2016-07-21T13:06:04-07:00 2015-09-30 Lester Miller & Wells 3600 Bayou Rapides Alexandria LA 71303 990 2014-10-01 720500565 Desoto Hospital Association Inc DBA Desoto Regional Health System DESO 3188724610 207 Jefferson Street Mansfield LA 71052 SANDRA ANDERSON CFO 2016-07-21 true Mary L Carroll P00564251 3184871450 2014 2016-12-15 16:53:06Z 22908910 false false X www.desotoregional.com X 1949 LA 38 BED HOSPITAL LOCATED IN A MEDICALLY UNDERSERVED PARISH IN NORTHWEST LOUISIANA DOING BUSINESS AS DESOTO REGIONAL HEALTH SYSTEM. INCLUDES THREE RURAL HEALTH CLINICS, WITH THREE FULL-TIME PHYSICIANS AND ONE PART TIME PHYSICIAN, 24 HOUR EMERGENCY SERVICES, INTENSIVE OUTPATIENT PROGRAM, AND A WELLNESS AND THERAPY CENTER. 9 9 240 10 6296 -3235 3089100 1041057 18493515 21210855 11542 13476 486461 643522 22080618 22908910 0 0 9667223 9828773 0 0 11172302 13128643 20839525 22957416 1241093 -48506 16504733 15919641 1883492 1346906 14621241 14572735 X 38 BED HOSPITAL LOCATED IN A MEDICALLY UNDERSERVED PARISH IN NORTHWEST LOUISIANA DOING BUSINESS AS DESOTO REGIONAL HEALTH SYSTEM. INCLUDES THREE RURAL HEALTH CLINICS, WITH THREE FULL-TIME PHYSICIANS AND ONE PART TIME PHYSICIAN, 24 HOUR EMERGENCY SERVICES, INTENSIVE OUTPATIENT PROGRAM, AND A WELLNESS AND THERAPY CENTER. false false 19988683 22908910 DeSoto Hospital Association, INC. (DHA) is licensed to operate a 38 bed acute care hospital for medical, surgical, and diagnostic services. The hospital provided 2,294 inpatient days of care (Medicare 1,601 and Medicaid 229). DHA also is licensed to operate three rural health clinics, which provided total visits of 25,411 (Medicare 9,520 and Medicaid 690).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. 19988683 true true false false false false false false false false true false false false false false 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 false false false true false false false false true 14 0 true 240 true true true false false false false false false 0 false false false false false false false false false true true X 9 9 true 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 John Russell Director 1.00 0.00 X 0 0 0 John Garmany Chairman 1.00 0.00 X X 0 0 0 Johnny May Vice Chairman 1.00 0.00 X X 0 0 0 John L Freeman Director 1.00 0.00 X 0 0 0 Raymond Powell Director 1.00 0.00 X 0 0 0 Jill Heard Secretary 1.00 0.00 X 0 0 0 Deborah D Dees Treasurer 1.00 0.00 X 0 0 0 L C King Vidler Director 1.00 0.00 X 0 0 0 Stephen Flanders Director 1.00 0.00 X 0 0 0 SANDRA ANDERSON CFO 40.00 0.00 X 104042 0 22163 TODD EPPLER CEO 0.00 40.00 X 0 186404 41680 Denis Kamberov Physician 40.00 0.00 X 353326 0 33858 Benjamin Leggio Physician 40.00 0.00 X 303281 0 31894 JEFFREY EVANS PHYSICIAN 40.00 0.00 X 222180 0 22301 WILLIAM WISE Physician 40.00 0.00 X 164119 0 15998 Douglas Sawyer PHYSICIAN 15.00 0.00 X 161093 0 13376 1308041 186404 181270 12 false true true EMERGENCY STAFFING SOLUTIONS 17304 PRESTON ROAD STE 555 DALLAS TX 75252 EMERGENCY PHYSICIANS 609453 THERATEAM 101 ISADORE STREET NATCHITOCHES LA 71457 THERAPY 548530 MCINNIS BROTHERS CONSTRUCTION INC 119 PEARL STREET MINDEN LA 71055 CONSTRUCTION 481286 CPSI 6600 WALL STREET MOBILE AL 36695 COMPUTER SOFTWARE 393950 JACO ROOFING & CONSTRUCTION 415 S HIGHWAY 288-B CLUTE TX 77531 CONSTRUCTION 307634 9 153051 739933 148073 1041057 Fitness First 900099 121581 121581 Ideal Protein 900099 2171 2171 MAIL ORDER DRUG SALES 900099 319116 319116 Oncology 900099 67890 67890 Patient Service Revenue 900099 20700097 20700097 21210855 10476 10476 0 0 57803 57803 57803 57803 3000 3000 3000 3000 0 0 0 Cafeteria Income 722210 279241 279241 HH JOINT VENTURE 621610 195314 195314 Miscellaneous Income 900099 77208 77208 33956 6296 27660 585719 22908910 21282134 6296 579423 0 0 0 0 104042 104042 0 8291351 7586059 705292 78538 78538 765806 765806 589036 589036 0 23845 23845 57727 57727 0 0 0 0 45011 45011 0 0 0 380941 380941 59729 44414 15315 0 0 -2861 -2861 0 1170184 1160884 9300 233853 148104 85749 BAD DEBT EXPENSE 4244000 4244000 PROFESSIONAL FEES 3106342 2624470 481872 SUPPLIES 2625665 2054060 571605 EQUIPMENT MAINT-RENTALS 916453 561134 355319 267754 90028 177726 22957416 19988683 2968733 0 2024810 1127872 2457377 2129716 0 1814629 2020488 0 0 0 321208 340088 233499 311577 28800016 18810117 9652910 9989899 0 0 0 0 300 1 16504733 15919641 1515325 1279307 271729 96438 67599 1883492 1346906 X 14399143 14414379 222098 158356 14621241 14572735 16504733 15919641 -48506 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 671699 671699 13021882 6638250 6383632 648915 374198 274717 14331143 11797669 2533474 126377 126377 9989899 18631097 -4277813 -4277813 22908910 22908910 18766051 52635 52635 18713416 4244000 4244000 22957416 Part XII, Line 2d: Other expenses and losses per audited F/S CONSOLIDATED EXPENSES ELIM $-153052 FOUNDATION EXPENSES $205687 Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S PROVISION FOR BAD DEBT $4244000 true true true X true X true true false false false false 67067 67067 0.00350 1746366 1886014 1813433 1886014 67067 0.00350 1813433 1886014 67067 0.00350 true 3929704 15435 6698935 7007413 -308478 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 X X X Desoto Regional Health System 1 false false true X X X X X X X 13 true false false true X www.desotoregional.com X true 13 true www.desotoregional.com false false true X 125.0000 200.0000 X X X X true true X X X true X X true X X X true X X X X X X X true X false true Part V, Line 5 - Account Input from Persons Who Represent the Community 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. Part V, Line 22d - Other Billing Determination of Individuals Without Insurance ALL PATIENTS ARE BILLED THE SAME RATE FOR A PARTICULAR SERVICE. PAYMENT FOR THE SERVICE WILL VARY BASED ON WHETHER PATIENTS HAVE INSURANCE, MEDICARE, MEDICAID, OR SELFPAY (UNINSURED). CONTRACTS ARE IN PLACE WITH THE INSURANCE COMPANIES, MEDICARE, AND MEDICAID FOR REIMBURSEMENT. SELFPAY FALLS UNDER THE POLICY FOR CONSIDERATION. Part V, Line 24 - Charge Patients Amount Equal Gross Charge for Services SOMETIMES HOSPITAL PATIENTS WHO MAY QUALIFY FOR CHARITY CARE DO NOT PROVIDE ADEQUATE DOCUMENTATION FOR CHARITY CARE ADJUSTMENTS. 5 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 4 ACCOUNTS RECEIVABLE: ESTIMATED ALLOWANCES FOR UNCOLLECTIBLES WERE $2,316,211 AND $2,019,824 AT SEPTEMBER 30, 2015 AND 2014, 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 4: 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. Part V - Explanation of Number of Facility Type INPATIENT AND OUTPATIENT SERVICES, RURAL HEALTH CLINICS IN SMALL TOWNS WITH NO HOSPITALS, PHYSICIAN CLINIC, WELLNESS AND THERAPY CENTER, 24 HOUR EMERGENCY ROOM SERVICES X true true X X X X false false false true false false false false false false Benjamin Leggio Physician 207692 63058 32531 31894 335175 Denis Kamberov Physician 229500 49050 74776 33858 387184 Douglas Sawyer PHYSICIAN 133919 4834 22340 13376 174469 JEFFREY EVANS PHYSICIAN 178462 43718 22301 244481 TODD EPPLER CEO 186404 41680 228084 WILLIAM WISE Physician 81178 82941 15998 180117 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 & SAWYER PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN. Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Dr. Evans and Dr. Sawyer are employees of Desoto Regional Health System 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, CFO, 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, CFO 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 false false true false false Desoto Regional Health System Foundation q 153051 Cash