGRAPHY, TARGETING YOUNGER WOMEN WHO HAVE A FAMILY HISTORY OF BREAST CANCER AND AFRICAN-AMERICAN WOMEN OVER THE AGE OF 50. - A HEALTH INFORMATION EXCHANGE WHICH ALLOWS PROVIDERS, INCLUDING HOSPITALS, PHYSICIAN PRACTICES, LONG-TERM CARE FACILITIES, REHABILITATION CENTERS AND HOME HEALTH SERVICES, TO ACCESS PATIENT INFORMATION FROM A SECURE ELECTRONIC NETWORK IN ORDER TO PROVIDE CARE FASTER. - EXPANDED COMPUTERIZED PHYSICIAN ORDER ENTRY SYSTEM INITIATIVE TO IMPROVE EFFICIENCY, REDUCE COSTS AND, MOST IMPORTANTLY, ENHANCE PATIENT SAFETY. - DEVELOPMENT OF A PATIENT PORTAL WHICH PROVIDES PATIENTS WITH ELECTRONIC ACCESS TO THEIR HEALTH RECORDS, INCLUDING TEST RESULTS, TREATMENT PLANS, MEDICATIONS AND FOLLOW-UP CARE INSTRUCTIONS.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- 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. - INSPIRA ADDED NEW ULTRAVIOLET RAPID DISINFECTANT EQUIPMENT TO ITS ROUTINE OF DEEP CLEANING AND DISINFECTING WITH BLEACH. PULSES OF BLUE LIGHT STREAM FROM ITS CIRCLE OF TALL VERTICAL LIGHT BULBS. ULTRAVIOLET LIGHT KILLS MOST OF BACTERIA AND VIRUSES IN THE ROOM AND IS PROVEN EFFECTIVE AGAINST CLOSTRIDIUM DIFFICILE, OR C. DIFF. THE BACTERIA SECRETE TOXINS THAT CAUSE DIARRHEA OR INFLAMMATION OF THE COLON. WHEN THE ROBOT HAS KILLED ALL THE BACTERIA, SENSORS PLACED AROUND THE ROOM SHUT OFF THE MACHINE. - PHYSICIANS AND STAFF AT INSPIRA MEDICAL CENTER VINELAND ARE PERFORMING STUDIES AND TREATMENTS FOR PATIENTS WITH CANCER AND VASCULAR CONDITIONS USING NEW LOW-DOSE RADIOLOGIC TECHNOLOGY. THIS ADVANCED INTERVENTIONAL RADIOLOGY HIGH RESOLUTION TECHNOLOGY DELIVERS ENHANCED IMAGING STUDIES, REDUCING A PERSONS EXPOSURE TO RADIATION BY UP TO 80%. INSPIRAS VINELAND-BASED HOSPITAL IS THE ONLY FACILITY IN CUMBERLAND, GLOUCESTER, SALEM AND CAMDEN COUNTIES TO OFFER THIS INTERVENTIONAL RADIOLOGIC TECHNOLOGY WHICH PROVIDES THE LOWEST DOSE OF RADIATION AVAILABLE. - THE MYINSPIRA SMART-PHONE APP HAS MADE IT EVEN EASIER TO CONNECT WITH EXCELLENT HEALTH CARE ANYWHERE. THE FREE APP FEATURES MOBILE APPOINTMENT SCHEDULING, LOCATION AND PHYSICIAN LISTINGS, ER WAIT TIMES, ACCESS TO YOU DIGITAL INSPIRA PERSONAL HEALTH RECORD AND COMMUNICATIONS WITH YOUR CARE TEAM FOR PATIENTS BEING MONITORED FOR THEIR CHRONIC DISEASE. - HIGH RELIABILITY ORGANIZATION (HRO) - DAILY SAFETY BRIEFINGS HAVE TRANSFORMED HOW OUR HOSPITALS COMMUNICATE ABOUT AND RESPOND TO SAFETY CONCERNS. EACH MORNING, LEADERS FROM DOZENS OF DEPARTMENTS JOIN TOGETHER TO ADDRESS PATIENT SAFETY CONCERNS FROM THE PAST 24 HOURS AND LOOKING AHEAD TO THE NEW DAY. THIS POWERFUL TOOL HAS BEEN EMBRACED BY OUR ENTIRE LEADERSHIP TEAM, AND WE ARE A SAFER NETWORK FOR IT. - AMSA (APPLIED MATH AND SCIENCE ACADEMY) MENTORING PROGRAM FOR VINELAND SCHOOL DISTRICT. THE PROGRAM INCLUDED OPPORTUNITIES TO EXPOSE ENROLLED STUDENTS TO NON-CLINCAL ROLES IN INFORMATION SYSTEMS RELATED TO THEIR FIELD OF EDUCATION. IN ADDITION PROVIDED 100 LICENSES TO "CODE COMBAT" TO EXTEND THEIR KNOWLEDGE BASE AND EXPAND THE CODING ASPECTS OF THEIR EXISTING PROGRAM. IN ADDITION AWARDED A $10,000 GRANT TO APPLY TO THE "MISSION CONTROL CENTER", OR INNOVATION SPACE. - 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 PRPFESSIONAL PLATFORM, PRESENTING TO LEADERSHIP ROLES, AND WORKING IN A PROFESSIONAL ENVIRONMENT TO DELIVER AN END PRODUCT. CANCER SERVICES =============== THE INSPIRA FRANK AND EDITH SCARPA REGIONAL CANCER PAVILION CREATES A ONE-STOP EXPERIENCE FOR CANCER PATIENTS, EXPANDS CLINICAL DRUG RESEARCH, HELPS RECRUIT PHYSICIANS WITH CANCER SPECIALTIES, CONSOLIDATES SERVICES AND BRINGS MEDICAL ONCOLOGY AND RADIATION ONCOLOGY UNDER ONE ROOF TO PROVIDE THE LATEST AND HIGHEST QUALITY CANCER CARE IN THE REGION. AT INSPIRA MEDICAL CENTER VINELANDS BREAST IMAGING CENTER, AS WELL AS THE SCARPA CANCER PAVILION, EXPERIENCED RADIATION ONCOLOGISTS AND STAFF PROVIDE STATE-OF-THE-ART TREATMENT INCLUDING IMRT AND IGRT, WITH THE LATEST HIGH-DOSE-RATE TREATMENTS. TWO LINEAR ACCELERATORS IN THE FACILITY PERFORM ADVANCED RADIATION THERAPY TREATMENTS, INTENSITY MODULATED RADIATION THERAPY (IMRT). STAFFING IS PROVIDED BY A MULTIDISCIPLINARY TEAM INCLUDING BOARD-CERTIFIED PHYSICIANS, MEDICAL ONCOLOGISTS, PALLIATIVE CARE SPECIALISTS, RADIATION ONCOLOGISTS, AND BEHAVIORAL HEALTH COUNSELORS, NURSE NAVIGATORS, A BREAST SURGEON, OCN AND AOCN NURSES. INSPIRA WAS THE FIRST IN THE REGION TO OFFER BREAST CANCER PATIENTS SAVI SCOUT, A NEW TECHNOLOGY THAT TARGETS BREAST LUMPS MORE EFFECTIVELY AND ELIMINATES THE NEED FOR NEEDLE OR WIRE TUMOR LOCALIZATION. COMPREHENSIVE CARDIOVASCULAR SERVICES ===================================== INSPIRA OFFERS COMPREHENSIVE CARDIAC SERVICES, INCLUDING DIAGNOSTIC CARDIAC CATHETERIZATION AND EMERGENCY CARDIAC CATHETERIZATION WITH ANGIOPLASTY AND STENTING, ALSO KNOWN AS EMERGENCY PCI, AT INSPIRA MEDICAL CENTER VINELAND. IMC ELMER PROVIDES ENHANCED EXTERNAL COUNTER-PULSATION (EECP), A NON-INVASIVE THERAPY TO TREAT PERSISTENT ANGINA. INSPIRA MEDICAL CENTERS ELMER AND VINELAND ALSO PROVIDE QUALITY CARDIAC REHABILITATION SERVICES AND ARE DESIGNATED BY THE STATE AS PRIMARY STROKE CENTERS. A CENTER OF EXCELLENCE FOR BARIATRIC SURGERY ============================================ INSPIRA MEDICAL CENTER VINELAND HAS BEEN NAMED A BARIATRIC SURGERY CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY (ASMBS). THE ASMBS CENTER OF EXCELLENCE DESIGNATION RECOGNIZES SURGICAL PROGRAMS WITH A DEMONSTRATED TRACK RECORD OF FAVORABLE OUTCOMES IN BARIATRIC SURGERY. TO EARN A CENTER OF EXCELLENCE DESIGNATION, THE INSPIRA MEDICAL CENTER VINELAND UNDERWENT A SERIES OF SITE INSPECTIONS DURING WHICH ALL ASPECTS OF THE PROGRAM'S SURGICAL PROCESSES WERE CLOSELY EXAMINED AND DATA ON HEALTH OUTCOMES WAS COLLECTED. BREAST IMAGING CENTER OF EXCELLENCE =================================== INSPIRA MEDICAL CENTER VINELAND HAS BEEN DESIGNATED A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THE DESIGNATION IS AWARDED TO BREAST IMAGING CENTERS THAT HAVE ACHIEVED EXCELLENCE BY SEEKING AND EARNING ACCREDITATION IN ALL OF THE ACR'S VOLUNTARY, BREAST-IMAGING ACCREDITATION PROGRAMS AND MODULES, IN ADDITION TO THE MANDATORY MAMMOGRAPHY ACCREDITATION PROGRAM. LUNG CANCER SCREENING CENTER OF EXCELLENCE ========================================== INSPIRA MEDICAL CENTER VINELAND WAS RECENTLY DESIGNATED A LUNG CANCER SCREENING CENTER BY THE AMERICAN COLLEGE OF RADIOLOGY (ACR). THE ACR LUNG CANCER SCREENING CENTER DESIGNATION IS A VOLUNTARY PROGRAM THAT RECOGNIZES FACILITIES THAT HAVE COMMITTED TO PRACTICE SAFE, EFFECTIVE DIAGNOSTIC CARE FOR INDIVIDUALS AT THE HIGHEST RISK FOR LUNG CANCER. IN ORDER TO RECEIVE THIS ELITE DISTINCTION, FACILITIES MUST BE ACCREDITED BY THE ACR IN COMPUTED TOMOGRAPHY (CT) IN THE CHEST MODULE, AS WELL AS UNDERGO A RIGOROUS ASSESSMENT OF ITS LUNG CANCER SCREENING PROTOCOL AND INFRASTRUCTURE. ALSO REQUIRED ARE PROCEDURES IN PLACE FOR FOLLOW-UP PATIENT CARE, SUCH AS COUNSELING AND SMOKING CESSATION PROGRAMS. MATERNAL AND CHILD HEALTH ========================= HOSPITAL-BASED MATERNITY SERVICES ARE OFFERED AT INSPIRA MEDICAL CENTER VINELAND AND INSPIRA MEDICAL CENTER ELMER, WHICH BOTH OFFER MODERN, PRIVATE MATERNITY SUITES WHERE OUR PHYSICIANS AND NURSES PROVIDE A SAFE AND POSITIVE ENVIRONMENT FOR LABOR AND DELIVERY. INSPIRA MEDICAL CENTERS ALSO OFFER THE SERVICES OF MIDWIVES. THE WOMEN'S AND CHILDREN'S INPATIENT CARE CENTER IS LOCATED ON THE FIRST FLOOR OF INSPIRA MEDICAL CENTER VINELAND AND OFFERS A LDRP (LABOR, DELIVERY, RECOVERY AND POST-PARTUM) ROOM CONFIGURATION THAT PERMITS A MOTHER TO CHOOSE WHETHER SHE WISHES TO HAVE HER BABY STAY IN THE SAME ROOM WITH HER DURING HER STAY OR HAVE FAMILY MEMBERS STAY WITH HER. IMC VINELAND HAS 10 PRIVATE LABOR/DELIVERY/RECOVERY ROOMS AND 28 PRIVATE POST-PARTUM ROOMS TO ENCOURAGE FAMILY BONDING. THE MATERNITY CARE UNIT AT INSPIRA MEDICAL CENTER ELMER, WHICH OPENED IN 2003, HAS 5 PRIVATE LABOR/DELIVERY/RECOVERY/POSTPARTUM ROOMS, EACH WITH A PRIVATE BATHROOM. FOUR OF THE ROOMS OFFER WHIRLPOOLS AND THE FIFTH ROOM OFFERS EXPECTANT MOTHERS ONE OF THE REGIONS ONLY WATER BIRTHING TUBS. IMC ELMER ALSO OFFERS COMPREHENSIVE FETAL TESTING AND IMMUNIZATION SERVICES; C-SECTION FACILITIES AND RECOVERY ROOMS; BREASTFEEDING AND INFANT CARE EDUCATION; AND EASY ACCESS TO MEDICAL CENTER DEPARTMENTS FOR DIAGNOSTIC SCREENING. INSPIRA MEDICAL CENTER VINELAND HAS 10 PRIVATE LABOR/DELIVERY/RECOVERY ROOMS AND 28 POSTPARTUM ROOMS. NEONATAL INTENSIVE CARE UNIT (NICU) =================================== INSPIRA MEDICAL CENTER VINELAND OFFERS ADVANCED CARE FOR PREMATURE, LOW BIRTH-WEIGHT/CRITICALLY ILL INFANTS AS YOUNG AS 28 WEEKS GESTATIONAL AGE AT THE LEVEL IIIA DEBORAH F. SAGER NEONATAL INTENSIVE CARE UNIT. THE UNIT IS SUPPORTED 24 HOURS A DAY, 7 DAYS A WEEK BY NEONATOLOGISTS FROM NEMOURS ALFRED I. DUPONT HOSPITAL FOR CHILDREN.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	NEUROSURGERY ============ AT INSPIRA MEDICAL CENTERS ELMER AND VINELAND, PATIENTS ARE OFFERED THE LATEST MINIMALLY INVASIVE SURGICAL TREATMENTS FOR A RANGE OF CONDITIONS LIKE BRAIN TUMORS, SPINE TUMORS, HERNIATED DISCS, SPINAL STENOSIS, CARPEL TUNNEL SYNDROME, SPINAL COMPRESSION FRACTURES AND CHRONIC PAIN BY A HIGHLY-SKILLED, FELLOWSHIP TRAINED NEUROSURGEON. UROLOGY ======= OUR MINIMALLY INVASIVE SURGERY TEAM SPECIALIZES IN SURGICAL PROCEDURES THAT ARE BOTH THE MOST EFFECTIVE AND LEAST INVASIVE TO TREAT A LARGE RANGE OF CONDITIONS UROLOGIC CANCERS, BENIGN PROSTATE ENLARGEMENT, BLADDER DISORDERS, WOMEN'S AND CHILDREN'S UROLOGIC PROBLEMS, URINARY STONE DISEASE, RECONSTRUCTIVE SURGERY, MALE AND FEMALE SEXUAL DYSFUNCTION, AND MALE INFERTILITY. IMC SPORTS REHABCARE VINELAND ============================= IMC SPORTS REHABCARE IS CONVENIENTLY LOCATED WITHIN INSPIRA FITNESS CONNECTION VINELAND. THE DEDICATED STAFF WORKS CLOSELY WITH ORTHOPEDIC SURGEONS TO ASSIST PATIENTS WITH THE REHABILITATION AND TREATMENT OF ARTHROSCOPIC PROCEDURES, TOTAL JOINT REPLACEMENTS FOR HIP AND KNEE, INTRICATE HAND AND FOOT SURGERY AND SPECIALIZED SPINE PROCEDURES. THE REHAB CENTERS NEW ALTERG ANTI-GRAVITY TREADMILL INTRODUCES TECHNOLOGY THAT "UNWEIGHTS" A USER, REDUCING THE IMPACT OF WALKING OR RUNNING ON BOTH MUSCLES AND JOINTS. THIS ENABLES PATIENTS TO MAINTAIN THEIR NATURAL GAIT WHILE REHABILITATING AND MAY EVEN SPEED THE PROCESS OF THERAPY. ADDITIONALLY, INSPIRA REHABCARE HAS INTRODUCED THE NINTENDO WII AS AN ADJUNCT TO CURRENT AND TRADITIONAL THERAPIES. IT ENHANCES THE PATIENT EXPERIENCE AT THE SAME TIME CREATING A FUN ATMOSPHERE. BEHAVIORAL HEALTH SERVICES ========================== IMC BEHAVIORAL HEALTH SERVICES HAS 59 ACUTE CARE PSYCHIATRIC BEDS AT THE INSPIRA HEALTH CENTER BRIDGETON, PROVIDING INPATIENT SERVICES, A BEHAVIOR WELLNESS CENTER, AND OUTPATIENT COUNSELING FOR BOTH THE ADULT AND CHILD/ADOLESCENT POPULATIONS THROUGHOUT THE SOUTHERN NEW JERSEY REGION. INSPIRAS BEHAVIORAL WELLNESS CENTERS OFFER COMPREHENSIVE THERAPEUTIC SERVICES, REFERRALS, AND ON-SITE PSYCHIATRIC SERVICES (EXCLUDING LEGAL FORENSIC ASSESSMENTS). CHILD & ADOLESCENT SERVICES --------------------------- - CHILD AND ADOLESCENT INTERMEDIATE INPATIENT PROGRAM (AGES 5 TO 17) THIS PROGRAM OFFERS A COMPLETE EVALUATION AND TREATMENT OPTION FOR CHILDREN WHO REQUIRE LONGER-TERM HOSPITALIZATION. INSPIRAS 12 BED INTERMEDIATE CARE UNIT IN BRIDGETON IS THE AREAS ONLY EXPERIENCED LONG TERM PSYCHIATRIC TREATMENT CENTER FOR INPATIENT CARE OF THIS AGE GROUP. THE AVERAGE LENGTH OF STAY IS BETWEEN 4 TO 12 WEEKS. - CHILD AND ADOLESCENT PROGRAM (AGES 5 TO 17) - THE PARTIAL HOSPITALIZATION PROGRAM PROVIDES FULL TREATMENT INCLUDING INDIVIDUAL, GROUP AND FAMILY COUNSELING AS WELL AS PSYCHIATRIC ASSESSMENT. - INPATIENT PROGRAM FOR CHILDREN AND ADOLESCENTS (AGES 5 TO 17) - THIS PROGRAM PROVIDES THE REGION WITH AN ADVANCED CHILDREN'S CRISIS INTERVENTION PROGRAM FOR COMPLETE INPATIENT EVALUATION, DIAGNOSIS, AND TREATMENT FOR YOUTH WHO ARE IN NEED OF IMMEDIATE TREATMENT. THE NEW RENOVATED 14 BED UNIT OFFERS GROUP AND INDIVIDUAL THERAPY AS WELL AS AROUND-THE-CLOCK NURSING CARE. - INTENSIVE OUTPATIENT PROGRAMS (AGES 11 TO 17) - INSPIRA HEALTH CENTER BRIDGETON OFFERS AN INTENSIVE OUTPATIENT PROGRAM, WHICH ASSISTS ADOLESCENTS IN CUMBERLAND & SALEM COUNTIES FIND BETTER PATHWAYS TO HEALTHY DEVELOPMENT. - THERAPEUTIC NURSERY (AGES 3 TO 5) - INSPIRA OFFERS A THERAPEUTIC NURSERY PROGRAM (AGES 3 TO 5) TO HELP CHILDREN EARLY ON WHO STRUGGLE WITH BEHAVIORAL DISORDERS. WE COLLABORATE WITH ALL KEY STAKEHOLDERS IN THE CHILD'S LIFE TO ESTABLISH INDIVIDUALIZED TREATMENT GOALS. ADULT SERVICES -------------- - INPATIENT PROGRAM FOR ADULTS - INSPIRA'S SHORT-TERM CARE FACILITY AND VOLUNTARY INPATIENT PROGRAMS OFFER COMPLETE INPATIENT EVALUATION, DIAGNOSIS, TREATMENT AND AROUND-THE-CLOCK NURSING CARE FOR ADULTS WHO ARE IN NEED OF A HIGHER LEVEL OF TREATMENT. THE FACILITY FEATURES A 33-BED UNIT DESIGNED TO PROMOTE HEALING. - ADULT PARTIAL HOSPITALIZATION PROGRAM - THE ADULT PARTIAL-HOSPITALIZATION PROGRAM PROVIDES SERVICES SIMILAR TO THE INTENSITY AND SCOPE OF INPATIENT TREATMENT, BUT WITH SIGNIFICANTLY LESS DISRUPTION TO THE LIVES OF PATIENTS AND THEIR FAMILIES. THE PROGRAM IS DESIGNED FOR PEOPLE WITH SYMPTOMS THAT SERIOUSLY IMPACT THEIR DAILY FUNCTIONING, BUT WHO ARE HOPING TO AVOID HOSPITALIZATION OR ARE IN NEED OF A TRANSITION FROM INPATIENT TO OUTPATIENT CARE. THIS PROGRAM FOLLOWS AN ACUTE SHORT-TERM MODEL OF INTENSIVE TREATMENT WITH MULTIPLE SESSIONS TO SPAN OVER A FEW WEEKS. - ADULT INTENSIVE OUTPATIENT PROGRAM - THE ADULT INTENSIVE OUTPATIENT PROGRAM PROVIDES INTENSIVE, STRUCTURED, CLINICAL SERVICES TO INDIVIDUALS EXPERIENCING SIGNIFICANT EMOTIONAL DISTRESS. THE PROGRAM OFFERS THE FLEXIBILITY FOR CLIENTS TO ATTEND SPECIALIZED DAY OR AFTERNOON GROUP THERAPY. TYPICALLY, INDIVIDUALS ATTEND FOR THREE HOURS PER DAY, TWO OR THREE TIMES PER WEEK. THE PROGRAM'S PSYCHOTHERAPY AND PSYCHO-EDUCATIONAL GROUPS PROVIDE A SAFE, CARING ENVIRONMENT IN WHICH INDIVIDUALS CAN ADDRESS THEIR MENTAL HEALTH NEEDS, GAIN A BETTER UNDERSTANDING OF THEIR ILLNESS, IMPROVE COPING SKILLS AND DRAW ON MUTUAL SUPPORT. THE IOP PROGRAM ALSO PROVIDES ACCESS TO A 24/7 CONTACT LINE THAT WILL CONNECT PEOPLE WITH IMC MENTAL HEALTH STAFF. - WELLNESS AND RECOVERY OUTPATIENT PROGRAM - INSPIRAS WELLNESS AND RECOVERY OUTPATIENT PROGRAM PROVIDES TREATMENT FOR PATIENTS WITH CO-OCCURRING DISORDERS IN MENTAL AND SUBSTANCE ABUSE. THE PROGRAM PROVIDES TRADITIONAL OUTPATIENT SERVICES, WHICH INCLUDE WEEKLY, HOUR-LONG INDIVIDUAL, FAMILY AND GROUP SESSIONS ALONG WITH PSYCHIATRIC EVALUATIONS AND INDIVIDUALIZED MEDICATION MANAGEMENT. - INSPIRA HAS PARTNERED WITH FOUR LOCAL HEALTH SYSTEMS TO FORM THE SOUTH JERSEY BEHAVIORAL HEALTH INNOVATION COLLABORATIVE TO HELP IMPROVE SERVICES ACROSS THE REGION. INSPIRA HEALTH NETWORK LIFE, INC. ================================= INSPIRA LIFE IS AN INNOVATIVE AND COMPREHENSIVE PROGRAM NOW AVAILABLE TO OLDER ADULTS AND THEIR FAMILIES IN OUR COMMUNITY. THIS PROGRAM IS PART OF THE NATIONAL PACE (PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY) PROGRAM. LIFE STANDS FOR (LIVING INDEPENDENTLY FOR ELDERS) AND CURRENTLY SERVES ALL OF CUMBERLAND COUNTY AND PARTS OF SALEM AND GLOUCESTER COUNTIES. INSPIRA LIFE IS ONE OF ONLY FOUR PROGRAMS IN THE STATE OF NEW JERSEY. THIS PROGRAM PROVIDES ALL-INCLUSIVE CARE TO ELIGIBLE PARTICIPANTS 55 YEARS AND OLDER THAT MEET THE REQUIREMENTS FOR NURSING HOME LEVEL CARE. COMMUNITY BENEFIT EFFORTS ========================= IN ITS ROLE AS THE SOLE NOT-FOR-PROFIT ACUTE CARE PROVIDER IN CUMBERLAND AND SALEM COUNTIES IMC AND ENTITIES UNDER ITS PARENT, PROVIDE AND PARTICIPATE IN A NUMBER OF SERVICES AND PROGRAMS IN OUR COMMUNITY. FROM COMMUNITY EDUCATION TO PARTICIPATION IN COMMUNITY-FOCUSED GROUPS, IMC PROVIDES A WIDE RANGE OF SERVICES. 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 FOUNDATION FOR SUICIDE PREVENTION - BOYS AND GIRLS CLUB - BRIDGETON CHAMBER OF COMMERCE - COMMUNITY FOOD BANK OF NJ - COMMUNITY FOUNDATION OF NEW JERSEY LEGACY OF GIVING - COMPLETECARE FOUNDATION - GARDEN STATE BSA - M25 CODE BLUE INITIATIVE - MARCH OF DIMES - SEABROOK HOUSE - THE SOUTHWEST COUNCIL - YMCA 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: - CANCER SERVICES - INSPIRA FRANK AND EDITH SCARPA CANCER CENTER OFFERS A NUMBER OF OUTREACH SERVICES, WHICH PROVIDE SUPPORT AND EDUCATION IN THE COMMUNITY. IMC'S BREAST CANCER BRIDGE PROGRAM, MEN'S CANCER SUPPORT GROUP AND PATIENT NAVIGATORS ALL SERVE AS HEALTHCARE ADVOCATES, HELPING PATIENTS NAVIGATE THROUGH THEIR CANCER JOURNEY. AS A FOX CHASE CANCER CENTER PARTNER, IMC PROVIDES LEADING-EDGE CANCER CARE THROUGH NATIONAL CLINICAL TRIALS, WHICH FOCUS ON CANCER TREATMENT, DIAGNOSTIC AND PREVENTION METHODS. IMC HAS THE OPPORTUNITY TO RECRUIT A LARGE AMOUNT OF PATIENTS FOR NEWEST CLINICAL TRIALS, PROVIDING LOCAL ACCESS TO THE LATEST STRATEGIES AGAINST CANCER.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- HEALTH INFORMATION - ACCESS TO QUALITY HEALTH INFORMATION IS IMPORTANT AND IMC PROVIDES A VARIETY OF HEALTHCARE INFORMATION TO THE COMMUNITY ON ITS WEBSITE AND THROUGH PUBLICATIONS TO THE GENERAL PUBLIC. THE COMMUNITY HAS MONTHLY ACCESS TO IMC MEDICAL EXPERTS THROUGH PARTNERSHIPS WITH THE LOCAL NEWSPAPERS FEATURING MONTHLY SECTIONS LIKE "ASK THE DOCTOR", WHICH ALLOW READERS TO SUBMIT QUESTIONS AND RECEIVE RESPONSES ABOUT IMPORTANT HEALTHCARE ISSUES. INSPIRA'S WEBSITE OFFERS A WEALTH OF HEALTH INFORMATION TO THE COMMUNITY INCLUDING FREE ACCESS TO LOOK, LISTEN AND LEARN, AN ONLINE LIBRARY OF EDUCATIONAL VIDEOS COVERING A VARIETY OF MEDICAL CONDITIONS AND PROCEDURES. - GARDEN AHEC PROGRAMS - THROUGH ACADEMIC AND COMMUNITY PARTNERSHIPS, GARDEN AHEC PROVIDES HEALTH CAREER RECRUITMENT PROGRAMS AND INCREASES ACCESS TO HEALTHCARE IN MEDICALLY UNDERSERVED AREAS. GARDEN AHEC ADDRESSES HEALTHCARE WORKFORCE NEEDS BY INTRODUCING STUDENTS AND ADULTS TO HEALTHCARE CAREER OPPORTUNITIES, ESTABLISHING COMMUNITY-BASED TRAINING SITES FOR MEDICAL STUDENTS AND PROVIDING CONTINUING EDUCATION PROGRAMS FOR LOCAL HEALTHCARE PROFESSIONALS. ITS FUNDAMENTAL PURPOSE IS TO IMPROVE ACCESS TO QUALITY HEALTHCARE IN MEDICALLY UNDERSERVED AREAS AND TO UNDERSERVED POPULATIONS IN ITS SERVICE AREA. BY WORKING TO RECRUIT, TRAIN AND MAINTAIN LOCAL HEALTHCARE WORKFORCE, GARDEN AHEC ADDRESSES DEFICIENCIES IN ACCESS TO PRIMARY AND PREVENTIVE CARE SERVICES IN SOUTH JERSEY. PARTNERING WITH LOCAL COMMUNITY HEALTH EDUCATION AND IMPROVEMENT INITIATIVES, ALONG WITH OTHER PROGRAMS AT INSPIRA HEALTH NETWORK, ARE JUST SOME OF THE WAYS WE ARE WORKING WITH COMMUNITY PARTNERS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR NEIGHBORS. - HEALTH FAIRS AND SCREENINGS - IMC ALSO REACHES OUT TO THOSE IN OUR COMMUNITY WHO DO NOT REGULARLY COME THROUGH THE DOORS OF OUR MEDICAL CENTERS. IMC REACHES OUT TO A VARIETY OF LOCAL EMPLOYERS BY PARTICIPATING IN ON-SITE HEALTH FAIRS AND EVENTS TO OFFER VALUABLE HEALTH INFORMATION TO OUR NEIGHBORS. IN ADDITION, IMC HOSTS SENIOR LUNCHEON CLASSES AND SENIOR HEALTH EDUCATION DAYS, WHICH INCLUDE FLU SHOTS AND EDUCATIONAL SESSIONS. IN RECOGNITION OF STROKE AWARENESS MONTH, IMC HOSTS A STROKE AWARENESS EDUCATION & SCREENING DAY WHICH INCLUDES FREE EDUCATIONAL SESSIONS, BLOOD PRESSURE CHECKS AND STROKE SCREENING TESTS. IMC'S ANNUAL SPIRIT OF WOMEN HEALTH SCREENING DAY BRINGS A MYRIAD OF HEALTH SERVICES AND EDUCATION TOGETHER IN ONE CENTRAL LOCATION AT INSPIRA MEDICAL CENTER VINELAND. AT THE EVENT, ATTENDEES RECEIVE A RANGE OF FREE HEALTH SCREENINGS, INCLUDING BLOOD PRESSURE AND PULSE OXIMETRY, BODY MASS INDEX, HEART DISEASE RISK ASSESSMENT, SKIN CANCER (FACE), FOOT AND WOUND CARE, BEHAVIORAL RISK ASSESSMENT, SLEEP APNEA ASSESSMENT, STEP TEST (RESTING HEART RATE), HEEL BONE DENSITY AND MORE. IN ADDITION, FUN GROUP ACTIVITIES ARE HELD, INCLUDING YOGA, LINE DANCING AND COOKING DEMONSTRATIONS, AS WELL AS A RELAXATION ROOM AND MEDITATION SESSIONS. - NJCEED - IMC IS CUMBERLAND 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 THAT INCLUDE, BUT ARE NOT LIMITED TO, WOMEN'S CANCER, DIABETES, CARDIOPULMONARY HEALTH, PROSTATE CANCER, SMOKING CESSATION, STROKE AND FIVE LEVELS OF BARIATRIC SUPPORT. ADDITIONALLY, IMC DONATES THE USE OF SPACE IN ITS FACILITIES FOR EXTERNAL NONPROFIT ORGANIZATIONS TO HOLD SUPPORT GROUP MEETINGS FOR SUBSTANCE ABUSE SUCH AS ALCOHOLICS ANONYMOUS AND NARCOTICS ANONYMOUS. - SUPPORT SERVICES - STAFF MEMBERS OF IMC'S PATIENT BUSINESS SERVICES DEPARTMENT, IN ADDITION TO PROVIDING FINANCIAL COUNSELING TO INDIVIDUALS, MAKE FREQUENT VISITS TO VARIOUS COMMUNITY GROUPS AND SOCIAL SERVICE AGENCIES, EDUCATING THEM ON THE CHARITY CARE OPTIONS AND FINANCIAL ASSISTANCE PROGRAMS AVAILABLE. IN ADDITION, A SIGNIFICANT LEVEL OF CHARITY CARE, FINANCIAL ASSISTANCE, TRANSPORTATION ASSISTANCE AND LANGUAGE ASSISTANCE SERVICES ARE PROVIDED FOR THE UNDERSERVED AND VULNERABLE POPULATIONS. - TRAINING CLASSES - IMC OFFERS A WEALTH OF EDUCATIONAL PROGRAMS DESIGNED TO PROMOTE A SAFE AND HEALTHY LIFESTYLE. TRAINING CLASSES ARE REGULARLY AVAILABLE ON SUCH TOPICS AS CHILDBIRTH, BREAST-FEEDING, NEWBORN CARE, UNDERSTANDING DIABETES, CPR (CARDIOPULMONARY RESUSCITATION), ACLS (ADVANCED CARDIAC LIFE SUPPORT), PALS (PEDIATRIC ADVANCED LIFE SUPPORT), SAFESITTER (BABYSITTER TRAINING) AND OTHERS. EDUCATE HEALTH PROFESSIONALS ---------------------------- INSPIRA MEDICAL CENTERS OFFERS EDUCATIONAL SUPPORT TO BOTH ITS CURRENT HEALTH PROFESSIONALS AND TOMORROWS PHYSICIANS - GARDEN AHEC EDUCATIONAL CONFERENCES - GARDEN AREA HEALTH EDUCATION CENTER ("AHEC") IS A PROGRAM AFFILIATED WITH THE ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE WHICH FACILITATES IMPROVED COMMUNITY HEALTH OUTCOMES THROUGH COLLABORATIVE INITIATIVES LINKING NEEDS TO EDUCATIONAL RESOURCES. TARGETING THE EDUCATIONAL NEEDS OF PRIMARY CARE PROVIDERS, NURSES, SOCIAL WORKERS AND OTHER ALLIED HEALTH PROFESSIONALS IN THE COMMUNITY, GARDEN AHEC OFFERS ACCREDITED CONTINUING EDUCATION PROGRAMS ON TOPICS SUCH AS AUTISM, DERMATOLOGY, DIABETES, DIALYSIS, INFECTIOUS DISEASES, WOUND CARE, MENTAL HEALTH, CHILDHOOD OBESITY, SOCIAL WORK, PEDIATRIC PHARMACOLOGY, TRAUMA PATIENT CARE AND TREATMENT, IMMIGRATION AND MANY OTHERS. - HEALTH PROFESSIONALS EDUCATION - EDUCATION HELPS PREPARE THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS, WHICH IS WHY WE STRONGLY SUPPORT MEDICAL EDUCATION AT ALL ACADEMIC LEVELS AND FIND INNOVATIVE WAYS TO INSPIRE YOUNG PEOPLE TO PURSUE CAREERS IN A WIDE VARIETY OF MEDICAL FIELDS. COMMUNITY MEDICINE ROTATIONS WITH THE ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE (ROWAN SOM), PROVIDES THIRD YEAR MEDICAL STUDENTS A TWO-WEEK ROTATION IN COMMUNITY-BASED AGENCIES AND ORGANIZATIONS TO LEARN ABOUT UNDERSERVED AND CULTURALLY DIVERSE POPULATIONS, INCLUDING BARRIERS TO ACCESSING CARE. RESPONDING TO THE NURSING SHORTAGE, IMC OFFERS NURSING EDUCATION PROGRAMS, EXTERNSHIPS AND INTERNSHIPS. IMC MEDICAL STAFF ROUTINELY HOSTS STUDENTS FOR JOB SHADOWING AND STUDENT OBSERVATIONS. - RESIDENCY PROGRAMS - IMC HAS PARTNERED WITH ROWAN SCHOOL OF OSTEOPATHIC MEDICINE TO TRAIN THE NEXT GENERATION OF PHYSICIANS. THESE MEDICAL SCHOOL GRADUATES WORK SIDE-BY-SIDE WITH EXPERIENCED MEMBERS OF THE IMC MEDICAL STAFF IN PODIATRY, SPORTS MEDICINE, URO-GYNECOLOGY, CRITICAL CARE, OBSTETRICS AND GYNECOLOGY, FAMILY MEDICINE, ORTHOPEDIC SURGERY, INTERNAL MEDICINE, TRADITIONAL ROTATING INTERNSHIP, EMERGENCY MEDICINE AND GENERAL SURGERY. AT THE SAME TIME, THEY ENHANCE PATIENT CARE WITH THE KNOWLEDGE OF THE LATEST TREATMENTS AND PHILOSOPHIES MEDICINE HAS TO OFFER. THEY ALSO BRING A LEVEL OF INTELLECTUAL CURIOSITY THAT STRENGTHENS OUR CARE TEAMS AND BENEFITS OUR PATIENTS. IN 2017, THERE WERE OVER 150 RESIDENTS IN TRAINING. - SCHOOL PROGRAMS ON HEALTH CAREERS - IMC PROVIDES EDUCATIONAL OPPORTUNITIES AND HOSTS SPECIAL EVENTS, JOB SHADOWING AND PROGRAMS TO MIDDLE AND HIGH SCHOOL STUDENTS WHO ARE INTERESTED IN PURSUING CAREERS IN HEALTHCARE AND MEDICINE. TO REACH EVERY AGE GROUP IN THE COMMUNITY, IMC STAFF ALSO EXTENDS HOSPITALS TOURS TO PRESCHOOL AND FIRST GRADERS, AS THEIR PRIMARY INTRODUCTION TO THE HEALTHCARE ENVIRONMENT AND PROMOTION OF HEALTHY LIFESTYLES. - SYMPOSIA - IMC IS PREPARING FOR THE HEALTHCARE CHALLENGES OF THE FUTURE BY SUPPORTING THE CONTINUING EDUCATION NEEDS OF PHYSICIANS AND ALLIED HEALTH PERSONNEL IN THE COMMUNITY. PROGRAMS ARE AVAILABLE ON THE LATEST ADVANCEMENTS AND LEADING-EDGE RESEARCH ON TOPICS SUCH AS CANCER, CRITICAL CARE, NEPHROLOGY, PEDIATRICS AND OBSTETRICS. THESE CONTINUING EDUCATION OPPORTUNITIES GIVE HEALTH PROFESSIONALS AND PHYSICIANS IN OUR COMMUNITY AND ACROSS THE REGION THE ABILITY TO MEET AND DISCUSS IMPORTANT ISSUES WITHIN OUR INDUSTRY.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- COMMUNITY NEEDS ASSESSMENT - IN COLLABORATION WITH THE CUMBERLAND/SALEM/GLOUCESTER HEALTH AND WELLNESS ALLIANCE, INSPIRA HEALTH NETWORK COMPLETED ITS 2016-2018 COMMUNITY NEEDS ASSESSMENT. IMC PARTNERED WITH OVER 40 LOCAL ORGANIZATIONS TO FORM THE CUMBERLAND/SALEM/GLOUCESTER HEALTH & WELLNESS ALLIANCE IN 2011. COMMUNITY SURVEYS, FOCUS GROUPS AND KEY INFORMANT SURVEYS WERE CONDUCTED TO IDENTIFY THE MOST PREVALENT NEEDS IN OUR COMMUNITY. THROUGH A PLANNED AND ORGANIZED EFFORT, THE GROUP IS WORKING COLLECTIVELY TOWARDS STRATEGIES TO TARGET THESE PRIORITIES BY TAPPING INTO THE RESOURCES OF THE COMMUNITY AND COLLABORATING ON INITIATIVES. IMC ACTIVELY CONTRIBUTES TO THIS PROCESS AND ENGAGES IN THE IDENTIFIED PRIORITIES THAT MATCH ITS MISSION, EXPERTISE, RESOURCES AND CAPACITY. CURRENTLY IMC IS IMPLEMENTING THE IDENTIFIED STRATEGIES AND TRACKING THEIR PROGRESS. IN ADDITION TO THESE ORGANIZED NEEDS ASSESSMENT EFFORTS, ONGOING COMMUNITY MEETINGS WITH LOCAL PROVIDERS, LOCAL HEALTH DEPARTMENTS, LOCAL POLITICIANS, ORGANIZATIONS AND COMMUNITY LEADERS ARE SPONSORED BY THE NETWORK TO ADDRESS THE ONGOING NEEDS OF THE COMMUNITY. ACCESS TO AND IMPROVING THE QUALITY OF HEALTHCARE ================================================= IMC HAS BOTH PARTICIPATED IN AND CONDUCTED A NUMBER OF PROGRAMS TO IMPROVE ACCESS TO HEALTHCARE SERVICES: - EFFICIENT AND QUALITY PATIENT CARE - AS THE LEADING COMMUNITY PROVIDER IN SOUTHERN NEW JERSEY, IMC IS HIGHLY REGARDED FOR ITS QUALITY OF CARE AND SERVICES IN THE REGION. CLINICAL QUALITY AND SERVICE EXCELLENCE REMAIN TOP STRATEGIC INITIATIVES. TO FURTHER INCREASE THE EFFICIENCY OF PATIENT CARE, IMC HAS TRANSITIONED TO ELECTRONIC MEDICAL RECORDS MAKING SIGNIFICANT INVESTMENTS IN ITS CLINICAL COMPUTER SYSTEMS. THE ORGANIZATION WILL EXPAND ITS CORE QUALITY MEASURES BY PARTICIPATING IN SEVERAL REGIONAL AND NATIONAL PERFORMANCE IMPROVEMENT PROGRAMS THAT WILL PROVIDE BENCHMARKING DATA AND TOOLS FOR MEASURING AND REPORTING CLINICAL QUALITY. - PATIENT SATISFACTION - IMC USES A PATIENT SATISFACTION TOOL CALLED PRESS GANEYTHIS STANDARDIZED SURVEY MEASURES OUR PATIENTS' PERCEPTIONS ABOUT THEIR HOSPITAL EXPERIENCE AND PROVIDES FEEDBACK ABOUT HOW WE ARE DOING, BOTH GOOD AND BAD. THIS ASSISTS US TO CONTINUALLY MAKE IMPROVEMENTS AND PROVIDE EVEN BETTER CARE FOR THE COMMUNITY. - FIVE MAJOR HEALTH SYSTEMS IN SOUTHERN NEW JERSEY (INSPIRA, COOPER, KENNEDY, VIRTUA AND OUR LADY OF LOURDES), THE NEW JERSEY HOSPITAL ASSOCIATION (NJHA) AND THE CAMDEN COALITION OF HEALTHCARE PROVIDERS HAVE LAUNCHED THE SOUTH JERSEY BEHAVIORAL HEALTH INNOVATION COLLABORATIVE (SJBHIC) TO EVALUATE THE CURRENT BEHAVIORAL HEALTH LANDSCAPE AND PROVIDE INNOVATIVE RECOMMENDATIONS ON HOW TO IMPROVE THE SYSTEM. TO UNDERSTAND THE CHALLENGES IN THE CURRENT SYSTEM, THE COLLABORATIVE IS GATHERING DATA FROM THE FIVE PARTICIPATING HOSPITALS ON HOW PATIENTS FLOW THROUGH THEIR NETWORK OF PROVIDERS, ANALYZE THE DATA AND THEN APPLY EVIDENCE-BASED AND BEST PRACTICES ALONG WITH INNOVATIVE SYSTEM CHANGES THAT WILL BETTER SERVE INDIVIDUALS WITH BEHAVIORAL HEALTH CONDITIONS. NATIONAL AND REGIONAL INITIATIVES --------------------------------- IMC HAS BEEN AN ACTIVE PARTICIPANT IN NATIONAL AND REGIONAL INITIATIVES, INCLUDING THE FOLLOWING: 1. CENTER FOR MEDICARE AND MEDICAID SERVICES: NATIONAL "HOSPITAL COMPARE" INITIATIVE 2. VHA, INC. PATIENT QUALITY AND SAFETY INITIATIVES: MEDICATION RECONCILIATION COLLABORATIVE (IMC - VINELAND & ELMER); RAPID RESPONSE TEAM COLLABORATIVE (IMC - VINELAND & ELMER); AND TRANSFORMATION OF THE ICU AND TICU (IMC - VINELAND & ELMER). 3. INSTITUTE FOR HEALTHCARE IMPROVEMENT (IHI): MEMBER OF THE INSTITUTE FOR HEALTHCARE IMPROVEMENT - 100,000 LIVES CAMPAIGN (IMC - VINELAND & ELMER); AND MEMBER OF THE INSTITUTE FOR HEALTHCARE IMPROVEMENT - 5 MILLION LIVES FROM HARM CAMPAIGN (IMC - VINELAND & ELMER). 4. NEW JERSEY HOSPITAL ASSOCIATION INITIATIVES: PARTICIPANTS IN THE NJHA PRESSURE ULCER COLLABORATIVE (IMC - VINELAND & ELMER); AND PARTICIPANTS IN THE NJHA RAPID RESPONSE TEAMS COLLABORATIVE (IMC - VINELAND & ELMER). COMMUNITY SERVICE AND COMMUNITY BUILDING PROGRAMS ================================================= IMC IS MUCH MORE THAN A HEALTHCARE NETWORK; IT IS A COMMUNITY PARTNER DEDICATED TO IMPROVING COMMUNITY HEALTH AND COLLABORATING WITH OTHER COMMUNITY PARTNERS ON HEALTH INITIATIVES THAT ADDRESS THE HEALTH PRIORITIES OF THE COMMUNITIES IT SERVES. OUR PARTNERSHIPS LEVERAGE THE STRENGTH OF MULTIPLE COMMUNITY ORGANIZATIONS WHILE ENCOURAGING COMMUNITY-WIDE COLLABORATIVE EFFORTS TO BENEFIT THE COMMUNITY. 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, CONTRIBUTED $50,000 TO HELP FUND THE EFFORT. IN 2018, THE COLLABORATIVE HOUSED 42 CHRONICALLY HOMELESS INDIVIDUALS. INSPIRA HAS ALSO PROVIDED BEHAVIORAL HEALTH AND LOGISTICAL SUPPORT TO ENSURE THE COLLABORATIVES SUCCESS. ADVOCACY - IMC EMPLOYEES AND LEADERSHIP, SERVE ON VARIOUS GOVERNMENT ADVISORY COMMITTEES AND BOARDS FOR NATIONAL, STATE AND LOCAL ORGANIZATIONS TO ADVOCATE FOR HEALTHCARE REFORM, BRING ABOUT CHANGES IN REGULATORY REQUIREMENTS, IMPROVE ACCESS TO HEALTHCARE AND PROMOTE THE HEALTH STATUS FOR BOTH THE BROADER COMMUNITY AND VULNERABLE POPULATIONS THROUGH HOSPITAL REPRESENTATION TO ORGANIZATIONS. THESE INCLUDE: - ADVOCATES FOR CHILDREN OF NJ - AMERICAN HOSPITAL ASSOCIATION - CUMBERLAND COUNTY CHILDREN'S YOUTH COUNCIL - CUMBERLAND COUNTY HEALTHCARE COALITION - CUMBERLAND COUNTY HOMELAND SECURITY COUNTY WORKING GROUP COMMITTEE - CUMBERLAND INTER AGENCY COORDINATING COUNCIL - LIVE HEALTHY BRIDGETON, LIVE HEALTHY CUMBERLAND COUNTY, & LIVE HEALTHY SALEM - MEDICAL COORDINATION CENTER ADVISORY COUNCIL - NEW JERSEY HOSPICE & PALLIATIVE CARE ORGANIZATION - NEW JERSEY HOSPITAL ASSOCIATION - NEW JERSEY DIVISION OF MENTAL HEALTH SERVICES - NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE - TRI-COUNTY INTER-AGENCY COORDINATING COUNCIL - SALEM COUNTY HOMELAND SECURITY - SOUTHEASTERN PA REGIONAL TASK FORCE - SOUTHERN NEW JERSEY PERINATAL COOPERATIVE - SOUTHERN REGION CHILDREN'S COORDINATING COUNCIL - CUMBERLAND/SALEM/GLOUCESTER HEALTH & WELLNESS ALLIANCE ADDITIONALLY, IMC EMPLOYEES, FROM STAFF TO CEO, PARTICIPATE ON THE BOARDS OF A VARIETY OF ORGANIZATIONS WHOSE FOCUS IS NOT ONLY OF THE HEALTH NEEDS OF THE COMMUNITY, BUT ON THE OVERALL NEEDS OF THE COMMUNITY. SOME OF THESE ORGANIZATIONS INCLUDE: - AMERICAN RED CROSS SOUTH JERSEY CHAPTER - BRIDGETON CHAMBER OF COMMERCE - BRIDGETON ROTARY CLUB - CEZ 21ST CENTURY COMMUNITY LEARNING CENTERS - COMMUNITY FOOD BANK OF SOUTH JERSEY - CUMBERLAND COUNTY PROSECUTOR'S OFFICE - ELMER ROTARY CLUB - GLOUCESTER COUNTY CHAMBER OF COMMERCE - MAYOR'S CAMPAIGN FOR HEALTHIER BRIDGETON, MILLVILLE, VINELAND - MILLVILLE CHAMBER OF COMMERCE - MINISTERIAL FELLOWSHIPS OF BRIDGETON, MILLVILLE AND VINELAND - SALEM CHAMBER OF COMMERCE - SOUTHERN NJ DEVELOPMENT COUNCIL - UNITED WAY OF CUMBERLAND COUNTY - VINELAND ROTARY CLUB - THE WALTER RAND INSTITUTE - EMERGENCY PREPAREDNESS - IMC READIES ITSELF FOR CATASTROPHIC DISASTER ABOVE AND BEYOND LICENSURE REQUIREMENTS. THIS INCLUDES AN INTERNAL, FORMALIZED HOSPITAL EMERGENCY RESPONSE/DECONS TEAM OF DEDICATED STAFF WHO CONDUCT EXTENSIVE QUARTERLY DECONTAMINATION TRAINING. IMC PARTNERS WITH OFFICES OF EMERGENCY MANAGEMENT, LOCAL POLICE AND OTHER RELATED AGENCIES TO COORDINATE COMMUNITY-WIDE MASS CASUALTY DRILLS AND PARTICIPATES IN STATE SPONSORED DISASTER PLANNING DRILLS TO REHEARSE HEALTHCARE PREPAREDNESS FOR MASS CASUALTY DISASTERS AND PUBLIC HEALTH EMERGENCIES. - ENVIRONMENTAL SAFETY - INSPIRA MEDICAL CENTERS PARTICIPATES IN A SAFE SYRINGE PROGRAM THAT HELPS THE COMMUNITY TO SAFELY AND RESPONSIBLY DISPOSE OF SYRINGES, NEEDLES AND LANCETS GENERATED IN THE HOME. THIS PROGRAM HELPS ASSURE A SAFE ENVIRONMENT BY PROVIDING THE COMMUNITY AN OUTLET TO PROPERLY DISPOSE OF MEDICAL WASTE. EACH YEAR, COMMUNITY MEMBERS ARE PROVIDED WITH SHARPS CONTAINERS AND ARE PERMITTED TO DROP THEM AT IMC LOCATIONS WHERE THEY ARE PROPERLY DISPOSED OF.
CORE FORM, PART III; STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTS	- IMPACT (INNOVATIVE MODEL FOR PRESCHOOL AND COMMUNITY TEAMING) WAS DEVELOPED THROUGH COLLABORATION BETWEEN IMC AND THE VINELAND BOARD OF EDUCATION. IT PROVIDES HEALTH AND SOCIAL SERVICES, CHILDCARE FOR INFANTS AND TODDLERS, PRESCHOOL PROGRAMS AND LITERACY PROGRAMS THAT TARGET THE NEEDS OF THE LOW INCOME RESIDENTS IN CUMBERLAND COUNTY. IT ALSO ADDRESSES ISSUES SUCH AS TEEN PREGNANCY, TEEN PARENTING AND EARLY CHILDHOOD EDUCATION. EVERY YEAR, THE PROGRAM MAKES A POSITIVE IMPACT ON THE LIVES OF THOUSANDS OF CHILDREN AND THEIR FAMILIES. IMPACT PROVIDES A NUMBER OF EDUCATIONAL OPPORTUNITIES FOR THE COMMUNITY INCLUDING: 1. IMPACT TEEN PARENTING PROGRAM PROVIDES PARENTING CLASSES, CHILDCARE SERVICES, PRENATAL CARE AND LIFE SKILLS EDUCATION TO TEEN PARENTS IN THE VINELAND HIGH SCHOOLS AND PROMOTES LIFELONG LEARNING AND SECOND PREGNANCY PREVENTION. 2. IMPACT SCHOOL BASED YOUTH SERVICES PROGRAM (SBYSP) OFFERS HEALTH SERVICES, TUTORING, COUNSELING, RECREATION AND LIFE SKILLS TRAINING AT THE VINELAND HIGH SCHOOL, VINELAND WALLACE MIDDLE SCHOOL AND MILLVILLE HIGH SCHOOL. 3. IMPACT FAMILY OUTREACH PROGRAM IS AN ABBOTT PROGRAM WHICH COORDINATES FAMILY OUTREACH AND SUPPORT WITH SOCIAL WORKERS WHO SERVICE ABBOTT PRESCHOOL PROVIDERS IN BRIDGETON, MILLVILLE AND VINELAND. 4. IMPACT CHILD CARE PROGRAM IS ACCREDITED BY THE NATIONAL ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN AND IS OPEN TO CHILDREN FROM 6 WEEKS TO 5 YEARS OLD WITH HEALTH CENTER SERVICES PROVIDED ON SITE. IN 2016, AN AVERAGE OF 53 CHILDREN WAS ENROLLED IN THE CHILD CARE PROGRAM AND 39 WERE ENROLLED IN THE WRAP AROUND PROGRAM. 5. IMC'S FAMILY SUCCESS CENTERS IN VINELAND AND PORT NORRIS PROVIDE SERVICES AND PROGRAMS THAT CONNECT FAMILIES WITH COMMUNITY RESOURCES RANGING FROM HOUSING AND LEGAL ASSISTANCE TO HELP OBTAINING HOUSEHOLD ITEMS AND FOOD. THE CENTER FOCUSES ON 10 CORE SERVICES TO STRENGTHEN FAMILIES BY PROVIDING ASSISTANCE WITH OBTAINING HEALTH INSURANCE, SELECTING PHYSICIANS, PROVIDING WORKSHOPS THAT INCREASE POSITIVE INTERACTION BETWEEN PARENTS AND CHILDREN, PROMOTING FAMILY LITERACY, ADDRESSING HEALTH ISSUES AND LEGAL ISSUES SUCH AS IMMIGRATION AND OTHER TOPICS RELEVANT TO THE COMMUNITY. - IMPROVING ACCESS TO HEALTHCARE FOR UNINSURED/UNDERINSURED - IMC HAS A PROUD HISTORY OF HELPING UNINSURED RESIDENTS GET THE COVERAGE THEY NEED. IMC HAS WORKED IN COLLABORATION WITH NJHA (NEW JERSEY HOSPITAL ASSOCIATION) TO PROVIDE CERTIFIED APPLICATION COUNSELORS ASSIST COMMUNITY MEMBERS IN ACCESSING THE NEW FEDERAL HEALTHCARE EXCHANGE TO APPLY FOR HEALTH INSURANCE AS MANDATED BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. - MAYOR'S CAMPAIGNS FOR HEALTHIER VINELAND, MILLVILLE AND BRIDGETON - VARIOUS IMC STAFF ARE ACTIVE COMMITTEE MEMBERS OF THE VINELAND, MILLVILLE AND BRIDGETON MAYOR'S CAMPAIGNS FOR HEALTHIER COMMUNITIES. IN COLLABORATION WITH IMC, THE LOCAL FEDERALLY QUALIFIED HEALTHCARE CENTER (FQHC), COMPLETECARE HEALTH NETWORK (CCHN) AND OTHER COLLABORATIVE PARTNERS, CO-HOST COMMUNITY HEALTH FAIRS, FACILITATE COMMUNITY OUTREACH EVENTS AND CONNECT THE MEDICALLY DISENFRANCHISED TO THE APPROPRIATE HEALTHCARE AND SOCIAL SERVICE PROVIDERS TO ENCOURAGE UNINSURED RESIDENTS TO ENROLL IN AFFORDABLE HEALTHCARE PROGRAMS. THE COMMITTEES ARE DEDICATED TO IMPROVING HEALTHCARE FOR VINELAND, MILLVILLE AND BRIDGETON RESIDENTS BY MAKING RESOURCES AVAILABLE THROUGH INCREASED AWARENESS AND ACCESS. - STEPS FOR KIDS STEPS FOR KIDS WAS DEVELOPED THROUGH A COLLABORATION BETWEEN IMC, THE ROBERT WOOD JOHNSON FOUNDATION AND CUMBERLAND/CAPE/ATLANTIC YMCA, TO REDUCE CHILDHOOD OBESITY IN VINELAND AND BRIDGETON SCHOOLS BY EDUCATING BOYS AND GIRLS AGED 8 TO 12 IDENTIFIED BY SCHOOL NURSES WITH AN ASSESSED BMI LEVEL AT OR ABOVE THE 85TH PERCENTILE WHO ARE AT RISK FOR OBESITY. PARENTS AND CHILDREN ATTEND 12-WEEK INTERACTIVE BI-LINGUAL PROGRAM THAT FOCUSES ON BALANCED MEAL PLANS AND SIMPLE EXERCISE TECHNIQUES THAT HELP FAMILIES ACHIEVE HEALTHIER LIFESTYLES. THIS PROGRAM IS COMPLETELY FUNDED AND RUN BY IMC THROUGH ITS GARDEN AHEC DEPARTMENT. - 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. SOME OF THE GROUPS EVENTS INCLUDED DAY OF DANCE, WOMENS HEALTH SCREENING DAY AND GIRLS NIGHT OUT. SPIRIT OF WOMEN ALSO HOLDS A QUARTERLY SEMINAR SERIES, EACH FOCUSING ON SPECIFIC ISSUES CONCERNING WOMEN'S HEALTH. - AUXILIARIES - THE INSPIRA HEALTH NETWORK AUXILIARY CUMBERLAND COUNTY AND THE INSPIRA HEALTH NETWORK AUXILIARY ELMER HOLD VARIOUS EVENTS THROUGHOUT THE YEAR LIKE THE PRINCESS PARTY, CALENDAR RAFFLE AND YARD SALE. AUXILIARY MEMBERS ARE SOME OF THE MOST IMPORTANT CHAMPIONS OF OUR MISSION, AND THEY COORDINATE A NUMBER OF FUNDRAISERS AND SPECIAL EVENTS EACH YEAR. IN 2018, THE AUXILIARIES AT INSPIRA RAISED MORE THAN $219,920 FOR PROJECTS THAT MAKE A POSITIVE IMPACT ON LOCAL HEALTH CARE SERVICES. - VOLUNTEERS PROGRAM - WHETHER GREETING VISITORS AT THE FRONT DESK OR COMFORTING PATIENTS AT THEIR BEDSIDE, VOLUNTEERS PLAY AN IMPORTANT ROLE IN IMC'S TRADITION OF COMPASSIONATE CARE. OUR SUCCESSFUL VOLUNTEER PROGRAM CONSISTS OF ADULTS AND TEENS WITH AGE RANGES FROM 14 TO 96 WHO PROVIDE ASSISTANCE IN A VAST ARRAY OF AREAS SUCH AS ACCOUNTING, EDUCATION, PUBLIC RELATIONS, LAUNDRY, EMERGENCY ROOM, SURGICAL SERVICES, PEDIATRICS, NURSING AND MORE. IN 2018, 584 DEDICATED AND GENEROUS VOLUNTEERS DONATED MORE THAN 53,991 HOURS OF SERVICE THROUGHOUT THE HEALTH NETWORK.
CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7	INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE SOLE MEMBER OF THIS ORGANIZATION. NETWORK HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS.
CORE FORM, PART VI, SECTION B; QUESTION 11b	INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE NETWORK'S FINANCE/AUDIT COMMITTEE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE NETWORK'S FINANCE/AUDIT COMMITTEE HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES WITHIN THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE SYSTEM HIRED A PROFESSIONAL CERTIFIED PUBLIC ACCOUNTING ("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 THE NETWORK'S FINANCE/AUDIT COMMITTEE AND FILING WITH THE IRS.
CORE FORM, PART VI, SECTION B; QUESTION 12	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE 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. 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 AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE NETWORK'S BOARD OF TRUSTEES HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING, BUT NOT LIMITED TO, THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND 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 senior management 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 SENIOR MANAGEMENT. 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 SENIOR MANAGEMENT. THE COMPENSATION AND BENEFITS OF CERTAIN OTHER INDIVIDUALS CONTAINED IN THIS FORM 990 ARE REVIEWED ANNUALLY BY THE PRESIDENT/CHIEF EXECUTIVE OFFICER WITH ASSISTANCE FROM THE ORGANIZATION'S HUMAN RESOURCES DEPARTMENT IN CONJUNCTION WITH THE INDIVIDUAL'S JOB PERFORMANCE DURING THE YEAR AND IS BASED UPON OTHER OBJECTIVE FACTORS DESIGNED TO ENSURE THAT REASONABLE AND FAIR MARKET VALUE COMPENSATION IS PAID BY THE ORGANIZATION. OTHER OBJECTIVE FACTORS INCLUDE MARKET SURVEY DATA FOR COMPARABLE POSITIONS, INDIVIDUAL GOALS AND OBJECTIVES, PERSONNEL REVIEWS, EVALUATIONS, SELF-EVALUATIONS AND PERFORMANCE FEEDBACK MEETINGS.
CORE FORM, PART VI, SECTION C; QUESTION 19	THE ORGANIZATION HAS ISSUED TAX-EXEMPT BONDS TO FINANCE VARIOUS CAPITAL IMPROVEMENT PROJECTS, RENOVATIONS AND EQUIPMENT. IN CONJUNCTION WITH THE ISSUANCE OF THESE TAX-EXEMPT BONDS, THE ORGANIZATION'S FINANCIAL STATEMENTS WERE INCLUDED WITH THE TAX-EXEMPT BOND PROSPECTUS WHICH WAS MADE AVAILABLE TO THE GENERAL PUBLIC FOR REVIEW. IN ADDITION, THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY.
CORE FORM, PART VII AND SCHEDULE J	CORE FORM, PART VII AND SCHEDULE J, PART II REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM THIS ORGANIZATION OR A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THIS ORGANIZATION OR A RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF TRUSTEES. PLEASE NOTE, THIS ORGANIZATION'S FORM 990 REFLECTS INDIVIDUALS WHO PROVIDE SERVICES TO OTHER ORGANIZATIONS. THIS ORGANIZATION ISSUES W-2'S TO THOSE INDIVIDUALS AND FILES THE APPLICABLE FORMS WITH THE INTERNAL REVENUE SERVICE. THIS ORGANIZATION ALLOCATES THESE PAYMENTS TO OTHER AFFILIATES VIA AN INTERCOMPANY ACCOUNT.
CORE FORM, PART VII, SECTION A, COLUMN B	THIS ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM INCLUDES BOTH FOR-PROFIT AND NOT FOR-PROFIT ORGANIZATIONS. CERTAIN BOARD OF TRUSTEE MEMBERS AND OFFICERS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF TRUSTEES OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY THE SAME AS REFLECTED IN 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 and key employees, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION.
CORE FORM, PART X; LINES 27-29	IN 2018, THE NETWORK ADOPTED THE FASBS ASU NO. 2016-14, NOT-FOR-PROFIT ENTITIES (TOPIC 958): PRESENTATION OF FINANCIAL STATEMENTS OF NOT-FOR-PROFIT ENTITIES. ASU NO. 2016-14 ADDRESSES THE COMPLEXITY AND UNDERSTANDABILITY OF NET ASSET CLASSIFICATION, DEFICIENCIES IN INFORMATION ABOUT LIQUIDITY AND AVAILABILITY OF RESOURCES, AND THE LACK OF CONSISTENCY IN THE TYPE OF INFORMATION PROVIDED ABOUT EXPENSES AND INVESTMENT RETURN. THE NETWORK HAS ADJUSTED THE PRESENTATION OF THESE CONSOLIDATED FINANCIAL STATEMENTS ACCORDINGLY. ASU NO. 2016-14 HAS BEEN APPLIED RETROSPECTIVELY TO ALL PERIODS PRESENTED, EXCEPT FOR THE DISCLOSURES AROUND LIQUIDITY AND AVAILABILITY OF RESOURCES. THESE DISCLOSURES HAVE BEEN PRESENTED FOR 2018 ONLY, AS ALLOWED BY ASU NO. 2016-14. THE NEW STANDARD CHANGES THE FOLLOWING ASPECTS OF THE CONSOLIDATED FINANCIAL STATEMENTS: - THE UNRESTRICTED NET ASSET CLASS HAS BEEN RENAMED NET ASSETS WITHOUT DONOR RESTRICTIONS; - THE TEMPORARILY AND PERMANENTLY RESTRICTED NET ASSET CLASSES HAVE BEEN COMBINED INTO A SINGLE NET ASSET CLASS CALLED NET ASSETS WITH DONOR RESTRICTIONS; - THE CONSOLIDATED FINANCIAL STATEMENTS INCLUDE A DISCLOSURE ABOUT LIQUIDITY AND AVAILABILITY OF RESOURCES; AND - THE FUNCTIONAL EXPENSE DISCLOSURE FOR 2018 AND 2017 INCLUDES EXPENSES REPORTED BOTH BY NATURE AND FUNCTION.
CORE FORM, PART XI; QUESTION 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - FORGIVENESS OF DEBT (INSPIRA HEALTH MANAGEMENT, INC.); A RELATED ORGANIZATION - ($11,600,000); - NET ASSETS RELEASED FROM DONOR RESTRICTIONS - ($3,651,088); - NET ASSETS RELEASED FROM RESTICTION FOR PROPERTY AND EQUIPMENT - $3,641,551; - CHANGE IN BENEFICIAL INTEREST IN CAPITAL CAMPAIGN; DONOR RESTRICTED - $678,267; AND - CHANGE IN BENEFICIAL INTEREST IN TEMPORARY AND PERPETUAL TRUST; DONOR RESTRICTED - ($407,441).
CORE FORM, PART XII; QUESTION 2	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM'S TAX-EXEMPT PARENT ENTITY IS INSPIRA HEALTH NETWORK, INC. ("NETWORK"). AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE NETWORK AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 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 NETWORK'S FINANCE/AUDIT COMMITTEE HAS ASSUMED RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS, WHICH INCLUDES THIS ORGANIZATION, AND THE SELECTION OF AN INDEPENDENT AUDITOR.
CORE FORM, PART XI; QUESTION 3	THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE A SYSTEM WIDE CONSOLIDATED AUDIT UNDER THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AUDIT.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 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 MEDICAL CENTERS INC

Employer identification number

21-0634484

Part I

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

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

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(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		No
(2)INSPIRA HEALTH NETWORK INC 333 IRVING AVENUE BRIDGETON,NJ08302 22-2508425	HEALTH SVCS.	NJ	501(C)(3)	509(A)(3)	N/A		No
(3)INSPIRA HLTH NTWK FDN CUMBERLANDSALEM 333 IRVING AVENUE BRIDGETON,NJ08302 22-3746758	SUPPORT NTWK	NJ	501(C)(3)	509(A)(3)	IMC	Yes
(4)INSPIRA HEALTH NETWORK LIFE INC 2950 COLLEGE DRIVE SUITE 1E VINELAND,NJ08360 26-4827936	HEALTH SVCS.	NJ	501(C)(3)	509(A)(2)	NETWORK		No
(5)INSPIRA MEDICAL CENTER WOODBURY INC 509 NORTH BROAD STREET WOODBURY,NJ08096 22-1820210	HEALTH SVCS.	NJ	501(C)(3)	HOSPITAL	NETWORK		No
(6)INSPIRA HLTH NTWRK FDN GLOUCESTER COUNTY 509 NORTH BROAD STREET WOODBURY,NJ08096 22-2333409	SUPPORT IMCW	NJ	501(C)(3)	509(A)(1)	IMCW		No
(7)TRI-COUNTY CARDIOVASCULAR SERVICES PC 509 NORTH BROAD STREET WOODBURY,NJ08096 45-4199382	INACTIVE	NJ	501(C)(3)	509(A)(3)	NETWORK		No
(8)INSPIRA HEALTH CONNECTIONS PC 509 NORTH BROAD STREET WOODBURY,NJ08096 45-4203973	INACTIVE	NJ	501(C)(3)	509(A)(1)	NETWORK		No

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

Cat. No. 50135Y

Schedule R (Form 990) 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	IMC	RELATED	149,354	254,753		No		Yes		85.000 %
(3) GLOUC CTY SURG CTR 163 BRIDGETON PIKE BLDG B MULLICA HILL,NJ08062 26-1157885	HEALTHCARE SVCS.	NJ	N/A
(4) INSPIRA HLTH PTRS 2950 COLLEGE DRIVE VINELAND,NJ08360 46-5550615	HEALTHCARE ACO	NJ	NA
(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	N/A	C CORP.					No
(2) INSPIRA HEALTH MANAGEMENT CORPORATION 2950 COLLEGE DRIVE SUITE 1E VINELAND,NJ08360 22-2502241	HEALTHCARE SVCS.	NJ	N/A	C CORP.					No
(3) INSPIRA HEALTH NETWORK MEDICAL GROUP PC 2950 COLLEGE DRIVE SUITE 1E VINELAND,NJ08360 22-5745047	HEALTHCARE SVCS.	NJ	IMC	C CORP.	41,430,076	11,059,126	100.000 %	Yes
(4) JUNO ASSURANCE LTD AON HOUSE 4TH FLOOR PEMBROKE HM 08 BD	FINANCIAL VEHICLE	BD	N/A	FOREIGN CORP.					No
(5) INSPIRA HEALTH NETWORK URGENT CARE PC 201 TOMLIN STATION ROAD MULLICA HILL,NJ08062 45-2900402	HEALTHCARE SVCS.	NJ	IMC	C CORP.	15,105,905	14,821,049	100.000 %	Yes
(6) RED BANK DEVELOPMENT CORPORATION 509 NORTH BROAD STREET WOODBURY,NJ08096 22-2814053	HEALTHCARE SVCS.	NJ	N/A	C CORP.					No
(7) INSPIRA HOME CARE SVCS WOODBURY INC 509 NORTH BROAD STREET WOODBURY,NJ08096 22-3479390	INACTIVE	NJ	N/A	C CORP.					No
(8) INSPIRA SJ URGENT CARE PC 165 BRIDGETON PIKE MULLICA HILL,NJ08062 81-3165654	HEALTHCARE SVCS.	NJ	IMC	C CORP.	1,871,385	1,888,672	100.000 %	Yes

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) ............................

Yes

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) ......................

Yes

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) ...................

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

Yes

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

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

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 HEALTH NETWORK INC	E	1,176,986	COST
(2) INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM	E	120,508	COST
(3) INSPIRA HEALTH NETWORK URGENT CARE PC	D	4,805,120	COST
(4) Oak and Main Surgicenter LLC	D	76,403	COST
(5) INSPIRA HEALTH NETWORK INC	K	800,121	COST
(6) INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM	K	93,589	COST
(7) INSPIRA HEALTH NETWORK MEDICAL GROUP PC	J	193,078	COST
(8) Oak and Main Surgicenter LLC	J	114,263	COST
(9) INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM	C	502,610	COST
(10) INSPIRA HEALTH NeTWorK FDN CUMBERLANDSALEM	O	492,106	COST
(11) INSPIRA HEALTH NETWORK INC	O	2,670,178	COST
(12) OAK & MAIN SURGICENTER LLC	O	875,196	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 AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS ORGANIZATION 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: THE MISSION OF INSPIRA MEDICAL CENTERS, INC. IS TO PROVIDE QUALITY HEALTHCARE SERVICES THAT IMPROVE THE LIVES OF ALL WE SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	19
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	6,553
6	Total number of volunteers (estimate if necessary) .............	6	559
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	74,132
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	63,136

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	5,226,724	5,589,901
9	Program service revenue (Part VIII, line 2g) .........	454,317,784	475,565,471
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	27,098,787	28,567,630
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,020,685	1,603,242
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	487,663,980	511,326,244
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	159,090	146,261
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)	239,326,342	246,759,472
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)....	172,313,669	181,886,774
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	411,799,101	428,792,507
19	Revenue less expenses. Subtract line 18 from line 12.......	75,864,879	82,533,737
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	972,179,000	992,408,000
21	Total liabilities (Part X, line 26).............	377,803,213	365,713,198
22	Net assets or fund balances. Subtract line 21 from line 20.....	594,375,787	626,694,802

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 385,927,845 including grants of $ 146,261 ) (Revenue $ 475,565,471 )
	EXPENSES INCURRED IN PROVIDING INPATIENT, OUTPATIENT AND EMERGENCY MEDICALLY NECESSARY 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 (STATEMENT OF PROGRAM SERVICES) WHICH INCLUDES DETAILED INFORMATION REGARDING THE VARIOUS SERVICES PROVIDED BY THIS ORGANIZATION.

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 expenses385,927,845

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	7,287,474	698,539	2,029,912

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	502,610
e	Government grants (contributions)		1e	3,291,784

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,795,507

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		5,589,901

		Business Code
2a	NET PATIENT SERVICE REVENUE	622110	467,137,524	467,137,524
b	OTHER HEALTHCARE RELATED REVENUE	622110	7,886,197	7,812,065	74,132
c	RENTAL INCOME FROM TAX-EXEMPT AFFILIATES	531190	541,750	541,750
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		475,565,471

3 Investment income (including dividends, interest, and othersimilar amounts) ......			11,621,536			11,621,536
4 Income from investment of tax-exempt bond proceeds			206,252			206,252
5 Royalties...........			0
		(ii) Personal	(i) Real
6a	Gross rents		1,165,598
b	Less: rental expenses		1,632,730
c	Rental income or (loss)	0	-467,132
d	Net rental income or (loss)......			-467,132			-467,132
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	424,000	16,315,842
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	424,000	16,315,842
d	Net gain or (loss).....			16,739,842			16,739,842
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		465,316
b	Less: cost of goods sold ..b		283,269
c	Net income or (loss) from sales of inventory..			182,047			182,047
Business Code			Miscellaneous Revenue
11a	CAFETERIA/DIETARY		900099	1,888,327			1,888,327
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,888,327
12	Total revenue. See Instructions......			511,326,244	475,491,339	74,132	30,170,872

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	141,261	141,261
2	Grants and other assistance to domestic individuals. See Part IV, line 22	5,000	5,000
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 ....	7,172,649	6,455,384	717,265	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	183,889,426	165,500,483	18,388,943
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	15,915,779	14,324,201	1,591,578
9	Other employee benefits .......	11,806,214	10,625,593	1,180,621
10	Payroll taxes ...........	27,975,404	25,177,864	2,797,540
11	Fees for services (non-employees):
a	Management ......	0
b	Legal .........	995,552	895,997	99,555
c	Accounting ...........	0
d	Lobbying ...........	159,286	143,358	15,928
e	Professional fundraising services. See Part IV, line 17	0
f	Investment management fees ......	1,087,505	978,754	108,751
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	32,998,566	29,698,709	3,299,857
12	Advertising and promotion ....	36,128	32,515	3,613
13	Office expenses .......	5,725,325	5,152,793	572,532
14	Information technology ......	171,889	154,700	17,189
15	Royalties ..	0
16	Occupancy ...........	9,741,741	8,767,567	974,174
17	Travel ............	967,334	870,601	96,733
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .	0
19	Conferences, conventions, and meetings ....	119,747	107,772	11,975
20	Interest ...........	4,856,580	4,370,921	485,659
21	Payments to affiliates .......	0
22	Depreciation, depletion, and amortization ..	28,851,822	25,966,640	2,885,182
23	Insurance ...	1,234,892	1,111,403	123,489
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	45,451,545	40,906,391	4,545,154
b	ALLOCATED CORPORATE SERVICES	29,514,749	26,563,274	2,951,475
c	OUTSIDE SERVICES	6,862,106	6,175,895	686,211
d	REHAB & SLEEP CARE EXPENSES	6,698,191	6,028,334	669,857
e	All other expenses	6,413,816	5,772,435	641,381
25	Total functional expenses. Add lines 1 through 24e	428,792,507	385,927,845	42,864,662	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 ........			12,934	1	12,934
2	Savings and temporary cash investments .........			72,038,917	2	81,317,670
3	Pledges and grants receivable, net ......			1,090,726	3	1,179,296
4	Accounts receivable, net .............			44,147,455	4	48,577,480
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
				77,500	5	55,293
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 ........			5,045,629	8	5,052,717
9	Prepaid expenses and deferred charges ......			10,701,748	9	11,350,152
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	660,468,386
b	Less: accumulated depreciation	10b	387,706,152	240,395,953	10c	272,762,234
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 ..			510,031,245	13	465,474,538
14	Intangible assets ...............			906,273	14	906,273
15	Other assets. See Part IV, line 11 ...........			87,730,620	15	105,719,413
16	Total assets. Add lines 1 through 15 (must equal line 34)...			972,179,000	16	992,408,000

17	Accounts payable and accrued expenses .....	88,370,728	17	97,276,210
18	Grants payable ...	0	18	0
19	Deferred revenue .........	4,437,628	19	3,965,815
20	Tax-exempt bond liabilities .........	186,916,745	20	179,705,264
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 ..	3,425,063	23	3,154,707
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	94,653,049	25	81,611,202
26	Total liabilities. Add lines 17 through 25..	377,803,213	26	365,713,198

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	586,230,260	27	621,920,226
28	Temporarily restricted net assets ...........	8,145,527	28	4,774,576
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 ...........	594,375,787	33	626,694,802
34	Total liabilities and net assets/fund balances ........	972,179,000	34	992,408,000

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