2021-05-24T07:08:28-07:00 2020-09-30 LA Severe Winter Storm DR-4590 720979212 Lester Miller & Wells 3600 Bayou Rapides Alexandria LA 71303 990 2019-10-01 720500565 Desoto Hospital Association Inc DBA Desoto Regional Health System DESO 3188724610 207 Jefferson Street Mansfield LA 71052 TODD EPPLER CEO 2021-05-24 true Mary L Carroll P00564251 3184871450 2019 2022-09-23 18:48:47Z 207 Jefferson Street Mansfield LA 71052 32790079 false X www.desotoregional.com X 1949 LA 34 BED HOSPITAL LOCATED IN A MEDICALLY UNDERSERVED PARISH IN NORTHWEST LOUISIANA DOING BUSINESS AS DESOTO REGIONAL HEALTH SYSTEM. INCLUDES THREE RURAL HEALTH CLINICS,24 HOUR EMERGENCY SERVICES,INTENSIVE OUTPATIENT PROGRAM, AND WELLNESS/THERAPY CENTER. 10 10 278 10 3818 -1946 403980 7593095 24658745 24626487 -13944 -16928 670142 490951 25718923 32693605 0 0 11485023 12531295 0 0 13894689 14622020 25379712 27153315 339211 5540290 18554547 28572486 2820007 7297656 15734540 21274830 34 BED HOSPITAL LOCATED IN A MEDICALLY UNDERSERVED PARISH IN NORTHWEST LOUISIANA DOING BUSINESS AS DESOTO REGIONAL HEALTH SYSTEM. INCLUDES THREE RURAL HEALTH CLINICS,24 HOUR EMERGENCY SERVICES,INTENSIVE OUTPATIENT PROGRAM, AND WELLNESS/THERAPY CENTER. false false 22818658 24593477 DeSoto Hospital Association, INC. (DHA) is licensed to operate a 34 bed acute care hospital for medical, surgical, and diagnostic services. The hospital provided 1,131 inpatient days of care (Medicare 564 and Medicaid 223). DHA also is licensed to operate three rural health clinics, which provided total visits of 37,200 (Medicare 8,190 and Medicaid 17,055).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. 22818658 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 11 0 true 278 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 413043 0 42383 Benjamin Leggio Physician 40.00 0.00 383823 0 22104 CHI-TAI LAU PHYSICIAN 40.00 0.00 319759 0 38750 Brandon Salgado Chief of Staff 40.00 0.00 X 270852 0 32550 Todd Eppler CEO 0.00 40.00 X 0 268045 35164 Douglas Sawyer PHYSICIAN 24.00 0.00 244286 0 16843 JEFFREY EVANS Physician 18.00 0.00 199911 0 22243 CHRIS DAVIS VP FINANCE 40.00 0.00 X 123474 0 17529 Eric Cripps CFO 0.00 10.00 X 0 14194 0 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 D 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 1955148 282239 227566 7 false true true IMPACT HEALTHCARE 1813 NORTHPOINTE LN RUSTON LA 71270 BILLING 762634 EMERGENCY STAFFING SOLUTIONS 17304 PRESTON RD SUITE 1400 DALLAS TX 75252 ER PHYSICIANS 756000 THERA TEAM PHYSICAL THERAPY 101 ISADORE STREET NATCHITOCHES LA 71457 THERAPY 569228 WILLIS-KNIGHTON HEALTH SYSTEM 2600 GREENWOOD ROAD SHREVEPORT LA 71103 MGMT SVCS 330012 INTEGRITY INC 6301 LINWOOD AVE SHREVEPORT LA 71106 CONSTRUCTION 507572 5 7462865 130230 7593095 Fitness First 900099 83975 83975 MAIL ORDER DRUG SALES 900099 1609097 1609097 Oncology 900099 84847 84847 Patient Service Revenue 900099 22848568 22848568 24626487 39546 39546 0 0 13464 13464 13464 13464 40000 96474 -56474 -56474 -56474 0 0 0 Cafeteria Income 722210 165794 165794 HH JOINT VENTURE 621610 266980 266980 MISCELLANEOUS INCOME 900099 25411 25411 19302 3818 15484 477487 32693605 24583477 3818 513215 0 0 0 0 465649 324646 141003 0 10431038 9717635 713403 90043 83876 6167 822444 616729 205715 722121 666483 55638 0 7104 7104 71601 71601 0 0 0 0 44103 44103 0 0 0 393264 272729 120535 51074 37978 13096 0 0 10053 10053 0 1155577 801393 354184 188533 140184 48349 PROFESSIONAL FEES 5127821 3488258 1639563 BAD DEBT EXPENSE 3383032 3383032 SUPPLIES 3333668 2836222 497446 EQUIPMENT MAINT-RENTAL 518547 265724 252823 337643 129613 208030 27153315 22818658 4334657 0 2286462 11084169 1923783 2168585 0 5064244 5306075 0 0 0 427047 512403 210391 267115 31154227 21920089 8642619 9234138 0 0 0 0 1 1 18554547 28572486 2606509 2566210 2035901 213498 2695545 2820007 7297656 X 15734540 21274830 15734540 21274830 18554547 28572486 5540290 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 764349 764349 13775417 8448973 5326444 722811 525809 197002 15651061 12945307 2705754 240589 240589 9234138 X 29361531 -3332074 -3332074 32693605 32693605 23864396 94113 94113 23770283 3383032 3383032 27153315 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, 2016. Part XII, Line 2d: Other expenses and losses per audited F/S FOUNDATION EXPENSES $133944 CONSOLIDATION ELIMINATION $-39831 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S PROVISION FOR BAD DEBT $3383032 true true true X true X true true false false false false 56140 56140 0.00240 3787835 3875708 3843975 3875708 56140 0.00240 3843975 3875708 56140 0.00240 true 3060284 8127 5661594 5885227 -223633 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: THE HOSPITAL'S ESTIMATE OF COLLECTIBILITY IS BASED ON AN ANALYSIS OF AGED ACCOUNTS RECEIVABLE TO ESTABLISH AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND ALLOWANCES FOR CONTRACTUAL ADJUSTMENTS BASED UPON AGREEMENTS BETWEEN THE HOSPITAL AND THIRD PARTY PAYORS. Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit NOTE 5 ACCOUNTS RECEIVABLE: ESTIMATED ALLOWANCES FOR UNCOLLECTIBLES WERE $2,729,155 AND $2,603,834 AT SEPTEMBER 30, 2020 AND 2019, 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: FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS AND FOR AGED THIRD-PARTY PAYORS, THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE AND ON THE AGE OF THE RECEIVABLES BALANCE. 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 305635 72188 6000 22104 405927 Brandon Salgado Chief of Staff 270852 32550 303402 CHI-TAI LAU PHYSICIAN 240557 61202 18000 5171 33579 358509 Denis Kamberov Physician 328545 60498 24000 7051 35332 455426 Douglas Sawyer PHYSICIAN 180216 40070 24000 4084 12759 261129 JEFFREY EVANS Physician 145211 30700 24000 22243 222154 Todd Eppler CEO 268045 35164 303209 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. Part III, Additional Information DRS KAMBEROV, LAU & 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. 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. 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 true false false false false false false false false false false false true false false false false Desoto Regional Health System Foundation c 100000 CHECK AMOUNT Desoto Regional Health System Foundation o 31754 TIME WORKED