2023-11-13T15:51:05-06:00 2022-12-31 366055558 GRANT THORNTON LLP 2001 MARKET STREET SUITE 700 PHILADELPHIA PA 19103 990 2022-01-01 223142739 WEST JERSEY HEALTH SYSTEM WORKERS COMPENSATION TRUST WEST 8563550620 406 LIPPINCOTT DR J MARLTON NJ 08053 DENNIS W PULLIN PRESIDENT/CEO 8563550620 2023-11-13 0 DENNIS PULLIN 999009999 0 RUSSLEE ARMSTRONG P00288383 2155614200 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z VIRTUA HLTH WORKERS COMP TRUST DENNIS W PULLIN 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 2861202 0 X WWW.VIRTUA.ORG X 2000 NJ WORKERS COMPENSATION TRUST 1 0 0 0 0 0 0 0 3250000 2845497 239 15705 0 0 3250239 2861202 0 0 0 0 0 0 0 0 0 3250239 2861202 3250239 2861202 0 0 16596426 16428511 16594503 16426588 1923 1923 THE TRUST IS ESTABLISHED FOR THE PURPOSE OF MAINTAINING AND ADMINISTERING A TRUST FUND ON BEHALF OF VIRTUA HEALTH, INC. (THE SUPPORTED ORGANIZATION) TO PROVIDE FOR THEIR WORKERS' COMPENSATION LIABILITIES. 0 0 2861202 2845497 ORGANIZATION PROVIDES WORKERS COMPENSATION INSURANCE COVERAGE TO EMPLOYEES OF VIRTUA HEALTH, INC. INSURANCE IS IN COMPLIANCE WITH NJ WORKMENS COMPENSATION LAWS. 2861202 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X RHONDA JORDAN 8563550058 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 X PNC BANK TRUSTEE 1.00 0.00 X 0 0 0 0 0 0 0 0 0 0 0 EMPLOYER CONTRIBUTIONS 525100 2845497 2845497 2845497 15705 15705 2861202 2845497 0 15705 CLAIMS PAID 2849831 2849831 BANK FEES 11371 11371 2861202 2861202 0 0 385707 377211 1314845 1346909 6226000 5351000 8669874 9353391 16596426 16428511 16594503 16426588 16594503 16426588 X 1923 1923 1923 1923 16596426 16428511 0 0 X 0 0 0 X X 1 VIRTUA HEALTH INC 223524939 3 1 2861202 0 1 2861202 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 FORM 990, SCHEDULE A, PART I, LINE 12G, COLUMN (III) THE TYPE OF ORGANIZATION DESCRIBED ON LINES 1-10 NOTED FOR VIRTUA HEALTH, INC. (VHI) IS '3', WHICH IS 'A HOSPITAL; HOWEVER, VHI IS ACTUALLY A '12A ORGANIZATION: TYPE I SUPPORTING ORGANIZATION. THE TAX SOFTWARE DOES NOT ALLOW FOR ENTERING '12A'. WE ASSUME THIS IS DUE TO THE RARITY OF SUCH SITUATION, ALBEIT PERMITTED, OF ONE SUPPORTING ORGANIZATION SUPPORTING ANOTHER SUPPORTING ORGANIZATION. WE CHOSE '3' SINCE VHI IS THE PARENT ORGANIZATION OF A HOSPITAL HEALTHCARE SYSTEM. FORM 990, SCHEDULE A, LINE 12G WEST JERSEY HEALTH SYSTEM WORKER'S COMPENSATION TRUST (WCT) HAS AN IRS DETERMINATION LETTER INDICATING IT IS AN IRC SECTION 509(A)(3) SUPPORTING ORGANIZATION. WCT SUPPORTS VIRTUA HEALTH, INC., (VHI) ALSO AN IRC SECTION 509(A)(3) ORGANIZATION. VHI DIRECTLY SUPPORTS NUMEROUS IRC SECTION 509(A)(1) AND (A)(2) ORGANIZATIONS; THEREFORE, WCT INDIRECTLY SUPPORTS THOSE SAME ORGANIZATIONS. 0 EMPLOYER CONTRIBUTIONS RECEIVABLE 9353391 9353391 ESTIMATED UNPAID CLAIMS 11075588 RESERVE LIABILITY 5351000 16426588 FORM 990 PART V, LINE 1A: AND PART VII, SECTION B: IN CONNECTION WITH THE COORDINATED APPROACH OF THE ENTITIES AS A HEALTH CARE SYSTEM ALL ACCOUNT PAYABLE TRANSACTIONS ARE CONDUCTED BY VIRTUA WEST JERSEY HEALTH SYSTEM, INC. (21-0634532). FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY IN-HOUSE COUNSEL, THE EXTERNAL TAX CONSULTANTS, AND THE BOARD OF TRUSTEES. A FINAL COPY OF FORM 990 IS PROVIDED TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C WORKER'S COMP TRUST ADOPTS THE POLICIES OF VIRTUA HEALTH, INC. REGARDING MONITORING AND ENFORCING A CONFLICT-OF-INTEREST POLICY. WORKER'S COMP TRUST REQUIRES THAT EACH TRUSTEE, OFFICER, KEY EMPLOYEE, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS, SHALL 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 C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE ORDINARILY 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 CERTIFICATIONS),OR UPON REQUEST. 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SEE PART VII 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 223361862 MEDICAL SERVICES NJ N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 FORM 990, SCHEDULE R, PART II AND PART IV THE FOLLOWING RELATED ORGANIZATIONS WERE DISSOLVED DURING THE 2022 REPORTING PERIOD: SCHEDULE R, PART II - OUR LADY OF LOURDES HEALTH FOUNDATION, INC. 22-2351960 DISSOLVED 03/01/2022 - MEMORIAL HOSPITAL OF BURLINGTON COUNTY FOUNDATION, INC. 22-2337170 DISSOLVED 9/28/2022 - WEST JERSEY HEALTH AND HOSPITAL FOUNDATION, INC. 23-7414388 DISSOLVED 9/28/2022 - SUMMIT HEALTH-VIRTUA, INC. 52-1814579 DISSOLVED 9/28/2022 - WEST JERSEY RENEW, INC. 22-3580917 DISSOLVED 9/28/2022 - VIRTUA SURGICAL GROUP, P.A. 22-2580215 DISSOLVED 9/28/2022 SCHEDULE R, PART IV - LOURDES MEDICAL ASSOCIATES, P.A. 22-3361862 DISSOLVED 11/25/2022