Inspira Health Network Inc

“The organization is the tax-exempt parent entity of inspira health network; a tax-exempt integrated healthcare delivery system. This organization's federal form 990 was provided to each member of the network's audit committee for review and thereafter approval by the members at the audit committee meeting. Subsequently, the organization's 990 was provided to each voting member of the organization's board of trustees, prior to filing with the irs. The network's 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 senior vice president and chief legal officer, senior 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. Following this review, the form 990 was then presented to the network's audit committee and provided to the organization's governing body prior to filing with the irs.”

“The organization is the tax-exempt parent entity of inspira health network; a tax-exempt integrated healthcare delivery system ("system"). The system has a written conflict of interest policy with which all affiliates regularly monitor and enforce compliance. The conflict of interest policy requires that a conflict of interest disclosure statement, consistent with best governance practices and internal revenue service guidelines, be circulated annually to all trustees/directors, officers, key employees and committee members (collectively, "inspira management") within the system. All members of inspira management are required to review the existing conflict of interest policy annually and sign a disclosure statement which affirms that they: (a) have received a copy of this conflict of interest policy; (b) have read and understood the policy; (c) have agreed to comply with the policy, and (d) understand that the organization is a charitable, tax-exempt organization and that, in order to maintain its federal tax exemption, it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. Per the system's conflict of interest policy, any member of inspira management having a potential or actual significant financial or personal interest in any transaction or arrangement, shall make a prompt, full and frank disclosure of his or her interest to the applicable governing board or a committee thereof which is considering the authorization, approval, ratification, or similar action of such transaction or arrangement prior to the organization acting on such transaction or arrangement. The completed conflict of interest disclosure statements are returned to the system's senior vice president and chief legal officer for review. Thereafter, the senior vice president and chief legal officer presents any conflicts of interest to the network's governance committee for its review and discussion.”

“The organization is the tax-exempt parent entity of inspira health network; a tax-exempt integrated healthcare delivery system ("system"). This filing organization itself has no paid senior management personnel receiving compensation directly from this organization. Rather, key senior management personnel are employed inspira medical centers, inc. However, the compensation and benefits of these individuals are shown on this tax return because they are officers or key employees of this organization. Accordingly, this organization's board of trustees has an executive compensation committee ("committee"). The committee has adopted a written executive compensation philosophy which it follows when it reviews and approves of the compensation and benefits of the organization's senior management including, but not limited to, the president/chief executive officer and all executive vice presidents and senior vice presidents that report directly to the president/chief executive officer ("senior management"). The committee reviews the "total compensation" of the individuals which is intended to include both current and deferred compensation and all employee benefits, both qualified and non-qualified. The committee's review is done on at least an annual basis and ensures that the "total compensation" of senior management of the organization is reasonable. The actions taken by the committee enable the organization to receive the rebuttable presumption of reasonableness for purposes of internal revenue code section 4958 with respect to the total compensation of certain members of the senior management team. The three factors which must be satisfied in order to receive the rebuttable presumption of reasonableness are the following: 1. The compensation arrangement is approved in advance by an "authorized body" of the applicable tax-exempt organization which is composed entirely of individuals who do not have a "conflict of interest" with respect to the compensation arrangement; 2. The authorized body obtained and relied upon "appropriate data as to comparability" prior to making its determination; and 3. The authorized body "adequately documented the basis for its determination" concurrently with making that determination. The committee is comprised of members of the board of trustees each of who are independent and are free from any conflicts of interest. The committee relied upon appropriate comparable data; specifically the committee obtained a written compensation study from an independent firm which specializes in the reviewing of hospital and healthcare system executive compensation and benefits throughout the united states. This study used comparable geographic and demographic market data including but not limited to similar sized hospitals, # of licensed beds and net patient service revenue. The committee adequately documented its basis for its determination through the timely preparation of written minutes of the compensation committee meetings during which the executive compensation and benefits was reviewed and subsequently approved. The actions outlined above with respect to the committee and the establishment of the rebuttable presumption of reasonableness only applies to certain senior management personnel. The compensation and benefits of certain other individuals contained in this form 990 are reviewed annually by the president/chief executive officer with assistance from the system's human resources department. In conjunction with the individual's job performance during the year, compensation is based upon other objective factors designed to ensure that reasonable and fair market value compensation is paid by inspira medical centers, inc. Other objective factors include market survey data for comparable positions, individual goals and objectives, personnel reviews, evaluations, self-evaluations and performance feedback meetings.”

“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. In addition, the organization's conflict of interest policy and audited financial statements are available upon request.”

“Core form, part vii and schedule j, part ii reflects a board member/officer of this organization who received compensation and benefits from a related organization. Please note this remuneration was for services rendered as full-time employee of the related organization and not for services rendered as a voting member/officer of this organization's board of trustees. Please note this organization's form 990 reflects no compensated individuals from this entity. Inspira medical centers, inc. ("imc"), a related internal revenue code section 501(c)(3) tax-exempt organization employs these individuals. Imc issues forms w-2 to individuals who provide services at inspira health network, inc., and files the applicable forms with the internal revenue service. Imc allocates these payments to this organization via an intercompany account.”

“This organization is the tax-exempt parent entity of inspira health network; a tax-exempt integrated healthcare delivery system ("system"). Certain board of trustee members and officers listed on core form, part vii and schedule j of this form 990 may hold similar positions with both this organization and other affiliates within the system. The hours shown on this form 990, for board members who receive no compensation for services rendered in a non-board capacity, represent the estimated hours devoted per week for this organization. To the extent these individuals serve as a member of the board of trustees of other related organizations in the system, their respective hours per week per organization are approximately the same as reflected in core form, part vii of this form 990. The hours reflected on core form, part vii of this form 990, for board members who receive compensation for services rendered in a non-board capacity, paid officers or key employees, reflect total hours worked per week on behalf of the system; not solely this organization.”

“Background ========== inspira health network, inc. Is the tax-exempt parent organization of inspira health network. Inspira health network, inc. Is the sole corporate member or stockholder of various not for-profit and for-profit entities. The internal revenue service ("irs") has recognized inspira health network, inc. As a tax-exempt organization under internal revenue code section 501(c)(3). Inspira health network, inc. Is the tax-exempt parent organization of a tax-exempt integrated healthcare delivery system which includes inspira medical centers, inc. ("imc") mission: to provide a safe and compassionate experience that improves the health and wellbeing of our community by placing the safety of our patients and support of our employees at the center of all we do. Vision inspira health inspires and empowers healthier communities by creating the highest quality and most desirable patient experience in the region. Values i.c.r.e.a.t.e.: innovation, compassion, reliability, empathy, access, teamwork, empowerment. Inspira medical centers ======================= imc is recognized by the irs as an internal revenue code 501(c) (3) tax-exempt organization. Pursuant 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, it operates consistently with the following criteria outlined in irs revenue ruling 69-545: 1. Provide healthcare services to all individuals regardless of ability to pay, including charity care, self-pay, medicare and medicaid patients; 2. Operate active emergency departments for all persons; which are open 24 hours a day, 7 days a week, 365 days per year, including a specialized pediatric emergency department in the vineland facility; 3. Maintain open medical staff, with privileges available to all qualified physicians; 4. Control of imc rests with their respective board of trustees and the board of trustees of inspira health network, inc. Both boards are comprised of independent civic leaders and other prominent members of the community; and 5. Surplus funds are used to improve the quality of patient care, expand and renovate facilities and advance medical care, programs and activities. The operations of 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 is for the benefit of any private individual nor is any private interest being served other than incidentally. The hospital facilities provide healthcare services to all individuals regardless of ability to pay. Moreover, they provide healthcare services to patients who meet certain criteria defined by the new jersey department of health and human services without charge or at amounts less than established rates. Imc 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 their financial assistance policies. As a leading provider of health services, inspira health network must play a key role in fostering good health in southern new jersey. To be highly effective in this role, the entire inspira team must share a core set of values and beliefs - a culture. Awards and recognition ====================== 1.) american association of critical-care nurses (aacn) gold-level beacon award for excellence - deborah f. Sager neonatal intensive care unit vineland 2.) american heart association get with the guidelines - inspira medical center elmer - stroke gold plus - inspira medical centers mullica hill and vineland - stroke gold plus with target: stroke honor roll and target: type 2 diabetes honor roll 3.) american heart association mission lifeline gold award - ems 4.) beacon award for excellence - inspira medical center vinela”

“- health information - access to quality health information is important and ihn 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 ihn 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. - language assistance - 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. Ihn has both participated in and conducted a number of programs to improve quality of healthcare services: - efficient and quality patient care - as the leading healthcare provider in southern new jersey, ihn 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, ihn 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 - ihn uses a patient satisfaction tool called press ganey. This standardized survey measures our patients' perceptions about their hospital experience and provides feedback about how we are doing, both good and bad. This assists us to continually make improvements and provide even better care for the community. Community benefit efforts ========================= donations/cash contributions ---------------------------- each year ihn 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: ac joseph media, ami, acenda, advocates for children of nj, alicia rose victorious foundation, alzheimer's association, american cancer society, american cancer society / rk chevrolet, american red cross, appel farm, bancroft, big brothers big sisters cumberland salem, bill bottino cancer foundation, boys & girls club of gloucester county, boys & girls clubs of cumb. Co., bridgeton area chamber of commerce, bridgeton area chamber of commerce / rotary, bridgeton redevelopment assoc., ceo group, the, calvary community development corp, camden coalition of healthcare providers, cancer support community nj (gilda's club), chamber of commerce southern new jersey, coalition for food and health equity, colleen sorbello breast cancer foundation, community food bank of nj, community planning & advocacy council, complete care, cooper foundation, cooper univ. Health section of military, cumberland co. Improvement authority, cumberland co. Sheriff's dept., cumberland co. Women's hall of fame, cystic fibrosis foundation, deerfield twp., door dash, emmanuel cancer foundation, family promise of southwest nj, federation of neighborhood cntrs./three little birds, food bank of south jersey, francheshini farms, friends of india, front runner nj, garden state boy scouts of america, gateway community action partnership, glassboro, gloucester county chamber, gloucester county hero scholarship, gloucester county prayer committee, greater millville chamber of commerce, greater vineland chamber of commerce, greater woodbury chamber of commerce, guidance center, the, headstrong foundation, habitat for humanity, glouc. Co., habitat for humanity, salem co., harriso”

“American red cross blood drive - ihn supports the mission of the american red cross by hosting four blood drives each year. The red cross is the largest single supplier of blood and blood products in the united states, collecting and processing more than 40 percent of the blood supply and distributing it to some 3,000 hospitals and transfusion centers nationwide. Behavioral health collaboration - ihn's children's behavioral health program participated in both the gloucester county ciacc and tri-county ciacc throughout 2024. The ciacc group is made up of a variety of agencies in gloucester, salem and cumberland counties, plus community members from those same counties, who meet regularly to coordinate services, communicate regarding changes in the behavioral health services in the counties and advocate for patient rights/services. Ihn has been an active participant in national and regional initiatives, including the following: 1. 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). 2. 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). 3. 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). Emergency preparedness - ihn readies itself for catastrophic disaster above and beyond licensure requirements. This includes an internal emergency response team that recieves specialized training. Ihn 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. Emergency medical academy programs ================================== - emt emergency medical technician class - pediatric education for pre-hospital professionals ("pepp") - pediatric advanced life support ("pals") - pre-hospital trauma life support ("phtls") - healthcare provider cpr - cpr-basic life support instructor - community emergency response team training - automatic external defibrillator ("aed") & epinephrine auto injectors - micu ground support - tactical ems education - incident command systems/structure level 300 - incident command systems/structure level 400 - ems symposium - geriatric education for ems - impact (innovative model for preschool and community teaming) was developed through collaboration between ihn 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. - mayor's campaigns for healthier vineland, millville and bridgeton - various ihn staff are active committee members of the vineland, millville and bridgeton mayor's campaigns for healthier communities. In collaboration with ihn, 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,”

“Inspira offers innovative services related to the diagnosis and treatment of cancer. Inspira introduced sozo technology, a bioimpedence device that allows for the detection of pre-clinical lymphedema (often a side effect of breast cancer surgery) and enables clinicians to intervene early, leading to better patient outcomes. Additionally, inspira is utilizing artificial intelligence to support the cancer program. Ai is used to connect newly diagnosed patients wth navigation services. It is also used to identify incidental lung nodules and enable inspira to connect these patients to follow up care. 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. Inspira also offers the latest technology in diagnostics for lung cancer and features a minimally invasive surgical suite, incluidng robotic technology, allowing our surgical cancer patients many options for care and treatment. - 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 are just some of the ways garden ahec is working with community partners to improve the health and well-being of the south jersey area. - food for thought is a garden ahec healthy eating education program for high school students that recently replaced steps for kids. Food for thought involves live in-person education to students from a licensed dietician, as well as online education (entitled healthy habits) through online teaching platforms. Healthy habits online focuses on how to eat healthy foods on a budget, how to create low-calorie meals, hydration, how to make physical activity part of everyday life and more. This education was developed by a licensed dietician. Food for thought is completley funded and run by imc through its garden ahec department. Garden ahec is partially funded by federal grant funds through the health resources and services administration. - health fairs and screenings - a number of health fairs and community focused health screening events were conducted throughout 2024. Ihn strives to teach health and wellness, answer questions about health-related issues, promote services and resources for people with various diseases, and attempt to reach as many uninsured or underinsured as possible. Ihn also reaches out to those in our community who do not regularly come through the doors of our medical centers. Ihn 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. - mobile outreach - inspira expanded mobile outreach to bring clinical staff to the community through use of our mobile unit and participation at community events. Community impact 2024 outcomes: - total mobile screenings - 703 - total screening/outreach/educational events - 120 - health literacy (individuals reached with educational materials about preventative health and inspira services) - 25,026 inspira cancer grant transportation program: - between 2022-2024 below. We have facilitated over 4,000 transports for inspira cancer patients through the inspira cancer grant transportation program.”

“Symposia - ihn 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. Program topics provided are based on periodic cme in-take forms and evaluations. Garden area health education center ("ahec") - 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 nurses 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, legal documentation, de-escalation techniques, care for the deteriorating patient, seizure disorders, wound care, mental health, childhood obesity, and many others. Residency programs - the rowan university school of osteopathic medicine has designated ihn as a major clinical affiliate of the medical school. This partnership supports inspira medical center vineland & mullica hill residency programs that will help to address the anticipated physician shortage in our region by training the next generation of physicians right here in our community. 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. Inspira trained 283 medical residents and fellows in 16 nationally accredited programs. Research ======== inspira health routinely conducts a variety of cooperative group (national cancer institute), industry sponsored, and original (academic) research studies. Inspira chooses industry and cooperative group trials that will be of the most benefit the health and wellbeing of our community. When examining potential oncology studies, inspira is always sure to place an emphasis on cancer care delivery and quality of life studies, in addition to treatment studies, that will aid in addressing the concomitant health needs of our community. For example, inspira recently participated in studies that sought to assist patients in maintaining adherence with their prescribed medication regimen and that helped facilitate smoking cessation and recently concluded a device trial which seeks to mitigate the risk of oral mucositis secondary to stomatotoxic chemotherapies. Inspira's academic and original research studies are unfunded studies that are developed internally to address unique practice problems for which evidence-based solutions are not in existence or to increase the body of existing knowledge in hot-topic areas. These studies are drafted and conducted with the support of volunteer research mentors from among the nursing and medical staff. Inspira also assists medical residents, pharmacy residents, and nursing doctoral candidates in completing academic studies as part of fulfilling their degree requirements. Examples of these types of projects the causes of low hpv uptake in our communities and determining best practices for trigger finger injection techniques. Each of these original studies is reviewed by the inspira institutional review board (irb) whose purpose is to review”

“Amy mansue is involved in the leadership and management of this organization on a full-time basis. She is employed and receives a federal form w-2 from a related organization. Accordingly, her common law employer/employee relationship is with inspira medical centers, inc. (ein: 21-0634484). Inspira medical centers, inc. Filed a 2024 form 4720 which included a remittance of excise tax related to ms. Mansue's compensation in excess of $1m. Warren e. Moore is involved in the leadership and management of this organization on a full-time basis. He is employed and receives a federal form w-2 from a related organization. Accordingly, his common law employer/employee relationship is with inspira medical centers, inc. (ein: 21-0634484). Inspira medical centers, inc. Filed a 2024 form 4720 which included a remittance of excise tax related to mr. Moore's compensation in excess of $1m.”

“The organization is the tax-exempt parent entity of INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM ("SYSTEM"). Certain expenses included within Core Form, Part IX represent the portion of expenses allocated to Inspira Health Network, Inc. These expenses are paid by related organizations within the system.”

“The organization is the tax-exempt parent entity of inspira health network ("network"); a tax-exempt integrated healthcare delivery system ("system"). An independent cpa firm audited the consolidated financial statements of the network and all entities within the system for the years ended december 31, 2024 and december 31, 2023; respectively. The audited consolidated financial statements contain consolidating schedules on an entity by entity basis. The independent cpa firm issued an unmodified opinion with respect to the audited consolidated financial statements each year. The organization's audit committee has assumed responsibility for the oversight of the audit of the consolidated financial statements, which includes the selection of an independent auditor.”

“THE ORGANIZATION IS the tax-exempt parent entity of 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 AS SET FORTH IN THE UNIFORM GUIDANCE, 2 C.F.R., PART 200, SUBPART F. THE SYSTEM ENGAGED AN INDEPENDENT ACCOUNTING FIRM TO PREPARE AND ISSUE THE UNIFORM GUIDANCE AUDIT.”