FURP.ORG / PUBLIC DATA EXPLORER

LIVING WELL FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LIVING WELL FOUNDATION (EIN 20-5705242)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-06-01
IRS object ID
201241539349300619
Schema version
2011v1.2
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

FieldValueIRS element (for citing)
Timestamp2012-06-01T16:01:07-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

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 Date2011-01-01TaxPeriodBeginDate

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)
NameJOHN D CAMERONName
TitleBOARD CHAIRTitle
Phone3183237991Phone
Date Signed2012-05-18DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameFRANCIS I HUFFMANName
Phone3183872672Phone
Date Prepared2012-05-18DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN D CAMERONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1315 STELLA STREETAddressLine1
CityWEST MONROECity
StateLAState
ZIP Code71291ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11449739GrossReceipts
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 Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees3TotalNbrEmployees
Total Nbr Volunteers23TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year2000000ContributionsGrantsCurrentYear
Program Service Revenue CY744ProgramServiceRevenueCY
Investment Income Prior Year689382InvestmentIncomePriorYear
Investment Income Current Year878526InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year689382TotalRevenuePriorYear
Total Revenue Current Year2879270TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year480720GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY820912GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year73014SalariesEtcPriorYear
Salaries Etc Current Year91320SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year209596OtherExpensePriorYear
Other Expenses Current Year132699OtherExpensesCurrentYear
Total Expenses Prior Year763330TotalExpensesPriorYear
Total Expenses Current Year1044931TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-73948RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1834339RevenuesLessExpensesCY
Total Assets BOY47056517TotalAssetsBOY
Total Assets EOY49049283TotalAssetsEOY
Total Liabilities BOY339451TotalLiabilitiesBOY
Total Liabilities EOY351345TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY46717066NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY48697938NetAssetsOrFundBalancesEOY
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
Expense282187Expense
Grants282187Grants
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 2011 THE FOUNDATION PROVIDED FUNDING OF 121,711 TO RISER MIDDLE SCHOOL AND 130,476 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. THE PROGRAMS HAVE NOT BEEN CURRENTLY ESTABLISHED BECAUSE THE STATE PORTION OF THE FUNDS HAS NOT BEEN AWARDED. AS OF DECEMBER 31, 2011, 90,000 WAS PAYABLE TO OUACHITA PARISH SCHOOL BOARD FOR THE HEALTH BASED SCHOOL CENTERS IN EAST OUACHITA PARISH.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense473661Expense
Grants473661Grants
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)
Expense3085Expense
Revenue744Revenue
DescriptionHEALTHY LIFESTYLES PILOT PROGRAMS - ASSESSED HEALTH RELATED NEEDS AND IDENTIFIED PROGRAMS TO MEET HEALTH RELATED NEEDS.Description
FieldValueIRS element (for citing)
Total Program Service Expense758933TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
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
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees3NumberOfEmployees
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 Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
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 PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTERRY NOLANDNamePerson
Telephone Number3183231717TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeek
W BLAKE WHEELIS
VC PLANNING/XX000
JOHN D CAMERON
CHAIRXX000
SUSAN HOFFMAN
VC PROG/GRANXX000
MARY ANN MOON
DISTRICT DIRXX000
LEAH BILEY
DISTRICT DIRXX000
DAVE N NORRIS
BOARD MEMBERX000
FLORENCETTA GIBSON
VC PROGRAMS/XX000
JOHN SHEPARD
BOARD MEMBERX000
JULIAN JOHNSTON
VC FINANCE/IXX000
RICH BAILEY
BOARD MEMBERX000
CARL TURNER
BOARD MEMBERX000
MISTIE P CAPLES
BOARD MEMBERX000
JANET CORDER PYZNER
PRESIDENT/CEX432470129730.00
TRACEY J LINSON
GRANTS MANAGX25852077620.00
LORI PEARCE
SEC/EXE ASSTX145950020.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org83694TotalReportableCompFromOrg
Total Other Compensation2073TotalOtherCompensation
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants2000000GovernmentGrants
Total Contributions2000000TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionCHILDREN'S BOOK PROCEEDSDescription
Total Revenue Column744TotalRevenueColumn
Related Or Exempt Function Income744RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue744TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column753604TotalRevenueColumn
Exclusion$753,604ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities8695391Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities8570469Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities124922Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column124922TotalRevenueColumn
Exclusion$124,922ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2879270TotalRevenueColumn
Related Or Exempt Function Income744RelatedOrExemptFunctionIncome
Exclusion$878,526ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total820912Total
Program Services820912ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total84918Total
Management And General84918ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6402Total
Management And General6402ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total8282Total
Management And General8282ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total24082Total
Management And General24082ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total99377Total
Management And General99377ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6047Total
Management And General6047ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total5329Total
Management And General5329ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14458Total
Management And General14458ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2990Total
Management And General2990ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3600Total
Management And General3600ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9211Total
Management And General9211ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total9203Total
Management And General9203ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total12099Total
Management And General12099ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
HEALTHY LIFESTYLES PROG30003000
OTHER PROGRAM EXPENSE8585
REFUND PRIOR YEAR GRANTS-65064-65064

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1044931Total
Program Services758933ProgramServices
Management And General285998ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY19747BOY
EOY13951EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY39598BOY
EOY1379733EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY151488BOY
EOY310124EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9214BOY
EOY9217EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis72167LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec28759LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY48191BOY
EOY43408EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY46788279BOY
EOY47292850EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY47056517BOY
EOY49049283EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY144384BOY
EOY170951EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY195067BOY
EOY180394EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY339451BOY
EOY351345EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY46717066BOY
EOY48697938EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY46717066BOY
EOY48697938EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY47056517BOY
EOY49049283EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1834339ReconcilationRevenueExpenses
Reconcilation Other Changes146533ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis13763OtherCostOrOtherBasis
Depreciation3211Depreciation
Book Value10552BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis24005OtherCostOrOtherBasis
Depreciation11645Depreciation
Book Value12360BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis34399OtherCostOrOtherBasis
Depreciation13903Depreciation
Book Value20496BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings43408TotalOfBookValueLandBuildings
Total Revenue2879270TotalRevenue
Total Expenses1044931TotalExpenses
Excess Or Deficit For Year1834339ExcessOrDeficitForYear
Net Unrealized GL On Investments146533NetUnrealizedGLOnInvestments
Total Adjustments146533TotalAdjustments
Excess Or Deficit Per FS1980872ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3025803TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments146533NetUnrealizedGainsInvestments
Revenue Not Rptd F990146533RevenueNotRptdF990
Revenue Subtotal2879270RevenueSubtotal
Total Revenue Per Form9902879270TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1044931TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1044931ExpensesSubtotal
Total Expenses Per Form9901044931TotalExpensesPerForm990

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (8 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 MONROELA71291721491347501178120CASHCOUNSELING
THE UNIVERSITY OF LOUISIANA AT
700 UNIVERSITY DRIVEMONROELA71209726001695GOV22598CASHDENTAL CAREMONROE
THE UNIVERSITY OF LOUISIANA AT
700 UNIVERSITY DRIVEMONROELA71209726001695GOV10000CASHDENTAL CAREMONROE
OUACHITA PARISH SCHOOL BOARD
100 BRYMONROELA71201726001066GOV282187CASHSCHOOL HLTH CLINICS
NORTHEAST LOUISIANA VIRTUAL CLINIC
1811 TOWER DRIVE SUITE CMONROELA71201263790199501130000CASHHEALTH CARE
SEEKER SPRINGS MINISTRY
1280 OKALOOSA RDEROSLA7123820108407650129388CASHADOLESCENT COUNSELG
CHILDREN'S COALITION
1363 LOUISVILLE AVEMONROELA71201721502186501101619CASHSAFE & HEALTY KIDS
FAMILY PROMISE OF OUACHITA
8931 CYPRESS STREETWEST MONROELA7129126151207950160000CASHHSNG HOMELESS FAM
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants8TotalNbrOf501C3AndGovtGrants

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 JUDGMENT 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 2011 THE FOUNDATION PROVIDED FUNDING OF 121,711 TO RISER MIDDLE SCHOOL AND 130,476 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. THE PROGRAMS HAVE NOT BEEN CURRENTLY ESTABLISHED BECAUSE THE STATE PORTION OF THE FUNDS HAS NOT BEEN AWARDED. AS OF DECEMBER 31, 2011, 90,000 WAS PAYABLE TO OUACHITA PARISH SCHOOL BOARD FOR THE HEALTH BASED SCHOOL CENTERS IN EAST OUACHITA PARISH.
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 GIVES A REPORT THE 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.
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
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 5NET UNREALIZED GAINS ON INVESTMENTS 146,533.
CHANGE IN FINANCIAL REVIEW PROCESSFORM 990, PAGE 12, PART XII, LINE 2CTHE THREE-MEMBER AUDIT COMMITTEE SELECTS THE INDEPENDENT ACCOUNTANT SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS. THE AUDIT COMMITTEE OVERSEES THE AUDIT OF THE FINANCIAL STATEMENT. THE PROCESS OF SELECTING THE AUDITOR AND OVERSEEING THE AUDIT HAS NOT CHANGED FROM THE PRIOR YEAR.

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 OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
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

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL SERVICE DISTRICT 1BusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved2000000AmountInvolved