SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBulletGo to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047
2017
Open to Public Inspection
Name of the organization
VIRTUA HEALTH INC
 
Employer identification number

22-3524939
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity

(1) VIRTUA PHYSICIAN PARTNERS LLC
303 LIPPINCOTT DR 4/FLR
MARLTON,NJ08053
30-0872711
CLINICALLY INTEGRATED NETWORK NJ 0 0 VIRTUA HEALTH INC
 










Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)VIRTUA - WEST JERSEY HEALTH SYSTEM INC
303 LIPPINCOTT DR 4/FLR

MARLTON,NJ08053
21-0634532
ACUTE CARE HOSPITAL NJ 501(C)(3) 3 VIRTUA HEALTH INC
 
Yes
 
(2)VIRTUA - MEMORIAL HOSPITAL BURLINGTON COUNTY INC
303 LIPPINCOTT DR 4/FLR

MARLTON,NJ08053
21-0634562
ACUTE CARE HOSPITAL NJ 501(C)(3) 3 VIRTUA HEALTH INC
 
Yes
 
(3)VIRTUA SURGICAL GROUP PA
303 LIPPINCOTT DR 4/FLR

MARLTON,NJ08053
22-2580215
SURGICAL PHYSICIAN PRACTICE NJ 501(C)(3) 9 N/A
 
No
(4)VIRTUA HEALTH AND REHABILITATION CENTER AT BERLIN INC
303 LIPPINCOTT DR 4/FLR

MARLTON,NJ08053
22-3554707
REHABILITATION CENTER AND NURSING HOME NJ 501(C)(3) 3 VIRTUA HEALTH INC
 
Yes
 
(5)VIRTUA HEALTH AND REHABILITATION CENTER AT MT HOLLY INC
303 LIPPINCOTT DR 4/FLR

MARLTON,NJ08053
22-2394675
REHABILITATION CENTER AND NURSING HOME NJ 501(C)(3) 9 VIRTUA HEALTH INC
 
Yes
 
(6)VIRTUA HOME CARE - COMMUNITY NURSING SERVICES INC
303 LIPPINCOTT DR 4/FLR

MARLTON,NJ08053
21-0679591
HOME CARE NJ 501(C)(3) 9 VIRTUA HEALTH INC
 
Yes
 
(7)SUMMIT HEALTH - VIRTUA INC
303 LIPPINCOTT DR 4/FLR

MARLTON,NJ08053
52-1814579
HEALTH AND WELLNESS SERVICES NJ 501(C)(3) 3 VIRTUA MEDICAL GROUP PA
 
 
No
(8)WEST JERSEY RENEW INC
303 LIPPINCOTT DR 4/FLR

MARLTON,NJ08053
22-3580917
LOW INCOME HOUSING NJ 501(C)(3) 9 VIRTUA HEALTH INC
 
Yes
 
(9)MEMORIAL HOSPITAL OF BURLINGTON COUNTY FOUNDATION INC
303 LIPPINCOTT DR 4/FLR

MARLTON,NJ08053
22-2337170
FUND RAISING FOUNDATION NJ 501(C)(3) 7 VIRTUA HEALTH INC
 
Yes
 
(10)WEST JERSEY HEALTH & HOSPITAL FOUNDATION
303 LIPPINCOTT DR 4/FLR

MARLTON,NJ08053
23-7414388
FUND RAISING FOUNDATION NJ 501(C)(3) 7 VIRTUA HEALTH INC
 
Yes
 
(11)VIRTUA HEALTH FOUNDATION INC
303 LIPPINCOTT DR 4/FLR

MARLTON,NJ08053
04-3722352
FUND RAISING FOUNDATION NJ 501(C)(3) 7 VIRTUA HEALTH INC
 
Yes
 
(12)VIRTUA MEDICAL GROUPPA
303 LIPPINCOTT DR 4/FLR

MARLTON,NJ08053
27-1348772
PHYSICIAN SERVICES NJ 501(C)(3) 9 N/A
 
No
(13)WEST JERSEY HEALTH SYSTEM WORKERS COMP TRUST
303 LIPPINCOTT DR 4/FLR

MARLTON,NJ08053
22-3142739
WORKER COMP TRUST NJ 501(C)(3) 11A VIRTUA HEALTH INC
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2017
Page 2
Schedule R (Form 990) 2017
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) VIRTUA RADIATION ONCOLOGY ASSOCIATES LLC

101 CARNIE BOULEVARD
VOORHEES,NJ08043
04-3849932
RADIOLOGY SERVICES NJ N/A
                 
(2) SOUTH JERSEY MUSCULOSKELETAL INSTITUTE LLC

556 EGG HARBOR ROAD
SEWELL,NJ08080
20-4481032
SURGICAL CENTER NJ N/A
                 
(3) SUMMIT SURGICAL CENTER LLC

110 CARNIE BOULEVARD
VOORHEES,NJ08043
73-1730859
SURGICAL CENTER NJ N/A
                 
(4) AMBULATORY SURGERY CENTER AT VIRTUA WASHINGTON TOWNSHIP LLC

20 W STOW ROAD SUITE 8
MARLTON,NJ08053
20-8643005
SURGICAL CENTER NJ N/A
                 
(5) VANTAGE SURGICAL CENTER LLC

180 ROUTE 70
MEDFORD,NJ08055
45-0516750
SURGICAL CENTER NJ N/A
                 
(6) MEMORIAL AMBULATORY SURGERY CENTER LLC

160 MADISON AVENUE
MT HOLLY,NJ08060
20-4941260
SURGICAL CENTER NJ N/A
                 
(7) ROCKLAND SURGICAL PROJECTLLC - RAMAPO VALLEY SURGICAL CENTER

500 NORTH FRANKLIN TURNPIKE
RAMSEY,NJ07446
20-0580403
SURGICAL CENTER NJ N/A
                 
(8) SHORE AMBULATORY SURGERY CENTER LLC

405 BETHEL ROAD
SOMERS POINT,NJ08244
22-3778333
SURGICAL CENTER NJ N/A
                 
(9) RADIATION THERAPY RENTALS WASHINGTON TOWNSHIP LLC

20 W STOW ROAD SUITE 8
MARLTON,NJ08053
27-1526973
MEDICAL RENTAL NJ N/A
                 
(10) CENTER FOR AMBULATORY AND MINIMALLY INVASIVE SURGERYLLC

234 INDUSTRIAL WAY WEST BLDG B
EATONTOWN,NJ07724
27-0907140
SURGICAL CENTER NJ N/A
                 
(11) FREEHOLD ENDOSCOPY ASSOCIATES LLC

222 SCHANCK ROAD SUITE 100
FREEHOLD,NJ07728
84-1634126
SURGICAL CENTER NJ N/A
                 
(12) VIRTUA ADULT IMAGING SERVICES AT VOORHEES LLC

303 LIPPINCOTT DR 4/FLR
MARLTON,NJ08053
46-4055781
IMAGING SERVICES NJ N/A
                 
(13) GASTRO-SURGI CENTER OF NJ

1132 SPRUCE DRIVE
MOUNTAINSIDE,NJ07092
22-3472632
SURGICAL CENTER NJ N/A
                 
(14) VOORHEES ENDOSCOPY HOLDING CO LLC

1A BRUTON HILLS BLVD
NASHVILLE,TN37215
47-4669710
MEDICAL TN N/A
                 
(15) VIRTUA-SCA HOLDINGS LLC

569 BROOKWOOD VILLAGE SUITE 901
BIRMINGHAM,AL35209
47-3247166
MEDICAL NJ N/A
                 
(16) VIRTUA-USP PRINCETON LLC

15305 DALLAS PKWY STE 1600 LB28
ADDISON,TX75001
81-3270494
MEDICAL NJ N/A
                 
(17) BURLINGTON CTY ENDO CTR LLC CO PHYSICIANS ENDOSCOPY LLC

140 MOUNT HOLLY BYPASS UNIT 5
LUMBERTON,NJ08048
20-8205206
HEALTH CARE NJ N/A
                 
(18) FRESENIUS MEDICAL CARE LLC

920 WINTER STREET
WALTHAM,MA02451
47-2128074
DIALYSIS NJ N/A
                 
(19) VIRTUA PENN RADIATION ONCOLOGY PARTNERS LLC

200 BOWMAN DR STE D190
VOORHEES,NJ08043
82-1947444
RADIOLOGY SERVICES NJ N/A
                 
(20) ACENTUS PRACTICE MANAGEMENT LLC

1040 N KINGS HIGHWAY STE 701
CHERRY HILL,NJ08034
81-4861192
COLLECTIONS SERVICE NJ N/A
                 
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) VIRTUA ASSURANCE

76 SAINT PAUL ST SUITE 500
BURLINGTON,VT05401
20-3025606
CAPTIVE INSURANCE COMPANY VT N/A
C 1,789,190 29,695,513 100.000 %   No
(2) VRI INC

401 N RTE 73 50 LAKE CENTER DRIVE S
MARLTON,NJ08053
20-0247120
HEALTH AND WELLNESS NJ N/A
C         No










Schedule R (Form 990) 2017
Page 3
Schedule R (Form 990) 2017
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
Yes
 
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) VIRTUA HEALTH FOUNDATION INC - GRANTS

C 1,160,851 FAIR MARKET VALUE
(2) VIRTUA HEALTH FOUNDATION INC - MISC

P 1,550,986 FAIR MARKET VALUE
(3) VIRTUA HEALTH FOUNDATION INC - PR MICP

Q 645,882 FAIR MARKET VALUE
(4) VIRTUA HEALTH FOUNDATION INC - LEASE EQUIPMENT

J 43,337 FAIR MARKET VALUE
(5) VIRTUA HEALTH FOUNDATION INC

B 45,592 FAIR MARKET VALUE
(6) VIRTUA - WEST JERSEY HEALTH SYSTEM INC

Q 415,350,348 FAIR MARKET VALUE
(7) VIRTUA - WEST JERSEY HEALTH SYSTEM INC

P 278,336,171 FAIR MARKET VALUE
(8) VIRTUA - MEMORIAL HOSPITAL BURLINGTON COUNTY INC

Q 107,960,535 FAIR MARKET VALUE
(9) VIRTUA - MEMORIAL HOSPITAL BURLINGTON COUNTY INC

P 9,732,294 FAIR MARKET VALUE
(10) VIRTUA - MEMORIAL HOSPITAL BURLINGTON COUNTY INC

I 103,493 FAIR MARKET VALUE
(11) COMMUNITY NURSING SERVICES

P 872,418 FAIR MARKET VALUE
(12) COMMUNITY NURSING SERVICES

Q 729,582 FAIR MARKET VALUE
(13) COMMUNITY NURSING SERVICES

I 37,667 FAIR MARKET VALUE
(14) VIRTUA MEDICAL GROUP

P 3,690,280 FAIR MARKET VALUE
(15) VIRTUA MEDICAL GROUP

Q 28,252,786 FAIR MARKET VALUE
(16) VIRTUA MEDICAL GROUP

I 24,593,451 FAIR MARKET VALUE
(17) VIRTUA HEALTH AND REHABILITATION CENTER AT BERLIN

Q 2,977,688 FAIR MARKET VALUE
(18) VIRTUA HEALTH AND REHABILITATION CENTER AT BERLIN

P 2,831,669 FAIR MARKET VALUE
(19) VIRTUA HEALTH AND REHABILITATION CENTER AT BERLIN

I 146,569 FAIR MARKET VALUE
(20) VIRTUA HEALTH AND REHABILITATION CENTER AT MOUNT HOLLY INC

Q 2,983,024 FAIR MARKET VALUE
(21) VIRTUA HEALTH AND REHABILITATION CENTER AT MOUNT HOLLY INC

P 1,267,877 FAIR MARKET VALUE
(22) VIRTUA HEALTH AND REHABILITATION CENTER AT MOUNT HOLLY INC

I 1,717,289 FAIR MARKET VALUE
(23) WEST JERSEY HEALTH SYSTEM WORKERS COMP TRUST

P 1,100,000 FAIR MARKET VALUE
Schedule R (Form 990) 2017
Page 4
Schedule R (Form 990) 2017
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2017
Page 5
Schedule R (Form 990) 2017
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2017

Additional Data


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