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WEST JEFFERSON HOSPITAL FOUNDATION: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
WEST JEFFERSON HOSPITAL FOUNDATION (EIN 27-0082033)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201613209349318211
Schema version
2015v2.1
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)
Return2016-11-15T20:56:56-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

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)
PersonJENNIFER STEELPersonNm
Person TitleCOMMUNITY LIAISON OFFICERPersonTitleTxt
Phone5043491272PhoneNum
Signature2016-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHARON CASSIEREPreparerPersonNm
PTINP00543368PTIN
Phone5048375990PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

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$460,294GrossReceiptsAmt
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 WJH FOUNDATION IS DEDICATED TO RAISING PRIVATE FUNDS TO ENHANCE PATIENT CARE. THE FUNDS RAISED BY THE WJH 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 Volunteers525TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$141,459PYContributionsGrantsAmt
CY Contributions Grants$257,185CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$6,477PYInvestmentIncomeAmt
CY Investment Income$6,869CYInvestmentIncomeAmt
PY Other Revenue$12,335PYOtherRevenueAmt
CY Other Revenue-$43,203CYOtherRevenueAmt
PY Total Revenue$160,271PYTotalRevenueAmt
CY Total Revenue$220,851CYTotalRevenueAmt
PY Grants And Similar Paid$73,108PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$109,659CYGrantsAndSimilarPaidAmt
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$25,000CYTotalFundraisingExpenseAmt
PY Other Expenses$83,714PYOtherExpensesAmt
CY Other Expenses$94,023CYOtherExpensesAmt
PY Total Expenses$156,822PYTotalExpensesAmt
CY Total Expenses$203,682CYTotalExpensesAmt
PY Revenues Less Expenses$3,449PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$17,169CYRevenuesLessExpensesAmt
Total Assets BOY$874,290TotalAssetsBOYAmt
Total Assets EOY$924,023TotalAssetsEOYAmt
Total Liabilities BOY$5,260TotalLiabilitiesBOYAmt
Total Liabilities EOY$37,824TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$869,030NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$886,199NetAssetsOrFundBalancesEOYAmt
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$64,888ExpenseAmt
Grant$64,888GrantAmt
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 2015 WAS 653. 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$39,271ExpenseAmt
Grant$39,271GrantAmt
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$15,501ExpenseAmt
Grant$5,500GrantAmt
DescMISCELLANEOUS PROGRAMS: CARE HOUSE, EMPLOYEE BENEVOLENT FUND, ALZHEIMER'S FUND, ETC.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$119,660TotalProgramServiceExpensesAmt
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 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
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 Line1JENNIFER STEELBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5043492051PhoneNum

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 MEMBER1.00Yes (X)$0$0$0
TINA DANDRY-MAYES
BOARD MEMBER1.00Yes (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$93,010$3,423Yes (X)39.00
JENNIFER STEEL
COMMUNITY LIAISON OFFICER30.00$0$126,476$5,039Yes (X)10.00
MELISSA MO-BILLIOT
EXECUTIVE DIRECTOR-FOUNDAT40.00$0$31,737$38Yes (X)
MADELINE BROWNING
CFO3.00$0$214,584$21,454Yes (X)37.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$465,807TotReportableCompRltdOrgAmt
Total Other Compensation$29,954TotalOtherCompensationAmt
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$179,478FundraisingAmt
All Other Contributions$77,707AllOtherContributionsAmt
Noncash Contributions$6,000NoncashContributionsAmt
Total Contributions$257,185TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,869TotalRevenueColumnAmt
Exclusion$6,869ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$196,240FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$179,478ContriRptFundraisingEventAmt
Fundraising Direct Expenses$239,443FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$43,203TotalRevenueColumnAmt
Exclusion-$43,203ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$220,851TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$36,334ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$69,709TotalAmt
Program Services$69,709ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$39,950TotalAmt
Program Services$39,950ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,200TotalAmt
Management And General$6,200ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$25,000TotalAmt
Fundraising$25,000FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,636TotalAmt
Management And General$6,636ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,564TotalAmt
Management And General$4,564ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$952TotalAmt
Management And General$952ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,812TotalAmt
Management And General$2,812ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,262TotalAmt
Management And General$2,262ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
OUTSIDE CONTRACT SERVIC$33,685$33,685
COMMUNITY EVENTS$10,001$10,001
BANK FEES$1,698$1,698
MAINTENANCE$213$213

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$203,682TotalAmt
Program Services$119,660ProgramServicesAmt
Management And General$59,022ManagementAndGeneralAmt
Fundraising$25,000FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$56,587BOYAmt
EOY$109,191EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$461,496BOYAmt
EOY$461,257EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$500BOYAmt
EOY$750EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$99,121LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$92,776LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,157BOYAmt
EOY$6,345EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$346,550BOYAmt
EOY$346,480EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$874,290BOYAmt
EOY$924,023EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,260BOYAmt
EOY$37,824EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,260BOYAmt
EOY$37,824EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$625,804BOYAmt
EOY$714,954EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$243,226BOYAmt
EOY$171,245EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$869,030BOYAmt
EOY$886,199EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$874,290BOYAmt
EOY$924,023EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$17,169ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
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$117,216CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$66,962CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$77,701CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$141,459CurrentTaxYearMinus1YearAmt
Current Tax Year$257,185CurrentTaxYearAmt
Total$660,523TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$117,216CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$66,962CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$77,701CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$141,459CurrentTaxYearMinus1YearAmt
Current Tax Year$257,185CurrentTaxYearAmt
Total$660,523TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$65,760SubstantialContributorsTotAmt
Public Support Total170$594,763PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$575CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$9,795CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,477CurrentTaxYearMinus1YearAmt
Current Tax Year$6,869CurrentTaxYearAmt
Total$23,716TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,550CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$86,745CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$103,829CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$159,668CurrentTaxYearMinus1YearAmt
Current Tax Year$196,240CurrentTaxYearAmt
Total$550,032TotalAmt
FieldValueIRS element (for citing)
Total Support$1,234,271TotalSupportAmt
Gross Receipts Rltd Activities$3,949GrossReceiptsRltdActivitiesAmt
Public Support CY1700.48190PublicSupportCY170Pct
Public Support PY1700.42600PublicSupportPY170Pct
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$18,626DepreciationAmt
Book Value$6,345BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,345TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
WORK OF ART$340,000
OTHER CURRENT ASSET$6,480
FieldValueIRS element (for citing)
Total Book Value Other Assets$346,480TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$286,432TotalRevEtcAuditedFinclStmtAmt
Other Revenue$65,581OtherRevenueAmt
Revenue Not Reported$65,581RevenueNotReportedAmt
Revenue Subtotal$220,851RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$220,851TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$269,263TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$65,581OtherExpensesIncludedAmt
Expenses Not Reported$65,581ExpensesNotReportedAmt
Expenses Subtotal$203,682ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$203,682TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III, LINE 4:THE COLLECTION CONSISTS OF THE BLUE DOG PAINTING. THE ORGANIZATION IS ONLY HOLDING WORKS OF ART.
PART X, LINE 2:THE FOUNDATION IS A NONPROFIT CORPORATION ORGANIZED UNDER THE LAWS OF THE STATE OF LOUISIANA. THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND QUALIFIES AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION AS DEFINED IN SECTION 509(A) OF THE CODE. IT IS EXEMPT FROM LOUISIANA INCOME TAX UNDER THE AUTHORITY OF R.S. 47:121(5). THE FOUNDATION APPLIES A "MORE-LIKELY-THAN-NOT" RECOGNITION THRESHOLD FOR ALL TAX UNCERTAINTIES. THIS APPROACH ONLY ALLOWS THE RECOGNITION OF THOSE TAX BENEFITS THAT HAVE A GREATER THAN FIFTY PERCENT LIKELIHOOD OF BEING SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. THE FOUNDATION HAS REVIEWED ITS TAX POSITIONS AND DETERMINED THERE WERE NO OUTSTANDING OR RETROSPECTIVE TAX POSITIONS WITH LESS THAN A 50% LIKELIHOOD OF BEING SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:ADDITIONAL SPECIAL EVENT EXPENSES SEPARATELY STATED 65,581.
PART XII, LINE 2D - OTHER ADJUSTMENTS:ADDITIONAL SPECIAL EVENT EXPENSES SEPARATELY STATED 65,581.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FALL FESTIVALEvent1Nm
Gross Receipts Event1$114,195GrossReceiptsEvent1Amt
Charitable Contri Event1$61,035CharitableContriEvent1Amt
Gross Revenue Event1$53,160GrossRevenueEvent1Amt
Cash Prizes Event1$2,945CashPrizesEvent1Amt
Rent Facility Costs Event1$14,019RentFacilityCostsEvent1Amt
Food And Beverage Event1$5,491FoodAndBeverageEvent1Amt
Entertainment Event1$14,000EntertainmentEvent1Amt
Other Direct Expenses Event1$18,130OtherDirectExpensesEvent1Amt
Event2MOONLIGHT & MARTINI'SEvent2Nm
Gross Receipts Event2$261,523GrossReceiptsEvent2Amt
Charitable Contri Event2$118,443CharitableContriEvent2Amt
Gross Revenue Event2$143,080GrossRevenueEvent2Amt
Cash Prizes Event2$914CashPrizesEvent2Amt
Non Cash Prizes Event2$13,597NonCashPrizesEvent2Amt
Rent Facility Costs Event2$51,533RentFacilityCostsEvent2Amt
Food And Beverage Event2$54,850FoodAndBeverageEvent2Amt
Entertainment Event2$20,763EntertainmentEvent2Amt
Other Direct Expenses Event2$43,201OtherDirectExpensesEvent2Amt
Gross Receipts Total$375,718GrossReceiptsTotalAmt
Charitable Contributions Tot$179,478CharitableContributionsTotAmt
Gross Revenue Total Events$196,240GrossRevenueTotalEventsAmt
Cash Prizes Total Events$3,859CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$13,597NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$65,552RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$60,341FoodAndBeverageTotalEventsAmt
Entertainment Total Events$34,763EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$61,331OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$239,443DirectExpenseSummaryEventsAmt
Net Income Summary-$43,203NetIncomeSummaryAmt

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)$30,438GENERAL OPERATING EXPENSES.
WEST JEFFERSON MEDICAL CENTER
1101 MEDICAL CENTER BLVDMARREROLA70072726014898501(C)(3)$39,271COPAYS FOR ONCOLOGY PATIENTS ASSISTED 17 PATIENTS.

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

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
EMPLOYEE BENEVOLENT FUND11$5,500
KOMEN IMAGING- CANCER653$34,450

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
TitleCFOTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$175,075CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$39,509OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$4,199DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$17,255NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$236,038TotalCompensationRltdOrgsAmt
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 11THE 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
B$69,709CASH
WEST JEFFERSON MEDICAL CENTER
O$148,143PERCENTAGE OF SALARIES