2012-05-15T13:01:05-07:00 2011-09-30 Lester Miller & Wells 3600 Bayou Rapides Alexandria LA 71303 990 2010-10-01 720500565 DESOTO HOSPITAL ASSOCIATION INC DBA DESOTO REGIONAL HEALTH SYSTEM DESO 3188724610 207 JEFFERSON STREET MANSFIELD LA 71052 Sandra Anderson 2012-05-15 Mary L Carroll 3184871450 2010 2016-02-24 21:20:13Z John Garmany 207 JEFFERSON ST MANSFIELD LA 71052 24907750 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 SIX FULL-TIME PHYSICIANS, 24 HOUR EMERGENCY SERVICES, AND A WELLNESS AND THERAPY CENTER. 10 9 314 10 21439 7540 340097 2682521 22097946 20818968 81277 9803 1518756 1378210 24038076 24889502 0 0 10675429 9857146 0 0 14907077 13282895 25582506 23140041 -1544430 1749461 16129178 17095237 4164384 3146983 11964794 13948254 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 SIX FULL-TIME PHYSICIANS, 24 HOUR EMERGENCY SERVICES, A WELLNESS AND THERAPY CENTER AND AN INDUSTRIAL MEDICINE CLINIC. false false 19405587 21031529 DESOTO 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. 19405587 true true false false false false false false false false true false false true 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 24 0 true 314 true true true false false false false false false false false false 0 false false false false false false false false false true true X 10 9 true true false false true true true true true false false false false true true true true true true true true true X SANDRA ANDERSON CFO 3188724610 207 JEFFERSON MANSFIELD LA 71052 STEPHEN FLANDERS 1.00 X 0 0 0 Sandra Anderson 40.00 X 71719 0 13235 Raymond Powell 1.00 X 0 0 0 LC King Vidler 1.00 X 0 0 0 Johnny May 1.00 X 0 0 0 John Russell 1.00 X 0 0 0 John Garmany 1.00 X 0 0 0 John Freeman 1.00 X 0 0 0 Jill Heard 1.00 X 0 0 0 Dr Micah Day 40.00 X 288601 0 10184 DR LEIGH DILLARD 40.00 X 297639 0 18034 Dr Jefferey Evans 40.00 X 183873 0 9444 Dr JASON HATFIELD 40.00 X 106462 0 633 Dr DOUG SAWYER 40.00 X 286256 0 29227 Dr Denis Kamberov 40.00 X 371982 0 35558 Dr Ben Leggio 40.00 X 286581 0 16880 Doug Efferson 40.00 X 73296 0 21988 Deborah D Dees 1.00 X 0 0 0 1966409 155183 7 false true false Therateam 101 Isadore Street Natchitoches LA 71457 THERAPY SERVICES 645845 Tandem Anesthesia 1301 Bay Ridge Drive Benton LA 71006 ANESTHESIA SERVICES 132800 Healthtech 105 Westwood Place Suite 300 Brentwood TN 37027 Management SERVICES 439244 Emergency Staffing Solutions 17304 Preston Road SUITE 555 Dallas TX 75252 EMERGENCY PHYSICIANS 415340 CPS Inc 6409 Quail Hollow Road Memphis TN 38120 Pharmacy SERVICES 528224 7 2396491 286030 32740 2682521 Patient Service Revenue 900099 20797529 20797529 Cafeteria Catering 21439 21439 20818968 8310 8310 0 0 41650 41650 41650 41650 19741 18248 1493 1493 1493 0 0 0 Miscellaneous Income 939181 939181 Cafeteria Income 397379 397379 1336560 24889502 20799022 21439 1386520 0 0 0 0 656516 484107 172409 0 7690230 7080779 609451 81470 81470 827635 827635 601295 601295 182344 182344 169600 169600 78302 78302 0 0 0 0 42896 3649 39247 0 0 0 388329 388329 49263 22945 26318 0 0 24956 24956 0 1624490 1604309 20181 328627 256560 72067 TELEPHONE 178096 103201 74895 SUPPLIES 2674574 2007789 666785 PROFESSIONAL FEES 2856733 2143686 713047 EQUIPMENT MAINT RENTALS 931793 548668 383125 BAD DEBT EXPENSE 3550522 3550522 202370 64016 138354 23140041 19405587 3734454 0 381853 3039324 1476304 850947 0 1780839 1789034 0 0 0 525261 421995 321648 269778 25071687 15589647 10376673 9482040 0 0 0 97895 77714 1168705 1164405 16129178 17095237 1703733 1322905 706000 472000 1503369 1171834 251282 180244 4164384 3146983 X 10737189 12724228 1227605 1224026 11964794 13948254 16129178 17095237 X 1749461 233999 X false true true X false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 399968 263836 663804 11029421 11029421 527167 527167 12693272 15589647 -2896375 158023 158023 9482040 Rounding 3 DEPOSITS 300 CDS, MM, RESTRICTED CASH 1078601 CASH WITH PAYING AGENT 85501 1164405 24889502 23140041 1749461 234000 -1 233999 1983460 25210262 320760 320760 24889502 24889502 23208500 68459 68459 23140041 23140041 Part XIII, Line 2d Part XIII, Line 2d: Other expenses and losses per audited F/S FOUNDATION EXPENSES $68459 Part XII, Line 2d Part XII, Line 2d: Other revenue amounts included in F/S but not included on form 990 FOUNDATION CONTRIBUTION REVENUE $572529 FOUNDATION INTEREST INCOME $521 LESS CONSOL ELIMINATIONS $-252290 Part XI, Line 8 Part XI, Line 8: Other Changes in Net Assets or Fund Balances Rounding $ -1 true true X true X 125.000000000 true X true true true false false false 30931 30931 0.00130 3141215 3032462 108753 0.00470 1500415 796952 703463 0.03040 4672561 3829414 843147 0.03640 3 15266 16370 -1104 3 15266 16370 -1104 3 4687827 3845784 842043 0.03640 true 1641406 23018 6726167 7711913 -985746 X true true LOUISIANA HOMECARE HOME HEALTH - VOTING % 0.51000 LOUISIANA HOMECARE HOME HEALTH - PROFIT SHARE 0.33000 HEALTHTECH MANAGEMENT COMPANY 1 0 DESOTO REGIONAL HEALTH SYSTEM

207 JEFFERSON STREET MANSFIELD LA 71052

X X X DESOTO REGIONAL HEALTH SYSTEM 1 false true true 125.0000 true 200.0000 true X X X X true true X true X X X true X X X X X X X true X false true 5 DESOTO REG WELLNESS CENTER

305 TEXAS STREET MANSFIELD LA 71052

FITNESS CENTER AND PHYSICAL THERAPY DESOTO REG HEALTH SYSTEM ZWOLLE CLINIC

2036 OBRIE STREET ZWOLLE LA 71486

RURAL HEALTH CLINIC INDUSTRIAL MEDICINE CLINIC

119 JEFFERSON STREET MANSFIELD LA 71052

OUTPATIENT PHYSICIAN CLINIC DESOTO REG FAMILY MEDICINE LOGANSPORT

110 MAIN STREET LOGANSPORT LA 71049

RURAL HEALTH CLINIC DESOTO REG FAMILY MEDICINE

130 JEFFERSON STREET 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 - 0 Part V, Line 21 - 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 - 0 Part V, Line 19d - Other Billing Determination of Individuals Without Insurance ALL 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. 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 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 Expense 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.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. X true true X X X X false true false false false false false false false false Dr Micah Day 288601 3980 6204 298785 324307 DR LEIGH DILLARD 297639 7615 10419 315673 331904 Dr Jefferey Evans 183873 3390 6054 193317 207151 Dr DOUG SAWYER 286256 22500 6727 315483 422637 Dr Denis Kamberov 371982 21169 14389 407540 415277 Dr Ben Leggio 286581 2500 14380 303461 312529 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 FISCAL YEAR 2011 OR IN CALENDAR YEAR 2010. Sch J, Part I, Line 1a Part I, Line 1a: Relevant information in regards to selections on 1a. X MEDICAL EQUIP 1 32740 SIMILAR SALES false false false 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 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 COMMITTEE REVIEWS DATA FROM VARIOUS SOURCES, INCLUDING INDUSTRY BENCHMARKS, CONSULTANTS AND MANAGEMENT COMPANY 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 11 Form 990, Part VI, Line 11: Form 990 Review Process IRS 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 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 HEALTHTECH TO PROVIDE A CHIEF EXECUTIVE OFFICER WHO OVERSEES 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 STREET MANSFIELD LA 71052 721491325 SUPPORT HEALTHCARE AT DESOTO REGIONAL HEALTH SYSTEM LA 501 C 3 YES DESOTO REGIONAL HEALTH SYSTEM false false false false false false false false false false false false false false false false false false false