2013-11-13T10:28:32-06:00 2012-12-31 861065772 DELOITTE TAX LLP 1700 MARKET STREET 25TH FLOOR PHILADELPHIA PA 19103 990 2012-01-01 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 2013-11-13 0 Stephen E Allen P00173407 2152462300 2012 2016-02-24 21:20:13Z RICHARD P MILLER 50 LAKE CTR DR 401 RT 73 N No 400 MARLTON NJ 08053 735922236 0 X www.Virtua.org X 1885 NJ Our mission is to help the community to be well, get well and stay well 10 7 4893 780 736996 42629 1470961 2218592 678551985 668358928 4054245 4237355 10674790 15155653 694751981 689970528 0 0 0 0 275818529 270154704 0 0 0 370904596 370331854 646723125 640486558 48028856 49483970 1455670524 1578968677 855850967 898254636 599819557 680714041 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 65952552 42948389 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 $23.0 million, as estimated by management. Services are provided on both an inpatient and outpatient basis, including through emergency departments and clinics. 30097870 2380377 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 2012 to be approximately $27.7 million. 23137496 14581187 Virtua provides a wide range of outpatient services to meet community need, including cancer care through our Cancer Education and Early Detection (CEED) program, primary and specialty care for infants, children, teens and adults through our Physician Charity Care and Early Intervention programs and our Camden Family Health Center. Virtua subsidizes women's clinics for gynecological and obstetrical care at our Centers for Women, as well as behavorial health at our Memorial Inpatient Psychiatric Care Unit. Virtua also provides emergency care through our Southstar and Mobile Intensive care units. The costs related to these services are in excess of reimbursements to Virtua. 419641903 622867632 Additional Community Benefits, Such as:Community Health Improvement ServicesExpense of $2,434,517Revenue of $6,557Health Professions EducationExpense of $8,720,810Revenue of $2,393,338Subsidized Health ServicesExpense of $21,746,071Revenue of $14,577,440ResearchExpense of $317,606Revenue of $42,539Financial and In-kind ContributionsExpense of $206,515Revenue of $555Community Building ActivitiesExpense of $122,179Revenue of $330Providing Functional Patient Services for the HospitalsExpense of $386,094,205 Revenue of $605,846,873 419641903 622867632 538829821 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 1 572 0 1 4893 1 1 1 0 0 0 0 0 0 0 0 0 X 10 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 NJ X ROBERT M SEGIN 8563550620 50 LAKE CENTER DR-400 401 RT 73 N MARLTON NJ 08053 ANTHONY CHIGOUNIS 1.00 6.00 X X 0 0 0 DAVID KINDLICK 1.00 6.00 X X 0 0 0 DENNIS FLANAGAN 1.00 6.00 X X 0 0 0 PAULA FAIRLEY 1.00 6.00 X X 0 0 0 JOSEPH B HOWE 1.00 6.00 X 0 0 0 JOHN SWEENEY 1.00 6.00 X 0 0 0 EDWARD B CLOUES 1.00 6.00 X 0 0 0 THOMAS KAY MD 1.00 6.00 X 0 0 0 JEFFREY MORRIS MD 1.00 6.00 X 0 0 0 RICHARD P MILLER 1.00 46.00 X X 0 1968573 30941 ROBERT M SEGIN 1.00 48.00 X 0 847102 40645 JAMES P DWYER 1.00 47.00 X 0 859546 40311 ALFRED CAMPANELLA 1.00 48.00 X 0 594783 40412 MICHAEL KOTZEN 1.00 41.00 X 0 714407 36982 GARY L LONG 40.00 X 0 630955 40275 CHRISTOPHER A CHEKOURAS 37.00 3.00 X 0 546255 36793 BARRY GRAF 40.00 X 316633 0 30436 TRACY L CARLINO 40.00 X 298484 0 12233 MARIA E DEMARCO 40.00 X 231929 0 26252 JOHN M MATSINGER 40.00 X 313128 0 33837 ROBERT HOCKEL 40.00 X 272148 0 35175 DEAN MAZZONI 40.00 X 267749 0 31919 CATHERINE M HUGHES 40.00 X 260007 0 28326 SALVATORE MOFFA MD 40.00 X 252616 0 13367 2212694 6161621 477904 306 0 1 0 VOORHEES PHYSICIANS LLC PO BOX 636073 CINCINNATI OH 45263 RENT 21068550 TURNER CONSTRUCTION CO 733 EAST ROUTE 70 SUITE 201 MARLTON NJ 08053 CONTRACTOR 11113903 CENTER FOR FAMILY GUIDANCE PC 7101 W 78TH ST MINNEAPOLIS MN 55439 PROFESSIONAL FEE 5227819 NEC CORP OF AMERICA 6535 N STATE HWY 161 2ND FL IRVING TX 75039 COMMUNICATION/PHONE 4209729 SURGICAL GROUP OF SOUTH JERSEY PA 1935 ROUTE 70 EAST CHERRY HILL NJ 08003 SURGICAL SERVICES 3761227 114 798910 1419682 2218592 NET PATIENT REV 624100 661046896 660310086 736810 ANESTHESIA (CRNA) 621300 5731082 5731082 SCHOOL OF PARAMEDIC SC 611600 602299 602299 MICU/EMS ALLIANCE 621910 180744 180744 LAB SERVICES 621500 82253 82067 186 715654 715654 668358928 375420 375420 201172 201172 3024031 3024031 0 0 43776586 2811854 41252109 1675568 2524477 1136286 3660763 3660763 INC OF UNCONSOL J/V 621990 7219111 7219111 ELECTRONIC HEALTH RECO 923130 3606998 3606998 CAFETERIA 722210 3010674 3010674 1318870 1318870 15155653 689970528 682777585 736996 4237355 X 915967 824370 91597 186329010 167071702 19257308 17108329 15397496 1710833 50721414 45519393 5202021 15079984 13535528 1544456 2288218 1830574 457644 59339920 37745112 21594808 175894 50322 125572 88176625 81127241 7049384 20630896 10668946 9961950 392867 364140 28727 12529 9222 3307 22540591 22540591 57798958 46239166 11559792 19638 15710 3928 System Allocation 114517412 91613930 22903482 Cancer Screening 3304602 3304602 Health & Sr. Services A 527590 527590 Dues and Licenses 352337 229764 122573 253777 214422 39355 640486558 538829821 101656737 0 X 283415 9284 88132848 104903273 310552 681184 76852849 71067352 1568086 3372505 17537293 39022778 1077657753 347938093 746937547 729719660 506458573 592964694 17589361 37227947 1455670524 1578968677 67519825 78898180 652132068 641402376 134965 125301 8951808 7945559 127112301 169883220 855850967 898254636 X 597457285 678614406 2362272 2099635 599819557 680714041 1455670524 1578968677 X 49483970 63762562 -32352048 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 68126364 68126364 435459915 96188745 339271170 27400853 5607942 21792911 533375282 246141406 287233876 13295339 13295339 729719660 Est Sttlmts Due to 3rd Pty Pyr 22045127 Due to Affiliates, non current 140052817 Other Liabilities 7785276 169883220 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 30097870 2380377 27717493 0.04330 65952552 42948389 23004163 0.03590 96050422 45328766 50721656 0.07920 53 1531740 2434517 6557 2427960 0.00380 10 1950 8720810 2393338 6327472 0.00990 7 844 21746071 14577440 7168631 0.01120 1 72 317606 42539 275067 0.00040 6 32 206515 555 205960 0.00030 77 1534638 33425519 17020429 16405090 0.02560 77 1534638 129475941 62349195 67126746 0.10480 1 0 881 2 879 0.00000 5 398 71249 192 71057 0.00010 1 400 27859 75 27784 0.00000 5 3875 14317 40 14277 0.00000 3 17 7873 21 7852 0.00000 15 4690 122179 330 121849 0.00010 1 32460000 6157662 123767107 189649113 -65882006 X 1 1 1 Virtua Radiation Oncology Associates LLC Radiology Services 0.51000 0.49000 2 South Jersey Musculoskeletal Institutnenele Inc Surgical Center 0.52050 0.00000 0.00000 3 Summit Surgical Center LLC Surgical Center 0.54880 0.00000 0.00000 4 Ambulatory Surgery Center at Virtua Washington Township Surgical Center 0.57000 0.00000 0.00000 5 Shore Ambulatory Surgery Center Surgical Center 0.51000 0.00000 0.00000 6 Rockland Surgical Project LLC Ramapo Valley Surgical Center Surgical Center 0.51000 0.00000 0.00000 3 1 Virtua - Voorhees

100 Bowman Drive Voorhees NJ 08043

www.virtua.org X X X 2 Virtua - Berlin

100 Townsend Avenue Berlin NJ 08009

www.virtua.org X X X 3 Virtua - Marlton

90 Brick Road Marlton NJ 08053

www.virtua.org X X X Virtua - Voorhees 1 1 300.000000000000 1 500.000000000000 1 X 1 1 X X X X 1 0 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 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); promoting economic development and revitalization of the City of Camden; providing treatment for emotionally and/or behaviorally disturbed children; career transition (support, counsel and advise out of work residents on networking, resume development and interviewing skills); as well as offering internships (to provide students with practical knowledge and skills with the hope of attracting them to the healthcare field). Part III, 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. As part of its own charity care program which provides assistance to individuals beyond what the State of New Jersey charity care program allows for, Virtua will utilize credit bureau data, such as income estimates, to proactively provide assistance to community members who may have not completed the necessary steps to qualify for financial assistance. Virtua does believe that it is appropriate to recognize at least a portion of bad debt expense as charity care as it is likely that some of these individuals would qualify for charity care assistance if they could have been appropriately screened. 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 B, Line 8 Virtua believes that it is appropriate to recognize the Medicare revenue shortfall as community benefit. It has been widely recognized that Medicare payment rates in aggregate have been set at a level that does not cover the total cost of care. By bearing the reimbursement shortfall resulting from the below cost Medicare payment level, Virtua and other hospitals are alleviating the government's burden which promotes the charitable purpose of the organization. The filed Medicare cost report is the basis for the allowable cost reported on line 6. Part III, Section C, line 9b Virtua has a written financial assistance policy in place. Individuals may qualify for charity assistance under the State of New Jersey program, which makes assistance eligible to individuals who meet an asset test and have family gross income up to 300% of the Federal Poverty Level. They may also qualify for assistance under Virtua's charity program, which does not have an asset test and provides assistance to those having family gross income up to 500% of the Federal Poverty Level.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 balances. 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, an 88% 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 is also applied to deceased individuals. Part VI, Line 2: Virtua has been an active participant in initiatives undertaken by the three counties that comprise its primary service area in southern New Jersey: Burlington County, Camden County, and Gloucester County. Individually these counties have assessed the healthcare needs of their residents, which have resulted in the creation of three distinct reports: The Burlington County Community Health Improvement Plan, the Camden County Mobilizing for Action Through Planning and Partnership (MAPP) Coalition Community Health Improvement Plan, and Achieving a Healthier Gloucester County. Burlington County has identified as priorities emergency preparedness, nutrition and physical activity, preventative healthcare, environmental health, peace and well being including alcohol and drug abuse reduction, and parenting. Camden County priorities include obesity and nutrition, cardiovascular health, cancer, environmental health and mental health. In the Gloucester County assessment, priority areas include increasing awareness of existing services (health education), encouraging regular screenings and check-ups (especially for heart, cancer, diabetes, sexually transmitted diseases), and promoting healthy behaviors (especially diet and exercise).Virtua also is involved with the Camden City Healthy Futures Committee, which has conducted a health needs assessment of the city and has put action plans in place for each of the top health priorities identified. Priorities have been set relative to obesity (heart disease, diabetes, and stroke), access to care, the high cancer mortality rate, mental health, violence and safety, environmental health (lead poisoning and asthma) and family health (specifically teen pregnancy and access to dental care). Virtua also works with the Camden County Cancer Coalition, a group that has completed a cancer needs assessment for the county. Camden County's major strategy for eliminating disparities in cancer care is the Cancer Education and Early Detection (CEED) programs. There are CEED programs based at Virtua and they are the force behind the plans to increase minority screening rates, increase prostate cancer screening rates, and reduce smoking.Virtua participates on disaster and flu planning groups in both Burlington County and Camden County, as well as their public health planning committees. Part of the mission is to identify and determine how to address community public health needs. Virtua has implemented a risk assessment and screening process for admitted hospitalized in-patients with a multi-drug resistant organism, based on prevalence studies within the hospitals and community evaluation. These efforts have resulted in patient screening and isolation protocols. Through participation in various community meetings and forums, Virtua receives input from its service area relative to community health needs. Virtua also monitors community needs specific to its service lines and identifies available resources it can call upon to address them. Part VI, Line 3: The availability of financial assistance is communicated in both English and Spanish in a variety of ways. Financial assistance information is provided by registration staff and is covered in financial counseling appointments. Brochures are distributed and also made available in the patient/family waiting areas. Bilingual signage is posted throughout the hospital, including in the emergency departments and outpatient registration areas. The admission booklet and handouts provided at registration/admission contain information about financial counseling and guidance should the patient have difficulty in paying their hospital bill. Availability of charity care assistance is also indicated on all statements and letters sent to patients. Virtua's website contains information on charity care assistance along with the application.On a one-to-one basis, financial counseling services are provided to patients that are uninsured or underinsured. Support is provided to help patients complete relevant applications for assistance under the State of New Jersey charity care program guidelines, the State of New Jersey Medicaid program, Virtua's own charity care program, and any other assistance for which they may be eligible. Completion of applications is conducted through bedside interviews with admitted patients, and via letters, phone calls, and field service visits to patient homes, when appropriate. Bilingual staff are available on-site and interpretation services are available over the phone. Part VI, Line 4: Virtua Health, Inc. has four acute care hospitals. They fall under two legal entities, Virtua-West Jersey Health Systems, Inc. (Berlin, Marlton and Voorhees based hospitals) and Virtua-Memorial Hospital Burlington County, Inc. Virtua Health, Inc. is the largest health system in Southern New Jersey, serving 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 eastern Burlington and southern Gloucester County, to the city of Camden where over 50 percent of individuals reside below the federal poverty level. The U.S. Department of Health and Human Services' Health Resources and Services Administration has designated Pemberton/Browns Mills (Burlington County), the city of Camden (Camden County), and Gloucester City as medically underserved areas or populations. Residents 65 and over represent a large percentage of the service area, and this population is projected to grow by 15 percent in the next five years. Though the Virtua service area is mostly Caucasian, minority populations are projected to experience the highest population growth over the next five years, particularly Hispanic and Asian communities. As such, Virtua is committed to providing care for the diverse and growing community. Part VI, Line 5: The Board of Trustees is community based, consisting of individuals with various professional backgrounds, including some physicians. Almost all of the board members reside in the hospital's primary service area. The organization has an open medical staff that will provide privileges to qualified physicians from within the community. Virtua has and will continue to utilize its financial resources to invest in projects, technologies, and programs that will contribute to the health status of its community members. A new healthcare campus consisting of a state-of-the-art digital hospital and an outpatient center that provides easy access to a wide variety of comprehensive services opened in 2011. 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. Part V, Line 8 Facility Reporting Group A See below Part V, Section B, line 20d: Under Virtua Health's Charity Assistance Program (CAP), individuals that document their income (total household income) to be below 500% of federal poverty guidelines will be provided an 88% reduction to charges. Individuals that qualified for a partial (less than 100%) charity care adjustment based on Chapter 160 criteria will receive an incremental reduction under the CAP to bring their total reduction to the maximum of the two programs. Part V, Section B, line 20d: Under Virtua Health's Charity Assistance Program (CAP), individuals that document their income (total household income) to be below 500% of federal poverty guidelines will be provided an 88% reduction to charges. Individuals that qualified for a partial (less than 100%) charity care adjustment based on Chapter 160 criteria will receive an incremental reduction under the CAP to bring their total reduction to the maximum of the two programs. 0 1 0 0 0 0 0 0 0 RICHARD P MILLER 0 1092953 0 824120 0 51500 0 11250 0 19691 0 1999514 0 0 ROBERT M SEGIN 0 478342 0 317380 0 51380 0 11250 0 29395 0 887747 0 0 JAMES P DWYER 0 483940 0 324606 0 51000 0 10916 0 29395 0 899857 0 0 ALFRED CAMPANELLA 0 387179 0 174604 0 33000 0 11250 0 29162 0 635195 0 0 MICHAEL KOTZEN 0 397681 0 272226 0 44500 0 11250 0 25732 0 751389 0 0 GARY L LONG 0 334765 0 253190 0 43000 0 11250 0 29025 0 671230 0 0 CHRISTOPHER A CHEKOURAS 0 272531 0 230724 0 43000 0 10603 0 26190 0 583048 0 0 BARRY GRAF 221058 0 49754 0 45821 0 10885 0 19551 0 347069 0 0 0 TRACY L CARLINO 222247 0 47289 0 28948 0 10377 0 1856 0 310717 0 0 0 MARIA E DEMARCO 176951 0 28978 0 26000 0 7447 0 18805 0 258181 0 0 0 JOHN M MATSINGER 247716 0 47397 0 18015 0 8070 0 25767 0 346965 0 0 0 ROBERT HOCKEL 189983 0 43165 0 39000 0 9457 0 25718 0 307323 0 0 0 DEAN MAZZONI 211063 0 42258 0 14428 0 6233 0 25686 0 299668 0 0 0 CATHERINE M HUGHES 194240 0 41249 0 24518 0 10401 0 17925 0 288333 0 0 0 SALVATORE MOFFA MD 244356 0 0 0 8260 0 4507 0 8860 0 265983 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 - $370,249 Robert M. Segin - $136,708 James P. Dwyer - $138,192 Michael Kotzen - $79,853 Gary L. Long - $72,500 Christopher A. Chekouras - $63,061 REGIONAL WOMEN'S HEALTH GROUP THOMAS KAY MD/ TRUSTEE OF VIRTUA/ MEDICAL DIRECTOR OF REGIONAL WOMEN'S 945428 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/Officers. It also reviews and approves the salary recommendation by the CEO for all Vice Presidents/Key Employee. 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. Other Fees Form 990, Part IX, line 11g Professional Fees: Program service expenses 22,719,836. Management and general expenses 141,397. Fundraising expenses 0. Total expenses 22,861,233. Outside Services: Program service expenses 12,901,797. Management and general expenses 16,280,641. Fundraising expenses 0. Total expenses 29,182,438. Agency: Program service expenses 1,494,015. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,494,015. ISS Contract: Program service expenses 0. Management and general expenses 3,981,447. Fundraising expenses 0. Total expenses 3,981,447. Other: Program service expenses 629,464. Management and general expenses 1,191,323. Fundraising expenses 0. Total expenses 1,820,787. Form 990 Part X Line 20 The amount reported on line 20 is the organizations' allocated amount of total bond issuance. The total bond issuance is reported on Virtua Health, Inc. (Tax ID #22-3524939) Changes in Net Assets or Fund Balances: Form 990, Part XI, line 9: Transfer with Affiliates - Net -32,352,048. Virtua Health Inc 401 Route 73 North - 50 Lake Center Marlton NJ 08053 223524939 Supporting Organization NJ 501 (c) (3) 11a N/A 1 Virtua - Memorial Hospital Burlington County Inc 401 Route 73 North - 50 Lake Center Marlton NJ 08053 210634562 Acute Care Hospital NJ 501 (c) (3) 3 N/A 1 Virtua Surgical Group PA 401 Route 73 North - 50 Lake Center Marlton NJ 08053 222580215 Surgical Physician Practice NJ 501 (c) (3) 9 N/A 1 Virtua Health and Rehabilitation Center at Berlin Inc 100 Long-A-Coming Lane Berlin NJ 08009 223554707 Rehabilitation Center and Nursing Home NJ 501 (c) (3) 3 N/A 1 Virtua Health and Rehabilitation Center at Mount Holly Inc 62 Richmond Avenue Mount Holly NJ 08060 222394675 Rehabilitation Center and Nursing Home NJ 501 (c) (3) 9 N/A 1 Virtua Home Care - Community Nursing Services Inc 175 Madison Avenue Mount Holly NJ 08060 210679591 Home Care NJ 501 (c) (3) 9 N/A 1 Summit Health - Virtua Inc 401 Route 73 North - 50 Lake Center Marlton NJ 08053 521814579 Health and Wellness Services NJ 501 (c) (3) 3 N/A 1 West Jersey Renew Inc 1000 Atlantic Avenue Camden NJ 08104 223580917 Low Income Housing NJ 501 (c) (3) 9 N/A 1 Memorial Hospital of Burlington County Foundation Inc 401 Route 73 North - 50 Lake Center Marlton NJ 08053 222337170 Fund Raising Foundation NJ 501 (c) (3) 7 N/A 1 West Jersey Health & Hospital Foundation Inc 401 Route 73 North - 50 Lake Center Marlton NJ 08053 237414388 Fund Raising Foundation NJ 501 (c) (3) 7 N/A 1 Virtua Health Foundation Inc 401 Route 73 North - 50 Lake Center Marlton NJ 08053 043722352 Fund Raising Foundation NJ 501 (c) (3) 7 N/A 1 Virtua Medical Group PA 401 Route 73 North - 50 Lake Center Marlton NJ 08053 271348772 Physician Services NJ 501 (c) (3) 9 N/A 1 VIRTUA RADIATION ONCOLOGY ASSOCIATES LLC 100 BOWMAN DRIVE VOORHEES NJ 08043 043849932 RADIOLOGY SERVICES NJ Virtua - West Jersey Health Systems Inc RELATED 1349315 4580773 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 3433920 3240386 0 1 0.52060 SUMMIT SURGICAL CENTER LLC 200 BOWMAN DRIVE SUITE D160 VOORHEES NJ 08043 731730859 SURGICAL CENTER NJ Virtua - West Jersey Health Systems Inc RELATED 1930100 13218499 0 1 0.54880 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 -237997 2797784 0 1 0.57000 SHORE AMBULATORY SURGERY CENTER LLC 405 BETHEL ROAD SOMERS POINT NJ 08244 223778333 SURGICAL CENTER NJ Virtua - West Jersey Health Systems Inc RELATED 1187563 2467742 0 1 0.51000 ROCKLAND SURGICAL PROJECT LLC RAMAPO VALLEY SURGICAL CENTER 500 NORTH FRANKLIN TURNPIKE RAMSEY NJ 07446 200580403 SURGICAL CENTER NJ Virtua - West Jersey Health Systems Inc RELATED 201482 789347 0 1 0.51000 VANTAGE SURGICAL CENTER LLC 180 ROUTE 70 MEDFORD NJ 08055 450516750 SURGICAL CENTER NJ N/A MEMORIAL AMBULATORY SURGERY CENTER LLC 160 MADISON AVENUE MT HOLLY NJ 08060 204941260 SURGICAL CENTER NJ N/A MED MANAGEMENT ASSOCIATES LLC 2 BROAD STREET SUITE 400 BLOOMFIELD NJ 07003 455595099 MEDICAL MANAGEMENT SERVICES NJ N/A Virtua Assurance 76 Saint Paul St Suite 500 Burlington VT 05401 203025606 Captive Insurance Company VT N/A C 0 Virtua Retail 401 N Rte 73 50 Lake Ctr Dr Ste 400 Marlton NJ 08053 260247120 Health and Wellness NJ N/A C 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 1 Virtua Health and Rehabilitation Center at Mount Holly Inc P 18371294 fair market value Virtua Health and Rehabilitation Center at Mount Holly Inc Q 13268600 fair market value Virtua Health and Rehabilitation Center at Mount Holly Inc I 5102692 fair market value Virtua Health Foundation Inc C 810624 fair market value Virtua Health Foundation Inc P 3180650 fair market value Virtua Health Foundation Inc Q 3490009 fair market value Virtua Surgical Group PA I 3352192 fair market value Virtua Surgical Group PA P 12425386 fair market value Virtua Surgical Group PA Q 9073195 fair market value Summit Health - Virtua Inc Q 10092410 fair market value Summit Health - Virtua Inc P 10105534 fair market value Virtua Home Care - Community Nursing Services Inc Q 2054420 fair market value Virtua Home Care - Community Nursing Services Inc P 2330428 fair market value Virtua Home Care - Community Nursing Services Inc I 273563 fair market value Virtua Medical Group PA I 20043971 fair market value Virtua Medical Group PA P 109603134 fair market value Virtua Medical Group PA Q 89559163 fair market value Virtua Health and Rehabilitation Center at Berlin Inc P 16267367 fair market value Virtua Health and Rehabilitation Center at Berlin Inc Q 15164564 fair market value Virtua Health and Rehabilitation Center at Berlin Inc I 1185803 fair market value Virtua - Memorial Hospital Burlington County Inc S 328059276 fair market value Virtua - Memorial Hospital Burlington County Inc P 236396732 fair market value Virtua - Memorial Hospital Burlington County Inc Q 37493459 fair market value Virtua Health Inc P 334481565 fair market value Virtua Health Inc Q 237465080 fair market value Virtua Radiation Oncology Associates LLC P 7590646 fair market value Virtua Radiation Oncology Associates LLC Q 5808717 fair market value