Liabilities / Assets
11th percentile
Higher debt load relative to assets than 11% of similar nonprofits.
University Community Hospital Foundation Inc.
990 • Fiscal year 2021 • EIN 59-2554889
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.00x
Liabilities / Revenue
8th percentile
Higher debt load relative to revenue than 8% of similar nonprofits.
Net Margin
20th percentile
Higher net margin than 20% of similar nonprofits.
Top Officer Pay
97th percentile
Higher top officer pay than 97% of similar nonprofits.
Top officer pay equals 8.5% of source-year revenue.
Asset Growth
2nd percentile
Faster asset growth than 2% of similar nonprofits.
Revenue Growth
100th percentile
Faster revenue growth than 100% of similar nonprofits.
Balance Sheet
Assets
Down$13,727,368
Down $6,546,942 (-32%) from 2020
Net Assets
Down$13,681,109
Down $6,496,189 (-32%) from 2020
Liabilities
Down$46,259
Down $50,753 (-52%) from 2020
Revenue And Expenses
Revenue
Up$11,800,498
Up $11,582,191 (+5305%) from 2020
Expenses
Up$11,833,278
Up $10,593,501 (+854%) from 2020
Net Income
Up-$32,780
Up $988,690 (+97%) from 2020
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2021 to Dec 31, 2021
- Signed
- Sep 6, 2022
- Return Version
- 2021v4.2
- Gross Receipts
- $11,800,498
Mission and Program Overview
Mission
Fundraising and volunteer activity for supported tax-exempt hospital.
Fundraising for Affiliated Tax-Exempt Hospital
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Savings and Temporary Cash Investments | $19,484,631 | $13,664,484 | ▼ $5,820,147 |
| Land, Buildings, and Equipment, Net | $0 | $0 | → $0 |
| Total Assets | $20,274,310 | $13,727,368 | ▼ $6,546,942 |
| Other Assets Total | $789,679 | $62,884 | ▼ $726,795 |
| Liabilities | |||
| Other Liabilities | $97,012 | $46,259 | ▼ $50,753 |
| Total Liabilities | $97,012 | $46,259 | ▼ $50,753 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $2,660,363 | $7,730,665 | ▲ $5,070,302 |
| Net Assets With Donor Restrictions | $17,516,935 | $5,950,444 | ▼ $11,566,491 |
| Total Net Assets Fund Balance | $20,177,298 | $13,681,109 | ▼ $6,496,189 |
| Total Liabilities and Net Assets / Fund Balance | $20,274,310 | $13,727,368 | ▼ $6,546,942 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Other Land Buildings | $0 | $61,000 | $61,000 |
Endowment Activity
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2021 | $15,221,241 | $3,735,023 | ▲ $1,252,560 | $12,390,294 | $7,818,530 |
| 2020 | $12,096,996 | $3,156,927 | ▲ $561,529 | $594,211 | $15,221,241 |
| 2019 | $12,768,809 | $1,909,563 | ▲ $1,943,089 | $4,524,465 | $12,096,996 |
| 2018 | $10,595,999 | $2,886,156 | ▲ $1,124,167 | $1,837,513 | $12,768,809 |
| 2017 | $24,197,844 | $792,339 | ▲ $1,852,663 | $16,246,847 | $10,595,999 |
Compensation and Service Providers
Board Members and Trustees
| Name | Title |
|---|---|
| Joyce Roger | Chairman |
| Stonesifer MD Kurt | Past Chairman |
| Austin Dan | Trustee |
| Bales-Chubb Denyse | Trustee |
| Paradise Erica | Trustee |
| Stanislow Jeff | Trustee |
| Weidner David | Trustee |
| Sharpe Mark | Trustee (Beg 01/21) |
| Zubrowski Diana | Trustee (Beg 01/21) |
| Odisho Dennis | Trustee (Beg 05/21) |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $349,507
- Program Service Revenue
- $11,450,991
- Investment Income
- $0
- Other Revenue
- $0
- Change in Net Assets
- $-32,780
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Grants and Similar Amounts Paid | $11,525,759 |
| Other Expenses | $307,519 |
| Total Fundraising Expense | $279,775 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Grants to Domestic Orgs | $11,509,619 | - | - | $11,509,619 |
| Fees for Services Other | - | - | $63,837 | $63,837 |
| Grants to Domestic Individuals | $16,140 | - | - | $16,140 |
| Other Expenses | - | $21,094 | $11,404 | $11,404 |
| Office Expenses | - | $6,650 | $4,525 | $11,175 |
| All Other Expenses | - | - | $10,068 | $10,068 |
| Advertising | - | - | $8,611 | $8,611 |
| Total Functional Expenses | $11,525,759 | $27,744 | $279,775 | $11,833,278 |
International Activity
Grant and Assistance Recipients
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| University Community Hospital Inc | Tampa, FL | 501(c)(3) | General Support - Capital Projects | $11,509,619 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- No
- Subject to proxy tax
- No
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Due to Affiliates | $34,814 |
| Charitable Gift Annuity Obligations | $11,445 |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Business relationship with 35% controlled entity
- No
- Business relationship with family members
- No
- Business relationship with organization members
- No
- Material changes to governing documents
- No
- Compensation from other sources disclosed
- No
- CEO compensation reviewed
- No
- Other officer compensation reviewed
- No
- Conflict-of-interest policy
- Yes
- Audited financial statements prepared
- No
- Key decisions subject to board approval
- Yes
- Management duties delegated
- No
Governance Explanations
Form 990, Part VI, Section A, line 2
“Family Relationship - Dennis Odisho and Roger Joyce Family Relationship - Dennis Odisho and Diana Zubrowski Business Relationship - Jeff Stanislow and Dan Austin”
Form 990, Part VI, Section A, line 7A
“Trustees are nominated by the filing organization's Board of Trustees and approved by the Board of Directors of University Community Hospital, Inc. (UCH Board). If a Trustee of the filing organization is appointed in this manner, such Trustee may be removed from office by the UCH Board.”
Form 990, Part VI, Section A, line 7B
“As discussed in our response to 7a, the filing organization's Board of Trustees are approved and removed by the Board of Directors of University Community Hospital, Inc. In 2010 the filing organization and the filing organization's supported hospital organization entered into a Merger Agreement with Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the supported hospital organization's tax-exempt parent. AHSSHC has the right to provide written consent for the Bylaws or Articles of Incorporation of the filing organization to be altered, amended, revised, repealed, supplemented or restated in any manner that conflicts with the Foundation's rights and obligations as provided for under this Merger Agreement.”
Form 990, Part VI, Section B, line 11B
“The filing organization's current year Form 990 was reviewed by the Board Chairman of the filing organization prior to its filing with the IRS. The review conducted by the Board Chairman did not include the review of any supporting workpapers that were used in preparation of the current year Form 990, but did include a review of the entire Form 990 and all supporting schedules.”
Form 990, Part VI, Section B, line 12C
“The Conflict of Interest Policy of the filing organization applies to members of its Board of Trustees and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflicts of interest, any member of the Board of Trustees of the filing organization or any principal officer of the filing organization (i.e. Interested Persons) must disclose the existence of any financial interest with the filing organization and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Trustees of the filing organization or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Trustees or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to the filing organization's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Trustees (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under the filing organization's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the filing organization is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. The filing organization's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that the filing organization operates in a manner consistent with its charitable purposes.”
Form 990, Part VI, Section C, line 19
“The filing organization does not generally make its governing documents, or financials statements available to the public.”
Part VII, Section A, Columns (E) & (F)
“For those Board of Trustee members who devote less than full-time to the filing organization (based upon the average number of hours per week shown in column (B) on page 7 of the return) the compensation amounts shown in columns (E) and (F) on page 7 were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position as an employee of Adventist Health System Sunbelt Healthcare Corporation.”
Filing and Contact Details
Filer
- Filer Name
- University Community Hospital
- EIN
- 59-2554889
- Phone
- 8139716000
- Address
- 3100 East Fletcher Avenue, Tampa, FL 33613-4688
Signing Officer
- Name
- Roger Joyce
- Title
- Chairman
- Phone
- 8139716000
- Signed
- 2022-09-06
Organization Details
- Principal Officer
- Roger Joyce
- Formed
- 1985
- Legal Domicile
- Fl
- Voting Board Members
- 10
- Independent Board Members
- 9
- Employees
- 0
- Volunteers
- 54
Supplemental Narrative
Additional Explanations
Form 990, Part IX, line 11G
“Other Fees: Program service expenses 0. Management and general expenses 0. Fundraising expenses 63,837. Total expenses 63,837.”
Part X, Line 2
“The amounts shown on line 2 of Part X of this return include the filing organization's interest in a central investment pool maintained by Adventist Health System Sunbelt Healthcare Corporation, the top-tier parent of the filing organization's supported Hospital. The investments in the central investment pool are recorded at market value.”
Form 990, Part XI, line 9:
“Temporarily Restricted Gifts 3,735,023. Transfer of Net Assets from Restricted Fund Balance -11,450,991. Temporarily Restricted Investment Income 1,252,559.”
Financial Statement Notes
Part V, Line 4:
“University Community Hospital Foundation, Inc. (UCHF) is a supporting organization of University Community Hospital, Inc. (the Hospital), a related tax-exempt hospital that is also exempt under IRC Section 501(c)(3). UCHF endowment consists of individual donor restricted endowment funds where the assets have been designated for endowment. Restricted endowment funds are intended to benefit various programs and departments of the Hospital and its patients. Endowment funds have also been designated by the Board of UCHF to support various Hospital initiatives.”
Part V, column (D) Three years back and column (E)
“Four years back: Explanation for change in column (d) lines 1a thru 1g and column (e) lines 1b thru 1g: During 2020, it came to the attention of the Foundation's management that certain assets were mistakenly classified as endowments during years 2017 and 2018. This reclassification resulted in a total decrease of $951,003.”
Raw XML AppendixShowing 400 of 2,103 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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| IRS990/AdvertisingGrp/TotalAmt | 0 | 8611 |
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| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 10068 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | Tyson Davis |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8136157853 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 3100 East Fletcher Avenue |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | Tampa |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | FL |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 336134688 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 349507 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 11525759 |
| IRS990/CYInvestmentIncomeAmt | 0 | 0 |
| IRS990/CYOtherExpensesAmt | 0 | 307519 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 11450991 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -32780 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/CYTotalExpensesAmt | 0 | 11833278 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 279775 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 11800498 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/Desc | 0 | The primary exempt purpose of University Community Hospital Foundation, Inc. is to conduct fundraising on behalf of University Community Hospital, Inc., an IRC Section 501(c)(3) organization. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
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| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 5950444 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 11525759 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesOtherGrp/FundraisingAmt | 0 | 63837 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 63837 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
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| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.40 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 0.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 0.20 |
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| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | Bales-Chubb Denyse |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | Joyce Roger |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | Austin Dan |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | Odisho Dennis |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | Paradise Erica |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | Sharpe Mark |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | Stanislow Jeff |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | Stonesifer MD Kurt |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | Weidner David |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | Zubrowski Diana |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
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| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | Chairman |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | Trustee (Beg 05/21) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Trustee (Beg 01/21) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | Past Chairman |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | Trustee (Beg 01/21) |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1985 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
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| IRS990/GoverningBodyVotingMembersCnt | 0 | 10 |
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| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 16140 |
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| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 11509619 |
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| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
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| IRS990/IndoorTanningServicesInd | 0 | 0 |
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| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 61000 |
| IRS990/LegalDomicileStateCd | 0 | FL |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | Fundraising and volunteer activity for related tax-exempt hospital. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
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| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 2660363 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 7730665 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
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| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 6650 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 11175 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
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| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 789679 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 62884 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | -6463409 |
| IRS990/OtherExpensesGrp/Desc | 0 | Purchased Services |
| IRS990/OtherExpensesGrp/Desc | 1 | CGA Write-off |
| IRS990/OtherExpensesGrp/Desc | 2 | Food Costs |
| IRS990/OtherExpensesGrp/Desc | 3 | Gifts |
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| IRS990/OtherExpensesGrp/FundraisingAmt | 1 | 19648 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 2 | 11404 |
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| IRS990/OtherExpensesGrp/TotalAmt | 2 | 19648 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 11404 |
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| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 46259 |
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| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrincipalOfficerNm | 0 | Roger Joyce |
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| IRS990/PYInvestmentIncomeAmt | 0 | 0 |
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| IRS990/PYOtherRevenueAmt | 0 | 0 |
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| IRS990/PYRevenuesLessExpensesAmt | 0 | -1021470 |
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| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
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| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 561529 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 1991285 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 1113580 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 1872673 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 6791626 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
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| IRS990ScheduleA/PublicSupportPY170Pct | 0 | 0.35400 |
| IRS990ScheduleA/PublicSupportTotal170Amt | 0 | 14999789 |
| IRS990ScheduleA/SubstantialContributorsTotAmt | 0 | 5892638 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind | 0 | X |
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| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt | 0 | 1232307 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 3221638 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 2149391 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 2488593 |
| IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt | 0 | 20892427 |
| IRS990ScheduleA/TotalSupportAmt | 0 | 27684053 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
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| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | 1 |
| IRS990ScheduleD/BoardDesignatedBalanceEOYPct | 0 | 0.31050 |
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| IRS990ScheduleD/CYEndwmtFundGrp/ContributionsAmt | 0 | 3735023 |
| IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt | 0 | 7818530 |
| IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | 1252560 |
| IRS990ScheduleD/CYEndwmtFundGrp/OtherExpendituresAmt | 0 | 12390294 |
| IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt | 0 | 12096996 |
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| IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt | 0 | 15221241 |
| IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | 561529 |
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| IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt | 0 | 12096996 |
| IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | 1943089 |
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| IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/ContributionsAmt | 0 | 2886156 |
| IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt | 0 | 12768809 |
| IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | 1124167 |
| IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/OtherExpendituresAmt | 0 | 1837513 |
| IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt | 0 | 24197844 |
| IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/ContributionsAmt | 0 | 792339 |
| IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt | 0 | 10595999 |
| IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | 1852663 |
| IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/OtherExpendituresAmt | 0 | 16246847 |
| IRS990ScheduleD/EndowmentsHeldRelatedOrgInd | 0 | 0 |
| IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd | 0 | 0 |
| IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt | 0 | 0 |
| IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt | 0 | 61000 |
| IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 61000 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 34814 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 1 | 11445 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | Due to Affiliates |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 1 | Charitable Gift Annuity Obligations |
| IRS990ScheduleD/PrmnntEndowmentBalanceEOYPct | 0 | 0.12790 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | University Community Hospital Foundation, Inc. (UCHF) is a supporting organization of University Community Hospital, Inc. (the Hospital), a related tax-exempt hospital that is also exempt under IRC Section 501(c)(3). UCHF endowment consists of individual donor restricted endowment funds where the assets have been designated for endowment. Restricted endowment funds are intended to benefit various programs and departments of the Hospital and its patients. Endowment funds have also been designated by the Board of UCHF to support various Hospital initiatives. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 1 | Four years back: Explanation for change in column (d) lines 1a thru 1g and column (e) lines 1b thru 1g: During 2020, it came to the attention of the Foundation's management that certain assets were mistakenly classified as endowments during years 2017 and 2018. This reclassification resulted in a total decrease of $951,003. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Part V, Line 4: |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Part V, column (d) Three years back and column (e) |
| IRS990ScheduleD/TermEndowmentBalanceEOYPct | 0 | 0.56160 |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 0 |
| IRS990ScheduleD/TotalLiabilityAmt | 0 | 46259 |
| IRS990ScheduleI/GrantRecordsMaintainedInd | 0 | 0 |
| IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt | 0 | 14640 |
| IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt | 1 | 1500 |
| IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt | 0 | Food, Clothing & Shelter |
| IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt | 1 | Nursing Scholarships |
| IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt | 0 | 14 |
| IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt | 1 | 3 |
| IRS990ScheduleI/RecipientTable/CashGrantAmt | 0 | 11509619 |
| IRS990ScheduleI/RecipientTable/IRCSectionDesc | 0 | 501(c)(3) |
| IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt | 0 | 0 |
| IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt | 0 | General Support - Capital Projects |
| IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt | 0 | University Community Hospital Inc |
| IRS990ScheduleI/RecipientTable/RecipientEIN | 0 | 591113901 |
| IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt | 0 | 3100 East Fletcher Avenue |
| IRS990ScheduleI/RecipientTable/USAddress/CityNm | 0 | Tampa |
| IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd | 0 | FL |
| IRS990ScheduleI/RecipientTable/USAddress/ZIPCd | 0 | 33613 |
| IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt | 0 | Grants are generally made only to the Foundation's supported hospital organization. Accordingly, the filing organization has not established specific procedures for monitoring the use of grant funds in the United States as the filing organization does not have a grant making program that would necessitate such procedures. |
| IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Part I, Line 2 |
| IRS990ScheduleI/Total501c3OrgCnt | 0 | 1 |
| IRS990ScheduleI/TotalOtherOrgCnt | 0 | 0 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | 0 |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | 0 |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | 0 |
| IRS990ScheduleJ/InitialContractExceptionInd | 0 | 0 |
| IRS990/ScheduleJRequiredInd | 0 | 1 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 0 | 184633 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 0 | 553353 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 0 | 69543 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 0 | 96699 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 0 | 43723 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 0 | 126918 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 0 | Bales-Chubb Denyse |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 0 | Trustee |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 0 | 1005326 |
| IRS990ScheduleJ/SeverancePaymentInd | 0 | 0 |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 0 | The CEO of the filing organization's supported Hospital serves on the board of directors of the filing organization. This individual is compensated by and on the payroll of Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the parent organization of the healthcare system known as AdventHealth. In recognition of the contribution that each executive makes to the success of AdventHealth, AdventHealth provides supplemental executive benefit plans to eligible executives. In 2020, AdventHealth restructured its executive supplemental retirement and benefit plans to reduce complexity, to increase predictability of benefits and to consolidate multiple supplemental executive benefit plans into one plan. Effective 1/1/2020, a new supplemental executive retirement plan (SERP III) was adopted and the three existing plans, described below, were amended and restated. The newly adopted SERP III plan, as well as the amended and restated plans, were reviewed and approved by the AHSSHC Board Compensation Committee, an independent body of the AHSSHC Board of Directors. SERP III Plan (Effective 1/1/2020): To recognize the contribution each executive makes to the success of AdventHealth and to recognize the limitations available to executives in qualified retirement plans due to compensation limits set on such plans, AdventHealth adopted a new supplemental executive retirement plan (SERP III) in 2020. The SERP III plan effectively replaces the prior SERP II plan, the Executive Flex Benefit Program Plan, and the Senior Executive Death Benefit Plan for qualified executives except for certain grandfathered executive employees. The SERP III plan provides eligible executives a percentage of their base pay, which is credited to a deferred compensation account. The plan also provides for compensation deferral and selection of life insurance coverage and long-term care insurance. To be eligible to participate in the SERP III plan, executives must be on the AHSSHC corporate payroll and be either a CEO of an AdventHealth entity, an AHSSHC Vice President (VP) or VP of an AdventHealth entity with a base salary of at least $290,000 in 2021 (adjusted annually by the same percentage as IRC Section 401(a)(17) limit increases), or other leader specifically approved by the AdventHealth President. Eligible executives do not include grandfathered executives, meaning those executives who would satisfy all the eligibility requirements of the SERP II plan prior to Dec 31, 2027, had the plan not been amended and restated as of Jan. 1, 2020. Contribution credits will be established and maintained by class year accounts for each participant using tiered contribution credit percentages of annual base compensation. Contribution credit percentages range between 15% and 19% of base compensation. Contribution credits will be made each quarter in 25% increments with reductions in contributions if the executive is also a grandfathered FLEX participant (see below). SERP III provides for a class year vesting and payment schedule (7 years for each class year) with respect to amounts accumulated in the executive's deferred compensation account. Upon attainment of a normal retirement age (age 62), or upon certain other circumstances as defined in the SERP III plan document, all deferred amounts are paid immediately to the participant. For any executives working beyond the normal retirement age, future employer contributions will be made quarterly from SERP III directly to the participant as a taxable cash bonus. SERP II Plan (Amended and Restated in 2020): In 2020, the SERP II plan was amended and restated to provide that eligible employees are restricted to those executives who, as of January 1, 2020, satisfied, or if employment continues, will satisfy the eligibility requirements of SERP II prior to December 31, 2027. The SERP II plan is a defined benefit, non-tax-qualified deferred compensation plan for certain executives who have provided lengthy service to AdventHea |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 1 | FLEX PLAN FLEX PLAN SERP II SERP III 457(B) CONTR. DISTR.* CONTR./DISTR. CONTR. DISTR.* Bales-Chubb, Denyse $96,999 $83,279 $ 0 $ 3,652 $ 0 * Including Investment Earnings |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Part I, Line 4b |
| IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Contributions/Distributions: |
| IRS990ScheduleJ/SupplementalNonqualRtrPlanInd | 0 | 1 |
| IRS990/ScheduleORequiredInd | 0 | 1 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | Family Relationship - Dennis Odisho and Roger Joyce Family Relationship - Dennis Odisho and Diana Zubrowski Business Relationship - Jeff Stanislow and Dan Austin |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | Trustees are nominated by the filing organization's Board of Trustees and approved by the Board of Directors of University Community Hospital, Inc. (UCH Board). If a Trustee of the filing organization is appointed in this manner, such Trustee may be removed from office by the UCH Board. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | As discussed in our response to 7a, the filing organization's Board of Trustees are approved and removed by the Board of Directors of University Community Hospital, Inc. In 2010 the filing organization and the filing organization's supported hospital organization entered into a Merger Agreement with Adventist Health System Sunbelt Healthcare Corporation (AHSSHC), the supported hospital organization's tax-exempt parent. AHSSHC has the right to provide written consent for the Bylaws or Articles of Incorporation of the filing organization to be altered, amended, revised, repealed, supplemented or restated in any manner that conflicts with the Foundation's rights and obligations as provided for under this Merger Agreement. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | The filing organization's current year Form 990 was reviewed by the Board Chairman of the filing organization prior to its filing with the IRS. The review conducted by the Board Chairman did not include the review of any supporting workpapers that were used in preparation of the current year Form 990, but did include a review of the entire Form 990 and all supporting schedules. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | The Conflict of Interest Policy of the filing organization applies to members of its Board of Trustees and its principal officers (to be known as Interested Persons). In connection with any actual or possible conflicts of interest, any member of the Board of Trustees of the filing organization or any principal officer of the filing organization (i.e. Interested Persons) must disclose the existence of any financial interest with the filing organization and must be given the opportunity to disclose all material facts concerning the financial interest/arrangement to the Board of Trustees of the filing organization or to any members of a committee with board delegated powers that is considering the proposed transaction or arrangement. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after any discussion with the relevant Board member or principal officer, the remaining members of the Board of Trustees or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. According to the filing organization's Conflict of Interest Policy, an Interested Person may make a presentation to the Board of Trustees (or committee with board delegated powers), but after such presentation, shall leave the meeting during the discussion of, and the vote on, the transaction or arrangement that results in a conflict of interest. Each Interested Person, as defined under the filing organization's Conflict of Interest Policy, shall annually sign a statement which affirms that such person has received a copy of the Conflict of Interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the filing organization is a charitable organization that must primarily engage in activities which accomplish one or more of its exempt purposes. The filing organization's Conflict of Interest Policy also requires that periodic reviews shall be conducted to ensure that the filing organization operates in a manner consistent with its charitable purposes. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | The filing organization does not generally make its governing documents, or financials statements available to the public. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | For those Board of Trustee members who devote less than full-time to the filing organization (based upon the average number of hours per week shown in column (B) on page 7 of the return) the compensation amounts shown in columns (E) and (F) on page 7 were provided in conjunction with that person's responsibilities and roles in serving in an executive leadership position as an employee of Adventist Health System Sunbelt Healthcare Corporation. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 7 | Other Fees: Program service expenses 0. Management and general expenses 0. Fundraising expenses 63,837. Total expenses 63,837. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 8 | The amounts shown on line 2 of Part X of this return include the filing organization's interest in a central investment pool maintained by Adventist Health System Sunbelt Healthcare Corporation, the top-tier parent of the filing organization's supported Hospital. The investments in the central investment pool are recorded at market value. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 9 | Temporarily Restricted Gifts 3,735,023. Transfer of Net Assets from Restricted Fund Balance -11,450,991. Temporarily Restricted Investment Income 1,252,559. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Form 990, Part VI, Section A, line 2 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2021 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $13,727,368
- Liabilities
- $46,259
- Net assets
- $13,681,109
- Revenue
- $11,800,498
- Expenses
- $11,833,278
- Net income
- -$32,780