2014-11-14T13:58:31-06:00 2013-12-31 WithumSmithBrown PC 465 South St Ste 200 Morristown NJ 079606497 990 2013-01-01 226067549 INSPIRA HOMECARE & HOSPICECARE INC % THOMAS P BALDOSARO CPA INSP 8566418610 333 IRVING AVENUE Suite BRIDGETON NJ 08302 THOMAS BALDOSARO CFO 8566416605 2014-11-10 true Scott Mariani P00642486 8566416605 2013 2015-11-30 17:44:51Z JOHN A DIANGELO 333 IRVING AVENUE BRIDGETON NJ 08302 11215080 false X WWW.INSPIRAHEALTHNETWORK.ORG X 1965 NJ THE ORGANIZATION'S MISSION IS TO PROVIDE MEDICALLY NECESSARY HOSPICE SVCS, HOME HEALTHCARE AND ADULT MEDICAL CARE SERVICES TO ELDERLY AND HANDICAPPED RESIDENTS OF SOUTHERN NJ. 14 11 0 76 0 106997 56715 11054316 11084027 95420 74338 -101 0 11256632 11215080 0 0 0 0 0 0 0 0 0 11471253 12069999 11471253 12069999 -214621 -854919 8951045 7854228 4221224 3542777 4729821 4311451 X THE ORGANIZATION'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE MEDICALLY NECESSARY HOSPICE SERVICES, HOME HEALTHCARE SERVICES AND ADULT MEDICAL DAY CARE SERVICES TO ELDERLY AND HANDICAPPED RESIDENTS OF SOUTHERN NEW JERSEY WHO ARE ALONE OR HOMEBOUND IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. false false 4591984 0 4444723 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY HOME HOSPICE CARE TO THE RESIDENTS OF SALEM, CUMBERLAND AND GLOUCESTER COUNTIES IN NEW JERSEY IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION INCURRED 25,780 HOSPICE CARE PATIENT DAYS IN 2013. 4181484 0 4201763 EXPENSES INCURRED IN FUNCTIONING AS A CERTIFIED HOME HEALTH AGENCY AS A DIRECT PROVIDER OF SKILLED NURSING, THERAPY SERVICES AND HOME HEALTH AIDES FOR RESIDENTS OF SALEM AND CUMBERLAND COUNTIES IN NEW JERSEY (EXCLUDING THE CITY OF VINELAND, NJ) IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION MADE 40,691 HOME HEALTH VISITS IN 2013. 1536790 0 843856 EXPENSES INCURRED IN PROVIDING MEDICALLY NECESSARY INPATIENT HOSPICE CARE SERVICES TO ELDERLY OR HANDICAPPED ADULTS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. THE ORGANIZATION INCURRED 2,037 INPATIENT HOSPICE CARE PATIENT DAYS IN 2013. 552714 0 1593685 10862972 true true false true false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 29 0 true 0 false false false false false false false false false false X 14 11 true false false false true true true true true false false true true true true true true true true false NJ X THOMAS P BALDOSARO CPA 8566416605 333 IRVING AVENUE BRIDGETON NJ 08302 X PETER GALETTO JR CHAIRMAN - DIRECTOR 1.0 X X 0 0 0 DANIEL J BALL III DIRECTOR 1.0 X 0 0 0 KEVIN C BOWEN DIRECTOR 1.0 X 0 0 0 PAMELA S CLARK DIRECTOR 1.0 X 0 0 0 JOHN H FISHER III DIRECTOR 1.0 X 0 0 0 EDGAR HATHAWAY JR ESQ DIRECTOR 1.0 X 0 0 0 HARRY E HEARING DIRECTOR 1.0 X 0 0 0 ALBERT B KELLY DIRECTOR 1.0 X 0 0 0 WARNER A KNOBE DIRECTOR 1.0 X 0 0 0 HERBERT J KONRAD DIRECTOR 1.0 X 0 0 0 MICHAEL A MCLAUGHLIN DIRECTOR 1.0 X 0 0 0 DAVID ROBBINS JR DIRECTOR; EX-OFFICIO 1.0 X 0 0 0 RONALD ROSSI DIRECTOR 1.0 X 0 0 0 SHELLY O SCHNEIDER ED D DIRECTOR 1.0 X 0 0 0 CHRISTOPHER R GIBSON ESQ DIRECTOR (1/1 - 4/2) 1.0 X 0 0 0 RUSSELL GILLESPIE DIRECTOR (1/1 - 9/24) 1.0 X 0 0 0 CHESTER B KALETKOWSKI PRESIDENT/CEO 55.0 X 0 791676 232399 JOHN A DIANGELO ASST TREASURER, EVP/CFO 55.0 X 0 655356 127831 ROBERT M DANGEL ESQ ASST SECRETARY/GENERAL COUNSEL 55.0 X 0 337891 117994 WAYNE WHELAN EXECUTIVE DIRECTOR 55.0 X 0 150001 17673 0 1934924 495897 0 false true false KARL HURBAN LPT 2417 LA VALLE AVENUE VINELAND NJ 08360 PHYSICAL THERAPY 232250 FRANK GIANNANTONIO ASSOCIATES INC 44 SHELTON ROAD SUITE 315 PISCATAWAY NJ 08079 BILLING 209639 CUMBERLAND MANOR NURSINGREHAB 170 53RD STREET BROOKLYN NY 11232 MEDICAL 160681 MILLVILLE CENTER PO BOX 7247-6522 PHILADELPHIA PA 19170 MEDICAL 146480 THORNBERRY LTD 180 GOOD DRIVE LANCASTER PA 17603 IT 129617 6 X 56715 56715 NET PATIENT SERVICE REVENUE 541900 10781712 10781712 OTHER HEALTHCARE RELATED REVENUE 541900 302315 302315 11084027 52700 52700 0 0 0 0 0 21638 21638 21638 21638 0 0 0 0 11215080 11084027 74338 0 0 0 0 0 0 0 0 0 0 76871 69184 7687 0 0 0 918 826 92 0 0 125656 113090 12566 8102 7292 810 317190 285471 31719 123639 111275 12364 0 431976 388778 43198 325401 292861 32540 0 0 0 0 129781 116803 12978 2500 2250 250 ALLOCATION OF PERSONNEL COSTS 8144390 7329951 814439 MEDICAL SUPPLIES 605491 544942 60549 OUTSIDE SERVICES 584610 526149 58461 AGENCY PERSONNEL 515407 463866 51541 678067 610234 67833 12069999 10862972 1207027 0 X 837 837 3317582 1971984 0 0 1934294 1917576 0 0 0 0 3205383 3532382 0 0 16760 23084 697665 417546 333456 280119 0 0 0 0 0 0 102500 72500 40233 55746 8951045 7854228 981709 755000 0 0 336070 127876 0 0 0 0 0 0 0 0 0 0 2903445 2659901 4221224 3542777 X 4729821 4311451 0 0 0 0 4729821 4311451 8951045 7854228 X -854919 216047 220502 X X false true X true true true X 610960 669141 448001 106997 56715 1891814 11644365 12904078 11306098 11055416 11084027 57993984 0 0 0 12255325 13573219 11754099 11162413 11140742 59885798 0 0 0 59885798 67924 77665 111572 67594 52700 377455 0 67924 77665 111572 67594 52700 377455 0 0 12323249 13650884 11865671 11230007 11193442 60263253 0.99374 0.99340 0.00626 0.00660 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false true 918 false 918 false SCHEDULE C, PART II-B; LINE 1H THE ORGANIZATION IS A MEMBER OF THE HOMECARE ASSOCIATION OF NEW JERSEY WHICH ENGAGES IN LOBBYING EFFORTS ON BEHALF OF THEIR MEMBERS. A PORTION OF THE DUES PAID TO THIS ORGANIZATION HAS BEEN ALLOCATED TO LOBBYING ACTIVITES PERFORMED ON BEHALF OF THE ORGANIZATION. THIS ALLOCATION AMOUNTED TO $918 DURING 2013. 361296 181830 179466 336369 235716 100653 280119 0 DUE TO AFFILIATED ORGANIZATION 2659901 2659901 X SCHEDULE D, PART X THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). THE SYSTEM ISSUES CONSOLIDATED AUDITED FINANCIAL STATEMENTS WHICH INCLUDE ALL RELATED ENTITIES; INCLUDING THIS ORGANIZATION. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ALSO CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE FOLLOWING FOOTNOTE IS INCLUDED IN THE 2013 CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT REPORTS THE SYSTEM'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUReMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2013 OR 2012. X X X X X false true false false false false false true false CHESTER B KALETKOWSKI PRESIDENT/CEO 0 674469 0 87078 0 30129 0 198709 0 33690 0 1024075 0 0 JOHN A DIANGELO ASST TREASURER, EVP/CFO 0 565153 0 50084 0 40119 0 102421 0 25410 0 783187 0 0 ROBERT M DANGEL ESQ ASST SECRETARY/GENERAL COUNSEL 0 284629 0 29247 0 24015 0 92790 0 25204 0 455885 0 0 WAYNE WHELAN EXECUTIVE DIRECTOR 0 148021 0 0 0 1980 0 1073 0 16600 0 167674 0 0 SCHEDULE J, PART I; QUESTION 4B THE DEFERRED COMPENSATION AMOUNT IN COLUMN C FOR THE FOLLOWING INDIVIDUALS INCLUDES 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, THE INDIVIDUALS MAY NEVER ACTUALLY RECEIVE THIS UNVESTED BENEFIT AMOUNT. THE AMOUNTS OUTLINED HEREIN WERE NOT INCLUDED IN EACH INDIVIDUAL'S 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES: CHESTER B. KALETKOWSKI, $152,436; JOHN A. DIANGELO, $78,148 and ROBERT M. D'ANGEL, ESQ., $46,054. SCHEDULE J, PART I; QUESTION 7 CERTAIN INDIVIDUALS INCLUDED IN SCHEDULE J, PART II RECEIVED A BONUS DURING CALENDAR YEAR 2013 WHICH AMOUNTS WERE INCLUDED IN COLUMN B(II) HEREIN AND IN EACH INDIVIDUAL'S 2013 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 2013 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. CORE FORM, PART III; LINE 4D EXPENSES INCURRED IN PROVIDING VARIOUS OTHER MEDICALLY NECESSARY HOSPICE SERVICES, HOME HEALTHCARE AND ADULT MEDICAL CARE SERVICES TO ALL INDIVIDUALS IN A NON-DISCRIMINATORY MANNER REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, RELIGION OR ABILITY TO PAY. CORE FORM, PART VI, SECTION A; QUESTION 1 THE ORGANIZATION IS AN AFFILIATE WITHIN THE 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. FOR THE PERIOD JANUARY 1, 2013 THROUGH DECEMBER 31, 2013 AND DURING THE ORDINARY COURSE OF BUSINESS, THE ORGANIZATION MAY ENGAGE IN ONE OR MORE TRANSACTIONS WITH COMPANIES THAT: (1) ARE OWNED BY AN INDIVIDUAL WHO IS A MEMBER OF THE BOARD OF DIRECTORS OF THIS ORGANIZATION OR A RELATED NOT-FOR-PROFIT ORGANIZATION, (2) ARE OWNED BY A FAMILY MEMBER OF AN INDIVIDUAL WHO IS A MEMBER OF THE BOARD OF DIRECTORS OF THIS ORGANIZATION OR A RELATED NOT-FOR-PROFIT ORGANIZATION, OR (3) WHEREIN A BOARD MEMBER OF THIS ORGANIZATION OR A FAMILY MEMBER OF A BOARD MEMBER OF THIS ORGANIZATION IS EITHER AN OFFICER, DIRECTOR, TRUSTEE OR KEY EMPLOYEE OF A COMPANY WITH WHICH THIS ORGANIZATION OR A RELATED NOT-FOR-PROFIT ORGANIZATION TRANSACTS BUSINESS. IN THESE SITUATIONS, ANY GOODS PURCHASED OR SERVICES PERFORMED ARE DONE SO AT FAIR MARKET VALUE RATES PURSUANT TO ARM'S LENGTH NEGOTIATIONS. ANY SUCH TRANSACTIONS ARE DISCLOSED TO, REVIEWED AND APPROVED BY THE NETWORK'S GOVERNANCE COMMITTEE. THE ORGANIZATION MAINTAINS A WRITTEN CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE AND USES REASONABLE EFFORTS TO OBTAIN THIS INFORMATION FROM THE MEMBERS OF ITS BOARD OF DIRECTORS. THE ORGANIZATION FOLLOWS A FORMALIZED BID PROCESS WHEREIN ALL TRANSACTIONS OF THIS NATURE ARE SENT OUT TO BID. IF IT IS DETERMINED THAT THE ORGANIZATION WILL ENTER INTO A TRANSACTION IDENTIFIED ABOVE, IT IS SENT TO THE NETWORK'S GOVERNANCE COMMITTEE FOR REVIEW AND APPROVAL. THE INTERESTED PERSON IN THESE CASES RECUSES THEMSELVES FROM THE VOTING PROCESS. THIS RECUSAL PROCESS IS OUTLINED IN THE ORGANIZATION'S WRITTEN CONFLICT OF INTEREST POLICY WHICH ALL BOARD MEMBERS AND SENIOR MANAGEMENT REVIEW ANNUALLY. DURING 2013 THE ORGANIZATION OR A RELATED NOT-FOR-PROFIT ORGANIZATION ENGAGED IN THE FOLLOWING TRANSACTIONS WITH INTERESTED PERSONS: SYSTEM ENTITIES HAVE BORROWED FUNDS FROM SUN NATIONAL BANK. INSPIRA MEDICAL CENTERS, INC.; AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK, INC. & AFFILIATES, HAS AN OUTSTANDING UEZ LOAN WITH SUN NATIONAL BANK WITH A PRINCIPAL BALANCE OF $391,891 AT DECEMBER 31, 2013. PETER GALETTO, JR. IS A BOARD MEMBER OF SUN NATIONAL BANK AND A BOARD MEMBER OF INSPIRA HOMECARE & HOSPICECARE, INC. ADDITIONALLY; RUSSELL GILLESPIE IS AN EMPLOYEE OF SUN NATIONAL BANK AND WAS A BOARD MEMBER OF INSPIRA HOMECARE & HOSPICECARE, INC. FROM JANUARY 1, 2013 THROUGH SEPTEMBER 24, 2013. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $16,470 TO CUMBERLAND CAPE ATLANTIC YMCA FOR CERTAIN PUBLIC HEALTH INITIATIVES. PETER GALETTO, JR. IS A BOARD MEMBER OF CAPE ATLANTIC YMCA AND A BOARD MEMBER OF INSPIRA HOMECARE & HOSPICECARE, INC. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $171,391 TO STANKER AND GALETTO, INC. DURING 2013 FOR RENOVATIONS AND CONSTRUCTION SERVICES. PETER GALETTO, JR. IS AN OWNER OF STANKER AND GALETTO, INC. AND A BOARD MEMBER OF INSPIRA HOMECARE & HOSPICECARE, INC.. PLEASE NOTE THAT THIS TRANSACTION IS DISCLOSED ON THE INSPIRA MEDICAL CENTERS, INC. FORM 990, SCHEDULE L, PART IV. INSPIRA MEDICAL CENTERS, INC.; AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK, INC. & AFFILIATES, RENTS OFFICE SPACE AT THE ELMER MEDICAL OFFICE BUILDING FROM GALETTO REALTY COMPANY. TOTAL PAYMENTS FROM INSPIRA MEDICAL CENTERS, INC. TO GALETTO REALTY COMPANY AMOUNTED TO $9,241 DURING 2013. PETER GALETTO, JR. IS AN OWNER OF GALETTO REALTY COMPANY AND A BOARD MEMBER INSPIRA HOMECARE & HOSPICECARE, INC. PAYMENT BY INSPIRA MEDICAL CENTERS, INC.; AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK & AFFILIATES, IN THE AMOUNT OF $10,600 TO DAVID GALETTO, M.D. FOR PHYSICIAN SERVICES. DAVID W. GALETTO, M.D. IS THE COUSIN OF PETER GALETTO, JR; A BOARD MEMBER OF INSPIRA HOMECARE & HOSPICECARE, INC. PLEASE NOTE THAT THIS TRANSACTION IS DISCLOSED ON THE INSPIRA MEDICAL CENTERS, INC. CORE FORM 990, PART VII. LENDING OF MONEY PURSUANT TO A PRACTICE SUPPORT AGREEMENT BETWEEN INSPIRA MEDICAL CENTERS, INC.; AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK, INC. & AFFILIATES, AND CUMBERLAND INTERNAL MEDICINE. THE ORIGINAL AMOUNT OF THE LOAN WAS $ 41,554. THE LOAN WAS SET UP IN ORDER TO ASSIST THE PRACTICE IN THE OPERATION OF INTERNAL MEDICINE/INFECTIOUS DISEASE SERVICES. THE TOTAL AMOUNT DUE FROM THE PRACTICE AT DECEMBER 31, 2013 WAS $285,997. DAVID GALETTO, M.D. IS AN OWNER OF CUMBERLAND INTERNAL MEDICINE AND COUSIN OF PETER GALETTO, JR.; A BOARD MEMBER OF INSPIRA HOMECARE & HOSPICECARE, INC.. PLEASE NOTE THAT THIS TRANSACTION IS DISCLOSED ON THE INSPIRA MEDICAL CENTERS, INC. FORM 990, SCHEDULE L, PART IV. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $357,125 TO CUMBERLAND INTERNAL MEDICINE FOR MEDICAL SERVICES DURING 2013. DAVID GALETTO, M.D. IS AN OWNER OF CUMBERLAND INTERNAL MEDICINE AND COUSIN OF PETER GALETTO, JR.; A BOARD MEMBER OF INSPIRA HOMECARE & HOSPICECARE, INC. PLEASE NOTE THAT THIS TRANSACTION IS DISCLOSED ON THE INSPIRA MEDICAL CENTERS, INC. FORM 990, SCHEDULE L, PART IV. KEVIN C. BOWEN HAS A SON THAT IS EMPLOYED BY INSPIRA MEDICAL CENTER WOODBURY, INC.; AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK, INC. & AFFILIATES, FOR WHICH HE RECEIVED FORM W-2, BOX 5 MEDICARE WAGES IN THE AMOUNT OF $41,148 DURING 2013. KEVIN C. BOWEN IS A BOARD MEMBER OF INSPIRA HOMECARE & HOSPICECARE, INC. PLEASE NOTE THAT THIS TRANSACTION IS DISCLOSED ON THE INSPIRA MEDICAL CENTER WOODBURY, INC. FORM 990, SCHEDULE L, PART IV. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $373 TO J&D DISCOUNT LIQUOR FOR ITEMS PURCHASED DURING 2013. PAMELA S. CLARK'S SPOUSE AND SON ARE OWNERS OF J&D DISCOUNT LIQUOR. PAMELA S. CLARK IS A BOARD MEMBER of INSPIRA HOMECARE & HOSPICECARE, INC. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $62,506 TO ARCHER & GREINER, P.C. FOR LEGAL SERVICES DURING 2013. JOHN H. FISCHER, III IS AN EMPLOYEE OF ARCHER & GREINER, P.C. AND A BOARD MEMBER OF INSPIRA HOMECARE & HOSPICECARE, INC. IN ADDITION, CHRISTOPHER R. GIBSON, ESQ. IS AN EMPLOYEE OF ARCHER & GREINER, P.C. AND WAS A BOARD MEMBER OF INSPIRA HOMECARE & HOSPICECARE, INC.. FROM JANUARY 1, 2013 THROUGH APRIL 2, 2013. JOHN H. FISCHER, III'S DAUGHTER IN LAW IS EMPLOYED BY INSPIRA MEDICAL CENTERS, INC.; AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK, INC. & AFFILIATES, FOR WHICH SHE RECEIVED FORM W-2, BOX 5 MEDICARE WAGES IN THE AMOUNT OF $391 DURING 2013. JOHN H. FISCHER, III IS A BOARD MEMBER OF INSPIRA HOMECARE & HOSPICECARE, INC.. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $5,412 TO TAVISTOCK COUNTY CLUB FOR VARIOUS GOODS AND SERVICES DURING 2013. MICHAEL A. MCLAUGHLIN IS A BOARD MEMBER OF TAVISTOCK COUNTRY CLUB AND A BOARD MEMBER OF INSPIRA HOMECARE & HOSPICECARE, INC. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $823,103 TO SOUTH JERSEY GAS COMPANY FOR UTILITIES DURING 2013. DAVID ROBBINS, JR. IS AN OFFICER OF SOUTH JERSEY GAS COMPANY AND A BOARD MEMBER OF INSPIRA HOMECARE & HOSPICECARE, INC. PLEASE NOTE THAT THIS TRANSACTION IS DISCLOSED ON THE INSPIRA MEDICAL CENTERS, INC. FORM 990, SCHEDULE L, PART IV. PAYMENT BY INSPIRA HEALTH NETWORK, INC. & AFFILIATES IN THE AMOUNT OF $16,356 TO ROSSI MOTOR CORP FOR A VEHICLE PURCHASED DURING 2013. RONALD ROSSI IS AN OFFICER OF ROSSI MOTOR CORP. AND A BOARD MEMBER OF INSPIRA HOMECARE & HOSPICECARE, INC. CORE FORM, PART VI, SECTION A; QUESTION 2 RUSSELL GILLESPIE AND PETER GALETTO, JR. - BUSINESS RELATIONSHIP 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 DIRECTORS AND HAS CERTAIN RESERVED POWERS AS DEFINED IN THIS ORGANIZATION'S BYLAWS. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY, ITS BOARD OF DIRECTORS, PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE ("IRS"). THE NETWORK'S COMPENSATION COMMITTEE HAS ASSUMED THE RESPONSIBILITY TO OVERSEE AND COORDINATE THE FEDERAL FORM 990 PREPARATION, REVIEW AND FILING PROCESS FOR ALL TAX-EXEMPT AFFILIATES OF THE SYSTEM. AS PART OF THE ORGANIZATION'S FEDERAL FORM 990 TAX RETURN PREPARATION PROCESS THE SYSTEM HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE PERSONNEL AND SYSTEM INDIVIDUALS INCLUDING GENERAL COUNSEL, CHIEF FINANCIAL OFFICER, VICE PRESIDENT OF FINANCE AND VARIOUS OTHER INDIVIDUALS TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS OUTLINED ABOVE FOR THEIR REVIEW. THE ORGANIZATION'S FINANCE PERSONNEL AND OTHER INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S FINANCE PERSONNEL AND VARIOUS OTHER INDIVIDUALS FOR FINAL REVIEW AND APPROVAL PRIOR TO PRESENTATION TO THE MEMBERS OF THE NETWORK'S COMPENSATION COMMITTEE AND THEREAFTER TO EACH VOTING MEMBER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. CORE FORM, PART VI, SECTION B; QUESTION 12 THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THE ORGANIZATION AND THE SYSTEM REGULARLY MONITOR AND ENFORCE COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND SENIOR MANAGEMENT PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO THE ORGANIZATION AND NETWORK'S GENERAL COUNSEL FOR REVIEW. THEREAFTER, GENERAL COUNSEL PREPARES A SUMMARY OF THE COMPLETED QUESTIONNAIRES WHICH CONTAINS INFORMATION DISCLOSED ON AN INDIVIDUAL BY INDIVIDUAL BASIS WHICH IS THEN PRESENTED TO THE NETWORK'S GOVERNANCE COMMITTEE FOR ITS REVIEW AND DISCUSSION. CORE FORM, PART VI, SECTION B; QUESTION 15 THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). INSPIRA HEALTH NETWORK, INC. ("NETWORK") IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. THIS FILING ORGANIZATION ITSELF HAS NO PAID SENIOR MANAGEMENT PERSONNEL RECEIVING COMPENSATION DIRECTLY FROM THIS ORGANIZATION. RATHER, KEY SENIOR MANAGEMENT PERSONNEL, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER ARE EMPLOYED BY THE TAX-EXEMPT HOSPITALS WITHIN THE HEALTHCARE SYSTEM. HOWEVER, THE COMPENSATION AND BENEFITS OF THESE INDIVIDUALS ARE SHOWN ON THIS TAX RETURN BECAUSE THEY ARE BOTH OFFICERS OF THIS ORGANIZATION. ACCORDINGLY, THE NETWORK'S BOARD OF DIRECTORS HAS AN EXECUTIVE COMPENSATION COMMITTEE ("COMMITTEE"). THE COMMITTEE HAS ADOPTED A WRITTEN EXECUTIVE COMPENSATION PHILOSOPHY WHICH IT FOLLOWS WHEN IT REVIEWS AND APPROVES OF THE COMPENSATION AND BENEFITS OF THE ORGANIZATION'S SENIOR MANAGEMENT, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE COMMITTEE REVIEWS THE "TOTAL COMPENSATION" OF THE INDIVIDUALS WHICH IS INTENDED TO INCLUDE BOTH CURRENT AND DEFERRED COMPENSATION AND ALL EMPLOYEE BENEFITS, BOTH QUALIFIED AND NON-QUALIFIED. THE COMMITTEE'S REVIEW IS DONE ON AT LEAST AN ANNUAL BASIS AND ENSURES THAT THE "TOTAL COMPENSATION" OF SENIOR MANAGEMENT OF THE ORGANIZATION IS REASONABLE. THE ACTIONS TAKEN BY THE COMMITTEE ENABLE THE ORGANIZATION TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS FOR PURPOSES OF INTERNAL REVENUE CODE SECTION 4958 WITH RESPECT TO THE TOTAL COMPENSATION OF CERTAIN MEMBERS OF THE SENIOR MANAGEMENT TEAM, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. THE THREE FACTORS WHICH MUST BE SATISFIED IN ORDER TO RECEIVE THE REBUTTABLE PRESUMPTION OF REASONABLENESS ARE THE FOLLOWING: 1. THE COMPENSATION ARRANGEMENT IS APPROVED IN ADVANCE BY AN "AUTHORIZED BODY" OF THE APPLICABLE TAX-EXEMPT ORGANIZATION WHICH IS COMPOSED ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE A "CONFLICT OF INTEREST" WITH RESPECT TO THE COMPENSATION ARRANGEMENT; 2. THE AUTHORIZED BODY OBTAINED AND RELIED UPON "APPROPRIATE DATA AS TO COMPARABILITY" PRIOR TO MAKING ITS DETERMINATION; AND 3. THE AUTHORIZED BODY "ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION" CONCURRENTLY WITH MAKING THAT DETERMINATION. THE COMMITTEE IS COMPRISED OF MEMBERS OF THE BOARD OF DIRECTORS EACH OF WHO ARE INDEPENDENT AND ARE FREE FROM ANY CONFLICTS OF INTEREST. THE COMMITTEE RELIED UPON APPROPRIATE COMPARABLE DATA; SPECIFICALLY THE COMMITTEE OBTAINED A WRITTEN COMPENSATION STUDY FROM AN INDEPENDENT FIRM WHICH SPECIALIZES IN THE REVIEWING OF HOSPITAL AND HEALTHCARE SYSTEM EXECUTIVE COMPENSATION AND BENEFITS THROUGHOUT THE UNITED STATES. THIS STUDY USED COMPARABLE GEOGRAPHIC AND DEMOGRAPHIC MARKET DATA INCLUDING BUT NOT LIMITED TO SIMILAR SIZED HOSPITALS, # OF LICENSED BEDS AND NET PATIENT SERVICE REVENUE. THE COMMITTEE ADEQUATELY DOCUMENTED ITS BASIS FOR ITS DETERMINATION THROUGH THE TIMELY PREPARATION OF WRITTEN MINUTES OF THE COMPENSATION COMMITTEE MEETINGS DURING WHICH THE EXECUTIVE COMPENSATION AND BENEFITS WAS REVIEWED AND SUBSEQUENTLY APPROVED. THE ACTIONS OUTLINED ABOVE WITH RESPECT TO THE COMMITTEE AND THE ESTABLISHMENT OF THE REBUTTABLE PRESUMPTION OF REASONABLENESS ONLY APPLIES TO CERTAIN SENIOR MANAGEMENT PERSONNEL, INCLUDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER AND EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER. CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY. CORE FORM, PART VII AND SCHEDULE J PART VII AND SCHEDULE J REFLECT CERTAIN BOARD MEMBERS AND OFFICERS RECEIVING COMPENSATION AND BENEFITS FROM A RELATED ORGANIZATION. PLEASE NOTE THIS REMUNERATION WAS FOR SERVICES RENDERED AS FULL-TIME EMPLOYEES OR INDEPENDENT CONTRACTORS OF THE RELATED ORGANIZATION AND NOT FOR SERVICES RENDERED AS A VOTING MEMBER OR OFFICER OF THIS ORGANIZATION'S BOARD OF DIRECTORS. CORE FORM, PART VII, SECTION A, COLUMN B THIS ORGANIZATION IS 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 DIRECTOR MEMBERS, OFFICERS AND/OR DIRECTORS LISTED ON CORE FORM, PART VII AND SCHEDULE J OF THIS FORM 990 MAY HOLD SIMILAR POSITIONS WITH BOTH THIS ORGANIZATION AND OTHER AFFILIATES WITHIN THE SYSTEM. THE HOURS SHOWN ON THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE NO COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, REPRESENT THE ESTIMATED HOURS DEVOTED PER WEEK FOR THIS ORGANIZATION. TO THE EXTENT THESE INDIVIDUALS SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OF OTHER RELATED ORGANIZATIONS IN THE SYSTEM, THEIR RESPECTIVE HOURS PER WEEK PER ORGANIZATION ARE APPROXIMATELY ONE HOUR. THE HOURS REFLECTED ON PART VII OF THIS FORM 990, FOR BOARD MEMBERS WHO RECEIVE COMPENSATION FOR SERVICES RENDERED IN A NON-BOARD CAPACITY, PAID OFFICERS AND KEY EMPLOYEES, REFLECT TOTAL HOURS WORKED PER WEEK ON BEHALF OF THE SYSTEM; NOT SOLELY THIS ORGANIZATION. CORE FORM, PART XI; QUESTION 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCE INCLUDE: - TRANSFERS FROM INSPIRA HEALTH NETWORK FOUNDATION CUMBERLAND/SALEM, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - $223,272; - TRANSFERS TO INSPIRA MEDICAL CENTERS, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION - ($2,770); AND - OTHER DECREASES IN FUND BALANCE - $84,614. CORE FORM, PART XII; QUESTION 2 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. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF THE NETWORK AND ALL ENTITIES WITHIN THE SYSTEM FOR THE YEARS ENDED DECEMBER 31, 2013 AND DECEMBER 31, 2012; RESPECTIVELY. THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS CONTAIN CONSOLIDATING SCHEDULES ON AN ENTITY BY ENTITY BASIS. THE INDEPENDENT CPA FIRM ISSUED AN UNQUALIFIED OPINION WITH RESPECT TO THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS EACH YEAR. THE NETWORK'S 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. INSPIRA HEALTH NETWORK INC 333 IRVING AVENUE BRIDGETON NJ 08302 222508425 HEALTH SVCS. NJ 501(C)(3) 509(a)(3) N/A false INSPIRA HLTH NTWK FDN CUMBERLANDSALEM 333 IRVING AVENUE BRIDGETON NJ 08302 223746758 SUPPORT ntwk NJ 501(C)(3) 509(a)(3) IMC false INSPIRA MEDICAL CENTERS INC 333 IRVING AVENUE BRIDGETON NJ 08302 210634484 HEALTH SVCS. NJ 501(C)(3) HOSPITAL NETWORK false INSPIRA HEALTH NETWORK LIFE INC 2950 COLLEGE DRIVE SUITE 1E VINELAND NJ 08360 264827936 HEALTH SVCS. NJ 501(C)(3) 509(A)(2) NETWORK false INSPIRA MEDICAL CENTER WOODBURY INC 509 NORTH BROAD STREET WOODBURY NJ 08096 221820210 HEALTH SVCS. NJ 501(C)(3) HOSPITAL NETWORK false INSPIRA HLTH NTWRK FDN GLOUCESTER COUNTY 509 NORTH BROAD STREET WOODBURY NJ 08096 222333409 SUPPORT IMCW NJ 501(C)(3) 509(A)(1) IMCW false TRI-COUNTY CARDIOVASCULAR SERVICES PC 509 NORTH BROAD STREET WOODBURY NJ 08096 454199382 HEALTH SVCS. NJ 501(C)(3) 509(A)(1) NETWORK false INSPIRA HEALTH CONNECTIONS PC 509 NORTH BROAD STREET WOODBURY NJ 08096 454203973 HEALTH SVCS. NJ 501(C)(3) 509(A)(1) NETWORK false BPOC LP 333 IRVING AVENUE BRIDGETON NJ 08302 222956029 REAL ESTATE NJ OAK & MAIN SURGICTR 907 NORTH MAIN ROAD VINELAND NJ 08360 223532371 HEALTHCARE SVCS. NJ INSPIRA HELP SERVICES INC PO BOX 126 SALEM NJ 08079 222823028 HEALTHCARE SVCS. NJ H&H CARE SVCS C CORP. 56824 36739 1.00000 true INSPIRA HEALTH MANAGEMENT CORPORATION 333 IRVING AVENUE BRIDGETON NJ 08302 222502241 HEALTHCARE SVCS. NJ N/A C CORP. false INSPIRA HEALTH NETWORK MEDICAL GROUP PC 2950 COLLEGE DRIVE SUITE 1E VINELAND NJ 08360 205745047 HEALTHCARE SVCS. NJ N/A C CORP. false JUNO ASSURANCE LTD AON HOUSE 4TH FLOOR PEMBROKE BD HM 08 FINANCIAL VEHICLE BD N/A FOREIGN CORP. false INSPIRA HEALTH NETWORK URGENT CARE PC 201 TOMLIN STATION ROAD MULLICA HILL NJ 08062 452900402 HEALTHCARE SVCS. NJ N/A C CORP. false RED BANK DEVELOPMENT CORPORATION 509 NORTH BROAD STREET WOODBURY NJ 08096 222814053 HEALTHCARE SVCS. NJ N/A C CORP. false INSPIRA HOMECARE SERVICES INC 509 NORTH BROAD STREET WOODBURY NJ 08096 223479390 HEALTHCARE SVCS. NJ N/A C CORP. false false false false true true false false false false false false false true false true true false true true INSPIRA HELP SERVICES INC E 561854 COST INSPIRA HELP SERVICES INC D 603589 COST SCHEDULE R, PART V THE ORGANIZATION IS AN AFFILIATE WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM") WHICH INCLUDES INSPIRA MEDICAL CENTERS, INC. INSPIRA HEALTH NETWORK, INC. IS THE TAX-EXEMPT PARENT ENTITY OF THE SYSTEM. INSPIRA MEDICAL CENTERS, INC. ROUTINELY PAYS EXPENSES FOR VARIOUS RELATED AFFILIATES IN THE ORDINARY COURSE OF BUSINESS. THESE RELATED PARTY TRANSACTIONS ARE RECORDED ON THE REVENUE/EXPENSE AND BALANCE SHEET STATEMENTS OF THIS ORGANIZATION AND ITS AFFILIATES. THESE ENTITIES WORK TOGETHER TO DELIVER HIGH QUALITY HEALTHCARE AND WELLNESS SERVICES TO THE COMMUNITIES IN WHICH THEY ARE SITUATED.