2023-11-13T15:51:05-06:00 2022-12-31 366055558 GRANT THORNTON LLP 2001 MARKET ST STE 700 PHILADELPHIA PA 19103 990 2022-01-01 223554707 VIRTUA HEALTH AND REHAB AT BERLIN INC VIRT 8563550620 406 LIPPINCOTT DR J MARLTON NJ 08053 DENNIS W PULLIN PRESIDENT/CEO 8563550001 2023-11-13 0 DENNIS PULLIN 999009999 0 RUSSLEE ARMSTRONG P00288383 2155614200 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DENNIS W PULLIN 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 28127800 0 X WWW.VIRTUA.ORG X 1997 NJ OUR MISSION IS TO HELP THE COMMUNITY TO BE WELL, GET WELL AND STAY WELL. X 20 18 147 18 0 0 116915 557956 9352719 3341260 1022 16548601 24356 9319 9495012 20457136 0 0 0 0 10089924 3205368 0 0 0 4902494 2477144 14992418 5682512 -5497406 14774624 7424468 2415 7989949 163327 -565481 -160912 X WE ARE DEDICATED TO PROVIDING EACH PATIENT AND THEIR FAMILY WITH AN OUTSTANDING EXPERIENCE AND TO ENSURING THE HIGHEST QUALITY HEALTHCARE FOR THE COMMUNITY. WE ARE COMMITTED TO PROVIDING OUR HEALTHCARE TEAM WITH RESOURCES, TECHNOLOGY AND TRAINING, AS WELL AS WITH OPPORTUNITIES FOR PROFESSIONAL GROWTH. 0 0 3474881 2342871 NURSING CARE - CARE PROVIDED 24 HOURS A DAY, SEVEN DAYS A WEEK, 365 DAYS A YEAR. CARE IS GIVEN PRIMARILY TO GERIATRIC PATIENTS ADMITTED TO THE 128 BED NURSING FACILITY. PATIENT DAYS TOTALED 9,895 IN 2022. THE MAJORITY OF THE PATIENTS AT THE FACILITY ARE INSURED UNDER MEDICAL ASSISTANCE PROGRAMS, SUCH AS THE STATE ADMINISTERED MEDICAID PROGRAM. REIMBURSEMENT FOR THESE PROGRAMS IS LESS THAN THE COST OF THE SERVICES PROVIDED TO THE PATIENT. ON APRIL 28, 2022, THE FACILITY WAS SOLD TO AN UNRELATED THIRD PARTY, WHICH IS DESCRIBED IN SCHEDULE N. 942645 1007708 REHABILITATION - THE FACILITY PROVIDES PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY SERVICES TO PATIENTS. EMPHASIS IS PLACED ON PATIENT FOCUSED, OUTCOME DRIVEN THERAPY THAT ALLOWS EACH PERSON TO ACHIEVE THEIR GREATEST RECOVERY POTENTIAL. TOTAL REHABILITATIVE ACTIVITIES EXCEEDED 2,348 HOURS IN 2022. ON APRIL 28, 2022, THE FACILITY WAS SOLD TO AN UNRELATED THIRD PARTY, WHICH IS DESCRIBED IN SCHEDULE N. 557095 DIETARY - PROVIDE MEALS FOR NURSING HOME RESIDENTS. MEALS ARE SERVED THREE TIMES A DAY, 118 DAYS A YEAR. THE TOTAL NUMBER OF MEALS SERVED TO RESIDENTS WAS 29,685 FOR 2022. ON APRIL 28, 2022, THE FACILITY WAS SOLD TO AN UNRELATED THIRD PARTY, WHICH IS DESCRIBED IN SCHEDULE N. 4974621 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 X 0 0 147 1 0 0 0 0 0 0 0 0 0 0 0 0 X 20 18 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NJ X ROBERT M SEGIN 8563550620 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 X DENNIS W PULLIN PRESIDENT/CEO 0.20 42.09 X X 0 3045242 51109 ROBERT M SEGIN TREASURER - EVP/CFO 0.18 42.16 X 0 1175768 40915 LAUREN ROWINSKI SECRETARY - SVP & CHIEF LEGAL OFFICER 0.18 41.72 X 0 791678 40884 HAFEZA SHAIKH DOSTART 32222 TRUSTEE - PHYSICIAN 0.12 41.08 X 0 646422 53560 LISA C FERRARO SVP-CHIEF QUALITY SAFETY RISK OFFICER 0.50 39.50 X 0 438310 35943 DENISE MARIE REDMOND ASSISTANT ADMINISTRATOR LTC 40.00 0.00 X 129271 0 18328 CHRISTINE GERBER CODER - PHYSICIAN PRACTICE 37.00 3.00 X 154656 4629 13963 LISA LONG END 9822 INFECTION PREVENTION MANAGER 29.00 11.00 X 104620 33595 35356 EDWARD B CLOUES CHAIRMAN 0.16 1.44 X X 0 0 0 JAMES DWYER DO VICE CHAIR 0.14 1.51 X X 0 0 0 PATRICIA CODEY TRUSTEE 0.12 1.08 X 0 0 0 ELAINE DAMM TRUSTEE 0.12 1.08 X 0 0 0 LESLIE DONATO START 51122 TRUSTEE 0.11 0.99 X 0 0 0 GRAYLING JOHNSON TRUSTEE 0.13 1.17 X 0 0 0 SANIAH JOHNSON TRUSTEE 0.12 1.08 X 0 0 0 PRATAP KHEDKAR TRUSTEE 0.12 1.08 X 0 0 0 DAVID KINDLICK TRUSTEE 0.14 1.26 X 0 0 0 GEORGE LYNN TRUSTEE 0.14 1.26 X 0 0 0 FAYE MELOY TRUSTEE 0.14 1.26 X 0 0 0 SHAHRAM JAY MIRMANESH MD TRUSTEE (START 1/1/22) 0.12 1.08 X 0 0 0 JOHN PARKER TRUSTEE 0.19 1.71 X 0 0 0 ADOLFO PIPERNO START 1122 TRUSTEE 0.13 1.17 X 0 0 0 STACY ROBINSON TRUSTEE 0.13 1.17 X 0 0 0 MARVIN SAMSON TRUSTEE 0.13 1.17 X 0 0 0 ROY SCHUBERT MD TRUSTEE 0.12 1.08 X 0 0 0 CHARLES VILA TRUSTEE 0.15 1.35 X 0 0 0 388547 6135644 290058 3 0 1 0 0 X 40 557916 557956 ROOM AND BOARD 623000 2066076 2066076 PHYSICAL THERAPY 623000 460582 460582 OCCUPATIONAL THERAPY 623000 437973 437973 LABORATORY 621500 171111 171111 SPEECH THERAPY 623000 109152 109152 96366 96366 3341260 134 134 58 58 24219073 7670664 16548409 16548409 16548409 HAIR SERVICES 812900 7586 7586 LINEN SERVICES 812300 1733 1733 9319 20457136 3350579 0 16548601 X 2410051 2077537 332514 86416 74318 12098 441870 380008 61862 267031 229647 37384 1325588 1250696 74892 69627 56015 13612 143940 115152 28788 37299 29839 7460 57367 57367 MEDICAL SUPPLIES 299815 299815 MGMT FEE ALLOCATION 206664 165331 41333 PROVIDER ASSESSMENT TAX 116304 116304 RENTAL BEDS 99853 99853 120687 22739 97948 5682512 4974621 707891 0 X 463164 2415 359742 1164585 0 5404540 32437 7424468 2415 1787682 43991 4279729 24142 1403 1898396 117933 7989949 163327 X -597703 -160912 32222 0 -565481 -160912 7424468 2415 X 14774624 -14370055 X 0 1 X 1 1 1 X 604 2021 972253 116915 557956 1649749 14072167 15675983 11507707 9377075 3350579 53983511 14072771 15678004 12479960 9493990 3908535 55633260 0 0 0 55633260 21942 8154 3446 1022 192 34756 21942 8154 3446 1022 192 34756 14094713 15686158 12483406 9495012 3908727 55668016 0.99940 0.99940 0.00060 0.00060 X 0 1 X 0 DUE TO AFFILIATES 66604 DUE TO THIRD PARTIES 51329 117933 PART IV, LINE 2B: PERSONAL NEEDS ACCOUNT FOR RESIDENTS. 1 0 0 0 0 0 0 1 0 DENNIS W PULLIN PRESIDENT/CEO 0 1674091 0 1359151 0 12000 0 8221 0 42888 0 3096351 0 0 ROBERT M SEGIN TREASURER - EVP/CFO 0 744067 0 400909 0 30792 0 10675 0 30240 0 1216683 0 0 LAUREN ROWINSKI SECRETARY - SVP & CHIEF LEGAL OFFICE 0 536706 0 245972 0 9000 0 13725 0 27159 0 832562 0 0 HAFEZA SHAIKH DOSTART 32222 TRUSTEE - PHYSICIAN 0 548841 0 77081 0 20500 0 10675 0 42885 0 699982 0 0 LISA C FERRARO SVP-CHIEF QUALITY SAFETY RISK OFFICE 0 310666 0 98144 0 29500 0 9037 0 26906 0 474253 0 0 CHRISTINE GERBER CODER - PHYSICIAN PRACTICE 40459 4279 26084 350 88113 0 3063 0 9884 1016 167603 5645 0 0 LISA LONG END 9822 INFECTION PREVENTION MANAGER 34710 30975 15000 350 54910 2270 1077 0 22414 11865 128111 45460 0 0 PART I, LINE 3 VIRTUA HEALTH & REHABILITATION CENTER AT BERLIN, 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 4A VIRTUA HEALTH AND REHABILITATION CENTER AT BERLIN, INC. PAID A SEVERANCE PAYMENT TO CHRISTINE GERBER OF $63,718 AND LISA LONG OF $41,725. SUCH PAYMENT IS INCLUDED IN PART II, COLUMN B(III). VIRTUA-WEST JERSEY HEALTH SYSTEM, INC. (RELATED ORGANIZATION) PAID A SEVERANCE PAYMENT TO LISA LONG OF $2,270. PART I, LINE 4B: A RELATED ORGANIZATION, VIRTUA HEALTH, INC., HAS A "COLLATERAL ASSIGNMENT SPLIT DOLLAR PLAN" (CASD), 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. PROPERTY PLANT & EQUIPMENT, ACCOUNTS RECEIVABLE, HEALTHCARE OPERATIONS 2022-04-28 24219073 THIRD PARTY VALUATION 873226887 BERLIN PROPERTY LLC PO BOX 1030 BRICK NJ 08723 0 0 0 0 SCHEDULE N, PART II ON APRIL 28, 2022, ALL OF THE HEALTHCARE OPERATIONS AND CERTAIN ASSETS, INCLUDING PATIENTS ACCOUNTS RECEIVABLE AND PROPERTY, PLANT, AND EQUIPMENT OF THE FACILITY WERE SOLD TO AN UNRELATED THIRD PARTY. FORM 990, PART V LINE 1A AND PART VII, SECTION B - INDEPENDENT CONTRACTORS 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 A, LINE 6 VIRTUA HEALTH, INC. IS THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE 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 BOARD COMMITTEES OF VIRTUA HEALTH AND REHABILITATION CENTER AT BERLIN, 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 BOARD OF TRUSTEES. A FINAL COPY OF THE FORM 990 IS PROVIDED TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C VIRTUA HEALTH AND REHABILITATION CENTER AT BERLIN, INC. ADOPTS THE POLICIES OF VIRTUA HEALTH, INC. REGARDING MONITORING AND ENFORCING A CONFLICT OF INTEREST POLICY. VIRTUA HEALTH AND REHABILITATION CENTER AT BERLIN, INC., REQUIRES 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 B, LINE 15 VIRTUA HEALTH AND REHABILITATION CENTER AT BERLIN DOES NOT COMPENSATE ITS EXECUTIVES; BUT RATHER, 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 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 CERTIFICATION), OR UPON REQUEST. FORM 990, PART VII ONE OR MORE OF THE OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES IN THE FILING ORGANIZATIONS PART VII HAD TRANSACTIONS RELATED TO THE "COLLATERAL ASSIGNMENT SPLIT DOLLAR" (CASD) PROGRAM OFFERED BY VIRTUA HEALTH. 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 ARE REPORTED ON VIRTUA HEALTH'S RETURN. FORM 990, PART VIII, LINE 2F OTHER PROGRAM SERVICE REVENUE: PHARMACY: $82,775 RADIOLOGY: $13,591 TOTAL OTHER: $96,366 FORM 990, PART IX, LINE 11G AGENCY NIGHT: PROGRAM SERVICE EXPENSES 635,811. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 635,811. OUTSIDE SERVICES CONTRACTED: PROGRAM SERVICE EXPENSES 410,121. MANAGEMENT AND GENERAL EXPENSES 102,531. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 512,652. OUTSIDE MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 173,769. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 173,769. AGENCY DAY: PROGRAM SERVICE EXPENSES 116,748. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 116,748. COLLECTION EXPENSE: PROGRAM SERVICE EXPENSES 18,134. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,134. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 6,667. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,667. CONSULTING: PROGRAM SERVICE EXPENSES -2,190. MANAGEMENT AND GENERAL EXPENSES -548. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -2,738. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES -108,364. MANAGEMENT AND GENERAL EXPENSES -27,091. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -135,455. 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 REPROTED BY VIRTUA HEALTH, INC. ON SCHEDULE K (EIN 22-3524939). AS OF APRIL 27, 2022, THE BONDS WERE DEFEASED. FORM 990, PART XI, LINE 9: NET ASSET TRANSFER - VIRTUA 959,996. NET ASSET TRANSFER - VMG 133,582. NET ASSET TRANSFER - VLH 29,636. NET ASSET TRANSFER - VHRCMH 1,219. NET ASSET TRANSFER - CNS 80. NET ASSET TRANSFER - RETAIL -1,920. NET ASSET TRANSFER - VWH -4,862. NET ASSET TRANFSER - MHBC -60,117. NET ASSET TRANSFER - WJHS -15,427,669. FORM 990, PART VII, SECTION A, COLUMN B EACH OFFICER AND KEY EMPLOYEE IS COMPENSATED BY VIRTUA HEALTH, INC. (EIN 22-3524939), A RELATED ORGANIZATION, SOME OFFICERS AND KEY EMPLOYEES DEVOTE 40 HOURS A WEEK TO VIRTUA HEALTH, INC. THE AMOUNT OF TIME DEVOTED TO RELATED ORGANIZATIONS IS DEPENDENT ON THEIR INVOLVEMENT IN THOSE ORGANIZATIONS. AS A RESULT, THE TOTAL AVERAGE HOURS PER WEEK FOR EACH OFFICER AND KEY EMPLOYEE MAY VARY. 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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 1 1 1 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 3/1/2022 - 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