2014-10-06T11:32:57-07:00 2013-09-30 Langlinais Broussard & Kohlenberg PO Box 1123 Abbeville LA 705111123 990 2012-10-01 720500565 DESOTO HOSPITAL ASSOCIATION INC DBA DESOTO REGIONAL HEALTH SYSTEM DESO 3188724610 207 JEFFERSON STREET MANSFIELD LA 71052 SANDRA ANDERSON 2014-10-06 true CHRIS A KOHLENBERG CPA P00631680 3378936232 2012 2015-11-30 17:44:51Z 20738856 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. 12 9 254 1 5179 -12331 389789 1071649 17890286 18914452 11434 12111 1139576 740644 19431085 20738856 0 0 9392064 8835419 0 0 11395358 11077861 20787422 19913280 -1356337 825576 15069586 15518489 2477658 2100986 12591928 13417503 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 17832679 18914452 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. 17832679 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 0 0 false 254 true true false false false false false false 0 false false false false false false false false false false X 12 9 true true false false true true true true true false false false true true true true true true true true true SANDRA ANDERSON CFO 3188724610 207 JEFFERSON MANSFIELD LA 71052 STEPHEN FLANDERS 1.00 0.00 X 0 0 0 L C KING VIDLER 1.00 0.00 X 0 0 0 JOHN FREEMAN 1.00 0.00 X 0 0 0 DEBORAH D DEES 1.00 0.00 X 0 0 0 JILL HEARD 1.00 0.00 X 0 0 0 RAYMOND POWELL 1.00 0.00 X 0 0 0 JOHN RUSSELL 1.00 0.00 X 0 0 0 JOHNNY MAY 1.00 0.00 X 0 0 0 JOHN GARMANY 1.00 0.00 X 0 0 0 SANDRA ANDERSON 40.00 0.00 X 104042 0 0 DOUG EFFERSON 40.00 0.00 X 51188 0 0 TODD EPPLER 40.00 0.00 X 55062 0 0 DENIS KAMBEROV 40.00 0.00 X 363347 0 43016 BENJAMIN LEGGIO 40.00 0.00 X 277874 0 38491 JEFFREY EVANS 40.00 0.00 X 227911 0 26313 DOUGLAS SAWYER 40.00 0.00 X 151275 0 16565 VERNADINE MITCHELL 40.00 0.00 X 137504 0 18996 1368203 143381 6 false true false 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 4 182931 888718 1071649 PATIENT SERVICE REVENUE 17589659 17589659 MC/MA EHR PAYMENTS 1319614 1319614 CAFETERIA CATERING 5179 5179 18914452 12111 12111 0 0 73346 73346 73346 73346 0 0 0 0 MISCELLANEOUS INCOME 394217 394217 CAFETERIA INCOME 273081 273081 667298 20738856 18994730 5179 667298 0 0 0 0 210292 210292 0 7211619 6637073 574546 79177 79177 805993 805993 528338 528338 0 15211 15211 55094 55094 0 0 0 0 28895 234 28661 0 0 0 371881 371881 54647 26342 28305 0 0 11096 11096 0 1129655 1107729 21926 276727 197448 79279 EQUIPMENT MAINT-RENTALS 990369 629995 360374 SUPPLIES 2353021 2260584 92437 PROFESSIONAL FEES 2370179 2175116 195063 BAD DEBT EXPENSE 3206618 3206618 214468 166936 47532 19913280 17832679 2080601 0 1317652 2936234 2433827 2445917 0 1543878 256047 0 0 0 406265 360098 248250 334940 26206853 17059253 9061880 9147600 0 0 0 57534 37353 300 300 15069586 15518489 963020 921323 472000 472000 964798 573263 77840 134400 2477658 2100986 X 12094615 13092024 497313 325479 12591928 13417503 15069586 15518489 X 825576 -1 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 663804 663804 11484128 5990385 5493743 532610 302711 229899 13390082 10766157 2623925 136229 136229 9147600 true true true X true X true true true false false false 6293 6293 0.00030 3002074 3489451 1390447 888718 501729 0.02520 4398814 4378169 508022 0.02550 70941 70941 0.00360 70941 70941 0.00360 4469755 4378169 578963 0.02910 true 3206619 14509 6001863 6763298 -761435 X true false LOUISIANA HOMECARE HOME HEALTH-VOTING % 0.51000 LOUISIANA HOMECARE HOME HEALTH-PROFIT SHARING 0.33000 1 1 DESOTO REGIONAL HEALTH SYSTEM

207 JEFFERSON ST MANSFIELD LA 71052

X X X 1 true X X X X X X X 13 true false true X 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 5 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 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. Number of Hospital Faciltiy - 1 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. 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. X true true X X X X false false false false false false false false false false VERNADINE MITCHELL 137504 18996 156500 JEFFREY EVANS 227911 26313 254224 DOUGLAS SAWYER 151275 16565 167840 DENIS KAMBEROV 363347 43016 406363 BENJAMIN LEGGIO 277874 38491 316365 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. X 2 147790 FAIR VALUE false false false 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. 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 false false false