STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

AMERICAN LEGION HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
AMERICAN LEGION HOSPITAL (EIN 72-0417281)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-04
IRS object ID
201323089349300022
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)
Timestamp2013-11-04T09:32:36-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN721088864EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LAPORTE APACBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 VETERANS MEMORIAL BLVD SUITEAddressLine1
Address Line2600AddressLine2
CityMETAIRIECity
StateLAState
ZIP Code700054958ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN720417281EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AMERICAN LEGION HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAMERNameControl
Phone3377833222Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11305 CROWLEY-RAYNE HWYAddressLine1
CityCROWLEYCity
StateLAState
ZIP Code70526ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHARMAINE VIDRINEName
TitleCHIEF FINANCIAL OFFICERTitle
Phone3377886406Phone
Date Signed2013-11-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBONNIE M WYLLIE JD LLMName
PTINP00540011PTIN
Phone5048355522Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTERRY OSBORNENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11305 CROWLEY-RAYNE HWYAddressLine1
CityCROWLEYCity
StateLAState
ZIP Code70526ZIPCode
FieldValueIRS element (for citing)
Gross Receipts32708478GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ALH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1951YearFormation
State Legal DomicileLAStateLegalDomicile
Activity Or Mission DescriptionPROVIDES INPATIENT, OUTPATIENT, EMERGENCY, AND CHARITY HEALTHCARE SERVICES FOR RESIDENTS OF ACADIA PARISH AND THE SURROUNDING AREA.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees541TotalNbrEmployees
Total Nbr Volunteers46TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year29346ContributionsGrantsPriorYear
Contributions Grants Current Year46605ContributionsGrantsCurrentYear
Program Service Revenue Prior Year31248575ProgramServiceRevenuePriorYear
Program Service Revenue CY31991175ProgramServiceRevenueCY
Investment Income Prior Year358654InvestmentIncomePriorYear
Investment Income Current Year219900InvestmentIncomeCurrentYear
Other Revenue Prior Year196942OtherRevenuePriorYear
Other Revenue Current Year343154OtherRevenueCurrentYear
Total Revenue Prior Year31833517TotalRevenuePriorYear
Total Revenue Current Year32600834TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16963392SalariesEtcPriorYear
Salaries Etc Current Year16601597SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year16442616OtherExpensePriorYear
Other Expenses Current Year17862050OtherExpensesCurrentYear
Total Expenses Prior Year33406008TotalExpensesPriorYear
Total Expenses Current Year34463647TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1572491RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1862813RevenuesLessExpensesCY
Total Assets BOY35855406TotalAssetsBOY
Total Assets EOY34670037TotalAssetsEOY
Total Liabilities BOY7473804TotalLiabilitiesBOY
Total Liabilities EOY8198638TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY28381602NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY26471399NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF AMERICAN LEGION HOSPITAL IS TO BE A COMMUNITY HEALTH CENTER PROVIDING A SPECTRUM OF HIGH QUALITY HEALTH SERVICES, PROMOTING EDUCATION WITHIN THE ORGANIZATION, EMPHASIZING SERVICE AND EXCELLENCE,AND CONTINUALLY IMPROVING THE QUALITY MANAGEMENT SYSTEM.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense29525606Expense
Revenue32112666Revenue
DescriptionTHE HOSPITAL PROVIDES INPATIENT, OUTPATIENT AND EMERGENCY CARE SERVICES FOR RESIDENTS OF ACADIA PARISH AND THE SURROUNDING AREA. TOTAL HOSPITAL (ACUTE AND ICU) PATIENT DAYS TOTALED 12,629; AVERAGE LENGTH OF STAY WAS 4.16 DAYS; TOTAL PSYCHIATRIC DAYS TOTALED 6,694; AVERAGE LENGTH OF STAY WAS 11.54 DAYS, OUTPATIENT REGISTRATIONS TOTALED 39,246 FOR THE YEAR. CARE PROVIDED TO MEDICARE AND MEDICAID AND MEDICAID MANAGED CARE BENEFICIARIES TOTALED 46% AND 23%, RESPECTIVELY, OF TOTAL GROSS REVENUE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionTHE HOSPITAL PARTICIPATED IN SEVERAL HEALTHCARE CAREER PROGRAMS WITH LOCAL SCHOOLS AND ORGANIZATIONS. THE HOSPITAL HOSTED AN OPEN HOUSE TO DISPLAY AND EXPLAIN TO THE PUBLIC THE NEW SURGICAL ROBOT USED IN THE OPERATING ROOM. THE HOSPITAL SPONSORED TWENTY-THREE BI-WEEKLY COMMUNITY BLOOD DRIVES AND ONE EMPLOYEE BLOOD DRIVE WITH A TOTAL OF 282 PARTICIPANTS. THE HOSPITAL ALSO PARTICIPATED WITH A LOCAL MOBILE OUTREACH PROGRAM FOR CANCER PATIENTS. DURING THE YEAR, THE MOBILE OUTREACH VISITED THE HOSPITAL ON TWENTY-FOUR OCCASIONS, WITH 128 VISITS, WITH 72 CLIENTS PARTAKING OF THEIR BROAD SCOPE OF SERVICES INCLUDING COUNSELING FOR PATIENTS AND THEIR FAMILIES. THE HOSPITAL ALSO PARTICIPATED AS A CLINICAL OBSERVATION SITE WITH SEVERAL LOCAL COLLEGES AND UNIVERSITIES AS WELL AS A TEXAS-BASED UNIVERSITY FOR NURSE ANESTHETISTS. THE HOSPITAL ALSO PARTICIPATED IN A CHRISTMAS CARD RECYCLING PROJECT.Description
FieldValueIRS element (for citing)
Total Program Service Expense29525606TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109657NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees541NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JACKIE VALDETEROBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3377886404TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11305 CROWLEY-RAYNE HWYAddressLine1
CityCROWLEYCity
StateLAState
ZIP Code70526ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
J ANDRUS BAROUSSE
BOARD OF DIRECTORS, CHAIRMAN0.50X000
BC DELAHOUSSAYE MD
BOARD OF DIRECTORS, VICE-CHAIRMAN0.50X000
MICHAEL MCBRIDE
BD OF DIRECTORS, SECR/TREAS0.50X000
RALPH COWEN
BOARD OF DIRECTORS0.50X000
LAWRENCE HABETZ
BOARD OF DIRECTORS0.50X000
STEPHEN STEFANSKI
BOARD OF DIRECTORS0.50X000
P DALE LELEUX JR MD
BOARD OF DIRECTORS0.50X000
TERRY OSBORNE
CEO40.00239985010508X
CHARMAINE VIDRINE
CFO40.00162633010875X
SATINDER SAINI MD
INTERNAL MEDICINE DOCTOR40.0017851107198X
JAMES ROTEFF
PHARMACY DIRECTOR40.00124950010900X
GLENN DAILEY
RADIOLOGY DIRECTOR40.00105832010875X
J CRAIG BRIGNAC
STAFF PHARMACIST40.00102444010874X
HOPE ROSINSKI
STAFF PHARMACIST40.0010181109956X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1016166TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation71186TotalOtherCompensation
Number Individuals GT100 K8NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PROFESSIONAL ANESTHESIA SERVICES OF SWLA
1309 HILLCROFT DRLAKE CHARLESLA70605ANESTHESIA SERVICES1189500
C&M MEDICAL SERVICES
3223 8TH STREET SUITE 300METAIRIELA70002ER PHYSICIAN SERVICES567956
ARSHAVIR MICHAEL APMC
PO BOX 2403CROWLEYLA70527ANESTHESIA SERVICES470000
GE HEALTHCARE
PO BOX 843553DALLASTX752843553BIOMED SERVICES400322
ACADIANA WOUNDCARE AND HYPERBARICS
1325 WRIGHT AVE STECCROWLEYLA70526CONTRACT WC/HYPERBARIC328784
FieldValueIRS element (for citing)
Number Of Contractors GT100 K20NumberOfContractorsGT100K
Government Grants12161GovernmentGrants
All Other Contributions34444AllOtherContributions
Total Contributions46605TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICESDescription
Business Code621990BusinessCode
Total Revenue Column31991175TotalRevenueColumn
Related Or Exempt Function Income31991175RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue31991175TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column220680TotalRevenueColumn
Exclusion$220,680ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real148991Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real103523Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real45468Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column45468TotalRevenueColumn
Exclusion$45,468ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other3341Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other4121Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-780Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-780TotalRevenueColumn
Related Or Exempt Function Income-780RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA REVENUE722210163993$163,993
JOINT VENTURE-OPEN AIR MRI6214009125191251
JOINT VENTURE-C. CARDIAC WELLNESS6214003102031020

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column11422TotalRevenueColumn
Exclusion$11,422ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue297686TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column32600834TotalRevenueColumn
Related Or Exempt Function Income32112666RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$441,563ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total416350Total
Management And General416350ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total14311766Total
Program Services12348045ProgramServices
Management And General1963721ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total744526Total
Program Services625402ProgramServices
Management And General119124ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1128955Total
Program Services948322ProgramServices
Management And General180633ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total377136Total
Management And General377136ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total64881Total
Management And General64881ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5245169Total
Program Services4854576ProgramServices
Management And General390593ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total27773Total
Management And General27773ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total708856Total
Program Services472929ProgramServices
Management And General235927ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total346213Total
Program Services290819ProgramServices
Management And General55394ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total711377Total
Program Services561151ProgramServices
Management And General150226ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total15662Total
Program Services6793ProgramServices
Management And General8869ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total11391Total
Program Services3664ProgramServices
Management And General7727ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total207374Total
Program Services206833ProgramServices
Management And General541ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3215725Total
Program Services2476108ProgramServices
Management And General739617ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total312543Total
Program Services289617ProgramServices
Management And General22926ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PATIENT SUPPLIES/DRUGS53655315263700101831
REPAIRS AND MAINTENANCE102138395169169692
PHYSICIAN RECRUITMENT1411961411960
COLLECTION EXPENSES84760847600

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5080Total
Management And General5080ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total34463647Total
Program Services29525606ProgramServices
Management And General4938041ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1825BOY
EOY1825EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2521232BOY
EOY3723623EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6735053BOY
EOY7607206EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1300187BOY
EOY1311585EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY875191BOY
EOY748976EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis35891985LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec24216972LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13658473BOY
EOY11675013EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1022974BOY
EOY477566EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY398212BOY
EOY389124EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY205159BOY
EOY133414EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY9137100BOY
EOY8601705EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY35855406BOY
EOY34670037EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2715043BOY
EOY2787032EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4758761BOY
EOY5265992EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY145614EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7473804BOY
EOY8198638EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY28108455BOY
EOY26197882EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY273147BOY
EOY273517EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY28381602BOY
EOY26471399EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY35855406BOY
EOY34670037EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1862813ReconcilationRevenueExpenses
Reconcilation Prior Adjustment83969ReconcilationPriorAdjustment
Reconcilation Other Changes-131359ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis82773InvestmentCostOrOtherBasis
Other Cost Or Other Basis540653OtherCostOrOtherBasis
Book Value623426BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1183113InvestmentCostOrOtherBasis
Other Cost Or Other Basis11627709OtherCostOrOtherBasis
Depreciation9117062Depreciation
Book Value3693760BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis41567InvestmentCostOrOtherBasis
Other Cost Or Other Basis21780480OtherCostOrOtherBasis
Depreciation14538642Depreciation
Book Value7283405BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis62878InvestmentCostOrOtherBasis
Other Cost Or Other Basis572812OtherCostOrOtherBasis
Depreciation561268Depreciation
Book Value74422BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11675013TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
RESTRICTED CASH AND INVESTMENTS5585325
DEPOSITS FOR HEALTH INSURANCE ADMINISTRATOR2428281
TRUST INVESTMENT273517
COST REPORT SETTLEMENT RECEIVABLE314582
FieldValueIRS element (for citing)
Total Book Value Other Assets8601705TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionCOST REPORT SETTLEMENT PAYABLEDescription
Amount$145,614Amount
FieldValueIRS element (for citing)
Total Of Amounts145614TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt33212759TotRevenueEtcAuditedFinclStmt
Other Revenues747032OtherRevenues
Revenue Not Rptd F990747032RevenueNotRptdF990
Revenue Subtotal32465727RevenueSubtotal
Other Revenues Not Included135107OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt135107RevenueNotRptdOnFinStmt
Total Revenue Per Form99032600834TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt35127241TotExpensesEtcAuditedFinclStmt
Other Expenses Included560071OtherExpensesIncluded
Expenses Not Rptd F990560071ExpensesNotRptdF990
Expenses Subtotal34567170ExpensesSubtotal
Other Expenses Not Included-103523OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt-103523ExpensesNotRptdOnFinStmt
Total Expenses Per Form99034463647TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:TEXT FROM FOOTNOTE FROM AUDITED FINANCIAL STATEMENTS. UNCERTAINTY IN INCOME TAXES: THE AUTHORITATIVE GUIDANCE IN ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740, INCOME TAXES, CREATES A SINGLE MODEL TO ADDRESS UNCERTAINTY IN TAX POSITIONS AND CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING THE MINIMUM RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER THE REQUIREMENTS OF THIS GUIDANCE, TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS. THERE ARE NO MATERIAL UNRECORDED TAX LIABILITIES AS OF DECEMBER 31, 2012 AND 2011.
PART XI, LINE 2D - OTHER ADJUSTMENTS:SUBSIDIARY INCOME $ 747,032-- AUDITED FINANCIAL STMTS WERE CONSOLIDATED
PART XI, LINE 4B - OTHER ADJUSTMENTS:DIVIDEND FROM SUBSIDIARY $116,359 RENTAL EXPENSES REPORTED IN PART VIII, LINE 6B -- $(103,523) JOINT VENTURE INCOME -- OPEN AIR MRI, LLC $91,251 JOINT VENTURE INCOME -- CROWLEY CARDIAC WELLNESS $15,190 JOINT VENTURE INCOME -- ADVANCED CARDIOLOGY CENTER LLC $15,830
PART XII, LINE 2D - OTHER ADJUSTMENTS:SUBSIDIARY EXPENSE $560,071 (AUDITED FINANCIAL STMTS WERE CONSOLIDATED)
PART XII, LINE 4B - OTHER ADJUSTMENTS:RENTAL EXPENSES REPORTED IN PART VIII, LINE 6B -- $(103,523)

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care0AmountsBudgetedForCharityCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense132555TotalCommunityBenefitExpense
Net Community Benefit Expense132555NetCommunityBenefitExpense
Percent Of Total Expense0.00380PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense8200431TotalCommunityBenefitExpense
Direct Offsetting Revenue6185186DirectOffsettingRevenue
Net Community Benefit Expense2015245NetCommunityBenefitExpense
Percent Of Total Expense0.05850PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense8332986TotalCommunityBenefitExpense
Direct Offsetting Revenue6185186DirectOffsettingRevenue
Net Community Benefit Expense2147800NetCommunityBenefitExpense
Percent Of Total Expense0.06230PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1394TotalCommunityBenefitExpense
Net Community Benefit Expense1394NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense2880TotalCommunityBenefitExpense
Net Community Benefit Expense2880NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4274TotalCommunityBenefitExpense
Net Community Benefit Expense4274NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense8337260TotalCommunityBenefitExpense
Direct Offsetting Revenue6185186DirectOffsettingRevenue
Net Community Benefit Expense2152074NetCommunityBenefitExpense
Percent Of Total Expense0.06240PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense147687TotalCommunityBuildingExpense
Net Community Building Expense147687NetCommunityBuildingExpense
Percent Of Total Expense0.00430PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense147687TotalCommunityBuildingExpense
Net Community Building Expense147687NetCommunityBuildingExpense
Percent Of Total Expense0.00430PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$1,883,717BadDebtExpenseAmount
Amount Attributable To795870AmountAttributableTo
Amount Reimbursed By Medicare15703328AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare13922544CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall1780784MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (21 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 OPEN AIR MRI
PROVIDE OPEN AIR MRI0.51000
2 OF ACADIANA LLC
SERVICES TO RESIDENTS
3
OF ACADIA PARISH AND
4
SURROUNDING AREA
18 ADVANCED
PROVIDE CARDIAC0.300000.040000.36000
19 CARDIOLOGY
SCREENING SERVICES
20 CENTER LLC
TO RESIDENTS OF
21
ACADIA PARISH AND
22
SURROUNDING AREA
30 ALH HEALTH
PARTIAL OWNER OF1.00000
31 VENTURES LLC
CROWLEY CARDIAC
32
WELLNESS, LLC &
33
ADVANCED CARDIOLOGY
34
CENTER, LLC
35 CROWLEY CARDIAC
PROVIDE CARDIAC0.300000.040000.36000
36 WELLNESS LLC
SCREENING &
37
NUCLEAR MEDICINE
38
DIAGNOSTIC TESTING
39
TO RESIDENTS OF
40
ACADIA PARISH AND
41
SURROUNDING AREA
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1AMERICAN LEGION HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11305 CROWLEY-RAYNE HWYAddressLine1
CityCROWLEYCity
StateLAState
ZIP Code70526ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.ALH.ORGWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherINCLUDES OFFSITE PSYCHIATRIC CAMPUSOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1AMERICAN LEGION HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent100.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent200.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Other FactorsXOtherFactors
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities3NumberOfOtherFacilities

Other Facilities OtherFacilities (3 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
OPEN AIR MRI OF ACADIANA LLC
1305 CROWLEY-RAYNE HWY SUITE ACROWLEYLA70526PROVIDES OPEN AIR MRI SERVICES
ADVANCED CARDIOLOGY CENTER LLC
1113 EAST NORTHERN AVENUE SUITE BCROWLEYLA70526PROVIDES CARDIAC SCREENING SERVICES
CROWLEY CARDIAC WELLNESS LLC
1113 EAST NORTHERN AVENUE SUITE BCROWLEYLA70526PROVIDES CARDIAC SCREENING SERVICES & NUCLEAR MEDICINE DIAGNOSTIC TESTING

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanationIdentifierIdentifier
PART I, LINE 7: PERCENT OF TOTAL COMMUNITY BENEFIT EXPENSE TO TOTAL EXPENSE IS 24.19%. THE HOSPITAL USED TOTAL COMMUNITY BENEFIT EXPENSE (8,337,260) OVER TOTAL EXPENSES FROM PART IX ($34,463,647) TO COMPUTE THIS PERCENTAGE.
PART II: LINE 8 COMMUNITY BUILDING ACTIVITIES: OUR AREA FALLS INTO THE HEALTHCARE PHYSICIAN SHORTAGE AREA (HPSA); AS A RESULT, OUR HOSPITAL HAS TO RECRUIT PHYSICIANS TO OUR AREA TO ENSURE A FULL ARRAY OF PHYSICIAN SERVICES IS AVAILABLE FOR THE RESIDENTS OF OUR PARISH AND SURROUNDING AREAS. PHYSICIAN RECRUITMENT IN THE CURRENT YEAR AMOUNTED TO $141,196. WE ALSO OFFERED AN ONGOING INCENTIVE FOR OUR CURRENT NURSING STAFF FOR REIMBURSEMENT OF STUDENT LOANS; THIS INCENTIVE WAS MADE TO COMPETE WITH OTHER HOSPITALS IN THE AREA. THIS AMOUNTED TO $6,491 IN THE CURRENT YEAR. THE HOSPITAL STRIVES TO MAINTAIN A COMPETENT WORKFORCE TO PROVIDE HIGH QUALITY SERVICES TO OUR PATIENTS.PART III, LINE 2 AND 3:THE HOSPITAL USED THE SAME COSTING METHODOLOGY USED AND RECOMMENDED IN THE IRS WORKSHEET 2 FOR SCHEDULE H, RATIO OF PATIENT CARE COST TO CHARGES, FOR PART III, LINES 2 AND 3. FOR LINE 3, THE HOSPITAL ANALYZED ITS BAD DEBT POPULATION AND ITS CHARITY POPULATION. APPROXIMATELY SIXTY-NINE PERCENT OF OUR BAD DEBTS WERE UNINSURED. THUS, THE HOSPITAL ASSUMED THAT FIFTY PERCENT OF THOSE WOULD PROBABLY QUALIFY FOR CHARITY BUT FAILED TO PROVIDE THE APPROPRIATE DOCUMENTATION. FOR THE OTHER THIRTY-ONE PERCENT OF OUR BAD DEBT POPULATION IT WAS ASSUMED THAT A FOURTH OF THOSE WOULD QUALIFY BUT DID NOT PRESENT THE APPROPRIATE DOCUMENTATION. THE HOSPITAL DID NOT INCLUDE ANY BAD DEBTS IN OUR COMMUNITY BENEFIT CALCULATIONS.
PART III, LINE 4: FOOTNOTE IN FINANCIAL STATEMENTS FOR BAD DEBTS FROM NOTE 1 OF NOTES TO CONSOLIDATED FINANCIAL STATEMENTS:PATIENT ACCOUNTS RECEIVABLES ARE CARRIED AT THE ORIGINAL BILLED AMOUNT LESS DEDUCTIONS FOR CONTRACTUALS AND OTHER DISCOUNTS AS WELL AS AN ESTIMATE FOR UNCOLLECTIBLE ACCOUNTS BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS ON A MONTHLY BASIS. MANAGEMENT DETERMINES THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS AND BY USING HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS. PATIENT ACCOUNTS RECEIVABLES ARE WRITTEN-OFF WHEN DEEMED UNCOLLECTIBLE WHICH OCCURS AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS. RECOVERIES OF PATIENT ACCOUNTS RECEIVABLES PREVIOUSLY WRITTEN-OFF ARE RECORDED WHEN RECEIVED. THE HOSPITAL DOES NOT HAVE A POLICY OF CHARGING INTEREST ON PAST DUE BALANCES IN PATIENT ACCOUNTS RECEIVABLE.FROM NOTE 2 OF NOTES TO CONSOLIDATED FINANCIAL STATEMENTS.ACCOUNTS RECEIVABLE ARE ALSO REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLES AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN DISCOUNTED RATES AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE HOSPITAL'S ALLOWANCE FOR DOUBTFUL ACCOUNTS TOTALED $2,775 AND $2,831 AT DECEMBER 31, 2012 AND 2011, RESPECTIVELY. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS APPROXIMATELY 47% OF SELF-PAY ACCOUNTS RECEIVABLE AS OF DECEMBER 31, 2012 AND 2011. OVERALL, THE TOTAL OF SELF-PAY DISCOUNTS AND WRITE-OFFS HAS NOT CHANGED SIGNIFICANTLY FOR THE YEAR ENDED DECEMBER 31, 2012. THE HOSPITAL HAS NOT EXPERIENCED SIGNIFICANT CHANGE IN WRITE-OFF TRENDS EVEN THOUGH THE HOSPITAL HAS CHANGED ITS CHARITY CARE POLICY EFFECTIVE FOR 2011 TO COMPLY WITH THE AFFORDABLE CARE ACT AND INTERNAL REVENUE CODE SECTION 501(R)(5) WHICH LIMITS THE AMOUNTS CHARGED TO THOSE WHO QUALIFY FOR FINANCIAL ASSISTANCE TO THE BEST INSURANCE RATE OR MEDICARE RATE FOR SERVICE.
PART III, LINE 8: THE COSTING METHODOLOGY USED FOR LINE 6 IS THE STANDARD MEDICARE COST REPORT COSTING SYSTEM. THE AMOUNTS WERE RECAPPED FROM THE HOSPITAL'S FILED 2012 COST REPORT; THE CORRESPONDING REVENUE AMOUNTS WERE INCLUDED ON LINE 5. THE AMOUNTS REPORTED INCLUDE THOSE RELATED TO MEDICARE PART A INPATIENT SERVICES (BOTH ACUTE AND PSYCHIATRIC) AND MEDICARE PART B HOSPITAL-RELATED OUTPATIENT SERVICES; IT EXCLUDES THE MEDICARE HOSPITAL OUTPATIENT LABORATORY CHARGES WHICH WERE REIMBURSED ON A FEE SCHEDULE AND, THUS, NOT REQUIRED TO BE REPORTED ON THE COST REPORT. ADDITIONALLY, THESE AMOUNTS EXCLUDE THE REIMBURSEMENT AND COSTS ASSOCIATED WITH OUR ANESTHESIA HOSPITAL BASED PRACTICE AS WELL AS OUR PHYSICIAN OFFICE.
PART III, LINE 9B: THE HOSPITAL'S COLLECTION POLICY ADDRESSES THOSE WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. OUR HOSPITAL PRACTICE INCLUDES SENDING STATEMENTS WITH GRADUATED MESSAGES TO PATIENTS BEFORE THEY ARE WRITTEN OFF TO BAD DEBT; AT THIS TIME, THEY ARE INFORMED OF THE FINANCIAL ASSISTANCE PRACTICE AND ARE ENCOURAGED TO CONTACT THE HOSPITAL IF THEY FEEL THAT THEY WOULD QUALIFY. AT ANY TIME, ANY PATIENT MAY REQUEST A CHARITY CARE APPLICATION FORM.
PART V, SECTION B, LINE 12H: ALL PATIENTS, REGARDLESS OF FINANCIAL CLASS, ARE CHARGED THE SAME PRICE ACROSS THE BOARD. PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE HAVE THEIR CHARGES REDUCED TO THE MEDICARE REIMBURSABLE RATE.AMERICAN LEGION HOSPITAL
PART V, SECTION B, LINE 14G: THE HOSPITAL INCLUDES ON ALL INVOICE STATEMENTS A MESSAGE ABOUT THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. IT INFORMS PATIENTS TO CONTACT A CUSTOMER SERVICE REPRESENTATIVE TO REQUEST AN APPLICATION.AMERICAN LEGION HOSPITAL
PART V, SECTION B, LINE 18E: THE HOSPITAL NOTIFIES PATIENTS OF THE FINANCIAL ASSISTANCE POLICY ON ADMISSION AND IN COMMUNICATIONS WITH PATIENTS REGARDING THE PATIENTS' BILLS. THIS IS DONE BEFORE MAKING ANY REASONABLE COLLECTION EFFORTS.AMERICAN LEGION HOSPITAL
PART VI, LINE 2: NEEDS ASSESSMENTAMERICAN LEGION HOSPITAL (ALH) IS THE ONLY ACUTE CARE HOSPITAL IN ACADIA PARISH AND THE SURROUNDING AREA, AND IT MAINTAINS AN EMERGENCY ROOM OPEN TO ALL PEOPLE REQUIRING EMERGENCY CARE, WITHOUT REGARD OF ABILITY TO PAY. THE HOSPITAL MAINTAINS A BOARD OF DIRECTORS DRAWN FROM THE COMMUNITY, AND THEY ARE AWARE OF THE HEALTH NEEDS IN THE COMMUNITY. FOR THESE NEEDS IDENTIFIED BY THE BOARD AND MEDICAL STAFF, ALH USES SURPLUS RECEIPTS OVER DISBURSEMENTS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH PROGRAMS.
PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCETHE HOSPITAL COMPLIES WITH FEDERAL REQUIREMENTS OF NOTICES TO PATIENTS AS REQUIRED BY FEDERAL PROGRAMS, SUCH AS MEDICARE. IN THE ADMISSIONS PROCESS, THE HOSPITAL MAKES AVAILABLE SCREENING SERVICES ONSITE TO HELP INPATIENTS WHO QUALIFY FOR MEDICARE AND/OR MEDICAID ASSISTANCE APPLY FOR BENEFITS. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS INCLUDED IN THE HANDBOOK PROVIDED TO PATIENTS UPON ADMISSION. ADDITIONALLY, UPON ORIGINAL BILL FOR SERVICES, ALL PATIENTS WITHOUT INSURANCE ARE REMINDED OF THE CHARITY DISCOUNT WITH INFORMATION ON HOW TO APPLY. A PROMPT PAY DISCOUNT IS OFFERED TO ALL PATIENTS WITHOUT INSURANCE.
PART VI, LINE 4: COMMUNITY INFORMATIONTHE HOSPITAL SERVES THE RESIDENTS OF ACADIA PARISH AND THE SURROUNDING AREA. AS THE ONLY ACUTE HOSPITAL IN THE PARISH, THE HOSPITAL PROVIDES HEALTHCARE SERVICES TWENTY-FOUR HOURS A DAY. THE HOSPITAL STRIVES TO MAINTAIN A WELL CONDITIONED PLANT AND MODERN TECHNOLOGY TO BETTER SERVE THE CITIZENS OF OUR COMMUNITY; ADDITIONALLY, THE HOSPITAL STRIVES TO MAINTAIN A KNOWLEDGEABLE AND FRIENDLY STAFF TO PROVIDE PATIENT CARE TO THE RESIDENTS IN THE SURROUNDING AREA. ACADIA PARISH COVERS 655.12 SQUARE MILES IN SOUTHWEST LOUISIANA. THE ESTIMATED POPULATION FOR 2012 WAS AROUND 62,000 RESIDENTS. ACADIA PARISH'S POPULATION CONSISTS OF 13.1% OF PERSONS WHO ARE SIXTY-FIVE OR OLDER (SLIGHTLY HIGHER THAN THE STATE'S OVERALL PERCENTAGE OF 12.9%).ACCORDING TO THE 2009-2011 AMERICAN COMMUNITY SURVEY OF THE U.S. CENSUS BUREAU, THE MEDIAN HOUSEHOLD INCOME FOR ACADIA PARISH WAS $36,197. HOWEVER, FOR LOUISIANA IT WAS $43,484 AND FOR THE U.S. IT WAS $51,484. THIS SURVEY ALSO SHOWS THE PERCENT OF PEOPLE LIVING BELOW THE POVERTY LEVEL DURING 2009-2011 IN ACADIA PARISH TO BE 21.2%. HOWEVER, IN LOUISIANA IT WAS 18.7%, AND IN THE U.S. IT WAS 15.2%. THUS, ACADIA PARISH'S POPULATION IS POORER THAN THE REST OF LOUISIANA AND THE NATION.
PART VI, LINE 5: THE HOSPITAL MAINTAINS AN EMERGENCY ROOM OPEN TO ALL PEOPLE REQUIRING EMERGENCY CARE, WITHOUT REGARD OF ABILITY TO PAY. THE HOSPITAL PROVIDES CARE FOR ALL PERSONS IN THE COMMUNITY OTHERWISE ABLE TO PAY THE COST MEDICAL SERVICES EITHER DIRECTLY OR THROUGH THIRD PARTY REIMBURSEMENT. THE HOSPITAL MAINTAINS A BOARD OF DIRECTORS DRAWN FROM THE LOCAL COMMUNITY AND USES SURPLUS RECEIPTS OVER DISBURSEMENTS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH PROGRAMS. ADDITIONALLY, THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF.BY MAINTAINING AN OPEN MEDICAL STAFF, THE HOSPITAL CAN OFFER A VARIETY OF SPECIALISTS TO AN OTHERWISE RURAL PARISH, THEREBY INCREASING AVAILABLE RESOURCES FOR THE BEST PATIENT CARE. THE HOSPITAL ALSO MAINTAINS A BOARD OF DIRECTORS COMPRISED OF MEMBERS FROM THE COMMUNITY; BY INCORPORATING MEMBERS OF THE COMMUNITY, THE BOARD CAN ENSURE THE LONG-TERM VIABILITY OF THE HOSPITAL TO BE ABLE TO CONTINUE TO SERVE THE COMMUNITY FOR GENERATIONS TO COME. THE HOSPITAL DILIGENTLY STRIVES TO MAINTAIN A SURPLUS OF REVENUE OVER EXPENSES TO CONTINUE TO UPDATE THE HOSPITAL'S PLANT AND EQUIPMENT WITH THE RAPID CHANGING TECHNOLOGY IN TODAY'S MEDICAL WORLD TO BETTER MEET THE CHANGING NEEDS OF OUR COMMUNITY. IN THE CURRENT YEAR THE HOSPITAL HAD A CAPITAL OUTLAY OF OVER $1,400,000, MOSTLY CLINICAL PURCHASES.THE HOSPITAL IS THE SECOND LARGEST EMPLOYER IN THE PARISH, SECOND TO ONLY THE LOCAL SCHOOL BOARD. THE HOSPITAL IS A LARGE GENERATOR OF SALES TAX TO THE PARISH AS WELL. THE HOSPITAL CONTRIBUTED ALMOST $2,400,000 TO THE LOCAL ECONOMY IN ANNUAL EXPENDITURES, EXCLUDING PAYROLL. AS A RESULT, THE HOSPITAL'S PRESENCE SERVES AS A LARGE ECONOMIC FORCE IN OUR LOCAL COMMUNITY; TO ENSURE THAT WE CAN CONTINUE TO SERVE THE RESIDENTS OF OUR COMMUNITY, WE MUST CONTINUE TO MONITOR THE CURRENT CONDITIONS OF OUR WORKFORCE AND THE AVAILABILITY OF PHYSICIANS IN OUR AREA. THE HOSPITAL RECRUITS PHYSICIANS, INCLUDING SPECIALISTS, TO OUR AREA TO ENSURE THAT WE CAN CONTINUE TO BE THE HEALTHCARE PROVIDER OF THE FUTURE AS WELL. THE HOSPITAL ALSO JOINS FORCES WITH OTHER LOCAL ORGANIZATIONS AND COMPANIES TO PROVIDE HEALTHCARE SCREENINGS AT LOCAL EVENTS AS WELL AS PROVIDE INFORMATION TO PROMOTE A HEALTHIER, SAFER COMMUNITY.
PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEMTHE HOSPITAL IS NOT AFFILIATED WITH ANY OTHER HEALTH CARE SYSTEM.PART VI LINE 7 COMMUNITY BENEFIT REPORTCURRENTLY, LOUISIANA DOES NOT REQUIRE THE HOSPITAL TO ISSUE A COMMUNITY BENEFIT REPORT; HOWEVER, THE LOCAL NEWSPAPER DOES ON OCCASION RUN AN ARTICLE ON THE HOSPITAL WHERE THE HOSPITAL DOES MAKE THE PUBLIC AWARE OF THE HUGE ECONOMIC IMPACT IT HAS ON THE LOCAL ECONOMY, BOTH AS AN EMPLOYER AS WELL AS A PURCHASER OF SUPPLIES WHICH GENERATES SALES TAXES FOR THE LOCAL ECONOMY.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
TERRY OSBORNE
CEO221877050018058000105080250493000
CHARMAINE VIDRINE
CFO1617720500811000108750173508000
SATINDER SAINI MD
INTERNAL MEDICINE DOCTOR176218000229300071980185709000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 3THE PROCESS FOR DETERMINING COMPENSATION OF THE HOSPITAL'S CEO IS BASED ON SURVEY DATA OF HOSPITALS SIMILAR TO AMERICAN LEGION HOSPITAL IN RESPECT TO REVENUES, BEDS, REGION AND FTES. ALL CONTRACTUAL CHANGES, INCLUDING INCREASES IN SALARY OF THE HOSPITAL'S CEO, ARE REVIEWED BY THE HOSPITAL'S AUDIT AND OVERSIGHT COMMITTEE. A RECOMMENDATION IS MADE FROM THE AUDIT AND OVERSIGHT COMMITTEE TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS APPROVES ALL CONTRACT CHANGES, INCLUDING INCREASES IN SALARY. THE HOSPITAL'S AUDIT & OVERSIGHT COMMITTEE ALSO EVALUATES THE CEO'S PERFORMANCE ANNUALLY.
PART I, LINE 6THE HOSPITAL EMPLOYED ONE PHYSICIAN; THE CONTRACT STATES THAT HIS COMPENSATION SHALL CONSIST OF THE NET RECEIPTS OF HIS OFFICE PRACTICE LESS EXPENSES ASSOCIATED WITH RUNNING SUCH PRACTICE, INCLUDING PRACTICE-RELATED BAD DEBTS. THUS, HIS BASE COMPENSATION EQUALS HIS PRACTICE'S NET EARNINGS. HIS COMPENSATION IS NOT BASED ON ANY EARNINGS OF THE HOSPITAL AS A WHOLE.
PART I, LINE 7IN 2012, THE HOSPITAL BOARD APPROVED TO GIVE $50 TO EACH BENEFITED FULL-TIME EMPLOYEE AS OF DECEMBER 4, 2012. THUS, THE HOSPITAL'S EMPLOYEES LISTED IN PART II WHICH WERE EMPLOYED AS OF SUCH DATE RECEIVED THIS $50 PAYMENT.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)

RelationshipRelationshipDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenuesAmount Of TransactionAmountOfTransaction
MICHAEL MCBRIDE
SEE PART VSEE PART V0
(no name)
0
(no name)
0
STEPHEN STEFANSKI
SEE PART VSEE PART V0116125
(no name)
0
P DALE LELEUX JR MD
SEE PART VSEE PART V031704

Form990 Schedule L Part V Form990ScheduleLPartV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990, SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSNAME OF PERSON: STEPHEN STEFANSKI(A) NAME OF PERSON: STEPHEN STEFANSKI(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER OF AMERICAN LEGION HOSPITAL (ALH) AND FATHER OF INSURANCE AGENT, STEPHEN STEFANSKI, JR., OF LOCAL INSURANCE COMPANY.(C) AMOUNT OF TRANSACTION: $0(D) DESCRIPTION OF TRANSACTION: THE HOSPITAL PAID $168,975 FOR WORKERS COMPENSATION INSURANCE AND $124,662 FOR PROPERTY INSURANCE. THE COST OF THE INSURANCE POLICIES WAS THE LOWEST PROPOSAL RECEIVED FROM THE VARIOUS INSURANCE COMPANIES; THE BOARD DECIDED ON THESE PARTICULAR POLICIES. THE BOARD MEMBER AT ISSUE (FATHER) HAS REFRAINED FROM VOTING ON ANY RELATED ISSUES. NEITHER FATHER NOR SON WAS COMPENSATED BY THE HOSPITAL, AND THE SON IS NOT AN OWNER OF THE LOCAL INSURANCE COMPANY.
FORM 990, SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSNAME OF PERSON: STEPHEN STEFANSKI(A) NAME OF PERSON: STEPHEN STEFANSKI(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER OF AMERICAN LEGION HOSPITAL (ALH) AND FATHER OF PARTIAL OWNER OF SECURITY COMPANY, BRETT STEFANSKI(C) AMOUNT OF TRANSACTION: $116,125(D) DESCRIPTION OF TRANSACTION: DURING 2012, THE HOSPITAL PAID $116,125 TO A LOCAL SECURITY COMPANY OF WHICH IS PARTIALLY OWNED BY THE BOARD MEMBER'S SON. THE HOSPITAL HAS USED THE PARTICULAR SECURITY COMPANY FOR YEARS PRIOR TO HIS ACQUISITION. THE BOARD MEMBER HAS NOT VOTED ON ANY RELATED MATTER FOR THE SECURITY COMPANY SINCE THE BOARD MEMBER'S SON'S ACQUISITION.
FORM 990, SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSNAME OF PERSON: MICHAEL MCBRIDE(A) NAME OF PERSON: MICHAEL MCBRIDE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER OF AMERICAN LEGION HOSPITAL (ALH) AND REGIONAL PRESIDENT OF EVANGELINE BANK AND TRUST COMPANY(C) AMOUNT OF TRANSACTION : $0(D) DESCRIPTION OF TRANSACTION: AMERICAN LEGION HOSPITAL UTILIZES THE BANKING AND INVESTMENT MANAGEMENT SERVICES PROVIDED BY EVANGELINE BANK. IN 2012, THE HOSPITAL ALSO HAD AN OUTSTANDING LOAN FROM THIS PARTICULAR FINANCIAL INSTITUTION. MR. MCBRIDE IS NOT COMPENSATED BY AMERICAN LEGION HOSPITAL. THIS ARRANGEMENT WAS REVIEWED AND APPROVED BY THE BOARD OF AMERICAN LEGION HOSPITAL. THE SERVICES PROVIDED BY EVANGELINE BANK ARE COMPARABLE TO SERVICES AVAILABLE AT OTHER LOCAL FINANCIAL INSTITUTIONS. THE BOARD MEMBER REFRAINS FROM VOTING ON ANY RELATED BANKING ISSUES.
FORM 990, SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSNAME OF PERSON: P. DALE LELEUX, JR. MD(A) NAME OF PERSON: P. DALE LELEUX, JR. MD(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER OF AMERICAN LEGION HOSPITAL (ALH) AND PREVIOUSLY RECRUITED PHYSICIAN(C) AMOUNT OF TRANSACTION: $31,704(D) DESCRIPTION OF TRANSACTION: IN 2006, DR LELEUX WAS RECRUITED TO WORK AT AMERICAN LEGION HOSPITAL IN CROWLEY, LA, WHICH IS AN AREA THAT QUALIFIES AS A HEALTH PROFESSIONAL SHORTAGE AREA. TO ENTICE HIM TO THIS AREA, HE WAS OFFERED A PHYSICIAN RECRUITMENT PACKAGE. THE PURPOSE OF THIS WAS TO ASSIST HIM WITH THE START UP OF HIS PRACTICE. HIS RECRUITING PACKAGE INCLUDED MONTHLY STIPENDS TO REPAY HIS MEDICAL EDUCATION STUDENT LOANS. IN 2012, HE RECEIVED A TOTAL OF $31,704. THESE PAYMENTS ARE SCHEDULED TO END IN 2013. THIS PHYSICIAN RECRUITMENT PACKAGE WAS IN EFFECT BEFORE DR LELEUX BECAME A BOARD MEMBER OF ALH IN 2011, AND HE CONTINUES TO TIMELY FULFILL HIS COMMITMENT ACCORDING TO THE TERMS OF THE AGREEMENT.
FORM 990, SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSNAME OF PERSON: P. DALE LELEUX, JR. MD(A) NAME OF PERSON: P. DALE LELEUX, JR. MD(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER OF AMERICAN LEGION HOSPITAL AND PARTIAL OWNER OF JOINT VENTURES.(C) AMOUNT OF TRANSACTION: $0(D) DESCRIPTION OF TRANSACTION: IN 2011, THE HOSPITAL FORMED A 100% OWNED SUBSIDIARY NAMED ALH HEALTH VENTURES, LLC. IN 2011, THE PHYSICIAN/BOARD MEMBER BECAME A PARTIAL OWNER OF LOUISIANA CARDIAC WELLNESS, LLC. BOTH OF THESE ENTITIES ARE MEMBERS OF CROWLEY CARDIAC WELLNESS, LLC. IN 2012, ALH HEALTH VENTURES, LLC AND LOUISIANA CARDIAC WELLNESS ALONG WITH ANOTHER PARTY FORMED ACADIANA CARDIOLOGY CENTER, LLC. THE BOARD MEMBER ABSTAINS FROM VOTING ON ANY RELATED MATTERS. MANAGEMENT AND PROFIT/ LOSS SHARING PERCENTAGES FOLLOW THE POLICIES AND PROCEDURES OUTLINED IN THE OPERATING AGREEMENT.
FORM 990, SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSNAME OF PERSON: P. DALE LELEUX, JR. MD(A) NAME OF PERSON: P. DALE LELEUX, JR. MD(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER OF AMERICAN LEGION HOSPITAL (ALH) AND INDEPENDENT CONTRACTOR OF EMERGENCY ROOM PHYSICIAN GROUP.(C) AMOUNT OF TRANSACTION: $0(D) DESCRIPTION OF TRANSACTION: THE PHYSICIAN/BOARD MEMBER WORKS FOR EMERGENCY ROOM (ER) PHYSICIAN GROUPS OCCASIONALLY IN ADDITION TO HIS FULL TIME PRACTICE. THE HOSPITAL CONTRACTED WITH C&M MEDICAL SERVICES (PAYMENTS OF $567,956) WITH WHOM THE PHYSICIAN/ BOARD MEMBER PERFORMED SERVICES FOR THE ER PHYSICIAN GROUP. THIS CONTRACT ENDED ON 10/29/12. THE PHYSICIAN/BOARD MEMBER ABSTAINED FROM VOTING REGARDING THE ER CONTRACTS. THE BOARD MEMBER DOES NOT HAVE ANY OWNERSHIP IN THE ER PHYSICIAN GROUP BUT WAS COMPENSATED FOR HIS SERVICES AS A PHYSICIAN BY THE ER PHYSICIAN GROUP. HOWEVER, HE DID NOT RECEIVE ANY COMPENSATION FROM THE ER PHYSICIAN GROUPS FOR BEING A BOARD MEMBER OF THE HOSPITAL.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6AMERICAN LEGION HOSPITAL IS A NOT-FOR-PROFIT ORGANIZATION. MEMBERS OF THE AMERICAN LEGION POST # 15 ARE AUTOMATICALLY MEMBERS OF THE AMERICAN LEGION HOSPITAL CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS OF THE AMERICAN LEGION HOSPITAL CORPORATION ELECT THE BOARD OF DIRECTORS OF THE HOSPITAL.
FORM 990, PART VI, SECTION B, LINE 11THE FULL COPY WAS PRESENTED TO THE BOARD OF DIRECTORS. THE FORM AND ITS CONTENTS WERE DISCUSSED WITH THE BOARD BY THE HOSPITAL'S CEO AND CFO BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE TRANSACTIONS ARE ALL ENTERED INTO AT FAIR MARKET VALUE WITH THE CORRESPONDING BOARD MEMBERS ABSTAINING FROM VOTING ON ITEMS FOR WHICH A CONFLICT OF INTEREST EXISTS. THE HOSPITAL'S ADMINISTRATION REVIEWS ALL TRANSACTIONS TO EVALUATE WHETHER CONFLICTS OF INTEREST EXIST AND TAKES APPROPRIATE ACTION WHEN NECESSARY.
FORM 990, PART VI, SECTION B, LINE 15THE PROCESS FOR DETERMINING COMPENSATION OF THE HOSPITAL'S CEO IS BASED ON SURVEY DATA OF HOSPITALS SIMILAR TO AMERICAN LEGION HOSPITAL IN RESPECT TO REVENUES, BEDS, REGION AND FTES. ALL CONTRACTUAL CHANGES, INCLUDING INCREASES IN SALARY OF THE HOSPITAL'S CEO, ARE REVIEWED BY THE HOSPITAL'S AUDIT & OVERSIGHT COMMITTEE. A RECOMMENDATION IS MADE FROM THE AUDIT & OVERSIGHT COMMITTEE TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS APPROVES ALL CONTRACT CHANGES, INCLUDING INCREASES IN SALARY. THE HOSPITAL'S AUDIT & OVERSIGHT COMMITTEE ALSO EVALUATES THE CEO'S PERFORMANCE ANNUALLY. LINE 15B: THE PROCESS FOR DETERMINING COMPENSATION OF THE HOSPITAL'S CFO IS BASED ON SURVEY DATA OF HOSPITALS SIMILAR TO AMERICAN LEGION HOSPITAL IN RESPECT TO REVENUES, BEDS, REGION AND FTES. ALL CONTRACT CHANGES, INCLUDING INCREASES IN SALARY OF THE HOSPITAL'S CFO, ARE INITIATED BY THE CEO AND REVIEWED BY THE HOSPITAL'S AUDIT & OVERSIGHT COMMITTEE. A RECOMMENDATION IS MADE FROM THE AUDIT & OVERSIGHT COMMITTEE TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS APPROVES ALL CONTRACT CHANGES, INCLUDING INCREASES IN SALARY. THE HOSPITAL'S CEO ALSO EVALUATES THE CFO'S PERFORMANCE ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19THE HOSPITAL WILL MAKE AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO ANYONE WHO REQUESTS SUCH WITHIN THE TERMS OF THE LAW.
FORM 990, PART IX, LINE 11G:PHYSICIANS AND OTHER ALLIED HEALTH CARE PROVIDERS----2,545,962.38 MEDICAL SERVICES (PATIENT CARE)---1,804,891.08 OTHER SERVICES---894,315.32 TOTAL---5,245,168.78THIS LINE INCLUDES ALL OTHER CONTRACT SERVICES AS DESCRIBED BELOW:
OTHER CHANGES IN NET ASSETS INCLUDE CURRENT YEAR ACTIVITY WITH JOINT VENTURES, INCLUDING DISTRIBUTIONS RECEIVED FROM JOINT VENTURES.FORM 990, PART XI, LINE 9

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1ALH HEALTH VENTURES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11113 EAST NORTHERN AVENUEAddressLine1
CityCROWLEYCity
StateLAState
ZIP Code70526ZIPCode
FieldValueIRS element (for citing)
EIN352409152EIN
Primary ActivitiesPROV CARDIAC HLTH SCREENSPrimaryActivities
Legal Domicile StateLALegalDomicileState
Total Income31020TotalIncome
EOY Assets81871EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ALHBusinessNameLine1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1OPEN AIR MRI OF ACADIANA LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 2207AddressLine1
CityLAKE CHARLESCity
StateLAState
ZIP Code706022207ZIPCode
FieldValueIRS element (for citing)
EIN721510626EIN
Primary ActivityOPEN AIR MRI SERVICESPrimaryActivity
Legal Domicile StateLALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1AMERICAN LEGION HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATED HEALTHCAREPredominantIncomeType
Share Of Total Income91251ShareOfTotalIncome
Share Of EOY Assets50730ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0.51000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
PROFESSIONAL ARTS CENTER INC
PO BOX 852CROWLEYLA705270852720701822RENTAL OF MEDICAL OFFICESLAN/AC318791080520.670001
CROWLEY PROFESSIONAL MED CORP
1305 CROWLEY-RAYNE HWYCROWLEYLA70526721142948MAINTAIN MEDICAL OFFICE SPACELAN/AC4830214720.483000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization1DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
OPEN AIR MRI OF ACADIANA LLC
A32400CASH
OPEN AIR MRI OF ACADIANA LLC
F116359CASH

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
Return ReferenceFORM 990, SCHEDULE R, PART V, LINE 1A:ReturnReference
ExplanationTHE RENTAL TO OPEN AIR MRI OF ACADIANA, LLC IS SUBSTANTIALLY RELATED TO AMERICAN LEGION HOSPITAL'S EXEMPT PURPOSE OF PROVIDING MEDICAL CARE. IN ADDITION, THE RENTAL PAYMENTS (WHICH WERE ALSO QUALIFYING SPECIFIED PAYMENTS (SECTION 512(B)(13)(E)) RECEIVED FROM OPEN AIR MRI OF ACADIANA, LLC AND REPORTED ON SCHEDULE R, PART V, LINE 2) DID NOT EXCEED THE FAIR MARKET VALUE FOR THE PROPERTY BEING RENTED. AMERICAN LEGION HOSPITAL DOES NOT HAVE ANY UNRELATED TRADE OR BUSINESS INCOME TO REPORT ON FORM 990-T.Explanation