2024-07-31T13:27:43-07:00 2023-09-30 720979212 Lester Miller & Wells 3600 Bayou Rapides Alexandria LA 71303 990 2022-10-01 720500565 Desoto Hospital Association Inc DBA Desoto Regional Health System DESO 3188724610 207 Jefferson Street Mansfield LA 71052 TODD EPPLER CEO 2024-07-30 true true Karlie Brister P02535484 3184871450 2022 2024-08-08 14:25:15Z 207 Jefferson Street Mansfield LA 71052 38050459 false X www.desotoregional.com X 1949 LA 34 BED HOSPITAL LOCATED IN A MEDICALLY UNDERSERVED PARISH IN NORTHWEST LOUISIANA. INCLUDES THREE RURAL HEALTH CLINICS,24 HOUR EMERGENCY SERVICES,INTENSIVE OUTPATIENT PROGRAM, AND WELLNESS/THERAPY CENTER. 9 9 339 10 5836 1877836 1826744 30582249 35442579 36643 178302 636026 602834 33132754 38050459 0 0 14306754 14995759 0 0 17009770 18503357 31316524 33499116 1816230 4551343 31292427 35181859 4094581 3432670 27197846 31749189 34 BED HOSPITAL LOCATED IN A MEDICALLY UNDERSERVED PARISH IN NORTHWEST LOUISIANA. INCLUDES THREE RURAL HEALTH CLINICS,24 HOUR EMERGENCY SERVICES,INTENSIVE OUTPATIENT PROGRAM, AND WELLNESS/THERAPY CENTER. false false 27367473 35442579 DeSoto Hospital Association, INC. (DHA) is licensed to operate a 34 bed acute care hospital for medical, surgical, and diagnostic services. The hospital provided 1,386 acute inpatient days of care (Medicare 599 and Medicaid 295)and 84 swing bed days. DHA also is licensed to operate three rural health clinics, which provided total visits of 51,752 (Medicare 8,298 and Medicaid 20,520).At no charge, the following exempt organizations use the Hospitals conference room for meetings: Rotary Club, Crime Stoppers, Mayors Liaison Committee, ADAC, Alcoholics Anonymous, Gideons, Family Abuse Support, and cancer survivors.Without charge, various hospital employees were sent to educate the community through high school career days, science and health fairs, job shadowing, AHEC, and speaking at various festivals. 27367473 true true false false false false false false false false true false false false false true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true false false false true 25 0 true 339 true true true false false false false false false 0 false false false false false false false X 9 9 false false false false false false false true true false false false true true true true true true true true true X Tanika Nash 3188713102 207 Jefferson Street Mansfield LA 71052 X BRANDON SALGADO Physician 40.00 0.00 425709 0 42386 DENIS KAMBEROV Chief of Staff 40.00 0.00 X 416280 0 36707 CHI-TAU LAU Physician 40.00 0.00 415919 0 36137 BENJAMIN LEGGIO PHYSICIAN 40.00 0.00 416373 0 23369 TODD EPPLER CEO 40.00 40.00 X 302016 0 18524 KIMBERLY RIALS NURSE PRACTITIONER 40.00 0.00 292792 0 21340 DOUGLAS SAWYER PHYSICIAN 40.00 0.00 261248 0 17388 CHRIS DAVIS VP FINANCE 40.00 0.00 X 166510 0 19188 JOHN RUSSELL Chairman 1.00 0.00 X 0 0 0 TYLER RAMBIN Director 1.00 0.00 X 0 0 0 BLAINE HODGES Director 1.00 0.00 X 0 0 0 JOHN L FREEMAN Director 1.00 0.00 X 0 0 0 DEBORAH ECKLES Director 1.00 0.00 X 0 0 0 JILL HEARD Secretary 1.00 0.00 X 0 0 0 DEBORAH DEES Treasurer 1.00 0.00 X 0 0 0 RICHARD WILKINSON Vice Chairman 1.00 0.00 X 0 0 0 TED BRASHER Director 1.00 0.00 X 0 0 0 2696847 215039 8 false true false EMERGENCY STAFFING SOLUTIONS 17304 PRESTON RD SUITE 1400 DALLAS TX 75252 ER PHYSICIANS 720500 GRACE HEBERT CURTIS ARCHITECTS 601 POYDRAS STREET SUITE 2310 NEW ORLEANS LA 70130 ARCHITECTS 706500 THERATEAM 101 ISADORE STREET NATCHITOCHES LA 71457 THERAPY 638152 LARRY DAVID ALLEN 4416 ORCHID STREET SHREVEPORT LA 71105 PHYSICIAN SERVICES 319000 WILLIS-KNIGHTON REFERENCE LAB 2600 GREENWOOD ROAD SHREVEPORT LA 71103 LAB SERVICES 279221 28 1712871 113873 1826744 Fitness First 900099 119316 119316 MAIL ORDER DRUG SALES 900099 1666701 1666701 Oncology 900099 238267 238267 Patient Service Revenue 900099 33418295 33418295 35442579 177802 177802 0 0 48302 48302 48302 48302 500 500 500 500 0 0 0 Cafeteria Income 722210 250219 250219 HH JOINT VENTURE 621610 253336 253336 MISCELLANEOUS INCOME 900099 26048 26048 24929 19093 5836 554532 38050459 36040077 5836 177802 0 0 0 0 959225 452987 506238 0 12083661 10914894 1168767 91426 79805 11621 1013372 735649 277723 848075 763683 84392 0 4816 4816 99850 99850 0 0 0 0 109505 109505 0 0 0 563204 368223 194981 84132 53784 30348 0 0 7989 7989 0 1298141 848725 449416 219633 157253 62380 PROFESSIONAL FEES 6721413 4616126 2105287 SUPPLIES 5724275 5060215 664060 BAD DEBT EXPENSE 2664692 2664692 EQUIPMENT MAINT-RENTAL 566559 421541 145018 439148 112402 326746 33499116 27367473 6131643 0 11061617 5835493 5518398 11359794 0 4746887 5897425 0 0 2600 700751 746632 242079 290084 36381353 25331522 9022695 11049831 0 0 0 0 0 31292427 35181859 2714738 2589174 514781 865062 843496 4094581 3432670 X 27197846 31749189 27197846 31749189 31292427 35181859 4551343 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 771349 771349 14155964 9796187 4359777 762568 640033 122535 17671467 14895302 2776165 3020005 3020005 11049831 X 35467168 -2583291 -2583291 38050459 38050459 30922418 87994 87994 30834424 2664692 2664692 33499116 Part X : FIN48 Footnote NOTE 22 - INCOME TAXESAccounting principles generally accepted in the United States of America require management to evaluate tax positions taken by the Hospital and recognize a tax liability if the organization has taken an uncertain position that more likely than not would be sustained upon examination by the Internal Revenue Service. Management has concluded that there are no uncertain tax positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The Hospital is subject to routine audits by taxing jurisdictions; however, there are currently no audits for any tax periods in progress. Hospital management believes it is no longer subject to income tax examinations for periods ending prior to October 1, 2020. Part XII, Line 2d: Other expenses and losses per audited F/S FOUNDATION EXPENSES $89489 CONSOLIDATION ELIMINATION $-1495 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S PROVISION FOR BAD DEBT $2664692 true true true X true X true true false false false false 137956 137956 0.00450 8414121 8887805 8552077 8887805 137956 0.00450 8552077 8887805 137956 0.00450 true 2058294 10266 5421470 5651802 -230332 X true false Louisiana Homecare Home Health-Profit Sharing 0.33000 Louisiana Homecare Home Health-Voting % 0.51000 1 1 Desoto Regional Health System 207 JEFFERSON STREET MANSFIELD LA 71052 www.desotoregional.com 229 X X X Desoto Regional Health System 1 false false true X X X X X X X 22 true false false true X www.desotoregional.com X true 22 true www.desotoregional.com false false true X 125.0000 200.0000 X X X X true true X X X true X www.desotoregional.com X www.desotoregional.com X www.desotoregional.com X X X X X true X X X true X X X X X X X true X false true Facility: Desoto Regional Health System - Part V, Section B, Line 5 The hospital formed a committee consisting of the Vice President of Rural Health Clinics and the Administrator of Project Development/Business Management, as well as members of the local community. Members included local business owners, physical therapists, the Mansfield mayor, Chief of Police, school board members, and other citizens. Each member was provided with a packet containing surveys to be completed by members of the community at large and were returned to the committee. The feedback from these surveys allowed for better insight into the perception of the most pronounced needs in the community. Facility: Desoto Regional Health System - Part V, Section B, Line 24 SOMETIMES HOSPITAL PATIENTS WHO MAY QUALIFY FOR CHARITY CARE DO NOT PROVIDE ADEQUATE DOCUMENTATION FOR CHARITY CARE ADJUSTMENTS. Desoto Reg Family Medicine 130 Jefferson St Mansfield LA 71052 Rural Health Clinic Desoto Reg Family Medicine Logansport 110 Main St Logansport LA 71049 Rural Health Clinic Industrial Medical Clinic 119 Jefferson St Mansfield LA 71092 Outpatient Physician Clinic Desoto Reg Hlth System Zwolle Clinic 2306 Obrie St Zwolle LA 71486 Rural Health Clinic Desoto Reg Wellness Clinic 305 Texas St Mansfield LA 71092 Fitness Center and Physical Therapy Part III, Line 2 - Methodology Used To Estimate Bad Debt Expense NOTE 2 - CONCENTRATION OF CREDIT RISK: ESTIMATED UNCOLLECTIBLE AMOUNTS DUE FROM PATIENTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS, PRESENTED AS A DIRECT REDUCTION TO PATIENT SERVICE REVENUE, AND IS NOT PRESENTED SEPARATELY AS PROVISION FOR BAD DEBTS. THE PROVISION FOR BAD DEBTS IS DETERMINED CONSIDERING HISTORICAL EXPERIENCE, TRENDS IN HEALTH COVERAGE, GEOGRAPHICAL DATA, AND OTHER COLLECTION INDICATORS. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit NOTE 5 ACCOUNTS RECEIVABLE: ESTIMATED ALLOWANCES FOR UNCOLLECTIBLES WERE $2,621,505 AND $2,979,136 AT SEPTEMBER 30, 2023 AND 2022, RESPECTIVELY. LIMITED PATIENT COOPERATION IN PROVIDING PERSONAL FINANCIAL INFORMATION RESULTS IN UNDER REPORTING OF INDIGENT CARE AND OVERSTATEMENT OF BAD DEBT EXPENSE. Part III, Line 4 - Bad Debt Expense NOTE 5: THE HOSPITAL ADOPTED ASC 606 DURING FISCAL YEAR 2021. AS A RESULT OF THAT ADOPTION, ESTIMATED UNCOLLECTIBLE AMOUNTS DUE FROM PATIENTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS, PRESENTED AS A DIRECT REDUCTION TO PATIENT SERVICE REVENUE, AND NOT PRESENTED SEPERATELY AS PROVISION OF BAD DEBTS. THE PROVISION OF BAD DEBTS IS DETERMINED CONSIDERING HISTORICAL EXPERIENCE, TRENDS IN HEALTH COVERAGE, GEOGRAPHICAL DATA, AND OTHER COLLECTION INDICATORS. Part III, Line 8 - Explanation Of Shortfall As Community Benefit THE HOSPITAL CONTENDS THAT THE MAJORITY, IF NOT ALL, OF THE MEDICARE 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. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients THE HOSPITAL'S CHARITY CARE CRITERIA IS BASED ON FEDERAL POVERTY GUIDELINES. PATIENTS ARE CONSIDERED INDIGENT WHEN THEIR FAMILY INCOME LEVEL IS LESS THAN 125% OF THE FEDERAL POVERTY GUIDELINES, THEY HAVE NO INSURANCE, THEIR MEDICAID SERVICES WILL NOT BE PAID DUE TO LACK OF BENEFITS, AND THEY HAVE NO ASSETS.A PARTIAL INDIGENT/CHARITY WRITE OFF MAY BE OBTAINED WHEN THE PATIENT'S FAMILY INCOME LEVEL IS BETWEEN 125% AND 200% OF THE FEDERAL POVERTY GUIDELINES. LIMITED PATIENT COOPERATION IN PROVIDING PERSONAL FINANCIAL INFORMATION RESULTS IN UNDER REPORTING OF INDIGENT CARE AND OVERSTATEMENT OF BAD DEBT EXPENSE.WHEN THE NEED FOR FINANCIAL ASSISTANCE IS IDENTIFIED, EITHER DURING THE ADMISSIONS OR COLLECTION PROCESS, PATIENTS ARE INFORMED OF THE AVAILABILITY OF FINANCIAL ASSISTANCE. THEY ARE REFERRED TO THE PATIENT FINANCIAL COUNSELOR WHO WILL INFORM THEM ABOUT THE PROCESS OF APPLYING FOR ASSISTANCE USING THE GUARANTOR FINANCIAL STATEMENT FORM AND WHAT DOCUMENTATION IS REQUIRED TO BE ELIGIBLE FOR ASSISTANCE AND/OR CHARITY CARE. X true true X X X X false false false true false false false false false BENJAMIN LEGGIO PHYSICIAN 284634 125739 6000 23369 439742 BRANDON SALGADO Physician 310889 114820 6218 36168 468095 CHI-TAU LAU Physician 289713 107206 19000 36137 452056 CHRIS DAVIS VP FINANCE 165510 1000 19188 185698 DENIS KAMBEROV Chief of Staff 293842 91438 31000 620 36087 452987 DOUGLAS SAWYER PHYSICIAN 178578 56420 26250 3572 13816 278636 KIMBERLY RIALS NURSE PRACTITIONER 150342 142450 21340 314132 TODD EPPLER CEO 251680 50336 18524 320540 Part I, Line 1a: Relevant information in regards to selections on 1a. Part III, Additional Information DRS KAMBEROV & SAWYER PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN. Form 990, Part VI, Section B, Line 11b IRS Form 990 is submitted in draft form to the chairman of the finance committee for review and approval before submission to the IRS. Form 990, Part VI, Section B, Line 12c Written conflict of interest and disclosure policy is distributed to all appropriate persons. Once a year, each Board member, physician employee, contracted physician, and management employee reviews and signs the conflict of interest and disclosure of certain interest form. Form 990, Part VI, Section B, Line 15a Compensation for CEO Is approved by the Board of Directors after recommendation of the compensation committee. The compensation committee reviews data from various sources. Form 990, Part VI, Section B, Line 15b Compensation for VP of Finance,and key employees is approved by the Board of Directors after recommendation of the compensation committee. The compensation committee reviews data from various sources, including industry benchmarks, consultants, and management company. Form 990, Part VI, Section C, Line 19 According to availability of government returns policy, VP of Finance is responsible for public access to the information returns. Desoto Regional Health System Foundation 207 Jefferson St Mansfield LA 71052 Support healthcare at Desoto Regional LA 501 C 3 Yes Desoto Regional Health System false false false false false false false false false false false false false false false true false false false false Desoto Regional Health System Foundation o 31189 TIME WORKED