2017-11-09T10:08:52-06:00 2016-12-31 366055558 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2016-01-01 210634532 VIRTUA - WEST JERSEY HEALTH SYSTEM INC VIRT 8563550620 20 W STOW ROAD SUITE 8 MARLTON NJ 080533427 RICHARD P MILLER CEO 8563550620 2017-11-09 0 ANDREA O KYZYMA P01273279 2155614200 170.184.81.42 2017-11-09 09:58:50 ES P 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 0773BE613A378BC0E2D495E1798C980FAE5D8DCC 2016 2018-03-14 21:41:22Z RICHARD P MILLER 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 853576293 0 X WWW.VIRTUA.ORG X 1885 NJ OUR MISSION IS TO HELP THE COMMUNITY TO BE WELL, GET WELL AND STAY WELL 12 9 4914 1363 324885 36006 2129434 1730553 745864481 780191554 25982518 3955857 31545563 39921346 805521996 825799310 0 0 0 0 263090604 255856861 0 0 0 430572782 453739775 693663386 709596636 111858610 116202674 1846042041 1975414233 897926106 870190920 948115935 1105223313 X WE ARE DEDICATED TO PROVIDING EACH PATIENT AND THEIR FAMILY WITH AN OUTSTANDING EXPERIENCE AND ENSURING THE HIGHEST QUALITY HEALTHCARE FOR THE COMMUNITY. WE ARE COMMITTED TO PROVIDING OUR HEALTHCARE TEAM WITH RESOURCES, TECHNOLOGY AND TRAINING, AS WELL AS WITH OPPORTUNITIES FOR PROFESSIONAL GROWTH. 0 0 94464257 65833521 SERVICES ARE ALSO PROVIDED TO THOSE COMMUNITY MEMBERS WHO ARE INSURED UNDER MEDICAL ASSISTANCE PROGRAMS, SUCH AS THE STATE ADMINISTERED MEDICAID PROGRAM. REIMBURSEMENT FOR THESE PROGRAMS IS LESS THAN THE COST OF THE SERVICES PROVIDED BY APPROXIMATELY $27.7 MILLION, AS ESTIMATED BY MANAGEMENT. SERVICES ARE PROVIDED ON BOTH AN INPATIENT AND OUTPATIENT BASIS, INCLUDING THROUGH EMERGENCY DEPARTMENTS AND CLINICS. 10943658 35156 UNDER THE GUIDANCE OF ITS COMMUNITY BASED BOARD OF TRUSTEES AND THE SUPPORT OF THE PHYSICIANS ON ITS OPEN MEDICAL STAFF, VIRTUA- WEST JERSEY, A MULTI-HOSPITAL HEALTHCARE SYSTEM, PROVIDES MEDICALLY NECESSARY SERVICES TO INDIVIDUALS IRRESPECTIVE OF THEIR ABILITY TO PAY. PROGRAMS ARE IN PLACE TO IDENTIFY AND PROVIDE FINANCIAL ASSISTANCE TO THOSE IN NEED. SOME PATIENTS WILL QUALIFY FOR CHARITY CARE ASSISTANCE UNDER STATE OF NEW JERSEY DEFINED ELIGIBILITY CRITERIA. VIRTUA- WEST JERSEY AUGMENTS THE STATE'S PROGRAM WITH ITS OWN ASSISTANCE PROGRAM FOR WHICH THE CRITERIA IS LESS RESTRICTIVE THAN THAT OF THE STATE PROGRAM, PROVIDING ASSISTANCE TO INDIVIDUALS EARNING UP TO 500% OF THE FEDERAL POVERTY GUIDELINES. MANAGEMENT ESTIMATES THE TOTAL COST OF CHARITY CARE PROVIDED DURING 2016 TO BE APPROXIMATELY $10.9 MILLION. 9959500 1764037 IN SUPPORT OF ITS COMMITMENT TO ENSURING THE CONTINUING EDUCATION AND DEVELOPMENT OF MEDICAL PROFESSIONALS, VIRTUA- WEST JERSEY HAS ITS OWN RESIDENCY PROGRAMS AND PARTICIPATES IN PROGRAMS SPONSORED BY OTHER INSTITUTIONS. VIRTUA- WEST JERSEY SPECIFICALLY OFFERS RESIDENCY PROGRAMS TO DEVELOP PHYSICIANS IN FAMILY PRACTICE, DENTAL MEDICINE AND PODIATRIC MEDICINE. VIRTUA- WEST JERSEY PARTICIPATES IN RESIDENCIES THAT SUPPORT THE DEVELOPMENT OF PHYSICIANS PRACTICING OBSTETRICS AND GYNECOLOGY, EMERGENCY MEDICINE, AND SURGERY. 489696936 752155301 ADDITIONAL COMMUNITY BENEFITS, SUCH AS:COMMUNITY HEALTH IMPROVEMENT SERVICES: HELD EVENTS THROUGHOUT THE YEAR TO BRING AWARENESS TO MANY MEDICAL ISSUES TO THE COMMUNITY.EXPENSE OF $2,180,295REVENUE OF $6,381SUBSIDIZED HEALTH SERVICES: PROVIDED EMERGENCY MEDICAL TRANSPORT SERVICES AS WELL AS FAMILY HEALTH, DENTAL, AND PODIATRY SERVICES WHEN NEEDED.EXPENSE OF $21,089,440REVENUE OF $16,342,098RESEARCH: PREFORMED ONCOLOGY CLINICAL RESEARCH STUDIES.EXPENSE OF $319,260REVENUE OF $57,088FINANCIAL AND IN-KIND CONTRIBUTIONS: PROVIDED CONTRIBUTIONS TO NON-PROFIT COMMUNITIES AND HEALTHCARE ORGANIZATIONS THROUGHOUT CAMDEN AND GLOUCESTER COUNTIES. ALSO PROVIDED MEETING SPACES TO ORGANIZATIONS AND MEDICAL SUPPLIES TO FAMILIES IN NEED.EXPENSE OF $639,637REVENUE OF $1,872COMMUNITY BUILDING ACTIVITIES: HELD EVENTS THROUGHOUT THE YEAR TO FEED AND PROVIDE PRESENTS TO MANY FAMILIES IN NEED.EXPENSE OF $678,183REVENUE OF $1,988PROVIDING FUNCTIONAL PATIENT SERVICES FOR THE HOSPITALSEXPENSE OF $464,790,121REVENUE OF $735,745,874 489696936 752155301 605064351 1 1 0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 839 0 4914 1 1 1 0 0 0 0 0 0 0 0 0 X 12 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NJ X ROBERT M SEGIN 8563550620 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 X DENNIS FLANAGAN CHAIRMAN 1.00 6.00 X 0 0 0 PAULA FAIRLEY VICE CHAIRMAN 1.00 6.00 X 0 0 0 EDWARD B CLOUES SECRETARY 1.00 6.00 X 0 0 0 DAVID KINDLICK TREASURER 1.00 6.00 X 0 0 0 ANTHONY CHIGOUNIS TRUSTEE 1.00 6.00 X 0 0 0 JEFFREY MORRIS MD TRUSTEE 1.00 6.00 X 0 0 0 THOMAS KAY MD TRUSTEE 1.00 6.00 X 0 0 0 JOHN SWEENEY TRUSTEE 1.00 6.00 X 0 0 0 MARVIN SAMSON TRUSTEE 1.00 6.00 X 0 0 0 FAYE MELOY TRUSTEE 1.00 6.00 X 0 0 0 PRATAP KHEDKAR TRUSTEE 1.00 6.00 X 0 0 0 RICHARD P MILLER PRESIDENT/CEO 1.00 46.00 X X 0 2077856 43266 ROBERT M SEGIN EVP/CFO 1.00 49.00 X 0 755629 56488 MICHAEL KOTZEN EVP - POPULATION HEALTH MGMT 1.00 45.00 X 0 724179 51789 ALFRED CAMPANELLA EVP - STRTEGIC BUSINESS G & A 1.00 45.00 X 0 646620 56517 JOHN M MATSINGER EVP/CCO 1.00 47.00 X 0 584263 53481 MATTHEW A ZUINO SVP - HOSPITAL SERVICES 28.00 12.00 X 0 558485 51970 THOMAS GORDON SVP/CIO 1.00 45.00 X 0 378881 53656 FRANCES BLACKWELL SVP - INTEGRATED OPERATIONS 28.00 12.00 X 0 282419 44377 DEBRA MORAN VP COMMUNITY BASED SERVICES 1.00 40.00 X 0 271294 54356 PAUL E MINNICK VP - SITE ADMINISTRATOR VRHES 40.00 0.00 X 262358 0 26068 LISA C FERRARO VP - PATIENT CARE SITE ADMINISTRATOR MRLTN 40.00 0.00 X 253752 0 37338 ALLEN SALM MEDICAL DIRECTOR OF OPERATIONS 40.00 1.00 X 302315 256801 46837 ANTHONIA SCHMIDT SURGERY CENTER ADMINISTRATOR 40.00 0.00 X 210452 0 11005 MARY FRANCES CAMPAGNOLO PHYSICIAN - VPA 40.00 2.00 X 202455 0 22392 BARBARA HANSEN AVP - PATIENT CARE SERVICES 40.00 0.00 X 199477 0 22111 JOSEPH V ABAT REGISTERED NURSE 40.00 0.00 X 195545 0 3131 1626354 6536427 634782 238 0 1 0 TURNER CONSTRUCTION CO 1500 SPRING GARDEN ST STE 220 PHILADELPHIA PA 19103 CONTRACTOR 10897051 VOORHEES PHYSICIANS LLC PO BOX 636073 CINCINNATI OH 45263 RENT 8719067 CENTER FOR FAMILY GUIDANCE PO BOX 306 MARLTON NJ 08053 PROFESSIONAL FEE 5132853 MOORESTOWN PHYSICIANS LLC PO BOX 636073 CINCINNATI OH 45263 RENT 4338090 COMMERCIAL OFFICE FURNITURE CO 2200 NORTH AMERICAN ST PHILADELPHIA PA 19133 FURNITURE/REPAIRS 3697316 166 770669 959884 1730553 NET PATIENT REV 624100 778709899 778709899 SCHOOL OF PARAMEDIC SC 611600 496814 496814 LAB SERVICES 621500 340741 15856 324885 PEDIATRIC IMAGING CENT 624100 232595 232595 EMERGENCY CARDIO EDUCA 611600 120153 120153 291352 291352 780191554 188594 188594 190484 190484 5615306 5615306 0 0 25630014 16842 22060344 9733 3569670 7109 3576779 3576779 118063 91600 26463 26463 INC OF UNCONSOL J/V 621990 27820472 27820472 ROHRER FITNESS CENTER 624100 3757245 3757245 CAFETERIA 722210 3222293 3222293 5094873 5094873 39894883 825799310 819788015 324885 3955857 579516 463613 115903 206534236 163951445 42582791 8724115 6979292 1744823 25173975 19773117 5400858 14845019 11766983 3078036 502 502 4260914 3408731 852183 47814922 46934225 880697 102733 99772 2961 15773833 13529102 2244731 24805153 23803568 1001585 385618 365320 20298 9424 7322 2102 19851310 19851310 68676406 54941125 13735281 21426 21426 SYSTEM ALLOCATION 140106161 112084929 28021232 UBI TAX 21568 21568 MEDICAL SUPPLIES 82326741 82326741 BAD DEBT 33064762 33064762 16518302 11691066 4827236 709596636 605064351 104532285 0 X 6027976 6378999 84045199 63166906 361794 0 75771247 82531981 3174244 3051723 28047860 17586961 1279363578 627386872 652436920 651976706 26230664 910298066 1019997553 85878735 104492740 1846042041 1975414233 71206641 75644862 614332652 596832009 85723 105679 212301090 197608370 897926106 870190920 X 946003051 1102647731 2112884 2575582 948115935 1105223313 1846042041 1975414233 X 116202674 63901887 -22997183 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 73073467 73073467 489291641 187961967 301329674 29371059 11473111 17897948 642663020 427951794 214711226 44964391 44964391 651976706 PRIVATE PLACEMENT FUND 1019997553 F 1019997553 DUE FROM AFFILIATES 18022931 OTHER ACCOUNTS RECEIVABLE 7152292 GOODWILL, NET 560000 INVESTMENT IN SUBSIDIARY 78757517 104492740 EST STTLMTS DUE TO 3RD PTY PYR 11716823 DUE TO AFFILIATES, NON CURRENT 179488336 OTHER LIABILITIES 6403211 197608370 X PART IV, LINE 2B: TENANT ESCROW ACCOUNT FOR SECURITY DEPOSIT PART X, LINE 2: VIRTUA - WEST JERSEY HEALTH SYSTEM, INC. IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. VIRTA - WEST JERSEY HEALTH SYSTEM, INC. IS ALSO EXEMPT FROM STATE INCOME TAXES. 1 1 X 1 X 1 X 500.000000000000 1 0 1 1 11049502 35156 11014346 0.01630 94464257 65833521 28630736 0.04230 105513759 65868677 39645082 0.05860 2180295 6381 2173914 0.00320 9959501 1764038 8195463 0.01210 21089440 16342098 4747342 0.00700 319260 57088 262172 0.00040 639637 1872 637765 0.00090 34188133 18171477 16016656 0.02360 139701892 84040154 55661738 0.08220 48154 141 48013 0.00010 619944 1817 618127 0.00090 5106 15 5091 0.00000 4979 15 4964 0.00000 678183 1988 676195 0.00100 1 33064763 154897570 214982264 -60084694 X 1 1 1 VIRTUA RADIATION ONCOLOGY ASSOCIATES LLC RADIOLOGY SERVICES 0.51000 0.00000 0.49000 2 SOUTH JERSEY MUSCULOSKELETAL INSTITUTE INC SURGICAL CENTER 0.51820 0.00000 0.00000 3 SUMMIT SURGICAL CENTER LLC SURGICAL CENTER 0.55870 0.00000 0.00000 4 AMBULATORY SURGERY CENTER AT VIRTUA WASHINGTON TOWNSHIP SURGICAL CENTER 0.62910 0.00000 0.00000 5 SHORE AMBULATORY SURGERY CENTER SURGICAL CENTER 0.51000 0.00000 0.00000 6 ROCKLAND SURGICAL PROJECT LLC RAMAPO VALLEY SURGICAL CENTER SURGICAL CENTER 0.54470 0.00000 0.00000 7 FREEHOLD ENDOSCOPY ASSOCIATES LLC SURGICAL CENTER 0.60000 0.00000 0.00000 8 CENTER FOR AMBULATORY AND MINIMALLY INVASIVE SURGERY LLC SURGICAL CENTER 0.55550 0.00000 0.00000 9 VIRTUA ADULT IMAGING SERVICES AT VOORHEES LLC IMAGING SERVICES 0.50000 0.00000 0.00000 10 GASTRO-SURGI CENTER OF NJ LLC SURGICAL CENTER 0.51000 0.00000 0.00000 11 VOORHEES ENDOSCOPY HOLDING CO LLC SURGICAL CENTER 0.51000 0.00000 0.49000 12 FRESENIUS MEDICAL CARE MARLTON DIALYSIS 0.30000 0.00000 0.00000 2 1 VIRTUA - VOORHEES 100 BOWMAN DRIVE VOORHEES NJ 08043 WWW.VIRTUA.ORG 10405 X X X A 2 VIRTUA - MARLTON 90 BRICK ROAD MARLTON NJ 08053 WWW.VIRTUA.ORG 10302 X X X A FACILITY REPORTING GROUP A 0 0 1 X X X X X X X X X 16 1 1 1 1 X WWW.VIRTUA.ORG X 1 13 1 WWW.VIRTUA.ORG/ABOUT/COMMUNITY-ACTION-PLAN 0 1 X 200.000000000000 500.000000000000 X X X X 1 1 X X X 1 X WWW.VIRTUA.ORG/PATIENT-TOOLS/FINANCIAL-ASSISTANCE-POLICY.ASPX X WWW.VIRTUA.ORG/PATIENT-TOOLS/FINANCIAL-ASSISTANCE-POLICY.ASPX X X X X 1 X 0 X X X X 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 PART V, SECTION B, LINE 5 CHNA COMMUNITY ENGAGEMENT COMMUNITY ENGAGEMENT WAS AN INTEGRAL COMPONENT OF THE 2016 SJHP CHNA. PARTNER FORUMS WITH KEY COMMUNITY LEADERS AND FOCUS GROUPS WITH HEALTH CONSUMERS SOLICITED WIDE PARTICIPATION FROM PUBLIC HEALTH EXPERTS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. ADDITIONALLY, REPRESENTATIVES FROM EACH OF THE FOUR STUDY COUNTIES SERVED ON THE CHNA COMMITTEE TO PROVIDE INSIGHT IN DATA COLLECTION AND PLANNING. THE 2016 CHNA WAS CONDUCTED FROM FEBRUARY TO OCTOBER 2016, AND USED BOTH PRIMARY AND SECONDARY RESEARCH TO ILLUSTRATE AND COMPARE HEALTH TRENDS AND DISPARITIES ACROSS THE REGION. PRIMARY RESEARCH SOLICITED INPUT FROM KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. SECONDARY RESEARCH IDENTIFIED DEMOGRAPHIC AND HEALTH TRENDS ACROSS GEOGRAPHIC AREAS AND POPULATIONS. THE 2016 CHNA BUILDS UPON THE HOSPITALS' 2013 CHNAS AND SUBSEQUENT COMMUNITY HEALTH IMPROVEMENT PLANS AND WAS CONDUCTED IN A TIMELINE TO COMPLY WITH REQUIREMENTS SET FORTH IN THE AFFORDABLE CARE ACT, AS WELL AS TO FURTHER THE HOSPITALS' COMMITMENT TO COMMUNITY HEALTH AND POPULATION HEALTH MANAGEMENT. THE FINDINGS WILL BE USED TO GUIDE COMMUNITY BENEFIT INITIATIVES AND ENGAGE PARTNERS TO ADDRESS IDENTIFIED HEALTH NEEDS.SPECIFIC RESEARCH METHODS: - A REVIEW OF SECONDARY HEALTH AND SOCIOECONOMIC INDICATORS FOR THE SERVICE AREA- AN ANALYSIS AND COMPARISON OF HOSPITAL UTILIZATION DATA- PARTNER FORUMS WITH COMMUNITY REPRESENTATIVES AND LEADERS TO IDENTIFY COMMUNITY HEALTH PRIORITIES AND FACILITATE POPULATION HEALTH STRATEGY COLLABORATION- FOCUS GROUPS WITH HEALTH CONSUMERS PART V, SECTION B, LINE 6A CHNA COOPERATING HOSPITALS LIST OF OTHER HOSPITAL FACILITIES: - COOPER UNIVERSITY HOSPITAL- DEBORAH HEART AND LUNG CENTER- KENNEDY UNIVERSITY HOSPITALS-CHERRY HILL, STRATFORD, WASHINGTON TOWNSHIP- LOURDES MEDICAL CENTER OF BURLINGTON COUNTY; OUR LADY OF LOURDES MEDICAL CENTER- VIRTUA WEST JERSEY AND VIRTUA MEMORIAL PART V, SECTION B, LINE 6B CHNA NON-HOSPITAL COOPERATING ORGANIZATIONS LIST OF OTHER NON-HOSPITAL ORGANIZATIONS: BURLINGTON COUNTY HEALTH DEPARTMENT, CAMDEN COUNTY HEALTH DEPARTMENT, GLOUCESTER COUNTY HEALTH DEPARTMENT, AND OCEAN COUNTY HEALTH DEPARTMENT. PART V, SECTION B, LINE 11 CHNA ASSESSMENT THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY THE SOUTH JERSEY HEALTH PARTNERSHIP (SJHP), WITHIN FOUR SOUTHERN NEW JERSEY COUNTIES: BURLINGTON, CAMDEN, GLOUCESTER, AND OCEAN. THROUGH A COORDINATED APPROACH, THE PARTNERSHIP WORKED WITH COUNTY HEALTH DEPARTMENTS AND LOCAL COMMUNITY PARTNERS TO GATHER FEEDBACK AND CONDUCT REGIONAL RESEARCH AND PLANNING EFFORTS TO ENSURE COMMUNITY HEALTH IMPROVEMENT INITIATIVES WERE ALIGNED. AS A RESULT OF THIS ASSESSMENT, THREE PRIORITY AREAS WERE IDENTIFIED:- LINKAGES TO CARE- BEHAVIORAL HEALTH AND CHRONIC DISEASE CO-MORBIDITIES- SUBSTANCE ABUSEVIRTUA, AS A COMPREHENSIVE HEALTHCARE SYSTEM WITH A MISSION TO HELP THE RESIDENTS OF SOUTH JERSEY TO BE WELL, GET WELL, AND STAY WELL, EMBRACES THE OPPORTUNITY TO UTILIZE ITS RESOURCES TO ASSIST ITS SJHP PARTNERS IN ADDRESSING THESE PRIORITY AREAS. THE CHNA TEAM COLLABORATED WITH COLLEAGUES ACROSS THE VIRTUA SYSTEM TO IDENTIFY RESOURCES THAT COULD BE LEVERAGED TO PROVIDE SOLUTIONS TO THE PROBLEMS AND GAPS IDENTIFIED BY SOUTH JERSEY RESIDENTS. THIS COLLABORATION REVEALED BOTH THE VAST AMOUNT OF WORK ALREADY UNDERWAY WITHIN VIRTUA AND THE OPPORTUNITY TO COORDINATE THIS WORK TO BEST ADDRESS THE NEEDS IDENTIFIED IN THE 2016 CHNA. FOLLOWING A SERIES OF MEETINGS INVOLVING A MULTI-DISCIPLINARY GROUP OF VIRTUA LEADERS, THE FOLLOWING GOALS, OBJECTIVES, STRATEGIES, AND METRICS WERE DEVELOPED.1. LINKAGES TO CAREGOAL: IMPROVE ACCESS TO RESOURCES THAT WILL IMPROVE AND/OR MAINTAIN HEALTH.OBJECTIVES:- PROVIDE ACCESS TO THE ELEMENTS OF A HEALTHY DIET- PROVIDE TRANSPORTATION TO HEALTHCARE APPOINTMENTS- OPTIMIZE PATIENTS' HEALTH INSURANCE COVERAGE THROUGH FACILITATING ENROLLMENT INTO INSURANCE PRODUCTS AND PROVIDING EDUCATION ON INSURANCE UTILIZATIONSTRATEGIES:- IMPROVE ACCESS TO WELLNESS RESOURCES- SUPPORT A SUMMER-SEASON WEEKLY FARMERS' MARKET IN CAMDEN TO PROVIDE FRESH PRODUCE TO FAMILIES FACING FOOD INSECURITY AND LIMITED ACCESS TO HEALTHY FOOD CHOICES - PROVIDE FREE MEDICAL TRANSPORTATION SERVICES TO SELECT LOCATIONS FOR INDIVIDUALS MEETING SPECIFIED CRITERIA, AND EXPLORE THE POTENTIAL FOR EXPANDING TRANSPORTATION OPTIONS THROUGH COLLABORATION WITH COMMUNITY PARTNERS AND CURRENT TRANSPORTATION PROVIDERSPROVIDE TRANSPORTATION SERVICES FOR PATIENTS EXPERIENCING TRANSPORTATION BARRIERS.- PROVIDE PERSONAL HEALTH NAVIGATORS TO ASSIST RESIDENTS WITH FINANCIAL COUNSELING AND ACCESSING THE HEALTH INSURANCE MARKETPLACE- WORK WITH ADREMIA TO PROVIDE INSURANCE COUNSELING TO PATIENTS WITH A FOCUS ON PATIENTS WHO HAVE COME TO VIRTUA FOR ONCOLOGY SERVICES. COUNSELORS WILL ADDRESS PATIENT-SPECIFIC CHALLENGES TO INCLUDE ACCESSING OR UNDERSTANDING INSURANCE COVERAGE.2. BEHAVIORAL HEALTH AND CHRONIC DISEASE CO-MORBIDITIESGOAL: INCREASE IDENTIFICATION AND TREATMENT OF BEHAVIORAL HEALTH AMONG INDIVIDUALS WITH CHRONIC DISEASE.OBJECTIVES:- INCREASE SCREENING FOR BEHAVIORAL HEALTH CO-MORBIDITIES AMONG PATIENTS WITH CHRONIC CONDITIONS.- INCREASE THE PROPORTION OF ADULTS WITH MENTAL HEALTH DISORDERS WHO ARE PROPERLY DIAGNOSED AND RECEIVE TREATMENT.- IMPROVE DISEASE MANAGEMENT FOR BEHAVIORAL HEALTH AND CHRONIC CONDITIONS.STRATEGIES:- ENHANCE PARTNERSHIPS WITH COMMUNITY AGENCIES TO SUPPORT BEHAVIORAL HEALTH TREATMENT SERVICES AMONG RESIDENTS- SUPPORT AN OPERATIONAL PILOT PROJECT WITH BEHAVIORAL HEALTH PROVIDERS TO OPERATIONALIZE REFERRAL PROCESSES FROM VIRTUA'S INPATIENT BEHAVIORAL HEALTH UNIT TO OUTPATIENT SERVICES. THIS PROJECT WILL EXPAND TO INCLUDE VIRTUA'S EMERGENCY DEPARTMENTS.- IMPLEMENT THE USE OF EARLY IDENTIFICATION BEHAVIORAL HEALTH- SUBSTANCE ABUSE DISORDER SCREENING TOOLS AMONG CHRONIC DISEASE PATIENTS IN THE HOSPITAL AND THE COMMUNITYTHE "GOLDEN TICKET" MODEL EMPLOYS MULTIDISCIPLINARY CLINICAL COLLABORATION TO CREATE PATIENT CENTERED, INDIVIDUALIZED PLANS OF CARE FOR COMPLEX PATIENTS (BEHAVIORAL HEALTH, SUBSTANCE ABUSE WITH CHRONIC DISEASE COMORBIDITIES) THAT ENGAGE THE PATIENT AND THE CARE TEAM IN MUTUAL GOAL DIRECTED BEHAVIOR.- DISCHARGE PLANNING IN ER TO PROMOTE AND NAVIGATE BEHAVIORAL HEALTH SERVICES.- "TLC FOR MOMS" PROGRAM IS A BEST PRACTICE MODEL FOR EARLY IDENTIFICATION OF PERINATAL DEPRESSION, PROVIDE STANDARDIZED EDUCATION AND RESOURCES VIA WARM LINE AND SUPPORT GROUPS FOR THE COMMUNITY AND FACILITATE PATIENT NAVIGATION FOR OUT-PATIENT BASED PSYCHIATRIC SERVICES. - CONTINUE TO BE A PARTNER IN THE SOUTH JERSEY BEHAVIORAL HEALTH INNOVATION COLLABORATIVE TO EVALUATE AND RECOMMEND IMPROVEMENTS TO THE BEHAVIORAL HEALTH SYSTEM- CONTINUE EXISTING COLLABORATION WITH COLLABORATIVE AND PROVIDE LEADERSHIP BY EMPLOYING THE "GOLDEN TICKET- AN INTEGRATED CARE MODEL" IN THE COMMUNITIES SERVED BY THE MEMBERS OF THE SJBHIC. 3. SUBSTANCE ABUSEGOAL: DEVELOP PARTNERSHIPS TO ENHANCE EDUCATION AND EVALUATION FOR SUBSTANCE ABUSE.OBJECTIVES:- INCREASE COMMUNITY AWARENESS OF SIGNS AND SYMPTOMS RELATED TO SUBSTANCE ABUSE.- INCREASE UNDERSTANDING OF ROOT CAUSES OF SUBSTANCE ABUSE NEEDS AND OPPORTUNITIES FOR COLLECTIVE IMPACT AMONG PARTNER ORGANIZATIONS.- INCREASE THE NUMBER OF INDIVIDUALS WHO RECEIVE TREATMENT FOR SUBSTANCE ABUSE.STRATEGIES: - CONTINUE TO PROVIDE SMOKING CESSATION PROGRAM AND SUPPORT GROUPS - FACILITATE THE DEVELOPMENT OF A PSYCHIATRIC INPATIENT SMOKING CESSATION PROGRAM THAT PROVIDES INPATIENT COUNSELING AND REFERRAL TO OUTPATIENT RESOURCES UPON DISCHARGE. - IN ADDITION, CONTINUE TO PROVIDE SAFE VENUE AT VIRTUA FACILITIES AND PROMOTE EXISTING SUPPORT GROUPS INCLUDING ALCOHOLICS ANONYMOUS, NARCOTICS ANONYMOUS; AND TO DEVELOP ADDITIONAL BEHAVIORAL HEALTH AND SUBSTANCE ABUSE RELATED SERVICES IN PARTNERSHIP WITH COMMUNITY AGENCIES.OVER THE NEXT THREE YEARS, VIRTUA, IN PARTNERSHIP WITH OTHER HEALTHCARE ORGANIZATIONS, LOCAL PUBLIC HEALTH AGENCIES, AND COMMUNITY GROUPS WILL WORK TOWARD IMPLEMENTING THESE STRATEGIES TO ADDRESS THE CONCERNS IDENTIFIED BY OUR COMMUNITY. AS OUR CREDO DECLARES, "OUR COMMUNITY IS OUR FAMILY." WE EMBRACE THE CHALLENGE OF CONFRONTING THE NEEDS IDENTIFIED BY OUR COMMUNITY AND PROVIDING THE RESOURCES REQUIRED FOR AREA RESIDENTS TO BE WELL, STAY WELL, AND GET WELL. PART V, SECTION B, FINANCIAL ASSISTANCE POLICY ADDITIONAL DISCLOSURE: VIRTUA'S FINANCIAL ASSISTANCE POLICY ("FAP") IS DESIGNED TO ASSIST THOSE WHO DO NOT HAVE ADEQUATE FINANCIAL RESOURCES OR HEALTH INSURANCE TO PAY FOR THE CARE THAT THEY, OR SOMEONE FOR WHOM THEY ARE RESPONSIBLE, RECEIVED. THE POLICY AND RELATED ACTIONS HAVE BEEN STRUCTURED TO COMPLY WITH SECTION 501(R) OF THE IRS CODE. VIRTUA'S FAP PERTAINS TO THE PROVISION OF EMERGENCY AND OTHER MEDICALLY NECESSARY CARE. THE FAP LISTS AND EXPLAINS THE PROGRAMS AND REGULATIONS UNDER WHICH FINANCIAL ASSISTANCE IS AVAILABLE, AS FOLLOWS:A)GOVERNMENT PROGRAMS SUCH AS MEDICAID AND SOCIAL SECURITYB)THE STATE OF NEW JERSEY'S HOSPITAL CARE PAYMENT ASSISTANCE PROGRAMC)NEW JERSEY UNINSURED DISCOUNT (PUBLIC LAW 2008, CHAPTER 60)D)NJ FAMILYCAREE)NEW JERSEY CANCER EDUCATION AND EARLY DETECTION F)THE CATASTROPHIC ILLNESS IN CHILDREN RELIEF FUNDG)NEW JERSEY VICTIMS OF CRIME COMPENSATION OFFICEH)AMOUNTS GENERALLY BILLED (AGB) TO INDIVIDUALS WHO HAVE INSURANCEI)VIRTUA'S CHARITY ASSISTANCE PROGRAM ("CAP")VIRTUA HAS SET UP CONSPICUOUS DISPLAYS IN ITS PUBLIC HOSPITAL LOCATIONS TO NOTIFY AND INFORM OUR PATIENTS AND MEMBERS OF THE COMMUNITY OF THE FINANCIAL ASSISTANCE AVAILABLE. VIRTUA WILL PROVIDE PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY ("PLS") OF ITS FAP. THE FAP, APPLICATIONS AND PLS ARE AVAILABLE ON VIRTUA'S WEBSITE OR IN PAPER COPY FORM IN LOCATIONS WITHIN VIRTUA'S HOSPITAL FACILITIES SUCH AS THE EMERGENCY DEPARTMENTS AND PATIENT REGISTRATION AREAS. THE FAP, APPLICATIONS AND PLS ARE ALL 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 VIRTUA. VIRTUA'S AGB CALCULATIONS ARE AVAILABLE UPON REQUEST THROUGH VIRTUA'S CUSTOMER SERVICE BUREAU. AN INDIVIDUAL DETERMINED TO BE FAP-ELIGIBLE WILL NOT BE CHARGED MORE THAN AGB FOR EMERGENCY AND OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES PURSUANT TO IRC SECTION 501(R)(5). VIRTUA, AND ANY THIRD PARTIES ACTING ON ITS BEHALF, WILL WORK WITH RESPONSIBLE INDIVIDUAL PARTIES AND WILL SUSPEND EXTRAORDINARY COLLECTION ACTIONS TO OBTAIN PAYMENT FOR A REASONABLE AMOUNT OF TIME. VIRTUA COMPLIES WITH ALL FEDERAL AND STATE REGULATIONS AND CONTRACTUAL PROVISIONS WITH REGARDS TO ITS BILLING AND COLLECTION PRACTICES. FOR UNINSURED PATIENTS OR THOSE WITHOUT SECONDARY INSURANCE COVERAGE FOR A RESIDUAL BALANCE, VIRTUA WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS ("ECAS") AGAINST AN INDIVIDUAL UNTIL REASONABLE EFFORTS CAN BE MADE TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER VIRTUA'S FAP. THE ACCOUNTS OF PATIENTS FOR WHICH THERE IS NO IDENTIFIED THIRD PARTY HEALTH INSURANCE COVERAGE WILL FOLLOW THE DEFINED SELF-PAY COLLECTION CYCLE, WITH THE RESPONSIBLE PARTY BEING MADE AWARE OF THE AVAILABILITY OF DISCOUNTS OFFERED UNDER THE FAP. IF A COMPLETED FAP APPLICATION IS RECEIVED, VIRTUA (AND ANY THIRD PARTIES ACTING ON VIRTUA'S BEHALF) WILL SUSPEND ANY ECAS AGAINST THE INDIVIDUAL UNTIL A QUALIFICATION DETERMINATION IS MADE.FOR UNPAID ACCOUNTS THAT HAVE REACHED THE END OF THE COLLECTION CYCLE WITHOUT BEING IN THE PROCESS OF MAKING PAYMENT ARRANGEMENTS OR APPROVED FOR FINANCIAL ASSISTANCE, AN ESTIMATION OF THE RESPONSIBLE PARTY'S ANNUAL INCOME MAY BE OBTAINED FROM AN OUTSIDE CREDIT AGENCY TO DETERMINE IF THE INDIVIDUAL WOULD LIKELY BE FAP-ELIGIBLE. IF SO, A REDUCTION TO CHARGES WILL BE APPLIED PRIOR TO TRANSFERRING THE ACCOUNT BALANCE TO A THIRD PARTY FOR COLLECTION. VIRTUA WILL NOTIFY THE INDIVIDUAL REGARDING THE BASIS FOR THE PRESUMPTIVE FAP-ELIGIBILITY DETERMINATION. VIRTUA WILL ENSURE REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FAP PRIOR TO INITIATING ECAS. EMERGENT, URGENT, AND LABOR AND DELIVERY SERVICES COVERED UNDER EMTALA (EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT) ARE NOT SUBJECT TO PRIOR PAYMENT. VIRTUA WILL NOT ENGAGE IN ANY ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE. PATIENTS WHOM RECEIVE EMERGENCY OR OTHER MEDICALLY NECESSARY CARE AT VIRTUA ARE COMMONLY ALSO SEEN BY PRIVATE PHYSICIAN GROUPS OR OTHER THIRD PARTY HEALTHCARE PROVIDERS WHILE BEING CARED FOR BY VIRTUA. WITHIN ITS POLICY VIRTUA MAINTAINS A LIST OF PROVIDERS WITHIN OUR HOSPITAL FACILITIES THAT PROVIDE EMERGENCY OR OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES. THE POLICY SPECIFIES WHICH PROVIDERS ARE COVERED UNDER THIS FAP AND WHICH ARE NOT. PART V, SECTION B FACILITY REPORTING GROUP A FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: VIRTUA - VOORHEES, - FACILITY 2: VIRTUA - MARLTON 2 1 - VIRTUA - CAMDEN 1000 ATLANTIC AVENUE CAMDEN NJ 08104 HOSPITAL-BASED OFFSITE AMBULATORY CARE FACILITY 2 - VIRTUA - BERLIN 100 TOWNSEND AVENUE BERLIN NJ 08009 HOSPITAL-BASED OFFSITE AMBULATORY CARE FACILITY PART I, LINE 6A. COMMUNITY BENEFIT REPORT THE COMMUNITY BENEFIT PROVIDED BY THE ORGANIZATION IS INCLUDED IN THE REPORT PREPARED BY A RELATED ORGANIZATION, VIRTUA HEALTH, INC. THIS REPORT IS MADE AVAILABLE TO THE PUBLIC VIA VIRTUA HEALTH'S WEBSITE, WWW.VIRTUA.ORG. PART I, LINE 7 FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS AT COST A COST ACCOUNTING SYSTEM THAT ADDRESSED ALL PATIENT SEGMENTS WAS USED TO CALCULATE THE FINANCIAL ASSISTANCE, MEANS-TESTED GOVERNMENT PROGRAMS (ITEMS 7A 7D) AND SUBSIDIZED HEALTH SERVICES (ITEM 7G) COST. THE CALCULATION OF COST FOR ALL OTHER BENEFITS (ITEMS 7E, 7F, 7H, AND 7I) IS BASED ON ACTUAL COST. PART II, COMMUNITY BUILDING ACTIVITIES: DESCRIPTION OF COMMUNITY BUILDING ACTIVITIES: VIRTUA GOES BEYOND DELIVERING HEALTH CARE TO STRENGTHEN THE COMMUNITES WE SERVE. WE ARE ALSO COMMITTED TO CREATING ENGAGING AND ACTIVE ENVIRONMENTS THAT HELP PEOPLE TO MAINTAIN HEALTHY LIFESTYLES. WE SUPPORT AND PARTNER WITH A WIDE RANGE OF ORGANIZATIONS DEVOTED TO IMPROVING QUALITY OF LIFE, SUCH AS THE BOYS AND GIRLS CLUB AND THE LIBERTY PARK NEIGHBORHOOD ASSOCIATION. WE FOCUS OUR EFFORTS IN GEOGRAPHICAL AREAS OF GREATEST NEED, SUCH AS CAMDEN, NJ, A CITY THAT HAS BEEN PLAGUED BY POVERTY AND LACK OF RESOURCES. CONSIDERED A "FOOD DESERT" WITH LIMITED OPTIONS FOR HEALTHY FOOD, VIRTUA PROVIDES A WEEKLY FARMERS' MARKET DURING THE SUMMER MONTHS, GIVING LOCAL RESIDENTS ACCESS TO FRESH PRODUCE. VIRTUA CAMDEN COMMUNITY DAY FEATURES HEALTH EDUCATION, FREE SCREENINGS FOR STROKE, BLOOD PRESSURE AND DIABETES, WITH MORE THAN 600 AREA RESIDENTS ATTENDING THE EVENT. MULTIPLE EVENTS ARE HELD TO INSPIRE YOUNG TEENS TO CONSIDER CAREERS IN HEALTH SCIENCES, AND A GIRL SCOUT TROOP SPONSORED BY VIRTUA CAMDEN ENCOURAGES YOUNG WOMEN TO EXPERIENCE LEADERSHIP AND PERSONAL DEVELOPMENT. FROM INTERNSHIPS TO CAREER GUIDANCE, VIRTUA CAMDEN SUPPORTS YOUNG ADULTS IN THEIR QUEST FOR A BETTER FUTURE.VIRTUA'S COMMUNITY BUILDING ACTIVITIES INCLUDE PROVIDING FREE MEETING SPACE TO OUTSIDE ORGANIZATIONS, INCLUDING THE SOUTH JERSEY FOOD BANK WHICH USES VIRTUA CAMDEN'S KITCHEN ON A DAILY BASIS DURING THE SUMMER TO MAKE SANDWICHES FOR SCHOOL CHILDREN WHO DON'T HAVE ACCESS TO HEALTHY LUNCHES WHEN SCHOOL IS NOT IN SESSION. VIRTUA'S AFFILIATION WITH THE 76'ERS HAS LIFTED WHOLE COMMUNITIES OF CHILDREN. WITH PROJECT '76, VIRTUA MANAGERS DEVOTE HUNDREDS OF HOURS TO FACILITIES IMPROVEMENT, CAMP FOR YOUNG ATHLETES, AND ROLE MODELING. PART III, LINE 2, METHODOLOGY FOR BAD DEBT EXPENSE VIRTUA ESTIMATES BAD DEBT EXPENSE BY EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, ANALYZES HISTORICAL DATA AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. PART III, LINE 8 COMMUNITY BENEFIT SHORTFALL VIRTUA BELIEVES THAT IT IS APPROPRIATE TO RECOGNIZE THE MEDICARE REVENUE SHORTFALL AS COMMUNITY BENEFIT. IT HAS BEEN WIDELY RECOGNIZED THAT MEDICARE PAYMENT RATES IN AGGREGATE HAVE BEEN SET AT A LEVEL THAT DOES NOT COVER THE TOTAL COST OF CARE. BY BEARING THE REIMBURSEMENT SHORTFALL RESULTING FROM THE BELOW COST MEDICARE PAYMENT LEVEL, VIRTUA AND OTHER HOSPITALS ARE ALLEVIATING THE GOVERNMENT'S BURDEN WHICH PROMOTES THE CHARITABLE PURPOSE OF THE ORGANIZATION. THE FILED MEDICARE COST REPORT IS THE BASIS FOR THE ALLOWABLE COST REPORTED ON LINE 6. PART III, LINE 9B, COLLECTION POLICY VIRTUA IS DEDICATED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE FOR OUR COMMUNITY, REGARDLESS OF ABILITY TO PAY. WE RECOGNIZE THAT THE COST OF HEALTHCARE CAN BE AN EXCESSIVE FINANCIAL BURDEN FOR OUR UNINSURED PATIENTS. FOR OUR UNINSURED PATIENTS WHO WERE INELIGIBLE FOR STATE OR FEDERAL ASSISTANCE (E.G., HEALTHCARE FOR THE UNINSURED, CHARITY CARE, MEDICAID), THERE IS AN OPPORTUNITY FOR FINANCIAL RELIEF UNDER THE VIRTUA CHARITY ASSISTANCE PROGRAM. IF YOU MEET THE FOLLOWING CRITERIA, YOU CAN BE ELIGIBLE FOR A SIGNIFICANT REDUCTION TO YOUR HOSPITAL BILL:YOU HAVE NO INSURANCE COVERAGE. YOU ARE NOT ELIGIBLE FOR MEDICAID. YOU ARE NOT ELIGIBLE FOR A 100% ADJUSTMENT UNDER THE STATE OF NEW JERSEY CHARITY CARE PROGRAM. YOU ARE NOT ELIGIBLE FOR REIMBURSEMENT FROM ANY THIRD PARTY (E.G., LAWSUIT, EMPLOYER, SCHOOL, CHURCH). THE GROSS ANNUAL INCOME FOR YOUR HOUSEHOLD IS LESS THAN $200,452.THE HEALTH SYSTEM REGULARLY MONITORS ALL APPLICABLE POLICIES FOR COMPLIANCE WITH 501R REGULATIONS, AND HAS MADE ANY NECESSARY CHANGES. PART VI, LINE 2: DESCRIPTION OF NEEDS ASSESSMENT: VIRTUA HAS BEEN AN ACTIVE PARTICIPANT IN INITIATIVES UNDERTAKEN BY THE THREE COUNTIES THAT COMPRISE ITS PRIMARY SERVICE AREA IN SOUTHERN NEW JERSEY: BURLINGTON COUNTY, CAMDEN COUNTY, AND GLOUCESTER COUNTY. INDIVIDUALLY THESE COUNTIES HAVE ASSESSED THE HEALTHCARE NEEDS OF THEIR RESIDENTS, WHICH HAVE RESULTED IN THE CREATION OF THREE DISTINCT REPORTS: THE BURLINGTON COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN, THE CAMDEN COUNTY MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) COALITION COMMUNITY HEALTH IMPROVEMENT PLAN, AND ACHIEVING A HEALTHIER GLOUCESTER COUNTY. BURLINGTON COUNTY HAS IDENTIFIED AS PRIORITIES EMERGENCY PREPAREDNESS, NUTRITION AND PHYSICAL ACTIVITY, PREVENTATIVE HEALTHCARE, ENVIRONMENTAL HEALTH, PEACE AND WELL BEING INCLUDING ALCOHOL AND DRUG ABUSE REDUCTION, AND PARENTING. CAMDEN COUNTY PRIORITIES INCLUDE OBESITY AND NUTRITION, CARDIOVASCULAR HEALTH, CANCER, ENVIRONMENTAL HEALTH AND MENTAL HEALTH. IN THE GLOUCESTER COUNTY ASSESSMENT, PRIORITY AREAS INCLUDE INCREASING AWARENESS OF EXISTING SERVICES (HEALTH EDUCATION), ENCOURAGING REGULAR SCREENINGS AND CHECK-UPS (ESPECIALLY FOR HEART, CANCER, DIABETES, SEXUALLY TRANSMITTED DISEASES), AND PROMOTING HEALTHY BEHAVIORS (ESPECIALLY DIET AND EXERCISE).VIRTUA ALSO IS INVOLVED WITH THE CAMDEN CITY HEALTHY FUTURES COMMITTEE, WHICH HAS CONDUCTED A HEALTH NEEDS ASSESSMENT OF THE CITY AND HAS PUT ACTION PLANS IN PLACE FOR EACH OF THE TOP HEALTH PRIORITIES IDENTIFIED. PRIORITIES HAVE BEEN SET RELATIVE TO OBESITY (HEART DISEASE, DIABETES, AND STROKE), ACCESS TO CARE, THE HIGH CANCER MORTALITY RATE, MENTAL HEALTH, VIOLENCE AND SAFETY, ENVIRONMENTAL HEALTH (LEAD POISONING AND ASTHMA) AND FAMILY HEALTH (SPECIFICALLY TEEN PREGNANCY AND ACCESS TO DENTAL CARE). VIRTUA ALSO WORKS WITH THE CAMDEN COUNTY CANCER COALITION, A GROUP THAT HAS COMPLETED A CANCER NEEDS ASSESSMENT FOR THE COUNTY. CAMDEN COUNTY'S MAJOR STRATEGY FOR ELIMINATING DISPARITIES IN CANCER CARE IS THE CANCER EDUCATION AND EARLY DETECTION (CEED) PROGRAMS. THERE ARE CEED PROGRAMS BASED AT VIRTUA AND THEY ARE THE FORCE BEHIND THE PLANS TO INCREASE MINORITY SCREENING RATES, INCREASE PROSTATE CANCER SCREENING RATES, AND REDUCE SMOKING.VIRTUA PARTICIPATES ON DISASTER AND FLU PLANNING GROUPS IN BOTH BURLINGTON COUNTY AND CAMDEN COUNTY, AS WELL AS THEIR PUBLIC HEALTH PLANNING COMMITTEES. PART OF THE MISSION IS TO IDENTIFY AND DETERMINE HOW TO ADDRESS COMMUNITY PUBLIC HEALTH NEEDS. VIRTUA HAS IMPLEMENTED A RISK ASSESSMENT AND SCREENING PROCESS FOR ADMITTED HOSPITALIZED IN-PATIENTS WITH A MULTI-DRUG RESISTANT ORGANISM, BASED ON PREVALENCE STUDIES WITHIN THE HOSPITALS AND COMMUNITY EVALUATION. THESE EFFORTS HAVE RESULTED IN PATIENT SCREENING AND ISOLATION PROTOCOLS. THROUGH PARTICIPATION IN VARIOUS COMMUNITY MEETINGS AND FORUMS, VIRTUA RECEIVES INPUT FROM ITS SERVICE AREA RELATIVE TO COMMUNITY HEALTH NEEDS. VIRTUA ALSO MONITORS COMMUNITY NEEDS SPECIFIC TO ITS SERVICE LINES AND IDENTIFIES AVAILABLE RESOURCES IT CAN CALL UPON TO ADDRESS THEM.THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY THE SOUTH JERSEY HEALTH PARTNERSHIP (SJHP), WITHIN FOUR SOUTHERN NEW JERSEY COUNTIES: BURLINGTON, CAMDEN, GLOUCESTER, AND OCEAN. THROUGH A COORDINATED APPROACH, THE PARTNERSHIP WORKED WITH COUNTY HEALTH DEPARTMENTS AND LOCAL COMMUNITY PARTNERS TO GATHER FEEDBACK AND CONDUCT REGIONAL RESEARCH AND PLANNING EFFORTS TO ENSURE COMMUNITY HEALTH IMPROVEMENT INITIATIVES WERE ALIGNED. THE 2016 CHNA WAS CONDUCTED FROM FEBRUARY TO OCTOBER 2016, AND USED BOTH PRIMARY AND SECONDARY RESEARCH TO ILLUSTRATE AND COMPARE HEALTH TRENDS AND DISPARITIES ACROSS THE REGION. PRIMARY RESEARCH SOLICITED INPUT FROM KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. SECONDARY RESEARCH IDENTIFIED DEMOGRAPHIC AND HEALTH TRENDS ACROSS GEOGRAPHIC AREAS AND POPULATIONS. THE 2016 CHNA BUILDS UPON THE HOSPITALS' 2013 CHNAS AND SUBSEQUENT COMMUNITY HEALTH IMPROVEMENT PLANS AND WAS CONDUCTED IN A TIMELINE TO COMPLY WITH REQUIREMENTS SET FORTH IN THE AFFORDABLE CARE ACT, AS WELL AS TO FURTHER THE HOSPITALS' COMMITMENT TO COMMUNITY HEALTH AND POPULATION HEALTH MANAGEMENT. THE FINDINGS WILL BE USED TO GUIDE COMMUNITY BENEFIT INITIATIVES AND ENGAGE PARTNERS TO ADDRESS IDENTIFIED HEALTH NEEDS.SPECIFIC RESEARCH METHODS: A REVIEW OF SECONDARY HEALTH AND SOCIOECONOMIC INDICATORS FOR THE SERVICE AREA.AN ANALYSIS AND COMPARISON OF HOSPITAL UTILIZATION DATAPARTNER FORUMS WITH COMMUNITY REPRESENTATIVES AND LEADERS TO IDENTIFY COMMUNITY HEALTH PRIORITIES AND FACILITATE POPULATION HEALTH STRATEGY COLLABORATIONFOCUS GROUPS WITH HEALTH CONSUMERS PART VI, LINE 3: DESCRIPTION OF PATIENT EDUCUATION OF ELIGIBILITY FOR ASSISTANCE: THE AVAILABILITY OF FINANCIAL ASSISTANCE IS COMMUNICATED IN BOTH ENGLISH AND SPANISH IN A VARIETY OF WAYS. FINANCIAL ASSISTANCE INFORMATION IS PROVIDED BY REGISTRATION STAFF AND IS COVERED IN FINANCIAL COUNSELING APPOINTMENTS. BROCHURES ARE DISTRIBUTED AND ALSO MADE AVAILABLE IN THE PATIENT/FAMILY WAITING AREAS. BILINGUAL SIGNAGE IS POSTED THROUGHOUT THE HOSPITAL, INCLUDING IN THE EMERGENCY DEPARTMENTS AND OUTPATIENT REGISTRATION AREAS. THE ADMISSION BOOKLET AND HANDOUTS PROVIDED AT REGISTRATION/ADMISSION CONTAIN INFORMATION ABOUT FINANCIAL COUNSELING AND GUIDANCE SHOULD THE PATIENT HAVE DIFFICULTY IN PAYING THEIR HOSPITAL BILL. AVAILABILITY OF CHARITY CARE ASSISTANCE IS ALSO INDICATED ON ALL STATEMENTS AND LETTERS SENT TO PATIENTS. VIRTUA'S WEBSITE CONTAINS INFORMATION ON CHARITY CARE ASSISTANCE ALONG WITH THE APPLICATION. THE HEALTH SYSTEM REGULARLY MONITORS ALL APPLICABLE POLICIES FOR COMPLIANCE WITH 501R REGULATIONS, AND HAS MADE ANY NECESSARY CHANGES.ON A ONE-TO-ONE BASIS, FINANCIAL COUNSELING SERVICES ARE PROVIDED TO PATIENTS THAT ARE UNINSURED OR UNDERINSURED. SUPPORT IS PROVIDED TO HELP PATIENTS COMPLETE RELEVANT APPLICATIONS FOR ASSISTANCE UNDER THE STATE OF NEW JERSEY CHARITY CARE PROGRAM GUIDELINES, THE STATE OF NEW JERSEY MEDICAID PROGRAM, VIRTUA'S OWN CHARITY CARE PROGRAM, AND ANY OTHER ASSISTANCE FOR WHICH THEY MAY BE ELIGIBLE. COMPLETION OF APPLICATIONS IS CONDUCTED THROUGH BEDSIDE INTERVIEWS WITH ADMITTED PATIENTS, AND VIA LETTERS, PHONE CALLS, AND FIELD SERVICE VISITS TO PATIENT HOMES, WHEN APPROPRIATE. BILINGUAL STAFF ARE AVAILABLE ON-SITE AND INTERPRETATION SERVICES ARE AVAILABLE OVER THE PHONE. PART VI, LINE 4: THE 2016 SJHP CHNA INCLUDED THE FOLLOWING MEMBER HOSPITALS:- COOPER UNIVERSITY HOSPITAL- DEBORAH HEART AND LUNG CENTER- KENNEDY UNIVERSITY HOSPITALS-CHERRY HILL, STRATFORD, WASHINGTON TOWNSHIP- LOURDES MEDICAL CENTER OF BURLINGTON COUNTY; OUR LADY OF LOURDES MEDICAL CENTER-VIRTUA MARLTON, VIRTUA MEMORIAL, VIRTUA VOORHEESIN COOPERATION WITH BURLINGTON, CAMDEN, GLOUCESTER, AND OCEAN COUNTY HEALTH DEPARTMENTS THE SJHP SERVICE AREA INCLUDES THE SOUTHERN NEW JERSEY COUNTIES OF BURLINGTON, CAMDEN, GLOUCESTER, AND OCEAN AND A TOTAL POPULATION OF APPROXIMATELY 1.8 MILLION. OCEAN COUNTY COMPRISES THE LARGEST POPULATION, AND IS PROJECTED TO HAVE THE MOST POPULATION GROWTH OVER THE NEXT FIVE YEARS (2.2%). THE POPULATION OF THE OTHER SERVICE COUNTIES WILL INCREASE 1.5% OR LESS.THE SJHP SERVICE AREA REPRESENTS A DIVERSE POPULATION. BURLINGTON AND GLOUCESTER COUNTIES ARE PRIMARILY WHITE COMMUNITIES WITH SIMILAR OR BETTER SOCIOECONOMIC INDICATORS COMPARED TO THE STATE. CAMDEN COUNTY IS THE MOST RACIALLY AND ETHNICALLY DIVERSE OF THE FOUR COUNTIES, AND THE MOST IMPACTED BY POORER SOCIAL DETERMINANTS OF HEALTH. OCEAN COUNTY IS ALSO A PRIMARILY WHITE COMMUNITY WITH A PROMINENT BLUE COLLAR WORKFORCE.POPULATION SNAPSHOTSBURLINGTON COUNTY- PRIMARILY WHITE, AND SLIGHTLY OLDER- HIGHEST MEDIAN INCOME; LOWEST POVERTY RATES- LOWEST UNEMPLOYMENT RATE- HIGHEST EDUCATIONAL ATTAINMENTCAMDEN COUNTY- MOST RACIALLY/ETHNICALLY DIVERSE - LOWEST MEDIAN INCOME; HIGHEST POVERTY RATES- HIGHEST UNEMPLOYMENT RATE- LOWEST EDUCATIONAL ATTAINMENT- GREATEST SOCIOECONOMIC DISPARITY AMONG RACIAL/ETHNIC POPULATIONSGLOUCESTER COUNTY- PRIMARILY WHITE - SIMILAR ECONOMIC INDICATORS TO THE STATE- MORE LIKELY TO ATTAIN A HIGH SCHOOL DIPLOMA; LESS LIKELY TO ATTAIN HIGHER EDUCATIONOCEAN COUNTY- PRIMARILY WHITE AND OLDEST POPULATION IN NJ- SECOND LOWEST MEDIAN INCOME; LOWER UNEMPLOYMENT AND POVERTY RATES THAN THE STATE- LEAST LIKELY TO ATTAIN HIGHER EDUCATION; MORE LIKELY TO HAVE A HIGH SCHOOL DIPLOMAACROSS THE SJHP SERVICE AREA, DATA SHOWS THAT BLACK/AFRICAN AMERICAN AND HISPANIC/LATINO RESIDENTS ARE IMPACTED BY POORER SOCIAL DETERMINANTS OF HEALTH AND HEALTHY DISPARITY. MEDIAN INCOME, DEPICTED IN THE TABLE BELOW, IS ONE INDICATOR OF DISPARITY. BLACK/AFRICAN AMERICAN AND HISPANIC/ LATINO RESIDENTS ARE ALSO LESS LIKELY TO HAVE HEALTH INSURANCE AND/OR ATTAIN HIGHER EDUCATION.MEDIAN HOUSEHOLD INCOME BY RACE AND ETHNICITYBURLINGTON COUNTY:WHITE MEDIAN INCOME- $81,803BLACK/AFRICAN AMERICAN INCOME DIFFERENCE- -$12,805HISPANIC/LATINO INCOME DIFFERENCE- -$11,287CAMDEN COUNTY:WHITE MEDIAN INCOME- $69,837BLACK/AFRICAN AMERICAN INCOME DIFFERENCE- -$27,234HISPANIC/LATINO INCOME DIFFERENCE- -$31,292GLOUCESTER COUNTY:WHITE MEDIAN INCOME- $76,455BLACK/AFRICAN AMERICAN INCOME DIFFERENCE- -$-18,655HISPANIC/LATINO INCOME DIFFERENCE- -$18,494OCEAN COUNTY:WHITE MEDIAN INCOME- $62,100BLACK/AFRICAN AMERICAN INCOME DIFFERENCE- -$-10,221HISPANIC/LATINO INCOME DIFFERENCE- -$5,319 PART VI, LINE 5: DESCRIPTION OF PROMOTING THE HEALTH OF THE COMMUNITY: VIRTUA HAS AN ACCOUNTABLE CARE ORGANIZATION (ACO) THAT CURRENTLY OVERSEES SPECIFIC PATIENT POPULATIONS UNDER AGREEMENTS WITH MEDICARE AND MAJOR MANAGED CARE INSURERS IN ITS REGION. THE ACO'S OBJECTIVE IS TO MANAGE THE HEALTH OF THE PATIENT POPULATIONS INCLUDED IN THE PROGRAM, ADVANCING PROPER MANAGEMENT OF CHRONIC HEALTH CONDITIONS AND PROMOTING OVERALL HEALTH AND WELLNESS. DONE EFFECTIVELY THESE WILL ALSO HAVE THE RELATED BENEFIT OF REDUCING THE COSTS OF HEALTHCARE. THE ACO'S SCOPE IS EXPECTED TO EXPAND MOVING FORWARD IN TERMS OF THE NUMBER OF COMMUNITY MEMBERS FOR WHICH VIRTUA IS RESPONSIBLE FOR THEIR HEALTH AND WELLNESS.THE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT PROGRAM (DSRIP) IS A PROGRAM UNDER THE AFFORDABLE CARE ACT THAT INCENTIVIZES HOSPITALS TO IMPROVE HEALTH OUTCOMES FOR COMMUNITY MEMBERS. THE OBJECTIVE IS TO DEVELOP AN INFRASTRUCTURE THAT WILL PRODUCE MEASUREABLE HEALTH OUTCOMES IMPROVEMENT FOR "LOW INCOME PATIENTS". IT IS A FIVE YEAR PROJECT UNDER WHICH EACH HOSPITAL SELECTED ONE OF SIXTEEN DISEASE ORIENTED PROJECTS TO FOCUS ON. FOR VIRTUA, DIABETES MANAGEMENT, ONE OF THE CHRONIC CONDITIONS IDENTIFIED IN THE CHNA, IS THE AREA OF FOCUS. VIRTUA HAS PROVIDED "SURVIVAL SKILLS FOR DIABETES" EDUCATION CLASSES (WITH FREE TRANSPORTATION AND LUNCH) AND DEPRESSION SCREENING FOR ALL PARTICIPANTS. IN ADDITION, VIRTUA PROVIDES BEDSIDE EDUCATION ON DIABETES MANAGEMENT FOR THESE LOW-INCOME PATIENTS ADMITTED TO OUR ACUTE CARE FACILITIES. VIRTUA'S CLINICIANS AND STAFF PROVIDE HEALTH EDUCATION TO THOUSANDS OF COMMUNITY MEMBERS AT HUNDREDS OF EVENTS. INCLUDED WITHIN THESE ARE DIABETES SCREENING AND EDUCATION, FREE DIAGNOSTIC TESTING, CANCER-SPECIFIC EDUCATION, PARAMEDIC SAFETY EDUCATION, FREE CAR SEAT SAFETY CHECKS, CLINICS FOR CHILDREN TO HELP DISPEL FEAR OF HOSPITALS, AND OTHER FREE CLASSES ATTENDED BY THOUSANDS OF COMMUNITY MEMBERS. VIRTUA CLINICIANS ALSO ATTEND AND PARTICIPATE IN MANY EVENTS SPONSORED BY THE LOCAL COMMUNITIES. VIRTUA IS ALSO AN ACTIVE SPONSOR IN MANY COMMUNITY WELLNESS EVENTS, SUCH AS FITNESS RUNS.THE MEMBERS OF VIRTUA'S BOARD OF TRUSTEES ARE ALMOST ENTIRELY FROM THE LOCAL COMMUNITIES, MANY OF WHICH HAVE SPENT MOST OR ALL OF THEIR LIVES RESIDING IN. THEY ARE INDIVIDUALS WITH VARYING PROFESSIONAL BACKGROUNDS, INCLUDING SOME PHYSICIANS. BECAUSE OF THEIR EXPERIENCES FROM LIVING IN THE HOSPITAL'S PRIMARY SERVICE AREA, THEY ARE TRUE ADVOCATES FOR THE COMMUNITY. VIRTUA HAS UTILIZED ITS FINANCIAL RESOURCES TO INVEST IN PROJECTS, TECHNOLOGIES, AND PROGRAMS THAT WILL CONTRIBUTE TO IMPROVED HEALTH STATUS FOR ITS COMMUNITY MEMBERS. WITHIN THE LAST FIVE YEARS VIRTUA INVESTED IN CONSTRUCTING A NEW STATE-OF-THE-ART DIGITAL HOSPITAL AND OUTPATIENT CENTERS THAT PROVIDE EASY ACCESS TO A WIDE VARIETY OF COMPREHENSIVE SERVICES. THE ORGANIZATION HAS AN OPEN MEDICAL STAFF THAT WILL PROVIDE PRIVILEGES TO QUALIFIED PHYSICIANS FROM WITHIN THE COMMUNITY. PART VI, LINE 6: DESCRIPTION OF PROMOTING THE HEALTH OF THE COMMUNITIES SERVED: VIRTUA- WEST JERSEY HEALTH SYSTEM IS A CONTROLLED ENTITY OF A COMMUNITY-OWNED HEALTH SYSTEM, VIRTUA HEALTH, INC. IN ITS ENTIRETY, VIRTUA HEALTH INC. CONSISTS OF THREE ACUTE CARE HOSPITALS, TWO NURSING HOMES, FOUR HEALTH AND WELLNESS CENTERS, SEVENTEEN AMBULATORY SURGERY JOINT VENTURES, A PHYSICIAN ORGANIZATION, VIRTUA RETAIL, TWO HOME HEALTH AGENCIES, A FOUNDATION, AN INSURANCE CAPTIVE, AN ACCOUNTABLE CARE ORGANIZATION, A CLINICALLY INTEGRATED NETWORK, AND TWO STRATEGIC PARTNERSHIPS WITH CHILDREN'S HOSPITAL OF PHILADELPHIA AND PENN HEALTH. COMMUNITY BENEFIT PROGRAMS ARE COORDINATED ACROSS THE ENTIRE HEALTH SYSTEM. THE INDIVIDUAL HOSPITALS WILL DEVELOP, IMPLEMENT, AND FUND PROGRAMS SPECIFIC TO THE NEEDS OF ITS LOCAL COMMUNITY. IN ADDITION, UNDER THE PARENT COMPANY'S CENTRALIZED PROGRAM OF EXCELLENCE STRUCTURE, INITIATIVES ARE UNDERTAKEN THAT HAVE IMPACT ACROSS ALL VIRTUA ENTITIES AND COMMUNITIES. X X X X 0 1 0 0 0 0 0 1 0 RICHARD P MILLER PRESIDENT/CEO 0 1183126 0 474028 0 420702 0 11925 0 31341 0 2121122 0 0 ROBERT M SEGIN EVP/CFO 0 536059 0 189570 0 30000 0 11925 0 44563 0 812117 0 0 MICHAEL KOTZEN EVP - POPULATION HEALTH MGMT 0 513484 0 180695 0 30000 0 11925 0 39864 0 775968 0 0 ALFRED CAMPANELLA EVP - STRTEGIC BUSINESS G & A 0 455788 0 160832 0 30000 0 11925 0 44592 0 703137 0 0 JOHN M MATSINGER EVP/CCO 0 419387 0 134876 0 30000 0 11925 0 41556 0 637744 0 0 MATTHEW A ZUINO SVP - HOSPITAL SERVICES 0 426056 0 123429 0 9000 0 11925 0 40045 0 610455 0 0 THOMAS GORDON SVP/CIO 0 313616 0 56265 0 9000 0 11925 0 41731 0 432537 0 0 FRANCES BLACKWELL SVP - INTEGRATED OPERATIONS 0 248659 0 24760 0 9000 0 11040 0 33337 0 326796 0 0 DEBRA MORAN VP COMMUNITY BASED SERVICES 0 218642 0 43652 0 9000 0 10850 0 43506 0 325650 0 0 PAUL E MINNICK VP - SITE ADMINISTRATOR VRHES 253358 0 0 0 9000 0 11186 0 14882 0 288426 0 0 0 LISA C FERRARO VP - PATIENT CARE SITE ADMINISTRATOR 208359 0 36393 0 9000 0 11583 0 25755 0 291090 0 0 0 ALLEN SALM MEDICAL DIRECTOR OF OPERATIONS 198831 208246 93638 35555 9846 13000 8857 11505 14210 12265 325382 280571 0 0 ANTHONIA SCHMIDT SURGERY CENTER ADMINISTRATOR 184203 0 26249 0 0 0 9374 0 1631 0 221457 0 0 0 MARY FRANCES CAMPAGNOLO PHYSICIAN - VPA 199611 0 2844 0 0 0 8083 0 14309 0 224847 0 0 0 BARBARA HANSEN AVP - PATIENT CARE SERVICES 165591 0 33886 0 0 0 7323 0 14788 0 221588 0 0 0 JOSEPH V ABAT REGISTERED NURSE 189881 0 350 0 5314 0 2853 0 278 0 198676 0 0 0 PART I, LINE 7 SOME OF THE INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED DISCRETIONARY NON-FIXED BONUS PAYMENTS FROM THE FILING ORGANIZATION, AND SOME OF THE INDIVIDUALS RECEIVED DISCRETIONARY NON-FIXED BONUS PAYMENTS FROM A RELATED ORGANIZATION, VIRTUA HEALTH, INC. (PARENT). SCHEDULE J, PART I, LINE 3 VIRTUA - WEST JERSEY HEALTH SYSTEMS, INC. ADOPTS THE POLICIES OF VIRTUA HEALTH, INC. REGARDING ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THE POLICY USES THE FOLLOWING: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE VIRTUA BOARD OR COMPENSATION COMMITTEE. SCHEDULE J, PART I, LINE 4B VIRTUA HEALTH, INC. PROVIDES A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, PLAN DESCRIBED IN SECTION 457(F) TO THE CEO, PRESIDENT, EXECUTIVE VICE PRESIDENT AND ANY OTHER CORPORATE OFFICER, WITH THE APPROVAL BY THE COMPENSATION COMMITTEE OF THE VIRTUA BOARD. VESTED CONTRIBUTION FROM VIRTUA HEALTH (RELATED ORG.) RICHARD P. MILLER - $390,702 VIRTUA - WEST JERSEY HEALTH SYSTEM, INC.: NONE REGIONAL WOMEN'S HEALTH GROUP THOMAS KAY, MD/TRUSTEE OF VIRTUA/MEDICAL DIRECTOR OF REGIONAL WOMENS HEALTH 1341093 MEDICAL SERVICES FEE 0 FORM 990, PART VI, SECTION A, LINE 6 VIRTUA HEALTH, INC. IS THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE VIRTUA - WEST JERSEY HEALTH SYSTEMS, INC. GOVERNANCE COMMITTEE OF THE BOARD OF TRUSTEES MAKES RECOMMENDATIONS FOR NEW MEMBERSHIP AND THE VIRTUA HEALTH, INC. BOARD OF TRUSTEES GIVES THE FINAL APPROVAL. FORM 990, PART VI, SECTION A, LINE 7B THE CHAIRS OF THE VARIOUS COMMITTEES OF VIRTUA-WEST JERSEY HEALTH SYSTEMS, INC. PRESENT THEIR RECOMMENDATIONS ON SIGNIFICANT MATTERS TO THE FULL VIRTUA HEALTH, INC. BOARD OF TRUSTEES FOR THEIR APPROVAL. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY IN-HOUSE COUNSEL, EXTERNAL TAX CONSULTANTS, AND THE BOARD OF TRUSTEES. A FINAL COPY OF FORM 990 IS PROVIDED TO THE VIRTUA BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C VIRTUA - WEST JERSEY HEALTH SYSTEMS, INC. ADOPTS THE POLICIES OF VIRTUA HEALTH, INC. REGARDING MONITORING AND ENFORCING A CONFLICT-OF-INTEREST POLICY. VIRTUA - WEST JERSEY HEALTH SYSTEMS, INC. REQUIRES EACH TRUSTEE, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS TO ANNUALLY SIGN A STATEMENT IN WHICH THEY AGREE TO COMPLY WITH THE CONFLICT-OF-INTEREST POLICY. THE BOARD OF TRUSTEES IS RESPONSIBLE FOR ENSURING THAT PERIODIC REVIEWS OF OPERATIONS ARE CONDUCTED SO THAT THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE TRUSTEES AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING TRUSTEES OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. FORM 990, PART VI, SECTION B, LINE 15 VIRTUA - WEST JERSEY HEALTH SYSTEMS, INC. DOES COMPENSATE SOME OF ITS EXECUTIVES; BUT MAJORITY OF THE EXECUTIVES RECEIVE COMPENSATION FROM VIRTUA HEALTH, INC. (EIN 22-3524939), A RELATED ENTITY. SEE SCHEDULE J, PART III (REFERENCE TO SCHEDULE J, PART I, LINE 3) FOR A DESCRIPTION OF THE MANNER IN WHICH VIRTUA HEALTH, INC. UTILIZES TO DETERMINE THE COMPENSATION PAID TO THE EXECUTIVES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY WERE NOT MADE AVAILABLE TO THE PUBLIC. FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE REPOSITORY WEBSITES EMMA (ELECTRONIC MUNICIPAL MARKET ACCESS SYSTEM) AND DAC (DIGITAL ASSURANCE CERTIFICATION), OR UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 14 THE ORGANIZATION MAINTAINS A WRITTEN DOCUMENT RETENTION POLICY. FORM 990, PART VII, SECTION A, COLUMN B FORM 990 EACH OFFICER AND KEY EMPLOYEE IS COMPENSATED BY VIRTUA HEALTH, INC. (EIN 22-3524939), A RELATED ORGANIZATION. SOME OFFICERS AND KEY EMPLOYEES DEVOTE 40 HOURS A WEEK TO VIRTUA HEALTH, INC. THE AMOUNT OF TIME DEVOTED TO RELATED ORGANIZATIONS IS DEPENDENT UPON THEIR INVOLVEMENT IN THOSE ORGANIZATIONS. AS A RESULT, THE TOTAL AVERAGE HOURS PER WEEK FOR EACH OFFICER AND KEY EMPLOYEES MAY VARY. FORM 990 PART X LINE 20 THE AMOUNT REPORTED ON LINE 20 IS THE ORGANIZATIONS' ALLOCATED AMOUNT OF TOTAL BOND ISSUANCE. THE TOTAL BOND ISSUANCE IS REPORTED BY VIRTUA HEALTH, INC. ON SCHEDULE K(TAX ID #22-3524939) FORM 990, PART XI, LINE 9: TRANSFER WITH AFFILIATES - NET -22,997,183. VIRTUA HEALTH INC 50 LAKE CENTER 401 ROUTE 73 NORTH S MARLTON NJ 08053 223524939 SUPPORTING ORGANIZATION NJ 501 (C) (3) 11A N/A 1 VIRTUA - MEMORIAL HOSPITAL BURLINGTON COUNTY INC 50 LAKE CENTER 401 ROUTE 73 NORTH S MARLTON NJ 08053 210634562 ACUTE CARE HOSPITAL NJ 501 (C) (3) 3 VIRTUA HEALTH INC 0 VIRTUA SURGICAL GROUP PA 50 LAKE CENTER 401 ROUTE 73 NORTH S MARLTON NJ 08053 222580215 SURGICAL PHYSICIAN PRACTICE NJ 501 (C) (3) 9 N/A 0 VIRTUA HEALTH AND REHABILITATION CENTER AT BERLIN INC 303 LIPPINCOTT DR 4/FLR MARLTON NJ 80853 223554707 REHABILITATION CENTER AND NURSING HOME NJ 501 (C) (3) 3 VIRTUA HEALTH INC 0 VIRTUA HEALTH AND REHABILITATION CENTER AT MOUNT HOLLY INC 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 222394675 REHABILITATION CENTER AND NURSING HOME NJ 501 (C) (3) 9 VIRTUA HEALTH INC 0 VIRTUA HOME CARE - COMMUNITY NURSING SERVICES INC 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 210679591 HOME CARE NJ 501 (C) (3) 9 VIRTUA HEALTH INC 0 SUMMIT HEALTH - VIRTUA INC 50 LAKE CENTER 401 ROUTE 73 NORTH S MARLTON NJ 08053 521814579 HEALTH AND WELLNESS SERVICES NJ 501 (C) (3) 3 VIRTUA MEDICAL GROUP PA 0 WEST JERSEY RENEW INC 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 223580917 LOW INCOME HOUSING NJ 501 (C) (3) 9 VIRTUA HEALTH INC 0 MEMORIAL HOSPITAL OF BURLINGTON COUNTY FOUNDATION INC 50 LAKE CENTER 401 ROUTE 73 NORTH S MARLTON NJ 08053 222337170 FUND RAISING FOUNDATION NJ 501 (C) (3) 7 VIRTUA HEALTH INC 0 WEST JERSEY HEALTH & HOSPITAL FOUNDATION INC 50 LAKE CENTER 401 ROUTE 73 NORTH S MARLTON NJ 08053 237414388 FUND RAISING FOUNDATION NJ 501 (C) (3) 7 VIRTUA HEALTH INC 0 VIRTUA HEALTH FOUNDATION INC 50 LAKE CENTER 401 ROUTE 73 NORTH S MARLTON NJ 08053 043722352 FUND RAISING FOUNDATION NJ 501 (C) (3) 7 VIRTUA HEALTH INC 0 VIRTUA MEDICAL GROUP PA 50 LAKE CENTER 401 ROUTE 73 NORTH S MARLTON NJ 08053 271348772 PHYSICIAN SERVICES NJ 501 (C) (3) 9 N/A 0 WEST JERSEY HEALTH SYSTEM WORKERS COMP TRUST 50 LAKE CENTER 401 ROUTE 73 NORTH S MARLTON NJ 08053 223142739 WORKER COMP TRUST NJ 501 (C) (3) 11A VIRTUA HEALTH INC 0 RADIATION ONCOLOGY ASSOCIATES 200 BOWMAN DRIVE SUITE D190 VOORHEES NJ 08043 043849932 RADIOLOGY SERVICES NJ VIRTUA - WEST JERSEY HEALTH SYSTEMS INC RELATED 2305335 4672316 0 1 0.51000 SOUTH JERSEY MUSCULOSKELETAL INSTITUTE LLC 556 EGG HARBOR ROAD SEWELL NJ 08080 204481032 SURGICAL CENTER NJ N/A RELATED 4094640 2438572 0 1 0.51820 SUMMIT SURGICAL CENTER LLC 200 BOWMAN DRIVE SUITE D160 VOORHEES NJ 08043 731730859 SURGICAL CENTER NJ N/A RELATED 1650755 9526056 0 1 0.55870 AMBULATORY SURGERY CENTER AT VIRTUA WASHINGTON TOWNSHIP LLC 239 HURRFVILLE-CROSS KEYS RD STE 18 SEWELL NJ 08080 208643005 SURGICAL CENTER NJ N/A RELATED 870836 3008320 0 1 0.62910 SHORE AMBULATORY SURGERY CENTER LLC 405 BETHEL ROAD SOMERS POINT NJ 08244 223778333 SURGICAL CENTER NJ N/A RELATED 3071262 1776519 0 1 0.51000 ROCKLAND SURGICAL PROJECT LLC RAMAPO VALLEY SURGICAL CENTER 500 NORTH FRANKLIN TURNPIKE RAMSEY NJ 07446 200580403 SURGICAL CENTER NJ N/A RELATED 1525224 1177941 0 1 0.54470 FREEHOLD ENDOSCOPY ASSOCIATES LLC 222 SCHANCK ROAD SUITE 100 FREEHOLD NJ 07728 841634126 SURGICAL CENTER NJ N/A RELATED 2811598 1069185 0 1 0.60000 CENTER FOR AMBULATORY AND MINIMALLY INVASIVE SURGERY LLC 234 INDUSTRIAL WAY BUILDING B EATONTOWN NJ 07724 270907140 SURGICAL CENTER NJ N/A RELATED 2718742 15866960 0 1 0.55550 VIRTUA ADULT IMAGING SERVICES AT VOORHEES LLC 303 LIPPINCOTT DRIVE 4TH FLOOR MARLTON NJ 08053 464055781 IMAGING SERVICES NJ N/A RELATED 2905971 4291198 0 1 0.50000 GASTRO-SURGI CENTER OF NJ LLC 1132 SPRUCE DRIVE MOUNTAINSIDE NJ 07092 223472632 SURGICAL CENTER NJ N/A RELATED 2583694 1182307 0 1 0.51000 VOORHEES ENDOSCOPY HOLDING CO LLC 1A BURTON HILLS BLVD NASHVILLE TN 37215 474669710 MEDICAL TN VIRTUA - WEST JERSEY HEALTH SYSTEMS INC RELATED 3619733 6298555 0 1 0.51000 FRESENIUS MEDICAL CARE MARLTON LLC 920 WINTER STREET WALTHAM MA 02451 472128074 DIALYSIS NJ N/A RELATED 533485 0 1 0.30000 RADIATION THERAPY RENTAL WASHINGTON TOWNSHIP LLC 20 W STOW ROAD SUITE 8 MARLTON NJ 08053 271526973 MEDICAL RENTAL NJ N/A VANTAGE SURGICAL CENTER LLC 180 ROUTE 70 MEDFORD NJ 08055 450516750 SURGICAL CENTER NJ N/A MEMORIAL AMBULATORY SURGERY CENTER LLC 160 MADISON AVENUE MT HOLLY NJ 08060 204941260 SURGICAL CENTER NJ N/A VIRTUA-SCA HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 473247166 MEDICAL AL N/A BURLINGTON CTY ENDO CTR LLC CO PHYSICIANS ENDOSCOPY LLC 2500 YORK ROAD SUITE 300 JAMISON PA 18929 208205206 HEALTH CARE NJ N/A VIRTUA-USP PRINCETON LLC 15305 DALLAS PKWY STE 1600 LB 28 ADDISON TX 75001 813270494 MEDICAL NJ N/A VIRTUA ASSURANCE 76 SAINT PAUL ST SUITE 500 BURLINGTON VT 05401 203025606 CAPTIVE INSURANCE COMPANY VT N/A C 0 VRI INC 50 LAKE CENTER 401 ROUTE 73 NORTH S MARLTON NJ 08053 260247120 HEALTH AND WELLNESS NJ N/A C 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 1 RADIATION ONCOLOGY ASSOCIATES P 13647287 FAIR MARKET VALUE RADIATION ONCOLOGY ASSOCIATES Q 13652406 FAIR MARKET VALUE