2022-08-15T13:39:07-07:00 2021-09-30 720979212 Lester Miller & Wells 3600 Bayou Rapides Alexandria LA 71303 990 2020-10-01 720500565 Desoto Hospital Association Inc DBA Desoto Regional Health System DESO 3188724610 207 Jefferson Street Mansfield LA 71052 TODD EPPLER CEO 2022-08-10 true TODD EPPLER 999009999 Patrick Trae' O'Pry P01546050 3184871450 2 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z 207 Jefferson Street Mansfield LA 71052 31688483 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. 10 10 282 10 4124 7593095 2411781 24626487 27051128 -16928 42857 490951 2182717 32693605 31688483 0 0 12531295 13044614 0 0 14622020 14537079 27153315 27581693 5540290 4106790 28572486 28271481 7297656 2889861 21274830 25381620 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 22571264 27066417 DeSoto Hospital Association, INC. (DHA) is licensed to operate a 34 bed acute care hospital for medical, surgical, and diagnostic services. The hospital provided 1,496 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. 22571264 true false 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 21 0 true 282 true true true false false false false false false 0 false false false false false false false X 10 10 false true false false false false false true true false false false true true true true true true true true true X Sandra Anderson 3188713102 207 Jefferson Street Mansfield LA 71052 X Denis Kamberov Physician 40.00 0.00 418006 0 41944 CHI-TAI LAU Physician 40.00 0.00 411381 0 41288 BENJAMIN LEGGIO PHYSICIAN 40.00 0.00 381004 0 22349 BRANDON SALGADO Chief of Staff 40.00 0.00 X 300426 0 36737 TODD EPPLER CEO 0.00 40.00 X 0 274120 32292 JEFFREY EVANS Physician 18.00 0.00 243680 0 23304 DOUGLAS SAWYER PHYSICIAN 24.00 0.00 237027 0 16279 CHRIS DAVIS VP FINANCE 40.00 0.00 X 139260 0 17947 JOHN RUSSELL Vice Chairman 1.00 0.00 X 0 0 0 TYLER RAMBIN Director 1.00 0.00 X 0 0 0 JOHNNY MAY 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 Chairman 1.00 0.00 X 0 0 0 RICHARD WILKINSON Treasurer 1.00 0.00 X 0 0 0 STEPHEN FLANDERS Director 1.00 0.00 X 0 0 0 TED BRASHER Director 1.00 0.00 X 0 0 0 2130784 274120 232140 7 false true true EMERGENCY STAFFING SOLUTIONS 17304 PRESTON RD SUITE 1400 DALLAS TX 75252 ER PHYSICIANS 657600 INTEGRITY INC 6301 LINWOOD AVE SHREVEPORT LA 71106 CONSTRUCTION 367264 THERA TEAM PHYSICAL THERAPY 101 ISADORE STREET NATCHITOCHES LA 71457 THERAPY 331636 WILLIS-KNIGHTON REFERENCE LAB 2600 GREENWOOD ROAD SHREVEPORT LA 71103 LAB SERVICES 325037 WILLIS-KNIGHTON HEALTH SYSTEM 2600 GREENWOOD ROAD SHREVEPORT LA 71103 MGMT SVCS 319016 26 2347761 64020 2411781 Fitness First 900099 96985 96985 MAIL ORDER DRUG SALES 900099 1092464 1092464 Oncology 900099 87910 87910 Patient Service Revenue 900099 25773769 25773769 27051128 42857 42857 0 0 15289 15289 15289 15289 0 0 0 0 Cafeteria Income 722210 261862 261862 HH JOINT VENTURE 621610 122491 122491 MISCELLANEOUS INCOME 900099 1760651 1760651 22424 18300 4124 2167428 31688483 29229721 4124 42857 0 0 0 0 494370 337163 157207 0 10846486 9800997 1045489 96155 85720 10435 845267 619386 225881 762336 679428 82908 0 5112 5112 70924 70924 0 0 0 0 47996 47996 0 0 0 440493 300548 139945 45917 37826 8091 0 0 53952 53952 0 1221544 833459 388085 200569 147024 53545 PROFESSIONAL FEES 5549404 3705904 1843500 SUPPLIES 3650969 3089453 561516 BAD DEBT EXPENSE 2311173 2311173 EQUIPMENT MAINT-RENTAL 547489 391840 155649 391537 129395 262142 27581693 22571264 5010429 0 11084169 8948143 2168585 4196117 0 5306075 5367177 0 0 0 512403 574178 267115 256093 31936508 23006735 9234138 8929773 0 0 0 0 1 0 28572486 28271481 2566210 1929517 2035901 2695545 960344 7297656 2889861 X 21274830 25381620 21274830 25381620 28572486 28271481 4106790 X false true X true true true X 771349 771349 14046461 8855817 5190644 730416 562884 167532 16077192 13588034 2489158 311090 311090 8929773 X 29398458 -2290025 -2290025 31688483 31688483 25265256 -5264 -5264 25270520 2311173 2311173 27581693 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, 2017. Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S PROVISION FOR BAD DEBT $2311173 true true true X true X true true false false false false 94037 94037 0.00360 7356155 7329323 26832 0.00100 7450192 7329323 120869 0.00460 7450192 7329323 120869 0.00460 true 1661051 6928 5031798 5166639 -134841 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 Desoto Regional Health System 1 false false true X X X X X X X 19 true false false true X www.desotoregional.com X true 19 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 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 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 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 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 Benefit NOTE 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 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 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 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 269935 105069 6000 22349 403353 BRANDON SALGADO Chief of Staff 300426 3250 33487 337163 CHI-TAI LAU Physician 285828 107553 18000 5717 35571 452669 CHRIS DAVIS VP FINANCE 139260 17947 157207 Denis Kamberov Physician 309695 84311 24000 6194 35750 459950 DOUGLAS SAWYER PHYSICIAN 167846 45181 24000 3357 12922 253306 JEFFREY EVANS Physician 166858 52822 24000 3337 19967 266984 TODD EPPLER CEO 274120 32292 306412 Part I, Line 1a: Relevant information in regards to selections on 1a. Part II, Compensation from Unrelated Organizations HOSPITAL 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 Information DRS KAMBEROV & SAWYER PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN. Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company Desoto 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 Process 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, Line 12c: Explanation of Monitoring and Enforcement of Conflicts 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, Line 15a: Compensation Review & Approval Process - CEO, Top Management CEO 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 Employees Compensation 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 Available 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 30670 TIME WORKED