2024-11-14T15:56:22-06:00 2023-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990EZ 2023-01-01 454199382 TRI-COUNTY CARDIOVASCULAR SERVICES PC % WILLIAM D PELINO CPAMBA TRI- 8565754733 509 NORTH BROAD STREET WOODBURY NJ 08096 WILLIAM PELINO SVP/CFO 8565754733 2024-05-15 true true Scott J Mariani P00642486 9738989494 2023 2024-10-15 13:58:12Z X X WWW.INSPIRAHEALTHNETWORK.ORG X X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X PRIOR TO CEASING ACTIVITIES AND OPERATIONS EXPENSES WERE INCURRED IN PROVIDING SUPERIOR PROFESSIONAL CARDIOLOGY SERVICES TO THE RESIDENTS OF THE INSPIRA MEDICAL CENTERS, INC. ("IMC") SERVICE AREA IN A NON-DISCRIMINATORY MANNER AND REGARDLESS OF ABILITY TO PAY, TO ASSIST IMC IN THE MANAGEMENT OF ITS CARDIOLOGY SERVICE LINE AND TO OTHERWISE ASSIST INSPIRA HEALTH NETWORK, INC. AND IMC IN CARRYING OUT ITS TAX-EXEMPT CHARITABLE MISSION. NONE 0 0 0 SCOTT E WAGNER M D MBA DIRECTOR - PRESIDENT 1.0 0 0 0 MATTHEW K DOONAN ESQ SECRETARY 1.0 0 0 0 William D Pelino CPA MBA TREASURER 1.0 0 0 0 false false false false false false 0 0 0 false 0 0 false WILLIAM D PELINO CPA MBA 165 BRIDGETON PIKE MULLICA HILL NJ 08062 8566416605 false false false false false false false false false false false NONE 0 NONE 0 true X X 1 INSPIRA MEDICAL CENTERS INC 210634484 3 true 0 0 1 0 0 true false false false false false false false false false false false false false false false false SCHEDULE A, PART IV, SECTION B; QUESTION 1 DUE TO STATE OF NEW JERSEY CORPORATE PRACTICE OF MEDICINE PROHIBITION RULES AND REGULATIONS, A LICENSED PHYSICIAN MUST BE THE OWNER OF A PROFESSIONAL PHYSICIAN SERVICES CORPORATION. ACCORDINGLY, THERE EXISTS A LICENSED PHYSICIAN WHO IS THE NOMINEE OWNER OF THIS ORGANIZATION FOR THE BENEFIT OF INSPIRA MEDICAL CENTERS, INC.; AN INTERNAL REVENUE CODE SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION. BOTH ENTITIES ARE AFFILIATES WITHIN INSPIRA HEALTH NETWORK; A TAX-EXEMPT INTEGRATED HEALTHCARE DELIVERY SYSTEM. PRIOR TO CEASING OPERATIONS, THIS ORGANIZATION PROVIDED PHYSICIAN SERVICES IN FURTHERANCE AND SUPPORT OF THE CHARITABLE TAX-EXEMPT PURPOSES OF INSPIRA HEALTH NETWORK, INC. AND ITS AFFILIATES. CORE FORM, PART V; INFO REGARDING PERSONAL BENEFIT CONTRACTS THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY, OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT. THE ORGANIZATION DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY, OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.