WEST JEFFERSON HOSPITAL FOUNDATION: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- WEST JEFFERSON HOSPITAL FOUNDATION (EIN 27-0082033)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-14
- IRS object ID
- 201123189349305337
- Schema version
- 2010v3.4
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-14T17:27:43-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-01-01 | 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 | GAREY ALIMIA | Name |
| Title | PRESIDENT | Title |
| Phone | 5043491272 | Phone |
| Date Signed | 2011-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SHARON CASSIERE | Name |
| Phone | 5048375990 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GAREY ALIMIA | 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 | 714132 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.WJMC.COM/FOUNDATION | WebSite |
| Type Of Organization Association | X | TypeOfOrganizationAssociation |
| 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 | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 50 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 55720 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 609654 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 61231 | OtherRevenuePriorYear |
| Other Revenue Current Year | -90795 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 116951 | TotalRevenuePriorYear |
| Total Revenue Current Year | 518859 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 6800 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 55695 | 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 | 859 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 3950 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 27633 | OtherExpensePriorYear |
| Other Expenses Current Year | 50657 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 35292 | TotalExpensesPriorYear |
| Total Expenses Current Year | 106352 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 81659 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 412507 | RevenuesLessExpensesCY |
| Total Assets BOY | 541667 | TotalAssetsBOY |
| Total Assets EOY | 975529 | TotalAssetsEOY |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7108 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 541667 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 968421 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE ORGANIZATION WAS ORGANIZED TO SUPPORT THE JEFFERSON PARISH HOSPITAL FOUNDATION 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 | 29943 | Expense |
| Grants | 29943 | Grants |
| Description | GET WELL NETWORK - THE GET WELL NETWORK IS A PATIENT INTERACTIVE TV SYSTEM AIDING PATIENTS AND THEIR LOVED ONES TO BECOME MORE INVOLVED IN THEIR CARE, REQUEST SERVICES WHILE IN THE HOSPITAL, ACCESS EMAIL AND THE INTERNET AT PATIENTS, WATCH AND LEARN FROM ASSIGNED AND UNASSIGNED PATIENT EDUCATION VIDEOS IN THE COMFORT OF THEIR ROOM FROM THEIR IN-ROOM TELEVISION. IN ADDITION, PATIENTS MAY RATE THEIR PAIN ON THE GET WELL NETWORK ALERTING THEIR CAREGIVERS TO NEEDS FOR RELIEF AND OTHER ASSISTANCE. VIA THE SYSTEM, PATIENTS CAN PROVIDE FEEDBACK ABOUT THEIR CARE AND REQUEST SERVICES FROM HOSPITAL STAFF. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 14726 | Expense |
| Grants | 14726 | 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 2010 WAS 175. 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 | 6597 | Expense |
| Description | PINK TEA - THE PINK TEA IS AN ANNUAL HEALTH AWARENESS EVENT TO ESPECIALLY CELEBRATE SURVIVORSHIP AND TO PREPARE SURVIVORS AS COMMUNITY AMBASSADORS TO ENCOURAGE BREAST CANCER SCREENING, EARLY DETECTION AND SUPPORT. THE ATTENDEES LEARN OF PROGRAMS AND SERVICES AVAILABLE TO COMFORT SURVIVORS AND THEIR LOVED ONES AS WELL AS FOSTER SUPPORT FOR BREAST CARE EDUCATION AND SCREENING. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 34396 | Expense |
| Grants | 11026 | Grants |
| Description | MISCELLANEOUS PROGRAMS: CARE HOUSE, EMPLOYEE BENEVOLENT FUND, INDIGENT CARE, PEDIATRIC FUND, ETC. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 34396 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 11026 | TotalOfOtherProgramServiceGrnt |
| Total Program Service Expense | 85662 | 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 | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 1 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 28 | 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 | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | 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 | 1 | 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 | 0 | ConflictOfInterestPolicy |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | 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 (9 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| JEAN CONNICK | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| WOODY OGE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MIKE VIRA | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JACK STUMPF | ||||||
| SECRETARY/TREASURER | 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 | ||||||
| PRESIDENT | 1.00 | X | 0 | 0 | 0 | X |
| JENNIFER STEEL | ||||||
| EXECUTIVE DIRECTOR | 22.50 | 0 | 99225 | 15511 | X | |
| MADELINE BROWNING | ||||||
| CONTROLLER | 2.00 | 0 | 90397 | 27710 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 189622 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 43221 | 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 | 157151 | FundraisingEvents |
| All Other Contributions | 452503 | AllOtherContributions |
| Noncash Contributions | 438298 | NoncashContributions |
| Total Contributions | 609654 | TotalContributions |
| Gross Income Fundraising Events | 104478 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 157151 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 195273 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -90795 | TotalRevenueColumn |
| Exclusion | -$90,795 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 518859 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$90,795 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37044 | Total |
| Program Services | 37044 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18651 | Total |
| Program Services | 18651 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 420 | Total |
| Program Services | 360 | ProgramServices |
| Management And General | 60 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 973 | Total |
| Management And General | 973 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1352 | Total |
| Program Services | 1352 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 325 | Total |
| Management And General | 325 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13747 | Total |
| Management And General | 13747 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MISCELLANEOUS | 22678 | 18727 | 1 | 3950 |
| SUPPORT GROUPS PROGRAM | 9528 | 9528 | ||
| BANK FEES | 1634 | 1634 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 106352 | Total |
| Program Services | 85662 | ProgramServices |
| Management And General | 16740 | ManagementAndGeneral |
| Fundraising | 3950 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 541667 | BOY |
| EOY | 559976 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 89300 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 13747 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 75553 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 340000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 541667 | BOY |
| EOY | 975529 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 7108 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 7108 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 259247 | BOY |
| EOY | 615003 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 282420 | BOY |
| EOY | 353418 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 541667 | BOY |
| EOY | 968421 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 541667 | BOY |
| EOY | 975529 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 412507 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 14247 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 0 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| 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 | 360838 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 77588 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3340 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5520 | CurrentTaxYearMinus1Year |
| Current Tax Year | 609654 | CurrentTaxYear |
| Total | 1056940 | Total |
Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 9750 | CurrentTaxYearMinus1Year |
| Total | 9750 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 360838 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 77588 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3340 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 15270 | CurrentTaxYearMinus1Year |
| Current Tax Year | 609654 | CurrentTaxYear |
| Total | 1066690 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 345445 | AmountsSubstContributorsTotal |
| Public Support Total170 | 721245 | PublicSupportTotal170 |
| Total Support | 1066690 | TotalSupport |
| Public Support Pertcentage170 | 0.67620 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 1.00000 | 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) |
|---|---|---|
| Revenues Included | 340000 | RevenuesIncluded |
| Assets In Part X | 340000 | AssetsInPartX |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collect Used For Public Exhibition | X | CollectUsedForPublicExhibition |
| Solicited Assets For Sale | 0 | SolicitedAssetsForSale |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 72260 | InvestmentCostOrOtherBasis |
| Depreciation | 12043 | Depreciation |
| Book Value | 60217 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 17040 | InvestmentCostOrOtherBasis |
| Depreciation | 1704 | Depreciation |
| Book Value | 15336 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 75553 | 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 |
| Total Revenue | 518859 | TotalRevenue |
| Total Expenses | 106352 | TotalExpenses |
| Excess Or Deficit For Year | 412507 | ExcessOrDeficitForYear |
| Donated Services And Facilities | 18147 | DonatedServicesAndFacilities |
| Prior Period Adjustments | -3900 | PriorPeriodAdjustments |
| Total Adjustments | 14247 | TotalAdjustments |
| Excess Or Deficit Per FS | 426754 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 620443 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 77537 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 24047 | OtherRevenues |
| Revenue Not Rptd F990 | 101584 | RevenueNotRptdF990 |
| Revenue Subtotal | 518859 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 518859 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 189789 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 59390 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 24047 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 83437 | ExpensesNotRptdF990 |
| Expenses Subtotal | 106352 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 106352 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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: | THE FOUNDATION IS A NONPROFIT CORPORATION ORGANIZED UNDER 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 AUTHORITIES. THE FOUNDATION HAS REVEIWED ITS TAX POSITIONS AND DETERMINED THERE WERE NO OUTSTANDING OR RETROSPECTIVE TAX POSITIONS WITH LESS THAN 50% LIKELIHOOD OF BEING SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES. THE FOUNDATION'S TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2009, 2008, AND 2007, REMAIN OPEN AND UNDER SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. THE FOUNDATION'S 2010 TAX RETURN HAS NOT BEEN FILED AS OF THE REPORT DATE. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
| SPECIAL EVENT DIRECT EXPENSES 24,047. | PART XII, LINE 2D - OTHER ADJUSTMENTS: | |
| SPECIAL EVENT DIRECT EXPENSES 24,047. | PART XIII, LINE 2D - OTHER ADJUSTMENTS: |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | 50TH ANNIVERSARY GALA | NameOfEvent1 |
| Gross Receipts Event1 | 133882 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 84142 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 49740 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 7300 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 42092 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 560 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 31895 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 18249 | OtherDirectExpensesEvent1 |
| Name Of Event2 | 2ND ANNUAL FAMILY FESTIVAL | NameOfEvent2 |
| Gross Receipts Event2 | 115515 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 71549 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 43966 | GrossRevenueEvent2 |
| Food And Beverage Event2 | 5000 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 27376 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 49019 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 12232 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 1460 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 10772 | GrossRevenueOtherEvents |
| Food And Beverage Other Events | 2880 | FoodAndBeverageOtherEvents |
| Gross Receipts Total | 261629 | GrossReceiptsTotal |
| Charitable Contributions Total | 157151 | CharitableContributionsTotal |
| Gross Revenue Total Events | 104478 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 7300 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 42092 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 8440 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 59271 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 67268 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 184371 | DirectExpenseSummaryEvents |
| Net Income Summary | -79893 | 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 | 37044 | AmountOfCashGrant |
| Purpose Of Grant | GET WELL NETWORK, INDIGENT CARE | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant |
|---|---|---|
| EMPLOYEE BENEVOLENT FUND | 6 | 3000 |
| KOMEN IMAGING- CANCER | 175 | 15651 |
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: GRANT IS UNRESTRICTED. | Explanation |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 347500 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | APPRAISAL | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (5 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | APPLIANCES | 2 | 11000 | FAIR MARKET VALUE |
| X | FOOD AND BEVERAGES | 1 | 5000 | FAIR MARKET VALUE |
| X | OTHER VARIOUS GOODS | 44 | 21685 | FAIR MARKET VALUE |
| X | CONSTRUCTION/RENOVATION | 1 | 46613 | FAIR MARKET VALUE |
| X | FURNITURE | 1 | 6500 | FAIR MARKET VALUE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 1 | NumberOf8283Received |
| Any Property That Must Be Held | 1 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: | PART I, COLUMN (B): | NUMBER OF CONTRIBUTORS IS DETERMINED BASED ON NUMBER OF ITEMS RECEIVED. |
| DESCRIPTION OF ARRANGEMENT: | PART I, LINE 30B: | BLUE DOG PAINTING MUST BE DISPLAYED FOR AT LEAST FIVE YEARS LOCATED IN THE MAIN ENTRANCE OF THE HOSPITAL. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | BOARD MEMBERS. | |
| 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. | |
| INFORMATION IS AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | DONATED SERVICES AND USE OF FACILITIES: 18,147. PRIOR PERIOD ADJUSTMENTS: -3,900. TOTAL TO FORM 990, PART XI, LINE 5: 14,247. | FORM 990, PART XI, LINE 5: |
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 | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| 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 (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| WEST JEFFERSON MEDICAL CENTER | ||
| M | ||
| WEST JEFFERSON MEDICAL CENTER | ||
| N | 68057 | PERCENTAGE OF SALARIES |
| WEST JEFFERSON MEDICAL CENTER | ||
| J | ||