2024-11-01T09:44:52-05:00 2023-12-31 721088864 LAPORTE APAC 111 VETERANS MEMORIAL BLVD 600 METAIRIE LA 700054958 990 2023-01-01 371458857 ST TAMMANY HOSPITAL FOUNDATION STTA 9858984141 1202 SOUTH TYLER STREET COVINGTON LA 70433 ELIZABETH HEALY CHAIRMAN 9858984141 2024-10-22 1 1 JOHN S WILES CPA P01222673 5048355522 2023 2024-10-15 13:58:12Z ELIZABETH HEALY 1202 SOUTH TYLER STREET COVINGTON LA 70433 1470067 0 X WWW.STPH.ORG X 2003 LA TO PROVIDE SUPPORT TO ST. TAMMANY HOSPITAL SERVICE DISTRICT NO. 1. CURRENT (CONT'D TO SCH O) YEAR CASH EXPENDITURES FOR THIS PURPOSE WERE $1,193,467. 17 17 0 18 0 0 999960 1215058 0 0 94602 143602 -32866 2133 1061696 1360793 966112 1193467 0 0 0 0 0 0 0 5342 2859 971454 1196326 90242 164467 7491511 7805433 29862 21932 7461649 7783501 TO PROVIDE SUPPORT TO ST. TAMMANY HOSPITAL SERVICE DISTRICT NO. 1. CURRENT YEAR CASH EXPENDITURES FOR THIS PURPOSE WERE $1,193,467. 0 0 1193467 1193467 TO PROVIDE SUPPORT TO ST. TAMMANY HOSPITAL SERVICE DISTRICT NO. 1 CURRENT YEAR EXPENDITURES FOR THIS PURPOSE WERE $1,193,467. IN 2023, THE FOLLOWING STPH DEPARTMENTS RECEIVED GRANTS AND DISBURSEMENTS FROM THE FOUNDATION: COLLEAGUE BENEVOLENT FUND, HEALING ARTS INITIATIVE, HOME HEALTH, HOSPICE, THE PARENTING CENTER, PEDIATRICS, ST. TAMMANY PARISH HOSPITAL, ST. TAMMANY CANCER CENTER, EDUCATION, THE WOMEN'S PAVILION, QUALITY AND ACCREDITATION, MEDICAL EDUCATION, EVS, INPATIENT REHAB, BUSINESS DEVELOPMENT, COMMUNITY OUTREACH, MANDEVILLE ED, LABOR AND DELIVERY, INFUSION SUITE, AND HUMAN RESOURCES. 1193467 1 1 0 0 0 0 0 1 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X LAURA BROWN 9858984171 1202 S TYLER STREET COVINGTON LA 70433 NICOLE SUHRE EXECUTIVE DIRECTOR 40.00 X 0 115078 25581 ELIZABETH HEALY CHAIRMAN 0.63 X X 0 0 0 KEVIN GARDNER VICE CHAIRMAN 0.63 X X 0 0 0 LAURA BROWN SECRETARY/TREASURER 0.63 X X 0 0 0 KEVIN MASHBURN TRUSTEE 0.40 X 0 0 0 JOAN COFFMAN TRUSTEE 0.40 X 0 0 0 PAUL DAVIS TRUSTEE 0.40 X 0 0 0 PENNY DASTAGUE TRUSTEE 0.40 X 0 0 0 JOHN EVANS TRUSTEE 0.40 X 0 0 0 MARK GRAYSON TRUSTEE 0.63 X 0 0 0 RENEE MALONEY TRUSTEE 0.40 X 0 0 0 BECKY PARKS TRUSTEE 0.40 X 0 0 0 NORMA RICHARD TRUSTEE 0.40 X 0 0 0 JIM WOODARD MD TRUSTEE 0.40 X 0 0 0 JAMES BRADFORD III TRUSTEE 0.40 X 0 0 0 CHIP LAVIGNE TRUSTEE 0.40 X 0 0 0 TIM LENTZ TRUSTEE 0.40 X 0 0 0 SUNNY MCDANIEL DNP TRUSTEE 0.40 X 0 0 0 0 115078 25581 0 0 0 0 0 290900 924158 143400 1215058 141044 141044 2711 153 2558 2558 2558 111254 290900 109121 2133 2133 1360793 0 0 145735 1180048 1180048 13419 13419 2859 2859 1196326 1193467 2859 0 1917334 2012544 5253552 5330129 79802 83913 17383 20407 358440 0 223440 358440 0 0 7491511 7805433 29862 21932 29862 21932 X 2651515 2935671 4810134 4847830 7461649 7783501 7491511 7805433 164467 157385 0 X X 0 1 X 1 0 X X 1 ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT #1 720478620 3 1 1193467 0 1 1193467 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 X PART IV, SECTION A, LINE 2 ST. TAMMANY PARISH HOSPITAL SERVICE DISTRICT NO. 1, THE SUPPORTED ENTITY, IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 115 OF THE INTERNAL REVENUE CODE AS A GOVERNMENTAL ENTITY. PART IV, SECTION D, LINE 1 THE FOUNDATION OPERATES UNDER A COOPERATIVE ENDEAVOR AGREEMENT WITH THE HOSPITAL, AND IT IS CONSIDERED A COMPONENT UNIT OF THE HOSPITAL UNDER GOVERNMENTAL ACCOUNTING STANDARDS. THIS MEANS THE HOSPITAL, THE SUPPORTED ORGANIZATION, RECEIVES WRITTEN NOTICE ABOUT THE SUPPORT PROVIDED DURING THE YEAR. IT ALSO RECEIVES A COPY OF THE FORM 990. IN ADDITION, THE HOSPITAL HAS COPIES OF THE GOVERNING DOCUMENTS. PART IV, SECTION D, LINE 2 THE FOUNDATION'S EXECUTIVE DIRECTOR IS SELECTED, EVALUATED, COMPENSATED, AND EMPLOYED BY THE HOSPITAL, SUBJECT TO THE CONCURRENCE OF THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES OF THE FOUNDATION. THE BALANCE OF THE ORGANIZATION'S OFFICERS, DIRECTORS, OR TRUSTEES WERE NOT APPOINTED OR ELECTED BY THE HOSPITAL'S GOVERNING BODY. THE FOUNDATION AND THE HOSPITAL HAVE SEPARATE GOVERNING BODIES. HOWEVER, THE FOUNDATION MAINTAINS A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH THE HOSPITAL. THIS IS EXPLAINED BELOW IN THE RESPONSE FOR PART IV, SECTION D, LINE 3. PART IV, SECTION D, LINE 3 THE FOUNDATION AND THE HOSPITAL ENTERED INTO THIS AGREEMENT TO ASSIST THE FOUNDATION IN ACHIEVING ITS PURPOSE OF BENEFITTING THE HOSPITAL. UNDER THE TERMS OF THE AGREEMENT THE HOSPITAL ASSUMES THE OBLIGATION TO PROVIDE ADMINISTRATIVE SERVICES, USE OF OFFICE SPACE, EQUIPMENT AND SUPPLIES UTILIZED IN THE FOUNDATION'S DAY TO DAY OPERATIONS. THE FOUNDATION'S EXECUTIVE DIRECTOR IS SELECTED,EVALUATED,COMPENSATED, AND EMPLOYED BY THE HOSPITAL, SUBJECT TO THE CONCURRENCE OF THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES OF THE FOUNDATION. THE EXECUTIVE DIRECTOR REPORTS TO, AND WORKS IN PARTNERSHIP WITH BOTH THE CEO OF THE HOSPITAL AND THE FOUNDATION BOARD OF TRUSTEES. WHILE THE HOSPITAL IS RESPONSIBLE FOR THE ADMINISTRATIVE DAILY OPERATIONS OF THE FOUNDATION, THE SIGNIFICANT COMPONENTS OF THE GRANT MAKING PROCESS, THE DONOR SOLICITATION PROCESS, AND FUND MANAGEMENT PROCESS ARE CONSIDERED TRUSTEE FUNCTIONS AND ARE RESERVED EXCLUSIVELY TO THE FOUNDATION. THIS DEMONSTRATES THAT THE SUPPORTED ORGANIZATION HAS A SIGNIFICANT VOICE IN THE SUPPORTING ORGANIZATION'S OPERATIONS,BECAUSE THEY ARE CONSOLIDATED AND HAVE A COOPERATIVE ENDEAVOR AGREEMENT, THE SUPPORTING ORGANIZATION CANNOT DO ANYTHING WITHOUT THE KNOWLEDGE AND CONSENT OF THE SUPPORTED ORGANIZATION. PART IV, SECTION E, LINE 1C ST. TAMMANY HOSPITAL FOUNDATION WAS ORGANIZED TO BENEFIT ST. TAMMANY HOSPITAL SERVICE DISTRICT NO. 1 (THE HOSPITAL) THROUGH COMPREHENSIVE FUND DEVELOPMENT PROGRAMS TO SUPPORT, DEVELOP, AND EXPAND ITS SERVICES, FUNCTIONS, PURPOSE, AND MISSION OF PROVIDING QUALITY COMMUNITY HEALTHCARE TO WESTERN ST. TAMMANY PARISH. THE HOSPITAL MAINTAINS AN ADEQUATE RELATIONSHIP WITH THE FOUNDATION THROUGH ITS SELECTION, EVALUATION, AND COMPENSATION OF THE FOUNDATION'S EXECUTIVE DIRECTOR. THE FOUNDATION'S COOPERATIVE ENDEAVOR AGREEMENT WITH THE HOSPITAL ALLOWS THE HOSPITAL TO MAINTAIN A SIGNIFICANT VOICE IN THE FOUNDATION'S ACTIVITIES BY ENSURING THE HOSPITAL IS AWARE OF ALL THE ACTIVITIES CARRIED ON BY THE FOUNDATION. THEREFORE BOTH THE RESPONSIVENESS TEST (ADEQUATE RELATIONSHIP AND SIGNIFICANT VOICE) AND THE ACTIVITIES TEST (CONDUCTING ACTIVITIES THAT WOULD BE CONDUCTED BY THE GOVERNMENTAL ENTITY) ARE MET. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 135000 288440 X 0 0 2862048 53970 44016 2960034 3016278 34468 -188698 2862048 3027989 24556 -36267 3016278 2977010 18823 32156 3027989 2908918 24889 43203 2977010 0.91190 0.08810 0 0 70000 70000 288440 288440 358440 ANNUITIES PAYABLE 21932 21932 X 1515319 158389 -3863 154526 1360793 0 1360793 1193467 0 1193467 2859 2859 1196326 PART III, LINE 4: THE DONATED ARTWORK IS DISPLAYED AT ST. TAMMANY PARISH HOSPITAL AS PART OF THE FOUNDATION'S HEALING ARTS INITIATIVE (HAI). IT WAS STARTED IN 2004 BY AN EMPLOYEE HEALING ARTS COMMITTEE WITH PURCHASES OF A PLAYER PIANO, AQUARIUMS IN PEDIATRICS AND THE OUTPATIENT PAVILION, AND HEALING CEILINGS IN RADIOLOGY AND THE OUTPATIENT PAVILION. THE CURRENT HAI COMMITTEE WAS CREATED IN 2010 TO INCLUDE MEMBERS OF THE COMMUNITY, AS WELL AS EMPLOYEE REPRESENTATION. THERE ARE HEALING ART INSTALLATIONS IN THE WOMEN'S PAVILION, ST. TAMMANY CANCER CENTER, AND AT THE HOSPITAL. PART V, LINE 4: ENDOWMENT IS A PERMANENT INVESTMENT FUND INTENDED TO PROVIDE A STABLE SOURCE OF INCOME TO THE FOUNDATION IN SUPPORT OF ONGOING PROGRAMS AND PROJECTS OF ST. TAMMANY PARISH HOSPITAL AND TO ENABLE THE FOUNDATION TO RESPOND TO NEW PROJECTS AND PRIORITIES IDENTIFIED FOR ST. TAMMANY PARISH HOSPITAL. PART X, LINE 2: 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 INTEREST EXPENSE. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT -1,004. INTEREST EXPENSE -2,859. PART XII, LINE 4B - OTHER ADJUSTMENTS: INTEREST EXPENSE 2,859. MONSTER MASH 98053 50000 48053 500 2041 2773 20223 THE GALA 224875 186500 38375 5000 19422 4000 31290 2 79226 54400 24826 1000 4522 1300 17050 402154 290900 111254 1000 5500 25985 8073 68563 109121 2133 1 ST TAMMANY PARISH HOSPITAL SERVICE DISTRICT #1 720478620 SECTION 115 1180048 0 TO SUPPORT, DEVELOP, AND EXPAND ITS SERVICES, FUNCTIONS, PURPOSE, AND MISSION OF PROVIDING QUALITY COMMUNITY HEALTHCARE IN WESTERN ST. TAMMANY PARISH. IN 2023, THE FOLLOWING STPH DEPARTMENTS RECEIVED GRANTS AND DISBURSEMENTS FROM THE FOUNDATION: COLLEAGUE BENEVOLENT FUND, HEALING ARTS INITIATIVE, HOME HEALTH, HOSPICE, THE PARENTING CENTER, PEDIATRICS, ST. TAMMANY PARISH HOSPITAL, ST. TAMMANY CANCER CENTER, EDUCATION, THE WOMEN'S PAVILION, QUALITY AND ACCREDITATION, MEDICAL EDUCATION, EVS, INPATIENT REHAB, BUSINESS DEVELOPMENT, COMMUNITY OUTREACH, MANDEVILLE ED, LABOR AND DELIVERY, INFUSION SUITE, AND HUMAN RESOURCES. 1 EMPLOYEE FUNDED AND DISTRIBUTED GRANTS 7 13419 FMV NEEDS BASED FINANCIAL ASSISTANCE TO EMPLOYEES OF STPH. EMPLOYEES REQUEST FUNDS THROUGH A CBF REQUEST FORM THAT IS REVIEWED BY A COMMITTEE MADE UP ON FELLOW STPH EMPLOYEES. FUNDS ARE DISTRIBUTED DIRECTLY TO THE INDIVIDUAL. DISBURSEMENTS ARE ADDED TO EMPLOYEE PAYCHECKS AND ARE NOW CONSIDERED TAXABLE WAGES. PART I, LINE 2: IN ORDER TO RECEIVE DESIGNATED FUNDS FROM THE FOUNDATION, A REQUEST FOR FUNDS DISBURSEMENT MUST BE SUBMITTED IN WRITING TO THE FOUNDATION. THE REQUEST IS SUBMITTED BY THE MANAGER/DEPARTMENT HEAD AND MUST BE SIGNED BY THE APPROPRIATE SR. VP. PROPER DOCUMENTATION OF HOW THE FUNDS ARE BEING SPENT IS SUBMITTED WITH THE FORM. WHEN THE FORM ARRIVES IN THE FOUNDATION, IT IS REVIEWED AND APPROVED BY THE CHAIR OF THE STHF GRANTS REVIEW COMMITTEE. THEN, REVIEWED AND APPROVED BY THE EXECUTIVE DIRECTOR OF THE FOUNDATION. FINALLY, WHEN THE ACTUAL TRANSFER IS MADE FROM THE FOUNDATION TO THE APPROPRIATE COST CENTER AT THE HOSPITAL, THE CONTROLLER OF THE HOSPITAL ACKNOWLEDGES BY SIGNING THAT THE TRANSFER HAS BEEN MADE FROM STHF TO STPH. X 4 143400 APPRAISED VALUE 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED AND DISCUSSED AT MEETING OF THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C IT IS THE RESPONSIBILTY OF THE TRUSTEE TO BRING TO THE ORGANIZATION'S ATTENTION ANY POSSIBLE CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE SUPPORTED ORGANIZATION, ST. TAMMANY HOSPITAL SERVICE DISTRICT NO. 1 DETERMINES AND PAYS THE COMPENSATION OF THE FOUNDATION'S EXECUTIVE DIRECTOR. THE HOSPITAL'S HUMAN RESOURCES DEPARTMENT USES THE INTEGRATED HEALTHCARE STRATEGIES LEADERSHIP SALARY SURVEY AS ITS PRIMARY SURVEY, BUT ALSO REFERS TO THE GREATER NEW ORLEANS SOCIETY OF HEALTHCARE HUMAN RESOURCES SALARY SURVEY AND THE VHA LEADERSHIP SALARY SURVEY, AS WELL. FORM 990, PART VI, SECTION C, LINE 19 AVAILABLE UPON REQUEST TO THE PUBLIC. FORM 990, PART XII, LINE 2C NO CHANGES FROM PRIOR YEAR. STHF PROPERTIES LLC 1202 SOUTH TYLER STREET COVINGTON LA 70433 371458857 REAL ESTATE ENTITY FOR LIABILITY LIMITATION LA 70000 ST TAMMANY HOSPITAL FOUNDATION ST TAMMANY PARISH HOSPITAL SERV DIST #1 1202 S TYLER ST COVINGTON LA 70433 720478620 TO MAINTAIN A LEADERSHIP ROLE IN ASSURING DELIVERY OF QUALITY HEALTHCARE SER LA GOVERNMENTAL ENTITY 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0