2020-11-16T15:54:00-06:00 2019-12-31 721202445 POSTLETHWAITE & NETTERVILLE ONE GALLERIA BLVD STE 2100 METAIRIE LA 70001 990 2019-01-01 270082033 WEST JEFFERSON HOSPITAL FOUNDATION WEST 5043491272 1101 MEDICAL CENTER BLVD MARRERO LA 70072 JULIE ESCUDIER EXECUTIVE DIRECTOR 5043491272 2020-11-16 1 SHARON CASSIERE P00543368 5048375990 206.124.204.139 2020-11-16 13:32:08 CS P 831B2C3B845C71B7809FE6308717975A44660C8D 62428E196D11C9159C31C9B6EC49F0CA44812CFE 2019 2021-01-29 14:40:06Z TINA DANDRY-MAYES 1101 MEDICAL CENTER BLVD MARRERO LA 70072 209901 0 X WWW.WJMC.ORG/FOUNDATION X 2004 LA 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. 17 17 0 15 0 0 91959 171905 0 0 5035 7859 5660 -19515 102654 160249 49005 106216 0 0 0 0 0 0 0 115804 117560 164809 223776 -62155 -63527 904839 933451 125763 217902 779076 715549 X 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. 0 0 24910 24910 CANCER CENTER - EXPENSES ASSOCIATED WITH CANCER PROGRAM. 32591 32591 KOMEN 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. 4156 4156 CARE 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. 46120 44559 MISCELLANEOUS PROGRAMS - EMPLOYEE ASSISTANCE FUND, NURSING EDUCATION, AUTISM SWIM PROGRAM, CARDIAC CARE, PATIENT ASSISTANCE PROGRAM, REHAB ACTIVITIES. 46120 44559 107777 1 1 0 0 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 X JULIE ESCUDIER 5043492525 1111 MEDICAL CENTER BOULEVARD MARRERO LA 70072 NANCY CASSAGNE THRU MARCH 2019 PRESIDENT & CEO, WEST JEFFERSON MEDICAL CENTER 0.50 X X 0 337787 11745 SUSAN TRANTHAM EXECUTIVE DIRECTOR 0.50 X X 0 92265 8267 CHRIS BREAUX IMMEDIATE PAST PRESIDENT 1.50 X X 0 0 0 TINA DANDRY-MAYES PRESIDENT 2.50 X X 0 0 0 VICTORIA STIPELCOVICH VICE-PRESIDENT 0.50 X X 0 0 0 KAREN GREARS GRIFFITH SECRETARY/TREASURER 1.00 X X 0 0 0 GAREY ALIMIA BOARD MEMBER 0.50 X 0 0 0 DANICA ANSARDI BOARD MEMBER 0.50 X 0 0 0 DAVID BANKS BOARD MEMBER 0.50 X 0 0 0 CHARLES FREDERICK BOARD MEMBER 0.50 X 0 0 0 JEAN KASS BOARD MEMBER 0.50 X 0 0 0 SUSAN MACLAY BOARD MEMBER 0.50 X 0 0 0 STANTON SALATHE BOARD MEMBER 0.50 X 0 0 0 DIANE SIETA BOARD MEMBER 0.50 X 0 0 0 JACK STUMPF BOARD MEMBER 0.50 X 0 0 0 MIKE VIRA BOARD MEMBER 0.50 X 0 0 0 KELLY JACOBS BOARD MEMBER 0.50 X 0 0 0 JAN LANGFORD BOARD MEMBER 0.50 X 0 0 0 ERIC LENTZ BOARD MEMBER 0.50 X 0 0 0 COLTON LYON BOARD MEMBER 0.50 X 0 0 0 0 430052 20012 0 0 1 0 0 58858 113047 42063 171905 7859 7859 30137 58858 49652 -19515 -19515 160249 0 0 -11656 62499 62499 43717 43717 5943 5943 3900 384 3516 34 34 2936 378 2558 581 581 2062 2062 OUTSIDE CONTRACT SERVIC 100860 100860 BANK FEES 747 747 STAFF DEVELOPMENT 269 269 PRIZES 218 218 10 10 223776 107777 115999 0 850 50 561084 582162 0 2500 99121 96797 2905 2324 340000 346415 904839 933451 125763 217902 125763 217902 X 607831 544304 171245 171245 779076 715549 904839 933451 -63527 0 X 0 0 0 X 257185 185354 181475 91959 126498 842471 257185 185354 181475 91959 126498 842471 25816 816655 6869 6794 3723 5035 7859 30280 196240 111637 97039 5840 75544 486300 1359051 16726 0.60090 0.57970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 340000 X 1 74150 74150 0 24971 22647 2324 2324 WORK OF ART 340000 GIFTS CARDS 6415 346415 PART III, LINE 4: LOCATED IN THE WEST JEFFERSON MEDICAL CENTER ATRIUM, THE DONATED PAINTING IS AN ORIGINAL BLUE DOG BY ARTIST GEORGE RODRIGUE. ROLLIN' ON THE RIVER 88995 58858 30137 32630 3650 13372 88995 58858 30137 32630 3650 13372 49652 -19515 1 WEST JEFFERSON MEDICAL CENTER 1101 MEDICAL CENTER BLVD MARRERO LA 70072 726014898 501(C)(3) 40174 3665 GENERAL OPERATING EXPENSES. GENERAL OPERATING EXPENSES. EMPLOYEE ASSITANCE FUND 9 4141 KOMEN FUND 110 32591 PATIENT ASSITANCE FUND 3 355 CANCER CENTER FUND 10 6630 PART I, LINE 2: GRANTS ARE UNRESTRICTED. 0 0 0 0 0 0 0 0 0 NANCY CASSAGNE THRU MARCH 2019 PRESIDENT & CEO, WEST JEFFERSON MEDI 0 337787 0 0 0 0 0 0 0 11745 0 349532 0 0 X 6 28200 FMV X 90 FMV X 2082 FMV X GIFT CERTIFICATES 246 7790 FMV X EVENTS & TICKETS 37 3901 0 0 0 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. WEST JEFFERSON MEDICAL CENTER 1101 MEDICAL CENTER BLVD MARRERO LA 70072 726014898 PROVIDES HEALTH CARE TO RESIDENTS OF JEFFERSON PARISH LA 501(C)(3) LINE 3 0 0 1 1 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 WEST JEFFERSON MEDICAL CENTER O 90271 PERCENTAGE OF SALARIES