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WEST JEFFERSON HOSPITAL FOUNDATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
WEST JEFFERSON HOSPITAL FOUNDATION (EIN 27-0082033)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201413219349310371
Schema version
2013v3.0
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)
Return2014-11-17T16:18:54-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN721202445PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1POSTLETHWAITE & NETTERVILLEBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1ONE GALLERIA BLVD STE 2100AddressLine1
CityMETAIRIECity
StateLAState
ZIP Code70001ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN270082033EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WEST JEFFERSON HOSPITAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlWESTBusinessNameControlTxt
Phone5043491272PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 MEDICAL CENTER BLVDAddressLine1
CityMARREROCity
StateLAState
ZIP Code70072ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDIANE SIETAPersonNm
Person TitleSECRETARYPersonTitleTxt
Phone5043491272PhoneNum
Signature2014-11-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHARON CASSIEREPreparerPersonNm
PTINP00543368PTIN
Phone5048375990PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKAREN WOOD WARDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 MEDICAL CENTER BLVDAddressLine1
CityMARREROCity
StateLAState
ZIP Code70072ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$194,974GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WJMC.ORG/FOUNDATIONWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionTO SUPPORT THE SERVICES AND ACTIVITIES OF WEST JEFFERSON MEDICAL CENTER.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers450TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$187,087PYContributionsGrantsAmt
CY Contributions Grants$77,701CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$12,981PYInvestmentIncomeAmt
CY Investment Income$9,795CYInvestmentIncomeAmt
PY Other Revenue-$28,494PYOtherRevenueAmt
CY Other Revenue-$37,294CYOtherRevenueAmt
PY Total Revenue$171,574PYTotalRevenueAmt
CY Total Revenue$50,202CYTotalRevenueAmt
PY Grants And Similar Paid$114,681PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$116,553CYGrantsAndSimilarPaidAmt
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$11,138CYTotalFundraisingExpenseAmt
PY Other Expenses$61,551PYOtherExpensesAmt
CY Other Expenses$64,094CYOtherExpensesAmt
PY Total Expenses$176,232PYTotalExpensesAmt
CY Total Expenses$180,647CYTotalExpensesAmt
PY Revenues Less Expenses-$4,658PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$130,445CYRevenuesLessExpensesAmt
Total Assets BOY$911,714TotalAssetsBOYAmt
Total Assets EOY$817,555TotalAssetsEOYAmt
Total Liabilities BOY$5,495TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,790TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$906,219NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$815,765NetAssetsOrFundBalancesEOYAmt
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$50,465ExpenseAmt
Grant$50,465GrantAmt
DescWEST JEFFERSON MEDICAL CENTER: FOR THE CONTINUED SUPPORT OF WEST JEFFERSON MEDICAL CENTER.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$17,936ExpenseAmt
Grant$17,936GrantAmt
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 2012 WAS 162. 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 Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$37,652ExpenseAmt
Grant$37,652GrantAmt
DescCANCER FUND: THIS FUND PRIMARILY CONDUCTS CANCER SUPPORT GROUPS AND THE PINK TEA ANNUAL EVENT TO RAISE AWARENESS AND CELEBRATE SURVIVORSHIP.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$10,500ExpenseAmt
Grant$10,500GrantAmt
DescMISCELLANEOUS PROGRAMS: CARE HOUSE, EMPLOYEE BENEVOLENT FUND, ALZHEIMER'S FUND, ETC.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$10,500TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$10,500TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$116,553TotalProgramServiceExpensesAmt
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 Required0ScheduleJRequiredInd
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 Document4IRPDocumentCnt
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 Member11IndependentVotingMemberCnt
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 Committees0MinutesOfCommitteesInd
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 Line1MADELINE BROWNINGBusinessNameLine1
FieldValueIRS element (for citing)
Phone5043491272PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 MEDICAL CENTER BLVDAddressLine1
CityMARREROCity
StateLAState
ZIP Code70072ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
GAREY ALIMIA
BOARD MEMBER1.00Yes (X)$0$0$0
JEAN KASS CONNICK
BOARD MEMBER0.50Yes (X)$0$0$0
CHARLES FREDERICK
BOARD MEMBER2.00Yes (X)$0$0$0
CHARLES G JONES
BOARD MEMBER2.00Yes (X)$0$0$0
WOODY OGE
BOARD MEMBER1.00Yes (X)$0$0$0
STANTON SALATHE
BOARD MEMBER1.00Yes (X)$0$0$0
DOUGLAS A SILVA
BOARD MEMBER0.50Yes (X)$0$0$0
MIKE VIRA
BOARD MEMBER1.00Yes (X)$0$0$0
KAREN WOOD WARD
PRESIDENT2.00Yes (X)$0$0$0Yes (X)
JUDY SULLIVAN
VICE PRESIDENT2.00Yes (X)$0$0$0Yes (X)
STEVE BROWN
SECRETARY - TREASURER1.00Yes (X)$0$99,169$19,600Yes (X)
JACK STUMPF
IMMEDIATE PAST PRESIDENT1.00Yes (X)$0$0$0Yes (X)
CHERYL HEBERT
PRESIDENT OF THE AUXILIARY1.00Yes (X)$0$0$0
JENNIFER STEELE
EXECUTIVE DIRECTOR FOUNDATION30.00$0$105,967$7,211Yes (X)
MADELINE BROWNING
CONTROLLER2.50$0$108,664$16,927Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$313,800TotReportableCompRltdOrgAmt
Total Other Compensation$43,738TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$46,602FundraisingAmt
All Other Contributions$31,099AllOtherContributionsAmt
Noncash Contributions$20,043NoncashContributionsAmt
Total Contributions$77,701TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,795TotalRevenueColumnAmt
Exclusion$9,795ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$103,829FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$46,602ContriRptFundraisingEventAmt
Fundraising Direct Expenses$142,041FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$38,212TotalRevenueColumnAmt
Exclusion-$38,212ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$3,649GrossSalesOfInventoryAmt
Cost Of Goods Sold$2,731CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$918TotalRevenueColumnAmt
Related Or Exempt Func Income$918RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,202TotalRevenueColumnAmt
Related Or Exempt Func Income$918RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$28,417ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$88,117TotalAmt
Program Services$88,117ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$28,436TotalAmt
Program Services$28,436ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,200TotalAmt
Management And General$7,200ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$11,138TotalAmt
Fundraising$11,138FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,860TotalAmt
Management And General$7,860ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,090TotalAmt
Management And General$4,090ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,976TotalAmt
Management And General$15,976ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,923TotalAmt
Management And General$1,923ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
OUTSIDE CONTRACT SERVIC$15,240$15,240
BANK FEES$667$667

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$180,647TotalAmt
Program Services$116,553ProgramServicesAmt
Management And General$52,956ManagementAndGeneralAmt
Fundraising$11,138FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$10,971BOYAmt
EOY$27,952EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$535,297BOYAmt
EOY$429,038EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,750BOYAmt
EOY$2,750EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$2,607EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$768BOYAmt
EOY$1,325EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$91,190LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$85,238LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$21,928BOYAmt
EOY$5,952EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$340,000BOYAmt
EOY$347,931EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$911,714BOYAmt
EOY$817,555EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,495BOYAmt
EOY$1,790EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,495BOYAmt
EOY$1,790EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$589,297BOYAmt
EOY$558,538EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$316,922BOYAmt
EOY$257,227EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$906,219BOYAmt
EOY$815,765EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$911,714BOYAmt
EOY$817,555EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$130,445ReconcilationRevenueExpnssAmt
Donated Services And Use Fclts$39,991DonatedServicesAndUseFcltsAmt
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$55,720CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$609,654CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$117,216CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$66,962CurrentTaxYearMinus1YearAmt
Current Tax Year$77,701CurrentTaxYearAmt
Total$927,253TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,750CurrentTaxYearMinus4YearsAmt
Total$9,750TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$65,470CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$609,654CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$117,216CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$66,962CurrentTaxYearMinus1YearAmt
Current Tax Year$77,701CurrentTaxYearAmt
Total$937,003TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$379,032SubstantialContributorsTotAmt
Public Support Total170$557,971PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$575CurrentTaxYearMinus2YearsAmt
Current Tax Year$9,795CurrentTaxYearAmt
Total$10,370TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$155,398CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$104,478CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,550CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$86,745CurrentTaxYearMinus1YearAmt
Current Tax Year$103,829CurrentTaxYearAmt
Total$454,000TotalAmt
FieldValueIRS element (for citing)
Total Support$1,401,373TotalSupportAmt
Gross Receipts Rltd Activities$3,649GrossReceiptsRltdActivitiesAmt
Public Support CY1700.39820PublicSupportCY170Pct
Public Support PY1700.39340PublicSupportPY170Pct
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$73,310DepreciationAmt
Book Value$840BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,040OtherCostOrOtherBasisAmt
Depreciation$11,928DepreciationAmt
Book Value$5,112BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,952TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
WORK OF ART$340,000
OTHER CURRENT ASSET$7,931
FieldValueIRS element (for citing)
Total Book Value Other Assets$347,931TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$104,602TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$39,991DonatedServicesAndUseFcltsAmt
Other Revenue$14,409OtherRevenueAmt
Revenue Not Reported$54,400RevenueNotReportedAmt
Revenue Subtotal$50,202RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$50,202TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$195,056TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$14,409OtherExpensesIncludedAmt
Expenses Not Reported$14,409ExpensesNotReportedAmt
Expenses Subtotal$180,647ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$180,647TotalExpensesPerForm990Amt

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. THE FOUNDATION'S TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2012, 2011, AND 2010 REMAIN OPEN AND SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. THE FOUNDATION'S 2013 TAX RETURN HAS NOT BEEN FILED AS OF THE REPORT DATE.
PART XI, LINE 2D - OTHER ADJUSTMENTS:ADDITIONAL SPECIAL EVENT EXPENSES SEPARATELY STATED 11,678. COSTS OF T-SHIRTS SOLD 2,731.
PART XII, LINE 2D - OTHER ADJUSTMENTS:ADDITIONAL SPECIAL EVENT EXPENSES SEPARATELY STATED 11,678. COSTS OF T-SHIRTS SOLD 2,731.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event12013 FALL FESTIVALNameOfEvent1Amt
Gross Receipts Event1$142,024GrossReceiptsEvent1Amt
Charitable Contri Event1$45,702CharitableContriEvent1Amt
Gross Revenue Event1$96,322GrossRevenueEvent1Amt
Cash Prizes Event1$254CashPrizesEvent1Amt
Non Cash Prizes Event1$3,235NonCashPrizesEvent1Amt
Rent Facility Costs Event1$9,135RentFacilityCostsEvent1Amt
Food And Beverage Event1$8,178FoodAndBeverageEvent1Amt
Entertainment Event1$44,575EntertainmentEvent1Amt
Other Direct Expenses Event1$64,048OtherDirectExpensesEvent1Amt
Name Of Event2RUBY RED LUNCHEONNameOfEvent2Amt
Gross Receipts Event2$6,072GrossReceiptsEvent2Amt
Charitable Contri Event2$900CharitableContriEvent2Amt
Gross Revenue Event2$5,172GrossRevenueEvent2Amt
Cash Prizes Event2$200CashPrizesEvent2Amt
Rent Facility Costs Event2$2,800RentFacilityCostsEvent2Amt
Food And Beverage Event2$3,107FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$709OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$2,335GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$2,335GrossRevenueOtherEventsAmt
Cash Prizes Other Events$200CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$100NonCashPrizesOtherEventsAmt
Food And Beverage Other Events$5,500FoodAndBeverageOtherEventsAmt
Gross Receipts Total$150,431GrossReceiptsTotalAmt
Charitable Contributions Tot$46,602CharitableContributionsTotAmt
Gross Revenue Total Events$103,829GrossRevenueTotalEventsAmt
Cash Prizes Total Events$654CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$3,335NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$11,935RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$16,785FoodAndBeverageTotalEventsAmt
Entertainment Total Events$44,575EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$64,757OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$142,041DirectExpenseSummaryEventsAmt
Net Income Summary-$38,212NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
WEST JEFFERSON MEDICAL CENTER
1101 MEDICAL CENTER BLVDMARREROLA70072726014898501(C)(3)$50,465GENERAL OPERATING EXPENSES.
WEST JEFFERSON MEDICAL CENTER
1101 MEDICAL CENTER BLVDMARREROLA70072726014898501(C)(3)$37,652COPAYS FOR ONCOLOGY PATIENTS ASSISTED 70 PATIENTS.

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

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
EMPLOYEE BENEVOLENT FUND21$10,500
KOMEN IMAGING- CANCER169$17,936

Supplemental Information Detail SupplementalInformationDetail

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO COMMITTEES.
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 12CTHE FORM IS SIGNED ANNUALLY BY EACH BOARD MEMBER.
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 CENTERBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11101 MEDICAL CENTER BLVDAddressLine1
CityMARREROCity
StateLAState
ZIP Code70072ZIPCode
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$37,652CASH
WEST JEFFERSON MEDICAL CENTER
O$95,765PERCENTAGE OF SALARIES