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DESOTO HOSPITAL ASSOCIATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
DESOTO HOSPITAL ASSOCIATION (EIN 72-0500565)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-15
IRS object ID
202212279349302146
Schema version
2020v4.0
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)
Return2022-08-15T13:39:07-07:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN720979212PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Lester Miller & WellsBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13600 Bayou RapidesAddressLine1Txt
CityAlexandriaCityNm
State AbbreviationLAStateAbbreviationCd
ZIP71303ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN720500565EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Desoto Hospital Association IncBusinessNameLine1Txt
Business Name Line2DBA Desoto Regional Health SystemBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlDESOBusinessNameControlTxt
Phone3188724610PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1207 Jefferson StreetAddressLine1Txt
CityMansfieldCityNm
State AbbreviationLAStateAbbreviationCd
ZIP71052ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTODD EPPLERPersonNm
Person TitleCEOPersonTitleTxt
Signature2022-08-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTODDPersonFirstNm
Person LastEPPLERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPatrick Trae' O'PryPreparerPersonNm
PTINP01546050PTIN
Phone3184871450PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line1207 Jefferson StreetAddressLine1Txt
CityMansfieldCityNm
State AbbreviationLAStateAbbreviationCd
ZIP71052ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$31,688,483GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.desotoregional.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1949FormationYr
Legal Domicile StateLALegalDomicileStateCd
Activity Or Mission34 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.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee282TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$4,124TotalGrossUBIAmt
PY Contributions Grants$7,593,095PYContributionsGrantsAmt
CY Contributions Grants$2,411,781CYContributionsGrantsAmt
PY Program Service Revenue$24,626,487PYProgramServiceRevenueAmt
CY Program Service Revenue$27,051,128CYProgramServiceRevenueAmt
PY Investment Income-$16,928PYInvestmentIncomeAmt
CY Investment Income$42,857CYInvestmentIncomeAmt
PY Other Revenue$490,951PYOtherRevenueAmt
CY Other Revenue$2,182,717CYOtherRevenueAmt
PY Total Revenue$32,693,605PYTotalRevenueAmt
CY Total Revenue$31,688,483CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,531,295PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,044,614CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$14,622,020PYOtherExpensesAmt
CY Other Expenses$14,537,079CYOtherExpensesAmt
PY Total Expenses$27,153,315PYTotalExpensesAmt
CY Total Expenses$27,581,693CYTotalExpensesAmt
PY Revenues Less Expenses$5,540,290PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,106,790CYRevenuesLessExpensesAmt
Total Assets BOY$28,572,486TotalAssetsBOYAmt
Total Assets EOY$28,271,481TotalAssetsEOYAmt
Total Liabilities BOY$7,297,656TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,889,861TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,274,830NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$25,381,620NetAssetsOrFundBalancesEOYAmt
Mission34 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$22,571,264ExpenseAmt
Revenue$27,066,417RevenueAmt
DescDeSoto Hospital Association, INC. (DHA) is licensed to operate a 34 bed acute care hospital for medical, surgical, and diagnostic services. The hospital provided 1,496 inpatient days of care (Medicare 597 and Medicaid 301). DHA also is licensed to operate three rural health clinics, which provided total visits of 40,794 (Medicare 7,028 and Medicaid 19,883).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.Desc
Total Program Service Expenses$22,571,264TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document21IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee282EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSandra AndersonPersonNm
Phone3188713102PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1207 Jefferson StreetAddressLine1Txt
CityMansfieldCityNm
State AbbreviationLAStateAbbreviationCd
ZIP71052ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
Denis Kamberov
Physician40.000.00$418,006$0$41,944
CHI-TAI LAU
Physician40.000.00$411,381$0$41,288
BENJAMIN LEGGIO
PHYSICIAN40.000.00$381,004$0$22,349
BRANDON SALGADO
Chief of Staff40.000.00$300,426$0$36,737Yes (X)
TODD EPPLER
CEO0.0040.00$0$274,120$32,292Yes (X)
JEFFREY EVANS
Physician18.000.00$243,680$0$23,304
DOUGLAS SAWYER
PHYSICIAN24.000.00$237,027$0$16,279
CHRIS DAVIS
VP FINANCE40.000.00$139,260$0$17,947Yes (X)
JOHN RUSSELL
Vice Chairman1.000.00$0$0$0Yes (X)
TYLER RAMBIN
Director1.000.00$0$0$0Yes (X)
JOHNNY MAY
Director1.000.00$0$0$0Yes (X)
JOHN L FREEMAN
Director1.000.00$0$0$0Yes (X)
DEBORAH ECKLES
Director1.000.00$0$0$0Yes (X)
JILL HEARD
Secretary1.000.00$0$0$0Yes (X)
DEBORAH DEES
Chairman1.000.00$0$0$0Yes (X)
RICHARD WILKINSON
Treasurer1.000.00$0$0$0Yes (X)
STEPHEN FLANDERS
Director1.000.00$0$0$0Yes (X)
TED BRASHER
Director1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,130,784TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$274,120TotReportableCompRltdOrgAmt
Total Other Compensation$232,140TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (true)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EMERGENCY STAFFING SOLUTIONS
17304 PRESTON RD SUITE 1400DALLASTX75252ER PHYSICIANS$657,600
INTEGRITY INC
6301 LINWOOD AVESHREVEPORTLA71106CONSTRUCTION$367,264
THERA TEAM PHYSICAL THERAPY
101 ISADORE STREETNATCHITOCHESLA71457THERAPY$331,636
WILLIS-KNIGHTON REFERENCE LAB
2600 GREENWOOD ROADSHREVEPORTLA71103LAB SERVICES$325,037
WILLIS-KNIGHTON HEALTH SYSTEM
2600 GREENWOOD ROADSHREVEPORTLA71103MGMT SVCS$319,016
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K26CntrctRcvdGreaterThan100KCnt
Government Grants$2,347,761GovernmentGrantsAmt
All Other Contributions$64,020AllOtherContributionsAmt
Total Contributions$2,411,781TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Fitness First900099$96,985$96,985
MAIL ORDER DRUG SALES900099$1,092,464$1,092,464
Oncology900099$87,910$87,910
Patient Service Revenue900099$25,773,769$25,773,769
FieldValueIRS element (for citing)
Total Program Service Revenue$27,051,128TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$42,857TotalRevenueColumnAmt
Exclusion$42,857ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$15,289RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$15,289RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,289TotalRevenueColumnAmt
Related Or Exempt Func Income$15,289RelatedOrExemptFuncIncomeAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria Income722210$261,862$261,862
HH JOINT VENTURE621610$122,491$122,491
MISCELLANEOUS INCOME900099$1,760,651$1,760,651

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,424TotalRevenueColumnAmt
Related Or Exempt Func Income$18,300RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,124UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,167,428OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,688,483TotalRevenueColumnAmt
Related Or Exempt Func Income$29,229,721RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$4,124UnrelatedBusinessRevenueAmt
Exclusion$42,857ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$494,370TotalAmt
Program Services$337,163ProgramServicesAmt
Management And General$157,207ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,846,486TotalAmt
Program Services$9,800,997ProgramServicesAmt
Management And General$1,045,489ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$96,155TotalAmt
Program Services$85,720ProgramServicesAmt
Management And General$10,435ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$845,267TotalAmt
Program Services$619,386ProgramServicesAmt
Management And General$225,881ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$762,336TotalAmt
Program Services$679,428ProgramServicesAmt
Management And General$82,908ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,112TotalAmt
Management And General$5,112ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$70,924TotalAmt
Management And General$70,924ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$47,996TotalAmt
Program Services$47,996ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$440,493TotalAmt
Program Services$300,548ProgramServicesAmt
Management And General$139,945ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$45,917TotalAmt
Program Services$37,826ProgramServicesAmt
Management And General$8,091ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$53,952TotalAmt
Program Services$53,952ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,221,544TotalAmt
Program Services$833,459ProgramServicesAmt
Management And General$388,085ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$200,569TotalAmt
Program Services$147,024ProgramServicesAmt
Management And General$53,545ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROFESSIONAL FEES$5,549,404$3,705,904$1,843,500
SUPPLIES$3,650,969$3,089,453$561,516
BAD DEBT EXPENSE$2,311,173$2,311,173
EQUIPMENT MAINT-RENTAL$547,489$391,840$155,649

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$391,537TotalAmt
Program Services$129,395ProgramServicesAmt
Management And General$262,142ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$27,581,693TotalAmt
Program Services$22,571,264ProgramServicesAmt
Management And General$5,010,429ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,084,169BOYAmt
EOY$8,948,143EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,168,585BOYAmt
EOY$4,196,117EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,306,075BOYAmt
EOY$5,367,177EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$512,403BOYAmt
EOY$574,178EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$267,115BOYAmt
EOY$256,093EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$31,936,508LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$23,006,735LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,234,138BOYAmt
EOY$8,929,773EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$28,572,486BOYAmt
EOY$28,271,481EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,566,210BOYAmt
EOY$1,929,517EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,035,901BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,695,545BOYAmt
EOY$960,344EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,297,656BOYAmt
EOY$2,889,861EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$21,274,830BOYAmt
EOY$25,381,620EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,274,830BOYAmt
EOY$25,381,620EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$28,572,486BOYAmt
EOY$28,271,481EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,106,790ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$771,349InvestmentCostOrOtherBasisAmt
Book Value$771,349BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$14,046,461InvestmentCostOrOtherBasisAmt
Depreciation$8,855,817DepreciationAmt
Book Value$5,190,644BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$730,416InvestmentCostOrOtherBasisAmt
Depreciation$562,884DepreciationAmt
Book Value$167,532BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$16,077,192InvestmentCostOrOtherBasisAmt
Depreciation$13,588,034DepreciationAmt
Book Value$2,489,158BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$311,090InvestmentCostOrOtherBasisAmt
Book Value$311,090BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,929,773TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$29,398,458TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$2,290,025OtherRevenueAmt
Revenue Not Reported-$2,290,025RevenueNotReportedAmt
Revenue Subtotal$31,688,483RevenueSubtotalAmt
Total Revenue Per Form990$31,688,483TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$25,265,256TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$5,264OtherExpensesIncludedAmt
Expenses Not Reported-$5,264ExpensesNotReportedAmt
Expenses Subtotal$25,270,520ExpensesSubtotalAmt
Other Expenses Not Included$2,311,173OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$2,311,173ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$27,581,693TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X : FIN48 FootnoteNOTE 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, 2017.
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/SPROVISION FOR BAD DEBT $2311173

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd
Report Publically AvailablefalseReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$94,037TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$94,037NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,356,155TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,329,323DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,832NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,450,192TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,329,323DirectOffsettingRevenueAmt
Net Community Benefit Expns$120,869NetCommunityBenefitExpnsAmt
Total Expense0.00460TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,450,192TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,329,323DirectOffsettingRevenueAmt
Net Community Benefit Expns$120,869NetCommunityBenefitExpnsAmt
Total Expense0.00460TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,661,051BadDebtExpenseAmt
Bad Debt Expense Attributable$6,928BadDebtExpenseAttributableAmt
Reimbursed By Medicare$5,031,798ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$5,166,639CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$134,841MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnfalseFinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPct
Louisiana Homecare
Home Health-Profit Sharing0.33000
Louisiana Homecare
Home Health-Voting %0.51000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Desoto Regional Health SystemBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1207 JEFFERSON STREETAddressLine1Txt
CityMANSFIELDCityNm
State AbbreviationLAStateAbbreviationCd
ZIP71052ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.desotoregional.comWebsiteAddressTxt
State License229StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Desoto Regional Health SystemBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)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
CHNA Conducted19CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.desotoregional.comOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.desotoregional.comStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care125.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.0000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLwww.desotoregional.comFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLwww.desotoregional.comFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLwww.desotoregional.comFAPSummaryOnWebsiteURLTxt
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
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Permit Selling DebtYes (X)PermitSellingDebtInd
Permit Legal Judicial ProcessYes (X)PermitLegalJudicialProcessInd
Collection ActivitiesYes (true)CollectionActivitiesInd
Reporting To Credit AgencyYes (X)ReportingToCreditAgencyInd
Engaged Selling DebtYes (X)EngagedSellingDebtInd
Engaged Legal Judicial ProcessYes (X)EngagedLegalJudicialProcessInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesYes (true)GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Facility: Desoto Regional Health System - Part V, Section B, Line 5THE HOSPITAL FORMED A COMMITTEE CONSISTING OF THE HOSPITAL'S CEO AND CNO AS WELL AS THE CEOS OF TWO OTHER HEALTHCARE CLINICS IN THE AREA, THE LOCAL EMS DIRECTOR, TWO PHARMACISTS IN MANSFIELD, THE DIRECTOR OF THE COUNCIL ON AGING, LEADERS FROM THE VOCATIONAL TECHNICAL COLLEGE IN THE AREA, DESOTO PARISH HEALTH UNIT LEADERS, A LOCAL HOME HEALTH DIRECTOR, AND SEVERAL SMALL BUSINESS OWNERS. EACH COMMITEE MEMBER HAD SURVEYS FILLED OUT BY VARIOUS PEOPLE IN THE AREA THAT THEY WERE IN CONTACT WITH. THE INFORMATION WAS COMPILED AND DISCUSSED BY THE COMMITTEE AS A STARTING POINT FOR THE VARIOUS NEEDS OF THE COMMUNITY.
Facility: Desoto Regional Health System - Part V, Section B, Line 24SOMETIMES HOSPITAL PATIENTS WHO MAY QUALIFY FOR CHARITY CARE DO NOT PROVIDE ADEQUATE DOCUMENTATION FOR CHARITY CARE ADJUSTMENTS.

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Desoto Reg Family Medicine
130 Jefferson StMansfieldLA71052Rural Health Clinic
Desoto Reg Family Medicine Logansport
110 Main StLogansportLA71049Rural Health Clinic
Industrial Medical Clinic
119 Jefferson StMansfieldLA71092Outpatient Physician Clinic
Desoto Reg Hlth System Zwolle Clinic
2306 Obrie StZwolleLA71486Rural Health Clinic
Desoto Reg Wellness Clinic
305 Texas StMansfieldLA71092Fitness Center and Physical Therapy

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseNOTE 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 SEPREATELY 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 BenefitNOTE 5 ACCOUNTS RECEIVABLE: ESTIMATED ALLOWANCES FOR UNCOLLECTIBLES WERE $1,964,102 AND $2,729,155 AT SEPTEMBER 30, 2021 AND 2020, 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 ExpenseNOTE 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 INPLICIT 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 BenefitTHE 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 PatientsTHE 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.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (true)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
BENJAMIN LEGGIO
PHYSICIAN$269,935$105,069$6,000$22,349$403,353
BRANDON SALGADO
Chief of Staff$300,426$33,487$337,163$3,250
CHI-TAI LAU
Physician$285,828$107,553$18,000$35,571$452,669$5,717
CHRIS DAVIS
VP FINANCE$139,260$17,947$157,207
Denis Kamberov
Physician$309,695$84,311$24,000$35,750$459,950$6,194
DOUGLAS SAWYER
PHYSICIAN$167,846$45,181$24,000$12,922$253,306$3,357
JEFFREY EVANS
Physician$166,858$52,822$24,000$19,967$266,984$3,337
TODD EPPLER
CEO$274,120$32,292$306,412

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1a: Relevant information in regards to selections on 1a.
Part II, Compensation from Unrelated OrganizationsHOSPITAL CEO IS AN EMPLOYEE OF WILLIS-KNIGHTON HEALTH SYSTEM. THE HOSPITAL PAYS WILLIS-KNIGHTON HEALTH SYSTEM A MANAGEMENT FEE FOR CEO SERVICES. IN FY 2021 THE CONTRACT ENDED WITH WILLIS-KNIGHTON AND THE CONTRACT CEO BECAME AN EMPLOYEE OF THE HOSPITAL.
Part III, Additional InformationDRS KAMBEROV & SAWYER PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyDesoto Regional Health System entered into a management contract with Willis-Knighton starting in July 2013 to provide a chief executive officer who oversees day to day operations. IN FY 2021 THE CONTRACT CEO BECOMES AN EMPLOYEE OF THE HOSPITAL.
Form 990, Part VI, Line 11b: Form 990 Review ProcessIRS 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, Line 12c: Explanation of Monitoring and Enforcement of ConflictsWritten 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, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementCEO is employee of management company, Willis-Knighton. Board approved contract with Willis-Knighton for services of CEO and other management areas. IN FY 2021 THE CEO BECOMES AN EMPLOYEE OF THE HOSPITAL.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesCompensation for CEO, 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, Line 19: Other Organization Documents Publicly AvailableAccording to availability of government returns policy, VP of Finance is responsible for public access to the information returns.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Desoto Regional Health System FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1207 Jefferson StAddressLine1Txt
CityMansfieldCityNm
State AbbreviationLAStateAbbreviationCd
ZIP71052ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesSupport healthcare at Desoto RegionalPrimaryActivitiesTxt
Legal Domicile StateLALegalDomicileStateCd
Exempt Code Section501 C 3ExemptCodeSectionTxt
Public Charity StatusYesPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Desoto Regional Health SystemBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Desoto Regional Health System FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeoTransactionTypeTxt
Involved$30,670InvolvedAmt
Method Of Amount DeterminationTIME WORKEDMethodOfAmountDeterminationTxt