The recipient entity's physical address:
           2863 S Byrd Ave, Bogalusa, LA 70427

The recipient entity's mailing address (if different):
           2863 S Byrd Ave, Bogalusa, LA 70427

Type of Entity (for instance, a nonprofit corporation):  Non-Profit Corporation

If the entity is a corporation, list the names of the incorporators:
          

The last four digits of the entity's taxpayer ID number:  9222

What is the dollar amount of the request?  $200,000

What type of request is this?  General Appropriation

Is this entity in good standing with the Secretary of State?  Yes

Provide the name of each member of the recipient entity's governing board and officers:
           Charlotte Bickham-Sartin — President; Founder; CEO/Administrator responsible for operations and the program — 2863 S. Byrd Avenue, Bogalusa, LA 70427.

Althena Jackson — Vice President and Secretary — 219 B Redmond Street, Bogalusa, LA 70427.

Chrishay Berry — Treasurer — 1805 Mitchell Place Bogalusa, LA 70427.

Provide a summary of the project or program:
           Sacred Hearts Hospice House (SHHH) is developing a three-bed, home-like residential end-of-life care program in Bogalusa to serve Washington Parish and surrounding rural communities. The program is intended for terminally ill individuals who cannot safely or practically remain in their current homes. SHHH will provide accommodations, meals, 24-hour supervision, permitted assistance with daily living, companionship, emotional and spiritual support, and a welcoming environment for families. Each resident’s licensed hospice provider will provide clinical hospice services and prepare and manage the resident’s plan of care.

SHHH requests $200,000 in state General Appropriation support for facility preparation, renovations, safety and accessibility improvements, resident furnishings, equipment, and operational setup. The total estimated startup budget is $215,650, and the combined startup and first-year operating budget is $566,586. The remaining $366,586 will be sought through charitable grants, donations, sponsorships, fundraising, and in-kind support and is not represented as secured funding.

SHHH plans to operate in accordance with the conditions established by Louisiana Act 453 of 2026, codified at La. R.S. 40:2183.1. The nonprofit will accommodate no more than three residents at a time in individual private bedrooms. Accommodations and services will be provided without charge to residents or their families, and SHHH will receive no payments from Medicare, Medicaid, or other public or private health insurance.

At full operation, SHHH projects serving approximately 30–40 residents annually, depending on residents’ lengths of stay, occupancy, staffing, and available funding. The program will serve eligible individuals without discrimination and coordinate with licensed hospice providers, healthcare organizations, families, and community partners.

What is the budget relative to the project for which funding is requested?:
          Salaries. . . . . . . . . . . . . $269,336
          Professional Services. . . $200
          Contracts . . . . . . . . . . . $0
          Acquisitions . . . . . . . . . $107,050
          Major Repairs . . . . . . . $91,500
          Operating Services. . . . $60,000
          Other Charges. . . . . . . $38,500

Does your organization have any outstanding audit issues or findings?  No

If 'Yes' is your organization working with the appropriate governmental agencies to resolve those issues or findings?
          

What is the entity's public purpose, sought to be achieved through the use of state monies?
          Sacred Hearts Hospice House’s public purpose is to provide charitable, home-like residential support to individuals nearing the end of life who cannot safely or practically remain at home, with a focus on Washington Parish and surrounding rural communities. State funds would help establish and operate a three-bed residential hospice home in Bogalusa. The home will provide accommodations, meals, 24-hour residential supervision, permitted assistance with daily living, companionship, and support for residents and their families. Licensed hospice agencies will provide clinical hospice services. The program is intended to make compassionate end-of-life residential support available regardless of a person’s ability to pay, consistent with the organization’s nonprofit model and applicable Louisiana requirements.

What are the goals and objectives for achieving such purpose?
          Sacred Hearts Hospice House’s public purpose is to provide charitable, home-like residential support to individuals nearing the end of life who cannot safely or practically remain at home, with a focus on Washington Parish and surrounding rural communities. State funds would help establish and operate a three-bed residential hospice home in Bogalusa. The home will provide accommodations, meals, 24-hour residential supervision, permitted assistance with daily living, companionship, and support for residents and their families. Licensed hospice agencies will provide clinical hospice services. The program is intended to make compassionate end-of-life residential support available regardless of a person’s ability to pay, consistent with the organization’s nonprofit model and applicable Louisiana requirements.

What is the proposed length of time estimated by the entity to accomplish the purpose?
           The initial implementation period is estimated at 12 months from receipt of funds. The public purpose is ongoing; Sacred Hearts Hospice House intends to continue the program beyond that period as resources and applicable approvals allow.

If any elected or appointed state official or an immediate family member of such an official is an officer, director, trustee, or employee of the recipient entity who receives compensation or holds any ownership interest therein:
     (a) If an elected or appointed state official, the name and address of the official and the office held by such person:
                 Not Applicable
    
     (b) If an immediate family member of an elected or appointed state official, the name and address of such person; the name, address, and office of the official to whom the person is related; and the nature of the relationship:
                 Not Applicable

     (c) The percentage of the official's or immediate family member's ownership interest in the recipient entity, if any:
                 Not Applicable

     (d) The position, if any, held by the official or immediate family member in the recipient entity:
                  Not Applicable

If the recipient entity has a contract with any elected or appointed state official or an immediate family member of such an official or with the state or any political subdivision of the state:
(a) If the contract is with an elected or appointed state official, provide the name and address of the official and the office held by such person: 
               Not Applicable—no such contracts

(b) If the contract is with an immediate family member of an elected or appointed state official:
          Provide the name and address of such person:
               Not Applicable—no such contracts

          Provide the name, address, and office of the official to whom the person is related:
                Not Applicable

          What is the nature of the relationship?  Not Applicable

(c) If the contract is with the state or a political subdivision of the state, provide the name and address of the state entity or political subdivision of the state:
                 Not Applicable—no such contracts

(d) The nature of the contract, including a description of the goods or services provided or to be provided pursuant to the contract:
               Not Applicable—no such contracts


Contact Information
name:  Charlotte Bickham-Sartin 
                                       address:  2863 S. Byrd Avenue, Bogalusa, LA 70427
                                       phone:  (985) 750-0899
                                       fax: 
                                       e-mail:  cbickham@sacredheartss.org
                                       relationship to entity:  Founder and Executive Director