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Nonprofiteer
← LEESBURG REGIONAL MEDICAL CENTER FOUNDATION INC

Form 990 for tax year 2022

Filed by LEESBURG REGIONAL MEDICAL CENTER FOUNDATION INC.

Totals

Total revenue
$3,152,520
Total expenses
$425,637
Contributions and grants received
$2,847,990
Grants paid
$61,071
Program service revenue
$0
Investment income
$299,811
Other revenue
$4,719
Total assets, end of year
$9,705,655
Total liabilities, end of year
$151,466
Net assets or fund balances, end of year
$9,554,189
Program services expenses (Part IX)
$132,156
Management and general expenses
$49,471
Fundraising expenses
$244,010
Program service expenses (Part III)
$132,156

Program services were 31.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $137,444

  • 1f · All other contributions, gifts and grants

    $2,710,546

  • 1g · Noncash contributions included above

    $3,535

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $299,811 · excluded $299,811

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 8a · Fundraising events: gross income

    $13,700

  • 8a · Fundraising events: contributions included on line 1c

    $137,444

  • 8b · Fundraising events: direct expenses

    $46,866

  • 8c · Net income from fundraising events

    total -$33,166 · excluded -$33,166

  • 10a · Gross sales of inventory

    $139,457

  • 10b · Cost of goods sold

    $101,572

  • 10c · Net income from sales of inventory

    total $37,885 · excluded $37,885

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $1,051 · program services $1,051

  • 2 · Grants to domestic individuals

    total $60,020 · program services $60,020

  • 11f · Fees: investment management

    total $38,656 · management and general $38,656

  • 11g · Fees: other

    total $84,435 · program services $0 · management and general $0 · fundraising $84,435

  • 12 · Advertising and promotion

    total $10,745 · fundraising $10,745

  • 13 · Office expenses

    total $17,438 · fundraising $17,438

  • 16 · Occupancy

    total $1,347 · management and general $1,347

  • 17 · Travel

    total $3,218 · fundraising $3,218

  • 19 · Conferences, conventions and meetings

    total $1,291 · fundraising $1,291

  • 22 · Depreciation, depletion and amortization

    total $9,468 · management and general $9,468

  • 24a · Other expenses: Fundraising Campaign Expenses

    total $126,678 · fundraising $126,678

  • 24b · Other expenses: Other community support activities

    total $71,085 · program services $71,085

  • 24c · Other expenses: DUES and SUBSCRIPTIONS

    total $205 · fundraising $205

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,431,043 · end of year $4,110,776

  • 4 · Accounts receivable

    beginning of year $61,934 · end of year $6,759

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $16,229 · end of year $16,229

  • 9 · Prepaid expenses and deferred charges

    beginning of year $25,087 · end of year $22,895

  • 10a · Land, buildings and equipment: cost or other basis

    $187,948

  • 10b · Land, buildings and equipment: accumulated depreciation

    $157,213

  • 10c · Land, buildings and equipment, net

    beginning of year $40,203 · end of year $30,735

  • 11 · Investments: publicly traded securities

    beginning of year $5,118,552 · end of year $5,518,261

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $12,831 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $114,922 · end of year $130,936

  • 19 · Deferred revenue

    beginning of year $29,724 · end of year $1,000

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $19,530

  • 27 · Net assets without donor restrictions

    beginning of year $4,366,671 · end of year $7,224,878

  • 28 · Net assets with donor restrictions

    beginning of year $2,194,562 · end of year $2,329,311

Mission and programs · 2022

Mission

TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF OUR PATIENTS AND COMMUNITIES through support of Leesburg Regional Medical Center ("UFHL").

Activities or mission (Part I)

TO IMPROVE THE HEALTH AND QUALITY OF LIFE OF OUR PATIENTS AND COMMUNITIES through support of Leesburg Regional Medical Center.

  • THE FOUNDATION'S ENDEAVOR IS TO CREATE HEALTHIER COMMUNITIES THROUGH PHILANTHROPY, VOLUNTEERISM AND COMMUNITY PARTNERSHIPS. SINCE 1977, THE FOUNDATION HAS SUPPORTED UFHL'S PROGRAMS, SERVICES AND GROWING NEEDS. ITS MISSION IS TO ENHANCE THE QUALITY OF HOSPITAL CARE GIVEN BY SECURING FINANCIAL SUPPORT AND RECRUITING INDIVIDUALS TO MAKE A COMMITMENT TO THE HOSPITAL AS THEIR PRIMARY HOSPITAL OF CHOICE. THE FOUNDATION IS COMMITTED TO BUILDING COMMUNITY AWARENESS OF HEALTH CARE NEEDS, LEADERSHIP, AND DONOR ENGAGEMENT.

    Expenses $132,156 · Grants $61,071

As filed on the 2022 return.

Listed in Part VII

  • Andrew Lo Faro

    1st Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Josh Gonzales

    Chairman/Treasurer

    Total calculated
    $0
    Hours/week
    1

  • Ken Thomas

    Secretary (Through June 2023)

    Total calculated
    $0
    Hours/week
    1

  • Lori Davis

    2nd Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • Amanda Patten

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Bettye Stevens Coney

    Director

    Total calculated
    $0
    Hours/week
    1

  • Blake Merrill

    Director

    Total calculated
    $0
    Hours/week
    1

  • Dan Tatro

    Director

    Total calculated
    $0
    Hours/week
    1

  • Dave Van De Velde

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Dolores Geverink

    Director

    Total calculated
    $0
    Hours/week
    1

  • Gerald Tucker

    Director/Immediate Past Chair

    Total calculated
    $0
    Hours/week
    1

  • Heath Nailos JD

    Director

    Total calculated
    $0
    Hours/week
    1

  • John Maze

    Director (Through Feb 2023)

    Total calculated
    $0
    Hours/week
    1

  • Kevin Mukri

    Director (beg June 2023)

    Total calculated
    $0
    Hours/week
    1

  • Lynne Winker

    CFH Board Rep

    Total calculated
    $0
    Hours/week
    1

  • Maria Stefanovic

    Director (Through April 2023)

    Total calculated
    $0
    Hours/week
    1

  • Mirta Conde-Vega

    Auxiliary President (Through July 2022)

    Total calculated
    $0
    Hours/week
    1

  • Patrick T Grady

    Director

    Total calculated
    $0
    Hours/week
    1

  • Erica Lebo

    Foundation Executive Director/President

    Total calculated
    $164,843
    From this org
    $0
    From related orgs
    $143,178
    Other
    $21,665
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $130,898 related
    Bonus
    $0 + $12,174 related
    Other
    $0 + $106 related
    Deferred
    $0 + $5,403 related
    Nontaxable benefits
    $0 + $16,262 related
    Filer's total
    $0 + $164,843 related

  • Heather Long

    CEO UF HEALTH CFH (BEG DEC 2022)

    Total calculated
    $578,474
    From this org
    $0
    From related orgs
    $545,405
    Other
    $33,069
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $459,111 related
    Bonus
    $0 + $85,100 related
    Other
    $0 + $1,194 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $14,769 related
    Filer's total
    $0 + $578,474 related

  • James J Kelly Jr

    INTERIM CEO (BEG AUG 2022); SVP/CFO/TREASURER

    Total calculated
    $977,638
    From this org
    $0
    From related orgs
    $939,771
    Other
    $37,867
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $710,988 related
    Bonus
    $0 + $146,900 related
    Other
    $0 + $81,883 related
    Deferred
    $0 + $21,350 related
    Nontaxable benefits
    $0 + $16,517 related
    Filer's total
    $0 + $977,638 related

  • Philip Braun JD

    VP/GENERAL COUNSEL UF HEALTH CENTRAL FLORIDA

    Total calculated
    $400,826
    From this org
    $0
    From related orgs
    $363,137
    Other
    $37,689
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $298,951 related
    Bonus
    $0 + $45,300 related
    Other
    $0 + $18,886 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $19,389 related
    Filer's total
    $0 + $400,826 related

  • Donald Henderson

    President/CEO Central Florida Health (through June 2021)

    Total calculated
    $392,694
    From this org
    $0
    From related orgs
    $385,687
    Other
    $7,007
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $385,687 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $7,007 related
    Filer's total
    $0 + $392,694 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
THE ORGANIZATION'S EXECUTIVE DIRECTOR WAS COMPENSATED BY LEESBURG REGIONAL MEDICAL CENTER, INC. ("UFHL"), A RELATED TAX-EXEMPT ORGANIZATION. UFHL UTILIZED THE FOLLOWING METHODS TO DETERMINE COMPENSATION: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE
Schedule J, Part I, Line 4a Severance or change-of-control payment
THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAYMENTS FROM A RELATED ORGANIZATION DURING CALENDAR YEAR 2022: DONALD HENDERSON - $343,501

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202411369349310841

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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