STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

JENNINGS AMERICAN LEGION HOSPITAL INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
JENNINGS AMERICAN LEGION HOSPITAL INC (EIN 72-0445607)
Tax period
2009-12-01 to 2010-11-30
Filed
2011-07-14
IRS object ID
201101959349301105
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-07-14T13:10:57-07:00Timestamp
Tax Period End Date2010-11-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Lester Miller & WellsBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13600 Bayou RapidesAddressLine1
CityAlexandriaCity
StateLAState
ZIP Code71303ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-12-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN720445607EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Jennings American Legion Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlJENNNameControl
Phone3376167100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11634 Elton RoadAddressLine1
CityJenningsCity
StateLAState
ZIP Code70546ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDana D WilliamsName
TitleCEOTitle
Date Signed2011-07-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameRobert G MillerName
Phone3184871450Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts36874463GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization OtherXTypeOfOrganizationOther
Year Formation1952YearFormation
State Legal DomicileLAStateLegalDomicile
Activity Or Mission DescriptionHealthcare servicesActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees484TotalNbrEmployees
Total Nbr Volunteers46TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year9000ContributionsGrantsPriorYear
Contributions Grants Current Year10000ContributionsGrantsCurrentYear
Program Service Revenue Prior Year37438099ProgramServiceRevenuePriorYear
Program Service Revenue CY36649939ProgramServiceRevenueCY
Investment Income Prior Year248574InvestmentIncomePriorYear
Investment Income Current Year214524InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year37695673TotalRevenuePriorYear
Total Revenue Current Year36874463TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year17640971SalariesEtcPriorYear
Salaries Etc Current Year16753173SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year18605927OtherExpensePriorYear
Other Expenses Current Year18899105OtherExpensesCurrentYear
Total Expenses Prior Year36246898TotalExpensesPriorYear
Total Expenses Current Year35652278TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1448775RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1222185RevenuesLessExpensesCY
Total Assets BOY37927729TotalAssetsBOY
Total Assets EOY37531258TotalAssetsEOY
Total Liabilities BOY15871331TotalLiabilitiesBOY
Total Liabilities EOY14252675TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY22056398NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY23278583NetAssetsOrFundBalancesEOY
Mission DescriptionHealthcare servicesMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense20067976Expense
Revenue36864463Revenue
DescriptionJennings AMERICAN LEGION HOSPITALS (JALH) OPERATES A 53 BED ACUTE CARE HOSPITAL. JALH PROVIDES INPATIENT AND OUTPATIENT SERVICES, AND OPERATES A 24-HOUR EMERGENCY ROOM. JALH PROVIDES THESE SERVICES REGARDLESS OF RACE, COLOR, CREED, RELIGION, GENDER, NATIONAL ORIGION, DISABILITY, AGE, OR ABILITY TO PAY. THE HOSPITAL PROVIDED THE FOLLOWING INPATIENT DAYS OF CARE DURING FY 2010: MEDICARE MEDICAID TOTALACUTE 7,007 3,033 14,406JALH IS VERY ACTIVE IN THE COMMUNITY. JALH HOSTS A NUMBER OF HEALTH FAIRS FOR THE COMMUNITY. THE HEALTH FAIRS OFFER THE COMMUNITY ACCESS TO A NUMBER OF FREE HEALTH SCREENINGS AND ACCESS TO VENDORS FOR THEIR HEALTH. JALH DISTRIBUTES A QUARTERLY COMMUNITY NEWSLETTER. THIS NEWSLETTER INCLUDES TIMELY HEALTHCARE TOPICS INCLUDING SMOKING CESSATION, DIABETIC AWARENESS, CONTROLLING BLOOD PRESSURE, ETC.JALH PARTICIPATES IN THE MEDICAID PROGRAM AND ADMINISTERS A CHARITY CARE POLICY WHEREBY FREE OR DISCOUNTED SERVICES ARE AVAILABLE TO QUALIFIED FINANCIALLY TROUBLED INDIVIDUALS. JALH FOREGONE $554,883 OF CHARGES FOR THE YEAR ENDED NOVEMBER 30, 2010.Description
Total Program Service Expense20067976TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementstrueConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With1096357NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees484NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPam Primeaux CFONamePerson
Telephone Number3376167136TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11634 Elton RoadAddressLine1
CityJenningsCity
StateLAState
ZIP Code705463614ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
TERRY TERREBONNE
EXECUTIVE DIRECTOR0.X12086000
TED COX
Director0.615000
Richard Oustalet
Director0.630000
PAMELA PRIMEAUX
CFO40.00X19096600
LARRY BENOIT
Director0.645000
LAM NGUYEN
DOCTOR40.00X33608600
KEITH SIMPSON
COO40.00X12485000
JULIE BERRY
Director0.615000
JOHNNIE LANDRY
Director0.615000
JOHN LOUVIERE JR
Director0.615000
JAMES RICHERT JR
Director0.620000
HENRY LEBLANCE
Director0.400000
GORDON HAYES
Director0.615000
G VINCENT BAILEY MD
Director0.570000
ELLA DARTEZ
Director0.615000
DR JAMES MCNALLY
Director0.525000
DR CHRIS ACHEE
Director0.50000
DOUGLAS DAIGLE
Director0.1315000
DARRELL LANDRY
Director0.620000
DANA D WILLIAMS
COO40.00X22473500
DALE LANDRY
Director0.655000
ARTHUR EASTMAN
Director0.605000
ARTHUR D MATTE CPA
Director0.1135000
ALLEN MEDUS
Director0.1285000
FieldValueIRS element (for citing)
Total Reportable Comp From Org1124947TotalReportableCompFromOrg
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
OWENS & MINOR INC
PO BOX 841420DALLASTX75284MEDICAL SUPPLIES1164266
DUPUY ORTHOPAEDICS INC
LOCK BX 10ATLANTAGA30384MEDICAL SUPPLIES541414
CPS INC
PO BOX 1000MEMPHISTN381480176PHARMACY MANAGEMENT2085012
BLUE CROSS BLUE SHIELD
PO BOX 261798BATON ROUGELA70826HEALTH INSURANCE2056773
BERNHARD MECHANICAL CONSTRUCTION
PO BOX 62690LAFAYETTELA705966269CONTRACTOR469089
FieldValueIRS element (for citing)
Number Of Contractors GT100 K36NumberOfContractorsGT100K
All Other Contributions10000AllOtherContributions
Total Contributions10000TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER OPERATING REVENUE20681512068151
NET PATIENT SERVICE REV3427630634276306
COMPREHENSIVE INCOME305482305482
FieldValueIRS element (for citing)
Total Program Service Revenue36649939TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column214524TotalRevenueColumn
Related Or Exempt Function Income214524RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column36874463TotalRevenueColumn
Related Or Exempt Function Income36864463RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total127450Total
Management And General127450ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total13766442Total
Program Services7776663ProgramServices
Management And General5989779ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2859281Total
Program Services1615208ProgramServices
Management And General1244073ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total37185Total
Program Services21006ProgramServices
Management And General16179ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total20594Total
Program Services11634ProgramServices
Management And General8960ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total646284Total
Program Services365086ProgramServices
Management And General281198ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2305899Total
Program Services1302602ProgramServices
Management And General1003297ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total607160Total
Program Services342985ProgramServices
Management And General264175ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
UTILITIES559722316187243535
SUPPLIES471311826624402050678
REPAIRS AND MAINTENANCE997271563358433913
PURCHASED SERVICES362713720489701578167
BAD DEBTS400056422599191740645

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1384171Total
Program Services781918ProgramServices
Management And General602253ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total35652278Total
Program Services20067976ProgramServices
Management And General15584302ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY568992BOY
EOY672227EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5503996BOY
EOY4800339EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY971922BOY
EOY1188796EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY334165BOY
EOY642665EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis40931439LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec21470759LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19978054BOY
EOY19460680EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10570599BOY
EOY10766551EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY37927729BOY
EOY37531258EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2354931BOY
EOY2006468EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY11917367BOY
EOY11029861EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1599033BOY
EOY1216346EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY15871331BOY
EOY14252675EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY22056398BOY
EOY23278583EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22056398BOY
EOY23278583EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37927729BOY
EOY37531258EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Protection Of Natural HabitatXProtectionOfNaturalHabitat
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1391338OtherCostOrOtherBasis
Book Value1391338BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis26404605OtherCostOrOtherBasis
Depreciation13385150Depreciation
Book Value13019455BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis665015OtherCostOrOtherBasis
Depreciation377582Depreciation
Book Value287433BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis12358662OtherCostOrOtherBasis
Depreciation7708027Depreciation
Book Value4650635BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis111819OtherCostOrOtherBasis
Book Value111819BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings19460680TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
OTHER RECEIVABLE1105376
INVESTMENTS RESTRICTED BY BOARD8398087
GUARANTEES RECEIVABLE1263088
FieldValueIRS element (for citing)
Total Book Value Other Assets10766551TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
provision for advances received$992,773
estimates 3rd party payor settlements$37,573
comprehensive loss liability$186,000
FieldValueIRS element (for citing)
Total Of Amounts1216346TotalOfAmounts
Total Revenue36874463TotalRevenue
Total Expenses35652278TotalExpenses
Excess Or Deficit For Year1222185ExcessOrDeficitForYear
Excess Or Deficit Per FS1222185ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt36874463TotRevenueEtcAuditedFinclStmt
Revenue Subtotal36874463RevenueSubtotal
Total Revenue Per Form99036874463TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt35652278TotExpensesEtcAuditedFinclStmt
Expenses Subtotal35652278ExpensesSubtotal
Total Expenses Per Form99035652278TotalExpensesPerForm990

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent250XPcent250
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport
Report Publically AvailablefalseReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1109283TotalCommunityBenefitExpense
Direct Offsetting Revenue990691DirectOffsettingRevenue
Net Community Benefit Expense118592NetCommunityBenefitExpense
Percent Of Total Expense0.00330PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense5856178TotalCommunityBenefitExpense
Direct Offsetting Revenue5593806DirectOffsettingRevenue
Net Community Benefit Expense262372NetCommunityBenefitExpense
Percent Of Total Expense0.00740PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense6965461TotalCommunityBenefitExpense
Direct Offsetting Revenue6584497DirectOffsettingRevenue
Net Community Benefit Expense380964NetCommunityBenefitExpense
Percent Of Total Expense0.01070PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense473110TotalCommunityBenefitExpense
Net Community Benefit Expense473110NetCommunityBenefitExpense
Percent Of Total Expense0.01330PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense217506TotalCommunityBenefitExpense
Direct Offsetting Revenue36634DirectOffsettingRevenue
Net Community Benefit Expense180872NetCommunityBenefitExpense
Percent Of Total Expense0.00510PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1655TotalCommunityBenefitExpense
Net Community Benefit Expense1655NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense692271TotalCommunityBenefitExpense
Direct Offsetting Revenue36634DirectOffsettingRevenue
Net Community Benefit Expense655637NetCommunityBenefitExpense
Percent Of Total Expense0.01840PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense7657732TotalCommunityBenefitExpense
Direct Offsetting Revenue6621131DirectOffsettingRevenue
Net Community Benefit Expense1036601NetCommunityBenefitExpense
Percent Of Total Expense0.02910PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$4,000,564BadDebtExpenseAmount
Amount Attributable To1035065AmountAttributableTo
Amount Reimbursed By Medicare13289102AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare14832155CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1543053MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

FieldValueIRS element (for citing)
Business Name Line1jennings american legionBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line11634 elton roadAddressLine1
CityjenningsCity
StateLAState
ZIP Code70546ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Bad Debt FootnoteTHE HOSPITAL ESTIMATES APPROXIMATELY 26% OF THE AMOUNTS WRITTEN OFF TO BAD DEBTS ARE RELATED TO PATIENTS WHO COULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S CHARITY CARE POLICY. THIS ESTIAMTE IS ABSED ON A REVIEW MADE MONTHLY ON THE LIST OF PATIENTS TURNED OVER TO COLLECTIONS. THE HOSPITAL DETERMINES THIS BASED ON THE PATIENT'S BILLING ADDRESS, SUCH AS A PATIENT LIVING IN A LOW INCOME HOUSING LOCATION OR PATIENT PROVIDING A FALSE ADDRESS. ANOTHER DETERMINING FACTOR IS WHETHER A PATIENT EVENTUALLY QUALIFIES FOR MEDICAID COVERAGE UNDER THE MEDICAID SPEND DOWN PROGRAM DUE TO LARGE MEDICAL BILLS.BadDebtFootnote
Shortfall As Community BenefitTHE HOSPITAL CONTENDS THAT THE MAJORITY, IF NOT ALL, OF THE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE HOSPITAL OFFERS QUALITY HEALTHCARE TO ALL PATIENTS REGARDLESS OF PAYMENT OR REIMBURSEMENT EXPECTATION. RESOURCES FOR MEDICARE PATIENTS VERSUS ALL OTHER PATIENTS ARE IDENTICAL BASED ON TREATMENT.ShortfallAsCommunityBenefit

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
PAMELA PRIMEAUX
190966190966
LAM NGUYEN
336086336086
DANA D WILLIAMS
224735224735

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBOARD MEMBERS ARE REQUIRED TO ANNUALLY COMPLETE CONFLICT OF INTEREST STATEMENTS WHICH ARE REVIEWED BY THE BOARD. WHENEVER CONFLICT EXISTS, THE BOARDMEMBER MUST ABSTAIN FROM VOTING ON ANY MATTERS AFFECTED BY THE CONFLICT.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessNo review was or will be conducted.