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        <PersonsServed>196</PersonsServed>
        <TotalCommunityBenefitExpense>275319</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>45430</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>229889</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00040</PercentOfTotalExpense>
      </Research>
      <CashAndInKindContributions>
        <NumberOfActivitiesOrPrograms>5</NumberOfActivitiesOrPrograms>
        <PersonsServed>645</PersonsServed>
        <TotalCommunityBenefitExpense>312380</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>312380</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00060</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>60</NumberOfActivitiesOrPrograms>
        <PersonsServed>396839</PersonsServed>
        <TotalCommunityBenefitExpense>37477163</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>21427393</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>16049770</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02850</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>60</NumberOfActivitiesOrPrograms>
        <PersonsServed>396839</PersonsServed>
        <TotalCommunityBenefitExpense>118174437</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>65090764</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>53083673</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.09430</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <EconomicDevelopment>
        <NumberOfActivitiesOrPrograms>1</NumberOfActivitiesOrPrograms>
        <TotalCommunityBuildingExpense>2153</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>2153</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </EconomicDevelopment>
      <CommunitySupport>
        <NumberOfActivitiesOrPrograms>8</NumberOfActivitiesOrPrograms>
        <PersonsServed>2000</PersonsServed>
        <TotalCommunityBuildingExpense>176058</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>176058</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00030</PercentOfTotalExpense>
      </CommunitySupport>
      <CoalitionBuilding>
        <NumberOfActivitiesOrPrograms>3</NumberOfActivitiesOrPrograms>
        <PersonsServed>1812</PersonsServed>
        <TotalCommunityBuildingExpense>28142</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>28142</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </CoalitionBuilding>
      <HealthImprovementAdvocacy>
        <NumberOfActivitiesOrPrograms>6</NumberOfActivitiesOrPrograms>
        <PersonsServed>80</PersonsServed>
        <TotalCommunityBuildingExpense>35344</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>35344</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00010</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <Total>
        <NumberOfActivitiesOrPrograms>18</NumberOfActivitiesOrPrograms>
        <PersonsServed>3892</PersonsServed>
        <TotalCommunityBuildingExpense>241697</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>241697</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00050</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>1</BadDebtExpenseReported>
      <BadDebtExpenseAmount>4688293</BadDebtExpenseAmount>
      <AmountReimbursedByMedicare>113676313</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>150139175</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-36462862</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>4</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>Virtua - Voorhees</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>110 Carnie Blvd</AddressLine1>
          <City>Voorhees</City>
          <State>NJ</State>
          <ZIPCode>08043</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>Virtua - Berlin</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>100 Townsend Avenue</AddressLine1>
          <City>Berlin</City>
          <State>NJ</State>
          <ZIPCode>08009</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>3</FacilityNumber>
        <Name>
          <BusinessNameLine1>Virtua - Marlton</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>90 Brick Road</AddressLine1>
          <City>Marlton</City>
          <State>NJ</State>
          <ZIPCode>08053</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>4</FacilityNumber>
        <Name>
          <BusinessNameLine1>Virtua - Camden</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1000 Atlantic Avenue</AddressLine1>
          <City>Camden</City>
          <State>NJ</State>
          <ZIPCode>08104</ZIPCode>
        </Address>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>Not Required</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVI>
        <Explanation>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 $ 23512548.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>Annual Community Benefit Report</Identifier>
        <ReturnReference>Part I, Line 6a</ReturnReference>
        <Explanation>Committed to an outstanding patient experience for allSouth Jersey is mix of vibrant, diverse communities, each with unique needs, yet one common concern when it comes to their health: access to excellent care. Virtua -West Jersey Health System's broad network of facilities is filled with people who share a passion for ensuring that every resident has access to exceptional care, regardless of ability to pay. The employees of Virtua hospitals, wellness centers, nursing homes, rehabilitation centers, and more, reach out in countless ways to educate, nurture and care for the communities they serve. In every neighborhood, we have witnessed the lingering uncertainty of families missing an income or lacking insurance. We have been touched by their stories and inspired to go beyond the support expected of a trusted healthcare partner. In addition to free healthcare for the uninsured, our comprehensive community benefit program provides extensive health education, health screenings, wellness events, community outreach and other financial support. To have the greatest possible impact, we plan our support based on the needs identified by the health departments of the counties we serve. These needs are well-aligned with our expertise, and we've been able to significantly improve patient wellness in areas such as obstetrics and gynecology, pediatrics, geriatrics, cardiovascular health, oncology and diabetes. We keep pace with the increasing demands for services in South Jersey, by opening our Washington Township Health and Wellness Center. Throughout 2010, we employed thousands in the construction of the Voorhees Replacement Hospital, and completed infrastructure improvements to our hospitals in Mount Holly and Berlin. We also began planning for additional expansion and improvements in Mount Holly and a wellness center in Moorestown.In 2010, Virtua - West Jersey Health Systems, Inc. subsidized almost $50 million in care for the uninsured. We delivered or supported health improvement programs with an additional $26.1 million throughout our region. And through our relationships with regional educational institutions and other business partnerships, we fostered job growth and development. Our 2010 Community Benefit Report documents the wide variety of programs and services provided to the community free of charge or subsidized by Virtua - West Jersey Health Systems, Inc.Hospital Charity Care: $22,230,047Charity care is made available to Virtua's patients who may need financial assistance. Some uninsured or underinsured patients will qualify for assistance under the State of New Jersey charity care program. Determination for eligibility considers both income and assets, with the income test being based on the federal poverty guidelines (up to 300%). For patients that qualify, care is provided without charge or at amounts less than Virtua's charges. Some patients in need of assistance will not qualify for the State's program due to not meeting the specific criteria. Virtua believes that charity care should be available to a larger segment of our community. Accordingly, the Virtua Charity Assistance Program ("CAP") was implemented. Under the CAP, qualification is based solely on income, not assets. Patients that document their total household income to be below 500% of federal poverty guidelines are provided a substantial reduction to charges. In addition, patients who qualified for a partial (less than 100%) charity care adjustment under the State's program will receive an incremental reduction under the CAP to bring their total reduction to the maximum of the two programs.After all efforts to identify insurance coverage, qualification for coverage under an assistance program (Medicaid, for example), or qualification for charity care relief under the State or CAP criteria, Virtua attempts to obtain an estimate of annual income relative to the responsible party. If the estimated income meets the CAP qualification criteria, the charity care adjustment will be applied. Charity care assistance is also available under CAP relative to individuals whose income is too high to qualify for relief under Chapter 160 or regular CAP criteria, but they are experiencing medically catastrophic circumstances.Medicaid shortfall: $14,803,856Virtua cares for many individuals who have qualified for coverage under the Medicaid program. Some are enrolled in the program as administered directly by the State of New Jersey, while others are enrolled in Medicaid plans that are managed by health maintenance organizations. Aggregate payments from all Medicaid plans are not adequate to pay for the total cost incurred providing care to these individuals. Accordingly, there is an unreimbursed component of the cost of caring for those having coverage under the Medicaid program, which is accounted for under this category.Preventing disease begins with awareness. That's why Virtua devotes expansive resources to health and wellness education, providing prevention strategies for people of all ages. Early detection is critical to good medical management, and therefore Virtua provides extensive community-based clinical services such as screenings for cancer, diabetes, stroke, high blood pressure, bone density, and much more. Maternal and Child Health Services $73,888The staff of Virtua Maternal and Child Health Services focuses a large portion of their time to developing and administering programs which benefit mothers and children who would be underserved in our health care system. In 2010, Virtua provided the salaries of multiple staff members who devote their time to these families.Childbirth Education $8,696Over 8,000 babies are born at Virtua each year, many to first-time mothers. To help parents prepare for childbirth, Virtua provides childbirth education classes. While a fee is charged to those who are able to pay, expectant mothers with financial limitations are provided with free or reduced-fee classes. In 2010, Virtua sponsored 50 families due to financial need. Pregnancy Testing and Counseling $5,605Virtua's Center for Women provided free pregnancy testing and counseling for under-served women, benefiting more than 325 expecting mothers during 2010. Counseling was also provided emphasizing the importance of good prenatal health care.Car Seat Fitting Stations $66,760To ensure that children are properly protected while traveling, Virtua provided free car seat fitting services and education for 7,088 new families after the birth of their child.Medicaid Outstationing $155,835Virtua is a participant in the Medicaid program's outstationing initiative, the goal of which is to facilitate the processing of Medicaid applications. Under the initiative, county welfare agencies in select areas throughout New Jersey place their staff within hospitals. The hospitals reimburse the Medicaid program for the associated labor cost.Quit Tobacco Control Program $50,235Virtua offered a range of smoking cessation services to help more than 100 smokers quit the tobacco habit in 2010. Services included group and individual counseling, and was offered free of charge to participants. Access Center Services $59,203Virtua provides services to help people locate physicians and healthcare services, and to link community members to free educational programs. In 2010, the Virtua Access Center received 52,870 calls for information about health services, and registered 16,526 people for free events.Health Information PublicationVirtua publishes HealthSavvy three times a year for more than 250,000 households in South Jersey. Residents rely on advice from physician interviews, as well as the calendar of activities, including free health education seminars and support group meetings. The publication is fully funded by Virtua.Speakers Bureau $73,529In 2010, Virtua physicians and clinicians brought important healthcare information to over 29,000 people at more than 260 events throughout South Jersey. Topics ranged from stress management and heart disease to diabetes and bone density.Burlington &amp; Camden County All-Hazards Emergency Planning and Burlington County CHIP $13,694Virtua management provides guidance and counseling on the development of emergency preparedness programs related to a wide range of community threats for each of these counties. Specific efforts have included programs on anti-terrorism and pandemic medical needs.Red Cross Blood Drives $11,170Virtua hosted more than 20 blood drives throughout its facilities in 2010. Virtua employees coordinated and worked at the drives in support of the blood donation needs in Camden and Burlington Counties.Workplace Blood Donor Coalition $1,566Virtua staff coordinated efforts with county health organizations to increase participation in blood donations throughout South Jersey.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>(Continue)</Identifier>
        <ReturnReference>Part I, Line 6a</ReturnReference>
        <Explanation>JCC Kidsland $2,500Virtua sponsored the 2010 Jewish Community Center Kidsland event. Virtua child-life specialists, nurses and employees worked with more than 4,800 children and family members to explain the inner-workings of a hospital and to demystify the surgical process. Activities were designed to help children reduce their fear of hospitals, as well as to stimulate interest in health care. YMCA Healthy Kids Day $2,114To promote health and wellness to children, Virtua sponsored and participated in Healthy Kids Day at the Burlington County YMCA. Virtua's child-life specialists, nurses and employees worked to educate children and their families about various health issues through activities using Band-Aids, gauze, tongue depressors and surgical scrubs. More than 3,500 people attended this event. Youth Sports Safety Event $8,676Through its partnership with the Philadelphia Flyers, Virtua hosted an educational program for 40 parents about prevention of sports injuries.Power Play on Health $946Virtua worked with the Flyers organization to film Power Play on Health video segments in which physicians provided wellness tips to viewers. Videos were shown on the Flyers web site and in the arena during Flyers home games.Love Your Heart, Pamper Your Soul $5,726This educational session about women's heart health was held in Washington Township during February, which is American Heart Month. The event, is part of Virtua's recognition and support of Go-Red for Women, and was attended by 85 women.Cancer Survivors' Night $1,993Virtua supports this annual event at the Riversharks stadium. Virtua sponsored more than 300 survivors who gathered to celebrate their health.CPR/AED Community Education $4,545Virtua's Mobile Intensive Care Unit (MICU) provided more than 120 staff hours of free CPR and automated external defibrillator training to 229 community members in 2010. A total of 35 separate events were offered by Virtua's MICU staff.Infection Control Training $2,503Virtua increased its emphasis on infection control during 2010, offering 18 training sessions on infection control and quality management. More than 145 members of the community and medical professions received training on the prevention of the spread of infection. Virtua Home Care $8,174Virtua's home health care team provided free health education and senior support to more than 2,100 people during 2010. Managers and staff provided more than 130 hours of counseling and education to seniors and their families at special events designed specifically for this audience.Dinner with Physicians $2,694The popular "Dinner with a Doc" program hosted by Virtua Berlin provided area residents with the opportunity to meet with physicians on an informal basis, and to ask questions about specific healthcare topics.Weight Loss and Fitness Seminars $3,965 Virtua's William G. Rohrer Center for HealthFitness, a medically integrated facility, more than doubled the number of people for whom they offered free seminars to in 2010. More than 1,900 people attended events on topics such as improving nutrition, fitness and weight control. Diabetes Screening and Education $6,500Virtua provided diabetes screening and education at 37 different events to more than 3,700 community members and healthcare professionals during 2010. Firefighter Training $518Virtua Berlin staff provided local firefighters with emergency medical training and education to enhance their skills and ensure the best possible emergency service for community members before arriving at the hospital.Camden Diagnostic Testing $30,290This program is provided to alleviate the burden on patients with limited options for transportation. Virtua provided free specimen collection services so patients could avoid traveling to inconvenient testing locations specified by their insurance plans. In 2010, Virtua employees spent more than 480 hours in support of 5,000 patients who benefited from this program.Stroke Education and Screening $7,421Virtua provided 20 free stroke education and screening events in 2010. More than 500 people benefited from these events in which the predictive factors of a stroke or heart attack were identified and explained by Virtua medical staff. Berlin Health Screenings $1,900More than 200 Berlin-area residents were screened for blood pressure and stroke at a free health fair hosted by Virtua Berlin.EMR Management Consulting $4,214 Virtua senior management donated their time to consult on the subject of electronic medical records, as many regional and national health care organizations begin the process of converting their patient records and systems.Volunteer Support $9,220Virtua relies on the support of its volunteers to extend its reach into the community. While the volunteers give of their time, Virtua compensated them for lunches and hosted appreciation events.Support GroupsVirtua professionals facilitate a variety of support groups for community members dealing with issues of loss and chronic illness. The groups provide an opportunity for members to share their feelings and improve their perspective relative to the life challenges they face. Diabetes and Nutrition Support Groups $3,699Virtua provided free diabetes education and ongoing support to 425 teens and adults in 2010. Certified nutritionists supplied information about essential lifestyle choices to improve the health of patients living with diabetes in Burlington and Camden Counties.Cardiac Support Group $672Virtua's cardiac rehabilitation specialists led six sessions to help more than 140 survivors of cardiac related events incorporate necessary lifestyle changes and deal with emotional issues that may result from cardiac health issues.Breastfeeding Support Group $11,272Virtua's lactation consultants offered support to more than 500 mothers who sought guidance for the breastfeeding of their newborns during 2010. TLC for Moms: Perinatal Depression Support Groups $18,851This group, led by postpartum depression specialists, screened about 8,000 new mothers for postpartum depression at no charge to patients. Support groups were offered weekly and helped 640 women who were affected by postpartum issues.HOPING/UNITE Grief Support Group $4,226Virtua's HOPING/UNITE grief support facilitators held 104 group sessions during 2010 to help more than 200 parents who had suffered the loss of a child.Intern &amp; Resident Program $4,342,468Virtua is committed to ensuring that quality physicians are trained in our region to meet ongoing community needs. In support of this goal, Virtua has its own residency programs in family practice, dentistry and podiatry, and also participates in residencies sponsored by other institutions for ob/gyn, emergency medicine and surgery.Helene Fuld School of Nursing $1,389,919During 2010, Virtua subsidized a portion of the revenue shortfall for the Helene Fuld School of Nursing. This helped to ensure that an adequate number of graduates were able to complete their education and go on to fill nursing positions at hospitals and health care centers around the Delaware Valley.Physicians/Medical Students Physician CMEs $129,087Virtua provided continuing medical education credits at no cost to 2,534 physicians and medical students during 2010. Virtua incurred all administrative expenses related to this important education. Nurses/Nursing StudentsNursing CNEs $116,486Virtua provided continuing nursing education credits free-of-charge to 5,800 nurses who earned credits during 2010.Medical Lab Technician and Pathology Assistant Training $13,334During 2010, Virtua provided more than 360 hours of training for Medical Lab Technicians on-site at Virtua facilities to Camden County College medical technology students.Scholarships for Disadvantaged Students $53,979Virtua provided scholarships for academically motivated students with limited means to fund their education.Subsidized Health ServicesVirtua provides a wide range of outpatient services to meet community needs, including primary and specialty care for infants, children, teens and adults. Virtua subsidizes women's clinics for gynecological and obstetrical care, as well as behavioral health and emergency trauma services. The costs related to these services are in excess of reimbursements to Virtua.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>(Continue)</Identifier>
        <ReturnReference>Part I, Line 6a</ReturnReference>
        <Explanation>Oncology/Cancer Program andCommunity Outreach to Reduce Cancer (CEED) $513,330Virtua is the recipient of a Cancer Education and Early Detection (CEED) grant in Camden County and is a contractor in Burlington County to provide education about cancer and screening for a variety of cancer types. Virtua partnered with community organizations to promote healthy lifestyles and held 20 different events and screened and educated over 2,000 people in Burlington and Camden Counties as part of the CEED initiative. Virtua provided office space, communication services and a portion of staff salaries.Additional programs included 52 support group meetings serving almost 800 people during 2010. Eight Look Good Feel Better workshops helped more than 140 people to help restore their physical appearance after treatment. Ryan White Care Act $35,917During 2010, Virtua provided testing and counseling to more than 250 people who may have been affected by HIV, through the Ryan White Care Act. Named for the well-known young advocate for HIV/AIDS patients, the program was established to improve availability of care for low-income patients and their families. Outreach efforts also included inmates of the Burlington County Detention Center and the County Work Release Center. Komen Grant $66,862Through the Komen Grant, Virtua provided 100 free mommograms to uninsured women in Camden County. The grant also assisted women enrolled in NJCEED who face barriers to completing cancer screenings. The funds provided an outreach worker, translation services, transportation, and educational materials.Physician Charity Care Program $971,903Virtua compensates specialty physicians for their provision of professional medical services to ensure that necessary care is available to uninsured patients in the emergency departments as well as those who are admitted to the hospital.SouthStar $1,005,075Virtua provides South Jersey's only designated airborne emergency medical service, SouthStar, for fast, reliable transport for the seriously injured. The SouthStar helicopter is available for transport 24/7.Emergency Medical Services $4,294,206Virtua's Mobile Intensive Care Unit (MICU) includes 11 advanced life support units (ALS) and more than 165 full- and part-time paramedics working with community ambulance and rescue teams to provide life support prior to hospital care. With testing, advance diagnosis, lifesaving care and communication to hospital staff, overall care and prognosis are improved for patients. Camden Family Health Center $1,548,713Virtua Camden provides Camden and local communities with comprehensive care for families. Patients see physicians of their choice for primary care of infants, children and adults. When specialized care is needed, the Center offers a complement of services such as cardiology, diabetic services, and wound care. Weekend and evening hours are offered for patient convenience.Centers for Women $360,993The Virtua Centers for Women offers comprehensive services for women who have limited access to obstetrical and gynecological due to lack of insurance. From high-risk prenatal and maternity care to routine screenings, women are assured the best available OB/GYN care throughout life.Osteoporosis Screening and Education $2,429Virtua's Bone Health and Osteoporosis Center supports patients who are affected by low bone mineral density in order to prevent osteoporosis, to modify health behaviors, and to obtain clinical intervention if necessary. The Center provided screening and educational support to patients throughout the South Jersey region. Oncology Clinical Research Studies $229,889In 2010, Virtua participated in Phase II and Phase III Oncology Clinical Research Studies, gathering data to support improved treatments in addition to identifying better methods to screen and detect cancer at an early stage. Through these studies, Virtua offered 271 patients from Burlington, Camden and Gloucester Counties some of the latest cancer treatment and screening options available in the region. Sponsorships and Charitable Events $111,951Virtua made direct financial contributions to non-profit community and healthcare organizations located throughout Burlington, Camden and Gloucester counties. In addition to major sponsorships of Go-Red for Women and March of Dimes, Virtua also supported a host of local non-profit charitable organizations focused on community health. Cost of Fundraising for Charitable Events $44,175Virtua employees contributed their time during regular working hours to the charitable organizations which Virtua sponsors, including Go-Red for Women, March of Dimes, and Susan G. Komen Race for the Cure. PC Computer and Laptop Donations $33,925Virtua donated desktop computers to Archway Programs, the non-profit organization for adults and children with special needs.Unused Medical Supply Donations $896Unused dry-good medical supplies were donated to the Feed the Children campaign during 2010. Meeting Space $121,433In 2010, Virtua provided free meeting space to a variety of non-profit community groups dealing with issues related to mental and physical health, including alcohol and substance abuse. Additionally, Virtua provided free meeting space to groups providing socioeconomic support, such as helping the unemployed to find jobs. Community Organization Sponsorships $91,862Virtua supports many different community groups and organizations, while not specifically related to health care, provide important resources for the overall economic and social vitality of our region. These include the YMCA, the Katz Jewish Community Center, and local youth athletic, civic and leadership organizations.Camden Farmers Market $26,432Virtua Camden, in partnership with the Camden Area Health Education Center, hosts the weekly market as a way for city residents to access fresh produce in order to improve nutrition and overall health. The seasonal market was held 20 times during warmer weather months and served more than 1,800 people on a regular basis.Virtua Camden Community Day $21,386Virtua Camden sponsored health fairs to provide free medical education to local residents on a variety of topics. Health screenings for stroke, blood pressure and diabetes were also offered. More than 500 Camden-area residents attended the event.Camden Community Service $7,493Virtua Camden employees generously volunteer their time in the community, sponsoring events such as Camden's art show and organizations such as the South Jersey Area Food Bank, Adopt-a-family and Adopt-a-senior, and the Liberty Park Association Holiday Celebration. CASTLE Drives and Community Education $5,275CASTLE (Children Achieving Success through Therapeutic Life Experiences) provides treatment for emotionally and/or behaviorally disturbed children ages 5 to 15, who reside in the city of Camden and surrounding communities. To further build relationships and provide support to CASTLE children and their families, Virtua organized drives throughout the year, collecting and distributing backpacks, school supplies, clothing and food. CASTLE also provided more than 20 outreach events including an art show and career events, supporting almost 1,700 children and their families during 2010.CASTLE Mental Health Subcommittee $3,566Virtua Camden's CASTLE staff participated in a consultative capacity in Camden County's MAPP mental health subcommittee during 2010. Health Literacy Outreach to Hopeworks $808Virtua Camden staff supported Camden's Hopeworks by providing health information for the young people engaged in the organization.Greater Camden Partnership $1,728Virtua management provided support to this non-profit organization, which was established to support the economic development and revitalization of the City of Camden.Due Seasons Charter SchoolFinancial Literacy Training $23,899Virtua partnered with Junior Achievement of New Jersey at D.U.E. Season Charter School to provide financial literacy and economic educational programs to students in Camden. The program involved 53 Virtua employee role models implementing JANJ's programs to teach more than 300 elementary students in grades K-5 about personal finances. Virtua staff used hands-on, activity-based programs to explain concepts of budgets and saving for the future. Junior Achievement Hall of Fame Dinner $20,897Virtua supported the Junior Achievement New Jersey Business Hall of Fame dinner. Proceeds from the event benefited Junior Achievement of New Jersey, a nonprofit organization dedicated to bringing the real world into the classroom by teaching young people about business and economics.Berlin Business Association Health Fair $2,153Virtua supported the Berlin Business Association with screenings, information and health advice for members.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>(Continue)</Identifier>
        <ReturnReference>Part I, Line 6a</ReturnReference>
        <Explanation>Career Transition Partnership $12,889The partnership was created to offer support and counseling to those who are seeking employment. Virtua managers donated their time throughout 2010 to advise job seekers about networking, resume development and interviewing. Virtua also provides meeting space for the partnership.Voorhees Breakfast Rotary Club $5,098Virtua is a member of the Voorhees (NJ) Breakfast Rotary Club, a vibrant and active total volunteer organization with no paid staff or office facilities. Fundraising efforts are conducted by The Voorhees Breakfast Rotary Club Foundation, Inc. which is recognized as a 501(c)(3) organization by the Internal Revenue Service.Internship ProgramIn 2010, Virtua continued to offer internships to students to provide them with practical knowledge about the healthcare field, with the hope of attracting them to the field upon graduation. Each intern was provided with a mentor to develop practical skills for the future.Emergency Preparedness Grant $18,211The Funding provided through the Emergency Preparedness Grant supports the improvement of preparedness plans for all-hazards such as pandemic influenza. Support includes enhancements to communication systems, tracking bed and resource availability using electronic systems, proper equipment for healthcare workers, as well as education and training of healthcare workers and coordination of regional exercises.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part II: Virtua is directly involved in and supports numerous community building activities which promote the health and betterment of the communities served. The annual goals and objectives established for all managers must include individual community involvement goals. Overall, Virtua's initiatives fall under many of the specific community building activity categories noted. Costs related to any of these activities are not included elsewhere on Form 990, Schedule H. The following are examples of specific community building activities. Virtua is involved in various initiatives intended to facilitate economic development in our communities, whose combined unemployment rate has exceeded that of the state. Virtua supports and participates on the boards of the local county Chambers of Commerce, whose goals include promoting business growth. Virtua has also created a career transition partnership to offer support and counseling to those seeking employment. Virtua managers provide counseling on subjects such as networking, resume development, and interviewing.Virtua participates in the Camden Higher Education and Healthcare Task Force, and the Greater Camden Partnership. Goals include drawing businesses to the city, keeping the city streets clean and safe, and assisting with planting trees and cleaning up neighborhoods. All Virtua hospitals participated in a state-wide pandemic flu emergency exercise. This is an exercise that simulates a large increase in the number of patients seeking medical attention for flu-like illnesses.To ensure that Virtua is doing all it can as a responsible community member to protect our environment, the Virtua Green Initiative was established with the mission of promoting environmental stewardship through the effective use of resources throughout the Virtua community. The Initiative is carried out under the guidance of a Green Council and location specific teams that drive efforts to reduce, reuse and recycle through education, communication and standardization of green initiatives.In partnership with Camden Area Health Education Center, Virtua sponsors a seasonal farmers market on our Camden site as a way for Camden residents to access fresh produce and to obtain information on healthy eating. Blood pressure and glucose screenings are also provided. Virtua has also partnered with Big Brothers Big Sisters to provide a Day of Play, an effort to expose staff to a day of mentoring Camden city youth and expand the base of volunteer mentors in Camden County and the city. Virtua is a member of the Camden Coalition of Healthcare Providers, a citywide organization that serves health needs with the mission to improve the health status of Camden residents and to make the health system more accessible for the underserved. Virtua is also a member of the Camden Healthy Futures Committee, whose mission is to develop and maintain a sustainable system of communication and collaboration in healthcare planning, program/service development and implementation, to address the top five health priorities in Camden city. Virtua has partnered with a local program, "The Medical Arts Academy", that is offered by a county technical school. The program accepts bright, underprivileged high school students who, through a partnership with a local college, can earn college credits while attending high school. The program is designed for those planning to pursue a college degree in the medical field. Students in the program spend part of their day onsite in medical facilities working side-by-side with physicians, nurses, technicians and hospital administrators. After being exposed to various health-related career fields over their four years of high school, graduates will be able to make a more informed decision when choosing a career path, while having saved time and money as they earned transferable college level credits. Virtua provided many lectures on H1N1 prevention, general infection prevention, and the importance of hand washing to outside organizations including state societies and businesses, as well as to the general public at libraries and community dinners.Virtua has analyzed physician service needs for zip codes within its service area, and has worked with a physician recruiter to attempt to bring physicians into underserved areas.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part I, line 7A cost accounting system was utilized to determine the costs of various services. The cost accounting system determines cost at the charge description master (CDM) item level. Department specific costs are allocated to the individual CDM item based on applying relative value unit (RVU) measures or the relationship of CDM item charges. This approach results in a truer allocation of cost in comparison to the application of an overall cost to charge ratio. The methodology addresses the service segments of inpatient, same day surgical, emergency department, clinic, and other outpatient care as well as being delineated at the payer level (Medicare, Medicaid, health maintenance organizations, self pay, etc.).Part III, line 4Bad debt expense (at cost) was calculated by applying a cost to charge ratio to the total provision for bad debt for the year. Discounts provided for services would not be included in bad debt expense, but would rather be reported as allowances that offset revenues. Payments received on patient accounts would directly reduce the provision for bad debts. No amount is reported relative to patients who likely would qualify for financial assistance under the hospital's charity care policy, if sufficient information had been available to make a determination of their eligibility. The reason for this is that prior to any patient account being written off as bad debt, Virtua-West Jersey Health System (Virtua) attempts to obtain an estimate of annual income relative to the responsible party from a credit management company. If the estimated income meets established criteria, a reduction to charges is applied. Qualification for the reduction is presumed in cases when a match can not be made for an individual, as well as for deceased individuals. Allowance for doubtful accounts is described as follows in the footnotes to the financial statements: Virtua provides an allowance for doubtful accounts for estimated losses resulting from the unwillingness or inability of patients to make payments for services. The allowance is determined by analyzing historical data and trends. 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.Part III, line 8The costs associated with Medicare patients are based in total on the submitted cost report, which utilizes a cost to charge methodology for determining cost. Necessary adjustments were made to this total to exclude the costs already recognized in other sections of Schedule H, such as costs related to subsidized health services and graduate medical education. Virtua is of the opinion that the full Medicare shortfall total should be deemed/considered as community benefit. As reimbursement does not cover the costs incurred in the provision of care for Medicare patients, there is benefit to the government who is not paying the full cost of care. Also, many Medicare patients have low or fixed income levels. The Internal Revenue Service does regard a hospital's participation in Medicare or Medicaid as a key factor that assists in establishing that a hospital satisfies the Community Benefit standard. Also, many Medicare patients have low and fixed income levels. The Medicare Payment Advisory Commission reported in their June 2011 "A Data Book: Healthcare Spending and the Medicare Program", the following percentage breakdown of income status relative to federal poverty guidelines based on characteristics of the Medicare population as of 2007:Below poverty: 14%100-125% of poverty: 9%125-200% of poverty: 19%200-400% of poverty: 33%Over 400% of poverty: 25%Under Virtua's Charity Assistance Program, families having gross income of less than 500 percent of the federal poverty level are eligible.Part III, line 9bIf a patient is known or expected to qualify for assistance, their account is placed on hold while the formal determination is made. If subsequently approved for 100% qualification, collection activity ceases. If approved for a percentage reduction less than 100% of the amount due, the account is adjusted accordingly and an attempt is made to establish a payment plan relative to the remaining balance. If the account does not qualify for assistance the patient is notified accordingly and an attempt will be made to collection the balance.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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). The Mental Health/Co-occurring Disorders Workgroup focuses on addressing the need for services and advocacy for co-occurring disorders such as drug and alcohol abuse and mental health in adolescents and young adults. The workgroup created a provider survey to gather data regarding co-occurring services and gaps in Camden County.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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>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.Virtua also cares for a community with a higher rate of chronic diseases than the rest of New Jersey. There are higher incidences of diabetes, cancer, heart disease, and obesity in the Tri County area than in the rest of New Jersey, and as the market leader of this community, Virtua provides care for these populations.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 6: 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.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Explanation>Part VI, Line 7: 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.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
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        <DeferredCompFilingOrg>9746</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>16312</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>265457</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GREGORY BUSCH MD</NamePerson>
        <BaseCompensationFilingOrg>185807</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>53379</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>25500</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7607</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>2338</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>274631</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>THERESA M BRODERICK</NamePerson>
        <BaseCompensationFilingOrg>207914</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>44880</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>14156</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7984</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>25208</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>300142</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>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. Virtua Health, Inc. uses the following: Compensation Committee, Independent compensation consultant, written employment contract, compensation survey or study, and approval by the board or compensation committee.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Schedule J, Part I, Line 4b Virtua 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 Board. Payment Received from Virtua Health (related Org.) Richard Miller - $16,500 Robert Segin - $16,500 James Dwyer - $16,500 Michael Kotzen - $16,500 Gary Long - $16,500 Christopher Chekouras - $16,500</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NameBusiness>
            <BusinessNameLine1>Childrens Health AssociatesJohn Tedeschi</BusinessNameLine1>
          </NameBusiness>
        </NameOfInterestedPerson>
        <Relationship>Former Trustee</Relationship>
        <AmountOfTransaction>2374647</AmountOfTransaction>
        <DescriptionOfTransaction>Medical Service Fees</DescriptionOfTransaction>
        <SharingOfRevenues>0</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>Virtua Health, Inc. is the Sole Corporate Member.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>The tax return was reviewed by in-house counsel, the external tax consultants, and the Board of Trustees before filing.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>Virtua - West Jersey Health Systems, Inc. adopts the policies of Virtua Health, Inc. regarding monitoring and enforcing a conflict of interest policy. Virtua Health 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>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 Health, Inc.'s 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The Financial statements are made available to the public upon request to the Virtua Corporate Finance Department.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 5:</ReturnReference>
        <Explanation>Net unrealized gains on investments: 51,579,471. Investment in Subsidiaries 8,219,913. Net asset released from restrictions for PP&amp;E 5,363,573. Transfer with Affiliates - Net -33,244,853. Provision for uncollectible contributions -2,052,265. Temporary restricted net asset transfer with affiliates -633,939. Net asset released from restrictions for Operations -59,861. Temporary net asset released from restrictions for Operations -5,363,573. Total to Form 990, Part XI, Line 5: 23,808,466.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Officer Compensation</Identifier>
        <ReturnReference>Form 990 Part VII and Schedule J</ReturnReference>
        <Explanation>Richard 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 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 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 Long - Virtua Health, Inc. (40 hours), Virtua-West Jersey Health System, Inc. (1 hour) Christopher A. Chekouras - Virtua-West Jersey Health System, Inc. (30 hours), Virtua Health and Rehabilitation Center at Berlin, Inc. (5 hour), Virtua Health and Rehabilitation Center at Mount Holly, Inc. (4 hour), Virtua Home Care-Community Nursing Services, Inc. (1 hour) Christopher A. Chekouras is compensated by Virtua Health, Inc. (EIN - 22-3524939)</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Virtua Health Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>401 Route 73 North - 50 Lake Center</AddressLine1>
          <City>Marlton</City>
          <State>NJ</State>
          <ZIPCode>08053</ZIPCode>
        </AddressUS>
        <EIN>223524939</EIN>
        <PrimaryActivities>Supporting Organization</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501 (c) (3)</ExemptCodeSection>
        <PublicCharityStatus>11a</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Virtua - Memorial Hospital Burlington County Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>401 Route 73 North - 50 Lake Center</AddressLine1>
          <City>Marlton</City>
          <State>NJ</State>
          <ZIPCode>08053</ZIPCode>
        </AddressUS>
        <EIN>210634562</EIN>
        <PrimaryActivities>Acute Care Hospital</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501 (c) (3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Virtua Surgical Group PA</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>401 Route 73 North - 50 Lake Center</AddressLine1>
          <City>Marlton</City>
          <State>NJ</State>
          <ZIPCode>08053</ZIPCode>
        </AddressUS>
        <EIN>222580215</EIN>
        <PrimaryActivities>Surgical Physician Practice</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501 (c) (3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Virtua Health and Rehabilitation Center at Berlin Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>100 Long-A-Coming Lane</AddressLine1>
          <City>Berlin</City>
          <State>NJ</State>
          <ZIPCode>08009</ZIPCode>
        </AddressUS>
        <EIN>223554707</EIN>
        <PrimaryActivities>Rehabilitation Center and Nursing Home</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501 (c) (3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
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          <BusinessNameLine1>Virtua Health and Rehabilitation Center at Mount Holly Inc</BusinessNameLine1>
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          <AddressLine1>62 Richmond Avenue</AddressLine1>
          <City>Mount Holly</City>
          <State>NJ</State>
          <ZIPCode>08060</ZIPCode>
        </AddressUS>
        <EIN>222394675</EIN>
        <PrimaryActivities>Rehabilitation Center and Nursing Home</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501 (c) (3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Virtua Home Care - Community Nursing Services Inc</BusinessNameLine1>
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          <AddressLine1>175 Madison Avenue</AddressLine1>
          <City>Mount Holly</City>
          <State>NJ</State>
          <ZIPCode>08060</ZIPCode>
        </AddressUS>
        <EIN>210679591</EIN>
        <PrimaryActivities>Home Care</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501 (c) (3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Summit Health - Virtua Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>401 Route 73 North - 50 Lake Center</AddressLine1>
          <City>Marlton</City>
          <State>NJ</State>
          <ZIPCode>08053</ZIPCode>
        </AddressUS>
        <EIN>521814579</EIN>
        <PrimaryActivities>Physician Services</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501 (c) (3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>West Jersey Renew Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1000 Atlantic Avenue</AddressLine1>
          <City>Camden</City>
          <State>NJ</State>
          <ZIPCode>08104</ZIPCode>
        </AddressUS>
        <EIN>223580917</EIN>
        <PrimaryActivities>Low Income Housing</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501 (c) (3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Memorial Hospital of Burlington County Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>401 Route 73 North - 50 Lake Center</AddressLine1>
          <City>Marlton</City>
          <State>NJ</State>
          <ZIPCode>08053</ZIPCode>
        </AddressUS>
        <EIN>222337170</EIN>
        <PrimaryActivities>Fund Raising Foundation</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501 (c) (3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>West Jersey Health &amp; Hospital Foundation Inc</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>401 Route 73 North - 50 Lake Center</AddressLine1>
          <City>Marlton</City>
          <State>NJ</State>
          <ZIPCode>08053</ZIPCode>
        </AddressUS>
        <EIN>237414388</EIN>
        <PrimaryActivities>Fund Raising Foundation</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501 (c) (3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Virtua Health Foundation Inc</BusinessNameLine1>
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          <AddressLine1>401 Route 73 North - 50 Lake Center</AddressLine1>
          <City>Marlton</City>
          <State>NJ</State>
          <ZIPCode>08053</ZIPCode>
        </AddressUS>
        <EIN>043722352</EIN>
        <PrimaryActivities>Fund Raising Foundation</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501 (c) (3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
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        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
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          <BusinessNameLine1>Virtua Medical Group PA</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>401 Route 73 North - 50 Lake Center</AddressLine1>
          <City>Marlton</City>
          <State>NJ</State>
          <ZIPCode>08053</ZIPCode>
        </AddressUS>
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        <PrimaryActivities>Physician Services</PrimaryActivities>
        <LegalDomicileState>NJ</LegalDomicileState>
        <ExemptCodeSection>501 (c) (3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <ControlledOrg>0</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>VIRTUA RADIATION ONCOLOGY ASSOCIATES LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>101 CARNIE BOULEVARD</AddressLine1>
          <City>VOORHEES</City>
          <State>NJ</State>
          <ZIPCode>08043</ZIPCode>
        </AddressUS>
        <EIN>043849932</EIN>
        <PrimaryActivity>RADIOLOGY SERVICES</PrimaryActivity>
        <LegalDomicileState>NJ</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>2171605</ShareOfTotalIncome>
        <ShareOfEOYAssets>3480385</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.51000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SOUTH JERSEY MUSCULOSKELETAL INSTITUTE LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>556 EGG HARBOR ROAD</AddressLine1>
          <City>SEWELL</City>
          <State>NJ</State>
          <ZIPCode>08080</ZIPCode>
        </AddressUS>
        <EIN>204481032</EIN>
        <PrimaryActivity>SURGICAL CENTER</PrimaryActivity>
        <LegalDomicileState>NJ</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>2660696</ShareOfTotalIncome>
        <ShareOfEOYAssets>3934618</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.51000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SUMMIT SURGICAL CENTER LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>110 CARNIE BOULEVARD</AddressLine1>
          <City>VOORHEES</City>
          <State>NJ</State>
          <ZIPCode>08043</ZIPCode>
        </AddressUS>
        <EIN>731730859</EIN>
        <PrimaryActivity>SURGICAL CENTER</PrimaryActivity>
        <LegalDomicileState>NJ</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>3734412</ShareOfTotalIncome>
        <ShareOfEOYAssets>5500797</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.54400</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>AMBULATORY SURGERY CENTER AT VIRTUA WASHINGTON TOWNSHIP LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>20 W STOW ROAD SUITE 8</AddressLine1>
          <City>MARLTON</City>
          <State>NJ</State>
          <ZIPCode>08053</ZIPCode>
        </AddressUS>
        <EIN>208643005</EIN>
        <PrimaryActivity>SURGICAL CENTER</PrimaryActivity>
        <LegalDomicileState>NJ</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>-1168747</ShareOfTotalIncome>
        <ShareOfEOYAssets>3162122</ShareOfEOYAssets>
        <DisproportionateAllocations>0</DisproportionateAllocations>
        <GeneralOrManagingPartner>0</GeneralOrManagingPartner>
        <PercentageOwnership>0.61000</PercentageOwnership>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Virtua Assurance</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>76 Saint Paul St Suite 500</AddressLine1>
          <City>Burlington</City>
          <State>VT</State>
          <ZIPCode>05401</ZIPCode>
        </AddressUS>
        <EIN>203025606</EIN>
        <PrimaryActivity>Captive Insurance Company</PrimaryActivity>
        <LegalDomicileState>VT</LegalDomicileState>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Virtua Retail</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>401 N Rte 73 50 Lake Ctr Dr Ste 400</AddressLine1>
          <City>Marlton</City>
          <State>NJ</State>
          <ZIPCode>08053</ZIPCode>
        </AddressUS>
        <EIN>260247120</EIN>
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