2011-11-14T17:27:43-06:00 2010-12-31 POSTLETHWAITE & NETTERVILLE ONE GALLERIA BLVD STE 2100 METAIRIE LA 70001 990 2010-01-01 270082033 WEST JEFFERSON HOSPITAL FOUNDATION WEST 5043491272 1101 MEDICAL CENTER BLVD MARRERO LA 70072 GAREY ALIMIA 5043491272 2011-11-14 1 SHARON CASSIERE 5048375990 2010 2016-02-24 21:20:13Z GAREY ALIMIA 1101 MEDICAL CENTER BLVD MARRERO LA 70072 714132 0 X WWW.WJMC.COM/FOUNDATION X 2004 LA TO SUPPORT THE SERVICES AND ACTIVITIES OF WEST JEFFERSON MEDICAL CENTER. 7 7 0 50 0 0 55720 609654 0 0 0 0 61231 -90795 116951 518859 6800 55695 0 0 0 0 859 0 3950 27633 50657 35292 106352 81659 412507 541667 975529 0 7108 541667 968421 X 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. 0 0 29943 29943 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. 14726 14726 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. 6597 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. 34396 11026 MISCELLANEOUS PROGRAMS: CARE HOUSE, EMPLOYEE BENEVOLENT FUND, INDIGENT CARE, PEDIATRIC FUND, ETC. 34396 11026 85662 1 1 0 0 0 0 0 1 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 1 28 1 1 0 0 0 0 0 0 1 1 0 0 X 7 7 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 X MADELINE BROWNING 5043491272 1101 MEDICAL CENTER BLVD MARRERO LA 70072 JEAN CONNICK 1.00 X 0 0 0 WOODY OGE 1.00 X 0 0 0 MIKE VIRA 1.00 X 0 0 0 JACK STUMPF 1.00 X X 0 0 0 KAREN WARD 1.00 X X 0 0 0 RUDY SAMPEY 1.00 X X 0 0 0 GAREY ALIMIA 1.00 X X 0 0 0 JENNIFER STEEL 22.50 X 0 99225 15511 MADELINE BROWNING 2.00 X 0 90397 27710 0 189622 43221 0 0 0 0 0 157151 452503 438298 609654 104478 157151 195273 -90795 -90795 518859 0 0 -90795 37044 37044 18651 18651 420 360 60 973 973 1352 1352 325 325 13747 13747 MISCELLANEOUS 22678 18727 1 3950 SUPPORT GROUPS PROGRAM 9528 9528 BANK FEES 1634 1634 106352 85662 16740 3950 541667 559976 89300 13747 0 75553 0 340000 541667 975529 7108 0 7108 X 259247 615003 282420 353418 541667 968421 541667 975529 X 412507 14247 X 0 1 0 X 0 X 360838 77588 3340 5520 609654 1056940 9750 9750 360838 77588 3340 15270 609654 1066690 345445 721245 1066690 0.67620 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 340000 340000 X 0 72260 12043 60217 17040 1704 15336 75553 WORK OF ART 340000 340000 518859 106352 412507 18147 -3900 14247 426754 620443 77537 24047 101584 518859 0 518859 189789 59390 24047 83437 106352 0 106352 PART III, LINE 4: THE COLLECTION CONSISTS OF THE BLUE DOG PAINTING. THE ORGANIZATION IS ONLY HOLDING WORKS OF ART. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT DIRECT EXPENSES 24,047. PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT DIRECT EXPENSES 24,047. 50TH ANNIVERSARY GALA 133882 84142 49740 7300 42092 560 31895 18249 2ND ANNUAL FAMILY FESTIVAL 115515 71549 43966 5000 27376 49019 1 12232 1460 10772 2880 261629 157151 104478 7300 42092 8440 59271 67268 184371 -79893 1 WEST JEFFERSON MEDICAL CENTER 1101 MEDICAL CENTER BLVD MARRERO LA 70072 726014898 501(C)(3) 37044 GET WELL NETWORK, INDIGENT CARE 1 EMPLOYEE BENEVOLENT FUND 6 3000 KOMEN IMAGING- CANCER 175 15651 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANT IS UNRESTRICTED. X 2 347500 APPRAISAL 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 1 1 0 0 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. 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. FORM 990, PART VI, SECTION C, LINE 19 INFORMATION IS AVAILABLE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: DONATED SERVICES AND USE OF FACILITIES: 18,147. PRIOR PERIOD ADJUSTMENTS: -3,900. TOTAL TO FORM 990, PART XI, LINE 5: 14,247. WEST JEFFERSON MEDICAL CENTER 1101 MEDICAL CENTER BLVD MARRERO LA 70072 726014898 PROVIDES HEALTH CARE TO RESIDENTS OF JEFFERSON PARISH LA 501(C)(3) LINE 3 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 WEST JEFFERSON MEDICAL CENTER M WEST JEFFERSON MEDICAL CENTER N 68057 PERCENTAGE OF SALARIES WEST JEFFERSON MEDICAL CENTER J