2013-11-04T09:32:36-06:00 2012-12-31 721088864 LAPORTE APAC 111 VETERANS MEMORIAL BLVD SUITE 600 METAIRIE LA 700054958 990 2012-01-01 720417281 AMERICAN LEGION HOSPITAL AMER 3377833222 1305 CROWLEY-RAYNE HWY CROWLEY LA 70526 CHARMAINE VIDRINE 3377886406 2013-11-01 1 BONNIE M WYLLIE JD LLM P00540011 5048355522 2012 2016-03-07 17:11:31Z TERRY OSBORNE 1305 CROWLEY-RAYNE HWY CROWLEY LA 70526 32708478 0 X WWW.ALH.ORG X 1951 LA PROVIDES INPATIENT, OUTPATIENT, EMERGENCY, AND CHARITY HEALTHCARE SERVICES FOR RESIDENTS OF ACADIA PARISH AND THE SURROUNDING AREA. 6 3 541 46 0 0 29346 46605 31248575 31991175 358654 219900 196942 343154 31833517 32600834 0 0 0 0 16963392 16601597 0 0 0 16442616 17862050 33406008 34463647 -1572491 -1862813 35855406 34670037 7473804 8198638 28381602 26471399 X THE 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. 0 0 29525606 32112666 THE 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. THE 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. 29525606 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 1 1 1 0 0 0 0 1 1 1 1 0 0 1 57 0 1 541 1 0 0 0 0 0 0 0 0 0 0 X 6 3 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X JACKIE VALDETERO 3377886404 1305 CROWLEY-RAYNE HWY CROWLEY LA 70526 J ANDRUS BAROUSSE 0.50 X 0 0 0 BC DELAHOUSSAYE MD 0.50 X 0 0 0 MICHAEL MCBRIDE 0.50 X 0 0 0 RALPH COWEN 0.50 X 0 0 0 LAWRENCE HABETZ 0.50 X 0 0 0 STEPHEN STEFANSKI 0.50 X 0 0 0 P DALE LELEUX JR MD 0.50 X 0 0 0 TERRY OSBORNE 40.00 X 239985 0 10508 CHARMAINE VIDRINE 40.00 X 162633 0 10875 SATINDER SAINI MD 40.00 X 178511 0 7198 JAMES ROTEFF 40.00 X 124950 0 10900 GLENN DAILEY 40.00 X 105832 0 10875 J CRAIG BRIGNAC 40.00 X 102444 0 10874 HOPE ROSINSKI 40.00 X 101811 0 9956 1016166 0 71186 8 0 1 0 PROFESSIONAL ANESTHESIA SERVICES OF SWLA 1309 HILLCROFT DR LAKE CHARLES LA 70605 ANESTHESIA SERVICES 1189500 C&M MEDICAL SERVICES 3223 8TH STREET SUITE 300 METAIRIE LA 70002 ER PHYSICIAN SERVICES 567956 ARSHAVIR MICHAEL APMC PO BOX 2403 CROWLEY LA 70527 ANESTHESIA SERVICES 470000 GE HEALTHCARE PO BOX 843553 DALLAS TX 752843553 BIOMED SERVICES 400322 ACADIANA WOUNDCARE AND HYPERBARICS 1325 WRIGHT AVE STEC CROWLEY LA 70526 CONTRACT WC/HYPERBARIC 328784 20 12161 34444 46605 PATIENT SERVICES 621990 31991175 31991175 31991175 220680 220680 148991 103523 45468 45468 45468 3341 4121 -780 -780 -780 CAFETERIA REVENUE 722210 163993 163993 JOINT VENTURE-OPEN AIR MRI 621400 91251 91251 JOINT VENTURE-C. CARDIAC WELLNESS 621400 31020 31020 11422 11422 297686 32600834 32112666 0 441563 X 416350 416350 14311766 12348045 1963721 744526 625402 119124 1128955 948322 180633 377136 377136 64881 64881 5245169 4854576 390593 27773 27773 708856 472929 235927 346213 290819 55394 711377 561151 150226 15662 6793 8869 11391 3664 7727 207374 206833 541 3215725 2476108 739617 312543 289617 22926 PATIENT SUPPLIES/DRUGS 5365531 5263700 101831 REPAIRS AND MAINTENANCE 1021383 951691 69692 PHYSICIAN RECRUITMENT 141196 141196 0 COLLECTION EXPENSES 84760 84760 0 5080 5080 34463647 29525606 4938041 0 1825 1825 2521232 3723623 6735053 7607206 1300187 1311585 875191 748976 35891985 24216972 13658473 11675013 1022974 477566 398212 389124 205159 133414 9137100 8601705 35855406 34670037 2715043 2787032 4758761 5265992 0 145614 7473804 8198638 X 28108455 26197882 273147 273517 28381602 26471399 35855406 34670037 X -1862813 83969 -131359 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 82773 540653 623426 1183113 11627709 9117062 3693760 41567 21780480 14538642 7283405 62878 572812 561268 74422 11675013 RESTRICTED CASH AND INVESTMENTS 5585325 DEPOSITS FOR HEALTH INSURANCE ADMINISTRATOR 2428281 TRUST INVESTMENT 273517 COST REPORT SETTLEMENT RECEIVABLE 314582 8601705 COST REPORT SETTLEMENT PAYABLE 145614 145614 X 33212759 747032 747032 32465727 135107 135107 32600834 35127241 560071 560071 34567170 -103523 -103523 34463647 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) 1 1 X 1 X 1 X 1 0 0 132555 132555 0.00380 8200431 6185186 2015245 0.05850 8332986 6185186 2147800 0.06230 1394 1394 0.00000 2880 2880 0.00010 4274 4274 0.00010 8337260 6185186 2152074 0.06240 147687 147687 0.00430 147687 147687 0.00430 0 1883717 795870 15703328 13922544 1780784 X 1 1 1 OPEN AIR MRI PROVIDE OPEN AIR MRI 0.51000 2 OF ACADIANA LLC SERVICES TO RESIDENTS 3 OF ACADIA PARISH AND 4 SURROUNDING AREA 18 ADVANCED PROVIDE CARDIAC 0.30000 0.04000 0.36000 19 CARDIOLOGY SCREENING SERVICES 20 CENTER LLC TO RESIDENTS OF 21 ACADIA PARISH AND 22 SURROUNDING AREA 30 ALH HEALTH PARTIAL OWNER OF 1.00000 31 VENTURES LLC CROWLEY CARDIAC 32 WELLNESS, LLC & 33 ADVANCED CARDIOLOGY 34 CENTER, LLC 35 CROWLEY CARDIAC PROVIDE CARDIAC 0.30000 0.04000 0.36000 36 WELLNESS LLC SCREENING & 37 NUCLEAR MEDICINE 38 DIAGNOSTIC TESTING 39 TO RESIDENTS OF 40 ACADIA PARISH AND 41 SURROUNDING AREA 1 1 AMERICAN LEGION HOSPITAL

1305 CROWLEY-RAYNE HWY CROWLEY LA 70526

WWW.ALH.ORG X X X INCLUDES OFFSITE PSYCHIATRIC CAMPUS AMERICAN LEGION HOSPITAL 1 1 1 100.000000000000 1 200.000000000000 1 X 1 1 X X X 1 0 X 1 X 0 0 3 OPEN AIR MRI OF ACADIANA LLC

1305 CROWLEY-RAYNE HWY SUITE A CROWLEY LA 70526

PROVIDES OPEN AIR MRI SERVICES ADVANCED CARDIOLOGY CENTER LLC

1113 EAST NORTHERN AVENUE SUITE B CROWLEY LA 70526

PROVIDES CARDIAC SCREENING SERVICES CROWLEY CARDIAC WELLNESS LLC

1113 EAST NORTHERN AVENUE SUITE B CROWLEY LA 70526

PROVIDES CARDIAC SCREENING SERVICES & NUCLEAR MEDICINE DIAGNOSTIC TESTING 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. AMERICAN LEGION HOSPITAL 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. 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. X X X 0 0 0 0 0 1 0 1 0 TERRY OSBORNE 221877 0 50 0 18058 0 0 0 10508 0 250493 0 0 0 CHARMAINE VIDRINE 161772 0 50 0 811 0 0 0 10875 0 173508 0 0 0 SATINDER SAINI MD 176218 0 0 0 2293 0 0 0 7198 0 185709 0 0 0 PART I, LINE 3 THE 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 6 THE 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 7 IN 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. MICHAEL MCBRIDE SEE PART V SEE PART V 0 0 0 STEPHEN STEFANSKI SEE PART V 116125 SEE PART V 0 0 P DALE LELEUX JR MD SEE PART V 31704 SEE PART V 0 FORM 990, SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS NAME 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 PERSONS NAME 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 PERSONS NAME 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 PERSONS NAME 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 PERSONS NAME 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 PERSONS NAME 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. FORM 990, PART VI, SECTION A, LINE 6 AMERICAN 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 7A THE MEMBERS OF THE AMERICAN LEGION HOSPITAL CORPORATION ELECT THE BOARD OF DIRECTORS OF THE HOSPITAL. FORM 990, PART VI, SECTION B, LINE 11 THE 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 12C THE 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 15 THE 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 19 THE 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. THIS LINE INCLUDES ALL OTHER CONTRACT SERVICES AS DESCRIBED BELOW: 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---5,245,168.78 FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS INCLUDE CURRENT YEAR ACTIVITY WITH JOINT VENTURES, INCLUDING DISTRIBUTIONS RECEIVED FROM JOINT VENTURES. ALH HEALTH VENTURES LLC 1113 EAST NORTHERN AVENUE CROWLEY LA 70526 352409152 PROV CARDIAC HLTH SCREENS LA 31020 81871 ALH OPEN AIR MRI OF ACADIANA LLC PO BOX 2207 LAKE CHARLES LA 706022207 721510626 OPEN AIR MRI SERVICES LA AMERICAN LEGION HOSPITAL RELATED HEALTHCARE 91251 50730 0 0 0.51000 PROFESSIONAL ARTS CENTER INC PO BOX 852 CROWLEY LA 705270852 720701822 RENTAL OF MEDICAL OFFICES LA N/A C 31879 108052 0.67000 1 CROWLEY PROFESSIONAL MED CORP 1305 CROWLEY-RAYNE HWY CROWLEY LA 70526 721142948 MAINTAIN MEDICAL OFFICE SPACE LA N/A C 4830 21472 0.48300 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 1 0 OPEN AIR MRI OF ACADIANA LLC A 32400 CASH OPEN AIR MRI OF ACADIANA LLC F 116359 CASH FORM 990, SCHEDULE R, PART V, LINE 1A: THE 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.