WEST JEFFERSON HOSPITAL FOUNDATION: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- WEST JEFFERSON HOSPITAL FOUNDATION (EIN 27-0082033)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202213199349327206
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T17:11:19-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 721202445 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | POSTLETHWAITE & NETTERVILLE | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE GALLERIA BLVD STE 2100 | AddressLine1Txt |
| City | METAIRIE | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 270082033 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST JEFFERSON HOSPITAL FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 5043491272 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 MEDICAL CENTER BLVD | AddressLine1Txt |
| City | MARRERO | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70072 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JULIE ESCUDIER | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 5043491272 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JULIE | PersonFirstNm |
| Person Last | ESCUDIER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHARON CASSIERE | PreparerPersonNm |
| PTIN | P00543368 | PTIN |
| Phone | 5048375990 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DANICA ANSARDI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 MEDICAL CENTER BLVD | AddressLine1Txt |
| City | MARRERO | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70072 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $421,050 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WJMC.ORG/FOUNDATION | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | LA | LegalDomicileStateCd |
| Activity Or Mission | A CHARITABLE SUPPORT ORGANIZATION DEDICATED TO RAISING PRIVATE FUNDS TO ENHANCE PATIENT CARE AT WEST JEFFERSON MEDICAL CENTER. THE FUNDS RAISED PROVIDE ADDITIONAL INVESTMENT IN THE MEDICAL CENTER'S MISSION OF SERVICE AND ITS VISION TO IMPROVE THE HEALTH STATUS OF PATIENTS SERVED IN THE PARISHES OF JEFFERSON, PLAQUEMINES, ORLEANS, ST.CHARLES AND BEYOND. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 22 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $162,246 | PYContributionsGrantsAmt |
| CY Contributions Grants | $326,545 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,648 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,046 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$1,928 | PYOtherRevenueAmt |
| CY Other Revenue | $11,536 | CYOtherRevenueAmt |
| PY Total Revenue | $163,966 | PYTotalRevenueAmt |
| CY Total Revenue | $343,127 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $129,346 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $186,314 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $99,802 | PYOtherExpensesAmt |
| CY Other Expenses | $86,106 | CYOtherExpensesAmt |
| PY Total Expenses | $229,148 | PYTotalExpensesAmt |
| CY Total Expenses | $272,420 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$65,182 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $70,707 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $663,805 | TotalAssetsBOYAmt |
| Total Assets EOY | $808,753 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $294,820 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $369,061 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $368,985 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $439,692 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION WAS ORGANIZED TO SUPPORT THE JEFFERSON PARISH HOSPITAL DISTRICT NO. 1, STATE OF LOUISIANA D/B/A WEST JEFFERSON MEDICAL CENTER, INCLUDING, FOR SUCH PURPOSES (A) ACCEPTING GRANT FUNDS FOR PROGRAMS INCLUDING NEUROSCIENCE, CARDIAC, AND OTHER, (B) ACCEPTING DONATIONS FROM EVENTS IN SUPPORT OF CANCER CARE AND OTHER ILLNESSES, (C) ACCEPTING CASH AND EQUIPMENT FROM DONORS IN THE COMMUNITY, AND/OR (D) MAKING DISTRIBUTIONS TO WEST JEFFERSON MEDICAL CENTER OR TO ANY OTHER ORGANIZATION THAT QUALIFIES AS AN EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, OR THE CORRESPONDING SECTION(S) OF THE FEDERAL TAX CODE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $85,500 | ExpenseAmt |
| Grant | $85,500 | GrantAmt |
| Desc | DEEP BRAIN STIMULATOR - EXPENSES INCURRED TO ASSIST WITH THE PURCHASE OF A DEEP BRAIN STIMULATOR THAT HELPS TREAT PATIENTS WITH MOVEMENT DISORDERS LIKE PARKINSON'S DISEASE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $24,495 | ExpenseAmt |
| Grant | $23,914 | GrantAmt |
| Desc | CANCER CENTER - EXPENSES ASSOCIATED WITH CANCER CENTER PROGRAMS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $76,950 | ExpenseAmt |
| Grant | $76,900 | GrantAmt |
| Desc | MISCELLANEOUS PROGRAMS - EMPLOYEE ASSISTANCE FUND, NURSING EDUCATION, CARDIAC CARE, PATIENT ASSISTANCE PROGRAM, REHAB ACTIVITIES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $186,945 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | Yes (1) | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JULIE ESCUDIER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5043492525 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 MEDICAL CENTER BOULEVARD | AddressLine1Txt |
| City | MARRERO | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70072 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| JULIE ESCUDIER | ||||||
| EXECUTIVE DIRECTOR | 0.50 | Yes (X) | $0 | $76,162 | $2,642 | |
| CHRIS BREAUX | ||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | |
| GAREY ALIMIA | ||||||
| BOARD MEMBER (THRU 06/2021) | 0.50 | $0 | $0 | $0 | Yes (X) | |
| JEAN KASS | ||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | |
| SUSAN MACLAY | ||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | |
| STANTON SALATHE | ||||||
| BOARD MEMBER (THRU 04/21) | 0.50 | $0 | $0 | $0 | Yes (X) | |
| DIANE SIETA | ||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | |
| JACK STUMPF | ||||||
| BOARD MEMBER (THRU 06/2021) | 0.50 | $0 | $0 | $0 | Yes (X) | |
| JAN LANGFORD | ||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | |
| ERIC LENTZ | ||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | |
| ROB CALHOUN | ||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | |
| BARBARA GATES | ||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | |
| KAREN GREARS GRIFFITH | ||||||
| BOARD MEMBER (THRU 03/2021) | 0.50 | $0 | $0 | $0 | Yes (X) | |
| EMON COBB | ||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | |
| DAMON DIETRICH MD | ||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | |
| JASON DIMARCO | ||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | |
| DALE IVANKOVICH | ||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | |
| ANDREW RICHARD | ||||||
| BOARD MEMBER | 0.50 | $0 | $0 | $0 | Yes (X) | |
| TINA DANDRY-MAYES | ||||||
| PRESIDENT (THRU 06/2021)/BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| KELLY COWTHRAN | ||||||
| SECRETARY/ TREASURER | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| VICTORIA STIPELCOVICH | ||||||
| SECRETARY/ TREASURER | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| LISA BALLAY | ||||||
| VICE PRESIDENT | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DANICA ANSARDI | ||||||
| VICE PRESIDENT (THRU 06/2021)/PRESIDENT | 0.50 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $76,162 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,642 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $177,445 | FundraisingAmt |
| All Other Contributions | $149,100 | AllOtherContributionsAmt |
| Noncash Contributions | $20,527 | NoncashContributionsAmt |
| Total Contributions | $326,545 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,546 | TotalRevenueColumnAmt |
| Exclusion | $1,546 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $50,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $46,500 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $3,500 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,500 | TotalRevenueColumnAmt |
| Exclusion | $3,500 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $42,959 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $177,445 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $31,423 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,536 | TotalRevenueColumnAmt |
| Exclusion | $11,536 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $343,127 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $16,582 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,509 | TotalAmt |
| Program Services | $166,509 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,805 | TotalAmt |
| Program Services | $19,805 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,983 | TotalAmt |
| Management And General | $73,983 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,409 | TotalAmt |
| Management And General | $6,409 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $418 | TotalAmt |
| Management And General | $418 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $581 | TotalAmt |
| Program Services | $581 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,723 | TotalAmt |
| Management And General | $2,723 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| BANK FEES | $1,450 | $1,450 | |
| MEMBERSHIPS AND DUES | $492 | $492 | |
| MISCELLANEOUS | $50 | $50 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $272,420 | TotalAmt |
| Program Services | $186,945 | ProgramServicesAmt |
| Management And General | $85,475 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2 | BOYAmt |
| EOY | $4 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $594,191 | BOYAmt |
| EOY | $787,341 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,787 | BOYAmt |
| EOY | $11,152 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $99,121 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $98,008 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,694 | BOYAmt |
| EOY | $1,113 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,131 | BOYAmt |
| EOY | $9,143 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $663,805 | BOYAmt |
| EOY | $808,753 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $294,820 | BOYAmt |
| EOY | $369,061 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $294,820 | BOYAmt |
| EOY | $369,061 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $197,740 | BOYAmt |
| EOY | $268,447 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,245 | BOYAmt |
| EOY | $171,245 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $368,985 | BOYAmt |
| EOY | $439,692 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $663,805 | BOYAmt |
| EOY | $808,753 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $70,707 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $181,475 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $91,959 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $126,498 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $157,658 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $326,545 | CurrentTaxYearAmt |
| Total | $884,135 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $181,475 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $91,959 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $126,498 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $157,658 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $326,545 | CurrentTaxYearAmt |
| Total | $884,135 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $57,410 | SubstantialContributorsTotAmt |
| Public Support Total170 | $826,725 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,723 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,035 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,859 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,648 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,546 | CurrentTaxYearAmt |
| Total | $21,811 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $97,039 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,840 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $75,544 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,101 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,536 | CurrentTaxYearAmt |
| Total | $195,060 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,101,006 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $6,433 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.75090 | PublicSupportCY170Pct |
| Public Support PY170 | 0.63620 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Included | $46,500 | AssetsIncludedAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collection Used Pub Exhibition | Yes (X) | CollectionUsedPubExhibitionInd |
| Solicited Assets Sale | Yes (1) | SolicitedAssetsSaleInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $74,150 | OtherCostOrOtherBasisAmt |
| Depreciation | $74,150 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,971 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,858 | DepreciationAmt |
| Book Value | $1,113 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,113 | TotalBookValueLandBuildingsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 4: | FormAndLineReferenceDesc |
| Explanation | LOCATED IN THE WEST JEFFERSON MEDICAL CENTER ATRIUM, THE DONATED PAINTING IS AN ORIGINAL BLUE DOG BY ARTIST GEORGE RODRIGUE. THE PAINTING WAS SOLD IN 2021. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | A TOAST TO THE FUTURE | Event1Nm |
| Gross Receipts Event1 | $220,404 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $177,445 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $42,959 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $17,696 | NonCashPrizesEvent1Amt |
| Entertainment Event1 | $5,500 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $8,227 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $220,404 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $177,445 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $42,959 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $17,696 | NonCashPrizesTotalEventsAmt |
| Entertainment Total Events | $5,500 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $8,227 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $31,423 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $11,536 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST JEFFERSON MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 MEDICAL CENTER BLVD | AddressLine1Txt |
| City | MARRERO | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70072 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 726014898 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $166,509 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | GENERAL OPERATING EXPENSES | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| EMPLOYEE ASSISTANCE FUND | 37 | $18,500 |
| PATIENT ASSISTANCE FUND | 3 | $1,305 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANTS ARE UNRESTRICTED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 WAS PROVIDED TO THE BOARD OF DIRECTORS FOR APPROVAL. |
| FORM 990, PART VI, SECTION B, LINE 12C | BI-ANNUAL REQUESTS TO BOARD MEMBERS TO REVIEW SIGNED CONFLICT OF INTEREST AND UPDATE IF APPROPRIATE |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL INFORMATION IS AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OUTSIDE CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 73,983. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,983. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST JEFFERSON MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 MEDICAL CENTER BLVD | AddressLine1Txt |
| City | MARRERO | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70072 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 726014898 | EIN |
| Primary Activities | PROVIDES HEALTH CARE TO RESIDENTS OF JEFFERSON PARISH | PrimaryActivitiesTxt |
| Legal Domicile State | LA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 3 | PublicCharityStatusTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| WEST JEFFERSON MEDICAL CENTER | ||
| O | $73,983 | PERCENTAGE OF SALARIES |
| WEST JEFFERSON MEDICAL CENTER | ||
| B | $166,509 | CASH |