TY 2021 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/1099-NEC)
(1) DENNIS W PULLIN...................................................................... PRESIDENT/CEO	0.20 ................. 42.00	X	X	2,516,304	55,774
(2) SHAILEN SHAH MD...................................................................... TRUSTEE	0.20 ................. 41.80	X		586,180	55,724
(3) DAVID KINDLICK...................................................................... CHAIRMAN	0.20 ................. 2.80	X	X	0	0
(4) EDWARD B CLOUES...................................................................... VICE CHAIR	0.20 ................. 1.80	X	X	0	0
(5) PATRICIA CODEY...................................................................... TRUSTEE	0.20 ................. 1.80	X		0	0
(6) ELAINE DAMM...................................................................... TRUSTEE	0.20 ................. 1.80	X		0	0
(7) JAMES DWYER DO...................................................................... TRUSTEE	0.20 ................. 1.80	X		0	0
(8) DENNIS FLANAGAN...................................................................... TRUSTEE	0.20 ................. 1.80	X		0	0
(9) GRAYLING JOHNSON...................................................................... TRUSTEE	0.20 ................. 1.80	X		0	0
(10) SANIAH JOHNSON...................................................................... TRUSTEE	0.20 ................. 1.80	X		0	0
(11) PRATAP KHEDKAR...................................................................... TRUSTEE	0.20 ................. 1.80	X		0	0
(12) GEORGE LYNN...................................................................... TRUSTEE	0.20 ................. 1.80	X		0	0
(13) FAYE MELOY...................................................................... TRUSTEE	0.20 ................. 1.80	X		0	0
(14) JEFFREY MORRIS MD...................................................................... TRUSTEE	0.20 ................. 1.80	X		0	0
(15) JOHN PARKER...................................................................... TRUSTEE	0.20 ................. 1.80	X		0	0
(16) STACY ROBINSON...................................................................... TRUSTEE	0.20 ................. 1.80	X		0	0
(17) MARVIN SAMSON...................................................................... TRUSTEE	0.20 ................. 1.80	X		0	0

(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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) ROY SHUBERT MD........................................................................ TRUSTEE	0.20 .......................1.80	X				0	0	0
(19) JOHN SWEENEY........................................................................ TRUSTEE	0.20 .......................1.80	X				0	0	0
(20) CHARLES VILA........................................................................ TRUSTEE	0.20 .......................1.80	X				0	0	0
(21) ROBERT M SEGIN........................................................................ TREASURER - EVP/CFO	0.20 .......................42.25		X			0	1,065,054	47,864
(22) LAUREN ROWINSKI........................................................................ SECRETARY - SVP & GENERAL COUNSEL	0.20 .......................41.80		X			0	664,883	40,079
(23) JOHN M MATSINGER........................................................................ EVP/COO	15.00 .......................25.50			X		0	1,193,172	54,076
(24) PAUL E MINNICK........................................................................ SVP & COO - VOORHEES HOSP	40.00 .......................0.00			X		474,885	0	28,898
(25) LISA C FERRARO........................................................................ SVP - INTEGRATED OPERATION	19.00 .......................21.00			X		0	395,076	37,853
(26) HEIDI BAUR........................................................................ VP CMO - VP CNO - VOORHEES & MARL HOSP	40.00 .......................0.00			X		345,791	0	26,184
(27) ERIK N DELUE........................................................................ VP CMO - VOORHEES & MARL HOSP	40.00 .......................0.00				X	440,491	0	15,368
(28) JOSEPH V ABAT........................................................................ REGISTERED NURSE (RN)-JNES	40.00 .......................0.00				X	423,019	0	1,037
(29) RICHARD PALUZZI........................................................................ MEDICAL DIRECTOR	37.00 .......................3.00				X	334,893	34,398	12,218
(30) LING QI PAN........................................................................ REGISTERED NURSE (RN)-JNES	40.00 .......................0.00				X	374,335	0	12,945
(31) EUGENIE L BRUCE........................................................................ REGISTERED NURSE (RN)-JNES	40.00 .......................0.00				X	293,939	0	14,409

(A) Name and business address	(B) Description of services	(C) Compensation
CARDINAL HEALTH 110 LLC 5303 COLLECTION CENTER DR CHICAGO,IL60693	HEALTHCARE SERVICES	50,233,519
AON RISK SERVICES CENTRAL INC PO BOX 7247-7376 PHILADELPHIA,PA191707376	RISK MANAGEMENT	13,651,833
MORRISON MGMT SPECIALIST INC PO BOX 102289 ATLANTA,GA30368	MANAGEMENT SERVICES	13,007,204
FASTAFF LLC PO BOX 911452 DENVER,CO802911452	STAFFING	11,768,165
TURNER CONSTRUCTION CO 1500 SPRING GARDEN ST STE 220 PHILADELPHIA,PA19130	CONTRACTOR	10,265,830
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 306

- TIN:

SCHEDULE A
(Form 990)

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 instructions and the latest information.

OMB No. 1545-0047

2021

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2021

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 5 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 2021 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2021. 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—2020. 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—2021. 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—2020. 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) 2021

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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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) 2017	(b) 2018	(c) 2019	(d) 2020	(e) 2021	(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 on 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 5 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 2021 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2020 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2021 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2020 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2021. 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—2020. 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) 2021

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2021

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2021

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 0.015 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 0.035	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) 2021

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2021 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2021	(iii) Distributable Amount for 2021
1 Distributable amount for 2021 from Section C, line 6
2 Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2021:
a From 2016.......
b From 2017.......
c From 2018.......
d From 2019.......
e From 2020.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2021 distributable amount
i Carryover from 2016 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2021 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2021 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2021, 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 2021. 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 2022. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2017.....
b Excess from 2018.....
c Excess from 2019.....
d Excess from 2020.....
e Excess from 2021.....

Schedule A (Form 990) (2021)

Schedule A (Form 990) 2021

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) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

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

2021

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) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization VIRTUA - WEST JERSEY HEALTH SYSTEM INC

Part I Contributors	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) (2021)

Schedule B (Form 990) (2021)

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) (2021)

Schedule B (Form 990) (2021)

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) (2021)

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 instructions and the latest information.

OMB No. 1545-0047

2021

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 FASB 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 FASB 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 FASB 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) 2021

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

Term 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 ....	563,026,761	302,557,303	260,469,458
c	Leasehold improvements	30,882,957	17,634,559	13,248,398
d	Equipment ....	860,018,895	640,224,435	219,794,460
e	Other .....	40,369,042		40,369,042
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				606,951,316

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other 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	1,667,073,088	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	1,667,073,088

Part VIII

Investments - Program 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)INVESTMENT IN SUBSIDIARY				142,801,570
(2)OTHER ACCOUNTS RECEIVABLE				9,652,494
(3)RIGHT OF USE ASSETS				9,169,258
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				161,623,322

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
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	333,463,267
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) 2021

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) 2021

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

2021

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) . . .	6,899,621	942,035	5,957,586	0.730 %
b	Medicaid (from Worksheet 3, column a) . . . . .	137,868,752	85,873,494	51,995,258	6.360 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	144,768,373	86,815,529	57,952,844	7.090 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	3,665,568	914,258	2,751,310	0.340 %
f	Health professions education (from Worksheet 5) . . .	9,605,933	3,204,678	6,401,255	0.780 %
g	Subsidized health services (from Worksheet 6) . . . .	24,578,032	17,316,256	7,261,776	0.890 %
h	Research (from Worksheet 7) .	262,819	23,723	239,096	0.030 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	218,096	706	217,390	0.030 %
j	Total. Other Benefits . .	38,330,448	21,459,621	16,870,827	2.070 %
k	Total. Add lines 7d and 7j .	183,098,821	108,275,150	74,823,671	9.160 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2021

Schedule H (Form 990) 2021

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
2	Economic development
3	Community support	653,757	410,935	242,822	0.030 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	653,757	410,935	242,822	0.030 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

42,191,092

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).....

143,881,016

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

187,294,898

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

-43,413,882

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 %	(e) Physicians' profit % or stock ownership %
11 MT LAUREL ENDOSCOPY CENTER LP	OUTPATIENT CARE CENTER	51.920 %	17.080 %
22 MT LAUREL ENDOSCOPY CENTER LP	OUTPATIENT CARE CENTER	51.920 %	15.720 %
33 SJV MANAGEMENT LLC	RADIOLOGY	51.000 %	20.550 %
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2021

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) 2021

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 19

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 20

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

Yes

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

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) 2021

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

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

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

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

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) 2021

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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2021

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) 2021

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, 20a, 20b, 20c, 20d, 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, 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 INTERNAL REVENUE 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 INTERNAL REVENUE CODE SECTION 501(R)(5). 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 HEALTH CARE 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 HEALTH CARE 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
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 5:	WE CONDUCTED THE CHNA WITH ONE MAIN GOAL: TO CAREFULLY CHARACTERIZE COMMUNITY MEMBERS' VIEWS ON THE HEALTH NEEDS IN THEIR COMMUNITIES. FOR THE PURPOSE OF THIS ASSESSMENT, COMMUNITY IS DEFINED AS THE THREE COUNTIES THAT COMPRISE THE SJHC SERVICE AREAS (BURLINGTON, CAMDEN, AND GLOUCESTER COUNTIES). TO ACHIEVE THE GOAL OF OBTAINING LOCALLY ACTIONABLE INFORMATION FOR IMPROVING HEALTH, THIS CHNA EMPLOYED A MIXED-METHODS ITERATIVE STRATEGY OF DATA COLLECTION THAT COMBINED QUANTITATIVE AND QUALITATIVE ANALYSIS OF PRIMARY DATA COLLECTED FROM COMMUNITY MEMBERS AND STAKEHOLDERS WITH QUANTITATIVE ANALYSIS OF SECONDARY DATA. THE TWO FUNDAMENTALS OF OUR APPROACH ARE RIGOROUS DATA ANALYSIS AND COMMUNITY VOICE. TO THAT END, WE USED A VARIETY OF METHODS AND TOOLS TO ANALYZE THE DATA WE COLLECTED BOTH FROM COMMUNITY MEMBERS AND OTHER SOURCES WE IDENTIFIED THROUGH CONSULTATION WITH TRUSTED COMMUNITY PARTNERS IN EACH COUNTY.WE CONDUCTED A TOTAL OF 23 FOCUS GROUPS ACROSS BURLINGTON, CAMDEN, AND GLOUCESTER COUNTIES. OF THESE, 11 WERE WITH COMMUNITY MEMBERS AND 12 WERE WITH STAKEHOLDERS (LEADERS AND STAFF OF RELEVANT ORGANIZATIONS). OUR MAIN OBJECTIVE WAS TO GATHER THE THOUGHTS OF COMMUNITY MEMBERS AND STAKEHOLDERS ON HEALTH ISSUES (SUCH AS ACCESS TO CARE, HEALTH EDUCATION, AND COMMUNICATION) AND ANY BARRIERS RESIDENTS MAY CONFRONT IN OBTAINING CARE. ADDITIONAL AREAS OF INQUIRY INCLUDED THE STRENGTHS AND WEAKNESSES OF THE HEALTH CARE DELIVERY SYSTEM, AS WELL POTENTIAL AREAS OF IMPROVEMENT. THE FOCUS GROUP FORMAT ALLOWED PARTICIPANTS TO EXPRESS THEIR OPINIONS, SUGGESTIONS, AND RECOMMENDATIONS IN A CONFIDENTIAL FORMAT. BECAUSE THEY LIVE AND WORK WITHIN THE SOUTHJERSEY HEALTH COLLABORATIVE (SJHC) SERVICE AREA, COMMUNITY MEMBER AND STAKEHOLDER INPUT WAS CRUCIAL TO THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. OUR FOCUS GROUPS UTILIZED A SEMI-STRUCTURED RESEARCH INSTRUMENT. FOCUS GROUPS RANGED IN SIZE FROM 2 TO 17 PARTICIPANTS. INFORMED CONSENT WAS OBTAINED AFTER THE PURPOSE OF THE FOCUS GROUP WAS EXPLAINED AND PRIOR TO THE DATA COLLECTION PROCESS, FOLLOWING THE APPROVED IRB PROTOCOL1. ONE RESEARCH TEAM MEMBER FACILITATED THE FOCUS GROUP AND ONE TO TWO ADDITIONAL RESEARCH TEAM MEMBERS TOOK DETAILED NOTES. FOLLOWING EACH FOCUS GROUP, THE RESEARCH TEAM COMPILED A REPORT INCLUDING NOTES AND A SUMMARY OF THE FOCUS GROUP.WE CONDUCTED 5 INTERVIEWS WITH KEY STAKEHOLDERS IN THE COUNTIES WHO WERE IDENTIFIED BY SJHC. THE INTERVIEWS WERE COMPLETED USING A SEMI-STRUCTURED RESEARCH INSTRUMENT, AND THE GOALS OF THE INTERVIEW WERE SIMILAR TO THOSE OF THE FOCUS GROUPS. THE PURPOSE OF THE RESEARCH PROJECT WAS EXPLAINED TO POTENTIAL PARTICIPANTS AND INFORMED CONSENT WAS OBTAINED PRIOR TO THE DATA COLLECTION PROCESS, FOLLOWING THE APPROVED IRB PROTOCOL. INTERVIEWS WERE CONDUCTED IN A PRIVATE SETTING. RESEARCH TEAM MEMBERS TOOK NOTES, AND SOME INTERVIEWS WERE ALSO AUDIO-RECORDED. INTERVIEW PARTICIPANTS WERE ASKED TO THINK ABOUT AND SHARE THEIR PERSPECTIVES ON ACCESS TO CARE, HEALTH EDUCATION AND COMMUNICATION, AS WELL AS THE BARRIERS RESIDENTS FACE IN OBTAINING CARE. OTHER AREAS OF INQUIRY INCLUDED THE STRENGTHS AND WEAKNESSES OF THE HEALTH CARE DELIVERY SYSTEM AS WELL POTENTIAL AREAS OF IMPROVEMENT. BOTH THE RESEARCH INSTRUMENT AND THE PROTOCOL FOR THE INTERVIEW WERE DEVELOPED BASED ON THE GROUNDED THEORY APPROACH WITHIN THE QUALITATIVE RESEARCH FRAMEWORK. THIS METHOD PERMITS RESEARCH STUDY PARTICIPANTS TO ANSWER THE QUESTIONS IN THE WAY THAT THEY FEEL COMFORTABLE. FURTHERMORE, THIS METHOD ALLOWS A FREE FLOWING CONVERSATION BETWEEN THE INTERVIEWER AND INTERVIEWEE AND ALLOWS THE PARTICIPANT TO DETAIL AND EXPLAIN VARIOUS VIEWPOINTS THROUGHOUT THE INTERVIEW. ANOTHER BENEFIT IS THAT THE INTERVIEWER IS NOT CONSTRAINED TO THE QUESTIONS ON THE INSTRUMENT AND IS PERMITTED TO ASK APPROPRIATE FOLLOW-UP QUESTIONS, FOR INSTANCE, WHEN CLARITY IS NEEDED.A LIST OF ALL LOCATIONS, PARTICIPATION NUMBERS AND PARTICIPATING AGENCIES IS INCLUDED AS APPENDICES IN CHNA REPORT.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6A:	- COOPER UNIVERSITY HEALTH CARE, - JEFFERSON HEALTH, - LOURDES HEALTH SYSTEM (NOW VIRTUA)- VIRTUA HEALTH
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 6B:	- BURLINGTON COUNTY HEALTH DEPARTMENT- CAMDEN COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND - GLOUCESTER COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES.
FACILITY REPORTING GROUP A PART V, SECTION B, LINE 11:	THE CHNA REVEALED THE COMMUNITIES' KEY ISSUES AND AREAS OF OPPORTUNITY. THE ASSESSMENT CONTRIBUTES SUPPORTING DATA AND ENABLES VIRTUA HEALTH TO TAKE AN IN-DEPTH LOOK AT ITS GREATER COMMUNITY AND TO DEVELOP INNOVATIVE AND EVIDENCE BASED IMPLEMENTATION STRATEGIES. SIGNIFICANT RESULTS FROM THE CNHA ARE INTEGRATED INTO THE PROCESS OF PRIORITIZATION OF HEALTH NEEDS AND THE DEVELOPMENT OF A HEALTH SYSTEM IMPLEMENTATION PLAN.BASED ON COMMUNITY NEEDS, FOUR AREAS HAVE BEEN IDENTIFIED AS CRITICAL COMMUNITY NEEDS AND ARE ADDRESSED IN THIS IMPLEMENTATION PLAN: BEHAVIORAL HEALTH AND SUBSTANCE ABUSE, ACCESSING CARE, COMMUNICATIONS AND RELATIONSHIPS, AND OBESITY.VIRTUA HEALTH, AS A COMPREHENSIVE HEALTHCARE SYSTEM WITH A MISSION TO HELP THE SOUTH JERSEY COMMUNITY TO BE WELL, GET WELL, AND STAY WELL, EMBRACES THE OPPORTUNITY TO UTILIZE ITS RESOURCES TO ASSIST ITS SJHC 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 2019 CHNA. FOLLOWING A SERIES OF MEETINGS INVOLVING A MULTI-DISCIPLINARY GROUP OF VIRTUA LEADERS, THE FOLLOWING GOALS, OBJECTIVES, STRATEGIES WERE DEVELOPED AS PART OF THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR 2020-2022 PERIOD. 1. BEHAVIORAL HEALTH: MENTAL HEALTH AND SUBSTANCE ABUSEBRIEF DESCRIPTION OF NEED: BEHAVIORAL HEALTH DESCRIBES THE CONNECTION BETWEEN A PERSON'S BEHAVIORS AND THE HEALTH AND WELL-BEING OF THE BODY AND MIND. IT INCLUDES STRATEGIES AIMED AT PROMOTING AND IMPROVING MENTAL HEALTH, AS WELL AS STRATEGIES AIMED AT PREVENTING OR INTERVENING IN ADDICTIONS. BROADLY, COMMUNITY MEMBERS DESCRIBED THE PREVALENCE OF NEEDS RELATED TO BEHAVIORAL HEALTH, THE LINKS BETWEEN MENTAL HEALTH AND SUBSTANCE ABUSE, THE INADEQUACY OF RESOURCES, AND SPECIFIC POPULATIONS THAT ARE PARTICULARLY AT RISK FOR BEHAVIORAL HEALTH CHALLENGES.GOAL: OFFER A RANGE OF ACCESSIBLE BEHAVIORAL HEALTH PREVENTION AND TREATMENT OPTIONS THAT FIT THE NEEDS OF INDIVIDUALS. OBJECTIVES:- INCREASE SCREENINGS FOR BEHAVIORAL HEALTH NEEDS IN A VARIETY OF HEALTH CARE SETTINGS. - INCREASE THE NUMBER OF INDIVIDUALS WHO RECEIVE TREATMENT FOR MENTAL HEALTH AND/OR SUBSTANCE ABUSE.STRATEGIES:- PROVIDE SUICIDE SCREENINGS TO EMERGENCY DEPARTMENT PATIENTS AND REFER FOR TREATMENT AS NEEDED - SUICIDE SEVERITY RATING SCALE IN EMERGENCY DEPARTMENTS PROVIDE DEPRESSION SCREENINGS IN PRIMARY CARE AND URGENT CARE - PHQ SCREENING TOOLS - EXPLORE IMPLEMENTATION OF ALCOHOL AND SUBSTANCE USE SCREENING TOOL IN PRIMARY CARE - PROVIDE MEDICATION ASSISTED TREATMENT (MAT) IN INPATIENT AND OUTPATIENT CARE SETTING - MAT INITIATION IN INPATIENT SETTING- VIRTUA MEMORIAL BEHAVIORAL HEALTH UNIT - MAT OFFERED IN OUTPATIENT SETTING- VIRTUA BERLIN PROMOTE AWARENESS ABOUT VIRTUA HEALTH'S ONLINE BEHAVIORAL HEALTH RESOURCES - EDUCATE STAFF ON ONLINE BEHAVIORAL HEALTH RESOURCE DIRECTORY INCREASE COMMUNITY AWARENESS AND UNDERSTANDING ABOUT MENTAL HEALTH ISSUES - MENTAL HEALTH EDUCATION AT COMMUNITY HEALTH EVENTS2. ACCESSING CAREBRIEF DESCRIPTION OF NEED: COMMUNITY MEMBERS' CONCERNS ABOUT ACCESSING CARE TOOK SEVERAL FORMS, INCLUDING THE COSTS OF CARE AND INSURANCE, THE TIME INVOLVED IN GETTING CARE, DIFFICULTY NAVIGATING THE HEALTH CARE SYSTEM AND TREATMENT PLANS, AND TRANSPORTATION. LACK OF PROVIDERS GENERALLY WAS NOT SEEN AS A MAJOR BARRIER TO HEALTH CARE. DESPITE THIS, A LACK OF SPECIALISTS AND POPULATION-SPECIFIC NEEDS MADE PROVIDERS AN IMPORTANT NEED. GOAL: OFFER SUPPORTIVE SERVICES THAT ASSIST THE COMMUNITY WITH ACHIEVING ACCESSIBLE HEALTH CARE. OBJECTIVES: REDUCE TRANSPORTATION BARRIERS FOR RESIDENTS TO RECEIVE CARE. IMPROVE NAVIGATION OF HEALTH CARE SERVICES TO LINK INDIVIDUALS TO APPROPRIATE, TRANSPARENT, AND COST-EFFECTIVE CARE.STRATEGIES:- IMPROVE ACCESS TO SERVICES AND RESOURCES IN VIRTUA AND THE COMMUNITY - MOBILE PEDIATRIC VAN- FLU SHOTS, BLOOD LEAD LEVEL SCREENINGS - MOBILE MAMMOGRAPHY PROGRAM - COMPREHENSIVE PRIMARY CARE PSYCHOTHERAPY PROGRAM - CONTINUE TO PROVIDE TRANSPORTATION SERVICES FOR PATIENTS EXPERIENCING TRANSPORTATION BARRIERS - RIDES FOR ELIGIBLE PATIENTS TO PRIMARY AND SPECIALTY CARE APPOINTMENTS- IMPROVE ACCESS TO VIRTUA SERVICES BY ENHANCING HOW WE CONNECT AND SUPPORT OUR COMMUNITY. - DIGITAL ACCESS THROUGH "CHAT SESSIONS" - "MY CHART" PROMOTION TO INCREASE SPECIALIST APPOINTMENTS - SUPPORT CHERRY HILL FREE CLINIC REFERRALS3. COMMUNICATIONS AND RELATIONSHIPS BRIEF DESCRIPTION OF NEED: COMMUNITY MEMBERS REPORTED THAT COMMUNICATION AROUND HEALTH CARE WAS A BARRIER TO CARE. RUSHED OR UNCLEAR COMMUNICATION BETWEEN PATIENTS AND PROVIDERS LEFT COMMUNITY MEMBERS FEELING UNCERTAIN ABOUT THEIR DIAGNOSES AND TREATMENT PLANS. COMMUNITY MEMBERS AND STAKEHOLDERS ALIKE WORRIED THAT STIGMA ASSOCIATED WITH IDENTITY OR DIAGNOSES IMPACTED EFFECTIVE COMMUNICATION BETWEEN PATIENTS AND PROVIDERS. STAKEHOLDERS WORRIED THAT POOR COMMUNICATION BETWEEN AGENCIES RESULTED IN DUPLICATE SERVICES AND KEPT PATIENTS FROM RECEIVING AVAILABLE SERVICES. COMMUNITY MEMBERS AND STAKEHOLDERS MENTIONED A NEED FOR BETTER COMMUNICATION BETWEEN HEALTH SYSTEMS AND THE PUBLIC. IN MANY CASES, DESPITE ACTIVE PROMOTION BY HEALTH SYSTEMS, COMMUNITY MEMBERS WERE NOT AWARE OF PROGRAMS AND SERVICES PROVIDED BY THE HEALTH SYSTEMS. FINALLY, COMMUNITY MEMBERS AND STAKEHOLDERS MENTIONED THE NEED TO HAVE POPULATION-SPECIFIC COMMUNICATIONS STRATEGIES. GOAL: IMPROVE COMMUNICATION AND COORDINATION ACROSS THE HEALTH CARE CONTINUUM, INCLUSIVE OF PATIENTS, PROVIDERS, AND OTHER COMMUNITY ORGANIZATIONS. OBJECTIVES:- IMPROVE COMMUNICATION BETWEEN PROVIDERS AND PATIENTS TO ESTABLISH CLEARER PATIENT UNDERSTANDING OF THE CARE PLAN. - ASSIST PATIENTS IN OBTAINING AND UNDERSTANDING INFORMATION REGARDING THEIR HEALTH CARE. - IMPROVE COMMUNICATION BETWEEN HEALTH CARE AGENCIES. STRATEGIES:- EDUCATE STAFF AND PROVIDERS TO REDUCE IMPLICIT BIAS AND INCREASE CULTURAL COMPETENCY - UNCONSCIOUS BIAS CONTENT INCLUDED IN COMPLIANCE TRAINING- ASSIST PATIENTS IN OBTAINING AND UNDERSTANDING INFORMATION REGARDING THEIR HEALTH CARE - "MY CHART" PROMOTION AND UTILIZATION- IMPROVE COMMUNICATION BETWEEN PROVIDERS AND PATIENTS TO ESTABLISH CLEARER PATIENT UNDERSTANDING OF THE CARE PLAN - PATIENT SATISFACTION SURVEY ANALYSIS- CONTINUE TO PROMOTE VIRTUA HEALTH SERVICES AND PROGRAMS IN THE COMMUNITY - CRM DATA MINING FOR CUSTOMIZED MARKETING CAMPAIGNS OF VIRTUA PROGRAMS AND SERVICES- IMPROVE COMMUNICATION BETWEEN HEALTH CARE AGENCIES - PARTICIPATION IN LOCAL COUNTY BOARDS OF HEALTH AND MOBILIZING ACTION BY PLANNING AND PROMOTION (MAPP) MEETINGS4. OBESITY BRIEF DESCRIPTION OF NEED: COMMUNITY MEMBERS RANKED OBESITY AS A TOP HEALTH ISSUE IN THEIR COMMUNITIES. WHEN ASKED TO IDENTIFY HEALTH ISSUES FACING THEIR COMMUNITIES, OVER 1/3 OF ALL RESPONSES WERE DIRECTLY RELATED TO OBESITY, THE CAUSES OF OBESITY, AND THE CHRONIC DISEASES THAT ARE ASSOCIATED WITH OBESITY. ACROSS THE BURLINGTON, CAMDEN, AND GLOUCESTER COUNTIES, JUST OVER HALF OF COMMUNITY MEMBERS IDENTIFIED ADULT OBESITY AS AN ISSUE FACING THEIR COMMUNITY. COMMUNITY MEMBERS SELECTED AS IMPORTANT HEALTH ISSUES BOTH THE CAUSES OF OBESITY AND ITS CONSEQUENCES. GOAL: INCREASE ACCESS TO EDUCATION, HEALTHY FOOD OPTIONS, AND PARTICIPATION IN PHYSICAL ACTIVITY. OBJECTIVES:- PROVIDE ASSISTANCE SO INDIVIDUALS CAN REDUCE UNHEALTHY FOOD CHOICES. - INCREASE ENGAGEMENT IN PROGRAMMING THAT PROMOTES A HEALTHY LIFESTYLE.STRATEGIES:- INCREASE ACCESS TO HEALTHY FOOD OPTIONS - VIRTUA MOBILE FARMERS MARKET - FOOD AS MEDICINE PROGRAM- INCREASE ACCESS TO EDUCATION AROUND HEALTHY LIFESTYLE - HEALTHY LIFESTYLE EDUCATION VIA SOCIAL MEDIA PLATFORMS - COOKING DEMOS AT NUTRITION AND WEIGHT LOSS PROGRAMS- INCREASE ACCESS TO PHYSICAL ACTIVITY - EXERCISE AND FITNESS CLASSESOVER THE NEXT THREE YEARS, VIRTUA HEALTH, IN COLLABORATION WITH OUR COMMUNITY PARTNERS AND LOCAL PUBLIC HEALTH AGENCIES WILL WORK TOWARD IMPLEMENTING THESE STRATEGIES TO ADDRESS THE CONCERNS IDENTIFIED BY OUR COMMUNITY. WE EMBRACE THE CHALLENGE OF CONFRONTING THE NEEDS IDENTIFIED BY OUR COMMUNITY AND PROVIDING THE RESOURCES TO BE WELL, STAY WELL, AND GET WELL.

Schedule H (Form 990) 2021

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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) 2021

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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 THROUGH 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. VIRTUA HAS A YEAR-ROUND, WEEKLY MOBILE FARMERS MARKET SITE AT THE CAMDEN CAMPUS, WHICH INCREASED HEALTHY FOOD ACCESS AND PURCHASES THROUGH THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP). FOOD DRIVES WERE ORGANIZED TO SUPPORT VIRTUA'S FOOD ACCESS PROGRAMS, WHICH INCLUDE TWO FOOD PANTRIES THAT PROVIDE AND NON-PERISHABLES TO PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY AT NO COST. THE 2021 ANNUAL TURKEY AND PRODUCE GIVEAWAY PROVIDED COMPLETE HOLIDAY MEALS, INCLUDING A WHOLE TURKEY, FOR MORE THAN 1,500 FAMILIES IN CAMDEN CITY AND WILLINGBORO, NJ. VIRTUA HEALTH ORGANIZED, OR COLLABORATED WITH COMMUNITY STAKEHOLDERS, PARTICIPATION IN DOZENS OF COMMUNITY ENGAGEMENT AND BUILDING EVENTS. A SAMPLING INCLUDES, NUMEROUS DISEASE-SPECIFIC SUPPORT GROUPS, VARIOUS HEALTH AND WELLNESS FAIRS, COMMUNITY/SCHOOL CLEAN-UPS, AND EDUCATIONAL EVENTS ON A VARIETY OF HEALTH SERVICES TOPICS. VIRTUA'S MOBILE FARMERS MARKET, HOSPITAL-BASED FOOD PANTRIES, AND MOBILE UNITS FOR PEDIATRICS AND MAMMOGRAPHY HAVE PROVIDED A CRITICAL SAFETY NET IN COMMUNITIES WITH THE GREATEST NEED. VIRTUA COLLABORATES WITH OTHER TRUSTED COMMUNITY ORGANIZATIONS, SCHOOLS, NON-PROFIT FOUNDATIONS, AND FAITH-BASED ORGANIZATIONS TO REACH AS MANY AREA RESIDENTS AS POSSIBLE. VIRTUA WORKS WITH THESE PARTNERS TO EDUCATE THE PUBLIC, PROMOTE HEALTH SERVICES AND WELLNESS ACTIVITIES, AND BRING VIRTUA SERVICES DIRECTLY TO THE PEOPLE WHO LIVE THERE. THE RIDE HEALTH TRANSPORTATION ASSISTANCE PROGRAM, WHICH PROVIDES FREE NON-EMERGENCY MEDICAL TRANSPORTATION FOR ESTABLISHED PATIENTS WHO FACE BARRIERS TO ACCESSING HEALTHCARE SERVICES, IS ANOTHER DIRECT WAY VIRTUA HELPS THEIR PATIENTS ON A DAILY BASIS.OUR FACILITIES PROVIDED 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 COVIID-19 SUPPORT GROUP, TO HEALTH EDUCATION, SCREENING, AND FREE LAB WORK 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. IN 2021, VIRTUA CONTINUED THE BRIDGE EMPOWERMENT PROGRAM WHICH HAS A MISSION OF EMPOWERING PEOPLE TO LIVE THEIR BEST LIVES THROUGH ENHANCING LIFE SKILLS, BUILDING HEALTHY COMMUNITIES, AND LIVING WITH A PURPOSE. UNDER THIS PROGRAM, YOUNG ADULT LEADERS HAVE THE OPPORTUNITY TO HAVE A FORMAL MENTORSHIP PROGRAM WITH VIRTUA LEADERS AS WELL AS HAVING INDIVIDUALIZED SUPPORT FOR THEM AND THEIR FAMILIES.VIRTUA MANAGERS DONATE THEIR TIME AND SKILL TO A WIDE RANGE OF COMMUNITY ORGANIZATIONS, SUCH AS THE FOOD BANK OF SOUTH JERSEY AND CATHEDRAL KITCHEN. VIRTUA MANAGERS GIVE HUNDREDS OF HOURS OF THEIR TIME EACH YEAR TO PROVIDE HEALTH EDUCATION AND SUPPORT TO SCHOOL-AGE CHILDREN IN CAMDEN. PROJECTS INCLUDED PACKING NUTRITIOUS MEALS THAT ARE DELIVERED TO AT-RISK SENIORS AS WELL AS COOKING AND SERVING MEALS TO INDIVIDUALS WHO ARE HOMELESS, LOW-INCOME RESIDENTS, AND LOCAL FAMILIES.
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 PATIENT 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 14 OF THE ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:	VIRTUA BELIEVES THAT IT IS APPROPRIATE TO RECOGNIZE THE MEDICARE REVENUE SHORTFALL AS COMMUNITY BENEFIT. IT HAS BEEN WIDELY RECOGNIZED THAT MEDICARE PAYMENT RATES IN AGGREGATE HAVE BEEN SET AT A LEVEL THAT DOES NOT COVER THE TOTAL COST OF CARE. BY BEARING THE REIMBURSEMENT SHORTFALL RESULTING FROM THE BELOW COST MEDICARE PAYMENT LEVEL, VIRTUA AND OTHER HOSPITALS ARE ALLEVIATING THE GOVERNMENT'S BURDEN WHICH PROMOTES THE CHARITABLE PURPOSE OF THE ORGANIZATION. THE FILED MEDICARE COST REPORT IS THE BASIS FOR THE ALLOWABLE COST REPORTED ON LINE 6.
PART III, LINE 9B:	VIRTUA IS DEDICATED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE FOR OUR COMMUNITY, REGARDLESS OF ABILITY TO PAY. WE RECOGNIZE THAT THE COST OF HEALTH CARE 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:	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 HEALTH CARE 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 HEALTH CARE, 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, AND 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 IN 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 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) 2019 WAS CONDUCTED BY THE WALTER RAND INSTITUTE FOR PUBLIC AFFAIRS AT RUTGERS UNIVERSITY-CAMDEN (WRI) ON BEHALF OF THE SOUTH JERSEY HEALTH COLLABORATIVE (SJHC). THE SJHC CONSISTS OF COOPER UNIVERSITY HEALTH CARE, JEFFERSON HEALTH, LOURDES HEALTH SYSTEM (NOW VIRTUA HEALTH), AND VIRTUA HEALTH. TO ACHIEVE THE GOAL OF OBTAINING LOCALLY ACTIONABLE INFORMATION FOR IMPROVING HEALTH, THIS CHNA EMPLOYED A MIXED-METHODS ITERATIVE STRATEGY OF DATA COLLECTION THAT COMBINED QUANTITATIVE AND QUALITATIVE ANALYSIS OF PRIMARY DATA COLLECTED FROM COMMUNITY MEMBERS AND STAKEHOLDERS WITH QUANTITATIVE ANALYSIS OF SECONDARY DATA. THE TWO FUNDAMENTALS OF OUR APPROACH ARE RIGOROUS DATA ANALYSIS AND COMMUNITY VOICE. TO THAT END, WE USED A VARIETY OF METHODS AND TOOLS TO ANALYZE THE DATA WE COLLECTED BOTH FROM COMMUNITY MEMBERS AND OTHER SOURCES WE IDENTIFIED THROUGH CONSULTATION WITH TRUSTED COMMUNITY PARTNERS IN EACH OF THE THREE COUNTIES- CAMDEN, BURLINGTON, AND GLOUCESTER. PRIMARY DATA IS CONSIDERED DATA COLLECTED AND ANALYZED BY THE WRI RESEARCH TEAM, AND SECONDARY DATA IS DATA COLLECTED BY OTHER ENTITIES AND ANALYZED BY THE WRI RESEARCH TEAM.
PART VI, LINE 3:	DESCRIPTION OF PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE AVAILABILITY OF FINANCIAL ASSISTANCE IS COMMUNICATED IN ENGLISH AND SEVERAL OTHER LANGUAGES 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 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY THE WALTER RAND ISTITUTE (WRI) ON BEHALF OF THE SJHC. THE SJHC CONSISTS OF COOPER UNIVERSITY HEALTH CARE, JEFFERSON HEALTH, LOURDES HEALTH SYSTEM (NOW VIRTUA HEALTH), AND VIRTUA HEALTH. FOR THE PURPOSE OF THIS ASSESSMENT, COMMUNITY IS DEFINED AS THE THREE COUNTIES THAT COMPRISE THE SJHC SERVICE AREAS (BURLINGTON, CAMDEN, AND GLOUCESTER COUNTIES).THE SJHC 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 THREE COUNTIES, AND THE MOST IMPACTED BY POORER SOCIAL DETERMINANTS OF HEALTH. ACROSS THE SJHC SERVICE AREA, DATA SHOWS THAT BLACK/AFRICAN AMERICAN AND HISPANIC/LATINO RESIDENTS ARE IMPACTED BY POORER SOCIAL DETERMINANTS OF HEALTH AND HEALTHY DISPARITY. POPULATION SNAPSHOTSBURLINGTON COUNTY - PRIMARILY WHITE, AND SLIGHTLY OLDER - 34% MINORITY POPULATION - HIGHEST MEDIAN INCOME; LOWEST POVERTY RATES - 6.1% OF THE POPULATION IS BELOW THE POVERTY LINE - LOWEST UNEMPLOYMENT RATE - HIGHEST CONCENTRATION EDUCATIONAL ATTAINMENT - 37.2% WITHOUT ACCESS TO A LARGE GROCERY STORE - 1.5X THE NATIONAL AVERAGE OF OVERDOSE DEATHS - HIGHEST PROPORTION OF VETERANSCAMDEN COUNTY - MOST RACIALLY/ETHNICALLY DIVERSE - 44% MINORITY POPULATION - 2.5X MORE SPANISH SPEAKERS THAN BURLINGTON AND GLOUCESTER COUNTIES - LOWEST MEDIAN INCOME; HIGHEST POVERTY RATES - 12% BELOW POVERTY, 6.5% UNINSURED, 5% WITHOUT CAR ACCESS - ONLY COUNTY WITH FOOD ENVIRONMENT INDEX SCORE (8.4) LOWER THAN STATE SCORE (9.4) - HIGHEST UNEMPLOYMENT RATE - LOWEST EDUCATIONAL ATTAINMENT - GREATEST SOCIOECONOMIC DISPARITY AMONG RACIAL/ETHNIC POPULATIONS - SMOKING RATE, POOR MENTAL HEALTH DAYS, AND ADULTS IN POOR/FAIR GENERAL HEALTH ALL HIGHER THAN STATE. - 1.5X THE NATIONAL AVERAGE OF OVERDOSE DEATHS.GLOUCESTER COUNTY - PRIMARILY WHITE AND OLDEST POPULATION IN NJ - 21% MINORITY POPULATION - SECOND LOWEST MEDIAN INCOME; HIGHER UNEMPLOYMENT BUT LOWER POVERTY RATES THAN THE STATE - 44% DO NOT HAVE ACCESS TO LARGE GROCERY STORE - OVERDOSE DEATHS ARE 2X NATIONAL AVERAGE - 7.5% OF POPULATION IS BELOW FEDERAL POVERTY LEVEL - LEAST LIKELY TO ATTAIN HIGHER EDUCATION; MORE LIKELY TO HAVE A HIGH SCHOOL DIPLOMA
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 HEALTH CARE. 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 ASSISTANCE TO PATIENTS WHO QUALIFY BASED ON MEDICAL NEEDS, TRANSPORTATION NEEDS, AND/OR FINANCIAL CONSIDERATIONS. VIRTUA PROVIDES TRANSPORTATION ASSISTANCE TO NEEDY PATIENTS AS A PART OF COMMUNITY BENEFIT INITIATIVE UNDER THE" RIDE HEALTH PROGRAM." DURING 2021, VIRTUA PROVIDED 11,480 FREE RIDES TO NEEDY PATIENTS FOR THEIR MEDICAL APPOINTMENTS AND HOSPITAL DISCHARGES. 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 HAS INVESTED IN CONSTRUCTING A NEW STATE-OF-THE-ART HOSPITAL AND OUTPATIENT CENTERS THAT PROVIDE EASY ACCESS TO A WIDE VARIETY OF COMPREHENSIVE SERVICES. THE ORGANIZATION HAS AN OPEN MEDICAL STAFF THAT PROVIDES PRIVILEGES TO QUALIFIED PHYSICIANS FROM WITHIN THE COMMUNITY.VIRTUA PROVIDES COMPREHENSIVE HEALTH CARE SERVICES AND FOOD ACCESS PROGRAMS IN ORDER TO ADDRESS THE CONNECTION BETWEEN DIET AND CHRONIC DISEASE. VIRTUA IS COMMITTED TO OUR MISSION TO HELP OUR COMMUNITIES BE WELL, GET WELL, AND STAY WELL. OUR GOAL IS TO IMPROVE HEALTH AND ENSURE GOOD NUTRITION IN THE UNDERSERVED AREAS OF CAMDEN AND BURLINGTON COUNTIES, WHICH HAVE BEEN IDENTIFIED AS FOOD DESERTS. FOOD DESERTS ARE THOSE AREAS DEFINED AS LACKING IN RELIABLE ACCESS TO SUFFICIENT, AFFORDABLE, NUTRITIOUS FOOD.OUR PROGRAMS PROVIDE INTEGRATED INTERVENTIONS THROUGH A PHILOSOPHY OF FOOD AS MEDICINE, AND OUR TOUCH POINTS ARE THE FOOD FARMACY, MOBILE FARMERS MARKET (MFM), AND MOBILE GROCERY STORE. VIRTUA ALSO PROVIDES WRAP-AROUND SOCIAL SERVICES, HEALTH EDUCATION, AND NUTRITION LITERACY. IT IS OUR GOAL FOR THESE PROGRAMS TO HAVE A MEASURABLE HEALTH IMPROVEMENT IMPACT IN THE COMMUNITIES WE SERVE.VIRTUA'S MEMORIAL FOOD FARMACY LAUNCHED IN AUGUST 2018, WHILE THE CAMDEN FOOD FARMACY OPEN IN 2019. DURING THE HEIGHT OF THE COVID-19 PANDEMIC, THE FOOD FARMACIES REMAINED OPEN AND DISTRIBUTED 59,267 POUNDS OF FRESH PRODUCE AND HEALTHY NON-PERISHABLES THROUGH OUR CHOICE PANTRIES. IN 2021, THE FOOD FARMACY SAW CLOSE TO 900 COMPLETED APPOINTMENTS IN WHICH NUTRITION EDUCATION SESSIONS TOOK PLACE AS WELL AS FOOD DISTRIBUTIONS OF AT LEAST 10 MEALS WORTH OF FOOD. BETWEEN 2019 AND 2021, THE FOOD FARMACIES HAVE DISTRIBUTED OVER 179,000 POUNDS OF FOOD TO PATIENTS WITH A DUAL DIAGNOSIS OF FOOD INSECURITY AS WELL AS ONE OR MORE DIET IMPACTED CHRONIC CONDITION. BY THE END OF THE YEAR 2021, CLOSE TO 100 PATIENTS COMPLETED THE PROGRAM IN ITS ENTIRETY. WITH RESPECT TO DISEASE MANAGEMENT, ON AVERAGE, PATIENTS ENROLLED IN THE FOOD FARMACY PROGRAM FOR MORE THAN 3 MONTHS HAD A 33% INCREASE IN FRUIT AND VEGETABLE CONSUMPTION, 0.4 POINT DECREASE IN A1C, AND 5.7 AND 3.9 RESPECTIVE DECREASE IN SYSTOLIC AND DIASTOLIC BLOOD PRESSURE. ALSO IN 2021, VIRTUA'S MOBILE FARMERS MARKET DISTRIBUTED OVER 51,000 POUNDS OF HIGH-QUALITY PRODUCE, INCLUDING LOCAL PRODUCE SOURCED FROM BIPOC OWNED FARMS IN SOUTHERN NEW JERSEY. IN THE SAME YEAR, OVER 7,400 RESIDENTS WERE SERVED BY MFM AND OVER 6,600 BAGS OF PRODUCE WERE DISTRIBUTED. SHOPPERS SERVED BY THE MFM REPORTED A SIGNIFICANT DECREASE IN OBSTACLES TO OBTAINING FRESH FRUIT AND VEGETABLES. AS OF THE MFM'S LAST CUSTOMER SURVEY, GREATER THAN 90% OF CUSTOMERS WHO SHOP AT THE MARKET ONCE A WEEK REPORT THAT THEY HAVE MORE ACCESS TO FRESH, HEALTHY PRODUCE BECAUSE OF THE MFM. THE MFM TYPICALLY PROVIDES ACCESS TO A VARIETY OF HEALTHY PRODUCE FOUR DAYS A WEEK, YEAR ROUND. THIS 23-FOOT BUS IS BRIMMING WITH FRESH FRUITS AND VEGETABLES THAT ARE SOLD AT SIGNIFICANTLY REDUCED PRICES IN COMMUNITIES THROUGHOUT BURLINGTON AND CAMDEN COUNTIES. BY THE END OF 2021, OVER 9% OF TOTAL GROSS SALES WERE SNAP TRANSACTIONS, 403 STOPS WERE COMPLETED, AND CLOSE TO 800 POUNDS OF FOOD WAS DONATED. IN FEBRUARY 2021, VIRTUA LAUNCHED THE EAT WELL MOBILE GROCERY STORE; A SUPERMARKET ON WHEELS HOUSED INSIDE A RETROFITTED TRANSIT BUS. THIS MOBILE MARKET VISITS LOW-INCOME NEIGHBORHOODS TO SELL, AT BELOW-MARKET PRICES, FRESH FRUITS, VEGETABLES, MEATS, DAIRY ITEMS, AND BASIC DRY GOODS WITH A VARIETY OF PAYMENT OPTIONS INCLUDING CREDIT, CASH, AND SNAP. WE BRING HEALTHY FOOD TO COMMUNITIES WHERE THE NEED IS GREATEST, AT PRICES THAT ARE WELL BELOW GROCERY STORE RATES. OUR DIETITIANS PROVIDE NUTRITION COUNSELING BASED ON EACH INDIVIDUAL'S SPECIFIC HEALTH CONCERNS. IN ITS FIRST YEAR OF OPERATION, THE EAT WELL MOBILE GROCERY STORE HAD 303 STOPS THROUGHOUT THE REGION, SEEING MORE THAN 3,000 TRANSACTIONS. ON AVERAGE, CUSTOMERS SPEND $10, WHICH, AGAIN, REPRESENTS AT LEAST A 40% REDUCTION IN TOTAL PURCHASE PRICE COMPARED WITH TRADITIONAL RETAILERS. AT THE END OF 2021, OVER 35% OF TOTAL GROSS SALES WERE SNAP TRANSACTIONS VIRTUA'S FOOD ACCESS PROGRAMS ARE COMMITTED TO PROVIDING THE HIGHEST QUALITY AND MOST NUTRITIOUS PRODUCE FOR OUR PATIENTS AND CUSTOMERS. OUR PROGRAM DIETICIANS CURATE RECIPES AND OFFERINGS BASED ON CLIENT INPUT AND COMMUNITY VOICE, WHICH INCREASES OUR DIVERSITY IN VARIETY AND CULTURAL COMPETENCY. DOING SO OFFERS NEW OPPORTUNITIES TO MEET THE CLIENT WHERE THEY ARE IN THEIR NUTRITION JOURNEY AND ENCOURAGES INCORPORATING NEW AND HEALTHY FOODS INTO THEIR DIET. THE 1:1 NUTRITION EDUCATION ENSURES ADVICE IS TAILORED TO THE CLIENT AND NOT ONLY INCREASES ACCESS TO HEALTHY FOOD, BUT ALSO CREATES SUSTAINABLE BEHAVIOR CHANGES THAT PROMOTE LIFE-LONG HEALTHY EATING PATTERNS.THE MOBILE FARMERS MARKET, MOBILE GROCERY STORE, AND THE VIRTUA FOOD FARMACY ARE UPSTREAM COMMUNITY HEALTH PROGRAMS MANAGED BY THE VIRTUA COMMUNITY HEALTH COLLABORATIVE (CHC). THE CHC IS DEDICATED TO ERADICATING HEALTH DISPARITIES IN UNDERSERVED COMMUNITIES AND IS COMPRISED OF A WIDE RANGE OF HEALTH CARE, CLINICAL, AND PUBLIC HEALTH PROFESSIONALS WORKING TOGETHER, ALONG WITH COMMUNITY PARTNERS, TO ADVANCE HEALTH EQUITY. VIRTUA ALSO WORKS CLOSELY WITH COMMUNITY-BASED ORGANIZATIONS, SUCH THE CAMDEN COALITION OF HEALTHCARE PROVIDERS AND PARKSIDE BUSINESS COALITION IN PARTNERSHIP TO ENGAGE RESIDENTS AND LOCAL STAKEHOLDERS. VIRTUA IS ALSO ON THE FOREFRONT OF THE NUTRITION INCENTIVE MOVEMENT, PILOTING INNOVATIVE PROGRAMS AIMED AT MEASURE THE IMPACTED THE PRODUCE PRESCRIPTIONS HAVE ON FOOD INSECURITY AND CHRONIC DISEASE MANAGEMENT.
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. VIRTUA IS COMMITTED TO HELPING THE PEOPLE OF SOUTH JERSEY BE WELL, GET WELL, AND STAY WELL BY PROVIDING THE COMPLETE SPECTRUM OF ADVANCED, ACCESSIBLE, AND TRUSTED HEALTH CARE SERVICES. VIRTUA'S 14,000 COLLEAGUES PROVIDE TERTIARY CARE, INCLUDING A RENOWNED CARDIOLOGY PROGRAM, COMPLEMENTED BY A COMMUNITY-BASED CARE PORTFOLIO. IN ADDITION TO FIVE ACUTE CARE HOSPITALS, TWO SATELLITE EMERGENCY DEPARTMENTS, AND MORE THAN 280 OTHER LOCATIONS, VIRTUA BRINGS HEALTH SERVICES DIRECTLY INTO COMMUNITIES THROUGH HOME HEALTH, REHABILITATION, MOBILE SCREENINGS, AND ITS PARAMEDIC PROGRAM. VIRTUA HAS 2,850 AFFILIATED DOCTORS AND OTHER CLINICIANS, AND ITS SPECIALTIES INCLUDE ORTHOPEDICS, ADVANCED SURGERY, AND MATERNITY. VIRTUA IS AFFILIATED WITH PENN MEDICINE FOR CANCER AND NEUROSCIENCE, AND THE CHILDREN'S HOSPITAL OF PHILADELPHIA FOR PEDIATRICS. AS A NOT-FOR-PROFIT, VIRTUA IS COMMITTED TO THE WELL-BEING OF THE COMMUNITY AND PROVIDES INNOVATIVE OUTREACH PROGRAMS THAT ADDRESS SOCIAL CHALLENGES AFFECTING HEALTH, FROM ADDICTION AND OTHER BEHAVIORAL ISSUES TO LACK OF NUTRITIOUS FOOD AND STABLE HOUSING. A MAGNET-RECOGNIZED HEALTH SYSTEM RANKED BY U.S. NEWS AND WORLD REPORT, VIRTUA HAS RECEIVED MANY AWARDS FOR QUALITY, SAFETY, AND ITS OUTSTANDING WORK ENVIRONMENT. THE INDIVIDUAL HOSPITALS DEVELOP, IMPLEMENT, AND FUND PROGRAMS SPECIFIC TO THE NEEDS OF ITS LOCAL COMMUNITY. IN ADDITION, UNDER THE PARENT COMPANY'S CENTRALIZED PROGRAM OF EXCELLENCE STRUCTURE, INITIATIVES ARE UNDERTAKEN THAT HAVE IMPACT ACROSS ALL VIRTUA ENTITIES AND COMMUNITIES.
PART VI, LINE 7,	THE STATE OF NEW JERSEY DOES NOT REQUIRE FILING OF THE COMMUNITY BENEFIT REPORT.

Schedule H (Form 990) 2021

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

2021

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 on 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 on 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? .............

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) 2021

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, 1099-MISC compensation, and/or 1099-NEC			(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 W PULLIN PRESIDENT/CEO	(i) (ii)	0 ------------- 1,448,929	0 ------------- 1,055,375	0 ------------- 12,000	0 ------------- 13,050	0 ------------- 42,724	0 ------------- 2,572,078	0 ------------- 0
2JOHN M MATSINGER EVP/COO	(i) (ii)	0 ------------- 808,414	0 ------------- 372,358	0 ------------- 12,400	0 ------------- 13,050	0 ------------- 41,026	0 ------------- 1,247,248	0 ------------- 0
3ROBERT M SEGIN TREASURER - EVP/CFO	(i) (ii)	0 ------------- 687,964	0 ------------- 346,298	0 ------------- 30,792	0 ------------- 13,050	0 ------------- 34,814	0 ------------- 1,112,918	0 ------------- 0
4LAUREN ROWINSKI SECRETARY - SVP & GENERAL COUNSEL	(i) (ii)	0 ------------- 478,592	0 ------------- 177,291	0 ------------- 9,000	0 ------------- 13,050	0 ------------- 27,029	0 ------------- 704,962	0 ------------- 0
5SHAILEN SHAH MD TRUSTEE	(i) (ii)	0 ------------- 512,414	0 ------------- 54,266	0 ------------- 19,500	0 ------------- 13,050	0 ------------- 42,674	0 ------------- 641,904	0 ------------- 0
6PAUL E MINNICK SVP & COO - VOORHEES HOSP	(i) (ii)	367,077 ------------- 0	98,808 ------------- 0	9,000 ------------- 0	13,050 ------------- 0	15,848 ------------- 0	503,783 ------------- 0	0 ------------- 0
7ERIK N DELUE VP CMO - VOORHEES & MARL HOSP	(i) (ii)	339,488 ------------- 0	92,003 ------------- 0	9,000 ------------- 0	13,050 ------------- 0	2,318 ------------- 0	455,859 ------------- 0	0 ------------- 0
8LISA C FERRARO SVP - INTEGRATED OPERATION	(i) (ii)	0 ------------- 300,671	0 ------------- 73,444	0 ------------- 20,961	0 ------------- 11,081	0 ------------- 26,772	0 ------------- 432,929	0 ------------- 0
9JOSEPH V ABAT REGISTERED NURSE (RN)-JNES	(i) (ii)	414,935 ------------- 0	1,350 ------------- 0	6,734 ------------- 0	9 ------------- 0	1,028 ------------- 0	424,056 ------------- 0	0 ------------- 0
10LING QI PAN REGISTERED NURSE (RN)-JNES	(i) (ii)	373,485 ------------- 0	850 ------------- 0	0 ------------- 0	0 ------------- 0	12,945 ------------- 0	387,280 ------------- 0	0 ------------- 0
11RICHARD PALUZZI MEDICAL DIRECTOR	(i) (ii)	260,774 ------------- 33,360	66,157 ------------- 0	7,962 ------------- 1,038	9,487 ------------- 848	1,667 ------------- 216	346,047 ------------- 35,462	0 ------------- 0
12HEIDI BAUR VP CMO - VP CNO - VOORHEES & MARL HO	(i) (ii)	262,372 ------------- 0	74,419 ------------- 0	9,000 ------------- 0	10,533 ------------- 0	15,651 ------------- 0	371,975 ------------- 0	0 ------------- 0
13EUGENIE L BRUCE REGISTERED NURSE (RN)-JNES	(i) (ii)	288,848 ------------- 0	1,350 ------------- 0	3,741 ------------- 0	0 ------------- 0	14,409 ------------- 0	308,348 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2021

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, LINE 4B	THE NONQUALIFIED 457(F) RETIREMENT PLAN WAS REPLACED WITH A QUALIFIED COLLATERAL ASSIGNMENT SPLIT DOLLAR PLAN, WHICH IS DESCRIBED IN SCHEDULE O.
PART I, LINE 7	PAY AT RISK AND/OR DISCRETIONARY BONUSES PROVIDED TO THE INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A ARE BASED ON THE ACHIEVEMENT OF SIGNIFICANT QUANTITATIVE, QUALITATIVE, AND/OR PROGRAMMATIC GOALS AND ARE APPROVED BY THE COMPENSATION COMMITTEE FOR DISQUALIFIED INDIVIDUALS AND BY THE CEO FOR ALL OTHERS.

Schedule J (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

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

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

VIRTUA - WEST JERSEY HEALTH SYSTEM INC

Employer identification number

21-0634532

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990) 2021

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) ALWAYS A GOOD SIGN	DENNIS FLANAGAN'S (TRUSTEE OF VIRTUA) SON IS OWNER OF ALWAYS A GOOD SIGN	107,165	SIGNAGE, BANNER, AND PLAQUES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

2021

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 III, LINE 2	"THE WORLD HEALTH ORGANIZATION DECLARED COVID-19 A PANDEMIC IN MARCH 2020. AS A DIRECT RESULT OF THE SPREAD OF THE COVID-19 VIRUS, VIRTUA HEALTH BEGAN COVID PCR TESTING SOON AFTER. VIRTUA INITIATED TESTING ON THE INSTRUMENTS THAT WERE ALREADY PRESENT AT VIRTUA HOSPITALS. OVER A PERIOD OF TIME THE TESTING CAPACITY WAS INCREASED TO INCLUDE OTHER EXISTING INSTRUMENTS. NEW INSTRUMENTS WERE SUBSEQUENTY ACQUIRED TO PERFORM TESTING AT OTHER VIRTUA SITES IN BURLINGTON AND CAMDEN COUNTIES. ADDITIONAL PERSONNEL WERE HIRED TO PERFORM AROUND THE CLOCK TESTING. ANTIGEN TESTING WAS ADMINISTERED TO ALL ED ADMITS. PCR TESTING WAS PROVIDED TO ED PATIENTS, PROCEDURAL PATIENTS, AS WELL AS EMPLOYEES THAT HAD BEEN EXPOSED TO THE VIRUS. THE TESTING PROTOCOLS FOR VARIOUS GROUPS HAVE EVOLVED OVER TIME BASED ON THE RATE OF INFECTION IN THE COMMUNITY. THE VIRTUA HEALTH INFECTIOUS DISEASE LABORATORIES WILL CONTINUE TO EVOLVE AND ADAPT AND FOCUS ON INNOVATIVE AND EVOLVING STRATEGIES THAT SPECIFICALLY TARGET INFECTIOUS DISEASE OF PUBLIC HEALTH CONCERN. ADDITIONALLY DUE TO THE COVID-19 PANDEMIC, VIRTUA SET UP A VED TENT IN EARLY 2020 IN ORDER TO TRIAGE AND TREAT COVID SYMPTOMATIC PATIENTSAND IS STAFFED BY ED RN'S AND PCT'S.. IN 2021 THROUGH TODAY, WE CONTINUE TO PROVIDE MAB (MONOCLONAL ANTIBODIES) TO OUTPATIENTS WHO ARE COVID POSITIVE. THE TENT WAS USED AS AN ADDITIONAL TREATMENT AREA WHEN THE ED'S WERE FULL, WHICH ENABLED VIRTUA TO TREAT ADDITIONAL PATIENTS AND HELPED US MEET OUR COMMUNITY NEEDS."
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 POSTED ON THE VIRTUA HEALTH WEBSITE AT HTTPS://WWW.VIRTUA.ORG/ABOUT/FINANCIAL-INFORMATION AND ALSO ARE AVAILABLE THROUGH THE REPOSITORY WEBSITES EMMA (ELECTRONIC MUNICIPAL MARKET ACCESS SYSTEM) AND DAC (DIGITAL ASSURANCE CERTIFICATION), OR UPON REQUEST.
FORM 990, PART VII	ONE OR MORE OF THE OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES IN PART VII HAD TRANSACTIONS RELATED TO THE `COLLATERAL ASSIGNMENT SPLIT DOLLAR' (CASD) PROGRAM OFFERED BY VIRTUA HEALTH, INC. ALL TRANSACTIONS RELATED TO THIS PROGRAM WERE BETWEEN THE INDIVIDUAL AND VIRTUA HEALTH, INC. (EIN 22-3524939). THEREFORE, ALL PART X AND SCHEDULE L REPORTING RELATED TO THESE TRANSACTIONS WERE REPORTED ON VIRTUA HEALTH'S RETURN.
FORM 990, PART VII, SECTION A, COLUMN B	MAJORITY OF THE OFFICERS ARE 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 X	CERTAIN INTANGIBLE ASSETS WERE MOVED FROM LINE 15 TO LINE 14 IN COLUMN (A) BEGINNING OF YEAR TO MATCH THE END OF YEAR PRESENTATION.
FORM 990, PART XI, LINE 9:	TRANSFER WITH AFFILIATES - VHRCB -1,753,579. TRANSFER WITH AFFILIATES - VHRCMH -3,906,222. TRANSFER WITH AFFILIATES - CNS -1,205,766. TEMPORARY RESTRICTED TRANSFER WITH AFFILIATES VIRTUA 2,050,621. TEMPORARY RESTRICTED TRANSFER WITH AFFILIATES VIRTUA - MHBC 10,817. TRANSFER WITH AFFILIATES - ROHRER FITNESS CENTER 744,680. TRANSFER WITH AFFILIATES - VIRTUA MEDICAL GROUP -68,282,098. TRANSFER WITH AFFILIATES - LOURDES CARDIOLOGY SERVICES PC -13,165,022. VHF - RESTRICTED GIFT EXPENSES RELEASED FROM RESTRICTION -18,697.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

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

2021

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 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 22-3524939	SUPPORTING ORGANIZATION	NJ	501 (C) (3)	12A	N/A		No
(2)VIRTUA - MEMORIAL HOSPITAL BURLINGTON COUNTY 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 21-0634562	GENERAL ACUTE CARE HOSPITALS	NJ	501 (C) (3)	3	VIRTUA HEALTH INC		No
(3)VIRTUA SURGICAL GROUP 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 22-2580215	SURGICAL PHYSICIAN PRACTICE	NJ	501 (C) (3)	10	N/A		No
(4)VIRTUA HEALTH AND REHABILITATION CENTER AT BERLIN 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 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 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 21-0679591	HOME CARE	NJ	501 (C) (3)	10	VIRTUA HEALTH INC		No
(7)SUMMIT HEALTH - VIRTUA 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 52-1814579	HEALTH AND WELLNESS SERVICES	NJ	501 (C) (3)	3	VIRTUA HEALTH INC		No
(8)WEST JERSEY RENEW 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 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 22-2337170	FUND RAISING FOUNDATION	NJ	501 (C) (3)	7	VIRTUA HEALTH INC		No
(10)WEST JERSEY HEALTH & HOSPITAL FOUNDATION 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 23-7414388	FUND RAISING FOUNDATION	NJ	501 (C) (3)	7	VIRTUA HEALTH INC		No
(11)VIRTUA HEALTH FOUNDATION 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 04-3722352	FUND RAISING FOUNDATION	NJ	501 (C) (3)	7	VIRTUA HEALTH INC		No
(12)VIRTUA MEDICAL GROUP 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 27-1348772	PHYSICIAN SERVICES	NJ	501 (C) (3)	10	N/A		No
(13)WEST JERSEY HEALTH SYSTEM WORKERS COMP TRUST 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 22-3142739	WORKERS COMP TRUST	NJ	501 (C) (3)	12A	VIRTUA HEALTH INC		No
(14)VIRTUA OUR LADY OF LOURDES HOSPITAL 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 21-0635001	GENERAL ACUTE CARE HOSPITALS	NJ	501 (C) (3)	3	OUR LADY OF LOURDES HEALTH CARE SERVICES INC		No
(15)VIRTUA WILLINGBORO HOSPITAL 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 22-3612265	GENERAL ACUTE CARE HOSPITALS	NJ	501 (C) (3)	3	OUR LADY OF LOURDES HEALTH CARE SERVICES INC		No
(16)LOURDES CARDIOLOGY SERVICES PC 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 27-4357794	HEALTH CARE SERVICES	NJ	501 (C) (3)	3	N/A		No
(17)OUR LADY OF LOURDES FOUNDATION 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 22-2351960	FUND RAISING FOUNDATION	NJ	501 (C) (3)	7	OUR LADY OF LOURDES HEALTH CARE SERVICES INC		No
(18)LOURDES ANCILLARY SERVICES 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 22-2568525	HEALTH CARE SYSTEM SUPPORT	NJ	501 (C) (3)	12B	OUR LADY OF LOURDES HEALTH CARE SERVICES INC		No
(19)OUR LADY OF LOURDES HEALTH CARE SERVICES 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 22-2568528	HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT	NJ	501 (C) (3)	12B	VIRTUA HEALTH INC		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

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	(k) Percentage ownership
(1) LOURDES SPECIALTY HOSPITAL OF SOUTHERN NJ LLC 10735 DAVID TAYLOR DRIVE SUITE 200 CHARLOTTE,NC28262 86-1139477	ACUTE CARE HOSPITAL	NC	N/A					No			No
(2) CENTENNIAL SURGUNIT LLC 502 CENTENNIAL BLVD SUITE 1 VOORHEES,NJ08043 22-3580847	AMBULATORY HEALTH CARE SERVICES	NJ	N/A					No			No
(3) ACENTUS PRACTICE MANAGEMENT LLC 1040 N KINGS HIGHWAY STE 701 CHERRY HILL,NJ08034 81-4861192	COLLECTIONS SERVICE	NJ	N/A					No			No
(4) TYLER DIALYSIS LLC C/O TAX DEPT PO BOX 4388 FEDERAL WAY,WA98063 45-4079716	DIALYSIS	NJ	N/A					No			No
(5) FRESENIUS MEDICAL CARE MARLTON LLC 920 WINTER STREET WALTHAM,MA02451 47-2128074	DIALYSIS	NJ	N/A	RELATED	893,033	594,279		No		Yes		30.000 %
(6) BURLINGTON CTY ENDO CTR LLC CO PHYSICIANS ENDOSCOPY LLC 2500 YORK ROAD SUITE 300 JAMISON,PA18929 20-8205206	HEALTH CARE	NJ	N/A					No			No
(7) VIRTUA ADULT IMAGING SERVICES AT VOORHEES LLC 303 LIPPINCOTT DRIVE 4TH FLOOR MARLTON,NJ08053 46-4055781	IMAGING SERVICES	NJ	N/A	RELATED	4,425,746	3,470,131		No		Yes		50.000 %
(8) VIRTUA PENN RADIATION ONCOLOGY LEASING LLC 303 LIPPINCOTT DR MARLTON,NJ08053 83-1438811	LEASING SERVICES	NJ	N/A	RELATED	3,251,078	5,793,013		No		Yes		50.000 %
(9) EMMAUS HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 83-1806511	MEDICAL	AL	N/A					No			No
(10) USRC GLOUCESTER LLC 5851 LEGACY CIRCLE SUITE 900 PLANO,TX75024 38-4117029	MEDICAL	TX	N/A	RELATED	-2,800	454,295		No		Yes		29.000 %
(11) VIRTUA-SCA HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 47-3247166	MEDICAL	AL	N/A					No			No
(12) VIRTUA-USP PRINCETON LLC 15305 DALLAS PKWY STE 1600 LB 28 ADDISON,TX75001 81-3270494	MEDICAL	NJ	N/A					No			No
(13) VIRTUA CAMPUS HOLDING LLC 303 LIPPINCOTT DRIVE 4TH FLOOR MARLTON,NJ08053 87-3806666	MEDICAL	NJ	VIRTUA WEST JERSEY HEALTH SYSTEMS INC	RELATED				No		Yes		51.690 %
(14) VIRTUA - SCA HOLDINGS II LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM,AL35209 85-2278858	MEDICAL	AL	N/A					No			No
(15) RIVER DRIVE HOLDING COMPANY LLC 303 LIPPINCOTT DR FL 4TH MARLTON,NJ08053 84-3655618	MEDICAL	NJ	VIRTUA WEST JERSEY HEALTH SYSTEMS INC	RELATED	6,065,088	21,895,436		No		Yes		51.000 %
(16) ACCESS HOLDING COMPANY LLC 2500 YORK ROAD SUITE 300 JAMISON,PA18929 85-0718604	MEDICAL	PA	VIRTUA WEST JERSEY HEALTH SYSTEMS INC	RELATED	791,681	3,340,536		No		Yes		56.530 %
(17) VOORHEES ENDOSCOPY HOLDING CO LLC 1A BURTON HILLS BLVD NASHVILLE,TN37215 47-4669710	MEDICAL	TN	VIRTUA WEST JERSEY HEALTH SYSTEMS INC	RELATED	5,586,322	5,197,905		No		Yes		51.000 %
(18) MT LAUREL ENDOSCOPY CENTER LP 15000 MIDLANTIC DR SUITE 110 MT LAUREL,NJ08054 56-2350370	OUTPATIENT CARE CENTER	NJ	N/A	RELATED	880,233	793,596		No		Yes		51.920 %
(19) SJV MANAGEMENT LLC 200 CENTURY PKWY STE 200E MOUNT LAUREL,NJ08054 20-2273476	RADIOLOGY	NJ	VIRTUA WEST JERSEY HEALTH SYSTEMS INC	RELATED	-133,217	328,916		No		Yes		51.000 %
(20) VIRTUA PENN RADIATION ONCOLOGY PARTNERS LLC 200 BOWMAN DRIVE SUITE D190 VOORHEES,NJ08043 82-1947444	RADIOLOGY SERVICES	NJ	N/A	RELATED	2,161,828	21,163,607		No		Yes		51.000 %
(21) CENTER FOR AMBULATORY AND MINIMALLY INVASIVE SURGERY LLC 234 INDUSTRIAL WAY BUILDING B EATONTOWN,NJ07724 27-0907140	SURGICAL CENTER	NJ	N/A	RELATED	3,556,424	12,787,523		No		Yes		54.880 %
(22) FREEHOLD ENDOSCOPY ASSOCIATES LLC 222 SCHANCK ROAD SUITE 100 FREEHOLD,NJ07728 84-1634126	SURGICAL CENTER	NJ	N/A	RELATED	2,293,070	930,326		No		Yes		60.000 %
(23) SPECIALIZED SURGICAL CENTER OF CENTRAL NEW JERSEY LLC 562 EASTON AVE SOMERSET,NJ08873 22-3296144	SURGICAL CENTER	NJ	N/A	RELATED	1,512,634	2,964,612		No		Yes		55.000 %
(24) GASTRO-SURGI CENTER OF NJ LLC 1132 SPRUCE DRIVE MOUNTAINSIDE,NJ07092 22-3472632	SURGICAL CENTER	NJ	N/A	RELATED	2,872,828	1,460,085		No		Yes		51.790 %
(25) VANTAGE SURGICAL CENTER LLC 180 ROUTE 70 MEDFORD,NJ08055 45-0516750	SURGICAL CENTER	NJ	N/A					No			No
(26) ROCKLAND SURGICAL PROJECT LLC RAMAPO VALLEY SURGICAL CENTER 500 NORTH FRANKLIN TURNPIKE RAMSEY,NJ07446 20-0580403	SURGICAL CENTER	NJ	N/A	RELATED	507,135	1,158,645		No		Yes		52.660 %
(27) SHORE AMBULATORY SURGERY CENTER LLC 405 BETHEL ROAD SOMERS POINT,NJ08244 22-3778333	SURGICAL CENTER	NJ	N/A	RELATED	1,370,247	1,998,463		No		Yes		54.860 %
(28) SOUTH JERSEY MUSCULOSKELETAL INSTITUTE LLC 556 EGG HARBOR ROAD SEWELL,NJ08080 20-4481032	SURGICAL CENTER	NJ	N/A	RELATED	4,768,950	4,477,625		No		Yes		56.300 %
(29) 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	1,662,392	2,435,528		No		Yes		56.300 %
(30) MEMORIAL AMBULATORY SURGERY CENTER LLC 160 MADISON AVENUE MT HOLLY,NJ08060 20-4941260	SURGICAL CENTER	NJ	N/A					No			No
(31) SUMMIT SURGICAL CENTER LLC 200 BOWMAN DRIVE SUITE D160 VOORHEES,NJ08043 73-1730859	SURGICAL CENTER	NJ	N/A	RELATED				No		Yes		62.660 %

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	(h) Percentage ownership	(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	(h) Percentage ownership	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 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 26-0247120	HEALTH AND WELLNESS	NJ	N/A	C					No
(3) HEALTH MANAGEMENT SERVICES ORGANIZATION INC 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 22-3366580	MEDICAL ADMINISTRATION	NJ	N/A	C					No
(4) LOURDES MEDICAL ASSOCIATES PA 303 LIPPINCOTT DR 4/FLR MARLTON,NJ08053 22-3361862	MEDICAL SERVICES	NJ	N/A	C					No

Schedule R (Form 990) 2021

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
(1) ACCESS HOLDING COMPANY LLC	S	861,797	FMV CASH DISTRIBUTIONS
(2) VOORHEES ENDOSCOPY HOLDING CO LLC	S	5,368,327	FMV CASH DISTRIBUTIONS
(3) RIVER DRIVE HOLDING COMPANY LLC	S	5,723,373	FMV CASH DISTRIBUTIONS
(4) SJV MANAGEMENT LLC	R	1,925,000	CASH CONTRIBUTION
(5) CAMPUS HOLDING LLC	R	8,569,275	CASH CONTRIBUTION

Schedule R (Form 990) 2021

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2021

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) 2021

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	20
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	18
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	5,372
6	Total number of volunteers (estimate if necessary) .............	6	143
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,383,059
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	392,391

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	49,024,919	5,444,866
9	Program service revenue (Part VIII, line 2g) .........	711,520,679	907,811,007
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	22,756,410	34,245,379
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	36,804,665	53,307,231
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	820,106,673	1,000,808,483
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)	276,812,965	323,685,683
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)....	448,681,164	493,819,810
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	725,494,129	817,505,493
19	Revenue less expenses. Subtract line 18 from line 12.......	94,612,544	183,302,990
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,675,853,208	2,706,789,713
21	Total liabilities (Part X, line 26).............	1,133,448,890	951,723,751
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,542,404,318	1,755,065,962

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 137,868,752 including grants of $ ) (Revenue $ 85,873,494 )
	UNREIMBURSED MEDICAID - 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 $52 MILLION, AS ESTIMATED BY MANAGEMENT. SERVICES ARE PROVIDED ON BOTH AN INPATIENT AND OUTPATIENT BASIS, INCLUDING THROUGH EMERGENCY DEPARTMENTS AND CLINICS.

4b	(Code: ) (Expenses $ 24,578,032 including grants of $ ) (Revenue $ 17,316,256 )
	VIRTUA PROVIDES A WIDE RANGE OF OUTPATIENT SERVICES TO MEET COMMUNITY NEEDS, INCLUDING PRIMARY AND SPECIALTY CARE FOR INFANTS, CHILDREN, TEENS AND ADULTS. VIRTUA SUBSIDIZES WOMEN'S CLINICS FOR GYNECOLOGICAL AND OBSTETRICAL CARE, CHILDREN'S AND NEONATAL INTENSIVE CARE, AS WELL AS BEHAVIORAL HEALTH AND EMERGENCY SERVICES. THE COSTS RELATED TO THESE SERVICES ARE IN EXCESS OF REIMBURSEMENTS TO VIRTUA.

4c	(Code: ) (Expenses $ 9,605,933 including grants of $ ) (Revenue $ 3,204,678 )
	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 $ 514,452,464 including grants of $ ) (Revenue $ 851,157,800 )
	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 $3,665,568REVENUE OF $914,258FINANCIAL ASSISTANCE AT COST: CHARITY CAREEXPENSE OF $6,899,621REVENUE OF $942,035RESEARCH: PREFORMED ONCOLOGY CLINICAL RESEARCH STUDIES.EXPENSE OF $262,819REVENUE OF $23,723FINANCIAL 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 $218,096REVENUE OF $706COMMUNITY BUILDING ACTIVITIES: HELD EVENTS THROUGHOUT THE YEAR TO FEED AND PROVIDE PRESENTS TO MANY FAMILIES IN NEED.EXPENSE OF $653,757REVENUE OF $410,935PROVIDING FUNCTIONAL PATIENT SERVICES FOR THE HOSPITALSEXPENSE OF $502,752,603REVENUE OF $848,866,143

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 514,452,464 including grants of $ ) (Revenue $ 851,157,800 )
4e	Total program service expenses686,505,181

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	2,687,353	6,455,067	402,429

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	4,969
e	Government grants (contributions)		1e	5,422,956

f	All other contributions, gifts, grants, and similar amounts not included above		1f	16,941

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		5,444,866

		Business Code
2a	NET PATIENT REV	624100	901,330,451	900,677,979	652,472
b	BPCI - BUNDLED PAYMENT	524114	4,900,485	4,900,485
c	PHYSICAL THERAPY	621300	965,308	965,259	49
d	PEDIATRIC IMAGING CENT	624100	232,595	232,595
e	MICU	621910	63,458	63,458
f	All other program service revenue.		318,710	318,710
g	Total. Add lines 2a–2f .....		907,811,007

3 Investment income (including dividends, interest, and othersimilar amounts) ......			1,109,280			1,109,280
4 Income from investment of tax-exempt bond proceeds			1,470			1,470
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		5,051,557	6a
b	Less: rental expenses		4,820,075	6b
c	Rental income or (loss)		231,482	6c
d	Net rental income or (loss).......			231,482		231,482
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	445,076	66,723,649	7a
b	Less: cost or other basis and sales expenses	45,789	33,988,307	7b
c	Gain or (loss)	399,287	32,735,342	7c
d	Net gain or (loss).........			33,134,629		233	33,134,396
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	71,486
b	Less: cost of goods sold ..		10b	158,808
c	Net income or (loss) from sales of inventory..			-87,322	-87,322
Business Code			Miscellaneous Revenue
11a	JOINT VENTURE INCOME		621990	44,339,397	44,339,397
b	CAFETERIA		722514	2,183,184			2,183,184
c	MEDICAL FITNESS CENTER		624100	1,497,565	1,497,565
d	All other revenue ....			5,142,925	4,644,102	498,823
e	Total. Add lines 11a–11d ......			53,163,071
12	Total revenue. See instructions.....			1,000,808,483	957,552,228	1,383,059	36,428,330

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, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	875,758	700,606	175,152
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........	260,808,068	206,992,499	53,815,569
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	8,937,973	7,150,378	1,787,595
9	Other employee benefits .......	33,845,115	26,674,692	7,170,423
10	Payroll taxes ...........	19,218,769	15,255,146	3,963,623
11	Fees for services (non-employees):
a	Management ......	8,910,854	8,910,854
b	Legal .........
c	Accounting ...........	850	850
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	5,216,940	4,173,552	1,043,388
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	68,732,504	67,596,054	1,136,450
12	Advertising and promotion ....	126,352	126,352
13	Office expenses .......	16,128,332	11,065,791	5,062,541
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	22,486,861	21,723,096	763,765
17	Travel ............	471,525	471,283	242
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	704,231	702,176	2,055
20	Interest ...........	10,651,451	10,651,451
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	73,389,645	58,711,717	14,677,928
23	Insurance ...	4,879	4,879
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	149,394,367	119,515,495	29,878,872
b	MEDICAL SUPPLIES	114,909,334	114,909,334
c	UBI TAX	77,786		77,786
d	STATE ASSESSMENTS	10,786,671		10,786,671
e	All other expenses	11,827,228	11,168,976	658,252
25	Total functional expenses. Add lines 1 through 24e	817,505,493	686,505,181	131,000,312	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 ........			679,529	1	42,669,416
2	Savings and temporary cash investments .........			299,470,401	2	106,966,332
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			81,533,160	4	102,002,122
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			5,493,388	8	6,918,617
9	Prepaid expenses and deferred charges ......			4,913,740	9	5,198,946
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,567,367,613
b	Less: accumulated depreciation	10b	960,416,297	633,497,919	10c	606,951,316
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			1,410,827,769	12	1,667,073,088
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			7,386,554	14	7,386,554
15	Other assets. See Part IV, line 11 ...........			232,050,748	15	161,623,322
16	Total assets. Add lines 1 through 15 (must equal line 33)...			2,675,853,208	16	2,706,789,713

17	Accounts payable and accrued expenses .....	88,895,057	17	91,679,195
18	Grants payable ...		18
19	Deferred revenue .........	1,122,181	19	4,447,399
20	Tax-exempt bond liabilities .........	534,863,762	20	522,010,613
21	Escrow or custodial account liability. Complete Part IV of Schedule D	70,922	21	123,277
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			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	508,496,968	25	333,463,267
26	Total liabilities. Add lines 17 through 25..	1,133,448,890	26	951,723,751

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	1,539,714,425	27	1,752,480,354
28	Net assets with donor restrictions ...........	2,689,893	28	2,585,608
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	1,542,404,318	32	1,755,065,962
33	Total liabilities and net assets/fund balances ........	2,675,853,208	33	2,706,789,713