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 222394675 VIRTUA HEALTH AND REHABILITATION CENTER AT MT HOLLY INC VIRT 8563550620 406 LIPPINCOTT DR SUITE 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 DENNIS W PULLIN 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 30911663 0 X WWW.VIRTUA.ORG X 1982 NJ OUR MISSION IS TO HELP THE COMMUNITY TO BE WELL, GET WELL AND STAY WELL. X 20 18 145 18 0 0 1169 741058 8954139 3739352 915 20130274 60092 24255 9016315 24634939 0 0 0 0 9575815 2973863 0 0 0 5811266 3028020 15387081 6001883 -6370766 18633056 6750787 1263234 5294633 211359 1456154 1051875 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 3307504 2972813 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 180 BED NURSING FACILITY. PATIENT DAYS TOTALED 10,335 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. 832139 790794 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 REHABILITATION ACTIVITIES EXCEEDED 2,291 HOURS IN 2022. ON APRIL 28, 2022, THE FACILITY WAS SOLD TO AN UNRELATED THIRD PARTY, WHICH IS DESCRIBED IN SCHEDULE N. 576367 DIETARY - PROVIDE MEALS FOR NURSING HOME RESIDENTS. MEALS ARE SERVED THREE TIMES A DAY, 118 DAYS THIS YEAR. THE TOTAL NUMBER OF MEALS SERVED TO RESIDENTS WAS 31,005 FOR 2022. ON APRIL 28, 2022, THE THE FACILITY WAS SOLD TO AN UNRELATED THIRD PARTY, WHICH IS DESCRIBED IN SCHEDULE N. 4716010 1 0 0 0 0 0 0 0 1 0 0 0 0 1 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 0 145 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 HAFEZA SHAIKHDOSTART32222 TRUSTEE - PHYSICIAN 0.12 41.08 X 0 646422 53560 EDWARD B CLOUES CHAIRMAN 0.16 1.44 X X 0 0 0 JAMES DWYER DO VICE CHAIR 0.14 1.51 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 MIRMANESHMD 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 SHUBERT MD TRUSTEE 0.12 1.08 X 0 0 0 CHARLES VILA TRUSTEE 0.15 1.35 X 0 0 0 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 LISA C FERRARO SVP - INTEGRATED OPERATION 0.50 39.50 X 0 438310 35943 DIANE K COSTELLO NURSE LTC SUB ACUTE 40.00 0.00 X 144808 0 13723 144808 6097420 236134 1 0 1 0 0 741058 741058 ROOM AND BOARD 623000 2678368 2678368 OCCUPATIONAL THERAPY 623000 428300 428300 PHYSICAL THERAPY 623000 362593 362593 LABORATORY 623000 129035 129035 PHARMACY 623000 82874 82874 58182 58182 3739352 235 235 21 21 26406742 6276724 20130018 20130018 20130018 LINEN SERVICES 812300 12341 12341 MEALS 624210 11490 11490 MISC 900099 424 424 24255 24634939 3763607 0 20130274 X 2238469 1988610 249859 69930 62124 7806 427601 379872 47729 237863 211313 26550 174746 165709 9037 1735650 1444260 291390 154512 12077 142435 98182 13792 84390 4333 3985 348 20971 20971 MEDICAL SUPPLIES 269727 267730 1997 MANAGEMENT FEE (VIRTUA 262668 262668 BED RENTAL FEES 139446 139446 PROVIDER ASSESSMENT TAX 116450 116450 51335 6121 45214 6001883 4716010 1285873 0 X 1520249 0 131502 0 627040 0 333 0 0 0 4403815 0 67848 1263234 6750787 1263234 1802688 122874 1564440 0 88169 27545 1839336 60940 5294633 211359 X 1388306 1051875 67848 0 1456154 1051875 6750787 1263234 X 18633056 -19037335 X 0 1 X 1 1 1 X 45898 2407 1290970 1169 741058 2081502 19453423 20900792 13713670 9014231 3763607 66845723 19499321 20903199 15004640 9015400 4504665 68927225 0 0 0 68927225 12284 4948 2300 915 256 20703 12284 4948 2300 915 256 20703 19511605 20908147 15006940 9016315 4504921 68947928 0.99970 0.99970 0.00030 0.00030 X 0 1 X 0 OTHER LONG TERM ASSETS - DUE FROM AFFILIATE 1263234 1263234 DUE TO 3RD PARTIES 60940 60940 PART IV, LINE 2B: PERSONAL NEEDS ACCOUNTS FOR RESIDENTS 0 1 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 OFFICER 0 536706 0 245972 0 9000 0 13725 0 27159 0 832562 0 0 HAFEZA SHAIKHDOSTART32222 TRUSTEE - PHYSICIAN 0 548841 0 77081 0 20500 0 10675 0 42885 0 699982 0 0 LISA C FERRARO SVP - INTEGRATED OPERATION 0 310666 0 98144 0 29500 0 9037 0 26906 0 474253 0 0 DIANE K COSTELLO NURSE LTC SUB ACUTE 111939 0 6000 0 26869 0 4947 0 8776 0 158531 0 0 0 PART I, LINE 3 VIRTUA HEALTH AND REHABILITAION CENTER AT MT HOLLY 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 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 26406742 THIRD PARTY VALUATION 873484636 MOUNT HOLLY REAL 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 PATIENT ACCOUNTS RECEIVABLE, AND PROPERTY, PLANT, AND, EQUIPMENT OF THE FACILITY, WERE SOLD TO AN UNRELATED THIRD PARTY. FORM 990, PART V, LINE 1A & PART VII, SECTION A, COLUMN B IN CONNECTION WITH THE COORDINATED APPROACH OF THE ENTITIES AS A HEALTH CARE SYSTEM, ALL ACCOUNTS 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 COMMITTEES OF VIRTUA HEALTH REHABILITATION CENTER AT MT. HOLLY 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 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 MT. HOLLY INC. ADOPTS THE POLICIES OF VIRTUA HEALTH INC. REGARDING MONITORING AND ENFORCING A CONFLICT OF INTEREST POLICY. VIRTUA HEALTH AND REHABILITATION CENTER AT MT. HOLLY 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 REHABILITATION CENTER AT MT. HOLLY 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 WERE GENERALLY 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, 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. FROM 990, PART VII ONE OR MORE OF THE OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES IN THE FILING ORGANIZATION'S 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 IX, LINE 11G COLLECTION EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,470. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,470. CONSULTING: PROGRAM SERVICE EXPENSES -6,868. MANAGEMENT AND GENERAL EXPENSES 45,154. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,286. OUTSIDE SERVICES CONTRACTED: PROGRAM SERVICE EXPENSES 186,532. MANAGEMENT AND GENERAL EXPENSES 221,756. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 408,288. MEDICAL DIRECTOR FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 6,666. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,666. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES -120,642. MANAGEMENT AND GENERAL EXPENSES 12,344. FUNDRAISING EXPENSES 0. TOTAL EXPENSES -108,298. TEMPORARY STAFFING: PROGRAM SERVICE EXPENSES 1,385,238. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,385,238. FORM 990, PART X, LINE 20 THE AMOUNT REPORTED ON LINE 20 IS THE ORGANIZATIONS' ALLOCATED AMOUNT OF THE TOTAL BOND ISSUANCE. THE TOTAL BOND ISSUANCE IS REPORTED ON SCHEDULE K OF VIRTUA HEALTH, INC. (TAX ID #22-3524939). AS OF APRIL 27, 2022, THE BONDS WERE DEFEASED. FORM 990, PART XI, LINE 9: NET ASSET TRANSFERS-VMG 113,134. NET ASSET TRANSFERS-VHRCB -1,219. NET ASSET TRANSFERS-VIRTUA 996,680. NET ASSET TRANSFERS-WJHS 7,616,038. NET ASSET TRANSFERS-VHRCMH -27,529,359. NET ASSET TRANSFERS-WJHS DIV 25 -199,991. NET ASSET TRANSFERS-MHBC 8,942. NET ASSET TRANSFERS-CNS -1,481. NET ASSET TRANSFERS RETAIL-51 1,131. NET ASSET TRANSFERS-VLH -735. NET ASSET TRANSFERS-LCS -9,371. NET ASSET TRANSFERS-VWH 16,468. RESTRICTED GIFT DESIGNATION ADJUSTMENT' -47,572. PART VIII LINE 2F DETAIL OF OTHER PROGRAM SERVICE REVENUE IS AS FOLLOWS: SPEECH THERAPY - 45,756 X-RAY - 12,233 PROSTHETIC 193 VIRTUA HEALTH INC 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 223524939 SUPPORTING ORGANIZATION NJ 501(C)(3) 12A N/A 0 VIRTUA - WEST JERSEY HEALTH SYSTEM INC 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 210634532 GENERAL ACUTE CARE HOSPITALS NJ 501(C)(3) 3 VIRTUA HEALTH INC 0 VIRTUA - MEMORIAL HOSPITAL BURLINGTON COUNTY 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 210634562 GENERAL ACUTE CARE HOSPITALS NJ 501(C)(3) 3 VIRTUA HEALTH INC 0 VIRTUA SURGICAL GROUP PA - SEE PART VII 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 222580215 SURGICAL PHYSICIAN PRACTICE NJ 501(C)(3) 10 N/A 0 VIRTUA HEALTH AND REHABILITATION CENTER AT BERLIN INC 303 LIPPINCOTT DR 4/FLR MARLTON NJ 80853 223554707 REHABILITATION CENTER AND NURSING HOME NJ 501(C)(3) 10 VIRTUA HEALTH INC 0 VIRTUA HOME CARE - COMMUNITY NURSING SERVICES INC 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 210679591 HOME CARE NJ 501(C)(3) 10 VIRTUA HEALTH INC 0 SUMMIT HEALTH - VIRTUA INC - SEE PART VII 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 521814579 HEALTH AND WELLNESS SERVICES NJ 501(C)(3) 3 VIRTUA HEALTH INC 0 WEST JERSEY RENEW INC - SEE PART VII 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 223580917 LOW INCOME HOUSING NJ 501(C)(3) 10 VIRTUA HEALTH INC 0 MEMORIAL HOSPITAL OF BURLINGTON COUNTY FOUNDATION INC - SEE PART VII 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 222337170 FUND RAISING FOUNDATION NJ 501(C)(3) 7 VIRTUA HEALTH INC 0 WEST JERSEY HEALTH & HOSPITAL FOUNDATION INC -SEE PART VII 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 237414388 FUND RAISING FOUNDATION NJ 501(C)(3) 7 VIRTUA HEALTH INC 0 VIRTUA HEALTH FOUNDATION INC 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 043722352 FUND RAISING FOUNDATION NJ 501(C)(3) 7 VIRTUA HEALTH INC 0 VIRTUA MEDICAL GROUP PA 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 271348772 PHYSICIAN SERVICES NJ 501(C)(3) 10 N/A 0 WEST JERSEY HEALTH SYSTEM WORKERS COMP TRUST 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 223142739 WORKERS COMP TRUST NJ 501(C)(3) 12A VIRTUA HEALTH INC 0 VIRTUA OUR LADY OF LOURDES HOSPITALINC 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 210635001 GENERAL ACUTE CARE HOSPITALS NJ 501(C)(3) 3 OUR LADY OF LOURDES HEALTH CARE SERVICES INC 0 VIRTUA WILLINGBORO HOSPITALINC 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 223612265 GENERAL ACUTE CARE HOSPITALS NJ 501(C)(3) 3 OUR LADY OF LOURDES HEALTH CARE SERVICES INC 0 LOURDES CARDIOLOGY SERVICES PC 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 274357794 HEALTH CARE SERVICES NJ 501(C)(3) 3 N/A 0 OUR LADY OF LOURDES HEALTH FOUNDATIONINC- SEE PART VII 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 222351960 FUND RAISING FOUNDATION NJ 501(C)(3) 7 OUR LADY OF LOURDES HEALTH CARE SERVICES INC 0 LOURDES ANCILLARY SERVICES 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 222568525 HEALTH CARE SYSTEM SUPPORT NJ 501(C)(3) 12B OUR LADY OF LOURDES HEALTH CARE SERVICES INC 0 OUR LADY OF LOURDES HEALTH CARE SERVICESINC 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 222568528 HEALTH CARE SYSTEM MANAGEMENT AND SUPPORT NJ 501(C)(3) 12B VIRTUA HEALTH INC 0 SOUTH JERSEY MUSCULOSKELETAL INSTITUTE LLC 556 EGG HARBOR ROAD SEWELL NJ 08080 204481032 SURGICAL CENTER NJ N/A 0 0 SUMMIT SURGICAL CENTER LLC 200 BOWMAN DRIVE SUITE D160 VOORHEES NJ 08043 731730859 SURGICAL CENTER NJ N/A 0 0 AMBULATORY SURGERY CENTER AT VIRTUA WASHINGTON TOWNSHIP LLC 239 HURRFVILLE-CROSS KEYS RD STE 18 SEWELL NJ 08080 208643005 SURGICAL CENTER NJ N/A 0 0 SHORE AMBULATORY SURGERY CENTER LLC 405 BETHEL ROAD SOMERS POINT NJ 08244 223778333 SURGICAL CENTER NJ N/A 0 0 ROCKLAND SURGICAL PROJECT LLC RAMAPO VALLEY SURGICAL CENTER 500 NORTH FRANKLIN TURNPIKE RAMSEY NJ 07446 200580403 SURGICAL CENTER NJ N/A 0 0 FREEHOLD ENDOSCOPY ASSOCIATES LLC 222 SCHANCK ROAD SUITE 100 FREEHOLD NJ 07728 841634126 SURGICAL CENTER NJ N/A 0 0 CENTER FOR AMBULATORY AND MINIMALLY INVASIVE SURGERY LLC 234 INDUSTRIAL WAY BUILDING B EATONTOWN NJ 07724 270907140 SURGICAL CENTER NJ N/A 0 0 VIRTUA ADULT IMAGING SERVICES AT VOORHEES LLC 303 LIPPINCOTT DRIVE 4TH FLOOR MARLTON NJ 08053 464055781 IMAGING SERVICES NJ N/A 0 0 GASTRO-SURGI CENTER OF NJ LLC 1132 SPRUCE DRIVE MOUNTAINSIDE NJ 07092 223472632 SURGICAL CENTER NJ N/A 0 0 VOORHEES ENDOSCOPY HOLDING CO LLC 1A BURTON HILLS BLVD NASHVILLE TN 37215 474669710 MEDICAL NJ N/A 0 0 VIRTUA PENN RADIATION ONCOLOGY PARTNERS LLC 200 BOWMAN DRIVE SUITE D190 VOORHEES NJ 08043 821947444 RADIOLOGY SERVICES NJ N/A 0 0 VIRTUA PENN RADIATION ONCOLOGY LEASING LLC 303 LIPPINCOTT DR MARLTON NJ 08053 831438811 LEASING SERVICES NJ N/A 0 0 FRESENIUS MEDICAL CARE MARLTON LLC 920 WINTER STREET WALTHAM MA 02451 472128074 DIALYSIS NJ N/A 0 0 VANTAGE SURGICAL CENTER LLC 180 ROUTE 70 MEDFORD NJ 08055 450516750 SURGICAL CENTER NJ N/A 0 0 VIRTUA-SCA HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 473247166 MEDICAL NJ N/A 0 0 BURLINGTON CTY ENDO CTR LLC CO PHYSICIANS ENDOSCOPY LLC 2500 YORK ROAD SUITE 300 JAMISON PA 18929 208205206 HEALTH CARE NJ N/A 0 0 VIRTUA-USP PRINCETON LLC 15305 DALLAS PKWY STE 1600 LB 28 ADDISON TX 75001 813270494 MEDICAL NJ N/A 0 0 ACENTUS PRACTICE MANAGEMENT LLC 1040 N KINGS HIGHWAY STE 701 CHERRY HILL NJ 08034 814861192 COLLECTIONS SERVICE NJ N/A 0 0 EMMAUS HOLDINGS LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 831806511 MEDICAL NJ N/A 0 0 MT LAUREL ENDOSCOPY CENTER LP 15000 MIDLANTIC DR SUITE 110 MT LAUREL NJ 08054 562350370 OUTPATIENT CARE CENTER NJ N/A 0 0 USRC GLOUCESTER LLC 5851 LEGACY CIRCLE SUITE 900 PLANO TX 75024 384117029 MEDICAL NJ N/A 0 0 LOURDES SPECIALTY HOSPITAL OF SOUTHERN NJ LLC 10735 DAVID TAYLOR DRIVE SUITE 200 CHARLOTTE NC 28262 861139477 HEALTH CARE NJ N/A 0 0 CENTENNIAL SURGUNIT LLC 502 CENTENNIAL BLVD SUITE 1 VOORHEES NJ 08043 223580847 AMBULATORY HEALTH CARE SERVICES NJ N/A 0 0 SPECIALIZED SURGICAL CENTER OF CENTRAL NEW JERSEY LLC 562 EASTON AVE SOMERSET NJ 08873 223296144 SURGICAL CENTER NJ N/A 0 0 TYLER DIALYSIS LLC C/O TAX DEPT PO BOX 4388 FEDERAL WAY WA 98063 454079716 DIALYSIS NJ N/A 0 0 VIRTUA - SCA HOLDINGS II LLC 569 BROOKWOOD VILLAGE SUITE 901 BIRMINGHAM AL 35209 852278858 MEDICAL DE N/A 0 0 RIVER DRIVE HOLDING COMPANY LLC 303 LIPPINCOTT DR FL 4TH MARLTON NJ 08053 843655618 MEDICAL NJ N/A 0 0 ACCESS HOLDING COMPANY LLC 2500 YORK ROAD SUITE 300 JAMISON PA 18929 850718604 MEDICAL NJ N/A 0 0 SJV MANAGEMENT LLC 200 CENTURY PKWY STE 200E MOUNT LAUREL NJ 08054 202273476 RADIOLOGY SERVICES NJ N/A 0 0 VIRTUA CAMPUS HOLDING LLC 303 LIPPINCOTT DRIVE 4TH FLOOR MARLTON NJ 08053 873806666 MEDICAL NJ N/A 0 0 ENDO SURGI CENTER OF OLD BRIDGE LLC 42 THROCKMORTON LANE 1ST FLOOR OLD BRIDGE NJ 08857 223679920 SURGICAL CENTER NJ N/A 0 0 STRIVE AND VIRTUA HEALTH PHYSICAL THERAPY & REHABILITATION LLC 1650 LYNDON FARM CT SUITE 300 LOUISVILLE KY 40223 883712078 PHYSICAL THERAPY NJ N/A 0 0 VIRTUA ASSURANCE 76 SAINT PAUL ST SUITE 500 BURLINGTON VT 05401 203025606 CAPTIVE INSURANCE COMPANY VT N/A C 0 VRI INC 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 260247120 HEALTH AND WELLNESS NJ N/A C 0 HEALTH MANAGEMENT SERVICES ORGANIZATION INC 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 223366580 MEDICAL ADMINISTRATION NJ N/A C 0 LOURDES MEDICAL ASSOCIATES PA - 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 1 1 1 1 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. 22-2580215 DISSOLVED 9/28/2022 -VIRTUA SURGIVAL GROUP, P.A. 22-2580215 DISSOLVED 9/29/2022 SCHEDULE R, PART IV -LOURDES MEDICAL ASSOCIATES, P.A. 22-3361862 DISSOLVED 11/25/2922