2014-11-14T10:58:35-06:00 2013-12-31 861065772 DELOITTE TAX LLP 1700 MARKET STREET 25TH FLOOR PHILADELPHIA PA 19103 990 2013-01-01 210634532 VIRTUA - WEST JERSEY HEALTH SYSTEM INC VIRT 8563550620 50 LAKE CTR DR 401 RT 73 N No 400 MARLTON NJ 08053 RICHARD P MILLER CEO 8563550620 2014-11-14 0 Stephen E Allen P00173407 2152462300 2013 2015-11-30 17:44:51Z RICHARD P MILLER 50 LAKE CTR DR 401 RT 73 N No 400 MARLTON NJ 08053 792016093 0 X www.Virtua.org X 1885 NJ Our mission is to help the community to be well, get well and stay well 10 7 4965 910 512679 42097 2218592 2016093 668358928 728125852 4237355 5413186 15155653 22163055 689970528 757718186 0 0 0 0 270154704 275563927 0 0 0 370331854 403477815 640486558 679041742 49483970 78676444 1578968677 1665005496 898254636 870331652 680714041 794673844 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. 1 0 69689409 48877840 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 $20.8 million, as estimated by management. Services are provided on both an inpatient and outpatient basis, including through emergency departments and clinics. 30019050 2599997 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 2013 to be approximately $27.4 million. 21947288 14991443 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. 450554907 683306948 Additional Community Benefits, Such as:Community Health Improvement ServicesExpense of $2,680,591Revenue of $7,034Health Professions EducationExpense of $7,757,282Revenue of $1,793,231Subsidized Health ServicesExpense of $20,870,574Revenue of $14,988,618ResearchExpense of $320,097Revenue of $54,790Financial and In-kind ContributionsExpense of $309,485Revenue of $812Community Building ActivitiesExpense of $290,592Revenue of $764Providing Functional Patient Services for the HospitalsExpense of $418,326,286Revenue of $666,461,699 450554907 683306948 572210654 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 581 0 1 4965 1 1 1 0 0 0 0 0 0 0 0 0 X 10 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 NJ X ROBERT M SEGIN 8563550620 50 LAKE CENTER DR-400 401 RT 73 N MARLTON NJ 08053 ANTHONY CHIGOUNIS Chairman 1.00 6.00 X 0 0 0 DAVID KINDLICK Treasurer 1.00 6.00 X 0 0 0 DENNIS FLANAGAN Vice Chairman 1.00 6.00 X 0 0 0 PAULA FAIRLEY Secretary 1.00 6.00 X 0 0 0 JOSEPH B HOWE Trustee 1.00 6.00 X 0 0 0 JOHN SWEENEY Trustee 1.00 6.00 X 0 0 0 EDWARD B CLOUES Trustee 1.00 6.00 X 0 0 0 THOMAS KAY MD Trustee 1.00 6.00 X 0 0 0 JEFFREY MORRIS MD Trustee 1.00 6.00 X 0 0 0 RICHARD P MILLER President & Chief Executive Officer 1.00 47.00 X X 0 2122827 32542 ROBERT M SEGIN Executive VP & CFO 1.00 48.00 X 0 914701 42244 JAMES P DWYER Executive VP & CMO 1.00 47.00 X 0 1144333 41970 ALFRED CAMPANELLA Executive VP - Strategic Business G & A 1.00 47.00 X 0 635476 42079 MICHAEL KOTZEN Executive VP - Population Health Mgmt 1.00 45.00 X 0 816474 38868 GARY L LONG Senior VP - Population Health-South 40.00 0.00 X 0 626255 41969 CHRISTOPHER A CHEKOURAS Senior VP - Virtua Post Acute & CBS 37.00 3.00 X 0 502083 37116 BARRY GRAF Vice President 40.00 0.00 X 0 347331 31252 TRACY L CARLINO Senior VP & Chief Nursing Officer 40.00 1.00 X 174351 179157 14415 THOMAS GORDON Senior VP & Chief Information Officer 1.00 48.00 X 0 273154 35982 PATRICIA LUBRANO VP Patient Care 40.00 0.00 X 68613 84485 3806 DEAN MAZZONI VP Operations - Marlton 40.00 0.00 X 297934 0 33606 CATHERINE M HUGHES VP Patient Care 40.00 0.00 X 214626 0 21086 DEBRA MORAN VP Admininstrator - Marlton 40.00 0.00 X 270102 0 39432 ROBERTA M BARBER AVP - PHARMACY 40.00 0.00 X 219359 0 16607 SCOTT ANDREW KASPER AVP - Emergency Services 40.00 0.00 X 200227 0 35050 MARIA E DEMARCO Former - VP Patient Care 0.00 0.00 X 240173 0 19102 1685385 7646276 527126 309 1 1 0 VOORHEES PHYSICIANS LLC PO BOX 636073 CINCINNATI OH 45263 RENT 30740039 MOORESTOWN PHYSICIANS LLC PO BOX 636073 CINCINNATI OH 45263 RENT 14726659 TURNER CONSTRUCTION CO 1835 MARKET STREET 21ST FL PHILADELPHIA PA 19103 CONTRACTOR 10314204 FRAUENSHUH 7101 WEST 78TH ST STE 100 MINNEAPOLIS MN 55439 RENT 5981621 CENTER FOR FAMILY GUIDANCE PO BOX 306 MARLTON NJ 08053 PROFESSIONAL FEE 4764393 122 852587 1163506 2016093 NET PATIENT REV 624100 720372460 719859984 512476 ANESTHESIA (CRNA) 621300 6476965 6476965 SCHOOL OF PARAMEDIC SC 611600 472331 472331 MICU/EMS ALLIANCE 621910 188262 188262 LAB SERVICES 621500 33717 33514 203 582117 582117 728125852 164381 164381 76255 76255 3398497 3398497 0 0 35982825 36988 30831131 16132 5151694 20856 5172550 5172550 82774 52147 30627 30627 INC OF UNCONSOL J/V 621990 11943495 11943495 ROHRER FITNESS CENTER 624100 3716294 3716294 CAFETERIA 722210 3266756 3266756 3205883 3205883 22132428 757718186 749776228 512679 5413186 X 261186 235067 26119 204660577 183561150 21099427 8573210 7715889 857321 46515627 41711133 4804494 15553327 13953419 1599908 104000 104000 1333 1333 2791507 2233206 558301 60754234 39018976 21735258 276891 160499 116392 103901335 95479208 8422127 25281987 14485805 10796182 411345 395031 16314 13084 7020 6064 22074037 22074037 68692954 54954363 13738591 41592 33274 8318 System Allocation 114388935 91511148 22877787 Cancer Screening 3552072 3552072 Health & Sr. Services A 546550 546550 Dues and Licenses 321264 211309 109955 324695 266165 58530 679041742 572210654 106831088 0 X 9284 10159 104903273 71406587 681184 589930 71067352 73104664 3372505 3177575 39022778 39594589 1135767685 421676476 729719660 714091209 592964694 722588378 37227947 40442405 1578968677 1665005496 78898180 68807729 641402376 631556726 125301 130238 7945559 7188782 169883220 162648177 898254636 870331652 X 678614406 792536162 2099635 2137682 680714041 794673844 1578968677 1665005496 X 78676444 83656612 -48373253 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 72858426 72858426 459682822 122807741 336875081 27715214 6936240 20778974 556381506 291932495 264449011 19129717 19129717 714091209 Est Sttlmts Due to 3rd Pty Pyr 12942756 Due to Affiliates, non current 139787117 Other Liabilities 9918304 162648177 Part IV, Line 2b: TENANT ESCROW ACCOUNT FOR SECURITY DEPOSIT 1 1 X 1 X 300.000000000000 1 X 500.000000000000 1 0 1 1 30019050 2599997 27419053 0.04040 69689409 48877840 20811569 0.03060 99708459 51477837 48230622 0.07100 2680591 7034 2673557 0.00390 7757282 1793231 5964051 0.00880 20870574 14988618 5881956 0.00870 320097 54790 265307 0.00040 309485 812 308673 0.00050 31938029 16844485 15093544 0.02230 131646488 68322322 63324166 0.09330 3 250 2993 7 2986 0.00000 8 11660 247231 650 246581 0.00040 2 5050 30105 79 30026 0.00000 4 12540 4054 12 4042 0.00000 1 7 6209 16 6193 0.00000 18 29507 290592 764 289828 0.00040 1 35907000 0 133333235 208714619 -75381384 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 0.55020 0.00000 0.00000 4 Ambulatory Surgery Center at Virtua Washington Township Surgical Center 0.63050 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 3 1 Virtua - Voorhees 100 Bowman Drive Voorhees NJ 08043 www.virtua.org 10405 X X X 2 Virtua - Berlin 100 Townsend Avenue Berlin NJ 08009 www.virtua.org 10407 X X X 3 Virtua - Marlton 90 Brick Road Marlton NJ 08053 www.virtua.org 10302 X X X Virtua - Voorhees 1 X X X X X X X X X 13 1 1 1 X www.virtua.org X X X X X 1 0 1 1 300.000000000000 1 500.000000000000 1 X 1 1 X X X X 1 0 X X X 1 X 0 0 Part V, Section B Facility Reporting Group A Part V, Section B, line 4: Virtua Health, Inc., Lourdes Health System, Kennedy Health System, and Cooper University Health Care Part V, Section B, line 20d: 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. Part V, Section B, Line 3 METHODOLOGYThe 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. 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: Virtua supports many different community groups and organizations, focusing on those which are oriented toward health care and quality of life. Virtua staff conducts outreach across South Jersey, with particular emphasis on those areas hardest hit by the economy. Virtua's community building activities include providing meeting space at no cost to community organizations in order to encourage the development of non-profit, charitable organizations that serve, enhance and improve the health and welfare of our communities. They also include hosting weekly farmers markets (to improve nutrition and overall health); financial literacy training (teaches young students basic skills to manage personal finances); community day (provides free medical education and health screenings); community service (employees volunteer their time for community art shows, celebrations and to help other area non-profit organizations); promoting economic development and revitalization of the City of Camden; providing treatment for emotionally and/or behaviorally disturbed children; career transition (support, counsel and advise out of work residents on networking, resume development and interviewing skills); as well as offering internships (to provide students with practical knowledge and skills with the hope of attracting them to the healthcare field). 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. Part III, Line 4 See page 11 of the 2013 audited financial statements. Part VI, Line 2: 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: 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.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: 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 1.2 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 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: The Board of Trustees is community based, consisting of individuals with various professional backgrounds, including some physicians. Almost all of the board members reside in the hospital's primary service area. The organization has an open medical staff that will provide privileges to qualified physicians from within the community. Virtua has and will continue to utilize its financial resources to invest in projects, technologies, and programs that will contribute to the health status of its community members. Virtua at the Voorhees campus is a state-of-the-art digital hospital and an outpatient center that provides easy access to a wide variety of comprehensive services. Part VI, Line 6: 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, seven 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. 0 1 0 0 0 0 0 0 0 RICHARD P MILLER President & Chief Executive Officer 0 1136797 0 933530 0 52500 0 11475 0 21067 0 2155369 0 0 ROBERT M SEGIN Executive VP & CFO 0 499979 0 362222 0 52500 0 11475 0 30769 0 956945 0 0 JAMES P DWYER Executive VP & CMO 0 501531 0 590302 0 52500 0 11201 0 30769 0 1186303 0 0 ALFRED CAMPANELLA Executive VP - Strategic Business G 0 408975 0 177674 0 48827 0 11475 0 30604 0 677555 0 0 MICHAEL KOTZEN Executive VP - Population Health Mgm 0 449987 0 319487 0 47000 0 11475 0 27393 0 855342 0 0 GARY L LONG Senior VP - Population Health-South 0 363742 0 218513 0 44000 0 11475 0 30494 0 668224 0 0 CHRISTOPHER A CHEKOURAS Senior VP - Virtua Post Acute & CBS 0 276414 0 176169 0 49500 0 10447 0 26669 0 539199 0 0 BARRY GRAF Vice President 0 235104 0 62727 0 49500 0 10747 0 20505 0 378583 0 0 TRACY L CARLINO Senior VP & Chief Nursing Officer 103926 161565 56017 0 14408 17592 6140 6084 855 1336 181346 186577 0 0 THOMAS GORDON Senior VP & Chief Information Office 0 205815 0 47266 0 20073 0 9361 0 26621 0 309136 0 0 PATRICIA LUBRANO VP Patient Care 65844 67737 0 16003 2769 745 965 1550 599 692 70177 86727 0 0 DEAN MAZZONI VP Operations - Marlton 228576 0 54330 0 15028 0 6839 0 26767 0 331540 0 0 0 CATHERINE M HUGHES VP Patient Care 145754 0 51135 0 17737 0 8164 0 12922 0 235712 0 0 0 DEBRA MORAN VP Admininstrator - Marlton 188581 0 49521 0 32000 0 10158 0 29274 0 309534 0 0 0 ROBERTA M BARBER AVP - PHARMACY 165909 0 30450 0 23000 0 6925 0 9682 0 235966 0 0 0 SCOTT ANDREW KASPER AVP - Emergency Services 156708 0 28801 0 14718 0 8894 0 26156 0 235277 0 0 0 MARIA E DEMARCO Former - VP Patient Care 193703 0 45679 0 791 0 899 0 18203 0 259275 0 0 0 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 - $397,060 Robert M. Segin - $147,592 James P. Dwyer - $147,431 Michael Kotzen - $126,017 Gary L. Long - $81,758 Christopher A. Chekouras - $67,409 Form 990, Part III, line 2 Virtua-West Jersey Health System, Inc. took over the William G. Rohrer Center for Health Fitness (medical fitness center) from Summit Health-Virtua, Inc. (EIN #52-1814579) on 1/1/2013. The total fair market value of net assets was $2,189,473. 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 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 15b The policy for determining compensation for CEO, Executive Director, Top Management Official, other Officers, and Key Employees is determined by Virtua Health, Inc., a related organization. The policy states that executive compensation is determined using market data and performance criteria. The Compensation Committee of the Virtua Health, Inc. Board, which is composed entirely of independent trustees with no conflicts of interest, reviews data from an independent human resources consulting firm, including benchmarks by job title, market trends, and competitive analysis. The committee establishes the salaries for the CEO and Executive Vice Presidents/Officers. It also reviews and approves the salary recommendation by the CEO for all Vice Presidents/Key Employees. Each year the Committee receives a reasonableness opinion confirming the appropriateness of the salary recommendations. Form 990, Part VI, Section C, line 19 The Financial statements are made available to the public upon request to the Virtua Corporate Finance Department. Form 990, Part IX, line 24e Education & Development: Program service expenses 265,765. Management and general expenses 41,636. Fundraising expenses 0. Total expenses 307,401. Unrelated Business Income Tax: Program service expenses 0. Management and general expenses 16,394. Fundraising expenses 0. Total expenses 16,394. Misc: Program service expenses 400. Management and general expenses 500. Fundraising expenses 0. Total expenses 900. 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 -43,738,782. Loss on Early Extinguishment of Debt -4,634,471. Virtua Health Inc 401 Route 73 North - 50 Lake Center Marlton NJ 08053 223524939 Supporting Organization NJ 501 (c) (3) 11A N/A 1 Virtua - Memorial Hospital Burlington County Inc 401 Route 73 North - 50 Lake Center Marlton NJ 08053 210634562 Acute Care Hospital NJ 501 (c) (3) 3 N/A 1 Virtua Surgical Group PA 401 Route 73 North - 50 Lake Center Marlton NJ 08053 222580215 Surgical Physician Practice NJ 501 (c) (3) 9 N/A 1 Virtua Health and Rehabilitation Center at Berlin Inc 100 Long-A-Coming Lane Berlin NJ 08009 223554707 Rehabilitation Center and Nursing Home NJ 501 (c) (3) 3 N/A 1 Virtua Health and Rehabilitation Center at Mount Holly Inc 62 Richmond Avenue Mount Holly NJ 08060 222394675 Rehabilitation Center and Nursing Home NJ 501 (c) (3) 9 N/A 1 Virtua Home Care - Community Nursing Services Inc 175 Madison Avenue Mount Holly NJ 08060 210679591 Home Care NJ 501 (c) (3) 9 N/A 1 Summit Health - Virtua Inc 401 Route 73 North - 50 Lake Center Marlton NJ 08053 521814579 Health and Wellness Services NJ 501 (c) (3) 3 N/A 1 West Jersey Renew Inc 1000 Atlantic Avenue Camden NJ 08104 223580917 Low Income Housing NJ 501 (c) (3) 9 N/A 1 Memorial Hospital of Burlington County Foundation Inc 401 Route 73 North - 50 Lake Center Marlton NJ 08053 222337170 Fund Raising Foundation NJ 501 (c) (3) 7 N/A 1 West Jersey Health & Hospital Foundation Inc 401 Route 73 North - 50 Lake Center Marlton NJ 08053 237414388 Fund Raising Foundation NJ 501 (c) (3) 7 N/A 1 Virtua Health Foundation Inc 401 Route 73 North - 50 Lake Center Marlton NJ 08053 043722352 Fund Raising Foundation NJ 501 (c) (3) 7 N/A 1 Virtua Medical Group PA 401 Route 73 North - 50 Lake Center Marlton NJ 08053 271348772 Physician Services NJ 501 (c) (3) 9 N/A 1 West Jersey Health System Workers Comp Trust 401 Route 73 North - 50 Lake Center Marlton NJ 08053 223142739 Worker Comp Trust NJ 501 (c) (3) 11A N/A 1 VIRTUA RADIATION ONCOLOGY ASSOCIATES LLC 100 BOWMAN DRIVE VOORHEES NJ 08043 043849932 RADIOLOGY SERVICES NJ Virtua - West Jersey Health Systems Inc RELATED 2595036 4397987 0 1 0.51000 SOUTH JERSEY MUSCULOSKELETAL INSTITUTE LLC 556 EGG HARBOR ROAD SEWELL NJ 08080 204481032 SURGICAL CENTER NJ Virtua - West Jersey Health Systems Inc RELATED 3890779 2950714 0 1 0.51820 SUMMIT SURGICAL CENTER LLC 200 BOWMAN DRIVE SUITE D160 VOORHEES NJ 08043 731730859 SURGICAL CENTER NJ Virtua - West Jersey Health Systems Inc RELATED 1877406 5666143 0 1 0.55020 AMBULATORY SURGERY CENTER AT VIRTUA WASHINGTON TOWNSHIP LLC 20 W STOW ROAD SUITE 8 MARLTON NJ 08053 208643005 SURGICAL CENTER NJ Virtua - West Jersey Health Systems Inc RELATED 133135 -817317 0 1 0.63050 SHORE AMBULATORY SURGERY CENTER LLC 405 BETHEL ROAD SOMERS POINT NJ 08244 223778333 SURGICAL CENTER NJ Virtua - West Jersey Health Systems Inc RELATED 2813741 2551870 0 1 0.51000 ROCKLAND SURGICAL PROJECT LLC RAMAPO VALLEY SURGICAL CENTER 500 NORTH FRANKLIN TURNPIKE RAMSEY NJ 07446 200580403 SURGICAL CENTER NJ Virtua - West Jersey Health Systems Inc RELATED 1427356 865672 0 1 0.51000 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 MED MANAGEMENT ASSOCIATES LLC 2 BROAD STREET SUITE 400 BLOOMFIELD NJ 07003 455595099 MEDICAL MANAGEMENT SERVICES NJ N/A RADIATION THERAPY RENTAL WASHINGTON TOWNSHIP LLC 20 W STOW ROAD SUITE 8 MARLTON NJ 08053 271526973 MEDICAL RENTAL NJ N/A Virtua Assurance 76 Saint Paul St Suite 500 Burlington VT 05401 203025606 Captive Insurance Company VT N/A C 0 Virtua Retail 401 N Rte 73 50 Lake Ctr Dr Ste 400 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 0 1 Virtua Health and Rehabilitation Center at Mount Holly Inc P 18823837 fair market value Virtua Health and Rehabilitation Center at Mount Holly Inc Q 12718351 fair market value Virtua Health and Rehabilitation Center at Mount Holly Inc I 4890663 fair market value Virtua Health Foundation Inc C 808799 fair market value Virtua Health Foundation Inc P 3458744 fair market value Virtua Health Foundation Inc Q 2612836 fair market value Virtua Surgical Group PA P 12374506 fair market value Virtua Surgical Group PA Q 9404509 fair market value Virtua Surgical Group PA I 2969997 fair market value Summit Health - Virtua Inc I 12161551 fair market value Virtua Home Care - Community Nursing Services Inc Q 1961583 fair market value Virtua Home Care - Community Nursing Services Inc P 2190456 fair market value Virtua Home Care - Community Nursing Services Inc I 316658 fair market value Virtua Medical Group PA I 41567577 fair market value Virtua Medical Group PA P 116515999 fair market value Virtua Medical Group PA Q 74948422 fair market value Virtua Health and Rehabilitation Center at Berlin Inc P 18384255 fair market value Virtua Health and Rehabilitation Center at Berlin Inc Q 18437650 fair market value Virtua - Memorial Hospital Burlington County Inc P 255355526 fair market value Virtua - Memorial Hospital Burlington County Inc Q 35369020 fair market value Virtua - Memorial Hospital Burlington County Inc S 319307763 fair market value Virtua Health Inc P 323572050 fair market value Virtua Health Inc Q 226169702 fair market value Virtua Radiation Oncology Associates LLC P 15021206 fair market value Virtua Radiation Oncology Associates LLC Q 15450281 fair market value