WEST JEFFERSON HOSPITAL FOUNDATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- WEST JEFFERSON HOSPITAL FOUNDATION (EIN 27-0082033)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201343199349308194
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-15T14:56:58-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 721202445 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | POSTLETHWAITE & NETTERVILLE | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE GALLERIA BLVD STE 2100 | AddressLine1 |
| City | METAIRIE | City |
| State | LA | State |
| ZIP Code | 70001 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 270082033 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST JEFFERSON HOSPITAL FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WEST | NameControl |
| Phone | 5043491272 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 MEDICAL CENTER BLVD | AddressLine1 |
| City | MARRERO | City |
| State | LA | State |
| ZIP Code | 70072 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JACK STUMPF | Name |
| Title | PRESIDENT | Title |
| Phone | 5043491272 | Phone |
| Date Signed | 2013-11-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SHARON CASSIERE | Name |
| PTIN | P00543368 | PTIN |
| Phone | 5048375990 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JACK STUMPF | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 MEDICAL CENTER BLVD | AddressLine1 |
| City | MARRERO | City |
| State | LA | State |
| ZIP Code | 70072 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 312381 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.WJMC.ORG/FOUNDATION | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2004 | YearFormation |
| State Legal Domicile | LA | StateLegalDomicile |
| Activity Or Mission Description | TO SUPPORT THE SERVICES AND ACTIVITIES OF WEST JEFFERSON MEDICAL CENTER. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 450 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 980851 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 187087 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 575 | InvestmentIncomePriorYear |
| Investment Income Current Year | 12981 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -8448 | OtherRevenuePriorYear |
| Other Revenue Current Year | -28494 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 972978 | TotalRevenuePriorYear |
| Total Revenue Current Year | 171574 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 968356 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 114681 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 20852 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 62166 | OtherExpensePriorYear |
| Other Expenses Current Year | 61551 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1030522 | TotalExpensesPriorYear |
| Total Expenses Current Year | 176232 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -57544 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -4658 | RevenuesLessExpensesCY |
| Total Assets BOY | 916622 | TotalAssetsBOY |
| Total Assets EOY | 911714 | TotalAssetsEOY |
| Total Liabilities BOY | 5745 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 5495 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 910877 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 906219 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE ORGANIZATION WAS ORGANIZED TO SUPPORT THE JEFFERSON PARISH HOSPITAL DISTRICT NO. 1, STATE OF LOUISIANA D/B/A WEST JEFFERSON MEDICAL CENTER, INCLUDING, FOR SUCH PURPOSES (A) ACCEPTING GRANT FUNDS FOR PROGRAMS INCLUDING NEUROSCIENCE, CARDIAC, 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 60057 | Expense |
| Grants | 60057 | Grants |
| Description | WEST JEFFERSON MEDICAL CENTER: FOR THE CONTINUED SUPPORT OF WEST JEFFERSON MEDICAL CENTER AND RENOVATIONS TO THE OPERATING ROOM WAITING AREA AND THE GET WELL NETWORK. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 25321 | Expense |
| Grants | 25321 | Grants |
| Description | MAMMOGRAPHY 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 19127 | Expense |
| Grants | 19127 | Grants |
| Description | CANCER FUND: THIS FUND PRIMARILY CONDUCTS CANCER SUPPORT GROUPS AND THE PINK TEA ANNUAL EVENT TO RAISE AWARENESS AND CELEBRATE SURVIVORSHIP. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10176 | Expense |
| Grants | 10176 | Grants |
| Description | MISCELLANEOUS PROGRAMS: CARE HOUSE, EMPLOYEE BENEVOLENT FUND, ALZHEIMER'S FUND, ETC. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 10176 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 10176 | TotalOfOtherProgramServiceGrnt |
| Total Program Service Expense | 114681 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 1 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 9 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 1 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MADELINE BROWNING | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5043491272 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 MEDICAL CENTER BLVD | AddressLine1 |
| City | MARRERO | City |
| State | LA | State |
| ZIP Code | 70072 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| CHARLIE JONES | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| CHARLES FREDERICK | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JEAN KASS CONNICK | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JUDY SULLIVAN | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MIKE VIRA | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| STAN SALATHE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| WOODY OGE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JACK STUMPF | ||||||
| PRESIDENT | 1.00 | X | 0 | 0 | 0 | X |
| KAREN WARD | ||||||
| VICE PRESIDENT | 1.00 | X | 0 | 0 | 0 | X |
| RUDY SAMPEY | ||||||
| PRESIDENT OF THE AUXILARY | 1.00 | X | 0 | 0 | 0 | X |
| GAREY ALIMIA | ||||||
| IMMEDIATE PAST PRESIDENT | 1.00 | X | 0 | 0 | 0 | X |
| STEVE BROWN | ||||||
| SECRETARY/TREASURER | 1.00 | X | 0 | 93108 | 27038 | X |
| JENNIFER STEEL | ||||||
| EXECUTIVE DIRECTOR | 30.00 | 0 | 99011 | 15249 | X | |
| MADELINE BROWNING | ||||||
| CONTROLLER | 4.00 | 0 | 100822 | 25056 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 292941 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 67343 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 120125 | FundraisingEvents |
| All Other Contributions | 66962 | AllOtherContributions |
| Noncash Contributions | 24414 | NoncashContributions |
| Total Contributions | 187087 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12981 | TotalRevenueColumn |
| Exclusion | $12,981 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 112313 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 120125 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 140807 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -28494 | TotalRevenueColumn |
| Exclusion | -$28,494 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 171574 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$15,513 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83360 | Total |
| Program Services | 83360 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31321 | Total |
| Program Services | 31321 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7200 | Total |
| Management And General | 7200 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20852 | Total |
| Fundraising | 20852 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1522 | Total |
| Management And General | 1522 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1689 | Total |
| Management And General | 1689 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107 | Total |
| Management And General | 107 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28020 | Total |
| Management And General | 28020 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1809 | Total |
| Management And General | 1809 | ManagementAndGeneral |
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | BANK FEES | Description |
| Total | 352 | Total |
| Management And General | 352 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 176232 | Total |
| Program Services | 114681 | ProgramServices |
| Management And General | 40699 | ManagementAndGeneral |
| Fundraising | 20852 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7581 | BOY |
| EOY | 10971 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 518998 | BOY |
| EOY | 535297 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1250 | BOY |
| EOY | 2750 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 735 | BOY |
| EOY | 768 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 91190 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 69262 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48058 | BOY |
| EOY | 21928 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 340000 | BOY |
| EOY | 340000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 916622 | BOY |
| EOY | 911714 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5745 | BOY |
| EOY | 5495 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5745 | BOY |
| EOY | 5495 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 579571 | BOY |
| EOY | 589297 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 331306 | BOY |
| EOY | 316922 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 910877 | BOY |
| EOY | 906219 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 916622 | BOY |
| EOY | 911714 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -4658 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3340 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 55720 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 609654 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 117216 | CurrentTaxYearMinus1Year |
| Current Tax Year | 66962 | CurrentTaxYear |
| Total | 852892 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 9750 | CurrentTaxYearMinus3Years |
| Total | 9750 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3340 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 65470 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 609654 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 117216 | CurrentTaxYearMinus1Year |
| Current Tax Year | 66962 | CurrentTaxYear |
| Total | 862642 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 385309 | AmountsSubstContributorsTotal |
| Public Support Total170 | 477333 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 575 | CurrentTaxYearMinus1Year |
| Total | 575 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 155398 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 104478 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3550 | CurrentTaxYearMinus1Year |
| Current Tax Year | 86745 | CurrentTaxYear |
| Total | 350171 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 1213388 | TotalSupport |
| Public Support Pertcentage170 | 0.39340 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.42500 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Art Public Exhibition Amts ArtPublicExhibitionAmts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets In Part X | 340000 | AssetsInPartX |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collect Used For Public Exhibition | X | CollectUsedForPublicExhibition |
| Solicited Assets For Sale | 1 | SolicitedAssetsForSale |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 74150 | OtherCostOrOtherBasis |
| Depreciation | 60742 | Depreciation |
| Book Value | 13408 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 17040 | OtherCostOrOtherBasis |
| Depreciation | 8520 | Depreciation |
| Book Value | 8520 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 21928 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | WORK OF ART | Description |
| Book Value | 340000 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 340000 | TotalBookValueOtherAssets |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 177574 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 6000 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 6000 | RevenueNotRptdF990 |
| Revenue Subtotal | 171574 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 171574 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 182232 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 6000 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 6000 | ExpensesNotRptdF990 |
| Expenses Subtotal | 176232 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 176232 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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, 2011, 2010, 2009 REMAIN OPEN AND SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. THE FOUNDATION'S 2012 TAX RETURN HAS NOT BEEN FILED AS OF THE REPORT DATE. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
| SPECIAL EVENT EXPENSES SEPARATELY STATED | PART XI, LINE 2D - OTHER ADJUSTMENTS: | |
| SPECIAL EVENT EXPENSES SEPARATELY STATED | PART XII, LINE 2D - OTHER ADJUSTMENTS: |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | 2012 FESTIVAL | NameOfEvent1 |
| Gross Receipts Event1 | 140664 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 93939 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 46725 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 1709 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 1270 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 11426 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 12222 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 21555 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 55526 | OtherDirectExpensesEvent1 |
| Name Of Event2 | ARTINI 2012 | NameOfEvent2 |
| Gross Receipts Event2 | 32178 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 23660 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 8518 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 11885 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 3 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 26429 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 2526 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 23903 | GrossRevenueOtherEvents |
| Cash Prizes Other Events | 100 | CashPrizesOtherEvents |
| Rent Facility Costs Other Events | 13048 | RentFacilityCostsOtherEvents |
| Food And Beverage Other Events | 565 | FoodAndBeverageOtherEvents |
| Entertainment Other Events | 200 | EntertainmentOtherEvents |
| Other Direct Expenses Other Events | 11301 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 199271 | GrossReceiptsTotal |
| Charitable Contributions Total | 120125 | CharitableContributionsTotal |
| Gross Revenue Total Events | 79146 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 1809 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 1270 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 24474 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 12787 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 21755 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 78712 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 140807 | DirectExpenseSummaryEvents |
| Net Income Summary | -61661 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST JEFFERSON MEDICAL CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 MEDICAL CENTER BLVD | AddressLine1 |
| City | MARRERO | City |
| State | LA | State |
| ZIP Code | 70072 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 726014898 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 60057 | AmountOfCashGrant |
| Purpose Of Grant | GENERAL OPERATING USE | PurposeOfGrant |
Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| EMPLOYEE BENEVOLENT FUND | 12 | 6000 |
| KOMEN IMAGING- CANCER | 162 | 25321 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: GRANTS ARE UNRESTRICTED. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THERE ARE NO COMMITTEES. |
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS SENT TO THE BOARD MEMBERS FOR THEIR REVIEW BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE FORM IS SIGNED ANNUALLY BY EACH BOARD MEMBER. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL INFORMATION IS AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST JEFFERSON MEDICAL CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1101 MEDICAL CENTER BLVD | AddressLine1 |
| City | MARRERO | City |
| State | LA | State |
| ZIP Code | 70072 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 726014898 | EIN |
| Primary Activities | PROVIDES HEALTH CARE TO RESIDENTS OF JEFFERSON PARISH | PrimaryActivities |
| Legal Domicile State | LA | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | LINE 3 | PublicCharityStatus |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| WEST JEFFERSON MEDICAL CENTER | ||
| B | 60057 | CASH |
| WEST JEFFERSON MEDICAL CENTER | ||
| O | 93611 | PERCENTAGE OF SALARIES |