Healing and Health are derived from similar Old English words, haelp, which meanswholeness, sound or well, and haelan, which means cure; save; make whole, sound and well. So it shouldn’t be surprising that Inspira Health Network is focused on bothhealing and health.

As we proceed along the health care reform journey, one thing is certain – health organizations, such as Inspira, must sharpen their focus on fostering, promoting andpreserving good health. It may sound strange, but our health network leadership is developing strategies to keep you out of our hospital beds.

As a leading regional health care organization, we recognize that we must do morethan heal. We must be partners in support of healthier communities. What can we, as ahealth care organization, do to help each person in our service area live a healthier life?That’s a question that gets asked often at Inspira Health Network. It’s also a questionwe regularly discuss with our partners from various health alliances and collaboratives.

There are many strategies and tactics that we employ to help bring about the healthiercommunities we all hope for. In this annual report you will see samples of what we aredoing to support the health and wellness of our communities. I hope you read throughthese pages, and keep an eye out for expanded and new programs that we will be introducing in the next 12 months.

Sincerely,

John A. DiAngelo

INSPIRA HEALTH NETWORKfocused on healing and health

INSPIRA HEALTH NETWORKBOARD OF DIRECTORSOFFICERS – 2014Peter Galetto, Jr., ChairmanMichael A. McLaughlin, Chairman-ElectRonald Rossi, Vice ChairmanHarry E. Hearing, TreasurerShelly O. Schneider, Secretary

DIRECTORS – 2014Daniel J. Ball, IIIPamela S. ClarkJohn A. DiAngeloJohn H. Fisher, IIIEdgar Hathaway, Jr.Albert B. KellyWarner A. KnobeHerbert J. KonradJames J. LavenderHugh McCaffreyDavid Robbins, Jr.

INSPIRA MEDICAL CENTERS, INC.BOARD OF DIRECTORSOFFICERS – 2014David Robbins, Jr., ChairmanBruno Basile, Vice ChairmanGregory J. Facemyer, Secretary/TreasurerRobert D’Angel, Esq., Assistant Corp. SecretaryThomas Baldosaro, Assistant Treasurer

DIRECTORS – 2014Edward BetheaJohn B. Catalano, M.D.John A. DiAngeloRobin S. FreitagGary Galloway, IIIJeffrey George Thomas IsekenegbeLawrence A. Pepper, Jr.Paul J. Ritter, IIIJack M. Shields, M.D. Kimberly E. Wood

Medical Staff RepresentativeArmando Russo, M.D.

Inspira Medical Center Woodbury Board RepresentativeMichael A. McLaughlin

INSPIRA MEDICAL CENTER WOODBURYBOARD OF TRUSTEESOFFICERS – 2014Michael A. McLaughlin, ChairmanPamela S. Clark, Vice ChairwomanDaniel J. Ball, III, TreasurerBeth N. Barry, SecretaryJohn H. Fisher, III, Immediate Past Chairman

TRUSTEES – 2014Shirley BierbrunnerEileen K. CardileJames M. Bonner, D.O.John A. DiAngeloLawrence M. DiVietro, Jr.James E. George, M.D.Dante G. GermanoKurt W. Kaulback, M.D.Sarah D. LoveJorge A. Prieto, M.D.David Robbins, Jr.Kathleen A. Schultes

INSPIRA HEALTH NETWORK 2013 ANNUAL REPORT

John A. DiAngeloInspira Health Network President and CEO Peter Galetto, Jr.

Chairman, Inspira Health Network Board

David Robbins, Jr.Chairman, Inspira MedicalCenters, Inc., Board

Michael A. McLaughlinChairman, Inspira MedicalCenter Woodbury Board

And part of fulfilling that mission is offering care in more locations across three counties.Some recent examples of how our network has expanded care to meet community needs include:

We’re partnering with skilled pediatricians and neonatologists from Nemours/Alfred I. duPontHospital for Children in Wilmington right here in our community. These experts support pediatric inpatient units and pediatric emergency rooms at our medical centers in Vinelandand Woodbury.

We’ve enhanced cardiac care throughout our region by adding emergency angioplasty services at Inspira Medical Center Vineland. Inspira Medical Center Woodbury boasts a five-year track record of excellent outcomes for this life-saving procedure for heart attack patients.

With inpatient and outpatient programs for children, adolescents and adults, Inspira offers acomprehensive array of behavioral health services in Bridgeton and Woodbury. Now we’ve introduced an adolescent outpatient unit in Woodbury, as well as a grant-funded program inBridgeton and Woodbury that assists patients with both mental health and addiction needs.Earlier this year we completed an $18 million multi-year renovation project, benefitting these programs.

We’re teaching the physicians of tomorrow in our graduate medical education programs offered through a partnership with the Rowan University School of Osteopathic Medicine and Thomas Jefferson University. The network’s growing residency programs in Vineland andWoodbury bring new physicians to our region, some of whom stay and practice medicine in our communities. Our Vineland residency program is now the second fastest growing one in the country.

Advancements in information technology have become essential to providing high qualitycare for our patients. Inspira is continually implementing network-wide digital systems thatenhance care and allow physicians and patients to easily access their medical informationdigitally. Later this year, we will complete a $4 million upgrade at Inspira Medical CenterWoodbury, enhancing communications and providing for the seamless transfer of clinical,business and patient business services data between our hospitals.

ADVANCEMENT AND GROWTH

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Inspira Health Network’smission is to provide highquality health servicesthat improve the lives of all we serve.

COMMUNITY BENEFIT AND COMMUNITY SUPPORT

2 INSPIRA HEALTH NETWORK 2013 ANNUAL REPORT

As a not-for-profit organization, Inspira is dedicatedto offering a range of community benefit programsthat:• improve access to health care services;• enhance population health;• advance increased general knowledge; and• relieve or reduce the burden of government

to improve health.

With an overarching mission to improve the health and well-being of all we serve, Inspira focuses on community programs that meet the following goals.

Improve Community Health• Inspira offers community education classes

on topics such as childbirth, cancer, nutrition, cardiopulmonary health and CPR.

• The network provides our neighbors with thousands of health screenings every year suchas blood pressure, cholesterol, glucose, strokeand prostate cancer screenings.

• To help our neighbors find the doctors theyneed, Inspira offers a free physician referral program.

Educate Health Professionals• Inspira’s medical centers in Vineland and

Woodbury house graduate medical educationprograms that are training tomorrow’s doctorshere in our community.

• All of the network’s medical centers provide clinical settings for students to complete intern-ships in preparation for careers in behavioral health, emergency and trauma services, nursing,dietetics, pharmaceuticals, radiology, laboratoryservices and social work.

Provide Needed Health Services• Inspira’s medical centers in Vineland and

Woodbury house pediatric emergency depart-ments with dedicated space for children andsupport from pediatric hospitalists fromNemours/Alfred I. duPont Hospital for Children.

• The Deborah F. Sager Neonatal Intensive CareUnit at Inspira Medical Center Vineland is a Level III facility that cares for premature, lowbirth weight and critically ill infants as young as

28 weeks gestational age. The unit, as well asthe special care nursery in Woodbury, are sup-ported 24/7 by neonatologists from Nemours.

• Inspira Health Center Bridgeton and InspiraMedical Center Woodbury offer comprehensivebehavioral health services for children andadults.

• Outpatient dialysis treatment is available at Inspira Health Center Bridgeton, and inpatientservices are provided at Inspira’s medical centersin Vineland and Woodbury.

• Inspira provides comprehensive wound care inElmer and Woodbury, including a new hyperbaricoxygen therapy unit in Elmer.

Advance Research• In collaboration with Fox Chase Cancer Center,

the Inspira Frank and Edith Scarpa Regional Cancer Pavilion offers dozens of on-site clinicaltrials for oncology patients.

• Inspira’s nurses have conducted a variety of clinical research studies that have been presented and published nationally.

Support Community Organizations• Through cash donations, sponsorships,

fundraisers and “in-kind” donations, Inspira supports many non-profit organizations thatshare its vision of community wellness. Theseagencies include the American Heart Association,American Red Cross, Food Bank of NJ, March of Dimes, and United Way.

In 2013, InspiraHealth Network provided more than$118 million in community benefitto Cumberland,Gloucester andSalem County residents.

Inspira Health Network’s Early Intervention Program hosted a work-shop for professionals, parents, and others who are integral partners insupporting the optimal development and well-being of young childrenwith Autism Spectrum Disorder. The nationally recognized Early StartDenver Model was the focus of the workshop.

2013 Inspira Medical Center Woodbury Community Benefit

Traditional Charity Care.................$ 7,252,580Inspira Internal Charity Care .......... 7,122,231Unpaid Cost of Medicaid ............... 1,287,671Unpaid Cost of Medicare ............... 21,962,892Community Programs & Services .... 433,790Education and Research................. 387,848Subsidized Health Services ............. 122,997Community Building Activities........ 199,792

Total Community Benefit ..........$38,769,801

2013 Inspira Medical Centers Vineland/Bridgeton/Elmer

Community Benefit

Traditional Charity Care.................$ 16,505,414Inspira Internal Charity Care .......... 16,311,929Unpaid Cost of Medicaid ............... 7,192,900Unpaid Cost of Medicare ............... 23,836,571Community Programs & Services .... 2,420,842Education & Research.................... 10,432,019Subsidized Health Services ............. 2,901,174Community Building Activities........ 1,279,853

Total Community Benefit ........$80,880,702

Inspira Health Network Total Community Benefit

$119,650,503

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Engage in Community Activities• Many Inspira staff volunteer to serve various

local organizations such as our Chambers ofCommerce and Rotary clubs.

• Inspira hosts dozens of community supportgroups that address such topics asAlzheimer’s disease, bariatric surgery, cardiopulmonary disease, diabetes, cancer,parenting, ostomy and smoking cessation.

• The network supports a community Safe Sy-ringe program that offers a safe, convenientway to dispose of used or unused syringes.

Community Health Needs AssessmentAs a non-profit organization, Inspira HealthNetwork is required by the federal governmentto conduct a community health needs assess-ment in our communities every three years.Based on our most recent assessment, Inspiraand the Cumberland/Salem/Gloucester Health

and Wellness Alliance will focus on five priority health factors through 2015.• High Risk Behaviors

(Teen Pregnancy Prevention)• Nutrition-Related Illnesses (Obesity)• Substance Abuse

(Focusing on Prescription Drug Abuse)• Access to Health Care Resources

(Education on Affordable Care Act)• Chronic Disease Management

(Focusing on Diabetes)

For each of these health factors, Inspira will implement strategies that include new and existing collaborative programs to improve thehealth of our community. This will include educating the community and our staff aboutthe many health resources that are available.

Left: Inspira’s Spirit of Women events providevaluable health information in an engaging and fun format. The annual Day of Dance,sponsored by Inspira and Spirit of Women,is attended by hundreds people from Cumberland, Gloucester and Salem counties.

Below: Inspira Medical Center Woodbury’sCommunity Paramedicine Program sends Inspira paramedics into the homes of recentlydischarged patients who are at high risk ofbeing readmitted to the hospital.

The remarkable changes to our nation’s health care system have created both great opportunity and difficultchallenges. These challenges and opportunities are linkedto the “Triple Aim” of health care reform: improving theexperience of care, improving the health of populations,and reducing per capita costs of health care.

To remain financially viable in this era of shifting paradigms and shrinking reimbursements, every decisionwe make must be weighed against today’s reality andour most educated guess about what the future holds.Our continued strength as an organization is critical toour mission of improving the lives of all we serve.

As a not-for-profit health network, we are committed to providing high-quality health care services to all individuals in a nondiscriminatory manner, regardless of ability to pay. We strive to remove financial barriersto health care for every person who is vulnerable, unin-sured or underinsured. Inspira Health Network offerscharity care to anyone without insurance who earns up to 200 percent of the Federal Poverty Guidelines;substantial discounts are available to those earning up to 550 percent of the Federal Poverty Guidelines.

Our goal is to work with each individual to fully explorepayment options and financial assistance. Financialcounselors make every effort to assist patients with eligibility and enrollment in all available federal, state and local programs. Recognizing that there are circumstances where a patient may not qualify, additional financial assistance is available through

the Inspira Health Network Financial Assistance Program(internal charity care). When needed, translation and interpreter services are always provided to improve access to care for all.

$49.78 million – non-reimbursed Medicare and Medicaid costs of careIn most cases, government-sponsored health insuranceprograms, such as Medicare and Medicaid, do not coverthe entire cost of care, resulting in millions of dollars ofuncompensated care. In 2013, Inspira Health Network’s(Bridgeton, Elmer and Vineland campuses) Medicareshortfall totaled $23.84 million; the Medicaid shortfalltotaled $7.19 million. Inspira Medical Center Woodbury’sMedicare shortfall totaled $17.80 million; the Medicaidshortfall totaled $947,007.

$46.08 million – charity care to the uninsured and underserved (at cost) This care helps meet the needs of patients who have no health coverage and cannot afford to pay for healthcare services. In 2013, Inspira Health Network(Bridgeton, Elmer and Vineland campuses) provided$16.51 million in NJ Charity Care and $16.31 millionworth of health services to community residentsthrough Inspira Health Network’s internal charity care.Inspira Medical Center Woodbury provided $6.72 million in NJ Charity Care and $6.54 million worth of health services to community residents through Inspira Health Network’s internal charity care.

4 INSPIRA HEALTH NETWORK 2013 ANNUAL REPORT

Expanding Access to Care

We strive to remove financialbarriers to healthcare for every person who is vulnerable, uninsured or underinsured.

INSPIRA HEALTH NETWORK • STATISTICAL SUMMARY • 2013

Bridgeton & NetworkKey Services Category Vineland Elmer Woodbury TotalsSurgeries IP/OP 14,667 3,293 5,067 23,027Physical Therapy Treatments IP/OP 111,622 32,222 48,708 192,552Occupational Health Visits IP/OP 32,637 - - 32,637Dialysis Treatments IP/OP 16,073 - 848 16,921Diagnostic Imaging Procedures IP/OP 186,388 57,456 102,360 346,204Radiation Therapy Treatments IP/OP 24,156 - - 24,156Emergency Room Visits IP/OP 85,676 21,056 55,363 162,095Adult & Pediatric IP 15,460 3,674 11,277 30,411Special Care Nursery IP 204 - 223 427NICU IP 183 - - 183Mental Health IP 1,655 - 822 2,477Births - 1,894 331 851 3,076

TOTALS 490,615 118,032 225,519 834,166

BY THE NUMBERSLicensed Beds - 335 96 329 760Medical Staff Members - 600 486 1,086Volunteers System-Wide - 373 122 284 779Employees System-Wide - 3,179 489 1,781 5,449

Inspira Health Network • December 31, 2013

Revenue by Category

Revenue by Category

Expenses by Category

Expenses by Category

Inspira Medical Center Woodbury

A – Salaries & Wages .............................. 45%

B – Physician Fees ...................................... 5%

C – Employee Health & Welfare .............. 11%

D – Supplies & Other Expenses ................ 33%

E – Depreciation & Amortization................ 5%

F – Interest ................................................ 1%

A – Salaries & Wages .............................. 43%

B – Physician Fees ...................................... 5%

C – Employee Health & Welfare .............. 14%

D – Supplies & Other Expenses ................ 30%

E – Depreciation & Amortization................ 7%

F – Interest ................................................ 2%

Financial Snapshot

5

A

A

D

D

C

C

E

E

A

A

B

B

F

F

D

D

C

C

B

B

E

E

F

F

G

G

A – Medicare ............................................ 40%

B – Medicaid ............................................ 10%

C – Blue Cross .......................................... 15%

D – Other HMO........................................ 21%

E – Commercial .......................................... 8%

F – Charity Care and Other State Subsidies .. 2%

G – Self Pay and Other................................ 4%

A – Medicare ............................................ 34%

B – Medicaid ............................................ 14%

C – Blue Cross .......................................... 22%

D – Other HMO........................................ 18%

E – Commercial .......................................... 5%

F – Charity Care and Other State Subsidies .. 2%

G – Self Pay and Other................................ 7%

More than half of the payments for medical services come from sources (Medicare, Medicaid, Charity Care,and Self Pay and Other State Subsidies) that generally reimburse at levels below the cost of providing care.

Inspira Health Network is rated an “A2” organization by Moody’sInvestors Service, one of theworld’s most respected and widelyutilized sources for ratings and risk analysis, indicating financialstability, strong operating performance and a positive economic future.

This data excludes Inspira HealthNetwork, Inc.; Inspira HomeCareand HospiceCare, Inc.; InspiraHealth Management Corporation;Inspira Health Network Founda-tion Cumberland/Salem, Inc.; Inspira Health Network LIFE, Inc.;Inspira Help Services, Inc.; InspiraHealth Network Medical Group,P.C.; Inspira Health Network Urgent Care, P.C.; Inspira HealthNetwork Foundation GloucesterCounty, Inc.; Inspira ManagementServices, L.L.C.; Inspira Health Connections, P.C.; and Tri-CountyVascular Services, P.C.

Inspira Medical Centers Vineland and Elmer, and Health Center Bridgeton

Foundation Cumberland / Salem CountiesHospitals today face a huge challenge in meeting their capitalneeds for enhancement of medical services and equipmentbecause of shrinking reimbursements. The solution is beingfound more and more in philanthropy. Our Foundation is committed to providing renewable financial resources to ourhealth network so that our health care services remain of thehighest quality for generations to come.

Our Endowment Fund is the core of our strength as a foundation. Inspira Health NetworkFoundation Cumberland//Salem is able to make sizeable contributions to our health systemon an annual basis. Our vision is to see this Endowment Fund grow so we can continuesupporting our network with new programs and new services for the community. We inviteyou to “invest” in the future of your health system.

Foundation Gloucester CountyIn 2013, the hospital that has stood at the corner of Broad and Red Bank in Woodbury for almost a century proudly proclaimed its new identity as Inspira Medical Center Woodbury. At the same time, the hospital’s 33-year-old Foundation announced its newname to the community. Under the strong, steady leadership of its Board of Directors, the Foundation steered smoothly through the challenges of establishing its new identitywith its donors and the greater community.

In 2013, efforts centered on reinforcing the role ofthe Foundation to support the mission of InspiraHealth Network in Gloucester County: to providehigh-quality health services that improve the lives ofall we serve. The Foundation directed its financial support toward the continuing education of staff as the hospital pursues Magnet designation for nursing excellence.

The Inspira Foundation Gloucester County is proud torecognize the highly successful Annual Ball and Annual Auxiliary Board Golf Classic, whichboth reached their record-setting goals for fundraising during this year of transition.

Inspira Health Network Foundation Cumberland/Salem, Inc. Board of Directors

OFFICERS – 2014David Hemple, Chairman Suzanne Merighi, SecretaryNikitas Moustakas, Vice ChairmanSteve Caltabiano, TreasurerRobert D’Angel, Esq., Assistant Corporate Secretary

Directors – 2014Gladwyn Baptist, M.D.Barry W. EmensGeorge LevariConnie Montero Robert Odorizzi, Auxiliary LiaisonPaul Perino, Jr.Joseph Pustizzi, Jr.Penny H. Sager-RossiWayne TriantosCatherine Achée, Director Emeritus

Non-voting:John A. DiAngelo, President & CEO, Inspira Health Network, Ex-OfficioThomas Baldosaro, Inspira Health Network CFORobert D’Angel, Esq., Assitant Corporate SecretaryCarolyn Heckman, Exec. Dir., Inspira Health Network Foundation

Inspira Foundation Gloucester County Board of Directors – 2014

Kathleen A. Schultes, ChairwomanJack C. Sheppard, Vice ChairmanDaniel E. BakerBeth N. BarryShirley BierbrunnerNicholas R. Dalsey, D.O.Christopher W. EastlackBarbara D. HannonWarner A. KnobeRobin Love, V.M.D.

Inspiring Medicine • 60+ Networked Locations

FOUNDATIONSwww.InspiraHealthNetwork.org