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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
VIRTUA HEALTH FOUNDATION INC
 
Employer identification number
04-3722352
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
(if applicable)		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
noncash assistance		 (h) Purpose of grant
or assistance
(1) VIRTUA - MEMORIAL HOSPITAL OF BURLINGTON COUNTY
303 LIPPINCOTT DR 4/FLR
MARLTON,NJ08053 		21-0634562 501(C)(3) 693,748       PURCHASE UPGRADES TO MEDICAL EQUIPMENT AND TO ENHANCE PATIENT CARE.
(2) VIRTUA - WEST JERSEY HEALTH SYSTEM
303 LIPPINCOTT DR 4/FLR
MARLTON,NJ08053 		21-0634532 501(C)(3) 26,651       PURCHASE UPGRADES TO MEDICAL EQUIPMENT AND TO ENHANCE PATIENT CARE.
(3) VIRTUA HEALTH INC
303 LIPPINCOTT DR 4/FLR
MARLTON,NJ08053 		22-3524939 501(C)(3) 4,994,224       MEDICAL EDUCATION AND SUPPORT FOR VIRTUA HEALTH'S PROGRAMS OF EXCELLENCE.
(4) CHERRY HILL FREE CLINIC INC
5 ESTERBROOK LN
CHERRY HILL,NJ08003 		83-3944840 501(C)(3) 9,440       PURCHASE UPGRADES TO MEDICAL EQUIPMENT AND TO ENHANCE PATIENT CARE.
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
4
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2020

Schedule I (Form 990) 2020
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
noncash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of noncash assistance
(1) HUMANITARIAN GRANTS FOR INDIVIDUAL DISASTER RELIEF, EX. HOUSE FIRES OR CATASTROPHIC ILLNESS 3 11,600      
(2) COLLEAGUE CARE FUND, PROVIDES MONETARY TO VIRTUA HEALTH COLLEAGUES WHO ARE FACING FINANCIAL HARDSHIP 116 173,206      
(3) CONTINUING MEDICAL EDUCATION-NURSE PRACTIONER DEMONSTRATION 309 72,860      
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: THE DONOR DETERMINES THE RESTRICTION OF THE CONTRIBUTION, AND THE FOUNDATION MAINTAINS A BALANCE FOR EACH FUND WITHIN VIRTUA. THEREFORE, THE FOUNDATION FOLLOWS APPROPRIATE INTERNAL CONTROLS TO UPHOLD THE DONOR'S INTENT AND WORKS WITH VIRTUA SENIOR LEADERSHIP TO IDENTIFY USES THAT MEET VIRTUAS MISSION FOR THE RESTRICTED FUNDS. THE FUNDS ARE MADE AVAILABLE BY COMPLETING A REQUEST FORM AND GAINING APPROVAL BY THE FOUNDATION.
Schedule I (Form 990) 2020



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