SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
Access Health Louisiana
 
Employer identification number

47-0852944
Return Reference Explanation
Pt VI, Line 11b The organization Director of Finance participates in the preparation of the data for use in completion of the 990 return. The Director of Finance reviews the 990 prior to submission. The Board of Directors are given a copy of the 990 for review.
Pt VI, Line 2 The Board Chairman and another Board Member are related.
Pt VI, Line 12c Review of the policy with staff and board members is performed annually. All are requered to self report any potential conflict of interest with the organization.
Pt VI, Line 15a All C-level and key personnel positions are reviewed against salary surveys, industry averages, and local norms for appropriateness.
Pt VI, Line 15b All C-level and key personnel positions are reviewed against salary surveys, industry averages, and local norms for appropriateness.
Pt VI, Line 19 Access is available to corporate policies and governing documents, the conflict of interest policy and any reviewed concerns with outcomes, as well as financial statements upon written request.
Form 990, Part IX, Line 24e Maintenance 488514. 383614. 104900. 0.
Form 990, Part IX, Line 24e Dues & Memberships 52754. 13156. 39598. 0.
Form 990, Part IX, Line 24e Utilities 168153. 134071. 34082. 0.
Form 990, Part IX, Line 24e Other Expenses 614789. 383431. 231358. 0.
Form 990, Part IX, Line 24e Taxes & Licenses 25806. 25806. 0. 0.
Form 990, Part IX, Line 24e Bank Fees 30868. 30868. 0. 0.
Form 990, Part IX, Line 24e Telephone/Communications 274923. 224490. 50433. 0.
Form 990, Part IX, Line 24e Medical Transportation 27681. 27681. 0. 0.
Form 990, Part IX, Line 24e Non Cap F&F 80371. 80371. 0. 0.
Form 990, Part IX, Line 24e Provision for Bad Debt 44412. 44412. 0. 0.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


Additional Data


Software ID: 15000272
Software Version: