2016-11-14T17:52:42-06:00 2015-12-31 366055558 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2015-01-01 210634532 VIRTUA - WEST JERSEY HEALTH SYSTEM INC VIRT 8563550620 20 W STOW ROAD SUITE 8 MARLTON NJ 080533427 RICHARD P MILLER CEO 8563550620 2016-11-14 0 ANDREA O KYZYMA P01273279 2155614200 2015 2017-02-10 21:41:12Z X RICHARD P MILLER 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 880256224 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 4945 1263 429115 48172 1854322 2129434 739230846 745864481 549450 25982518 28216168 31545563 769850786 805521996 0 0 0 0 272624400 263090604 0 0 0 415414303 430572782 688038703 693663386 81812083 111858610 1792474817 1846042041 891835619 897926106 900639198 948115935 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 93253189 65600791 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. 12222187 2391387 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 2015 TO BE APPROXIMATELY $9.8 MILLION. 22412304 16112663 VIRTUA PROVIDES A WIDE RANGE OF OUTPATIENT SERVICES TO MEET COMMUNITY NEED, INCLUDING CANCER CARE THROUGH OUR CANCER EDUCATION AND EARLY DETECTION (CEED) PROGRAM, PRIMARY AND SPECIALTY CARE FOR INFANTS, CHILDREN, TEENS AND ADULTS THROUGH OUR PHYSICIAN CHARITY CARE AND EARLY INTERVENTION PROGRAMS AND OUR CAMDEN FAMILY HEALTH CENTER. VIRTUA SUBSIDIZES WOMEN'S CLINICS FOR GYNECOLOGICAL AND OBSTETRICAL CARE AT OUR CENTERS FOR WOMEN, AS WELL AS BEHAVORIAL HEALTH AT OUR MEMORIAL INPATIENT PSYCHIATRIC CARE UNIT. VIRTUA ALSO PROVIDES EMERGENCY CARE THROUGH OUR SOUTHSTAR AND MOBILE INTENSIVE CARE UNITS. THE COSTS RELATED TO THESE SERVICES ARE IN EXCESS OF REIMBURSEMENTS TO VIRTUA. 460829482 692886828 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 $2,275,302REVENUE OF $6,395HEALTH PROFESSIONS EDUCATION: PROVIDED PRACTICAL EDUCATION TO PROFESSIONAL STUDENTS IN VARIOUS AREAS OF THE MEDICAL FIELD.EXPENSE OF $7,695,068REVENUE OF $1,859,236SUBSIDIZED HEALTH SERVICES: PROVIDED EMERGENCY MEDICAL TRANSPORT SERVICES AS WELL AS FAMILY HEALTH, DENTAL, AND PODIATRY SERVICES WHEN NEEDED.EXPENSE OF $21,561,987REVENUE OF $16,110,275RESEARCH: PREFORMED ONCOLOGY CLINICAL RESEARCH STUDIES.EXPENSE OF $332,605REVENUE OF $43,534FINANCIAL 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 $630,752REVENUE OF $1,773COMMUNITY BUILDING ACTIVITIES: HELD EVENTS THROUGHOUT THE YEAR TO FEED AND PROVIDE PRESENTS TO MANY FAMILIES IN NEED.EXPENSE OF $1,332,148REVENUE OF $3,742PROVIDING FUNCTIONAL PATIENT SERVICES FOR THE HOSPITALSEXPENSE OF $427,001,620REVENUE OF $674,861,873 460829482 692886828 588717162 1 1 0 0 0 0 0 0 1 0 1 1 0 0 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 1 627 0 4945 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 3025082 41066 ROBERT M SEGIN EVP/CFO 1.00 49.00 X 0 998330 53288 ALFRED CAMPANELLA EVP - STRTEGIC BUSINESS G & A 1.00 47.00 X 0 745740 53451 MICHAEL KOTZEN EVP - POPULATION HEALTH MGMT 1.00 45.00 X 0 837901 50829 MATTHEW A ZUINO SVP - HOSPITAL SERVICES 28.00 12.00 X 0 915222 50921 JOHN M MATSINGER EVP/CCO 1.00 47.00 X 0 519542 51328 TRACY L CARLINO SVP/CNO 40.00 1.00 X 0 405593 13143 BARRY GRAF SVP - PARTNERSHIPS & BUSINESS DEVELOPMENT 28.00 12.00 X 0 348304 39050 THOMAS GORDON SVP/CIO 1.00 48.00 X 0 334715 50507 PATRICIA M LUBRANO AVP - SURGICAL SERVICE LINES 40.00 0.00 X 106843 113860 8055 LISA C FERRARO VP PATIENT CARE 40.00 0.00 X 224585 0 33855 CHRISTOPHER ANDREW CHEKOURAS SVP - VIRTUA POST ACUTE & CBS 37.00 3.00 X 0 540191 285474 GARY L LONG SVP - POPULATION HEALTH-SOUTH 40.00 0.00 X 0 463314 16729 DEAN A MAZZONI VP POPERATIONS - MARLTON 40.00 0.00 X 304157 0 46448 DEBRA MORAN VP COMMUNITY BASED SERVICES 40.00 0.00 X 226217 0 42710 JOSEPH V ABAT REGISTERED NURSE 40.00 0.00 X 219703 0 3475 ANTHONIA SCHMIDT SURGERY CENTER ADMINISTRATOR 40.00 0.00 X 203906 0 10665 MARY FRANCES CAMPAGNOLO DIRECTOR - VIRTUA CARE ACO 40.00 2.00 X 199214 0 22260 1484625 9247794 873254 311 0 1 0 TURNER CONSTRUCTION CO 1500 SPRING GARDEN ST STE 220 PHILADELPHIA PA 19103 CONTRACTOR 8621857 VOORHEES PHYSICIANS LLC PO BOX 636073 CINCINNATI OH 45263 RENT 8303796 P AGNES INC 2010 PENROSE AVE PHILADELPHIA PA 19145 CONTRACTOR 5626368 CENTER FOR FAMILY GUIDANCE PO BOX 306 MARLTON NJ 08053 PROFESSIONAL FEE 5561436 MOORESTOWN PHYSICIANS LLC PO BOX 636073 CINCINNATI OH 45263 RENT 4205586 134 533000 1596434 2129434 NET PATIENT REV 624100 744141638 744141638 PEDIATRIC IMAGING CENT 624100 486602 486602 SCHOOL OF PARAMEDIC SC 611600 466714 466714 LAB SERVICES 621500 440244 21869 418375 EMERGENCY CARDIO EDUCA 611600 114526 114526 214757 214757 745864481 93830 93830 50703 50703 4971623 4971623 0 0 95425107 107466 69648445 46143 25776662 61323 25837985 10740 25827245 97384 68017 29367 29367 INC OF UNCONSOL J/V 621990 19731120 19731120 ROHRER FITNESS CENTER 624100 3862592 3862592 CAFETERIA 722210 3250827 3250827 4671657 4671657 31516196 805521996 776991669 429115 25971778 X 368958 295166 73792 208771602 165794010 42977592 8155609 6524487 1631122 32030041 25534216 6495825 13764394 10647797 3116597 3781817 3025454 756363 48051845 46790893 1260952 112144 97400 14744 17512715 14797586 2715129 25795165 24757180 1037985 381564 365016 16548 9909 5545 4364 18888968 18888968 71614310 57291448 14322862 27828 27828 SYSTEM ALLOCATION 129056399 103245118 25811281 UBI TAX 11317 11317 MEDICAL SUPPLIES 83447457 83447457 BAD DEBT 15496835 15496835 0 16384509 11684758 4699751 693663386 588717162 104946224 0 X 5928891 6027976 75216287 84045199 662445 361794 73894476 75771247 3029587 3174244 31465816 28047860 1212576386 560139466 684001784 652436920 822418181 910298066 95857350 85878735 1792474817 1846042041 74599830 71206641 623363105 614332652 86976 85723 7168500 0 186617208 212301090 891835619 897926106 X 898449206 946003051 2189992 2112884 900639198 948115935 1792474817 1846042041 X 111858610 -23094129 -41287744 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 73073467 73073467 465335101 166197130 299137971 29204636 9932769 19271867 621766667 384009567 237757100 23196515 23196515 652436920 PRIVATE PLACEMENT FUND 910298066 F 910298066 EST STTLMTS DUE TO 3RD PTY PYR 12447164 DUE TO AFFILIATES, NON CURRENT 193096182 OTHER LIABILITIES 6757744 212301090 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 12222187 2391387 9830800 0.01450 93253189 65600791 27652398 0.04080 105475376 67992178 37483198 0.05530 2275302 6395 2268907 0.00330 7695068 1859236 5835832 0.00860 21561987 16110275 5451712 0.00800 332605 43534 289071 0.00040 630752 1773 628979 0.00090 32495714 18021213 14474501 0.02120 137971090 86013391 51957699 0.07650 58837 165 58672 0.00010 1260182 3541 1256641 0.00190 5861 16 5845 0.00000 7268 20 7248 0.00000 1332148 3742 1328406 0.00200 1 15496835 156034636 227242930 -71208294 X 1 1 1 VIRTUA RADIATION ONCOLOGY ASSOCIATES LLC RADIOLOGY SERVICES 0.51000 0.49000 2 SOUTH JERSEY MUSCULOSKELETAL INSTITUTE INC SURGICAL CENTER 0.51820 0.00000 0.00000 3 SUMMIT SURGICAL CENTER LLC SURGICAL CENTER 0.56310 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 0.51000 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 0.00000 3 1 VIRTUA - VOORHEES 100 BOWMAN DRIVE VOORHEES NJ 08043 WWW.VIRTUA.ORG 10405 X X X A 2 VIRTUA - BERLIN 100 TOWNSEND AVENUE BERLIN NJ 08009 WWW.VIRTUA.ORG 10407 X X X A 3 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 13 1 1 1 1 X WWW.VIRTUA.ORG X 1 13 1 WWW.VIRTUA.ORG/ABOUT/COMMUNITY-ACTION-PLAN 0 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 1 X 0 0 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 - BERLIN, - FACILITY 3: VIRTUA - MARLTON FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5: DESCRIPTION OF COMMUNITY INPUT CHNA:METHODOLOGY:THE CHNA WAS COMPRISED OF QUANTITATIVE AND QUALITATIVE RESEARCH COMPONENTS. A SYNOPSIS OF THE CHNA RESEARCH IS INCLUDED BELOW WITH FURTHER DETAILS PROVIDED THROUGHOUT THE DOCUMENT:QUANTITATIVE DATA:A SECONDARY STATISTICAL DATA PROFILE DEPICTING POPULATION AND HOUSEHOLD STATISTICS, EDUCATION AND ECONOMIC MEASURES, MORBIDITY AND MORTALITY RATES, INCIDENCE RATES, AND OTHER HEALTH STATISTICS FOR CAMDEN, BURLINGTON, AND GLOUCESTER COUNTIES WAS COMPILED. A HOUSEHOLD TELEPHONE SURVEY WAS CONDUCTED WITH 2,480 RANDOMLY-SELECTED COMMUNITY RESIDENTS. THE SURVEY WAS MODELED AFTER THE CENTER FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) WHICH ASSESSES HEALTH STATUS, HEALTH RISK BEHAVIORS, PREVENTIVE HEALTH PRACTICES, AND HEALTH CARE ACCESS PRIMARILY RELATED TO CHRONIC DISEASE AND INJURY. 4 DATA COLLECTION SESSIONS WERE HELD WITH 165 CAMDEN CITY RESIDENTS FROM DIVERSE POPULATIONS. PARTICIPANTS WERE ADMINISTERED AN ABBREVIATED VERSION OF THE CUSTOMIZED BRFSS SURVEY TOOL. RESPONSES WERE COLLECTED THROUGH WIRELESS KEYPAD TECHNOLOGY.QUALITATIVE DATA:KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH KEY COMMUNITY LEADERS. IN TOTAL, 153 PEOPLE PARTICIPATED, REPRESENTING A VARIETY OF SECTORS INCLUDING PUBLIC HEALTH AND MEDICAL SERVICES, NON-PROFIT AND SOCIAL ORGANIZATIONS, CHILDREN AND YOUTH AGENCIES, AND THE BUSINESS COMMUNITY. 6 FOCUS GROUPS WERE HELD WITH 65 COMMUNITY MEMBERS IN MAY 2013.RESEARCH PARTNERVIRTUA CONTRACTED WITH HOLLERAN, AN INDEPENDENT RESEARCH AND CONSULTING FIRM LOCATED IN LANCASTER, PENNSYLVANIA, TO CONDUCT RESEARCH IN SUPPORT OF THE CHNA. HOLLERAN HAS OVER 20 YEARS OF EXPERIENCE IN CONDUCTING PUBLIC HEALTH RESEARCH AND COMMUNITY HEALTH ASSESSMENTS. THE FIRM PROVIDED THE FOLLOWING ASSISTANCE:1) ANALYZED AND INTERPRETED SECONDARY DATA2) CONDUCTED, ANALYZED, AND INTERPRETED DATA FROM HOUSEHOLD TELEPHONE SURVEY3) CONDUCTED, ANALYZED AND INTERPRETED DATA FROM KEY INFORMANT INTERVIEWS4) CONDUCTED FOCUS GROUPS WITH COMMUNITY MEMBERSCOMMUNITY ENGAGEMENT AND FEEDBACK WERE AN INTEGRAL PART OF THE CHNA PROCESS. VIRTUA SOUGHT COMMUNITY INPUT THROUGH FOCUS GROUPS WITH COMMUNITY MEMBERS, KEY INFORMANT INTERVIEWS WITH COMMUNITY STAKEHOLDERS AND INCLUSION OF COMMUNITY PARTNERS IN THE PRIORITIZATION AND IMPLEMENTATION PLANNING PROCESS. PUBLIC HEALTH AND HEALTH CARE PROFESSIONALS SHARED KNOWLEDGE AND EXPERTISE ABOUT HEALTH ISSUES, AND LEADERS AND REPRESENTATIVES OF NON- PROFIT AND COMMUNITY-BASED ORGANIZATIONS PROVIDED INSIGHT ON THE COMMUNITY SERVED BY VIRTUA INCLUDING MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS.THE HEALTH SYSTEM REGULARLY MONITORS ALL APPLICABLE POLICIES FOR COMPLIANCE WITH 501R REGULATIONS, AND HAS MADE ANY NECESSARY CHANGES. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A: LIST OF OTHER HOSPITAL FACILITIES: VIRTUA HEALTH, INC., LOURDES HEALTH SYSTEM, KENNEDY HEALTH SYSTEM, COOPER UNIVERSITY HEALTH CARE, AND INSPIRA MEDICAL CENTER FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6B: LIST OF OTHER NON-HOSPITAL ORGANIZATIONS: BURLINGTON COUNTY HEALTH DEPARTMENT, CAMDEN COUNTY HEALTH DEPARTMENT, GLOUCESTER COUNTY HEALTH DEPARTMENT FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11: VIRTUA'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS COMPLETED IN CONJUNCTION WITH THE TRI-COUNTY HEALTH ASSESSMENT COLLABORATIVE, A PARTNERSHIP CONSISTING OF HOSPITALS, HEALTH SYSTEMS, AND HEALTH DEPARTMENTS WITHIN VIRTUA'S TRI-COUNTY SERVICE AREA ENCOMPASSING BURLINGTON, CAMDEN, AND GLOUCESTER COUNTIES. THE ASSESSMENT EXAMINED A VARIETY OF INDICATORS INCLUDING RISKY HEALTH BEHAVIORS AND CHRONIC HEALTH CONDITIONS. AT THE CONCLUSION OF THE NEEDS ASSESSMENT, FOUR AREAS WERE IDENTIFIED: ACCESS TO CARE, CHRONIC DISEASE, MENTAL HEALTH AND OBESITY/ OVERWEIGHT. DURING THE CHNA PROCESS A TRI COUNTY COLLABORATIVE WAS FORMED WITH LOCAL HEALTH SYSTEMS AND HEALTH DEPARTMENTS TO SHARE IDEAS, COSTS, AND REINFORCE COMMUNITY EFFORTS THAT CAN BE BEST COMPLETED WITH A UNITED STRATEGY. MANY OF THE IDENTIFIED COMMUNITY HEALTH NEEDS ARE PERVASIVE ACROSS ALL THE SURROUNDING COUNTIES THAT OUR FELLOW HEALTH SYSTEMS SERVE AND A DECISION WAS MADE TO JOIN EFFORTS TO YIELD GREATER OUTCOMES. TWO AREAS OF DISPARITIES THAT WILL BE WORKED ON COLLABORATIVELY ARE THE MENTAL HEALTH AND SUBSTANCE ABUSE NEEDS AND THE ACCESS TO HEALTH INSURANCE. IN THE HEALTH INSURANCE INITIATIVE EACH HEATH SYSTEM WORKED TO EDUCATE THE COMMUNITY AND PROVIDE RESOURCES TO ASSIST IN THE MANAGEMENT AND ACCESS TO THE HEALTH INSURANCE EXCHANGE. IN THE MENTAL HEALTH INITIATIVE, THE TRI COUNTY COLLABORATIVE FORMULATED A REFERENCE AND RESOURCE GUIDE FOR PRACTITIONERS AND THE PUBLIC ON THE ACCESSIBILITY AND AVAILABILITY OF MENTAL HEALTH SERVICES IN THE REGION.BASED ON COMMUNITY NEEDS AND VIRTUA'S STRENGTHS AS AN ORGANIZATION TWO ADDITIONAL AREAS WERE IDENTIFIED AS CRITICAL COMMUNITY NEEDS AND ARE ADDRESSED IN THIS IMPLEMENTATION PLAN: ACCESS TO HEALTH CARE AND CHRONIC CONDITIONS INCLUDING OVERWEIGHT/ OBESITY.RELATIVE TO ACCESS TO CARE, THE MAJOR BARRIERS IDENTIFIED WERE COST, TRANSPORTATION, AND NAVIGATING CARE. A FEW ACTIONS HAVE BEEN TAKEN RELATIVE TO EACH BARRIER. REGARDING THE COST OF CARE, VIRTUA CONTINUES TO PROVIDE FINANCIAL ASSISTANCE TO INDIVIDUALS AND FAMILIES WHO CANNOT QUALIFY FOR THE STATE'S CHARITY CARE PROGRAM, BY WAY OF ITS OWN CHARITY ASSISTANCE PROGRAM (CAP). IN COMPARISON TO THE STATE'S PROGRAM, ELIGIBILITY FOR CAP DOES NOT INCLUDE AN ASSET TEST AND ASSISTANCE IS AVAILABLE FOR INDIVIDUALS AND FAMILIES WITH HOUSEHOLD INCOME UP TO 500% OF FEDERAL POVERTY GUIDELINES, AS COMPARED TO THE STATE PROGRAM LIMIT OF 300%. VIRTUA HAS ALSO WORKED PERSISTENTLY TO DISSEMINATE MATERIAL FOR AND TO PROVIDE ASSISTANCE TO THOSE WHO CAN ENROLL IN THE HEALTH INSURANCE EXCHANGE. VIRTUA ALSO PROVIDES FINANCIAL COUNSELING TO ENSURE THAT THOSE WHO CAN RECEIVE COVERAGE DO, SO THAT LACK OF INSURANCE IS NOT A BARRIER TO SEEKING CARE WHEN NEEDED.FINDING ONE'S WAY THOUGH THE HEALTH CARE SYSTEM CAN BE CHALLENGING. VIRTUA HAS TAKEN A FEW STEPS TO ENHANCE NAVIGATING CARE. VIRTUA HAS CREATED AN ACCESS CENTER WHICH IT LEVERAGES TO CONNECT INDIVIDUALS FOR SPECIFIC AREAS OF CARE, SUCH AS JOINT REPLACEMENT, CANCER, PRIMARY AND SPECIALTY CARE, AND ALSO PRE-HOSPITAL DISCHARGE CALLS FOR FOLLOW UP PLANS AND HEALTH SCREENING SERVICES. NAVIGATION CAN BE FACILITATED BASED ON COST BARRIERS AND INSURANCE.DIABETES IS ONE OF THE IDENTIFIED CHRONIC CONDITIONS TO ADDRESS. VIRTUA IS VERY ACTIVE WITH REGARDS TO THIS. THE VIRTUA CENTER FOR NUTRITION AND DIABETES CARE PROVIDES SELF-MANAGEMENT EDUCATION AND SUPPORT FOR THOUSANDS OF PEOPLE WITH DIABETES EACH YEAR. THE PROGRAM HAS BEEN RECOGNIZED BY THE AMERICAN DIABETES ASSOCIATION (ADA). ALSO OFFERED ARE SUPPORT GROUPS AT LOCATIONS IN ALL THREE COUNTIES, WHICH INCLUDE DISCUSSIONS ON A WIDE RANGE OF DIABETES TOPICS SUCH AS MEDICATION MANAGEMENT, HEALTHY EATING, AND ACTIVITY. VIRTUA HAS AN ANNUAL DIABETES EXPO THAT PROVIDES HEALTH EDUCATION, HEALTH SCREENINGS, FAMILY SUPPORT AND RESOURCES THROUGH LOCAL COMMUNITY AGENCIES. OBJECTIVES ALSO INCLUDE EXPANDING DIABETES PREVENTION AND MANAGEMENT EDUCATION SESSIONS TO ALL COMMUNITY MEMBERS, WITH FOCUS ON ECONOMICALLY DISPARATE POPULATIONS, PROMOTING INCREASED AWARENESS OF RISK FACTORS FOR DIABETES, AND PATIENT NAVIGATION FOR DIABETES SERVICES.WITH REGARDS TO OBESITY, VIRTUA HAS EXPANDED NUTRITION EDUCATION SERVICES TO ALL COMMUNITY MEMBERS. FITNESS ACTIVITIES AT ITS HEALTH AND WELLNESS CENTERS ARE PROMOTED, AND SCHOLARSHIPS FOR MEMBERSHIPS TO VIRTUA'S FITNESS CENTERS ARE PROVIDED FOR ECONOMICALLY CHALLENGED COMMUNITY MEMBERS. VIRTUA HAS HELPED BRING TO CAMDEN CITY A FARMER'S MARKET IN ORDER TO PROVIDE CITY RESIDENTS ACCESS TO FRESH PRODUCE.MENTAL HEALTH AND SUBSTANCE ABUSE IS ANOTHER CHRONIC CONDITION AREA IDENTIFIED. VIRTUA SUBSIDIZES ITS 24-HOUR INPATIENT PSYCHIATRIC CARE UNIT AT VIRTUA- MEMORIAL HOSPITAL AND HAS PARTNERED WITH THE CENTER FOR FAMILY GUIDANCE TO PROVIDE HIGH-QUALITY BEHAVIORAL HEALTH SERVICES THERE AND IN ALL VIRTUA EMERGENCY ROOMS. VIRTUA- CAMDEN'S CHILDREN ACHIEVING SUCCESS THROUGH THERAPEUTIC LIFE EXPERIENCES (CASTLE) PROGRAM PROVIDES THERAPEUTIC SUPPORT TO CHILDREN AGES 3 TO 15 WITH EMOTIONAL OR BEHAVIORAL CHALLENGES. WHILE THE MAJORITY OF CASTLE PATIENTS ARE FROM THE CITY OF CAMDEN, MANY FAMILIES TRAVEL FROM ACROSS SOUTH JERSEY AS IT IS ONE OF ONLY A FEW PROGRAMS OF ITS HIGH CALIBER TO ACCEPT MEDICAID. VIRTUA'S EARLY INTERVENTION PROGRAM (EIP) SPECIALISTS EVALUATE CHILDREN AT HOME OR IN OTHER ENVIRONMENTS, SUCH AS CHILDCARE SITES, TO DETERMINE IF THEY ARE EXPERIENCING DEVELOPMENTAL DELAYS. PARENTS DO NOT NEED A PHYSICIAN REFERRAL TO ACCESS THE SERVICE. VIRTUA OFFERS SEVERAL SERVICES TO HELP WOMEN THROUGHOUT THE POSTPARTUM ADJUSTMENT PERIOD AND BEYOND, INCLUDING A WEEKLY POSTPARTUM DEPRESSION SUPPORT GROUP.VIRTUA HAS EXPANDED ITS CEED (COMMUNITY OUTREACH TO REDUCE CANCER) PROGRAM IN CAMDEN AND BURLINGTON COUNTIES, IN CONJUNCTION WITH COMMUNITY OUTREACH PROGRAMS. VIRTUA HAS WORKED TO HEIGHTEN AWARENESS AND UTILIZATION OF NAVIGATION SERVICES FOR CANCER. PROMOTING CT LUNG CANCER SCREENING FOR HIGH RISK PATIENTS HAS ALSO BEEN AN OBJECTIVE AS WELL AS EXPANDING AND PROMOTING A PALLIATIVE CARE SCREENING PROGRAM THROUGHOUT THE CONTINUUM OF CARE. INCREASED AWARENESS AND PARTICIPATION IN CANCER SUPPORT GROUPS IS BEING TARGETED. VIRTUA'S ONCOLOGY CLINICAL RESEARCH TEAM GATHERED DATA TO IMPROVE CANCER TREATMENTS AND SCREENING AND DETECTION METHODS.VIRTUA DOES COMMUNITY OUTREACH THAT INCLUDES PROVIDING RISK ASSESSMENTS FOCUSED ON HEART DISEASE AND STROKE. VIRTUA NAVIGATES PATIENTS FOR CARDIAC SERVICES. PRIMARY CARE PRACTICES ARE EDUCATED TO ENGAGE PATIENTS IN HEART DISEASE PREVENTION AND CHRONIC HEART DISEASE MANAGEMENT. VIRTUA'S PROVIDES HOME BASED CARDIAC TELE-MONITORING. THROUGH ITS CARDIAC REHAB PROGRAM, COMMUNITY MEMBERS ARE EDUCATED AND REHABILITATED TO RECOVER AND PREVENT FUTURE COMPLICATIONS OF HEART DISEASE.THE PARTNERS TO THE TRI-COUNTY HEALTH ASSESSMENT COLLABORATIVE BRING PARTICULAR STRENGTHS TO THE TABLE WITH REGARDS TO ADDRESSING THE FINDINGS OF THE CHNA. IN ADDITION TO VIRTUA AND THE HEALTH DEPARTMENTS OF BURLINGTON, CAMDEN AND GLOUCESTER COUNTIES, THE OTHER HEALTH SYSTEMS IN THE COLLABORATIVE ARE COOPER UNIVERSITY HEALTH CARE, KENNEDY HEALTH SYSTEM, LOURDES HEALTH SYSTEM, AND INSPIRA MEDICAL CENTER-WOODBURY. PROGRAMMATICALLY, THESE SYSTEMS DO NOT NECESSARILY PROVIDE ALL SERVICES COMPREHENSIVELY WITHIN EACH OF THE NOTED CHRONIC CONDITIONS. FOR EXAMPLE, WHILE VIRTUA DOES NOT PROVIDE INVASIVE CARDIAC SERVICES, OTHERS WITHIN THE COLLABORATIVE DO. ACCORDINGLY, THE COORDINATION AMONGST THE COLLABORATIVE PARTNERS TO COORDINATE EFFORTS RELATIVE TO THE CHRONIC CONDITIONS IS A KEY WAY TO LEVERAGE THE STRENGTHS OF EACH PARTNER. THIS COORDINATION IS TRULY ONE OF THE BENEFITS OF THE PARTNERSHIP, AS OPPOSED TO EACH SYSTEM WORKING ON ISSUES INDEPENDENTLY. FACILITY REPORTING GROUP A PART V, SECTION B, LINE 22D: EXPLANATION OF OTHER METHODS TO DETERMINE AMOUNT BILLED: UNDER VIRTUA HEALTH'S CHARITY ASSISTANCE PROGRAM (CAP), INDIVIDUALS THAT DOCUMENT THEIR INCOME (TOTAL HOUSEHOLD INCOME) TO BE BELOW 500% OF FEDERAL POVERTY GUIDELINES WILL BE PROVIDED AN 88% REDUCTION TO CHARGES. INDIVIDUALS THAT QUALIFIED FOR A PARTIAL (LESS THAN 100%) CHARITY CARE ADJUSTMENT BASED ON CHAPTER 160 CRITERIA WILL RECEIVE AN INCREMENTAL REDUCTION UNDER THE CAP TO BRING THEIR TOTAL REDUCTION TO THE MAXIMUM OF THE TWO PROGRAMS. THE HEALTH SYSTEM REGULARLY MONITORS ALL APPLICABLE POLICIES FOR COMPLIANCE WITH 501R REGULATIONS, AND HAS MADE ANY NECESSARY CHANGES. 1 1 - VIRTUA - CAMDEN 1000 ATLANTIC AVENUE CAMDEN NJ 08104 HOSPITAL-BASED OFFSITE AMBULATORY CARE FACILITY PART I, LINE 6A 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 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 BETTER HEALTH CARE TO STRENGTHEN THE COMMUNITIES WE SERVE. WE SUPPORT COMMUNITY MEMBERS IN MANY DIFFERENT WAYS TO CREATE ACTIVE AND ENGAGING ENVIRONMENTS THAT HELP PEOPLE TO MAINTAIN HEALTHY LIFESTYLES. WE SUPPORT AND PARTNER WITH A WIDE RANGE OF ORGANIZATIONS THAT WORK TOWARD IMPROVING QUALITY OF LIFE, FROM THE BOYS AND GIRLS CLUB TO THE LIBERTY PARK NEIGHBORHOOD ASSOCIATION. WE CONCENTRATE OUR EFFORTS IN GEOGRAPHICAL AREAS OF GREATEST NEED, SUCH AS CAMDEN, NEW JERSEY, A CITY THAT HAS BEEN PLAGUED BY POVERTY AND LACK OF RESOURCES. WITHOUT VIABLE OPTIONS FOR HEALTHY FOOD, VIRTUA PROVIDES A WEEKLY FARMERS' MARKET SO LOCAL RESIDENTS HAVE ACCESS TO FRESH PRODUCE THROUGHOUT THE SUMMER. VIRTUA CAMDEN COMMUNITY FEATURES HEALTH EDUCATION, FREE SCREENINGS FOR STROKE, BLOOD PRESSURE AND DIABETES, WITH MORE THAN 700 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 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 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 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. 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: DESCRIPTION OF COMMUNITY INFORMATION: VIRTUA HEALTH, INC. HAS FOUR ACUTE CARE HOSPITALS. THEY FALL UNDER TWO LEGAL ENTITIES, VIRTUA-WEST JERSEY HEALTH SYSTEMS, INC. (BERLIN, MARLTON AND VOORHEES BASED HOSPITALS) AND VIRTUA-MEMORIAL HOSPITAL BURLINGTON COUNTY, INC. VIRTUA HEALTH, INC. IS THE LARGEST HEALTH SYSTEM IN SOUTHERN NEW JERSEY, SERVING APPROXIMATELY 1.3 MILLION INDIVIDUALS RESIDING IN BURLINGTON, CAMDEN, AND GLOUCESTER COUNTIES. IN ADDITION TO VIRTUA'S FOUR ACUTE CARE HOSPITALS, THERE ARE FIVE OTHER HEALTH ORGANIZATIONS OPERATING A COMBINED TOTAL OF EIGHT HOSPITALS (INCLUDING ONE HEART AND LUNG SPECIALTY HOSPITAL) WITHIN THESE THREE COUNTIES.THIS AREA REPRESENTS A VARIETY OF GEOGRAPHIES AND SOCIOECONOMIC STATUSES, FROM THE AFFLUENT SUBURBS OF PHILADELPHIA, TO THE RURAL, AGRICULTURAL COMMUNITIES IN EASTERN BURLINGTON AND SOUTHERN GLOUCESTER COUNTY, TO THE CITY OF CAMDEN WHERE OVER 50 PERCENT OF INDIVIDUALS RESIDE BELOW THE FEDERAL POVERTY LEVEL. THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES' HEALTH RESOURCES AND SERVICES ADMINISTRATION HAS DESIGNATED PEMBERTON/BROWNS MILLS (BURLINGTON COUNTY), THE CITY OF CAMDEN (CAMDEN COUNTY), AND GLOUCESTER CITY AS MEDICALLY UNDERSERVED AREAS OR POPULATIONS. RESIDENTS 65 AND OVER REPRESENT A LARGE PERCENTAGE OF THE SERVICE AREA, AND THIS POPULATION IS PROJECTED TO GROW BY 15.2 PERCENT IN THE NEXT FIVE YEARS. THOUGH THE VIRTUA SERVICE AREA IS MOSTLY CAUCASIAN, MINORITY POPULATIONS ARE PROJECTED TO EXPERIENCE THE HIGHEST POPULATION GROWTH OVER THE NEXT FIVE YEARS, PARTICULARLY HISPANIC AND ASIAN COMMUNITIES. AS SUCH, VIRTUA IS COMMITTED TO PROVIDING CARE FOR THE DIVERSE AND GROWING COMMUNITY. 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 A SPECIFIC GROUP OF 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), HEALTH LITERACY AND DEPRESSION SCREENING FOR ALL PARTICIPANTS. 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 FOUR ACUTE CARE HOSPITALS, TWO NURSING HOMES, FOUR HEALTH AND WELLNESS CENTERS, ELEVEN AMBULATORY SURGERY JOINT VENTURES, A PHYSICIAN ORGANIZATION, VIRTUA RETAIL, TWO HOME HEALTH AGENCIES, A FOUNDATION, AN INSURANCE CAPTIVE, VIRTUA CARES, AND TWO STRATEGIC PARTNERSHIPS WITH CHILDREN'S HOSPITAL OF PHILADELPHIA AND FOX CHASE CANCER CENTER. 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 1149507 0 1463471 0 412104 0 11925 0 29141 0 3066148 0 0 ROBERT M SEGIN EVP/CFO 0 538522 0 190513 0 269295 0 11925 0 41363 0 1051618 0 0 ALFRED CAMPANELLA EVP - STRTEGIC BUSINESS G & A 0 438910 0 155834 0 150996 0 11925 0 41526 0 799191 0 0 MICHAEL KOTZEN EVP - POPULATION HEALTH MGMT 0 496854 0 175095 0 165952 0 11925 0 38904 0 888730 0 0 MATTHEW A ZUINO SVP - HOSPITAL SERVICES 0 410155 0 114255 0 390812 0 10959 0 39962 0 966143 0 0 JOHN M MATSINGER EVP/CCO 0 365005 0 124537 0 30000 0 11925 0 39403 0 570870 0 0 TRACY L CARLINO SVP/CNO 0 317471 0 75897 0 12225 0 11925 0 1218 0 418736 0 0 BARRY GRAF SVP - PARTNERSHIPS & BUSINESS DEVELO 0 266547 0 55237 0 26520 0 9679 0 29371 0 387354 0 0 THOMAS GORDON SVP/CIO 0 277166 0 48549 0 9000 0 11925 0 38582 0 385222 0 0 PATRICIA M LUBRANO AVP - SURGICAL SERVICE LINES 63598 113860 40476 0 2769 0 3199 3406 476 974 110518 118240 0 0 LISA C FERRARO VP PATIENT CARE 179897 0 35688 0 9000 0 10261 0 23594 0 258440 0 0 0 CHRISTOPHER ANDREW CHEKOURAS SVP - VIRTUA POST ACUTE & CBS 0 238475 0 101491 0 200225 0 252575 0 32899 0 825665 0 0 GARY L LONG SVP - POPULATION HEALTH-SOUTH 0 52152 0 124172 0 286990 0 9187 0 7542 0 480043 0 0 DEAN A MAZZONI VP POPERATIONS - MARLTON 246647 0 48510 0 9000 0 7070 0 39378 0 350605 0 0 0 DEBRA MORAN VP COMMUNITY BASED SERVICES 175583 0 43365 0 7269 0 9603 0 33107 0 268927 0 0 0 JOSEPH V ABAT REGISTERED NURSE 213681 0 5 0 6017 0 3204 0 271 0 223178 0 0 0 ANTHONIA SCHMIDT SURGERY CENTER ADMINISTRATOR 178552 0 25354 0 0 0 9083 0 1582 0 214571 0 0 0 MARY FRANCES CAMPAGNOLO DIRECTOR - VIRTUA CARE ACO 195660 0 3554 0 0 0 8056 0 14204 0 221474 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. PAYMENT RECEIVED FROM VIRTUA HEALTH (RELATED ORG.) RICHARD P. MILLER - $382,104 ROBERT M. SEGIN - $239,294 ALFRED CAMPANELLA - $120,996 MICHAEL KOTZEN - $135,952 MATTHEW A. ZUINO - $381,812 CHRISTOPHER ANDREW CHEKOURAS - $174,956 GARY LONG ENDED EMPLOYMENT IN 2015 WHICH LED TO THE FOLLOWING TRANSACTIONS: CURRENT YEAR CONTRIBUTION $86,628 CURRENT YEAR TAXABLE DISTRIBUTION $180,632 CURRENT YEAR NON-TAXABLE DISTRIBUTION $373,252 VIRTUA - WEST JERSEY HEALTH SYSTEM, INC.: NONE REGIONAL WOMEN'S HEALTH GROUP THOMAS KAY, MD/TRUSTEE OF VIRTUA/MEDICAL DIRECTOR OF REGIONAL WOMENS HEALTH 1380915 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 11 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 VII, SECTION A, COLUMN B 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 VII, COLUMN A CHRISTOPHER A. CHEKOURAS SERVED AS SVP- VIRTUA POST ACUTE & CBS UNTIL OCTOBER 2015. ACCORDINGLY,THE COMPENSATION REPORTED ON FORM 990, PART VII AND SCHEDULE J IS FOR A PARTIAL YEAR. FORM 990, PART VII, COLUMN A GARY LONG SERVED AS SVP - POPULATION HEALTH SOUTH UNTIL FEBRUARY 2015. ACCORDINGLY, THE COMPENSATION REPORTED ON FORM 990, PART VII AND SCHEDULE J IS FOR A PARTIAL YEAR. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 16,749,356. MANAGEMENT AND GENERAL EXPENSES 801,315. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,550,671. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 1,528,336. MANAGEMENT AND GENERAL EXPENSES 116,346. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,644,682. AGENCY: PROGRAM SERVICE EXPENSES 1,985,281. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,985,281. OUTSIDE SERVICES CONTRACTED: PROGRAM SERVICE EXPENSES 26,447,031. MANAGEMENT AND GENERAL EXPENSES 343,291. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,790,322. FITNESS CENTER MANAGEMENT: PROGRAM SERVICE EXPENSES 80,889. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80,889. 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 -41,287,744. 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