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WEST JEFFERSON HOSPITAL FOUNDATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
WEST JEFFERSON HOSPITAL FOUNDATION (EIN 27-0082033)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-16
IRS object ID
202013219349318221
Schema version
2019v5.1
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

FieldValueIRS element (for citing)
Return2020-11-16T15:54:00-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN721202445PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1POSTLETHWAITE & NETTERVILLEBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE GALLERIA BLVD STE 2100AddressLine1Txt
CityMETAIRIECityNm
State AbbreviationLAStateAbbreviationCd
ZIP70001ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN270082033EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WEST JEFFERSON HOSPITAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWESTBusinessNameControlTxt
Phone5043491272PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 MEDICAL CENTER BLVDAddressLine1Txt
CityMARREROCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70072ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJULIE ESCUDIERPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone5043491272PhoneNum
Signature2020-11-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHARON CASSIEREPreparerPersonNm
PTINP00543368PTIN
Phone5048375990PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address206.124.204.139IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-16IPDt
IP Tm13:32:08IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id831B2C3B845C71B7809FE6308717975A44660C8DAtSubmissionCreationDeviceId
At Submission Filing Device Id62428E196D11C9159C31C9B6EC49F0CA44812CFEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTINA DANDRY-MAYESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 MEDICAL CENTER BLVDAddressLine1Txt
CityMARREROCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70072ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$209,901GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WJMC.ORG/FOUNDATIONWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionA 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 Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$91,959PYContributionsGrantsAmt
CY Contributions Grants$171,905CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$5,035PYInvestmentIncomeAmt
CY Investment Income$7,859CYInvestmentIncomeAmt
PY Other Revenue$5,660PYOtherRevenueAmt
CY Other Revenue-$19,515CYOtherRevenueAmt
PY Total Revenue$102,654PYTotalRevenueAmt
CY Total Revenue$160,249CYTotalRevenueAmt
PY Grants And Similar Paid$49,005PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$106,216CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$115,804PYOtherExpensesAmt
CY Other Expenses$117,560CYOtherExpensesAmt
PY Total Expenses$164,809PYTotalExpensesAmt
CY Total Expenses$223,776CYTotalExpensesAmt
PY Revenues Less Expenses-$62,155PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$63,527CYRevenuesLessExpensesAmt
Total Assets BOY$904,839TotalAssetsBOYAmt
Total Assets EOY$933,451TotalAssetsEOYAmt
Total Liabilities BOY$125,763TotalLiabilitiesBOYAmt
Total Liabilities EOY$217,902TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$779,076NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$715,549NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$24,910ExpenseAmt
Grant$24,910GrantAmt
DescCANCER CENTER - EXPENSES ASSOCIATED WITH CANCER PROGRAM.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$32,591ExpenseAmt
Grant$32,591GrantAmt
DescKOMEN GRANT - EXPENSES ASSOCIATED WITH PROVIDING DIAGNOSTIC SUPPORT FOR INDIVIDUALS WHO MET THE GRANT GUIDELINES. THE MAMMOGRAM SCREENING PROGRAM PROVIDES FUNDS FOR PATIENTS AT A PERCENTAGE OF POVERTY LEVEL WHO OTHERWISE WOULD NOT SEEK OUT AND/OR HAVE RECOMMENDED MAMMOGRAM SCREENINGS. THE NUMBERS OF PATIENTS ASSISTED IN 2019 WAS 110.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$4,156ExpenseAmt
Grant$4,156GrantAmt
DescCARE HOUSE - EXPENSES ASSOCIATED WITH MAINTAINING THE CARE HOUSE, A THREE-BEDROOM FULLY FURNISHED HOME USED FOR FAMILY MEMBERS OF PATIENTS IN THE SKILLED NURSING UNIT.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$46,120ExpenseAmt
Grant$44,559GrantAmt
DescMISCELLANEOUS PROGRAMS - EMPLOYEE ASSISTANCE FUND, NURSING EDUCATION, AUTISM SWIM PROGRAM, CARDIAC CARE, PATIENT ASSISTANCE PROGRAM, REHAB ACTIVITIES.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$46,120TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$44,559TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$107,777TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of ArtYes (1)CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JULIE ESCUDIERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5043492525PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11111 MEDICAL CENTER BOULEVARDAddressLine1Txt
CityMARREROCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70072ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
NANCY CASSAGNE THRU MARCH 2019
PRESIDENT & CEO, WEST JEFFERSON MEDICAL CENTER0.50Yes (X)Yes (X)$0$337,787$11,745
SUSAN TRANTHAM
EXECUTIVE DIRECTOR0.50Yes (X)Yes (X)$0$92,265$8,267
CHRIS BREAUX
IMMEDIATE PAST PRESIDENT1.50Yes (X)Yes (X)$0$0$0
TINA DANDRY-MAYES
PRESIDENT2.50Yes (X)Yes (X)$0$0$0
VICTORIA STIPELCOVICH
VICE-PRESIDENT0.50Yes (X)Yes (X)$0$0$0
KAREN GREARS GRIFFITH
SECRETARY/TREASURER1.00Yes (X)Yes (X)$0$0$0
GAREY ALIMIA
BOARD MEMBER0.50Yes (X)$0$0$0
DANICA ANSARDI
BOARD MEMBER0.50Yes (X)$0$0$0
DAVID BANKS
BOARD MEMBER0.50Yes (X)$0$0$0
CHARLES FREDERICK
BOARD MEMBER0.50Yes (X)$0$0$0
JEAN KASS
BOARD MEMBER0.50Yes (X)$0$0$0
SUSAN MACLAY
BOARD MEMBER0.50Yes (X)$0$0$0
STANTON SALATHE
BOARD MEMBER0.50Yes (X)$0$0$0
DIANE SIETA
BOARD MEMBER0.50Yes (X)$0$0$0
JACK STUMPF
BOARD MEMBER0.50Yes (X)$0$0$0
MIKE VIRA
BOARD MEMBER0.50Yes (X)$0$0$0
KELLY JACOBS
BOARD MEMBER0.50Yes (X)$0$0$0
JAN LANGFORD
BOARD MEMBER0.50Yes (X)$0$0$0
ERIC LENTZ
BOARD MEMBER0.50Yes (X)$0$0$0
COLTON LYON
BOARD MEMBER0.50Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$430,052TotReportableCompRltdOrgAmt
Total Other Compensation$20,012TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$58,858FundraisingAmt
All Other Contributions$113,047AllOtherContributionsAmt
Noncash Contributions$42,063NoncashContributionsAmt
Total Contributions$171,905TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,859TotalRevenueColumnAmt
Exclusion$7,859ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$30,137FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$58,858ContriRptFundraisingEventAmt
Fundraising Direct Expenses$49,652FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$19,515TotalRevenueColumnAmt
Exclusion-$19,515ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$160,249TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$11,656ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$62,499TotalAmt
Program Services$62,499ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$43,717TotalAmt
Program Services$43,717ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,943TotalAmt
Management And General$5,943ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,900TotalAmt
Program Services$384ProgramServicesAmt
Management And General$3,516ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$34TotalAmt
Management And General$34ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,936TotalAmt
Program Services$378ProgramServicesAmt
Management And General$2,558ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$581TotalAmt
Program Services$581ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,062TotalAmt
Management And General$2,062ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
OUTSIDE CONTRACT SERVIC$100,860$100,860
BANK FEES$747$747
STAFF DEVELOPMENT$269$269
PRIZES$218$218

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10TotalAmt
Management And General$10ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$223,776TotalAmt
Program Services$107,777ProgramServicesAmt
Management And General$115,999ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$850BOYAmt
EOY$50EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$561,084BOYAmt
EOY$582,162EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,500EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$99,121LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$96,797LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,905BOYAmt
EOY$2,324EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$340,000BOYAmt
EOY$346,415EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$904,839BOYAmt
EOY$933,451EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$125,763BOYAmt
EOY$217,902EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$125,763BOYAmt
EOY$217,902EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$607,831BOYAmt
EOY$544,304EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$171,245BOYAmt
EOY$171,245EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$779,076BOYAmt
EOY$715,549EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$904,839BOYAmt
EOY$933,451EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$63,527ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$257,185CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$185,354CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$181,475CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$91,959CurrentTaxYearMinus1YearAmt
Current Tax Year$126,498CurrentTaxYearAmt
Total$842,471TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$257,185CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$185,354CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$181,475CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$91,959CurrentTaxYearMinus1YearAmt
Current Tax Year$126,498CurrentTaxYearAmt
Total$842,471TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$25,816SubstantialContributorsTotAmt
Public Support Total170$816,655PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,869CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,794CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,723CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,035CurrentTaxYearMinus1YearAmt
Current Tax Year$7,859CurrentTaxYearAmt
Total$30,280TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$196,240CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$111,637CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$97,039CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,840CurrentTaxYearMinus1YearAmt
Current Tax Year$75,544CurrentTaxYearAmt
Total$486,300TotalAmt
FieldValueIRS element (for citing)
Total Support$1,359,051TotalSupportAmt
Gross Receipts Rltd Activities$16,726GrossReceiptsRltdActivitiesAmt
Public Support CY1700.60090PublicSupportCY170Pct
Public Support PY1700.57970PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

FieldValueIRS element (for citing)
Assets Included$340,000AssetsIncludedAmt
FieldValueIRS element (for citing)
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd
Solicited Assets SaleYes (1)SolicitedAssetsSaleInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$74,150OtherCostOrOtherBasisAmt
Depreciation$74,150DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,971OtherCostOrOtherBasisAmt
Depreciation$22,647DepreciationAmt
Book Value$2,324BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,324TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
WORK OF ART$340,000
GIFTS CARDS$6,415
FieldValueIRS element (for citing)
Total Book Value Other Assets$346,415TotalBookValueOtherAssetsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III, LINE 4:FormAndLineReferenceDesc
ExplanationLOCATED IN THE WEST JEFFERSON MEDICAL CENTER ATRIUM, THE DONATED PAINTING IS AN ORIGINAL BLUE DOG BY ARTIST GEORGE RODRIGUE.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ROLLIN' ON THE RIVEREvent1Nm
Gross Receipts Event1$88,995GrossReceiptsEvent1Amt
Charitable Contri Event1$58,858CharitableContriEvent1Amt
Gross Revenue Event1$30,137GrossRevenueEvent1Amt
Rent Facility Costs Event1$32,630RentFacilityCostsEvent1Amt
Entertainment Event1$3,650EntertainmentEvent1Amt
Other Direct Expenses Event1$13,372OtherDirectExpensesEvent1Amt
Gross Receipts Total$88,995GrossReceiptsTotalAmt
Charitable Contributions Tot$58,858CharitableContributionsTotAmt
Gross Revenue Total Events$30,137GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$32,630RentFcltyCostsTotalEventsAmt
Entertainment Total Events$3,650EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$13,372OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$49,652DirectExpenseSummaryEventsAmt
Net Income Summary-$19,515NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
WEST JEFFERSON MEDICAL CENTER
1101 MEDICAL CENTER BLVDMARREROLA70072726014898501(C)(3)$40,174$3,665GENERAL OPERATING EXPENSES.
(no name)
GENERAL OPERATING EXPENSES.

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
EMPLOYEE ASSITANCE FUND9$4,141
KOMEN FUND110$32,591
PATIENT ASSITANCE FUND3$355
CANCER CENTER FUND10$6,630

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANTS ARE UNRESTRICTED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonNANCY CASSAGNE THRU MARCH 2019PersonNm
TitlePRESIDENT & CEO, WEST JEFFERSON MEDITitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$337,787CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$11,745NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$349,532TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule M IRS990ScheduleM

Works Of Art WorksOfArtGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution6ContributionCnt
Noncash Contributions Rpt F990$28,200NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$90NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$2,082NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)GIFT CERTIFICATES246$7,790FMV
Yes (X)EVENTS & TICKETS37$3,901
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 WAS PROVIDED TO THE BOARD OF DIRECTORS FOR APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CBI-ANNUAL REQUESTS TO BOARD MEMBERS TO REVIEW SIGNED CONFLICT OF INTEREST AND UPDATE IF APPROPRIATE
FORM 990, PART VI, SECTION C, LINE 19ALL INFORMATION IS AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1WEST JEFFERSON MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 MEDICAL CENTER BLVDAddressLine1Txt
CityMARREROCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70072ZIPCd
FieldValueIRS element (for citing)
EIN726014898EIN
Primary ActivitiesPROVIDES HEALTH CARE TO RESIDENTS OF JEFFERSON PARISHPrimaryActivitiesTxt
Legal Domicile StateLALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 3PublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1WEST JEFFERSON MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeOTransactionTypeTxt
Involved$90,271InvolvedAmt
Method Of Amount DeterminationPERCENTAGE OF SALARIESMethodOfAmountDeterminationTxt