2015-02-10T09:03:33-08:00 2014-09-30 Langlinais Broussard & Kohlenberg PO Box 1123 Abbeville LA 705111123 990 2013-10-01 720500565 DESOTO HOSPITAL ASSOCIATION INC DBA DESOTO REGIONAL HEALTH SYSTEM DESO 3188724610 207 JEFFERSON STREET MANSFIELD LA 71052 SANDRA ANDERSON CFO 2015-02-10 true ASHLEY V BREAUX CPA P00446014 3378936232 2013 2016-02-25 16:41:14Z 22080618 false false X HTTP://WWW.DESOTOREGIONAL.COM/ X 1949 LA A 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, AND A WELLNESS AND THERAPY CENTER. 11 9 257 1 5932 -3522 1071649 3089100 18914452 18493515 12111 11542 740644 486461 20738856 22080618 0 0 8835419 9667223 0 0 11077861 11172302 19913280 20839525 825576 1241093 15518489 16504733 2100986 1883492 13417503 14621241 A 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, AND A WELLNESS AND THERAPY CENTER. false false 18981063 18493515 DESOTO HOSPITAL ASSOCIATION, INC. (DHA) IS LICENSED TO OPERATE A 38 BED ACUTE CARE HOSPITAL FOR MEDICAL, SURGICAL, AND DIAGNOSTIC SERVICES. THE HOSPITAL PROVIDED 2,602 INPATIENT DAYS OF CARE (MEDICARE 1,718 AND MEDICAID 248). DHA ALSO IS LICENSED TO OPERATE THREE RURAL HEALTH CLINICS WITH MEDICARE VISITS OF 8,787, MEDICAID VISITS OF 5,363 WITH TOTAL VISITS OF 30,733. AT NO CHARGE, THE FOLLOWING EXEMPT ORGANIZATIONS USE THE HOSPTAL'S CONFERENCE ROOM FOR MEETINGS: ROTARY CLUB, CRIME STOPPERS, MAYORS LIASON COMMITTEE, ADAC, ALOCHOLICS 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. 18981063 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 true false false false false true false false false false true 37 0 false 257 true true false false false false false false 0 false false false false false false false false false true true X 11 9 true true false false false false false true true false false false true true true true true true true true true SANDRA ANDERSON CFO 3188724610 207 JEFFERSON MANSFIELD LA 71052 JOHN RUSSELL Director 1.00 0.00 0 0 0 JOHN GARMANY Chairman 1.00 0.00 X 0 0 0 JOHNNY MAY VICE CHAIRMAN 1.00 0.00 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 TODD EPPLER CEO 40.00 0.00 X 216000 0 0 SANDRA ANDERSON CFO 40.00 0.00 X 131887 0 0 DENIS KAMBEROV PHYSICIAN 40.00 0.00 X 380162 0 39508 BENJAMIN LEGGIO PHYSICIAN 40.00 0.00 X 359464 0 37286 WILLIAM WISE PHYSICIAN 40.00 0.00 X 232356 0 24452 JEFFREY EVANS PHYSICIAN 40.00 0.00 X 225499 0 25957 DOUGLAS SAWYER PHYSICIAN 40.00 0.00 X 155783 0 15588 1701151 142791 7 false true false THERATEAM 101 ISADORE ST NATCHITOCHES LA 71457 THERAPISTS 575446 EMERGENCY STAFFING SOLUTIONS 17304 PRESTON RD SUITE 555 DALLAS TX 75252 ER ROOM PHYSICIAN 522021 WILLIS KNIGHTON PO BOX 32600 SHREVEPORT LA 71130 HOSPITAL MANAGEMENT 227574 TANDEM ASSOCIATES 130 BAY BRIDGE DRIVE BENTON LA 71006 ANESTHESIA SERVICE 75000 WILLIS CONSULTING AND REHAB 801 SHREVEPORT ROAD MINDEN LA 71055 OUTPAT. THERAPY 20703 3 526542 2562558 160000 3089100 CAFETERIA CATERING 5932 5932 FITNESS FIRST 135150 135150 IDEAL PROTEIN 8508 8508 ONCOLOGY 61119 61119 PATIENT SERVICE REVENUE 18282806 18282806 18493515 11542 11542 0 0 50065 50065 50065 50065 0 0 0 0 CAFETERIA INCOME 265505 265505 MISCELLANEOUS INCOME 170891 170891 436396 22080618 18549190 5932 436396 0 0 0 0 347887 347887 0 7898983 7580953 318030 82066 82066 746644 746644 591643 591643 0 4838 4838 52573 52573 0 0 0 0 30115 30115 0 0 0 373774 373774 54918 24487 30431 0 0 7770 7770 0 1173147 1159453 13694 267463 177427 90036 BAD DEBT EXPENSE 3589074 3589074 SUPPLIES 2330964 2201721 129243 PROFESSIONAL FEES 2113825 1999365 114460 EQUIPMENT MAINT-RENTALS 960637 632820 327817 213204 157525 55679 20839525 18981063 1858462 0 2936234 2024810 2445917 2457377 0 256047 1814629 0 0 0 360098 321208 334940 233499 27335298 17682388 9147600 9652910 0 0 0 37353 0 300 300 15518489 16504733 921323 1515325 472000 573263 271729 134400 96438 2100986 1883492 X 13092024 14399143 325479 222098 13417503 14621241 15518489 16504733 X 1241093 -37355 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 671699 671699 12284368 6158983 6125385 532610 338218 194392 13650255 11185187 2465068 196366 196366 9652910 true true true X true X true true true false false false 63378 63378 0.00300 2860425 3027668 1572373 2155901 4496176 5183569 63378 0.00300 63376 63376 0.00300 63376 63376 0.00300 4559552 5183569 126754 0.00600 true 3589074 12745 6636789 6096653 540136 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 ST MANSFIELD LA 71052 X X X true X X X X X X X 13 true false true X X X X X true false false true true 125.0000 true 200.0000 true X X X X true true X false X X X true X X X X X X X true X false true Part V, Line 3 - Account Input from Person Who Represent the Community THE HOSPITAL FORMED A COMMITTEE CONSISTING OF THE HOSPITAL CEO AND CNO AS WELL AS THE CEO'S OF TWO OTHER HEALTHCARE CLINICS IN THE AREA, THE LOCAL EMS DIRECTOR, TWO PHARMACISTS IN TOWN, 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 COMMITTEE MEMBER HAD SURVEYS FILLED OUT BY VARIOUS PEOPLE IN THE AREA THAT THEY WERE IN CONTACT WITH. THE INFORMAITON WAS COMPILED AND DISCUSSED BY THE COMMITTEE AS A STARTING POINT FOR THE VARIOUS NEEDS OF THE COMMUNITY. Part V, Line 20d - Other Billing Determination of Individuals Without Insurance ALL PATIENTS ARE BILLED THE SAME RATE FOR A PARTICULAR SERVICE. PAYMENT FOR THE SERVICE WILL VARY BASE ON WHETHER PATIENTS HAVE INSURANCE, MEDICARE, MEDICAID, OR SELF PAY (UNINSURED). CONTRACTS ARE IN PLACE WITH THE INSURANCE COMPANIES, MEDICARE, AND MEDICAID FOR REIMBURSEMENT. SELF PAY FALL UNDER THE CHARITY POLICY FOR CONSIDERATION. Part V, Line 22 - 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 2036 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 3 - Methodology of Estimated Amount & Rationale for Including in Community Benefit NOTE 2- 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 ADJUSTMETNS BASED UPON AGREEMENTS BETWEEN THE HOSPITAL AND THIRD-PARTY PAYORS. NOTE 4 ACCOUNTS RECEIVABLE: ESTIMATED ALLOWANCES FOR UNCOLLECTIBLES IN 2014: $2,019,824 AND 2013: $1,941,555. Part III, Line 9b - Provisions On Collection Practices For Qualified Patients DRHS'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 COLLECTIONS 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 false false true false false false false BENJAMIN LEGGIO PHYSICIAN 302069 57395 37286 396750 DENIS KAMBEROV PHYSICIAN 342581 37581 39508 419670 DOUGLAS SAWYER PHYSICIAN 155783 15588 171371 JEFFREY EVANS PHYSICIAN 224260 1239 25957 251456 TODD EPPLER CEO 180000 36000 216000 WILLIAM WISE PHYSICIAN 232356 24452 256808 Part I, Line 1a: Relevant information in regards to selections on 1a. Part III, Additional Information DR KAMBEROV AND DR SAWYER PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN. DR KAMBEROV, DR LEGGIO, DR EVANS, AND DR SAWYER HAVE A PHYSICIAN EMPLOYMENT CONTRACTS CONTAIN SALARY PLUS ADDITIONAL COMPENSATION BASED ON RVU'S (RELATIVE VALUE UNITS). X LAND & BUILDING - USE 1 160000 APPRIASAL false false false Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et DRS. 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 OEVERSEES 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 COMITTEE 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 INTERESTS 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 ARE APPROVED BY THE BOARD OF DIRECTORS AFTER RECOMMENDATION OF THE COMPENSATION COMMITTEE. THE COMPENSATION COMITTEE 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 Other Changes In Net Assets Or Fund Balances - Other Decreases ADJUSTMENT FOR BOND ISSUE COST = -$37355 DESOTO REGIONAL HEALTH SYSTEM FOUNDATION 207 JEFFERSON ST MANSFIELD LA 71052 721491325 SUPPORT HEALTHCARE AT DESOTO REG. HEALTH LA 501 C 3 YES DEOSTO 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 526542 REIMBURSEMENT