FURP.ORG / PUBLIC DATA EXPLORER

LIVING WELL FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
LIVING WELL FOUNDATION (EIN 20-5705242)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-23
IRS object ID
201322049349300712
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-07-23T10:34:12-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LUFFEYHUFFMANRAGSDALE&SOIGNIER(APAC)BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11100 N 18TH STAddressLine1
CityMONROECity
StateLAState
ZIP Code712015712ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN205705242EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LIVING WELL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLIVINameControl
Phone3183237991Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1315 STELLA STREETAddressLine1
CityWEST MONROECity
StateLAState
ZIP Code71291ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJULIAN B JOHNSTONName
TitleBOARD CHAIRTitle
Phone3183237991Phone
Date Signed2013-07-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameFRANCIS I HUFFMANName
Phone3183872672Phone
Date Prepared2013-07-18DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJULIAN B JOHNSTONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1315 STELLA STREETAddressLine1
CityWEST MONROECity
StateLAState
ZIP Code71291ZIPCode
FieldValueIRS element (for citing)
Gross Receipts76946169GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.LIVINGWELLFOUNDATION.NETWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2006YearFormation
State Legal DomicileLAStateLegalDomicile
Activity Or Mission DescriptionTHE FOUNDATION ADMINISTERED ACTIVITIES RELATED TO RENDERING CARE TO THE SICK AND INJURED OR IN THE PROMOTION OF HEALTH, COOPERATED WITH OTHER PUBLIC AND PRIVATE INSTITUTIONS AND AGENCIES ENGAGED IN PROVIDING HOSPITAL AND OTHER HEALTH CARE SERVICES TO RESIDENTS OF THE DISTRICT, AND PARTICIPATED IN ACTIVITIES DESIGNED AND CONDUCTED TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. THE FOUNDATION'S AREA OF SERVICE INCLUDED THE FOLLOWING EIGHT NORTHEASTERN LOUISIANA PARISHES: CALDWELL, FRANKLIN, JACKSON, LINCOLN, MOREHOUSE, OUACHITA, RICHLAND AND UNION.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees2TotalNbrEmployees
Total Nbr Volunteers27TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2000000ContributionsGrantsPriorYear
Contributions Grants Current Year249ContributionsGrantsCurrentYear
Program Service Revenue Prior Year744ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year878526InvestmentIncomePriorYear
Investment Income Current Year590168InvestmentIncomeCurrentYear
Other Revenue Current Year19995OtherRevenueCurrentYear
Total Revenue Prior Year2879270TotalRevenuePriorYear
Total Revenue Current Year610412TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year820912GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY656413GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year91320SalariesEtcPriorYear
Salaries Etc Current Year53486SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year132699OtherExpensePriorYear
Other Expenses Current Year205724OtherExpensesCurrentYear
Total Expenses Prior Year1044931TotalExpensesPriorYear
Total Expenses Current Year915623TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1834339RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-305211RevenuesLessExpensesCY
Total Assets BOY49049283TotalAssetsBOY
Total Assets EOY48444482TotalAssetsEOY
Total Liabilities BOY351345TotalLiabilitiesBOY
Total Liabilities EOY235232TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY48697938NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY48209250NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE FOUNDATION ADMINISTERED ACTIVITIES RELATED TO RENDERING CARE TO THE SICK AND INJURED OR IN THE PROMOTION OF HEALTH, COOPERATED WITH OTHER PUBLIC AND PRIVATE INSTITUTIONS AND AGENCIES ENGAGED IN PROVIDING HOSPITAL AND OTHER HEALTH CARE SERVICES TO RESIDENTS OF THE DISTRICT, AND PARTICIPATED IN ACTIVITIES DESIGNED AND CONDUCTED TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. THE FOUNDATION'S AREA OF SERVICE INCLUDED THE FOLLOWING EIGHT NORTHEASTERN LOUISIANA PARISHES: CALDWELL, FRANKLIN, JACKSON, LINCOLN, MOREHOUSE, OUACHITA, RICHLAND AND UNION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense349630Expense
Grants349630Grants
DescriptionSCHOOL BASED HEALTH CARE CLINICS - THE FOUNDATION HAD AN ONGOING COMMITMENT TO THE OUACHITA PARISH SCHOOL BOARD TO COVER FINANCIAL DEFICIENCIES OF FEDERAL, STATE AND LOCAL FUNDING SOURCES AS WELL AS INSURANCE REIMBURSEMENTS AND EXPENSES ASSOCIATED WITH SCHOOL BASED HEALTH CENTERS LOCATED AT RISER MIDDLE SCHOOL AND WEST MONROE HIGH SCHOOL. STUDENTS FROM LENWIL ELEMENTARY, RIVERBEND ELEMENTARY, CROSLEY ELEMENTARY,RISER MIDDLE SCHOOL AND ALL OUACHITA PARISH LA-4 PRE-K STUDENTS ARE SERVED AT THE RISER MIDDLE SCHOOL LOCATION. STUDENTS FROM BOLEY ELEMENTARY, WEST MONROE HIGH SCHOOL AND OUACHITA PARISH ALTERNATIVE/EXPULSION CENTER ARE SERVED AT THE WEST MONROE HIGH SCHOOL LOCATION. THIS COMMITMENT WITH THE OUACHITA PARISH SCHOOL BOARD WAS DESIGNED TO PROVIDE MEDICAL AND MENTAL HEALTHCARE TO STUDENTS WHO ARE LIMITED IN THEIR ABILITY TO ACCESS THE EXISTING HEALTHCARE SYSTEMS IN THE COMMUNITY. DURING 2012 THE FOUNDATION PROVIDED FUNDING OF 120,023 TO RISER MIDDLE SCHOOL AND 109,607 TO WEST MONROE HIGH SCHOOL. ON DECEMBER 31, 2009 THE FOUNDATION ENTERED INTO A TEN-YEAR AGREEMENT ENDING DECEMBER 31, 2018 WITH THE POLICE JURY TO PROVIDE TWO SCHOOL BASED HEALTH CENTERS IN EAST OUACHITA PARISH AT MARTIN LUTHER KING, JR. MIDDLE SCHOOL AND RICHWOOD HIGH SCHOOL. ST FRANCIS MEDICAL CENTER AGREED TO PARTNER WITH THE FOUNDATION AND POLICE JURY TO PROVIDE THE MEDICAL NEEDS AT THESE CLINICS. STUDENTS FROM MINNIE RUFFIN ELEMENTARY, BURG JONES LANE ELEMENTARY, JEFFERSON UPPER ELEMENTARY AND MARTIN LUTHER KING, JR MIDDLE SCHOOL WILL BE SERVED AT THE MARTIN LUTHER KING, JR. MIDDLE SCHOOL LOCATION. STUDENTS FROM SHADY GROVE ELEMENTARY, SWAYZE ELEMENTARY, ROBINSON ELEMENTARY AND RICHWOOD JUNIOR AND HIGH SCHOOLS WILL BE SERVED AT THE RICHWOOD HIGH LOCATION. UNDER THIS AGREEMENT THE FOUNDATION PROVIDED 15,000 TO EACH OF THE TWO LOCATIONS WHICH WILL BE MATCHED BY THE POLICE JURY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense306783Expense
Grants306783Grants
DescriptionGRANT PROGRAM - AWARDED GRANTS TO VARIOUS NONPROFIT CHARITABLE ORGANIZATIONS AND PUBLIC AGENCIES THAT PROVIDE HEALTH AND WELLNESS RELATED SERVICES IN THE DISTRICT AND IN THE COMMUNITY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense26374Expense
DescriptionOTHER FOUNDATION INITIATIVES - ASSESSED HEALTH RELATED NEEDS AND IDENTIFIED PROGRAMS TO MEET HEALTH RELATED NEEDS.Description
FieldValueIRS element (for citing)
Total Program Service Expense682787TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees2NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonsfalseAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTERRY NOLANDNamePerson
Telephone Number3183250483TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1121 JULIA STREETAddressLine1
CityWEST MONROECity
StateLAState
ZIP Code71291ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeek
W BLAKE WHEELIS
BOARD MEMBERXX000
JOHN D CAMERON
BOARD MEMBERXX000
LEAH BILEY
BOARD MEMBERX000
DAVE N NORRIS
BOARD MEMBERX000
FLORENCETTA GIBSON
VC PROGRAMS/XX000
JOHN SHEPARD
DISTRICT DIRX000
JULIAN JOHNSTON
CHAIRXX000
RICH BAILEY
BOARD MEMBERX000
CARL TURNER
BOARD MEMBERX000
MISTIE P CAPLES
VC PLANNING/X000
DEION HEMPHILL
VC FINANCE/IX000
LORI PEARCE
SEC/EXEC ASSX191980131520.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org19198TotalReportableCompFromOrg
Total Other Compensation1315TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions249AllOtherContributions
Total Contributions249TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1299116TotalRevenueColumn
Exclusion$1,299,116ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities75626809Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities76335757Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-708948Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-708948TotalRevenueColumn
Exclusion-$708,948ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionREFUNDS OF P/Y GRANTS TO ORGSDescription
Total Revenue Column19995TotalRevenueColumn
Related Or Exempt Function Income19995RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue19995TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column610412TotalRevenueColumn
Related Or Exempt Function Income19995RelatedOrExemptFunctionIncome
Exclusion$590,168ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total656413Total
Program Services656413ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total20513Total
Management And General20513ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total28576Total
Management And General28576ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total833Total
Management And General833ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3564Total
Management And General3564ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total9293Total
Management And General9293ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19114Total
Management And General19114ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total99991Total
Management And General99991ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total8642Total
Management And General8642ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total662Total
Management And General662ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10962Total
Management And General10962ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4120Total
Management And General4120ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3600Total
Management And General3600ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1382Total
Management And General1382ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9645Total
Management And General9645ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total11939Total
Management And General11939ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionOTHER PROGRAM EXPENSEDescription
Total26374Total
Program Services26374ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total915623Total
Program Services682787ProgramServices
Management And General232836ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY13951BOY
EOY19211EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1379733BOY
EOY299504EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY310124BOY
EOY281254EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9217BOY
EOY9365EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis72167LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec38404LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY43408BOY
EOY33763EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY47292850BOY
EOY47801385EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY49049283BOY
EOY48444482EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY170951BOY
EOY100555EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY180394BOY
EOY134677EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY351345BOY
EOY235232EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY48697938BOY
EOY2009598EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY46199652EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY48697938BOY
EOY48209250EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY49049283BOY
EOY48444482EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-305211ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-183477ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL SERVICE DISTRICT 1 PARISH OF OUACHITABusinessNameLine1
Business Name Line2STATE OF LOUISIANABusinessNameLine2
FieldValueIRS element (for citing)
EIN721194469EIN
Type Of Organization6TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis13763OtherCostOrOtherBasis
Depreciation4129Depreciation
Book Value9634BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis24005OtherCostOrOtherBasis
Depreciation16078Depreciation
Book Value7927BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis34399OtherCostOrOtherBasis
Depreciation18197Depreciation
Book Value16202BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings33763TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt406940TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-183477NetUnrealizedGainsInvestments
Recoveries Of Prior Year Grants-19995RecoveriesOfPriorYearGrants
Revenue Not Rptd F990-203472RevenueNotRptdF990
Revenue Subtotal610412RevenueSubtotal
Total Revenue Per Form990610412TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt895628TotExpensesEtcAuditedFinclStmt
Expenses Subtotal895628ExpensesSubtotal
Other Expenses Not Included19995OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt19995ExpensesNotRptdOnFinStmt
Total Expenses Per Form990915623TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierEXPENSE AMOUNTS INCLUDED ON RETURN - OTHERIdentifier
Return ReferenceSCHEDULE D, PAGE 4, PART XII, LINE 4BReturnReference
ExplanationREFUNDS OF P/Y GRANTS TO ORGS 19,995Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantMethod Of ValuationMethodOfValuationPurpose Of GrantPurposeOfGrantBusiness Name Line2RecipientNameBusiness/BusinessNameLine2
FIRST WEST COUNSELING CENTER
212 CYPRESS STWEST MONROELA71291721491347501C350000CASHCOUNSELING
THE UNIVERSITY OF LOUISIANA AT
700 UNIVERSITY DRIVEMONROELA71209726001695GOV11700CASHDENTAL CAREMONROE
THE UNIVERSITY OF LOUISIANA AT
700 UNIVERSITY DRIVEMONROELA71209726001695GOV22598CASHDENTAL CAREMONROE
OUACHITA PARISH SCHOOL BOARD
100 BRYMONROELA71201726001066GOV349630CASHSCHOOL HLTH CLINICS
SEEKER SPRINGS MINISTRY
1280 OKALOOSA RDEROSLA71238201084076501C315000CASHADOLESCENT COUNSELG
CHILDREN'S COALITION
1363 LOUISVILLE AVEMONROELA71201721502186501C340410CASHSAFE & HEALTY KIDS
FAMILY PROMISE OF OUACHITA
8931 CYPRESS STREETWEST MONROELA71291261512079501C345075CASHHSNG HOMELESS FAM
LTP MEDICAL MOBILE INC
310 W MISSISSIPPI AVERUSTONLA71270273764078501C386000CASHHEALTH HUT WELLNESS
OUACHITA OUTREACH OF WEST MONROE
400 S 5TH STREETWEST MONROELA71292274573041501C336000CASHCOMMUNITY CENTER
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants9TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDS INSIDE THE UNITED STATESIdentifier
Return ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2ReturnReference
ExplanationEACH GRANT AGREEMENT REQUIRES A WRITTEN REPORT FROM THE GRANTEE TO THE FOUNDATION AT LEAST ONCE A YEAR AND UPON COMPLETION OF THE GRANT PROGRAM. THE FOUNDATION STAFF WILL FOLLOW PROGRESS OF ALL GRANTS AND REPORT RESULTS PERIODICALLY IN WRITING TO THE PROGRAMS/GRANT REVIEW COMMITTEE. AFTER REVIEWING THE REPORT, THE PRESIDENT/CEO MAY INITIATE AN INVESTIGATION OF THE GRANTEE IF, IN THE JUDGEMENT OF THE CEO, THE GRANT FUNDS ARE NOT BEING USED FOR THE SPECIFIC PURPOSES OF THE GRANT. REMEDIAL ACTIONS WILL BE REQUIRED FROM THE GRANTEE BY THE CEO DEPENDING ON THE CIRCUMSTANCES.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990 - ORGANIZATION'S MISSIONTHE FOUNDATION ADMINISTERED ACTIVITIES RELATED TO RENDERING CARE TO THE SICK AND INJURED OR IN THE PROMOTION OF HEALTH, COOPERATED WITH OTHER PUBLIC AND PRIVATE INSTITUTIONS AND AGENCIES ENGAGED IN PROVIDING HOSPITAL AND OTHER HEALTH CARE SERVICES TO RESIDENTS OF THE DISTRICT, AND PARTICIPATED IN ACTIVITIES DESIGNED AND CONDUCTED TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. THE FOUNDATION'S AREA OF SERVICE INCLUDED THE FOLLOWING EIGHT NORTHEASTERN LOUISIANA PARISHES: CALDWELL, FRANKLIN, JACKSON, LINCOLN, MOREHOUSE, OUACHITA, RICHLAND AND UNION.
FIRST ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4ASTUDENTS WHO ARE LIMITED IN THEIR ABILITY TO ACCESS THE EXISTING HEALTHCARE SYSTEMS IN THE COMMUNITY. DURING 2012 THE FOUNDATION PROVIDED FUNDING OF 120,023 TO RISER MIDDLE SCHOOL AND 109,607 TO WEST MONROE HIGH SCHOOL. ON DECEMBER 31, 2009 THE FOUNDATION ENTERED INTO A TEN-YEAR AGREEMENT ENDING DECEMBER 31, 2018 WITH THE POLICE JURY TO PROVIDE TWO SCHOOL BASED HEALTH CENTERS IN EAST OUACHITA PARISH AT MARTIN LUTHER KING, JR. MIDDLE SCHOOL AND RICHWOOD HIGH SCHOOL. ST FRANCIS MEDICAL CENTER AGREED TO PARTNER WITH THE FOUNDATION AND POLICE JURY TO PROVIDE THE MEDICAL NEEDS AT THESE CLINICS. STUDENTS FROM MINNIE RUFFIN ELEMENTARY, BURG JONES LANE ELEMENTARY, JEFFERSON UPPER ELEMENTARY AND MARTIN LUTHER KING, JR MIDDLE SCHOOL WILL BE SERVED AT THE MARTIN LUTHER KING, JR. MIDDLE SCHOOL LOCATION. STUDENTS FROM SHADY GROVE ELEMENTARY, SWAYZE ELEMENTARY, ROBINSON ELEMENTARY AND RICHWOOD JUNIOR AND HIGH SCHOOLS WILL BE SERVED AT THE RICHWOOD HIGH LOCATION. UNDER THIS AGREEMENT THE FOUNDATION PROVIDED 15,000 TO EACH OF THE TWO LOCATIONS WHICH WILL BE MATCHED BY THE POLICE JURY.
CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PAGE 6, PART VI, LINE 6THE FOUNDATION HAS ONE MEMBER, THE HOSPITAL SERVICE DISTRICT 1 OF THE PARISH OF OUACHITA STATE OF LOUISIANA
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7ATHE HOSPITAL SERVICE DISTRICT 1 PARISH OF OUACHITA STATE OF LOUISIANA SHALL BE ENTITLED TO ELECT TWO-THIRDS OF THE DIRECTORS AND THE POLICE JURY OF OUACHITA PARISH STATE OF LOUISIANA SHALL BE ENTITLED TO ELECT ONE-THIRD OF THE DIRECTORS. THE MEMBERS OF THE BOARD OF DIRECTORS MUST MEET THE REQUIREMENTS SET FORTH IN THE ARTICLES OF INCORPORATION OF LIVING WELL FOUNDATION.
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BCERTAIN MATTERS AS LISTED IN THE BY-LAWS OF LIVING WELL FOUNDATION REQUIRE APPROVAL OF THE BOARD OF COMMISSIONERS OF HOSPITAL DISTRICT 1 PARISH OF OUACHITA STATE OF LOUISIANA.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE 990 GOES TO THE FINANCE COMMITTEE WHICH REVIEWS THE TAX RETURN AND THEN THE 990 IS CIRCULATED TO THE BOARD OF DIRECTORS.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CBEFORE PERSONS BECOME BOARD MEMBERS,THEY ARE PRESENTED WITH THE CONFLICT OF INTEREST POLICY WITH WHICH THEY ARE EXPECTED TO COMPLY. AFTER BECOMING BOARD MEMBERS THEY ARE EXPECTED TO NOTIFY THE BOARD OF ANY CONFLICTS OF INTEREST THAT MAY ARISE.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AIN DETERMINING THE COMPENSATION FOR THE CEO, THE PLANNING/OPERATIONS COMMITTEE INCLUDES COMPARABILITY DATA, A REVIEW AND APPROVAL BY INDEPENDENT PERSONS AND SUBSTANTIATION OF THE DELIBERATION AND DECISIONS MADE.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BIN DETERMINING THE COMPENSATION FOR THE CEO, THE PLANNING/OPERATIONS COMMITTEE INCLUDES COMPARABILITY DATA, A REVIEW AND APPROVAL BY INDEPENDENT PERSONS AND SUBSTANTIATION OF THE DELIBERATION AND DECISIONS MADE.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19LIVING WELL FOUNDATION FURNISHES THE ARTICLES OF INCORPORATION BYLAWS, GRANT MAKING GUIDELINES, MINUTES OF ALL MEETINGS, BUDGETS FINANCIAL STATEMENTS AND OTHER INFORMATION ON THE ORGANIZATION WEBSITE WWW.LIVINGWELLFOUNDATION.NET
RECONCILIATION OF CHANGES - OTHERFORM 990, PART XI, LINE 9RECOVERIES OF PRIOR YEAR GRANTS -19,995 REFUNDS OF P/Y GRANTS TO ORGS 19,995

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL SERVICE DISTRICT 1BusinessNameLine1
Business Name Line2PARISH OF OUACHITA ST OF LOUISIANABusinessNameLine2

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13215 CYPRESS STREETAddressLine1
CityWEST MONROECity
StateLAState
ZIP Code71291ZIPCode
FieldValueIRS element (for citing)
EIN721194469EIN
Primary ActivitiesGOVERNMENTPrimaryActivities
Legal Domicile StateLALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OPPJBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg