2023-11-13T15:51:05-06:00 2022-02-28 366055558 GRANT THORNTON LLP 2001 MARKET ST STE 700 PHILADELPHIA PA 19103 990EZ 2022-01-01 222351960 OUR LADY OF LOURDES HEALTH FOUNDATION INC OURL 8563550620 406 LIPPINCOTT DR J MARLTON NJ 080533427 DENNIS W PULLIN PRESIDENT/CEO 8563550040 2023-11-13 0 DENNIS PULLIN 999009999 0 RUSSLEE ARMSTRONG P00288383 2155614200 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X X WWW.VIRTUA.ORG X X 117485 X 117485 117485 117431 2143 1229 112202 233005 -115520 -1314910 1430430 0 X 2024823 0 3467 0 229225 0 2257515 0 3572425 0 -1314910 0 X OUR LADY OF LOURDES HEALTH FOUNDATION, INC. PROVIDES SUPPORT FOR THE PROGRAMS OF VIRTUA HEALTH. OUR LADY OF LOURDES HEALTH FOUNDATION, INC., PROVIDES SUPPORT FOR THE CHARITABLE TAX-EXEMPT PURPOSES, PROGRAMS AND SERVICES OF VIRTUA HEALTH, INCLUDING VIRTUA OUR LADY OF LOURDES HOSPITAL, INC. AND VIRTUA WILLINGBORO HOSPITAL, INC. BOTH ARE RELATED TAX-EXEMPT HOSPITALS. OUR LADY OF LOURDES HEALTH FOUNDATION, INC. ASSISTS WITH FUNDRAISING BY CONDUCTING SPECIAL EVENTS AND PHILANTHROPY. THIS FUNDRAISING HELPS TO ADVANCE THE MISSION OF VIRTUA HEALTH. OUR LADY OF LOURDES HEALTH FOUNDATION, INC., ALSO PROVIDES SCHOLARSHIPS THROUGH OUR PERMANENTLY RESTRICTED FUND'S INTEREST TO SUPPORT STUDENTS OF THE VIRTUA OUR LADY OF LOURDES SCHOOL OF NURSING FOR BOOKS, TUITION, FEES OR OTHER STUDENT EXPENSES. FOR MORE INFORMATION, PLEASE VISIT GIVETOVIRTUA.ORG 117431 148361 148361 X DENNIS W PULLIN PRESIDENT/CEO 0.04 0 0 0 ROBERT M SEGIN EVP/CFO 0.04 0 0 0 SARAH FAWCETT-LEE SVP - FOUNDATION 2.00 0 0 0 ELAINE DAMM CHAIR 0.13 0 0 0 THOMAS J FANELLE VICE CHAIR 0.13 0 0 0 REGINALD F BECKETT TRUSTEE 0.13 0 0 0 CELESTE CANUSO TRUSTEE 0.13 0 0 0 TIMOTHY HEALEY TRUSTEE 0.13 0 0 0 SR HELEN OWENS OSF TRUSTEE 0.13 0 0 0 CHRISTOPHER POYATT TRUSTEE 0.13 0 0 0 TROY RANDLE DD FACC FACOI PHYSICIAN/TRUSTEE 0.13 0 0 0 MICHELE SELFRIDGE MSW LCSW TRUSTEE 0.13 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 NJ ROBERT M SEGIN 303 LIPPINCOTT DR 4/FLR MARLTON NJ 08053 8563550620 0 0 0 0 0 1 0 0 0 0 NONE NONE 1 X 539914 398947 325686 788175 117485 2170207 539914 398947 325686 788175 117485 2170207 403442 1766765 32168 32168 132420 51951 184371 2386746 0.74020 0.71920 X PART 11, SECTION A SCHEDULE A PUBLIC SUPPORT THE FILING ORGANIZATION'S SOLE CORPORATE MEMBER IS OUR LADY OF LOURDES HEALTH CARE SERVICES, INC. EIN 22-2568528. EFFECTIVE JUL 1, 2019, MAXIS HEALTH SYSTEM EIN 91-1940902 TRANSFERRED ITS ENTIRE MEMBERSHIP INTEREST IN OUR LADY OF LOURDES HEALTH CARE SERVICES, INC. TO VIRTUA HEALTH, INC. EIN 22-3524939, A NEW JERSEY NONPROFIT CORPORATION AND IRC SECTION 501(C)(3)/509(A)(3) TYPE 1 SUPPORTING ORGANIZATION. VIRTUA HEALTH, INC. BECAME THE SOLE CORPORATE MEMBER OF PARENT COMPANY OUR LADY OF LOURDES HEALTH CARE SERVICES, INC. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED CASH 2022-03-01 1037369 BOOK VALUE 043722352 VIRTUA HEALTH FOUNDATION 406 LIPPINCOTT DRIVE MARLTON NJ 080533427 501(C)(3) PLEDGE & GRANT RECEIVABLE - CURRENT 2022-03-01 79602 BOOK VALUE 043722352 VIRTUA HEALTH FOUNDATION 406 LIPPINCOTT DRIVE MARLTON NJ 080533427 501(C)(3) DONOR-RESTRICTED FUNDS 2022-03-01 1314012 BOOK VALUE 043722352 VIRTUA HEALTH FOUNDATION 406 LIPPINCOTT DRIVE MARLTON NJ 080533427 501(C)(3) NET PROPERTY, PLANT, & EQUIPMENT 2022-03-01 3378 BOOK VALUE 043722352 VIRTUA HEALTH FOUNDATION 406 LIPPINCOTT DRIVE MARLTON NJ 080533427 501(C)(3) PLEDGE & GRANT RECEIVABLE - NON-CURRENT 2022-03-01 137150 BOOK VALUE 043722352 VIRTUA HEALTH FOUNDATION 406 LIPPINCOTT DRIVE MARLTON NJ 080533427 501(C)(3) 1 0 0 0 1 1 1 1 0 PART I, LINE 2E: EXPLANATION OF INVOLVEMENT: ON 3/1/2022 OUR LADY OF LOURDES HEALTH FOUNDATION, INC. MERGED INTO ITS RELATED ORGANIZATION VIRTUA HEALTH FOUNDATION, INC. 04-3722352 WHICH IS THE SURVIVING CORPORATION. THE FOLLOWING BOARD MEMBERS OF THE OUR LADY OF LOURDES HEALTH FOUNDATION, INC. WERE ADDED TO THE BOARD OF THE VIRTUA HEALTH FOUNDATION, INC.:THOMAS J. FANELLEREGINALD F. BECKETT CELESTE CANUSO TIMOTHY HEALEYCHRISTOPHER POYATTTROY RANDLE, DO, FACC, FACOIMICHELE SELFRIDGE, MSW, LCSWMARTINA WALKER, CFPSR. HELEN OWENS, OSF FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID ACTIVITY CLASSIFICATION: SUPPORT TO THE CHARITABLE TAX-EXEMPT PURPOSE OF THE HOSPITAL. GRANTEE NAME: VIRTUA OUR LADY OF LOURDES HOSPITAL, INC.. GRANTEE ADDRESS: 303 LIPPINCOTT DRIVE, 4/FLOOR MARLTON, NJ 08053. AMOUNT GIVEN: 117,431. FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: VIRTUA MANAGEMENT FEE. AMOUNT: 83,298. DESCRIPTION: OUTSIDE SERVICES CONTRACTED. AMOUNT: 21,573. DESCRIPTION: DUES. AMOUNT: 5,196. DESCRIPTION: BANK FEES. AMOUNT: 709. DESCRIPTION: MISCELLANEOUS. AMOUNT: 1,426. TOTAL TO FORM 990-EZ, LINE 16: 112,202. FORM 990-EZ, PART I, LINE 20 - OTHER CHANGES IN NET ASSETS DESCRIPTION: TRANSFER WITH AFFILIATES - VIRTUA HEALTH FOUNDATION, INC.. AMOUNT: 1,430,430. FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS DESCRIPTION: PLEDGES AND GRANT RECEIVABLE - CURRENT. BEG. OF YEAR AMOUNT: 92,075. END OF YEAR AMOUNT: 0. DESCRIPTION: PLEDGES AND GRANT RECEIVABLE - NON-CURRENT. BEG. OF YEAR AMOUNT: 137,150. END OF YEAR AMOUNT: 0. FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES DESCRIPTION: ACCOUNTS PAYABLE AND ACCRUED EXPENSES. BEG. OF YEAR AMOUNT: 9,737. END OF YEAR AMOUNT: 0. DESCRIPTION: DUE TO AFFILIATES-CURRENT. BEG. OF YEAR AMOUNT: 2,077,849. END OF YEAR AMOUNT: 0. DESCRIPTION: DUE TO AFFILIATES-NON-CURRENT. BEG. OF YEAR AMOUNT: 1,484,839. END OF YEAR AMOUNT: 0.