TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) DAVID KINDLICK...................................................................... CHAIRMAN	1.00 ................. 6.00	X	X		0	0
(2) EDWARD B CLOUES...................................................................... VICE CHAIRMAN	1.00 ................. 6.00	X	X		0	0
(3) JEFFREY MORRIS MD...................................................................... SECRETARY	1.00 ................. 6.00	X	X		1,494	0
(4) PRATAP KHEDKAR...................................................................... TREASURER	1.00 ................. 6.00	X	X		0	0
(5) DENNIS FLANAGAN...................................................................... TRUSTEE	1.00 ................. 6.00	X			0	0
(6) THOMAS KAY MD...................................................................... TRUSTEE	1.00 ................. 6.00	X			0	0
(7) JOHN SWEENEY...................................................................... TRUSTEE	1.00 ................. 6.00	X			0	0
(8) MARVIN SAMSON...................................................................... TRUSTEE	1.00 ................. 6.00	X			0	0
(9) FAYE MELOY...................................................................... TRUSTEE	1.00 ................. 6.00	X			0	0
(10) GRAYLING JOHNSON...................................................................... TRUSTEE	1.00 ................. 6.00	X			0	0
(11) PAULA FAIRLEY...................................................................... TRUSTEE	1.00 ................. 6.00	X			0	0
(12) SANIAH JOHNSON...................................................................... TRUSTEE	1.00 ................. 6.00	X			0	0
(13) CHARLES VILA...................................................................... TRUSTEE	1.00 ................. 6.00	X			0	0
(14) DENNIS PULLIN...................................................................... PRESIDENT/CEO	1.00 ................. 46.00	X	X		1,219,788	53,787
(15) ROBERT M SEGIN...................................................................... EVP/CFO	1.00 ................. 47.00		X		753,583	53,902
(16) ALFRED CAMPANELLA...................................................................... EVP/COO	1.00 ................. 44.00			X	741,727	48,506
(17) JOHN M MATSINGER...................................................................... EVP/CCO	1.00 ................. 47.00			X	698,669	53,450

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(F) Estimated amount of other compensation from the organization and related organizations
(18) FRANCES BLACKWELL........................................................................ SVP - INTEGRATED OPERATION	28.00 .......................12.00	X			0	305,061	40,800
(19) DEBRA MORAN........................................................................ VP COMMUNITY BASED SERVICE	40.00 .......................0.00	X			0	261,093	41,415
(20) PAUL E MINNICK........................................................................ SVP/COO OF VOORHEES HOSPITAL	40.00 .......................0.00	X			362,176	0	25,685
(21) LISA C FERRARO........................................................................ SVP/COO MARLTON HOSPITAL	40.00 .......................0.00	X			275,242	0	37,108
(22) HEIDI BAUR........................................................................ VP-PATIENT CARE	40.00 .......................0.00	X			264,559	0	23,563
(23) ALLEN SALM........................................................................ MEDICAL DIRECTOR OF OPERAT	40.00 .......................1.00		X		500,676	0	37,900
(24) ERIK N DELUE........................................................................ MEDICAL DIRECTOR VOORHEES	40.00 .......................1.00		X		337,344	0	13,268
(25) EUGENIE L BRUCE........................................................................ REGISTERED NURSE (RN)-JNESO	40.00 .......................0.00		X		247,448	0	17,909
(26) JOSEPH V ABAT........................................................................ REGISTERED NURSE (RN)-JNESO	40.00 .......................0.00		X		225,225	0	3,614
(27) ANTONIA SCHMIDT........................................................................ SURGERY CENTER ADMINISTRATOR	40.00 .......................0.00		X		208,301	0	9,846
(28) RICHARD P MILLER END 122917........................................................................ FORMER PRESIDENT/CEO	0.00 .......................0.00			X	0	4,975,788	4,995
(29) MICHAEL KOTZEN END DATE 81317........................................................................ FORMER EVP POP HEALTH MGMT	0.00 .......................0.00			X	0	555,069	0

(A) Name and business address	(B) Description of services	(C) Compensation
TURNER CONSTRUCTION CO 1500 SPRING GARDEN ST STE 220 PHILADELPHIA,PA19103	CONTRACTOR	17,229,437
P AGNE INC 2010 PENROSE AVE PHILADELPHIA,PA19145	CONTRACTOR	12,533,582
MOORISON MGMT SPECIALIST INC PO BOX 102289 ATLANTA,GA30368	MANAGEMENT	11,688,000
ACENTUS PRACTICE MANAGEMENT LLC PO BOX 8484 CHERRY HILL,NJ08002	REVENUE CYCLE MANAGEMENT	9,726,969
VOORHEES PHYSICIANS LLC 29126 NETWORK PLACE CHICAGO,IL60673	PROPERTY MANAGEMENT	9,156,153
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 215

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

VIRTUA - WEST JERSEY HEALTH SYSTEM INC

Employer identification number

21-0634532

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

VIRTUA - WEST JERSEY HEALTH SYSTEM INC

Employer identification number

21-0634532

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization VIRTUA - WEST JERSEY HEALTH SYSTEM INC

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization VIRTUA - WEST JERSEY HEALTH SYSTEM INC		Employer identification number 21-0634532

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization VIRTUA - WEST JERSEY HEALTH SYSTEM INC			Employer identification number 21-0634532
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

VIRTUA - WEST JERSEY HEALTH SYSTEM INC

Employer identification number

21-0634532

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	73,069,958		73,069,958
b	Buildings ....	504,373,947	235,081,749	269,292,198
c	Leasehold improvements	28,535,222	13,785,307	14,749,915
d	Equipment ....	766,948,619	496,136,026	270,812,593
e	Other .....	37,055,516		37,055,516
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				664,980,180

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) PRIVATE PLACEMENT FUND	1,089,078,194	F
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	1,089,078,194

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) DUE FROM AFFILIATES				15,919,307
(2) OTHER ACCOUNTS RECEIVABLE				7,238,037
(3) GOODWILL, NET				7,409,474
(4) INVESTMENT IN SUBSIDIARY				101,072,852
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				131,639,670

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
EST STTLMTS DUE TO 3RD PTY PYR	2,346,498
DUE TO AFFILIATES, NON CURRENT	134,774,348
OTHER LIABILITIES	6,199,155
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	143,320,001
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART IV, LINE 2B:	TENANT ESCROW ACCOUNT FOR SECURITY DEPOSIT

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

VIRTUA - WEST JERSEY HEALTH SYSTEM INC

Employer identification number

21-0634532

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 50000.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	10,491,718	586,676	9,905,042	1.470 %
b	Medicaid (from Worksheet 3, column a) . . . . .	105,252,432	63,350,630	41,901,802	6.200 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0		0 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	115,744,150	63,937,306	51,806,844	7.670 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,643,751	145,839	1,497,912	0.220 %
f	Health professions education (from Worksheet 5) . . .	10,914,655	2,067,831	8,846,824	1.310 %
g	Subsidized health services (from Worksheet 6) . . . .	22,213,905	15,359,311	6,854,594	1.010 %
h	Research (from Worksheet 7) .	375,324	39,824	335,500	0.050 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	515,950	1,628	514,322	0.080 %
j	Total. Other Benefits . .	35,663,585	17,614,433	18,049,152	2.670 %
k	Total. Add lines 7d and 7j .	151,407,735	81,551,739	69,855,996	10.340 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	34,643	109	34,534	0.010 %
2	Economic development	0	0		0 %
3	Community support	797,548	346,773	450,775	0.070 %
4	Environmental improvements	0	0		0 %
5	Leadership development and training for community members	0	0		0 %
6	Coalition building	0	0		0 %
7	Community health improvement advocacy	0	0		0 %
8	Workforce development	0	0		0 %
9	Other	0	0		0 %
10	Total	832,191	346,882	485,309	0.080 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

27,940,156

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

143,301,305

Enter Medicare allowable costs of care relating to payments on line 5.....

206,421,427

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-63,120,122

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)					Facility reporting group
1	VIRTUA - VOORHEES 100 BOWMAN DRIVE VOORHEES,NJ08043 WWW.VIRTUA.ORG 10405	X	X	X	A
2	VIRTUA - MARLTON 90 BRICK ROAD MARLTON,NJ08053 WWW.VIRTUA.ORG 10302	X	X	X	A

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.VIRTUA.ORG/ABOUT/COMMUNITY

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.VIRTUA.ORG/ABOUT/COMMUNITY

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 500.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.VIRTUA.ORG/PATIENT-TOOLS/FINANCIAL-ASSISTANCE-POLICY.ASPX

The FAP application form was widely available on a website (list url):

WWW.VIRTUA.ORG/PATIENT-TOOLS/FINANCIAL-ASSISTANCE-POLICY.ASPX

A plain language summary of the FAP was widely available on a website (list url):
WWW.VIRTUA.ORG/PATIENT-TOOLS/FINANCIAL-ASSISTANCE-POLICY.ASPX

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	FACILITY REPORTING GROUP A
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
PART V, SECTION B, LINE 5 CHNA COMMUNITY ENGAGEMENT	COMMUNITY ENGAGEMENT WAS AN INTEGRAL COMPONENT OF THE 2016 (SOUTH JERSEY HEALTH PARTNERSHIP) SJHP CHNA. PARTNER FORUMS WITH KEY COMMUNITY LEADERS AND FOCUS GROUPS WITH HEALTH CONSUMERS SOLICITED WIDE PARTICIPATION FROM PUBLIC HEALTH EXPERTS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS. ADDITIONALLY, REPRESENTATIVES FROM EACH OF THE FOUR STUDY COUNTIES SERVED ON THE CHNA COMMITTEE TO PROVIDE INSIGHT IN DATA COLLECTION AND PLANNING. THE 2016 CHNA WAS CONDUCTED FROM FEBRUARY TO OCTOBER 2016, AND USED BOTH PRIMARY AND SECONDARY RESEARCH TO ILLUSTRATE AND COMPARE HEALTH TRENDS AND DISPARITIES ACROSS THE REGION. PRIMARY RESEARCH SOLICITED INPUT FROM KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. SECONDARY RESEARCH IDENTIFIED DEMOGRAPHIC AND HEALTH TRENDS ACROSS GEOGRAPHIC AREAS AND POPULATIONS. THE 2016 CHNA BUILDS UPON THE HOSPITALS' 2013 CHNAS AND SUBSEQUENT COMMUNITY HEALTH IMPROVEMENT PLANS AND WAS CONDUCTED IN A TIMELINE TO COMPLY WITH REQUIREMENTS SET FORTH IN THE AFFORDABLE CARE ACT, AS WELL AS TO FURTHER THE HOSPITALS' COMMITMENT TO COMMUNITY HEALTH AND POPULATION HEALTH MANAGEMENT. THE FINDINGS WILL BE USED TO GUIDE COMMUNITY BENEFIT INITIATIVES AND ENGAGE PARTNERS TO ADDRESS IDENTIFIED HEALTH NEEDS.SPECIFIC RESEARCH METHODS: - A REVIEW OF SECONDARY HEALTH AND SOCIOECONOMIC INDICATORS FOR THE SERVICE AREA- AN ANALYSIS AND COMPARISON OF HOSPITAL UTILIZATION DATA- PARTNER FORUMS WITH COMMUNITY REPRESENTATIVES AND LEADERS TO IDENTIFY COMMUNITY HEALTH PRIORITIES AND FACILITATE POPULATION HEALTH STRATEGY COLLABORATION- FOCUS GROUPS WITH HEALTH CONSUMERS
PART V, SECTION B, LINE 6A CHNA COOPERATING HOSPITALS	LIST OF OTHER HOSPITAL FACILITIES: - COOPER UNIVERSITY HOSPITAL- DEBORAH HEART AND LUNG CENTER- KENNEDY UNIVERSITY HOSPITALS-CHERRY HILL, STRATFORD, WASHINGTON TOWNSHIP- LOURDES MEDICAL CENTER OF BURLINGTON COUNTY; OUR LADY OF LOURDES MEDICAL CENTER- VIRTUA MEMORIAL HOSPITAL AT BURLINGTON COUNTY, INC.
PART V, SECTION B, LINE 6B CHNA NON-HOSPITAL COOPERATING ORGANIZATIONS	LIST OF OTHER NON-HOSPITAL ORGANIZATIONS: BURLINGTON COUNTY HEALTH DEPARTMENT, CAMDEN COUNTY HEALTH DEPARTMENT, GLOUCESTER COUNTY HEALTH DEPARTMENT, AND OCEAN COUNTY HEALTH DEPARTMENT.
PART V, SECTION B, LINE 11 CHNA ASSESSMENT	THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY THE SOUTH JERSEY HEALTH PARTNERSHIP (SJHP), WITHIN FOUR SOUTHERN NEW JERSEY COUNTIES: BURLINGTON, CAMDEN, GLOUCESTER, AND OCEAN. THROUGH A COORDINATED APPROACH, THE PARTNERSHIP WORKED WITH COUNTY HEALTH DEPARTMENTS AND LOCAL COMMUNITY PARTNERS TO GATHER FEEDBACK AND CONDUCT REGIONAL RESEARCH AND PLANNING EFFORTS TO ENSURE COMMUNITY HEALTH IMPROVEMENT INITIATIVES WERE ALIGNED. AS A RESULT OF THIS ASSESSMENT, THREE PRIORITY AREAS WERE IDENTIFIED:- LINKAGES TO CARE- BEHAVIORAL HEALTH AND CHRONIC DISEASE CO-MORBIDITIES- SUBSTANCE ABUSEVIRTUA, AS A COMPREHENSIVE HEALTHCARE SYSTEM WITH A MISSION TO HELP THE RESIDENTS OF SOUTH JERSEY TO BE WELL, GET WELL, AND STAY WELL, EMBRACES THE OPPORTUNITY TO UTILIZE ITS RESOURCES TO ASSIST ITS SJHP PARTNERS IN ADDRESSING THESE PRIORITY AREAS. THE CHNA TEAM COLLABORATED WITH COLLEAGUES ACROSS THE VIRTUA SYSTEM TO IDENTIFY RESOURCES THAT COULD BE LEVERAGED TO PROVIDE SOLUTIONS TO THE PROBLEMS AND GAPS IDENTIFIED BY SOUTH JERSEY RESIDENTS. THIS COLLABORATION REVEALED BOTH THE VAST AMOUNT OF WORK ALREADY UNDERWAY WITHIN VIRTUA AND THE OPPORTUNITY TO COORDINATE THIS WORK TO BEST ADDRESS THE NEEDS IDENTIFIED IN THE 2016 CHNA. FOLLOWING A SERIES OF MEETINGS INVOLVING A MULTI-DISCIPLINARY GROUP OF VIRTUA LEADERS, THE FOLLOWING GOALS, OBJECTIVES, STRATEGIES, AND METRICS WERE DEVELOPED.1. LINKAGES TO CAREGOAL: IMPROVE ACCESS TO RESOURCES THAT WILL IMPROVE AND/OR MAINTAIN HEALTH.OBJECTIVES:- PROVIDE ACCESS TO THE ELEMENTS OF A HEALTHY DIET- PROVIDE TRANSPORTATION TO HEALTHCARE APPOINTMENTS- OPTIMIZE PATIENTS' HEALTH INSURANCE COVERAGE THROUGH FACILITATING ENROLLMENT INTO INSURANCE PRODUCTS AND PROVIDING EDUCATION ON INSURANCE UTILIZATIONSTRATEGIES:- IMPROVE ACCESS TO WELLNESS RESOURCES- SUPPORT A SUMMER-SEASON WEEKLY FARMERS' MARKET IN CAMDEN TO PROVIDE FRESH PRODUCE TO FAMILIES FACING FOOD INSECURITY AND LIMITED ACCESS TO HEALTHY FOOD CHOICES - PROVIDE FREE MEDICAL TRANSPORTATION SERVICES TO SELECT LOCATIONS FOR INDIVIDUALS MEETING SPECIFIED CRITERIA, AND EXPLORE THE POTENTIAL FOR EXPANDING TRANSPORTATION OPTIONS THROUGH COLLABORATION WITH COMMUNITY PARTNERS AND CURRENT TRANSPORTATION PROVIDERSPROVIDE TRANSPORTATION SERVICES FOR PATIENTS EXPERIENCING TRANSPORTATION BARRIERS.- PROVIDE PERSONAL HEALTH NAVIGATORS TO ASSIST RESIDENTS WITH FINANCIAL COUNSELING AND ACCESSING THE HEALTH INSURANCE MARKETPLACE- WORK WITH ADREMIA TO PROVIDE INSURANCE COUNSELING TO PATIENTS WITH A FOCUS ON PATIENTS WHO HAVE COME TO VIRTUA FOR ONCOLOGY SERVICES. COUNSELORS WILL ADDRESS PATIENT-SPECIFIC CHALLENGES TO INCLUDE ACCESSING OR UNDERSTANDING INSURANCE COVERAGE.2. BEHAVIORAL HEALTH AND CHRONIC DISEASE CO-MORBIDITIESGOAL: INCREASE IDENTIFICATION AND TREATMENT OF BEHAVIORAL HEALTH AMONG INDIVIDUALS WITH CHRONIC DISEASE.OBJECTIVES:- INCREASE SCREENING FOR BEHAVIORAL HEALTH CO-MORBIDITIES AMONG PATIENTS WITH CHRONIC CONDITIONS.- INCREASE THE PROPORTION OF ADULTS WITH MENTAL HEALTH DISORDERS WHO ARE PROPERLY DIAGNOSED AND RECEIVE TREATMENT.- IMPROVE DISEASE MANAGEMENT FOR BEHAVIORAL HEALTH AND CHRONIC CONDITIONS.STRATEGIES:- ENHANCE PARTNERSHIPS WITH COMMUNITY AGENCIES TO SUPPORT BEHAVIORAL HEALTH TREATMENT SERVICES AMONG RESIDENTS- SUPPORT AN OPERATIONAL PILOT PROJECT WITH BEHAVIORAL HEALTH PROVIDERS TO OPERATIONALIZE REFERRAL PROCESSES FROM VIRTUA'S INPATIENT BEHAVIORAL HEALTH UNIT TO OUTPATIENT SERVICES. THIS PROJECT WILL EXPAND TO INCLUDE VIRTUA'S EMERGENCY DEPARTMENTS.- IMPLEMENT THE USE OF EARLY IDENTIFICATION BEHAVIORAL HEALTH- SUBSTANCE ABUSE DISORDER SCREENING TOOLS AMONG CHRONIC DISEASE PATIENTS IN THE HOSPITAL AND THE COMMUNITYTHE "GOLDEN TICKET" MODEL EMPLOYS MULTIDISCIPLINARY CLINICAL COLLABORATION TO CREATE PATIENT CENTERED, INDIVIDUALIZED PLANS OF CARE FOR COMPLEX PATIENTS (BEHAVIORAL HEALTH, SUBSTANCE ABUSE WITH CHRONIC DISEASE COMORBIDITIES) THAT ENGAGE THE PATIENT AND THE CARE TEAM IN MUTUAL GOAL DIRECTED BEHAVIOR.- DISCHARGE PLANNING IN ER TO PROMOTE AND NAVIGATE BEHAVIORAL HEALTH SERVICES.- "TLC FOR MOMS" PROGRAM IS A BEST PRACTICE MODEL FOR EARLY IDENTIFICATION OF PERINATAL DEPRESSION, PROVIDE STANDARDIZED EDUCATION AND RESOURCES VIA WARM LINE AND SUPPORT GROUPS FOR THE COMMUNITY AND FACILITATE PATIENT NAVIGATION FOR OUT-PATIENT BASED PSYCHIATRIC SERVICES. - CONTINUE TO BE A PARTNER IN THE SOUTH JERSEY BEHAVIORAL HEALTH INNOVATION COLLABORATIVE TO EVALUATE AND RECOMMEND IMPROVEMENTS TO THE BEHAVIORAL HEALTH SYSTEM- CONTINUE EXISTING COLLABORATION WITH COLLABORATIVE AND PROVIDE LEADERSHIP BY EMPLOYING THE "GOLDEN TICKET- AN INTEGRATED CARE MODEL" IN THE COMMUNITIES SERVED BY THE MEMBERS OF THE SJBHIC(SOUTH JERSEY BEHAVIORAL HEALTH INNOVATION COLLABORATIVE).3. SUBSTANCE ABUSEGOAL: DEVELOP PARTNERSHIPS TO ENHANCE EDUCATION AND EVALUATION FOR SUBSTANCE ABUSE.OBJECTIVES:- INCREASE COMMUNITY AWARENESS OF SIGNS AND SYMPTOMS RELATED TO SUBSTANCE ABUSE.- INCREASE UNDERSTANDING OF ROOT CAUSES OF SUBSTANCE ABUSE NEEDS AND OPPORTUNITIES FOR COLLECTIVE IMPACT AMONG PARTNER ORGANIZATIONS.- INCREASE THE NUMBER OF INDIVIDUALS WHO RECEIVE TREATMENT FOR SUBSTANCE ABUSE.STRATEGIES: - CONTINUE TO PROVIDE SMOKING CESSATION PROGRAM AND SUPPORT GROUPS - FACILITATE THE DEVELOPMENT OF A PSYCHIATRIC INPATIENT SMOKING CESSATION PROGRAM THAT PROVIDES INPATIENT COUNSELING AND REFERRAL TO OUTPATIENT RESOURCES UPON DISCHARGE. - IN ADDITION, CONTINUE TO PROVIDE SAFE VENUE AT VIRTUA FACILITIES AND PROMOTE EXISTING SUPPORT GROUPS INCLUDING ALCOHOLICS ANONYMOUS, NARCOTICS ANONYMOUS; AND TO DEVELOP ADDITIONAL BEHAVIORAL HEALTH AND SUBSTANCE ABUSE RELATED SERVICES IN PARTNERSHIP WITH COMMUNITY AGENCIES.OVER THE NEXT THREE YEARS, VIRTUA, IN PARTNERSHIP WITH OTHER HEALTHCARE ORGANIZATIONS, LOCAL PUBLIC HEALTH AGENCIES, AND COMMUNITY GROUPS WILL WORK TOWARD IMPLEMENTING THESE STRATEGIES TO ADDRESS THE CONCERNS IDENTIFIED BY OUR COMMUNITY. AS OUR CREDO DECLARES, "OUR COMMUNITY IS OUR FAMILY." WE EMBRACE THE CHALLENGE OF CONFRONTING THE NEEDS IDENTIFIED BY OUR COMMUNITY AND PROVIDING THE RESOURCES REQUIRED FOR AREA RESIDENTS TO BE WELL, GET WELL, STAY WELL.
PART V, SECTION B, FINANCIAL ASSISTANCE POLICY ADDITIONAL DISCLOSURE:	VIRTUA'S FINANCIAL ASSISTANCE POLICY ("FAP") IS DESIGNED TO ASSIST THOSE WHO DO NOT HAVE ADEQUATE FINANCIAL RESOURCES OR HEALTH INSURANCE TO PAY FOR THE CARE THAT THEY, OR SOMEONE FOR WHOM THEY ARE RESPONSIBLE, RECEIVED. THE POLICY AND RELATED ACTIONS HAVE BEEN STRUCTURED TO COMPLY WITH SECTION 501(R) OF THE IRS CODE. VIRTUA'S FAP PERTAINS TO THE PROVISION OF EMERGENCY AND OTHER MEDICALLY NECESSARY CARE. THE FAP LISTS AND EXPLAINS THE PROGRAMS AND REGULATIONS UNDER WHICH FINANCIAL ASSISTANCE IS AVAILABLE, AS FOLLOWS:A)GOVERNMENT PROGRAMS SUCH AS MEDICAID AND SOCIAL SECURITYB)THE STATE OF NEW JERSEY'S HOSPITAL CARE PAYMENT ASSISTANCE PROGRAMC)NEW JERSEY UNINSURED DISCOUNT (PUBLIC LAW 2008, CHAPTER 60)D)NJ FAMILYCAREE)NEW JERSEY CANCER EDUCATION AND EARLY DETECTION F)THE CATASTROPHIC ILLNESS IN CHILDREN RELIEF FUNDG)NEW JERSEY VICTIMS OF CRIME COMPENSATION OFFICEH)AMOUNTS GENERALLY BILLED (AGB) TO INDIVIDUALS WHO HAVE INSURANCEI)VIRTUA'S CHARITY ASSISTANCE PROGRAM ("CAP")VIRTUA HAS SET UP CONSPICUOUS DISPLAYS IN ITS PUBLIC HOSPITAL LOCATIONS TO NOTIFY AND INFORM OUR PATIENTS AND MEMBERS OF THE COMMUNITY OF THE FINANCIAL ASSISTANCE AVAILABLE. VIRTUA WILL PROVIDE PATIENTS WITH A COPY OF A PLAIN LANGUAGE SUMMARY ("PLS") OF ITS FAP. THE FAP, APPLICATIONS AND PLS ARE AVAILABLE ON VIRTUA'S WEBSITE OR IN PAPER COPY FORM IN LOCATIONS WITHIN VIRTUA'S HOSPITAL FACILITIES SUCH AS THE EMERGENCY DEPARTMENTS AND PATIENT REGISTRATION AREAS. THE FAP, APPLICATIONS AND PLS ARE ALL AVAILABLE IN ENGLISH AND IN THE PRIMARY LANGUAGE OF POPULATIONS WITH LIMITED PROFICIENCY IN ENGLISH ("LEP") THAT CONSTITUTE THE LESSER OF 1,000 INDIVIDUALS OR 5% OF THE COMMUNITY SERVED BY VIRTUA. VIRTUA'S AGB CALCULATIONS ARE AVAILABLE UPON REQUEST THROUGH VIRTUA'S CUSTOMER SERVICE BUREAU. AN INDIVIDUAL DETERMINED TO BE FAP-ELIGIBLE WILL NOT BE CHARGED MORE THAN AGB FOR EMERGENCY AND OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES PURSUANT TO IRC SECTION 501(R)(5). VIRTUA, AND ANY THIRD PARTIES ACTING ON ITS BEHALF, WILL WORK WITH RESPONSIBLE INDIVIDUAL PARTIES AND WILL SUSPEND EXTRAORDINARY COLLECTION ACTIONS TO OBTAIN PAYMENT FOR A REASONABLE AMOUNT OF TIME. VIRTUA COMPLIES WITH ALL FEDERAL AND STATE REGULATIONS AND CONTRACTUAL PROVISIONS WITH REGARDS TO ITS BILLING AND COLLECTION PRACTICES. FOR UNINSURED PATIENTS OR THOSE WITHOUT SECONDARY INSURANCE COVERAGE FOR A RESIDUAL BALANCE, VIRTUA WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS ("ECAS") AGAINST AN INDIVIDUAL UNTIL REASONABLE EFFORTS CAN BE MADE TO DETERMINE WHETHER THE INDIVIDUAL IS ELIGIBLE FOR ASSISTANCE UNDER VIRTUA'S FAP. THE ACCOUNTS OF PATIENTS FOR WHICH THERE IS NO IDENTIFIED THIRD PARTY HEALTH INSURANCE COVERAGE WILL FOLLOW THE DEFINED SELF-PAY COLLECTION CYCLE, WITH THE RESPONSIBLE PARTY BEING MADE AWARE OF THE AVAILABILITY OF DISCOUNTS OFFERED UNDER THE FAP. IF A COMPLETED FAP APPLICATION IS RECEIVED, VIRTUA (AND ANY THIRD PARTIES ACTING ON VIRTUA'S BEHALF) WILL SUSPEND ANY ECAS AGAINST THE INDIVIDUAL UNTIL A QUALIFICATION DETERMINATION IS MADE.FOR UNPAID ACCOUNTS THAT HAVE REACHED THE END OF THE COLLECTION CYCLE WITHOUT BEING IN THE PROCESS OF MAKING PAYMENT ARRANGEMENTS OR APPROVED FOR FINANCIAL ASSISTANCE, AN ESTIMATION OF THE RESPONSIBLE PARTY'S ANNUAL INCOME MAY BE OBTAINED FROM AN OUTSIDE CREDIT AGENCY TO DETERMINE IF THE INDIVIDUAL WOULD LIKELY BE FAP-ELIGIBLE. IF SO, A REDUCTION TO CHARGES WILL BE APPLIED PRIOR TO TRANSFERRING THE ACCOUNT BALANCE TO A THIRD PARTY FOR COLLECTION. VIRTUA WILL NOTIFY THE INDIVIDUAL REGARDING THE BASIS FOR THE PRESUMPTIVE FAP-ELIGIBILITY DETERMINATION. VIRTUA WILL ENSURE REASONABLE EFFORTS HAVE BEEN TAKEN TO DETERMINE WHETHER AN INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FAP PRIOR TO INITIATING ECAS. EMERGENT, URGENT, AND LABOR AND DELIVERY SERVICES COVERED UNDER EMTALA (EMERGENCY MEDICAL TREATMENT AND ACTIVE LABOR ACT) ARE NOT SUBJECT TO PRIOR PAYMENT. VIRTUA WILL NOT ENGAGE IN ANY ACTIONS THAT DISCOURAGE INDIVIDUALS FROM SEEKING EMERGENCY MEDICAL CARE. PATIENTS WHOM RECEIVE EMERGENCY OR OTHER MEDICALLY NECESSARY CARE AT VIRTUA ARE COMMONLY ALSO SEEN BY PRIVATE PHYSICIAN GROUPS OR OTHER THIRD PARTY HEALTHCARE PROVIDERS WHILE BEING CARED FOR BY VIRTUA. WITHIN ITS POLICY VIRTUA MAINTAINS A LIST OF PROVIDERS WITHIN OUR HOSPITAL FACILITIES THAT PROVIDE EMERGENCY OR OTHER MEDICALLY NECESSARY HEALTHCARE SERVICES. THE POLICY SPECIFIES WHICH PROVIDERS ARE COVERED UNDER THIS FAP AND WHICH ARE NOT.
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: VIRTUA - VOORHEES, - FACILITY 2: VIRTUA - MARLTON

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?2
Name and address		Type of Facility (describe)
1	1 - VIRTUA - CAMDEN 1000 ATLANTIC AVENUE CAMDEN,NJ08104	HOSPITAL-BASED OFFSITE AMBULATORY CARE FACILITY
2	2 - VIRTUA - BERLIN 100 TOWNSEND AVENUE BERLIN,NJ08009	HOSPITAL-BASED OFFSITE AMBULATORY CARE FACILITY
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	NOT APPLICABLE
PART I, LINE 6A. COMMUNITY BENEFIT REPORT	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 FINANCIAL ASSISTANCE AND OTHER COMMUNITY BENEFITS AT COST	A COST ACCOUNTING SYSTEM THAT ADDRESSED ALL PATIENT SEGMENTS WAS USED TO CALCULATE THE FINANCIAL ASSISTANCE, MEANS-TESTED GOVERNMENT PROGRAMS (ITEMS 7A 7D) AND SUBSIDIZED HEALTH SERVICES (ITEM 7G) COST. THE CALCULATION OF COST FOR ALL OTHER BENEFITS (ITEMS 7E, 7F, 7H, AND 7I) IS BASED ON ACTUAL COST.
PART II, COMMUNITY BUILDING ACTIVITIES:	DESCRIPTION OF COMMUNITY BUILDING ACTIVITIES:VIRTUA COMMITS EXTENSIVE RESOURCES TO THE COMMUNITIES IT SERVES THROUGH DIRECT FINANCIAL CONTRIBUTIONS AS WELL AS IN HEALTH/COMMUNITY-IMPROVEMENT PROGRAMMING AND PROFESSIONAL TIME AND EXPERTISE. VIRTUA FOCUSES ITS RESOURCES ON PROGRAMS THAT WILL HAVE THE MOST SIGNIFICANT IMPACT ON HEALTH IMPROVEMENT. SOCIAL DETERMINANTS OF HEALTH LIKE ACCESS TO GOOD MEDICAL CARE AND NUTRITIOUS FOOD ARE A CENTERPIECE OF VIRTUA'S COMMUNITY HEALTH IMPROVEMENT EFFORTS. IN ADDITION, A FOOD DRIVE WAS HELD FOR FEDERAL EMPLOYEES THAT WERE AFFECTED BY THE GOVERNMENT SHUTDOWN. VIRTUA ALSO SUBSIDIZES LUNCHES FOR VOLUNTEERS WHO PROVIDE GUIDANCE AND SUPPORT TO HOSPITAL PATIENTS AND THEIR FAMILIES THROUGH THE YEAR. VIRTUA'S MOBILE FARMERS MARKET, HOSPITAL-BASED FOOD PANTRY, AND MOBILE UNITS FOR PEDIATRICS AND MAMMOGRAPHY HAVE PROVIDED A CRITICAL SAFETY NET IN COMMUNITIES WITH THE GREATEST NEED. VIRTUA'S TURKEYPALOOZA PROVIDES COMPLETE HOLIDAY MEALS FOR MORE THAN 500 FAMILIES IN THE CAMDEN AREA AND THE VIBRANT CAMDEN COMMUNITY DAY ON THE GROUNDS OF VIRTUA CAMDEN PROVIDES A FAMILY DAY OF FUN AND HEALTH INFORMATION FOR RESIDENTS. VIRTUA PARTNERS OTHER TRUSTED COMMUNITY ORGANIZATIONS AND CHURCHES TO REACH AS MANY AREA RESIDENTS AS POSSIBLE. VIRTUA WORKS WITH THESE PARTNERS TO GET THE WORD OUT, GENERATE INTEREST, AND BRING VIRTUA SERVICES DIRECTLY TO THE PEOPLE WHO LIVE THERE. THE RIDE HEALTH TRANSPORTATION ASSISTANCE PROGRAM IS ANOTHER DIRECT WAY VIRTUA HELPS THEIR PATIENTS ON A DAILY BASIS.OUR FACILITIES IN CAMDEN COUNTY PROVIDE FREE MEETING SPACE FOR A WIDE RANGE OF COMMUNITY GROUPS, AND OUR EMERGENCY SERVICES EXPERTS SUPPORT AN EXTENSIVE NETWORK OF DISASTER PLANNING ORGANIZATIONS THROUGHOUT THE STATE OF NEW JERSEY TO ENSURE COMMUNITY READINESS IN THE EVENT OF A MAJOR EMERGENCY. VIRTUA'S EMERGENCY SERVICES STAFF ALSO PROVIDE FREE SUPPORT AND EDUCATION AT COMMUNITY EVENTS THROUGHOUT THE YEAR. AS THE REGION'S LEADING PROVIDER OF MATERNITY AND WOMEN'S HEALTH SERVICES, VIRTUA PROVIDES EXPANSIVE PROGRAMMING, INCLUDING BREAST-FEEDING SUPPORT, FREE SCREENINGS FOR POST-PARTUM DEPRESSION AND SUPPORT FOR FAMILIES FOLLOWING THE LOSS OF AN INFANT. VIRTUA PROVIDES A WIDE RANGE OF FREE SERVICES FOR THE ENTIRE COMMUNITY AND HEALTH PROFESSIONALS, FROM SUPPORT GROUPS FOR THOSE AFFECTED BY CANCER AND DIABETES, TO TEEN SELF-ESTEEM, TO HEALTH EDUCATION, SCREENING, AND FREE LABWORK TO THOSE WHO CANNOT AFFORD TO PAY. VIRTUA IS ALSO A SUPPORTER OF THE CHERRY HILL FREE CLINIC, WHICH PROVIDES CARE TO THE WORKING POOR - RESIDENTS WHO ARE UNINSURED BUT NOT ELIGIBLE FOR PUBLIC ASSISTANCE SUCH AS MEDICAID. MULTIPLE EVENTS ARE HELD TO INSPIRE YOUNG TEENS TO CONSIDER CAREERS IN HEALTH SCIENCES, AND A GIRL SCOUT TROOP SPONSORED BY VIRTUA CAMDEN ENCOURAGES YOUNG WOMEN TO EXPERIENCE LEADERSHIP AND PERSONAL DEVELOPMENT. FROM INTERNSHIP TO CAREER GUIDANCE, VIRTUA CAMDEN SUPPORTS YOUNG ADULTS IN THEIR QUEST FOR A BETTER FUTURE. TO EXPAND OFF OF CAREER GUIDANCE, VIRTUA PROVIDED EDUCATION AND TRAINING FOR 130 ALLIED HEALTH STUDENTS. VIRTUA MANAGERS DONATE THEIR TIME AND SKILL TO A WIDE RANGE OF COMMUNITY ORGANIZATIONS, SUCH AS THAT AFFORDED BY ITS PARTNERSHIP WITH THE PHILADELPHIA 76ERS. THROUGH ITS PROJECT 76 PROGRAMMING, VIRTUA MANAGERS GIVE HUNDREDS OF HOURS OF THEIR TIME EACH YEAR TO PROVIDE HEALTH EDUCATION AND SUPPORT TO SCHOOL-AGE CHILDREN IN CAMDEN.
PART III, LINE 2:	VIRTUA - WEST JERSEY HEALTH SYSTEM, INC. ADOPTED ASU 2014-09 (ASC TOPIC 606) AS OF JANUARY 1, 2018. UNDER THE PROVISIONS OF ASU 2014-09, THE ESTIMATED UNCOLLECTIBLE AMOUNTS OF ACCOUNTS RECEIVABLE ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENTS ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE, RATHER THAN AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND BAD DEBT EXPENSE. VIRTUA ESTIMATES IMPLICIT PRICE CONCESSIONS BY EVALUATING THE COLLECTABILITY OF PATIENT ACCOUNTS RECEIVABLE, ANALYZING HISTORICAL DATA AND IDENTIFYING TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE.
PART III, LINE 3:	NOT APPLICABLE
PART III, LINE 4:	THE FOOTNOTE REGARDING BAD DEBT EXPENSE, OR IMPLICIT PRICE CONCESSIONS AS DEFINED BY ASU 2014-09, CAN BE FOUND ON PAGE 15 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8 COMMUNITY BENEFIT SHORTFALL	VIRTUA BELIEVES THAT IT IS APPROPRIATE TO RECOGNIZE THE MEDICARE REVENUE SHORTFALL AS COMMUNITY BENEFIT. IT HAS BEEN WIDELY RECOGNIZED THAT MEDICARE PAYMENT RATES IN AGGREGATE HAVE BEEN SET AT A LEVEL THAT DOES NOT COVER THE TOTAL COST OF CARE. BY BEARING THE REIMBURSEMENT SHORTFALL RESULTING FROM THE BELOW COST MEDICARE PAYMENT LEVEL, VIRTUA AND OTHER HOSPITALS ARE ALLEVIATING THE GOVERNMENT'S BURDEN WHICH PROMOTES THE CHARITABLE PURPOSE OF THE ORGANIZATION. THE FILED MEDICARE COST REPORT IS THE BASIS FOR THE ALLOWABLE COST REPORTED ON LINE 6.
PART III, LINE 9B, COLLECTION POLICY	VIRTUA IS DEDICATED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE FOR OUR COMMUNITY, REGARDLESS OF ABILITY TO PAY. WE RECOGNIZE THAT THE COST OF HEALTHCARE CAN BE AN EXCESSIVE FINANCIAL BURDEN FOR OUR UNINSURED PATIENTS. FOR OUR UNINSURED PATIENTS WHO WERE INELIGIBLE FOR STATE OR FEDERAL ASSISTANCE (E.G., HEALTHCARE FOR THE UNINSURED, CHARITY CARE, MEDICAID), THERE IS AN OPPORTUNITY FOR FINANCIAL RELIEF UNDER THE VIRTUA CHARITY ASSISTANCE PROGRAM. IF YOU MEET THE FOLLOWING CRITERIA, YOU CAN BE ELIGIBLE FOR A SIGNIFICANT REDUCTION TO YOUR HOSPITAL BILL:YOU HAVE NO INSURANCE COVERAGE. YOU ARE NOT ELIGIBLE FOR MEDICAID. YOU ARE NOT ELIGIBLE FOR A 100% ADJUSTMENT UNDER THE STATE OF NEW JERSEY CHARITY CARE PROGRAM. YOU ARE NOT ELIGIBLE FOR REIMBURSEMENT FROM ANY THIRD PARTY (E.G., LAWSUIT, EMPLOYER, SCHOOL, CHURCH). THE GROSS ANNUAL INCOME FOR YOUR HOUSEHOLD IS LESS THAN $211,900.THE HEALTH SYSTEM REGULARLY MONITORS ALL APPLICABLE POLICIES FOR COMPLIANCE WITH 501R REGULATIONS, AND HAS MADE ANY NECESSARY CHANGES.
PART VI, LINE 2:	DESCRIPTION OF NEEDS ASSESSMENT: VIRTUA HAS BEEN AN ACTIVE PARTICIPANT IN INITIATIVES UNDERTAKEN BY THE THREE COUNTIES THAT COMPRISE ITS PRIMARY SERVICE AREA IN SOUTHERN NEW JERSEY: BURLINGTON COUNTY, CAMDEN COUNTY, AND GLOUCESTER COUNTY. INDIVIDUALLY THESE COUNTIES HAVE ASSESSED THE HEALTHCARE NEEDS OF THEIR RESIDENTS, WHICH HAVE RESULTED IN THE CREATION OF THREE DISTINCT REPORTS: THE BURLINGTON COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN, THE CAMDEN COUNTY MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) COALITION COMMUNITY HEALTH IMPROVEMENT PLAN, AND ACHIEVING A HEALTHIER GLOUCESTER COUNTY. BURLINGTON COUNTY HAS IDENTIFIED AS PRIORITIES EMERGENCY PREPAREDNESS, NUTRITION AND PHYSICAL ACTIVITY, PREVENTATIVE HEALTHCARE, ENVIRONMENTAL HEALTH, PEACE AND WELL BEING INCLUDING ALCOHOL AND DRUG ABUSE REDUCTION, AND PARENTING. CAMDEN COUNTY PRIORITIES INCLUDE OBESITY AND NUTRITION, CARDIOVASCULAR HEALTH, CANCER, ENVIRONMENTAL HEALTH AND MENTAL HEALTH. IN THE GLOUCESTER COUNTY ASSESSMENT, PRIORITY AREAS INCLUDE INCREASING AWARENESS OF EXISTING SERVICES (HEALTH EDUCATION), ENCOURAGING REGULAR SCREENINGS AND CHECK-UPS (ESPECIALLY FOR HEART, CANCER, DIABETES, SEXUALLY TRANSMITTED DISEASES), AND PROMOTING HEALTHY BEHAVIORS (ESPECIALLY DIET AND EXERCISE).VIRTUA ALSO IS INVOLVED WITH THE CAMDEN CITY HEALTHY FUTURES COMMITTEE, WHICH HAS CONDUCTED A HEALTH NEEDS ASSESSMENT OF THE CITY AND HAS PUT ACTION PLANS IN PLACE FOR EACH OF THE TOP HEALTH PRIORITIES IDENTIFIED. PRIORITIES HAVE BEEN SET RELATIVE TO OBESITY (HEART DISEASE, DIABETES, AND STROKE), ACCESS TO CARE, THE HIGH CANCER MORTALITY RATE, MENTAL HEALTH, VIOLENCE AND SAFETY, ENVIRONMENTAL HEALTH (LEAD POISONING AND ASTHMA) AND FAMILY HEALTH (SPECIFICALLY TEEN PREGNANCY AND ACCESS TO DENTAL CARE). VIRTUA ALSO WORKS WITH THE CAMDEN COUNTY CANCER COALITION, A GROUP THAT HAS COMPLETED A CANCER NEEDS ASSESSMENT FOR THE COUNTY. CAMDEN COUNTY'S MAJOR STRATEGY FOR ELIMINATING DISPARITIES IN CANCER CARE IS THE CANCER EDUCATION AND EARLY DETECTION (CEED) PROGRAMS. THERE ARE CEED PROGRAMS BASED AT VIRTUA AND THEY ARE THE FORCE BEHIND THE PLANS TO INCREASE MINORITY SCREENING RATES, INCREASE PROSTATE CANCER SCREENING RATES, AND REDUCE SMOKING.VIRTUA PARTICIPATES ON DISASTER AND FLU PLANNING GROUPS IN BOTH BURLINGTON COUNTY AND CAMDEN COUNTY, AS WELL AS THEIR PUBLIC HEALTH PLANNING COMMITTEES. PART OF THE MISSION IS TO IDENTIFY AND DETERMINE HOW TO ADDRESS COMMUNITY PUBLIC HEALTH NEEDS. VIRTUA HAS IMPLEMENTED A RISK ASSESSMENT AND SCREENING PROCESS FOR ADMITTED HOSPITALIZED IN-PATIENTS WITH A MULTI-DRUG RESISTANT ORGANISM, BASED ON PREVALENCE STUDIES WITHIN THE HOSPITALS AND COMMUNITY EVALUATION. THESE EFFORTS HAVE RESULTED IN PATIENT SCREENING AND ISOLATION PROTOCOLS. THROUGH PARTICIPATION IN VARIOUS COMMUNITY MEETINGS AND FORUMS, VIRTUA RECEIVES INPUT FROM ITS SERVICE AREA RELATIVE TO COMMUNITY HEALTH NEEDS. VIRTUA ALSO MONITORS COMMUNITY NEEDS SPECIFIC TO ITS SERVICE LINES AND IDENTIFIES AVAILABLE RESOURCES IT CAN CALL UPON TO ADDRESS THEM.THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY THE SOUTH JERSEY HEALTH PARTNERSHIP (SJHP), WITHIN FOUR SOUTHERN NEW JERSEY COUNTIES: BURLINGTON, CAMDEN, GLOUCESTER, AND OCEAN. THROUGH A COORDINATED APPROACH, THE PARTNERSHIP WORKED WITH COUNTY HEALTH DEPARTMENTS AND LOCAL COMMUNITY PARTNERS TO GATHER FEEDBACK AND CONDUCT REGIONAL RESEARCH AND PLANNING EFFORTS TO ENSURE COMMUNITY HEALTH IMPROVEMENT INITIATIVES WERE ALIGNED. THE 2016 CHNA WAS CONDUCTED FROM FEBRUARY TO OCTOBER 2016, AND USED BOTH PRIMARY AND SECONDARY RESEARCH TO ILLUSTRATE AND COMPARE HEALTH TRENDS AND DISPARITIES ACROSS THE REGION. PRIMARY RESEARCH SOLICITED INPUT FROM KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING EXPERTS IN PUBLIC HEALTH AND INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS. SECONDARY RESEARCH IDENTIFIED DEMOGRAPHIC AND HEALTH TRENDS ACROSS GEOGRAPHIC AREAS AND POPULATIONS. THE 2016 CHNA BUILDS UPON THE HOSPITALS' 2013 CHNAS AND SUBSEQUENT COMMUNITY HEALTH IMPROVEMENT PLANS AND WAS CONDUCTED IN A TIMELINE TO COMPLY WITH REQUIREMENTS SET FORTH IN THE AFFORDABLE CARE ACT, AS WELL AS TO FURTHER THE HOSPITALS' COMMITMENT TO COMMUNITY HEALTH AND POPULATION HEALTH MANAGEMENT. THE FINDINGS WILL BE USED TO GUIDE COMMUNITY BENEFIT INITIATIVES AND ENGAGE PARTNERS TO ADDRESS IDENTIFIED HEALTH NEEDS.SPECIFIC RESEARCH METHODS: A REVIEW OF SECONDARY HEALTH AND SOCIOECONOMIC INDICATORS FOR THE SERVICE AREA.AN ANALYSIS AND COMPARISON OF HOSPITAL UTILIZATION DATAPARTNER FORUMS WITH COMMUNITY REPRESENTATIVES AND LEADERS TO IDENTIFY COMMUNITY HEALTH PRIORITIES AND FACILITATE POPULATION HEALTH STRATEGY COLLABORATIONFOCUS GROUPS WITH HEALTH CONSUMERS
PART VI, LINE 3:	DESCRIPTION OF PATIENT EDUCUATION OF ELIGIBILITY FOR ASSISTANCE: THE AVAILABILITY OF FINANCIAL ASSISTANCE IS COMMUNICATED IN BOTH ENGLISH AND SPANISH IN A VARIETY OF WAYS. FINANCIAL ASSISTANCE INFORMATION IS PROVIDED BY REGISTRATION STAFF AND IS COVERED IN FINANCIAL COUNSELING APPOINTMENTS. BROCHURES ARE DISTRIBUTED AND ALSO MADE AVAILABLE IN THE PATIENT/FAMILY WAITING AREAS. BILINGUAL SIGNAGE IS POSTED THROUGHOUT THE HOSPITAL, INCLUDING IN THE EMERGENCY DEPARTMENTS AND OUTPATIENT REGISTRATION AREAS. THE ADMISSION BOOKLET AND HANDOUTS PROVIDED AT REGISTRATION/ADMISSION CONTAIN INFORMATION ABOUT FINANCIAL COUNSELING AND GUIDANCE SHOULD THE PATIENT HAVE DIFFICULTY IN PAYING THEIR HOSPITAL BILL. AVAILABILITY OF CHARITY CARE ASSISTANCE IS ALSO INDICATED ON ALL STATEMENTS AND LETTERS SENT TO PATIENTS. VIRTUA'S WEBSITE CONTAINS INFORMATION ON CHARITY CARE ASSISTANCE ALONG WITH THE APPLICATION. THE HEALTH SYSTEM REGULARLY MONITORS ALL APPLICABLE POLICIES FOR COMPLIANCE WITH 501R REGULATIONS, AND HAS MADE ANY NECESSARY CHANGES.ON A ONE-TO-ONE BASIS, FINANCIAL COUNSELING SERVICES ARE PROVIDED TO PATIENTS THAT ARE UNINSURED OR UNDERINSURED. SUPPORT IS PROVIDED TO HELP PATIENTS COMPLETE RELEVANT APPLICATIONS FOR ASSISTANCE UNDER THE STATE OF NEW JERSEY CHARITY CARE PROGRAM GUIDELINES, THE STATE OF NEW JERSEY MEDICAID PROGRAM, VIRTUA'S OWN CHARITY CARE PROGRAM, AND ANY OTHER ASSISTANCE FOR WHICH THEY MAY BE ELIGIBLE. COMPLETION OF APPLICATIONS IS CONDUCTED THROUGH BEDSIDE INTERVIEWS WITH ADMITTED PATIENTS, AND VIA LETTERS, PHONE CALLS, AND FIELD SERVICE VISITS TO PATIENT HOMES, WHEN APPROPRIATE. BILINGUAL STAFF ARE AVAILABLE ON-SITE AND INTERPRETATION SERVICES ARE AVAILABLE OVER THE PHONE.
PART VI, LINE 4:	THE 2016 SJHP CHNA INCLUDED THE FOLLOWING MEMBER HOSPITALS:- COOPER UNIVERSITY HOSPITAL- DEBORAH HEART AND LUNG CENTER- KENNEDY UNIVERSITY HOSPITALS-CHERRY HILL, STRATFORD, WASHINGTON TOWNSHIP- LOURDES MEDICAL CENTER OF BURLINGTON COUNTY; OUR LADY OF LOURDES MEDICAL CENTER-VIRTUA MARLTON, VIRTUA MEMORIAL, VIRTUA VOORHEESIN COOPERATION WITH BURLINGTON, CAMDEN, GLOUCESTER, AND OCEAN COUNTY HEALTH DEPARTMENTS THE SJHP SERVICE AREA INCLUDES THE SOUTHERN NEW JERSEY COUNTIES OF BURLINGTON, CAMDEN, GLOUCESTER, AND OCEAN AND A TOTAL POPULATION OF APPROXIMATELY 1.8 MILLION. OCEAN COUNTY COMPRISES THE LARGEST POPULATION, AND IS PROJECTED TO HAVE THE MOST POPULATION GROWTH OVER THE NEXT FIVE YEARS (2.2%). THE POPULATION OF THE OTHER SERVICE COUNTIES WILL INCREASE 1.5% OR LESS.THE SJHP SERVICE AREA REPRESENTS A DIVERSE POPULATION. BURLINGTON AND GLOUCESTER COUNTIES ARE PRIMARILY WHITE COMMUNITIES WITH SIMILAR OR BETTER SOCIOECONOMIC INDICATORS COMPARED TO THE STATE. CAMDEN COUNTY IS THE MOST RACIALLY AND ETHNICALLY DIVERSE OF THE FOUR COUNTIES, AND THE MOST IMPACTED BY POORER SOCIAL DETERMINANTS OF HEALTH. OCEAN COUNTY IS ALSO A PRIMARILY WHITE COMMUNITY WITH A PROMINENT BLUE COLLAR WORKFORCE.POPULATION SNAPSHOTSBURLINGTON COUNTY- PRIMARILY WHITE, AND SLIGHTLY OLDER- HIGHEST MEDIAN INCOME; LOWEST POVERTY RATES- LOWEST UNEMPLOYMENT RATE- HIGHEST EDUCATIONAL ATTAINMENTCAMDEN COUNTY- MOST RACIALLY/ETHNICALLY DIVERSE - LOWEST MEDIAN INCOME; HIGHEST POVERTY RATES- HIGHEST UNEMPLOYMENT RATE- LOWEST EDUCATIONAL ATTAINMENT- GREATEST SOCIOECONOMIC DISPARITY AMONG RACIAL/ETHNIC POPULATIONSGLOUCESTER COUNTY- PRIMARILY WHITE - SIMILAR ECONOMIC INDICATORS TO THE STATE- MORE LIKELY TO ATTAIN A HIGH SCHOOL DIPLOMA; LESS LIKELY TO ATTAIN HIGHER EDUCATIONOCEAN COUNTY- PRIMARILY WHITE AND OLDEST POPULATION IN NJ- SECOND LOWEST MEDIAN INCOME; LOWER UNEMPLOYMENT AND POVERTY RATES THAN THE STATE- LEAST LIKELY TO ATTAIN HIGHER EDUCATION; MORE LIKELY TO HAVE A HIGH SCHOOL DIPLOMAACROSS THE SJHP SERVICE AREA, DATA SHOWS THAT BLACK/AFRICAN AMERICAN AND HISPANIC/LATINO RESIDENTS ARE IMPACTED BY POORER SOCIAL DETERMINANTS OF HEALTH AND HEALTHY DISPARITY. MEDIAN INCOME, DEPICTED IN THE TABLE BELOW, IS ONE INDICATOR OF DISPARITY. BLACK/AFRICAN AMERICAN AND HISPANIC/ LATINO RESIDENTS ARE ALSO LESS LIKELY TO HAVE HEALTH INSURANCE AND/OR ATTAIN HIGHER EDUCATION.MEDIAN HOUSEHOLD INCOME BY RACE AND ETHNICITYBURLINGTON COUNTY:WHITE MEDIAN INCOME- $81,803BLACK/AFRICAN AMERICAN INCOME DIFFERENCE- -$12,805HISPANIC/LATINO INCOME DIFFERENCE- -$11,287CAMDEN COUNTY:WHITE MEDIAN INCOME- $69,837BLACK/AFRICAN AMERICAN INCOME DIFFERENCE- -$27,234HISPANIC/LATINO INCOME DIFFERENCE- -$31,292GLOUCESTER COUNTY:WHITE MEDIAN INCOME- $76,455BLACK/AFRICAN AMERICAN INCOME DIFFERENCE- -$-18,655HISPANIC/LATINO INCOME DIFFERENCE- -$18,494OCEAN COUNTY:WHITE MEDIAN INCOME- $62,100BLACK/AFRICAN AMERICAN INCOME DIFFERENCE- -$-10,221HISPANIC/LATINO INCOME DIFFERENCE- -$5,319
PART VI, LINE 5:	DESCRIPTION OF PROMOTING THE HEALTH OF THE COMMUNITY: VIRTUA'S ACCOUNTABLE CARE ORGANIZATION (ACO) OVERSEES SPECIFIC PATIENT POPULATIONS UNDER AGREEMENTS WITH MEDICARE AND MAJOR MANAGED CARE INSURERS IN ITS REGION. THE OBJECTIVE OF THE ACO IS TO MANAGE THE HEALTH OF THE PATIENT POPULATIONS INCLUDED IN THE PROGRAM, ADVANCING PROPER MANAGEMENT OF CHRONIC HEALTH CONDITIONS AND PROMOTING OVERALL HEALTH AND WELLNESS. DONE EFFECTIVELY, THESE WILL ALSO HAVE THE RELATED BENEFIT OF REDUCING THE COSTS OF HEALTHCARE. THE ACO'S SCOPE IS EXPECTED TO EXPAND MOVING FORWARD IN TERMS OF THE NUMBER OF COMMUNITY MEMBERS FOR WHICH VIRTUA IS RESPONSIBLE FOR THEIR HEALTH AND WELLNESS.VIRTUA OFFERS TRANSPORTATION SERVICES FOR PATIENTS WHO QUALIFY BASED ON MEDICAL NEEDS, TRANSPORTAION NEEDS AND/OR FINANCIAL CONSIDERATIONS UNDER A 'RIDE HEALTH' PROGRAM. DURING 2018, VIRTUA COMPLETED 1,110 RIDES UNDER THIS PROGRAM. AMONG OTHER PROGRAMS, VIRTUA ALSO PROVIDES BEDSIDE EDUCATION ON DIABETES MANAGEMENT FOR THESE LOW-INCOME PATIENTS ADMITTED TO OUR ACUTE CARE FACILITIES. VIRTUA'S CLINICIANS AND STAFF PROVIDE HEALTH EDUCATION TO THOUSANDS OF COMMUNITY MEMBERS AT HUNDREDS OF EVENTS. INCLUDED WITHIN THESE ARE DIABETES SCREENING AND EDUCATION, FREE DIAGNOSTIC TESTING, CANCER-SPECIFIC EDUCATION, PARAMEDIC SAFETY EDUCATION, FREE CAR SEAT SAFETY CHECKS, CLINICS FOR CHILDREN TO HELP DISPEL FEAR OF HOSPITALS, AND OTHER FREE CLASSES ATTENDED BY THOUSANDS OF COMMUNITY MEMBERS. VIRTUA CLINICIANS ALSO ATTEND AND PARTICIPATE IN MANY EVENTS SPONSORED BY THE LOCAL COMMUNITIES. VIRTUA IS ALSO AN ACTIVE SPONSOR IN MANY COMMUNITY WELLNESS EVENTS, SUCH AS FITNESS RUNS.THE MEMBERS OF VIRTUA'S BOARD OF TRUSTEES ARE ALMOST ENTIRELY FROM THE LOCAL COMMUNITIES, MANY OF WHICH HAVE SPENT MOST OR ALL OF THEIR LIVES RESIDING IN. THEY ARE INDIVIDUALS WITH VARYING PROFESSIONAL BACKGROUNDS, INCLUDING SOME PHYSICIANS. BECAUSE OF THEIR EXPERIENCES FROM LIVING IN THE HOSPITAL'S PRIMARY SERVICE AREA, THEY ARE TRUE ADVOCATES FOR THE COMMUNITY. VIRTUA HAS UTILIZED ITS FINANCIAL RESOURCES TO INVEST IN PROJECTS, TECHNOLOGIES, AND PROGRAMS THAT WILL CONTRIBUTE TO IMPROVED HEALTH STATUS FOR ITS COMMUNITY MEMBERS. WITHIN THE LAST FIVE YEARS VIRTUA INVESTED IN CONSTRUCTING A NEW STATE-OF-THE-ART DIGITAL HOSPITAL AND OUTPATIENT CENTERS THAT PROVIDE EASY ACCESS TO A WIDE VARIETY OF COMPREHENSIVE SERVICES. THE ORGANIZATION HAS AN OPEN MEDICAL STAFF THAT WILL PROVIDE PRIVILEGES TO QUALIFIED PHYSICIANS FROM WITHIN THE COMMUNITY.
PART VI, LINE 6:	DESCRIPTION OF PROMOTING THE HEALTH OF THE COMMUNITIES SERVED: VIRTUA- WEST JERSEY HEALTH SYSTEM IS A CONTROLLED ENTITY OF A COMMUNITY-OWNED HEALTH SYSTEM, VIRTUA HEALTH, INC. IN ITS ENTIRETY, VIRTUA HEALTH INC. CONSISTS OF THREE ACUTE CARE HOSPITALS, TWO NURSING HOMES, FOUR HEALTH AND WELLNESS CENTERS, SEVENTEEN AMBULATORY SURGERY JOINT VENTURES, A PHYSICIAN ORGANIZATION, VIRTUA RETAIL, TWO HOME HEALTH AGENCIES, A FOUNDATION, AN INSURANCE CAPTIVE, AN ACCOUNTABLE CARE ORGANIZATION, A CLINICALLY INTEGRATED NETWORK, AND TWO STRATEGIC PARTNERSHIPS WITH CHILDREN'S HOSPITAL OF PHILADELPHIA AND PENN HEALTH. COMMUNITY BENEFIT PROGRAMS ARE COORDINATED ACROSS THE ENTIRE HEALTH SYSTEM. THE INDIVIDUAL HOSPITALS WILL DEVELOP, IMPLEMENT, AND FUND PROGRAMS SPECIFIC TO THE NEEDS OF ITS LOCAL COMMUNITY. IN ADDITION, UNDER THE PARENT COMPANY'S CENTRALIZED PROGRAM OF EXCELLENCE STRUCTURE, INITIATIVES ARE UNDERTAKEN THAT HAVE IMPACT ACROSS ALL VIRTUA ENTITIES AND COMMUNITIES.

Schedule H (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

VIRTUA - WEST JERSEY HEALTH SYSTEM INC

Employer identification number

21-0634532

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1DENNIS PULLIN PRESIDENT/CEO	(i) (ii)	0 ------------- 1,082,568	0 ------------- 125,220	0 ------------- 12,000	0 ------------- 12,375	0 ------------- 41,412	0 ------------- 1,273,575	0 ------------- 0
2ROBERT M SEGIN EVP/CFO	(i) (ii)	0 ------------- 602,734	0 ------------- 120,349	0 ------------- 30,500	0 ------------- 12,375	0 ------------- 41,527	0 ------------- 807,485	0 ------------- 0
3ALFRED CAMPANELLA EVP/COO	(i) (ii)	0 ------------- 596,227	0 ------------- 115,000	0 ------------- 30,500	0 ------------- 12,375	0 ------------- 36,131	0 ------------- 790,233	0 ------------- 0
4JOHN M MATSINGER EVP/CCO	(i) (ii)	0 ------------- 552,162	0 ------------- 116,489	0 ------------- 30,018	0 ------------- 12,375	0 ------------- 41,075	0 ------------- 752,119	0 ------------- 0
5FRANCES BLACKWELL SVP - INTEGRATED OPERATION	(i) (ii)	0 ------------- 262,061	0 ------------- 34,000	0 ------------- 9,000	0 ------------- 10,107	0 ------------- 30,693	0 ------------- 345,861	0 ------------- 0
6DEBRA MORAN VP COMMUNITY BASED SERVICE	(i) (ii)	0 ------------- 227,093	0 ------------- 25,000	0 ------------- 9,000	0 ------------- 10,836	0 ------------- 30,579	0 ------------- 302,508	0 ------------- 0
7PAUL E MINNICK SVP/COO OF VOORHEES HOSPITAL	(i) (ii)	328,176 ------------- 0	25,000 ------------- 0	9,000 ------------- 0	10,870 ------------- 0	14,815 ------------- 0	387,861 ------------- 0	0 ------------- 0
8LISA C FERRARO SVP/COO MARLTON HOSPITAL	(i) (ii)	241,054 ------------- 0	25,188 ------------- 0	9,000 ------------- 0	11,348 ------------- 0	25,760 ------------- 0	312,350 ------------- 0	0 ------------- 0
9HEIDI BAUR VP-PATIENT CARE	(i) (ii)	230,559 ------------- 0	25,000 ------------- 0	9,000 ------------- 0	8,900 ------------- 0	14,663 ------------- 0	288,122 ------------- 0	0 ------------- 0
10ALLEN SALM MEDICAL DIRECTOR OF OPERAT	(i) (ii)	370,431 ------------- 0	102,745 ------------- 0	27,500 ------------- 0	11,959 ------------- 0	25,941 ------------- 0	538,576 ------------- 0	0 ------------- 0
11ERIK N DELUE MEDICAL DIRECTOR VOORHEES	(i) (ii)	303,344 ------------- 0	25,000 ------------- 0	9,000 ------------- 0	12,375 ------------- 0	893 ------------- 0	350,612 ------------- 0	0 ------------- 0
12EUGENIE L BRUCE REGISTERED NURSE (RN)-JNESO	(i) (ii)	247,098 ------------- 0	350 ------------- 0	0 ------------- 0	3,751 ------------- 0	14,158 ------------- 0	265,357 ------------- 0	0 ------------- 0
13JOSEPH V ABAT REGISTERED NURSE (RN)-JNESO	(i) (ii)	224,875 ------------- 0	350 ------------- 0	0 ------------- 0	3,378 ------------- 0	236 ------------- 0	228,839 ------------- 0	0 ------------- 0
14ANTONIA SCHMIDT SURGERY CENTER ADMINISTRATOR	(i) (ii)	194,776 ------------- 0	13,525 ------------- 0	0 ------------- 0	8,371 ------------- 0	1,475 ------------- 0	218,147 ------------- 0	0 ------------- 0
15RICHARD P MILLER END 122917 FORMER PRESIDENT/CEO	(i) (ii)	0 ------------- 47,294	0 ------------- 725,000	0 ------------- 4,203,494	0 ------------- 4,052	0 ------------- 943	0 ------------- 4,980,783	0 ------------- 0
16MICHAEL KOTZEN END DATE 81317 FORMER EVP POP HEALTH MGMT	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 555,069	0 ------------- 0	0 ------------- 0	0 ------------- 555,069	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 3	VIRTUA - WEST JERSEY HEALTH SYSTEMS, INC. ADOPTS THE POLICIES OF VIRTUA HEALTH, INC. REGARDING ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THE POLICY USES THE FOLLOWING: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE VIRTUA BOARD OR COMPENSATION COMMITTEE.
PART I, LINES 4A-B	LINE 4A: VIRTUA HEALTH (RELATED ORGANIZATION) PAID A SEVERANCE PAYMENT TO: MICHAEL KOTZEN $555,069 LINE 4B: VIRTUA PROVIDES A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN, A PLAN DESCRIBED IN SECTION 457(F), TO THE CEO, PRESIDENT, AND EXECUTIVE VICE PRESIDENT AND ANY OTHER CORPORATE OFFICER, WITH THE APPROVAL BY THE COMPENSATION COMMITTEE OF THE BOARD. VESTED CONTRIBUTION FROM VIRTUA HEALTH (RELATED ORGANIZATION): RICHARD P. MILLER $296,302 VESTED CONTRIBUTION RECEIVED FROM VIRTUA - WEST JERSEY HEALTH SYSTEM, INC.: 'NONE' THE VIRTUA SERP PLAN HAS BEEN IN EXISTENCE SINCE 2006. RICH MILLER BECAME IMMEDIATELY VESTED IN THE PLAN AT THAT TIME. IN RECOGNITION OF HIS PARTICIPATION DATE OF 1992, RICHARD MILLER BECAME IMMEDIATELY VESTED IN THE DATE AT ITS ORIGINATION DATE. SINCE 2006 HE RECEIVED POST TAX DISTRIBUTIONS INTO THE ACCOUNT IN THE AMOUNT OF $4,960,613.20. MR. MILLER'S ACCOUNT WAS COMPLETELY DISTRIBUTED TO HIM VIA VIRTUA PAYROLL IN 2018. THIS PAYOUT INCLUDED $4,252,914.60 IN NON-TAXABLE EARNINGS AND $3,905,971.10 IN TAXABLE EARNINGS.
PART I, LINE 7	SOME OF THE INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A RECEIVED DISCRETIONARY NON-FIXED BONUS PAYMENTS FROM THE FILING ORGANIZATION, AND SOME OF THE INDIVIDUALS RECEIVED DISCRETIONARY NON-FIXED BONUS PAYMENTS FROM A RELATED ORGANIZATION, VIRTUA HEALTH, INC. (PARENT).

Schedule J (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

VIRTUA - WEST JERSEY HEALTH SYSTEM INC

Employer identification number

21-0634532

Return Reference	Explanation
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 11B	THE FORM 990 IS REVIEWED BY IN-HOUSE COUNSEL, EXTERNAL TAX CONSULTANTS, AND THE BOARD OF TRUSTEES. A FINAL COPY OF FORM 990 IS PROVIDED TO THE VIRTUA BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	VIRTUA - WEST JERSEY HEALTH SYSTEMS, INC. ADOPTS THE POLICIES OF VIRTUA HEALTH, INC. REGARDING MONITORING AND ENFORCING A CONFLICT-OF-INTEREST POLICY. VIRTUA - WEST JERSEY HEALTH SYSTEMS, INC. REQUIRES EACH TRUSTEE, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS TO ANNUALLY SIGN A STATEMENT IN WHICH THEY AGREE TO COMPLY WITH THE CONFLICT-OF-INTEREST POLICY. THE BOARD OF TRUSTEES IS RESPONSIBLE FOR ENSURING THAT PERIODIC REVIEWS OF OPERATIONS ARE CONDUCTED SO THAT THE ORGANIZATION OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF HIS OR HER FINANCIAL INTEREST AND MUST BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE TRUSTEES AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING TRUSTEES OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS.
FORM 990, PART VI, SECTION B, LINE 15	VIRTUA - WEST JERSEY HEALTH SYSTEMS, INC. DOES COMPENSATE SOME OF ITS EXECUTIVES; BUT MAJORITY OF THE EXECUTIVES RECEIVE COMPENSATION FROM VIRTUA HEALTH, INC. (EIN 22-3524939), A RELATED ENTITY. SEE SCHEDULE J, PART III (REFERENCE TO SCHEDULE J, PART I, LINE 3) FOR A DESCRIPTION OF THE MANNER IN WHICH VIRTUA HEALTH, INC. UTILIZES TO DETERMINE THE COMPENSATION PAID TO THE EXECUTIVES.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY WERE NOT MADE AVAILABLE TO THE PUBLIC. FINANCIAL STATEMENTS ARE AVAILABLE THROUGH THE REPOSITORY WEBSITES EMMA (ELECTRONIC MUNICIPAL MARKET ACCESS SYSTEM) AND DAC (DIGITAL ASSURANCE CERTIFICATION), OR UPON REQUEST.
FORM 990, PART VII, SECTION A, COLUMN B FORM 990	EACH OFFICER IS COMPENSATED BY VIRTUA HEALTH, INC. (EIN 22-3524939), A RELATED ORGANIZATION, AND EACH KEY EMPLOYEE IS COMPENSATED BY BOTH VIRTUA HEALTH, INC. AND VIRTUA-WEST JERSEY HEALTH SYSTEM, INC. SOME OFFICERS AND KEY EMPLOYEES DEVOTE 40 HOURS A WEEK TO VIRTUA HEALTH, INC. THE AMOUNT OF TIME DEVOTED TO RELATED ORGANIZATIONS IS DEPENDENT UPON THEIR INVOLVEMENT IN THOSE ORGANIZATIONS. AS A RESULT, THE TOTAL AVERAGE HOURS PER WEEK FOR EACH OFFICER AND KEY EMPLOYEES MAY VARY.
FORM 990 PART X LINE 20	THE AMOUNT REPORTED ON LINE 20 IS THE ORGANIZATIONS' ALLOCATED AMOUNT OF TOTAL BOND ISSUANCE. THE TOTAL BOND ISSUANCE IS REPORTED BY VIRTUA HEALTH, INC. ON SCHEDULE K(TAX ID #22-3524939)
FORM 990, PART XI, LINE 9:	TRANSFER WITH AFFILIATES - NET -41,570,880.
PART I, LINE 4	BOARD MEMBERS THOMAS KAY AND JEFFREY MORRIS ARE VOTING MEMBERS AND ALSO EMPLOYEES WITH ORGANIZATIONS WHICH VIRTUA HEALTH, INC., HAS A BUSINESS RELATIONSHIP. THESE RELATIONSHIPS ARE PROPERLY DISCLOSED IN AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT. THE VIRTUA HEALTH, INC. BYLAWS OUTLINE THE PROCEDURES FOR ADDRESSING CONFLICTS OF INTEREST WITH RESPECT TO VOTING MEMBERS.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

VIRTUA - WEST JERSEY HEALTH SYSTEM INC

Employer identification number

21-0634532

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)VIRTUA HEALTH INC 50 LAKE CENTER 401 ROUTE 73 NORTH S MARLTON,NJ08053 22-3524939	SUPPORTING ORGANIZATION	NJ	501 (C) (3)	12A	N/A		No
(2)VIRTUA - MEMORIAL HOSPITAL BURLINGTON COUNTY INC 50 LAKE CENTER 401 ROUTE 73 NORTH S MARLTON,NJ08053 21-0634562	ACUTE CARE HOSPITAL	NJ	501 (C) (3)	3	VIRTUA HEALTH INC		No
(3)VIRTUA SURGICAL GROUP PA 50 LAKE CENTER 401 ROUTE 73 NORTH S MARLTON,NJ08053 22-2580215	SURGICAL PHYSICIAN PRACTICE	NJ	501 (C) (3)	10	N/A		No
(4)VIRTUA HEALTH AND REHABILITATION CENTER AT BERLIN INC 303 LIPPINCOTT DR 4/FLR MARLTON,NJ80853 22-3554707	REHABILITATION CENTER AND NURSING HOME	NJ	501 (C) (3)	10	VIRTUA HEALTH INC		No
(5)VIRTUA HEALTH AND REHABILITATION CENTER AT MOUNT HOLLY INC 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 22-2394675	REHABILITATION CENTER AND NURSING HOME	NJ	501 (C) (3)	10	VIRTUA HEALTH INC		No
(6)VIRTUA HOME CARE - COMMUNITY NURSING SERVICES INC 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 21-0679591	HOME CARE	NJ	501 (C) (3)	10	VIRTUA HEALTH INC		No
(7)SUMMIT HEALTH - VIRTUA INC 50 LAKE CENTER 401 ROUTE 73 NORTH S MARLTON,NJ08053 52-1814579	HEALTH AND WELLNESS SERVICES	NJ	501 (C) (3)	3	VIRTUA HEALTH INC		No
(8)WEST JERSEY RENEW INC 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 22-3580917	LOW INCOME HOUSING	NJ	501 (C) (3)	10	VIRTUA HEALTH INC		No
(9)MEMORIAL HOSPITAL OF BURLINGTON COUNTY FOUNDATION INC 50 LAKE CENTER 401 ROUTE 73 NORTH S MARLTON,NJ08053 22-2337170	FUND RAISING FOUNDATION	NJ	501 (C) (3)	7	VIRTUA HEALTH INC		No
(10)WEST JERSEY HEALTH & HOSPITAL FOUNDATION INC 50 LAKE CENTER 401 ROUTE 73 NORTH S MARLTON,NJ08053 23-7414388	FUND RAISING FOUNDATION	NJ	501 (C) (3)	7	VIRTUA HEALTH INC		No
(11)VIRTUA HEALTH FOUNDATION INC 50 LAKE CENTER 401 ROUTE 73 NORTH S MARLTON,NJ08053 04-3722352	FUND RAISING FOUNDATION	NJ	501 (C) (3)	7	VIRTUA HEALTH INC		No
(12)VIRTUA MEDICAL GROUP PA 50 LAKE CENTER 401 ROUTE 73 NORTH S MARLTON,NJ08053 27-1348772	PHYSICIAN SERVICES	NJ	501 (C) (3)	10	N/A		No
(13)WEST JERSEY HEALTH SYSTEM WORKERS COMP TRUST 50 LAKE CENTER 401 ROUTE 73 NORTH S MARLTON,NJ08053 22-3142739	WORKER COMP TRUST	NJ	501 (C) (3)	12A	VIRTUA HEALTH INC		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) SOUTH JERSEY MUSCULOSKELETAL INSTITUTE LLC 556 EGG HARBOR ROAD SEWELL,NJ08080 20-4481032	SURGICAL CENTER	NJ	N/A	RELATED	3,603,672	2,209,050		No		Yes		52.600 %
(2) SUMMIT SURGICAL CENTER LLC 200 BOWMAN DRIVE SUITE D160 VOORHEES,NJ08043 73-1730859	SURGICAL CENTER	NJ	N/A	RELATED	2,178,217	11,738,304		No		Yes		62.300 %
(3) AMBULATORY SURGERY CENTER AT VIRTUA WASHINGTON TOWNSHIP LLC 239 HURRFVILLE-CROSS KEYS RD STE 18 SEWELL,NJ08080 20-8643005	SURGICAL CENTER	NJ	N/A	RELATED	796,132	1,783,330		No		Yes		62.060 %
(4) SHORE AMBULATORY SURGERY CENTER LLC 405 BETHEL ROAD SOMERS POINT,NJ08244 22-3778333	SURGICAL CENTER	NJ	N/A	RELATED	2,072,356	1,493,035		No		Yes		51.260 %
(5) ROCKLAND SURGICAL PROJECT LLC RAMAPO VALLEY SURGICAL CENTER 500 NORTH FRANKLIN TURNPIKE RAMSEY,NJ07446 20-0580403	SURGICAL CENTER	NJ	N/A	RELATED	1,304,311	808,115		No		Yes		53.910 %
(6) FREEHOLD ENDOSCOPY ASSOCIATES LLC 222 SCHANCK ROAD SUITE 100 FREEHOLD,NJ07728 84-1634126	SURGICAL CENTER	NJ	N/A	RELATED	2,759,251	971,261		No		Yes		60.000 %
(7) CENTER FOR AMBULATORY AND MINIMALLY INVASIVE SURGERY LLC 234 INDUSTRIAL WAY BUILDING B EATONTOWN,NJ07724 27-0907140	SURGICAL CENTER	NJ	N/A	RELATED	3,067,050	12,917,587		No		Yes		55.110 %
(8) VIRTUA ADULT IMAGING SERVICES AT VOORHEES LLC 303 LIPPINCOTT DRIVE 4TH FLOOR MARLTON,NJ08053 46-4055781	IMAGING SERVICES	NJ	N/A	RELATED	2,138,590	2,903,262		No		Yes		50.000 %
(9) GASTRO-SURGI CENTER OF NJ LLC 1132 SPRUCE DRIVE MOUNTAINSIDE,NJ07092 22-3472632	SURGICAL CENTER	NJ	N/A	RELATED	2,829,641	1,198,236		No		Yes		51.000 %
(10) VOORHEES ENDOSCOPY HOLDING CO LLC 1A BURTON HILLS BLVD NASHVILLE,TN37215 47-4669710	MEDICAL	TN	VIRTUA - WEST JERSEY HEALTH SYSTEMS INC	RELATED	4,324,435	6,555,544		No		Yes		51.000 %
(11) VIRTUA PENN RADIATION ONCOLOGY PARTNERS LLC 200 BOWMAN DRIVE SUITE D190 VOORHEES,NJ08043 82-1947444	RADIOLOGY SERVICES	NJ	VIRTUA - WEST JERSEY HEALTH SYSTEMS INC	RELATED	1,664,137	16,368,129		No		Yes		51.000 %
(12) VIRTUA PENN RADIATION ONCOLOGY LEASING LLC 303 LIPPINCOTT DR MARLTON,NJ08053 83-1438811	LEASING SERVICES	NJ	VIRTUA - WEST JERSEY HEALTH SYSTEMS INC	RELATED	-496,400	6,730,002		No		Yes		50.000 %
(13) FRESENIUS MEDICAL CARE MARLTON LLC 920 WINTER STREET WALTHAM,MA02451 47-2128074	DIALYSIS	NJ	N/A	RELATED	-131,989	964,249		No		Yes		30.000 %
(14) VANTAGE SURGICAL CENTER LLC 180 ROUTE 70 MEDFORD,NJ08055 45-0516750	SURGICAL CENTER	NJ	N/A
(15) MEMORIAL AMBULATORY SURGERY CENTER LLC 160 MADISON AVENUE MT HOLLY,NJ08060 20-4941260	SURGICAL CENTER	NJ	N/A
(16) VIRTUA-SCA HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 47-3247166	MEDICAL	AL	N/A
(17) BURLINGTON CTY ENDO CTR LLC CO PHYSICIANS ENDOSCOPY LLC 2500 YORK ROAD SUITE 300 JAMISON,PA18929 20-8205206	HEALTH CARE	NJ	N/A
(18) VIRTUA-USP PRINCETON LLC 15305 DALLAS PKWY STE 1600 LB 28 ADDISON,TX75001 81-3270494	MEDICAL	NJ	N/A
(19) ACENTUS PRACTICE MANAGEMENT LLC 1040 N KINGS HIGHWAY STE 701 CHERRY HILL,NJ08034 81-4861192	COLLECTIONS SERVICE	NJ	N/A
(20) EMMAUS HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 83-1806511	MEDICAL	AL	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) VIRTUA ASSURANCE 76 SAINT PAUL ST SUITE 500 BURLINGTON,VT05401 20-3025606	CAPTIVE INSURANCE COMPANY	VT	N/A	C				No
(2) VRI INC 50 LAKE CENTER 401 ROUTE 73 NORTH S MARLTON,NJ08053 26-0247120	HEALTH AND WELLNESS	NJ	N/A	C				No

Schedule R (Form 990) 2018

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

Yes

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2018

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: OUR MISSION IS TO HELP THE COMMUNITY TO BE WELL, GET WELL AND STAY WELL
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	4,860
6	Total number of volunteers (estimate if necessary) .............	6	636
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,874,818
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	712,895

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	319,915	890,674
9	Program service revenue (Part VIII, line 2g) .........	762,311,073	722,009,860
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	116,969,422	22,335,023
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	39,478,870	38,392,536
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	919,079,280	783,628,093
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	257,713,507	262,677,993
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	453,731,205	441,271,999
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	711,444,712	703,949,992
19	Revenue less expenses. Subtract line 18 from line 12.......	207,634,568	79,678,101
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,148,561,927	2,057,079,866
21	Total liabilities (Part X, line 26).............	860,965,939	803,687,192
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,287,595,988	1,253,392,674

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 105,252,432 including grants of $ ) (Revenue $ 63,350,630 )
	VIRTUA PROVIDED CARE TO MANY COMMUNITY MEMBERS THAT ARE INSURED UNDER MEDICAL ASSISTANCE PROGRAMS, INCLUDING THE STATE ADMINISTERED MEDICAID PROGRAM. REIMBURSEMENT FOR THESE PROGRAMS IS LESS THAN THE COST OF THE SERVICES PROVIDED BY APPROXIMATELY $41.9 MILLION, AS ESTIMATED BY MANAGEMENT. SERVICES ARE PROVIDED ON BOTH AN INPATIENT AND OUTPATIENT BASIS, INCLUDING THROUGH EMERGENCY DEPARTMENTS AND CLINICS.

4b	(Code: ) (Expenses $ 10,491,718 including grants of $ ) (Revenue $ 586,676 )
	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 2018 TO BE APPROXIMATELY $9.9 MILLION.

4c	(Code: ) (Expenses $ 10,914,655 including grants of $ ) (Revenue $ 2,067,831 )
	IN SUPPORT OF ITS COMMITMENT TO ENSURING THE CONTINUING EDUCATION AND DEVELOPMENT OF MEDICAL PROFESSIONALS, VIRTUA- WEST JERSEY HAS ITS OWN RESIDENCY PROGRAMS AND PARTICIPATES IN PROGRAMS SPONSORED BY OTHER INSTITUTIONS. VIRTUA- WEST JERSEY SPECIFICALLY OFFERS RESIDENCY PROGRAMS TO DEVELOP PHYSICIANS IN FAMILY PRACTICE, DENTAL MEDICINE AND PODIATRIC MEDICINE. VIRTUA- WEST JERSEY PARTICIPATES IN RESIDENCIES THAT SUPPORT THE DEVELOPMENT OF PHYSICIANS PRACTICING OBSTETRICS AND GYNECOLOGY, EMERGENCY MEDICINE, AND SURGERY.

	(Code: ) (Expenses $ 471,353,597 including grants of $ ) (Revenue $ 692,522,441 )
	ADDITIONAL COMMUNITY BENEFITS, SUCH AS:COMMUNITY HEALTH IMPROVEMENT SERVICES: HELD EVENTS THROUGHOUT THE YEAR TO BRING AWARENESS TO MANY MEDICAL ISSUES TO THE COMMUNITY.EXPENSE OF $1,643,751REVENUE OF $145,839SUBSIDIZED HEALTH SERVICES: PROVIDED EMERGENCY MEDICAL TRANSPORT SERVICES AS WELL AS FAMILY HEALTH, DENTAL, AND PODIATRY SERVICES WHEN NEEDED.EXPENSE OF $22,213,905REVENUE OF $15,359,311RESEARCH: PREFORMED ONCOLOGY CLINICAL RESEARCH STUDIES.EXPENSE OF $375,324REVENUE OF $39,824FINANCIAL AND IN-KIND CONTRIBUTIONS: PROVIDED CONTRIBUTIONS TO NON-PROFIT COMMUNITIES AND HEALTHCARE ORGANIZATIONS THROUGHOUT CAMDEN AND GLOUCESTER COUNTIES. ALSO PROVIDED MEETING SPACES TO ORGANIZATIONS AND MEDICAL SUPPLIES TO FAMILIES IN NEED.EXPENSE OF $515,950REVENUE OF $1,628COMMUNITY BUILDING ACTIVITIES: HELD EVENTS THROUGHOUT THE YEAR TO FEED AND PROVIDE PRESENTS TO MANY FAMILIES IN NEED.EXPENSE OF $832,191REVENUE OF $346,882PROVIDING FUNCTIONAL PATIENT SERVICES FOR THE HOSPITALSEXPENSE OF $445,772,476REVENUE OF $676,628,957

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 471,353,597 including grants of $ ) (Revenue $ 692,522,441 )
4e	Total program service expenses598,012,402

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	2,420,971	9,512,272	465,748

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	779,099
e	Government grants (contributions)		1e	111,575

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		890,674

		Business Code
2a	NET PATIENT REV	624100	720,079,395	720,079,395
b	LAB SERVICES	621500	1,161,001	5,097	1,155,904
c	PEDIATRIC IMAGING CENT	624100	232,595	232,595
d	SCHOOL OF PARAMEDIC SC	611600	226,960	226,960
e	EMERGENCY CARDIO EDUCA	611600	128,705	128,705
f	All other program service revenue.		181,204	181,204
g	Total. Add lines 2a–2f ....		722,009,860

3 Investment income (including dividends, interest, and othersimilar amounts) ......			203,582			203,582
4 Income from investment of tax-exempt bond proceeds			593,574			593,574
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		4,824,745
b	Less: rental expenses		4,768,946
c	Rental income or (loss)		55,799
d	Net rental income or (loss)......			55,799		55,799
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	16,627	80,939,922
b	Less: cost or other basis and sales expenses	0	59,418,682
c	Gain or (loss)	16,627	21,521,240
d	Net gain or (loss).....			21,537,867			21,537,867
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a		87,126
b	Less: cost of goods sold ..b		84,942
c	Net income or (loss) from sales of inventory..			2,184	2,184
Business Code			Miscellaneous Revenue
11a	EQUITY INCOME		621990	28,118,322	27,810,553	307,769
b	MEDICAL FITNESS CENTER		624100	3,201,698	3,201,698
c	CAFETERIA		722210	3,053,580	3,053,580
d	All other revenue ....			3,960,953	3,605,607	355,346
e	Total. Add lines 11a–11d ......			38,334,553
12	Total revenue. See Instructions......			783,628,093	758,527,578	1,874,818	22,335,023

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to domestic individuals. See Part IV, line 22
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	988,333	790,666	197,667
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	208,911,517	165,614,117	43,297,400
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	8,881,608	7,105,286	1,776,322
9	Other employee benefits .......	28,519,587	22,610,234	5,909,353
10	Payroll taxes ...........	15,376,948	12,197,759	3,179,189
11	Fees for services (non-employees):
a	Management ......	8,802,300	8,802,300
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	4,223,730	3,378,984	844,746
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	47,374,174	45,786,756	1,587,418
12	Advertising and promotion ....	122,282	121,949	333
13	Office expenses .......	12,933,114	11,238,943	1,694,171
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	24,282,789	22,957,015	1,325,774
17	Travel ............	385,401	375,408	9,993
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	9,986	5,281	4,705
20	Interest ...........	20,555,947	20,555,947
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	71,283,914	57,027,131	14,256,783
23	Insurance ...	10,932	10,932
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	VIRTUA HEALTH ALLOCATIO	155,715,589	124,572,471	31,143,118
b	UBI TAX	35,000		35,000
c	MEDICAL SUPPLIES	79,418,194	79,418,194
d	PLANT MAINTENANCE	5,223,024	5,223,024
e	All other expenses	10,895,623	10,220,005	675,618
25	Total functional expenses. Add lines 1 through 24e	703,949,992	598,012,402	105,937,590	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			6,310,893	1	974,206
2	Savings and temporary cash investments .........			61,935,232	2	39,408,430
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			80,303,904	4	89,710,209
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6
7	Notes and loans receivable, net ....				7
8	Inventories for sale or use ........			3,595,550	8	3,320,944
9	Prepaid expenses and deferred charges ......			14,585,085	9	11,455,051
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,409,983,262
b	Less: accumulated depreciation	10b	745,003,082	674,444,102	10c	664,980,180
11	Investments—publicly traded securities .			26,286,027	11	26,512,982
12	Investments—other securities. See Part IV, line 11 .....			1,152,766,215	12	1,089,078,194
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			128,334,919	15	131,639,670
16	Total assets. Add lines 1 through 15 (must equal line 34)...			2,148,561,927	16	2,057,079,866

17	Accounts payable and accrued expenses .....	80,788,349	17	84,161,537
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	586,541,875	20	576,121,502
21	Escrow or custodial account liability. Complete Part IV of Schedule D	89,005	21	84,152
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	193,546,710	25	143,320,001
26	Total liabilities. Add lines 17 through 25..	860,965,939	26	803,687,192

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	1,284,810,774	27	1,251,259,398
28	Temporarily restricted net assets ...........	2,785,214	28	2,133,276
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	1,287,595,988	33	1,253,392,674
34	Total liabilities and net assets/fund balances ........	2,148,561,927	34	2,057,079,866