DESOTO HOSPITAL ASSOCIATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- DESOTO HOSPITAL ASSOCIATION (EIN 72-0500565)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-10-06
- IRS object ID
- 201432799349300828
- Schema version
- 2012v2.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-10-06T11:32:57-07:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Langlinais Broussard & Kohlenberg | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1123 | AddressLine1 |
| City | Abbeville | City |
| State | LA | State |
| ZIP Code | 705111123 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 720500565 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DESOTO HOSPITAL ASSOCIATION INC | BusinessNameLine1 |
| Business Name Line2 | DBA DESOTO REGIONAL HEALTH SYSTEM | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DESO | NameControl |
| Phone | 3188724610 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 207 JEFFERSON STREET | AddressLine1 |
| City | MANSFIELD | City |
| State | LA | State |
| ZIP Code | 71052 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SANDRA ANDERSON | Name |
| Title | CFO | Title |
| Date Signed | 2014-10-06 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHRIS A KOHLENBERG CPA | Name |
| PTIN | P00631680 | PTIN |
| Phone | 3378936232 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 20738856 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | HTTP://WWW.DESOTOREGIONAL.COM/ | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1949 | YearFormation |
| State Legal Domicile | LA | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 254 | TotalNbrEmployees |
| Total Nbr Volunteers | 1 | TotalNbrVolunteers |
| Total Gross UBI | 5179 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -12331 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 389789 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1071649 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 17890286 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 18914452 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 11434 | InvestmentIncomePriorYear |
| Investment Income Current Year | 12111 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1139576 | OtherRevenuePriorYear |
| Other Revenue Current Year | 740644 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 19431085 | TotalRevenuePriorYear |
| Total Revenue Current Year | 20738856 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 9392064 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8835419 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 11395358 | OtherExpensePriorYear |
| Other Expenses Current Year | 11077861 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 20787422 | TotalExpensesPriorYear |
| Total Expenses Current Year | 19913280 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1356337 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 825576 | RevenuesLessExpensesCY |
| Total Assets BOY | 15069586 | TotalAssetsBOY |
| Total Assets EOY | 15518489 | TotalAssetsEOY |
| Total Liabilities BOY | 2477658 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2100986 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 12591928 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 13417503 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 17832679 | Expense |
| Revenue | 18914452 | Revenue |
| Description | DESOTO HOSPITAL ASSOCIATION, INC. (DHA) IS LICENSED TO OPERATE A 38 BED ACUTE CARE HOSPITAL FOR MEDICAL, SURGICAL, AND DIAGNOSTIC SERVICES. THE HOSPITAL PROVIDED 3,213 INPATIENT DAYS OF CARE (MEDICARE 2,271 AND MEDICAID 323). DHA ALSO IS LICENSED TO OPERATE THREE RURAL HEALTH CLINICS WITH MEDICARE VISITS OF 6,820, MEDICAID VISITS OF 5,070 WITH TOTAL VISITS OF 24,790. 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. | Description |
| Total Program Service Expense | 17832679 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | false | ComplianceWithBackupWitholding |
| Number Of Employees | 254 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | true | InvestmentInJointVenture |
| Written Policy Or Procedure | true | WrittenPolicyOrProcedure |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SANDRA ANDERSON CFO | NamePerson |
| Telephone Number | 3188724610 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 207 JEFFERSON | AddressLine1 |
| City | MANSFIELD | City |
| State | LA | State |
| ZIP Code | 71052 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| STEPHEN FLANDERS | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| L C KING VIDLER | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| JOHN FREEMAN | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| DEBORAH D DEES | ||||||||
| Treasurer | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| JILL HEARD | ||||||||
| Secretary | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| RAYMOND POWELL | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| JOHN RUSSELL | ||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| JOHNNY MAY | ||||||||
| VICE CHAIRMAN | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| JOHN GARMANY | ||||||||
| Chairman | 1.00 | 0.00 | X | 0 | 0 | 0 | ||
| SANDRA ANDERSON | ||||||||
| CFO | 40.00 | 0.00 | 104042 | 0 | 0 | X | ||
| DOUG EFFERSON | ||||||||
| CEO | 40.00 | 0.00 | 51188 | 0 | 0 | X | ||
| TODD EPPLER | ||||||||
| CEO | 40.00 | 0.00 | 55062 | 0 | 0 | X | ||
| DENIS KAMBEROV | ||||||||
| PHYSICIAN | 40.00 | 0.00 | 363347 | 0 | 43016 | X | ||
| BENJAMIN LEGGIO | ||||||||
| PHYSICIAN | 40.00 | 0.00 | 277874 | 0 | 38491 | X | ||
| JEFFREY EVANS | ||||||||
| PHYSICIAN | 40.00 | 0.00 | 227911 | 0 | 26313 | X | ||
| DOUGLAS SAWYER | ||||||||
| PHYSICIAN | 40.00 | 0.00 | 151275 | 0 | 16565 | X | ||
| VERNADINE MITCHELL | ||||||||
| VP NURSING | 40.00 | 0.00 | 137504 | 0 | 18996 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1368203 | TotalReportableCompFromOrg |
| Total Other Compensation | 143381 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| WILLIS KNIGHTON | |||||
| PO BOX 32600 | SHREVEPORT | LA | 71130 | HOSPITAL MANAGEMENT | 55062 |
| THERATEAM | |||||
| 101 ISADORE ST | NATCHITOCHES | LA | 71457 | THERAPISTS | 536075 |
| TANDEM ASSOCIATES | |||||
| 130 BAY BRIDGE DRIVE | BENTON | LA | 71006 | ANESTHESIA SERVICE | 133650 |
| EMERGENCY STAFFING SOLUTIONS | |||||
| 17304 PRESTON RD SUITE 555 | DALLAS | TX | 75252 | ER ROOM PHYSICIAN | 550246 |
| CPS INC | |||||
| 6409 QUAIL HOLLOW RD | MEMPHIS | TN | 38120 | PHARMACY SERVICE | 443436 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Related Organizations | 182931 | RelatedOrganizations |
| All Other Contributions | 888718 | AllOtherContributions |
| Total Contributions | 1071649 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 17589659 | 17589659 | |
| MC/MA EHR PAYMENTS | 1319614 | 1319614 | |
| CAFETERIA CATERING | 5179 | 5179 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 18914452 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12111 | TotalRevenueColumn |
| Related Or Exempt Function Income | 12111 | RelatedOrExemptFunctionIncome |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 73346 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 73346 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 73346 | TotalRevenueColumn |
| Related Or Exempt Function Income | 73346 | RelatedOrExemptFunctionIncome |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|
| MISCELLANEOUS INCOME | 394217 | $394,217 |
| CAFETERIA INCOME | 273081 | $273,081 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 667298 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 20738856 | TotalRevenueColumn |
| Related Or Exempt Function Income | 18994730 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 5179 | UnrelatedBusinessRevenue |
| Exclusion | $667,298 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 210292 | Total |
| Management And General | 210292 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7211619 | Total |
| Program Services | 6637073 | ProgramServices |
| Management And General | 574546 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79177 | Total |
| Program Services | 79177 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 805993 | Total |
| Program Services | 805993 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 528338 | Total |
| Program Services | 528338 | ProgramServices |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15211 | Total |
| Management And General | 15211 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55094 | Total |
| Management And General | 55094 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28895 | Total |
| Program Services | 234 | ProgramServices |
| Management And General | 28661 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 371881 | Total |
| Management And General | 371881 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54647 | Total |
| Program Services | 26342 | ProgramServices |
| Management And General | 28305 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11096 | Total |
| Program Services | 11096 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1129655 | Total |
| Program Services | 1107729 | ProgramServices |
| Management And General | 21926 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 276727 | Total |
| Program Services | 197448 | ProgramServices |
| Management And General | 79279 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| EQUIPMENT MAINT-RENTALS | 990369 | 629995 | 360374 |
| SUPPLIES | 2353021 | 2260584 | 92437 |
| PROFESSIONAL FEES | 2370179 | 2175116 | 195063 |
| BAD DEBT EXPENSE | 3206618 | 3206618 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 214468 | Total |
| Program Services | 166936 | ProgramServices |
| Management And General | 47532 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19913280 | Total |
| Program Services | 17832679 | ProgramServices |
| Management And General | 2080601 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1317652 | BOY |
| EOY | 2936234 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2433827 | BOY |
| EOY | 2445917 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1543878 | BOY |
| EOY | 256047 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 406265 | BOY |
| EOY | 360098 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 248250 | BOY |
| EOY | 334940 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 26206853 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 17059253 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9061880 | BOY |
| EOY | 9147600 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57534 | BOY |
| EOY | 37353 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 300 | BOY |
| EOY | 300 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15069586 | BOY |
| EOY | 15518489 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 963020 | BOY |
| EOY | 921323 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 472000 | BOY |
| EOY | 472000 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 964798 | BOY |
| EOY | 573263 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77840 | BOY |
| EOY | 134400 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2477658 | BOY |
| EOY | 2100986 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12094615 | BOY |
| EOY | 13092024 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 497313 | BOY |
| EOY | 325479 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12591928 | BOY |
| EOY | 13417503 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15069586 | BOY |
| EOY | 15518489 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 825576 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -1 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 663804 | OtherCostOrOtherBasis |
| Book Value | 663804 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11484128 | OtherCostOrOtherBasis |
| Depreciation | 5990385 | Depreciation |
| Book Value | 5493743 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 532610 | OtherCostOrOtherBasis |
| Depreciation | 302711 | Depreciation |
| Book Value | 229899 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13390082 | OtherCostOrOtherBasis |
| Depreciation | 10766157 | Depreciation |
| Book Value | 2623925 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 136229 | OtherCostOrOtherBasis |
| Book Value | 136229 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 9147600 | TotalOfBookValueLandBuildings |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
| Report Publically Available | false | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6293 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6293 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3002074 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3489451 | DirectOffsettingRevenue |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1390447 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 888718 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 501729 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02520 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4398814 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4378169 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 508022 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02550 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 70941 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 70941 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00360 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 70941 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 70941 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00360 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4469755 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4378169 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 578963 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02910 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $3,206,619 | BadDebtExpenseAmount |
| Amount Attributable To | 14509 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 6001863 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 6763298 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -761435 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership |
|---|---|
| LOUISIANA HOMECARE | |
| HOME HEALTH-VOTING % | 0.51000 |
| LOUISIANA HOMECARE | |
| HOME HEALTH-PROFIT SHARING | 0.33000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DESOTO REGIONAL HEALTH SYSTEM | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 207 JEFFERSON ST | AddressLine1 |
| City | MANSFIELD | City |
| State | LA | State |
| ZIP Code | 71052 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Needs Assessment Conducted | 13 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | false | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | true | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| File Form4720 Report Excise Tax | false | FileForm4720ReportExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 125.0000 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 200.0000 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | false | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | true | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Lien On Residence | X | LienOnResidence |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | true | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 5 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| DESOTO REG WELLNESS CLINIC | ||||
| 305 TEXAS ST | MANSFIELD | LA | 71092 | FITNESS CENTER AND PHYSICAL THERAPY |
| DESOTO REG HLTH SYSTEM-ZWOLLE CLINIC | ||||
| 2036 OBRIE ST | ZWOLLE | LA | 71486 | RURAL HEALTH CLINIC |
| INDUSTRIAL MEDICAL CLINIC | ||||
| 119 JEFFERSON ST | MANSFIELD | LA | 71092 | OUTPATIENT PHYSICIAN CLINIC |
| DESOTO REG FAMILY MEDICINE LOGANSPORT | ||||
| 110 MAIN ST | LOGANSPORT | LA | 71049 | RURAL HEALTH CLINIC |
| DESOTO REG FAMILY MEDICINE | ||||
| 130 JEFFERSON ST | MANSFIELD | LA | 71052 | RURAL HEALTH CLINIC |
Form990 Schedule H Part VI Form990ScheduleHPartVI (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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. | |
| 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. | Number of Hospital Faciltiy - 1 |
| 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. | Number of Hospital Faciltiy - 1 |
| 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. | Number of Hospital Faciltiy - 1 |
| 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 III, Line 8 - Explanation Of Shortfall As Community Benefit | THE HOSPITAL ASSERTS THE MAJORITY, IF NOT ALL, OF THE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE HOSPITAL OFFERS QUALITY HEALTH CARE TO ALL PATIENTS REGARDLESS OF PAYMENT OR REIMBURSEMENT EXPECTATION. RESOURCES FOR MEDICARE PATIENTS VERSUS ALL OTHER PATIENTS ARE IDENTICAL BASED ON DIAGNOSIS. | |
| 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 2013: $1,941,555 AND 2012: $1,886,202. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg |
|---|---|---|---|
| VERNADINE MITCHELL | |||
| VP NURSING | 137504 | 18996 | 156500 |
| JEFFREY EVANS | |||
| PHYSICIAN | 227911 | 26313 | 254224 |
| DOUGLAS SAWYER | |||
| PHYSICIAN | 151275 | 16565 | 167840 |
| DENIS KAMBEROV | |||
| PHYSICIAN | 363347 | 43016 | 406363 |
| BENJAMIN LEGGIO | |||
| PHYSICIAN | 277874 | 38491 | 316365 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Sch J, Part III, Additional Information | Part III, Additional Information | DR KAMBEROV AND DR SAWYER PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN. PHYSICIAN EMPLOYMENT CONTRACTS CONTAIN SALARY PLUS ADDITIONAL COMPENSATION BASED ON PRODUCTIVITY OF PHYSICIAN NET OF PRACTICE EXPENSES. NO PHYSICIAN EARNED ADDITIONAL COMPENSATION DURING THE FISCAL YEAR 2012 OR THE CALENDAR YEAR 2011. |
| Sch J, Part I, Line 1a | Part I, Line 1a: Relevant information in regards to selections on 1a. |
Schedule M IRS990ScheduleM
Cars And Other Vehicles CarsAndOtherVehicles
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 147790 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR VALUE | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part XI, Line 9 | Other Changes In Net Assets Or Fund Balances - Other Decreases | ROUNDING = -$1 |
| Form 990, Part VI, Line 19 | 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 |
| Form 990, Part VI, Line 15b | 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 15a | 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 12c | 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 11b | 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 7a | Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body | ELECTION DURING ANNUAL MEMBERS MEETING DETERMINES DIRECTORS |
| Form 990, Part VI, Line 3 | 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 2 | Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et | DRS. EVANS, SAWYER, AND DILLARD ARE EMPLOYEES OF DESOTO REGIONAL HEALTH SYSTEM. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DESOTO REGIONAL HEALTH SYSTEM FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 207 JEFFERSON ST | AddressLine1 |
| City | MANSFIELD | City |
| State | LA | State |
| ZIP Code | 71052 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 721491325 | EIN |
| Primary Activities | SUPPORT HEALTHCARE AT DESOTO REG. HEALTH | PrimaryActivities |
| Legal Domicile State | LA | LegalDomicileState |
| Exempt Code Section | 501 C 3 | ExemptCodeSection |
| Public Charity Status | YES | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DEOSTO REGIONAL HEALTH SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | false | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |