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DESOTO HOSPITAL ASSOCIATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
DESOTO HOSPITAL ASSOCIATION (EIN 72-0500565)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-05-15
IRS object ID
201201369349306250
Schema version
2010v3.2
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)
Timestamp2012-05-15T13:01:05-07:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Lester Miller & WellsBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13600 Bayou RapidesAddressLine1
CityAlexandriaCity
StateLAState
ZIP Code71303ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

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 Signed2012-05-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameMary L CarrollName
Phone3184871450Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJohn GarmanyNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1207 JEFFERSON STAddressLine1
CityMANSFIELDCity
StateLAState
ZIP Code71052ZIPCode
FieldValueIRS element (for citing)
Gross Receipts24907750GrossReceipts
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 Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees314TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI21439TotalGrossUBI
Net Unrelated Business Txbl Income7540NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year340097ContributionsGrantsPriorYear
Contributions Grants Current Year2682521ContributionsGrantsCurrentYear
Program Service Revenue Prior Year22097946ProgramServiceRevenuePriorYear
Program Service Revenue CY20818968ProgramServiceRevenueCY
Investment Income Prior Year81277InvestmentIncomePriorYear
Investment Income Current Year9803InvestmentIncomeCurrentYear
Other Revenue Prior Year1518756OtherRevenuePriorYear
Other Revenue Current Year1378210OtherRevenueCurrentYear
Total Revenue Prior Year24038076TotalRevenuePriorYear
Total Revenue Current Year24889502TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10675429SalariesEtcPriorYear
Salaries Etc Current Year9857146SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year14907077OtherExpensePriorYear
Other Expenses Current Year13282895OtherExpensesCurrentYear
Total Expenses Prior Year25582506TotalExpensesPriorYear
Total Expenses Current Year23140041TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1544430RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1749461RevenuesLessExpensesCY
Total Assets BOY16129178TotalAssetsBOY
Total Assets EOY17095237TotalAssetsEOY
Total Liabilities BOY4164384TotalLiabilitiesBOY
Total Liabilities EOY3146983TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY11964794NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13948254NetAssetsOrFundBalancesEOY
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, A WELLNESS AND THERAPY CENTER AND AN INDUSTRIAL MEDICINE CLINIC.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense19405587Expense
Revenue21031529Revenue
DescriptionDESOTO HOSPITAL ASSOCIATION, INC. (DHA) IS LICENSED TO OPERATE A 38 BED ACUTE CARE HOSPITAL FOR MEDICAL, SURGICAL, AND DIAGNOSTIC SERVICES. THE HOSPITAL PROVIDED 4,408 INPATIENT DAYS OF CARE (MEDICARE 3,123 AND MEDICAID 613). DHA ALSO IS LICENSED TO OPERATE TWO RURAL HEALTH CLINICS WITH MEDICARE VISITS OF 1,445, MEDICAID VISITS OF 2,958 WITH TOTAL VISITS OF 8,613. DHS'S PRIVATE PHYSICIAN CLINIC WAS ALSO LICENSED AS A RURAL HEALTH CLINIC FOR FISCAL YEAR 2011.AT NO CHARGE THE FOLLOWING EXEMPT ORGANIZATIONS USE THE HOSPITAL'S CONFERENCE ROOM FOR MEETINGS:ROTARY CLUB, CRIME STOPPERS, MAYORS LIASON COMMITTEE, ADAC, ALCOHOLICS ANONYMOUS, GIDEONS, FAMILY ABUSE SUPPORT, and CANCER SURVIVORS.WITHOUT CHARGE, VARIOUS HOSPITAL EMPLOYEES WERE SENT TO EDUCATE THE COMMUNITY THROUGH HIGH SCHOOL CAREER DAYS, SCIENCE AND HEALTH FAIRS, JOB SHADOWING, AHEC,AND SPEAKING AT VARIOUS FESTIVALS.Description
Total Program Service Expense19405587TotalProgramServiceExpense
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 AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
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 With109624NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees314NumberOfEmployees
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 Members10NbrVotingGoverningBodyMembers
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
Upon RequestXUponRequest

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 (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
STEPHEN FLANDERS
Director1.00X000
Sandra Anderson
CFO40.0071719013235X
Raymond Powell
Director1.00X000
LC King Vidler
Director1.00X000
Johnny May
Vice Chairman1.00X000
John Russell
Director1.00X000
John Garmany
Chairman1.00X000
John Freeman
Director1.00X000
Jill Heard
Secretary1.00X000
Dr Micah Day
Physician40.00288601010184X
DR LEIGH DILLARD
Director40.00X297639018034
Dr Jefferey Evans
Director40.00X18387309444
Dr JASON HATFIELD
Physician40.001064620633X
Dr DOUG SAWYER
Physician40.00286256029227X
Dr Denis Kamberov
Physician40.00371982035558X
Dr Ben Leggio
Physician40.00286581016880X
Doug Efferson
CEO40.0073296021988X
Deborah D Dees
Treasurer1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org1966409TotalReportableCompFromOrg
Total Other Compensation155183TotalOtherCompensation
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 StreetNatchitochesLA71457THERAPY SERVICES645845
Tandem Anesthesia
1301 Bay Ridge DriveBentonLA71006ANESTHESIA SERVICES132800
Healthtech
105 Westwood Place Suite 300BrentwoodTN37027Management SERVICES439244
Emergency Staffing Solutions
17304 Preston Road SUITE 555DallasTX75252EMERGENCY PHYSICIANS415340
CPS Inc
6409 Quail Hollow RoadMemphisTN38120Pharmacy SERVICES528224
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Government Grants2396491GovernmentGrants
All Other Contributions286030AllOtherContributions
Noncash Contributions32740NoncashContributions
Total Contributions2682521TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Patient Service Revenue9000992079752920797529
Cafeteria Catering2143921439
FieldValueIRS element (for citing)
Total Program Service Revenue20818968TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8310TotalRevenueColumn
Exclusion$8,310ExclusionAmount

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)
Real41650Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real41650Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column41650TotalRevenueColumn
Exclusion$41,650ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other19741Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other18248Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other1493Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1493TotalRevenueColumn
Related Or Exempt Function Income1493RelatedOrExemptFunctionIncome

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 Income939181$939,181
Cafeteria Income397379$397,379
FieldValueIRS element (for citing)
Total Other Revenue1336560TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column24889502TotalRevenueColumn
Related Or Exempt Function Income20799022RelatedOrExemptFunctionIncome
Unrelated Business Revenue21439UnrelatedBusinessRevenue
Exclusion$1,386,520ExclusionAmount

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)
Total656516Total
Program Services484107ProgramServices
Management And General172409ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7690230Total
Program Services7080779ProgramServices
Management And General609451ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total81470Total
Program Services81470ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total827635Total
Program Services827635ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total601295Total
Program Services601295ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total182344Total
Management And General182344ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total169600Total
Management And General169600ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total78302Total
Management And General78302ManagementAndGeneral

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)
Total42896Total
Program Services3649ProgramServices
Management And General39247ManagementAndGeneral

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)
Total388329Total
Management And General388329ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total49263Total
Program Services22945ProgramServices
Management And General26318ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total24956Total
Program Services24956ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1624490Total
Program Services1604309ProgramServices
Management And General20181ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total328627Total
Program Services256560ProgramServices
Management And General72067ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
TELEPHONE17809610320174895
SUPPLIES26745742007789666785
PROFESSIONAL FEES28567332143686713047
EQUIPMENT MAINT RENTALS931793548668383125
BAD DEBT EXPENSE35505223550522

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total202370Total
Program Services64016ProgramServices
Management And General138354ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total23140041Total
Program Services19405587ProgramServices
Management And General3734454ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY381853BOY
EOY3039324EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1476304BOY
EOY850947EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1780839BOY
EOY1789034EOY

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)
BOY525261BOY
EOY421995EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY321648BOY
EOY269778EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis25071687LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec15589647LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10376673BOY
EOY9482040EOY

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)
BOY97895BOY
EOY77714EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1168705BOY
EOY1164405EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16129178BOY
EOY17095237EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1703733BOY
EOY1322905EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY706000BOY
EOY472000EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1503369BOY
EOY1171834EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY251282BOY
EOY180244EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4164384BOY
EOY3146983EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10737189BOY
EOY12724228EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1227605BOY
EOY1224026EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11964794BOY
EOY13948254EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16129178BOY
EOY17095237EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1749461ReconcilationRevenueExpenses
Reconcilation Other Changes233999ReconcilationOtherChanges
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)
Investment Cost Or Other Basis399968InvestmentCostOrOtherBasis
Other Cost Or Other Basis263836OtherCostOrOtherBasis
Book Value663804BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11029421OtherCostOrOtherBasis
Book Value11029421BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis527167OtherCostOrOtherBasis
Book Value527167BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis12693272OtherCostOrOtherBasis
Depreciation15589647Depreciation
Book Value-2896375BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis158023OtherCostOrOtherBasis
Book Value158023BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9482040TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Rounding3
DEPOSITS300
CDS, MM, RESTRICTED CASH1078601
CASH WITH PAYING AGENT85501
FieldValueIRS element (for citing)
Total Book Value Other Assets1164405TotalBookValueOtherAssets
Total Revenue24889502TotalRevenue
Total Expenses23140041TotalExpenses
Excess Or Deficit For Year1749461ExcessOrDeficitForYear
Prior Period Adjustments234000PriorPeriodAdjustments
Other-$1OtherAmount
Total Adjustments233999TotalAdjustments
Excess Or Deficit Per FS1983460ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt25210262TotRevenueEtcAuditedFinclStmt
Other Revenues320760OtherRevenues
Revenue Not Rptd F990320760RevenueNotRptdF990
Revenue Subtotal24889502RevenueSubtotal
Total Revenue Per Form99024889502TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt23208500TotExpensesEtcAuditedFinclStmt
Other Expenses Included68459OtherExpensesIncluded
Expenses Not Rptd F99068459ExpensesNotRptdF990
Expenses Subtotal23140041ExpensesSubtotal
Total Expenses Per Form99023140041TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XIII, Line 2dPart XIII, Line 2d: Other expenses and losses per audited F/SFOUNDATION EXPENSES $68459
Part XII, Line 2dPart XII, Line 2d: Other revenue amounts included in F/S but not included on form 990FOUNDATION CONTRIBUTION REVENUE $572529 FOUNDATION INTEREST INCOME $521 LESS CONSOL ELIMINATIONS $-252290
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesRounding $ -1

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage125.000000000FreeOtherPercentage
FieldValueIRS element (for citing)
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 Expense30931TotalCommunityBenefitExpense
Net Community Benefit Expense30931NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense3141215TotalCommunityBenefitExpense
Direct Offsetting Revenue3032462DirectOffsettingRevenue
Net Community Benefit Expense108753NetCommunityBenefitExpense
Percent Of Total Expense0.00470PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense1500415TotalCommunityBenefitExpense
Direct Offsetting Revenue796952DirectOffsettingRevenue
Net Community Benefit Expense703463NetCommunityBenefitExpense
Percent Of Total Expense0.03040PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense4672561TotalCommunityBenefitExpense
Direct Offsetting Revenue3829414DirectOffsettingRevenue
Net Community Benefit Expense843147NetCommunityBenefitExpense
Percent Of Total Expense0.03640PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Total Community Benefit Expense15266TotalCommunityBenefitExpense
Direct Offsetting Revenue16370DirectOffsettingRevenue
Net Community Benefit Expense-1104NetCommunityBenefitExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Total Community Benefit Expense15266TotalCommunityBenefitExpense
Direct Offsetting Revenue16370DirectOffsettingRevenue
Net Community Benefit Expense-1104NetCommunityBenefitExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs3NumberOfActivitiesOrPrograms
Total Community Benefit Expense4687827TotalCommunityBenefitExpense
Direct Offsetting Revenue3845784DirectOffsettingRevenue
Net Community Benefit Expense842043NetCommunityBenefitExpense
Percent Of Total Expense0.03640PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$1,641,406BadDebtExpenseAmount
Amount Attributable To23018AmountAttributableTo
Amount Reimbursed By Medicare6726167AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare7711913CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-985746MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

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 SHARE0.33000
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 STREETAddressLine1
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 CENTER
305 TEXAS STREETMANSFIELDLA71052FITNESS CENTER AND PHYSICAL THERAPY
DESOTO REG HEALTH SYSTEM ZWOLLE CLINIC
2036 OBRIE STREETZWOLLELA71486RURAL HEALTH CLINIC
INDUSTRIAL MEDICINE CLINIC
119 JEFFERSON STREETMANSFIELDLA71052OUTPATIENT PHYSICIAN CLINIC
DESOTO REG FAMILY MEDICINE LOGANSPORT
110 MAIN STREETLOGANSPORTLA71049RURAL HEALTH CLINIC
DESOTO REG FAMILY MEDICINE
130 JEFFERSON STREETMANSFIELDLA71052RURAL 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 BASED 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 THAT THE MAJORITY, IF NOT ALL, OF THE SHORTFALL SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE HOSPTIAL 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.NOTE 4 ACCOUNTS RECEIVABLE: ESTIMATED ALLOWANCES FOR UNCOLLECTIBLES 2011 - $2,645,534 AND 2010 - $3,949,000.NOTE 18 CHARITY CARE: THE AMOUNT OF CHARGES FOREGONE FOR SERVICES AND SUPPLIES FURNISHED UNDER THE HOSPITAL'S CHARITY CARE POLICY AGGREGATED $66,906 FOR FISCAL YEAR ENDED SEPTEMBER 30,2011.

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 OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
Dr Micah Day
28860139806204298785324307
DR LEIGH DILLARD
297639761510419315673331904
Dr Jefferey Evans
18387333906054193317207151
Dr DOUG SAWYER
286256225006727315483422637
Dr Denis Kamberov
3719822116914389407540415277
Dr Ben Leggio
286581250014380303461312529

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 COMPENSATION BASED ON PRODUCTIVITY OF PHYSICIAN NET OF PRACTICE EXPENSES. NO PHYSICIAN EARNED ADDITIONAL COMPENSATION DURING FISCAL YEAR 2011 OR IN CALENDAR YEAR 2010.
Sch J, Part I, Line 1aPart I, Line 1a: Relevant information in regards to selections on 1a.

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionMEDICAL EQUIPDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99032740NoncashContribsRptdF990
Method Of Determining RevenuesSIMILAR SALESMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
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 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 COMMITTEE 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 COMMITTEE 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 OVERSEES 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 STREETAddressLine1
CityMANSFIELDCity
StateLAState
ZIP Code71052ZIPCode
FieldValueIRS element (for citing)
EIN721491325EIN
Primary ActivitiesSUPPORT HEALTHCARE AT DESOTO REGIONAL HEALTH SYSTEMPrimaryActivities
Legal Domicile StateLALegalDomicileState
Exempt Code Section501 C 3ExemptCodeSection
Public Charity StatusYESPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1DESOTO 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