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DESOTO HOSPITAL ASSOCIATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
DESOTO HOSPITAL ASSOCIATION (EIN 72-0500565)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-05-15
IRS object ID
201341359349307354
Schema version
2011v1.5
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-15T12:59:09-07:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Langlinais Broussard & KohlenbergBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1123AddressLine1
CityAbbevilleCity
StateLAState
ZIP Code705111123ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN720500565EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DESOTO HOSPITAL ASSOCIATION INCBusinessNameLine1
Business Name Line2DBA DESOTO REGIONAL HEALTH SYSTEMBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlDESONameControl
Phone3188724610Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1207 JEFFERSON STREETAddressLine1
CityMANSFIELDCity
StateLAState
ZIP Code71052ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSANDRA ANDERSONName
TitleCFOTitle
Date Signed2013-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCHRIS A KOHLENBERG CPAName
Phone3378936232Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts19431085GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteHTTP://WWW.DESOTOREGIONAL.COM/WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1949YearFormation
State Legal DomicileLAStateLegalDomicile
Activity Or Mission DescriptionA 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 SIX FULL-TIME PHYSICIANS, 24 HOUR EMERGENCY SERVICES, AND A WELLNESS AND THERAPY CENTER.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees227TotalNbrEmployees
Total Nbr Volunteers1TotalNbrVolunteers
Total Gross UBI11356TotalGrossUBI
Net Unrelated Business Txbl Income-4594NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2682521ContributionsGrantsPriorYear
Contributions Grants Current Year389789ContributionsGrantsCurrentYear
Program Service Revenue Prior Year20818968ProgramServiceRevenuePriorYear
Program Service Revenue CY17890286ProgramServiceRevenueCY
Investment Income Prior Year9803InvestmentIncomePriorYear
Investment Income Current Year11434InvestmentIncomeCurrentYear
Other Revenue Prior Year1378210OtherRevenuePriorYear
Other Revenue Current Year1139576OtherRevenueCurrentYear
Total Revenue Prior Year24889502TotalRevenuePriorYear
Total Revenue Current Year19431085TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9857146SalariesEtcPriorYear
Salaries Etc Current Year9392064SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13282895OtherExpensePriorYear
Other Expenses Current Year11395358OtherExpensesCurrentYear
Total Expenses Prior Year23140041TotalExpensesPriorYear
Total Expenses Current Year20787422TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1749461RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1356337RevenuesLessExpensesCY
Total Assets BOY17095237TotalAssetsBOY
Total Assets EOY15069586TotalAssetsEOY
Total Liabilities BOY3146983TotalLiabilitiesBOY
Total Liabilities EOY2477659TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13948254NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12591927NetAssetsOrFundBalancesEOY
Mission DescriptionA 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 SIX FULL-TIME PHYSICIANS, 24 HOUR EMERGENCY SERVICES, AND A WELLNESS AND THERAPY CENTER.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense17864916Expense
Revenue17961634Revenue
DescriptionDESOTO 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 Expense17864916TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees227NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicestrueIndoorTanningServices
Form720 FiledtrueForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSANDRA ANDERSON CFONamePerson
Telephone Number3188724610TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1207 JEFFERSONAddressLine1
CityMANSFIELDCity
StateLAState
ZIP Code71052ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
STEPHEN FLANDERS
Director1.00X000
L C KING VIDLER
Director1.00X000
JOHN FREEMAN
Director1.00X000
DEBORAH D DEES
Treasurer1.00X000
JILL HEARD
Secretary1.00X000
RAYMOND POWELL
Director1.00X000
JOHN RUSSELL
Director1.00X000
JOHNNY MAY
VICE CHAIRMAN1.00X000
JOHN GARMANY
Chairman1.00X000
SANDRA ANDERSON
CFO40.0010302200X
DOUG EFFERSON
CEO40.0020475000X
DENIS KAMBEROV
PHYSICIAN40.00383471042991X
BENJAMIN LEGGIO
PHYSICIAN40.00303087038658X
JEFFREY EVANS
PHYSICIAN40.00241559026336X
JASON HATFIELD
PHYSICIAN40.00222727015562X
VERNADINE MITCHELL
VP NURSING40.00136352017499X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1594968TotalReportableCompFromOrg
Total Other Compensation141046TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THERATEAM
101 ISADORE STNATCHITOCHESLA71457THERAPISTS525186
TANDEM ASSOCIATES
130 BAY BRIDGE DRIVEBENTONLA71006ANESTHESIA SERVICE128200
HEALTHTECH
105 WESTWOOD PLACE SUITE 300BRENTWOODTN37027HOSPITAL MANAGEMENT218636
EMERGENCY STAFFING SOLUTIONS
17304 PRESTON RD SUITE 555DALLASTX75252ER ROOM PHYSICIAN477388
CPS INC
6409 QUAIL HOLLOW RDMEMPHISTN38120PHARMACY SERVICE369893
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Related Organizations206597RelatedOrganizations
All Other Contributions183192AllOtherContributions
Total Contributions389789TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE REVENUE1787893017878930
CAFETERIA CATERING1135611356
FieldValueIRS element (for citing)
Total Program Service Revenue17890286TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11434TotalRevenueColumn
Related Or Exempt Function Income11434RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real71270Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real71270Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column71270TotalRevenueColumn
Related Or Exempt Function Income71270RelatedOrExemptFunctionIncome

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MISCELLANEOUS INCOME727672$727,672
CAFETERIA INCOME340634$340,634
FieldValueIRS element (for citing)
Total Other Revenue1068306TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19431085TotalRevenueColumn
Related Or Exempt Function Income17961634RelatedOrExemptFunctionIncome
Unrelated Business Revenue11356UnrelatedBusinessRevenue
Exclusion$1,068,306ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total307782Total
Management And General307782ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7730148Total
Program Services7088637ProgramServices
Management And General641511ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total78344Total
Program Services78344ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total685481Total
Program Services685481ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total590309Total
Program Services590309ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total187814Total
Management And General187814ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total58325Total
Management And General58325ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total91164Total
Management And General91164ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total81606Total
Program Services2110ProgramServices
Management And General79496ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total363984Total
Management And General363984ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total73678Total
Program Services49510ProgramServices
Management And General24168ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total21020Total
Program Services21020ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1232783Total
Program Services1195568ProgramServices
Management And General37215ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total269690Total
Program Services204012ProgramServices
Management And General65678ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
EQUIPMENT MAINT-RENTALS971261633219338042
SUPPLIES2385695230611879577
PROFESSIONAL FEES26173942113605503789
BAD DEBT EXPENSE27276292727629

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total313315Total
Program Services169354ProgramServices
Management And General143961ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20787422Total
Program Services17864916ProgramServices
Management And General2922506ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3039324BOY
EOY1317652EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY850947BOY
EOY2433827EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1789034BOY
EOY1543878EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY421995BOY
EOY406265EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY269778BOY
EOY248250EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis25448469LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16386589LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9482040BOY
EOY9061880EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY77714BOY
EOY57534EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1164405BOY
EOY300EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY17095237BOY
EOY15069586EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1322905BOY
EOY963020EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY472000BOY
EOY472000EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1171834BOY
EOY964798EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY180244BOY
EOY77840EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY1EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3146983BOY
EOY2477659EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY12724228BOY
EOY12094614EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1224026BOY
EOY497313EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13948254BOY
EOY12591927EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17095237BOY
EOY15069586EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1356337ReconcilationRevenueExpenses
Reconcilation Other Changes10ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis663804OtherCostOrOtherBasis
Book Value663804BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11054885OtherCostOrOtherBasis
Depreciation5580256Depreciation
Book Value5474629BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis532610OtherCostOrOtherBasis
Depreciation265370Depreciation
Book Value267240BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis13104230OtherCostOrOtherBasis
Depreciation10540963Depreciation
Book Value2563267BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis92940OtherCostOrOtherBasis
Book Value92940BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9061880TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionRoundingDescription
Amount$1Amount
FieldValueIRS element (for citing)
Total Of Amounts1TotalOfAmounts
Total Revenue19431085TotalRevenue
Total Expenses20787422TotalExpenses
Excess Or Deficit For Year-1356337ExcessOrDeficitForYear
Other$10OtherAmount
Total Adjustments10TotalAdjustments
Excess Or Deficit Per FS-1356327ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt19431085TotRevenueEtcAuditedFinclStmt
Revenue Subtotal19431085RevenueSubtotal
Total Revenue Per Form99019431085TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20787422TotExpensesEtcAuditedFinclStmt
Expenses Subtotal20787422ExpensesSubtotal
Total Expenses Per Form99020787422TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XI, Line 8Identifier
Return ReferencePart XI, Line 8: Other Changes in Net Assets or Fund BalancesReturnReference
ExplanationROUNDING $10Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport
Report Publically AvailablefalseReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense142090TotalCommunityBenefitExpense
Net Community Benefit Expense142090NetCommunityBenefitExpense
Percent Of Total Expense0.00680PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense2721590TotalCommunityBenefitExpense
Direct Offsetting Revenue2079234DirectOffsettingRevenue
Net Community Benefit Expense642356NetCommunityBenefitExpense
Percent Of Total Expense0.03090PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense1329102TotalCommunityBenefitExpense
Direct Offsetting Revenue918996DirectOffsettingRevenue
Net Community Benefit Expense410106NetCommunityBenefitExpense
Percent Of Total Expense0.01970PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense4192782TotalCommunityBenefitExpense
Direct Offsetting Revenue2998230DirectOffsettingRevenue
Net Community Benefit Expense1194552NetCommunityBenefitExpense
Percent Of Total Expense0.05740PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense20091TotalCommunityBenefitExpense
Direct Offsetting Revenue14810DirectOffsettingRevenue
Net Community Benefit Expense5281NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense20091TotalCommunityBenefitExpense
Direct Offsetting Revenue14810DirectOffsettingRevenue
Net Community Benefit Expense5281NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4212873TotalCommunityBenefitExpense
Direct Offsetting Revenue3013040DirectOffsettingRevenue
Net Community Benefit Expense1199833NetCommunityBenefitExpense
Percent Of Total Expense0.05770PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$2,833,367BadDebtExpenseAmount
Amount Attributable To53021AmountAttributableTo
Amount Reimbursed By Medicare5921173AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare7373821CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1452648MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnership
LOUISIANA HOMECARE
HOME HEALTH-VOTING %0.51000
LOUISIANA HOMECARE
HOME HEALTH-PROFIT SHARING0.33000
HEALTHTECH
MANAGEMENT COMPANY
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number0FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1DESOTO REGIONAL HEALTH SYSTEMBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1207 JEFFERSON STAddressLine1
CityMANSFIELDCity
StateLAState
ZIP Code71052ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1DESOTO REGIONAL HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedfalseCHNAConducted
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent125.0000FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent200.0000FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Permit Lien On ResidenceXPermitLienOnResidence
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Lien On ResidenceXLienOnResidence
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargestrueGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities5NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
DESOTO REG WELLNESS CLINIC
305 TEXAS STMANSFIELDLA71052FITNESS CENTER AND PHYSICAL THERAPY
DESOTO REG HLTH SYSTEM-ZWOLLE CLINIC
2036 OBRIE STZWOLLELA71486RURAL HEALTH CLINIC
INDUSTRIAL MEDICAL CLINIC
119 JEFFERSON STMANSFIELDLA71052OUTPATIENT PHYSICIAN CLINIC
DESOTO REG FAMILY MEDICINE LOGANSPORT
110 MAIN STLOGANSPORTLA71049RURAL HEALTH CLINIC
DESOTO REG FAMILY MEDICINE
130 JEFFERSON STMANSFIELDLA71052RURAL HEALTH CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part V - Explanation of Number of Facility TypeINPATIENT 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 21 - Charge Patients Amount Equal Gross Charge for ServicesSOMETIMES HOSPITAL PATIENTS WHO MAY QUALIFY FOR CHARITY CARE DO NOT PROVIDE ADEQUATE DOCUMENTATION FOR CHARITY CARE ADJUSTMENTS.Number of Hospital Faciltiy - 0
Part V, Line 19d - Other Billing Determination of Individuals Without InsuranceALL 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 - 0
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsDRHS'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 BenefitTHE 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 4 - Bad Debt ExpenseNOTE 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 2012: $1,886,202 AND 2011-$2,645,534.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
VERNADINE MITCHELL
13635217499153851
JEFFREY EVANS
24155926336267895
JASON HATFIELD
22272715562238289
DOUG EFFERSON
204750204750
DENIS KAMBEROV
38347142991426462
BENJAMIN LEGGIO
30308738658341745

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Sch J, Part III, Additional InformationPart III, Additional InformationDR KAMBEROV AND DR SAWYER PARTICIPATE IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN. PHYSICIAN EMPLOYMENT CONTRACTS CONTAIN SALARY PLUS ADDITIONAL COMPNESATION 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 1aPart I, Line 1a: Relevant information in regards to selections on 1a.

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XMEDICAL EQUIPME1161106SIMILAR SALES
XMEDICAL EQUIP145491SIMILAR SALES
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableACCORDING TO AVAILABILITY OF GOVERNMENT RETURNS POLICY, CFO IS RESPONSIBLE FOR PUBLIC ACCESS TO THE INFORMATION RETURNS
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesCOMPENSATION 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 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsWRITTEN 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 11Form 990, Part VI, Line 11: Form 990 Review ProcessIRS 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 7aForm 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyELECTION DURING ANNUAL MEMBERS MEETING DETERMINES DIRECTORS
Form 990, Part VI, Line 3Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyDESOTO REGIONAL HEALTH SYSTEM ENTERED INTO A MANAGEMENT CONTRACT WITH HEALTHTECH TO PROVIDE A CHIEF EXECUTIVE OFFICER WHO OEVERSEES DAY TO DAY OPERATIONS.
Form 990, Part VI, Line 2Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtDRS. 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

FieldValueIRS element (for citing)
Business Name Line1DESOTO REGIONAL HEALTH SYSTEM FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1207 JEFFERSON STAddressLine1
CityMANSFIELDCity
StateLAState
ZIP Code71052ZIPCode
FieldValueIRS element (for citing)
EIN721491325EIN
Primary ActivitiesSUPPORT HEALTHCARE AT DESOTO REG. HEALTHPrimaryActivities
Legal Domicile StateLALegalDomicileState
Exempt Code Section501 C 3ExemptCodeSection
Public Charity StatusYESPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1DEOSTO REGIONAL HEALTH SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg