American Legion Hospital

What it reported doing in 2024

American legion hospital ("alh") entered into a special services lease agreement with acadia general hospital, inc. ("agh") a Louisiana non-profit corporation, which is a wholly owned subsidiary of lafayette general health system, inc. ("lgh") a Louisiana non-profit corporation. Agh seamlessly continued the mission of alh by assuming the management and operations of alh's hospital on june 1, 2014. This made the hospital part of lgh's regional network of facilities.agh's role in this agreement is to provide high quality medical services using the expanded resources, technology, purchasing power, and clinical protocal lignment of lgh. The intent of this arrangementw as to provide financial stability and long-term viability of the hospital for the benefit of the residents of the city of crowley and acadia parish. This would enable better care to be delivered efficiently and cost-effectively, and it would ensure continued operation and access to hospital and emergency care.alh lease to agh the hospital buildings and fixtures. The lease included all the movable property, such as equipment, machinery, computers and software equipment. It also included all inventory, supplies, and pharmaceuticals. The initial term of the lease will be ten years with four opportunities to renew the lease for fice year periods. At the termination of the lease the movable property will revert to alh.as part of this lease agreement alh assisgned to agh its contracts, leases, permits, and licenses to that agh could operate the facility. Alh also assigned to agh its accounts receivable for services rendered in order to facilitate the collection of the bills, oagh also assumed the accounts payable for materials, services, and supplies. There is not issue with private inurement since agh is a nonprofit hospital continuing the same mission.

Financial Efficiency

• Mission deployment rate: 94.9%; rating input score 95
• Program expense ratio: 90.6%; rating input score 91
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.9%; rating input score 93; 19th percentile among comparable filings
• Pay-setting controls: Limited
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 76th percentile among comparable filings
• Major donor itemization: Limited
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 63rd percentile among comparable filings
• Governance controls: 7 of 8 controls in place; rating input score 88
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: NotApplicable
  • Form 990 shared with the board: Fail
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -1.6%; rating input score 31; 31st percentile among comparable filings
• Total-asset coverage ratio: 7.73; rating input score 90; 90th percentile among comparable filings
• Liabilities to assets ratio: 0.49; rating input score 16; 16th percentile among comparable filings
• Officer compensation ratio: 10.2%; rating input score 36; 36th percentile among comparable filings

Growth

• Program expense growth: -32.2% per year; rating input score 0; 1st percentile among comparable filings
• Revenue growth: -24.5% per year; rating input score 0; 1st percentile among comparable filings
• Asset growth: -10.6% per year; rating input score 0; 3rd percentile among comparable filings