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WEST JEFFERSON HOSPITAL FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
WEST JEFFERSON HOSPITAL FOUNDATION (EIN 27-0082033)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201733199349317723
Schema version
2016v3.0
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)
Return2017-11-15T18:12:24-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 Begin2016-01-01TaxPeriodBeginDt

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)
PersonSUSAN TRANTHAMPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone5043491272PhoneNum
Signature2017-11-15SignatureDt
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)
IP2017-11-15IPDt
IP Tm18:07:28IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id51DD87AF0E10BBAE46E0F0B27B9FE7C62D7039C1AtSubmissionCreationDeviceId
At Submission Filing Device IdCE1DC26D23B21477C902F32C6368918E8705D505AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWOODY OGEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 MEDICAL CENTER BLVDAddressLine1Txt
CityMARREROCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70072ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$270,914GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WJMC.ORG/FOUNDATIONWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionAS A CHARITABLE SUPPORT ORGANIZATION OF OUR COMMUNITY HOSPITAL, THE WEST JEFFERSON HOSPITAL FOUNDATION IS DEDICATED TO RAISING PRIVATE FUNDS TO ENHANCE PATIENT CARE. THE FUNDS RAISED BY THE WEST JEFFERSON HOSPITAL FOUNDATION PROVIDE ADDITIONAL INVESTMENT IN THE MEDICAL CENTER'S MISSION OF SERVICE AND A VISION OF IMPROVEMENT IN THE HEALTH STATUS OF OUR COMMUNITY IN PARTNERSHIP WITH THE MEDICAL STAFF.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers515TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$257,185PYContributionsGrantsAmt
CY Contributions Grants$185,354CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$6,869PYInvestmentIncomeAmt
CY Investment Income$6,794CYInvestmentIncomeAmt
PY Other Revenue-$43,203PYOtherRevenueAmt
CY Other Revenue-$33,964CYOtherRevenueAmt
PY Total Revenue$220,851PYTotalRevenueAmt
CY Total Revenue$158,184CYTotalRevenueAmt
PY Grants And Similar Paid$109,659PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$80,187CYGrantsAndSimilarPaidAmt
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$6,086CYTotalFundraisingExpenseAmt
PY Other Expenses$94,023PYOtherExpensesAmt
CY Other Expenses$80,598CYOtherExpensesAmt
PY Total Expenses$203,682PYTotalExpensesAmt
CY Total Expenses$160,785CYTotalExpensesAmt
PY Revenues Less Expenses$17,169PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,601CYRevenuesLessExpensesAmt
Total Assets BOY$924,023TotalAssetsBOYAmt
Total Assets EOY$894,844TotalAssetsEOYAmt
Total Liabilities BOY$37,824TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,246TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$886,199NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$883,598NetAssetsOrFundBalancesEOYAmt
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, CHILDREN'S 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$54,550ExpenseAmt
Grant$54,550GrantAmt
DescMAMMOGRAPHY SCREENING: THE MAMMOGRAPHY SCREENING PROGRAM PROVIDES FUNDS FOR PATIENTS AT A PERCENTAGE OF POVERTY LEVEL WHO OTHERWISE WOULD NOT SEEK OUT AND/OR HAVE RECOMMENDED MAMMOGRAM SCREENING. THE NUMBER OF PATIENTS ASSISTED IN 2016 WAS 190. IN ADDITION, THE LYMPHEDEMA PROGRAM SUPPORTS PATIENTS FOLLOWING BREAST CANCER SURGERY WITH LYMPH SWELLING WHO OTHERWISE WOULD NOT BE ABLE TO PURCHASE APPLIANCES TO ASSIST WITH MINIMIZING, REDUCING OR OTHERWISE REMOVING SOMETIMES PAINFUL SWELLING PREDISPOSING THEM TO OTHER BODILY CONCERNS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$16,325ExpenseAmt
Grant$16,325GrantAmt
DescCANCER FUND: THIS FUND PRIMARILY CONDUCTS CANCER SUPPORT GROUPS AND RELATED ACTIVITIES TO RAISE AWARENESS AND CELEBRATE SURVIVORSHIP.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$9,312ExpenseAmt
Grant$9,312GrantAmt
DescMISCELLANEOUS PROGRAMS: CARE HOUSE, EMPLOYEE BENEVOLENT FUND, ALZHEIMER'S FUND, ETC.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$80,187TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
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 Document7IRPDocumentCnt
IRP Document W2 G1IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 BodyYes (1)Form990ProvidedToGvrnBodyInd
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 Line1SUSAN TRANTHAMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5043492525PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
GAREY ALIMIA
BOARD MEMBER1.00Yes (X)$0$0$0
JEAN KASS CONNICK
BOARD MEMBER0.50Yes (X)$0$0$0
TINA DANDRY-MAYES
BOARD MEMBER0.50Yes (X)$0$0$0
CHARLES FREDERICK
BOARD MEMBER1.00Yes (X)$0$0$0
ALTHEA LACOUR
BOARD MEMBER1.00Yes (X)$0$0$0
EDGAR LAZARO
BOARD MEMBER1.00Yes (X)$0$0$0
STANTON SALATHE
BOARD MEMBER1.00Yes (X)$0$0$0
JACK STUMPF
BOARD MEMBER1.00Yes (X)$0$0$0
MIKE VIRA
BOARD MEMBER1.00Yes (X)$0$0$0
KAREN WOOD WARD
BOARD MEMBER1.00Yes (X)$0$0$0
WOODY OGE
PRESIDENT2.50Yes (X)$0$0$0Yes (X)
CHRIS BREAUX
VICE PRESIDENT2.00Yes (X)$0$0$0Yes (X)
DIANE SIETA
SECRETARY - TREASURER1.00Yes (X)$0$81,915$4,346Yes (X)39.00
JENNIFER STEEL
COMMUNITY LIAISON OFFICER30.00$0$115,341$4,301Yes (X)10.00
MELISSA MO-BILLIOT
EXECUTIVE DIRECTOR-FOUNDATION (RESIGNED OCT 2016)40.00$0$40,619$243Yes (X)
MADELINE BROWNING
CFO (RESIGNED JULY 2016)3.00$0$196,800$14,732Yes (X)37.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$434,675TotReportableCompRltdOrgAmt
Total Other Compensation$23,622TotalOtherCompensationAmt
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$111,637FundraisingAmt
All Other Contributions$73,717AllOtherContributionsAmt
Noncash Contributions$7,993NoncashContributionsAmt
Total Contributions$185,354TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,794TotalRevenueColumnAmt
Exclusion$6,794ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$68,473FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$111,637ContriRptFundraisingEventAmt
Fundraising Direct Expenses$112,730FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$44,257TotalRevenueColumnAmt
Exclusion-$44,257ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business999999BusinessCd
Total Revenue Column$10,293TotalRevenueColumnAmt
Related Or Exempt Func Income$10,293RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$10,293OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$158,184TotalRevenueColumnAmt
Related Or Exempt Func Income$10,293RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$37,463ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$40,390TotalAmt
Program Services$40,390ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$39,797TotalAmt
Program Services$39,797ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,200TotalAmt
Management And General$3,200ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,086TotalAmt
Fundraising$6,086FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,410TotalAmt
Management And General$11,410ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,745TotalAmt
Management And General$9,745ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$151TotalAmt
Management And General$151ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,059TotalAmt
Management And General$1,059ManagementAndGeneralAmt

Insurance InsuranceGrp

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

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
OUTSIDE CONTRACT SERVIC$42,405$42,405
MISCELLANEOUS EXPENSES$2,761$2,761
BANK FEES$904$904
MEMBERSHIP DUES$815$815

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$160,785TotalAmt
Program Services$80,187ProgramServicesAmt
Management And General$74,512ManagementAndGeneralAmt
Fundraising$6,086FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$109,191BOYAmt
EOY$122,150EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$461,257BOYAmt
EOY$420,253EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$750BOYAmt
EOY$500EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$99,121LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$93,835LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,345BOYAmt
EOY$5,286EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$346,480BOYAmt
EOY$346,655EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$924,023BOYAmt
EOY$894,844EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$37,824BOYAmt
EOY$11,246EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$37,824BOYAmt
EOY$11,246EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$714,954BOYAmt
EOY$712,353EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$886,199BOYAmt
EOY$883,598EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$924,023BOYAmt
EOY$894,844EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,601ReconcilationRevenueExpnssAmt
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$66,962CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$77,701CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$141,459CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$257,185CurrentTaxYearMinus1YearAmt
Current Tax Year$185,354CurrentTaxYearAmt
Total$728,661TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$66,962CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$77,701CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$141,459CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$257,185CurrentTaxYearMinus1YearAmt
Current Tax Year$185,354CurrentTaxYearAmt
Total$728,661TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$21,164SubstantialContributorsTotAmt
Public Support Total170$707,497PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$9,795CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,477CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,869CurrentTaxYearMinus1YearAmt
Current Tax Year$6,794CurrentTaxYearAmt
Total$29,935TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$86,745CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$103,829CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$159,668CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$196,240CurrentTaxYearMinus1YearAmt
Current Tax Year$111,637CurrentTaxYearAmt
Total$658,119TotalAmt
FieldValueIRS element (for citing)
Total Support$1,416,715TotalSupportAmt
Gross Receipts Rltd Activities$3,949GrossReceiptsRltdActivitiesAmt
Public Support CY1700.49940PublicSupportCY170Pct
Public Support PY1700.48190PublicSupportPY170Pct
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$19,685DepreciationAmt
Book Value$5,286BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,286TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
WORK OF ART$340,000
OTHER CURRENT ASSET$6,655
FieldValueIRS element (for citing)
Total Book Value Other Assets$346,655TotalBookValueOtherAssetsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III, LINE 4:FormAndLineReferenceDesc
ExplanationTHE COLLECTION CONSISTS OF THE BLUE DOG PAINTING. THE ORGANIZATION IS ONLY HOLDING WORKS OF ART.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FALL FESTIVALEvent1Nm
Gross Receipts Event1$143,297GrossReceiptsEvent1Amt
Charitable Contri Event1$82,440CharitableContriEvent1Amt
Gross Revenue Event1$60,857GrossRevenueEvent1Amt
Cash Prizes Event1$1,523CashPrizesEvent1Amt
Non Cash Prizes Event1$450NonCashPrizesEvent1Amt
Rent Facility Costs Event1$6,005RentFacilityCostsEvent1Amt
Food And Beverage Event1$1,304FoodAndBeverageEvent1Amt
Entertainment Event1$18,675EntertainmentEvent1Amt
Other Direct Expenses Event1$66,087OtherDirectExpensesEvent1Amt
Event2NIGHT IN RIOEvent2Nm
Gross Receipts Event2$23,551GrossReceiptsEvent2Amt
Charitable Contri Event2$23,135CharitableContriEvent2Amt
Gross Revenue Event2$416GrossRevenueEvent2Amt
Entertainment Event2$6,148EntertainmentEvent2Amt
Other Direct Expenses Event2$5,204OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$13,262GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$6,063CharitableContriOtherEventsAmt
Gross Revenue Other Events$7,199GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$7,334OthDirectExpnssOtherEventsAmt
Gross Receipts Total$180,110GrossReceiptsTotalAmt
Charitable Contributions Tot$111,638CharitableContributionsTotAmt
Gross Revenue Total Events$68,472GrossRevenueTotalEventsAmt
Cash Prizes Total Events$1,523CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$450NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$6,005RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$1,304FoodAndBeverageTotalEventsAmt
Entertainment Total Events$24,823EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$78,625OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$112,730DirectExpenseSummaryEventsAmt
Net Income Summary-$44,258NetIncomeSummaryAmt

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 GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
WEST JEFFERSON MEDICAL CENTER
1101 MEDICAL CENTER BLVDMARREROLA70072726014898501(C)(3)$24,065GENERAL OPERATING EXPENSES.
WEST JEFFERSON MEDICAL CENTER
1101 MEDICAL CENTER BLVDMARREROLA70072726014898501(C)(3)$16,325COPAYS FOR ONCOLOGY PATIENTS ASSISTED 8 PATIENTS.

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
EMPLOYEE BENEVOLENT FUND16$9,312
KOMEN IMAGING- CANCER190$30,485

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)
PersonMADELINE BROWNINGPersonNm
TitleCFO (RESIGNED JULY 2016)TitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$186,394CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$10,406BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$11,519DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$3,213NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$211,532TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS SENT TO THE BOARD MEMBERS FOR THEIR REVIEW BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CALL DIRECTORS, OFFICERS AND EMPLOYEES ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY. THERE ARE PERIODIC REVIEWS OF TRANSACTIONS INVOLVING ANY SIGNIFICANT EXPENDITURES AND CONFLICTS. ANY PERSON WITH A CONFLICT DOES NOT PARTICIPATE IN DISCUSSION OR DECISION MAKING PROCESSES.
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 (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
WEST JEFFERSON MEDICAL CENTER
O$138,432PERCENTAGE OF SALARIES
WEST JEFFERSON MEDICAL CENTER
B$40,390CASH