2025-11-17T18:05:32-06:00 2024-12-31 991856619 GRANT THORNTON ADVISORS LLC 2001 MARKET ST STE 800 PHILA PA 19103 990 2024-01-01 210635001 VIRTUA OUR LADY OF LOURDES HOSPITALINC VIRT 8563550620 406 LIPPINCOTT DR J MARLTON NJ 080533427 DENNIS W PULLIN PRESIDENT/CEO 8563550620 2025-11-17 0 0 RUSSLEE ARMSTRONG P00288383 2155614200 2024 2025-03-06 01:10:19Z VIRTUA OUR LADY OF LOURDES HOSPITAL DENNIS W PULLIN 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 560545394 0 X WWW.VIRTUA.ORG X 1950 NJ OUR MISSION IS TO HELP THE COMMUNITY TO BE WELL, GET WELL AND STAY WELL. 6 1 2524 31 1211 0 1639205 2782473 478761865 550769719 119086 116503 4533600 4449956 485053756 558118651 0 0 0 0 162140307 187162922 0 0 0 311930905 363612194 474071212 550775116 10982544 7343535 301609880 335531708 136900520 144531609 164709360 191000099 X WE ARE DEDICATED TO PROVIDING EACH PATIENT AND THEIR FAMILY WITH AN OUTSTANDING EXPERIENCE AND 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 115635902 72385114 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 SERVICE PROVIDED BY APPROXIMATELY $43.3 MILLION, AS ESTIMATED BY MANAGEMENT. SERVICES ARE PROVIDED ON BOTH AN INPATIENT AND OUTPATIENT BASIS, INCLUDING THROUGH EMERGENCY DEPARTMENTS AND CLINICS. 23261969 10142566 MEDICAL EDUCATION - VIRTUA OUR LADY OF LOURDES HOSPITAL IS ONE OF THE REGION'S LEADING HEALTHCARE PROVIDERS, RECOGNIZED NATIONALLY FOR EXCELLENCE IN CLINICAL CARE AND SERVICE TO THE COMMUNITY. OUR INTERN AND RESIDENT EDUCATION PROGRAMS HELP DEVELOP AND TRAIN LEADERS IN MEDICINE. VIRTUA'S RESIDENCY PROGRAMS (OBSTETRICS AND GYNECOLOGY, FAMILY MEDICINE, PHARMACY, AND PODIATRY) AND FELLOWSHIP (CARDIOLOGY) ARE DEDICATED TO PROVIDE REWARDING EXPERIENCES. 12699983 708095 CHARITY CARE - UNDER THE GUIDANCE OF ITS COMMUNITY BASED BOARD OF TRUSTEES AND THE SUPPORT OF THE PHYSICIANS ON ITS OPEN MEDICAL STAFF, VIRTUA OUR LADY OF LOURDES HOSPITAL PROVIDES MEDICALLY NECESSARY SERVICES TO INDIVIDUALS IRRESPECTIVE OF THEIR ABILITY TO PAY. PROGRAMS ARE IN PLACE TO IDENTIFY AND PROVIDE FINANCIAL ASSISTANCE TO THOSE IN NEED. SOME PATIENTS WILL QUALIFY FOR CHARITY CARE ASSISTANCE UNDER STATE OF NEW JERSEY DEFINED ELIGIBILITY CRITERIA. VIRTUA OUR LADY OF LOURDES HOSPITAL AUGMENTS THE STATE'S PROGRAM WITH ITS OWN ASSISTANCE PROGRAM FOR WHICH THE CRITERIA IS LESS RESTRICTIVE THAN THAT OF THE STATE PROGRAM, PROVIDING ASSISTANCE TO INDIVIDUALS EARNING UP TO 500% OF THE FEDERAL POVERTY GUIDELINES. MANAGEMENT ESTIMATES THE TOTAL COST OF CHARITY CARE PROVIDED DURING 2023 TO BE APPROXIMATELY $12.0 MILLION. 332450365 470619559 BENEFIT OPERATIONS:EXPENSE OF $2,118,961REVENUE OF $562,934SUBSIDIZED HEALTH SERVICES: PROVIDE SEVERAL OUTPATIENT SERVICES TO MEET COMMUNITY NEED.EXPENSE OF $1,335,625REVENUE OF $519,814RESEARCH: PREFORMED ONCOLOGY CLINICAL RESEARCH STUDIES.EXPENSE OF $237,478REVENUE OF $5,133FINANCIAL 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 $159,368REVENUE OF $905COMMUNITY BUILDING ACTIVITIES: HELD EVENTS THROUGHOUT THE YEAR TO FEED AND PROVIDE PRESENTS TO MANY FAMILIES IN NEED.EXPENSE OF $289,116REVENUE OF $172,309PROVIDING FUNCTIONAL PATIENT SERVICES FOR THE HOSPITALSEXPENSE OF $328,309,817REVENUE OF $469,358,464 332450365 470619559 484048219 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 0 0 2524 1 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 1 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 NJ X ROBERT M SEGIN 8563550620 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 X REGINALD J BLABER END 123124 TRUSTEE - EVP/CCO 0.10 38.80 X 0 1170592 57115 LISA C FERRARO START 21224 TRUSTEE - LOURDES HOSPITAL PRESIDENT 36.40 3.70 X 526328 41772 49740 MICHAEL DRISCOLL TRUSTEE - LEAD PHYSICIAN 0.10 40.00 X 0 634495 65895 CHUN W CHOI TRUSTEE - VP CLINICAL OPERATIONS 0.10 40.00 X 0 1727196 70092 MARK P NESSEL END 2324 TRUSTEE - SVP & COO - VOORHEES & MARLTON HOSPITAL 3.80 36.40 X 49114 555409 56047 THOMAS FANELLE CHAIR 0.10 1.00 X X 0 0 0 MARY A MCCORMICK VP CNO - LOURDES HOSPITAL 29.70 10.40 X 184262 130201 30645 ALAN POPE VP CMO - LOURDES HOSPITAL 40.00 0.00 X 577868 0 55737 CHRISTINE DENISE PALMS SVP TERTIARY SERVICES & PLANNING 36.20 3.80 X 352537 28966 69766 KAREN MAGARELLI END 41224 VP CNO - LOURDES HOSPITAL 11.30 0.00 X 319678 0 57718 LANNAE EWING VP CARDIAC OPERATIONS 40.00 0.00 X 282544 0 54320 MARK PETRACCI PERFUSIONIST SUPERVISOR 40.00 0.00 X 279732 0 52242 DENNIS W PULLIN PRESIDENT/CEO 0.00 41.20 X 0 3255726 65233 ROBERT M SEGIN EVP/CFO 0.00 41.30 X 0 1359141 47568 JOHN M MATSINGER EVP/COO 0.00 40.20 X 0 1702837 51558 LAUREN ROWINSKI SECRETARY - SVP & CHIEF LEGAL OFFICER 0.00 41.00 X 0 950446 49835 2572063 11556781 833511 467 1 1 0 0 456040 2326433 2782473 NET PATIENT SERVICES 621110 422103471 422103471 NET LAB REVENUE 621110 121913129 121911918 1211 SCHOOL OF NURSING 611310 4388467 4388467 QIP NJ PROGRAM 621990 1483450 1483450 RESIDENT PROGRAM REVEN 621990 719532 719532 161670 161670 550769719 116503 116503 2291268 2291268 0 0 224217 135475 88742 88742 JOINT VENTURE INCOME 621990 3084315 3084315 CAFETERIA INCOME 722514 1275599 1275599 NJ SHARING NETWORK 621991 1300 1300 4361214 558118651 553854123 1211 1480844 X 830620 664496 166124 148633825 118907060 29726765 4755856 3804685 951171 21877352 17501882 4375470 11065269 8852215 2213054 83742683 83285306 457377 9798 9798 9013351 7876427 1136924 38830 38830 4954729 4144799 809930 97993 96171 1822 19428061 15542449 3885612 MEDICAL SUPPLIES 118622425 118622425 VIRTUA ALLOCATION 113299136 90639309 22659827 HOSPITAL FEE PILOT PROG 10653238 10653238 NJ HOSPITAL FEE - STATE 2418732 2418732 1333218 990397 342821 550775116 484048219 66726897 0 10322 12455 48977102 52365414 5515115 6331174 1751707 2078320 310450752 84818161 197426436 225632591 19459166 19249166 28470032 29862588 301609880 335531708 33664426 43920797 153093 0 103083001 100610812 136900520 144531609 X 162374967 188502406 2334393 2497693 164709360 191000099 301609880 335531708 X 7343535 18947204 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7553547 7553547 98414746 22291994 76122752 7930522 1601089 6329433 136869903 59616274 77253629 59682034 1308804 58373230 225632591 RIGHT OF USE ASSET 7067305 INVESTMENT IN SUBSIDIARY 9119379 OTHER ACCOUNTS RECEIVABLE 11231033 DUE FROM AFFILIATES, NON CURRENT 2444871 29862588 DUE TO AFFILIATES, NET 80363757 EST SETTLEMENT DUE TO 3RD PARTY PYR 11351619 LEASE LIABILITY 7488797 OTHER LIABILITIES 1406639 100610812 1 1 1 X 1 X 500.000000000000 1 0 1 1 12699983 708095 11991888 0.02180 115635902 72385114 43250788 0.07850 0 0 128335885 73093209 55242676 0.10030 2118961 562934 1556027 0.00280 23261969 10142566 13119403 0.02380 1335625 519814 815811 0.00150 237478 5133 232345 0.00040 159368 905 158463 0.00030 27113401 11231352 15882049 0.02880 155449286 84324561 71124725 0.12910 0 0 0 0 236590 172011 64579 0.00010 0 0 5630 32 5598 0.00000 1623 9 1614 0.00000 0 0 45273 257 45016 0.00010 0 0 289116 172309 116807 0.00020 1 23433612 0 121393620 119025904 2367716 X 1 1 1 1 VIRTUA OUR LADY OF LOURDES HOSPITAL 1600 HADDON AVENUE CAMDEN NJ 081033117 WWW.VIRTUA.ORG LICENSE # 10404 X X X X VIRTUA OUR LADY OF LOURDES HOSPITAL 0 0 1 X X X X X X X X X 22 1 1 1 1 X WWW.VIRTUA.ORG/ABOUT/COMMUNITY-PROGRAMS X 1 23 1 WWW.VIRTUA.ORG/ABOUT/COMMUNITY-PROGRAMS 0 1 X 200.000000000000 500.000000000000 X X X X 1 1 X X X 1 X WWW.VIRTUA.ORG/PATIENT-TOOLS/FINANCIAL-ASSISTANCE-POLICY X WWW.VIRTUA.ORG/PATIENT-TOOLS/FINANCIAL-ASSISTANCE-POLICY X WWW.VIRTUA.ORG/PATIENT-TOOLS/FINANCIAL-ASSISTANCE-POLICY X X X X X X 1 X 0 X X X X 1 X 0 0 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, LINE 5 CHNA COMMUNITY ENGAGEMENT THE 2022 CHNA WAS CONDUCTED FROM DECEMBER 2021 TO MAY 2022 AND INCLUDED QUANTITATIVE AND QUALITATIVE RESEARCH METHODS TO DETERMINE HEALTH TRENDS AND DISPARITIES IN BURLINGTON, CAMDEN AND GLOUCESTER COUNTIES AND THE CITY OF CAMDEN WHERE APPLICABLE. SECONDARY RESEARCH METHODS WERE USED TO IDENTIFY AND ANALYZE STATISTICAL SOCIOECONOMIC AND HEALTH INDICATORS. DATA WAS COMPARED ACROSS ZIP CODES AND NEIGHBORHOODS WHERE AVAILABLE, AND COMPARED TO THE COUNTIES, NEW JERSEY STATE, AND NATIONAL BENCHMARKS. SECONDARY DATA, INCLUDING DEMOGRAPHIC, SOCIOECONOMIC, AND PUBLIC HEALTH INDICATORS, WERE ANALYZED FOR BURLINGTON, CAMDEN, AND GLOUCESTER COUNTIES IN NEW JERSEY (NJ) TO MEASURE KEY DATA TRENDS AND PRIORITY HEALTH ISSUES, AND TO ASSESS EMERGING HEALTH NEEDS. DATA WERE COMPARED TO STATE AND NATIONAL BENCHMARKS AND HEALTHY PEOPLE 2030 (HP2030) GOALS, AS AVAILABLE, TO ASSESS AREAS OF STRENGTH AND OPPORTUNITY. HEALTHY PEOPLE 2030 IS A US DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH PROMOTION AND DISEASE PREVENTION INITIATIVE THAT SETS SCIENCE-BASED, 10-YEAR NATIONAL OBJECTIVES FOR IMPROVING THE HEALTH OF ALL AMERICANS. PRIMARY RESEARCH AND COMMUNITY ENGAGEMENT THROUGH COMPREHENSIVE VIEW OF STATISTICAL HEALTH INDICATORS AND COMMUNITY STAKEHOLDER FEEDBACK, A PROFILE WAS CREATED OF HEALTH INDICATORS AND SOCIOECONOMIC FACTORS THAT INFLUENCE THE HEALTH AND WELL-BEING OF PEOPLE LIVING IN BURLINGTON, CAMDEN AND GLOUCESTER COUNTIES. PRIMARY RESEARCH METHODS THEN USED TO SOLICIT INPUT FROM PUBLIC HEALTH EXPERTS AND KEY COMMUNITY STAKEHOLDERS REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY UTILIZING INTERVIEWS, AN ONLINE KEY INFORMANT SURVEY AND THROUGH FOCUS GROUPS. THESE FINDINGS WILL GUIDE VIRTUA HEALTH, THE SOUTH JERSEY HEALTH COLLABORATIVE AND THEIR COMMUNITY PARTNERS IN CREATING A COLLABORATIVE, COORDINATED EFFORT TO ADDRESS COMMUNITY HEALTH NEEDS. THE 2022 CHNA PRIMARY RESEARCH AND COMMUNITY ENGAGEMENT STUDY METHODS INCLUDE: - AN ANALYSIS OF EXISTING SECONDARY DATA SOURCES, INCLUDING PUBLIC HEALTH STATISTICS, DEMOGRAPHIC AND SOCIAL MEASURES, AND HEALTHCARE UTILIZATION - ONE ON ONE KEY INFORMANT INTERVIEWS WITH KEY INDIVIDUALS REPRESENTING DIVERSE HEALTH, POLICY AND COMMUNITY PERSPECTIVES - A KEY INFORMANT SURVEY COMPLETED BY 206 INDIVIDUALS THROUGHOUT THE AREA WHO REPRESENT FIRST RESPONDERS, HEALTH CARE PROVIDERS, SOCIAL SERVICES PROFESSIONALS, EDUCATORS, FAITH-BASED LEADERS AND COMMUNITY LEADERS - 14 FOCUS GROUPS WITH 74 INDIVIDUALS REPRESENTING DIVERSE, UNDERSERVED, MINORITY AND HISTORICALLY DISADVANTAGED POPULATIONS INCLUDING YOUTH - AN ANALYSIS OF EMERGENCY DEPARTMENT UTILIZATION DATA FROM 2019, 2020 AND 2021 A LIST OF ALL LOCATIONS, PARTICIPATION NUMBERS AND PARTICIPATING AGENCIES IS INCLUDED AS APPENDICES IN CHNA REPORT. PART V, SECTION B, LINE 6A CHNA COOPERATING HOSPITALS - COOPER UNIVERSITY HEALTH CARE - JEFFERSON HEALTH PART V, SECTION B, LINE 6B CHNA NON-HOSPITAL COOPERATING ORGANIZATIONS - BURLINGTON COUNTY HEALTH DEPARTMENT, - CAMDEN COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, AND - GLOUCESTER COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES. PART V, SECTION B, LINE 7A HOSPITAL FACILITY'S WEBSITE (LIST URL): HTTPS://WWW.VIRTUA.ORG/ABOUT/COMMUNITY-PROGRAMS PART V, SECTION B, LINE 10A: HOSPITAL'S ADOPTED IMPLEMENTATION STRATEGY HTTPS://WWW.VIRTUA.ORG/ABOUT/COMMUNITY-PROGRAMS HTTPS://WWW.VIRTUA.ORG/-/MEDIA/PROJECT/VIRTUA-TENANT/VIRTUA/PDFS/COMMUNITY/CHIP-2023-2025_FINAL.PDF PART V, SECTION B, LINE 11 CHNA ASSESSMENT PROVIDING THE BEST POSSIBLE HEALTH CARE FOR THE COMMUNITY REQUIRES A DEEP UNDERSTANDING OF THE INDIVIDUALS AND FAMILIES IN THE REGION AND IDENTIFYING ANY BARRIERS THAT LIMIT THEM FROM LIVING THEIR HEALTHIEST-POSSIBLE LIVES. TO ADDRESS THIS, THE 2022 SOUTH JERSEY HEALTH COLLABORATIVE (SJHC) CHNA REVIEWED HEALTH INDICATORS, HOSTED FOCUS GROUPS WITH DIVERSE POPULATIONS, INCLUDING YOUTH, AND SOLICITED FEEDBACK THROUGH KEY INFORMANT SURVEY AND STAKEHOLDER INTERVIEWS TO INTERPRET THE QUANTITATIVE AND QUALITATIVE INFORMATION COLLECTED THROUGH A LENS OF HEALTH EQUITY AND OPPORTUNITIES TO WORK TOWARD EQUITABLE OUTCOMES FOR ALL PEOPLE. THE IMPACT OF THE INEQUITIES IN SOCIAL DETERMINANTS OF HEALTH ARE MOST EVIDENT AMONG HEALTH OUTCOMES IN KEY AREAS: ACCESS TO CARE, CHRONIC DISEASE, BEHAVIORAL HEALTH, MENTAL HEALTH AMONG YOUTH AND MATERNAL AND CHILD HEALTH.KEY FOCUS AREAS:- ACCESS TO CARE- CHRONIC DISEASE- BEHAVIORAL HEALTH- MENTAL HEALTH AMONG YOUTH- MATERNAL CHILD HEALTHTHE ALICE (ASSET LIMITED, INCOME CONSTRAINED, EMPLOYED) INDEX MEASURES WORKING HOUSEHOLDS THAT DO NOT EARN ENOUGH TO MEET ALL OF THEIR NEEDS GIVEN THE COST OF LIVING. 1 IN 4 SOUTH JERSEY HOUSEHOLDS MET THE ALICE THRESHOLD BEFORE THE COVID-19 PANDEMIC, AND ALL SOUTH JERSEY COUNTIES HAD LOWER LIFE EXPECTANCIES THAN NEW JERSEY AS A WHOLE. COVID-19 EXPOSED LONG-STANDING INEQUITIES THAT TAUGHT US WE NEED A MORE EQUITABLE HEALTHCARE RESPONSE. THE RAPID PACE OF SOCIETAL CHANGE DUE COVID-19 HAS DRAMATICALLY EXPOSED AND WORSENED THE UNDERLYING INEQUITIES THAT HAVE EXISTED FOR GENERATIONS THAT CONTINUE TO FUEL DISPARITIES IN HEALTH OUTCOMES.VIRTUA HEALTH, AS A COMPREHENSIVE NOT-FOR-PROFIT HEALTHCARE SYSTEM WITH A MISSION TO HELP THE COMMUNITY TO BE WELL, GET WELL, AND STAY WELL, EMBRACES THE OPPORTUNITY TO UTILIZE ITS RESOURCES TO ASSIST ITS SJHC PARTNERS. THE CHNA TEAM COLLABORATED WITH COLLEAGUES AND LEADERS ACROSS THE VIRTUA SYSTEM TO IDENTIFY RESOURCES THAT COULD BE LEVERAGED TO ADDRESS SOME NEEDS IDENTIFIED BY SOUTH JERSEY RESIDENTS. THIS COLLABORATION VALIDATED ONGOING WORK WITHIN VIRTUA AND THE OPPORTUNITY TO COORDINATE AND ALIGN TO BEST ADDRESS THE NEEDS IDENTIFIED IN THE LATEST CHNA. THE COMMUNITY HEALTH IMPROVEMENT PLANNING TEAM (CHIP TEAM), COMPRISING OF MULTI-DISCIPLINARY GROUPS OF VIRTUA LEADERS, DEVELOPED THE FOLLOWING GOALS, OBJECTIVES, STRATEGIES AS PART OF THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) FOR 2023-2025 PERIOD.PRIORITIES FOR ACTION: BUILDING TRUST AND EQUITYHEALTH EQUITY APPROACH: - ACHIEVE EQUITABLE OUTCOMES FOR ALL RESIDENTS REGARDLESS OF RACE, ETHNICITY, AGE, INSURANCE, ZIP CODE, INCOME, GENDER OR LANGUAGE BY CHALLENGING STRUCTURAL AND INSTITUTIONAL INEQUITIES - LEVERAGE COLLABORATION TO COUNTERACT SOCIAL DRIVERS OF HEALTH - CHANGE PROCESSES AND POLICIES TO REDEFINE EQUITABLE DISTRIBUTION OF SERVICESACCESS TO CARETHE SOUTH JERSEY AREA HAS AN ABUNDANCE OF HIGH-QUALITY HEALTH AND SOCIAL SERVICES, EDUCATION, AND BUSINESSES, WHICH CONTRIBUTE TO CREATING A HEALTHY PLACE TO LIVE. HOWEVER, NOT EVERYONE HAS THE SAME ACCESS TO THESE COMMUNITY RESOURCES. A CLOSER LOOK AT THE DATA SHOWS DISPARITIES AMONG BLACK AND BROWN COMMUNITIES AND THOSE WITH LOWER INCOMES IN RECEIVING THE SERVICES THEY NEED WHEN THEY NEED THEM. THE BARRIERS THAT KEEP PEOPLE WHO NEED SERVICES FROM RECEIVING THEM ARE VARIED AND MANY. WE KNOW THAT SOCIAL DETERMINANTS OF HEALTH, LACK OF ACCESS TO A COMPUTER OR INTERNET CONNECTION, LIMITED ENGLISH LANGUAGE CAPACITY, LACK OF CHILDCARE OR TRANSPORTATION, AND LACK OF HEALTH INSURANCE PERSIST AS BARRIERS TO ACCESSING CARE. PREVENTIVE CARE, SUCH AS PRENATAL CARE AND CANCER SCREENINGS, CAN DETECT SMALL PROBLEMS THAT CAN BE TREATED MORE EASILY AND EFFECTIVELY THAN IF TREATMENT IS DELAYED. WHILE THE PERCENT OF ALL POPULATIONS WITHOUT HEALTH INSURANCE IS STEADILY DECREASING, MORE THAN 1 IN 10 PEOPLE IN THE CITY OF CAMDEN LACK HEALTH INSURANCE.GOAL: ACHIEVE EQUITABLE ACCESS TO SERVICES FOR ALL PEOPLE REGARDLESS OF RACE, ETHNICITY, AGE, INSURANCE, ZIP CODE, INCOME, GENDER OR LANGUAGE.OBJECTIVES:- REDUCE TRANSPORTATION BARRIERS ADDRESSING THE AREAS OF MOST NEED - MAINTAIN PREVENTATIVE HEALTH SCREENINGS AND SERVICES THROUGH MOBILE FLEET AND ON-SITE SERVICES - IMPROVE NAVIGATION OF HEALTHCARE AND SOCIAL SERVICES TO LINK INDIVIDUALS TO APPROPRIATE, TRANSPARENT AND COST-EFFECTIVE CARE- COLLECT AND UTILIZE DATA TO DRIVE ACTIONSTARTEGIES:- CONTINUE TO PROVIDE TRANSPORTATION SERVICES FOR PATIENTS EXPERIENCING TRANSPORTATION BARRIERS - RIDE HEALTH PROGRAM: FREE RIDES FOR ELIGIBLE PATIENTS AT DISCHARGE FROM HOSPITALS AND FOR MEDICAL APPOINTMENTS- IMPROVE ACCESS TO SERVICES AND RESOURCES IN THE COMMUNITY VIA MOBILE FLEET AND ON-SITE SERVICES - EARLY INTERVENTION PROGRAM/PEDIATRIC MOBILE SERVICES: IMPROVE AND INCREASE INFLUENZA VACCINATION; LEAD -POISONING SCREENING; ORAL PREVENTIVE HEALTHCARE; DEVELOPMENTAL SCREENINGS IN EARLY CHILDHOOD - MOBILE HEALTH & CANCER SCREENING SERVICES: INCREASE THE NUMBER OF INDIVIDUALS WHO ARE SCREENED FOR CANCER - COMMUNITY CONNECTION: TRACK CONNECTION TO RESOURCES AND SERVICES WITHIN THE COMMUNITY VIA FINDHELP APPLICATION - INCREASE A UNIFORMED DATA COLLECTION AND VALIDATION FRAMEWORK TO SYSTEMATICALLY DRIVE ACTION - ENTERPRISE-WIDE REAL (RACE, ETHNICITY AND LANGUAGE), SGN (SEX, GENDER, NAMING) AND SDOH (SOCIAL DETERMINANTS OF HEALTH) DATA CHRONIC DISEASE AND LIFE EXPECTANCYPRIOR TO 2020, THE TOP LEADING CAUSES OF DEATH AMONG ALL POPULATIONS IN THE U.S. WERE CHRONIC DISEASES. ACROSS SOUTH JERSEY, IT IS CLEAR THAT PREVENTIVE CARE, EARLY DIAGNOSIS, AND COMPREHENSIVE TREATMENT ARE EFFECTIVE AT MANAGING DISEASE AND PROLONGING THE LENGTH AND QUALITY OF LIFE. WHILE GREAT INNOVATIONS EXPANDED THE USE OF HOME-BASED MONITORING OF CHRONIC CONDITIONS AND TELEHEALTH SERVICES HELPED CONNECT PEOPLE WITH PROVIDERS MORE EASILY THAN BEFORE, THESE INTERVENTIONS WERE NOT EQUALLY ACCESSIBLE FOR ALL PEOPLE FOR A VARIETY OF REASONS. THE RESTRICTIONS PUT IN PLACE TO HELP PREVENT THE SPREAD OF COVID-19 MADE ACCESSING SCREENINGS AND MAINTENANCE CARE FOR MANY CHRONIC CONDITIONS MORE CHALLENGING. THE DATA REINFORCE THAT SOCIAL DETERMINANTS OF HEALTH DIRECTLY IMPACT HEALTH OUTCOMES FOR CHRONIC DISEASE, RESULTING IN INEQUITIES IN LIFE EXPECTANCY BY RACE AND NEIGHBORHOOD.GOAL: ACHIEVE EQUITABLE LIFE EXPECTANCY FOR ALL PEOPLE REGARDLESS OF RACE, ETHNICITY, ZIP CODE, INSURANCE, INCOME, GENDER OR LANGUAGE. OBJECTIVES: - INCREASE CHRONIC DISEASE AND BEHAVIORAL HEALTH SCREENINGS - IMPROVE CONTROL OF CHRONIC DISEASE - IMPROVE COMMUNICATION WITH PATIENTS AND PROVIDERS TO ESTABLISH CLEARER PATIENT UNDERSTANDING OF THEIR CARE PLAN - INCREASE ACCESS TO CARE VIA MOBILE FLEETSTRATEGIES:- INCREASE DIABETIC AND HYPERTENSION SCREENING AND CONTROL TARGETING SPECIFIC PRIMARY CARE PRACTICES - IMPROVEMENT IN DIABETIC SCREENING AND CONTROL; CONTROLLING HYPERTENSION METRICS TRACKED AT CERTAIN PRIMARY CARE LOCATIONS- ASSIST PATIENTS IN OBTAINING AND UNDERSTANDING INFORMATION REGARDING THEIR HEALTHCARE FOCUSING ON THE MOST VULNERABLE POPULATION - MY CHART: INCREASE UTILIZATION OF MY CHART AT PRIMARY CARE PRACTICES - HEALTHY NEIGHBOR: ADVANCE ENROLLMENT INTO HEALTHY NEIGHBOR VIA COMMUNITY HEALTH WORKERS PROVIDING AN INNOVATIVE APPROACH TO HOW HEALTH CARE IS DELIVERED - MOBILE OUTREACH: INCREASE OUTREACH OF VIRTUA MOBILE FLEET OF COMMUNITY-HEALTH PROGRAMS IN UNDER-RESOURCED COMMUNITIES - VIRTUA INTEGRATED NETWORK- NJ QIP PROGRAM: QIP-NJ - PREVENTIVE CARE AND SCREENING FOR DEPRESSION IN THE EMERGENCY DEPARTMENTS AND IMPROVEMENTS IN CONNECTIONS TO BEHAVIORAL HEALTH SERVICES POST-DISCHARGEBEHAVIORAL HEALTH, TRAUMA AND ADVERSE CHILDHOOD EXPERIENCESMENTAL AND BEHAVIORAL DISORDERS SPAN A WIDE RANGE OF DIAGNOSES, INCLUDING ANXIETY DISORDERS, SCHIZOPHRENIA, AND OTHER DELUSIONAL DISORDERS, AS WELL AS MOOD DISORDERS SUCH AS DEPRESSION OR PERSONALITY DISORDERS. THE DISORDERS ARE NOT INDUCED BY ALCOHOL AND OTHER PSYCHOACTIVE SUBSTANCES, BUT THEY MAY CO-OCCUR WITH OR BE EXACERBATED BY SUBSTANCE USE DISORDER. HAVING HEALTH INSURANCE REDUCES SOME BARRIERS TO ACCESSING CARE, BUT HAVING ENOUGH PROVIDERS AND CAPACITY AMONG AVAILABLE PROVIDERS ARE ALSO CRITICAL COMPONENTS. UNDERLYING INEQUITIES AND SOCIAL DETERMINANTS OF HEALTH HAVE A NOTABLE IMPACT ON NEGATIVE OUTCOMES FROM MENTAL DISTRESS AND BEHAVIORAL HEALTH IMPACTS. THE SOCIAL ISOLATION THAT STEMMED FROM THE EFFORTS TO REDUCE THE SPREAD OF COVID-19 TOOK ITS TOLL ON THE EMOTIONAL WELL-BEING OF PEOPLE OF ALL AGES. ACROSS THE SPECTRUM OF AGE, INCOME, AND NEIGHBORHOOD, RESPONDENTS ACROSS SOUTH JERSEY REPORTED AN OVERALL INCREASE IN ANGER AS A COMMON RESPONSE IN MANY SITUATIONS. PART V, SECTION B, LINE 11 CHNA ASSESSMENT (CONTINUE) ALCOHOL USE DISORDER IS THE MOST PREVALENT ADDICTIVE SUBSTANCE AMONG ADULTS. SUBSTANCE USE DISORDER IS BOTH A CAUSE OF AND OUTCOME FROM ADVERSE CHILDHOOD EXPERIENCES (ACES). THEREFORE, THE PREVALENCE OF SUBSTANCE USE DISORDER SUGGESTS THE OPPORTUNITY FOR INTERVENTIONS TO BOTH ADDRESS CURRENT ISSUES AND UNDERLYING ACES TO BUILD RESILIENCE AND PREVENT TRAUMA THROUGH COMMUNITY-LEVEL INTERVENTIONS.GOAL: FOSTER COMMUNITY BUILDING OPPORTUNITIES TO AMELIORATE THE IMPACT OF TRAUMATIC EVENTS DESIGNED FOR ALL AGES. OBJECTIVES:- IMPROVE BEHAVIORAL HEALTH SCREENINGS AND ASSESSMENTS - FOCUS ON BEHAVIORAL HEALTH CARE TRANSITIONS POST PATIENT DISCHARGE- ADDRESS ACCESS TO BEHAVIORAL HEALTH CARE AND TREATMENT- PROVIDE BEHAVIORAL HEALTH AND SUBSTANCE ABUSE TREATMENT SERVICESSTARTEGIES:- PROVIDE SCREENINGS IN THE EMERGENCY DEPARTMENTS - SCREENING FOR TOBACCO, DRUG, ALCOHOL USE AND SUICIDE IN ALL VIRTUA EMERGENCY DEPARTMENTS - CONNECT BEHAVIORAL HEALTH PATIENTS WITHIN 72 HOURS POST HOSPITAL DISCHARGE - VIRTUA INTEGRATED NETWORK- NJ QIP PROGRAM: INCREASE PATIENT FOLLOW-UP CONNECTIONS POST-DISCHARGE BY IMPROVING CONNECTIONS TO BEHAVIORAL HEALTH SERVICES - INCREASE ACCESS TO BEHAVIORAL HEALTH TREATMENT IN PEDIATRICS - CASTLE: IMPROVE ACCESS TO TREATMENT FOR VULNERABLE CHILDREN IN OUR COMMUNITIES IN THE PARTIAL DAY PROGRAM FROM REFERRAL TO INTAKE- INCREASE ACCESS TO SUBSTANCE USE TREATMENT - VMG MEDICATION FOR ADDICTIONS TREATMENT (MAT): INCREASE TOTAL OUTPATIENT SUBSTANCE USE VISITS ESPECIALLY IN VULNERABLE POPULATIONS WITHIN OUR PRACTICESWOMEN AND CHILDREN'S HEALTHHAVING A HEALTHY PREGNANCY IS THE BEST WAY TO HAVE A HEALTHY BIRTH. ACCORDING TO THE MARCH OF DIMES, INFANTS BORN TO MOTHERS WHO HAVE NOT RECEIVED PRENATAL CARE HAVE AN INFANT DEATH RATE FIVE TIMES THE RATE OF INFANTS BORN TO MOTHERS ACCESSING PRENATAL CARE STARTING IN THE FIRST TRIMESTER OF PREGNANCY. THE HEALTHY PEOPLE 2030 TARGET IS 80.5% OF PREGNANT MOTHERS ACCESSING PRENATAL CARE DURING THE FIRST TRIMESTER. NONE OF THE SOUTH JERSEY COUNTIES HAVE MET THIS GOAL YET. WHEN BROKEN DOWN BY RACE AND ETHNICITY, DIFFERENCES THROUGHOUT THE AREA REGARDING PRENATAL CARE BECOME MORE EVIDENT. INFANT MORTALITY IS WIDELY REGARDED AS AN IMPORTANT COMMUNITY HEALTH INDICATOR BECAUSE IT IS PARTICULARLY SENSITIVE TO STRUCTURAL FACTORS INCLUDING SOCIAL AND ECONOMIC FACTORS AND QUALITY OF LIFE CONDITIONS. THE HIGH RATE OF INFANT DEATHS IN CAMDEN COUNTY, PARTICULARLY AMONG BLACK/AFRICAN AMERICAN BABIES, REPRESENTS A SUBSTANTIAL INEQUITY THAT RESULTS IN LIVES LOST, SUFFERING FOR FAMILIES, AND COMMUNITY ABSENCE LASTING DECADES. GOAL: TO REDUCE DISPARITIES RESULTING IN INCREASED EQUITABLE OUTCOMES AND SUPPORT FOR ALL BABIES AND PEOPLE WHO GIVE BIRTH.OBJECTIVES: - IMPACT EQUITABLE ACCESS TO CARE BY IMPROVING THE RATE OF INITIATION OF PRENATAL CARE IN PREGNANT PEOPLE- IMPROVE CONTROL OF HYPERTENSION IN ALL PEOPLE WHO GIVE BIRTH - IMPROVE NSTV C-SECTION RATES TO ALIGN WITH HEALTHY PEOPLE 2030 GOALS STRATEGIES:- IMPROVE PRENATAL CARE INITIATION - VIRTUA INTEGRATED NETWORK (VIN) & CAMDEN COALITION PILOT- INCREASE OUTREACH TO WOMEN WITH NO EVIDENCE OF PRENATAL CARE, INCREASE THE NUMBER OF WOMEN SUCCESSFULLY CONTACTED AND INCREASE THE NUMBER OF WOMEN WHO ACCEPT PRENATAL CARE- REDUCE DISPARITIES RESULTING IN INCREASED EQUITABLE OUTCOMES FOR ALL BABIES AND PEOPLE WHO GIVE BIRTH THROUGH IMPROVED PRENATAL CARE AND ACCESS TO PERINATAL SERVICES - IMPROVE HYPERTENSION CONTROL: PROVIDE RECOMMENDED MEDICATION DURING DELIVERY AND IMPROVE PRENATAL CARE AND SERVICES - IMPROVE NSTV C SECTION RATES: MEET OR EXCEED HEALTHY PEOPLE 2023 TARGETED NSTV C-SECTION RATE THROUGH BEST-PRACTICES OF FOLLOWING RECOMMENDED MANAGEMENT AND PROVIDER EDUCATION WITH FEEDBACK - MIDWIFERY CARE MODEL: CONTINUE TO NURTURE THE COMMUNITY'S RELATIONSHIP WITH HEALTHCARE BY PROMOTING THE MIDWIFERY CARE MODEL IN CAMDEN CITY - MATERNAL FETAL MEDICINE SERVICES: CONTINUE TO IMPROVE TO ACCESS TO HIGH-RISK PERINATAL SERVICES TO REDUCE PRETERM BIRTH AND LOW BIRTH WEIGHT BABIES - DOULA PROGRAM: IN PARTNERSHIP WITH THE COMMUNITY DOULAS, ESTABLISH A VIRTUA-SPONSORED DOULA PROGRAM THROUGH OUTREACH TO COMMUNITY STAKEHOLDERS, PROVIDING EMPLOYMENT OPPORTUNITIES AND PERINATAL SUPPORT SERVICESOVER THE NEXT THREE YEARS, VIRTUA HEALTH, IN COLLABORATION WITH COMMUNITY PARTNERS AND LOCAL PUBLIC HEALTH AGENCIES WILL WORK TOWARD IMPLEMENTING THESE STRATEGIES TO ADDRESS THE CONCERNS IDENTIFIED BY OUR COMMUNITY PROVIDING THE RESOURCES TO BE WELL, GET WELL AND STAY WELL. 1 1 - VIRTUA HEALTH & WELLNESS CTR CHERRY HILL 1 BRACE RD ST C CHERRY HILL NJ 08034 OTHER OUTPATIENT MEDICAL FACILITY 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'S EAT WELL MOBILE PROGRAMS OPERATE YEAR-ROUND MAKING STOPS AROUND SOUTH JERSEY, 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 FARMACIES THAT PROVIDE AND DISTRIBUTE NON-PERISHABLES TO PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY AT NO COST. THE 2024 ANNUAL TURKEY AND PRODUCE GIVEAWAY PROVIDED COMPLETE HOLIDAY MEALS, INCLUDING A WHOLE TURKEY, FOR 625 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 EAT WELL MOBILE PROGRAMS, HOSPITAL-BASED FOOD FARMACIES, 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, CHILD PASSENGER SAFETY SEATS 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 HEALTH EDUCATION, SCREENING, AND FREE LAB WORK TO THOSE WHO CANNOT AFFORD TO PAY. THE RIVER AREA HEALTH EDUCATION CENTER, HOSTED BY VIRTUA, OFFERS IMMERSIVE OPPORTUNITIES TO HEALTH PROFESSIONALS AND COMMUNITY LEADERS, ALIKE, WHICH ILLUMINATE THE IMPACT OF POVERTY ON THE DAY-TO-DAY LIVES OF OUR PATIENTS AND COMMUNITY MEMBERS. 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. 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 OUR LADY OF LOURDES HOSPITAL, INC. ADOPTED ASU 2014-09 (ASC TOPIC 606) AS OF JULY 1, 2019. 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 15 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 9B, COLLECTION POLICY VIRTUA IS DEDICATED TO PROVIDING THE HIGHEST QUALITY HEALTHCARE FOR OUR COMMUNITY, REGARDLESS OF ABILITY TO PAY. WE RECOGNIZE THAT THE COST OF 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: DESCRIPTION OF NEEDS ASSESSMENT: VIRTUA HAS BEEN AN ACTIVE PARTICIPANT IN INITIATIVES UNDERTAKEN BY THE THREE COUNTIES THAT COMPRISE ITS PRIMARY SERVICE AREA IN SOUTHERN NEW JERSEY: BURLINGTON COUNTY, CAMDEN COUNTY, AND GLOUCESTER COUNTY. INDIVIDUALLY THESE COUNTIES HAVE ASSESSED THE 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 2022 CHNA WAS CONDUCTED FOLLOWING IRS TAX CODE 501(R) REQUIREMENTS TO CONDUCT A CHNA EVERY THREE YEARS AS SET FORTH BY THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA), THE PUBLIC HEALTH PRACTICE STANDARDS OF PERFORMANCE FOR LOCAL BOARDS OF HEALTH IN NEW JERSEY, AND THE PUBLIC HEALTH ACCREDITATION BOARD STANDARDS AND MEASURES. THE 2022 CHNA WAS CONDUCTED FROM DECEMBER 2021 TO MAY 2022 AND INCLUDED QUANTITATIVE AND QUALITATIVE RESEARCH METHODS TO DETERMINE HEALTH TRENDS AND DISPARITIES IN BURLINGTON, CAMDEN AND GLOUCESTER COUNTIES AND THE CITY OF CAMDEN WHERE APPLICABLE. 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 501(R) 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: BURLINGTON, CAMDEN AND GLOUCESTER COUNTIES COMPRISE A SIGNIFICANT PORTION OF THE AREA CONSIDERED TO BE SOUTH JERSEY, AND CONTAINS RURAL, SUBURBAN AND URBAN COMMUNITIES. THIS AREA RUNS ALONG THE DELAWARE RIVER, WHICH DIVIDES NEW JERSEY FROM NEIGHBORING PENNSYLVANIA. THE MOST POPULOUS CITY IN THIS AREA, CAMDEN, LIES DIRECTLY ACROSS THE DELAWARE RIVER FROM PHILADELPHIA.BURLINGTON, CAMDEN AND GLOUCESTER COUNTIES ALL INCREASED IN POPULATION BETWEEN 2013-2023, BUT BY A SMALLER PROPORTION THAN THE UNITED STATES AS A WHOLE. MEANWHILE, IN THE CITY OF CAMDEN, THE POPULATION DECREASED DURING THE SAME TIME PERIOD.2024 TOTAL POPULATION :GEOGRAPHY, 2024 TOTAL POPULATION PERCENT CHANGE SINCE 2020- BURLINGTON COUNTY 475,515 +3.0%- CAMDEN COUNTY 533,988 +2.0%- CAMDEN CITY 71,100* -0.9%- GLOUCESTER COUNTY 311,783 +3.1%- NEW JERSEY 9,500,851 +2.3%- UNITED STATES 340,110,988 +2.6%*2024 DATA NOT AVAILABLE. THIS NUMBER REFLECTS 2023 DATA. BURLINGTON COUNTY HAS CONSISTENTLY BEEN POPULATED BY PROPORTIONATELY MORE OLDER PEOPLE THAN ANY OF THE OTHER COUNTIES, NEW JERSEY OR THE US. BURLINGTON, CAMDEN AND GLOUCESTER COUNTIES HAVE PROPORTIONATELY GOTTEN OLDER FROM 2013-2023. THE CITY OF CAMDEN HAS PROPORTIONATELY FAR FEWER ADULTS OVER THE AGE OF 65 AND FAR MORE PEOPLE UNDER 18 THAN ANY OF THE OTHER GEOGRAPHIES.2024 POPULATION BY RACE AND ETHNICITY BURLINGTON COUNTY: - 63.5% WHITE - 19.3% BLACK OR AFRICAN AMERICAN - 6.3% ASIAN - 3.7% OTHER RACE* - 10.0% LATINX ORIGIN CAMDEN COUNTY: - 53.2% WHITE - 22.5% BLACK OR AFRICAN AMERICAN - 6.3% ASIAN - 4.0% OTHER RACE* - 19.5% LATINX ORIGINGLOUCESTER COUNTY: - 74.4% WHITE - 12.5% BLACK OR AFRICAN AMERICAN - 3.4% ASIAN - 3.1% OTHER RACE* - 8.7% LATINX ORIGINNEW JERSEY: - 52.0% WHITE - 15.5% BLACK OR AFRICAN AMERICAN - 10.6% ASIAN - 3.4% OTHER RACE* - 22.7% LATINX ORIGINUNITED STATES: - 58.4% WHITE - 13.7% BLACK OR AFRICAN AMERICAN - 6.4% ASIAN - 4.7% OTHER RACE* - 19.5% LATINX ORIGIN*INCLUDES AMERICAN INDIAN, NATIVE HAWAIIAN, AND TWO OR MORE RACES TOGETHERBURLINGTON, CAMDEN AND GLOUCESTER COUNTIES ALL REPORT HIGH MEDIAN INCOME COMPARED TO THE US. HOWEVER, THE MEDIAN INCOME IN THE CITY OF CAMDEN IS LESS THAN HALF OF THE US MEDIAN INCOME. IN THE CITY OF CAMDEN, THERE IS MORE THAN THREE TIMES THE PROPORTION OF ADULTS WHO DO NOT HAVE A HIGH SCHOOL DIPLOMA AS IN BURLINGTON, GLOUCESTER AND CAMDEN COUNTIES. THE CITY OF CAMDEN HAS LESS THAN ONE-FIFTH AS MANY ADULTS (PER CAPITA) WHO HAVE COMPLETED A BACHELOR'S DEGREE THAN EACH OF THE THREE COUNTIES. ROUGHLY 1 IN 3 HOMEOWNERS AND 1 IN 2 RENTERS IN THE SOUTH JERSEY REGION ARE HOUSING COST BURDENED, MEANING THEY PAY 30% OR MORE OF THEIR INCOME TOWARDS HOUSING. IN CAMDEN CITY, HOUSING VACANCY RANGES FROM 40-60%, ABOUT HALF OF ALL AVAILABLE HOUSING STOCK. WHILE THE MEDIAN HOME VALUE AND MEDIAN RENT IN CAMDEN CITY ARE LESS EXPENSIVE THAN THE OTHER AREAS, HALF OF ALL HOMEOWNERS AND RENTERS IN CAMDEN CITY ARE HOUSING COST BURDENED. THE COMBINATION OF LARGE PROPORTIONS OF VACANT HOUSES, HIGH-COST BURDEN AND LOW HOME VALUES IS BOTH A RESULT AND A CAUSE OF SUSTAINED ECONOMIC STRAIN IN CAMDEN CITY.THE VAST MAJORITY OF HOUSEHOLDS IN THE SOUTH JERSEY AREA HAVE ACCESS TO A COMPUTER DEVICE, LAPTOP OR SMARTPHONE AS WELL AS ACCESS TO THE INTERNET. HOWEVER, WHEN CAMDEN CITY IS REVIEWED INDEPENDENTLY, THE PROPORTION OF HOUSEHOLDS WITH ACCESS TO A COMPUTER, LAPTOP OR SMARTPHONE RANGE FROM 50-79%, AND ROUGHLY 1 IN 3 HOUSEHOLDS DO NOT HAVE INTERNET ACCESS, DESPITE BEING A DENSELY POPULATED URBAN AREA. PART VI, LINE 5: DESCRIPTION OF PROMOTING THE HEALTH OF THE COMMUNITY: 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, CLINICS FOR CHILDREN TO HELP DISPEL FEAR OF HOSPITALS, AND OTHER FREE CLASSES ATTENDED BY THOUSANDS OF COMMUNITY MEMBERS. 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, CHILD PASSENGER SAFETY SEATS AND SUPPORT FOR FAMILIES FOLLOWING THE LOSS OF AN INFANT. 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. THE ORGANIZATION HAS AN OPEN MEDICAL STAFF THAT PROVIDES PRIVILEGES TO QUALIFIED PHYSICIANS FROM WITHIN THE COMMUNITY.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 2024, VIRTUA PROVIDED 20,086 FREE RIDES TO NEEDY PATIENTS FOR THEIR MEDICAL APPOINTMENTS AND HOSPITAL DISCHARGES. 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 THE "FOOD AS MEDICINE" FOOD FARMACY, MOBILE FARMERS MARKET (MFM) AND MOBILE GROCERY STORE (MGS). 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. THE 2024 ANNUAL TURKEY AND PRODUCE GIVEAWAY PROVIDED COMPLETE HOLIDAY MEALS, INCLUDING A WHOLE TURKEY, FOR 625 FAMILIES IN CAMDEN CITY AND WILLINGBORO, NJ. VIRTUA'S MT. HOLLY FOOD FARMACY LAUNCHED IN AUGUST 2018, WHILE THE CAMDEN FOOD FARMACY LAUNCHED IN 2019. IN 2024, THE FOOD FARMACIES DISTRIBUTED 77,166 POUNDS OF FRESH PRODUCE AND HEALTHY NON-PERISHABLES THROUGH OUR CHOICE PANTRIES. THAT SAME YEAR, THE FOOD FARMACIES COMPLETED 2,131 PATIENT APPOINTMENTS, PROVIDING MEDICAL NUTRITION COUNSELLING AND SUPPLEMENTAL FOOD. IN 2024, VIRTUA'S MFM DISTRIBUTED 128,767 POUNDS OF HIGH-QUALITY PRODUCE, INCLUDING LOCAL PRODUCTS SOURCED FROM BLACK-OWNED FARMS. MORE THAN 14,579 POUNDS OF FREE FOOD WERE DONATED TO CATHEDRAL KITCHEN AND OTHER COMMUNITY PARTNERS. SHOPPERS SERVED BY THE MFM REPORTED A SIGNIFICANT DECREASE IN OBSTACLES TO OBTAINING FRESH FRUIT AND VEGETABLES. SPECIFICALLY, 99% OF MFM CUSTOMERS REPORTED GREATER ACCESS TO AFFORDABLE PRODUCE, AND 97% SAID THAT THEY CONSUMED MORE FRUITS AND VEGETABLES 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. 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.IN FALL 2020, VIRTUA HEALTH ANNOUNCED THE LATEST COMPONENT OF ITS FOOD ACCESS INITIATIVES: THE EAT WELL MOBILE GROCERY STORE (MGS). THIS YEAR-ROUND, 40 FT STORE-ON-WHEELS OFFERS FRESH, HEALTHY AND CULTURALLY RELEVANT FOODS AT BELOW-MARKET PRICES TO RESIDENTS OF CAMDEN AND BURLINGTON COUNTIES. IN 2024, 94% OF MGS SHOPPERS SAID THAT THEY INCREASED THEIR FRUIT AND VEGETABLE INTAKE BECAUSE OF THE MGS, WHILE 97% OF THESE CUSTOMERS REPORTED GREATER ACCESS TO AFFORDABLE HEALTHY FOOD.THE MFM, MGS AND THE VIRTUA FOOD FARMACIES ARE UPSTREAM COMMUNITY HEALTH PROGRAMS MANAGED BY VIRTUA'S COMMUNITY HEALTH ENGAGEMENT DEPARTMENT (CHE). CHE 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. PARTNERS INCLUDE THE FOOD BANK OF SOUTH JERSEY, THE FOOD TRUST, CAMDEN COUNTY HEALTH AND HUMAN SERVICES, BURLINGTON COUNTY HEALTH DEPARTMENT, GLOUCESTER COUNTY HEALTH DEPARTMENT, AND THE NJ CANCER EDUCATION AND EARLY DETECTION. VIRTUA ALSO WORKS CLOSELY WITH COMMUNITY-BASED ORGANIZATIONS, SUCH THE CAMDEN COALITION OF HEALTHCARE PROVIDERS AND PARKSIDE BUSINESS & COMMUNITY IN PARTNERSHIP TO ENGAGE RESIDENTS AND LOCAL STAKEHOLDERS. LASTLY, VIRTUA, IN PARTNERSHIP WITH LOCAL ORGANIZATIONS, CONVENES MONTHLY COMMUNITY LISTENING SESSIONS TO LEARN FROM RESIDENTS ON WHAT THEIR NEEDS ARE, WHERE GAPS IN SERVICES EXIST, AND HOW TO ADDRESS THOSE GAPS. PART VI, LINE 6: DESCRIPTION OF PROMOTING THE HEALTH OF THE COMMUNITIES SERVED: VIRTUA WEST JERSEY HEALTH SYSTEM, INC., VIRTUA MEMORIAL HOSPITAL BURLINGTON COUNTY, INC., VIRTUA OUR LADY OF LOURDES HOSPITAL, INC., AND VIRTUA WILLINGBORO HOSPITAL, INC. ARE CONTROLLED ENTITIES OF A COMMUNITY-OWNED HEALTH SYSTEM, VIRTUA HEALTH, INC. VIRTUA IS AN ACADEMIC HEALTH SYSTEM 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 RENOWNED CARDIOLOGY AND TRANSPLANT PROGRAMS, COMPLEMENTED BY A COMMUNITY-BASED CARE PORTFOLIO. IN ADDITION TO FIVE HOSPITALS, TWO SATELLITE EMERGENCY DEPARTMENTS, 41 AMBULATORY SURGERY CENTERS, AND MORE THAN 400 OTHER LOCATIONS, VIRTUA BRINGS HEALTH SERVICES DIRECTLY INTO COMMUNITIES THROUGH HOSPITAL AT HOME, PHYSICAL THERAPY AND 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 ACADEMICALLY AFFILIATED WITH ROWAN UNIVERSITY, LEADING RESEARCH, INNOVATION, AND IMMERSIVE EDUCATION AT THE VIRTUA HEALTH COLLEGE OF MEDICINE & LIFE SCIENCES OF ROWAN UNIVERSITY. VIRTUA IS ALSO AFFILIATED WITH PENN MEDICINE FOR CANCER AND NEUROSCIENCE, AND THE CHILDREN'S HOSPITAL OF PHILADELPHIA FOR PEDIATRICS. 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. 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. 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.RIVER AHEC (AREA HEATH EDUCATION CENTER), HOSTED BY VIRTUA HEALTH, IS A PROGRAM IN AFFILIATION WITH ROWAN SCHOOL OF MEDICINE AND IS THE NEWEST ADDITION TO THE NJ AHEC PROGRAM. HEALTH PROFESSIONALS AND THIRD-YEAR MEDICAL STUDENTS ARE GIVEN COMMUNITY OUTREACH OPPORTUNITIES THAT ENHANCE ACCESS TO QUALITY HEALTHCARE. PART VI, LINE 7 THE STATE OF NEW JERSEY DOES NOT REQUIRE FILING OF THE COMMUNITY BENEFIT REPORT. 1 1 0 0 0 0 0 1 0 DENNIS W PULLIN PRESIDENT/CEO 0 1942783 0 1300943 0 12000 0 15525 0 49708 0 3320959 0 0 CHUN W CHOI TRUSTEE - VP CLINICAL OPERATIONS 0 1338027 0 360093 0 29076 0 15525 0 54567 0 1797288 0 0 JOHN M MATSINGER EVP/COO 0 1076717 0 591120 0 35000 0 15525 0 36033 0 1754395 0 0 ROBERT M SEGIN EVP/CFO 0 839845 0 484296 0 35000 0 15525 0 32043 0 1406709 0 0 REGINALD J BLABER END 123124 TRUSTEE - EVP/CCO 0 702355 0 433237 0 35000 0 15525 0 41590 0 1227707 0 0 LAUREN ROWINSKI SECRETARY - SVP & CHIEF LEGAL OFFICE 0 603967 0 314479 0 32000 0 15525 0 34310 0 1000281 0 0 MICHAEL DRISCOLL TRUSTEE - LEAD PHYSICIAN 0 623745 0 10750 0 0 0 15525 0 50370 0 700390 0 0 MARK P NESSEL END 2324 TRUSTEE - SVP & COO - VOORHEES & MAR 45375 384916 0 142231 3739 28262 2227 13298 4669 35853 56010 604560 0 0 ALAN POPE VP CMO - LOURDES HOSPITAL 427449 0 118419 0 32000 0 15525 0 40212 0 633605 0 0 0 LISA C FERRARO START 21224 TRUSTEE - LOURDES HOSPITAL PRESIDENT 377897 38219 119984 0 28447 3553 13639 1886 30282 3933 570249 47591 0 0 CHRISTINE DENISE PALMS SVP TERTIARY SERVICES & PLANNING 255458 27625 85499 0 11580 1341 14166 1359 48000 6241 414703 36566 0 0 KAREN MAGARELLI END 41224 VP CNO - LOURDES HOSPITAL 67045 0 69786 0 182847 0 6831 0 50887 0 377396 0 0 0 MARY A MCCORMICK VP CNO - LOURDES HOSPITAL 178031 67497 0 59935 6231 2769 6483 4576 13616 5970 204361 140747 0 0 LANNAE EWING VP CARDIAC OPERATIONS 193643 0 58901 0 30000 0 13107 0 41213 0 336864 0 0 0 MARK PETRACCI PERFUSIONIST SUPERVISOR 278732 0 1000 0 0 0 12816 0 39426 0 331974 0 0 0 PART I, LINE 3 VIRTUA OUR LADY OF LOURDES HOSPITAL, INC. (VOLLH) ADOPTS THE POLICIES OF VIRTUA HEALTH, INC. REGARDING ESTABLISHING THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR. THE POLICY USES THE FOLLOWING: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE VIRTUA BOARD OR COMPENSATION COMMITTEE. PART I, LINES 4A-B 4A: VOLLH PAID SEVERANCE PAYMENT TO KAREN MAGARELLI: $178,278. 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. FORM 990, PART III, LINE 4 VIRTUA OUR LADY OF LOURDES HOSPITAL, INC. (VOLLH) IS A NOT-FOR-PROFIT, TAX-EXEMPT CORPORATION. VOLLH OWNS AND OPERATES A 340 LICENSED BED, TERTIARY ACUTE CARE HOSPITAL IN CAMDEN, NEW JERSEY. VOLLH PROVIDES GENERAL HEALTH CARE SERVICES TO RESIDENTS WITHIN ITS GEOGRAPHIC LOCATION FOR A WIDE RANGE OF INPATIENT AND OUTPATIENT SERVICES, INCLUDING MEDICAL, SURGICAL, TRANSPLANT, CARDIAC, NEUROLOGY, OBSTETRICAL, GYNECOLOGICAL, ONCOLOGICAL, PEDIATRIC, EMERGENCY, AND AMBULATORY CARE. VOLLH ALSO PROVIDES A VARIETY OF OUTPATIENT SERVICES IN SPACE LEASED FROM A THIRD-PARTY DEVELOPER IN CHERRY HILL, NEW JERSEY. VOLLH IS THE SOLE CORPORATE MEMBER OF OUR LADY OF LOURDES SCHOOL OF NURSING, INC., A NOT FOR-PROFIT PROFIT, TAX-EXEMPT CORPORATION. STATISTICS FOR THE YEAR 2024: - HOSPITAL ADMISSIONS: 14,014 - PATIENT DAYS: 72,940 - SAME DAY SURGERY CASES: 4,566 - EMERGENCY DEPARTMENT VISITS: 43,520 - OUTPATIENT VISITS: 125,238 - OBSERVATION CASES: 2,940 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 ACCOUNTS PAYABLE TRANSACTIONS ARE CONDUCTED BY VIRTUA WEST JERSEY HEALTH SYSTEM, INC. (21-0634532). FORM 990, PART V, LINE 3B IN 2024, VOLLH PROVIDED LAB SERVICES TO A THIRD-PARTY ORGANIZATION AND RECEIVED AN UNREALTED BUSINESS GROSS REVENUE OF $1,211. THE COSTS RELATED TO THESE SERVICES WAS $44,466. THE NET INCOME (LOSS) FOR PROVIDNG THESE SERVICES WAS ($43,255). 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 VOLLH 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 VOLLH 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 VOLLH ADOPTS THE POLICIES OF VIRTUA HEALTH, INC. REGARDING MONITORING AND ENFORCING A CONFLICT-OF-INTEREST POLICY. VOLLH 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. IF IT IS DETERMINED THAT ONE DOES EXISTS, THE CONFLICT IS EITHER MITIGATED, IF POSSIBLE, OR THE PERSON IS REMOVED FROM THE BOARD. FORM 990, PART VI, SECTION B, LINE 15B VOLLH EXECUTIVES ARE COMPENSATED BY VOLLH, HOWEVER NOT EXCLUSIVELY; IN SOME CASES EXECUTIVES ALSO RECEIVE COMPENSATION FROM VIRTUA HEALTH, INC. (EIN 22-3524939) AND VIRTUA MEDICAL GROUP, P.A. (27-1348772), RELATED ORGANIZATIONS. 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 VIRTUA COMPLIES WITH LEGAL REQUIREMENTS RELATIVE TO MAKING AVAILABLE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY. 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 EACH OFFICER IS COMPENSATED BY VOLLH AND OTHER RELATED ORGANIZATIONS, AND EACH KEY EMPLOYEE IS COMPENSATED BY VOLLH. SOME OFFICERS DEVOTE 40 HOURS A WEEK TO OTHER RELATED ORGANIZATIONS. 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 MAY VARY. ONE OR MORE OF THE OFFICERS, DIRECTORS AND TRUSTEES IN PART VII HAD TRANSACTIONS RELATED TO THE 'COLLATERAL ASSISGNMENT 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. NO BOARD MEMBER IS PAID FOR TRUSTEE SERVICES, RATHER THE COMPENSATION DISCLOSED IS RELATED TO THE INDIVIDUALS' PROVISION OF SERVICES TO THE FILING ORGANIZATION OR A RELATED ORGANIZATION. FORM 990, PART VII, FORMER TRUSTEE AND OFFICER CHANGES IN THE THIRD QUARTER OF 2023, VOLLH ADOPTED REVISED BY-LAWS. AS A RESULT OF THESE CHANGES, THE HOSPITAL MOVED FROM A MIRROR BOARD WITH ITS PARENT COMPANY. SOME OF THE TRUSTEES AND OFFICERS ARE EMPLOYEES OF THE PARENT COMPANY. THEY WILL BE LISTED AS A FORMER EMPLOYEES FOR THE REQUIRED FIVE YEARS. DENNIS W. PULLIN WAS LISTED AS A TRUSTEE & OFFICER IN 2023. ROBERT M. SEGIN AND LAUREN ROWINSKI WERE LISTED AS OFFICERS IN 2023. KEY EMPLOYEE DESIGNATION PRIOR TO 2023, VOLLH IDENTIFIED KEY EMPLOYEES FOR FORM 990 REPORTING BASED ON A SYSTEM-WIDE (GLOBAL HEALTH SYSTEM) PERSPECTIVE RATHER THAN ON AN ENTITY-SPECIFIC BASIS. AS A RESULT, CERTAIN INDIVIDUALS WERE REPORTED AS KEY EMPLOYEES ACROSS MULTIPLE FORM 990 FILINGS. TO BETTER ALIGN WITH IRS FORM 990 INSTRUCTIONS, VOLLH REVISED ITS METHODOLOGY IN 2023 AND NOW DETERMINES KEY EMPLOYEE STATUS ON AN ENTITY-BY-ENTITY BASIS, BASED ON THE ENTITY EMPLOYING THE INDIVIDUAL. ONLY THOSE WHO MEET THE CRITERIA AS KEY EMPLOYEES FOR VOLLH ARE NOW DISCLOSED IN PART VII. FORMER KEY EMPLOYEES WILL CONTINUE TO BE REPORTED ON THE APPROPRIATE FORM 990'S FOR THE REQUIRED FIVE-YEAR PERIOD. JOHN M. MATSINGER WAS LISTED AS KEY EMPLOYEE IN 2022. FORM 990, PART IX, LINE 11G MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 46,910,041. TOTAL EXPENSES 46,910,041. OUTSIDE SVCS FEES: PROGRAM SERVICE EXPENSES 22,912,016. MANAGEMENT AND GENERAL EXPENSES 457,377. TOTAL EXPENSES 23,369,393. AGENCY LABOR: PROGRAM SERVICE EXPENSES 13,463,249. TOTAL EXPENSES 13,463,249. FORM 990, PART XI, LINE 9: VHF -RESTRICTED GIFT EXPENSES RELEASED FROM RESTRICTION -159,950. TRANSFER WITH AFFILIATES VMG 19,072,772. TRANSFER WITH AFFILIATES LCS 34,291. TRANSFER WITH AFFILIATES VHRCMH 91. 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