FURP.ORG / PUBLIC DATA EXPLORER

ACADIA GENERAL HOSPITAL INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
ACADIA GENERAL HOSPITAL INC (EIN 46-4958152)
Tax period
2017-10-01 to 2018-09-30
Filed
2019-08-15
IRS object ID
201932279349301128
Schema version
2017v2.3
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)
Return2019-08-15T11:20:32-05:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN201941244PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HORNE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11020 HIGHLAND COLONY PKWY STE 400AddressLine1Txt
CityRIDGELANDCityNm
State AbbreviationMSStateAbbreviationCd
ZIP39157ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN464958152EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ACADIA GENERAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlACADBusinessNameControlTxt
Phone3377886402PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11305 CROWLEY RAYNE HIGHWAYAddressLine1Txt
CityCROWLEYCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70526ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOSEPH MITCHELL CEOPersonNm
Person TitleCEOPersonTitleTxt
Phone3377886402PhoneNum
Signature2019-08-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMIE T WHITTINGTON CPAPreparerPersonNm
PTINP01082167PTIN
Phone6013261000PhoneNum
Preparation2019-08-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address66.175.140.26IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-08-13IPDt
IP Tm13:53:16IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdBC619A55C3BD57EEB00F545ADEF2BCC560AB27BEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOSEPH MITCHELLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11305 CROWLEY RAYNE HIGHWAYAddressLine1Txt
CityCROWLEYCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70526ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$40,133,799GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LAFAYETTEGENERAL.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2014FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION PROVIDES MEDICAL CARE TO IMPROVE, MAINTAIN, AND RESTORE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE, REGARDLESS OF THE PATIENTS' ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee301TotalEmployeeCnt
Total Volunteers21TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$5,604NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$13,996PYContributionsGrantsAmt
CY Contributions Grants$9,078CYContributionsGrantsAmt
PY Program Service Revenue$44,130,112PYProgramServiceRevenueAmt
CY Program Service Revenue$40,012,920CYProgramServiceRevenueAmt
PY Investment Income$2,492PYInvestmentIncomeAmt
CY Investment Income$5,311CYInvestmentIncomeAmt
PY Other Revenue$189,811PYOtherRevenueAmt
CY Other Revenue$104,519CYOtherRevenueAmt
PY Total Revenue$44,336,411PYTotalRevenueAmt
CY Total Revenue$40,131,828CYTotalRevenueAmt
PY Grants And Similar Paid$8,116PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$9,775CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$15,691,004PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,737,862CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$27,002,197PYOtherExpensesAmt
CY Other Expenses$24,966,991CYOtherExpensesAmt
PY Total Expenses$42,701,317PYTotalExpensesAmt
CY Total Expenses$41,714,628CYTotalExpensesAmt
PY Revenues Less Expenses$1,635,094PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,582,800CYRevenuesLessExpensesAmt
Total Assets BOY$11,518,614TotalAssetsBOYAmt
Total Assets EOY$11,423,561TotalAssetsEOYAmt
Total Liabilities BOY$5,332,576TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,820,320TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,186,038NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,603,241NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ORGANIZATION PROVIDES MEDICAL CARE TO IMPROVE, MAINTAIN, AND RESTORE THE HEALTH OF THE PEOPLE IN THE COMMUNITIES WE SERVE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$35,724,249ExpenseAmt
Grant$9,775GrantAmt
Revenue$40,119,410RevenueAmt
DescACADIA GENERAL HOSPITAL PROVIDES A WIDE RANGE OF HEALTHCARE AND MEDICAL SERVICES TO INDIVIDUALS. AS A GENERAL ACUTE CARE HOSPITAL, ACADIA GENERAL HOSPITAL PROVIDES INPATIENT AND OUTPATIENT SERVICES FOR PATIENTS. ACADIA GENERAL HOSPITAL PROVIDES MEDICAL SPECIALTIES OF FAMILY MEDICINE, INTERNAL MEDICINE, NEPHROLOGY, CARDIOLOGY, GASTROENTEROLOGY, GENERAL SURGERY, ORTHOPEDIC SURGERY, UROLOGY, OTOLARYNGOLOGY (ENT), GYNECOLOGY, ONCOLOGY, PEDIATRICS, AND OPHTHALMOLOGY. THE HOSPITAL PROVIDES GENERAL MEDICAL/SURGICAL INPATIENT BEDS, INTENSIVE CARE UNIT INPATIENT SERVICES, AND INPATIENT GYNECOLOGY SERVICES. IN ADDITION TO ITS INPATIENT SERVICES, ACADIA GENERAL HOSPITAL PROVIDES A VARIETY OF OUTPATIENT SERVICES, DIAGNOSTIC TESTING, AND THERAPY SERVICES. MANY OF THESE SERVICES ALSO PROVIDE SERVICES TO PATIENTS RECEIVING CARE IN OUR INPATIENT UNITS. ACADIA GENERAL HOSPITAL PROVIDES SURGERY SERVICES, A FULL-SERVICE LABORATORY AND PATHOLOGY SERVICES, A WIDE RANGE OF RADIOLOGICAL SERVICES (INCLUDING GENERAL DIAGNOSTIC, MAMMOGRAPHY, ULTRASOUND, COMPUTED TOMOGRAPHY (CT), NUCLEAR MEDICINE, MAGNETIC RESONANCE IMAGING, ECHOCARDIOGRAPHY, AND BONE DENSITY), RESPIRATORY THERAPY, CARDIOLOGY (INCLUDING ELECTROCARDIOLOGY (EKG) AND STRESS EKG), ELECTROENCEPHALOGRAPHY (EEG), AUDIOLOGY SERVICES, SPEECH THERAPY SERVICES, PHYSICAL THERAPY SERVICES, WOUND CARE AND HYPERBARIC, VEIN THERAPY, AND CHEMOTHERAPY AND OTHER INFUSION THERAPY SERVICES. ACADIA GENERAL HOSPITAL HAS A 24-HOUR EMERGENCY DEPARTMENT PROVIDING ACUTE AND NON-ACUTE SERVICES TO THE RESIDENTS OF ACADIA PARISH AND THE SURROUNDING AREA. FROM OCTOBER 1, 2017 TO SEPTEMBER 30, 2018, ACADIA GENERAL HOSPITAL HAD 9,375 ACUTE PATIENT DAYS. THE EMERGENCY DEPARTMENT SERVICED 20,983 VISITS. OTHER SIGNIFICANT HEALTHCARE SERVICES PROVIDED INCLUDED 563 INPATIENT SURGERIES AND 2,273 OUTPATIENT SURGERIES.Desc
Total Program Service Expenses$35,724,249TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document50IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee301EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3377886402PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11305 CROWLEY RAYNE HIGHWAYAddressLine1Txt
CityCROWLEYCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70526ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID CALLECOD
PRESIDENT/CEO-LGMC1.0044.00Yes (X)$0$904,458$240,655
STEPHEN A STEFANSKI
SECRETARY-TREASURER1.00Yes (X)$0$0$0
CARSON DE LA HOUSSAYE JR MD
DIRECTOR1.00Yes (X)$0$0$0
JOSEPH MITCHELL
CEO AND NONVOTING BOARD40.00Yes (X)$0$139,068$8,140Yes (X)
MAX TRAHAN MD
CHIEF OF STAFF AND NONVOTING BOARD40.00Yes (X)$0$630,428$6,016
CAROLINE G MARCEAUX
CNO40.00$0$139,319$18,612Yes (X)
JOSEPH CRAIG BRIGNAC
PHARMACIST40.00$0$138,079$13,128Yes (X)
HOPE ROSINSKI
PHARMACIST40.00$0$130,515$12,956Yes (X)
GLENN EDWARD DAILEY
ASSOCIATE ADMINISTRATOR40.00$0$127,460$2,865Yes (X)
SCOTT ISTRE
DIRECTOR OF PERIOP SERVICES40.00$0$103,237$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,312,564TotReportableCompRltdOrgAmt
Total Other Compensation$302,372TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K16IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ADVANTAGE NURSING SERVICES LLC
25271 NETWORK PLACECHICAGOIL60673CLINICAL CONTRACT LABOR$800,401
ARAMARK CORPORATION
1307 CROWLEY RAYNE HWY SUITE DCROWLEYLA70526HOUSEKEEPING AND DIETARY$731,840
HUB CITY PHYSICIAN GROUP LLC
PO BOX 677979DALLASTX75267CLINICAL OUTSOURCED SERVICES-HOSPITALIST$561,092
CROWLEY EMERGENCY GROUP LLC
PO BOX 677679DALLASTX75267PHYSICIAN CLINICAL SERVICES_EMERGENCY ME$464,516
PARISH ANESTHESIA OF LAFAYETTE
3900 N CAUSEWAY BOULEVARD SUITE 625METAIRIELA70002ANESTHESIA COVERAGE$449,958
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
Fundraising$9,078FundraisingAmt
Total Contributions$9,078TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUEDesc
Business621990BusinessCd
Total Revenue Column$40,012,920TotalRevenueColumnAmt
Related Or Exempt Func Income$40,012,920RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$40,012,920TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,311TotalRevenueColumnAmt
Exclusion$5,311ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$40,086RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$40,086RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,086TotalRevenueColumnAmt
Related Or Exempt Func Income$40,086RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$9,078ContriRptFundraisingEventAmt
Fundraising Direct Expenses$1,971FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,971TotalRevenueColumnAmt
Exclusion-$1,971ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business900099BusinessCd
Total Revenue Column$66,404TotalRevenueColumnAmt
Related Or Exempt Func Income$66,404RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$66,404OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,131,828TotalRevenueColumnAmt
Related Or Exempt Func Income$40,119,410RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,340ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$9,775TotalAmt
Program Services$9,775ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$769,496TotalAmt
Management And General$769,496ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$13,288,371TotalAmt
Program Services$12,124,880ProgramServicesAmt
Management And General$1,163,491ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$248,736TotalAmt
Program Services$214,882ProgramServicesAmt
Management And General$33,854ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,403,549TotalAmt
Program Services$1,138,736ProgramServicesAmt
Management And General$264,813ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,027,710TotalAmt
Program Services$890,213ProgramServicesAmt
Management And General$137,497ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$232,138TotalAmt
Program Services$168,021ProgramServicesAmt
Management And General$64,117ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$62,577TotalAmt
Program Services$623ProgramServicesAmt
Management And General$61,954ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$491,806TotalAmt
Program Services$389,796ProgramServicesAmt
Management And General$102,010ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$614,535TotalAmt
Program Services$88,018ProgramServicesAmt
Management And General$526,517ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$10,531TotalAmt
Program Services$1,620ProgramServicesAmt
Management And General$8,911ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,870TotalAmt
Program Services$2,771ProgramServicesAmt
Management And General$1,099ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$43,933TotalAmt
Program Services$43,933ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$221,468TotalAmt
Program Services$207,091ProgramServicesAmt
Management And General$14,377ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$11,018,130$11,018,130
CONTRACT LABOR$5,233,224$4,996,448$236,776
BAD DEBT$3,075,468$3,075,468
EQUIPMENT REPAIR AND RE$2,083,287$1,212,821$870,466

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,876,024TotalAmt
Program Services$141,023ProgramServicesAmt
Management And General$1,735,001ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$41,714,628TotalAmt
Program Services$35,724,249ProgramServicesAmt
Management And General$5,990,379ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$80,230BOYAmt
EOY$31,376EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,289,512BOYAmt
EOY$5,469,919EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$271,089BOYAmt
EOY$455,521EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,481,240BOYAmt
EOY$1,532,531EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$279,493BOYAmt
EOY$471,303EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,482,666LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$803,563LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,023,048BOYAmt
EOY$1,679,103EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,094,002BOYAmt
EOY$1,783,808EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$11,518,614BOYAmt
EOY$11,423,561EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,090,638BOYAmt
EOY$6,631,169EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$139,276BOYAmt
EOY$42,317EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$102,662BOYAmt
EOY$146,834EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,332,576BOYAmt
EOY$6,820,320EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,186,038BOYAmt
EOY$4,596,134EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$7,107EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,186,038BOYAmt
EOY$4,603,241EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$11,518,614BOYAmt
EOY$11,423,561EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,582,800ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$3OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd

Total Grassroots Lobbying TotalGrassrootsLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$5,281FilingOrganizationsTotalAmt
Affiliated Group Total$150,830AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$5,281FilingOrganizationsTotalAmt
Affiliated Group Total$150,830AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$35,718,968FilingOrganizationsTotalAmt
Affiliated Group Total$762,190,798AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$35,724,249FilingOrganizationsTotalAmt
Affiliated Group Total$762,341,628AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$1,000,000FilingOrganizationsTotalAmt
Affiliated Group Total$1,000,000AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$250,000FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt
Affiliated Group Total$0AffiliatedGroupTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus1$1,000,000CurrentYearMinus1Amt
Current Year$1,000,000CurrentYearAmt
Total$2,000,000TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$3,000,000LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus1$222,980CurrentYearMinus1Amt
Current Year$150,830CurrentYearAmt
Total$373,810TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus1$250,000CurrentYearMinus1Amt
Current Year$250,000CurrentYearAmt
Total$500,000TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$750,000GrassrootsCeilingAmt

Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus1$222,980CurrentYearMinus1Amt
Current Year$150,830CurrentYearAmt
Total$373,810TotalAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE C, PART II-A, LINE 1AFormAndLineReferenceDesc
ExplanationALL LOBBYING ACTIVITIES OCCUR INDIRECTLY THROUGH LOUISIANA HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. THE HOSPITAL DOES NOT HAVE ANY CONTROL OR DIRECTION IN DETERMINING HOW SUCH DUES PAID TO THIS ORGANIZATION IS USED.ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$99,162OtherCostOrOtherBasisAmt
Depreciation$35,641DepreciationAmt
Book Value$63,521BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,858,818OtherCostOrOtherBasisAmt
Depreciation$767,922DepreciationAmt
Book Value$1,090,896BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$524,686OtherCostOrOtherBasisAmt
Book Value$524,686BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,679,103TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECEIVABLES$1,795,742
INVESTMENT IN OBSEQUIO-$11,934
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,783,808TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescINTERCOMPANY PAYABLEDesc
Amt$146,834Amt
FieldValueIRS element (for citing)
Total Liability$146,834TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC 740. FASB ASC 740 PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR FINANCIAL STATEMENT RECOGNITION OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE INTERPRETATION ALSO PROVIDES GUIDANCE ON RECOGNITION, DE-RECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. THE ORGANIZATION'S VARIOUS FEDERAL INCOME TAX AND EXEMPT ORGANIZATION INCOME TAX RETURNS (IRS FORMS 1065, 1120, AND 990), WHETHER FILED ON A CALENDAR OR FISCAL YEAR BASIS, ARE SUBJECT TO EXAMINATION BY THE IRS. THE INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THEY ARE FILED.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft Report0AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$44,995TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$44,995NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,507,567TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,085,722DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,421,845NetCommunityBenefitExpnsAmt
Total Expense0.11440TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,552,562TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,085,722DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,466,840NetCommunityBenefitExpnsAmt
Total Expense0.11560TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,494TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,494NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,775TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$9,775NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,269TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,269NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,573,831TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,085,722DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,488,109NetCommunityBenefitExpnsAmt
Total Expense0.11620TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,075,468BadDebtExpenseAmt
Bad Debt Expense Attributable$53,570BadDebtExpenseAttributableAmt
Reimbursed By Medicare$18,521,972ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$17,705,621CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$816,351MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ACADIA GENERAL HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11305 CROWLEY RAYNE HWYAddressLine1Txt
CityCROWLEYCityNm
State AbbreviationLAStateAbbreviationCd
ZIP70526ZIPCd
FieldValueIRS element (for citing)
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ACADIA GENERAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://WWW.LAFAYETTEGENERAL.COM/SITES/WWW/UPLOADS/FILES/DOWNLOADS/AGH-AMENDOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTP://WWW.LAFAYETTEGENERAL.COM/SITES/WWW/UPLOADS/FILES/COMMUNITY%20REPORTSStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLHTTP://WWW.LAFAYETTEGENERAL.COM/SITES/WWW/UPLOADS/FILES/FAP/AGH_FAP_12715.PFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLHTTP://WWW.LAFAYETTEGENERAL.COM/SITES/WWW/UPLOADS/FILES/FAP/AGH_FINANCIAL_AFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLHTTP://WWW.LAFAYETTEGENERAL.COM/UPLOADS/FILES/DOWNLOADS/AGH_FINANCIAL_ASSISFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ACADIA GENERAL HOSPITAL, INC.PART V, SECTION B, LINE 5: THE SOURCES USED FOR AGH'S CHNA ARE PROVIDED IN THE REFERENCES AND APPENDIX B: COMMUNITY LEADER INTERVIEWWS. INFORMATION WAS GATHERED BY CONDUCTING INTERVIEWS WITH INDIVIDUALS REPRESENTING COMMUNITY HEALTH AND PUBLIC SERVICE ORGANIZATIONS, MEDICAL PROFESSIONALS, HOSPITAL ADMINISTRATION, AND OTHER HOSPITAL STAFF MEMBERS. THE CHNA CAN BE ACCESSED AT:HTTP://WWW.LAFAYETTEGENERAL.COM/SITES/WWW/UPLOADS/FILES/DOWNLOADS/AGH-AMENDED_FINAL_CHNA-16.PDF
ACADIA GENERAL HOSPITAL, INC.PART V, SECTION B, LINE 6A: AGH, FORMERLY AMERICAN LEGION HOSPITAL, WAS ACQUIRED BY LAFAYETTE GENERAL HEALTH(LGH) ON JUNE 1, 2014. BECAUSE THIS ACQUISITION OCCURRED AFTER THE 2013 CHNA REPORT WAS COMPLETED BY AMERICAN LEGION HOSPITAL, AGH HAS CHOSEN TO UTILIZE THE RESULTS FROM THIS 2016 CHNA REPORT TO DEVISE A NEW IMPLEMENTATION STRATEGY THAT IS CONSISTENT WITH THE CURRENT FINDINGS AND AVAILABLE RESOURCES WITHIN THE LGH SYSTEM. THE CHNA CAN BE ACCESSED AT: HTTP://WWW.LAFAYETTEGENERAL.COM/SITES/WWW/UPLOADS/FILES/DOWNLOADS/AGH-AMENDED_FINAL_CHNA-16.PDF
ACADIA GENERAL HOSPITAL, INC.PART V, SECTION B, LINE 11: ALL SIGNIFICAT NEEDS IDENTIFIED IN THE CHNA HAVE BEEN ADDRESSED. THE HOSPITAL IS PRIORITIZING HEALTH NEEDS IN ITS COMMMUNITY AND PRIORITIZING SERVICES THAT THE HOSPITAL WILL UNDERTAIKE TO MEET THESE NEEDS. PLEASE SEE INFORMATION CONTAINED IN THE HOSPITAL'S IMPLEMENTATION STRATEGY. IT CAN BE ACCESSED AT: HTTP://WWW.LAFAYETTEGENERAL.COM/SITES/WWW/UPLOADS/FILES/COMMUNITY%20REPORTS/AGH-CHNA-IMPLEMENTATIONSTRATEGY-FINAL.PDF
ACADIA GENERAL HOSPITAL, INC.PART V, SECTION B, LINE 16J: 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.
ACADIA GENERAL HOSPITAL, INC.PART V, SECTION B, LINE 20E: MONTHLY STATEMENTS ARE SENT TO THE PATIENTS PRIOR TO SENDING COLLECTIONS AFTER 120 DAYS OF NON-PAYMENT.

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:THE HOSPITAL USED TOTAL EXPENSES FROM FORM 990, PART IX, LINE 25, EXCLUDING BAD DEBT EXPENSE. A COST-TO-CHARGE RATIO WAS USED TO ESTIMATE COSTS INCLUDED IN LINE 7. THE COST-TO-CHARGE WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGE, AS PROVIDED IN THE INSTRUCTIONS TO SCHEDULE H.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 3,075,468.
PART 1, LINE 7, COLUMN FTHE 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. THE HOSPITAL DID NOT INCLUDE ANY BAD DEBTS IN OUR COMMUNITY BENEFIT CALCULATIONS.
PART III, LINE 4:THE FOOTNOTE TO THE AUDITED FINANCIAL STATEMENTS READS: PATIENT ACCOUNTS RECEIVABLE ARE REPORTED AT NET REALIZABLE VALUE. ACCOUNTS ARE WRITTEN OFF WHEN THEY ARE DETERMINED TO BE UNCOLLECTIBLE BASED UPON MANAGEMENT'S ASSESSMENT OF INDIVIDUAL ACCOUNTS. PATIENTS' ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENTS' ACCOUNTS RECEIVABLE, THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THE ORGANIZATION'S 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 ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS, IF NECESSARY (E.G., FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYERS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY).FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS, THOSE WITH NO THIRD-PARTY COVERAGE, THE ORGANIZATION 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 THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, IS WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, IS WRITTEN-OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.THE ORGANIZATION'S ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS REMAINED AT 99% OF SELF PAY ACCOUNTS RECEIVABLE AT SEPTEMBER 30, 2018 AND 2017. THE ORGANIZATION CONTINUES TO EXPERIENCE HIGH LEVELS OF CHARITY CARE AND BAD DEBT WRITE-OFFS AS A RESULT OF RISING PATIENT RESPONSIBILITIES DUE IN PART TO HIGH DEDUCTIBLE AND HIGH CO-PAY INSURANCE PLANS.BAD DEBT EXPENSE EQUALS THE BAD DEBT EXPENSE ON THE AUDITED FINANCIAL STATEMENTS. THE HOSPITAL ANALYZED ITS BAD DEBT POPULATION AND ITS CHARITY POPULATION. 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 2017 COST REPORT; THE CORRESPONDING REVENUE AMOUNTS WERE INCLUDED ON LINE 5. THE AMOUNTS REPORTED INCLUDE THOSE RELATED TO MEDICARE PART A INPATIENT SERVICES (BOTH ACUTE AND PSYCHIATRIC) AND MEDICARE PART B HOSPITAL-RELATED OUTPATIENT SERVICES; IT EXCLUDES THE MEDICARE HOSPITAL OUTPATIENT LABORATORY CHARGES WHICH WERE REIMBURSED ON A FEE SCHEDULE AND, THUS, NOT REQUIRED TO BE REPORTED ON THE COST REPORT. ADDITIONALLY, THESE AMOUNTS EXCLUDE THE REIMBURSEMENT AND COSTS ASSOCIATED WITH OUR ANESTHESIA HOSPITAL BASED PRACTICE AS WELL AS OUR PHYSICIAN OFFICE.
PART III, LINE 9B:THE HOSPITAL'S COLLECTION POLICY ADDRESSES THOSE WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. OUR HOSPITAL PRACTICE INCLUDES SENDING STATEMENTS WITH GRADUATED MESSAGES TO PATIENTS BEFORE THEY ARE WRITTEN OFF TO BAD DEBT; AT THIS TIME, THEY ARE INFORMED OF THE FINANCIAL ASSISTANCE PRACTICE AND ARE ENCOURAGED TO CONTACT THE HOSPITAL IF THEY FEEL THAT THEY WOULD QUALIFY. AT ANY TIME, ANY PATIENT MAY REQUEST A CHARITY CARE APPLICATION FORM.
PART VI, LINE 2:ACADIA GENERAL HOSPITAL (AGH) IS THE ONLY ACUTE CARE HOSPITAL IN ACADIA PARISH AND THE SURROUNDING AREA, AND IT MAINTAINS AN EMERGENCY ROOM OPEN TO ALL PEOPLE REQUIRING EMERGENCY CARE, WITHOUT REGARD OF ABILITY TO PAY. THE HOSPITAL MAINTAINS A BOARD OF DIRECTORS DRAWN FROM THE COMMUNITY, AND THEY ARE AWARE OF THE HEALTH NEEDS IN THE COMMUNITY. FOR THESE NEEDS IDENTIFIED BY THE BOARD AND MEDICAL STAFF, AGH USES SURPLUS RECEIPTS OVER DISBURSEMENTS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH PROGRAMS. A FORMAL NEEDS ASSESSMENT UNDERTAKEN FOR YEAR ENDING 9/30/16 - IT CAN BE ACCESSED AT:HTTP://WWW.LAFAYETTEGENERAL.COM/SITES/WWW/UPLOADS/FILES/DOWNLOADS/AGH-AMENDED_FINAL_CHNA-16.PDF
PART VI, LINE 3:THE HOSPITAL COMPLIES WITH FEDERAL REQUIREMENTS OF NOTICES TO PATIENTS AS REQUIRED BY FEDERAL PROGRAMS, SUCH AS MEDICARE. IN THE ADMISSIONS PROCESS, THE HOSPITAL MAKES AVAILABLE SCREENING SERVICES ONSITE TO HELP INPATIENTS WHO QUALIFY FOR MEDICARE AND/OR MEDICAID ASSISTANCE APPLY FOR BENEFITS. THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS INCLUDED IN THE HANDBOOK PROVIDED TO PATIENTS UPON ADMISSION. ADDITIONALLY, UPON ORIGINAL BILL FOR SERVICES, ALL PATIENTS WITHOUT INSURANCE ARE REMINDED OF THE CHARITY DISCOUNT WITH INFORMATION ON HOW TO APPLY. A PROMPT PAY DISCOUNT IS OFFERED TO ALL PATIENTS WITHOUT INSURANCE.
PART VI, LINE 4:THE 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 2014 WAS AROUND 62,000 RESIDENTS. ACADIA PARISH'S POPULATION CONSISTS OF 13.2% OF PERSONS WHO ARE SIXTY-FIVE OR OLDER (SLIGHTLY LOWER THAN THE STATE'S OVERALL PERCENTAGE OF 13.3%). ACCORDING TO THE U.S. CENSUS BUREAU FROM MUNINET GUIDE.COM, THE MEDIAN HOUSEHOLD INCOME FOR ACADIA PARISH WAS $38,161. HOWEVER, FOR LOUISIANA IT WAS $48,725 AND FOR THE U.S. IT WAS $54,130. THUS, ACADIA PARISH'S POPULATION IS POORER THAN THE REST OF LOUISIANA AND THE NATION.
PART VI, LINE 5:THE HOSPITAL MAINTAINS AN EMERGENCY ROOM OPEN TO ALL PEOPLE REQUIRING EMERGENCY CARE, WITHOUT REGARD OF ABILITY TO PAY. THE HOSPITAL PROVIDES CARE FOR ALL PERSONS IN THE COMMUNITY OTHERWISE ABLE TO PAY THE COST MEDICAL SERVICES EITHER DIRECTLY OR THROUGH THIRD PARTY REIMBURSEMENT. THE HOSPITAL MAINTAINS A BOARD OF DIRECTORS DRAWN FROM THE LOCAL COMMUNITY AND USES SURPLUS RECEIPTS OVER DISBURSEMENTS TO IMPROVE THE QUALITY OF PATIENT CARE, EXPAND HOSPITAL FACILITIES, AND ADVANCE MEDICAL TRAINING, EDUCATION, AND RESEARCH PROGRAMS. ADDITIONALLY, THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF.BY MAINTAINING AN OPEN MEDICAL STAFF, THE HOSPITAL CAN OFFER A VARIETY OF SPECIALISTS TO AN OTHERWISE RURAL PARISH, THEREBY INCREASING AVAILABLE RESOURCES FOR THE BEST PATIENT CARE. THE HOSPITAL ALSO MAINTAINS A BOARD OF DIRECTORS COMPRISED OF MEMBERS FROM THE COMMUNITY; BY INCORPORATING MEMBERS OF THE COMMUNITY, THE BOARD CAN ENSURE THE LONG-TERM VIABILITY OF THE HOSPITAL TO BE ABLE TO CONTINUE TO SERVE THE COMMUNITY FOR GENERATIONS TO COME. THE HOSPITAL DILIGENTLY STRIVES TO MAINTAIN A SURPLUS OF REVENUE OVER EXPENSES TO CONTINUE TO UPDATE THE HOSPITAL'S PLANT AND EQUIPMENT WITH THE RAPID CHANGING TECHNOLOGY IN TODAY'S MEDICAL WORLD TO BETTER MEET THE CHANGING NEEDS OF OUR COMMUNITY. IN THE CURRENT YEAR THE HOSPITAL HAD A CAPITAL OUTLAY OF OVER $280,435 MOSTLY CLINICAL PURCHASES.THE HOSPITAL IS THE SECOND LARGEST EMPLOYER IN THE PARISH, SECOND TO ONLY THE LOCAL SCHOOL BOARD. THE HOSPITAL IS A LARGE GENERATOR OF SALES TAX TO THE PARISH AS WELL. THE HOSPITAL'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:THE HOSPITAL IS AFFILIATED WITH OTHER HEALTHCARE ORGANIZATIONS. SEE FORM 990 SCHEDULE R FOR A COMPLETE LISTING. ALL OF THE ORGANIZATIONS ARE LOCAL HEALTHCARE ORGANIZATIONS WITH THE SAME PURPOSE AS THE HOSPITAL.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID CALLECOD
PRESIDENT/CEO-LGMC$0$814,626$0$0$0$89,832$0$223,618$0$17,037$0$1,145,113$0$0
MAX TRAHAN MD
CHIEF OF STAFF AND NONVOTING BOARD$0$332,598$0$283,685$0$14,145$0$5,427$0$589$0$636,444$0$0
CAROLINE G MARCEAUX
CNO$0$138,331$0$0$0$988$0$2,983$0$15,629$0$157,931$0$0
JOSEPH CRAIG BRIGNAC
PHARMACIST$0$138,079$0$0$0$0$0$2,888$0$10,240$0$151,207$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3AN INDEPENDENT EXTERNAL CONSULTANT FIRM, SULLIVAN COTTER AND ASSOCIATES, IS ENGAGED BY A RELATED ORGANIZATION'S COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, WHICH IS COMPRISED OF DISINTERESTED DIRECTORS, TO PREPARE COMPENSATION SURVEY AND FAIR MARKET VALUE REPORT. THIS RELATED ORGANIZATION'S COMPENSATION COMMITTEE ANNUALLY REVIEWS THE MARKET COMPARABLES AND MAKES ADJUSTMENT THE PRESIDENT/CEO'S COMPENSATION THEREAFTER.
PART I, LINES 4A-BDR. MAX TRAHAN CEASED EMPLOYMENT WITH HOSPITAL SYSTEM ON 1/18/17 AND WAS PAID OUT FOR THE REMAINDER ON HIS EMPLOYMENT CONTRACT UPON SEPARATION, THIS AMOUNT IS INCLUDED IN HIS W-2 WAGES FOR 2017. SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN (SERP) WAS ADOPTED EFFECTIVE JANUARY 01, 2008. THE SERP IS CLASSIFIED AS A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN, THE PURPOSE OF WHICH IS TO PROVIDE PARTICIPANTS WITH SUPPLEMENTAL RETIREMENT BENEFITS. CONTRIBUTION FOR THE YEAR WAS $220,000. THE BOARD DETERMINES WHICH EMPLOYEES ARE ELIGIBLE FOR PLAN CONTRIBUTIONS. PARTICIPANTS INCLUDED DAVID CALLECOD, PRESIDENT/CEO-LGHS. DISTRIBUTIONS FROM SERP PLAN, INCLUDED IN 2017 W-2 WAGES, TOTALLED $72,600. THE FOLLOWING RECEIVED DISTRIBUTIONS, INCLUDED IN HIS 2017 W-2 WAGES: DAVID CALLECOD, PRESIDENT/CEO-LGHS.
PART I, LINE 6THE ORGANIZATION DOES HAVE AN INCENTIVE PLAN FOR ALL EMPLOYEES IN GOOD STANDING, DETERMINED IN PART ON NET EARNINGS. THE CRITERIA USED TO DETERMINE IF PROFIT SHARING WILL BE MADE IS BASED ON METRICS DEVELOPED WITHIN FIVE AREAS; 15% EMPLOYEES, 20% SERVICE, 30% QUALITY, 25% FUNDING OUR FUTURE, AND 10% GROWTH. EARNINGS IN EXCESS OF BUDGETED EARNINGS MUST BE AVAILABLE FOR PROFIT SHARING TO BE PAID. THE OFFICERS, AS LISTED ON PART VII OF FORM 990, CALCULATION OF INCENTIVE PLAN PAYMENTS ARE IN PART BASED ON THE CONSOLIDATED NET EARNINGS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
SOUTHERN SECURITY
BOARD MEMBER STEPHEN STEFANSKI'S SON IS 40% OWNER OF SOUTHERN SECURITY$123,942THE COMPANY PROVIDES SECURITY SERVICES TO THE HOSPITAL.0
TRAHAN CONSLUTING GROUP
BOARD MEMBER (NONVOTING)/CHIEF OF STAFF MAX TRAHAN OWNS TRAHAN CONSULTING G$58,000TRAHAN CONSULTING GROUP PROVIDES CONSULTING SERVICES TO THE HOSPITAL0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2BOARD MEMBERS STEPHEN STEFANSKI AND DR. CASON DE LA HOUSSAYE BOTH ALSO SERVE ON THE BOARD AMERICAN LEGION HOSPITAL, AN ENTITY UNRELATED TO ACADIA GENERAL HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION IS A NON-STOCK NOT-FOR-PROFIT CORPORATION WITH ONE CLASS OF MEMBERSHIP.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS RATIFY THE SELECTION OF THE INDIVIDUALS THAT SERVE ON THE BOARD OF TRUSTEES (GOVERNING BODY) AFTER THOSE INDIVIDUALS HAVE BEEN SELECTED AS A TRUSTEE BY THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7BYES, THE INDIVIDUALS OF THE TRUSTEES (GOVERNING BODY) AND THE MEMBERS MUST BE APPROVED BY THE MEMBERSHIP BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE ORGANIZATION'S ACCOUNTING STAFF AND A CPA FIRM. THE COMPLETED FORMS ARE REVIEWED BY THE OFFICERS AND THEN PRESENTED TO THE BOARD FOR REVIEW, COMMENT AND CORRECTIONS IF NEEDED BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CAN ANNUAL SURVEY IS SENT TO THE BOARD MEMBERS AND OFFICERS REQUIRING THEM TO DISCLOSE CONFLICTS OF INTEREST. AFTER RECEIPT OF THESE SURVEYS, THE GOVERNANCE COMMITTEE AND ITS CHAIRPERSON REVIEW ALL CONFLICTS AND REPORT ON SAME TO THE GOVERNANCE COMMITTEE. THEREAFTER THE CHAIRPERSON OF THE GOVERNANCE COMMITIEE AND THE ORGANIZATION'S GENERAL COUNCIL (WHO ATTENDS ALL BOARD MEETINGS) INSURES THAT ALL CONFLICTS ARE TIMELY DISCLOSED AND APPROPRIATE RECUSALS ARE MADE ON BUSINESS MATTERS THAT MAYBE RELATED TO THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15AN INDEPENDENT EXTERNAL CONSULTANT FIRM, SULLIVAN COTTER AND ASSOCIATES, IS ENGAGED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, WHICH IS COMPRISED OF DISINTERESTED DIRECTORS, TO PREPARE COMPENSATION SURVEY AND FAIR MARKET VALUE REPORT. THE COMPENSATION COMMITTEE ANNUALLY REVIEWS THE MARKET COMPARABLES AND MAKES ADJUSTMENT TO THE PRESIDENT'S COMPENSATION THEREAFTER.
FORM 990, PART VI, SECTION C, LINE 19BASIC FINANCIAL INFORMATION IS MADE AVAILABLE AND SENT OUT TO THE COMMUNITY BY MEANS OF THE ORGANIZATION'S ANNUAL REPORT. OTHER DOCUMENTS AND MORE DETAILED FINANCIAL INFORMATION ARE AVAILABLE TO THE PUBLIC UPON REQUEST WITHIN THE PARAMETERS OF REGULATORY / LEGAL AUTHORITIES.
FORM 990, PART XI, LINE 9:ROUNDING 3.
FORM 990, PART XII, LINE 2CTHE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ST MARTIN HOSPITAL INC
210 CHAMPAGNE BOULEVARDBREAUX BRIDGELA70517264626264HOSPITALLA501(C)(3)170(B)(1)(A)(III)LAFAYETTE GENERAL HEALTH SYSTEMS INC0
LAFAYETTE GENERAL HEALTH SYSTEMS INC
920 W PINHOOKLAFAYETTELA70503383646817HEALTHCARE SUPPORTLA501(C)(3)509(A)(3)0
LAFAYETTE HEALTH VENTURES INC
PO BOX 53092LAFAYETTELA70503721006966PHYSICIAN PRACTICESLA501(C)(3)509(A)(3)LAFAYETTE GENERAL HEALTH SYSTEMS INC0
LAFAYETTE GENERAL MEDICAL CENTER INC
1214 COOLIDGE BLVDLAFAYETTELA70503720535375HOSPITALLA501(C)(3)170(B)(1)(A)(III)LAFAYETTE GENERAL HEALTH SYSTEMS INC0
UNIVERSITY HOSPITAL & CLINICS INC
2390 WEST CONGRESSLAFAYETTELA70506462605366HOSPITALLA501(C)(3)170(B)(1)(A)(III)LAFAYETTE GENERAL HEALTH SYSTEMS INC0
LAFAYETTE GENERAL FOUNDATION INC
1214 COOLIDGE BLVDLAFAYETTELA70503371766778FOUNDATIONLA501(C)(3)509(A)(3)LAFAYETTE GENERAL HEALTH SYSTEMS INC0
KAPLAN GENERAL HOSPITAL DBA ABROM KAPLAN MEMORIAL HOSPITAL
1214 COOLIDGE BLVDLAFAYETTELA70503472540179HOSPITALLA501(C)(3)170(B)(1)(A)(III)LAFAYETTE GENERAL HEALTH SYSTEMS INC0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
LAFAYETTE INVESTMENT GROUP LLC
1000 W PINHOOK SUITE 206LAFAYETTELA70503421594593MANAGEMENTLAN/A
LAFAYETTE GENERAL SURGICAL HOSPITAL LLC
1000 W PINHOOKLAFAYETTELA70503481300080SURGICAL HOSPITALLAN/A
OIL CENTER SURGICAL PLAZA LLC
1000 W PINHOOK STE 204LAFAYETTELA70503464090110SURGERY CENTERLAN/A
ACADIANA RADIATION THERAPY LLC
104 WOODMONT BLVD STE 500NASHVILLETN37205471752607RADIATION CENTERTNN/A
MTS-LGH THERAPY SERVICES LLC MCLEOD-TRAHAN-SHEFFIELD PHYSICAL
920 W PINHOOK ROADLAFAYETTELA70503821448014PHYSICAL THEREAPYLAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1LG INDEMNITY COMPANY LTDBusinessNameLine1Txt

Foreign Address ForeignAddress

FieldValueIRS element (for citing)
Address Line123 LIME TREE BAY AVE GOVERNORS SQUAddressLine1Txt
CityGRAND CAYMANCityNm
Province Or StateGRAND CAYMANProvinceOrStateNm
CountryCJCountryCd
FieldValueIRS element (for citing)
EIN981481983EIN
Primary ActivitiesINSURANCE CAPTIVEPrimaryActivitiesTxt
Legal Domicile Foreign CountryCJLegalDomicileForeignCountryCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Affiliated Group Schedule AffiliatedGroupSchedule

Affiliated Schedule AffiliatedScheduleGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINElecting OrganizationElectingOrganizationIndTotal Grassroots LobbyTotalGrassrootsLobbyAmtTotal Direct LobbyTotalDirectLobbyAmtTotal Lobby ExpenditureTotalLobbyExpenditureAmtOther Exempt Purpose ExpendOtherExemptPurposeExpendAmtTotal Exempt Purpose ExpendTotalExemptPurposeExpendAmtLobby NontxLobbyNontxAmtGrassroots NontxGrassrootsNontxAmtTotal Lobby Grssroot Mns NontxTotalLobbyGrssrootMnsNontxAmtTot Lbby Expend Mns Lobby NontxTotLbbyExpendMnsLobbyNontxAmtShare Excess Lobby ExpendShareExcessLobbyExpendAmt
LAFAYETTE GENERAL MEDICAL CENTER
1214 COOLIDGE BOULEVARDLAFAYETTELA70503720535375Yes (X)$41,374$0$41,374$457,131,930$457,173,304$1,000,000$250,000$0$0$0
ST MARTIN HOSPITAL
210 CHAMPAGNE BOULEVARDBREAUX BRIDGELA70517264626264Yes (X)$4,664$0$4,664$18,460,033$18,464,697$1,000,000$250,000$0$0$0
UNIVERSITY HOSPITAL AND CLINICS INC
1214 COOLIDGE BOULEVARDLAFAYETTELA70503462605366Yes (X)$9,849$0$9,849$144,718,499$144,728,348$1,000,000$250,000$0$0$0
ACADIA GENERAL HOSPITAL INC
1305 CROWLEY RAYNE HWYCROWLEYLA70526464958152Yes (X)$5,281$0$5,281$35,718,968$35,724,249$1,000,000$250,000$0$0$0
LAFAYETTE GENERAL HEALTH SYSTEMS INC
1214 COOLIDGE BOULEVARDLAFAYETTELA70503373646817Yes (X)$85,444$0$85,444$92,901,522$92,986,966$1,000,000$250,000$0$0$0
LAFAYETTE GENERAL FOUNDATION
1214 COOLIDGE BOULEVARDLAFAYETTELA70503371766778Yes (X)$0$0$0$871,109$871,109$155,666$38,917$0$0$0
KAPLAN GENERAL HOSPITAL
1214 COOLIDGE BOULEVARDLAFAYETTELA70503472540179Yes (X)$4,218$0$4,218$12,388,737$12,392,955$769,648$192,412$0$0$0