AMERICAN LEGION HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- AMERICAN LEGION HOSPITAL (EIN 72-0417281)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-14
- IRS object ID
- 201203199349305400
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-14T15:06:01-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 721088864 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LAPORTE APAC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 VETERANS MEMORIAL BLVD SUITE 60 | AddressLine1 |
| City | METAIRIE | City |
| State | LA | State |
| ZIP Code | 700054958 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 720417281 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICAN LEGION HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | AMER | NameControl |
| Phone | 3377833222 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1305 CROWLEY-RAYNE HWY | AddressLine1 |
| City | CROWLEY | City |
| State | LA | State |
| ZIP Code | 70526 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHARMAINE VIDRINE | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 3377886406 | Phone |
| Date Signed | 2012-11-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BONNIE M WYLLIE JD LLM | Name |
| PTIN | P00540011 | PTIN |
| Phone | 5048355522 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | TERRY OSBORNE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1305 CROWLEY-RAYNE HWY | AddressLine1 |
| City | CROWLEY | City |
| State | LA | State |
| ZIP Code | 70526 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 32109227 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.ALH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1951 | YearFormation |
| State Legal Domicile | LA | StateLegalDomicile |
| Activity Or Mission Description | PROVIDES INPATIENT, OUTPATIENT, EMERGENCY, AND CHARITY HEALTHCARE SERVICES FOR RESIDENTS OF ACADIA PARISH AND THE SURROUNDING AREA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 549 | TotalNbrEmployees |
| Total Nbr Volunteers | 48 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 26442 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 29346 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 34039503 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 31248575 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 339091 | InvestmentIncomePriorYear |
| Investment Income Current Year | 358654 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 197585 | OtherRevenuePriorYear |
| Other Revenue Current Year | 196942 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 34602621 | TotalRevenuePriorYear |
| Total Revenue Current Year | 31833517 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 17806258 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 16963392 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 18345991 | OtherExpensePriorYear |
| Other Expenses Current Year | 16442616 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 36152249 | TotalExpensesPriorYear |
| Total Expenses Current Year | 33406008 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1549628 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1572491 | RevenuesLessExpensesCY |
| Total Assets BOY | 36764277 | TotalAssetsBOY |
| Total Assets EOY | 35855406 | TotalAssetsEOY |
| Total Liabilities BOY | 6867390 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7473804 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 29896887 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 28381602 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 28872575 | Expense |
| Revenue | 31331194 | Revenue |
| Description | THE HOSPITAL PROVIDES INPATIENT, OUTPATIENT, AND EMERGENCY CARE SERVICES FOR RESIDENTS OF ACADIA PARISH AND THE SURROUNDING AREA. TOTAL HOSPITAL (ACUTE & ICU) PATIENT DAYS TOTALLED 12,929; AVERAGE LENGTH OF STAY WAS 3.82 DAYS; TOTAL PSYCHIATRIC DAYS TOTALLED 7,718; AVERAGE LENGTH OF STAY WAS 12.31 DAYS. OUTPATIENT REGISTRATIONS TOTALLED 38,566 FOR THE YEAR. CARE PROVIDED TO MEDICARE AND MEDICAID BENEFICIARIES TOTALLED 45% AND 25%, RESPECTIVELY, OF TOTAL GROSS REVENUE. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | THE HOSPITAL PARTICIPATED IN SEVERAL HEALTHCARE CAREER PROGRAMS WITH LOCAL SCHOOLS AND ORGANIZATIONS. THE HOSPITAL PARTICIPATED IN A LOCAL EVENT WHEREBY HEALTH INFORMATION WAS DISCUSSED. THE HOSPITAL SPONSORED TWENTY-THREE BIWEEKLY COMMUNITY BLOOD DRIVES AND ONE EMPLOYEE BLOOD DRIVE WITH A TOTAL OF 321 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 123 VISITS, WITH 90 PATIENTS 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 28872575 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 50 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 549 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JACKIE VALDETERO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3377886404 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1305 CROWLEY-RAYNE HWY | AddressLine1 |
| City | CROWLEY | City |
| State | LA | State |
| ZIP Code | 70526 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| J ANDRUS BAROUSSE | |||||||
| BOARD OF DIRECTORS, CHAIRM | 0.50 | X | 0 | 0 | 0 | ||
| BC DELAHOUSSAYE MD | |||||||
| BOARD OF DIRECTORS, VICE-C | 0.50 | X | 0 | 0 | 0 | ||
| MICHAEL MCBRIDE | |||||||
| BD OF DIRECTORS, SECR/TR | 0.50 | X | 0 | 0 | 0 | ||
| RALPH COWEN | |||||||
| BOARD OF DIRECTORS | 0.50 | X | 0 | 0 | 0 | ||
| LAWRENCE HABETZ | |||||||
| BOARD OF DIRECTORS | 0.50 | X | 0 | 0 | 0 | ||
| STEPHEN STEFANSKI | |||||||
| BOARD OF DIRECTORS | 0.50 | X | 0 | 0 | 0 | ||
| P DALE LELEUX JR MD | |||||||
| BOARD OF DIRECTORS | 0.50 | X | 0 | 0 | 0 | ||
| TERRY OSBORNE | |||||||
| CEO | 40.00 | 232780 | 0 | 10165 | X | ||
| CHARMAINE VIDRINE | |||||||
| CFO | 40.00 | 158041 | 0 | 10631 | X | ||
| SATINDER SAINI MD | |||||||
| INTERNAL MEDICINE DOCTOR | 40.00 | 161067 | 0 | 10783 | X | ||
| JAMES ROTEFF | |||||||
| PHARMACY DIRECTOR | 40.00 | 133968 | 0 | 10440 | X | ||
| GLENN DAILEY | |||||||
| RADIOLOGY DIRECTOR | 40.00 | 105109 | 0 | 10631 | X | ||
| J CRAIG BRIGNAC | |||||||
| STAFF PHARMACIST | 40.00 | 105000 | 0 | 9822 | X | ||
| HOPE ROSINSKI | |||||||
| STAFF PHARMACIST | 40.00 | 101278 | 0 | 9802 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 997243 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 72274 | TotalOtherCompensation |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| PROFESSIONAL ANESTHESIA SERVICES OF SWLA | |||||
| 1309 HILLCROFT DR | LAKE CHARLES | LA | 70605 | ANESTHESIA SERVICES | 1220000 |
| ARSHAVIR MICHAEL APMC | |||||
| PO BOX 2403 | CROWLEY | LA | 705272403 | ANESTHESIA SERVICES | 470000 |
| MCKESSON TECHNOLOGIES INC | |||||
| PO BOX 98347 | CHICAGO | IL | 606938347 | COMPUTER SERVICES | 337523 |
| ACADIA EMERGENCY GROUP LLC | |||||
| PO BOX 82368 | LAFAYETTE | LA | 705982368 | ER PHYSICIAN SERVICES | 318458 |
| ELITE MEDICAL STAFFING DBA TOTAL SUPPORT | |||||
| 201 W VERMILION ST | LAFAYETTE | LA | 70501 | CONTRACT NURSING SERVICES | 306980 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 16 | NumberOfContractorsGT100K |
| All Other Contributions | 29346 | AllOtherContributions |
| Total Contributions | 29346 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICES | Description |
| Business Code | 621990 | BusinessCode |
| Total Revenue Column | 31248575 | TotalRevenueColumn |
| Related Or Exempt Function Income | 31248575 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 31248575 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 270885 | TotalRevenueColumn |
| Exclusion | $270,885 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 160421 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 121379 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 39042 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 39042 | TotalRevenueColumn |
| Exclusion | $39,042 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 242100 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 154331 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 87769 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 87769 | TotalRevenueColumn |
| Related Or Exempt Function Income | 87769 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| CAFETERIA REVENUE | 722210 | 159018 | $159,018 | |
| JOINT VENTURE-OPEN AIR | 621400 | 17876 | 17876 | |
| JOINT VENTURE-C. CARDI | 621400 | -23026 | -23026 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4032 | TotalRevenueColumn |
| Exclusion | $4,032 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 157900 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 31833517 | TotalRevenueColumn |
| Related Or Exempt Function Income | 31331194 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $472,977 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 409521 | Total |
| Management And General | 409521 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14633793 | Total |
| Program Services | 12773030 | ProgramServices |
| Management And General | 1860763 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 788227 | Total |
| Program Services | 669993 | ProgramServices |
| Management And General | 118234 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1131851 | Total |
| Program Services | 962073 | ProgramServices |
| Management And General | 169778 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 232403 | Total |
| Management And General | 232403 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56223 | Total |
| Management And General | 56223 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4572946 | Total |
| Program Services | 4142665 | ProgramServices |
| Management And General | 430281 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28491 | Total |
| Management And General | 28491 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5988018 | Total |
| Program Services | 5695417 | ProgramServices |
| Management And General | 292601 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 294424 | Total |
| Program Services | 250307 | ProgramServices |
| Management And General | 44117 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 698418 | Total |
| Program Services | 537782 | ProgramServices |
| Management And General | 160636 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22488 | Total |
| Program Services | 12778 | ProgramServices |
| Management And General | 9710 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8631 | Total |
| Program Services | 3908 | ProgramServices |
| Management And General | 4723 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 180827 | Total |
| Program Services | 180746 | ProgramServices |
| Management And General | 81 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2784811 | Total |
| Program Services | 2144304 | ProgramServices |
| Management And General | 640507 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 350566 | Total |
| Program Services | 327873 | ProgramServices |
| Management And General | 22693 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| REPAIRS AND MAINTENANCE | 960078 | 910907 | 49171 |
| PHYSICIAN RECRUITMENT | 189555 | 189555 | |
| COLLECTION EXPENSES | 71237 | 71237 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3500 | Total |
| Management And General | 3500 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33406008 | Total |
| Program Services | 28872575 | ProgramServices |
| Management And General | 4533433 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1725 | BOY |
| EOY | 1825 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3907774 | BOY |
| EOY | 2521232 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6302129 | BOY |
| EOY | 6735053 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1183120 | BOY |
| EOY | 1300187 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1046108 | BOY |
| EOY | 875191 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 34869544 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 21211071 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12939965 | BOY |
| EOY | 13658473 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1006850 | BOY |
| EOY | 1022974 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 262279 | BOY |
| EOY | 398212 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 305124 | BOY |
| EOY | 205159 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9809203 | BOY |
| EOY | 9137100 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36764277 | BOY |
| EOY | 35855406 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2275330 | BOY |
| EOY | 2715043 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4592060 | BOY |
| EOY | 4758761 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6867390 | BOY |
| EOY | 7473804 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29624239 | BOY |
| EOY | 28108455 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 272648 | BOY |
| EOY | 273147 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29896887 | BOY |
| EOY | 28381602 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36764277 | BOY |
| EOY | 35855406 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1572491 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 57206 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 82773 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 540653 | OtherCostOrOtherBasis |
| Book Value | 623426 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1183113 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 11354600 | OtherCostOrOtherBasis |
| Depreciation | 8929545 | Depreciation |
| Book Value | 3608168 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 41567 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 21031147 | OtherCostOrOtherBasis |
| Depreciation | 11738612 | Depreciation |
| Book Value | 9334102 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 62878 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 572813 | OtherCostOrOtherBasis |
| Depreciation | 542914 | Depreciation |
| Book Value | 92777 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 13658473 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| RESTRICTED CASH AND INVESTMENTS | 6075237 |
| DEPOSITS FOR HEALTH INSURANCE ADMINISTRATOR | 2395884 |
| TRUST INVESTMENT | 273147 |
| COST REPORT SETTLEMENT RECEIVABLE | 392832 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 9137100 | TotalBookValueOtherAssets |
| Total Revenue | 31833517 | TotalRevenue |
| Total Expenses | 33406008 | TotalExpenses |
| Excess Or Deficit For Year | -1572491 | ExcessOrDeficitForYear |
| Prior Period Adjustments | 57206 | PriorPeriodAdjustments |
| Total Adjustments | 57206 | TotalAdjustments |
| Excess Or Deficit Per FS | -1515285 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 32664297 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 810412 | OtherRevenues |
| Revenue Not Rptd F990 | 810412 | RevenueNotRptdF990 |
| Revenue Subtotal | 31853885 | RevenueSubtotal |
| Other Revenues Not Included | -20368 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -20368 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 31833517 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 34221143 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 693756 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 693756 | ExpensesNotRptdF990 |
| Expenses Subtotal | 33527387 | ExpensesSubtotal |
| Other Expenses Not Included | -121379 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | -121379 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 33406008 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | 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, 2011 AND 2010. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | SUBSIDIARY INCOME $ 810,412 -- AUDITED FINANCIAL STMTS WERE CONSOLIDATED | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | DIVIDEND FROM SUBSIDIARY $106,161 RENTAL EXPENSES REPORTED IN PART VIII, LINE 6B -- $(121,379) JOINT VENTURE INCOME -- OPEN AIR MRI, LLC $17,876 JOINT VENTURE LOSS -- CROWLEY CARDIAC WELLNESS $(23,026) | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | SUBSIDIARY EXPENSE $693,756 (AUDITED FINANCIAL STMTS WERE CONSOLIDATED) | |
| PART XIII, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES REPORTED IN PART VIII, LINE 6B -- $121,379 |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 0 | AmountsBudgetedForCharityCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 115692 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 115692 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8656281 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6573142 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2083139 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06230 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8771973 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6573142 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2198831 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06580 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1774 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1774 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3500 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3500 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5274 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5274 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8777247 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 6573142 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2204105 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06600 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 195238 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 195238 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00580 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 195238 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 195238 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00580 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $1,707,858 | BadDebtExpenseAmount |
| Amount Attributable To | 674604 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 15489319 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 13132830 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 2356489 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (12 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| 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 | |||
| 6 ALH HEALTH | |||
| PARTIAL OWNER OF | 1.00000 | ||
| 7 VENTURES LLC | |||
| CROWLEY CARDIAC | |||
| 8 | |||
| WELLNESS, LLC | |||
| 9 CROWLEY CARDIAC | |||
| PROVIDE CARDIAC | 0.30000 | 0.10000 | 0.30000 |
| 10 WELLNESS LLC | |||
| SCREENING SERVICES | |||
| 11 | |||
| TO RESIDENTS OF | |||
| 12 | |||
| ACADIA PARISH AND | |||
| 13 | |||
| SURROUNDING AREA | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICAN LEGION HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1305 CROWLEY-RAYNE HWY | AddressLine1 |
| City | CROWLEY | City |
| State | LA | State |
| ZIP Code | 70526 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Other | INCLUDES OFFSITE PSYCHIATRIC CAMPUS | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICAN LEGION HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 100.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 200.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Other Factors | X | OtherFactors |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| OPEN AIR MRI OF ACADIANA LLC | ||||
| 1305 CROWLEY-RAYNE HWY SUITE A | CROWLEY | LA | 70526 | PROVIDES OPEN AIR MRI SERVICES |
| CROWLEY CARDIAC WELLNESS LLC | ||||
| 1113 EAST NORTHERN AVENUE | CROWLEY | LA | 70526 | PROVIDES CARDIAC SCREENING SERVICES |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 7: PERCENT OF TOTAL COMMUNITY BENEFIT EXPENSE TO TOTAL EXPENSE IS 26.27% THE HOSPITAL USED TOTAL COMMUNITY BENEFIT EXPENSE (8,777,247) OVER TOTAL EXPENSES FROM PART IX ($33,406,008) 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 ARE AVAILABLE FOR THE RESIDENTS OF OUR PARISH AND SURROUNDING AREA. PHYSICIAN RECRUITMENT IN THE CURRENT YEAR AMOUNTED TO $189,556. 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 AMOUNT TO $5,682 IN THE CURRENT YEAR. THE HOSPITAL STRIVES TO MAINTAIN A COMPETENT WORKFORCE TO PROVIDE HIGH QUALITY SERVICES TO OUR PATIENTS. | |
| PART III, LINE 4: FOOTNOTE IN FINANCIAL STATEMENTS FOR BAD DEBTS AND COSTING METHODOLOGIESFROM 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 1 OF NOTES TO CONSOLIDATED FINANCIAL STATEMENTS:IN JULY 2011, THE FASB ISSUES ASU NO. 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES. UNDER ASU NO. 2011-07, CERTAIN HEALTH CARE ENTITIES THAT RECOGNIZE SIGNIFICANT AMOUNTS OF PATIENT SERVICE REVENUE AT THE TIME THE SERVICES ARE RENDERED WITHOUT ASSESSING THE PATIENT'S ABILITY TO PAY ARE REQUIRED TO CHANGE THE PRESENTATION OF THEIR STATEMENT OF OPERATIONS BY RECLASSIFYING THE PROVISION FOR BAD DEBTS ASSOCIATED WITH PATIENT SERVICE REVENUE FROM AN OPERATING EXPENSE TO A DEDUCTION FROM PATIENT SERVICE REVENUE (NET OF CONTRACTUAL ALLOWANCES AND DISCOUNTS). ADDITIONALLY, THOSE HEALTH CARE ENTITIES ARE REQUIRED TO PROVIDE ENHANCED DISCLOSURE ABOUT THEIR POLICIES FOR RECOGNIZING REVENUE AND ASSESSING BAD DEBTS, AS WELL AS QUALITATIVE AND QUANTITATIVE INFORMATION ABOUT CHANGES IN THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE GUIDANCE IS EFFECTIVE FOR THE HOSPITAL FOR FISCAL YEARS, AND INTERIM PERIODS WITHIN THOSE YEARS, BEGINNING AFTER DECEMBER 15, 2011, WITH EARLY ADOPTION PERMITTED. THE HOSPITAL HAS ELECTED TO EARLY ADOPT ASU NO. 2011-07 AND HAS APPLIED ITS PROVISIONS TO THE CONSOLIDATED FINANCIAL STATEMENTS.FROM NOTE 2 OF NOTES TO THE CONSOLIDATED FINANCIALS STATEMENTS:ACCOUNTS RECEIVABLE ARE ALSO REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTIBILITY 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-PARY 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 $2,831 AND $3,032 AT DECEMBER 31, 2011 AND 2010, RESPECTIVELY. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR SELF-PAY PATIENTS WAS APPROXIMATELY 47% OF SELF-PAY ACCOUNTS RECEIVABLE AS OF DECEMBER 31, 2011 AND 2010. OVERALL, THE TOTAL OF SELF-PAY DISCOUNTS AND WRITE-OFFS HAS NOT CHANGED SIGNIFICANTLY FOR THE YEAR ENDED DECEMBER 31, 2011. 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.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 FIFTY-EIGHT 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 FORTY-TWO PERCENT OF OUR BAD DEBT POPULATION AN ASSUMPTION WAS MADE 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 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 2011 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 PRACTICE IS TO SEND A LETTER OFFERING A CHARITY CARE APPLICATION TO THOSE UNINSURED PATIENTS ALONG WITH A DETAILED BILL WITHIN SEVEN DAYS OF DISCHARGE. OUR HOSPITAL PRACTICE ALSO 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 11H: 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 13G: 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 17E: 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 TO 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 ADMISSION 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 2011 WAS AROUND 62,000 RESIDENTS. ACADIA PARISH'S POPULATION CONSISTS OF 13.0% OF PERSONS WHO ARE SIXTY-FIVE OR OLDER (SLIGHTLY HIGHER THAN THE STATE'S OVERALL PERCENTAGE OF 12.5%). 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 TO ABILITY TO PAY. THE HOSPITAL PROVIDES HOSPITAL CARE FOR ALL PERSONS IN THE COMMUNITY OTHERWISE ABLE TO PAY THE COST OF MEDICAL SERVICES EITHER DIRECTLY OR THROUGH THIRD PARTY REIMBURSEMENT. THE HOSPITAL MAINTAINS A BOARD OF DIRECTORS DRAWN FROM THE 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 HOSPTIAL 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 HOSPTIAL HAD A CAPITAL OUTLAY OF OVER $3,800,000, INCLUDING A DIVINCI ROBOT TO ASSIST IN SPECIALIZED SURGERIES, A FULL SERVICE GENERATOR, AND A NURSE CALL SYSTEM TOTALING OVER $2.5 MILLION.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 OVER $1,700,000 TO THE LOCAL ECONOMY IN ANNUAL EXPENDITURES. 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TERRY OSBORNE | |||||||||||||
| 215626 | 0 | 50 | 0 | 17104 | 0 | 0 | 0 | 10165 | 0 | 242945 | 0 | 0 | 0 |
| CHARMAINE VIDRINE | |||||||||||||
| 157143 | 0 | 50 | 0 | 848 | 0 | 0 | 0 | 10631 | 0 | 168672 | 0 | 0 | 0 |
| SATINDER SAINI MD | |||||||||||||
| 160276 | 0 | 50 | 0 | 741 | 0 | 0 | 0 | 10783 | 0 | 171850 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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 HOSPITALS AUDIT AND 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 2011, THE HOSPITAL BOARD APPROVED TO GIVE $50 TO EACH BENEFITED FULL-TIME EMPLOYEE AS OF DECEMBER 6, 2011. THUS, THE HOSPITAL'S THREE EMPLOYEES LISTED IN PART II EACH RECEIVED THIS $50 PAYMENT. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (6 entries)
| RelationshipRelationship | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues | Amount Of TransactionAmountOfTransaction |
|---|---|---|---|
| MICHAEL MCBRIDE | |||
| SEE PART V | SEE PART V | 0 | |
| (no name) | |||
| 0 | |||
| (no name) | |||
| 0 | |||
| STEPHEN STEFANSKI | |||
| SEE PART V | SEE PART V | 0 | 254025 |
| (no name) | |||
| 0 | |||
| P DALE LELEUX JR MD | |||
| SEE PART V | SEE PART V | 0 | 182206 |
Form990 Schedule L Part V Form990ScheduleLPartV (10 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 THE $168,698 FOR WORKERS COMPENSATION INSURANCE AND $118,089 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: $124,025(D) DESCRIPTION OF TRANSACTION: DURING 2011, THE HOSPITAL PAID $124,025 TO A LOCAL SECURITY COMPANY, 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. 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. IN 2011, THE HOSPITAL HAD AN OUTSTANDING LOAN FROM THIS PARTICULAR FINANCIAL INSTITUTION. 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: STEPHEN STEFANSKI | (A) NAME OF PERSON: STEPHEN STEFANSKI(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: BOARD MEMBER OF AMERICAN LEGION HOSPITAL (ALH) AND PARTIAL OWNER OF LAW FIRM.(C) AMOUNT OF TRANSACTION: $130,000(D) DESCRIPTION OF TRANSACTION: DURING THE YEAR, THE BOARD MEMBER'S LAW FIRM PURCHASED AN OFFICE BUILDING/LAND FROM AMERICAN LEGION HOSPITAL AND PAID THE APPRAISED VALUE. THE BOARD MEMBER ABSTAINED FROM THE DELIBERATION AND APPROVAL BY THE BOARD TO SELL THE PROPERTY AT THE APPRAISED VALUE OF $130,000. |
| 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: $44,884(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. DURING THIS START-UP PERIOD WHEN HIS PRACTICE'S MONTHLY REVENUES DID NOT REACH A SET GOAL, ALH PAID HIM AN AMOUNT TO BRING HIS REVENUES TO THAT GOAL. HIS GUARANTEED INCOME PERIOD ENDED JULY 31, 2009. IF HE DISCONTINUED HIS FULL-TIME PRACTICE IN THIS COMMUNITY BEFORE A CERTAIN TIME, HE AGREED TO PAY BACK THESE ADVANCES. HOWEVER, IF HE CONTINUED HIS FULL-TIME PRACTICE IN THE COMMUNITY, HE WOULD NOT BE REQUIRED TO REPAY MOST OF THESE ADVANCES. FOR EACH YEAR HE REMAINED IN PRACTICE, THIS REPAYMENT AMOUNT DIMINISHED. WHEN HIS START-UP PERIOD ENDED ON 7/31/2009 THERE WAS A BALANCE THAT HE OWED ALH, WHICH WAS TO BE REPAID WITH INTEREST IN THE TIME FRAME OUTLINED IN THE RECRUITMENT PACKAGE. AS OF 1/1/2011 THE REMAINING PRINCIPAL AND INTEREST WAS $13,180, WHICH HE PAID IN FULL IN 2011.HIS RECRUITMENT PACKAGE ALSO INCLUDED MONTHLY STIPENDS TO REPAY HIS MEDICAL EDUCATION STUDENT LOANS. IN 2011 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 THEIR 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 LESSEE(C) AMOUNT OF TRANSACTION: $30,322(D) DESCRIPTION OF TRANSACTION: THE PHYSICIAN LEASED TWO ADJACENT PROPERTIES FROM THE HOSPITAL AND PAID FAIR MARKET VALUE RENT. THESE LEASES WERE IN EFFECT PRIOR TO THE PHYSICIAN BECOMING A BOARD MEMBER. THE BOARD DID NOT VOTE ON ANY ISSUES RELATED TO THE LEASE IN THE CURRENT YEAR. |
| 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: LLC OWNED BY BOARD MEMBER OF AMERICAN LEGION HOSPITAL PURCHASED HOSPITAL BUILDING AND LOTS.(C) AMOUNT OF TRANSACTION: $107,000(D) DESCRIPTION OF TRANSACTION: DURING THE YEAR, PATRICK DALE LELEUX, JR. MD, LLC PURCHASED AN OFFICE BUILDING AND LOTS FROM AMERICAN LEGION HOSPITAL AND PAID THE APPRAISED VALUE FOR IT. THIS LLC IS OWNED BY A BOARD MEMBER; THE PROPERTY PURCHASED WAS THE PRACTICE LOCATION FOR HIS PHYSICIAN PRACTICE WHICH HE WAS CURRENTLY LEASING FROM THE HOSPITAL. THE PHYSICIAN ABSTAINED FROM THE BOARD DELIBERATION AND APPROVAL TO SELL THE PROPERTY AT ITS APPRAISED VALUE OF $107,000. |
| 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 PARTIAL OWNER OF JOINT VENTURE(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. 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 PARTIAL OWNER OF ENTITY CONTRACTING WITH HOSPITAL(C) AMOUNT OF TRANSACTION: $0(D) DESCRIPTION OF TRANSACTION: THE BOARD MEMBER IS A PARTIAL OWNER OF A LOCAL LONG-TERM ACUTE CARE HOSPITAL (LTAC) THAT CONTRACTED WITH AMERICAN LEGION HOSPITAL (ALH) TO HAVE A PHYSICIAN EMPLOYED BY ALH PROVIDE MEDICAL MANAGEMENT SERVICES FOR THE LTAC. THE CONTRACT ENDED DURING 2011.THE LTAC PAID FOR THE SERVICES THAT WERE RENDERED. THIS ARRANGEMENT WAS IN PLACE BEFORE THE BOARD MEMBER JOINED THE BOARD IN 2011. HE ABSTAINED FROM VOTING ON ANY MATTER RELATED TO THIS CONTRACT. |
| 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 GROUPS(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 FULLTIME PRACTICE. THE HOSPITAL CONTRACTED WITH ACADIA EMERGENCY GROUP, LLC THROUGH SEPTEMBER 25, 2011 AND WITH C&M MEDICAL SERVICES THEREAFTER (PAYMENTS RESPECTIVELY OF $318,458 AND $59,020, TOTAL OF 377,478). THE PHYSICIAN/BOARD MEMBER PERFORMED SERVICES FOR BOTH ER PHYSICIAN GROUPS. THE PHYSICIAN/BOARD MEMBER ABSTAINED FROM VOTING REGARDING THE ER CONTRACTS. THE BOARD MEMBER DOES NOT HAVE ANY OWNERSHIP IN EITHER ER PHYSICIAN GROUP BUT WAS COMPENSATED FOR THE SERVICES HE PROVIDED AS A PHYSICIAN BY THE RESPECTIVE ER PHYSICIAN GROUPS. 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 ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 | A DRAFT COPY IS PRESENTED TO THE AUDIT AND OVERSIGHT COMMITTEE (WHICH CONSISTS OF FOUR OF THE SEVEN MEMBERS OF THE BOARD OF DIRECTORS). THE FORM AND ITS CONTENTS ARE DISCUSSED AND FULLY REVIEWED BY THE AUDIT AND OVERSIGHT COMMITTEE ALONG WITH THE HOSPITAL'S CEO AND CFO BEFORE FILING WITH THE IRS. WHEN ONLY REVIEWED BY THE AUDIT AND OVERSIGHT COMMITTEE BEFORE FILING, A COMPLETE COPY IS REVIEWED BY THE FULL BOARD AFTER ITS FILING. | |
| 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. | |
| FORM 990, PART XI, LINE 5: | PRIOR PERIOD ADJUSTMENTS: 57,206. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALH HEALTH VENTURES LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1113 EAST NORTHERN AVENUE | AddressLine1 |
| City | CROWLEY | City |
| State | LA | State |
| ZIP Code | 70526 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352409152 | EIN |
| Primary Activities | PROV CARDIAC HLTH SCREENS | PrimaryActivities |
| Legal Domicile State | LA | LegalDomicileState |
| Total Income | -23118 | TotalIncome |
| EOY Assets | 65851 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALH | BusinessNameLine1 |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OPEN AIR MRI OF ACADIANA LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2207 | AddressLine1 |
| City | LAKE CHARLES | City |
| State | LA | State |
| ZIP Code | 706022207 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 721510626 | EIN |
| Primary Activity | OPEN AIR MRI SERVICES | PrimaryActivity |
| Legal Domicile State | LA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMERICAN LEGION HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED HEALTHCARE | PredominantIncomeType |
| Share Of Total Income | 124037 | ShareOfTotalIncome |
| Share Of EOY Assets | 75930 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 0 | GeneralOrManagingPartner |
| Percentage Ownership | 0.51000 | PercentageOwnership |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PROFESSIONAL ARTS CENTER INC | |||||||||||
| PO BOX 852 | CROWLEY | LA | 705270852 | 720701822 | RENTAL OF MEDICAL OFFICES | LA | N/A | C | 34790 | 111809 | 0.67000 |
| CROWLEY PROFESSIONAL MED CORP | |||||||||||
| 1305 CROWLEY-RAYNE HWY | CROWLEY | LA | 70526 | 721142948 | MAINTAIN MEDICAL OFFICE SPACE | LA | N/A | C | 2415 | 19325 | 0.48300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| OPEN AIR MRI OF ACADIANA LLC | ||
| A | 32400 | CASH |
| OPEN AIR MRI OF ACADIANA LLC | ||
| R | 106161 | CASH |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | FORM 990, SCHEDULE R, PART V, LINE 1A: | ReturnReference |
| Explanation | 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. | Explanation |