2012-11-09T14:34:41-06:00 2011-12-31 861065772 DELOITTE TAX LLP 1700 MARKET STREET 25TH FLOOR PHILADELPHIA PA 19103 990 2011-01-01 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 8563550620 2012-11-09 0 Stephen E Allen P00173407 2152462300 2011 2016-02-24 21:20:13Z RICHARD P MILLER 50 LAKE CTR DR 401 RT 73 N No 400 MARLTON NJ 08053 723879869 0 X www.Virtua.org X 1885 NJ PROVISION OF COMMUNITY HEALTHCARE 12 9 4783 249 981 0 3767645 1470961 628811508 678551985 -2626367 4054245 3743867 10674790 633696653 694751981 400 0 0 0 256258501 275818529 0 0 0 329641413 370904596 585900314 646723125 47796339 48028856 1474537112 1455670524 898772893 855850967 575764219 599819557 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 28880854 2434613 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 2011 to be approximately $26.4 million. 64784878 43236671 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 $21.5 million, as estimated by management. Services are provided on both an inpatient and outpatient basis, including through emergency departments and clinics. 24477633 15852103 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 trauma services through our Southstar and Mobile Intensive care units. The costs related to these services are in excess of reimbursements to Virtua. 429232123 627703388 Additional Community Benefits, Such as:Community Health Improvement ServicesExpense of $691,057Revenue of $3,582Health Professions EducationExpense of $10,773,628Revenue of $5,116,844ResearchExpense of $292,471Revenue of $95,298Financial and In-kind ContributionsExpense of $441,452Revenue of $2,290Community Building ActivitiesExpense of $64,629Revenue of $336Providing Functional Patient Services for the HospitalsExpense of $416,968,886Revenue of $622,485,038 429232123 627703388 547375488 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 1 0 0 0 0 0 1 1 1 0 0 1 533 0 1 4783 1 0 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 50 LAKE CENTER DR-400 401 RT 73 N MARLTON NJ 08053 THEODORE ECKENHOFF 1.00 X 0 0 0 RICHARD P MILLER 1.00 X X 0 2380529 31923 ANTHONY CHIGOUNIS 1.00 X X 0 0 0 DENNIS FLANAGAN 1.00 X X 0 0 0 ROBERT RICHARDS 1.00 X 0 0 0 STEVE GADOMSKI 1.00 X 0 0 0 JOSEPH B HOWE 1.00 X 0 0 0 JOHN SWEENEY 1.00 X 0 0 0 EDWARD B CLOUES 1.00 X 0 0 0 PAULA FAIRLEY 1.00 X X 0 0 0 STEVE PILIPSHEN MD 1.00 X 0 0 0 THOMAS KAY MD 1.00 X 0 0 0 DAVID KINDLICK 1.00 X X 0 0 0 JEFFREY MORRIS MD 1.00 X 0 0 0 NINFA SAUNDERS 1.00 X 0 1741240 39942 ROBERT M SEGIN 1.00 X 0 893104 41377 BARRY GRAF 40.00 X 304955 0 35489 TRACY L CARLINO 40.00 X 285629 0 11902 JAMES P DWYER 1.00 X 0 1023741 40408 MICHAEL KOTZEN 1.00 X 0 588728 38460 GARY L LONG 1.00 X 0 529359 41189 CHRISTOPHER A CHEKOURAS 1.00 X 0 452557 36093 ALFRED CAMPANELLA 1.00 X 0 495875 41027 DEAN MAZZONI 40.00 X 266644 0 31858 ROBERT HOCKEL 40.00 X 271356 0 35409 SALVATORE MOFFA MD 40.00 X 263228 0 22399 GREGORY BUSCH MD 40.00 X 256124 0 10156 CATHERINE M HUGHES 40.00 X 246933 0 27971 DEBRA MORAN 40.00 X 224089 0 37864 THERESA M BRODRICK 40.00 X 133673 0 16428 2252631 8105133 539895 297 1 1 0 TURNER CONSTRUCTION CO 733 EAST ROUTE 70 SUITE 201 MARLTON NJ 08053 CONTRACTOR 6738056 CENTER FOR FAMILY GUIDANCE PC 7101 W 78TH ST MINNEAPOLIS MN 55439 PROFESSIONAL FEE 4692926 BURLINGTON ANESTHESIA ASSOC PA PO BOX 21009 RALEIGH NC 27619 ANESTHESIOLOGY SERVICE 3554081 SURGICAL GROUP OF SOUTH JERSEY PA 1935 ROUTE 70 EAST CHERRY HILL NJ 08003 SURGICAL SERVICES 3359757 APOLLO HEALTH 2 BROAD STREET 3RD FLOOR BLOOMFIELD NJ 07003 BILLING 3250663 110 265108 1205853 1470961 NET PATIENT REV 624100 669073120 669073120 ANESTHESIA (CRNA) 621300 5851431 5851431 HELENE FULD SCHOOL OF 611600 1264300 1264300 SCHOOL OF PARAMEDIC SC 611600 662957 662957 LAB SERVICES 621500 230518 229537 981 1469659 1469659 678551985 1155073 1155073 818574 818574 3282003 3282003 0 0 27757893 168590 25416793 429092 2341100 -260502 2080598 2080598 INC OF UNCONSOL J/V 621990 6621753 6621753 CAFETERIA 722210 2369017 2369017 CHILD CARE 624100 1200506 1200506 483514 483514 10674790 694751981 689225794 981 4054245 936477 839227 97250 190426819 170086298 20340521 8585949 7694331 891618 61197255 54677536 6519719 14672029 13111678 1560351 1959868 1567894 391974 59048078 39259048 19789030 125935 21329 104606 81456488 74036066 7420422 16284079 6394637 9889442 396157 370960 25197 12885 7637 5248 14768656 14768656 50161812 40129450 10032362 28152 22522 5630 System Allocation 110432384 88345907 22086477 Provision for Bad Debt 31990622 31990622 Cancer Screening 3158262 3158262 Health & Sr. Services A 505960 505960 575258 387468 187790 646723125 547375488 99347637 0 770567 283415 198717825 88132848 723942 310552 55951855 76852849 1386787 1568086 18522316 17537293 1149516096 402578549 706620543 746937547 471372799 506458573 20470478 17589361 1474537112 1455670524 99884280 67519825 663014370 652132068 126055 134965 10382454 8951808 125365734 127112301 898772893 855850967 X 570446009 597457285 5318210 2362272 575764219 599819557 1474537112 1455670524 X 48028856 -23973518 X 0 0 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 66682464 66682464 486378234 135801517 350576717 29700531 6336038 23364493 515721327 260440994 255280333 51033540 51033540 746937547 Est Sttlmts Due to 3rd Pty Pyr 21196710 Due to Affiliates, non current 105915591 127112301 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 28880854 2434613 26446241 0.04300 64784878 43236671 21548207 0.03510 93665732 45671284 47994448 0.07810 42 5543922 691057 3582 687475 0.00110 5 1902 10773628 5116844 5656784 0.00920 7 979 24477633 15852103 8625530 0.01400 1 109 292471 95298 197173 0.00030 5 0 441452 2290 439162 0.00070 60 5546912 36676241 21070117 15606124 0.02530 60 5546912 130341973 66741401 63600572 0.10340 1 868 5 863 0.00000 2 21701 112 21589 0.00000 1 500 21126 110 21016 0.00000 6 4775 20934 109 20825 0.00000 10 5275 64629 336 64293 1 31990622 6641332 119077051 159494599 -40417548 X 1 1 1 Virtua Radiation Oncology Associates LLC Radiology Services 0.51000 0.49000 2 South Jersey Musculoskeletal Institutnenele Inc Surgical Center 0.52290 0.00000 0.00000 3 Summit Surgical Center LLC Surgical Center 0.54950 0.04060 0.09260 4 Ambulatory Surgery Center at Virtua Washington Township Surgical Center 0.57000 0.04000 0.01000 3 1 Virtua - Voorhees

100 Bowman Drive Voorhees NJ 08043

X X X 2 Virtua - Berlin

100 Townsend Avenue Berlin NJ 08009

X X X 3 Virtua - Marlton

90 Brick Road Marlton NJ 08053

X X X Virtua - Voorhees 1 1 1 300.000000000000 1 500.000000000000 1 X 1 1 X X X X 1 X X X 1 X X X X X X 1 X 0 0 Virtua - Berlin 2 1 1 300.000000000000 1 500.000000000000 1 X 1 1 X X X X 1 X X X 1 X X X X X X 1 X 0 0 Virtua - Marlton 3 1 1 300.000000000000 1 500.000000000000 1 X 1 1 X X X X 1 X X X 1 X X X X X X 1 X 0 0 1 Virtua - Camden

1000 Atlantic Avenue Camden NJ 08104

Hospital-based offsite Ambulatory Care Facility Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 31990622. 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 is the methodology utilized to calculate the costs indicated on the schedule. The cost accounting system includes all patient segments. Costs are determined at the individual charge description master item level by utilizing costing methodologies such as relative value units. Part II: 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 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); promote economic development and revitalization of the City of Camden; provide 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, Section A, Line 4 Virtua provides an allowance for uncollectible accounts for estimated losses. The allowance is determined by analyzing historical patient account collection data and trends in health care coverage and other economic indicators. Accounts receivable are charged off against the allowance for doubtful accounts when management determines that recovery is unlikely and Virtua ceases collection efforts. Losses have been consistent with management's expectations.Virtua does utilize credit bureau data, such as income estimates, to proactively provide assistance to those who may have not completed all of the manual steps to qualify. Virtua believes that it is appropriate to recognize at least a portion of bad debt expense as charity care as it is likely that some individuals would qualify for assistance had they completed the necessary steps. In addition, it is unlikely that these individuals have insurance because exhaustive efforts are undertaken to identify any potential coverage. Virtua has and will always continue to care for patients irrespective of their payment history, as care is provided for the benefit of the community, irrespective of payment. Part III, Section A, Line 8 Virtua believes that it is appropriate to recognize the Medicare revenue shortfall as community benefit. Medicare payment rates in aggregate have been set at a level that does not cover the total cost of care. Accordingly, by incurring this cost over and above the Medicare payment level, the government's burden is lessened 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, Section C, line 9b Virtua has a written financial assistance policy in place. Individuals that meet three criteria (to ensure compliance with State of New Jersey Public Law 2008, Chapter 60) - being uninsured, a resident of New Jersey, and having family gross income of less that 500 percent of the Federal Poverty Level are eligible for 88% reduction to charges or free medical care.After Virtua has exhausted all efforts to identify insurance coverage, qualification for coverage under an assistance program (Medicaid, for example), or qualification for charity care relief, Virtua will consider utilizing a third party agency for collection of unpaid account balance. Accounts in the process of making payment arrangements or being approved for charity care, however, will not be considered for transfer to a collection agency. In addition, prior to any transfer, Virtua will attempt to obtain an estimate of annual income relative to the responsible party from a credit management company (Equifax, Experian, or TransUnion). If the estimated income meets the qualification criteria, the aforementioned reduction to charges will be applied with the remaining balance transferred to the agency for collection. If a match can not be made for an individual, it will be resumed that they qualify for the reduction. The procedure will be applied to deceased individuals. Virtua - Voorhees Part V, Section B, Line 19d: 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. Virtua - Berlin Part V, Section B, Line 19d: 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. Virtua - Marlton Part V, Section B, Line 19d: 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 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 emergency preparedness, nutrition and physical activity, preventative healthcare, environmental health, peace and well being including alcohol and drug abuse reduction, and parenting as priorities. 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, stroke) and access to care, 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 the service area relative to community health needs. Through its Program of Excellence structure, Virtua 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 the financial assistance policy 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; There are Virtua-West Jersey Health Systems, Inc. (Berlin, Marlton and Voorhees) and Virtua-Memorial Hospital Burlington County, Inc. Virtua Health, Inc. is the largest health system in Southern New Jersey, serving the 1.25 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 East Burlington and South Gloucester counties, 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 Pemperton/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. A new healthcare campus that will include a state-of-the-art digital hospital and an outpatient center that provides easy access to a wide variety of comprehensive services is currently under construction. 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, numerous outpatient services and clinics, two nursing homes, two fitness centers, a home health agency, a physician organization, a foundation, and an insurance captive. Community benefit programs are coordinated across the Virtua organization. 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 0 1065435 0 1264767 0 50327 0 12262 0 19661 0 2412452 0 0 NINFA SAUNDERS 0 957003 0 750410 0 33827 0 14116 0 25826 0 1781182 0 0 ROBERT M SEGIN 0 458328 0 385315 0 49461 0 11949 0 29428 0 934481 0 0 BARRY GRAF 216819 0 54136 0 34000 0 11925 0 23564 0 340444 0 0 0 TRACY L CARLINO 219923 0 43857 0 21849 0 10100 0 1802 0 297531 0 0 0 JAMES P DWYER 0 469425 0 503989 0 50327 0 10968 0 29440 0 1064149 0 0 MICHAEL KOTZEN 0 346031 0 200697 0 42000 0 12175 0 26285 0 627188 0 0 GARY L LONG 0 308664 0 178695 0 42000 0 12175 0 29014 0 570548 0 0 CHRISTOPHER A CHEKOURAS 0 263847 0 146710 0 42000 0 10173 0 25920 0 488650 0 0 ALFRED CAMPANELLA 0 348251 0 116624 0 31000 0 11925 0 29102 0 536902 0 0 DEAN MAZZONI 198128 0 54110 0 14406 0 6378 0 25480 0 298502 0 0 0 ROBERT HOCKEL 190850 0 55006 0 25500 0 9897 0 25512 0 306765 0 0 0 SALVATORE MOFFA MD 197463 0 40885 0 24880 0 11615 0 10784 0 285627 0 0 0 GREGORY BUSCH MD 191164 0 39460 0 25500 0 7820 0 2336 0 266280 0 0 0 CATHERINE M HUGHES 223116 0 0 0 23817 0 10100 0 17871 0 274904 0 0 0 DEBRA MORAN 193089 0 0 0 31000 0 9714 0 28150 0 261953 0 0 0 THERESA M BRODRICK 133673 0 0 0 0 0 0 0 16428 0 150101 0 0 0 Supplemental Information Part III 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 board or compensation committee. Supplemental Information Part III 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 - $16,500 Robert M. Segin - $16,500 James P. Dwyer - $16,500 Michael Kotzen - $16,500 Gary L. Long - $16,500 Christopher A. Chekouras - $16,500 Payment Received from Virtua - West Jersey Health System, Inc. Barry Graf - $3,000 REGIONAL WOMEN'S HEALTH GROUP THOMAS KAY MD/ TRUSTEE OF VIRTUA/ MEDICAL DIRECTOR OF REGIONAL WOMEN'S 1160449 PROFESSIONAL SERVICES 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 tax return was reviewed by in-house counsel, the external tax consultants, and the Board of Trustees before 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 15 Virtua - West Jersey Health System, Inc. adopts the policies of Virtua Health, Inc. regarding the process for determining compensation for the CEO, executive director, top management official, other officers and key employees. Virtua - West Jersey Health Systems, Inc. policy states that Executive Compensation is determined using market data and performance criteria. The Compensation Committee of the Board, which is composed entirely of independent trustees with no conflict 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. It also reviews and approves the salary recommendation by the CEO for all Vice Presidents. 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 3,662,842. Transfer with Affiliates - Net -24,939,602. Provision for uncollectible contributions -2,696,758. Total to Form 990, Part XI, Line 5: -23,973,518. Officers, Directors, Trustees, Key Employees, & Highest Compensated Employe Form 990 Part VII and Schedule J The average hours per week devoted to related organization for which compensation is reported for Officers, Directors, Trustees, Key Employees, & Highest compensated employees is as follows: Richard P. Miller - Virtua Health, Inc. (40 hours), Virtua-West Jersey Health System, Inc. (1 hour), Virtua-Memorial Hospital Burlington County, Inc. (1 hour), Summit Health-Virtua, Inc. (1 hour), Virtua Health and Rehabilitation Center at Berlin, Inc. (1 hour), Virtua Health and Rehabilitation Center at Mount Holly, Inc. (1 hour), Virtua Home Care-Community Nursing Services, Inc. (1 hour), Virtua Health Foundation, Inc. (1 hour) Robert M. Segin - Virtua Health, Inc. (40 hours), Virtua-West Jersey Health System, Inc. (1 hour), Virtua-Memorial Hospital Burlington County, Inc. (1 hour), Summit Health-Virtua, Inc. (1 hour), Virtua Health and Rehabilitation Center at Berlin, Inc. (1 hour), Virtua Health and Rehabilitation Center at Mount Holly, Inc. (1 hour), Virtua Home Care-Community Nursing Services, Inc. (1 hour), Virtua Health Foundation, Inc. (1 hour), Virtua Surgical Group, P.A. (1 hour), Virtua Medical Group, P.A. (1 hour) Ninfa Saunders - Virtua Health, Inc. (40 hours), Virtua-West Jersey Health System, Inc. (1 hour), Virtua-Memorial Hospital Burlington County, Inc. (1 hour), Summit Health-Virtua, Inc. (1 hour), Virtua Health and Rehabilitation Center at Berlin, Inc. (1 hour), Virtua Health and Rehabilitation Center at Mount Holly, Inc. (1 hour), Virtua Home Care-Community Nursing Services, Inc. (1 hour) James P. Dwyer - Virtua Health, Inc. (40 hours), Virtua-West Jersey Health System, Inc. (1 hour), Virtua-Memorial Hospital Burlington County, Inc. (1 hour), Summit Health-Virtua, Inc. (1 hour), Virtua Health and Rehabilitation Center at Berlin, Inc. (1 hour), Virtua Health and Rehabilitation Center at Mount Holly, Inc. (1 hour), Virtua Home Care-Community Nursing Services, Inc. (1 hour), Virtua Surgical Group, P.A. (1 hour), Virtua Medical Group, P.A. (1 hour) Alfred Campanella - Virtua Health, Inc. (40 hours), Virtua-West Jersey Health System, Inc. (1 hour), Virtua-Memorial Hospital Burlington County, Inc. (1 hour), Summit Health-Virtua, Inc. (1 hour), Virtua Health and Rehabilitation Center at Berlin, Inc. (1 hour), Virtua Health and Rehabilitation Center at Mount Holly, Inc. (1 hour), Virtua Home Care-Community Nursing Services, Inc. (1 hour), Virtua Health Foundation, Inc. (1 hour), Virtua Surgical Group, P.A. (1 hour), Virtua Medical Group, P.A. (1 hour) Michael Kotzen - Virtua Health, Inc. (40 hours), Virtua-West Jersey Health System, Inc. (1 hour) Gary L. Long - Virtua Health, Inc. (40 hours), Virtua-West Jersey Health System, Inc. (1 hour) Christopher A. Chekouras - Virtua Health, Inc. (40 hours), Virtua-West Jersey Health System, Inc. (1 hour), Virtua Health and Rehabilitation Center at Berlin, Inc. (1 hour), Virtua Health and Rehabilitation Center at Mount Holly, Inc. (1 hour), Virtua Home Care-Community Nursing Services, Inc. (1 hour) Virtua Health Inc 401 Route 73 North - 50 Lake Center Marlton NJ 08053 223524939 Supporting Organization NJ 501 (c) (3) 11a N/A 0 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 0 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 0 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 0 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 0 Virtua Home Care - Community Nursing Services Inc 175 Madison Avenue Mount Holly NJ 08060 210679591 Home Care NJ 501 (c) (3) 9 N/A 0 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 0 West Jersey Renew Inc 1000 Atlantic Avenue Camden NJ 08104 223580917 Low Income Housing NJ 501 (c) (3) 9 N/A 0 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 0 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 0 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 0 Virtua Medical Group PA 401 Route 73 North - 50 Lake Center Marlton NJ 08053 271348772 Physician Services NJ 501 (c) (3) 9 N/A 0 VIRTUA RADIATION ONCOLOGY ASSOCIATES LLC 101 CARNIE BOULEVARD VOORHEES NJ 08043 043849932 RADIOLOGY SERVICES NJ Virtua - West Jersey Health Systems Inc RELATED 412895 3190377 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 4472779 3642987 0 1 0.52290 SUMMIT SURGICAL CENTER LLC 110 CARNIE BOULEVARD VOORHEES NJ 08043 731730859 SURGICAL CENTER NJ Virtua - West Jersey Health Systems Inc RELATED 3319350 7760446 0 1 0.54950 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 -937622 3260567 0 1 0.57000 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 Assurance 76 Saint Paul St Suite 500 Burlington VT 05401 203025606 Captive Insurance Company VT N/A C 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 1 0 0 0 0 1 0 0 0 0 0 0 1 1 0 1 Virtua Health and Rehabilitation Center at Mount Holly Inc O 21825180 fair market value Virtua Health and Rehabilitation Center at Mount Holly Inc P 18941781 fair market value Virtua Health and Rehabilitation Center at Mount Holly Inc H 4504520 fair market value Virtua Health Foundation Inc C 265108 fair market value Virtua Health Foundation Inc O 2312577 fair market value Virtua Health Foundation Inc P 2545382 fair market value Virtua Surgical Group PA H 1934913 fair market value Virtua Surgical Group PA O 12917463 fair market value Virtua Surgical Group PA P 10982550 fair market value Summit Health - Virtua Inc H 772763 fair market value Summit Health - Virtua Inc P 3631179 fair market value Summit Health - Virtua Inc O 2858416 fair market value Virtua Home Care - Community Nursing Services Inc P 1968127 fair market value Virtua Home Care - Community Nursing Services Inc O 2419977 fair market value Virtua Home Care - Community Nursing Services Inc H 743281 fair market value Virtua Medical Group PA H 15436093 fair market value Virtua Medical Group PA O 79603640 fair market value Virtua Medical Group PA P 64167547 fair market value Virtua Health and Rehabilitation Center at Berlin Inc O 15950065 fair market value Virtua Health and Rehabilitation Center at Berlin Inc P 14988630 fair market value Virtua Health and Rehabilitation Center at Berlin Inc H 3027788 fair market value Virtua - Memorial Hospital Burlington County Inc R 306419930 fair market value Virtua - Memorial Hospital Burlington County Inc O 230481839 fair market value Virtua - Memorial Hospital Burlington County Inc P 32218859 fair market value Virtua Health Inc O 339171572 fair market value Virtua Health Inc P 230757938 fair market value Virtua Radiation Oncology Associates LLC O 7590646 fair market value Virtua Radiation Oncology Associates LLC P 5808717 fair market value