LHA FOUNDATION: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- LHA FOUNDATION (EIN 72-0636846)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202223189349308382
- Schema version
- 2021v4.2
- 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) |
|---|---|---|
| Return | 2022-11-14T12:22:39-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 721088864 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAPORTE APAC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 VETERANS BLVD STE 600 | AddressLine1Txt |
| City | METAIRIE | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 700054958 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 720636846 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOUISIANA HOSPITAL ASSOCIATION RESEARCH | BusinessNameLine1Txt |
| Business Name Line2 | AND EDUCATION FOUNDATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LOUI | BusinessNameControlTxt |
| Phone | 2259280026 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9521 BROOKLINE AVENUE | AddressLine1Txt |
| City | BATON ROUGE | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70809 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAUL A SALLES | PersonNm |
| Person Title | SECRETARY | PersonTitleTxt |
| Phone | 2259280026 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | PAUL | PersonFirstNm |
| Person Last | SALLES | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN S WILES CPA | PreparerPersonNm |
| PTIN | P01222673 | PTIN |
| Phone | 5048355522 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PAUL A SALLES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9521 BROOKLINE AVENUE | AddressLine1Txt |
| City | BATON ROUGE | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70809 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,893,643 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LHA-FOUNDATION.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1968 | FormationYr |
| Legal Domicile State | LA | LegalDomicileStateCd |
| Activity Or Mission | THE PRIMARY PURPOSE OF THE LOUISIANA HOSPITAL ASSOCIATION-RESEARCH (CONTINUED ON SCHEDULE O)AND EDUCATION FOUNDATION IS TO ADMINISTER HHS GRANTS AND OTHER GRANTS AND CONTRACTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 7 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,973,426 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,866,660 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,137 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,983 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,500 | PYOtherRevenueAmt |
| CY Other Revenue | $16,000 | CYOtherRevenueAmt |
| PY Total Revenue | $1,990,063 | PYTotalRevenueAmt |
| CY Total Revenue | $3,893,643 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $944,946 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,399,161 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $838,190 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $495,388 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $586,931 | PYOtherExpensesAmt |
| CY Other Expenses | $1,048,721 | CYOtherExpensesAmt |
| PY Total Expenses | $2,370,067 | PYTotalExpensesAmt |
| CY Total Expenses | $3,943,270 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$380,004 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$49,627 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,959,202 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,786,775 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $284,633 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $153,542 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,674,569 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,633,233 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE PRIMARY PURPOSE OF THE LOUISIANA HOSPITAL ASSOCIATION-RESEARCH AND EDUCATION FOUNDATION IS TO ADMINISTER HHS GRANTS AND OTHER GRANTS AND CONTRACTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,003,747 | ExpenseAmt |
| Desc | HHS GRANT - EXPENDITURES RELATED TO A GRANT FOR EMERGENCY PREPAREDNESS. THE FOUNDATION FACILITATES EMERGENCY PREPAREDNESS BETWEEN OTHER GOVERNMENT AGENCIES AND HOSPITALS IN THE STATE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $268,536 | ExpenseAmt |
| Desc | HQIC - EXPENDITURES RELATED TO A CONTRACT FOR PROVIDING TECHNICAL ASSISTANCE TO RECRUITED HOSPITAL THAT COMMITTED TO THE HOSPITAL QUALITY IMPROVEMENT CONTRACT (HQIC). THE LHAREF ADMINISTERS FUNDS RECEIVED FROM CONVERGENCE HEALTH TO REDUCE HOSPITAL-ACQUIRED CONDITIONS AND READMISSIONS, AS WELL AS IMPROVE OPIOID STEWARDSHIP AND HOSPITAL RESPONSE TO PUBLIC HEALTH EMERGENCIES. FUNDS RECEIVED WERE BASED UPON THE NUMBER OF HOSPITALS RECRUITED AND SUPPORTED. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,448,874 | ExpenseAmt |
| Grant | $2,399,161 | GrantAmt |
| Desc | ASPR: - EXPENDITURES RELATED TO A CONTRACT FOR PROVIDING FUNDING TO HOSPITALS THAT EXECUTED A SUBRECIPIENT AGREEMENT. THE LHAREF ADMINISTERS FUNDS RECEIVED FROM THE ASSISTANT SECRETARY FOR PREPAREDNESS RESPONSE (ASPR) FOR ALLOWABLE EXPENDITURES RELATED TO COVID. IN ADDITION TO THE FLOW-THROUGH FUNDING FOR THE HOSPITALS, THE LHAREF RECEIVES A 10% ADMINISTRATION FEE FOR THE PROGRAM. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)
| ExpenseExpenseAmt | DescDesc | RevenueRevenueAmt |
|---|---|---|
| $0 | PATIENT SAFETY EXPENSE: EXPENDITURES RELATED TO SUPPORTING THE LOUISIANA ALLIANCE FOR PATIENT SAFETY ORGANIZATION PSO INCAND ITS MISSION IN CONDUCTING PATIENT-SAFETY ACTIVITIES. | |
| $69,311 | OTHER | $16,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $69,311 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $16,000 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $3,790,468 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 7 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PATRICIA JETER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2259280026 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9521 BROOKLINE AVE | AddressLine1Txt |
| City | BATON ROUGE | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 70809 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| KENNETH J COCHRAN | |||||||
| TRUSTEE | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ED H SILVEY | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| COLETTA C BARRETT | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT PELTIER MD | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PAUL SALLES | |||||||
| SECRETARY | 1.00 | 39.00 | Yes (X) | $0 | $584,958 | $56,254 | Yes (X) |
| CHARLES D DAIGLE | |||||||
| SECRETARY/TREASURER | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| GREGORY C FEIRN | |||||||
| IMMEDIATE PAST-CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| MARY ELLEN PRATT | |||||||
| CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $584,958 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $56,254 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JBRN CONSULTING LLC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4317 ANNETTE STREET | AddressLine1Txt |
| City | NEW ORLEANS | CityNm |
| State Abbreviation | LA | StateAbbreviationCd |
| ZIP | 701223010 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | EMERGENCY PREPAREDNESS | ServicesDesc |
| Compensation | $101,000 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $25,000 | RelatedOrganizationsAmt |
| Government Grants | $3,575,780 | GovernmentGrantsAmt |
| All Other Contributions | $265,880 | AllOtherContributionsAmt |
| Total Contributions | $3,866,660 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,983 | TotalRevenueColumnAmt |
| Exclusion | $10,983 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 624410 | BusinessCd |
| Total Revenue Column | $16,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,000 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $16,000 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,893,643 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,000 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,983 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,399,161 | TotalAmt |
| Program Services | $2,399,161 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $495,388 | TotalAmt |
| Program Services | $495,388 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,000 | TotalAmt |
| Management And General | $50,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,828 | TotalAmt |
| Management And General | $9,828 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,000 | TotalAmt |
| Management And General | $25,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,462 | TotalAmt |
| Program Services | $54,462 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,968 | TotalAmt |
| Program Services | $11,968 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,318 | TotalAmt |
| Management And General | $49,318 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $933 | TotalAmt |
| Program Services | $933 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,000 | TotalAmt |
| Program Services | $51,000 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,707 | TotalAmt |
| Management And General | $2,707 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,448 | TotalAmt |
| Management And General | $11,448 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| HPP ADRC EXPENSES | $384,000 | $384,000 |
| HQIC PROGRAM EXPENSES | $268,536 | $268,536 |
| ASPR PROGRAM EXPENSES | $49,713 | $49,713 |
| OTHER OPERATING EXPENSE | $37,984 | $37,984 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,824 | TotalAmt |
| Program Services | $37,323 | ProgramServicesAmt |
| Management And General | $4,501 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,943,270 | TotalAmt |
| Program Services | $3,790,468 | ProgramServicesAmt |
| Management And General | $152,802 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,503,727 | BOYAmt |
| EOY | $1,459,396 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,652 | BOYAmt |
| EOY | $126,156 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,602 | BOYAmt |
| EOY | $18,414 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,343 | BOYAmt |
| EOY | $16,483 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $58,328 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $53,829 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,543 | BOYAmt |
| EOY | $4,499 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,335 | BOYAmt |
| EOY | $161,827 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,959,202 | BOYAmt |
| EOY | $1,786,775 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,533 | BOYAmt |
| EOY | $142,756 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,188 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,912 | BOYAmt |
| EOY | $10,786 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $284,633 | BOYAmt |
| EOY | $153,542 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,674,569 | BOYAmt |
| EOY | $1,633,233 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,674,569 | BOYAmt |
| EOY | $1,633,233 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,959,202 | BOYAmt |
| EOY | $1,786,775 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$49,627 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $8,291 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,643,870 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,646,783 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,785,540 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,973,426 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,866,660 | CurrentTaxYearAmt |
| Total | $11,916,279 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,643,870 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,646,783 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,785,540 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,973,426 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,866,660 | CurrentTaxYearAmt |
| Total | $11,916,279 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $11,916,279 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,895 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,791 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,771 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,137 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,983 | CurrentTaxYearAmt |
| Total | $53,577 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,895 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,791 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,771 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,137 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,983 | CurrentTaxYearAmt |
| Total | $53,577 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,613 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus1 Year | $7,500 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,000 | CurrentTaxYearAmt |
| Total | $25,113 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,653,378 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,659,574 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,798,311 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,990,063 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,893,643 | CurrentTaxYearAmt |
| Total | $11,994,969 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99340 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99460 | PublicSupportPY509Pct |
| Investment Income CY | 0.00450 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00460 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $58,328 | OtherCostOrOtherBasisAmt |
| Depreciation | $53,829 | DepreciationAmt |
| Book Value | $4,499 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,499 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| COVID PREP AND TREASURY RESPONSE TREASURY LIABILITY | $4,072 |
| HQIC TREASURY LIABILITY | $6,714 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,786 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA PROVIDE ACCOUNTING AND DISCLOSURE GUIDANCE ABOUT POSITIONS TAKEN BY AN ENTITY IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. THE FOUNDATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES, IF ANY, WOULD BE INCLUDED IN OPERATING EXPENSES. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (44 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|---|
| OCHSNER MEDICAL CENTER | |||||||||
| 1514 JEFFERSON HWY | NEW ORLEANS | LA | 70121 | 205296918 | 501(C)(3) | $205,196 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| WINN PARISH MEDICAL CENTER | |||||||||
| 301 W BOUNDARY AVE | WINNFIELD | LA | 714833427 | 263147149 | WINN PARISH | $21,822 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| THE SPINE HOSPITAL OF LOUISIANA | |||||||||
| 10105 PARK ROWE CIR STE 250 | BATON ROUGE | LA | 708101688 | 270059959 | $5,821 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION | |
| NEW ORLEANS EMERGENCY MEDICAL SERVICES | |||||||||
| 2929 EARHART BLVD | NEW ORLEANS | LA | 70152 | 270225212 | ORLEANS PARISH | $87,790 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| NEW ORLEANS EAST HOSPITAL | |||||||||
| 5620 READ BLVD | NEW ORLEANS | LA | 701273106 | 273335876 | ORLEANS PARISH | $22,535 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| BEAUREGARD HEALTH SYSTEM | |||||||||
| 600 S PINE ST | DERIDDER | LA | 706344942 | 521564715 | BEAUREGARD PARISH | $17,078 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| CLAIBORNE MEMORIAL MEDICAL CENTER | |||||||||
| 620 E COLLEGE ST | HOMER | LA | 710403202 | 720396868 | CLAIBORNE PARISH | $10,911 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| WILLIS-KNIGHTON MEDICAL CENTER | |||||||||
| 2600 GREENWOOD RD | SHREVEPORT | LA | 71103 | 720400933 | 501(C)(3) | $105,563 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| CHRISTUS OCHSNER ST PATRICK | |||||||||
| 524 DOCTOR MICHAEL DEBAKEY DR | LAKE CHARLES | LA | 706015725 | 720411322 | 501(C)(3) | $46,722 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| ST TAMMANY PARISH HOSPITAL | |||||||||
| 1202 S TYLER ST | COVINGTON | LA | 704332330 | 720478620 | ST TAMMANY PARISH | $29,412 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| DESOTO REGIONAL HEALTH SYSTEM | |||||||||
| 207 JEFFERSON ST | MANSFIELD | LA | 710522603 | 720500565 | 501(C)(3) | $11,860 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| JACKSON PARISH HOSPITAL | |||||||||
| 165 BEECH SPRINGS RD | JONESBORO | LA | 712512059 | 720549907 | JACKSON PARISH | $9,962 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| ABBEVILLE GENERAL HOSPITAL | |||||||||
| 118 N HOSPITAL DR | ABBEVILLE | LA | 705104039 | 720574846 | VERMILION PARISH | $18,027 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| HARDTNER MEDICAL CENTER | |||||||||
| 1102 N PINE RD | OLLA | LA | 714654804 | 720652984 | LASALLE PARISH | $32,171 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| WEST FELICIANA PARISH HOSPITAL | |||||||||
| 5266 COMMERCE ST | SAINT FRANCISVILLE | LA | 707754409 | 720683078 | WEST FELICIAN PARISH | $11,624 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| LASALLE GENERAL HOSPITAL | |||||||||
| 187 9TH ST | JENA | LA | 713425101 | 720690217 | LASALLE PARISH | $11,860 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| BUNKIE GENERAL HOSPITAL | |||||||||
| PO BOX 380 | BUNKIE | LA | 713220380 | 720697593 | 501(C)(3) | $11,860 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| ACADIAN AMBULANCE SERIVCE INC | |||||||||
| 130 E KALISTE SALOOM RD | LAFAYETTE | LA | 70508 | 720701964 | $381,354 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION | |
| CITIZENS MEDICAL CENTER | |||||||||
| PO BOX 1079 | COLUMBIA | LA | 714181079 | 720862035 | CALDWELL PARISH | $10,911 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| UNION GENERAL HOSPITAL | |||||||||
| PO BOX 398 | FARMERVILLE | LA | 712410398 | 720995809 | 501(C)(3) | $11,860 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| POINTE COUPEE GENERAL HOSPITAL | |||||||||
| 2202 FALSE RIVER DR | NEW ROADS | LA | 707602614 | 721054801 | 501(C)(3) | $11,860 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| LOUISIANA RURAL AMBULANCE ALLIANCE | |||||||||
| 3695 BANK DRIVE | ST GABRIEL | LA | 70776 | 721308855 | 501(C)(3) | $495,201 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| SPRINGHILL MEDICAL CENTER | |||||||||
| 2001 DOCTORS DR | SPRINGHILL | LA | 710754526 | 721479692 | 501(C)(3) | $12,809 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| LAFOURCHE AMBULANCE DISTRICT NUMBER ONE | |||||||||
| 17078 WEST MAIN STREET | CUT OFF | LA | 70345 | 726012041 | LAFOURCHE PARISH | $45,150 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| LADY OF THE SEA GENERAL HOSPITAL | |||||||||
| 200 W 134TH PL | CUT OFF | LA | 703454143 | 726012041 | LAFOURCHE PARISH | $12,809 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| NATCHITOCHES REGIONAL MEDICAL CENTER | |||||||||
| 501 KEYSER AVE | NATCHITOCHES | LA | 714576018 | 726013916 | NATCHITOCHES PARISH | $17,078 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| NATCHITOCHES REGIONAL MEDICAL CETNER EMS | |||||||||
| 501 KEYSER AVENUE | NATCHITOCHES | LA | 71457 | 760803931 | NATCHITOCHES PARISH | $50,675 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| THIBODAUX REGIONAL HEALTH SYSTEM INC | |||||||||
| PO BOX 1118 | THIBODAUX | LA | 703021118 | 842046902 | LAFOURCHE PARISH | $22,771 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| EAST JEFFERSON GENERAL HOSPITAL | |||||||||
| 4200 HOUMA BLVD | METAIRIE | LA | 700062970 | 843390470 | 501(C)(3) | $34,105 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| ALEXANDRIA HOSPITAL LLC | |||||||||
| 5900 COLISEUM BLVD | ALEXANDRIA | LA | 713033714 | 821295425 | $12,809 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION | |
| HOSPITAL SERVICE DISTRICT NO 1 OF EAST BATON ROUGE PARISH LOUISIANA | |||||||||
| 630 MAIN ST | ZACHARY | LA | 707914037 | 726015227 | EAST BATON ROUGE | $23,720 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| CAMERON PARISH AMBULANCE SERVICE DISTRICT #2 | |||||||||
| 979 MAIN STREET | HACKBERRY | LA | 70645 | 726015227 | CAMERON PARISH | $28,421 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| GONZALES FIRE RESCUE | |||||||||
| 724 W ORICE ROTH ROAD | GONZALES | LA | 70737 | 726000483 | ASCENSION PARISH | $40,393 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| GRETNA POLICE DEPARTMENT | |||||||||
| 200 FIFTH STREET | GRETNA | LA | 70053 | 726000499 | JEFFERSON PARISH | $45,607 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| JACKSON PARISH AMBULANCE SERVICE DISTRICT | |||||||||
| 115 WATTS STREET | JONESBORO | LA | 71251 | 721433510 | JACKSON PARISH | $76,254 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| LASALLE AMBULANCE SERVICE | |||||||||
| 187 9TH STREET | JENA | LA | 71342 | 720690217 | LASALLE PARISH | $45,607 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| NORTH CADDO MEDICAL CENTER AMBULANCE SERVICE | |||||||||
| 815 S PINE STREET | VIVIAN | LA | 71082 | 720594537 | CADDO PARISH | $25,579 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| NORTHEAST LOUISIANA AMBULANCE SERVICE | |||||||||
| 233 TAYLOR AVENUE | WINNSBORO | LA | 71295 | 721449160 | $65,877 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION | |
| ST CHARLES PARISH HOSPITAL SERVICE DISTRICT #1-EMS | |||||||||
| 1057 PAUL MAILLARD ROAD | LULING | LA | 70070 | 726014606 | ST CHARLES PARISH | $50,675 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| ST LANDRY EMERGENCY MEDICAL SERVICES | |||||||||
| 815 WEST LANDRY STREET | OPELOUSAS | LA | 70570 | 201389891 | ST. LANDRY PARISH | $50,675 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| ST TAMMANY PARISH FIRE PROTECTION DISTRICT #4 | |||||||||
| 709 GIROD STREET | MANDEVILLE | LA | 70448 | 720628200 | ST TAMMANY PARISH | $50,104 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| STONEBRIDGE HEALTH SYSTEMS LLC | |||||||||
| 5360 W CREOLE HWY | CAMERON | LA | 706315127 | 464145136 | $10,911 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION | |
| WEST JEFFERSON AMBULANCE SERVICE | |||||||||
| 1101 MEDICAL CENTER BOULEVARD | MARRERO | LA | 70072 | 472667968 | 501(C)(3) | $60,714 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| WESTWEGO EMERGENCY MEDICAL SERVICES | |||||||||
| 677 AVENUE H | WESTWEGO | LA | 70094 | 726001499 | JEFFERSON PARISH | $34,524 | $0 | FMV | TO SUPPORT THE ORGANIZATION AND ITS MISSION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 39 | Total501c3OrgCnt |
| Total Other Org | 5 | TotalOtherOrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAUL SALLES | PersonNm |
| Title | SECRETARY | TitleTxt |
| Base Compensation Filing Org | $0 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $490,526 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $82,084 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $12,348 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $20,300 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $0 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $35,954 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $0 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $641,212 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | BOARD OF TRUSTEES MEMBER, PAUL SALLES IS NOT INDEPENDENT BECAUSE HE IS COMPENSATED BY LOUISIANA HOSPITAL ASSOCIATION, A RELATED ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 3 | LOUISIANA HOSPITAL ASSOCIATION, A RELATED ORGANIZATION, MANAGES THE ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | THIS ORGANIZATION SHALL HAVE ONE CLASS OF MEMBERS ALL OF WHOM SHALL BE MEMBERS OF THE LOUISIANA HOSPITAL ASSOCIATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE OFFICERS ARE ELECTED FROM THE MEMBERSHIP OF THE CORPORATION AT ITS ANNUAL MEETING. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE ARTICLES MAY BE AMENDED ONLY BY A VOTE OF 2/3 OF THE VOTING MEMBERS PRESENT AT ANY ANNUAL OR SPECIAL MEETING. |
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF FORM 990 WAS PROVIDED TO THE BOARD FOR REVIEW PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE ANNUALLY REQUIRED TO DISCLOSE ANY KNOWN CONFLICTS OF INTEREST. IF ANY CONLICT ARISE DURING THE YEAR, THEY MUST NOTIFY THE ORGANIZATION. REASONABLE ACTION WILL BE TAKEN IF SUCH A CONFLICT ARISES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO AND TOP MANAGEMENT OFFICIALS ARE COMPENSATED BY LOUISIANA HOSPITAL ASSOCIATION, A RELATED ORGANIZATION. LOUISIANA HOSPITAL ASSOCIATION'S EXECUTIVE COMPENSATION & BENEFITS COMMITTEE DETERMINES AND APPROVES LHA'S CEO'S SALARY AND ANNUAL BONUS. THESE DECISIONS AND DELIBERATIONS ARE DOCUMENTED IN MEETING MINUTES. LHA'S CEO IS EVALUATED BY MEMBERS OF THE LHA BOARD ON CERTAIN PERFORMANCE ELEMENTS. AN INDEPENDENT EXECUTIVE COMPENSATION CONSULTANT PROVIDES THE EXECUTIVE COMPENSATION & BENEFITS COMMITTEE WITH GUIDANCE IN DETERMINING SALARY AND ANNUAL BONUS FOR LHA'S CEO AND INCENTIVE COMPENSATION FOR THE EXECUTIVE STAFF. LHA'S CEO DETERMINES THE SALARY INCREASES FOR THE EXECUTIVE STAFF. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C | THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| LOUISIANA HOSPITAL ASSOCIATION | ||||||||||
| 9521 BROOKLINE AVENUE | BATON ROUGE | LA | 70809 | 720489377 | THE LOUISIANA HOSPITAL ASSOCIATION SUPPORTS ITS MEMBERS THROUGH ADVOCACY, | LA | 501(C)(6) | N/A | N/A | 0 |
| LOUISIANA ALLIANCE FOR PATIENT SAFETY - PSO INC | ||||||||||
| 9521 BROOKLINE AVENUE | BATON ROUGE | LA | 70809 | 813466848 | LA ALLIANCE FOR PATIENT SAFETY PROVIDES EDUCATIONAL SERVICES TO ITS MEMBERS | LA | 501(C)(3) | LINE 10 | N/A | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| LOUISIANA HOSPITAL ASSOCIATION | ||
| P | $180,631 | FAIR MARKET VALUE |
| LOUISIANA HOSPITAL ASSOCIATION | ||
| O | $641,212 | FAIR MARKET VALUE |
| LOUISIANA HOSPITAL ASSOCIATION | ||
| K | $32,000 | FAIR MARKET VALUE |
| LOUISIANA HOSPITAL ASSOCIATION | ||
| C | $25,000 | FAIR MARKET VALUE |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART II, COLUMN B | FormAndLineReferenceDesc |
| Explanation | EDUCATION, AND SERVICES. | ExplanationTxt |
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