FORM 990, PART V, LINE 1A: AND PART VII, SECTION B |
IN CONNECTION WITH THE COORDINATED APPROACH OF THE ENTITIES AS A HEALTH CARE SYSTEM ALL ACCOUNT PAYABLE TRANSACTIONS ARE CONDUCTED BY VIRTUA WEST JERSEY HEALTH SYSTEM, INC. (21-0634532). |
FORM 990, PART VI, SECTION A, LINE 6 |
OUR LADY OF LOURDES HEALTH CARE SERVICES, INC. IS THE SOLE CORPORATE MEMBER. |
FORM 990, PART VI, SECTION A, LINE 7A |
THE GOVERNANCE COMMITTEE OF VIRTUA WILLINGBORO HOSPITAL, INC. 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 WILLINGBORO HOSPITAL, INC. PRESENT THEIR RECOMMENDATIONS ON SIGNIFICANT MATTERS TO THE FULL VIRTUA HEALTH, INC. BOARD OF TRUSTEES FOR THEIR APPROVAL. |
FORM 990, PART VI, SECTION B, LINE 11B |
THE FORM 990 IS REVIEWED BY IN HOUSE COUNSEL, EXTERNAL TAX CONSULTANTS, AND THE BOARD OF TRUSTEES. A FINAL COPY OF FORM 990 IS PROVIDED TO THE BOARD PRIOR TO FILING. |
FORM 990, PART VI, SECTION B, LINE 12C |
VIRTUA WILLINGBORO HOSPITAL, INC. ADOPTS THE POLICIES OF VIRTUA HEALTH, INC. REGARDING MONITORING AND ENFORCING A CONFLICT-OF-INTEREST POLICY, VIRTUA-WILLINGBORO HOSPITAL, INC. 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 TRUSTEE 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 MEMBER OF COMMITTIES 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 AN VOTED UPON. THE REMAINING TRUSTEES OR COMMITTEE MEMBERS OR SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. |
FORM 990, PART VI, SECTION B, LINE 15 |
VIRTUA WILLINGBORO HOSPITAL, INC. DOES COMPENSATE SOME OF ITS EXECUTIVES, BUT MAJORITY OF THE EXECUTIVES RECEIVE COMPENSATION FROM VIRTUA HEALTH INC (EIN 22-3524939), A RELATED ENTITY. SEE SCHEDULE J, PART III (REFERENCE TO SCHEDULE J PART 1 LINE 3) FOR A DESCRIPTION OF THE MANNER IN WHICH VIRTUA HEALTH INC UTILIZIES 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 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 |
EACH OFFICER IS COMPENSATED BY VIRTUA HEALTH INC. (EIN 22-3524939), A RELATED ORGANIZATION, AND EACH KEY EMPLOYEE IS COMPENSATED BY EITHER VIRTUA HEALTH, INC. OR OTHER RELATED ORGANIZATIONS. SOME OFFICERS AND KEY EMPLOYEES DEVOTE 40 HOURS A WEEK TO VIRTUA HEALTH, INC. OR OTHER RELATED ORGANIZATIONS 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 EMPLOYEES MAY VARY. |
FORM 990, PART VII, SECTION A: |
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 |
FEES: PROGRAM SERVICE EXPENSES 3,825,949. MANAGEMENT AND GENERAL EXPENSES 346,639. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,172,588. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 4,734,407. MANAGEMENT AND GENERAL EXPENSES 413,947. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,148,354. AGENCY: PROGRAM SERVICE EXPENSES 3,240,396. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,240,396. PATIENT TRANSPORTATION: PROGRAM SERVICE EXPENSES 38,372. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,372. BUILDING SERVICES/FIRE SAFETY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 75. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75. |
FORM 990, PART XI, LINE 9: |
NET ASSET RECLASS TO VMG 1,886,565. RESTRICTED GIFT PAYMENTS RECLASSED FROM RESTRICTED FOR OP -164. TEMPORARY RESTRICTED TRANSFER WITH VIRTUA 25,000. |